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Type or print in ink. SCHEDULE B-PART 1 <br /> Schedule B—Part 1 Amounts may be rounded Statement covers period <br /> Loans Received to whole dollars. 1/1/2010 CALIFORNIA 460 <br /> from FORM <br /> SEE INSTRUCTIONS ON REVERSE through 6/30/2010 Page 5 of 7 <br /> NAME OF FILER I.D. NUMBER <br /> JOHN SEYBERT 1313963 <br /> IF AN INDIVIDUAL, ENTER (a) (b) (c) (d) (e) (f) (g) <br /> FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE <br /> OF LENDER OCCUPATION AND EMPLOYER BALANCE BALANCE AT <br /> (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS <br /> (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE <br /> JOHN SEYBERT CHURCH ADMIN PAID CALENDAR YEAR <br /> PCC $ 1,000 $ 0 0 % $ 1,000 $ 0 <br /> REDWOOD CITY CA 94061 ❑FORGIVEN RATE PER ELECTION** <br /> $ 1,000 $ 0 $ $ 12/3/08 $ <br /> tQ( IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED <br /> ❑PAID CALENDAR YEAR <br /> $ $ % $ $ <br /> ❑FORGIVEN RATE PER ELECTION** <br /> t $ $ $ $ $ <br /> ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED <br /> ❑PAID CALENDAR YEAR <br /> $ $ % $ $ <br /> ❑FORGIVEN RATE PER ELECTION** <br /> $ $ $ $ $ <br /> t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED <br /> SUBTOTALS $ $ $ $ <br /> (Enter(e)on <br /> Schedule B Summary Schedule E,Line 3) <br /> 1. Loans received this period $ 0 <br /> (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes <br /> 1,000 IND—Individual <br /> 2. Loans paid or forgiven this period $ <br /> COM-Recipient Committee <br /> (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) <br /> (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity) <br /> PTY—Political Party <br /> 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ -1,000 SCC-Small Contributor Committee <br /> Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) <br /> *Amounts forgiven or paid by another party also must be reported on Schedule A. <br /> **If required. FPPC Form 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br />