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Asian Americans for Progressive Alameda 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE from Statement covers period 10/23/2016 through 1. Type of Recipient Committee: All CA -mmittees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee 0 Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Pad 6) 12/31/2016 10 General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee 0 Primarily Formed Candidate/ Officeholder Committee (Also Complelo Part 7) 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Asian Americans for Progressive Alameda PAC 4. I.D. NUMBER 1390899 STREET ADDRESS (NO P.O. BOX) 3255 Sterling Ave 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 AREA CODE/PHONE San Leandro CA 94578 (510)258-7787 OPTIONAL: FAX / E-MAIL ADDRESS lindajperry@hotmail.com Verification Date of election if applicabl (Month, Day, Year) 111/08/2016 FEB 02 2011 CITY OF ALAMED DITY CLERK'S OFFICE COVER PAGE ::ALIFORNIA 60 FORM 2. Type of Statement: LEI Preelection Statement' ria Semi-annual Statement 0 Termination Statement (Also file a Form 410 Termination) O Amendment (Explain below) Treasurer(s) NAME OF TREASURER Linda Perry MAILING ADDRESS CITY San Leandro NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX/ E-MAILADDRESS lindajperry@hotmail.com go I 1 of 4 For Official Use Only 0 Quarterly Statement 0 Special Odd-Year Report STATE ZIP CODE AREA CODE/PHONE CA 94578 (510)258-7787 STATE ZIP CODE AREA CODE/PHONE 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, Stale 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 NAME OF FILER Asian Americans for Progressive Alameda Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions 5. TOTAL CONTRIBUTIONS RECEIVED Expenditures Made O. Payments Made Schedule E, Line 4 7. Loans Made Schedule 11, Line o 8. SUBTOTAL CASH PAYMENTS Add Lines o~r 9. Accrued Expenses (Unpaid Bilis) Schedule F, Line o 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 Schedule A, Line 3 $ Schedule B, Line x Add Lines /+x $ Schedule C, Line 3 Add Lines o+* $ Previous Summary Page, Line 16 $ * � � Co!umn A, Line 3 above Schedule I, Line 4 Column A, Line 8 above Schedule B, Pad 2 $ � � � Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash 15. Cash Payments Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 16. ENDING CASH BALANCE Add Lines /o+/x+14, then subtract Line m If this isa termination sta(emenf, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instruction on reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column B above 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 230.00 0.00 0.00 0.00 230.00 Statement covers perio 10/23/2016 from through Column CALENDAR YEAR TOTAL TO DATE 280.00 0.00 280.00 0.00 280.00 50.00 0.00 50.00 0.00 0.00 0.00 To calculate Column B, add amo mvinnplumm A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative finuosthat should be subtracted from previous period amounts. If this is the first report being 0 filed for this calendar year. only carry over the amounts from Lines 2, 7, and 9 (if any). O O 12/31/2016 SUMMARY PAGE CALIFORNIA 4 60 FORIVI 2 Page of I.D.wumase 1390899 4 Calendar ¥ear Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made � 1/1 through 6/30 7/1 to Date $ 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 differen from amounts reported in Column B. FPPC Form 460 (Jan/2016) FppcAdvice/aavice@fpr�ca.gov (866/275a772) Schedule A Monetary Contributions Received SEE !NSTRUCTIONS ON REVERSE NAME OF FILER Asian Americans for Progressive Alameda DATE RECEIVED Amounts may be rounded to whole dollars. . FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR �c�mm�.����nuzw��n CODE * None (FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF oaF•cupuvcoc�Enww� OF BUSINESS) 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.) TOTAL $ Statement covers perio 10/23/2016 from through 12/31/2016 AMOUNT RECEIVED THIS PERIOD SCHEDULE A CALIFORNIA 460 FORM 3 Page I.D. NUMBER 1390899 CUMULATIVE TO DATE CALENDAR YEAR of 4 PER ELECTION TO DATE (IF REQUIRED) 030 *Contributor Codes |No—Individual 0.00 COM — Recipient Committee (other than PTY or SCC) 0.00 OTH — Other (e.g., business entity) PTY — Po|iUco|Panty oCC— Small Contributor Committee 0.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@f pc.ca.gov (866/275-3772 www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Asian Americans for Rrogressive Alameda CODES: CMP CNS CTB CVC FIL FND IND LEG LIT Amounts may be rounded to whole dollars. Statement covers period 10/23/2016 from SCI-IEDULE E CALIFORNIA 460 FORM through 12/31/2016 Page 4 of 4 I.D. NUMBER If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment radio airtime and production costs returned contributions campaign workers' salaries tv. or cable airtime and production costs candidate travel, lodging, and meals staff/spouso travel, lodging, and meals transfer between committees of the same candidatelsponsor voter registration information technology costs (Internet, e-mail) campaign campaign consultants contribution (explain nonmonetary)* civic donations nanuidataNmg/bp||ot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LumuunER) None MBR MTG OFC PET PHO POL POo PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services proessionaI services (legal, accounting) print ads * Payments tha are contributions or independent expenditures mus also be summarized on Schedule 0. RAD RFD SAL TEL TRC TRS TSF VOT WEB 1390899 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ 0.00 Schedule E Summary 1. ltemized payments made this period. (Incude all Schedule E subtotals.) � 2. Unitemized payments made this period of under $1 00 � 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 an d on S ummary Page, Column A . Li ne 6. ) TOTAL $ FPPC Form u60pan/201W FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fpnc.o.ovv 0.00 0.00 0.00 0.00