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460 Recipient Committee Campaign Statement - Semi Annual 1-1-21 to 6-30-21Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period Date of election if applicable (Month, Day, Year) from 1/l/2021 through 6/30/2021 SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored IN General Purpose Committee (Also Complete Part 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) I.D. NUMBER 3. Committee Information 1340395 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ASIAN PACIFIC —ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) STREET ADDRESS (NO P.O. BOX) CITY SUNNYVALE STATE ZIP CODE AREA CODE/PHONE CA 94085 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREA CODE/PHONE 6/7/2021 COVER PAGE Date Stamp1iALIr'&rMI';IA 2001/02 oF_c[EovF_ i R Page 1 of 15 JUL 30, 2021 For Official Use Only CUPERTINO CITY CLERK 2. Type of Statement: ❑ Preelection Statement IN Semi-annual Statement ❑ 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 ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 STATE ZIP CODE CA 95035 STATE ZIP CODE AREA CODE/PHONE AREA CODE/PHONE 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 foregoin Executed on 7/27/2021 Date 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 (866/275-3772) State of California 9597134-n 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 15 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 ?597134-n Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 1/1/2021 from SUMMARY PAGE 6/30/2021 SEE INSTRUCTIONS ON REVERSE through Page 3 Of 15 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 $3, 865.00 $3, 865.00 2. Loans Received.......................................................... Schedule B, Line 3 $ 0 . 00 $ 0 . 00 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $3, 865. 00 $3, 865. 00 4. Nonmonetary Contributions Schedule C, Line 3 $ 0 . 00 $ 0 . 00 5. TOTAL CONTRIBUTIONS RECEIVED ............................... Add Lines 3+4 $3, 865.00 $3, 865.00 Expenditures Made 6. Payments Made Schedule E, Line 4 $1,739.77 $1,739.77 7. Loans Made............................................................... Schedule H, Line 3 $ 0 . 00 $ 0 . 00 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $1,739.77 $1,739.77 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 $1,739.77 $1,739.77 Current Cash Statement 12. Beginning Cash Balance •••••••••••••••••••••••••••••• Previous Summary Page, Line 16 $1, 759.45 To calculate Column B,add 13. Cash Receipts Column A, Line 3 above $3, 865.00 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 $1,739.77 Column A may be negative 16. ENDING CASH BALANCE ............... Add Lines 12 + 13 + 14, then subtract Line 15 $3,884.68 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) 9597134-n SCHFr)[JI F A acneauie A rr_— r,,,,•,,,,,,,.. Amounts may be rounded Statement covers period 0 - Monetary Contributions Received to whole dollars. - ' • ' 1/1/2021 from . 6/30/2021 through Page 4 of 15 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) 5/25/2021 Meriam Brosnan IND OCCUPATION: Senior $100.00 $100.00 El COM District Representative El OTH EMPLOYER: California ❑ PTY State Senate ❑ SCC 5/25/2021 Sajid Khan IND OCCUPATION: Attorney $100.00 $125.00 El COM EMPLOYER: Santa Clara El OTH County ❑ PTY ❑ SCC 1/5/2021 Sa id Khan IND OCCUPATION: Attorney $25.00 $125.00 El COM EMPLOYER: Santa Clara El OTH County ❑ PTY ❑ SCC 1/4/2021 Otto Lee IND OCCUPATION: Supervisor $25.00 $100.00 El COM EMPLOYER: Santa Clara El OTH County ❑ PTY ❑ SCC 5/26/2021 Otto Lee IND OCCUPATION: Supervisor $100.00 $125.00 El COM EMPLOYER: Santa Clara El OTH County ❑ PTY ❑ SCC SUBTOTAL$ 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.) . $3,050.00 $815.00 TOTAL $3,865.00 '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) 9597134-n T„ „+ ; „L, SCHEDULE A (CONT.) acneauie A► tContinuation Sneei yv '" Amounts may be rounded Statement covers period 0 - Monetary Contributions Received to whole dollars. - ' • ' 1/1/2021 from • 6/30/2021 through Page 5 of 15 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) 5/14/2021 Becker for Senate 2024 ❑ IND $100.00 $100.00 0 COM COMMITTEE ID: 1409764 ❑ OTH ❑ PTY ❑ SCC 5/26/2021 Ketzal Gomez IND OCCUPATION: Management $100.00 $100.00 El Analyst El OTH EMPLOYER: Santa Clara ❑ PTY County ❑ SCC 5/20/2021 Gary Kremen IND OCCUPATION: Director $100.00 $100.00 El COM EMPLOYER: Santa Clara El OTH County Water District ❑ PTY ❑ SCC 1/5/2021 Monica Ton 0 IND OCCUPATION: Program $100.00 $125.00 ❑ COM Manager El OTH EMPLOYER: Santa Clara ❑ PTY County ❑ SCC 5/19/2021 Monica Tong IND OCCUPATION: Program $25.00 $125.00 El Manager El OTH EMPLOYER: Santa Clara ❑ PTY County ❑ SCC SUBTOTAL$ '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) 9597134-n T„ „+ ; „L, SCHEDULE A (CONT.) acneauie A► tContinuation Sneei yv '" Amounts may be rounded Statement covers period 0 - Monetary Contributions Received to whole dollars. - ' • ' 1/1/2021 from • 6/30/2021 through Page 5 of 15 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) 5/19/2021 Bill James IND OCCUPATION: Attorney $100.00 $100.00 El COM EMPLOYER: Van Pelt, Yi El OTH & James LLP ❑ PTY ❑ SCC 5/18/2021 Anna Eshoo IND OCCUPATION: $500.00 $500.00 ❑ COM Congressmember El OTH EMPLOYER: United States ❑ PTY Congress ❑ SCC 5/13/2021 Steve Preminger IND OCCUPATION: Director $100.00 $100.00 El COM EMPLOYER: Santa Clara El OTH County ❑ PTY ❑ SCC 5/11/2021 Catherina Nou IND OCCUPATION: District $250.00 $250.00 El COM Director El OTH EMPLOYER: California State Assembly ❑ PTY ❑ SCC 5/4/2021 Gilbert Wong IND OCCUPATION: Trustee $250.00 $300.00 El COM EMPLOYER: Foothill -De El OTH Anza Community College ❑ PTY District ❑ SCC SUBTOTAL$ '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) 9597134-n T„ „+ ; „L, SCHEDULE A (CONT.) acneauie A► tContinuation Sneei yv '" Amounts may be rounded Statement covers period 0 - Monetary Contributions Received to whole dollars. - ' • ' 1/1/2021 from • 6/30/2021 through Page 7 of 15 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) 2/26/2021 Gilbert Wong IND OCCUPATION: Trustee $25.00 $300.00 El COM EMPLOYER: Foothill -De El OTH Anza Community College ❑ PTY District ❑ SCC 1/5/2021 Gilbert Wong IND OCCUPATION: Trustee $25.00 $300.00 El COM EMPLOYER: Foothill -De El OTH Anza Community College ❑ PTY District ❑ SCC 5/3/2021 Margaret Abe-Koga 0 IND OCCUPATION: $250.00 $350.00 ❑ COM Councilmember ❑ OTH EMPLOYER: City of ❑ PTY Mountain view ❑ SCC 2/27/2021 Margaret Abe-Koga IND OCCUPATION: $100.00 $350.00 ❑ COM Councilmember ❑ OTH EMPLOYER: City of ❑ PTY Mountain view ❑ SCC 5/3/2021 Ellen Kamei IND OCCUPATION: External $100.00 $100.00 ❑ COM Affairs Manager ❑ OTH EMPLOYER: AT&T ❑ PTY ❑ SCC SUBTOTAL$ '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) 9597134-n T„ „+ ; „L, SCHEDULE A (CONT.) acneauie A► tContinuation Sneei yv '" Amounts may be rounded Statement covers period 0 - Monetary Contributions Received to whole dollars. - ' • ' 1/1/2021 from • 6/30/2021 through Page 8 of 15 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) 4/20/2021 Wendy Ho IND OCCUPATION: Advocacy $250.00 $275.00 El Manager El OTH EMPLOYER: United Way ❑ PTY Silicon VAlley ❑ SCC 1/7/2021 Wend Ho IND OCCUPATION: Advocacy $25.00 $275.00 El Manager ElOTH EMPLOYER: Silicon Valley Council of ❑ PTY Nonprofits ❑ SCC 4/30/2021 Malisha Kumar IND OCCUPATION: Property $100.00 $100.00 El Manager El OTH EMPLOYER: Self ❑ PTY ❑ SCC 2/27/2021 Naomi Nakano -Matsumoto IND OCCUPATION: Social $100.00 $100.00 El Worker El OTH EMPLOYER: Santa Clara ❑ PTY County ❑ SCC 1/13/2021 John Hirokawa 0 IND OCCUPATION: Not Emplyed $100.00 $100.00 ❑ COM EMPLOYER: Not Employed ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ '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) 9597134-n SCHFr)[JI F R - PART 1 acneauie is - rari -I Amounts may be rounded Loans Received to whole dollars. Statement covers period 1/1/2021 from 0 - .- • 1 SEE INSTRUCTIONS ON REVERSE 6/30/2021 through Page 9 of 15 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) 9597134-n SCHFr)HI F C acneauie t., rr_— Amounts may be rounded Statement covers period 0 - Nonmonetary Contributions Received to whole dollars. - ' • ' 1/1/2021 from . 6/30/2021 through 10 15 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 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) 9597134-n SCHFDIJI F n acneauie u rr_— r,,,,•,,,,,,,.. Amounts may be rounded Summary of Expenditures to whole dollars. Supporting/Opposing Other Statement covers period 1/1/2021 from 0 - .- • 1 Candidates, Measures and Committees through 6/30/2021 Page 11 of 15 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, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 6/22/2021 Evan Low $1,500.00 $1,500.00 State Assembly District 28 Jurisdiction: State Assembly District Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose SUBTOTAL$ 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.) $1,500.00 $0.00 $1,500.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 9597134-n Schedule E Type or print in ink. SCHEDULE E Payments Made Amounts may be rounded Statement covers period • - Y to whole dollars. 1/1/2021 •- �' from 6/30/2021 through Page 12 of 15 SEE INSTRUCTIONS ON REVERSE 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 Evan Low for Assembly 2022 CTB $1,500.00 COMMITTEE ID: 1414197 ActBlue I CTB $149.83 MeetUp I WEB $89.94 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.) $1,739.77 $0.00 $0.00 $1,739.77 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 95P7134-n 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 1/1/2021 from 6/30/2021 through SCHEDULE F Page 13 of 15 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) 9597134-n SCHFr)[JI F H acneauie ri rr_— r,,,,•,,,,,,,.. Amounts may be rounded Loans Made to Others* to whole dollars. Statement covers period 1/1/2021 0 - . - • 1 from 6/30/2021 SEE INSTRUCTIONS ON REVERSE through Page 14 of 15 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 $0.00 (May be a negative number) " If required. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) 9597134-n S('HFI)IJI F I r_ acneauie i r�, Amounts may be rounded Miscellaneous Increases to Cash to whole dollars. Statement covers period 1/1/2021 • • ' Im from SEE INSTRUCTIONS ON REVERSE 6/30/2021 through Page 15 of 15 NAME OF FILER I.D. NUMBER ASIAN PACIFIC —ISLANDER EMPOWERMENT PAC (API EMPOWERMENT PAC) 1340395 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH SUBTOTAL$ 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) 9597134-n