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-740
Amended:
2.
Name and mailing address (including Zip Code):
Name:Selena C Smith
Title:Attorney for Employer
Organization:DAVIS GRIMM PAYNE & MARRA
EIN:91-1412660
P.O. Box., Bldg., Room No., if any:3500
Street:701 FIFTH AVENUE
City:SEATTLEState:WA
ZIP code:98104 - 7055
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:Jacob Lassen
Organization:Marlene's Natural Foods & Deli
EIN:
Trade Name, if any:Lassens Natural Foods & Vitamins
P.O. Box., Bldg., Room No., if any:
Street:2951 S. 38th Street
City:TacomaState:WA
ZIP code:98409
7.
Date entered into02/05/2025
8.
Name of person(s) through whom made:
(a) Employer Representative (to be completed by the Primary Consultant):
Name and Title:Selena Smith, Attorney for Employer
OR
(b) Primary Consultant (to be completed by the Sub-consultant):
Name and Title:
Organization:
EIN:
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:
Christopher L Hilgenfeld
Title:
PRESIDENT
Date:
Mar 27, 2025
Telephone Number:
206-447-0182
14.
SIGNED:
John M Payne
Title:
TREASURER
Date:
Mar 27, 2025
Telephone Number:
206-447-0182
Form LM-20 (2025)
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.):
Written Agreement/Arrangement
Retained to draft campaign materials and speeches, and to provide speeches regarding the pros and cons of unionization. This is a verbal arrangement for the facility located in Tacoma, Washington. There is no travel expense. Services were provided at $400/hour. The arrangement can be terminated at any time.
Specific Activities to be performed
Activity1
11. For each activity, separately list in detail the information required.
(See instructions.)
a. Nature of activity:Persuade employees to vote: "No."
11.b.Period during which activities
performed:
2/5/25 through 2/21/25
11.c. Extent of performance:
Completed
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
Name:Selena C Smith Organization:Davis Grimm Payne & Marra Title:Attorney for EmployerFile Number:740
P.O. Box, Bldg., Room No., If any:Ste. 3500Street:701 Fifth AvenueCity:SeattleState:WAZip:98104
12.a. Identify subject groups of employees:
All full-time and regular part-time employees at Tacoma facility.
12.b. Identify subject labor organizations:
FOOD AND COMMERCIAL WKRS( LOCAL UNION 367) - 27121