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460 Recipient Committee Campaign Statement - Semi Annual 7-1-17 to 12-31-17Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period Date of election if (Month, Day, from 7/1/2017 I.D. NUMBER 3. Committee Information 1340395 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ASIAN PACIFIC-ISLAN➢ER EMPOWERMENT PAC (API EMPOWERMENT PAC) STREET ADDRESS (NO P.D. BOX) Executed on BY Date Signature of controlling Officehoitler, Candidate, Slate Measure Proponent or Responsible Officer of Sponsor Executed or By Dale Signature of ControEYng Officeholder. Candidate, State Measure Proponent Executed ort EY FPPC Form 460 (January=) Date sgnawie or Controlring OSficeh8lder, Candidate, State Measure Proponent FPPC TdrFree Helpline: 86WRSK-FPPC (8ssr27`..a772) state of caiifemia 2209773-0 Recipient Committee Type or print in ink. COVER PAGE - PART 2 CALIFORNIA Campaign Statement _ 460 Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALIBUSINESS ADDRESS (NO, AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List anycommfttees not included in this statement that are controlled by you arare primarily formed to receive contdbtrtions ormake expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMETTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) Page 2 of 24 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION [:]SUPPORT - ..--- -- ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFZE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) orcandidate(s) forwhich this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CARY0A7E-' - - - - Z5'7rICE SOUGHT OR HELD. ❑ SUPPORT . ._.. ❑ OPPOSE y CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary FPPC FofTn 460 (January/05) PCw'",Fall Frei ElefpJ.gf: SWASK-FPPC (S56R7r3772) wY State of Cal f0mle 2209773-0 Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIASummary Page to whole dollars. from 7/1/2017 FORM 460 through 12/31/2017 Page 3 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ASZAN PACZFZC-1SLA-11TDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 Contributions Received 1. Monetary Contributions ................................................ Schedule A, Linea 2. Loans Received.......................................................... schedules, Line 3. SUBTOTAL CASH CONTRIBUTIONS ................................ Add Lines f +2 4. Nonmonetary Contributions ...... ........... .......................... Schedule C,Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ............................... Add Lines3+4 Expenditures Made 6. Payments Made ......................................................... Schedule e, Line 7. Loans Made............................................................... Schedule H,Line 3 8. SUBTOTAL CASH PAYMENTS ........................................ Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) .................................... schedule F, Line 3 10. Non monetary Adjustment ............................................ Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+'1a Current Cash Statement 12. Beginning Cash Balance .............................. Previous summary Page, Line 16 13. Cash Receipts ..................................................... Column A, Line 3above 14. Miscellaneous Increases to Cash .................................. Schedule 1, line 4 15. Cash Payments ...............-- ............................... Column A, Line s above 16. ENDING CASH BALANCE ............... Add Lines 12+13+14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. Column A Column B TOTAL THIS PERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE $20,104.00 $20,204.00 $0.00 $0.00 $20,104.00 $20,204.00 $0.00 $0.00 $20,104.00 $20,204.00 $9,B45.00 $9,84-5_00 $0.00 $0.00 $9,845.00 $9,845.00 $0.00 $0.00 $0.00 $0.00 $9,84-5_00 $9,645.00 $3,604.73 $20,104.00 $0.00 $9,845.04 $13,a63.73 17. LOAN GUARANTEES RECEIVED ................................ schedule B, Part $0.00 Gash Equivalents and Outstanding Debts 18. Cash Equivalents .................. :........ :................ .. see instrudionsonreverse 19. Outstanding Debts ................................. Add Line 2 + line 9 in Column B above 2209773-0 $0.00 $0.00 To calculate Column B, add amourds in Column A to the corresponding amount from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts_ If this is the first report being fled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 311 through 6130 711 to Date 20. Contributions Received 21. Expenditures Made Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made` (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmlddlyy) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jarnuary/06) FPPC Toll -Free Helpine: 8WASK-FPPC (866875-3772) e+_F-_J_-e_ A m...,., A-;;.,;..6 S(HFr)tIIrA Amounts may be rounded Statement covers period ICALIFORNIAMonetary Contributions Received to whole dollars. 460 7/1/2017 FORM from 12/31/2017 through Page 4 of ?`- SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IFANENTER OCCUPATIONTION AND AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RFCFIVED Or COMMITTEE, ALSO ENTER I.D. NUMSFR) CODE' (IF SELF-EMPLOYED,ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF3USINESS) PERIOD (JAN.1-DEC. 31) (IFREQUIRED) 9/11/2617 Marsha Grilli IND OCCUPATION: Vice -Mayor $125.00 $125-00 ❑ OTH Milpitas ❑ PTY ❑ SCC 8/31/2017 Bill James IND OCCUPATION: Attorney $75.00 $75.00 ❑ OTH and James LLP ❑ PTY ❑ SCC 9/10/2017 Vivien Nguyen END OCCUPATION: Housing $75.00 $75.00 ❑ OTH EMPLOYER: City of San ❑ PTY Jose ❑ SCC 9/7/2017 Margaret Okuzumi IND OCCUPATION: Not Emplyed $75-00 $75.00 ❑ OTH ❑ PTY ❑ SCC 9/11/2017 Don Sun IND OCCUPATION: Owner $75-00 $75.00 El OTH BUSINESS: Sierra Tea ❑ PTY ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include a[] Schedule A subtotals.).................................................................... $20,104.00 2. Amount received this period - unitemized monetary contributions of less than $100 .............................................. $0.00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ............. TOTAL $20,104-00 220977-0 ;Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Parry SCC - Small Contributor Committee FPPC Form 460 (Jarnuaryl05) FPPC Toll -Free Hdj)Vne: SWASK-FPPC (666275-3772) SCHEDULE A (CONT.) Schedule A (Continuation Sheet) 'yNG "" LI' "1111 11'11. Statement - Amounts may be rounded covers period • Monetary Contributions Received to whole dollars. 7/1/2017 FORM • tram 12/31/2017 through Page 5 of 24 NAME OF FILER LD. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (,API EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND ZfP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVEDTHIS CUMULATiVETO DATE CALENDAR YEAR PER ELECTION 70 DATE RECEIVED OF COMMITTEE, ALSO ENTER I.U. NUMBER) CODE' (1F SELF-EMPLOYED, OF BUSINESS) PERIOD (JAN.1- DEC. 31) OF REQUIRED) 9/12/2017 Emily Thurber IND OCCUPATION: None $150.00 $150.00 ❑ OTH ❑ PTY ❑ SCC 9/25/2017 Greg Tanaka E IND OCCUPATION: City $75.00 $75.00 - ❑ OTH EMPLOYER: City of Palo ❑ PTY Alto ❑ SCC 10/3/2017 Wendy Ho IND OCCUPATION: Policy $200.00 $200.00 ❑ OTH EMPLOYER: Silicon Valley Council of ❑ PTY Nonprofits ❑ SCC 10/4/2017 Jethroe Moore ■ IND OCCUPATION: Community 1$375.00 $375.00 ❑ OTH ❑ PTY ❑ SCC 10/6/2017 Patrick Chung IND OCCUPATION: Vice $150-00 $150.00 ❑ OTH EMPLOYER: San Jose Fire ❑ PTY Local 230 ❑ SCC SUBTOTAL$ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 2209773-0 FPPC Form 460 (January/0.5) FPPCTdI-Free Helpline: 866/ASK-FPPC (866275-3772) SCHEDULE A (CONT-) 5cneaule A (t;ontlnuatton meet) ''" "' " " Amounts may be rounded Statement covers period CALIFORNIA Monetary Contributions Received to whole dollars. • t 7/1/2017 from FORM 12/31/2017 through Page 6 of 2 NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (ADI EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR [FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PER10n (EF REQUIRED) 10/6/2017 Michelle Lew IND OCCUPATION: Executive $75.00 $73-00 [� OTH EOYER: Stanford ❑ PTY Health ❑ SCC 10/6/2017 Madrilejos Clarence IND OCCUPATION; Realtor $75.00 $200.00 El QTK Realty ❑ PTY ❑ SCC 7/10/2017 Clarence Madrilejos N IND OCCUPATION: Realtor $125-00 $200-00 El OTH Realty ❑ PTY ❑ SCG 10/6/2017 Susan Ellenberg IND OCCUPATION: Teacher $75.00 $175.00 ❑ OTH School ❑ PTY ❑ SCC 10/4/2017 Grace Sonia IND OCCliPATION: Consultant $75.00 $317.00 ❑ OTH Safety Net ❑ PTY ❑ SCG SUBTOTAL$ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Forth 460 (JanuarylM) FPPC Toll -Free Helpri : MIASK-FPPC (6661275-3772) 2209773-0 , SCHEDULE A (CONT.) Schedule A Continuation Sheet ' Amountsuntmay be rounded Statement covers period CALIFORNIA Monetary Contributions Received to whole dollars. 7/1/2017 FORM 460 from 12/31/2017 through , 24 Page of NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERME= PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IFANINDIVIDUAL, EN7ER OCCUPATION AND EMPLOYER AMOUNT RECEIVEDTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBEF� CODE? QF SELF EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 10/9/2017 Andrew Knaack IND OCCUPATICN: Nonprofit $150.00 $150.00 ❑ OTH EMPLOYER: LifeMoves ❑ PTY ❑ SCC 10/10/2017 Brenna Bolger ■ IND OCCUPATION: Founder $121.00 $121.00 ❑ OTH ❑ PTY ❑ SCC 10/10/2017 John Hirokawa . ■ IND OCCUPATION: Not Emplyed $1,000.00 $1,000.00 ❑ OTH ❑ PTY ❑ SCC 10/11/2017 Rishi Kumar ■ IND OCCUPATION: Executive $250.00 $250.00 ❑ OTH Technologies ❑ PTY ❑ SCC 10/12/2017 Wayne Garcia ® IND OCCUPATION: Vice $242.00 $242-00 1-1 OTHEMPLOYER: ❑ PTY ❑ SCC SUBTOTAL$ `Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e -g., business entity) PTY - Political Party SCC - Small Contributor Committee 2209773-0 FPPC. Form 460 (JanuaiyM5) FPPC Toll -Free Xelpline: 5651ASK-FPPC (H6a753772) r% r_ I r _ a ff - % Y.. r ; U SCHEDULE A (CONT.) QuilUUUld /A [bV11LI11UdLIV11 J1 WI) '' "' be' 1 Am'o'unts ts ro"u"'n'ded may be Statement covers period CALIFORNIAMonetary Contributions Received to whole dollars. 7/1/2417 FORM from 12/31/2017 through Page s of 24 NAME OF FILER I.D. NUMBER ASIAN PACIFTC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR 17 AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMUCATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBED CODE' (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN.1-DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) 10/12/2037 Naomi Nakano -Matsumoto IND OCCUPATION: Social $121.00 $121.00 ❑ OTH EMPLOYER: 'YWCA Silicon ❑ P-cy Valley ❑ SCC 10/15/2017 Michael Vargas IND OCCUPATION: Attorney $121.00 $121.00 ❑ OTH ❑ PTY ❑ SCC 10/16/2017 Jeff Mori IND OCCUPATION: Special SI21.00 $121.00 El EMPLOYER: The Office of OTH Economic & Workforce ❑ PTY Development ❑ SCC 10/16/2017 Thomas Duong IND OCCUPATION: Mortgage $121.00 $121.00 ❑ OTH EMPLOYER: First Bank ❑ PTY ❑ SCC 10/16/2017 Willard Hoot IND OCCUPATION- Not Emnlyed $121.00 $121.00 ❑ OTH ❑ PTY ❑ SCC Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 220877,3-0 SUBTOTAL$ FPPC Farm 460 (January/057 FPPC 7cIFFree Helpline: 8561ASK•FPPC (8SM75-3772) SCHEDULE A (CONT.) Schedule A Lontinuation Sheet rY"' """"""` Amounts may be rounded Statement covers period CALIFORNIA Monetary Contributions Received to whole dollars. ' • ' 7/1/2017 — from FORM through 12/31/2017 Page 9 of 24 NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE 70 DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER LO. NUMBER) CODE' q ENTER NAME {IF SELF -EMPLOYEE). RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OF USI BUSINESS) 10/17/2017 David Mineta .,IND OCCUPATION: Executive $121.00 $121.00 El OTH Executive Health ❑ PTY ❑ SCC 10/19/2017 Jeff Bleich IND OCCUPATION: Attorney $242-00 $242.00 ❑ OTH ❑ PTY ❑ SCC 10/19/2017 Shay Franco -Clausen IND OCCUPATION: Director of $121.00 $121-00 ❑ OTH Silicon EMPLOYER:ley ❑ PTY ES ❑ SCC 10/21/2017 Atsuko Yube 0 IND OCCUPATION: Real Estate $121.00 $121.00 ❑ OTH EMPLOYER: Self ❑ PTY ❑ SGC 10/21/2017 L7ohnmy Gogo IND CCCUPATSON: Attorney $121.00 $121.00 ❑ OTH County ❑ PTY ❑ SCC SUBTOTAL$ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 2209773-0 FPPC Form 450 (January/D5) FPPC Toll -Free He[pkne: ZMASKFPPC (666875-3772) Qr-he%Aii1n A Tvnanrnrintinink SCHEDULE A (CONT.) V Vl �VMNf\r n `vvI ILII I\dGLI%JI i V I IGC+41 Amounts may be rounded Statement covers period - Monetary Contributions Received to whole dollars. NIA 7/1/2017 FORM i from 12/31/2017 through Page 10 of 24 NAMEOFFILER I.D. NUMBER ASIAN PACIFIC-TST-,ANDER EMPOWERMENT PAC iA.PI EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR !FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYE AMOUNT CUMULATIVE TO DATE PER ELECTIONR RECEIVED (IF COMMfTTEE, ALSO ENTER [D. NUMBER) CODE' (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE REQUIRED) OF BUSINESS) (IF 10/21/2017 Rich Tran IND OCCUPATION: Mayor $121.00 $121.00 ❑ OTH Milpitas ❑ -PTY ❑ SCC 10/21/2017 Evelyn Chua ■ IND OCCIIPATSON: Not $121.00 $121.00 ❑ OTH EMPLOYER: Not Employed ❑ PTY ❑ SCC 10/21/2017 Laleh Jalilian IND OCCUPATION: Physician $50.00 $50.00 ❑ OTH ❑ PTY ❑ SCC 10/21/2017 Susan Ellenberg IND OCCUPATION: Teacher $100.00 $175.00 ❑ OTH School ❑ PTY ❑ SCC 10/21/2017 Christina Pham ® IND OCCUPATION: Program $200.00 $200.00 ❑ OTH EMPLOYER: All Stars ❑ PTY Helping Kids ❑ SCC *Contributor Codes IND - Individua[ COM - Recipient Committee (other than PTY or SCG) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 2209773-0 SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll -Free He[prhe: 86SMSK-FPPC (888/2753772) e•_L_-j._i_ a ir+s% T,, o I +I i I, SCHEDULE AfCONT.I Vl.1ICU1i1C1.1 (lvVlall ludl[V!1 %71 1"'"-L) Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. �- 7/1/2017 from 12/31/2017 through Page 11 of 24 NAME OF FILER l.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 IF AN INDIVIDUAL, ENTER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTIONRECEIVED RECEIVED (IF 00MMiTTEE, ALSO ENTER I.D. NUMBER) CODE' (IF SELF-EMPLOYED, ENTER NAME THIS -PERIOD CALENDAR YEAR (JAN. i - DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS} 10/21/2017 Ann Marie Tran E IND OCCUPATION: Paralegal $85.09 $85.00 El OTH worldwide ❑ PTY ❑ SCC 10/22/2017 Catherina,NOu IND OCCUPATION: Consultant $121.00 $121.00 COM ❑ OTH State Assembly ❑ PTY ❑ SCC 10/22/2017 Darcie Kiyan IND OCCUPATION: Fundraising $90.00 $90.00 ❑ OTH Hospital ❑ PTY ❑ SCC 10/23/2017 Wong-Yoivng Development ❑ IND $1,000.00 $1,000.00 OTH ❑ PTY ❑ SCC 10/21/2017 Mountain view Firer£ighters Local 1965 ❑ IND $1,000.00 $1,000.00 ❑ OTH COMMITTEE ID: 1229347 ❑ PTY ❑ SCC SUBTOTAL$ "Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 2209773-0 FPPC Form 460 (JanuayM5) FPPC ToiI-Fr He4p5m 666/ASK--FPFC (666275-3772) r% 1_ —! _ _! _ w 10% _ t'_ __ _ _ _ t'_ _ __ r% r_ _ _ 1.1 T,,..a „r nAns ;n ;nL SCHEDULE A (CONT.) v%.l Iwuu1G h Lll ILIQiLIVI l .7111rG1) Amounts may be rounded Statement covers period - Monetary Contributions Received to whole dollars. e ' 7/1/2017 • - • from 12/31/2017 through Page 12 of 2c NAME OF FILER I. D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (APT EMPOWERMENT PAC) 1340395 )FAN INDIVIDUAL, ENTER GATE FULL NAME, STREET ADDRESS AND Z[P CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND AND EMPLOYER AMOUNT CllMULATIVETO DATE PER ELECTION RECEIVED (IF COMM[TTEF_ALSO ENTER I.D.NUMBER) CODE' OF SELF-EMPLOYED, ENTERNLAMF RECEIVED THIS PERIOD CALENDARYEAR (JAN.1-DEC. 31) TO DATE (IF REQUIRED) OFBUVNESS) 10/21/2017 Young API Democrats of California ❑ IND $484.00 $484.00 COMMSTTEE ID: 1360716 ❑ OTH ❑ PTY ❑ SCC 10/21/2017 Kansen Chu for State Assembly ❑ IND $242.00 $242.00 ❑ OTH _ COMMITTEE ID: 1383543 ❑ PTY ❑ 5CC 10/16/2017 Gustav Larsscn IND OCCUPATION: Software $121.00 $271.00 ❑ OTH EMPLOYER: Cienga ❑ PTY ❑ SCC 10/21/2017 Gustav Larsson IND OCCUPATION: Software $150.00 $271.00 ❑ OTH EMPLOYER: Cienga ❑ PTY ❑ SCC 10/21/2017 Arthur Low IND CCCUPATTON: Optometrist $100.00 $200.00 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SGC) OTH - Other (e.g_, business entity) PTY - Political Party SCC - Small Contributor Committee 2209773-0 . FPPC Form 4e0 (Janusryl05) FPPC Tall+F HLIpflre: ZMASK-FPPC (888(275-3772) +L'..L...J..A.. A r.,r,a—rti n+;.,s„le SCHEDULE A(CONT_) vv,,a.aaw,�. 1'9 ilV V, IL11 Iuc,EFV, 1 Vp AGGL� Amounts may be rounded Statement Covers period CALIFORNIAMonetary Contributions Received to whole dollars. , f 7/1/2017 FORM • from 12/31/2017 through Page 13 of 24 NAME OF FILER I.D. NUMBER ASIAN PACIFIC-ISTANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE PULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER DCCUPATlON AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVEDIF (IF COMMITTEE, RL50 ENTER I.D. NUMBER) CODE" i SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 7 -DEC. 31) TO DATE REQUIRED) QF BUS1NEss) QF 10/21/2017 Kristen Lyn ■ IND OCCUPATION: SCho01 $100.00 $100.00 El OTH EMPLOYER: Cupertino ❑ PTY T7nified ❑ SCC 10/21/2017 Angel MArtinez Hernandez ■ IND CCCUPATION: Council Aid $100.00 $100.00 ❑ OTH Jose ❑ P7'Y ❑ SCC 10/16/2017 Alex Lee IND OCCFTPATTON: $100.00 $100.00 ❑ OTH EMPLOYER: Self ❑ PTY ❑ SCC 10/21/2017 Paul Escobar IND OCCUPATION: Director $100.00 $100.00 El OTH VAlley Ledership Croupd ❑ PTY ❑ SCC 10/3/2017 Peter Chiu IND OCCUPATION: None $225.D0 $225.00 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 2208773-0 FPPC Form 460 (January/05) FPPC Toll -Free Helpine: 868/ASK-FPP0 (86W76-ST/Z) C r.l...,-1..1.. A i* V _ _1.1 Tllna nr nrin+;n inn, SCHEDULE A (CONT.) Amounts may be rounded Statement covers period CALIFORNIAMonetary Contributions Received to whole dollars. ' 7/1/2017 FORM • • from 12/31/2017 through Page 14 of 24 NAME OF FILER LD. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (APT EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREETADDRESS AND ZIP GDDE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUM ULATIVETO DATE PER ELECTON RECEVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE* OF SELF-EMPLOYED, ENTER NAME RECEIVEDTHIS PERIOD CALENDAR YEAR (JAN.1-DEC. 31) TO DATE REQUIRED) CFBUSINESS) (IF IC/19/2017 Bay 101 ❑ IND $1,000.00 $1,000.00 COMMITTEE ❑ ID: 1370113 OTH ❑ PTY ❑ SCC 10/23/2017 Robert Cox IND OCCUPATION. Not $50.00 $50.00 ❑ OTH EMPLOYER: not employed ❑ PTY ❑ SGC 10/27/2017 Darcie Paul IND OCCUPATION: Mayon' $250.00 $250.00 ❑ OTH Cupertino ❑ PTY ❑ SCC 12/1/2017 Pacific Gas and Electric ❑ IND $4,000.00 $7,300-00 0 OTH ❑ PTY ❑ SCC 12/1/2017 Cindy Chazez for Supervisor 2016 ❑ IND $1,000-00 $1.,000.00 COMMITTEE ID: ❑ 1356532 OTH ❑ PTY ❑ SCC SUBTOTAL $ "Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 2209773-0 FPPC Form 450 (January/05) FPPC Tall -Free HelpUne: N&ASK-FPPC (86&Z75-3772) SCHEDULE (CONT.) acneauie H tGontinuation zoneet) ,11 , 1.. . . . Amounts may be rounded Statement covers period - Monetary Contributions Received to whole dollars. ' • ' 7/1/2017 from .- 12/31/2017 through Page 15 of 24 NAME OF FILER I.D. NUMBER ASIAN PACIFIC-ISLAN77Elt EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND Z]P CODE OF CONTRIBUTOR CONTRIBUTOR FANAENTER TIDN AND ND EMPLOYER OCCUPATION AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ([PCOMM4TEE,.4LSOENTER I.D.Nl1MBER) CODE' PF SELF-EMPioYEo,ENrERIlAME RECEIVED T}il5 PERIOD CALENDAR YEAR {JAN,1-DEC. 31) TO DATE {IF REQUIRED) OF BUSINESS) 11/20/2017 Local Societies of the California Optometric IND $1.,000.00 $1,000.00 AssociationPAC COM COMMITTEE SD: 950399 ❑ PT`( ❑ SCC 12/15/2017 Pacific Gas and Electric ❑ IND $3,300.00 $7,300.00 0 OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ 5CC SUBTOTAL$ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 2209773-0 FPPC Form 464 (Jar"aryM) FPPC TolhFree Helpline: 3WASK-FPPC (6662753772) L'+..1....1..1 _ A n _ _,L A r,..._ . .. r t ;-T, Rr:HF-ni 11 F R - PART 9 v Vi�VNNIV W — 1 QI � 1 •• Amounts may be rounded Received .._._ Statement covers period CALIFORNIALoans to whole dollars. 7/1/2017 FORM ,60 from 12/31/2017 through Page lb of 21 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (APT EMPOWERMENT PAC) 1340395 FULL NAME,STREEi'ADDRESSANpZIPGODE IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (a) OUTSTANDING (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING (e) INTEREST (fl ORIGINAL (g) CUMULATIVE OF LENDER {IF COMMITTEE, ALSO EiJ'I ER I.D. NUMBER) (IF SELF -EMPLOYED. ENTE4 NAMEOFEUSINEss) BALANCE BEIa&IINTHIS RECEIVEDTHIS PERIOD OR FORGIVEN THIS PERIOD' BALANCE AT CLO Q6jH[S PAID THIS PERIOD AMOUNTOF LOAN CONTRIBUTIONS TO DATE ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION" t❑ IND ❑ COivi ❑ OTH El PTY ❑SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION"` T❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR RATE ❑ FORGiVEN PER ELECTION - TO IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTAL $ $ $ $ Schedule B Summary 1. Loans received this period ......................................... $0.00 (Total Column (b) plus uniternized loans of less than $100.) 2. Loans paid or forgiven this period............................................................................................................................... $0.00 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized an Schedule A.) 3_ Net change this period_ (Subtract Line 2 from Line 1.) .......................................... ___ _ ......................... NET $0 -CO Enter the net here and on the Summary Page, Column A, Line 2. (May be ane&IOZ euumhar) *Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. 2209773-0 (Enter (e) on Schedule E, Line 3) *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTI' - Political Party SCC - Small Contributor Committee FPPC Form 460 (January105) FPPCT°11•Free Help]Ine: 6661ASK-FPPC (866!?75-3Tt2) Amounts may be rounded Contributions Received to dollars. Statement covers period CALIFORMANonmonetary whole 7/1/2017 FORMfrom 12/31/2017 through Page 17 of 24 SEE INSTRUCTIONS ON REVERSE NAME OF FILER LD. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND COPE CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPMON OF AMOUNT! CUMULATIVE TO DATE PER ELECTION RECEIVED (IF (IF COMMITTEE, ALSO O ENTER I.D. NUMBER} CODE, (IF SELF-EMPLOYED, ENTER NAME GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE OF BUSINESS) (JAN.1-DEC. 31) (IFREQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC AlTacn acamonal inrormarron on aQPrGQn@tG1V lateled continuaborl sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period -itemized nonmonetary contributions. (Include all Schedule C subtotals.)............................................................................................... 2. Amount received this period - unitemized nonmonetary contributions of less than $100 .......................................... $0.00 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ..........................TOTAL $0-00 2209773-0 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Commitee PPPC Form 4B0 (Januarym) FPPG TOILFree Helpline: 6661ASK-FPPC (Mt275.3772) Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE IN,STRI JCTInNS ON RFVFRCE NAME OF FILER ASTAN PACIFIC-ISLANDEk2 EMPOWERMENT PAC (API EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whole dollars. NAME OF CANDIDATE, AND DISTRICT, OR DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT OR COMMITTEE ❑ Monetary Conte bubon ❑ Nonmonetary Contdbutlnn ❑ Independent Expenditure El support ElOppose ❑ Monetary Contribudon ❑ Nonmonetary Contrjbution ❑ Independent Expendture El Support ElOppose ❑ Monetary Contribution Nonmonetary Cor&bution ❑ Independent Expenditure ElSupport ❑ Oppose Schedule D Summary Statement covers period from 7/1/2017 12/31/2017 through SCHEDULED Page 1s of 24 I.D. NUMBER 1340395 DESCRIPTION AMOUNT THIS CUMULATIVE TO PATE PER ELECTION (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE (.IAN. I -DEC. 31) (IF REQUIRED) SUBTOTAL$ 1. Itemized contributions and independent expenditures made this period. ' (Include all Schedule D subtotals.) ................... $ o . co 2. Unitemized contributions and independent expenditures made this period of under $100 ................... $0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ................ $o . 00 FPPC Fonn 460 (Januaryf05) FPPC Toll -Free Helpline: 8661AS1 FPPC (MG275-3772) 2209773-0 Schedule E Type or print in ink_ SCHEDULE E Payments Made Amounts may be rounded Statement covers period Now to whole dollars. 7/1/2017 ' from 12/31/2017 �9 SEE INSTRUCTIONS ON REVERSE through Page of 24 NAME OF FILER I.D. NUMBER ASIAN PACIFIC-ISLA=ER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 CODES: If one of the following codes accurately describes the payment, you may enter the code CMP campaign paraphemalialmisc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)* OFC office expenses CVC civic donations PET petition circulating FIL candidate filinglballotfees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Otherwise, describe the payment. RAD radio airtime and production RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor VOT voter registration WEB information technology costs (intemet, e-mail) NAME ANO ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Wells Fargo Bank Fees $102.00 Nation_ Builder WEB $174-00 Silicon valley Democratic Club Picnic Sponsorship $100-00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payment made this period. (Include all Schedufe E subtotals.) ........................................................................................................................................ 2. Unitemized payments made this period of under $100 ............................... ............................................................... ......... ................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)............................................................................................................ 4. Total payments made this period. (Add Lines 1, 2, and 3- Enter here and on the Summary Page, Column A, Line 6.)............................................................................ 2209773-0 845.00 $0.00 $0.00 $9,845.00 FPPC Form 460 (January/05) FPPC T00 -Free Helpline: 8WASK-FPPC (8W&75377Z) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2017 through 12/31/2017 SCHEDULE E Page 20 of 24 I.D. NUMBER 1340395 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 CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)x OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor 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) NAME AND ADDRESS OF PAYEE ALSO ENTER (IF COMMITTEECODE OR DESCRIPTION OF PAYMENT E.D. NUMBER} AMOUNT PAID Michael's at Shoreline g� Olympic Recognition Products FN _D Santa Clara County United Democratic Campaign CTB COMMITTEE ID: 671053 Pacific Printing FND Act Blue Fundraising Fee $5,863-00 $320-00 $1,500.00 $546.D0 $240.00 Pa ments that are oontributions or independent expenditures must also be summarized on Schedule ❑. SUBTOTAL $ FPPC Form asp (.faruary105) FPPC Toll -Free Helpfne: 86efASK+PPC (866875-3772) 2209773-0 Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whale dollars. Statement covers period from 7/1/2017 SCHEDULE E {CONT SEE INSTRUCTIONS ON REVERSE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Anna Eshoo for Congress COMMITTEE ID: 000258475 CTB 51,044.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule iD- SUBTOTAL $ FP PC Form 450 (January/05) FPPC ToII-Free Helpline- WWASK-FPPC (SOM75-3772) 2209773-0 Schedule F Accrued Expenses (Unpaid Bills) SEE INS7RL)CTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whale dol€ars. Statement covers period from 7/1/2017 through 12/31/2017 SCHEDULE Page 22 of 24 I.D. NUMBER 1.344395 CODES_ If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production 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 meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatefsponsor 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) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER IA. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (C) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E} (d) OUTSTANDING BALANCE AT CLOSING OF THIS PERIOD ------------------------ SUBTOTALS $ S $ Schedule F Summary Total accrued expenses incurred this period_ (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)................................................................... .........INCURRED TOTALS $0.00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ............................. ...............................PAID TOTALS $1-10 3. Net change this period. (Subtract Line 2 from Line 1. inter the difference here and on the Summary Page, Column A, Line 9.).................................................................................................... .....................NET $0.00 .................................... ... ........ (May be mcg � ae�e number) FPPC Form 48o (,1anLSTY o5) FPPC T.IFFr Hefpfine: 866/A5K+PPC (8652753772) 220977;-D Schedule H Type or print in ink. SCHEDULE H Made to Others Amounts may be rounded to whose dollars. Statement covers period 7/1/2017 from CALIFORNIALoans FORM • SEE INSTRUCTIONS ON REVERSE through 12/31/2017 Page -23 of 24 NAME OF FILER ASIAN PACIFIC-ISL,AIIDER EMPOWERMENT PAC (A,PI EMPOWERMENT PAC) I.D. NUMBER 1340395 FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT R(IFSEiF-EMPLCYED,ENTER (IF COMMnTEE. ALSO ENTER I.D.LD. NUMBER)NAME IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER of BUSINESS) (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD (b} AMOUNT LOANED THIS PERIOD (c} REPAYMEN7 OR FORGIVENESS THIS PERIOD* (d) OUTSTANDING BALANCE AT CLCSE OF THIS PERIOD {e} INTEREST- RECEIVED ORIGINAL AMCUNTOF LOAN CUMULATIVE LOANS TO DATE ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION" DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR % RATE ❑ FORGIVEN PER ELECTION" DATE DUE DATE INCURRED 'Loans that are contributions to another cardidate or committee must also be summarized on Schedule C. Loans forgiven must also be reported an Schedule E. Schedule H Summary SUBTOTAL J$ 1$ is 1. Loans made this period..................................................................................... $0-00 (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans ................................................. ........................ $ o .00 (Tota! Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................................................................NET I=nter the net here and on the Summary Page, Column A, Line 7. (May be anegative number) 2209773-0 (renter (a) on Schedule I, Line 3) If required. FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (a5fiR75-3772) C..I,...J..1.. a -r,—. — ,,!.+ I., ;.,I, Rr'HF=ni Ii F i VVIIVMMIV � ` ' Amounts may be rounded Statement covers period Increases to Cash to whole dollars. 7/1/2017 from 12/31/2017 SEE INSTRUGTIONS ON REVERSE through NAME OF FILER ASIAN PACIFIC-ISTAANDER EMPOWERMENT PAC (API EMPCWERMElv'Ti PAC) CALIFORNIAM'iscellaneous FORM 460 Page 24 of 24 LD. NUMBER 1340395 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER 1.10. NUMBERS DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH SUBTOTAL$ Schedule I Summary 1. Itemized increases to cash this period................................................................................................. 2. Unitemized increases to cash of under $100 this nerind $0.00 $0.00 3. Total of a[I interest received this period on loans made to others. (Schedule H, Column (e).) ............... $o . o O 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) .................................................................................................................................................. TOTAL FPPC Farm 450 (, anuarymjl FPPC Toll -Free Helprre: 86VASK-FPPC (WGQ75-3772) 2209773,-0;