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SCHEDULE H -- Part 1 <br />Schedule H -- Part I Typo or Print in Ink. Statomen! covor8 poriod <br />Loans Made to Others Amounto moy bo roundod <br /> tO whoIo dollars, from / ~// - 9;*~ <br /> <br />SEE INSTRUC, iONS ON REVERSE through /- ~/~)'~/~ Pago / ? o! ~/ <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMI~EE: I.D, NUMBER <br /> <br /> DATE OF LOAN FULL NAME AND ADORE,SS OF RECIPIENT INTEREST RATE DUE DATE AMOUNT <br /> (IF COMMIr[EE, IN ADDITION 1'O COMMIF[EE'S NAME AND ADORE,SS, ENTER ID. NUMBER OR, <br /> IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENIER 'IREASURER'S NAME & ADO~ESS) <br /> <br /> SUBTOTAL <br /> <br />Loans Made to Others -- Part I Summary <br />i. Loans of $100 or more made fins period. <br />(Include all Loans Madc -- Part I subtolals.) ........................................................................................................... $ <br />2. Loans under $100 made this <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 /> <br />4. ?aymcnL~ rccciYcd on loans of $100 or more. (lnclodc all loan payments received and all loans of $100 or <br />which have bccn lbrgivcn by this officeholder, caodidalc, or commiucc -- Pa~ II (a) snl~omis. <br />If forgiven, also ilcmizc on $chc4ulc £.) .................................................................................................................. $ <br />5. Paymenls received o~ loans offer <br />(including a for§ivcn¢ss. Do not itemize.) ................................................................................................................ $ <br />6. Tolal loan paymems received this <br />(Add Li~es 4 o~d ~.) ................................................................................................................................... TOTAL $ <br />?. Net chemic this period. ($,h~'act Lioc 6 l¥om Lio¢). <br />Enter Ibc net here ood on Ibc Soinmo~y Parc, Column A, !~i~¢ 03 .................................................................. HET $ <br /> <br /> <br />