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Schedule H -- Part I Type or print in ink. SCHEDULE H - Part l <br /> Amounts may be rounded Statement covers <br />Loans Made to Others towholedollars. <br /> <br />SEE INSTRUCTIONS ON REVERSE I through /'~'~ ' ~'~'"~ Page <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF RECIPtENT <br /> ~ DATE OF LOAN (IF COMMITI*EL IN ADDITIO~TOCOMMrrrEE'$ NAME ANDADDRESS, ENTERI.D.#UMSER INTEREST RATE DUE DATE AMOUNT <br /> <br /> SUBTOTAL <br /> <br />Loans Made to Others -Part I Summary <br />1. Loans of $100 or more made this period. <br />' (Include all Loans Made - Part I subtotals.) ............................................................ $ <br />2. Loans under $100 made this period. ,~ <br />(Do not itemize.) .................................................................................... $ <br />3~ Total loans made this period. <br />; (Add Lines 1 and 2.) .......................................................................... TOTAL $ <br /> <br />Loans Repayments Received - Part II Summary <br /> <br />4. Payments received on loans of $100 or more. (Include all loan payments received and all loaDs of $100 or more <br />which have been forgiven by this officeholder, candidate, or committee - Part II (a) subtotals. <br />If forgiven, also itemize on Schedule E.) ................................................................ <br />5. Payments received on loans under $100. <br />(Including a forgiveness: Do not itemize.) .............................................................. $ <br />6. Total loan payments received this period. <br />(Add Lines4and 5.) .......................................................................... TOTAL $ ( ~ <br />7, Net change this period. (Subtract Line 6 from Line 3. <br />Enter the net here and on the Summary Page, Column A, Line 9.) .................................... NET $ <br /> <br /> <br />