Loading...
460 Recipient Committee Campaign Statement - Amendment 7-1-18 to 12-31-18Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period Date of election if applk (Month, Day, Year) from 7/1/zo1B COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) STREET ADDRESS (NO P.O. BOX) 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 and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 1/3/2019 By 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 Date 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: 866/ASK-FPPC (666/275-3772) State of California Recipient Committee Campaign Statement .•�....., r'....._ n_-& P% Type or print in ink. COVER PAGE - PART 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee I-VIC Ur UrrlUC ULUMN UN UHINUIUIII C OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE RESIDENTIAUBUSINESS 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: List any committees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee 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) 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 [I SUPPORT ❑ OPPOSE CITY STATE 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 I CALIFORNIA Summary Page to whole dollars. from 7/1/2018 _ FORM • 1 12/31/2018 SEE INSTRUCTIONS ON REVERSE through Page 3 of 21 NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 Contributions Received Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE 1. Monetary Contributions Schedule A, Line $12,320.00 $15,025.00 2. Loans Received.......................................................... Schedule B, Line 3 $0.00 $0.00 3. SUBTOTAL CASH CONTRIBUTIONS ................................ Add Lines 1+2 $12,320.00 $15,025.00 4. Nonmonetary Contributions Schedule C, Line $0.00 $0.00 5. TOTAL CONTRIBUTIONS RECEIVED ............................... Add Lines 3+4 $12,320.00 $15,025.00 Expenditures Made 6. Payments Made Schedule E, Line $10,415.88 $20,058.55 7. Loans Made............................................................... Schedule H, Line 3 $0.00 $0.00 8. SUBTOTAL CASH PAYMENTS ........................................ Add Lines 6+7 $10,415.88 .$20,058.55 9. Accrued Expenses (Unpaid Bills) .................................... Schedule F, Line3 $0.00 $0.00 10. Nonmonetary Adjustment Schedule C, Line3 $0.00 $0.00 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $10,415.88 $20,058.55 Current Cash Statement 12. ������������������������������ Beginning Cash BalancePrevious Summary Page, Line 16 $6,437.67 To calculate Column B, add 13. Cash Receipts Column A, Line 3above $12,320.00 amounts in Column A to the corresponding amount 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 $0.00 from Column B of your last report. Some amounts in 15. Cash Payments ................................................... Column A, Line 8 above $10,415.88 Column A may be negative 16. ENDING CASH BALANCE ............... Add Lines 12+ 13+ 14, then subtract Line is $8,341.79 figures that should besubtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed for this calendar year, only 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Part $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 reverse $0.00 19. Outstanding Debts ................................. Add Line 2 + Line 9 in Column B above $0.00 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received 21. Expenditures Made Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election 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: B66/ASK-FPPC (866/275-3772) A T,- n. SCHFDLILF A Amounts may be rounded Statement covers period CALIFORNIAMonetary Contributions Received to whole dollars. 460 7/1/2018 FORM from 12/31/2018 through Page 4 of 21 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 IF AN INDIVIDUAL, ENTER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR 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 OFBUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 9/22/2018 Edwin Tan IND OCCUPATION: Executive $250.00 $250.00 COM ❑ OTH Americans for Community ❑ PTY Involvement ❑ SCC 9/22/2018 Mohinder Mann IND OCCUPATION: Attorney $250.00 $250.00 COM ❑ OTH ❑ PTY ❑ SCC 9/22/2018 Paul Fong IND OCCUPATION: Lecturer $100.00 $100.00 ❑ OTH Valley College ❑ PTY ❑ SCC 9/22/2018 Rosemary Kamei IND OCCUPATION: District $100.00 $100.00 COM ❑ OTH EMPLOYER: Californis State Assembly ❑ PTY ❑ SCC 9/22/2018 Clarence Madrilejos IND OCCUPATION: Realtor $75.00 $75.00 ❑ OTH Realty ❑ PTY ❑ SCC SUBTOTAL$ 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.) ... 11,470.00 $850.00 TOTAL $12,320.00 "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) C'..L....J..1.. A //'+......a:...... -a: 117% L_ JLX Tuna nr nrint in ink' SCHEDULE A (CONT.) J1.11CUu1C H kVV"Ll"udLlVi .71ICClJ Amounts maybe rounded Statement covers period - Monetary Contributions Received to whole dollars. 1 7/1/2018 .- • from 12/31/2018 through Page 5 of 21 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 FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' (IF SELF-EMPLOYED, ER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) NESS) 9/26/2018 Yoshihiro Ushida IND OCCUPATION: Retired $250.00 $250.00 ❑ OTH ❑ PTY ❑ SCC 9/22/2018 Mountain View Firerfighters local 1965 ❑ IND $1,000.00 $1,000.00 ❑ OTH COMMITTEE ID: 1229347 ❑ PTY ❑ SCC 10/29/2018 Pacific Gas and Electric ❑ IND $4,000.00 $4,000.00 OTH ❑ PTY ❑ SCC 9/27/2018 Jean Cohen IND OCCUPATION: Political $195.00 $195.00 COM ❑ EMPLOYER: UA Local OTH ❑ PTY Union 393 ❑ SCC 9/22/2018 Alexander Kobayashi IND OCCUPATION: District $150.00 $150.00 ❑ EMPLOYER: CAlifornia OTH ❑ PTY State Senate ❑ SCC SUBTOTAL$ 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 666/ASK-FPPC (866/2753772) C..4....J..1.. A /n.......a:.,...,.a:...... 1—SCHEDULE ACONT. L_ Ll Tvna nr nrinT in ink (CONT.) Jl.11IaUU1U h k%.'UHL111U0L1UH 011ma) Amounts may be rounded Statement covers period CALIFORNIARM Monetary Contributions Received to whole dollars. 460 OTH 7/1/2018 . SCC from 12/31/2018 through Page 6 of 21 NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 IF AN INDIVIDUAL, ENTER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVEDIF (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' ( SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) 9/22/2018 Kristin Rivers IND OCCUPATION: Operations $125.00 $125.00 ❑ OTH EMPLOYER: Cisco ❑ PTY ❑ SCC 9/22/2018 Richard Wong IND OCCUPATION: Community $125.00 $125.00 ❑ OTH EMPLOYER: ECS ❑ PTY ❑ SCC 9/22/2018 La Donna Yumori-Kaku IND OCCUPATION: College $545.00 $545.00 ❑ OTH EMPLOYER: De Anza College ❑ PTY ❑ SCC 9/22/2018 Gustav Larsson IND OCCUPATION: Manager $125.00 $125.00 ❑ OTH ❑ PTY ❑ SCC 9/22/2018 Vivien Nguyen IND OCCUPATION: Government $125.00 $125.00 ❑ OTH Jose ❑ PTY ❑ SCC SUBTOTAL$ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) e% _ _ _ -I- _ o _ w 110% _ ... .. T.. ,, ,. S(HFD11I F A (CC)NT) JL.IICuu1C M kVVIIl111uQ1IV11 JIICCL) Amounts may be rounded Statement covers period CALIFORNIAMonetary Contributions Received to whole dollars. 460 7/1/2018 FORM from - 12/31/2018 through Page 7 of zl NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 IF AN INDIVIDUAL, ENTER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR 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 PERIOD CALENDAR YEAR (JAN.1- DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) 9/22/2018 Ash Kalra IND OCCUPATION: $250.00 $250.00 ❑ OTH EMPLOYER: CA State ❑ PTY ❑ SCC 9/19/2018 Andrew Knaack IND OCCUPATION: Nonprofit $175.00 $175.00 ❑ OTH EMPLOYER: LifeMoves ❑ PTY ❑ SCC 9/18/2018 Wendy Ho IND OCCUPATION: Senior $250.00 $250.00 ❑ OTH EMPLOYER: Silicon valley Council.of ❑ PTY Nonprofits ❑ SCC 9/7/2018 Jerry Hill IND OCCUPATION: Senator $300.00 $300.00 El OTH Senate ❑ PTY ❑ SCC 9/6/2018 Carmella DiSoppa IND OCCUPATION: Revenue $450.00 $450.00 COM ❑ OTH EMPLOYER: County of ❑ PTY Santa Clara ❑ SCC SUBTOTAL$ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 666/ASK-FPPC (666/275-3772) C'wL_w.J..1.. A /^....-a:..-..tea:_._ [+1...a\ SCHEDULE ACONT. Tvnonrnrintinink (CONT.) JGIICuu1C h �VVIILIIIudIIVlI JIICtlI� Amounts may be rounded Statement covers period CALIFORNIAMonetary Contributions Received to whole dollars. 1 7/1/2018 FORM • from 12/31/2018 through Page 8 of 21 NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 FAN INDIVIDUAL, ENTER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE' (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OF BUSINESS) 9/3/2018 Thelma Boac IND OCCUPATION: Not $150.00 $150.00 El OTH EMPLOYER: Not Employed ❑ PTY ❑ SCC 8/27/2018 Anjali Kausar IND OCCUPATION: Executive $150.00 $150.00 ❑ OTH EMPLOYER: Cupertino ❑ PTY Chamber of Commerce ❑ SCC 9/22/2018 Bill James IND OCCUPATION: Attorney $205.00 $205.00 COM ❑ OTH and James LLP ❑ PTY ❑ SCC 8/22/2018 John Hirokawa IND OCCUPATION: Not $1,000.00 $1,000.00 ❑ OTH EMPLOYER: Not Emplued ❑ PTY ❑ SCC 9/18/2018 Gilbert Wong IND OCCUPATION: Trustee $1,000.00 $1,000.00 COM ❑ OTH Foothill-DeAnza College ❑ PTY District ❑ SCC SUBTOTAL$ 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Type or print in ink SCHEDULE A (CONT.) Schedule A (Continuation Sheet) Amounts may be rounded statement covers period CALIFR MINIA Monetary Contributions Received to whole dollars. 4 1 '7/1/2018 . RM . from 12/31/2018 through Page 9 of zl 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 OF BUSINESS) RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 -DEC. 31) TO DATE (IF REQUIRED) 6/10/2018 Marsha Grilli IND OCCUPATION: $125.00 $125.00 ❑ OTH EMPLOYER: City of ❑ PTY Milpitas ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC `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 SUBTOTAL $ ,; FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) SC:HFCII II F R - PART 1 J4,11Cu u IC U - rdl L 1 Amounts may be rounded Loans Received to whole dollars. Statement covers period 7/1/2018 from •' ' SEE INSTRUCTIONS ON REVERSE 12/31/2018 through Page 10 of 21 NAME OF FILER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) I.D. NUMBER 1340395 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) OUTSTANDING BALANCE t'tH1000 BEC�Iyl %STHIS AMOUNT RECEIVED THIS PERIOD AMOUNT PAID OR FORGIVEN THIS PERIOD' OUTSTANDING BALANCE AT CLOS&% HIS INTEREST PAID THIS PERIOD ORIGINAL AMOUNT OF LOAN CUMULATIVE CONTRIBUTIONS TO DATE ❑ PAID CALENDAR YEAR % RATE ❑ FORGIVEN PER ELECTION- -1 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 1-1 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. $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 Toll -Free Helpline: 666/ASK-FPPC (866/275-3772) i-. _ -_ _ _. SCHFDULF C J1.11C1 uit:; V Amounts may be rounded Statement covers period CALIFORNIA Nonmonetary Contributions Received to whole dollars. - Recipient Committee 1 (other than PTY or SCC) '7/1/2018 FORM • PTY from SCC - Small Contributor Committee 12/31/2018 through Page 11 of 21 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE FULL NAMESTREET ADDRESS AND , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE` (IF SELF-EMPLOYED, ENTER NAME GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) OFBUSINESS) (JAN. 1 -DEC. 31) ❑ 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.) . $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) Amounts may be rounded Summary of Expenditures to dollars. Statement covers period - whole 7/1/2018 Uj Supporting/Opposing Other from .- Candidates Measures and Committees12/31/2018 12 21 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 PERIODCALENDAR CUMULATIVE TO DATE YEAR PER ELECTION TO DATE OR COMMITTEE (JAN. 1 - DEC. 31) (IF REQUIRED) 10/30/2018 Darcy Paul $250.00 $250.00 Office Description: CouncilJurisdiction: City Cupertino Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure Support ElOppose 10/28/2018 Santa Clara County United Democratic Campaign $1,000.00 $3,000.00 Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure N Support E]Oppose 10/30/2018 Anna Eshoo $500.00 $500.00 Office Description: CongressJurisdiction: Other Monetary House of Representatives Contribution Nonmonetary Contribution ❑ Independent Expenditure 0 Support E] Oppose SUBTOTAL$ ` 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.) . $4,350.00 $0.00 $4,350.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-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 �. t Supporting/OpposingOther ! from '/1/2018 FORM Candidates, Measures and Committees 12/31/2018 through Page 13 of 21 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) 10/30/2018 John Hirokawa $500.00 $1,500.00 Office Description: SheriffJurisdiction: County Monetary Santa Clara County Contribution ❑ Nonmonetary Contribution ❑ Independent � Support ❑ Oppose Expenditure 10/30/2018 Naomi Nakano Matsumoto $250.00 $250.00 Office Description: TrusteeJurisdiction: Other Monetary Fremont High School District Contribution ❑ Nonmonetary Contribution ❑ Independent � Support E]Oppose Expenditure 10/30/2018 Anjali KAusar $250.00 $250.00 Office Description: CouncilmemberJurisdiction: Monetary Statewide Contribution ❑ Nonmonetary Contribution ❑ Independent E Support ❑ Oppose Expenditure 10/28/2018 Maya Esparza $600.00 $600.00 Office Description: CouncilmemberJurisdiction: ■ Monetary City Contribution City of San Jose ❑ Nonmonetary Contribution ❑ Independent E Support ❑ Oppose Expenditure SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: B66/ASK-FPPC (866/275-3772) Schedule D Type or print in ink. Amounts may be rounded SCHEDULE D (CONT.) tCuriurluailon Sheet) to whole dollars. Summary of Expenditures State mentDoversperiod 4 t Supporting/Opposing Other from '/1/zola R • Candidates, Measures and Committees 12/31/2018 through Page 14 of zl 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) 10/28/2018 Donald Rocha $1,000.00 $1,000.00 Office Description: County Monetary SupervisorJurisdiction: County Contribution Santa Clara County ❑ Nonmonetary Contribution ❑ Independent Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTALS FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E 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 7/1/2018 from through 12/31/2018 SCHEDULE E Page 15 of 21 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 Pacific Printing FND $533.15 Olympic Recognition Products FND $192.68 Phemomenal Woman Action Campaign FND $731.21 * 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.) ................ $10,128.25 $287.63 $0.00 $10,415.88 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 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 7/1/2018 through 12/31/2018 SCHEDULE E (CONT Page 16 of 21 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 P -mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Michael's at Shoreline FND $3,906.32 Nation Builder Website Maintanance $174.00 Santa Clara County United Democratic Campaign CTB $1,000.00 COMMITTEE ID: 871053 Donald Rocha for Supervisor 2018 CTB $1,000.00 COMMITTEE ID: 1393712 Maya Esparza for Council 2018 CTB $600.00 COMMITTEE ID: 1400263 * 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) Schedule E Type or print in ink. (Continuation Sheet) Amounts may be rounded Payments Made to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Statement covers period from 7/1/2018 SCHEDULE E (CONT. 12/31/2018 through Page 17 of 21 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 informntinn tpchnnlnnv nnctc lintprnpt p mnil) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Paul for Council 2018 CTB $250.00 COMMITTEE ID: 1364110 Anna Eshoo for Congress CTB $500.00 COMMITTEE ID: 000258475 Naomi Nakano Matsumoto for Fremont Union High School District CTB $250.00 COMMITTEE ID: 1408172 Anjali Kausar CTB $250.00 COMMITTEE ID: 1402171 John Hirokawa for Sheriff 2018 CTB $500.00 COMMITTEE ID: 1396431 * 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 (666/275-3772) 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 //1/2018 through 12/31/2018 SCHEDULE E Page 18 of 21 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 infnrmatinn tPrhnnlnnv r-nqtc (intarnint o_mnill NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Act Blue CTB $240.89 * 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) 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 7/1/2018 through 12/31/2018 SCHEDULE F Page 19 of 21 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 ' Paymen Etontgag nle D.sons orindepend-1 expenditures mustaIw be s,mm,n,,d on Schedule D. SUBTOTALS $ S $ 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 on the Summary Page, Column A, Line 9.)................................................................................. INCURRED TOTALS $0.00 PAID TOTALS $0-00 ..................NET 20.00 (May be a negative number) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 666/ASK-FPPC (866/275-3772) CC'.Hpni II F H 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. (Enter (e) on Schedule I, Line 3) $0.00 $0.00 NET $0.00 (May be a negative number) " If required. FPPC Form 460 (January/05) FPPC Tall -Free Helpline: B66/ASK-FPPC (866/275-3772) ICALIFORINIALoans Amounts may be rounded Statement covers period Made to Others* to whole dollars. 460 7/1/2018 FORM from - 12/31/2018 SEE INSTRUCTIONS ON REVERSE through Page 20 of 21 NAME OF FILER I.D. NUMBER ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 IF AN INDIVIDUAL, ENTER FULL NAME, STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING INTEREST ORIGINAL 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" 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. (Enter (e) on Schedule I, Line 3) $0.00 $0.00 NET $0.00 (May be a negative number) " If required. FPPC Form 460 (January/05) FPPC Tall -Free Helpline: B66/ASK-FPPC (866/275-3772) SC:HFni II F I Jl.l IGI.� U IC Amounts may be rounded Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period- 7/1/2018 from 12/31/2018 through .- • 1 Page 21 Of 21 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 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.)............................................................................................. $0.00 $0.00 $0.00 ............... TOTAL $0-00 SUBTOTAL$ FPPC Form 460(January/05) FPPC Toll -Free Helpline: 886/ASK-FPPC (866/275-3772)