HomeMy WebLinkAboutThomas Hayden 07132016 13 ORIGINAL
CANDIDATE / OFFICEHOLDER FORM JC/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 JC/OH NAME 15 Filer ID (Ethics Commission Filers)
Thomas Kirk Hayden
18 NOTICE FROM THIS BOX IS FOR NOTICE OF POL7nCAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE SY POLITICAL COMMITTEES TO
POLITICAL supposr THE CANDIDATE/OFFICEHOLDER. JNESE EXPIWORMSB MAV NAVE SEEN MADE Inmour THE CANDIDATES OR OFPICEHOLDFRs
COMMITTEE(S) KNOWLEDGE OR congeal CANDIDATES AND°FROM:CDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
0 GENERAL
COMMITTEE ADDRESS
0 SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
❑ Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
b.`
:("7-
17
-17 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS(OTHER THAN
TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS),UNLESS ITEMIZED $ 0 "a
t
2. TOTAL POLITICAL CONTRIBUTIONS0
(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 $ 0
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
( FRANC 8UR20TTA true and correct and includes all information required to be reported by me
Notary ID 0 130387286 1 under Title 15,Election Code.
'?/�lr My Commielli0n Expires
September 29,2018
Signature of andidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE
Sworn to and subscribed before me,by the said I14ORPI S K iiRYcirsol ,this the `x
day of .3 V Ly ,20 1 h ,to certify which,witness my hand and seal of office.
cRANC U R/1/W'OVSUC--
Si ature of officer ering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
❑ ORIGINAL
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. 3
3 CANDIDATE/ MS/MRS/MR FIRST MI
OFFICEHOLDER MR Thomas K OFFJpEWE .Y
• *C. INT �:�,
NAME Date R�^��.••""........... I .
NICKNAME LAST SUFFIX ��$
Hayden
.41/
IAles. 1=Z
p?
t Co
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE f; CITY; STATE; ZIP CODE
OFFICEHOLDER 506 Leeward Drive Murphy TX 75094 14\ - f 8
MAILING
ADDRESS
❑ Change of Address 4ip.ti01 NC's,
- - nN1,11N
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEDate Nand deliver oete Postm,,k,�y
OFFICEHOLDER j 315 ' 4470597 � J
X1)11l
Receipt if Amount S
6 CAMPAIGN MS/MRS/MR FIRST MI
TREASURER MR Thomas K Date Pro ed
NAME NICKNAME LAST SUFFIX I LO
Hayden Date limed
1 i13 1(0
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE it; CITY; STATE; ZIP CODE
TREASURER 506 Leeward Drive Murphy TX 75094
ADDRESS
(Residence or Business)
C.._. tt ii
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION — "
TREASURER ( 315 ) 4470597
PHONE
9 REPORT TYPEO ',,'
ElJanuary 15 ❑ 30th day before election ❑ r-7 after campaign
treasuRunof 1 1 1rar appointment
(Officeholder Only)
® July 15 ❑ Sift day before election ❑ Exceeded$500 limit ❑ Anal Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED 05/ 14/ 2016 THROUGH 07 / 15 / 2016
ELECTION ELECTION TYPE
11 ELECTION DATE
Month Day Year ❑ Primary ❑ Runoff ❑ Other
Description
11/ 08/ 2016 29 General ❑ Special
12 OFFICE OFFICE HELD (d any) 13 OFFICE SOUGHT (if known)
Collin County Justice of the Peace,Precinct 3,Place 1
GO TO PAGE 2
Revised 9/8/2015
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
2ORIGIN4L
SUBTOTALS- JC/OH FORM JC/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
Thomas Kirk Hayden
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1• 0 SCHEDULE A(J)1: MONETARY POUTICAL CONTRIBUTIONS(JUDICIAL) $ 0
2. fl SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 0
3. El SCHEDULE B(J): PLEDGED CONTRIBUTIONS(JUDICIAL) $ 0
4. n SCHEDULE E(J): LOANS(JUDICIAL) $ 0
5 SCHEDULE Ft: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 0
6. 0 SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 0
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 0
8• El SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 0
9• E] SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 0
10. 0 SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 0
11. 11:1 SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 0
n SCHEDULE K: INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED
12. I TO FILER $ 0
Cr)
+..ids '•,
Q
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015