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-70263
Amended:
X
2.
Name and mailing address (including Zip Code):
Name:Kimberly A Bradshaw
Title:President
Organization:Corsair Ventures, LLC
EIN:88-2813680
P.O. Box., Bldg., Room No., if any:
Street:31425 mission creek road
City:Saint IgnatiusState:MT
ZIP code:59865
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 Davis Hospital
EIN:
Trade Name, if any:
P.O. Box., Bldg., Room No., if any:
Street:2000 Sutter Pl
City:DavisState:CA
ZIP code:95616
7.
Date entered into05/05/2025
8.
Name of person(s) through whom made:
(a) Employer Representative (to be completed by the Primary Consultant):
Name and Title:
OR
(b) Primary Consultant (to be completed by the Sub-consultant):
Name and Title:Deborah Long
Organization:Healthcare Labor Solutions
EIN:26-2930498
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:
Kimberly A Bradshaw
Title:
PRESIDENT
Date:
Jul 08, 2025
Telephone Number:
415-680-6173
14.
SIGNED:
Kimberly A Bradshaw
Title:
TREASURER
Date:
Jul 08, 2025
Telephone Number:
415-680-6173
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
Verbal agreement with Deborah Long, Primary Consultant, to represent Sutter Davis Hospital 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 collective bargaining. All work and expenses are billed to the client by Deborah Long, Primary Consultant. The agreement has not been reduced to writing, is for no specific length of time, 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:I, Kimberly A. Bradshaw, of Corsair Ventures, LLC, have been retained to assist in communicating with employees by offering non-mandatory educational sessions to answer questions regarding their rights to organize and bargain collectively, as afforded by the National Labor Relations Act, when management is unable to do so effectively.
11.b.Period during which activities
performed:
05/05/2025
11.c. Extent of performance:
On Going
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed: