IMPORTANT: This report is mandatory under P.L. 86-257, as
amended. Failure to comply may result in criminal prosecution,
fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
Required of persons, including Labor Relations Consultants and
Other Individuals and Organizations, under Section 203(b) of
the
Labor-Management Reporting and Disclosure Act of 1959, as
amended (LMRDA).
Office of Labor-Management Standards
U.S. Department of Labor
For Official Use Only
E
OLMS
Read the instructions carefully before completing this report.
1.a. File Number: C-66912
Amended:
2.
Name and mailing address (including Zip Code):
Name:Penne Familusi Jackson
Title:President
Organization:HMD CONSULTING SERVICES INC
P.O. Box., Bldg., Room No., if any:
Street:18530 MACK AVENUE, #253
City:GROSS POINTE FARMSState:MI
ZIP code:48236
3.
Other address where records necessary to
verify this report are kept:
Name:
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP code:
4.
Date fiscal year ends:Dec /31
5.
Type of person
a.
Individual b.
Partnership
c.
X
Corporation C d.
Other
Specify:
Nature of Agreement or Arrangement
6.
Full name and address of employer with whom made (include ZIP Code):
Name:Scott Davis
Organization:Swedish Medical Center
Trade Name, if any:
P.O. Box., Bldg., Room No., if any:
Street:501 E Hampden Avenue
City:EnglewoodState:CA
ZIP code:80113
7.
Date entered into07/22/2024
8.
Name of person(s) through whom made:
Name:Scott Davis
Signature and Verification
Each
of the undersigned declares, under penalty
of
perjury
and
other
applicable penalties of law, that all of the
information
submitted in this report (including the information
contained in
any accompanying documents) has been examined by
the
signatory
and
is, to the best of the undersigned's
knowledge
and
belief,
true, correct, and complete. (See Section
VIII on
penalties in the
instructions.)
13.
SIGNED:
Penne Familusi Jackson
Title:
PRESIDENT
Date:
Sep 24, 2024
Telephone Number:
602-820-2611
14.
SIGNED:
Penne Familusi Jackson
Title:
TREASURER
Date:
Sep 24, 2024
Telephone Number:
602-820-2611
Form LM-20 (2003)
9.
Check the appropriate box(es) to indicate
whether an object
of the activities undertaken is directly
or
indirectly:
a.
X
To persuade employees to exercise or not to
exercise, or persuade employees as to the manner of
exercising, the right to organize and bargain collectively
through representatives of their own choosing.
b.
To supply an employer with information
concerning the activities of employees or a labor
organization in connection with a labor dispute involving
such employer, except information for use solely in
conjunction with an administrative or arbitral proceeding
or
a criminal or civil judicial proceeding.
10.
Terms and conditions.
(Explain in detail;
see
instructions.
Written agreements must
be attached.):
XWritten Agreement/Arrangement
Attached.
Specific Activities to be performed
Activity1
11. For each activity, separately list in detail the information required.
(See instructions.)
a. Nature of activity:Conducted voluntary meetings with employees to answer their questions regarding the upcoming NLRB election.
11.b.Period during which activities
performed:
7/27/2024 - 8/27/2024
11.c. Extent of performance:
completed
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
Name:Emigidio Arias Organization:
P.O. Box, Bldg., Room No., If any:P.O. 14804Street:City:Long BeachState:CAZip:90853
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
Name:Nicholas Becker Organization:
P.O. Box, Bldg., Room No., If any:Street:1780 Pecan Meadows DriveCity:SouthhavenState:MSZip:38671
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
Name:Miriam Morino Organization:
P.O. Box, Bldg., Room No., If any:Street:9877 Chapman Avenue, Suite D426City:Garden GroveState:CAZip:92841
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
Name:Eddie Echanique Organization:
P.O. Box, Bldg., Room No., If any:Street:105 East Neel Ranch RoadCity:MooresvilleState:NCZip:28115
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
Name:Elizabeth Gill Organization:
P.O. Box, Bldg., Room No., If any:Street:5663 Balboa Avenue, Suite 368City:San DiegoState:CAZip:92111
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
Name:Aleaha Zeller Organization:
P.O. Box, Bldg., Room No., If any:Street:91 Marquis DriveCity:CameronState:NCZip:28326
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
Name:Carina Hunt Organization:
P.O. Box, Bldg., Room No., If any:Street:909 Champions CourtCity:RoanokeState:TXZip:76262
12.a. Identify subject groups of employees:
Registered Nurses
12.b. Identify subject labor organizations:
NATIONAL NURSES ORGANIZING COMMITTEE/NATIONAL NURSES UNITED (NNOC/NNU) AFFILIATED WITH AMERICAN FEDERATION OF LABOR-CONGRESS OF INDUSTRIAL ORGANIZATIONS, AFL-CIO