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i <br /> Type or print in ink. SCHEDULEB-PART1 <br /> Schedule B-Part 1 Amounts may be rounded Statement covers period �_ <br /> Loans Received to whole dollars. / 03 � �' � • � <br /> from <br /> SEE INSTRUCTIONS ON REVERSE thfough � � Page �� oi�_ <br /> NAME OF FILER / I.D. NUMBER <br /> I Co rn Az ��-� �v ��e�/�' a�.t^Y�ct-vz... � � r�� �j'7J 7S'0 <br /> IF AN INOIVIDUAL, ENTER a �b� kl (tl� �e) �f� (9) <br /> FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT qMOUNTPAID �UTSTANDING �NTEREST ORIGINAL CUMULATIVE <br /> OCCUPATION ANO EMPLOYER gALAN CE BALANCEAT <br /> OF LENDER prse�-eMa�oveqerrtER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBU TI O N S <br /> QFCAMMITfEE.AL50EMERI.p.NUMBER) ryqMEOfBUSMESS) pE � PERIOD THISPERIOD` PERI D PERIOD �OAN TODATE <br /> /� �PAI� CAIENDARYEAR <br /> J�rr Pi c.r�ne �/�c�e Prrs�d�'r,xf' :� :��3qY P2 a.00% f 3'� , o.ao <br /> � C • aATE <br /> ��C.LWOOOC `��- / I C' ` F'[��I I/✓�I JC/ ��� �y�c p� � ❑ORGI,V�EN E D. v EPERELECTION" <br /> s ���778't E E "V � l0 I <br /> t INO ❑ COM ❑ OTH ❑ PTY ❑ $CC ��C•O� DATEDUE DATE N URRED <br /> �pq�p GLENDARYEAft <br /> E S _% $ 3 <br /> �FORGIVEN �pTE PER ELECTION TM <br /> 5 t E f S <br /> t0 IND ❑ COM ❑ OTH ❑ PTV ❑ SCC DATEWE DATEINCURRE� <br /> �PAID CAI.ENDARYEAR <br /> S E % E E <br /> �FORGNEN �TE PER ELECTION" <br /> S S 5 E f <br /> i� IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATEINCURRED <br /> susrorA�s s �- s ,� s a,3qp:g� s �- <br /> (Enter(e)on <br /> Schedule B Summary �'�°'"aE""�" <br /> 1. Loans received this period....................................................................................................................$ ��� .Amounts forgiven or paid by <br /> (Total Column(b)plus unitemized loans less than$100.) anotner parry aiso must be <br /> a•QU reported on Schedule A. <br /> 2. Loans paid orforgiven this period ......................................................................................................... $ <br /> (Total Column(c)plus loans under$100 paid orforgiven.) `•if requ�red. <br /> (Inciude loans paid by a third party that are also itemized on Schedule A.) <br /> 3. Net chan e this eriod. Subtract Line 2 from Line 1. .................................................. NET $ �'�D <br /> Enter the9 et here and n the Summary Page, Column A, Line 2. �MBybedM'�L����� <br /> t Contributor Codes <br /> IND-Individual COM-RecipientCOmmittee(otherthanPTYorSCC) OTH-Other PTY-PoliticalParty SCC-SmallConUibutorCommittee FPPC Form460 (June/01) <br /> FPPC 7oll-free Helpline: 8661ASK-FPPC <br />