HomeMy WebLinkAboutThomas Hayden 02082016 (3) 2ic � .
JUDICIAL CANDIDATE / OFFICEHOLDER FORM JC/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
The JC/OH Instruction Guide explains how to complete this form. n
3 CANDIDATE/ MS/MRS t MR FIRST MI /h
OFFICEHOLDER MR Thomas K OFFIQ&M§E�ONLY
NAME P�M1 ifis2.
Date R$
NICKNAME LAST SUFFIX `�JAO • '••N9f����
Hayden :.&, \>� ',O1
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4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE :--: a*3?
OFFICEHOLDER Murphy TX 75094 Z.. /'� �
MAILING 506 Leeward Drive ?�•
ADDRESS c
5...
n Change of Address '',!T rC................
L L IN CP:,‘‘````
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
PHONE
OFFICEHOLDER ( 315 ) 4470597 Date and-delivered o. ate Postmarked
tI/(42 Siie
Receipt # Amount$
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER MR Thomas K Date Processed
NAME a12,
NICKNAME LAST SUFFIX
Hayden Date Imaged
al 2010
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE if; CITY; STATE; ZIP CODE
TREASURER Murphy TX 75094
506 Leeward Drive
ADDRESS Cr
(Residence or Business)
7.r1
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER 315 4470597
PHONE
N =i r
N
N
9 REPORT TYPE �
I January 15 I x l 30th day before election I I Runoff I I 15th day after campaign
treasurer appointment
(Officeholder Only)
1 I July 15 ( I 8th day before election { I Exceeded$500 limit n Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED 01/ 01 / 2016 THROUGH 01 / 21 / 2016
ELECTION
ELECTION TYPE
11 ELECTION DATE
Month Day Year ® Primary ED Runoff 0 Other
Description
0Y 01 / 2016 0 General El Special
12 OFFICE OFFICE HELD (if 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
A i
CANDIDATE / OFFICEHOLDER - ORIGINAL .
FORM JC/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 JC/OH NAME 15 Filer ID (Ethics Commission Filers)
Thomas Kirk Hayden
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE HTTHOUT 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
O GENERAL
COMMITTEE ADDRESS
O SPECIFIC
cr,
COMMITTEE CAMPAIGN TREASURER NAME '-T'i
i-11
U Additional Pages
t
COMMITTEE CAMPAIGN TREASURER ADDRESS03
TJ
tV
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN r\.)
TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 0 N
2. TOTAL POLITICAL CONTRIBUTIONS $ 0
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTALS
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, $ 0
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ r
BALANCE
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ 0
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
/ ,w.P true and correct and includes all information required to be reported by me
ANN H PARK under Title 15,Election C..
' My Commission Expires -
,,,a,,,,,,:.../, May 23,2017
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn todsycribed bef r me,by the said / r 0 -ell ,this the (011L.
day of 1 L.IJ ,20 ( ,to certify which,witness my hand and sea of office.
Signature of officer administering oath Printed name of officer administering oath Title of offi administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
2ORIGINL
SUBTOTALS - JC/OH FORM JC
/OH
COVER SHEET PGG 3 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) $ D
2. I SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ D
3. l SCHEDULE B(J): PLEDGED CONTRIBUTIONS(JUDICIAL) $
4. I I SCHEDULE E(J): LOANS(JUDICIAL) 0
5. I SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ O
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 0
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 0
8. I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 0
9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 0
10. I I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 0
11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
SCHEDULE K: INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED
12. TO FILER $
(-NA
CV
Q.
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CD
Forms provided try Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015