A classical result in voting theory, the Gibbard-Satterthwaite Theorem, states that for any non-dictatorial voting rule for choosing between three or more candidates, there will be situations that give voters an incentive to manipulate by not reporting their true preferences. However, this theorem does not immediately apply to all voting rules that are used in practice. For instance, it makes the implicit assumption that there is a unique way of casting a sincere vote, for any given preference ordering over candidates. Approval voting is an important voting rule that does not satisfy this condition. In approval voting, a ballot consists of the names of any subset of the set of candidates standing; these are the candidates the voter approves of. The candidate receiving the most approvals wins. A ballot is considered sincere if the voter prefers any of the approved candidates over any of the disapproved candidates. In this paper, we explore to what extent the presence of multiple sincer...