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-755
Amended:
2.
Name and mailing address (including Zip Code):
Name:DEBORAH LONG
Title:President
Organization:Healthcare Labor Solutions
EIN:26-2930498
P.O. Box., Bldg., Room No., if any:Suite 504-741
Street:2121 Lohmans Crossing Rd
City:LakewayState:TX
ZIP code:78734
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:Maureen Kumar
Organization:Sutter Amador Hospital
EIN:
Trade Name, if any:
P.O. Box., Bldg., Room No., if any:
Street:200 Mission Blvd.
City:JacksonState:CA
ZIP code:95642
7.
Date entered into03/16/2025
8.
Name of person(s) through whom made:
(a) Employer Representative (to be completed by the Primary Consultant):
Name and Title:Deborah Long
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:
Deborah Long
Title:
PRESIDENT
Date:
Apr 14, 2025
Telephone Number:
877-424-9799
14.
SIGNED:
Deborah Long
Title:
TREASURER
Date:
Apr 14, 2025
Telephone Number:
877-424-9799
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
Agreement was entered into with the employer listed on this form to provide factual education to employees, so they can make an informed decision on whether or not they want to be represented by a union for the purpose of collective bargaining. All educators are paid on an hourly fee basis including travel and expenses. The agreement is for no specific time period and may be terminated by either party 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:Retained to assist the employer by providing factual education to its employees, when management is unable to do so. The education consists of providing factual information to employees so they can make an informed decision on whether or not they want to be represented by a union for the purpose of collective bargaining under the laws of the National Labor Relations Act.
11.b.Period during which activities
performed:
03/18/2025
11.c. Extent of performance:
Ongoing
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
P.O. Box, Bldg., Room No., If any:Street:PO Box 472City:PhilipsburgState:MTZip:59858
12.a. Identify subject groups of employees:
Ancillary and Technical employees
12.b. Identify subject labor organizations:
SEIU UHW-West
Form LM-20 (2025)
Activity2
11. For each activity, separately list in detail the information required.
(See instructions.)
a. Nature of activity:Retained to assist the employer by providing factual education to its employees, when management is unable to do so. The education consists of providing factual information to employees so they can make an informed decision on whether or not they want to be represented by a union for the purpose of collective bargaining under the laws of the National Labor Relations Act.
11.b.Period during which activities
performed:
3/18/2025
11.c. Extent of performance:
Ongoing
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed: