460 Recipient Committee Campaign Statement 1-1-15 to 6-30-15Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 1/1/2015
through 6/30/2015
Date of election if applit
(Month, Day, Year)
E C E 0 V
J 11 cl Ia`2015
UPERTINO CITY
COVER PAGE
1 of 13
Official Use Only
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
2. Type of Statement:
❑ Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
❑ Preelection Statement
❑
O State Candidate Election Committee
Committee
Semi Statement
Quarterly Statement
❑
O Recall
O Controlled
- annual
Special Odd -Year Report
(Also Complete Part 5)
O Sponsored
❑ Termination Statement
El Supplemental Preelection
(Also Complete Part 6)
(Also file a Form 410 Termination)
El
Statement - Attach Form 495
� General Purpose Committee
Amendment (Explain below)
O Sponsored
❑ Primarily Formed Candidate/
O Small Contributor Committee
Officeholder Committee
O Political Party /Central Committee
(Also Complete Part 7)
I.D. NUMBER
3. Committee Information
1340395
Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME OF TREASURER
Andrae Macapinlac
ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC
(API EMPOWERMENT PAC)
MAILING ADDRESS
456 Lomer Way
STREET ADDRESS (NO P.O. BOX)
CITY STATE
ZIP CODE AREA CODE /PHONE
465 N. WOLFE ROAD
Milpitas CA
95035 (707) 334 -3489
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
SUNNYVALE CA
94085 (408) 746 -2020
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
MAILING ADDRESS
CITY STATE
CITY STATE ZIP CODE AREA CODE /PHONE
ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
OPTIONAL: FAX / E -MAIL ADDRESS
Treasurer: senatormac9 @aol.com
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informatied here' nd in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on 7/31/2015 gy
Date Signature of Treasurer or Assistant Treasurer
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Data Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed On By FPPC Form 460 (January/05)
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Toll -Free Helpline: 886 /ASK -FPPC (866/275 -3772)
State of California
1982109 -0
RPrinipnt C:nmmittnn
Type or print in ink. COVER PAGE - PART 2
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
RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
OFFICE SOUGHT OR HELD
❑ SUPPORT
Identify 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
OFFICE SOUGHT OR HELD
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
COMMITTEE NAME
I.D. NUMBER
CONTROLLED COMMITTEE?
7. Primarily Formed Candidate /Officeholder Committee List names of
NAME OF TREASURER
❑SUPPORT
❑ YES ❑ NO
officeholder(s) or candidate(s) for which this committee is primarily formed.
1982109 -0
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
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
S IAI E ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
State of California
Type or print in ink. SUMMARY PAGE
Campaign Disclosure Statement Amounts may be rounded Statement covers period ID. -
Summary Page to whole dollars. 1/1/2015 •-
from
6/30/2015
SEE INSTRUCTIONS ON REVERSE
through ge 3 of 13
NAME OF FILER MBER
ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 0395
Contributions Received
Column A
TOTAL THIS PERIOD
Column B
CALENDAR YEAR
Calendar Year Summary for Candidates
Schedule E, Line 4
$1,367.00
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
Running in Both the State Primary and
1. Monetary Contributions
Schedule A, Line
$3,775.00
$3, 775.00
General Elections
2. Loans Received ........................... ...............................
Schedule B, Line
$0.00
$0.00
1/1 through 6/30 7/1 to Date
Nonmonetary Adjustment ............. ...............................
Schedule C, Line 3
$0.00
11.
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS . ...............................
Add Lines 1 +2
$3, 775.00
$3, 775.00
Received
4. Nonmonetary Contributions ............ ...............................
Schedule C, Line 3
$0.00
$0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...............................
Add Lines 3 +q
$3,775.00
$3,775.00
Made
Expenditures Made
6.
Payments Made .......................... ...............................
Schedule E, Line 4
$1,367.00
7.
Loans Made ................................ ...............................
Schedule H, Line
$0.00
8.
SUBTOTAL CASH PAYMENTS
Add Lines 6 +7
$1,367.00
9.
Accrued Expenses (Unpaid Bills) ..... ...............................
Schedule F, Line 3
$0.00
10.
Nonmonetary Adjustment ............. ...............................
Schedule C, Line 3
$0.00
11.
TOTAL EXPENDITURES MADE . ...............................
Add Lines 8 +9 +10
$1,367.00
Current Cash Statement
12.
Beginning Cash Balance ..............................
Previous Summary Page, Line 16
$2,573 .00
13.
Cash Receipts
Column A, Line 3 above
$3, 7 7 5 . 0 0
14.
Miscellaneous Increases to Cash
Schedule 1, Line 4
$0.00
15.
Cash Payments
Column A, Line 8above
$1,367.00
16.
ENDING CASH BALANCE ............... Add Lines
12 +13 +14, then subtract Line 15
$4, 981.00
If this is a termination statement, Line 16 must be zero.
17.
LOAN GUARANTEES RECEIVED
Schedule 8, Part 2
$0.00
Cash Equivalents and Outstanding Debts
18.
Cash Equivalents
See instructions on reverse
$0.00
19.
Outstanding Debts .. ...............................
Add Line 2 + Line 9 in Column 8 above
$0.00
1982109 -0
$1,367.00
$0.00
$1,367.00
$0.00
$0.00
$1,367.00
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)
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm /dd /yy)
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK.FPPC (866/275 -3772)
n -'- - -11- -1 _ w -r....,. ,....- :...:.. ;_" R(l."Pr11 II F A
Amounts may be rounded
Monetary Contributions Received to dollars.
Statement covers period
-
whole
1/1/2015
- LUGO
from
0
6/30/2015
through
Page 4 of 13
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE*
(IF SELF - EMPLOYED, ENTER NAME
RECEIVED THIS
CALENDAR YEAR
TO DATE
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
5/27/2015
Flower Cottage
❑ IND
IND
$75.00
$75.00
465 N Wolfe Rd
❑
Sunnyvale, CA 94085
OTH
❑ PTY
❑ SCC
1/12/2015
Jerrold Hiura
IND
OCCUPATION: Dentist
$200.00
$200.00
90 E Taylor St
❑
EMPLOYER: Self
San Jose, CA 95112
COM
❑ OTH
❑ PTY
❑ SCC
2/9/2015
Balbir Dhillon
IND
OCCUPATION: retired
$500.00
$500.00
127 Sierravista Place
F-1 COM
EMPLOYER: n/a
San Jose, CA 95116
❑ OTH
❑ PTY
❑ SCC
6/15/2015
PG &E Corporation
❑ IND
$3,000.00
$3,000.00
77 Beale St
E] COM
San Francisco, CA 94105
E] OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$
Schedule A Summary
1. Amount received this period - itemized monetary contributions.
(Include all Schedule A subtotals.) ......................................... ...............................
2. Amount received this period - unitemized monetary contributions of less than $100 ........
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .............
1982109 -0
$3,775.00
$0.00
TOTAL $3,775.00
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275.3772)
n_ __ -1 -- _ r% r%_ -i w T.. -- .;- 4; -;..t, SCHFr)I11FR -PART1
Amounts may be rounded
Statement covers period
ICALIFORNIA
Loans Received to whole dollars.
1 /1 /2015
FORM •
from
through 6/30/2015
Page 5 of 13
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC- ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(a)
OUTSTANDING
(b)
AMOUNT
(c)
AMOUNT PAID
(d)
OUTSTANDING
(e)
INTEREST
(f)
ORIGINAL
(g)
CUMULATIVE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
BALANCE
BEGPERIOD THIS
rt VD
RECEIVED THIS
PERIOD
OR FORGIVEN
THIS PERIOD"
BALANCE AT
CLODS &?F JTHIS
tt'' IOO
PAID THIS
PERIOD
AMOUNT OF
LOAN
CONTRIBUTIONS
TO DATE
❑ PAID
CALENDAR YEAR
%
RATE
❑ FORGIVEN
PER ELECTION —
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
RATE
❑ FORGIVEN
PER ELECTION -
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
%
RATE
❑ FORGIVEN
PER ELECTION -
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
SUBTOTAL$
$
$
$
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 $100 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.
1982109 -0
$0.00
$0.00
NET $0.00
(May be a negative number)
(Enter (e)on
Schedule E, Line 3)
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (January/05)
FPPC T°II -Free Helpline: 866 1ASK -FPPC (866/275 -3772)
c�_t -- -1 _ i+ T., o— ., +, i., SCHFDLIIFC
Amounts may be rounded
Nonmonetary Contributions Received to dollars.
Statement covers period I
CALIFORNIA
whole
1/1/2015
460
from
FORM
6/30/2015
through
Page 6 Of 13
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
DATE
FULL NAME STREET ADDRESS AND
,
ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
DESCRIPTION OF
AMOUNT/
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE`
IF
( SELF - EMPLOYED, ENTER NAME
OF BUSINESS)
GOODS OR SERVICES
FAIR MARKET
VALUE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
TO DATE
( IF REQUIRED)
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule C Summary
1. Amount received this period - itemized nonmonetary contributions.
(Include all Schedule C subtotals.) .............................. ...............................
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.)
1982109 -0
$0.00
$0.00
..................TOTAL $0.00
*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 Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
r% Tv S(.HPr)tll F r)
VV111i MM 114-1 Y - -.
Amounts may be rounded
Summary of Expenditures to dollars.
Statement covers period ICALIFORNIA
whole
1/1/201s
460
Supporting /Opposing Other
from
FORM
Candidates, Measures and Committees
6/30/2015
, 13
through
Page of
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
DATE
NAME OF CANDIDATE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
OR COMMITTEE
(JAN.1 -DEC. 31)
(IF REQUIRED)
2/20/2015
Tim Orozco
$500.00
$500.00
Office Description: CouncilmemberJurisdiction:
City
Monetary
District 4
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Expenditure
0 Support El Oppose
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
El Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Expenditure
❑ Support ❑ Oppose
SUBTOTAL$
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ........................................................... ............................... $500.00
2. Unitemized contributions and independent expenditures made this period of under $100 ................................................................................ ...............................
$0.00
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ................................ ............................... $500.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
1982109 -0
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 1/1/2015
SCHEDULE E
SEE INSTRUCTIONS ON REVERSE through 6/30/2015 Page 8 of 13
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 paraphernalia /mist.
MBR
member communications
RAD
radio airtime and production
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate fling /ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
IND
independent expenditure supporting /opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS PAYEE
(IF COMMITTEE, ALSO ENTER R I .D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Liquid Restaurant and Lounge
Mixer food and beverages
$1,000.00
32 S 3rd St
San Jose, CA 95113
Olympic 5 -28 -15
Awards for Mixer
$67.00
1358 E. San Fernando St
San Jose, CA 95116
Nation Builder 3 -11 -15
Website maintenance
$29.00
520 S. Grand Ave., 2nd Floor
Los Angeles, CA 90071
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
Schedule E Summary
1. Itemized payment made this period. (Include all Schedule E subtotals.) ............................................. ...............................
2. Unitemized payments made this period of under $100 ..................................................................... ...............................
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.) ................
1982109 -0
$1,367.00
................. $0.00
$0.00
$1,367.00
FPPC Form 460 (January/05)
FPPC Toll -Free Hdplin 866 /ASK -FPPC (8661275 -3772)
Schedule E Type or print in ink. SCHEDULE E
(Continuation Sheet) Amounts may be rounded Statement covers period -
Payments Made
to whole dollars. 1/1/2015 FOR
from
ON REVERSE
NAME OF FILER
ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
through 6/30/2015
Page 9 of 13
I.D. NUMBER
1340395
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphernalia /misc.
MBR
member communications
RAD
radio airtime and production
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)`
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 candidate /sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technoloov costs (internet. e-mail)
NAME AND ADDRESS PAYEE
(IF COMMITTEE, ALSO ENTER R I .D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Nation Builder 3 -11 -15
Website maintenance
$29.00
520 S. Grand Ave., 2nd Floor
Los Angeles, CA 90071
Nation Builder 3 -11 -15
Website maintenance
$29.00
520 S. Grand Ave., 2nd Floor
Los Angeles, CA 90071
Nation Builder 4 -20 -15
Website maintenance
$29.00
520 S. Grand Ave., 2nd Floor
Los Angeles, CA 90071
Nation Builder 5 -18 -15
Website maintenance
$29.00
520 S. Grand Ave., 2nd Floor
Los Angeles, CA 90071
Nation Builder 6 -18 -15
Website maintenance
$29.00
520 S. Grand Ave., 2nd Floor
Los Angeles, CA 90071
" 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 (866/2753772)
1982109 -0
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 1/1/2015
through 6/30/2015
SCHEDULE E
Page 10 of 13
I.D. NUMBER
1340395
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphernalia /mist.
MBR
member communications
RAD
radio airtime and production
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing /ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
IND
independent expenditure supporting /opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
Drint ads
wFR
infnrmntinn fachnnlnn \/ a fe /inf —mf c nih
NAME AND ADDRESS PAYEE
(IF COMMITTEE, ALSO ENTER R I .D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Sean Manalo
4575 Piper St
Fremont, CA 94538
Reimbursement for Meeting dinner
$126.00
* 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 (866/275 -3772)
1982109 -0
Schedule F
Accrued Expenses (Unpaid Bills)
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 1/1/2015
through 6/30/2015
SCHEDULE
Page 11 of 13
I.D. NUMBER
1340395
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphernalia /misc.
MBR
member communications
RAD
radio airtime and production
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
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 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 COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
(b)
AMOUNT INCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSING
OF THIS PERIOD
• P. .9'.".d oe1S°in' tr o ions or imtepenaem ex�neiwres muse also ee summer ed on seneawa D. SUBTOTAL $ $ $
5
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ......................................... ...............................
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $ 100.) ....................... ...............................
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.) ....................................................................................................... ...............................
1982109 -0
......INCURRED TOTALS $0.00
.PAID TOTALS $0.00
NET $0.00
(May be a negative number)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule H
Loans Made to Others*
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 1/1/2015
6/30/2015
SCHEDULE H
SEE INSTRUCTIONS ON REVERSE
through
Page 12
of 13
NAME OF FILER
ASIAN PACIFIC- ISLANDER EMPOWERMENT PAC
(API EMPOWERMENT PAC)
I.D. NUMBER
1340395
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(a)
OUTSTANDING
(b)
AMOUNT
(c)
REPAYMENT OR
(d)
OUTSTANDING
(e)
INTEREST
(f)
ORIGINAL
(g)
CUMULATIVE
OF RECIPIENT
(IF SELF - EMPLOYED, ENTER
BALANCE
LOANED THIS
FORGIVENESS
BALANCE AT
RECEIVED
AMOUNT OF
LOANS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
NAME OF BUSINESS)
BEGINNING THIS
PERIOD
THIS PERIOD`
CLOSE OF THIS
LOAN
TO DATE
PERIOD
PERIOD
❑ PAID
CALENDAR YEAR
RATE
❑ FORGIVEN
PER ELECTION—
'Loans that are contributions to another candidate or committee
must also be summarized on Schedule D. Loans forgiven must
also be reported on Schedule E.
Schedule H Summary
1. Loans made this period ....................................... ...............................
(Total Column (b) plus unitemized loans of less than $100.)
2. Payments received on loans ................................. ...............................
(Total Column (c) plus unitemized payments of less than $100.)
3. Net change this period. (Subtract Line 2 from Line 1.) ..............................
Enter the net here and on the Summary Page, Column A, Line 7.
1982109 -0
DATE DUE
❑ PAID
❑ FORGIVEN
DATE DUE
SUBTOTALI$ I$ I$
$0.00
$0.00
.................. ............................NET $0.00
(May be a negative number)
DATE INCURRED
CALENDAR YEAR
o�
RATE
PER ELECTION"
DATE INCURRED
(Enter (a)on
Schedule I, Line 3)
*" If required.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
0— L.. -..1- -1.- 1 T „no — fiCHP:ni ii F I
VVI I%.” 14 1
Amounts may be rounded
-
Statement covers period 1
Miscellaneous Increases to Cash to whole dollars.
CALIFORNIA
1/1/2015
FORM 460
from
6/30/2015
SEE INSTRUCTIONS ON REVERSE
through
Page 13 of 13
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC - ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
DATE
FULL NAME AND ADDRESS OF SOURCE
AMOUNT OF
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT
INCREASE TO CASH
SUBTOTAL$
Schedule I Summary
1. Itemized increases to cash this period . ............................................................................................................ ............................... $0.00
2. Unitemized increases to cash of under $100 this period . ..................................................................................... ............................... $0.00
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ...................................... ............................... $0.00
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
SummaryPage, Line 14.) ................................................................................................................... ............................... TOTAL $0.00
FPPC Form 460 (January/05)
FPPC Toll -Frce Wpki 866 /ASK -FPPC (866/275 -3772)
1982109 -0