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e ' '; ,� <br /> ichedule H SCHEDULEH <br /> Type or print In ink. Statemenl covers perlod <br /> .oans Made to Others* Amounts may be rounded � � I � , <br /> to whole dollars. I from �^ � �' � $ • ' <br /> 2E INSTRUCTIONS ON REVERSE I [hfough "�1 '� 3 O —[7 S pege� Of_L_L_ <br /> . U1E OF FILER I.�. NUMBER <br /> C/?/2£�t/5 %a �/�RL i�cT £Ot.aJOO D `—� t �o��i rc b� uN L.Of*H/T/ � � �7 6 3°f <br /> IF AN INDIVIDUAL,ENTER �°� ��� ��� 1�1 nl Ipl <br /> PULL NAME,STREEi ADDRESS AND ZIP CO�E OUTSTANDING AMOUNT I REPAYMENT OR OUTST��DING INTEREST ORIGINAL CUMULATIVE <br /> OCCUPATION AND EMPLOYER BALANCE BAL4NCEAT <br /> OF REC�PIENT pF se�c.EMa�orED.enreq BEGINNING TMIS �OANED THIS FORGIVENESS CLOSE Of THIS RECEIVED AMOUNTOF lOANS <br /> �iF COMMITTEE,:l50 ENTER I D.N11U8ER� W.ME OF BUSWESS) PERIOD <br /> PERIOD THIS PERIO�' ERIOD IOAN 70 DATE <br /> � PAIO CALEN�AR YEAR <br /> S 5 __N � S <br /> . G FORGIVEN �re PERELECTION"' <br /> 3 S S S f <br /> OATE OUE DAiEINCURRE� <br /> � PAID LALENDA0.YEAR <br /> 3 S _% � S <br /> � FORCeNEN �� PEREIECTION° <br /> 5 5 S S 3 <br /> ' OATE DUE OATEINCURRE� <br /> Loans tAat are contributions to another candidate or committee <br /> �uslalso be summarized on Schedule D. Loans forgiven must SUBTOTALS $ " 3 �� $ �� $ <br /> dso be reported on Schedule E. <br /> �Enrer�e�on <br /> Sc�etlulC I, Une 3� <br /> �chedule H Summary <br /> Loansmade this period ............... ........................................................................................................._.......,...............$� °If Required <br /> (Total Column(b)plus unitemized loans of less than 5100.) <br /> Paymentsreceived on loans ...................... ................................ ........ ............. ...........................................................5� <br /> (Total Column(c)plus unitemized payments of less than S100.) <br /> . Net change this period. (Subtract Line 2 from Line 1.) ............... .......................................................................... NET $ � <br /> (Enter the net here and on the Summary Page, Column A, Line 7.) �M•""•"`°°�"°°°""`° <br /> FPPC Form 460�January105) <br /> FPPC Toll-Free Helpline:866IASI(-FPPC(8661275-3772) <br />