460 Recipient Committee Campaign Statement - Semi Annual 7-1-20 to 12-31-20 AmendmentRecipient 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 applicable:
(Month, Day, Year)
from 7/1/2020
through
12/31/2020 I 11/3/2020
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
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
LD. NUMBER
1340395
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
CITY STATE ZIP CODE
SUNNYVALE CA 94085
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
OPTIONAL: FAX/ E-MAIL ADDRESS
4. Verification
Date Stamp
R
IE C IE0MCE
FEB 1 2021
CUPERTINO CITY CLERK
Type of Statement:
❑ Preelection Statement
Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Andrae Macapinlac
CITY
Milpitas
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
STATE ZIP CODE AREA CODEIPHONE CITY
COVER PAGE
Page 1 of 17
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
STATE ZIP CODE
CA 95035
STATE ZIP CODE AREA CODEIPHONE
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my d herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of Califomia that the foregoing is true and Gorr.
Executedon 1/28/2020 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
Daze
Executed on
Date
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By FPPC Form 460 (January/05)
Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Type or print in ink.
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
COVER PAGE - PART 2
'AFORM LIFORNIA
Page 2 of 17
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: 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
[:]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
2548692-1
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
7/1/2020
from
SUMMARY PAGE
12/31/2020 3 17
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER I.D. NUMBER
ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395
Column A
Column B
Contributions Received
TOTAL THIS PERIOD
CALENDAR YEAR
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
1.
Monetary Contributions
Schedule A, Line
$2, 155.00
$2, 155.00
2.
Loans Received..........................................................
Schedule B, Line 3
$ 0 . 00
$ 0 . 00
3.
SUBTOTAL CASH CONTRIBUTIONS
Add Lines 1 +2
$2, 155. 00
$2, 155. 00
4.
Nonmonetary Contributions
Schedule C, Line 3
$ 0 . 00
$ 0 . 00
5.
TOTAL CONTRIBUTIONS RECEIVED ...............................
Add Lines 3+4
$2, 155.00
$2, 155.00
Expenditures Made
6.
Payments Made
ScheduleE, Line
$4, 207. 88
$4, 207. 88
7.
Loans Made...............................................................
Schedule H, Line 3
$ 0 . 00
$ 0 . 00
8.
SUBTOTAL CASH PAYMENTS
Add Lines 6+7
$4, 207. 88
$4, 207. 88
9.
Accrued Expenses (Unpaid Bills) ....................................
Schedule F, Line 3
$ 0 . 00
$ 0 . 00
10.
Nonmonetary Adjustment
Schedule C, Line 3
$ 0 . 00
$ 0 . 00
11.
TOTAL EXPENDITURES MADE
Add Lines 8+9+10
$4,207.88
$4,207.88
Current Cash Statement
12.
Beginning Cash Balance ••••••••••••••••••••••••••••••
Previous Summary Page, Line 16
$3, 812. 33
To calculate Column B,add
13.
Cash Receipts
Column A, Line 3 above
$ 2 , 155. 0 0
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
$ 4 , 207 . 8 8
Column A may be negative
16.
ENDING CASH BALANCE ............... Add Lines 12 + 13 + 14, then subtract Line 15
$1, 759. 45
figures that should be
subtracted from previous
ff 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 B, Part 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 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: 866/ASK-FPPC (866/275-3772)
?54RFig2-1
SCHFr)[JI F A
acneauie A rr_— r,,,,•,,,,,,,..
Amounts may be rounded
Statement covers period
0 -
Monetary Contributions Received to whole dollars.
- ' • '
7/1/2020
from
.
12/31/2020
through
4 17
Page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.
NUMBER
ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE'
(IF SELF-EMPLOYED, ENTER NAME
RECEIVED THIS
CALENDAR YEAR
TO DATE
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
7/19/2020
Wend Lee
IND
OCCUPATION: Strategy
$100.00
$100.00
❑ COM
and Policy Offiicer
San Jose, CA 95123
❑ OTH
EMPLOYER: Silicon
valley Council of
❑ PTY
Nonprofits
❑ SCC
8/17/2020
Edwin Tan
IND
OCCUPATION: Government
$500.00
$875.00
❑ COM
Relations
San Jose, CA 95131
❑ OTH
EMPLOYER: San Jose
❑ PTY
State University
❑ SCC
12/1/2020
Edwin Tan
0 IND
OCCUPATION: Government
$375.00
$875.00
❑ COM
Relations
San Jose, CA 95131
❑ OTH
EMPLOYER: San Jose
❑ PTY
State University
❑ SCC
12/14/2020
Matthew Mahan
0 IND
OCCUPATION: CEO
$100.00
$100.00
❑ COM
EMPLOYER: Brigade, Inc.
San Jose, CA 95123
❑ OTH
❑ PTY
❑ SCC
7/23/2020
Sudhanshu Jain
IND
OCCUPATION: Not Emplyed
$50.00
$100.00
ElCOM
EMPLOYER: n/a
Santa Clara, CA 95050
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$
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.) .
$1,875.00
$280.00
TOTAL $2,155.00
'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)
254RFiA2-1
T„ „+ ; „L, SCHEDULE A (CONT.)
acneauie A► tContinuation Sneei yv '"
Amounts may be rounded
Statement covers period
0 -
Monetary Contributions Received to whole dollars.
- ' • '
7/1/2020
from
•
12/31/2020
through
Page 5 of 17
NAME OF FILER I.D.
NUMBER
ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE'
(IF SELF-EMPLOYED, ENTER NAME
RECEIVED THIS
PERIOD
CALENDAR YEAR
(JAN. 1 - DEC. 31)
TO DATE
(IF REQUIRED)
OF BUSINESS)
12/1/2020
Ava Chao
IND
OCCUPATION: Teacher
$175.00
$175.00
El COM
EMPLOYER: East Side
Cupertino, CA 95014
❑ OTH
Union High School
❑ PTY
District
❑ SCC
12/4/2020
Margaret Abe-Koga
IND
OCCUPATION: Mayor
$100.00
$200.00
El COM
EMPLOYER: City of
Mountain View, CA 94014
❑ OTH
Mountain View
❑ PTY
❑ SCC
12/1/2020
Naomi Nakano -Matsumoto
IND
OCCUPATION: Trustee
$225.00
$225.00
El COM
EMPLOYER: Fremont Union
Sunnyvale, CA 94087
❑ OTH
School District
❑ PTY
❑ SCC
12/1/2020
Anson Tlincr
0 IND
OCCUPATION: Realtor
$125.00
$125.00
❑ COM
Self -Employed
Union City, CA 94587
❑ OTH
BUSINESS: Self
❑ PTY
❑ SCC
12/1/2020
Johnny Gog
0 IND
OCCUPATION: Judge
$125.00
$125.00
❑ COM
EMPLOYER: Santa Clara
❑ OTH
County Superior Court
San Jose, CA 95113
❑ PTY
❑ SCC
SUBTOTAL$
'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)
?54RFiA7-1
SCHFr)[JI F R - PART 1
acneauie is - rari -i
Amounts may be rounded
Loans Received to whole dollars.
Statement covers period
7/1/2020
from
0 -
.- • 1
SEE INSTRUCTIONS ON REVERSE
12/31/2020
through
6 17
Page of
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC —ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
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)
(a)
OUTSTANDING
BALANCE
BEGINNINGTHIS
(b)
AMOUNT
RECEIVED THIS
PERIOD
(c)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD'
(d)
OUTSTANDING
BALANCE AT
CLOPERIOD HIS
(e)
INTEREST
PAID THIS
PERIOD
M
ORIGINAL
AMOUNT OF
LOAN
(g)
CUMULATIVE
CONTRIBUTIONS
TO DATE
❑ PAID
CALENDAR YEAR
RATE
❑ FORGIVEN
PER ELECTION—
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
RATE
❑ FORGIVEN
PER ELECTION"
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
RATE
❑ FORGIVEN
PER ELECTION"
tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
SUBTOTAL$
$
$
$
Schedule B Summary
1. Loans received this period.............................................................
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ...................................................
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) ........................
Enter the net here and on the Summary Page, Column A, Line 2.
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
$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: 866/ASK-FPPC (866/275-3772)
254RFiA2-1
SCHFr)HI F C
acneauie t., rr_—
Amounts may be rounded
Statement covers period
0 -
Nonmonetary Contributions Received to whole dollars.
- ' • '
7/1/2020
from
.
12/31/2020
through
Page of I
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
DATE
FULL NAME, STREET ADDRESS AND
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
OF BUSINESS)
GOODS OR SERVICES
FAIR MARKET
VALUE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
TO DATE
(IF REQUIRED)
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule C Summary
1. Amount received this period - itemized nonmonetary contributions.
(Include all Schedule C subtotals.).......................................................................
2. Amount received this period - unitemized nonmonetary contributions of less than $100 ...
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .
$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)
254RFiA2-1
SCHFDIJI F n
acneauie u rr_— r,,,,•,,,,,,,..
Amounts may be rounded
Statement covers period
0 -
Summary of Expenditures to whole dollars.
• 1
Supporting/Opposing Other
7/1/2020
from
.-
Candidates, Measures and Committees
through 12/31/2020
Page 8 of 17
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
NAME OF CANDIDATE, AND DISTRICT, OR
DESCRIPTION
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)
9/3/2020
Santa Clara County United Democratic Campaign
$1,000.00
$1,025.00
■ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Expenditure
Support ❑ Oppose
9/3/2020
Yes on 16- Opportunity for All
$250.00
$250.00
■ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Expenditure
❑ Support ❑ Oppose
9/3/2020
Otto Lee
$500.00
$500.00
Office Description: SupervisorJurisdiction:
■ Monetary
County
District 3
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Expenditure
Support ❑ Oppose
SUBTOTAL$
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) .
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.)
$4,000.00
$0.00
$4,000.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
254RFiA2-1
Schedule D Type or print in ink.
Amounts may be rounded SCHEDULE D (CONT.)
(Continuation Sheet) to whole dollars.
_
Summary of Expenditures
Statement
Statement covers period
•
• - ' • 1
ove
20
Supporting/Opposing Other
from
Candidates, Measures and Committees
12/31/2020
9 17
through
Page of
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC —ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
NAME OF CANDIDATE, AND DISTRICT, OR
DESCRIPTION
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)
9/3/2020
Gilbert Wong
$250.00
$250.00
Office Description: SupervisorJurisdiction:
Monetary
Statewide
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Support ElOppose
Expenditure
10/15/2020
JR Fruen
$250.00
$250.00
Office Description: City CouncilJurisdiction:
Monetary
City
Contribution
City of Cupertino
❑ Nonmonetary
Contribution
❑ Independent
� Support ❑ Oppose
Expenditure
10/l/2020
Andrew Knaack
$500.00
$500.00
Office Description: TrusteeJurisdiction: Local
■ Monetary
Santa Clara Unified School Board
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Support ❑ Oppose
Expenditure
10/15/2020
Sylvia Leong
$250.00
$250.00
Office Description: TrusteeJurisdiction: Local
■ Monetary
Cupertino School Board
Contribution
❑ Nonmonetary
Contribution
❑ Independent
Support ❑ Oppose
Expenditure
SUBTOTAL$
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
254RFiA2-1
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
•
• - ' • 1
7/1/2ove
20
Supporting/Opposing Other
from
Candidates, Measures and Committees
12/31/2020
10 17
through
Page of
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC —ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
NAME OF CANDIDATE, AND DISTRICT, OR
DESCRIPTION
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)
10/15/2020
Ketzal Gomez
$250.00
$250.00
Office Description: TrusteeJurisdiction: County
Monetary
Santa Clara County Board of Education
Contribution
❑ Nonmonetary
Contribution
❑ Independent
� Support ❑ Oppose
Expenditure
10/15/2020
Victoria Chon
$250.00
$250.00
Office Description: TrusteeJurisdiction: County
Monetary
Santa Clara County Board of Education
Contribution
❑ Nonmonetary
Contribution
❑ Independent
� Support ❑ Oppose
Expenditure
10/15/2020
Greg Tanaka
$250.00
$250.00
Office Description: City CouncilJurisdiction:
■ Monetary
City
Contribution
City of Palo Alto
❑ Nonmonetary
Contribution
❑ Independent
Support ❑ Oppose
Expenditure
10/1/2020
David Cohen
$250.00
$250.00
Office Description: City CouncilJurisdiction:
Monetary
City
Contribution
San Jose District 4
❑ Nonmonetary
Contribution
❑ Independent
Support ❑ Oppose
Expenditure
SUBTOTAL$
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
254RFiA2-1
Schedule E Type or print in ink. SCHEDULE E
Payments Made Amounts may be rounded Statement covers period • -
Y to whole dollars. 7/1/2020 •- �'
from
of
through
12/31/2020 11 17
SEE INSTRUCTIONS ON REVERSE Page
NAME OF FILER I.D. NUMBER
ASIAN PACIFIC —ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphernalia/misc.
MBR
member communications
RAID
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
Knaack for SCUSD 2020
CTB
$500.00
Santa Clara, CA 95050
COMMITTEE ID: 1430608
Yes on 16-Opportunitv for All
CTB
250
$250.00
Sacramento, CA 95814
COMMITTEE ID: 1425738
Santa Clara CountV United Democratic Campaign
CTB
$1,000.00
San Jose, CA 95128
COMMITTEE ID: 871053
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.) $4, 207.88
2. Unitemized payments made this period of under $100 $0.00
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $0.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)............................................................................ $4, 207.88
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
254RFiA2-1
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
7/1/2020
from
12/31/2020
through
SCHEDULE E (CONT
Page 12 of 17
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
RAID
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
campaiqn literature and mailinqs
PRT
print ads
WEB
information technoloqv costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
GILBERT WONG for FOOTHILL -DE ANZA COMMUNITY COLLEGE DISTRICT TRUSTEE
CTB
$250.00
2020
Cupertino, CA 95014
COMMITTEE ID: 1382149
Otto Lee for Supervisor 2020
CTB
$500.00
San JOse, CA 95126
COMMITTEE ID: 1415319
David Cohen for San Jose City Council,
CTB
$250.00
San Jose, CA 95132
COMMITTEE ID: 1417753
Ketzal Gomez for SCC Board of Ed
CTB
$250.00
San Jose, CA 95112
COMMITTEE ID: 1427278
Vi ri h n f r anta Clara County Board of Education 2020,
CTB
$250.00
Fremont, CA 94538
COMMITTEE ID: 1428490
" 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)
254RFiA2-1
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
7/1/2020
from
12/31/2020
through
SCHEDULE E (CONT
Page 13 of 17
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
RAID
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
campaiqn literature and mailinqs
PRT
print ads
WEB
information technoloqv costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
S lvia Leona for School Board 2020
CTB
$250.00
San Jose, CA 95129
COMMITTEE ID: 1426773
Greq Tanaka for Palo Alto City Council
CTB
$250.00
Palo Alto, CA 94306
COMMITTEE ID: 1388135
JR Fruen for CuiDertino City Council
CTB
$250.00
Cupertino, CA 95014
COMMITTEE ID: 1428230
Website Maintenance
$87.00
Los Angeles, CA 90071
Wells FarFarao
Bank Fees
$84.00
San Francisco, CA 94104
" 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)
254RFiA2-1
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
7/1/2020
from
12/31/2020
through
SCHEDULE E (CONT
Page 14 of 17
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
RAID
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
campaiqn literature and mailinqs
PRT
print ads
WEB
information technoloqv costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
ActBlue
Sommerville, MA 02144
CTB
$36.88
" 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)
?54RFiA7-1
Schedule F Type or print in ink.
Accrued Expenses (Unpaid Bills) Amountsmay
to whole doolf roundedlars.
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
FIND
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
Statement covers period
7/1/2020
from
12/31/2020
through
SCHEDULE F
Page 15 of 17
I.D. NUMBER
1340395
Otherwise, describe the payment.
RAID 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 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
' Payment d h' ,,edul nbD_ti,,, or Independent expenditures must also be summarized - Schedule D. SU BTOTAL y y y y
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 $0.00
(May be a negative number)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
254RFiA2-1
SCHFr)[JI F H
acneauie ri rr_— r,,,,•,,,,,,,..
Amounts may be rounded
Loans Made to Others* to whole dollars.
Statement covers period
/1/2020
0 -
. - • 1
from
12/31/2020
SEE INSTRUCTIONS ON REVERSE
through
Page 16 of I
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC -ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
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
(g)
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.
(Enter (a) on
Schedule I, Line 3)
$0.00
$0.00
.NET $0.00
(May be a negative number)
" If required.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
254RFiA2-1
S('HFI)IJI F I
r_
acneauie i r�,
Amounts may be rounded
Miscellaneous Increases to Cash to whole dollars.
Statement covers period
7/1/2020
0 -
. - ' • '
from
SEE INSTRUCTIONS ON REVERSE
12/31/2020
through
Page I _ of I
NAME OF FILER
I.D. NUMBER
ASIAN PACIFIC —ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC)
1340395
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
SUBTOTAL$
Schedule I Summary
1. Itemized increases to cash this period. $0.00
2. Unitemized increases to cash of under $100 this period. $0.00
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).)..................................................................... $0.00
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
SummaryPage, Line 14.) .................................................................................................................................................. TOTAL $0.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
?54RFiA2-1