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SCllEDIJI.EII -Parll <br />· ~ Schedule H -- Part I Type or Print in Ink. S~et~men~ <br /> Amounts may be rounded <br /> / <br /> Loans Made to Others to wholodoller~. <br /> <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITI'EE: MBERO! <br /> <br /> DATE OF LOAN FULL NAME AND ADOF~SS OF RECIPIENT INTEREST RATE DUE DATE AMOUNT <br /> (IF COMMIHEE. IN ADOITIC)N TO COMIdI¥1EE'S NAME AND A[~ESS. ENTER I O NUMBER OR, <br /> IF 1%101D NUMBER HAS BI:EN ASSIGNED. ENIER 1REASURERS NAME i AIX3RESS) <br /> <br /> SUBTOTAL $ <br /> <br /> Loan. Made to Others -- Part I Summary <br /> 1. Loans of $100 or mom made this period. <br /> (include all Loans Made -- Pan I subtolals.) ........................................................................................................... $ <br /> 2. Loans under $100 mmic this period. <br /> (Do not itemize.) ....................................................................................................................................................... $ <br /> 3. Total loans made this period. <br /> (Add Lines I and 2.) ................................................................................................................................... TOTAL $ <br /> <br /> Loan Repayments Received -- Part II Summary <br /> 4. Payments received on loans of $100 or more. (include all loan payments received and all loans of $100 or more <br /> which have been forgiven by this officeholder, candidate, or committee -- Pan I! (a) subtotals. <br /> If forgiven, also itemize on Schedule E.) .................................................................................................................. $ <br /> :5. Payments received on loans under $1~0. <br /> (Including a forgiveness. Do not itemize.) ................................................................................................................ $ <br /> 6. Total loan payments received this period. <br /> (Add Lines 4 and 5.) ................. ; ................................................................................................................. TOTAL $ <br /> 7. Ncr change this period. (Subtract Linc 6 from Linc 3. <br /> Enter Ibc net here and on thc Summary Page, Colnmn A, I,inc 9.) .................................................................. NET $ Uay be a negalive number. <br /> <br /> <br />