HomeMy WebLinkAboutThomas Hayden 02082016 (2) :a ,,
oRIGI
JUDICIAL CANDIDATE / OFFICEHOLDER FORM JC/OH
6l rt - P
CAMPAIGN FINANCE REPORT t1 2:Cq vER SHEET PG 1
1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
The JC/OH Instruction Guide explains how to complete this form. 1/
MS/MRS/MR FIRST MI r.........
1 /rJrr,r
3 CANDIDATE/ OF , �yp� ,,,�
OFFICEHOLDER Thomas K .•.•. ,
MR U\ l$�S
NAME Date Reccelly : • '17!.•
NICKNAME LAST SUFFIX T O
Hayden -7)1 •`z
:o ¢/ i
�r
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE It; CITY; STATE; ZIP CODE �i: /�1/:
OFFICEHOLDER 506 Leeward Drive Murphy TX 75094 ---c-) ... y'`�
MAILING '.�/�'•.„_ `aQ�
ADDRESS %.,jy TEX*...`
n Change of Address
'/I�r�t������"„�
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Dat Ha delivered ate Postmark
PHONE ( 315 ) 4470597 p8 `
Rece t 5 Amount$
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER MR Thomas K Date D.A `\11 Processed'
NAME NICKNAME LAST SUFFIX
Hayden Date k
Itna \' Lo
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE 5; CITY; STATE; ZIP CODE
TREASURER Murphy TX 75094
ADDRESS 506 Leeward Drive
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( 315 ) 4470597
PHONE
9 REPORT TYPE
Ii January 15 n 30th day before election I I Runoff 15th day after campaign
treasurer appointment
(Officeholder Only)
Ii July 15 n 8th day before election I I Exceeded$500 limit ri Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED 07 / 01 2015 THROUGH 1231
/ 2015
ELECTION ELECTION TYPE
11 ELECTION DATE
Month Day Year ® Primary ❑ Runoff ❑ Other
Description
0V 01 / 2016 U General ❑ Special
12 OFFICE OFFICE HELD (it any) 13 OFFICE SOUGHT (if known)
Collin County Justice of the Peace,Precinct 3,Place 1
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
. oR/G
CANDIDATE / OFFICEHOLDER ,FFORM JC/OH
CAMPAIGN FINANCE REPORT 76 F 3 _ c9 ER SHEET PG 2
12. 21
14 JC/OH NAME 15 Filer ID (Ethics Commission Filers)
Thomas Kirk Hayden
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLTCAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
❑GENERAL
COMMITTEE ADDRESS '
El SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
El Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS(OTHER THAN $ 0
TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS $ 0
(OTHER THAN PLEDGES, LOANS,OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,
TOTALS $ 0
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ 100• -1y1
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ 0
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 0
18 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the accompanying report is
04 ,;6--;."R'Push true and correct and includes all information required to be reported by me
ANN H PARKunder Title 15,Election Code.
, ,-/.
1 / My Commission Expires
(..,,...__
''''f 0.11., -4167
May 23,2017
Signature of C,.•didate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE C Oil Sworn to d scribed before me,by the said ✓ , his the
day of � ,20 L 1(J ,to certify which,witness my hand and se of office.
h. ma....4.:1) 0 r--
. -
Signature of officer administering oath Printed name of officer administering oath Title of o er administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
LI PlIGINANq�
z
i
FORM JC/OH
SUBTOTALS - JC/OH 16 F :j _ PM 2:WVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
Thomas Kirk Hayden
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. I I SCHEDULE A(J)1: MONETARY POLITICAL CONTRIBUTIONS(JUDICIAL) $ 0
2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ C
3. I I SCHEDULE B(J): PLEDGED CONTRIBUTIONS(JUDICIAL) $ 0
4. l I SCHEDULE E(J): LOANS(JUDICIAL) $ 0
5. I I SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 0
6. I I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 0
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ d
8. I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 0
9. X SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 1000
10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
0
11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 0
12. I I SCHEDULE K: INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED $ D
TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
ORI GI
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS _�3 Ptl 2 : 21
SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymentReirrdwrsement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Cor MLutions/Donations Made By GM/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Thomas Kirk Hayden
1
4 Date 5 Payee name
12/11/2015 Collin County Republican Party
6 Amount ($) 7 Payee address; City; State; Zip Code
1000 8416 Stacy Road,Suite 100 McKinney,TX 75070
Reimbursement from
political contributions
intended
8 (a)Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF t�l Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE Fees I 1 Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule) Description
PURPOSE I I Check if travel outside of Texas.Complete Schedule T.
OF
EXPENDITURE l I Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
I I Reimbursementfrom
political contributions
intended
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF 1I Check If travel outside of Texas.Complete Schedule T.
EXPENDITURE I I Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015