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Schedule H- Part I Type or print In I.k. SCHEDULE H- PART I <br /> Amounts may be rounded <br /> Loans Made to Others to whole dollars. Statement covers period <br /> <br /> from <br /> <br /> SEE INSTRUCTIONS ON REVERSE through <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMI~EE I,D, NUMBER <br /> <br /> DATE OF LOAN FULL NAME AND AODRESS OF RECIPIENT INTEREST RATE DUE DATE AMOUNT <br /> (IF COMMITTEE. IN AODITION TO C~I~TEE'S NAME ~g ADDRESS. ENTER ID. NUMBER <br /> OR, IF NO ID NUMaER HAS SEEN ASSIGNED, ENTER TREASURER'S N~E ANO ADDRESS} <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 />Loan Repayments Received - Part II Summary <br />4. Payments received on loans of $100 or more. (Include all loan paymenls received and all loans of $100 or more <br /> which have been lorgiven by this officeholder, candidate, or committee - Part II (a) subtotals. <br />If forgiven, also itemize on Schedule E.) ..................................................................................................................... $ <br />5. Payments received OR loans under $100. <br />(Including a forgiveness. Do not ilemize.) ................................................................................................................... $ <br />6. Total loan payments received this period. <br />(Add Lines 4 and 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 />