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460 Recipient Committee Campaign Statement - Semi Annual 06-30-2016 to 12-31-2016 Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if applit (Month,Day,Year) from 6/30/2016 through 12/31/2016 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2, ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part 5) O Sponsored � General Purpose Committee (Also Complete Part 6) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee O Political Party/Central Committee Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER 1340395 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) ASIAN PACIFIC—ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL:FAX/E-MAIL ADDRESS COVER PAGE FEB - 1 2017 1 W-&--of 11 or pfficial Use Only 11/8/2016 j CVPERTINO CITY CIJERK Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement 0 Semi-annual Statement ❑ Special Odd-Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement-Attach Form 495 ❑ Amendment(Explain below) Treasurers) NAME OF TREASURER Andrae Macapinlac MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 information contained herein Executed on BY Date Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on B Y Data Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on Date By 460(January/05) Signature of Controlling Officeholder,Cantlidate,State Measure Proponent FPPC Fonn FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) State of California Recipient Committee Type or print in ink. COVER PAGE-PART 2 Campaign Statement CALIFORNIA Cover Page - Part 2 FORM 460 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE O 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Page 2 of 11 FFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑SUPPORT ❑OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE [I OPPOSE RESIDENTIAUBUSINESS ADDRESS(NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement:List any committees not included in this statement that are controlled by you or are primarily formed to receive ❑OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE contributions or make expenditures on behalf of your candidacy. OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY ❑OPPOSE COMMITTEE NAME I.D.NUMBER 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? [—]YES ❑NO officeholder(s)or candidate(s)for which this committee is primarily formed. 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 AKtA UUUWVNUNh Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASK-FPPC(866/2753772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period ICALIFORNIA Summary Page to whole dollars. from FORM- 460 SEE INSTRUCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 12/31/2016 through Page 3 of 11 I.D.NUMBER 1340395 Contributions Received Column A Column B Payments Made ......................................................... schedule E,Line 4 $441.00 TOTAL THIS PERIOD CALENDAR YEAR Calendar Year Summary for Candidates $0.00 8. (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and 1. Monetary Contributions ................................................ Schedule A,Line $0.00 $14,045.00 General Elections 2. Loans Received .......................................................... Schedule s,Line 3 $0.00 $0.0 0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ................................ Add Lines 1+2 $0.00 $14,045.00 20. Contributions Received 4. Nonmonetary Contributions ........................................... schedule c,Line $0.00 $0.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ............................... Add Lines 3+4 $0.00 $14,045.00 Made Expenditures Made 12. 6. Payments Made ......................................................... schedule E,Line 4 $441.00 7. Loans Made ............................................................... schedule w,Line 3 $0.00 8. SUBTOTAL CASH PAYMENTS ........................................ Add Lines 6+7 $441.00 9. Accrued Expenses(Unpaid Bills) .................................... Schedule F,Line 3 $0.00 10. Nonmonetary Adjustment ............. LOAN GUARANTEES RECEIVED Schedule e,Part 2 $0.00 Cash Equivalents and Outstanding Debts ............................... schedule C,Line 3 Cash Equivalents ..............................................See instructions on reverse 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8+9+10 $441.00 Current Cash Statement 12. Beginning Cash Balance .............................. Previous Summary Page,Line 16 $3,883.73 13. Cash Receipts ..................................................... Column A,Line 3 above $0.00 14. Miscellaneous Increases to Cash .................................. Schedule 1,Line 4 $0.00 15. Cash Payments ................................................... Column A,Line a above $441.00 16. ENDING CASH BALANCE ............... Add Lines 12+13+14,then subtract Line 15 $3,442.73 If this is a termination statement,Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule e,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 a above $0.00 913nA15-n $11,523.86 $0.00 $11,523.86 $0.00 $0.00 $11,523.86 To calculate Column B,add amounts in Column A to the corresponding amount from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year,only carry over the amounts from Lines 2,7,and 9(if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460(January/05) FPPC Toll-Free Helpline:666/ASK-FPPC(6661275-3772) CrhorJ��l� A Tvna nr nrint in inlr Sr:HFr11 II F O - Amounts may be rounded Monetary Contributions Received to Statement covers period I CALIFORNIA whole dollars. 460 6/30/2016 from FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 4 Of 11 NAME OF FILER I.D. ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) NUMBER 1340395 DATE RECEIVED FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE' (IF SELF-EMPLOYED,ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE OF BUSINESS) PERIOD (JAN.1-DEC.31) (IF REQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period-itemized monetary contributions. (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.) ...................................... 13n41.5-n $0.00 $0.00 TOTAL $0.00 *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other(e.g.,business entity) PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK.FPPC(866/275-3772) Schedule B - Part 1 Type or print in ink. SCHEDULE B-PART 1 Statement covers period from 6/30/2016 CALIFORNIA FORM • 1 Amounts may be rounded Loans Received to whole dollars. SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 5 of 11 NAME OF FILER I.D.NUMBER 1390395 ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) FULL NAME,STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE,ALSO ENTER I.D,NUMBER) IF AN INDIVIDUAL,ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) (a) OUTSTANDING BALANCE BEGP R NOOGD THIS (b) AMOUNT RECEIVED THIS PERIOD (c) AMOUNT PAID OR FORGIVEN THIS PERIOD* (d) OUTSTANDING BALANCE AT CLOR % HIS ERIO (e) INTEREST PAID THIS PERIOD ORIGINAL AMOUNT OF LOAN CUMULATIVE CONTRIBUTIONS TO DATE ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION- RATE IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION— RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTAL$ $ $ $ Schedule B Summary 1. Loans received this period ............................................................ .......................................... (Total Column(b)plus unitemized loans of less than$100.) $0.00 Z. Loans paid or forgiven this period .......................................... $0.00 ..................................................................................... (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. .............NET $0.00 (May be a negative number) (Enter(e)on Schedule E,Line 3) *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other(e.g.,business entity) PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Srharl i ila r TvnP.nr nrint in ink Rr r:r)l II F r` Amounts may be rounded Nonmonetary Contributions Received to Statement covers period CALIFORNIA whole dollars. 460 6/30/2016 FORM from SEE INSTRUCTIONS ON REVERSE through 12/31/2016 Page 6 Of 11 NAME OF FILER I.D.NUMBER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER OCCUPATION AND EMPLOYER DESCRIPTION'OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE' (IF SELF-EMPLOYED,ENTER NAME GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE OF BUSINESS) (JAN.1-DEC.31) (IF REQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC I"Ill-1 a uVnar uuUrrnauun un appropriareiviaDeieacontinuatlon sheets. SUBTOTAL$ -_-- 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.) ................ 9 1:1nA 15-n $0.00 $0.00 ..TOTAL $0.00 *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other(e.g.,business entity) PTY-Political Party SCC-Small Contributor Committee FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK.FPPC(8661275-3772) Srhiadi lily r) TVDe or nrint in ink SCHFr)l II F n Amounts may be rounded Summary of Expenditures to Statement covers period CALIFORNIA whole dollars. 6/30/2016 460 Supporting/Opposing Other from FORM Candidates, Measures and Committees 12/31/2016 through Page 7 of 11 NAME OF FILER I.D.NUMBER ASIAN PACIFIC—ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE NAME OF CANDIDATE,AND DISTRICT,OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION OR COMMITTEE (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE (JAN.1-DEC.31) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent E] Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL$ Schedule D Summary 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.) .............................. g1ina1s-n $0.00 $0.00 $0.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule E Type or print in ink. SCHEDULE E Payments Made Amounts may be rounded Statement covers period I CALIFORNIA towholedollars. 6/30/2016 FORM • ' from SEE INSTRUCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) through 12/31/2016 Page 8 of 11 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 PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Santa Clara County United Democratic Campaign CTB 2102 Almaden Rd $100.00 San Jose, CA 95125 COMMITTEE ID: 871053 Facebook One Hacker Way Web and visibility $325.00 Menlo Park, CA 94025 rayments tnat are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 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.) ............................ gvsngis-o $425.00 $16.00 $0.00 $441.00 FPPC Form 460(January/05) FPPC Tall-Free Helpline:866/ASK-FPPC(666/275-3772) Schedule F Type or print in ink. SCHEDULE F Accrued Expenses (Unpaid Bills) Amounts may be rounded Statement covers period 0 . to whole dollars. 6/30/2016 • • from SEE INSTRUCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) through 12/31/2016 Page 9 of 11 I.D.NUMBER 1390395 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 informatinn tanhnnIn ,r fe /Ix,to _+ — --;IN NAME AND ADDRESS OF CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTST NDING BALANCE BEGINNING OF THIS PERIOD AMOUNT INCURRED THIS PERIOD AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) OUTSTANDING BALANCE AT CLOSING OF THIS PERIOD ummailiatl onlSChed_F)nbna or Intlapentlenl expentlllum muss also b su—nzetl on Schetlub D. __— $ Schedule F Summary 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.)........................................................................................................................ 21snalr-n .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) Crhnril do N Tvna nr nrint in inlr crul=nl u G W * Amounts may be rounded Loans Made to Others to whole dollars. Statement covers period 6/30/2016 from CALIFORNIA FORM 460 SEE INSTRUCTIONS ON REVERSE 12/31/2016 through Page 10 of 11 NAME OF FILER ASIAN PACIFIC—ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) D.NUMBER I.1390395 FULL NAME,STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE,ALSO ENTER I.D.NUMBER) IF AN INDIVIDUAL,ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED,ENTER NAME OF BUSINESS) (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD (b) AMOUNT LOANED THIS PERIOD (c) REPAYMENT OR FORGIVENESS THIS PERIOD' (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST RECEIVED (f) ORIGINAL AMOUNT OF LOAN CUMULATIVE LOANS TO DATE ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION" DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR 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. $ $ $ $ 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. $0.00 $0.00 .....NET $0.00 (May be a negative number) (Enter(e)on Schedule I,Line 3) E-- required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Rd-hint-1111'a I Tvna nr nrint in inlr CCI4r_r11 11 C l Amounts may be rounded Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period 6/30/2016 from through 12/31/2016 CALIFORNIA FORM 460 11 Page of 11 NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) I.D.NUMBER 1340395 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH SUBTOTAL$ 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.) .......................................................................................................................... 21ing1s-n $0.00 .............................. $o.0 0 $0.00 ..........TOTAL $0-00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)