544-076 (LM2) 12/31/2014
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: 08-31-2016
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
From01/01/2014
Through12/31/2014
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:Sophia MendozaTREASURER
Date:Mar 30, 2015Telephone Number:510-834-2009Date:Mar 30, 2015Telephone Number:213-280-0051
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?Yes
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?No
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?02/2018
20. How many members did the labor organization have at the end of the reporting period?10,616
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%permonth25.00102.00
(b) Working Dues/Fees0per
(c) Initiation Fees0per
(d) Transfer Fees0per
(e) Work Permits0per

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 $727,409$694,409
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$3,242$10,877
28. Other Assets7$915,356$11,626
29. TOTAL ASSETS $1,646,007$716,912

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$0$50,736
31. Loans Payable9$9,533,776$9,533,776
32. Mortgages Payable $0$0
33. Other Liabilities10$764,055$737,688
34. TOTAL LIABILITIES $10,297,831$10,322,200
35. NET ASSETS-$8,651,824-$9,605,288
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 $4,184,197
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $942
40. Interest $183
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 $21,088
48. Other Receipts14$28,119
49. TOTAL RECEIPTS $4,234,529
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$2,983,174
51. Political Activities and Lobbying16$98,781
52. Contributions, Gifts, and Grants17$30,452
53. General Overhead18$412,199
54. Union Administration19$19,972
55. Benefits20$470,378
56. Per Capita Tax $17,140
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $2,028
60. Purchase of Investments and Fixed Assets4$8,175
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 $20,789
65. Direct Taxes $210,351
  
66. Subtotal $4,273,439
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$699,140  
  67b. Less Total Disbursed$693,230  
  67c. Total Withheld But Not Disbursed $5,910
68. TOTAL DISBURSEMENTS $4,267,529
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   $0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
None$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     
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
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$8,175$8,175$8,175
Copy machine$8,175$8,175$8,175
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$8,175
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
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost
E. Total Book Value
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
D. Office Furniture and Equipment$15,090$4,213$10,877$10,877
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)) $15,090$4,213$10,877$10,877
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)) $11,626
Office lease deposits$7,628
State Compensation Insurance Fund deposit$3,638
Parking cards deposit$260
Meeting room deposit$100
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$26,089$0$22,597$0
Total from all other accounts payable$24,647$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $50,736$0$22,597$0
Siegel, LeWitter & Malkani$26,089$0$22,597$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$9,533,776$0$0$0$9,533,776
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
Labor organizations$9,533,776$0$0$0$9,533,776
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)) $737,688
Accrued December 2014 salaried paid January 2015$25,417
Accrued payroll taxes paid January 2015$3,918
Accrued vacation$147,939
Interest payable$554,504
Employee withholdings$5,910
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
Secretary-Treasurer
P
$31,240$692$299$0$32,231
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
Mallon ,  David  
Vice President
P
$5,696$500$0$0$6,196
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
Rosselli ,  Sal  
President
C
$120,120$6,000$24,564$0$150,684
I
Schedule 15
Representational Activities
89 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
5 %
A
B
C
Seavey ,  Fred  
Secretary-Treasurer
N
$104,000$0$362$0$104,362
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
A
B
C
Askew ,  Sonia  
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
Beshears ,  Michael   W
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
Clifford ,  James   P
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
Cruz ,  Denise  
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
Fontenelle ,  Creight  
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
Garcia ,  Jared  
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
Gedebu-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
Gonzales ,  Ernesto  
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 ,  Mito  
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
Gross ,  Spencer  
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
Klar ,  Herb  
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
Mendoza ,  Danilo  
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
Padilla-Castro ,  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
Papazian ,  Clem  
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
Quintano ,  Porfirio  
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
Sidrow-Thompson ,  Julia  
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
Springer ,  Deborah  
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
Timberlake ,  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
White ,  Elizabeth  
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 %
Total Officer Disbursements$261,056$7,192$25,225$0$293,473
Less Deductions    $142,058
Net Disbursements    $151,415
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
Albert ,  Marilyn   J
Organizer
N/A
$62,400$6,000$6,206$0$74,606
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Besst ,  Kenneth   L
Operations Coordinator
N/A
$79,300$0$13,733$0$93,033
I
Schedule 15
Representational Activities
94 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
4 % Schedule 19
Administration
1 %
A
B
C
Bonilla ,  Edgar   O
Organizer
N/A
$30,960$2,631$2,696$0$36,287
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
$10,446$692$0$0$11,138
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
Contreras ,  Audel   J
Organizer
N/A
$49,400$6,000$5,705$0$61,105
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Cornejo ,  Ralph   R
Kaiser Director
N/A
$73,400$1,846$10,171$0$85,417
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Davis ,  Steven   T
Researcher
N/A
$14,155$0$0$0$14,155
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
DeFreitas ,  Justin   F
Communications Coord
N/A
$73,348$0$1,077$0$74,425
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Dhanraj ,  Edan  
Organizer
N/A
$30,100$3,231$1,991$0$35,322
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Draper ,  Richard   E
Organizing Director
N/A
$93,600$6,000$8,180$0$107,780
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   L
Organizer
N/A
$48,842$3,577$1,562$0$53,981
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
Flores ,  Alexandria   T
Organizer
N/A
$28,500$3,461$2,203$0$34,164
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
Gilbrecht ,  Jan   S
Organizer
N/A
$50,600$4,246$1,949$0$56,795
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Gonzales ,  Ernest   V
Organizer
N/A
$27,755$1,800$2,279$0$31,834
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
Griffith ,  Beverly   J
Organizer
N/A
$62,400$6,000$3,765$0$72,165
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Howe ,  Sinalemoana   F
Organizer
N/A
$62,400$6,000$3,496$0$71,896
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Lucas Jr ,  Hugh   L
Organizer
N/A
$15,470$0$850$0$16,320
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
Mallon ,  David  
Organizer
N/A
$62,658$5,500$148$0$68,306
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
McNamara ,  Brian   F
Hospital/Nursing Home Dir
N/A
$92,568$4,961$14,913$0$112,442
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   L
Organizing Director
N/A
$93,600$6,000$4,834$0$104,434
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
Murguia ,  Cristian   E
Organizer
N/A
$17,670$2,146$1,032$0$20,848
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
Nguyen ,  Thanh-Van   T
Researcher
N/A
$21,500$0$0$0$21,500
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Olds ,  Ryan   A
Organizer
N/A
$31,440$3,023$2,150$0$36,613
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Orea ,  Antonio  
Coordinator
N/A
$79,300$6,000$7,110$0$92,410
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Ortiz II ,  David   A
Organizer
N/A
$18,810$2,515$1,415$0$22,740
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Page ,  Sam   M
Organizer
N/A
$52,900$6,000$3,075$0$61,975
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Poulson ,  Hilda   A
Organizer
N/A
$18,060$1,731$621$0$20,412
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
Ridgell ,  Charles  
Organizer
N/A
$63,825$4,673$5,020$0$73,518
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Smith ,  Sara   R
Researcher
N/A
$27,930$0$81$0$28,011
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Snyder ,  Benjamin   L
Organizer
N/A
$49,650$6,000$0$0$55,650
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Soria ,  Henry   G
Organizer
N/A
$14,506$1,131$1,163$0$16,800
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
Tavaglione ,  Kimberly  
Organizer
N/A
$72,050$6,000$7,773$0$85,823
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Tegenkamp ,  Gregory   L
Coordinator
N/A
$79,300$6,000$4,306$0$89,606
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Torres ,  Juan Michael  
Organizer
N/A
$10,750$1,154$0$0$11,904
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
$30,369$0$0$0$30,369
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
3 % Schedule 19
Administration
0 %
A
B
C
Villanueva ,  Carla Irina  
Organizer
N/A
$22,020$1,985$1,434$0$25,439
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Walton ,  Helen   L
Lost Timer
N/A
$18,498$0$560$0$19,058
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
Willett ,  Phyllis   H
Operations Director
N/A
$15,470$0$20,212$0$35,682
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
93 % Schedule 19
Administration
3 %
A
B
C
Yahya ,  Abid   H
Organizer
N/A
$71,363$5,077$1,905$0$78,345
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$43,610$572$1,659$0$45,841
I Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
0 %
Total Employee Disbursements$1,820,923$121,952$145,274$0$2,088,149
Less Deductions    $557,082
Net Disbursements    $1,531,067
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) 10,616 
Agency Fee Payers*30
Total Members/Fee Payers10,646 
*Agency Fee Payers are not considered members of the labor organization.
Members10,584Yes
Retired Members20Yes
Associate Members12No
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$0
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$28,119
4. Total Receipts$28,119
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$5,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$25,452
6. Total Disbursements$30,452
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$505,124
2. Named Payee Non-itemized Disbursements$124,838
3. To Officers$272,724
4. To Employees$2,025,492
5. All Other Disbursements$54,996
6. Total Disbursements$2,983,174
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$202,567
2. Named Payee Non-itemized Disbursements$129,754
3. To Officers$1,507
4. To Employees$38,274
5. All Other Disbursements$40,097
6. Total Disbursements$412,199
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$14,600
2. Named Payee Non-itemized Disbursements$52,250
3. To Officers$7,534
4. To Employees$21,699
5. All Other Disbursements$2,698
6. Total Disbursements$98,781
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$11,708
4. To Employees$2,683
5. All Other Disbursements$5,581
6. Total Disbursements$19,972
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 544-076

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 544-076

Name and Address
(A)
Angela Alioto, Professional Law Corporation

700 Montgomery Street
San Francisco
CA
94111
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$35,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$35,000
Legal services01/29/2014$35,000
Name and Address
(A)
California Nurses Association

2000 Franklin Street
Oakland
CA
94612
Type or Classification
(B)
Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,200
Total Non-Itemized Transactions with this Payee/Payer$5,417
Total of All Transactions with this Payee/Payer for This Schedule$10,617
Service Fee10/15/2014$5,200
Name and Address
(A)
Comfort Inn

4260 Broadway
Eureka
CA
95503
Type or Classification
(B)
Hotels
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,641
Total of All Transactions with this Payee/Payer for This Schedule$6,641
Name and Address
(A)
Florice Hoffman

8502 E Chapman Ave
Orange
CA
92869
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$84,721
Total Non-Itemized Transactions with this Payee/Payer$514
Total of All Transactions with this Payee/Payer for This Schedule$85,235
Legal services01/02/2014$6,000
Legal services02/03/2014$6,487
Legal services03/03/2014$6,980
Legal services04/01/2014$6,532
Legal services04/30/2014$7,050
Legal services06/02/2014$8,230
Legal services07/02/2014$7,464
Legal services08/03/2014$7,477
Legal services09/02/2014$7,012
Legal services10/02/2014$7,000
Legal services11/02/2014$7,000
Legal services12/01/2014$7,489
Name and Address
(A)
Hilton Garden Inn

1800 Powell Street
Emeryville
CA
94608
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,079
Total Non-Itemized Transactions with this Payee/Payer$4,654
Total of All Transactions with this Payee/Payer for This Schedule$15,733
Room rentals; food catering09/29/2014$11,079
Name and Address
(A)
IAMAW District Lodge 60
P.O. Box 43

Spring Arbor
MI
49283
Type or Classification
(B)
Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,425
Total of All Transactions with this Payee/Payer for This Schedule$20,425
Name and Address
(A)
Inkworks

2827 7th Street
Berkeley
CA
94710
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,610
Total of All Transactions with this Payee/Payer for This Schedule$5,610
Name and Address
(A)
Jorge Rodriguez

1828 Grasscreek Drive
San Dimas
CA
91773
Type or Classification
(B)
Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,194
Total of All Transactions with this Payee/Payer for This Schedule$7,194
Name and Address
(A)
Lithograph Reproductions, Inc.

4120 M.L. King Jr. Way
Oakland
CA
94609
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$39,712
Total of All Transactions with this Payee/Payer for This Schedule$39,712
Name and Address
(A)
PRWRK

1100 Vermont Av. NW
Washington
DC
20005
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)
S.A. Promotions

2412 McKinley St
Berkeley
CA
94703
Type or Classification
(B)
Promotional products
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,600
Total Non-Itemized Transactions with this Payee/Payer$5,009
Total of All Transactions with this Payee/Payer for This Schedule$11,609
Visibility items10/21/2014$6,600
Name and Address
(A)
Sherman, Dunn, Cohen, Leifer, & Yellig, P.C.

900 7th Street NW #1000
Washington
DC
20001
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,025
Total Non-Itemized Transactions with this Payee/Payer$2,170
Total of All Transactions with this Payee/Payer for This Schedule$8,195
Legal services04/14/2014$6,025
Name and Address
(A)
Siegel & Yee

499 14th Street, Ste 300
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 services01/06/2014$7,500
Legal services02/03/2014$7,500
Legal services02/18/2014$7,500
Legal services04/01/2014$7,500
Legal services05/01/2014$7,500
Legal services06/02/2014$7,500
Legal services06/30/2014$7,500
Legal services08/01/2014$7,500
Legal services09/01/2014$7,500
Legal services10/01/2014$7,500
Legal services11/01/2014$7,500
Legal services12/01/2014$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$266,499
Total Non-Itemized Transactions with this Payee/Payer$3,492
Total of All Transactions with this Payee/Payer for This Schedule$269,991
Legal services02/18/2014$37,719
Legal services03/17/2014$61,691
Legal services04/15/2014$25,266
Legal services05/15/2014$20,597
Legal services06/16/2014$25,842
Legal services08/04/2014$12,888
Legal services09/01/2014$22,374
Legal services09/15/2014$15,369
Legal services10/15/2014$25,828
Legal services12/08/2014$10,537
Legal services12/31/2014$8,388
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 544-076

Name and Address
(A)
NUHW Candidate Comm for Patient Care & Union Democ

5940 College Ave, Suite F
Oakland
CA
94618
Type or Classification
(B)
PAC
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,600
Total Non-Itemized Transactions with this Payee/Payer$34,000
Total of All Transactions with this Payee/Payer for This Schedule$48,600
Transfer of funds07/16/2014$14,600
Name and Address
(A)
Sarah Callahan

14 Janet Way #148
Tiburon
CA
94920
Type or Classification
(B)
Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,250
Total of All Transactions with this Payee/Payer for This Schedule$18,250
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 544-076

Name and Address
(A)
Courage Campaign

7119 W Sunset Blvd #195
Los Angeles
CA
90046
Type or Classification
(B)
Online community for progressive change
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
Contribution04/14/2014$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 544-076

Name and Address
(A)
ABM Parking Sevices

3580 Wilshire Blvd, #1020
Los Angeles
CA
90010
Type or Classification
(B)
Parking garage
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,187
Total of All Transactions with this Payee/Payer for This Schedule$9,187
Name and Address
(A)
Accountemps
P.O. Box 743295

Los Angeles
CA
90074
Type or Classification
(B)
Temporary employment service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$29,457
Total of All Transactions with this Payee/Payer for This Schedule$29,457
Name and Address
(A)
AG/Cambra 225 Broadway LLC
PO Box 8352

Pasadena
CA
91109
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,747
Total Non-Itemized Transactions with this Payee/Payer$10,998
Total of All Transactions with this Payee/Payer for This Schedule$31,745
Rent01/06/2014$5,186
Rent02/01/2014$5,186
Rent02/18/2014$5,186
Rent04/01/2014$5,189
Name and Address
(A)
AT&T
PO Box 5025

Carol Stream
IL
60197
Type or Classification
(B)
Phone service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,487
Total of All Transactions with this Payee/Payer for This Schedule$6,487
Name and Address
(A)
Bolton Partners

100 Light Street, 9th Floor
Baltimore
MD
21202
Type or Classification
(B)
Actuary
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,306
Total of All Transactions with this Payee/Payer for This Schedule$6,306
Name and Address
(A)
Broadway HPY, LLC

3580 Wilshire Blvd, #1020
Los Angeles
CA
90010
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,956
Total Non-Itemized Transactions with this Payee/Payer$103
Total of All Transactions with this Payee/Payer for This Schedule$28,059
Rent08/01/2014$5,508
Rent08/18/2014$5,612
Rent10/01/2014$5,612
Rent11/01/2014$5,612
Rent12/01/2014$5,612
Name and Address
(A)
BRE Properties

5815-A Shellmound Way
Emeryville
CA
94608
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$108,503
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$108,503
Rent01/06/2014$9,042
Rent02/01/2014$9,042
Rent02/18/2014$9,042
Rent04/01/2014$9,042
Rent05/01/2014$9,042
Rent06/01/2014$9,042
Rent07/01/2014$9,042
Rent07/23/2014$9,042
Rent08/18/2014$9,042
Rent10/01/2014$9,042
Rent11/01/2014$9,042
Rent12/01/2014$9,041
Name and Address
(A)
Complete Office Solutions

1557 Santa Anita Ave.
South El Monte
CA
91733
Type or Classification
(B)
Copier lease and service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,549
Total of All Transactions with this Payee/Payer for This Schedule$5,549
Name and Address
(A)
Henry Levy Group

5940 College Avenue
Oakland
CA
94618
Type or Classification
(B)
CPA
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,035
Total of All Transactions with this Payee/Payer for This Schedule$19,035
Name and Address
(A)
Levy & Powers, Inc.

4040 Civic Center Dr,#200
San Rafael
CA
94903
Type or Classification
(B)
Auditor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,500
Total of All Transactions with this Payee/Payer for This Schedule$9,500
Name and Address
(A)
NuWest Insurance Services
Box 18973

Irvine
CA
92623
Type or Classification
(B)
Insurance brokers
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$36,361
Total Non-Itemized Transactions with this Payee/Payer$1,717
Total of All Transactions with this Payee/Payer for This Schedule$38,078
Insurance07/28/2014$36,361
Name and Address
(A)
PayPal

2211 N First Street
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$10,907
Total of All Transactions with this Payee/Payer for This Schedule$10,907
Name and Address
(A)
PaySimple

1433 17th Street, #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$20,508
Total of All Transactions with this Payee/Payer for This Schedule$20,508
Name and Address
(A)
Regents of UC

UC Santa Barbara
Santa Barbara
CA
93106
Type or Classification
(B)
University
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$9,000
Conference04/22/2014$9,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 544-076

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
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.)$470,378
Medical benefitsKaiser Foundation Health Plan, Inc.$305,382
Dental benefitsFinancial Management Trust$42,373
Workers' compensation insuranceState Compensation Insurance Fund$45,984
401(k) Plan TrusteeMatrix Trust Company$76,639
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 544-076


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 3. National Union of Healthcare Workers Candidate Committee for Quality Patient Care and Union Democracy #1318200 -- CA Secretary of State

Question 12: : : Outside accountant -- Des Powers, CPA, Inc.

Question 15: : : Recycled old copy machine.

Statement A,

Accounts Payable Begin Total: : This line was adjusted in error, now is the same as the ending

Accounts Payable as of 12/31/13

Statement A,

Cash Begin Total: : Changed in error so restored to original amount

Schedule 8, Row1:

Schedule 9, Row1:

Schedule 13, Row1:Full members; full dues

Schedule 13, Row1:

Schedule 13, Row2:Retired Members; pay $25 per month dues

Schedule 13, Row2:

Schedule 13, Row3:Associate Members -- Those who work in the healthcare industry but are not represented by NUHW; pay minimum of $10 dues per month.

Schedule 13, Row3:Associate Members are not eligible to vote in NUHW elections.

General Information:
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)