Statement of Organization

Recipient Committee
1d03 Date Stamp
CALIFORNIA
FORM
41 0
D Initial of Carmel-by-the-
Statement Type Ill Amendment D Termination -See Part 5 For Official Use Only

0 Not yet qualified 0/l.tY. ~e"HL If)

JUN 15 2018
b/t~l~
or 12 13 2013
0 Date qualified as committee 1'--1 :?os
Date qualified as committee Date of termination

1362504

THEIS FOR COUNCIL 2018 Mervin Sutton

STREET ADDRESS {NO P.O. BOX)

"--- 13th Avenue & San Carlos Street

STREET ADDRESS (N\i P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE

1 NE of Fourth Avenue on Dolores St Carmel-By-The-Sea CA 93921 831-277-4734

CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY

Carmel--by-the-Sea CA 93921 831-747-4907 Carrie Theis

MAILING ADDRESS {IF DIFFERENT) STREET ADDRESS (NO P.O. BOX)

PO Box 4801, Carmel-by-the-Sea, CA 93921 1 NE of Fourth Avenue on Dolores St

E-MAIL ADDRESS (REQUIRED)/ FAX (OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE

Carrie@carrieforcarmel.com 831-624-0159 Carmel-By-The-Sea CA 93921 831-747-4907

COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)

Monterey Carmel-By-The-Sea
STREET ADDRESS {NO P.O. BOX)

CITY STATE ZIP CODE AREA CODE/PHONE

Attach addiffonal information on appropriately labeled continuation sheets.

\__
-cerii!Y under~
penalty of perjury under the laws ofthe S • • I I I • ~ I ~~ • • I ' I

Executed on (. -l"'' -I r;DATE

By
OR ASSISTANT TREASURER

Executed on {,. -1..'51- ,;1.61 ?"

DATE
By

Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT

Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
FPPC Form 410 (February/2018)
FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
 41 Q
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COPY CALIFORNIA
FORM
Page3
•••

Theis for Council 2018 1362504

General Pus pose Comn11ttee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
CITY Committee 0 COUNTY Committee 0 STATE Committee 0 Political Party/Central Committee
!;21
PROVIDE BRIEF DESCRIPTION OF ACTIVITY

Signs, posters, mailings, pamphlets, buttons

\___
Sponsoted Comm1ttee List additional sponsors on an attachment.

NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR

STREET ADDRESS NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE

Small Contnbutor ComnHttee

0 ~atequallfied
5~lriil\ffli111Jliiiiii~lllii!1B!il!UWfti,\l~lllii-Jl~liltll!llfliWll!iiB~~t'iiilllfJ1
.. !.! ... ·~~~~·~ MJ;l]i!;l~l!l!!!.!lcl!!l!!::::::~~:,d~=.~·~::::~~ >~:~::,~::r
• This committee has ceased to receive contributions and make expenditures;
> .::::::::.}!::::L. .
11M!Iilil'~fi'\fiilllVIi' r'alil'u·c~&.t'~··' ·· · '·· ··•·••·• · ·
!l:L.!lfJI!l~ ··~·'''·""'l ~·~.iffil!l•• ... .
• This committee does not anticipate receiving contributions or making expenditures in the future;

• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
""----- • This committee has no surplus funds; and

• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.

There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511-89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.5.

1clear Pageil I Print I FPPC Form 410 (February/2018)

FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
 Candidate Intention Statement Date Stamp
CALIFORNIA 50 1
Check One: 181 Initial 0Amendment (Explain) City 0~ Carmel-by-the-S
. FORM
FO"rDfficlaruse Oilly

JUN - 8 zo:s
1. Candidate Information: Receive
NAME OF CANDIDATE (Last, First, Middle Initial} DAYTIME TELEPHONE NUMBER FAX NUMBER (optional) E-MAIL (optional}

Theis, Carrie L. ( 831 ) 277-7376 ( 831 ) 624-0159 carrie@carrieforcanmel.com

STREET ADDRESS CITY STATE ZIP CODE

1 NE of Fourth Avenue on Dolores Carmel-bv-the-Sea CA 93921

OFFICE SOUGHT (POSITION TITLE) AGENCY NAME DISTRICT NUMBER, if applicable. I!IS! NON-PARTISAN
\___ City Councilmember Citv of Canmei-Bv-The-Sea PARTY:
OFFICE JURISDICTION
D State {Complete Part 2.)
2018
I& City 0 County 0 Multi-County: (Name of Muiii-Gounty Jurisdiction) (Year of Electloii)

2. State Candidate Expenditure Limit Statement:

(Ca/PERS and Ca/STRS candidates, judges, judicial candidates, and candidates for local offices do not complete Part 2.)

""N====
(Year of Election)
Primary/general election ==-=="
- (Year of Election)
Special/runoff election

{Check one box)

0 I accept the voluntary expenditure ceiling for the election stated above.

0 I do not accept the voluntary expenditure ceiling for the election stated above.
Amendment
0 I did not exceed the expenditure ceiling in the primary or special election held on: _)___}_ _ and I accept the voluntary expenditure ceiling for
·"- the general or special run-off election.

{Marie if applicable)

0 On _ j _ _ j_ _ , I contributed personal funds in excess of the expenditure ceiling for the election stated above.

3. Verification:
I certify under penalty of perjury under the laws of the St • . I ,f Calif,' h I . t I I • . . I f t reel.

Executed on June 8, 2018 Signature

(month, day, year) (Candidate) FPPC Form 501 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov