HomeMy WebLinkAboutThomas Hayden 02082016 JORIGINAL
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711 2070" 46'1'2)4833-,5800 (TDD 1-800-735-2989)
APPOINTMENT OF A CAMPAIGN '' . '' FORM JCTA
TREASURER BY A JUDICIAL CANDID PG 1
PH 2! 20
1 Total pages filed:
See JCTA Instruction Guide for detailed instructions. 3
2 JUDICIAL MS/MRS/MR FIRSTMI OFWEIVIMINFIDNLY
K
CANDIDATE MR Thomas ` 0W1(ELC`�y
NAME //O .y
NICKNAME LAST SUFFIX
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Hayden .= ` / o.11
1 r--:(
ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE I Z —_,\ i
3 JUDICIAL
CANDIDATE 506 Leeward Drive Murphy TX 75094 ':,yp_ ."....V$.
MAILING
MAILING P y ' •Pii ,«••'',.•��,��•
ADDRESS /���ij TEXAS*��```,
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Date Hand-deliver dor Pos
4 JUDICIAL AREA CODE PHONE NUMBER EXTENSION Q1‘ S121
CANDIDATE p� b
PHONE 4470597 Date Processed
315 ) As\l u
Date Imaged
5 OFFICE HELD 1111 `
(if any) �1 1 Ly
6 OFFICE SOUGHT Collin County Justice of the Peace,Precinct 3,Place 1 D
(if known)
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER Thomas K Hayden
NAME MR
8 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER 506 Leeward Drive Murphy TX 75094
STREET
ADDRESS
(Residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ( 315 ) 4470597
10 CANDIDATE
SIGNATURE I am aware of the Nepotism Law,Chapter 573 of the Texas Government Code.
I am aware of my responsibility to file timely reports as required by Title 15 of
the Election Code.
I am aware of the restrictions in title 15 of the Election Code on contributions
from corporations .nd ..b -•anizations.
A ow e6/dal 6
Signature of Candidate Date Signed
GO TO PAGE 2
www.ethics.state.tx.us Revised 09/01/2003
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Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (51.2)4635800 I.; ' (TDD 1-800-735-2989)
JUDICIAL DECLARATION OF INTENT . FORM JCTA
REGARDING EXPENDITURE LIMITS 16 FF — ppb 2; 20 PG 2
11 JUDICIAL
CANDIDATE Thomas K Hayden
NAME
12 JUDICIAL STATEMENT OF JUDICIAL CANDIDATE'S INTENT TO COMPLY OR
DECLARATION
OF INTENT NOT COMPLY WITH THE EXPENDITURE LIMITS PRESCRIBED BY THE
REGARDING JUDICIAL CAMPAIGN FAIRNESS ACT.
EXPENDITURE
LIMITS
•• This declaration must be filed before a judicial candidate may accept
campaign contributions or make campaign expenditures. Elec.Code § 253.164.
Please check the appropriate box.
I swear or affirm that I will voluntarily comply with the limits on
X expenditures prescribed by the Judicial Campaign Fairness Act.
I hereby affirm that I do not intend to comply with the limits on
expenditures prescribed by the Judicial Campaign Fairness Act.
02/082016 / —!
Date Signature of Candidate
% ar au
ANN H PARK
f -' My Commission Expires
May 23, 2017
AFFIX NOTARY STAMP/SEAL ABOVE ,S
101 ° 6141
Sworn to and subscribed before me by to this the day
of -� '� v , 20 1 , to certify which,witness my hand and seal of office.
1144141Q1k1 Ail
kt. 14 Pa 14e-- 14,*tAgietio Lc.,
na of officer administering oath Print name of officer administering oath Title of officer administering oath
www.ethics.state.tx.us Revised 09/01/2003
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070:. ;{512)485800. (TDD 1-800-735-2989)
•
JUDICIAL CANDIDATE MODIFIED • FORM JCTA
REPORTING DECLARATION 16 FE3 -8 P 1 2: 20 PG 3
13 CANDIDATE OR!GIN
NAME DAThomas K Hayden 1
14 MODIFIED
REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING MODIFIED
DECLARATION REPORTING. PLEASE READ THE EXPLANATION OF MODIFIED
REPORTING IN THE INSTRUCTIONS TO THIS FORM.
•• This declaration must be filed no later than the 30th day before the
first election to which the declaration applies. ••
•• The modified reporting option is valid for one election cycle only. ••
(An election cycle includes a primary election,a general election,and any related runoffs.)
I do not intend to accept more than $500 in political contributions or
make more than$500 in political expenditures(excluding filing fees)
in connection with any future election within the election cycle.
I understand that if either one of those limits is exceeded, I will be
required to file pre-election reports and, if necessary, a runoff
report.
I understand that I am required to file semiannual reports, telegram
reports,and special-session reports, if applicable, regardless of the
amount of the contributions I accept or the expenditures I make.
2016 A i
Year of election(s)or election cycle to Signature of Candidate
which declaration applies
www.ethics.state.tx.us Revised 09/01/2003
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