PAGE
OF
SCHEDULE C (FEC Form 3)
Use separate schedule(s)
FOR LINE NUMBER:
for each category of the
LOANS
(check only one)
13a
Detailed Summary Page
13b
NAME OF COMMITTEE (In Full)
LOAN SOURCE Full Name (Last, First, Middle Initial)
Election:
Memo Item
Primary
General
Mailing Address
Other (specify)
City
State
ZIP Code
Personal Funds of the Candidate
Original Amount of Loan
Cumulative Payment To Date
Balance Outstanding at Close of This Period
,
,
.
,
,
.
,
,
.
TERMS
Date Incurred
Date Due
Interest Rate
Secured:
(If none, enter 0)
M
M
/
D
D
/
Y
Y
Y
Y
.
M
M
/
D
D
/
Y
Y
Y
Y
%
Yes
No
(apr)
List All Endorsers or Guarantors (if any) to Loan Source
Name of Employer
1. Full Name (Last, First, Middle Initial)
Occupation
Mailing Address
Amount
,
,
.
Guaranteed
City
State
ZIP Code
Outstanding:
Name of Employer
2. Full Name (Last, First, Middle Initial)
Occupation
Mailing Address
Amount
,
,
.
Guaranteed
City
State
ZIP Code
Outstanding:
3. Full Name (Last, First, Middle Initial)
Name of Employer
Mailing Address
Occupation
Amount
,
,
.
Guaranteed
City
State
ZIP Code
Outstanding:
4. Full Name (Last, First, Middle Initial)
Name of Employer
Occupation
Mailing Address
Amount
,
,
.
Guaranteed
City
State
ZIP Code
Outstanding:
SUBTOTALS This Period This Page (optional) ....................................................................
,
,
.
TOTALS This Period (last page in this line only) ................................................................
,
,
.
Carry outstanding balance only to LINE 3, Schedule D, for this line. If no Schedule D, carry forward to appropriate line of Summary.
FEC Schedule C (Form 3) (Revised 05/2016)