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Schedule H -- Part I Typ. or print in ink. SCHEDULE H - Part I <br /> Amounts may be rounded <br /> Loans Made to OthersStatement coversperiod <br /> to whole dollars. <br /> SEE INSTRUCTIONS ON REVERSE through~ ? .... /~/''"~/'::* ~ ? <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> I <br /> DATE OF LOAN FULL NAME AND ADDRESS OF RECINENT <br /> (IF COMIMITTIE, m WlON TO COMMITTEE'S NAME JJdO &DD4~SS, iNTER I.D. NUMBER INTE REST RATE DUE DATE AMOUNT <br /> o1~ if NO I.D. NUMI~It NAS IEEN ASSIGNED, ENTER T~ASUnER'S NAME AND ADD~SS) <br /> <br />i SUBTOTAL $ <br />Loans Made to Others - Part I Summary <br />1. Loans of $100 or more made this period. <br />* (Include all Loans Mede - Part I subtotals.) ............................................................ S <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 />Loans 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 - 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 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 />