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._� . _ <br /> SCHEDUIEH <br /> tched u le H Type or print in ink. Statement covers perlod � , <br /> .oans Made to Others* Amoto hole dollarsnded from , � ' <br /> /b —i9— 08 • - <br /> eE INSTRUCTIONS ON REVERSE through ��— 3— �& Page L� of �°2" <br /> . AAIEOF FILER -� /� /� /� I.�. NUMBER <br /> •. . CI�TIZ`GNS TU /'�Oi£CT /�£'�wnonl. lT fOL1T�GAL AG?/U� ��'.�7�'1iTT£E 1 � 0 � � � <br /> IF AN IN�IVIDUAL,ENTER �� �b� �'� �•� m 191 <br /> FULL NAME,STREET ADORESS AND ZIP CODE OUTSTANDING qMOUNT OUTST��DING INTEREST ORIGINAL CUMULATIVE <br /> OCCUPATIONAND EMPLOYER gq�qNCE REPAYMENT OR BALANCEAT <br /> OF RECIPIENT (IF SELF-EMPLOYEO.ENTER BEGINNING THIS LOANED THIS FORGIVENESS CLOSE OF THIS RECEIVED AMOUMOF �OANS <br /> pF COMMInEE,Ai.so Er+rER I,D.NUMeeR) ruME OF BUSwE55) P � p PERIOD THIS PERI00' RIOD LOAN TO DATE <br /> � PAID CALENDAR YEAR <br /> S 3 _% 3 S <br /> � FORGIVEN �� PERELECTON" <br /> 3 3 5 5 S <br /> DATE DUE OATEINCl1RRED <br /> � PAIO CALENDAR YEAR <br /> 3 S _% f S <br /> � FORGNEN �� PERELECTION" <br /> 3 f S S 5 <br /> ' , OATE DUE OATE INCIIRRED <br /> �LOans that are contNbutions to ano[her candidate or committee .�t�,��.��,��z�,�;��i t'�,ki�`$'�: <br /> nustalso be aummarized on Schedule D. Loans forgiven must .�— �-- � � 4i°°���'��r ��'��1" `x`i�-� � <br /> dso be reported on Schedule E. SUBTOTAIS S S � S S �� ��,���E st�„'����,��'�.�"�tt� <br /> ,a i�4i i.r�_.SiT*1,�,� <br /> (Entar(e)on <br /> ScMtlule I, Lina 3) <br /> �chedule H Summary <br /> �_ <br /> . Loans made this period .................. . .............................................................................................................................$ •�If Required <br /> (Total Column(b)plus unitemized loans of less than$100.) � <br /> Paymentsreceived on loans ...........................................................................................................................................$ <br /> (Total Column(c)plus unitemized payments of less than$100.) <br /> �� <br /> . Net change this period. (Subtrect Line 2 from Line 1.).......................................................................................... NET S ��.�e ��, <br /> (Enter the net here and on the Summary Page, Column A, Line 7.) <br /> FPPC Form 460(Januaryl05) <br /> FPPC TaIFFree Helpline:B6WASK-FPPC(866/2753772) <br />