Laserfiche WebLink
SCHEDULE H -- Part I <br />Schedule H -- Part I Typo or Print in Ink. Statement covor~ period <br />Loans Made to Others Amounts maybo rounded <br /> ,o ,o,,...,.. - I <br /> <br />SEE INSTRUCTIONS ON REVERSE through J '~'-' ~ 1'~ J Page <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMffI'EE: ID. NUMBER <br /> <br /> DATE OF LOAN FULL NAME AND ADDRESS OF RECIPIENT INTEREST RATE DUE DATE AMOUNT <br /> (IF COMMffI'£E, IN AI~TION [O COMMIr[F£'S NAME AND ADORE,SS, EN'I'£R ID. NUMflI:R OR, <br /> IF NO I.D. NUMi~£R HAS I~£N ASSIGNED, ENIER TREASURER'S NAM£ & ADOR£SS) <br /> <br /> SUBTOTAL $ ~ <br />Loans Made to Others -- Part I Summary <br />i. Loans of $100 or more made Ibis period. <br />(Include all Loans Made -- Pm11 sub~olals.) ........................................................................................................... $ <br />2. Loans under SI(X) made Ibis period. <br />(Do nol itemize.) ....................................................................................................................................................... $ <br />3. Tolal loans made Ibis period. <br />(Add Lines ! and 2.) ................................................................................................................................... TOTAL $ <br /> <br />Loan Repayments Re¢oived t Part II Summary <br /> <br />4. Paymcnls received on loans of SI(X) or more. (Include all loan paymcnls received and all loans of $100 or more <br />which have been forgiven by Ihis officeholder, candidate, or commillec -- Pall 11 (a) sul~olals. <br />if forgiven, also itemize on Schedule E.) .................................................................................................................. $ <br />:5. Paymcnls received on loans under $100. <br />(Including a forgiveness. Do nol itemize.) ................................................................................................................ $ <br />6. Tolal loan paymcnls received lhis period. <br /> (Add Lines 4 and :5.) ................................................................................................................................... TOTAL $ <br />?. Nc! change Ibis period. (Subtracl Linc 6 [rom Linc 3. ~ <br /> EnLcr thc ncl hcrc anti on thc Summary Page, Coloron A, l.ine 9.) .................................................................. NET $~ Iday be a ne0mive number <br /> <br /> <br />