OCT 7 4 2019 - Burlingame, California - Beach - (09.22... · Recipient Committee Date Stamp COVER PAGE Campaign Statement Cover Page ECLIVE ' ' Statement covers period Date of election

Recipient Committee Date Stamp

COVER PAGE

Campaign StatementCover Page ECLIVE ' '

Statement covers period Date of election if applicable: I Page 1of

15

from9/ 22/ 19

Month, Day, Year) OCT 7 4 2019 For Official Use Only

SEE INSTRUCTIONS ON REVERSE10/ 19/ 19 11/ 05/ 2019 ITY CLERK' SOFFICthrough ITY OF BUR INGAINf

1. Type of Recipient Committee: All committees- complete Parts 1, 2, 3, and 4. 2. Type of Statement:

91 Officeholder, Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure Preelection Statement Quarterly StatementO State Candidate Election Committee Committee Semi- annual Statement Special Odd- Year Report

O Recall O Controlled Termination StatementAlso Complete Part 5) O Sponsored Also file a Form 410 Termination)

Also Complete Part 6)

ElGeneral Purpose Committee Amendment( Explain below)

O Sponsored Primarily Formed Candidate/

O Small Contributor Committee Officeholder Committee

O Political Party/ Central CommitteeAlso complete Part 7)

3. Committee InformationI. D. NUMBER

Treasurer( s)1415608

COMMITTEE NAME( OR CANDIDATE' S NAME IF NO COMMITTEE) NAME OF TREASURER

Emily Beach for City Council 2019Deborah Weller Hirth

MAILING ADDRESS

STREETADDRESS( NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/ PHONE

Burlingame CA 94010

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

Burlingame CA 94010

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

CITY STATE ZIP CODE AREACODE/ PHONE CITY STATE ZIP CODE AREACODE/ PHONE

OPTIONAL: FAX/ E- MAIL ADDRESS OPTIONAL: FAX/ E- MAIL ADDRESS

4. Verification

I have used all reasonable diligence in preparing and reviewing this statement and to the best of my noyledge the information contained herein and in the attached schedules is true and complete. Icertify under penalty of perjury under the laws of the State of California that the foregoing is true an c rect.

Executed on 0, 2- Z Z 2-01 2 ByDaterSignature

Executed on Y—/ ByDate Signatur f ContK20ing Offiftrld7anclidW,State WagUre Proponent or esponsi a Officer of Sponsor

Executed on ByDate Signature of Controlling Officeholder, Candidate, State Measure Proponent

Executed on ByDate Signature of Controlling Officeholder, Candidate, State Measure Proponent

FPPC Form 460( Jan/ 2016)

FPPC Advice: advice@fppc. ca. gov( 866/ 275- 3772)

www. fppc. ca. gov

COVER PAGE- PART 2

Recipient Committee

Campaign StatementCover Page— Part 2

Page 2 of 15

5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee

NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE

Emily BeachOFFICE SOUGHT OR HELD( INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) BALLOT NO. OR LETTER JURISDICTION

SUPPORT

Burlingame City CouncilOPPOSE

RESIDENTIAL/ BUSINESS ADDRESS ( NO. ANDSTREET) CITY STATE ZIP

Identify the controlling officeholder, candidate, or state measure proponent, if any.Burlingame, CA 94010

NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT

Related Committees Not Included in this Statement: List any committeesnot included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO, IF ANY

contributions or make expenditures on behalf of your candidacy.

COMMITTEE NAME I. D. NUMBER

NAME OF TREASURER CONTROLLED COMMITTEE, 7• Primarily Formed Candidate/ Officeholder Committee List names of

offlceholder( s) or candidate( s) for which this committee Is primarily formed.

YES NO

COMMITTEE ADDRESS STREET ADDRESS( NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD

SUPPORT

OPPOSE

CITY STATE ZIP CODE AREACODE/ PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD

SUPPORT

OPPOSE

COMMITTEE NAME I. D. NUMBERNAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD

SUPPORT

OPPOSE

NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD

C] YES [ I NOEl SUPPORT

OPPOSE

COMMITTEE ADDRESS STREET ADDRESS( NO P. O. BOX)

CITY STATE ZIP CODE AREA CODE/ PHONE Attach continuation sheets Nnecessary


FPPC Advice: advice@fppc. ca. gov( 866/ 275- 3772)

www. fppc. ca. gov

Campaign Disclosure StatementAmounts may be rounded SUMMARY PAGE

SummaPaeto whole dollars.

Statement covers period

Summary gfrom

9/ 22/ 19

through10/ 19/ 19

Page3

of15

SEE INSTRUCTIONS ON REVERSEg

NAME OF FILER I. D. NUMBER

Emily Beach for City Council 2019 1415608

Column A Column B Calendar Year Summary for CandidatesContributions Received TOTAL THIS PERIOD CALENDAR YEAR

FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and

10,699. 24 61 , 177. 55General Elections

1. Monetary Contributions................................................... schedule A, Line 3 $

00.00 00.00$1/ 1 through 6/30 7/ 1 to Date

2. Loans Received................................................................ schedule B, Line 3

10, 699. 24 61 , 177. 55 20. Contributions

3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines 1 + 2 $ Received

4. Nonmonetary Contributions............................................ schedule c, Line 3327. 25 1 , 705.2521. Expenditures

5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3 + 4 $ 11 , 026. 49 $ 62, 882. 80 Made

Expenditures Made Expenditure Limit Summary for State6. Payments Made................................................................ Schedule e, Line 4 $ 9, 551 . 24 $ 24, 114. 30 Candidates

7. Loans Made....................................................................... schedule H, Line 3 00. 00 00. 00

9, 551 .24 24, 114. 3022• Cumulative Expenditures Made*

8. SUBTOTAL CASH PAYMENTS.......................................... Add Lines 6 + 7 $ If Subject to Voluntary Expenditure Limit)

9. Accrued Expenses (Unpaid Bills) ..........................................schedule F Line 3 00.00 226. 20Date of Election Total to Date

10. Nonmonetary Adjustment......................................................... Schedule c, Line 3 327.25 1 , 705.25 mm/ dd/ yy)

11. TOTAL EXPENDITURES MADE........................................Add Lines 8 + 9 + 10 $ 9, 878. 49 $ 26,045.75

Current Cash Statement

12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $38,081 .97

To calculate Column B,

13. Cash Receipts ........................................................... column A, Line 3 above10, 699. 24 add amounts in Column

00. 00A to the corresponding Amounts in this section may be different from amounts

14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 amounts from Column B reported in Column B.

24 of your last report. Some551 .15. Cash Payments ......................................................... Column A, Line 8 above

9, amounts in Column A may

16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $39, 229. 97 be negative figures that

should be subtracted fromIf this is a termination statement, Line 16 must be zero. previous period amounts. If

this is the first report being

17. LOAN GUARANTEES RECEIVED................................ Schedule e, Part 2 $00.00 filed for this calendar year,

only carry over the amounts

Cash Equivalents and Outstanding Debtsfrom Lines 2, 7, and 9 ( if

any).

18. Cash Equivalents................................................ See instructions on reverse $

19. Outstanding Debts.............................. Add Line 2 + Line 9 in Column B above $ FPPC Form 460 ( Jan/ 2016)

FPPC Advice: [email protected]. gov( 866/ 275-3772)

www. fppc. ca. gov

ID Number: 1415608 Statement covers period from: Schedule A

Emily Beach for Sept 22- Oct 19, 2019 CA Form 460

City Council 2019 Pa e 4 of 15

Date Name Contr Occupation and Amount CumulativePer Election

Received I Street Address Code JEmployer Received Ito Date Ito Date

9/ 21/ 19 Lindsay Wilson X IND Project Manager 100. 00 $ 100.00

COM Kaiser Permanente

Burlingame, CA 94010 OTH

PTY

SCC

9/ 24/ 2019 Gayle Etienne X IND Retired 100. 00 $ 100. 00

COM N/ A


PTY

SCC

9/ 24/2019 An Huang Chen X IND Hotel Development 250. 00 $ 250. 00

COM Pacific Hotel Management

Hillsborough, CA 94010 OTH

PTY

SCC

9/ 24/ 2019 Karim Salma X IND Retired 688. 92 $ 688. 92

COM N/ A


PTY

SCC

Subtotal $ 1, 138. 92

11. Amount received this period- itemized monetary contributions( include all Schedule A subtotals) 10,450. 24

12. Amount received this period- unitemized monetary contributions of less than$ 100 249. 00

3. Total monetary contributions received this peliod 10, 699. 24


Emily Beach for Sept 22 - Oct 19, 2019 CA Form 460

City Council 2019 Page 5 of 15

Date Name Contr Occupation and Amount Cumulative Per Election

Received Street Address Code Employer Received to Date to Date

9/ 25/ 2019 Katie Herstein X IND Software Consultant 100. 00 $ 100. 00

COM Self


PTY

SCC

9/ 26/ 2019 Dimitris Sogos X IND Investor 500. 00 $ 500. 00

COM Emporio GroupBuringame, CA 94010 OTH

PTY

SCC

9/ 26/ 2019 Kirk Syme X IND Investments 688. 92 $ 688.92

COM Woodstock Development


PTY

SCC

9/ 27/ 19 California Apartment Association IND # 745208 1, 377. 83 $ 1, 377. 83

1530 The Alameda, Suite 100 X COM

San Jose, CA 95126 OTH

PTY

SCC

Subtotal 2, 666. 75






9/ 27/ 2019 John McGuire X IND Homemaker 688. 92 $ 688. 92

COM N/ A


PTY

SCC

9/ 27/ 19 Melissa McGuire X IND Sales 688. 91 688. 91

COM Google


PTY

SCC

10/ 1/ 2019 Janelle Becerra X IND Retired 100. 00 $ 100. 00

COM N/ A


PTY

SCC

10/ 1/ 2019 Kris Cannon X IND Retired 100. 00 $ 200. 00

COM N/ A


PTY

SCC

Subtotal 1, 577. 83






10/ 1/ 2019 Patricia Harding X IND Retired 150. 00 $ 150. 00

COM N/ A


PTY

SCC

10/ 1/ 2019 Sylvia Johnson X IND Retired 100. 00 $ 100. 00

COM N/ A


PTY

SCC

10/ 3/ 2019 Juan Salazar X IND Director 350. 00 $ 350. 00

COM Facebook

East Palo Alto, CA 94303 OTH

PTY

SCC

10/ 3/ 2019 Mark Johnson X IND Real Estate Broker 150. 00 $ 150. 00

COM Coldwell Banker

San Mateo, CA 94402 OTH

PTY

SCC

Subtotal 750. 00






10/ 13/ 2019 Nancy Reyering X IND Principal 100. 00 $ 100. 00

COM Brass Rat Group, Inc.Woodside, CA 94062 OTH

PTY

SCC

10/ 5/ 2019 Daniel J. Ullyot, MD X IND Retired 688. 92 $ 688. 92

COM N/ A


PTY

SCC

10/ 7/ 2019 Susan May X IND Retired 100. 00 $ 100. 00

COM N/ A


PTY

SCC

10/ 9/ 2019 Kent Putnam X IND Auto Dealer 500. 00 $ 500. 00

COM Putnam Auto


PTY

SCC

Subtotal 1, 388. 92






10/ 11/ 2019 Susan Solinksy X IND VP 500. 00 $ 500. 00

COM Phreesia


PTY

SCC

10/ 12/ 2019 NiklasAkers X IND Attorney 200. 00 $ 200. 00

COM CA


PTY

SCC

10/ 13/ 2019 David Bowlby X IND Consultant 300. 00 $ 300. 00

COM The Bowlby GroupLafayette, CA 94549 OTH

PTY

SCC

10/ 14/ 19 Joanne Garrison X IND N/ A 100. 00 $ 100. 00

COM Retired


PTY

SCC

Subtotal 1, 100. 00






10/ 15/ 19 California Real Estate PAC IND # 890106 1, 377. 82 $ 1, 377. 82

850 Woodside Way X COM

San Mateo, CA 94401 OTH

PTY

SCC

10/ 17/ 19 Sandra Feder X IND Author 100. 00 $ 100. 00

COM Groundwood Books


PTY

SCC

10/ 19/ 19 Camille Watson X IND Consultant 350. 00 $ 600. 00

COM Self


PTY

SCC

IND

COM

OTH

PTY

SCC

Subtotal 1, 827. 82

Schedule C Amounts may be roundedSCHEDULE C

Nonmonetary Contributions Receivedto whole dollars.

IStatement covers period

from 9/ 22/ 19

through 10/ 19/ 19 IPge 11 of 15SEE INSTRUCTIONS ON REVERSE



CUMULATIVE TO

DATEIF AN INDIVIDUAL, ENTER AMOUNT/ PER ELECTION

FULL NAME, STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF

RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER

GOODS OR SERVICESFAIR MARKET

DATETO DATE

IF COMMITTEE, ALSO ENTER I. D. NUMBER) IF SELF- EMPLOYED, ENTER VALUE

CALENDAR YEARIF REQUIRED)

NAME OF BUSINESS) JAN 1 - DEC 31)

10 INDKimberly Rosales CoM

Homemaker Printing10/ 5/ 19

171 OTH N/ A for Precinct24.57 677.25

Burlingame, CA 94010 PTY Walking

SCC

10/ 5/ 19Kimberly Rosales

W IND

El COM Homemaker Office Supplies44. 73 677.25

OTH N/ A for Precinct

Burlingame, CA 94010 PTY WalkingSCC

WIND

Kimberly Rosales El ComHomemaker Coffee & Pastries

10/ 5/ 19OTH

N/A for Precinct86.00 677.25

Burlingame, CA 94010 PTY Walking

SCCMeetings

Kimberly

RosalesINDCOM

Homemaker Water & Fruit for10/ 5/ 19

N/ A Precinct Walking21 . 95 677.25

E] OTHBurlingame, CA 94010 PTY

Meetings

SCC

Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 177. 25

Schedule C Summary Contributor Codes

1. Amount received this period - itemized nonmonetary contributions. IND - Individual

Include all Schedule C subtotals.)......................................................................................................................$ 327.25 COM - Recipient Committee

other than PTY or SCC)

2. Amount received this period - unitemized nonmonetary contributions of less than $ 100 ..................................$ 00. 00 OTH — Other ( e. g., business entity)PTY— Political Party

3. Total nonmonetary contributions received this period. SCC - Small Contributor committee

Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10. TOTAL $ 327.25 IL

FPPC Form 460 ( Jan/ 2016)

FPPC Advice: advice@fppc. ca. gov (866/ 275- 3772)

www. fppc. ca. gov

Schedule C Amounts may be roundedSCHEDULE C

Nonmonetary Contributions Receivedto whole dollars.

IStatement covers period

from 9/ 22/ 19 0 '

through 10/ 19/ 19pg,

12 of 15SEE INSTRUCTIONS ON REVERSE



IF AN INDIVIDUAL, ENTER AMOUNT/ CUMULATIVE TO

PER ELECTIONDATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF

RECEIVED ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER

GOODS OR SERVICESFAIR MARKET YETO DATE

IF COMMITTEE, ALSO ENTER I. D. NUMBER) IF

NAME

MPLOY

BUS E),ENTER VALUE

JANNDAR

DATE

31) (IF REQUIRED)

Emily Beach El COM Vice Mayor Golf TournamentIND

10/ 16/ 19OTH City of Burlingame Hole Sponsor

150. 00 150. 00

Burlingame, CA 94010 PTY

SCC

IND

COM

OTH

PTY

SCC

IND

COM

OTH

PTY

SCC

IND

COM

OTH

PTY

SCC

Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 150. 00

Schedule C Summary Contributor Codes

1. Amount received this period— itemized nonmonetary contributions. IND- Individual

Include all Schedule C subtotals.)......................................................................................................................$ COM- Recipient Committee

other than PTY or SCC)

2. Amount received this period— unitemized nonmonetary contributions of less than$ 100..................................$ OTH— Other( e. g., business entity)

PTY— Political Party

3. Total nonmonetary contributions received this period. SCC- Small Contributor committee

Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.)..................... TOTAL $


FPPC Advice: [email protected]. gov( 866/ 275- 3772)

www.fppc. ca. gov

ID Number: 1415608 Covers Period from: Schedule E

Emily Beach for Sept 22- Oct 19, 2019

City Council 2019 CA Form 460

Page No 13 of 15

Name and Address of Payee Code or Description of Payment Amount Paid

Patrick Sedillo TEL Campaign Video 1, 000. 00

San Bruno, CA 94066

Miller& Olson, LLP PRO Legal Advice 300. 00

20 Park Road, Suite E

Burlingame, CA 94010

Colorprint LIT Brochures for Mail Drop 4, 985. 95

1570 Gilbreth Road


Colorprint POS Postage for Brochures 2, 426. 31

1570 Gilbreth Road


Google WEB Email Address- Oct 24. 00

1600 Amphitheatre ParkwayMountain View, CA 94043

Subtotal 8, 736. 26

Schedule E Summary1. Itemized payments made this period.( Include all Schedule E subtotals.).......................................................................$ 9, 537. 69

2. Unitemized payments made this period of under$ 100....................................................................................................$ 0. 00

3. Total interest paid this period on loans.( Enter amount from Schedule B, Part 1, Column( e).).......................................$ 0. 00

4. Total payments made this period.( Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL.$ 9, 537. 69

ID Number: 1415608 Covers Period from: Schedule E

Emily Beach for Sept 22 - Oct 19, 2019

City Council 2019 CA Form 460

Page No 14 of 15

Name and Address of Payee Code or Description of Payment Amount Paid

Paypal Processing Fees 128. 78

2211 N. 1 st Street 9/ 22 - 10/ 19/ 19

San Jose, CA 95131

Sapore Italiano MTG Business Leader Campaign Breakfast 400. 00

1447 Burlingame Avenue


II Piccolo Cafe MTG Monthly Constituency Coffee - Oct 2019 60. 00

1219 Broadway AvenueBurlingame, CA 94010

Nationbuilder WEB Annual Fee 226. 20

520 S. Grand Avenue, 2nd Fl., # 2

Los Angeles, CA 90071

Subtotal 814. 98

Schedule G SCHEDULE G

Payments Made by an Agent or Independent Amounts may be roundedStatement covers period

I

Contractor ( on Behalf of This Committee) to whole dollars.

from9/ 22/ 19 1

through10/ 19/ 19

Pae15

of15

SEE INSTRUCTIONS ON REVERSEg



NAME OF AGENT OR INDEPENDENT CONTRACTOR

Colorprint

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.CMP campaign paraphernalia/ misc. MBR member communications RAD radio airtime and production costs

CNS campaign consultants MTG meetings and appearances RFD returned contributions

CTB contribution ( explain nonmonetary)* OFC office expenses SAL campaign workers' salaries

CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs

FIL candidate filing/ ballot fees PHO phone banks TRC candidate travel, lodging, and mealsFND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and mealsIND independent expenditure supporting/ opposing others ( explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/ sponsor

LEG legal defense PRO professional services ( legal, accounting) VOT voter registration

LIT campaign literature and mailings PRT print ads WEB information technology costs ( internet, e- mail)

Payments that are contributions or independent expenditures must also be summarized on Schedule D.

NAME AND ADDRESS OF PAYEE OR CREDITORIF COMMITTEE, ALSO ENTER 1. 0. NUMBER)

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

Golden Gate Print & Media Services

11144 Golf Links Road LIT Brochures 3, 154. 00

Oakland, CA 94605

Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 3, 154.00

Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 ( Jan/ 2016)independent contractor as reported on Schedule E. FPPC Advice: advice@fppc. ca. gov ( 866/ 275- 3772)

www. fppc.ca. gov

Documents

OCT 7 4 2019 - Burlingame, California - Beach - (09.22... · Recipient Committee Date Stamp COVER PAGE Campaign Statement Cover Page ECLIVE ' ' Statement covers period Date of election