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Schedule H - Part II Type or print in ink. <br />Loan Repayments Received on Loans Made Amounts may be rounded IStatement covers period <br />to Others (Including Payments Received to w.o~o doHurs. ~? j/..~ ~ <br />from Third Parties) and Loans Forgiven Itrom <br /> EE,. T.UC..O.SO..EVE. E t.rou0. /_2_7 ct <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> DATE OF DATE OF INTEREST AMOUNT REPAID OR OUTSTANDING INTEREST <br /> REPAYMENT OR ORIGINAL FULL NAME OF RECIPIENT OF LOAN RATE FORGIVEN ON PRINCIPAL* PRINCIPAL RECEIVED <br /> FORGIVENESS LOAN (IF CHANGED) (EXCLUDE RECEIPT OF INTERES~ <br /> <br /> la) TOTAL INTEREST (b) <br /> Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ RECEIVED THIS PERIOD $ <br /> <br /> * IMPORTANt' If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received Enter the amount in column (b)in the <br /> from a third party, enter the name and address of third party in the "FULL NAME OF RECIPIENT OF LOAN" column above, along with the summary section of Schedule I, Line 3. <br /> name of the recipient of the loan. Do not carq/ this total to the summary <br /> section of Schedule H. <br /> <br /> <br />