c\

Statement of Organization \tf OG 0 ~1 Dot• Sump

CALIFORNIA 41 0
Recipient Committee FORM
SUtement Type ~ Initial 0 Amendment
0 Tennlnatlon- See Part ~E<tEIVED
.
AND F!LEQCl 'Y cc··.v of c armebby-tl -Sea
. .
e Not yet qualified
or
in theb ffice of the Secreta ry_ of s'tlll€ '"1
0 Date qualified as committee ---4' '· oftheStateof Cahfom1a MAY 2 9 ? l~\.8N -5 Z018
Date qualified as committee Date of termination
---1 MAY 17 2018 lerk
1.0 . Number 2. TreasuNr and Other Principal Otlta!
L Committee Information (if applicable}
NAME OF COMMITTEE NAill £ OJ nwu-u
Jeff Baron for City Council 2018 Leslie Penley
STREET ADDAE1S (NO P.O BOX)

Ocean 2 NW Santa Fe
STREEl ADDRESS INO PO BOWl CIT'I STATE liP CODE A-EA CODE/PHONE

Ocean 2 NW Santa Fe Carmel~y-the-Sea CA 93921 831-402-5810

CITY STATE ZIP CODE UEA CODE/PHONE NAME OF ASSISTANT TUASURER, IF ANY

Cannel~y-the-Sea CA 93921 (831) 27~249

MAIUIIIG AOORESS (IF OIFFUEIIIT) STREET ADDRESS (>jO P.O IOXI

PO Box 232, Cannel-by-the-Sea CA 93921

E-MAIL AOORESS (REQUIRED)/ FAW(OPTIONALI CITY STAT!' lJP CODE AREA CODE/PHONE

committeeQcarmel2018.com
COUNT'f OF DOMICILE JURISDICTION WHERE COM1.41TTEE IS ACTIVE NAME OF PRINCIPAL OFFICERISI

Monterey ICarmel~y-the-Sea Jeff Baron

STUET ADDRESS (NO P.O. BOX)

Camino Real, 13 NE of 4th Street

CITY STATE liP CODE 4AEA CODE/PI< ONE
Attach additional information on appropriately labeled continuation sheets.
Carmel-by-the-Sea CA 93921 408-390-6466
3.\/erifiCition
I nave used all reasonable diligence in preparlna this statement and to the best of my knowled1e the information contained herein is true and complete. I certify under
penalty of perjury under the laws of the Stat- gf ca Hfurn ia that the fpreggjnr js twe and correct.
E.ucutad on 5/13/2018
DATE

Executed on
5/1 3/201 8
DATE

Executed CH'I 8y
OATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CAI'jDID4TE, OR 5TAT£ MEASURE PAOPONE,.T

Executed CH'I By
DATIE SIGWATUII£ Of CONTROLUNG CfFICEHOLDEft. CANDIDATE , OR STATE MEASURE ftRO P ON € ~'T
FPPC Form 410 (Febru.,-/ZOll)
FPPC Advice: ~ca.cov (166/Z75-J77Z)
www.fppc.m.cov
,. Statement of Organization
Recipient Committee
CALIFORNIA 41 Q
FORM
INSTRUCTIONS ON REVERSE
.1.
COMMITTEE NAME I 0 NUMIIER

Jeff Baron for City Council 2018

• AH corn mitten mustlst the fiNn dill inslttudon where the mmpalp .,_k KltOURt llloamd.

HAlliE OF FI~AHCIAL INSTITliTION AREA COO£/PHONE 8ANl ACCOUNT NUMIER

None as of May 13, 2018

ADDRESS CITY STATE ZIP CODE

4. 'TYPe of Committee Complete the apptable secttons.

• list the name of each controlling officeholder; candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.

• List the political party with which each officeholder or candidate Is affiliated or check "nonpartisan.'" Stati"' "No party preference" is acceptable .

• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ElECTIVE OFfiCE SOUGHT OR HElD YEAR OF MUY
NAME Of CANOIOATf/OHICEHOlDER/STATE MEASURE ,ROPONENT (INClUDE OISTIIICT NUMBER ff APPLICABlE) ElECTION CHECI ONE

No~rttsan Plrt!Yn (li$t political perty below)

Jeff Baron Carmel-by-the-Sea City Council 2018 [l]
No~rtfsan
D
Partisan list pofftlc:al p¥ty below)

--- - - ---~
D D
Primarily formed to support or oppose specific candidates or measures in a SiOJie election. List below:

CANDIDATE(S) NAME OR MEASURE(S) FUll TITlE (INClUDE BAllOT NO. OR lETTER) CANDIOATE(S) OFFICE SOUGHT OR HElD OR MEASUREIS) JURISDICTION
If A RECAll, STATE "RECAll" IN FRONT OF THE OFFICEHOlDER'S NAME. (INClUDE DISTRICT NO., CITY 011\ COUNTY, AS APPUCABlE)

ra
CHECI ONE

1 II:r
~-Er loo
FPPC Form 410 (February/ZD11t
FPPC Advice: ~m.aov (166/Z75-377Z)
www.fppc.c..aov
Statement of Organization
Recipient Committee
CALIFORNIA
FORM
41 Q
.....
I
INSTRUCTIONS ON REVfltSE

COMMITTEE NAME 10 NUM8U

Jeff Baron for City Council2018

4. Type of Committee (Conttnued)

Not formed to support or oppose specific candidates or measures in a sinale election. Check only one box:
0 OTY Committee 0 COUNTY Committee 0 STATE Committee 0 Political Party/Central Committee
P•OVIDE I•IEF DESC.IPTION Of ACTIVITY

List ilddltional sponso~ on an attachment.

NAME DF SPONSOR INDUSTRY GROUP OR AFFILIATIOOI OF SPONSOR

STliEET "ODRESS NO AOID STREET CITT STATE ZIO CODE •REA CODE/PHONE

11
<.; ••· 1 ; ((d J 1 , t/l,J~ ( ' ( C t • Pll~ ·: tlt•(•
D---1--t
D••-llflod

5. Tennlnatlon Requirements 8rt lltnlnlthewrilbtlan, Ole~. Mllstanl ~ Md/orcandkNiil, oflbhold«, or pt'Opou•lt Cllltffy thllt • ofttlefol~condltlont hive bftn IMt

• This committee has ceased to receive contributions and make expenditures;

• This committee does not anttcl~te receivin1 contributions or makin1 expenditures in the future;
• This committee has eliminated or has no intention or ability to dischaiJe all debts, loans received, and other obliptions;
• This committee has no surplus funds; and
• This committee has flied all campafln statements required by the Political Reform Act disclosing all reportable transactions.
There are restrictions on the disposition of surplus campafln funds' held by elected ofrlce~ who are leavlne office and by defeated candidates. Refer to Government
Code Section 89519.
- Leftover funds of billlot measure committees may be used for political, lqislative or 1overnmental purposes under Government Code Sections 89511 - 89518, and are
subject to Elections Code Section 18680 and FPPC Re1ulation 18521.5.

IClear Page J I Print I FPPC Form 410 (Febnaery/ZOll)

FPPC Advice: .tvke(tfppc.ca.IOV (166/275-3772)
www.fppc.ca.pv
Statement of Organization Date Stamp

Recipient Committee
Statement Type 0 Initial Ill Amendment 0 Termination- See Part 5 ;.,..;·

0 Not yet qualified

or
e Date qualified as committee ~ 20 ,2018 ,__ /. JUN 22 2018
Date qualified as committee Date of termination
6 1_3!3_1 2018 r:
1. Committee Information 1406039 2. Treasurer and Other Principal Officers
NAME OF COMMITTEE

Jeff Baron for City Council 2018 Wim Braak

STREET ADDRESS (NO P.O. BOX)

Camino Real, 7 NE of 4th

STREET ADDRESS (NO P.O. BOX) ,,., STATE ZIP CODE AREA CODE/PHONE

Camino Real, 7 NE of 4th Carmel-by-the-Sea CA 93921-1751 831-402-5810

CtT'f STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY

Carmel-by-the-Sea CA 93921 (831) 275-0249

MAIUNG ADDRESS (IF DIFFERENTt STREET ADDRESS (NO P.O. BOX)

PO Box 232, Carmel-by-the-Sea CA 93921

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

committee@carmel2018.com
COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE IS ACTIVE NAME OF PRINCIPAL OFFICER(S)

Monterey !Carmel-by-the-Sea Jeff Baron

STREET ADDRESS (NO P.O. BOX)

Camino Real, 13 NE of 4th Street

CITY STATE ZIP CODE AREA CODE/PHONE
Attach additional information on appropriately labeled continuation sheets.
Carmel-by-the-Sea CA 93921-4372 408-390-6466
3. Verification
I have used all reasonable diligence in ~~ement and to the best of my knowledge the information contained herein is true and complete. 1certify under
penalty of perjury under the laws .-.f th~:::~ · b *h..,.,

Executed on 6/22/2018
DATE

Executed on
6/22/2018
DATE

Executed on
DATE BY-----------~----~~n,;~~~~~~~~~,..~~~<U"'~~~oo,w;,rr-----------------
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT

Executed on By
DATE -----------------------,o,ooNNEATnu7.R"E"O"F"C"OUNOT.ROO~CC"'NNG6<0.FOF,cceEH~O'C"D"E"R~.c"A"N"DN,DOA.TOEC,OOR0<<rnAITT'E'M"E'>SOU"R0.Ece>.Ruo"e"O"N"ENNTT----------------------
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
CALIFORNIA
FORM
410
INSTRUCTIONS ON REVERSE
ge

COMMITTEE NAME 1.0. NUMBER

Jeff Baron for City Council 2018 1406039

• All committees must list the financial institution where the campaign bank account is located.

NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER

Comerica Bank (800) 522-2265 1895060950

ADDRESS Cln' STATE ZIP CODE

Dolores between 7th and 8th Carmel CA 93921-4389

4. Type of Committee Complete the applicable sections.
Controlled Committee

• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.

• List the political party with which each officeholder or candidate is affiliated or check ~·nonpartisan:' Stating "No party preference" is acceptable.

• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
ELECTIVE OFFICE SOUGHT OR HELD VEAR OF PARTY
NAME OF CANDIDATE/OFFICEHOlDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION CHECK ONE
Nonpartisan Partisan (list political party below}
Jeff Baron Carmel-by-the-Sea City Council 2018 0
Nonpartisan
0
Partisan (list political party below)

0 0
Primarily Farmed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIOATE(S) NAME OR MEASURE(S) FULL TITLE {INCLUDE BALLOT NO. OR LETTER) CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE

I I'Er loo
I I EJ"--1 Ei
FPPC Form 410 (February/2018)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov

~ ·:;..
Statement of Organization
Recipient Committee
CALIFORNIA
FORM
41 0
INSTRUCTIONS ON REVERSE

COMMITTEE NAME
.
,ge

J.D. NUMBER

Jeff Baron for City Council 2018 1406039

4. Type of Committee (Continued!

General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee 0 COUNTY Committee 0 STATE Committee 0 Political Party/Central Committee

PROVIDE BRIEF DESCRIPTION OF ACTIVITY

Sponsored Committee 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

Smail Contributor Committee o __, _ - f

D<ltequallfied

5. Termination Requirements By signing the verification, the treasurer~ assistant treasurer and/or candidate, officeholder, or proponent certify that ·all of the following conditions have been met:
• This committee has ceased to receive contributions and make expenditures;
• 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.

[ciear Page I
FPPC Form 410 (February/2018)
[Print·-~ FPPC Advice: advice@fppc.ca.gov (866/275·3772)
www.fppc.ca.gov