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Schedule H -- Part IIType or printin ink. SCHEDULE H- Part II <br /> Amounts may be rounded <br /> Loan Repayment.s Received on Loans Made towhole dobers. Statement covers period <br /> to Others (Including Payments Received,,o. ;' - _,*,· ~-" - "-/ <br /> from Third Parties) and Loans Forgiven <br /> SEE INSTRUCTIONS ON REVERSE through :,,¥ . Page <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> r" ,; '(_/// <br /> I <br /> DATE OF ~ <br /> DATE OF / INTEREST . AMOUNT REPAID OR . OUTSTANDING INTEREST <br /> REPAYMENT OR ORK~INAL FULL NAME OF RECIPIENT OF LOAN RATE FORGIVEN ON PRINCIPAL PRINCIPAL RECEIVED <br /> FORGIVENESS LOAN M O~ED) ;XCLm~ MC~m O~ <br />i <br /> <br /> Attach ~dd~l~on~l information on ~ppvopvi~tely I~bele~ continuation sheet~. SUBTOTAL $ TOTAL ~NTEREST <br /> RECEIVED THIS PERIOD <br /> Enter t~ ~mount <br /> *IM~R~ANT: If any ~ o~ ~ I~ ~s forgiven, ~lso ~tem~ze the forgiveness on Schedule E. If~ ~ep~yment ~s receiv~ f~om ~ s~mm~ <br /> ~ ~, enter lhe name ~ ~re~ of lh~ p~y in the *FUL~ ~E OF REOV~E~ OF ~ OAN * COIUmn ~ve, ~0~ ~ lhe ~t ~r~ ~his ~o~o ~ somm~s~ <br /> n~me of the vecip~enl of the I~n. of~ <br /> <br /> <br />