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Asian Americans 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period 01/01/2016 om 09/24/2016 through a amp 1 Date of election if applicable': (Month, Day, Year) 111/08/2016 2 EPP2920103 7ITY'yOBI-AikaKDA COVER PAGE cALIF()RNIA 4 FoRm 4 'Pa 1 ge of For Official Use Only 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Li Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee O Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) LI Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: 2 Preelection Statement • Semi-annual Statement O Termination Statement (Also file a Form 410 Termination) 0 Amendment (Explain below) E} Quarterly Statement 0 Special Odd-Year Report 3. Committee Information .D. NUMBER 1390899 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Asian Americans for Progressive Alameda PAC STREET ADDRESS (NO PO. BOX) CITY Alameda STATE ZIP CODE CA 94501 AREA CODE/PHONE (510)465-7982 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE San Leandro CA 94578 OPTIONAL: FAX / E-MAIL ADDRESS lindajperry@hotmail.com AREA CODE/PHONE (510)258-7787 Treasurer(s) NAME OF TREASURER Linda Perry MAILING ADDRESS CITY San Leandro STATE ZIP CODE CA 94578 AREA CODEJPHONE (510)258-7787 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEJPHONE OPTIONAL: FAX / E-MAIL ADDRESS lindajperry@hotmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein 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 Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whoe dollars. Statement covers period 01/01/2016 from 09/24/2016 through SUMMARY PAGE CALIFORNIA 460 2 Page of 4 NAME OF FILER Asian Americans for Progressive Alameda uzNUwBEn 1390899 Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmone1aryConthbuUons Schedule A, Line 3 Schedule B, Line n Add Line 1 + 2 Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ... ... -....... --....... Add Linvo+* Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 280.00 0.00 280.00 0.00 � � Column B CALENDAR YEAR TOTAL TO DATE 280.00 0.00 280.00 0.00 280.00 Calendar Year Summary for Can idatea Running in Both the State Primary and General Elections 20. Contributions Received � 21. Expenditures Made � 1/1 through 6/30 � 7/1 to Date Expenditures Made O. Payments Made Schedule E, Line 4 7. Loans Made .---._-_.~_-_._-.-__-__-� Schedule H, Line 3 O. SUBTOTAL CASH PAYMENTS Add Lines n+r 9. Accrued Expenses (Unpaid Bilis) Schedule F, Line o 1O.Nonmonotory Adjustment .--------_.-.-__...Schedule C, Linea 11, TOTAL EXPENDITURES MADE Add Lines n~o~m 50.00 0.00 � 50.00 0.00 0.00 � 50.00 0.00 0.00 0.00 0.00 0.00 0.00 Current Cash Statement 12. Beginnirig Cash Balance 15. Cash Receipts _-_--_--___--, 14. Miscellaneous Increases to Cash 15. Cash Payments Previous Summary Page, Line 16 --- Column A, Line 3 above ----'- Schedule I, Line * Column A, Line 8 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, the subtract Line 15 If this ma terminafion statement, Line 16 must be zero, 0.00 280.00 0.00 50.00 230.00 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions "mreverse 19. Outstanding Debts Add Line 2 + Line 9 in Column B above To calculate Cotumn B, add amo nts in Column A to the corresponding amounts from Column e of your Iast report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being fiIed for this calendar year, only carry over the aniounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election / / � / / � Total to Date *AmountS in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) pppc Advice: "uwce@hppccaoov(86s/z75-377z) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period 01/01/2016 from 09/24/2016 through CALIFORNIA 460 FOM 3 4 Page of NAME OF FILER Asian Americans for Progressive Alameda DATE RECEIVED 9/19/16 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER ID. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD I.D. NUMBER 1390899 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) Stewart Chen Alameda, CA 94501 IND 1=I COM ▪ OTH ▪ PTY LI scc Chiropractor Self - employed: Careplus 100.00 100.00 [1] IND El COM El OTH ▪ PTY El SCC El IND El COM El OTH • PTY EJ SCC [11 IND • COM LI OTH ▪ PTY Li SCC 0 IND O COM OTH El PTY SCC SUBTOTAL $ 100.00 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. 280.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.). TOTAL $ 100.00 180.00 *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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 01/01/2016 09/24/2016 through SCHEDULE E CALIFORNIA 46() FORM NAME OF FILER Asian Americans for Progressive Alameda CODES: If one CMP CNS CTB CVC FIL FND IND LEG LIT of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LO. NUMBER) MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads CODE OR RAD RFD SAL TEL TRC TRS TSF VOT WEB 4 4 Page of I.D. NUMBER 1390899 radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0.00 Schedule E Summary 1. Itemized payments 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).) 0.00 50.00 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 ) TOTAL $ 50.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov