Fec Form 3p - Report Of Receipts And Disbursements (Page 13 of 16) in pdf

Fec Form 3p - Report Of Receipts And Disbursements Page 13

. If neither of the types of collateral described above was pledged for this loan, or if the amount pledged does not equal or exceed the

loan amount, state the basis upon which this loan was made and demonstrate that it assures repayment.

. Type or Print Name of Committee Treasurer

Signature of Treasurer

Date

. Attach a signed copy of the loan agreement.

TO BE SIGNED BY THE LENDING INSTITUTION:

To the best of this institution's knowledge, the terms of the loan and other information regarding the extension of the loan are accurate

as stated above.

The loan was made on terms and conditions (including interest rate) no more favorable at the time that those imposed for similar

extensions of credit to other borrowers of comparable credit worthiness.

This institution is aware of the requirement that a loan must be made on a basis which assures repayment, and has complied with the

requirements set forth in 11 CFR 100.7(b)(11) and 100.8(b)(12) in making this loan.

Type or Print Name of Authorized Representative

Title

Signature of Treasurer

Date

FEC Form C-P-1 (Rev. 05/2016)

Fec Form 3p - Report Of Receipts And Disbursements Page 13