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460 Recipient Committee Campaign Statement - Semi Annual 01-01-2016 to 06-30-2016 '1 i COVER PAGE Recipient Committee Type or print in ink. D � ,� �(���I�� — . _ L Campaign Statement ' '� _' � • 1 Cover Page .UG - 1 2016 � Page 1 of 19 (Government Code Sections 84200-84216.5) Statement covers period Date of election if a c . (Month,Day,Y�ear) For Official Use Only 1/1/2016 ' I from 6/30/2016 6/6/2016 CUPEf�TINO CITY CC.ERK SEE INSTRUCTIONS ON REVERSE through . 1. Type of Recipietlt Committee: w�committees-comp�ete Parts�,2,3,a�a a. 2. Type of Statement: ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee � Semi-annual Statement ❑ Special Odd-Year Report �Recall �Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complele PaR 5) O Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complefe Parf 6) ❑ Amendment(Explain below) � General Purpose Committee �Sponsored ❑ Primarily Formed Candidate/ �Small Contributor Committee Officeholder Committee �Political Party/Central Committee (A/so Complete Part 7) I.D.NUMBER 3. Committee Information I 1390395 Treasurer(s) - NAMEOFTREASURER COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) AridYae MdCapinldC ASIAN PACIFIC—ISLANDGR EMPOWERMENT PAC (API �MPOW�RMENT PAC) 956 Lomer Way MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE 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 Executed on �������-6 BY ' � p�1e Signalura of Treasurcr or Assislanl Treasurer Executed on BY ' Date SignaWre of Conlrolling Olfceholder,Candldate,State Measuro Proponenl or Responsi6le Offcer of Sponsor Executed on BY ' Date Signature of Controtling Olfceholder,Candidate,State Measure Proponent Executed on By . FPPC Form 460(January/OS) Dare Signa�ure of Contrnllin9 Office�oltler,Candidate,Siate Moasura Proponem FPPC Tdl-Free Helpline:866/ASK-FPPC(866/275-3772) Slate of Califom�ia �nF�n�a-n � Recipient Committee Type or print in ink. COVER PAGE-PART 2 Campaign Statement ' �' ' , � � Cover Page - Part 2 Page ? of 19 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 RESIDENTIAL/BUSINESS ADDRESS(NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. � NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement:u5ca�y�omm;�rees not included in this statement that are controlled by you o�are primarily fo�med to receive OFFICE SOUGHT OR HELD I DISTRICT NO.IF ANY contributions or make expenditures on 6ehalf of your candidacy. COMMITTEE NAME I.D.NUMBER ' NAME OF TREASURER CONTROLLED COMMITTEE7 7� P�I1712CII�/FOI'I71@CI CF111CIIC�cIt@IOfFICeIIOICIe�COI'T1111Itt2C List names of ❑YES ❑NO officeholder(s)or candidate(s)for which this committee is primarily formed. COMMITTEE ADDRESS STREET ADDRESS(NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HGLD ❑SUPPORT ❑OPPOSE CITY , STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � ❑SUPPORT COMMITTEE NAME I.D.NUMBER ❑OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? ❑YES ❑NO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD �SUPPORT COMMITTEE ADDRESS STREET ADDRESS(NO P.O.BOX) ❑OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Atfach confinuation sheets if necessary FPPC Form 460(January/OS) FPPC Toll-Free Helpline:e66/ASK-FPPC(86G/2753772) S�a�e of California �(1R'ifl1 R-fl Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Amounts may be rounded Statement covers period • - Summary Page towholedollars. 1/1/2016 • ' � � ' from 6/30/2016 3 �q through Page of SEE INSTRUCTIONS ON REVERSE I.D.NUMBER NAME OF FILER ASIAN PACII'IC-ISLANDER EMPOWERMENT PAC (API GMPOW�RMENT PAC) 1390395 Column A Column B Contributions Received TOTALTHISPERIOD CALEND�RVEAR Calendar Year Summary for Candidates (FROMATTACH[DSCHEDULES) TOTALTODATE Running in Both the State Primary and �. MOf12t81'yCOfltflbUYlOf1S ................................................ ScheduleA,Line3 $1,775.00 51.,775.00 GeneralElections 2. Loans Received 50.00 50.00 20. Contributions ���through6l30 7/t toDate ..........................................................Schedule 8,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ................................ .add�ines�+z S1,775.00 S1,��5.0o Received 4. NonmonetaryContributions ...........................................scned�iec,�ines $0.0o So.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............................... AddLines3+4 $1,775.00 $1,775.00 Made Expenditures Made Expenditure Limit Summary for State I 6. Payments Made 59,912.00 59,912.00 Candidates ......................................................... Schedule E,Line 4 7. LOaf1S M8d0 ............................................................... Schedule H,Line 3 $�•�� So.00 22. Cumulative Expenditures Made` 8. SUBTOTAL CASH PAYMENTS $9,912.0 0 S 9,912.0 0 Qf Subject to Voluntary Expenditure LimiQ ........................................ Add Lines 6+7 9. Accrued Expenses(Unpaid Bills) .................................... scneduie F,�i�e s $0.0o So.0o Date of Election Total to Date 10. Nonmonetary Adjustment ............................................ soned�ie c,u�e s $0.0 0 $0.0 0 (mm/dd/yy) 11. TOTALEXPENDITURESMADE ................................ AddLines8+g+10 ���n12.00 59,912.00 Current Cash Statement 12. Be innin Cash Balance Previous SummaryPac�e,Line is $3,958.59 To calculate Column B,add 9 9 .............................. amounts in Column A to the Amounts in this section may be different rom amoun s 13. Cash Receipts ColumnA,Line3above �1,775.00 reported in Column B. ..................................................... corresponding amount 14. Miscellaneous Increases to Cash .................................. scneduie�,une a $0.00 from Column B of your last report. Some amounts in 15. Cash Payments ............................. coiumn a,�r�e a aoo�e $9�912.o o Column A may be negative ...................... S1 321.59 fgures that should be 16. ENDING CASH BALANCE ............... Add Lines 12+13+14,then subtrac�Line 15 subtracted from previous period amounts. If this is If this is a termination stafement,Line 16 must be zero. the first report being filed for this calendar year,only 17. LOAN GUARANTEES RECEIVED ................................ scnedwe e,Pan 2 $0.00 carry over the amounts from Lines 2,7,and 9(if any). Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on�everse $0.00 .............................................. 19. Outst8llding Debts .......:.........................Add Line 2+Line 9 in Column B above $0.00 FPPC Form 460(January/OS) FPPC Toll-Free Helpline:866IASK-FPPC(8 6 6127 5-3 7 7 2) �nF�n�R-n � Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period � - Monetary Contributions Received towholedollars. 1/1/2016 • - � • � from 6/30/2016 SEE INSTRUCTIONS ON REVERSE through Page 9 Of 19 NAME OF FILER I.D.NUMBER ASIAN PACII'IC—ISLANDCR EMPOWERM�NT PAC (API GMPOWERMCNT PAC) 1340395 . IF AN INDIVIDUAL,ENTER qMOUNT CUMULATIVE TO DATE PER ELECTION �ATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE` (IF SELF-EMPLOVED,ENTGR NAME RECEIVED THIS CALENDAR YEAR TO DATE OF euSiNESS) PERIOD (JAN.1-DEC.3'I) (IF REQUIRED) 5/5/2016 Anna rshoo for Congress ❑ IND $1,000.00 $1,000.00 ❑ OTH ❑ PTY ❑ SCC 5/5/2016 Grace Sonia Melanio � IND OCCUPATION: Consultant $75.00 $75.00 ❑ OTH ❑ PTY ❑ SCC 5/5/2016 Wendy Ho � IND �CCUPATION: Trustee $100.00 $100.00 ❑ OTH �vergreen School Distri.ct ❑ PTY ❑ SCC 5/12/2016 Mar.garet Abe-Koga � IND � OCCUP�TION: $100.00 $100.00 LMPLOYER: CiLy of ❑ OTH Mount-ain view ❑ PTY ❑ SCC 5/11/2016 Evan Low � IND OCCUPATION: $100.00 $100.00 ❑ OTH �MPLOYGR: CA State Assembly ❑ PTY ❑ SCC S U BTOTAL$ N".-:..�.. Schedule A Summary `Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) S1,575.oo COM-Recipient Committee ................................................................................................................ S2o0.00 (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$�00 ................................................. OTH-Other(e.g.,business entity) 3. Total monetary contributions received this period. PTY-Political PaRy (Add Lines 1 and 2. Enter here and on the Summary Page,Column A,Line 1.) ...........................................TOTAL $1,��5.oo SCC-Small Contributor Committee FPPC Form 460(January/OS) � FPPC Tolt-Free Helpline:866/ASK-FPPC(866/275-3772) �nF�n�R-n Type or print in ink. SCHEDULE A(CONT.) Schedule A (Continuation Sheet) Amounts may be rounded Statement covers period • - Monetary Contributions Received towholedollars. 1/1/2016 . - ' • � from 6/30/2016 5 19 through Page of NAME OF FILER I.D.NUMBER ASIAN PACIFIC—ISLANDER EMPOWERMENT PAC (API GMPOWCRMENT PAC) 1390395 � IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPIOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (�F COMMITTEE,ALSO ENTER I.D.NUMBER) . CODE' (�F SELF-EMPLOVED,ENTER NAME pERIOD (JAN.1-DEC.31) (IF RE�UIRED) OF BUSINESS) 5/19/2016 ❑ COM �ssemblymember. San Jose, CA 95132 F.MPLOYFR: CA State ❑ OTH ]lssembly ❑ PTY ❑ SCC 5/8/2016 ❑ COM Councilmember Milpitas, CA 95035 EMPLOYER: City of ❑ OTH Milpitas ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ i�, `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/OS) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) �nF�n�ft-n Type or print in ink. SCHEDULE B-PART 1 Schedule B - Part 1 Amounts may be rounded Statement covers period � - Loans Received to whole dollars. I � iii�zoi6 . - • from 6/30/2016 SEE INSTRUCTIONS ON REVERSE YhfOUgh Page 6 Of 14 NAME OF FILER I.D.NUMBER ASIAN PACIFIC—ISLANDCR EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 IF AN INDIVIDUAL,ENTER (a) (b) (c) (d) (e) (f) (g) FULL NAME,STREET AODRESS AND ZIP CODE OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS QF COMMITTEE,ALSO ENTER I.D.NUMBER) (�F S6LF-EMPLOVED,ENTER gEGINNI�.JG THIS PERIOD THIS PERIOD' CLOSFpF THIS PERIOD LOAN TO DATE NAME OF BUSINESS) pERIOD PERIOD ❑ PAID CALENDAR YEAR I % RATE ❑ FORGIVEN PER ELECTION" t0 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$ $ $ $ p�`��x����r��i�'.�' ��,�::�x�'��a.� � ��;'Gr �, � � ��`�r� (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period S0.00 .................................................................................................................................. (Total Column(b)plus unitemized loans of less than$100.) `Contributor Codes IND-Individual 2. Loans paid or forgiven this period .................................... S0.00 COM-Recipient Committee ................................................................... (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g.,business entity) PTY-Political Party 3. Net chan e this eriod. Subtract Line 2 from Line 1. NET $0.00 SCC-Small Contributor Committee 9 P � ) ...................................................................................... Enter the net here and on the Summary Page,Column A,LIf1@ 2. (Maybeanegalivenumber) I 'Amounts forgiven or paid by another party also must be reported on Schedule A. "`If I'BqUlfOd. FPPC Form 460(Januaryl05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) �nF�n�R-n Type or print in ink. SCHEDULE C Schedule C Amounts may be rounded Statement covers period � - Nonrrionetary Contributions Received towholedollars: 1/1/2016 . - ' . 1 from 6/30/2016 SEE INSTRUCTIONS ON REVERSE I t�'1fOU9h Page � Of 19 NAME OF FILER I.D.NUMBER ASIAN PACIP'IC-ISLAND�R EMPOWERMENT PAC (API EMPOW�RML�NT PAC) 1390395 FULL NAME,STREET ADDRESS AND IF AN INDIVIDUAL,ENTGR CUMULATIVE TO ` DATE CONTRIBUTOR � OCCUPATION AND EMPLOYER � DESCRIPTION OF AMOUNT/ DATE PER ELECTION � ZIP CODE OF CONTRIBUTOR FAIR MARKET TO DATE RECEIVED (IF COMMITTEE,ALSO[NTER I.D.NUMBER) CODE' QF SELF-EMPLOYFD,ENTER NAME GOODS OR SERVICES VALUE CALENDAR YEAR IF REQUIRED OF BUSiNESS) (JAN.1-DEC.3�) � � ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC , Atfach additional information on approoriatelv labeled continuation sheets. SUBTOTAL$ �;�;'_ Schedule C Summary *Contributor Codes 1. Amount received this period-itemized nonmonetary contributions. SO.oo IND-Individual (Include all Schedule C subtotals.) ................................................................................................................. COM-Recipient Committee S0.00 (other than PTY or SCC) 2. Amount received this period-unitemized nonmonetary contributions of less than$100 .......................................... OTH-Other(e.g.,business entity) PTY-Political Party 3. Total nonmonetary contributions received this period. SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A,Lines 4 and 10.) .................................TOTAL $0.00 FPPC Form 460(January/OS) FPPC Toll-Free Helpiine:866/ASK-FPPC(866/2753772) �nF3n�R-n Schedule D Type or print in ink. SCHEDULE D Amounts may be rounded Statement covers period � - Summary of Expenditures towholedollars. I � Supporting/Opposing Other 1�1�2016 . - • fram Candidates Measures and Committees 6�3°�Z°16 o through Page $ of 14 SFF INCTRI I(�TICINC f1N RF\/FRCF � NAME OF FILER � LD.NUMBER ASIAN PACIFIC—ISLANDER EMPOWERMCNT PAC (API GMPOWERMENT PAC) ' 1390395 NAME OF CAN�IDATE,AND DISTRICT,OR �ESCRIPTION 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) � Monetary Contribution � Nonmonetary Contribution � Independenl Expenditure ❑ Support ❑ Oppose � Monetary Contribution � Nonmonetary Contribution � Independent Expenditure ❑ Support ❑ Oppose � Monetary Contribution � Nonmonelary Contribution � Independent Expenditure ❑ Support ❑ Oppose � , �� � �, SUBTOTAL$ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) . ........................................................................................ $o.o0 2. Unitemized contributions and independent expenditures made this period of under$100 .......................... ....................................................................................... So.o0 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............................................................... $0.00 FPPC Form 460(January/OS) FPPC Toll-Free Helpline:866/�SK-FPPC(e66/275-3772) �na�n�st_n Schedule E Type or print in inik. SCHEDULE E Payments Made Amounts may be rounded Statement covers period � - towholedollars. 1/1/2016 • - � • 1 I from � 6/30/2016 SEE INSTRUCTIONS ON REVERSE I th�0U9h Page 9 Of 19 NAME OF FILER � I.D.NUMBER ASIAN PACIFIC—ISLANDCR GMPOW�RMGNT PAC (API GMPOWERM�NT PAC) i 1390395 CODES; If one of the following codes accurately describes the payment, you may el;nter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MBR member communications RAD radio aiRime and production CNS campaign consultants MTG meetings and appearances RFD retumed 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 messeniger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services(legal,accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs(internet,e-mail) � NAME AND ADDRESS OF PAYEE I (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID red �x POS 55 $55.00 Michael's at Shoreline Restaurant Rese vation fee for annual dinner $900.00 Evan Low for Assembly 2016 CTB I $625.00 'Pa ments that are contri Ii � y butions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary � 1. Itemized payment made this period. (Include all Schedule E subtotals.) .................................................:. S�,397.00 ............................................................................... 2. Unitemized payments made this period of under$100 ...................................................................................................................................... 515.00 ......................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1,Column(e).) So.00 ............................... .......................................................................... . 4. Total payments made this period. (Add Lines 1,2,and 3. Enter here and on the Summary Page, Column A,line 6.) ............................................................................ $9�912.00 �I FPPC Form 460(January/OS) li FPPC Toil-Free Helpline:866/�SK-FPPC(B66/2753772) 'Jl1�Z Il�R_!1 Schedule E Type or print in ink. SCHEDULE E(CONT.) (Continuation Sheet) Amounts may be�rounded Statement covers period � - towholedolliars. 1/1/2016 • - � � ' Payments Made from 6/30/2016 I through Pa9e 1� of 19 SEE WSTRUCTIONS ON REVERSE � NAME OF FILER I.D.NUMBER ASIAN PACIFIC-ISLANDGR GMPOWERMENT PAC (API EMPOWERMGNT PAC) I 1390395 CODES: If one of the following codes accurately describes the payment,you ma��l enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production CNS campaign consultants MTG meetings and appearances, RFD retumed contributions CTB contribution(explain nonmonetary)* OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey researchlI TRS staff/spouse travel,lodging,and meals IND independent expenditure supporting/opposing others(explain)' POS postage,delivery and mess�enger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services(Iegal;accounting) VOT voter registration LIT campaign literature and mailings PRT print ads I WEB information technology costs(internet,e-mail) NAME AND ADDRESS OF PAYEE QF COMMITTEE,ALSO ENTER I.D.NUM6ER) CODE OR I DESCRIPTION OF PAYMENT AMOUNT PAID Mountain View, CA 99091 I Los Angeles, CA 90071 Checkbook order 593.00 15955 La Cantera Pkwy San Antonio, Tx 78256 COMMITTEE ID: 799559 Foo for meeting S177.00 177 Mowr.y School. Rd Newark, CA 99560 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ � FPPC Form 460(January/OS) IFPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) �nF�n�ft-n �I . Schedule E Type or print in ink. SCHEDULE E(CONT.) Amounts may be rounded Statement covers period • - (Continuation Sheet) towholedollars�. 1/1/7_016 • ' , � t Payments Made f�om 6/30/2016 11 19 through Page of SEE INSTRUGTIONS ON REVERSE i � NAME OF FILER I.D.NUMBER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWGRMENT PAC) 1390395 � CODES: If one of the following codes accurately describes the payment, you may e�nter 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 I RFD retumed 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 messen aer services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services(legal,a¢counting) VOT voter registration LIT campaign literature and mailings PRT print ads �i WEB information technology costs(intemet,e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ' (IF COMMITTEE,ALSO ENTER I.D.NUMBER) I San Jose, CA 95110 Products Trophies for Awards $76.00 1358 E San Fernando St San Jose, CA 95116 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. I SUBTOTAL$ 'I FPPC Form 460(January/OS) FPPC Toll-Free Helpline�.866/ASK-FPPC(e66/275-3772) �nF�n�R-n Schedule F Type or print in il k. � SCHEDULE F Accrued Expenses (Unpaid Bills) Amounts may be rounded Statement covers period • - , ' to whole dollars. 1/1/2 016 • - � from 6/30/2016 12 19 through Page of SEEINSTRUCTIONS ON REVERSE � NAME OF FILER I.D.NUMBER ASIAN PACII'IC-ISLANDER EMPOWERM�NT PAC (API GMPOW�RML�NT PAC) 1390395 + CODES: ff 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 II RFD returned contributions CTB contribution(explain nonmonetary)" OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating I TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks j 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, �I ccounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs(internet,e-mail) I �a) Ib) (�) (d) ' NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEF,ALSO ENTER I.D.NUMBFR) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSING pF THIS PERIOD (ALSO REPORTON E) OF THIS PERIOD s P'wn`i a°n��s'cn�o�°i��o°�°°�°`�°a`o`�a�•m�.P��en�,res m�s�aise o�s�m��.�az�a o�s�n�a�ie o. SU BTOTAL$ $ 5 $ Schedule F 5ummary 1. Total accrued expenses incurred this period. (Include all Schedule F,Column(b)subtotals for 50.00 accrued expenses of$100 or more,plus total unitemized accrued expenses under$100.)..........................i,.,.....,......,,..........................................INCURRED TOTALS 2. Total accrued expenses paid this period. (Include all Schedule F,Column(c)subtotals for payments on I $0.00 accrued expenses of$100 or more,plus total unitemized payments on accrued expenses under$100.)........:...................................................................PAID TOTALS 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and So 00 on the Summary Page,Column A,Line 9.)........................................................................................II.................................................................................NET ' (May bi��a negalive number) FPPC Form 460(January/OS) FPPC Toll-Free Hclpline�,866/�SK-FPPC(866275-3772) �nF�n�a-n Schedule H Type or print in inl;. SCHEDULE H Amounts may be rounded Statement covers period � - Loans Made to Others* to whole dollars � �.ii�zoih . - • 1 from 6/30/2016 SEE INSTRUCTIONS ON REVERSE through Page 13 Of 19 NAME OF FILER I.�.NUMBER ASIAN PACI['IC—ISLANDER EMPOW�RMENT PAC (API EMPOWERM�NT PAC) �3no3�s IF AN INDIVIDUAL,ENTER (a) (b) (c) (d) (e) (f) (g) FULL NAME,STREET A�DRESS AND ZIP CODE OCCUPATION AND EMPLOYER OUTSTANDING AMOUPIT REPAYMENT OR OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF RECIPIENT (�F SELF-EMPLOVED,ENTER BALANCE LOANED fHIS FORGIVENESS BALANCE AT RECEIVED AMOUNT OF LOANS (IF COMMITTCE,ALSO ENTER I.D.NUMBER) NAME OF BUSIN[SS) BEGINNING THIS PERIOI) THIS PERIOD' CLOSE OF THIS LOAN TO DATE . PERIOD PERIOD ❑ PAID � CALENDAR YEAR % RATE ❑ FORGIVEN PER ELECTION"' DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR % RATE ' ❑ FORGIVEN PER ELECTION" DATEDUE DATEINCURRED e.. . . .. �_ ...... . . ... .. ' 'Loans that are contribulions to another candidale or committee " a must also be summarized on Schedule D. Loans forgiven must SUBTOTAL $ $ $ � also be reported on Schedule E. � , �.ry, �; ,,.7; 4� .,.,. A . . _ .... ..,. .. (Enter(e)on Schedule I,Line 3) Schedule H Summary 1. Loans made this period ................................................................................................................. .................... S0.00 (Total Column(b)plus unitemized loans of less than$100.) 2. Payments received on loans ........................ 50.00 ....................................................................................... (Total Column(c)plus unitemized payments of less than$100.) "`If required. 3. Net change this period. (Subtract Line 2 from Line 1.) ...NET $0.00 ............................................................................... Enter the net here and on the Summary Page,Column A,Line 7. �May b�a�egau�e��mbe�� FPPC Form 460(January/OS) FPPC Toll-Free Helpline:866/ASK-FPPC(B6612753772) 7(1C.'2l11 R_fl Schedule I Type or print in ir�k. SCHEDULE I Amounts may be rounded Statement covers period � - Miscellaneous Increases to Cash towholedollars. 1/1/2016 . - � • 1 from — 6/30/2016 SEE INSTRUCTIONS ON REVERSE through . Page 19 pf 19 NAME OF FILER I.D.NUMBER ASIAN PACIFIC—ISLANDER EMPOWGRMENT PAC (API GMPOWERMENT PAC) 1390395 DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH I SUBTOTAL$ Schedule I Summary 1. Itemized increases to cash this period. So.00 .............................................................................................................................. 2. Unitemized increases to cash of under$100 this period. S 0.00 ..................................................................... .............................................. 3. Total of all interest received this period on loans made to others. (Schedule H,Column(e).) ...................... .............................................. �0.o0 4. Total miscellaneous increases to cash this period. (Add Lines 1,2,and 3. Enter here and on the SummaryPage,Line 14.) .............................................................................................................. ...................................TOTAL S0.00 FPPC Form 460(January/OS) FPPC Toll-Free Helpllne:866/ASK-FPPC(866/275-7772) �nF�n�ft-n