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460 Recipient Committee Campaign Statement 1-1-14 to 6-30-14Recipient Committee Campaign Statement Cover Page (Government Code Sections $4200 - 84216.5) Type or print in ink. Statement covers period from 1/1/2014 I D. NUMBER 3. Committee Information _1340395 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) AS= PACIFIC - ISLANDER EMPOWERMENT PAC (APT EMPOWERMENT PAC) STREET ADDRESS (NO P.O. BOX) Executed on Data BY SignatureoF Controlling Officeholder. Gandidata, state measure ProponenlorResponsibl,OffinerofSponsor Executed on BY Date Signature of pontrelling Officeheldaq Candidate, State Measure PmponanE Executed on By FPPC Form 468 (Jara,*W05) Date Signature of Controlling OlF ®holder, Candidate, State Measure Proponent FPPG Toll -Free Help6ne: 8661ASK -FPPC (8682754772) $Late of C.Iftnria I R71 A')Q n Type or print in ink. COVER PAGE - PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM ' • Cover Page - Part 2 Page z of 16 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE _ NAME OF BALLOT MEASURE ' OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP ldentify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement thatare controlledbyyou orare primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY conffibuffons or make expenditures on behaff ofyour candidacy. COMMITTEE NAME LD. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candid ate /Officeholder Committee r_rstnamesof ❑ YES [-1 NO officeholder(z) or candidate(s) for which this committee is primarily formed COMMITTEE ADDRESS- STREET ADDRESS (NO P.O. BOX) - CITY STATE ZIP CODE AREACODFJPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO PA. BOX) CITY STATE ZIP CODE AREA CODElPHONE Attach continuation sheets if necessary NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT [-]OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE FPPC FDrm 460 (January105) FPPC Tail -Free Help@ne: 8661ASK -FPPG (e68¢75 -TR2) Slate of Catifomia .1279 Al R A Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period a. Summary Page to whole dollars. / from 1/1/2014 � � • ' 6/30/2014 SEE INSTRUCTIONS ON REVERSE - through Page 3 of 16 NAME OF FILER I.D. NUMBER ASIAN PACIFIC- ISLANDER EMPOWERMENT PAC (APT EMPOWERMENT PAC) 1340395 Contributions Received 1. Monetary Contributions ................. ............................... schedule A, Line, 3 2. Loans Received ........................... ............................... Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS . ......................... ...... Add Lines 14 2 4. Nonmonetary Contributions ............ ............................... schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................. .............. Add Lines 3 +4 Expenditures Made 6. Payments Made -------------------------- ----- ------------ -------- ------ Schedule Line 7. Loans Made ................................ ..... .......................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ........... ............................. Add Lines 6 +7 9. Accrued Expenses (Unpaid Bills) ..... ............................... schedule F Line 3 10. Nonmonetary Adjustment -- ---------------------- -- ------------ -- - - -- Schedule c. Line 3 11. TOTAL EXPENDITURES MADE . ..... : ... .............:........ AddLines8 +9+10 Current Cash Statement 12. Beginning Cash Balance .............................. Previous summary Page, Line 16 13. Cash Receipts .............. ...................................... CciurnnA, Line 3above 14. Miscellaneous Increases to Cash .................................. schedule r, ane 4 15. Cash Payments .................... ............................... Cofumn A, Line 8above 16- ENDING CASH BALANCE ............... Add Lihes 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. Column A Column B TOTALTHISPERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE $2,500.00 $2,500.00 $0 -00 $0 -00 $2,500.00 $2,500.00 $0.00 $0-.00 $2,500.00 $2,500.00 $10,135.56 $97,171.00 $0.00 $0.00 $10,135.56 $97,171.00 $0.00 $0.00 $0.00 $0.00 $10,135.56 $97,171.00 $9,171.00 $2,500.00 $0.00 $10,135.56 $1,535.44 17. LOAN GUARANTEES RECEIVED ................................ sc4edule5, Part $0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............... ..... .............. ............ see instructions on reverse 19. Outstanding Debts ...... -- ................... Add Line 2 +Line 9 in Column B above ,107.1 A')Q n $0.00 $0.00 To calculate Column B, add amounts in Column A to the corresponding amount from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any)- Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Date 20. Contributions Received 21. Expenditures Made Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmfddlyy) Amounts in this section may be different from amounts reported in Column B. FPPC Farm 460 (January/05) FPPC ToA -Free Helpli- WMSKFPPC (WM75.3772) SCHEDULE A scneauie A .,p.— - 1.1 —.., ,.,... Amounts may be rounded Statement covers period • - Monetary Contributions Received to whole dollars. 1/1/2014 from • 6/30/2014 Through Page 4 of 16 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ASIAN PACTFTC- ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I.D. NUM9FR) CODE" (IF SELF - EMPLOYE), ENTER NAME PERIOD (JAN.1 - DEC. 31) (1F REQUIRED) OF BUSINESS) 3/3/2014 Lehigh Hanson ❑ IND $2,500.00 $2,500.00 300 E. John Carpenter Frwy ❑ COM Irving, TX 75062 � OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period - itemized monetary contributions. (In dude all Schedule A subtotals.) .................................................................................. ............................... 2. Amount received this period - unitemized monetary contributions of less than $100 ....... .......................... ........:....... $2,500.00 $0.00 3. Total monetary contributions received this period. (Add Lines 1 and 2_ Enter here and on the Summary Page, Column A, Line 1.) ........................................... . TOTAL $2-500-00 1071 A70 n *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e_g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPCToll- F—Heipli— 88NASK- FPPC(66B/275- 772) SCHEDULE C Schedule C 'yvG I Amounts may be rounded Statement covers period CALIFORNIA Nonmonetary Contributions Received to whole dollars. FORM ` • , 1/1/2014 from through 6/30/2014 Page Hof 145 SEE INSTRUCTIONS ON REVERSE NAME OF FILER F.D. NUMBER ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAI„ ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED zip CODE OF CONTRIBUTOR (iF COMMITTEE, A= ENTER T.D. NUMBER) CODE, F sE1t- eMCI_oveo, ENTER NAME 0 OFBUSINE55) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN.1 -DEC. 31) (IF REQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC AfM P, oA fiGn 1 ;nFn fi nn nnnrnnrrafaly 1ahalarl rnnfinNaNnn ChPRtC SUBTOTAL $ Schedule C Summary 1. Amount received this period - itemized nonmonetary contributions. $0.00 (Include all Schedule C subtotals.) ............................................................................... ............................... 2. Amount received this period - unitemized nonmonetary contributions of less than $104 .................... $0.00 3. Total nonmonetary contributions received this period_ (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .._._..._ ...........TOTAL $0.00 1471 A'7R n `Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January105) FPPC T.11_Fr H.1pli -: 8861ASK4FPPC (8861275-3772) T..... -.:. :—. :., -I. SCHEDULE S - PART f Amounts may be rounded Statement covers period CALIFORNIA Loans Received to whole dollars. • ' 1/1/2014 - from 6/30/2014 through Page r of 16 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ASIAN PACIFIC- ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 IF AN INDIVIDUAL, ENTER (a] (b) (c) (d) (e) M (9) FULL NAME, STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF L. =NDER (IF SELF- EMPLOYED. ENTER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) BEGINNAN H15 PERIOD THI5 PERIOD' CLOS�OPP�ERR�) SDTHIS PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION" tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR RATE El FORGIVEN PER ELECTION" � I—I I LJ IND 1:1 COM El OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN - PER ELECTION° t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE I I DATE INCURRED I SUBTOTAL.$ $ $ $ Schedule B Summary 1. Loans received this period ................................................... ......................... °..... .............................................. (Total Column (b) plus unitemized loans of less than $100_) $D_oo 2. Loans paid or forgiven this period .................... ..................... ............................... .................. ...... ............................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third parry that are also itemized on Schedule A.) 3_ Net change this period. (Subtract Line 2 from Line 1.) .... NET $0-00 Enter the net here and on the Summary Page, Column A, Line 2. (Mar,, a neBet- °°-tier) "Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. (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(January105) FPPC TolWree Nelpline: %61ASK -FPPC (666275-3772) SCHED(R F n bcneauie u �r� , N.........,.... Amounts may be rounded Statement covers period CALIFORNIA Summary of Expenditures to whole dollars. I - Supporting /Opposing Other from 1/1/2014 Candidates, Measures and Committees through 6/36/21714 Page 7 of 16 NAME OF FILER I.A. NUMBER ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 NAME OF CANDIDATE, AND DISTRICT, OR DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE ' OR COMMITTEE (JAN.'I- DEC. 31) (IF REQUIRED) 4/15/2014 Evan Low $4,100.00 $4,100.00 State Assembly District 28 Monetary Jurisdiction: State Assembly District Contribution ❑ Nonmonetary contribution El Independent Expenditure Support ❑ Oppose 4/11/2014 Kathy Sutherland $500.00 $500.00 Office Description: San Jose, District Monetary 3Jurisdiction: Statewide Contribution Ncnmonetary Contribution ❑ Independent Expenditure 0 Support ❑ Oppose 4/11/2014 Xavier Campos $500.00 $500.00 Office Description: city councilJurisdiction: Monetary City San_ Jose, District 5 Contribution " ❑ Nonmonetary Contribution ❑ Independent Expenditure Support ❑ Oppose SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals_) .................. $13, 725 - oa 2. Unitem[zed 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.) ................................ ............................... 4074 AI)p n $0.00 $8,725.00 FPPC Form 460 (January/05) FPPC Tor -Free FIe[prine: 8661ASK -FPPC (8661275~3772) Schedule D Type or print in ink. Amounts may he rounded SCHEDULE D (CONT.) (Continuation Sheet) to whole dollars. 0 Statement covers period Summary of Expenditures . - 7./1/2014 7,t Supporting /Opposing Other from Candidates, Measures and Committees through 6/30/2014 Page H NAMEOFFILER I.D. NUMBER ASIAN PACIFIC- ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 NAME OF CANDIDATE, AND DISTRICT, OR DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAN.I -DEC. 39) (IF REQUIRED) 4/11/2014 Paul Fong $5Q0.00 $500.00 office Description: city counciliurisdiction: Monetary City Contribution San Jose, District 1 ❑ Nonmonetary Contribution Independent E Support ❑ Oppose Expenditure 7/10/2014 Suu Thai $500.00 $500.00 Office Description: city councilJurisdiction: Monetary city Contribution San Jose, District 7 ❑ Nonmonetary Contribution ❑ Independent � Support El oppose Expenditure 4/11/2014 Don Rocha $500.00 $500.00 Office Description: city councilJurisdiction: Monetary City ' Contribution San Jose, District 9 ❑ Nonmonetary Contribution ❑ independent Support ❑ Oppose Expenditure 4/11/2014 Dave Cortese $500 -00 $500.00 Office Description: MayorJurisdiction: City Monetary san jose Contribution ❑ Nonmonetary Contributicn ❑ Independent N Support ❑ Oppose Expenditure SUBTOTAL$ -0474A'>4 n FPPC Form 460 panuaryM6) FPPC 7o9 -Fee Helaiine: 8661ASK -FPPC (866!275 -3772) Schedule D Type or print in ink. Amounts may be rounded SCHEDULE D (CONT.) (Continuation Sheet) to whole dollars. Summary of Expenditures Statement covers period CALIFORNIA . - 460 1/1/2x14 Supporting /Opposing Other from Candidates, Measures and Committees 6/30/2014 9 16 through Page of NAME OF FILER I.D. NUMBER ASIAN PACIFIC- ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 NAME OF CANDIDATE, AND DISTRICT, OR DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE - (JAN. 1 - DEC. 31) (IF REQUIRED) 4/11/2014 Santa Clara County United Democratic Campaign $1,125.00 $1,125.00 ' Monetary Contribution ❑ Nonmonetary Contrbution ❑ Independent E Support El oppose Expenditure 3/6/2014 Democratic Activists for Women Now $500.00 $500.00 ■ Monetary Gontnbution ❑ Nonmonetary Contribution ❑ independent E Support ' El Oppose Expenditure Monetary Contribution - ❑ Nonmonetary - ContribuSon ❑ independent ❑ Support ❑ Oppose Expenditure ❑ Monetary ContrlbOor: ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ FPPC Form 460 (Januaro5) FPPC ToR -Fma Helplime 8661ASK -FPPC (8661275-3772) 4¢7RA')Q n Schedule E Type or print in ink_ SCHEDULE E PaAmounts may be rounded Statement covers period Payme1t1e11S Made - nts whole dollars. 1/1/ao1� from 6/30/2014 10 15 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC} 1340395 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs ( internet, e -mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Madhuban Indian Restaurant: Olympic Recognition Products California Democratic Party COMMITTEE ID: 1276582 CODE OR DESCRIPTION OF PAYMENT FND FND Liability Insurance w Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary AMOUNT PAID $650.00 $46.00 $500 -00 1. Itemized payment made this period. (Include all Schedule E subtotals -) ........................................................... ............................... ............... ............................... 2. Uniternized payments made this period of under $100 ................................................................................................................................. ........................ . ...... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e)_) ... ............................................... ............................... ............. .........._.. 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................................. ............................... 1 A71 A75E n $10,135.56 $0.00 $0.00 $10,135.56. FPPC Forth 460 (January/05) FPPC TaA -F.. Help[Ine: 666 1ASK -FPPC (8 68127 6- 37 72) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME of FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (APT EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2014 through 6/30/2024 Page 11 of 16 I.D. NUMBER 1340395 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /mist. MBR member communications RAD radio airtime and production CNS campaign consultants NITG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration I IT ramnainn litaratNra and mnilinos PRT mint ads WEB information technoloav costs fintemet e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Evan Low For State Assembly 2014 CTB $4,100.00 1017 L Street, #623 Sacramento, CA 95814 COMMITTEE ID: 1346170 Kathy Sutherland for City Council., District 3 CTB $500.00 350 Gifford A-venue San Jose, CA 95126 COMMITTEE ID: 1361679 Dave Cortese for Mayor - C E $500.00 1762 Technology Dr. San Jose, CA 95110 COMMITTEE ID: 1362187 Santa Clara County United Democratic Campaign CTB $1,125.00 2901 Moorpark Ave. San Jose, CA 95128 COMMITTEE ID: 871053 Paul Fong for San Jose City Council 2014 CTE $500.00 465 N Wolfe Rd Sunnyvale, CA 94085 COMMITTEE ID: 1362111 * Payments that are contributions or independent expenditures must also be summarized on Schedule D_ SUBTOTAL $ FPPC Form 460 (January/05) FPPC 7011 -Fme Helpnne: e661A$K -FPPC (8 6 6127537 72) 9 A74 A`?Q n Schedule E Type or print in ink. (Continuation Sheet) Amounts maybe rounded Payments Made to whole dollars. ON REVERSE NAME OF FILER ASIAN PACIFIC- ISLANDER EMPOWERMENT PAC (API EMPOWERMFIT PAC) Statement covers period from 1/1/2014 through 6/30/2014 Sc Page 12 of 16 I.D. NUMBER 1340395 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL - campaign workers' salaries CVC civic donations PET petition circulating TEL Lv. or cable airtime and production costs FIL Candidate filing/ballot fees PHO phone banks ' ' TRC candidate travel,lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Don Rocha for San Jose City COuncil CTB $500.00 1803 Comstock Lane San Jose, CA 95124 COMMITTEE ID: 1362278 Xavier Campos for City Council 2014 CTB $500.00 10 Stewart Ave San Jose, CA 95127 COMMITTEE ID: 1362352 Buu Thai for City Council 2014 CTE $500 -00 2901 Moorpark Ave. San Jose, CA 95128 COMMITTEE ID: 1362648 FedEx POS $7.28 3898 Mowry Ave Fremont, ca 94538 FedEx POS $7.28 3896 Mowry Ave fremont, ca 94538 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/05) pPPC Toll -Free Helpineu 8581ASK -FPPC {88527 &3772) 4071 A74 n Schedule E Type or print in ink. SCHEDULE (Continuation Sheet) Amounts may be rounded Statement covers period - NIA Payments Made #o whole dollars. 1/1/zo14 • - from through 6/30/2014 NAME OF FILER ASIAN PACIFIC- ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Page 13 of 16 I.D. NUMBER 1340395 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v_ or cable airtime and production costs FIL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Santa Democratic Activists for Women Now 2901 Moorpark Ave. San Jose, CA 95128 COMMITTEE ID: 950169 CTB $500.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460(January105) FPPC T.IFF.. H.IpII -: 8661ASK -FPP0 (8661275.3772) Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 1/1/20].4 from through 6/30/2014 Page 14 of IE SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ASIAN PACTRIC- ISLAMER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 CODES: If one of the following codes accurately describes the payment, you may enter the code.. Otherwise, describe the payment. N CMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t_v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)* POS postage, delivery and messengerservices TSF transfer between committees ofthe same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMrrTEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (D) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSING OF THIS PERIOD P°"mniaaa��su�oewo °uo�.a�+�eovenaom o.vw,dnwoa m,,.i aim na— ,U.a- sh.d.a o. SUBTOTAL$ > a r Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)..... ....... ........... ..INCURRED TOTALS $� 00 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................... .......PAID TOTALS $0-00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and ",00 onthe Summary Page, Column A, Line 9.) ......................................................................................................................................... .......... .................... _.NET (May b.. —gal- num6ar) FPPC Form 460(Januaryl05) FPPC T.IW.. Helpli —: SWASK -FPPC (WG1275 -3772) 1979AoO r1 SCHMULl= H Amounts may be rounded Loans Made to Others` to whole dollars. Statement covers period from 1/1/2014 CALIFORNIA FORM 460. SEE INSTRUCTIONS ON REVERSE 6/30/2014 through Page 15 of 16 NAME OF FILER I.D. NUMBER ASIAN PACIFIC- ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMM77EE, ALSO ENTER I.O. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF- EMFLOYED, ENTER NAME OF BUSINESS) (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD (b) AMOUNT LOANED THIS PERIOD (0) REPAYMENT OR FORGIVENESS THIS PERIOD' (d) OUTSTANDING BALANCE AT CLOSEOF THIS PERIOD {e) INTEREST RECEIVED M ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE LOANS TO DATE ❑ PAID CALENDAR YEAR 0 RATE ❑ FORGIVEN PER ELECTION" DATE DUE DATE INCURRED ❑ PAID - CALENDARYEAR RATE ❑ FORGIVEN PER ELECTION" DATE DUE DATE INCURRED 'Loans that are Contributions to another Candidate or committee must also be summarized on Schedule D. Loans forgiven must SUBTOTAL $ $ $ $ also be reported on Schedule E. - (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period ........ -. $0-00 (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans ............................................... $o .170 (Total Column (c) plus unitemized payments of less than $100.) ** If required. 3. Net change this period. (Subtract line 2 from Line 1.) ............. .... NET $0-00 Enter the net here and on the Summary Page, Column A, Line 7. (May be a negative number) FPPC Form 460 panuaryf05) FPPG T4I4Fiee Heipiina; 666,ASK -FPPC {666!275 -3772) 1471 A•)Q n SCF{EDULE Schedule I IYY °"' P"""" "` ". Amounts may be rounded Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period 1/1/2014 from 6/30/2014 through • . 0. ' Lul Page 16 of 16 NAME OF FILER AST.AN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) I.D. NUMBER 1340395 DATE RECEIVED FULI. NAME AND ADDRESS SOURCE TER NUMBER} {1F COMM17TEE, ALSO EN W. . DESCRIPTION OF RECEIPT AMOUNTOF INCREASE TO CASH Schedule I Summary 1. Itemized increases to cash this period . ............................................................................................................ ............................... 2. Unitemized increases to cash of under $100 this period . ..................................................................................... ............................... 3- Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ...... ......................... : ........................... ... ..... .. 4. Total miscellaneous increases to cash this period_ (Add Lines 1, 2, and 3- Enter here and on the SummaryPage, Line 14.) .......... ............................................................................... ............................... .......................... TOTAL 4Q71A'30 A $0.00 $0.00 $0.00 $0.00 SUBTOTAL$ FPPC Forth 460 (January/05) FPPC Toll -Free Helplt— 86elA3K -FPP0 (Se81275 -3772)