544-076 (LM2) 12/31/2009
U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210 		FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved
Office of Management and Budget
No. 1215-0188
Expires: 09-30-2011
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

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.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
544-076
2. PERIOD COVERED
From1/28/2009
Through12/31/2009
3. (a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This is a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
NATIONAL UNION OF HEALTHCARE
5. DESIGNATION (Local, Lodge, etc.)

6. DESIGNATION NBR

7. UNIT NAME (if any)
WORKERS
8. MAILING ADDRESS (Type or print in capital letters)
First Name
SAL
 Last Name
ROSSELLI
P.O Box - Building and Room Number
SUITE 525
Number and Street
5801 CHRISTIE AVENUE
City
EMERYVILLE
State
CA		 ZIP Code + 4
94608-1986


9. Are your organization's records kept at its mailing address?


Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:Sal RosselliPRESIDENT71. SIGNED:Joan EmslieSECRETARY-TREASURER
Date:Mar 30, 2010Telephone Number:510-834-2009Date:Mar 30, 2010Telephone Number:510-834-2009
Form LM-2 (Revised 2003)
ITEMS 10 THROUGH 21 FILE NUMBER: 544-076
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11. During the reporting period did the labor organization have a Political Action Committee (PAC) fund?Yes
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?No
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$200,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?Yes
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?01/11-03/11
20. How many members did the labor organization have at the end of the reporting period?0
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.5%permonth$25.00$94.00
(b) Working Dues/FeesN/Aper
(c) Initiation FeesN/Aper
(d) Transfer FeesN/Aper
(e) Work PermitsN/Aper

Form LM-2 (Revised 2003)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 544-076

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $0$529,525
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$0$3,673
28. Other Assets7$0$15,230
29. TOTAL ASSETS $0$548,428

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$0$42,209
31. Loans Payable9$0$2,000,000
32. Mortgages Payable $0$0
33. Other Liabilities10$0$638
34. TOTAL LIABILITIES $0$2,042,847
35. NET ASSETS$0-$1,494,419
Form LM-2 (Revised 2003)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 544-076

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $0
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $1,668
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$2,000,000
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$1,579,986
49. TOTAL RECEIPTS $3,581,654
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$2,108,520
51. Political Activities and Lobbying16$911
52. Contributions, Gifts, and Grants17$2,150
53. General Overhead18$152,109
54. Union Administration19$85,342
55. Benefits20$561,942
56. Per Capita Tax $240
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$3,673
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $137,242
  
66. Subtotal $3,052,129
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$185,881  
  67b. Less Total Disbursed$185,881  
  67c. Total Withheld But Not Disbursed $0
68. TOTAL DISBURSEMENTS $3,052,129
Form LM-2 (Revised 2003)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 544-076

There was no data found for this schedule.

SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 544-076

There was no data found for this schedule.

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 544-076

There was no data found for this schedule.

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 544-076

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$3,673$3,673$3,673
computers & printers$3,673$3,673$3,673
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$3,673
Form LM-2 (Revised 2003)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 544-076

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost$0
B. Total Book Value$0
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • N/A
$0
Other Investments 
D. Total Cost$0
E. Total Book Value$0
F. List each other investment which has a book value over $5,000, of Line E.  Also list each Trust which is an investment.  
  • N/A
$0
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0
Form LM-2 (Revised 2003)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 544-076

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$3,673$0$3,673$3,673
E. Other Fixed Assets$0$0$0$0
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $3,673$0$3,673$3,673
Form LM-2 (Revised 2003)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 544-076

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $15,230
Office lease deposit$4,500
State Compensation Insurance Fund deposit$5,394
Prepaid rent$4,322
Meeting room deposit$500
Water service deposit$18
Other prepaid expenses$496
Form LM-2 (Revised 2003)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 544-076

Entity or Individual Name
(A) 		Total Account
Payable
(B) 		90-180 Days
Past Due
(C) 		180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$40,130$2,295$12,017$0
Total from all other accounts payable$2,079$2,079$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $42,209$4,374$12,017$0
Adler & Colvin$6,000$0$0$0
Ralph Cornejo (includes 5,728 medical benefits)$12,917$0$0$0
Sal Rosselli (includes 4,017 medical benefits)$9,770$2,295$574$0
Storefront Political Media$11,443$0$11,443$0
Form LM-2 (Revised 2003)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 544-076

Source of Loans Payable at Any
Time During the Reporting Period
(A) 		Loans Owed at
Start of Period
(B) 		Loans Obtained
During Period
(C) 		Repayment
During Period
Cash
(D)(1) 		Repayment
During Period
Other Than Cash
(D)(2) 		Loans Owed at
End of Period
(E)
Total Loans Payable$0$2,000,000$0$0$2,000,000
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Labor organizations$0$2,000,000$0$0$2,000,000
Form LM-2 (Revised 2003)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 544-076

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $638
COBRA Payable$638
Form LM-2 (Revised 2003)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 544-076

(A)
Name		(B)
Title		(C)
Status		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances
Disbursed 		(F)
Disbursements for Official Business 		(G)
Other
Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		Borsos ,  John   E
Administrative VP
N		$3,000$0$0$4,129$7,129
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		1 %
A
B
C 		Brennan ,  William   M
Vice President
N		$4,996$0$0$1,917$6,913
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Cornejo ,  Ralph   C
Administrative VP
N		$3,000$0$0$684$3,684
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		1 %
A
B
C 		Emslie ,  Joan  
Secretary-Treasurer
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		60 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		20 %
A
B
C 		Goldstein ,  Glenn   R
Administrative VP
N		$11,228$0$0$2,538$13,766
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		1 %
A
B
C 		Griffith ,  Beverly   J
Vice President
N		$10,384$0$0$0$10,384
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Kumar ,  Paul   R
Administrative VP
N		$3,000$0$0$6,000$9,000
I
Schedule 15
Representational Activities 		88 % Schedule 16
Political Activities and Lobbying 		9 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		1 %
A
B
C 		Kurre ,  Laura   L
Administrative VP
N		$3,000$0$0$705$3,705
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		1 %
A
B
C 		Lewis ,  Barbara   A
Administrative VP
N		$3,603$0$0$6,915$10,518
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		1 %
A
B
C 		Martin ,  Daniel   H
Administrative VP
P		$3,000$0$0$9,795$12,795
I
Schedule 15
Representational Activities 		68 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		30 % Schedule 19
Administration 		2 %
A
B
C 		Martinez ,  Pamela   J
Administrative VP
N		$3,000$0$0$2,668$5,668
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		90 %
A
B
C 		Rodriguez ,  Jorge  
Executive Vice President
N		$6,000$0$0$0$6,000
I
Schedule 15
Representational Activities 		69 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		30 %
A
B
C 		Rodriguez ,  Rachel   C
Administrative VP
N		$15,674$0$0$205$15,879
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Rosselli ,  Sal  
President
N		$3,000$0$0$0$3,000
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		1 %
A
B
C 		Seavey ,  Frederic   A
Administrative VP
N		$3,000$0$0$0$3,000
I
Schedule 15
Representational Activities 		89 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		1 %
A
B
C 		Aidukas ,  Tony  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Alvarez ,  Roberto  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Andersen ,  Daniel  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Arevalo ,  Claudia  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Askew ,  Sonya  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Bee ,  Karen  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Benson ,  Tony  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Brown ,  Mildred  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Bussey ,  Lynn  
Vice President
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Byers ,  Rosie  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Chaffee ,  Roy  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Chandler ,  James  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Chavez ,  Yolanda  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Collado ,  Teresita  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Cook ,  Anita  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Evans ,  Nancy  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Fenison ,  Michael  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Foster ,  Ermalina   M
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Freeman ,  Marilyn  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Furlow ,  Flo  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Garces ,  Tracy  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Garcia ,  Mell  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Gedubu-Wilson ,  Turusew  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Glasper ,  Angela  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Green ,  Alexandra  
Vice President
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		York-Jones ,  Helen  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Hernandez ,  Robert  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Horn ,  Robyn  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Isiaah ,  Ju'anna  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Jackson ,  Gary  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		James ,  Deborah  
Vice President
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Joyce ,  Lover  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Kirtman ,  Deborah  
Vice President
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Lacey ,  Stan  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Mallon ,  David  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Manning ,  Glenda  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Marquez ,  Maria  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Martinez ,  Sharon  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Medrano ,  Jorge  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Nelson ,  Shirley  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Nonato ,  Bebs  
Vice President
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Ortega ,  Debbie  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Raiford ,  Ella  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Reese-Burns ,  Eloise  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Rivera ,  Michael  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Robinson ,  Tena  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Barbarin ,  Juanita  
Retiree Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Rollins ,  Starla  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Romo ,  Daniel  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Ryan ,  Emily  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Samuel ,  Maria  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Shapiro ,  David  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Stepp-Regacho ,  Anne  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Talton ,  Wanda  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Thomas ,  Lucinda  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Torres ,  Michael  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Vasquez ,  Martha  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Vetch ,  Sally  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Wandrick ,  Carolyn  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Washington ,  Brenda  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Welch ,  Jonathan  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		White ,  Marie  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Wong ,  George  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Wood ,  Dorrin  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Worchester ,  Rebecca  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
Total Officer Disbursements$75,885$0$0$35,556$111,441
Less Deductions     
Net Disbursements    $111,441
Form LM-2 (Revised 2003)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 544-076

(A)
Name		(B)
Title		(C)
Other Payer		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances Disbursed 		(F)
Disbursements for Official Business 		(G)
Other Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		Alanis ,  Yesenia   A
n/a		$9,000$0$0$1,519$10,519
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Baca-Peru ,  Katherine  
n/a		$11,630$0$0$992$12,622
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Bocaletti ,  Luis   F
n/a		$26,182$0$0$678$26,860
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Bravo ,  Jose   P
n/a		$9,000$0$0$1,147$10,147
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Brickman ,  Aaron   J
n/a		$10,803$0$0$1,188$11,991
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		3 %
A
B
C 		Buhler ,  Gail   K
n/a		$10,087$0$0$0$10,087
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		15 % Schedule 19
Administration 		0 %
A
B
C 		Campbell ,  Jason   R
n/a		$9,000$0$0$2,185$11,185
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Cendejas ,  Francisco  
n/a		$13,054$0$0$0$13,054
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Cohen ,  Jean   F
n/a		$9,000$0$0$1,482$10,482
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Coney ,  Cheryl   M
n/a		$9,000$0$0$1,574$10,574
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Cordova ,  Estelle   A
n/a		$14,444$0$0$1,465$15,909
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Crabtree ,  Sadie   R
n/a		$27,192$0$0$1,933$29,125
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Delehanty ,  Paul   E
n/a		$20,599$0$0$436$21,035
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Draper ,  Richard   E
n/a		$32,768$0$0$3,248$36,016
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Duritz ,  Jeffrey   C
n/a		$9,000$0$0$1,826$10,826
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Fairbanks ,  Debra   L
n/a		$11,151$0$0$626$11,777
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Fendley ,  Wanda   S
n/a		$10,742$0$0$303$11,045
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Fewer ,  Colleen   L
n/a		$9,767$0$0$718$10,485
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Garza ,  Marti   A
n/a		$9,000$0$0$1,534$10,534
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		3 %
A
B
C 		Gonzales ,  Ernest   V
n/a		$15,126$0$0$334$15,460
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Gonzales ,  Shanti   R
n/a		$10,438$0$0$1,267$11,705
I
Schedule 15
Representational Activities 		72 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		25 % Schedule 19
Administration 		3 %
A
B
C 		Hall ,  Eugene   K
n/a		$9,000$0$0$4,393$13,393
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Hampton ,  Dianna   R
n/a		$9,877$0$0$1,417$11,294
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Hereth ,  Ella   M
n/a		$9,000$0$0$1,965$10,965
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Howe ,  Sinalemoana   F
n/a		$26,361$0$0$3,462$29,823
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Jakab ,  Kimberly   S
n/a		$11,351$0$0$709$12,060
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Kabba ,  Khadijatu   A
n/a		$22,802$0$0$1,879$24,681
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Kristal ,  Gabriel   S
n/a		$15,182$0$0$795$15,977
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Macintire ,  Barbara   B
n/a		$11,137$0$0$335$11,472
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Maldonado ,  Adrian   A
n/a		$11,384$0$0$1,273$12,657
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		McCauley ,  Robert   W
n/a		$23,404$0$0$2,830$26,234
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Olick ,  Jocelyn   C
n/a		$11,948$0$0$2,074$14,022
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Area ,  Antonio  
n/a		$21,007$0$0$3,349$24,356
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		O'Sullivan ,  Brendan   M
n/a		$11,548$0$0$512$12,060
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Passavanti ,  Alicenne  
n/a		$12,151$0$0$2,126$14,277
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Phillips ,  Lyda   l
n/a		$12,412$0$0$545$12,957
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Ramos ,  Nic   J
n/a		$22,967$0$0$324$23,291
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Ray ,  Daniel   C
n/a		$22,633$0$0$3,726$26,359
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Reid ,  Andrew   L
n/a		$14,431$0$0$4,701$19,132
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		2 %
A
B
C 		Rhodes ,  Vanessa   L
n/a		$12,244$0$0$2,636$14,880
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Rhodes ,  Rebecca   R
n/a		$9,000$0$0$1,117$10,117
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Roe ,  Mary   F
n/a		$13,406$0$0$2,083$15,489
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Santos ,  Mario   E
n/a		$9,603$0$0$2,664$12,267
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Schuler ,  Mary   E
n/a		$22,553$0$0$1,784$24,337
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Smith ,  Jedediah   I
n/a		$9,000$0$0$1,475$10,475
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Tescher ,  Jason  
n/a		$9,000$0$0$1,067$10,067
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Thomas ,  Susan   R
n/a		$17,464$0$0$1,600$19,064
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Ward ,  Audrey   E
n/a		$9,548$0$0$1,073$10,621
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Watkins ,  Gloria   L
n/a		$15,773$0$0$0$15,773
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Weitz ,  Jonathan  
n/a		$9,000$0$0$1,696$10,696
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Whalen ,  Pam   E
n/a		$11,389$0$0$735$12,124
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Wilson ,  Sarah   E
n/a		$9,000$0$0$3,034$12,034
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Xiong ,  Mao Lee  
n/a		$17,932$0$0$1,434$19,366
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Yahya ,  Abid  
n/a		$13,521$0$0$717$14,238
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Zamora ,  Monico   J
n/a		$9,000$0$0$2,377$11,377
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Ward ,  Michael   B
n/a		$9,000$0$0$2,709$11,709
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$465,564$0$0$40,077$505,641
I Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		2 %
Total Employee Disbursements$1,237,575$0$0$129,148$1,366,723
Less Deductions     
Net Disbursements    $1,366,723
Form LM-2 (Revised 2003)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 544-076

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 0 
Agency Fee Payers*0
Total Members/Fee Payers0 
*Agency Fee Payers are not considered members of the labor organization.
Form LM-2 (Revised 2003)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 544-076

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$1,355,000
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$224,986
4. Total Receipts$1,579,986
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$2,150
6. Total Disbursements$2,150
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$406,910
2. Named Payee Non-itemized Disbursements$97,740
3. To Officers$97,301
4. To Employees$1,328,319
5. All Other Disbursements$178,250
6. Total Disbursements$2,108,520
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$49,497
2. Named Payee Non-itemized Disbursements$8,042
3. To Officers$5,202
4. To Employees$9,912
5. All Other Disbursements$79,456
6. Total Disbursements$152,109
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$911
4. To Employees$0
5. All Other Disbursements$0
6. Total Disbursements$911
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$32,957
2. Named Payee Non-itemized Disbursements$4,632
3. To Officers$8,027
4. To Employees$28,492
5. All Other Disbursements$11,234
6. Total Disbursements$85,342
Form LM-2 (Revised 2003)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 544-076

Name and Address
(A)
Defense Fund, Inc.

1630 S. Commerce Street
Las Vegas
NV
89102
Type or Classification
(B)
Non-profit corporation
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$550,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$550,000
donation07/16/2009$250,000
donation09/17/2009$200,000
donation10/14/2009$100,000
Name and Address
(A)
UNITEHERE!

275 Seventh Avenue, 11th Fl
New York
NY
10001
Type or Classification
(B)
Labor union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$700,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$700,000
donation11/24/2009$500,000
donation12/11/2009$200,000
Name and Address
(A)
UNITE HERE Local 26

33 Harrison Ave, 4th Fl
Boston
MA
Type or Classification
(B)
Labor union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
donation09/04/2009$5,000
Name and Address
(A)
UNITE HERE Local 6

709 Eighth Avenue
New York
NY
10036
Type or Classification
(B)
Labor union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$50,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$50,000
donation08/21/2009$50,000
Name and Address
(A)
Mark Dimondstein

2518 Burgundy Drive
Greensboro
NC
27407
Type or Classification
(B)
Union organizer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$50,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$50,000
donation10/23/2009$50,000
Form LM-2 (Revised 2003)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 544-076

Name and Address
(A)
Alliance Graphics

1101 8th Street, Suite 100
Berkeley
CA
94710
Type or Classification
(B)
Printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,439
Total Non-Itemized Transactions with this Payee/Payer$14,222
Total of All Transactions with this Payee/Payer for This Schedule$19,661
Zip Cords11/04/2009$5,439
Name and Address
(A)
Bennett & Sharpe, Inc.

2444 Main St, Suite 110
Fresno
CA
93721
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,353
Total Non-Itemized Transactions with this Payee/Payer$10,284
Total of All Transactions with this Payee/Payer for This Schedule$27,637
Legal services08/13/2009$8,666
Legal services12/02/2009$8,687
Name and Address
(A)
Call Center Services, Inc.

300 N Sepulveda Blvd, Ste 2
El Segundo
CA
90245
Type or Classification
(B)
Telephone representative services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,075
Total Non-Itemized Transactions with this Payee/Payer$26,866
Total of All Transactions with this Payee/Payer for This Schedule$32,941
Auto calls07/22/2009$6,075
Name and Address
(A)
David Tubman, Jr, Tubman Law Group
PO Box 72283

Oakland
CA
94612
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,841
Total Non-Itemized Transactions with this Payee/Payer$17,670
Total of All Transactions with this Payee/Payer for This Schedule$32,511
Legal services06/19/2009$9,060
Legal services12/15/2009$5,781
Name and Address
(A)
Fresno County Public Authority

Barton Building, 3rd Floor
Fresno
CA
93702
Type or Classification
(B)
Balloting services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,590
Total Non-Itemized Transactions with this Payee/Payer$2,566
Total of All Transactions with this Payee/Payer for This Schedule$9,156
Ballot production and mailing05/20/2009$6,590
Name and Address
(A)
Phyllis Willett

1216 Delaware Street
Berkeley
CA
94702-1407
Type or Classification
(B)
reimbursements for personal credit card use
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,414
Total Non-Itemized Transactions with this Payee/Payer$4,678
Total of All Transactions with this Payee/Payer for This Schedule$10,092
22 plane tickets for organizing meeting04/22/2009$5,414
Name and Address
(A)
Siegel & LeWitter

1939 Harrison Street, Suite
Oakland
CA
94612
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$175,673
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$175,673
Legal services04/15/2009$5,000
Legal services04/15/2009$17,672
Legal services05/06/2009$5,000
Legal services05/13/2009$24,130
Legal services05/20/2009$14,341
Legal services06/02/2009$5,000
Legal services06/02/2009$5,000
Legal services06/10/2009$9,792
Legal services06/18/2009$17,858
Legal services06/18/2009$5,000
Legal services07/01/2009$10,386
Legal services07/08/2009$16,199
Legal services07/15/2009$5,000
Legal services07/15/2009$5,000
Legal services08/04/2009$5,029
Legal services08/19/2009$5,000
Legal services08/26/2009$5,000
Legal services12/23/2009$10,266
Legal services12/23/2009$5,000
Name and Address
(A)
Siegel & Yee

499 14th Street, Suite 220
Oakland
CA
94612
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,391
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$27,391
Legal services04/22/2009$27,391
Name and Address
(A)
Storefront Political Media

250 Sutter Street, Suite 65
San Francisco
CA
94608
Type or Classification
(B)
Printed materials design and production
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$148,134
Total Non-Itemized Transactions with this Payee/Payer$21,454
Total of All Transactions with this Payee/Payer for This Schedule$169,588
Design, print and mail materials03/18/2009$8,815
Design, print and mail materials03/18/2009$8,326
Design, print and mail materials04/01/2009$10,116
Design, print and mail materials04/08/2009$35,078
Design, print and mail materials05/13/2009$6,609
Design, print and mail materials05/20/2009$11,846
Design, print and mail materials05/20/2009$10,364
Design, print and mail materials05/23/2009$12,939
Design, print and mail materials06/02/2009$9,957
Design, print and mail materials06/02/2009$9,696
Design, print and mail materials06/19/2009$7,338
Design, print and mail materials10/28/2009$6,328
Design, print and mail materials11/04/2009$5,000
Design, print and mail materials12/01/2009$5,722
Form LM-2 (Revised 2003)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 544-076

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 544-076

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 544-076

Name and Address
(A)
Adler & Colvin, A Law Corporation

235 Montgomery St, Suite 12
San Francisco
CA
94104
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,995
Total Non-Itemized Transactions with this Payee/Payer$5,184
Total of All Transactions with this Payee/Payer for This Schedule$15,179
Legal services - nonprofit & tax issues05/06/2009$9,995
Name and Address
(A)
NuWest Insurance Services
Box 18973

Irvine
CA
92623
Type or Classification
(B)
General Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,691
Total Non-Itemized Transactions with this Payee/Payer$969
Total of All Transactions with this Payee/Payer for This Schedule$23,660
Union insurance07/22/2009$22,691
Name and Address
(A)
Siegel & LeWitter

1939 Harrison Street, Suite
Oakland
CA
94612
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,811
Total Non-Itemized Transactions with this Payee/Payer$1,889
Total of All Transactions with this Payee/Payer for This Schedule$18,700
Legal services10/28/2009$8,568
Legal services11/12/2009$8,243
Form LM-2 (Revised 2003)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 544-076

Name and Address
(A)
Alliance Graphics

1101 8th Street, Suite 100
Berkeley
CA
94710
Type or Classification
(B)
Printing services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,201
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,201
T-shirts05/06/2009$7,201
Name and Address
(A)
Boudin Catering

221 Main Street, Suite 1230
San Francisco
CA
94105-1906
Type or Classification
(B)
Meal catering services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,281
Total Non-Itemized Transactions with this Payee/Payer$4,230
Total of All Transactions with this Payee/Payer for This Schedule$10,511
Catering lunch & snacks04/25/2009$6,281
Name and Address
(A)
Phyllis Willett

1216 Delaware Street
Berkeley
CA
94702-1407
Type or Classification
(B)
Reimbursements for personal credit card use
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,077
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$14,077
10 plane tkts, 10 vans, 1 bus-Founding Convention05/20/2009$7,953
40 plane tickets-Founding Convention04/22/2009$6,124
Name and Address
(A)
San Francisco Unified School District
Type or Classification
(B)
Event space
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,398
Total Non-Itemized Transactions with this Payee/Payer$402
Total of All Transactions with this Payee/Payer for This Schedule$5,800
Room rental for Convention07/08/2009$5,398
Form LM-2 (Revised 2003)
SCHEDULE 20 - BENEFITS FILE NUMBER: 544-076

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$561,942
Wokers' compensation insuranceState Compensation Insurance F$15,555
Health and WellfareHeatlh Care Ers/Ees Trust$387,048
Health and WelfareHealth Care Ers/Ees Trust$159,339
Form LM-2 (Revised 2003)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 544-076




General Information: 12. Since NUHW was founded on 1/28/09, an outside accountant will perform our first financial audit in 2010.

14. Fidelity bond maximum has been increased to $350,000.

17. NUHW is one of the defendants in a lawsuit brought by SEIU -- United States District Court, Northern District of California, Service Employees International Union, et al, Plaintiffs vs. Sal Rosselli, et al, Defendants, Case No. 09-CV-0404 WHA.



Schedule 11: All officers were elected by the founding committee to serve on an interim basis until the union has members and can hold its first regular election, currently scheduled for January-March 2011.




Question 11: 11a. National Union of Healthcare Workers Federal Committee on Political Education -- ID #12FE4M5; filed with Federal Election Commission.
11b. National Union of Healthcare Workers Candidate Committee for Quality Patient Care and Union Democracy -- ID #1318200; filed with CA Secretary of State.
11c. National Union of Healthcare Workers Issues Committee for Quality Patient Care and Union Democracy -- ID #1318201; filed with CA Secretary of State..


Title: 71. Secretary-Treasurer


Period Covered Dates: Union was formed on 1/28/09. Fiscal year is calendar year.


Form LM-2 (Revised 2003)