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460 Recipient Committee Campaign Statement - Semi Annual 7-1-22 to 12-31-22Type or print in ink.Recipient Committee E C 1:[l ndteim.t. Campaign Statement Cover Page (Governmen COde SeCttOnS 84200-84216.5) Statement covers period Date of election icabh!!' i l': :.') 'j' 2023 from 7/1/2022 (Month, oey, Yeal,pii,t t, L 12/31/2022 11/8/2022 CUPERTlf'Jo CITY CLERKthrough 1. %pe Of Recipiem Commtttee: All Committees - Complete Pans 1, 2, 3, and 4. 2. %pe Of Statemem: € Officeholder, Candidate Controlled Committee € Primarily Formed Ballot Measure € Preelection Statement [1] OStateCandidateElectionCommittee Committee § Semi-annualStatement 0 oReca" OControlled €TerminationStatement € (A"'o comp" Pa'5' o sponsored (Also file a Form 410 Termination) (Also Complele Pad 6) N General Purpose Commitkee € Amendmen' (Expla'n below) OSponsored €PrimarilyFormedCandidate/ OSmall Contributor Committee Officeholder Committee OPolitical Parl/Central Commmee (prsocomprerepan-i) COVER PAGE For Official Use Only Quarterly Statement Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 1.D. NUMBER 3. Committeelnformation 1340395 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Treasurer(s) NAME OF TREAStlRER Andrae Macapinlac MAILING ADDRESS STREET ADDRESS (NO P.0. BOX) CITY Milpitas STATE ZIPCODE CA 95035 AREA C(X)E/PHONE ( CITY SUNNYVALE STATE ZIPC,ODE CA 94085 AREA CO[)E/PHONE ( N AME OF ASSIST ANT TREASURER, IF ANY M AILING ADDRESS (IF DIFFERENT) NO. AND STREET OR p.o. BOX MAILING ADDRESS CITY STATE ZIP C(XIE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL A(XIRESS Treasurer: senatormac9@aol.com 4. Verification 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 Signature oi Controlling Offlceholder, Candidale, Slale Measure Proponent or Responsible O&ei oT Sponsor Signature of Conlrolling Offlceholder, Candidale, Stale Measure Pioponenl Signature of Controlling Officeholder, Candidate, Stale Measure Proponenl FPPC Fomi 460 (Januaiy/05) FPPC Tolllree Helpline B6fi/ASK-FPPC (8eV275-3772) Slate oT Calffomia Recipient Committee Campaign Statement Cover Page Part 2 Type or print in ink.COVER PAGE - PART 2 Page 2 OI 3 7 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CAM)1 € ATE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HElj) (INCLUDE LOCATION AN[) DISTRIC;T NUMBER IF APPLICABLE) RESIDENTIAUBuSINESSAD[)RESS(NO.ANDSTREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOIJIER, CANDIDATE. OR PROPONENT Related Committees Not Included in this Statement: timanycommittees not included in this statement that are controlled by you or ars primarily formed to receive contributions or make expenditures on behalf of your candidacy. 1.D. NUMBERCOMMITTEE NAME NAME OF TREASURER OFFICE SOUGHT OR HELD [21 supposr € OPPOSE OFFICE SOUGHT OR HELD 0 suppotir 0 0PPOSE OFFICE SOUGHT OR HELD Osupposr [] OPPOSE OFFICE SOUGHT OR HELD [] suppoti'r [] OPPOSE COMMITTEE ADDRESS CITY STREET ADDRESS (NO P.0. BOX) STATE ZIPCODE CONTROLLED COMMITTEE7 € YES € NO AREA CODE/PHONE 1.D. NUMBER 7. Primarily Formed Candidate/Officeholder Committee officeholder(s) or candidate(s) for which this committee is primari/y formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE COMMITTEE NAME NAME OF TREASURER NAME OF OFFICEHOLDER OR CANDIDATE List names of COMMITTEE ADDRESS CITY STREET ADDRESS (NO p.o. BOX) STATE ZIPCODE CONTROLLED COMMITTEE? € YES € NO AREA CODE/PHON E NAME OF OFFICEHOLDER OR CANDIDATE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC TollFree Helpline 888)ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASJAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOT AL CASH CONTRIBuTIONS 4. Nonmonetary Contributions 5. TOTALCONTRIBUTIONSRECEIVED Schedule A, Line 3 Sr.hedule B, Line 3 Add Lines 1 + 2 Schedule C. Line 3 Add Lines 3 + 4 Expenditures Made 6. Payments Made 7. Loans Made 8. SUBTOTALCASHPAYMENTS 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11. TOTALEXPENDITUFIESMADE Schedule E, Line 4 Schedule H, Line 3 Add Lines 6 + 7 Sr.hedule F, Line 3 Schedule C, Line 3 Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning CaSf1 Balance .............................. PrevrousSummar5rPage, Line 16 13. CaSt'l ReceipTs ..................................................... ColumnA, Ljne 3 above 14. Miscellaneous Increases to Cash .................................. scheoure i, iine 4 15. Cash PaymentS ................................................... Column A, Line B above 16. ENDING CASH BALANCE ............... Mrttines t:+ 13+ 14. lhensub[rac[Line 15 If this is a termination statement, Line 16 must be zero. 17. LOANGUARANTEESRECEIVED Schedule B. Part2 Column A TOTALTHIS PERIOD (FROM ATT ACHED SCHEDuLES) 917,412.19 !>0.00 !?17,412.19 !;0.00 !;17,412.19 !?15,153.54 :?O.OO Q15,153.54 :'0.00 60.00 !?15 , 153 . 54 !?1,122.1.6 !?17,412.19 !?O.OO !>15,153.54 p3,380.B1 g0.O0 Column B CALENDAR YEAR TOTAL TO DATE !?18, 737.19 !?O.OO !;18, 737.19 !;0.00 SIB,737.19 !>15,153.54 To calculate Column B, add amounts in Column A to the corresponding amount from Column B of your last report. Some amounts in (':olumn A may be negative figures that should be aubtracted from previous period amounts. If this is +hr first report being filed for this calendar year, only carry over the amounts frnm Lines 2, 7, and 9 (if any). Cash Equivalents and Outstanding Debts 18. Cash Equ:valents .............................................. Seeinskucfionsonreverse 50.00 19. Outstanding De5iS ................................. AddLine2+Line9inColumnBabove §O.OO 81 IMMAF'Y P7'.GE Statement covers period 7/1/2022 from through 12 /31/2022 Page -3 of -37 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 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date Amounts in this section may be different from amounts repofed in Column B. FPPC Form 480 (Januaryl05) FPPC Toll-Free Helpline 866{ASK-FPPC (866/2753772) Schedule A Monetary Contributions Received SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBLITOR (IF COMMITTEE, ALSO ENTER It) NUMBER) CONTRIBUTOR CODE" Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDMDuAL, ENTER OCCLIPATION AND EMPLOYER (IF SELF-EMPLOYE[), ENTER NAME OF BUSINESS) Statement covers period from 7/1/2022 SCHEDULE A through 12/31/2022 Page -4 of -37 1.D. NUMBER 1340395 AMOUNT RECEIVED THIS PERIOD CLIMLILATIVE TO DATE CALENDAR YEAR (JAN. 1 - [)EC. 31 ) PER ELECTION TO DATE (IF REQulRED) 9/15/2022 Andrae Macapinlac 9/14 /2022 Gail Pellerin for Assembly 2022 7/25/2022 Mason Fong for Council 2018 8/21/2022 Raj Chahal 8/21/2022 Buu Thai Schedule A Summary ffi IND € COM € OTH € PTY € SCC € IND N COM € OTH € PTY € scc € IND N COM € OTH € PTY € scc N IND [] COM € OTH € PTY [] scc N IND € COM € OTH € PTY € scc 1. Amount received this period-itemized monetary contributions. (Include all Schedule A subtotals.) 2. Amount received this period - unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) OCCUPATION: Senior !>75.00 District Representative EMPLOYER: California State Senate !;300.00 !?175.00 !?175.OC] !?797.19 OCCUPA'flON : !;2 5 . 0 0 Councilmember EMPLOYER: City of Santa Cl ara OCCUPATION: Program Manager EMPLOYER: County of Santa Clara !>75.00 SUBTOTAL$ Q797.19 !?275.00 !;75.00 !717,327.19 S85.00 ToTAL 617,412.19 '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 Fomi 460 (January/05) FPPC Toll-Free Helplina: 886/ASK-FF'I'C (75-3771) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2022 through 12/31/2022 3CHEDLlLE A (CONT. Page -5 of -37 NAME OF FILER ASIAN PACIFIC'-ISLANDER EMPOWERMENT PAC (API EMPOWERMBNT PAC) 1.D. NLIMBER 1340395 DATE RECEIVa) 8/16;/2022 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D NUMBER) Nicole Chiu-Wang Palo Alto, CA 94403 8/27/2022 8/24/2022 8/24/2022 8/24/2022 Anjali Kausar Saratogoa, CA 95070 Pete Dailey Los Altos, CA 94024 Juliana Park San Jose, CA 95112 Gilbert Wong ICupertino, CA 95014 CONTRIBUTOR CODE' N IND [1 COM € OTH € PTY € scc ffi IND € COM € OTH € PTY € scc N IND [] COM € OTH € PTY € scc ffl IND € COM € OTH € PTY € scc N IND € COM € OTH € PTY € scc IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CuMtlLATlVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) OCCUPATION: Strategy EMPLOYER: Google !;50.00 6so.00 OCCUPATION: Realtor EMPLOYER: Self !>250 .00 !>250.00 OCCUPATION: Not e:so.oo Employed EMPLOYER: Not Employed !;250.00 OCCUPA'flON : Communi cat ions Specialist EMPLOYER: IFPTE Local 21 OCCUPATION: Trustee EMPLOYER: Foothill-De Anza Community College District 6250.00 !71, 000.00 !>250.00 !?1, 000.00 PER ELECTION TO DATE (IF REOulRED) 'Contributor Codes ND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Parl SCC - Small Contributor Committee SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll-Free Helpline 86alASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVED 8 /23 /2022 FtlLL NAME, STREET ADDRESS AND ZIP COCIE OF CONTRIBUTOR [IF COMMITTEE. ALSO ENTER I D NUMBER) undrew Knaack Santa Clara, CA 95050 8/23/2022 Ellen Kamei Mountain View, CA 94043 8/23/2022 Patrick Ahrens Sunnyvale, CA 94089 7/21/2022 Gaxl Pellerin Santa Cruz, CA 95060 B/24/2022 Gail Pellerin Santa Cruz, CA 95060 '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 C(X)E' @ IND € COM € OTH € PTY [] scc N IND € COM € OTH € PTY [] scc N IND [] COM € OTH € PTY € scc N IND € COM € OTH € PTY € scc N IND € COM € OTH € PTY € scc Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDMDuAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) OCCUPATION: Associate Management Analyst EMPLOYER: County of Santa Clara OCCUPATION: External Affairs Manager EMPLOYER: AT&T OCCUPATION: District Director EMPLOYER: California State Assembly OCCUPATION: Retired County Clerk EMPLOYER: County of Santa Cruz OCCUPATION: Retired County Clerk EMPLOYER: County of Santa Cruz Statement covers period from 7/1/2022 through 12/31/2022 AMOUNT RECEIVED THIS PERIOD !?75.00 :?1, 000.00 !;i75.00 !?50.0 € S75.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) !?75.00 !>1,000.00 S325.00 !?125.00 9125.00 3CHEDLILE A (CONT. ffiI ! -.4 jg i @ 0 I ii!?ll al',jk Page 6 OI 3 7 1.D. NUMBER 1340395 PER ELECTION TO DATE (IF REQulRED) SUBTOTAL$ FPPC Form 480 (Januaryl05) FPPC Toll-Free Helpline 86alASK-FPPC iB66/2753772) Schedule A (Continuation Sheet) Monetagay Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2022 through 12/31/2022 3Cl- EJLILE A (CONT. Page -7 of -37 NAME OF FILER ASIAN PA(jFl("-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVal 7/20/2022 B/22/2022 9/3/2022 9/22/2022 FULL NAME, STREET ADDRESS AND ZIP COC)E OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NUMBER) CONTRIBUTOR C,ODE' Lucas Ramirez Mountaxn View, CA 94040 Lucas Ramirez Mountain View, CA 94040 Rosa Kim Sunnyvale, CA 94087 Marxco Sayoc Los Gatos, CA 9503 € N IND € COM € OTH € PTY € scc ffl IND € COM € OTH € PTY [] scc N IND € COM € OTH € PTY € scc N IND € COM € OTH € PTY [] scc IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) AMOUNT RECEIVE[) THIS PERIOD 1.D. NUMBER 1340395 CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31 ) (IF REQulRE[)) OCCUPATTON: Council Assistant EMPLOYER: City of San Jose !?20.00 6275.00 OCCUPATION: Council Assistant EMPLOYER: City of San Jose !;150.00 !;275.00 OCCUPATION: NOt S75.00 Employed EMPLOYER: Not Employed !>75.00 OCCUPATION : Counci lmember EMPLOYER: Town of Los Gatos !375 . 00 S75.00 9/2/2022 Pearl Cheng Cupertino, CA 95014 "Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Parl SCC - Small Contributor Committee N IND [) COM I € OTH [1] PTY € scc OCCUPATION: Trustee EMPLOYER: Foothxll-De 9gs.00 iDAnlszatrClocmtmunity College SUBTOTAL$ !?75.00 FPPC Form 460 (January/05) FPPC TollFree Helpline 866{ASK-FPPC [86al275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER ASIAN PACIFIC4SLANDER EMPOWERMENT PAC (API EMPOWERMENT PA() Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2022 through 12/31/2022 SCHEDLILE A (CONT. Page -B of 3 7 1.D. NUMBER 1340395 [)ATE RECEIVE € 9/1/2022 8/30/2022 7/20/2022 B/20/2022 8/30/2022 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NUMBER) Huy Tran San Jose, CA 95131 James Kim San Jose, CA 95136 James Kxm San Jose, CA 95136 Anna Eshoo Palo Alto, CA 94301 COMMITTEE ID: COO258475 Alex Lee San Jose, CA 95133 "Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Parl SCC - Small Contributor Commitkee CONTRIBUTOR CODE" @ IND [] COM [] OTH [] PTY € scc N IND [1] COM [] OTH € PTY € scc N IND € COM € OTH € PTY € scc € IND ffl COM € OTH € PTY [1 scc ffi IND € COM € OTH € PTY € scc IF AN INDIVIDUAL, ENTER QC(AIPATION AND EMPLOYER [IF SELF-Elllll"L(WED, ENTER NAME OF B1181NESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO D ATE CALEN[)AR YEAR (JAN. 1 - DEC. 31 ) PER ELECTION TO DATE (IF REQulRED) OCCUPATION: Attorney EMPLOYER: Justice at Work Law Group, LLP S75.00 S75.00 OCCUPATION: NOt !;75.00 Employed EMPLOYER: Not Employed qlOO.OO OCCUPATIONi NOt !;25.00 Employed EMPLOYER: Not Employed EMPLOYER: United States p250.00 Congress OCCUPATION : Assemblymember EMPLOYER: California State Assembly !?75.00 SUBTOTAL$ !2100.OC) !;250.00 !>75.00 FPPC Form 460 (January/05) FPPC TollFree Helpline' 866{ASK-FPPC (86V75:i77a) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVa) 8/20/2022 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NUMBER) Naomi Nakano-Matsumoto Sunnyvale, CA 94087 9/10/2022 Rxchard Nguyen San JOSe, CA 95128 9/9/2022 Raj Chahal Santa Clara, CA 9505 € 9/9/2022 Wendy Ho San Jose, CA 95123 9/9/2022 Deepa Sharma Lafayette, CA 94549 "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" ffl IND € COM € OTH € PTY € scc N IND € COM € OTH € PTY [] scc ffl IND € COM € OTH € PTY [] scc N IND € COM € OTH € PTY € SCC ffi IND € COM € OTH € PTY € scc Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2022 through 12/31/2022 3CH ED.lLE A (CONT. ikili Page -9 of -37 1.D. NUMBER 1340395 IF AN INDMDuAL, ENTER OCC:LIPATION AND EMPLOYER "oo"' [IF SELF-EMPLOYED, ENTER NAME RECEIVED 'HIS OFBu!ilNESS) ""Oo OCCUPATION: Trustee !?75.00 EMPLOYER: Fremont Union School District OCCUPATION: Management !;i75.00 Analyst II EMPLOYER: Santa Clara Valley Water District OCCUPATION : !22 50 . 00 Counci lmernber EMPLOYER: City of Santa Clara OCCUPATION: Chief of Staff EMPLOYER: County of Santa Clara OCCUPATION: Attorney EMPLOYER: Burke, W.illiarns & Sorensen, LLP !7250.00 !?75.00 CLIMULATIVE TO D ATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) !?100.OO !775.00 6275.00 S250.00 S75.00 PER ELEC:TION TO DATE (IF REQLIIRED) SUBTOTAL$ FPPC Form 480 (Januaryl05) FPPC Toll-Free Helpline. B66MSK-F)'PC [ssal27S-3772) Schedule A (Continuation Sheet) Monetary Contributions Received N AME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I D NUMBER) CONTRIBUTOR CODE' 9/9/2022 Omar Torres for San Jose City Council District 3 San Jose, CA 95110 COMMITTEE ID: 1443040 9/8/2022 Edwxn Tan San Jose, CA 95131 9/8/2022 Darcy Paul Santa Clara, CA 95051 7 /20 /2022 Robert Jonsen Palo Alto, CA 94301 9/8/2022 Rob Moore Los Gatos, CA 95032 [] IND ffl COM [] OTH [1 PTY [1 scc N IND € COM [] OTH [] PTY [1] scc B IND [] COM [] OTH [] PTY [] scc N IND [] COM [] OTH [] PTY [] scc H IND [] COM [] OTH [] PTY [] scc Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2022 through 12/31/2022 IF AN INDIVIDUAL, ENTER O(CtlPATION ANC) EMPLOYER (IF SELF-EMPLOYEII). ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD S250.00 OCCUPATION: Director of Q500.00 Advocacy and Community Relations EMPLOYER: San JOSe State University OCCUPATION: Attorney EMPLOYER : Paul Law Group, p.c. !?75.00 OCCUPATION: Law Enf orcement EMPLOYER: City of Palo AltO !?100 . 00 OCCUPATION: Special Projects Manager EMPLOYER: San Jose Conservation Corps !?75.00 CUMULATIVE TO D ATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) !?250.00 !;1, 000.00 S75.00 !7150.00 !>75.00 Page -lo of -37 1.D. NLIMBER 1340395 PER ELECTION TO DATE (IF REQLllRE[)) 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 FPP(, Form 460 (January/05) FPPC Toll-Free Helpline 866MSKFPPC (86(i/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVED 9/8/2022 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMIITEE. AL!iO ENTER I D NUMBER) Kathy Tran San Jose, CA 95110 9/8/2022 Monica Tong Cupertino, CA 95014 9/7/2022 Neil McClintick Cupertino, CA 95014 9/18/2022 Eddie Truong % San Jose, CA 95136 9/7 /2022 Jose Magana San Jose, CA 95126 '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 CONTRIBLITOR CODE' N IND € COM € OTH € PTY € scc N IND [1] COM € OTH [] PTY € scc N IND € COM € OTH [1] PTY' € scc N IND € COM € OTH [I PTY € scc N IND [] COM €OTH. € PTY € scc Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2022 through 12/31/2022 3Ch EJ.ILE A (CONT. fflU'!! li,all a I Page -11 of -37 1.D. NUMBER 1340395 IF AN INDMDuAL, ENTER OCCUPATION AND EMPLOYER ilF SELF-EMPLOYED, ENTER NAME OF BUSINESS) OCCUPATION : Communi cat ions Specialist EMPLOYER: IFPTE Local 21 OCCUPATION: Program Manager EMPLOYER: Santa Clara County OCCUPATION: Housing Organi zer EMPLOYER: Working Partnerships USA OCCUPATION: Principal EMPLOYER: DT Strategies, LLC AMOUNT RECEIVED THIS PERIOD !;150.00 !?500.00 !),75.00 !?125.00 OCCUPATION: Director !;150JJO EMPLOYER: BookNook Inc CUMIILATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) 6:iso.oo !?500.00 S75 . 00 !?125.00 !?150.00 PER ELECTION TODATE (IF REQulRED) SUBTOTAL$ FPPC Foym 460 (Januaryl05) FPPC Toll-Free Helpline 86e/ASK-FPPC (se6/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2022 through 12/31/2022 NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) SCHEDLILE A (CONT. Page -12 of -37 1.D. NUMBER 1340395 DATE RECEIVED 9/5/2022 9/17/2022 9/15/2022 9/12/2022 9/24/2022 FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ilF COMMITTEE, ALSO ENTER I D NUMBER) Clarence Madrilejos San Jose, CA 95133 Margaret Abe-Koga Mountain View, CA 94014 Patrick Ahrens Sunnyvale, CA 94089 Zoe Lofgren for Congress COMMITTEE ID: COO2B9603 Michele Lew Palo Alto, CA 94301 CONTRIBUTOR CODE" N IND € COM € OTH € PTY € SCC N IND € COM € OTH € PTY [] scc N IND [] COM € OTH [] PTY € scc € IND N COM € OTH € PTY € SCC N IND € COM € OTH € PTY € scc IF AN INDIVIDIJAL, ENTER OCCtlPATION AND EMPLOYER [IF SELF-EMI"LOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CuMLlLATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) OCCUPATION: Realtor EMPLOYER: Compass !>250.00 !?250.00 OCCUPATION : Counci lmember EMPLOYER: City Of Mountain View !>1, 000.00 !>1,000.00 OCCUPATION: District Director EMPLOYER: California State Assembly !>250.00 !;i325.00 !;1, 000.00 OCCUPATION: Execut ve Director EMPLOYER: The Health Trust 61, 000.00 !?250.00 PER ELECTION TO DATE (IF REQulRED) '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 SUBTOTAL$ FPPC Form 460 (Januaiy/05) FPPC Toll-Free Helpline 866{ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received 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 7/1/2022 through 12/31/2022 tf!J'Ai8 Page -13 of -37 l.[). NUMBER 1340395 DATE RECEIVED 9/22 /2022 9/21/2022 9/20/2022 9/19/2022 9/19/2022 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBLITOR ilF COMMITTEE. ALSO ENTER I II). NUMBER) Angelica Cortez San Jose, CA 95127 Joe Simitian Palo Alto, CA 94303 Ava Chao Cupertino, CA 95014 Neysa Fligor Los Altos, CA 94022 Milan Balinton San Jose, CA 95136 CONTRIBUTOR CODE" N IND € COM € OTH € PTY € scc N IND [1] COM € OTH € PTY € scc N IND € COM € OTH € PTY € scc a IND € COM € OTH € PTY € scc ffi IND € COM € OTH € PTY [] scc IF AN INDMDuAL, ENTEFI OCCUPATION AN[) EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BtlSINESS) AMOLINT RECEIVED THIS PERIOD CtlMtlLATlVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) OCCUPATION: Vice !?500.00 ):)resident )iMPLOYER: Uplift Family Services !;500.00 OCCUPATION: Supervisor S250.00 EMPLOYER: County of Santa Clara !>250.00 OCCUPATION: Teacher EMPLOYER: East Side Union High School Di stri ct S250.00 8275.00 OCCUPATION: Attorney EMPLOYERi HP, Inc. !;,250.00 !>250.00 OCCUPATION: Executive Director EMPLOYER: African American Community Service Agency !7250.00 !;250.00 PER ELECTION TO DATE (IF REQulRED) "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) FPPC Toll-Free Helpline 866/ASK-Fl"1"C [866/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER ASIAN PACIFIC4SLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVa) (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE" g/30/2022 atto Lee for Lee Office Holder Committee 0 IND 1871 @ CoMSan Jose, CA 95126 COMMITTEE ID: 1435185 € OTH € PTY € scc 9/27/2022 Sylvia Arenas for Supervisor 2022 € IND @ COMSan Jose, CA 95135 coxz'r'rmb ID: 1443416 € OTH € PTY € scc 9/25/2022 bow for Assembly 2022 0 IND @ COMSacramento, CA 95815 COMMITTEE ID: 1434780 € OTH € PTY € scc 9/30/2022 Vicki Veenker § IND 2091 narbara Dr z CoM PalO Alto, CA 94303 a oTH € PTY € scc 9/30/2022 Natalie Nguyen i IND @ COM Cupertino, CA 95014 @ oTH [1] PTY € scc 'Contributor Codes ND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Parl SCC - Small Contributor Committee Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDMDuAL, ENTER OCCjJPATION AND EMPLOYER [IF SELF-EMPLOYED. ENTER NAME OF BIISINESS) Statement covers period from 7/1/2022 through 12/31/2022 ii!i&!II &l Page -14 of -37 1.0. NUMBER 1340395 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQulRED) !7500.00 :"250.00 !>1,000.00 OCCUPATION: Attorney S50.OC] EMPLOYER: Veenker Law Offices OCCUPATION: Pharmacist !;125.CNJ EMPLOYER: Regional Medical Center !?250.00 !;1,0(X).00 !?50.00 !;125.00 SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll-Free Helpline 886MSK-FPPC (8%/275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVED FLILL NAME, STREET ADDRESS AN[) ZIP CODE OF CONTRIBtlTOR [IF COMMITTEE, ALSO ENTER I D NUMBER) 9/30/2022 Raeena Larx San Jose, CA 95121 9/26/2022 Lloyd Holmes San Jose, CA 95136 9/26/2022 Mountain View Professional Firefighters PAC Mountain View, CA 94040 COMMITTEE ID: 1229347 9/26/2022 Peter Ortiz for San Jos? City Council District 5, 2022 San Jose, CA 95110 COMMITTEE ID: 1439023 10/1/2022 Judy Miner San Francisco, CA 94109 '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 CONTRIBLITOR CODE" N IND € COM € OTH € PTY € scc H IND € COM € OTH € PTY € scc € IND N COM € OTH € PTY € scc € IND N COM [] OTH € PTY € scc a IND € COM € OTH € PTY € scc Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) OCCUPATION: None EMPLOYER: uot Employed OCCUPATION: Educator EMPLOYER : Foothi 11 -DeAnza Community College Di stri ct EMPLOYER: City of Mountain View OCCUPATION: College Admini strator EMPLOYER : Foothill -DeAnza Community College District SUBTOTAL$ Statement covers period from 7/1/2022 through 12/31/2022 3CHED.1LE A (CCNT. Page -15 of -37 l.[). NLIMBER 1340395 AMOUNT RECEIVED THIS PERIOD !?125.00 S125.00 !;1, C)00.00 :'250.00 61,000.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) !;125.00 !?125.00 !91, 000.00 9250.00 !;1, 000.00 PER ELECTION TO DATE (IF REQulRED) FPPC Form 460 (January/05) FPPC Toll-Free Helpline 86alASKFPPC (86!J275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received N AME OF FILER ASIAN PACIFI('4SLANDER EMPOWERMENT PAC (API EMPOWERMENT DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) 10/1/2022 Tamara Fagin Los Altos, CA 94022 10/1/2022 Keith Thiemann Santa Clara, CA 95050 10/1/2022 Nathan Park San Jose, CA 95116 9/2/2022 Nathan Park San Jose, CA 95116 10/1/2022 Khristine Lugo Sunnyvale, CA 94089 PAC ) CONTRIBUTOR CODE" ffll IND [] COM [] OTH [] PTY [] scc H IND [] COM € OTH [] PTY [] scc a IND [] COM [] OTH [] PTY € scc H IND [] COM [1 0TH [] PTY [] scc ffl IND [] COM [] OTH [] PTY [] scc Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2022 through 12/31/2022 EiCH E[ ILE AiCONT. Page -16 of -37 1.0. NUMBER 1340395 F AN INDIVIDUAL, ENTER OCCLIPATION AND EMPLOYER [IF SELI-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD OCCUPATION: NOt !?25.00 Employed EMPLOYER: Not Employed CuMLlLATIVE TO DATE CALENDAR YEAR (JAN. 1 - [)EC. 31 ) PER ELECTION TO DATE (IF REQLIIRED) OCCUPATION: Seek First 925.00 EMPLOYER: Scott pearrxng !?25.00 OCCUPATION: Senior Program Associate EMPLOYER: Sobrato Family Foundation !?10.OO S85.00 OCCUPATION: Senior Progran'i Assoc:rate EMPLOYER: Sobrato Family Foundation !?75.00 !?B5.00 OCCUPATION: Event Planner EMPLOYER: San Jose State University !?50.00 !?50.OC] '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 (Januaryl €5) FPPC Toll-Free Helpline 86alASK-FPPC (86%275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2022 through 12/31/2022 3:t- EDllLE A (CONT. Page -17 of -37 NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC DATE RECEIVE[) 10/1/2022 Ketzal Gomez San Jose, CA 95112 FULL N AME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D MJMBER) 10/1/2022 Mary Gloner San Jose, CA 95126 10/1/2022 Matt Larson San Francisco, CA 94124 10/1/2022 Marico Sayoc Los Gatos, CA 9503 € 10/1/2022 Rosemary Kamei San Jose, CA 95130 (API EMPOWERMENT PAC) CONTRIBUTOR C(X)Ea N IND [1] COM € OTH € PTY € scc H IND € COM [1] OTH € PTY € scc ffi IND € COM € OTH € PTY € scc N IND € COM € OTH € PTY € scc N IND € COM € OTH [1] PTY € scc IF AN INDIVC)UAL, ENTER OCCUPATION AND EMPLOYEFI (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD 1.D. NUMBER 1340395 CuMtlLATlVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31 ) (IF REQulRED) OCCUPATION: Management !;50.00 Analyst II EMPLOYER: Santa Clara County !950.00 OCCUPATION: Nonprofit Executive EMPLOYER: Project Safety Net !;100.00 !?100.OO OCCUPATION: Consultant S125.00 EMPLOYER: Self 6125.00 OCCUPATION : Counci lmember EMPLOYER: Town of Los catos !p50 . DO S125.00 OCCUPATION: Trustee EMPLOYER: Santa Clara County Board of Education !550.00 !?50.00 "Contributor Codes ND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Parl SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Fme Helpline 866{ASK-)'PPC [86al275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER ASIAN PACIFI(I-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT DATE FULL NAME. STREET AD[)RESS AND ZIP CODE OF CONTRIBUTOR RECEIVED [IF COMMITTEE. ALSO ENTER 1.0 NIIMBER) 10 / 1 / 2022 Ni ck Kuwada San Jose, CA 95131 10/1/2022 Palo Alto, CA 94301 10/1/2022 Gail Pellerin Santa Cruz, CA 95060 10/8/2022 Judith Gilford San Jose, CA 95129 10/20/2022 Dorene Kastelman Los Gatos, CA 05032 PAC) CONTRIBUTOR CODE' ffi IND [] COM € OTH [] PTY [] scc H IND [I COM € OTH [] PTY [] scc ffi IND € COM € OTH € PTY [] scc ffl IND [I COM € OTH € PTY € scc ffl IND [] COM € OTH € PTY [] scc Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) OCCUPATION: Inclusion and Belonging Manager EMPLOYER: City of San Jose OCCUPATION: Law Enf orcement EMPLOYER: City of Palo AltO OCCUPATION: Retired County Clerk EMPLOYER: County of Santa Cruz Statement covers period from 7/1/2022 through 12 /31/2022 Page -IB of -37 1.0. NUMBER 1340395 AMOLINT RECEIVED THIS PERIOD CUMULATIVE TO [)ATE C:ALENDAR YEAR (JAN. 1 - DEC. 31 ) PER ELECTION TO DATE (IF REOUIRED) !;50.00 :?50.00 OCCUPATION: NOt 6100.00 Employed EMPLOYER: Not Employed S150.00 9175.00 S100.OO OCCUPATION: NOt !?25.00 Employed EMPLOYER: Not Employed !>25.00 '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 Foym 4fiO (Januaryl05) FPPC Toll-Free Helplins 866MSKFPPC (86af275-3772) Schedule B - Part 1 Loans Received SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN pxczpzc-:csbp EMPOWERMENT PAC (API EMPOWERMENT PAC) IF AN INDIVIDUAL, ENTER FULL NAME, STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYEROF LENDER (IF COMMITTEE. ALSO ENTER I D. NUMBER) "' SEL'EM"'LOYEDI ENTERNAME OF BUSINESS) t € IND € COM € OTH € PTY € scc Type or print in ink. Amounts may be rounded to whole dollars. (a) OuTST ANDING BALANCE "ffil',&'H'S (b) AMOUNT RECEIVED THIS PERIOD (C) AMOUNT PAID OR FORGIVEN THIS PERIOD' € PAID [1 FORGIVEN Statement covers period from '7/:L/:o2.2 through 12/31/2022 (d) OUTSTANDING BALANCE AT CLopi98,,rHlS (e) INTEREST PAID THIS PERIOD RATE DATE DLIE 3CFE[iJLE B - PART 1 Page -19 of -37 1.D. NUMBER 1340395 (f) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBtlTIONS TO DATE CALENDAR YEAR PER ELECTION" DATE INCuRRED t € IND € COM € OTH € PTY € scc t € IND € COM € OTH € PTY € scc 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 (Total Column (c) plus loans under $'l 00 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) Enter the net here and on the Summary Page, Column A, Line 2. "Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. SUBTOTAL$ € PAID € FORGIVEN € PAID € FORGIVEN DATE DLIE DATE DUE !;0.00 QO.OO NET !;0. 00 iMay be a negative number) I=0 RATE CALENDAR YEAR PER ELECTIONaa DATE INCuRRED t CALENDAR YEAR o/n RATE PER ELECTIONa' DATE INCtlRRED (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 886/ASK-FPPC iB6%275-3772) Schedule C Nonmonetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRLICTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT ))AC) DATE RECEIVED FIILL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ilF COMMITTEE, ALSO ENTER I D NUMBER) CONTRIBUTOR CODE" IF AN INDMDuAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES Statement covers period from 7/1/2022 through 12/31/2022 SCHEDULE C Page -2o of -37 1.0. NUMBER 1340395 AMOUNT/ FAIR MARKET VALUE CuMuLA.TIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) PER ELECTION TO DATE (IF REQUIRED) [1] IND [] COM € OTH € PTY [] scc € IND € COM € OTH € PTY [] scc € IND [] COM € OTH € PTY € scc € IND € COM [1 0TH € PTY [1] scc Attach additional information on appropriately labeled continuaticn sheets. 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 $100 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) SUBTOTAL$ SO.OO !?O.OCI ..TOTAL Soioo "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 86F!ASK-FPPC (866/275-3772) Schedule D Summaty of Expenditures Supporting/Opposing Other Candidates, Measures and Committees RFF INFiTRI InTlnN"i nN FIFVFFIFiF NAME OF FILER ASIAN PACJFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 7/1/2022 through 12/31/2022 SCHEEDULE D Page -21 of -37 1.0. NUMBER 1340395 NAME OF CANDIDATE, AND DISTRICT, OR DATE MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE 7/25/2022 Ellen Kamei Office Description: City CouncilJurisdiction: Cxty City of Mountain View 8 Support € Oppose 10/13/2022 Santa Clara County United Democratic Campaign N Support € Oppose 10/13/2022 Buu Thai Office Description: TrusteeJurisdiction: Other Santa Clara County Board of Education, 4 N Support [1] Oppose Schedule D Summary TYPE OF PAYMENT § Monetary Contribution [] Nonmonetay Contribution [1 Independent Expenditure @ Monetary Contribution [] Nonmonetary Contribution 0 Independent Expenditure § Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL$ 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 $100 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) AMOLINT THIS PERIO[) !?500.00 !?700.00 !;500.00 CuMLILATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) !;500.00 PER ELECTION TO DATE (IF REOulRED) !?1, 000.00 !;500.00 i !?7, 000.00 !?O.OO !>7,000.00 FPPC Foym 460 (January/05) FPPC Tollliee Helpline 866/ASK-FPPC (86al275-3772) Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER ASJAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 7/1/2022 from 12 /31/2022 through 3CHED.1LE D (CONT. Page 22 of 37 1.0. NUMBER 1340395 NAME OF CANDIDATE, AND DISTRICT, OR DATE MEASURE MIMBER OR LETTER AND JURISDICTION. OR COMMITTEE 10/13/2022 Cindy Chavez Office Description: MayorJurisdiction: City City of San Jose 8 Support € Oppose 10/13/2022 Reena Lari Offxce Description: TrusteeJurisdiction: Other Santa Clara County Board of Education, 7 N Support € Oppose 10/13/2022 Maimona Afzal Berta Office Description: TrusteeJurisdiction: Other Santa Clara County Board of Education, 6 H Support € Oppose 10/13/2022 Ava Chaio Office Description: TrusteeJurisdiction: Other Cupertino Union School Board N Support € Oppose TYPE CIF PAYMENT § Monetary Conltibuiion 0 Nonmonetary Contribution 0 Independent Expenditure § Monetary Contribution [1 Nonmonetary Contribution 0 Independent Expenditure § Monetary Coniribution [1 Nonmonetary Contribution 0 Independent Expenditure § Monetary Contribution 0 Nonmonetary centi:but:On 0 Independent Expenditure DESCRIPTION (IF REQUIRED) AMOLINT THIS PERIOD !;500.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) !;500.00 Q300.00 S300.00 !;i300.00 Q300.00 p300.00 §300.00 PER ELECTION TO [)ATE (IF REQUIRED) SUBTOTAL$ FPPC Form 460 (January/05) FPPC TollFree Helpline 8156/ASK-FPPC (8861275-3772) Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER ASIAN PACIFIC-ISIaDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 7/1/2022 from 12/31/2022 through 3CH €DJLE D (CONT. Thl'@A' Page 23 of 37 1.D. NUMBER 1340395 NAME OF CANDIDATE, AND DISTRICT, OR oATE MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE 10/13/2022 Rosa Kim Office Description: TrusteeJurisdiction: Other Fremont Union High School District ffi Support € Oppose 10/13/2022 Naomx Nakano-Matsumoto Office Description: TrusteeJurisdiction: Other Fremont Union High School District N Support € Oppose 10/13/2022 James Kim Office Description: TrusteeJurisdiction: Other Campbell Union High School District N Support € Oppose 10/13/2022 Richard Nguyen Office Description: TrusteeJurisdiction: Other Campbell Union Elementary District N Support € Oppose TYPE OF PAYMENT § Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure ffl Monetary Contribution 0 Nonmonetary Contribution [1 Independent Expenditure § Monetary Contribuiion 0 Nonmonetary Contribution 0 Independent Expenditure § Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure DESCRIPTION (IF REQLIIRED) AMOUNT THIS PERIOD p300.00 !?300.C)0 !?300.00 !?300.00 SuBTOTAL$ CLlMuLATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) !?300.00 !?300.00 !?300.00 !;300.CNJ PER ELECTION TO DATE (IF REQulRED) FPPC Form 460 (Januag/05) FPPC Toll-Free Helpline 866/ASK-FPPC iB66/275-3772) 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 7/1/2022 from 12/31/2022 through 3CH E[)LILE D (CONT. 'if!i'iJ' I "l ! Page 24 of -37 1.0. NUMBER 1340395 NAME OF CANDC)ATE, AND DISTRICT, OR DATE MEASURE NUMBER OR LETTER AND JURISDICTION. OR COMMITTEE 10/13/2022 Li Zhang Office Description: City CouncilJurisdiction: City City of Mountain View ffl Support € Oppose 10/13/2 €)22 Sheila Mohan Office Description: City CouncilJurisdiction: City City of Cupertino N Support a Oppose 10/13/2022 Justin Wang Office Description: City CouncilJurisdiction: City City of Sunnyvale, District 3 N Support € Oppose 10/13/2022 Nicole Chiu-Wang Office Description: TrusteeJurisdiction: Other Palo Alto Unified School District N Support [] Oppose TYPE OF PAYMENT § Monetary Contribution [1 Nonmonetary Contribution 0 Independeni expenditure § Monetary Contribution [] Nonmonetary Contribution [1 Independent Expenditure § Monetary Contribution [3 Nonmonetary Contribuiion 0 Independent Expenditure ffi Monetary Contribution 0 Nonmonetary COntribution [] Independent Expenditure DESCRIPTION (IF REOLIIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. l -DEC. 31) PER ELECTION TO DATE (IF REQulRED) S300.00 Q300.CR) !?300.00 !?300.00 !;300.00 !>300.00 S300.00 !7300.00 SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll-Free Helpline 866/ASK-FPPC (8661275-3772) Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Type or print in ink., Amounts may be rounded to whole dollars. Statement covers period 7/1/2022 from 12/31/2022 through 3CH HE)LILE D (CONT. Page -25 of 37 NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1.D. NLIMBER 1340395 DATE NAME OF CANDIDATE, AND DISTRICT, OR MEASLIRE NUMBER OR LETTER AND JLIRISDICTION, OR COMMITTEE 10/13/2022 0mar Torres Office Description: City Council, District 3Jurisdiction: City City of San Jose, District 3 [] Opposeffi Support 10/13/2022 Sylvia Arenas Offxce Description: Supervisor, District lJurisdiction: County Santa Clara County Board of Supervisors [1 0ppose@ Support 10/13/2022 Bob Jonsen Office Description: SheriffJurisdiction: County County of Santa Clara [] OpposeN Support 10/13/2022 Peter Ortiz Office Description: City Council, District 5Jurisdiction: City City of San Jose, District 5 ffil Support € Oppose TYPE OF PAYMENT § Monetay Contribution [1 Nonmonetary Contribution [] Independent Expenditure § Monetary Contribution 0 Nonmonefar/ Contribution 0 Independent Expenditure § Monetary Coniribution [1 Nonmonetary Contribution [] Independent Expenditure § Monetary Contribution 0 Nonmoneiary Contribution [] Independent Expenditure DESCRIPTION (IF REQLIIRED) SUBTOTAL$ AMOUNT THIS PERIOD !?250.00 !>250.00 !>250.00 !?250.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) PER ELECTION TO DATE (IF REQLIIRED) !?250.00 !?250.00 9250.00 S250.00 FPPC Fomt 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-Fl"1"C (866/275-3772) 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 7/1/2022 from 12/31/2022 through SCHEDULE D (CONT. a Page 26 of -37 1.D. NUMBER 1340395 N AME OF CAM)1 € ATE, AND DISTRICT, OR DATE MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE 10/13/2022 Maya Esparza Office Description: City Council, District 7Jurisdiction: City City of San Jose, District 7 N Support € Oppose 10/13/2022 JR Fruen Office Description: City CouncilJurisdiction: City City of Cupertino N Support € Oppose € Support [] Oppose € Support € Oppose TYPE OF PAYMENT § Monetary Contribution [1 Nonmonatary Contribution 0 Independent Expenditure § Monetary Contribution [1 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution [1 Nonmonetary Contribution 0 Independeni Expenditure [] Monetary Contribution [1 Nonmonetary Contribution 0 Independent hpenditute DESCRIPTION (IF REQLIIRED) AMOUNT THIS PERIOD !?250.00 S250.00 SUBTOTAL$ CuMLlLATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) !?500.00 PER ELECTION TO DATE (IF REQUIRED) S250.00 FPPC Fomi 460 (January/05) FPPC Toll-Free Helpline 886/ASK-FPPC iB66/275-3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E IStatement covers period frrim '7/:L/2.o2.2. ffl ffi i n a *sI x L ia l!ix f!'T 01 rs !!QEl!i i 3!fliin +hrnllnh 12/31/2022 I)anei 27 ,* _I aj,l C - IJ I- I.a NUMBER 1340395 SEE INSTRuCTIONS ON REVERSE NAME OF FILEFI 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 Pal 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 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 1.0. NUMBER)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Ellen Kamei for Mountain View City Council 2022 Mountain View, CA 94043 COMMITTEE ID: 1443369 CTB !?500.00 The Traveling Stem, LLC San Jose, CA 95148 FND Flower Arrangements for 10/1 Event !>2,110.20 Hapa's Brewing Company San Jose, CA 95126 FND Venue Rental !>1,04B.80 " 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.)';,15 , 097 .55 2. Unitemized payments made this period of under $100 S55 . 99 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.) 60.00 !?15, 153.54 FPPC Form 460 (January/05) FPPC Toll-Fnie Helpline B66MSKFPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars.Statem7/eln/t2coov2e2rs period Ifrnm a I a i a s t *i !'@!'f[!I II ii@ l I is!:iii8€ ai'ailll '{!'lIllgi +hr,llnh 12/31/2022 Paae -28 of -37 1.D. NUMBER 1340395 SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIp'zC-zSLANDER 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 3CH fD-'LE E (CONT.' 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 AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Hapa's Brewing Company San Jose, CA 9512f; FND S325.00 Dung Nguyen/ Golden Harvest Catering San Jose, CA 95112 FND Oz, 450. 85 Pacific Printing San Jose, CA 95110 FND Q546.BB Olympic Trophy San Jose, CA 95110 FND !>527.86 Juliana Park San Jose, CA 95112 FND !>115.48 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D.SuBTOTAL$ FPPC Fomi 480 (January/05) FPPC Toll-Free Helpline 866MSK-FPPC i86al275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars.Statem7/eln/t2coOv2e2rs period Ifrnm z a t a i i s t i ff[!IJI l-_l ig I i,.1 _lI ha r a a @i II i 'l I I 7,'i111€77 o @l ,10(! thr,llnh 12/31/2022 Paae -29 of -37a' = --ld' a 1.D. NUMBER 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 3aCH'::'JLEE:CC'NT.' 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 commitkees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER l.[). NLIMBER)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Santa Clara County United Democratic Campaign San Jose, CA 95128 COMMITTEE ID: 871053 CTB !>700.00 Cindy Chavez for Mayor 2022 San Jose, CA 95125 COMMITTEE ID: 1440871 CTB S500.00 Buu Thai for Trustee 2022 San Jose, CA 95128 COMMITTEE ID: 1449965 CTB !7500.00 Raeena Lari for Santa Clara County Board of Education 2022 San Jose, CA 95121 COMMITTEE ID: 1452041 CTB !?300.00 Maimona Afzal Berta for SCC Board of Education 2022 San Jose, CA 95112 COMMITTEE ID: 1452186 CTB S300.00 " Payments that are contributions or independent expenditures must also be summarized on Schedule D.SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll-Free Helpline 886/ASK-FPPC (s66/275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars.Statem7/eln/t2coov2e2rs period Ifrnm ffl I ff i a i a s i W If @ffi I ha AS 81 :1QIlf%:!siI 'i'i111€ +hrniinh 12/31/2022 Paae -3o of -37 }"0+%914 1.D. 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 3CH "ED.ILE E (CONT; 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 AND A[)[)RESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.D. NUMBER)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Ava Chiao for Cupertino School Board Cupertino, CA 95014 COMMITTEE ID: 1449679 CTB !?300.00 Rosa Kim For School Board 2022 Sunnyvale, CA 94087 COMMITTEE ID: 1449892 CTB !?300.00 Naomi Nakano-Matsumoto for Fremont Union High School District Board 2022 Sunnyvale, CA 94087 COMMITTEE ID: 1450414 CTB !?300.00 James Kim for Campbell Uniof High School Board Trustee 2022 San Jose, CA 95130 COMMITTEE ID: 1449756 CTB !?300.00 Richard Nguyen for School Board 2022 San Jose, CA 95128 COMMITTEE ID: 1387397 CTB Q300.00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D.SUBTOTAL$ FPPC Form 480 (Januaryl05) FPPC Toll-Free Helpline. 866/ASK-FPPC (8(161275-3772) Schedule E (Continuation Sheet) Payments Made Statement covers period frnm 7/1/2022 Iff a r a ; _s r a t I!r M fiala. s 'i I f i Iici',;iii thrniinh 12/31/2022 Paae -31 of -37 1.D. NUMBER 1340395 SEE INSTRIJCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) CODES: CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporung/opposing others (explain)' LEG legal defense LIT campaign literature and mailings If one of the following codes accurately describes the payment, you may enter the code. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads Type or print in ink. Amounts may be rounded to whole dollars. 3Ch ED.ILE E (CONT.' 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 commitkees 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)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Justin Wang for Sunnyvale City Council District 3, 2022 Sunnyvale, CA 94087 COMMITTEE ID: 1447376 CTB 5300.00 Li Zhang for City Council 2022 Mountain View, CA 94040 COMMITTEE ID: 1454511 CTB !?300.00 Sheila Mohan for Cupertino City Council Cupertino, CA 95014 COMMITTEE ID: 144874 CTB !?300.00 Nicole Nicole Chiu-Wang for Palo Alto Unified School District Board Palo Alto, CA 94403 COMMITTEE ID: 1449311 CTB S300.00 Omar Torres for San Jose City Council District 3 2022 San Jose, CA 95110 COMMITTEE ID: 1443040 CTB !;250.00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D.SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll-Free Helpline 866/ASK-FPPC [86al275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period frnm 7/1/2022 Q Q t a a i ?r i a!;Jl i9 l Hf m P'! alrii i I !Iial111€77 II &l IPQ * 2i !J thrniinh 12/31/2022 Paae -32 of -37 }0=%%i:101 1.0. NIIMBER 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 EiCHEZ!tlLE E !CONT.' 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 1.0. NUMBER)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Peter Ortiz for San Jose City Council District 5 2022 San Jose, CA 95110 COMMITTEE ID: 1439023 CTB !>250.00 Bob Jonsen for Sheriff of Santa Clara County 2022 Novato, CA 94947 COMMITTEE ID: 1443484 CTB !9250.00 Sylvia Arenas for Supervisor 2022 San Jose, CA 95135 COMMITTEE ID: 1443416 CTB !?250.00 Maya Esparza for City Council 2022 San Jose, CA 95122 COMMITTEE ID: 1441576 CTB !?250.00 JR Fruen for Cupertino City Council 2022 Cupertino, CA 95014 COMMITTEE ID: 1447662 CTB !5250.00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D.SuBTOTAL$ FPPC Form 460 (Januaiy/OS) FPPC Toll-Free Helpliner 886/ASKlPPC i886/275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers perioa frrim 7/1/2022 ffl 'Irr 1 f i,@ i I lif r ffl ill ai'@n s 'i t II'ial511€:',ffi! thrniinh 12/31/2022 I "-' Paae -33 of -37a' a' --lj' a 1.D. NUMBER 1340395 SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (APJ: 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 3CH =:i.lLEE E (CONT.' 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 (interret, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ActBlue Carnbeidge, MA 02138 FND Donation Fees 9si*.62 Khaosan Thai Restaurant San Jose, CA 95124 Food for Volunteers !?154 .27 FedEx Campbell, CA 95008 POS !?10.80 Go Daddy Scottsdale, AZ 8526 €) WEB 931.16 ActBlue Cambeidge, MA 02138 FND Donation Fees !?140 .69 " Payments that are contributions or independent expenditures must also be summarized on Schedule D.SUBTOTAL$ FPPC: Form 480 (Januaryl05) FPPC Toll-Free Helpline. 866/ASK-FPPC [866/2753772) Schedule E (Continuation Sheet) Payments Made Statement covers perioa frnm 7/1/2022 l!!!_!TI a i@ i I i j,4if I fi""'Illt I I I I s l 2 .1!:al*Iixxxi!j 41 iiix piiix thrniinh 12/31/2022 Paae -34 of -37}0l0%%ij0l 1.D. NUMBER 1340395 SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASJAN 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. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)' civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)' legal defense campaign literature and mailings Type or print in ink. Amounts may be rounded to whole dollars. 3CHED.1LE E (CONT.a 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 AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID FedEx Campbell, CA 95008 POS S22.00 MeetUp New York, NY 10012 WEB Subscription Renewal !>98.94 " Payments that are contributions or independent expenditures must also be summarized on Schedule D.SUBTOTAL$ FPPC: Foym 460 (January/05) FPPC Toll-Free Helpline. 866/ASK-FPPC [se61275-3772) Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE F Statem7/eln/t2coOv2e2rs period Ifrnm ffl a i a si atlii@r I 171 l!j J._g I r5lutI I I I a a !f!vIIic:zixb &&li T€18 €N'ffi/ +hr,llnh 12/31/2022 Paae -35 of -37 l.[). NUMBER 1340395 SEE INSTRLICTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISIJINDER 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 Othenuise, describe the payment. RAD radio airtime and production RFD returned contributions SAL campaign workers' salaties 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 tqchnology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR IIF COMMITTEE, AISO ENTER 1.0 NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OLITST ANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOIJNT INCIIRRED THIS PERIOD (C) AMOUNT PAID THIS PERIO[) iALSO REPORT ON E) (d) OtlTST ANDING BAL_ANCE AT CLOSING OF THIS PERIOD aJJjgutlaiis ailndapandonj wandltums must alm lie aummaifm on 8ahmula D.8LIBTOTAL b 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 $1 oo.).... 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $1 DO or more, plus total unitemized payments on accrued expenses under $1 oo.).. .INCURREDTOTALS '?O'O .PAIDTOTALS "oioo 3. Net change this period. (Subtract Line 2 from Line L Enter the difference here and on the Summary Page, Column A, Line 9.)............H57S0.00 (May bs a nsgalme number) FPPC Form 460 (January/05) FPPC Toll-Frse Helpline' 866/ASK-FPPC (866/275-3772) Schedule H Loans Made to Others* SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) IF AN INDIVI[)UAL, ENTER FULL NAME, STREET ADDRESS AND ZIP CODE o,uPAT,oN AND EMPLOYER OFRECIPIENT (IFSELF-EMPLOYED.ENTER ilF COMMITTEE, ALSO ENTER I D NUMBER) NAME oF BUSNESS) Type or print in ink. Amounts may be rounded to whole dollars. (a) OuTST ANDING BALANCE BEGINNING THIS PERIOD (b) AMOUNT LOANED THIS PERIOD (C) REPAYMENT OR FORGIVENESS THIS PERIOD" Statement covers period from 7/1/2€)22 through 12/31/2022 SCHEDULE H Page 36 of 37 1.D. NUMBER 340395 (d) OUTST ANDING BALANCE AT CLOSE OF THIS PERI(X) (e) INTEREST RECEIVED (f) ORIGINAL AMOUNT OF LOAN (g) CLIMLILATIVE LOANS TO DATE € PAID € FORGIVEN RATE O/,, CALENDAR YEAR PER ELECTIONao aLoans 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. SuBTOTAL $ € PAID € FORGIVEN DATE [)uE DATE DUE RATE 0,,, (Enter (e) on Schedule 1, Line 3) !;0 . 00 90.00 .HH7 S0. 00 (May be a negative numbeQ DATE INCURRED CALENDAR YEAR PER ELECTION' FPPC Form 460 (January/05) FPPC Toll-Free Helpline. 86t!ASK-FPPC [8661275-3772) Schedule I Miscellaneous Increases to Cash 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 7/1/2022 through 12/31/2022 SCHEDULEI Page 37 of 37 1.D. NUMBER 1340395 DATE RECEIVE[) FULL NAME AM) ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER)DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Schedule I Summary SUBTOTAL$ L 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 Summary Page, Line 14.) !?O.OO !?O.OO !90.00 TOTAL So.oo FPPC Fom 480 (January/05) FF'?C Toll-Fnae Hslplins: 86f!ASK-FPPC (866/275-3772)