Schedule 1e, Debts And Obligations - Candidate Committee - Michigan Department Of State Page 2

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COMPLETING CANDIDATE COMMITTEE SCHEDULE 1E, DEBTS AND OBLIGATIONS
Check box “a” if this Schedule 1E will be used to list debts and obligations owed by or forgiven
the committee. Check box “b” if this Schedule 1E will be used to list debts and obligations owed
to or forgiven by the committee.
ITEM 3: NAME AND MAILING ADDRESS: Provide the name and mailing address of the
person, vendor or financial institution to whom debt is owed. If the debt is owed to the committee,
provide the name and address of the person that owes the committee.
DEBTS AND OBLIGATIONS OWED BY OR FORGIVEN THE COMMITTEE: Enter the
name and mailing address of any person, vendor or financial institution:
• to whom the committee owes an outstanding amount on a debt or obligation as of the closing
date of the Campaign Statement, or
• that forgave a debt during the current reporting period that the committee listed as outstanding on
the last Campaign Statement filed.
DEBTS AND OBLIGATIONS OWED TO OR FORGIVEN BY THE COMMITTEE: Enter
the name and mailing address of any person, vendor or financial institution:
• that owed the committee an outstanding amount on a debt or obligation prior to the closing date
of the Campaign Statement or
• to whom the committee forgave a debt or obligation during the current reporting period that was
listed as outstanding on the last Campaign Statement filed by the committee. Check the “Corp?
Yes” box if the debt is owed to an incorporated business.
• If the debt is a loan and was guaranteed or endorsed by someone, please fill in the requested
information in the lower half of the Schedule. A loan endorsement or guarantee is limited by any
applicable contribution limit that the Candidate Committee must observe.
ITEM 4: TYPE OF OBLIGATION: Describe the debt or obligation
ITEM 5: DATE DEBT WAS INCURRED: Enter the date the debt or obligation was incurred. If
the committee maintained an ongoing account with a vendor, treat each new charge as a separate
debt.
ITEM 6: ORIGINAL AMOUNT OF DEBT: Enter the original amount of the debt or obligation.
If the committee maintained a running account with a vendor, treat each new charge as a separate
debt.
ITEM 7: DATES AND AMOUNTS OF PAYMENTS: Enter the amount and the date of each
payment on the debt or obligation.
ITEM 8: CUMULATIVE PAYMENTS: Enter the total amount paid by or to the committee on
the debt or obligation as of the closing date of the Campaign Statement.
ITEM 9: OUTSTANDING BALANCE: Enter the outstanding amount owed by or to the
committee on the debt or obligation as of the closing date of the Campaign Statement. Check the
“Forgiven” box if the loan has been forgiven.
ENDORSEMENT OR GUARANTEE: Enter the full name of the person who endorsed or guaranteed all or a
portion of the loan or other debt. Enter the amount endorsed or guaranteed.

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