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460 Recipient Committee Campaign Statement - Semi Annual 01-01-22 to 06-30-22 AmendmentRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRuC:TIONS ON REVERSE Statement covers period from 1/1/2022 through 6/30/2022 1. %pe Of Recipient Committee: All Commitiees - Complete Pans i2, s, and 4. € Officeholder, Candidate Controlled Committee € Primarily Formed Ballot Measure 0 State Candidate Election Committee Commitiee ORecall OControlled (prsocomprerepans) OSponsored N General Purpose Committee (A"'o Compm' Pa' 6) OSponsored []PrimarilyFormedCandidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Parly/Central Committee (yso compiere pan'i) I.a NUMBER 3. Committeelnformation 1340395 COMMITTEE NAME (OR CANDI[)ATPS NAME IF NO COMMITTEE) ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) STREET ADDRESS (NO P.0. BOX) CITY SUNNYVALE STATE ZIPCODE CA 94085 AREA CODE/PHONE ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR p.o. sox C,ITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification Type or print in ink. Date of election i E B 6 2023 COVER PAGE Page ;= of -=-L For Official Use Only 2. Type of Statement: € Preelection Statement € Quarterly Statement ffi Semi-annual Statement € Special Odd-Year Report € Termination Statement € Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 N Amendment (Explain below) Correcting Line 12. Made an error on the amount in the previous filing. Treasurer(s) NAME OF TREASLIRER Andrae Macapinlac MAILING ADDRESS CITY Milpitas STATE ZIPCODE CA 95035 AREA CO[)E/PHONE ( NAME OF ASSIST ANT TREASURER, IF ANY MAILING ADDRESS CITY STATE OPTIONAL: FAX/ E-MAIL ADDRESS ZIP CODE AREA CODE/PHONE 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 Date "- Executed nn Dale Signature of Conlnolling Officeholder, Candidale, Slale Measure Proponent or Responsible O&ei oT Sponmi Executed nn [)ale Signature of Controlling Officeholdei, Candidale, Stale Measure Pioponent Execufed nn Date Fly Signalure of Conliolling Officeholder, Candidate. Stale Measure Pioponenl FPPC Form 460 (Januaiy/05) FPPC Toll-Free 14elpline 866{ASK-FPPC (866/275-3772) State of Caldomia Recipient Committee Campaign Statement Cover Page Part 2 Type or print in ink.COVER PAGE - PART 2 Page 2 OH 14 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 6. Primarily Formed Ballot Measure Committee N AME OF BALLOT MEASURE OFFICE SOUGHT OR HELC) (INCLLIDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Comm!ttees NOt Included tn thtS Sta!ement:L/stanycommmges not included in this sbtement that are contmlled by y>u or am primarily formed to receive contributions or make expenditures on behalf of your candidacy. 1.D. NUMBERCOMMITTEE NAME NAME OF TREASURER OFFICE SOtlGHT OR HELD 0suppom 0 0PPOSE OFFICE SOUGHT OR HELD [1 SIIPPORT €OPPOSE OFFICE SOLIGHT OR HELD []suppopr []opposh OFFICE SOUGHT OR HELD [1 suppom 00PPOSE COMMITTEE ADDRESS CITY STREET ADDRESS (NO p.o. BOX) STATE ZIPCCX)E CONTROLLED COMMITTEEa) € YES [1] NO AREA CODE/PHONE 1.D. NUMBER 7. Primarily Formed Candidate/Officeholder Committee officeholder(s) or candidate(s) for which this committee is primarily formed. N AME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE COMMITTEE NAME NAME OF TREASURER NAME OF OFFICEHOL[)ER OR CANDIDATE List namm of COMMITTEE ADDRESS CITY STREET ADDRESS (NO p.o. sox) STATE ZIPCO[)E CONTROLLED COMMITTEE) € YES € NO AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE Attach continuation sheets if necessary FPPC Fomi 480 (January/05) FPPC Toll-Fiat Halpline: !Fi6{ASIK-FPPC (886a75-3772) State oT CaliTomia Campaign Disclosure Statement Summary Page SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOTALCASHCONTRIBUTIONS 4. Nonmonetary Contributions 5. TOT AL CONTRIBUTIONS RECEIVED Schedule A, Line 3 Schedule B, Line 3 Add Ljnes 1 + 2 Schedule C, Line 3 Add Lines a + < Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATT ACHED SCHEDuLES) !?1,000.00 !>0.00 !?1, 000.00 !?O.OO !91, 000.00 Column B CALENDAR YEAR TOTAL TO DATE !;1, 000.00 SO.OO !?1, 000.00 !?O.OO !?1,000.00 SllMMAPY PAGE Statement covers period 1/1/2022 from through 6/30/2022 Page -3 of -14 1.D. NUMBER 1340395 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received 21 Expenditures Made Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTALCASHPAYMENTS 9. Accrued Expenses (Llnpaid Bills) 10. Nonmonetary Adjustment 11. TOTALEXPENDITURESMADE Schedule E, Line 4 Schedule H, Line 3 Add Ljnes 8 + 7 Schedule F, Line 3 Schedule C, Line 3 Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. MiscellaneouslncreasestoCash 15. Cash Payments 16. ENDING CASH BALANCE Prevrous Summary Page, Lrne 16 Column A, Line 3 above Schedule 1, Line 4 Column A, Llne B above Add Lines 12 + 13 + 14, [hen subkacf Line 15 /f this is a termination statement, Line 16 must be zero. 17. LOANGUARANTEESRECEIVED Schedule B, Part 2 !?3,379.84 10.00 13,379.84 !?O.OO !?O.OO !?3,379.84 !?3 , 502 . 00 !?1, 000.00 :?O.OO !?3,379.B4 :?1, 122 .16 :'0.00 Cash Equivalents and Outstanding Debts 18. CaSh Equivalents .............................................. Seeinstructionsonreverse so ' oo 19. Outsiandtng DebtS ................................. AddUne2+Line9inColumnBabove 50.00 !?3,379.94 !?O.OO !?3,379.94 §O.OO !?O.OO !?3,379.94 To calculate Column B, add amounts in Column A to the corresponding amount from Column B of yourlast report. Some amounts in nnlumn A may be negative figures that should be aubtracted from previous petiod amounts. If this is thr firsi report being filed for this calendar year, only carry over the amounts frnm Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dC%) Total to Date Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Januany/05) FPPC Toll-Free Helpline 86alASK-FPPC (866/2753772) Schedule A Monetary Contributions Received SEE INSTRLICTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVE € FULL NAME, STREET ADDRESS AM) ZIP CODE OF CONTRIBUTOR [IF COMMITTEE. ALSO ENTER I D MJMBER) CONTRIBUTOR CODE" 3/25/2022 Edwin Tan San Jose, CA 95131 4/20/2022 Andrae Macapinlac Campbell, CA 95008 3/3/2022 John Hirokawa Saratoga, CA 95070 3/22/2022 Ava Chao Cupertino, CA 95014 1/2/2022 Sajid Khan San Jose, CA 95126 N IND € COM [] OTH € PTY € scc ffl IND € COM € OTH € p"ry € scc N IND € COM € OTH € PTY € scc ffi IND € COM € OTH € PTY € scc N IND € COM € OTH € PTY € scc 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.) Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDMDuAL, ENTER OCCLIPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BIISINESS) OCCUPATION: Government Relations EMPLOYER: San Jose State University Statement covers period from :il:i/:o:: through 6/30/2022 SCHEDULE A Page -4 of -14 AMOUNT RECEIVED THIS PERIOD !?500.00 OCCUPATION: Senior !9225.00 District Representative EMPLOYER: California State Senate OCCUPATION: NOt !>50.00 Employed EMPLOYER: Not Employed OCCUPATION: Teacher EMPLOYER: East Side Union High School Di stri ct !?25.00 OCCUPATION: Attorney !?25.00 EMPLOYER: Santa Clara County 1.D. NUMBER 1340395 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) !?500.00 PER ELECTION TO DATE (IF REOUIRED) !;225.00 !?50.00 !;25.00 S25.00 SUBTOTAL ToTAL S1, 000 . 00 'Contributor Codes ND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPP(. Toll-Free tlelpline 866/ASK-FPPC [866{275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVED 1/2/2022 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NUMBER) Naomi Nakano-Matsumoto Sunnyvale, CA 94087 5/18/2022 Lucas Ramirez Mountain View, CA 94040 "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 CONTRIBUTOR CODE" N IND € COM € OTH [1] PTY € scc ffl IND € COM € OTH € PTY € scc € IND € COM € OTH € p-ry € scc € IND € COM € OTH € PTY € scc € IND € COM € OTH € PTY € scc Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCLIPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) OCCUPATION: Social Worker EMPLOYER: County of Santa Clara OCCUPATION: Council Assistanct EMPLOYER: City of San Jose SUBTOTAL$ Statement covers period from 1/1/2022 through 6/30/2022 3Cb E[iJLE A IlCOf'lT.: Page 5 of 14 1.0. NUMBER 1340395 AMOUNT REC:EIVED THIS PERIOD !?25.00 S100.OO CUMULATIVE TO D ATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) S25.00 !;,100.00 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 868/ASK-FPPC (866a75-3772) Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER ASJAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) IF AN INDIVIDUAL, ENTER FULL NAME, STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYER OFLENDER [lFSELF-EMPLOYE[).ENTER (IF COMMITTEE, ALSO ENTERI D. NUMBER) NAME OF BUSINESS) t € IND € COM € OTH € PTY € scc t € IND € COM € OTH € PTY € scc t € IND € COM € OTH € PTY € scc Type or print in ink. Amounts may be rounded to whole dollars. (a) OuTST ANDING BALANCE BE'ffil0'8THlS (b) AMOUNT RECEIVED THIS PERIOD (C) AMOUNT PAID OR FORGIVEN THIS PERIODa € PAI[) € FORGIVEN € PAID € FORGIVEN € PAID € FORGIVEN Statement covers period from 1/1/2022 through 6/30/2022 (d) OuTST ANDING BALANCE AT CL%98,THIS DATE DLIE DATE DUE DATE DUE (e) INTEREST PAID THIS PERIOD 0/,, RATE O/, RATE O,,, RATE 3CHE1'JLE B - PART 1 Page -6 of -14 1.0. NUMBER 1340395 (f) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBuTIONS TO DATE CALENDAR YEAR PER ELECTION" DATE INCuRRED CALENDAR YEAR PER ELECTIONaa DATE INCtlRRED CALENDAR YEAR PER ELECTION' DATE INCuRRE[) Schedule B Summary 1. Loans received this period (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period (T otal Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third parl 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 party also must be reported on Schedule A. " If required. SUBTOTAL $ 8 qO.OCl 60.00 NET SO.OO (May be a negative number) (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 460 (January/05) FPPC Toll-Free Helpline 866{ASK-FPPC (8661275-3772) Schedule C Nonmonetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRuCTIONS ON REVERSE NAMEOFFILER ASIAN PACIFIC4SLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVED FULL NAME, STREET ACIDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NIIMBER) CONTRIBUTOR CODE" IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER [IF SELFEMPLOYED. ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVIC:ES € IND [1 COM € OTH [1 PTY € scc € IND € COM € OTH € PTY € scc € IND € COM € OTH [] PTY € scc [] IND [] COM [] OTH [] PTY' [] scc Attach additional rnformation on appropriately labeled continuaticn sheets. Schedule C Summary 1. Amount received this period-itemized nonmonetary contributions. (Include all Schedule C subtotals.) SUBTOTAL$ 60.00 2. Amountreceivedthisperiod-unitemizednonmonetarycontributionsoflessthan$100 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.) SO.OO .TOTAL '?O'O Statement covers period from 1/1/2022 through 6/30/2022 Page 7 of 14 1.D. NUMBER 1340395 AMOUNT/ FAIR MARKET VALUE CuMuLA.TIVE TO DATE CALEM)AR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQulRED) '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 460 (January/05) FPPC Toll-Free Helpline 8661ASK-FPPC iB6%275-3772) Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees 'iFF INFiTRI InTlnNFi nN RFVFFlFiF N AME OF FILER ASJ:AN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2022 through 6/30/2022 ffi;j:ii j i I 0 ai!i4 &l Page 8 Ijl. NUMBER 1340395 OI 14 DATE 3/23/2022 NAME OF CANDIDATE, ANCI DISTRICT, OR MEASURE NLIMBER OR LETTER AND JtlRISDICTION. OR COMMITTEE Evan Low State Assenibly Jurisdiction: State Assembly District N Support € Oppose 4/25/2022 Cindy Chavez Office Description: MAyorJurisdiction: City San Jose N Support € Oppose s/10/2022 Maya Esparza Office Description: City CouncilJurisdiction: City City Council, District 7 ffl Support € Oppose Schedule D Summary TYPE OF PAYMENT § Monetary Contribution 0 Nonmonetary Contribution g Independent Expendlture § Monetary Contribution 0 Nonmonetary Coniiibution 0 Independent Expendittne § Monetary Contribution 0 Nonmonetary Contribution [] Independent Expenditure DESCRIPTION (IF REQLIIRED) AMOUNT THIS PERIOD !?1, 500.CR] !?500.00 !?250.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1- DEC. 31) Sl,500.00 9500.00 6250.00 PER ELECTION TO DATE (IF REQulRED) 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)!?3,250.00 2. Unitemizedcontributionsandindependentexpendituresmadethisperiodofunder$100 !;0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.)!73,250.00 FPPC Form 460 (January/05) FPPC Tolllree Helpline 86alASK-FPPC (8661275-3772) Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 1/1/2022 from 6/30/2022 through Page -9 1.0. NUMBER 1340395 OH 14 DATE NAME OF CANDIDATE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JuRISDIC:TION, OR COMMITTEE 5/7/2022 Rosemary Kamei Office Description: City CouncilJurisdiction: City San Jose City Council, District 1 N Support [1 0ppose 5/10/2022 Santa Clara County United Democratic Campaign ffl Support € Oppose € Support € Oppose € Support € Oppose TYPE OF PAYMENT § Monetary "' Conttibution 0 Nonmonetary Contribution [3 Independent Expenditure § Monetary Contribution [] Nonmonetary Contribution 0 Independent Expenditure [1 Monetary Contribution [1 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure DESCRIPTION (IF REQulRED) AMOUNT THIS PERIOD S700.OC] CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) !>700.00 !;300.00 !?300.00 PER ELECTION TO DATE (IF REQulRED) SUBTOTAL$ FPPC Form 480 (January/05) FPPC Toll-Fias Halpline: 888/ASK-FPPC (866/275-3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SCH[EDULE E Statement covers period 1/1/2022 Ifrnm P!a I a si 'lf I l':,1 _ll j _l fflf E,Qui!* I II I !,i'l*rgc: thrriunh 6/3o/2o22 Da rs a lo y* 14a' = --Ba 'I a9 0 - IJ l- 1.D. NLIMBER 1340395 SEE INSTRLICTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API 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 filing/ballot 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 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 candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AM) AD[)RESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.D. NUMBER)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Evan Low for Assembly 2022 Sacramento, CA 95815 COMMITTEE ID: 1434780 CTB !;1, 500.00 Maya Esparza for City Council 2022 San Jose, CA 95122 COMMITTEE ID: 1434780 CTB !?250.00 Santa Clara County United Democratic Campaign COMMITTEE ID: 871053 CTB !;3CR).00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SuBTOTAL$ 1. Itemized payment made this period. (Include all Schedule E subtotals.)S3,379.84 2. Unitemized payments made this period of under $100 !?O.OO 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.) !?O.OO !?3,379.84 FPPC Fomi 460 (January/05) FPPC Toll-Free Helpline 866/ASKFPPC i86af275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2022 a t a t a a i s Pffi'l Pf'l[@!i 'r ij I gj?i 'l !p!1111€ri l 81 TQ *'J thrnunh 6/3o/2o22 Paae -11 of -14 ID. NLIMBER 1340395 SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) CODES: CMP CNS CTB CVC FIL FND IND LEG LIT If one of the following codes accurately describes the payment, you may enter the code. campaignparaphernalia/misc. MBR membercommunications campaign consultants MTG meetings and appearances contribution (explain nonmonetary)' OFC office expenses civicdonations PET petitioncirculating candidate filing/ballot fees PHO phone banks fundraising events POL polling and survey research independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services legal defense PRO professional services (legal, accounting) campaign literature and mailings PRT print ads 3CI-1 ffl[-I.ILE E (COt'lT.' Othenuise, 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 candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.D. NLIMBER)CO[)E OR DESCRIPTION OF PAYMENT AMOUNT PAID Cindy Chavez for Mayor 2022 San Jose, CA 95125 COMMITTEE ID: 144C)871 CTB !7500.00 Rosemary Kamei for San Jose City Council District 1 San Jose, CA 95130 COMMITTEE ID: 1443426 CTB !?700.00 ActBlue Cambeidge, MA 02138 USer Fee !?B.90 FedEx Campbell, CA 95008 POS !;22.00 MeetUp New York, NY 10012 WEB !?98.94 " Payments that are contributions or independent expenditures must also be summarized on Schedule D.SuBTOTAL5 FPPC Form 480 (January/05) FPPC Toll-Free Halpline: 888MSK-FPPC (88f!275-3772) Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE F Statement covers period frnm 1/1/2022 x a I a a I si t I ffl ?!P!I@kij (;JJ '-r a *I ! iigi (I f,aiIllli +hrriunh 6/3o/2o22 Paae -12 of -14 1.D. NLIMBER 1340395 SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API 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 filing/ballot 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 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 candidate/sponsor VOT voter registration WEB information te;chnology costs (internet, e-mail) NAME AND AD[)RESS OF CREDITOR (IF COMMITTEE, ALSO ENTER 1.0 NUMBER) CO[)E OR DESCRIPTION OF PAYMENT (a) OuTST ANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCIJRRED THIS PERIOD (l-) AMOUNT PAID THIS PERIOD iALSO REPORT ON E) (d) OuTST ANDING BAL_ANCE AT CLOSING OF THIS PERIOD ;upmaymmaannz!' lhoanl =g'gn'r"a !lujoni at indopsndsm sxpandilumi moil mg be inmmanzed an S6edum D SuBTOT AL !i Schedule F Summary 5. 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 $1 oo.)........ 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 $1 oo.).. .INCURREDTOTALS "oioo ..PAIDTOTALS Soioo 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)........................................................iNETSO'OO (May be a negative number) FPPC Form 460 (January/05) FPPC Toll-Free tlelpline 866/ASK-FPPC (86al275-3772) Schedule H Loans Made to Others* SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) FULL NAME, STREET ADDRESS AN[) ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I D NUMBER) F AN IM:llVIDuAL, ENTER OCCLIPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) 'Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must 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. Type or print in ink. Amounts may be rounded to whole dollars. (a) OUTST ANDING BALANC:E BEGINNING THIS PERIOD (b) AMOUNT LOANED THIS PERIOD SUBTOTAL $ Statement covers period from 1/1/2022 through 6/30/2022 (C) REPAYMENT OR FORGIVENESS THIS PERIOD" € PAID € FORGIVEN € PAID € FORGIVEN (d) OIITST ANDING BALANCE AT CLOSE OF THIS PERIO[) DATE DUE DATE DUE (e) INTEREST RECEIVE € '/n RATE own RATE (Enter (s) on Schedule 1, Line 3) :?O.OO !;0.00 ..H57S0.00 (May be a negative number) Page 13 of 14 1.D. NUMBER 1340395 U) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE LOANS TO DATE CALENDAR YEAR DATE INCIJRRED PER ELECTION" CALENDAR YEAR PER ELECTION" FPPC Form 480 (January/05) FPPC Toll-Free Helpline 866/ASK-FPPC [866{275-3772) Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE N AME OF FILER ASIAN PACIFI(:-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2022 SCHEDULEI i8il through 6/30/2022 Page 14 of 14 1.D. NUMBER 1340395 DATE RECEIVED FULL NAME AN[) ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER)DESCRIPTION OF RECEIPT AMOLINT OF INCREASE TO CASH SUBTOTAL$ Schedule I Summary 1. Itemized increases to cash this period. 2. Unitemized increases to cash of under !$1 00 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 Summary Page, Line 14.)TOT AL e0 - oo FPPC Fom 46C1 (January/05) FPPC Toll-Fnae Helpline: el68/ASK-FPPC (8861275-3772)