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I <br /> <br /> Type m print inink. SCHEDULE H - Part <br />Schedule H -- Part I A,om, may be ,ounded Stltement cove,s pe,iod <br />Loans Made to Others <br /> <br />SEE INSTRUCTIONS ON REVERSE I.D. NUMBER <br />NAIdE OF OFFICEHOLDER OR CANDIDATE AND CONTIROLLED COMMITTEE <br /> <br /> FULL NAME AND ADDRESS OF RECIPIENT INTEREST RATE DUE DATE <br /> DATE OF LOAN 0~ coeMm~[[, iN &lzollmm To COMM~TTEt'S ~ AND MZO~SS. INTE~ LD. NUM~n <br /> <br /> SUBTOTAL $ <br /> <br /> Loans Made to Others - Part I Sumflml <br /> 1. Loans of $100 or more made this <br /> · (Include all Lo~ns Made - Part I ............................................................ <br /> 2. Loans under S100 made this <br /> (Do not itemize ) ...................................................................... <br /> 3~ Total loans made this ........... TOTAL <br /> ~ (Add Lines 1 and 2.) ........................................................... <br /> <br /> Loans Re ired - Part Il SUmmary <br /> <br /> 4. Payments recei, loans of $100 or more. (include all loan payments received and all loans of $100 or more <br /> which have for~liven ~ this officeholder, candidate, or committee - Part II Ca) subtotals. <br /> If forgiven, hedule E.) ................................................................ <br /> 5. Pa' on loans under $100. <br /> la forgiveness. Do not itemize ............................................................ <br /> 6. Total loan payments received this period. TOTAL <br /> (Add Lines 4 and S.) ........................................................................... <br /> 7. Net ch~, nge this period. (Subtract Line & from Line 3. <br /> ......... *,--.~.-¢ ....... ~,~,~ ~'nl,mnA lineql ................................. NET <br /> <br /> <br />