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� <br /> Schedule B—Part 1 <br /> Loans Received <br /> SEE INSTRUCTIONS ON REVERSE <br /> Type or print in ink. <br /> Amounts may be rounded <br /> to whole dollars. <br /> NAME OF FILER <br /> �/r/ {'� ii) �-�C �� � '2 C.,� IL/B...I'��C <br /> FULL NAME,STREET ADDRESS AND ZIP CODE �F AN INDIVIDUAL, ENTER <br /> OF LENDER � OCCUPATION AND EMPLOVER <br /> pFCOMMITfEE,NL50ENlERI.D.NUMBER) (IFSELF-EMPLOYEqENTER <br /> NqMEOFBU51NE55) <br /> ✓ � <br /> <br /> /��IX.-itloro� �i�y, ��'Ii�/ <br /> / <br /> � IND ❑ COM ❑ OTH ❑ PTV ❑ SCC <br /> t� IND ❑_COM ❑ OTH ❑ PN ❑ SCC <br /> t❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC <br /> Statement covers period <br /> from �,(�,[�Q_�_ <br /> through d O Page � of_ <br /> I.D. NUMBER <br /> 9 �o7S U <br /> BALANCE V ����� AMOUNTPAID <br /> BEGINNING THIS RECEIVED THIS OR FORGIVEN <br /> aFAinn PEFIOD ruicocoinn• <br /> INTEREST <br /> PAID THIS <br /> PEFlIOD <br /> �PAID <br /> g O.OU �,��G Po? O g <br /> �FORGNEN A/•iE <br /> s���a a�L.Q2 sJ!��_ $ 0.0� <br /> DATE DUE <br /> �PAID <br /> 3 S <br /> �FOflGIVEN <br /> E g g <br /> �ATE DUE <br /> _% <br /> flRTE <br /> B-PART1 <br /> ORIGINAL CUMULA7IVE <br /> AMOUNTOF CONTRIBUTIONS <br /> LOAN 70 DATE <br /> CALENDAFYEAR <br /> :3;D04'Lt� s <br /> PER ELECTION" <br /> DAO E�CURRE� f <br /> CALENDARYEAR <br /> E S <br /> PER ELECTIINJ" <br /> E s <br /> DATEINCURRED <br /> �PAIO <br /> E § _g <br /> �FORGNEN A��E <br /> S 5 E E <br /> DATE DUE <br /> SUBTOTALS $ p.Od $ B �OO S <br /> Schedule B Summary <br /> t. Loans received this period......................................................................... <br /> (Total Column(b)plus unitemized loans less than$100.) <br /> 2. Loans paid orforgiven this period .............................................................. <br /> (Total Column(c)plus loans under$100 paid or forgiven.) <br /> (Include loans paid by a third party that are also itemized on Schedule A.) <br /> 3. Net change this period. (Subtract Line 2 from Line t.)............................. <br /> Enter the net here and on the Summary Page,Column A, Line 2. <br /> ..$ o. ov <br /> .......... $ o,tio <br /> ,c�� S <br /> ... NEr g 0.0 D <br /> (May be a nega�ive numEer) <br /> o� <br /> CALENOARVEAR <br /> S S <br /> PER ELECTION° <br /> f <br /> DATEINCURRED <br /> 'Amounts torgiven or paid by <br /> another party also must be <br /> reported on Schedule A. <br /> " It required. <br /> t Cantributor Codes - <br /> IND-Individual COM-RecipientCommittee(otherthanPTYorSCC) OTH-Other PTY-POliticalParty SCC-SmallContributorCOmmittee FPPCForm460 (June/Ot) <br /> FPPC Toll-Free Helpline: 866/ASK-FPPC <br />