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460 Recipient Committee Campaign Statement - Semi Annual 01-01-22 to 06-30-22Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from 1/1/2022 6/30/2022 fhrnii@h 1. %pe Of Recipient Committee: All Committees - Complete Pans 12, 3, and 4. CI Officeholder, Candidate Controlled Committee OState Candidate Election Committee 0 Recall (Also Complete Park 5) N General Purpose Committee OSponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information € Primarily Formed Ballot Measure Committee OControlled 0 Sponsored (Also Complete Pan 6) € Primarily Formed Candidate/ Officeholder Committee (Nso Complete Part 7) 1.0. NUMBER 134C1395 COMMITTEE NAME (OR CANDIDATEaS NAME IF NO COMMITTEE) ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) STREET AD[)RESS (NO p.o. sox) CITY SUNNYVALE STATE ZIP C(X)E CA 94085 AREA CCXIE/PHONE ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR p.o. sox CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Type or print in ink. L);te S'tarr pi I I CUPERT!B!O €IT')' CLERK 6/7/2022 :COVER PAGE f!!ff!ffll Page -"-- of -14 For Official use Only 2. Type of Statement: [) Preelection Statement N Semi-annual Statement 0 Termination Statement (Also file a Form 410 Termination) € Amendment (Explain below) Treasurer(s) NAME OF TREASURER Andrae Macapinlac MAILING ADDRESS CITY Milpitas NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS € Quarterly Statement [J Special Odd-Year Report € Supplemental Preelection Statement - Attach Form 495 STATE ZIPCODE CA 95035 AREA C:ODE/PHONE ( STATE ZIP CODE AREA CODE/PHONE 4. Verification have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of CaliTornia that the foregoing is true and correct. Fyprulpdnn7/25/2022 By Dale Signature or Treasurer or Assislanl Treasurer ExeculBd @11 Dale Signature ol Controlling O&eholder, Candidate. Slale Measure Proponenl (IT Responsible Officer of Sponsor Execuied nn Date Signature of Controlling Offlcehaldet, Candidate, Stale Measure Ptaponanl Executed nn Dale Signature of Controlling Oiiicehalder. Candidale. Slate Measure Pmponent FPPC Form 460 [JanuarylOFi) FP?C: Toll-Free Helpline' 86f!ASK-FPPC (866/2753772) Slale OT California Recipient Committee Campaign Statement Cover Page Part 2 Type or print in ink.COVER PAGE - PART 2 jag Page 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CAM)IDATE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND [)ISTRIC:T NUMBER IF APPLIC:ABLE) RESIDENTIAUBuSINESSADDRESS(NO.ANDSTREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Commtt!ee8 NOt InK:luded tn tbtS S!a!ement:Listgnycommina'es not included in this statement that are controlled by you or am primarily formed to receive contributions or make expenditums on behalf of your candidacy. 1.D. NUMBERCOMMITTEE NAME NAME OF TREASURER OFFICE SOUGHT OR HELD [] supposr 0 0PPOSE OFFICE SOUGHT OR HELD 0 supposr € OPPOSE OFFICE SOUGHT OR HELD [lsupposr [1 0PPOSE OFFICE SOUGHT OR HELD [1 suppom 0 0PPOSE COMMITTEE ADDRESS CITY STREET ADDRESS (NO p.o. sox) STATE ZIPCODE CONTROLLED COMMITTEEa) € YES € NO AREA CODE/PHONE 1.0. NUMBER 7. Primarily Formed Candidate/Officeholder Committee officeholder(s) or candidate(s) for which this commithee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE COMMITTEE NAME NAME OF TREASURER NAME OF OFFICEHOLDER OR CANDIDATE List names of COMMITTEE ADDRESS CITY STREET ADDRESS (NO p.o. sox) STATE ZIPCODE CONTROLLED COMMITTEE? €YES €NO AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDI[)ATE Attach continuation sheets if necessary FPPC Fomi 460 (January/05) FPPC TollFree Helpline. FB61A3K-FPPC (8661275-3772) State oT Califomia Campaign Disclosure Statement Summary Page SEE INSTRuCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2022 through 6/30/2022 Sl.lMMAFY PAGE Page -3 of -14 NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)1.D. NUMBER 1340395 Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOTALCASHCONTRIBUTIONS 4. Nonmonetary Contributions 5. TOTALCONTRIBUTIONSRECEIVED Schedule A, Line 3 &;hedule B, Lrne 3 . Add ljnes 1 + 2 Schedule C, Line 3 . Add IJnes 3 + 4 Expenditures Made 8. Payments Made 7. Loans Made 8. SUBTOTALCASHPAYMENTS 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment 11 . TOT AL EXPENDITURES MADE &.hedule 5 Line 4 8r.hedule H, Line 3 Add Lines 6 + 7 Schedule F, Line 3 Schedule C, Line 3 Add Lrnes 8 + 9 + 10 Current Cash Statement 12. Begtnnfng CaStl Balance .............................. PrevkiusSummaryPage, Line ;18 13. CaStl Recetp!s ..................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. scheoure i. vne 4 15. CaSh Payments ................................................... ColumnA, Une8above ale. ENDING CASH BALANCE ............... paovnes iz+ la* 74, rhensubiracttine is /f this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED &.hedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents 19. Ou!s!andtng DebtS ................................. AddLine2+Line9rnColumnBabove QO.OO gear instrur%ns on reverse Calendar Year Summary for Candidates Running in Both the State Primary and General Elections jll through 6/30 7h to Date Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (11 Subject to Voluntary Expenditure Limit) Total to Date Amounts in this section may be different from amounts reported in Column B. FPPC Fomi 460 (JanuaryA)5) FPPC Toll-Free Helpline. 866MSKFPP(. iB6612753772) Schedule A Monetary Contributiqns Received SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIF:IC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVED 3/25/2022 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBLITOR (IF COMMlffEE. ALSO ENTER I D. NUMBER) Edwin Tan San Jose, CA 95131 4/20/2022 Andrae Macapinlac Campbell, CA 95008 3/3/2022 John Hirokawa Saratoga, CA 95070 3/22/2022 Ava Chao Cupertino, CA 95014 1/2/2022 Sajid Khan San Jose, CA 95126 CONTRIBkJTOR CODE' H IND [1 COM € OTH [1] PTY € SCC N IND € COM € OTH € PTY [] scc N IND € COM [] OTH € PTY 0 scc N IND [1 CoM [] OTH € PTY € scc N IND € COM € OTH € PTY € scc 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 $100 3. Total monetary contributions received this period. (Add Lines 5 and 2. Enter here and on the Summary Page, Column A, Line 1.) Type or print in ink. Amounts may be rounded to whole DOLLARS. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BIISINESS) OCCUPATION: Government Relations EMPLOYER: San Jose State Universxty Statement covers period from 1/1/2022 through 6/30/2022 AMOUNT RECEIVED THIS PERIOD !;50LOO OCCUPATION: Senior !;225.00 District Representative EMPLOYER: California State Senate OCCUPATION: NOt !550.00 Employed EMPLOYER: Not Employed OCCUPATION: Teacher EMPLOYER: East Side Union High School District !?25.00 OCCUPATION: Attorney EMPLOYER: Santa Clara County !;25.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) !;500.00 !?225.00 650.00 !?25.00 !;25.00 SCHEDULE A Page -4 of -14 1.0. NUMBER 1340395 PER ELECTION TO DATE (IF REQulRED) SUBTOTAL$ 9950.00 !?50.00 TOTAL !? 1, 000 . 00 'Contributor Codes ND - 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 +lelpline: 8%/A!IK-FPPC iB661276-3772) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVED 1/2/2022 5/18/2022 FLILL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBLITOR (IF COMMrnEE, ALSO ENTER l.[) NUMBER) Naomi Nakano-Matsumoto Sunnyvale, CA 94087 Lucas Ramirez Mountain View, CA 94040 CONTRIBUTOR CODE' N IND [] COM [1] OTH [1 PTY [] scc N IND € COM [1] 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 Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDLIAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) OCCUPATION: Social Worker EMPLOYER: County of Santa Clara OCCUPATION: Council Assistanct EMPLOYER: City of San Jose SUBTOTAL$ Statement covers period from 1/1/2022 through 6/30/2022 3CH €)1.ILE A(CONT. l:sli'li!llll'ab"! Page -5 of -14 1.D. NUMBER 1340395 AMOUNT RECEIVED THIS PERIOD !?25.00 Q100.OO CUMULATIVE TO 0 ATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) !?25.00 !?100.OO PER ELECTION TO DATE (IF REQulRED) FPPC Form 460 (January/05) FPPC TollFtee Helpline' 86fi/ASKFPPC (8%/275-3772) Schedule B - Part 1 Loans Received SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) IF AN INDIVIDUAL, ENTER FLILL NAME, STREET ADDRESS AND ZIP CODE ()(,(;pp4'Il()H AND EMPLOYER OFLENDER (lFSELFEMPLOYED,ENTER (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) NAME OF B(lsH5gB) t € IND [:l COM € OTH € PTY [] scc t € IND € COM 0 0TH € PTY € scc t € IND [] COM € OTH € PTY € scc 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 $1 00 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 L) 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. Type or print in ink. Amounts may be rounded to whole dollars. (a) OuTST ANDING BALANCE (b) AMOtlNT RECEIVED THIS PERIOD SUBTOT AL !ji U (O) AMOIINT PAID OR FORGIVEN THIS PERIOD" [1 PAID € FORGIVEN [] PAID € FORGIVEN [] PAID € FORGIVEN Statement covers period from 1/1/2022 through 6 / 3 0 / 2 0 2 2 (d) OUTSTANDING BALANCE AT ccoM'i9)&Jh's DATE DUE DATE DUE DATE DUE (e) INTEREST PAID THIS PERIOD 0,,, RATE 3Ch EDJLE B - PART 1 Page -6 of -14 1.0. NUMBER 1340395 (l) ORIGINAL AMOUNT OF LOAN (g) CLIMLILATIVE CONTRIBuTIONS TO DATE CALENDAR YEAR PER ELECTIONaa DATE INCuRRED RATE CALENDAR YEAR PER ELECTION" RATE o/n DATEINCuRRED = CALENDAR YEAR PER ELECTIONaa la DATE INCuRRED !?O.OO qO.OO H57eo.oo (May be a negalive number) (Enter (e) on Schedule E, Line 3) 'Contributor Codes ND - 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 TollFree Helpline. 866/ASKlPPC i866/275-3772) Schedule C Nonmonetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRLICTIONS ON REVERSE NAMEOFFILER ASIAN PACIFIC4SLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0 NUMBER) CONTRIBLITOR CODE' IF AN INDMDuAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES [] IND [1 COM € OTH € PTY € scc € IND € COM € OTH € PTY € scc [1] IND € COM € OTH € PTY € scc € IND [] COM € OTH € PTY [] scc Attach additional information on appropriately labeled continuaticn sheets. Schedule C Summary 1. Amount received this pertod-itemized nonmonetary contributions. (Include all Schedule C subtotals.) 2. Amount received this period - unitemized nonmonetary contributions of less than $100 SUBTOTAL$ !;0.00 SO.OO 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).TOTAL SO-00 Statement covers period from 1/1/2022 thrOuoh 6/30/2022 SCHEDULE C Page -7 of -14 1.D. NUMBER 1340395 AMOUNT/ FAIR MARKET VALUE CuMuL/l.TlVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) PER ELECTION TO DATE (IF REQulRED) "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 Foim 460 (January/05) FPPC Toll-Free Helpline. 866/ASK-FPPC (88al;753772) Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees !iFF INFiTRI InTlnNFi nN RFVFFIFIF NAME OF FILER AEiIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2022 thrniigh 6/30/2022 SCHEDULE D Page -8 of -14 1.0. NUMBER 1340395 DATE 3 /23 /2022 NAME OF CANDIDATE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JtlRISCllCTION, OR COMMITTEE Evan Low State Assembly Jurisdiction: State Assembly District N Support [1 0ppose 4/25/2022 Cindy Chavez Office Description: MAyorJurisdiction: City San Jose H Support [] Oppose 5/10/2022 Maya Esparza Office Description: City CouncilJurisdiction: City City Council, District 7 N Support € Oppose Schedule D Summary TYPE OF PAYMENT § Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure ffl Monetary Contribution [] Nonmonetary Conii:buiion 0 Independent Expenditure § Monetary Coniiibution 0 Nonmonetary Contribution [] Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL$ AMOUNT THIS PERI(XI !?1,500.00 !7500.00 !?250.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31 ) p:i, soo. oo PER ELECTION TO DATE (IF REQulRED) !?500.00 !7250.00 i 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) 2. Unitemizedcontributionsandindependentexpendituresmadethisperiodofunder$100 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) S3,250.00 !70.00 S3,250.00 FPPC Fomi 460 (January/05) FPPC Toll-Free Helpline 866/ASK-FPPC (866/275-3772) Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 1/1/2022 from e/go/xo>z through 3CH':D-'LE D (CONT. Page 9 1.0. NUMBER 1340395 of 14 DATE 5/7/2022 NAME OF CANDIDATE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Rosemary Kamei Office Description: City CouncilJurisdiction: City San Jose City Council, District 1 N Support [] Oppose 5/10/2022 Santa Clara County United Democratic Campaign N Support € Oppose € Support € Oppose € Support € Oppose TYPE OF PAYMENT @ Monetary Contribution 0 Nonmonetary Confnbutlon 0 Independeni Expenditure @ Monetary Contribution NonmonetarV Contribution 0 Independent Expenditure 0 Monetary Contribution [J Nonmonetary Contribuflon [] Independent Expenditure [] Moneiaiy Contribution [] Nonmonetary Contribuiion [] Independent Expenditure DESCRIPTION (IF REQulRED) SUBTOTAL$ AMOUNT THIS PERIOD !7700.00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) S700.00 !?300.00 !?300.00 PER ELECTION TO DATE (IF REOulRED) FPPC Form 460 (Januany/05) FPPC Toll-Free Helpline. 86atASK-FPPC (8661275-3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SC:HEDULE E Stateml/eln/t2coOv2e2rs period Ifrrim z is I Ia I i *t I W ?fll!'!l'g ;i 1,_iI air:i s a I fai111€ri 11 ii :4 *'j thrriiinh 6/3o/2o22 r)anei lo z4 14 __a' a' --lj"I - a9 (. - U I- 1.D. NLIMBER 1340395 SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)' OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Otherwise, describe the payment. RAD radio airtime and production RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.D. NUMBER)CODE OR DESC;RIPTION OF PAYMENT AMOUNT PAID Evan Low for Assembly 2022 Sacramento, CA 95815 COMMITTEE ID: 1434780 CTB !?1, 500.00 Maya Esparza for City Council 2022 San Jose, CA 95122 COMMITTEE ID: 1434780 CTB 9250.00 Santa Clara County United Democratic Campaign San Jose, CA 95128 COMMITTEE ID: 871053 CTB !;300.00 " 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.) !73,379.B4 §O.OO SO.OO !?3,379.B4 FPPC Form 460 (January/05) FPPC Toll-Free Helpline 866/ASK-FPPC [8661275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars.Stateml/eln/t2coOv2e2rs period Ifrrim s a i z a i *s WrQl}-;@ r!.iy j .1 ix jl r-i !17IfUv il Q!i111€ri ' ffli iQ thrnunh 6/3o/2o22 Paae -11 of 14 A}"+#5" 1.D. NUMBER 1340395 SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN ))ACIFIC-ISIaDER EMPOWERMENT PAC (API EMPOWERMENT PAC) CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)" OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads 3CH JED.ILE E - CONT.a Othenvise, describe the payment. RAD radio airtime and production RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.D. NUMBER)CODE OR DESCRIPTION OF PAYMENT AMOLINT PAID Cindy Chavez for Mayor 2022 San Jose, CA 95125 COMMITTEE ID: 1440871 CTB 9500.00 Rosemary Kamei for San Jose City Council District 1 San Jose, CA 95130 COMMITTEE ID: 1443426 CTB !?700 . DO ActBlue Cambeidge, MA 02138 User Fee 68 . 90 FedEx Campbell, CA 95008 POS !?22.00 MeetUp New York, NY 10012 WEB S98.94 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D.SUBTOTAL$ FPPC Form 460 (Januaiy/05) FPPC Toll-Free Helpline 866/ASK-FPPC (8667275-3772) Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE F Statement covers period from 1/1/2022 z s i s W ?W[@::_l_;_s j .!I Ilj.§l.'p'r'i111€?'j 11 81 tQ ij thrriunh 6/3o/2o22 Paae -12 of -14 1.0. NUMBER 1340395 SEE INSTRuCTIONS ON REVERSE NAMEOFFILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)' OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Otherwise, describe the payment. RAD radio airtime and production RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OuTST ANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCuRRED THIS PERIOD (Q) AMOUNT PAID THIS PERIOD (ALSO FIEPORT ON E) (d) OUTSTANDING BALANCE AT CLOSING OF THIS PERIOD auPmaVmm4n? Ihaal, a :u'l"e Weans at Indapgndnnl axpan&luvs muil msa ha iummanznd an Sihadula 0 SuBTOT AL ii Schedule F Summary L 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 91 00 or more, plus total unitemized payments on accrued expenses under $1 oo.).. .INCURREDTOTALS '?oioo ..PAIDTOTALS 90.00 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)..........H57 !70. QC) [May be a negative numberl FPPC Foim 460 (January/05) FPPC Toll-Free Helpline. !166MSK-FPPC (8861275377;i) Schedule H Loans Made to Others* SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (Apz nxpownxnn'r PAC) FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER 1.D NUMBER) IF AN INDlVIDllAL, ENTER OCCtlPATION AND EMPLOYER ilF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Type or print in ink. Amounts may be rounded to whole dollars. (a) OUTST ANCIING BALANCE BEGINNING THIS PERIOD (b) AMOUNT LOANED THIS PERIOD (C) REPAYMENT OR FORGIVENESS THIS PERIOD' Statement covers period from 1/1/2022 through 6/30/2022 SCHEDULE H Page 13 of 14 1.0. NUMBER 395 (d) OuTST ANDING BALANCE AT C:LOSE OF THIS PERIOD (e) INTEREST RECEIVED (f) ORIGINAL AMOUNT OF LOAN (g) CtlMuLATlVE LOANS TO DATE 'Loans that are contributions to another candidate or commmee must also be summarized on Schedule D. Loans forgiven must also be reponed 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. SUBTOTAL $ € PAID € FORGIVEN € PAID [] FORGIVEN DATE DUE DATE DLIE '/n RATE RATE (Enter (e) on Schedule 1, Line 3) !>0.00 !;0.00 .NET eo.oo (May be a negative number) CALENDAR YEAR DATE INCuRRED PER ELECTIONaa CALENDAR YEAR PER ELECTIONaa FPPC Form 460 (January/05) FPPC Toll-Free Helpllne' B6%A!iK-FPPC (866/275-3772) Schedule I Miscellaneous Increases to Cash SEE INSTRuCTIONS ON REVERSE NAME OF FILER ASIAN PACIFIC-ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) DATE RECEIVED FULL NAME AND A[X)RESS OF SOuRC:E (IF COMMITTEE, ALSO ENTER 1.D. NtlMBER) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1/1/2022 SCHEDULEI through 6/30/2022 Page -14 of -14 I.a NUMBER 1340395 DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Schedule I Summary SUBTOTAL$ 1. Itemized increases to cash this period. 2. Unitemizedincreasestocashofunder$100thisperiod. 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 Summary Page, Line 14.) SO.OCI !;0.00 !;0.00 TOTAL SO-" FPPC Form 460 (January/05) FPPC Toll-Free Helpline. 86F!ASK-Fl"1"C (8661275-3772)