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Asian Americans 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE COVER PAGE Statement covers period from 09/25/2016 10/22/2016 hrough Date of election if applicable: (Month, Day, Year) OCT 2 7 2016 CITY OF ALAMED 111/08/2016 CITY CLERK'S OFF! a, CE For Official Use Only . 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 0 Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Comp/efe Part 6) 0 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: gi Preelection Statement O Semi-annual Statement 0 Termination Statement (Also file a Form 410 Termination) O Amendment (Explain below) O Quarterly Statement O Special Odd-Year Report 3. Committee Information I.D. NUMBER 1390899 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Asian Americans for Progressive Alameda PAC STREET ADDRESS (NO P.O. 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 San Leandro OPTIONAL: FAX / E-MAIL ADDRESS lindajperry@hotmail.com STATE ZIP CODE CA 94578 AREA CODE/PHONE (510)258-7787 Treasurer(s) NAME OF TREASURER Linda Perry MAILING ADDRESS CITY San Leandro STATE ZIP CODE CA 94578 AREA CODE/PHONE (510)258-7787 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS lindajperry@hotnnail.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 foregoing 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) Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statemerit covers period 09/25/2010 from 10/22/2016 through SUMMARY PAGE 2 Page of 4 NAME OF FILER Asian Americans for Progressive Alameda I.uwumasn 1390899 Contributions Received 1. Monetary Schedule A, Line 3 $ 2. Loans Received Schedule B, Line x 3. SUBTOTAL CASH |CONTRIBUTIONS Add Lines /~u $ 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED - Add Lines u~w $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 0.00 0.00 0.00 0.00 0.00 � Column B CALENDAR YEAR TOTAL TO DATE 280.00 0.00 280.00 0.00 280.00 Calendar Year Running in Both the State Primary and General Elections 1/1 through 6/30 20. Contributions Received $ 21. Expenditures Made � u � 7/1 to Date Expenditures Made O. Payments Made Schedule E, Line * � 7. Loans Made.. __-----------' Schedule H, Line 3 O. SUBTOTAL CASH PAYMENTS Add Lines o~r $ 9. Accrued Expenses (Unpaid Bills) Schedule F. Line 3 10. Nonmonetary Adjustment Schedule C, Line 3 0.00 $ 50.00 0.00 0.00 0.00 50.00 0.00 0.00 0.00 0.00 0.00 0.00 Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous lncreases to Cash 15i Cash Payments _-- 16. ENDING CASH BALANCE Previous Summary Page, Line 16 Column A, Line 3 above Schedule I, Line 4 Column A, Line 8 above Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 230.00 0.00 0.00 0.00 230.00 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Dobta.- ...... ....... ......... Add Line 2 + Line 9 in Column B above To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that shou!d be subtracted from previous period amounts, If this is the fimtreport being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if 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 aniounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period 09/25/2016 from 10/22/2016 through SCHEDULE A laCALIFORNIANow Page 3 of 4 NAME OF FILER Asian Americans for Progressive Alameda DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 0, NUMBER) 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) None El IND El COM OTH ▪ PTY SCC El IND 11] com OTH PTY LI SCC IND ▪ COM OTH PTY LI SCC [1] IND ID COM OTH LI PTY CI scc El IND com El OTH PTY El SCC SUBTOTAL $ 0.00 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. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fnoc.ca.gov Schedule E ' Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period 09/25/2016 from through 10/22/2016 FOFZM Page 4 4 NAME OF FILER Asian Americans for Progressive Alameda CODES: If one of the following codes accurately describes CMP CNS CTB CVC FIL FND IND LEG LIT 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 11). NUMBER) the payment, you may enter the code. Otherwise, describe the payment. MBR MTG OFC PET PHO POL Pou 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 RAD RFD SAL TEL TRC TRS Tar VOT WEB 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 betw onnommheeoo,tmasamocandidat"/spnnoo, voter registration information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT AMOUNT PAID Noma * 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 0.00 0.00 """ 4.7o�spoyn�entn made th�per�d.�ddLines 1.2, and 3. Enter here and on the Summary Page, Co|onnnA.ljnaSj TOTAL $ v�»v FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772)