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460 Recipient Committee Campaign Statement 7-1-14 to 12-31-14Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) Type or print in ink. Statement covers period from 7/1/2014 COVERPAGE DattAft2filli Date of election if applicable: F E R 2 2015 Page 1 of 2 5 (Month, Day, Year) For Official Use Only 11/4/2014 PrOcesself by 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement E Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) I.D. NUMBER through 12/31/2014 4 SEE INSTRUCTIONS ON REVERSE 1340395 Treasurer(s) 1. Type of Recipient Committee: Al Committees- complete Parts 1, 2, S, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part 5) O Sponsored General Purpose Committee (Also Complete Pad 6) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party /Central Committee (Also Complete Part 7) COVERPAGE DattAft2filli Date of election if applicable: F E R 2 2015 Page 1 of 2 5 (Month, Day, Year) For Official Use Only 11/4/2014 PrOcesself by 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement E Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. �sy Executedon_1 /30/2015 By �� .. Dare Signatumo Tmasumror Assistant Treasurer Exeouteci on By Date Signature of Controlling Officeholder, Candidate, Slate Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed an By FPC Form 460 (Januaryl05} Date Signature o1 Controlling Officerroider, Candidate, State Measure Proponent FPPC Tall -Free Helpline: 8651ASK -FPPC (8661275 -3772) State of California 1 q:i32n7 -n I.D. NUMBER 3. Committee Information 1340395 Treasurer(s) NAME OF TREASURER COMMITTEE NAME (ORCANPIDATE'S NAME IF NO COMMITTEE) Andrae Macapinlac ASIAN PACIFIC— ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) MAILING ADDRESS CA 94085 (408) 746 -2020 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODFlPHONE CITY STATE ZIP CODE AREA CODEJPHONE OPTIONAL: FAX f E -MAIL ADDRESS OPTIONAL: FAX 1 E -MAIL ADDRESS Treasurer: senatcrmac9 @ao1.cem 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. �sy Executedon_1 /30/2015 By �� .. Dare Signatumo Tmasumror Assistant Treasurer Exeouteci on By Date Signature of Controlling Officeholder, Candidate, Slate Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed an By FPC Form 460 (Januaryl05} Date Signature o1 Controlling Officerroider, Candidate, State Measure Proponent FPPC Tall -Free Helpline: 8651ASK -FPPC (8661275 -3772) State of California 1 q:i32n7 -n Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 1 QR, 72n ? -fl Type or print in ink. 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 ,Af_irUK�viA 460 FORM OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ SUPPORT [:]OPPOSE RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP AREA CODElPHONE COMMITTEE NAME Identify the controlling officeholder, candidate, or state measure proponent, if any. I.D. NUMBER NAIVE OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: Listanycommittees CONTROLLED COMMITTEE? ❑ YES ❑ NO not 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 - CITY COMMITTEE NAME I.D. NUMBER AREA CODFJPHONE NAME OF TREASURER CONTROLLED COMMITTEE? 7- Primarily Formed Candidate /Officeholder Committee List names of ❑ YES ❑ NO officeholder(s) or candidate(s) for which this committee is primarily formed. COMMITTEE ADDRESS STREET ADDRESS {NO P.O. BOX) ❑ SUPPORT CITY STATE ZIP CODE AREA CODElPHONE COMMITTEE NAME OFFICE SOUGHT OR HELD I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) [:]SUPPORT CITY STATE ZIP CODE AREA CODFJPHONE 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 CANDIDATE OFFICE SOUGHT OR HELP ❑ SUPPORT ❑ OPPOSE Attach continuation sheets ifnecessary FPPC Form 460 (January/05) FPPC Tatl -Free Heipline. 8661ASK -FPPC (8661275 -3772) State of California Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Amounts may be rounded Statement covers period CALIFORNIA Summary Page to Whole dollars. from 7/1/2019 FORM 460 12/31/2019 SEE INSTRUCTIONS ON REVERSE through Page 3 of 2' NAME OF FILER LD. NUMBER ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 Expenditures Made 6. Payments Made .......................... ............................... Schedule E, Line $13,576.50 Column A Column B $0.00 8. SUBTOTAL CASH PAYMENTS ........... Contributions Received $13, 576.50 TOTAL THIS PERIOD CALENDARYEAR $0 . 00 Calendar Year Summary for Candidates ..... schedule C, Line 3 $ 0 . 00 (FROM ATTACHED SCHEDULES) TOTAL 70 DATE $13,576.50 Running in Both the State Primary and 1, Monetary Contributions .......................................... ......Schedule A, Line 3 $16,150 -00 $16,150.00 1 General Elections 2. Loans Received ........................... ............................... schedule B, Line 3 $0.00 $0-00 19. 1f1 through 6130 771 to Date $0.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .......... Add Lines f +2 $16, 150. D0 $16, 150.00 Received 4. Nonmonetary Contributions ............ ............................... schedule C, Line 3 $0.00 $0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............................... Add Lines 3 +4 $16,150.00 $16,150.00 Made Expenditures Made 6. Payments Made .......................... ............................... Schedule E, Line $13,576.50 7. Loans Made .. Schedule N, Line 3 $0.00 8. SUBTOTAL CASH PAYMENTS ........... .... Add Lines 6 +7 $13, 576.50 9. Accrued Expenses (Unpaid Bills) ..... ............................... schedule F, Line 3 $0 . 00 10. Non monetary Adjustment ............. ..... schedule C, Line 3 $ 0 . 00 11. TOTAL EXPENDITURES MADE ................... AddLines8+9 +10 $13,576.50 Current Cash Statement 12. Beginning Cash Balance .............. Previous Summary Page, Line 16 $0.00 13. Cash Receipts ................................................ Column A, Line 3above $16, 150.00 14. Miscellaneous Increases to Cash .................. schedule 1, Line 4 $0. 00 15. Cash Payments .......... ................ Column A, Line 8 above $13 , 57 6. 50 16. ENDING CASH BALANCE ............... Add Lines 12 +13 +14, then subtract Line 15 $2,573.50 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................ ............... Schedule B, Part 2 $0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........ see instructions on reverse $0.00 19. Outstanding Debts ............. Add Line 2 +Line 9 in Column B above $0.00 $17,676.50 $0.00 $17,676.50 $0.00 $0.00 $17,676.50 To calculate Column B, add amounts 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 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (rf any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Pxpenditure Limit} Date of Election Total to Date (mmlddlyy) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: 866/ASK -FPPC ( 8661275 -3772) Sr:HFnl II P A .71.I ICtr U I C f1 Amounts may be rounded Statement covers period CALIFORNIA Monetary Contributions Received to whole dollars. 1 7/1/2014 FORM + from 12/31/2014 through Page 4 of 25 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ASIAN PACIFIC— ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE ZIP NAME, STREET ADDRESS AND P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' (IF SELF - EMPLOYED, ENTER NAME RFCFIVED THIS CALENDAR YEAR TO DATE OFBUSINESS) PERIOD (JAN. 1 -DEC. 31) pF REQUIRED) 8/14/2014 Sally Lieber IND OCCUPATION: self $100.00 $100.00 456 Sierra Ave. [] COM employed Mountain View, CA 94051 El OTH Self - Employed ❑ PTY BUSINESS: n/a ❑ SCC 8/12/2014 Marsha Grilli IND OCCUPATION: self $100.00 $100.00 1162 pescadero dr. El CO M employed Milpitas, CA 95035 El OTH Self - Employed ❑ PTY BUSINESS: none ❑ SCC 8/21/2014 Raul Peralez IND OCCUPATION: Police $200.00 $200.00 1276 Santa Paula Ave El COM Officer San Jose, CA 95110 1:1 OTH EMPLOYER: City of San ❑ PTY Jose ❑ SCC 8/31/2D14 James Davis E IND OCCUPATION: $100.00 $10D.00 424 Southwood Ave ❑ COM Councilmember Sunnyvale, CA 94086 El OTH EMPLOYER: City of ❑ PTY Sunnyvale ❑ SCC 8/29/2014 Frank Blehl IND OCCUPATION: Trustee $100.00 $100.00 3640 Valley Ridge Lane ❑ COM EMPLOYER: East Side San Jose, CA 95148 ❑ OTH Union High School ❑ PTY District ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) .................................................................. ............................... 2. Amount received this period - unitemized monetary contributions of less than $100 .. ............................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....... ............................... lass ?n2 -n $16,150.00 $0.00 TOTAL $16,150.00 '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 Farts 460 (January/05) FPPC Tall -Free Ipllft: 86G ASK -FPPC (86W75 -3772) C..", 4..I— A I!*. - 41 :..... -46:— L- t- . L. Tvr)pornrintinirk SCHEDULE A (CONT.) VLIIV%A UIV r1 `vv I I L I I I UCIL I l7 I I JIICCL) Amounts may be rounded Statement covers period CALIFORNIA Monetary Contributions Received to whole dollars. ' 7/1/2014 .- • from 12/31/2014 through Page 5 of 25 NAME OF FILER I.D. NUMBER ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 !FAN INDIVIDUAL, ENTER DATE PULL NAME, STREETADDRE55 AND ZIP GODS OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I,D. NUMBER) CODE' (IF SELF- EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED? 8/28/2014 Nancy Liu IND OCCUPATION: Project $50.00 $50.00 40723 Slayton Street ❑ C OM Manager Fremont, CA 94539 ❑ OTH EMPLOYER: S & L Partnership ❑ PTY ❑ SCC 9/1/2014 Mohammed Nadeem IND OCCUPATION: Professor $100.00 $100.00 847 Quince Avenue El of Business Santa Clara, CA 95051 ❑ OTH EMPLOYER: National University ❑ PTY ❑ SCC 9/13/2014 Anjali Kausar IND OCCUPATION: Executive $200.00 5200.00 19731 Yuba Ct El Director Cupertino, CA 95070 ❑ OTH EMPLOYER: Cupertino ❑ PTY Chamber of Commerce ❑ SCC 9/10/2014 Anna Eshoc IND OCCUPATION: Member $300.00 5300.00 555 Capitol Mall,Suite 1425 ❑ COM EMPLOYER: U.S. House of Sacramento, CA 95814 ❑ OTH Representatives ❑ PTY ❑ SCC 9/10/2014 Gustav Larson IND OCCUPATION: Software $100.00 $100.00 305 Bishop Ave ❑ COM Engineer Sunnyvale, CA 94095 ❑ OTH EMPLOYER: Cienga Corp ❑ PTY ❑ SCC SUBTOTAL$ *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 1 Qi:i ?n2 -n FPPC Forth 466 {January/65} FPPC Toll -Free Helpllne: 8MA5K -FPPG (866!275 -3772( w _1 n rr+ % T11 enr ntTMink SCHEDULE A(CONT,) J1411CClUlG` H �I+VIILI[IUdLIVII .7f1e�L� Amounts may' berounded Statement covers �- Monetary Contributions Received to Whole dollars. 7,1,2014 , . . from 12/31/2019 through Page 6 of 25 NAME OF FILER L) ,NUMBER ASIAN PACIFIC — ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN TION AND ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE' (IF SELF - EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR {JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) 9/20/2014 Steve Preminger IND OCCUPATION: Director $100.00 $100.00 10$30 Ridgeview Way ❑ CO M EMPLOYER: Working San Jose, CA 95127 ❑ OTH Partnerships ❑ PTY ❑ SCC 9/19/2014 Darcy Paul IND OCCUPATION: Attorney $100.00 $100.00 203.45 Via Volante El COM EMPLOYER: Paul Law Cupertino, CA 95019 ❑ OTH Group ❑ PTY ❑ SCC 9/18/2014 Buu Thai IND OCCUPATION: Reentry $100.00 $100.00 3464 Tuers Rd. El COM Policy Coordinator San Jose, CA 95121 ❑ OTH EMPLOYER: Santa Clara ❑ PTY County ❑ SCC 9/17/2014 Anne Im IND OCCUPATION: Development $300.00 $300.00 7273 Via Vico Way El CO M Director San Jose, CA 95129 ❑ OTH EMPLOYER: Asian Americans for Community ❑ PTY Involvement ❑ SCC 9/15/2014 Pearl Chong IND OCCUPATION: Trustee $100.00 $100.00 IS467 Edminton Dr. El EMPLOYER: Foothill Cupertino, CA 95019 COM ❑ OTH DeAnza College Board ❑ PTY ❑ SCC *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 1 Q33207 -0 SUBTOTAL$ FPPC Form 460(January/05) FPPC ToE+me H,101 e: 866YASK -FPPC (86612753772) T.. .: SCHEDULE A MONT_) oGneaule H ki ontinuation oneetl Amounts may be rounded Statement covers period CALIFORNIA Monetary Contributions Received to whole dollars. 7/1/2014 from FORM • 12/31/2014 through Page 7 of 25 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 TO DATE PER ELECTION RECEVED (Ir COMMITTEE. ALSO ENTER I.D. NUMBER) CODE' (IF SELF - EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN.1 -DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) 9/25/2014 Nicholas Sturtevant IND OCCUPATION: none $125.00 $125.00 313 Valley Street ❑ EMPLOYER: none Sausalito, CA 94965 C OM ❑ OTH ❑ PTY ❑ SCC 9/19/2014 Deepka Lalwani IND OCCUPATION: Realtor $150.00 $150.00 2305 Glenview Dr- ❑ CO M EMPLOYER: Self Milpitas, CA 95035 ❑ OTH ❑ PTY ❑ SCC 9/19/2014 Carmen Montano IND OCCUPATION: $10.0.00 $100.00 369 Summer €ield Dr El COM Councilmember Milpitas, CA 95035 ❑ OTH EMPLOYER: City of Milpitas ❑ PTY ❑ SCC 9/19/2014 Ben Menor IND OCCUPATION: none $100.00 $100.00 168 Jacinto Way ❑ EMPLOYER: none Sunnyvale, CA 94086 CDM ❑ OTH ❑ PTY ❑ SCC 9/19/2014 Linda Sell IND OCCUPATION: none $100.00 $100.00 1478 Lewiston Dr El EMPLOYER: none Sunnyvale, CA 94087 COM ❑ OTH ❑ PTY ❑ SCC `Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 1 41:3202 -0 SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll -Free Heipline: 6661ASK -FPPC (8661275 -37721 r+ -' w rte % T,,.— rl., +L, i 1, SCHEDULE A(CONT.1 J4+11CUU!U N k1iV11L111UdLIV11 JIIUULj Amounts may be rounded Statement covers period CALIFORNIA Monetary Contributions Received to whole dollars. 1 7/1/2014 FORM • from 12/31/2019 through Page $ of 25 NAME OF FILER I.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 ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' (IF SELF - EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) TO DATE (IF REQUIRED) _ oFBUSWESS) 9/19/2014 Ken Yeager for Supervisor ❑ IND $100.00 $100.00 1925 Cleveland Ave COM San Jose, CA 95126 ❑ OTH COMMITTEE ID: 1254252 ❑ PTY ❑ SCC 9/19/2014 Thelma 6oac IND OCCUPATION: retired $300.00 $300.00 839 Clearview Drive El EMPLOYER: none San Jose, CA 95133 COM ❑ OTH ❑ PTY ❑ SCC 9/19/2019 Clarence Madrilejos IND OCCUPATION: Realtor $100.00 $100.00 1831 Pine Hollow Cir El COM EMPLOYER: Century 21 San Jose, CA 95133 ❑ OTH ❑ PTY ❑ SCC 9/19/2014 Daniel Hoffman IND OCCUPATION: none $100.00 $100.00 175 E Remmington Dr ❑ COM EMPLOYER: none Sunnyvale, CA 94087 ❑ OTH ❑ PTY ❑ 5CC 9/19/2014 Wendy Ho IND OCCUPATION: Director $350.00 $350 -00 6628 Catamaran St El COM EMPLOYER: United Way San Jose, CA 95119 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ '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 1asli2ro -n FPPC Form 460 (January105) FPPC Tall -Free Helpli— E1561ASK -FPPC (8661275 -3772) _1 _ _, _ w 1. 7 „ i t; i I, SCHEDULE A (CONT.) J V I 1 CLI U I C !-1 kIk.,Ul1L11lUdL1U11 J I I C V L) Amounts may be rounded Statement covers period - Monetary Contributions Received to whole dollars. 7/1/2019 from 12/31/2019 through Page 9 of 25 NAME OF FILER I.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 ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I,D. NUMBER) CODE' (IF SELF- EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (DANA DEC.31) TO DATE (IF REQUIRED) OF BUSINESS) 9/19/2014 Annalisa Wilson IND OCCUPATION: Coordinator $200.00 $200.00 3637 Snell Ave. Space 251 ❑ COM EMPLOYER: Stryker San Jose, CA 95136 ❑ OTH ❑ PTY ❑ SCC 8/28/2014 San Jose Branch -NAACP Banquet Fund ❑ IND $100.00 $100.00 304 North 6th Street ❑ COM San Jose, CA 95112 N OTH ❑ PTY ❑ SCC 8/28/2014 Democratic Activists for Women Now ❑ IND $50D.00 $500.00 2901 Moorpark ,Ave. COM San Jose, CA 95128 ❑ OTH COMMITTEE ID: 950169 ❑ PTY ❑ SCC 9/4/2014 South Bay Labor Council COPE ❑ IND $100.00 $100.00 2125 Almaden Rd, st 107 COM San Jose, CA 95125 ❑ OTH COMMITTEE TD: 744711 ❑ PTY El SCC 9/3/2014 Friends of Mark Stone for Assembly 2014 ❑ IND $100.00 $100.00 5429 Madsion Ave COM Sacramento, CA 95841 ❑ OTH COMMITTEE ID: 1353830 ❑ PTY ❑ SCG "Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 1 a:3:32n2 -() SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll -Free Helpline- 866YASK -FPPC (9567275-3772) L V _I ..1 A Imo+ L: .. _ L: _ ._ el _ _ i% Tina nr nrint in ink SCHEDUL-E A (CONT.) %j4_11WUUic rA 1VVLj Amounts may be rounded Statement covers period CALIFORNIA Monetary Contributions Received to whole dollars. 460 7/1/2014 from 12/31/2014 through Page 10 of 25 NAME OF FILER I.D. NUMBER ASIAN PACIFIC- ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRE$$ AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMM17TFE, ALSO ENTER I.D. NUMBER) CODE, 9F SELF- EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OF BUSINESSy 9/2/2014 Wendy Ho for Trustee 2012 ❑ IND $250.00 $250.00 6628 Catamaran St COM San Jose, ca 95119 ❑ OTH COMMITTEE ID: 1348221 ❑ PTY ❑ SCC 9/28/2014 PG &E Corporation IND $2,500.00 $5,000.00 77 Beale St E] COM San Francisco, CA 94105 E] OTH ❑ PTY ❑ SCC 9/19/2014 Elias Portales IND OCCUPATION: Attorney $100.00 $100.00 111 N. Market St ❑ EMPLOYER: DBA EFP Law San Jose, ca 95113 COM El Group ❑ PTY ❑ SCC 9/28/2014 Rich Gordon for State Assembly 2014 ❑ IND $1,000.00 $1,000.00 405 E1 Camino Real #607 COM Menlo Park, CA 94025 ❑ OTH COMMITTEE ID: 1353592 ❑ PTY ❑ SCC 9/28/2014 SANTA CLARA & SAN BENITO COUNTIES BUILDING & ❑ IND $1,000.00 $1,000.00 CONSTRUCTION TRADES COUNCIL COM 2102 Almaden Rcad Suite 101 ❑ OTH San Jose, ca 95125 COMMITTEE ID: 743618 ❑ PTY ❑ SCC "Contributor Codes IND - Individual COM - Recipient Committee (other then PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee 19.33209-) SUBTOTAL$ FPPC Farm 46D {January105) FPPC Toll -Free Helpline. 866lASK -FPPC (66rJ2>5 -3T72} .. w r.-. -r.. Irr t : � SCHEDULE A fCONT_1 oulltruuly H k%'V11L111uc1LIV11 Jfluet) Amounts may be rounded Statement covers period CALIFORNIA Monetary Contributions Received to whole dollars. i 7/1/2014 from FOR 12/31/2014 through Page 11 of 25 NAME OF FILER I.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 ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE` (Ir SELF - EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) 9/28/2014 Gary Kremen for Water District 2014 ❑ IND 51,000.00 $1,000.00 595 Miiich Dr. Suite 215, ■ COM Campbell, ca 95008 ❑ OTH COMMITTEE ID: 1363785 ❑ PTY ❑ SCC 9/28/2014 MOUNTAIN VIEW PROFESSIONAL FIREFIGHTERS ❑ IND $1,000.00 $1,000.00 POLITICAL ACTION COMMITTEE ■ COM POBox 391177 ❑ OTH Mountain View, CA 94051 COMMITTEE ID: 1229347 ❑ PTY ❑ SCC 9/28/2014 PG &E Corporation ❑ IND $2,500.00 $5,000 -00 77 Beale St ❑ COM San Francisco, CA 94105 ■ OTH ❑ PTY ❑ SCC 10/18/2014 San ,lose Firefighters Political Action ❑ IND $1,00o.00 $1,000.00 Committee ■ COM 425 E. Santa Clara St. Suite # 300 ❑ OTH San Jose, CA 95133 COMMITTEE ID: 743393 ❑ PTY ❑ SCC 10/18/2014 PLUMBERS, STEAMFITTERS & REFRIGERATION ❑ IND $1,000.00 $1,000.00 FITTERS LOCAL 393 POLITICAL ACTION FUND ■ 555 Capitol Mall, Suite 1425 COM ❑ OTH Sacramento, CA 95614 COMMITTEE ID: 851452 ❑ PTY ❑ SCC SUBTOTAL$ *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 I A:3112n2 -0 FPPC Form 460(January/05) FPPC Tvll -Free H.Iplin 866lASK -FPPC (8661275 -3772) C. t- _11 w ir•_- _t =- _-- _is_ -_ e, % T,.o„r ri„ +ininL, SCHEDULE A(CONT.) Amounts may be rounded Statement covers period I Monetary Contributions Received to whole dollars. CALIFORNIA 7/1/2014 FORM • from 12/31/2019 through Page 12 of 25 NAME OF FILER I-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 FLECTION RECEIVED pr COMMITTEE. ALSO ENTER I.D. NUMBER) CODE' {IF SELF - EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE REQUIRED) OF BUSINESS) (IF 12/19/2014 Maya Esparza for City Council 2014 ❑ IND $140.00 $100.00 123 E. San Carlos St. COM St 531 ❑ OTH San Jose, Ca 95112 COMMITTEE ID: 1362201 ❑ PTY ❑ SCC 12/19/2019 Emily Ramos IND OCCUPATION: Guide $125.00 $125.00 44065 Owl Dr El EMPLOYER: San Jose Tech Fremont, Ca 94539 COM El Museum ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ 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 1 ci.,u2n2 -r) SUBTOTAL. $ FPPC Form 460 (January705) FPPC Toll -Free Helpline: 86WASK -FPPC (8661275 -3772) T- n in + i _6 SCHEDIJI F R _ PAR7 1 u%.[ jWuu iIU u r-C31t i Amounts may be rounded Loans Received to whole dollars. Statement covers period from 7/1/2019 CALIFORNIA FORM 460 SEE INSTRUCTIONS ON REVERSE 12/31/2019 through Page 13 of 25 NAME OF FILER ASIAN PACIFIC — ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) I.D. NUMBER 1340395 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.O. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF- EMPLOYED, ENTER NAME OF BUSINESS( OUTSTANDING REGAI N `NNJGG THIS P�RIOD AMObUNT RECEERIODTHIS AMOUNT PAID OR FORGIVEN PERIOD* OUTSTANDING CBOOPEER?S HIS PERIOD INTEREST PPERIOD S ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS ❑ PAID CALENDARYEAR 0/b RATE ❑ FORGIVEN PER ELECTION" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR RATF ❑ FORGIVEN PER ELECTION• t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION- IND IND El COM El OTH El PTY E: SCC DATE DUE DATE INCURRED SUBTOTAL$ $ $ $ Schedule B Summary 1. Loans received this period ................................................................................................... ............................... $0.00 (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ................ ............................... $0.00 (Total Column (c) plus loans under $100 pa }d or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................ ............................... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another parry also must be reported on Schedule A. ** If required. 1 g111905)_f1 ...... NET $0.00 (May be a nagative numbe* (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) PTY - Political Party SCC - Small Contributor Committee FPPC Form 450 (January /05) FPPC To&Free Helpline: 8681ASK -FPPC (6861275 -7772) %7VIIcuu W V r Amounts may be rounded Statement covers period CALIFORNIA Nonmonetary Contributions Received to whole dollars. 460 7/1/2014 FORM from 12/31/2019 through Page 14 of 27 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAME, S7REETADDRESSANO CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT! CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. IO NUMBER) ODE" it ( SE�r- EMPLOYED, ENTER NAME GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE ( IF REQUIRED OF BUSINESS) (JAN. 1 - DEC, 31) ) ❑ IND ❑ COM ❑ OTH ❑ 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. $ Schedule C Summary 1. Amount received this period - itemized nonmonetary contributions. (Include all Schedule C subtotals.) ............................................................................. ......................... ...... $0.00 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 1 G332n9 -n *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 (January/05) FPPC T.NFree Help5i 86bASK -FPPC (gg6f27S3772) t- —' — — —' - -'— " f.Y�171�.1�f��i7 JLII�UUIfi L.J - - - - -- Amounts may be rounded Statement covers period CALIFORNIA Summary of Expenditures to whole dollars. 7/1/2014 FORM • Supporting /Opposing Other from Candidates Measures and Committees 12/31/2014 15 25 , through Page of NAME OF FILER I.D. NUMBER ASIAN PACIFIC — ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE NAME OF CANDIDATE, AND DISTRICT, OR MEASURE NUMBER DR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OR COMMITTEE (JAN. 1 - ➢EC. 31) (1F REQUIRED) 10/20/2014 Mohammad Nadeem $300.00 $300.00 Office Description: CouncilmemberJurisdiction: Monetary City Clty of Santa Clara Contribution Nonmonetary _ Contribution ❑ Independent Expenditure Support El Oppose 10/20/2014 Deepka Lalwani $250.00 $250.00 Office Description: CouncilmemberJurisdiction: Monetary City City of Milpitas Contribution Nonmonetary Contribution Independent Expenditure Support El Oppose 10/20/2014 Balbir Dhillon $500.00 $500.00 Office Description: T'rusteeJurisdiction: Local Monetary San Jose - Evergreen College District Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure N Support El Oppose Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) .. 2. Unitemized contributions and independent expenditures made this period of under $100 ............... SUBTOTAL$ .. $7,050.00 ......................... ............................... $0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ................... 1 4311202 -0 $7,050.00 FPPC Form 46D (Januarylt)5) FPPC Toll -Free HeIpliw e661AFK -FPPC (866127 5-3772) Schedule D Type or print in ink. Amounts may be rounded SCHEDULE D (CONT3 (Continuation Sheet) to whole dollars. Summary of Expenditures St State CALIFORNIA O ' '� • Supporting /Opposing Other 7/1/2019 from • " Candidates, Measures and Committees 12/31/2014 through 16 25 Page of NAME OF FILER LID, NUMBER ASIAN PACIFIC — ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE NAME OF CANDIDATE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE - CALENDAR YEAR PER ELECTION TO DATE OR COMMITTEE (JAN. 1 -DEC. 31) (IF REQUIRED) 10/10/2014 Dave Cortese $1,100.00 $1,100.00 Office Description: MayorJurisdiction: City Monetary San Jose Contribution ❑ Nonmonetary Contribution ❑ Independent � Support El Oppose E Expenditure 10/10/2014 Paul Fong $500.00 $500.00 Office Description: CouncilmemberJurisdiction: Monetary City Contribution San Jose, District 1 ❑ Nonmonetary Contribution ❑ Independent 0 Support El Oppose Expenditure 10/10/2014 Raul Peralez $500.00 $500.00 Office Description: CouncilmemberJurisdiction: Monetary City Contribution San Jose, District 3 ❑ Nonmonetary Contribution ❑ Independent 0 Support ❑ Oppose Expenditure 10/17/2014 Maya Esparza $500.00 $500.00 Office Description: CouncilmemberJurisdiction: Monetary City Contribution San Jose, District 7 ❑ Nonmonetary Contribution ❑ Independent Support ❑ Oppose Expenditure SUBTOTAL$ j FPPC Form 460 (January)05) FPPC Tall -Free Helpllne: 86&A6K -FPPC (8661275-377y 19'iR2n2 -n Schedule D Type or print in ink. Amounts may be rounded SCHEDULE D MONT.) (Continuation Sneeq to whole dollars. Summary of Expenditures Siatementcovers period CALIFORNIA , ' Supporting/Opposing Other from 7/1/2019 - Candidates, Measures and Committees 12/31/2019 through ;7 25 Page of NAME OF FILER I.D. NUMBER ASIAN PACIFIC— ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE NAME OF CANDIDATE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OR COMMITTEE (JAN. i -DE=C_ 31) (IF REQUIRED) 10/10/2014 Richard Nguyen $500 -00 $500.00 Office Description: TrusteeJurisdiction: Local Monelary Campbell Union High School District Contribution ❑ Nonmonetary Contribution ❑ Independent Support El oppose Expenditure 10/10/2014 Noelani Sallings $50x.00 $500.00 Office Description: TrusteeJurisdiction: Local Monetary Santa Clara Unified School District Contribution ❑ Nonmanetary Contribution ❑ Independent Support ❑ Oppose Expenditure 10/10/2014 Margaret Abe -Koga $1,900.00 904.00 Office Description: Hospital District Monetary Board Jurisdiction: Local Contribution E1 Camino hospital Board ❑ Nonmonetary Contribution ❑ Independent 0 Support ❑ Oppose Expenditure 10/17/2014 Anthony Phan $500.00 5500.UC Office Description: School BoardJurisdiction: Monetary Local Contribution East Side Union High School District ❑ Nonmonetary Contribution ❑ Independent E Support ❑ Oppose Expenditure SUBTOTAL FPPC Form 460 (January/06) FPPC Tall -Free Helpliae: 6661ASK -FPPC (a6fi1275 -37721 1 A:132119 -0 Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 7/1/2014 from SCHEDULES 12/31/2019 18 25 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER LD, NUMBER ASIAN PACIFIC — ISLANDER EMPOWERMENT PAC (APT EMPOWERMENT PAC) 1340395 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 filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and surrey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, del €very 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Andrae Macapinlac POS $21.00 456 Lomer Way Milpitas, CA 95035 San Jose Garden Airport Hotel F'ND $1,500.00 1740 N 1st St San Jose, CA 95112 Pacific Printing FND $383.00 1002 S 2nd St San Jose, CA 95112 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 Schedule E subtotals.) ......................................................................................................... ............................... 2. Unitemized payments made this period of under $100 ............................................................... ............................................. I......................... 3. Totai 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.) ............................................. ............................... $13,525.50 $51.00 $0.00 $13,576.50 FPPC Forth 460 (January/45) FPPC Toll -Free Helplinel 86G ASK -FPPC (6861275 -3772) 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 7/],/2014 from 12/31/2014 through SCHEDULE E (CONT Page 19 of 25 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 paraphernafialmisc. MBR member Communications RAID 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 staffispouse travel, lodging, and meals IND independent expenditure supporting /opposing 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 technoloov cnsts (intPrnat P main NAME AND ADDRESS PAYEE {IF COMMITTEE, ALSO ENTER R I.Q. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Ashwani Kumar FND $2,086,00 544 Lawrence Expy Sunnyvale, CA 94085 San Joao Garden Airport Hotel FND $1,560.00 1740 N 1st St San Jose, CA 95112 Olympic Recognition Products FND $608.00 1358 E San Fernando St, San Jose, CA 95116 Carolyn Shin =N $40.00 2690 e] camino real Santa Clara, CA 95051 Ken Yanagisawa FND $50.00 2400 Moorpark Ave. suite 300 San Jose, CA 95126 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (Jamaryf05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866!275 -3772) 1 q:1'i2n2 -n Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Statement covers period from 7/1/2014 12/31/2014 through SCHEDULE E Page 20 of 25 LD, 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. MSR member communications RAID 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 fling /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 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) NAME AND ADDRESS PAYEE (IF COMMITTEE, ALSO ENTER R I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID FedEx POs $25.50 3898 Mowry Ave fremont, ca 94538 Dave Cortese for Mayor CTB 51,100.00 1762 Technology Dr San Jose, CA 95110 COMMITTEE ID: 1362187 Margaret-Abe -Koga for E1 Camino Hospital District CTB $1,900.00 679 Church St Mountain View, CA 94041 COMMITTEE ID: 1356562 Raul Peralez for City Council 2014 CTB $500.00 1276 Santa Paula Ave San Jose, CA 95110 COMMITTEE ID: 1362125 Maya Esparza for City Council 2014 CTB $500.00 123 E. San Carlos St. St 531 San Jose, Ca 95112 COMMITTEE ID: 1362201 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free nelpiine W ASK -FFPC (866!275 -3772) ig33�n2 -n Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC- ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Statement covers period from 74112014 12/31/2014 through SCHEDULE E Page 21 of 25 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 /mist. 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 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Paul Fong for San Jose City Council 2014 CTB 5500.00 1475 Saratoga ave. St 168 San Jose, CA 95129 COMMITTEE ID: 1362111 Sallings for School Board 2014 CTB $500.00 1000 Kiely Blvd. 4119 Santa Clara, CA 95151 COMMITTEE ID: 1362259 Anthony Phan for School Board 2014 CTB $500.00 301 e santa Clara st San Jose, ca 95113 COMMITTEE ID: 1366856 Richard Nguyen for School Board 2014 CTB $500.00 662 Teatree Court San Jose, CA 95128 COMMITTEE ID: 1367017 Deepka Lalwani for City Counii C'T3 $250.00 2305 Glenview Dr Milpitas, CA 95035 COMMITTEE ID: 1345869 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 469 (January/05) FPPC Toll -Free Helplin 8661ASK -FPPC (866127 &3772) 1ss ,1902 -n Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC — ISLANDER EMPOWERMENT PAC (APT EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whale dollars. Statement covers period 7/1/2014 from through 12/31/2014 SCHEDULE E Page 22 of 2D I.D. NUMBER 1340395 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP 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 FIND 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 technoloov costs (internet a -maill NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Dhillon for Trustee 127 Sierravista Place San ,lose, CA 95116 COMMITTEE ID: 1371192 CTB $500.00 Nadeem for City Council 2014 847 Quince Ave Santa Clara, CA 95051 CTS $500.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpilne: 866JASK -FPPC (86612753772) Schedule F Type or print in ink. SCHEDULE F Accrued Expenses (Unpaid Bills) Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 7/1/2014 FORM 46 from SEE INSTRUCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (APT EMPOWERMENT PAC) CODES: If one of the following codes accurately describes the payment, you may enter the code CMP campaign paraphernalia /misc. 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 fiilinglballot fees 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 12/31/2014 through Page 23 of 25 I.D. NUMBER 1340395 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 (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRFD THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSING OF THIS PERIOD ram n: e's�n awe "o`',�o� :o. ��a��,�M1aam aave+.un�rc: mlle��so ea.�mmana�e ea s��eua o. SURTOTAI. $ $ S $ Schedule F Summary 1. 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.)....._ .................. .......... 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.) ........................ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ......................................................................... ............................... 1933707 -0 - INCURRED TOTALS $0 -00 .....PAID TOTALS $0.00 ...NET $0.00 (May be a negative number) FPPC Form 460 (January/05) FPPC Toll -Free Helpli— 866)ASK -FPPC (866/275 -3772) e+ - - - -1- -i - i T , o - ir,r Ir, ir,l, SCHEDLJ1 F H J4i16UU1G 11 -- Amounts may be rounded Statement covers period CALIFORNIA Loans Made to Others* to whole dollars. 6 7/1/2014 FORM from 12/31/2019 SEE INSTRUCTEONS ON REVERSE through Page 24 of 25 NAME OF FILER I.D. NUMBER ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) i34a3ss IF AN INDIVIDUAL, ENTER (a) (b) (c} (d) (e) (f} (g) FULL NAME, STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF RECIPIENT (IF SFLF- EMPLOYED, ENTER BALANCE LOANED THIS FORGIVENESS BALANCE AT RECEIVED AMOUNT OF LOANS (IF CCMMITTFF. ALSO ENTER I.D. NUMBER) NAME OF MSINESS) BEGINNING THIS PERIOD THIS PERIOD' CLOSE OF THIS LOAN TO DATE PERIOD PERIOD ❑ PAID CALENDAR YEAR % RATE ❑ FORGIVEN PER ELECTION"• DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION" DATE DUE DATE INCURRED 'Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must SUBTOTAL $ $ $ $ also be reported on Schedule E. Schedule H Summary 1. Loans made this period ................... ............................... (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans ...................................... ............................... (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................ Enter the net here and on the Summary Page, Column A, Line 7. 1 ssn9n2 -n $0.00 50.00 NET $0.00 (May be a negative number) (Enter (e) on Schedule I, Line 3} If required- FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (866!276 -3772) Sr,Hr=r)l II F I 0111 lt;u LikC 1 Amounts may be rounded Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period 7/1/2019 — from 12/31/2019 through CALIFORNIA FORM 460 Page 25 of 25 NAME OF FILER ASIAN PACIFIC– TSLBNDER EMPOWERMENT PAC (APT EMPOWERMENT PAC) I.D. NUMBER 1340395 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH SUBTOTAL$ Schedule I Summary 1. Itemized increases to cash this period . ..................................................................... ............................... 2. Unitemized increases to cash of under $100 this period . .............................................. ............................... 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .............................. 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ....................................................................................... ............................... 14R:3707 -r) $0.00 $0.00 $0.00 .... TOTAL $0.00 FPPC Form 460 (,laruary105) rPPC Toll-Free HOpll— 8MASK -FPPC (86&275-3772)