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• <br /> SCHEDULE B-PART 1 <br /> Type or print in ink. <br /> Schedule B—Part 1 Amounts may be rounded Statement covers period CALIFORNIA 460 <br /> Loans Received to whole dollars. 9/20/09 FORM <br /> from <br /> through 10/17/09 Page 9 of 14 <br /> SEE INSTRUCTIONS ON REVERSE <br /> I.D. NUMBER <br /> NAME OF FILER <br /> JOHN SEYBERT 1313963 <br /> (d) (e) (f) (9) <br /> FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE <br /> OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS BALANCEAT PAID THIS AMOUNT OF CONTRIBUTIONS <br /> OF LENDER OR FORGIVEN CLOSE OF THIS <br /> (IF SELF-EMPLOYED,ENTER BEGINNING THIS PERIOD * PERIOD LOAN TO DATE <br /> (IFCOMMITTEE,ALSOENTERI.D.NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD PERIOD <br /> ❑PAID CALENDAR YEAR <br /> JOHN SEYBERT CHURCH ADMIN. $ 0 $ 1,000 0 s $ 1,000 $ 1 000 <br /> PCC <br /> REDWOOD CITY CA 94061 ❑FORGIVEN RATE PER ELECTION** <br /> $ 1,000 $ 0 $ 0 NA $ 0 12/3/08 $ 1,000 <br /> DATE DUE DATE INCURRED <br /> tg IND ❑ COM ❑ OTH 0 PTY ❑ SCC <br /> ❑PAID CALENDAR YEAR <br /> $ $ % $ $ <br /> ❑FORGIVEN RATE PER ELECTION** <br /> $ $ $ $ $ <br /> DATE DUE DATE INCURRED <br /> to IND ❑ COM ❑ OTH 0 PTY ❑ SCC <br /> ❑PAID CALENDAR YEAR <br /> $ $ % $ $ <br /> ❑FORGIVEN RATE PER ELECTION** <br /> $ $ $ $ $ <br /> DATE DUE DATE INCURRED <br /> t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC � fr s: � <br /> SUBTOTALS $ 0$ 0 $ 1,000 $ 0 , � <br /> z <br /> (Enter(e)on <br /> Schedule E,Line 3) <br /> Schedule B Summary <br /> 1. Loans received this period $ 0 <br /> (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes <br /> 0 IND—individual <br /> 2. Loans paid or forgiven this period $ COM—Recipient Committee <br /> (Total Column(c)plus loans under$100 paid or forgiven.) OTH—Other(e.g.,business entity)(other than PTY or SCC) <br /> (Include loans paid by a third party that are also itemized on Schedule A.) PTY—Political Party <br /> NET $ 0 SCC—Small Contributor Committee <br /> 3. Net change this period. (Subtract Line 2 from Line 1.) (May be a negative number) <br /> Enter the net here and on the Summary Page,Column A, Line 2. <br /> *Amounts forgiven or paid by another party also must be reported on Schedule A. <br /> FPPC Form 460(January/05) <br /> **If required. FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) <br />