544-076 (LM2) 12/31/2011
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. 1245-0003
Expires: 10-31-2013
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
From01/01/2011
Through12/31/2011
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
946081986


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:John E BorsosTREASURER
Date:Mar 30, 2012Telephone Number:510-834-2009Date:Mar 30, 2012Telephone Number:916-471-9376
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
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?Yes
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?$500,000
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?Yes
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?Yes
19. What is the date of the labor organization's next regular election of officers?02/2015
20. How many members did the labor organization have at the end of the reporting period?8,580
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$98.00
(b) Working Dues/FeesN/Aper
(c) Initiation FeesN/Aper
(d) Transfer FeesN/Aper
(e) Work PermitsN/Aper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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 $274,014$47,213
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$3,061$612
28. Other Assets7$914,089$902,917
29. TOTAL ASSETS $1,191,164$950,742

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$146,429$238,244
31. Loans Payable9$2,000,000$2,000,000
32. Mortgages Payable $0$0
33. Other Liabilities10$0$1,097
34. TOTAL LIABILITIES $2,146,429$2,239,341
35. NET ASSETS-$955,265-$1,288,599
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 544-076

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $2,372,965
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $11,522
40. Interest $7
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $3,580
48. Other Receipts14$132,626
49. TOTAL RECEIPTS $2,520,700
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$2,084,141
51. Political Activities and Lobbying16$1,716
52. Contributions, Gifts, and Grants17$800
53. General Overhead18$192,921
54. Union Administration19$24,439
55. Benefits20$332,807
56. Per Capita Tax $0
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $7,790
60. Purchase of Investments and Fixed Assets4$0
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 $3,045
65. Direct Taxes $101,314
  
66. Subtotal $2,748,973
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$223,837  
  67b. Less Total Disbursed$223,034  
  67c. Total Withheld But Not Disbursed $803
68. TOTAL DISBURSEMENTS $2,748,170
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 544-076

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 544-076

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above    $0
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 544-076

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Gross Sales Price
(D) 		Amount Received
(E)
Total of all lines above$0$0$0$0
None$0$0$0$0
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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$0$0$0
None$0$0$0
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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.  
Other Investments 
D. Total Cost$0
E. Total Book Value$0
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.  
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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
D. Office Furniture and Equipment$3,673$3,061$612$612
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $3,673$3,061$612$612
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 544-076

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $902,917
Appeal bond$882,829
Appeal bond supplement$9,637
Office lease deposits$7,628
State Compensation Insurance Fund deposit$2,823
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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$209,095$29,069$127,097$0
Total from all other accounts payable$29,149$3,078$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $238,244$32,147$127,097$0
Alliance Graphics$38,875$14,069$18,774$0
Law Offices of Florice Hoffman$65,230$15,000$25,000$0
Ralph Cornejo$13,760$0$12,917$0
Sal Rosselli$11,210$0$9,525$0
Siegel, LeWitter & Malkani$80,020$0$60,881$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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$2,000,000$0$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 organization$2,000,000$0$0$0$2,000,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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)) $1,097
Payroll withholdings not yet disbursed$803
Payroll taxes payable$294
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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
C		$64,800$0$11,243$0$76,043
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		5 %
A
B
C 		Brennan ,  William   M
Vice President
C		$0$0$935$0$935
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 		Cornejo ,  Ralph   C
Administrative VP
C		$6,000$0$21,977$0$27,977
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 		Emslie ,  Joan  
Secretary-Treasurer
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		5 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		90 % Schedule 19
Administration 		5 %
A
B
C 		Goldstein ,  Glenn   R
Administrative VP
P		$4,534$0$249$0$4,783
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 		Griffith ,  Beverly   J
Vice President
C		$47,500$0$2,944$0$50,444
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 		Kumar ,  Paul   R
Administrative VP
C		$0$0$47,700$0$47,700
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 		Martin ,  Daniel   H
Administrative VP
P		$0$0$684$0$684
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 ,  Pamela   J
Administrative VP
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Robinson ,  Tena  
Vice President
C		$0$0$460$0$460
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 		Rodriguez ,  Rachel   C
Administrative VP
C		$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 		Rosselli ,  Sal  
President
C		$6,000$0$26,203$0$32,203
I
Schedule 15
Representational Activities 		70 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		7 %
A
B
C 		Seavey ,  Frederic   A
Administrative VP
C		$0$0$39$0$39
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 		AIDUKAS ,  TONY  
Vice President
C		$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
C		$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
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 		AREVALO ,  CLAUDIA  
Vice President
C		$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
C		$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
C		$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
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 		BROWN ,  MILDRED  
Vice President
C		$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
C		$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
C		$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
C		$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
C		$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
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 		FENISON ,  MICHAEL  
Vice President
C		$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 		FITZHUGH ,  LANETA  
Vice President
C		$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 ,  ERMELINA MAR  
Vice President
C		$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
C		$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
C		$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
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 		GARCIA ,  MELL  
Vice President
C		$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
C		$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
C		$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 		GONZALES ,  ERNESTO  
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
C		$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
C		$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 		ISAIAH ,  JU'ANNA  
Vice President
C		$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
C		$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 		JOSEPH ,  DERRELL  
Vice President
C		$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
C		$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
C		$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
C		$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
C		$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 LETTY  
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 		MARTINEZ ,  SHARON  
Vice President
C		$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
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 		NELSON ,  SHIRLEY  
Vice President
C		$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
C		$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
C		$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
C		$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
C		$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
C		$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
C		$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
C		$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
C		$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
C		$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
C		$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
C		$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
C		$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 		VAZQUEZ ,  MARTHA  
Vice President
C		$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
C		$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
C		$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
C		$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
C		$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
C		$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
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 		WORCHESTER ,  REBECCA  
Vice President
C		$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
C		$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
C		$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$128,834$0$112,434$0$241,268
Less Deductions     
Net Disbursements    $241,268
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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 		Tegenkamp ,  Gregory  
Organizer
N/A		$54,000$0$6,126$0$60,126
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Howe ,  Sinalemoana  
Organizer
N/A		$47,500$0$12,295$0$59,795
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Orea ,  Antonio  
Organizer
N/A		$52,824$0$6,604$0$59,428
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Draper ,  Richard  
Organizer
N/A		$54,000$0$4,859$0$58,859
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Gonzales ,  Ernest  
Organizer
N/A		$47,500$0$10,540$0$58,040
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Maldonado ,  Adrian  
Organizer
N/A		$47,500$0$6,966$0$54,466
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Mendoza ,  Sophia  
Organizer
N/A		$47,500$0$6,193$0$53,693
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Tappeiner ,  Peter  
Organizer
N/A		$47,500$0$6,036$0$53,536
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		McNamara ,  Brian  
Organizer
N/A		$47,500$0$4,295$0$51,795
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Delehanty ,  Paul  
Communicator
N/A		$47,500$0$2,158$0$49,658
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Yahya ,  Abid  
Organizer
N/A		$47,500$0$2,062$0$49,562
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Fewer ,  Colleen  
Organizer
N/A		$47,500$0$2,041$0$49,541
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Clayton ,  Pieter  
Organizer
N/A		$44,000$0$5,399$0$49,399
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Woodhouse ,  Leighton  
Communications Director
N/A		$47,500$0$1,639$0$49,139
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Roe ,  Mary Faye  
Organizer
N/A		$40,951$0$3,218$0$44,169
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Zepeda ,  Evelyn  
Organizer
N/A		$38,435$0$4,365$0$42,800
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Alvarez ,  Patricia  
Organizer
N/A		$32,238$0$3,848$0$36,086
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Besst ,  Kenneth  
Data Manager
N/A		$28,000$0$3,804$0$31,804
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		0 %
A
B
C 		Lee ,  Ching  
Organizer
N/A		$24,097$0$3,514$0$27,611
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Ray ,  Daniel  
Organizer
N/A		$18,823$0$1,990$0$20,813
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Luna ,  Pamela  
Organizer
N/A		$18,000$0$2,556$0$20,556
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Vanegas ,  Pavel  
Researcher
N/A		$19,412$0$0$0$19,412
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		McCauley ,  Robert  
Organizer
N/A		$10,000$0$8,575$0$18,575
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Kabba ,  Khadijatu  
Organizer
N/A		$16,557$0$1,451$0$18,008
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Regullano ,  Elaine Grace  
Communicator
N/A		$16,473$0$0$0$16,473
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Murillo ,  Alejandro  
Organizer
N/A		$9,108$0$4,023$0$13,131
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Ridgell ,  Charles  
Organizer
N/A		$10,500$0$862$0$11,362
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$42,680$0$8,248$0$50,928
I Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
Total Employee Disbursements$1,005,098$0$123,667$0$1,128,765
Less Deductions    $223,837
Net Disbursements    $904,928
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 544-076

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 8,580 
Agency Fee Payers*0
Total Members/Fee Payers8,580 
*Agency Fee Payers are not considered members of the labor organization.
Members8,580Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 544-076

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$80,000
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$52,626
4. Total Receipts$132,626
     
     
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$800
6. Total Disbursements$800
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$528,530
2. Named Payee Non-itemized Disbursements$184,986
3. To Officers$217,352
4. To Employees$1,122,404
5. All Other Disbursements$30,869
6. Total Disbursements$2,084,141
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$25,170
2. Named Payee Non-itemized Disbursements$132,930
3. To Officers$10,243
4. To Employees$6,361
5. All Other Disbursements$18,217
6. Total Disbursements$192,921
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$966
4. To Employees$0
5. All Other Disbursements$750
6. Total Disbursements$1,716
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$5,977
3. To Officers$12,707
4. To Employees$0
5. All Other Disbursements$5,755
6. Total Disbursements$24,439
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 544-076

Name and Address
(A)
Courage Campaign

7119 W Sunset Blvd, #195
Los Angeles
CA
90046
Type or Classification
(B)
Online organizing network
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$80,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$80,000
grant02/28/2011$50,000
grant04/08/2011$30,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 544-076

Name and Address
(A)
Alliance Graphics

1101 8th St, Ste 100
Berkeley
CA
94710
Type or Classification
(B)
Design & Printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$50,756
Total Non-Itemized Transactions with this Payee/Payer$13,771
Total of All Transactions with this Payee/Payer for This Schedule$64,527
Visibility items02/02/2011$5,000
Visibility items03/02/2011$5,000
Visibility items04/06/2011$5,000
Visibility items05/04/2011$9,695
Visibility items06/01/2011$6,061
Visibility items07/06/2011$5,000
Visibility items08/03/2011$5,000
Visibility items10/05/2011$5,000
Visibility items12/07/2011$5,000
Name and Address
(A)
Ben Ward

409 Sterling Place, Apt. 2
Brooklyn
NY
11238
Type or Classification
(B)
Field Contractor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,514
Total of All Transactions with this Payee/Payer for This Schedule$17,514
Name and Address
(A)
Bennett & Sharpe, Inc.

2444 Main St., Ste 110
Fresno
CA
93721
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,762
Total of All Transactions with this Payee/Payer for This Schedule$5,762
Name and Address
(A)
Courage Campaign

7119 W Sunset Blvd, #195
Los Angeles
CA
90046
Type or Classification
(B)
Media & Public Relations
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
Advertising08/11/2011$5,000
Name and Address
(A)
Dave Robertson
PO Box 537

Clarkston
MI
48347
Type or Classification
(B)
Field Contractor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$23,266
Total of All Transactions with this Payee/Payer for This Schedule$23,266
Name and Address
(A)
Eric Lee

4049 W. 61st St.
Los Angeles
CA
90043
Type or Classification
(B)
Community Organizer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$24,000
Total of All Transactions with this Payee/Payer for This Schedule$24,000
Name and Address
(A)
Law Offices of Florice Hoffman

8502 E Chapman Ave, Ste 3
Orange
CA
92869
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$70,188
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$70,188
Legal services01/12/2011$10,389
Legal services02/09/2011$5,013
Legal services03/09/2011$5,000
Legal services04/06/2011$5,000
Legal services05/11/2011$5,242
Legal services06/08/2011$8,894
Legal services07/06/2011$5,262
Legal services08/03/2011$5,000
Legal services09/11/2011$5,145
Legal services10/05/2011$5,000
Legal services11/16/2011$5,243
Legal services12/07/2011$5,000
Name and Address
(A)
Lithograph Reproductions, Inc.

4120 ML King, Jr Way
Oakland
CA
94609
Type or Classification
(B)
Printing & Mailing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,853
Total Non-Itemized Transactions with this Payee/Payer$13,282
Total of All Transactions with this Payee/Payer for This Schedule$36,135
Printing & Maling04/27/2011$10,342
Printing & Mailing05/04/2011$6,106
Printing & Mailing06/01/2011$6,405
Name and Address
(A)
Nancy Chacon

564 S Hillview Ave
Los Angeles
CA
90022
Type or Classification
(B)
Reimbursement for various expenses
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,016
Total of All Transactions with this Payee/Payer for This Schedule$8,016
Name and Address
(A)
Ona Keller

382 Adams St., Apt 301
Oakland
CA
94610
Type or Classification
(B)
Field Contractor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,434
Total of All Transactions with this Payee/Payer for This Schedule$14,434
Name and Address
(A)
Phyllis Willett

1216 Delaware St
Berkeley
CA
94702
Type or Classification
(B)
Reimbursement for various expenses
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,561
Total Non-Itemized Transactions with this Payee/Payer$15,660
Total of All Transactions with this Payee/Payer for This Schedule$28,221
Strike & office supplies/svcs07/06/2011$5,547
Strike & office supplies/svcs11/09/2011$7,014
Name and Address
(A)
PRWRK, LLC

2009 N. 14th St, Ste 408
Arlington
VA
22201
Type or Classification
(B)
Public Relations
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$24,000
Total of All Transactions with this Payee/Payer for This Schedule$24,000
Name and Address
(A)
Ross Communications

1700 L Street
Sacramento
CA
95811
Type or Classification
(B)
Public Relations
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,857
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,857
Public relations02/23/2011$8,857
Name and Address
(A)
Sherman, Dunn, Cohen, Leifer & Yellig, P.C.

900 7th St., NW, Ste 1000
Washington
DC
20001
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,012
Total Non-Itemized Transactions with this Payee/Payer$12,153
Total of All Transactions with this Payee/Payer for This Schedule$21,165
Legal services11/28/2011$9,012
Name and Address
(A)
Siegel & Yee

499 14th St, Ste 220
Oakland
CA
94612
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$90,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$90,000
Legal services01/05/2011$7,500
Legal services02/02/2011$7,500
Legal services03/02/2011$7,500
Legal services04/06/2011$7,500
Legal services05/04/2011$7,500
Legal services06/02/2011$7,500
Legal services07/06/2011$7,500
Legal services08/03/2011$7,500
Legal services09/01/2011$7,500
Legal services10/05/2011$7,500
Legal services11/28/2011$7,500
Legal services12/28/2011$7,500
Name and Address
(A)
Siegel, LeWitter & Malkani

1939 Harrison St., Ste 307
Oakland
CA
94612
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$253,460
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$253,460
Legal services01/05/2011$20,025
Legal services02/09/2011$16,334
Legal services03/02/2011$20,000
Legal services04/06/2011$22,939
Legal services05/04/2011$26,727
Legal services05/25/2011$22,016
Legal services07/13/2011$25,362
Legal services08/17/2011$20,000
Legal services09/21/2011$20,057
Legal services10/28/2011$20,000
Legal services11/28/2011$20,000
Legal services12/28/2011$20,000
Name and Address
(A)
Southwest Airlines


Dallas
TX
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,384
Total of All Transactions with this Payee/Payer for This Schedule$11,384
Name and Address
(A)
Tubman Law Group
PO Box 72283

Oakland
CA
94612
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,843
Total Non-Itemized Transactions with this Payee/Payer$1,744
Total of All Transactions with this Payee/Payer for This Schedule$7,587
Legal services03/09/2011$5,843
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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)
at&t
PO Box5014

Carol Stream
IL
60197-5014
Type or Classification
(B)
Phone & Internet Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,503
Total of All Transactions with this Payee/Payer for This Schedule$6,503
Name and Address
(A)
AG/Cambra 225 Broadway, LLC
PO Box 8352

Pasadena
CA
91109-8352
Type or Classification
(B)
Property Owner
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$24,699
Total of All Transactions with this Payee/Payer for This Schedule$24,699
Name and Address
(A)
Alternative Technologies

1050 Heinz Avenue
Berkeley
CA
94710
Type or Classification
(B)
Equipment Rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,100
Total of All Transactions with this Payee/Payer for This Schedule$5,100
Name and Address
(A)
BRE Properties

6475 Christie Ave, Ste 550
Emeryville
CA
94608
Type or Classification
(B)
Property Owner
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$51,869
Total of All Transactions with this Payee/Payer for This Schedule$51,869
Name and Address
(A)
Levy & Powers, Inc.

4040 Civic Center Dr
San Rafael
CA
94903
Type or Classification
(B)
CPA's
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,500
Total Non-Itemized Transactions with this Payee/Payer$4,750
Total of All Transactions with this Payee/Payer for This Schedule$10,250
Audit05/11/2011$5,500
Name and Address
(A)
NuWest Insurance Services
PO Box 18973

Irvine
CA
92623
Type or Classification
(B)
Insurance Broker
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,670
Total Non-Itemized Transactions with this Payee/Payer$1,017
Total of All Transactions with this Payee/Payer for This Schedule$20,687
Insurance07/20/2011$19,670
Name and Address
(A)
PayPal, Inc.

2211 N First St
San Jose
CA
95131
Type or Classification
(B)
Payment Processing System
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,527
Total of All Transactions with this Payee/Payer for This Schedule$14,527
Name and Address
(A)
PaySimple, Inc.

1433 17th St, Ste 300
Denver
CO
80202
Type or Classification
(B)
Payment Processing System
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,258
Total of All Transactions with this Payee/Payer for This Schedule$15,258
Name and Address
(A)
Phyllis Willett

1216 Delaware St
Berkeley
CA
94702
Type or Classification
(B)
Reimbursements for Personal Credit Card
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,207
Total of All Transactions with this Payee/Payer for This Schedule$9,207
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 544-076

Name and Address
(A)
Lithograph Reproductions, Inc.

4120 ML King, Jr. Way
Oakland
CA
94609
Type or Classification
(B)
Printing & Mailing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,977
Total of All Transactions with this Payee/Payer for This Schedule$5,977
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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.)$332,807
Workers' Compensation InsuranceState Compensation Insurance Fund$26,156
Health & WelfareKaiser Foundation Health Plan$231,875
Health & WelfareFinancial Management Trust$40,246
Health & WelfareVolunteers & Staff$34,530
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 544-076


Question 16: On October 7, 2010 the National Union of Healthcare Workers posted a cash appeal bond in the amount of $892,829.08 with the United States District Court for the Northern District of California pending outcome of a case currently on appeal.

Question 17: Case No. 09-CV-0404 WHA in the United States District Court for the Northern District of California; claimant Service Employees International Union, et al. Judgment was entered against the National Union of Healthcare Workers in the amount of $724,000 in April 2010. In October 2010 NUHW posted bond with the court in the amount of $892.829.08 which was 125% of the judgment less the amount already levied in satisfaction of the judgment, as required by the court.

Question 18: On October 29, 2011 the members voted to adopt a new Constitution and Bylaws, a copy of which is attached to this report.

Question 11(a): 1. National Union of Healthcare Workers Federal Committee on Political Education #12FE4M5 -- Federal Election Commission 2. National Union of Healthcare Workers Issues Committee for Quality Patient Care and Union Democracy #1318201 -- CA Secretary of State; Los Angeles County Registrar-Recorder; San Francisco Department of Elections; Alameda County Clerk's Office 3. National Union of Healthcare Workers Candidate Committee for Quality Patient Care and Union Democracy #1318200 -- Ethics Commission, City and County of San Francisco

Question 12: Outside accountant Des Powers, CPA, Levy & Powers, Inc.

Schedule 8, Row1:

Schedule 8, Row5:

Schedule 8, Row2:

Schedule 8, Row3:

Schedule 8, Row4:

Schedule 9, Row1:

Schedule 13, Row1:Workers we representated as 12/31/11

Schedule 13, Row1:

General Information:

Schedule 11: Ernesto Gonzales was elected to the Executive Board by his hospital stewards council.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)