HomeMy WebLinkAboutThomas Hayden 02082016 1
$. ORIGINAL
CANDIDATE / OFFICEHOLDER FORM C/OH-UC
REPORT OF UNEXPENittErt 010141544UTIONS COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers)
The C/OH-UC Instruction Guide explains how to complete this form.
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2 CANDIDATE/ MS/MRS/MR FIRST MI FPICE U..
OFFICEHOLDER MR Thomas K
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NAME i / ;�
NICKNAME LAST SUFFIX IC,i \ S
Hayden `% '� .a.
3 CANDIDATE/ ADDRESS;PO BOX; APT/SUITES; CITY; STATE; ZIP CODE ''4049N,........ ..•.''•*ate``
OFFICEHOLDER Date Ha N •.• I.",_`r•stmarked
ADDRESS Mur h TX 75094 1O°' '
506 Leeward Drive p y a-0 1 l _ S!�
change of address Receipt# Amount$
Date Processed
Disposition
4 REPORT Final \1`n
TYPE I X I Annual � a,,1�`
5 PERIOD Month Day Year Month Day Year Date Imaged
COVERED OZ/ 01 2015 THROUGH 12 /31 / 2015 (D--\-211
6 TOTALS
1. TOTAL AMOUNT OF UNEXPENDED POLITICAL CONTRIBUTIONS AS OF $ 0
DECEMBER 31 OF THE PREVIOUS YEAR.
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N
I
2. TOTAL AMOUNT OF INTEREST AND OTHER INCOME EARNED ON $
UNEXPENDED POLITICAL CONTRIBUTIONS DURING THE PREVIOUS YEAR. $ 0
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I swear,or affirm,under penalty of perjury, that the accompanying
report is true and correct and includes all information required to be
reported by me under Title 15,Election Code.
'AY P '
ANN H PARK Signatu .of Candidate or Officeholder
j it'; z My Commission Expires
` . / May 23.2017
AFFIX NOTARY STAMP/SEAL ABOVE ---',--)vy
S r toand subscri re me, by the i Sde,i/1 , this the
� � day o , 20 , to certify which, witness my hand and seal of office.
A,461/404..„0..
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nature of officer administering oath Printed name of officer administering oath Title of officer a ntstenng oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/3/2015