544-076 (LM2) 12/31/2015
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
From01/01/2015
Through12/31/2015
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, 2016Telephone Number:510-834-2009Date:Mar 30, 2016Telephone 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?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?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?11,853
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%permonth25.00106.00
(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 $694,409$440,579
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$10,877$10,059
28. Other Assets7$11,626$13,533
29. TOTAL ASSETS $716,912$464,171

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$50,736$35,749
31. Loans Payable9$9,533,776$9,387,816
32. Mortgages Payable $0$0
33. Other Liabilities10$737,688$755,070
34. TOTAL LIABILITIES $10,322,200$10,178,635
35. NET ASSETS-$9,605,288-$9,714,464
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 $4,235,799
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $1,304
40. Interest $125
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 $27,737
48. Other Receipts14$16,578
49. TOTAL RECEIPTS $4,281,543
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$3,000,475
51. Political Activities and Lobbying16$53,372
52. Contributions, Gifts, and Grants17$72,505
53. General Overhead18$424,994
54. Union Administration19$35,365
55. Benefits20$586,425
56. Per Capita Tax $21,417
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $5,929
60. Purchase of Investments and Fixed Assets4$0
61. Loans Made2$0
62. Repayment of Loans Obtained9$145,960
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $27,076
65. Direct Taxes $203,284
  
66. Subtotal $4,576,802
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$788,342  
  67b. Less Total Disbursed$746,913  
  67c. Total Withheld But Not Disbursed $41,429
68. TOTAL DISBURSEMENTS $4,535,373
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$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
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$10,059$0$10,059$10,059
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $10,059$0$10,059$10,059
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)) $13,533
Office Lease Deposits$7,628
State Compensation Insurance Fund deposit$5,685
Parking cards deposit$220
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$22,457$0$0$0
Total from all other accounts payable$13,292$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $35,749$0$0$0
Siegel, LeWitter & Malkani$22,457$0$0$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$145,960$0$9,387,816
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$145,960$0$9,387,816
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)) $755,070
Accrued December 2015 salaries paid January 2016$32,705
Accrued payroll taxes paid January 2016$8,967
Accrued vacation$45,033
Interest payable$668,365
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 		Mendoza ,  Sophia   L
Sec-Treasurer
N		$75,030$4,147$3,510$0$82,687
I
Schedule 15
Representational Activities 		89 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		11 %
A
B
C 		Rosselli ,  Sal  
President
C		$124,740$6,231$31,762$0$162,733
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		13 %
A
B
C 		Seavey ,  Fred  
Sec-Treasurer
P		$23,976$0$0$0$23,976
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 		Askew ,  Sonia  
Vice President
P		$0$0$151$0$151
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  
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 		Clifford ,  James  
Vice President
C		$0$0$416$0$416
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
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 		Fontenelle ,  Creight  
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 ,  Jared  
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 		Gedebu-Wilson ,  Turusew  
Vice President
C		$0$0$136$0$136
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 		Ginne ,  Melinda  
Vice President
N		$0$0$535$0$535
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
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 		Gonzales ,  Mito  
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 		Gross ,  Spencer  
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 		Kees ,  Ruth  
Vice President
N		$0$0$87$0$87
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
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 		Luna ,  Greg  
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 		Mendoza ,  Danilo  
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 		Padilla-Castro ,  Maria  
Vice President
C		$0$0$644$0$644
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$1,644$0$1,644
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$53$0$53
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
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 		Springer ,  Deborah  
Vice President
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Timberlake ,  Nancy  
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 		Villasenor ,  Gloria  
Vice President
N		$0$0$1,719$0$1,719
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$767$0$767
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
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 %
Total Officer Disbursements$223,746$10,378$41,424$0$275,548
Less Deductions    $157,912
Net Disbursements    $117,636
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 		Acosta ,  Luisa   L
Organizer
N/A		$12,350$1,500$747$0$14,597
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 		Albert ,  Marilyn   J
Organizer
N/A		$46,120$3,152$5,694$0$54,966
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		20 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Averette ,  Omari   K
Organizer
N/A		$48,450$5,884$2,191$0$56,525
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   L
Coordinator
N/A		$82,350$0$23,028$0$105,378
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 		Black ,  Kristi   L
Coordinator
N/A		$62,992$0$73$0$63,065
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Carter ,  Terrence   L
Organizer
N/A		$18,050$2,192$550$0$20,792
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 		Casique ,  Francisco   D
Researcher
N/A		$41,495$0$961$0$42,456
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		$41,574$4,661$2,678$0$48,913
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 		Cornejo ,  Ralph   R
Director
N/A		$108,000$6,231$10,388$0$124,619
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
Coordinator
N/A		$76,860$0$1,762$0$78,622
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Dhanraj ,  Edan  
Organizer
N/A		$58,050$6,231$3,379$0$67,660
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   E
Director
N/A		$97,200$6,231$4,848$0$108,279
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 		Dugan ,  Dennis   A
Organizer
N/A		$54,875$4,846$4,126$0$63,847
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		$51,300$6,231$3,891$0$61,422
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		$14,231$1,194$1,753$0$17,178
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		$64,800$6,231$4,235$0$75,266
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 		Hill ,  Grant   J
Organizer
N/A		$20,920$1,846$0$0$22,766
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   F
Organizer
N/A		$64,800$6,231$1,718$0$72,749
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 		Lucas Jr ,  Hugh   L
Organizer
N/A		$16,325$0$788$0$17,113
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		$59,153$5,077$2,826$0$67,056
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
Director
N/A		$21,410$1,183$1,376$0$23,969
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		$51,300$6,231$2,713$0$60,244
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 		Nguyen ,  Thanh-Van   T
Researcher
N/A		$57,835$0$1,996$0$59,831
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 		Olds ,  Ryan   A
Organizer
N/A		$64,800$6,231$5,146$0$76,177
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 		Orea ,  Antonio  
Senior Coordinator
N/A		$88,950$6,231$7,559$0$102,740
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 		Ortiz II ,  David   A
Organizer
N/A		$34,097$3,923$3,534$0$41,554
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 		Page ,  Sam   M
Organizer
N/A		$58,050$6,231$4,697$0$68,978
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  
Senior Coordinator
N/A		$78,887$4,731$6,864$0$90,482
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 		Salmeron ,  Lesli   E
Organizer
N/A		$49,780$6,046$1,820$0$57,646
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 		Seavey ,  Frederic   A
Director
N/A		$84,024$0$0$0$84,024
I
Schedule 15
Representational Activities 		76 % Schedule 16
Political Activities and Lobbying 		22 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Snyder ,  Benjamin   L
Organizer
N/A		$58,050$6,231$0$0$64,281
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  
Coordinator
N/A		$78,250$6,231$8,470$0$92,951
I
Schedule 15
Representational Activities 		89 % Schedule 16
Political Activities and Lobbying 		11 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Tegenkamp ,  Gregory   L
Coordinator
N/A		$82,350$6,231$6,577$0$95,158
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   M
Organizer
N/A		$58,050$6,231$0$0$64,281
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 		Walton ,  Helen   L
Lost Timer
N/A		$10,571$0$277$0$10,848
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 		Willett ,  Phyllis   H
Director of Operations
N/A		$16,325$0$49,801$0$66,126
I
Schedule 15
Representational Activities 		15 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		82 % Schedule 19
Administration 		3 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$39,802$692$1,249$0$41,743
I Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		0 %
Total Employee Disbursements$1,972,426$134,161$177,715$0$2,284,302
Less Deductions    $630,431
Net Disbursements    $1,653,871
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) 11,853 
Agency Fee Payers*30
Total Members/Fee Payers11,883 
*Agency Fee Payers are not considered members of the labor organization.
Members11,816Yes
Retired Members25Yes
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$16,578
4. Total Receipts$16,578
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$15,000
2. Named Payee Non-itemized Disbursements$36,000
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$21,505
6. Total Disbursements$72,505
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$405,659
2. Named Payee Non-itemized Disbursements$173,018
3. To Officers$241,734
4. To Employees$2,111,268
5. All Other Disbursements$68,796
6. Total Disbursements$3,000,475
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$207,948
2. Named Payee Non-itemized Disbursements$63,457
3. To Officers$0
4. To Employees$119,375
5. All Other Disbursements$34,214
6. Total Disbursements$424,994
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$3,255
4. To Employees$49,993
5. All Other Disbursements$124
6. Total Disbursements$53,372
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$30,559
4. To Employees$3,664
5. All Other Disbursements$1,142
6. Total Disbursements$35,365
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)
ADR Services, Inc

100 First Street, 27th Fl
San Francisco
CA
94105
Type or Classification
(B)
Arbitrators
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,175
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,175
Professional services11/04/2015$10,175
Name and Address
(A)
Alliance Graphics

1101 8th Street
Berkeley
CA
94710
Type or Classification
(B)
Promotional products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,322
Total of All Transactions with this Payee/Payer for This Schedule$20,322
Name and Address
(A)
Barry Winograd

1999 Harrison Street, #1400
Oakland
CA
94612
Type or Classification
(B)
Arbitrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,754
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,754
Arbitration06/24/2015$7,754
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$7,009
Total of All Transactions with this Payee/Payer for This Schedule$7,009
Name and Address
(A)
Consumer Watchdog

2701 Ocean Park Blvd, #112
Santa Monica
CA
90405
Type or Classification
(B)
Consumer advocates
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Advocacy05/13/2015$5,000
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$10,300
Total Non-Itemized Transactions with this Payee/Payer$4,085
Total of All Transactions with this Payee/Payer for This Schedule$14,385
Representational activities05/15/2015$10,300
Name and Address
(A)
Facebook

1601 Willow Road
Menlo Park
CA
94025
Type or Classification
(B)
Social media
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,657
Total of All Transactions with this Payee/Payer for This Schedule$6,657
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$87,927
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$87,927
Legal services01/07/2015$7,221
Legal services02/04/2015$7,282
Legal services03/04/2015$7,000
Legal services04/01/2015$7,364
Legal services05/06/2015$7,327
Legal services06/03/2015$7,550
Legal services07/08/2015$7,277
Legal services08/05/2015$7,483
Legal services09/09/2015$7,467
Legal services10/07/2015$7,305
Legal services11/04/2015$7,289
Legal services12/02/2015$7,362
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$17,000
Total of All Transactions with this Payee/Payer for This Schedule$17,000
Name and Address
(A)
Intersection Media LLC

233 Post Street, 3rd Floor
San Francisco
CA
94108
Type or Classification
(B)
Public relations
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,578
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,578
Representational activities10/21/2015$10,578
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$5,285
Total Non-Itemized Transactions with this Payee/Payer$18,398
Total of All Transactions with this Payee/Payer for This Schedule$23,683
Contract bargaining05/06/2015$5,285
Name and Address
(A)
Lithograph Reproductions

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$43,434
Total of All Transactions with this Payee/Payer for This Schedule$43,434
Name and Address
(A)
Netroots Nation

4741 Central St, #377
Kansas City
MI
64112
Type or Classification
(B)
Convention
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Convention sponsorship04/22/2015$5,000
Name and Address
(A)
Paul Kumar

150 Monticello Ave, Apt 4
Piedmont
CA
94611
Type or Classification
(B)
Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$18,000
Total of All Transactions with this Payee/Payer for This Schedule$24,000
Contract bargaining support03/25/2015$6,000
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$26,000
Total of All Transactions with this Payee/Payer for This Schedule$26,000
Name and Address
(A)
S.A. Promotions

2412 McKinley Street
Berkeley
CA
94703
Type or Classification
(B)
Promotional products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,261
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,261
Visibility Items02/04/2015$8,261
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$0
Total of All Transactions with this Payee/Payer for This Schedule$90,000
Legal services01/07/2015$7,500
Legal services02/04/2015$7,500
Legal services03/04/2015$7,500
Legal services04/01/2015$7,500
Legal services05/06/2015$7,500
Legal services06/03/2015$7,500
Legal services07/08/2015$7,500
Legal services08/05/2015$7,500
Legal services09/09/2015$7,500
Legal services10/07/2015$7,500
Legal services11/04/2015$7,500
Legal services12/02/2015$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$159,379
Total Non-Itemized Transactions with this Payee/Payer$3,492
Total of All Transactions with this Payee/Payer for This Schedule$162,871
Legal services01/07/2015$22,597
Legal services02/04/2015$8,388
Legal services03/04/2015$5,382
Legal services04/01/2015$8,348
Legal services05/06/2015$9,765
Legal services06/03/2015$21,272
Legal services07/01/2015$12,769
Legal services08/05/2015$8,321
Legal services09/01/2015$8,737
Legal services10/28/2015$6,557
Legal services11/11/2015$9,072
Legal services11/25/2015$19,238
Legal services12/29/2015$18,933
Name and Address
(A)
Work Rights Press
P.O. Box 391066

Cambridge
MA
02139
Type or Classification
(B)
Publisher
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,621
Total of All Transactions with this Payee/Payer for This Schedule$8,621
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING 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 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$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Donation02/08/2015$5,000
Awards ceremony06/06/2015$5,000
Name and Address
(A)
Courage Campaign Institute

7119 W Sunset Blvd #195
Los Angeles
CA
Type or Classification
(B)
Institute 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$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Awards ceremony08/10/2015$5,000
Name and Address
(A)
NUHW Candidate Comm for Patient

5940 College Ave., Ste F
Oakland
CA
94618
Type or Classification
(B)
PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$36,000
Total of All Transactions with this Payee/Payer for This Schedule$36,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 544-076

Name and Address
(A)
5801 Christie Owner, LLC

6425 Christie Avenue, #220
Emeryville
CA
94608
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$81,378
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$81,378
Rent04/01/2015$9,042
Rent05/01/2015$9,042
Rent06/01/2015$9,042
Rent07/01/2015$9,042
Rent08/01/2015$9,042
Rent09/01/2015$9,042
Rent10/01/2015$9,042
Rent11/01/2015$9,042
Rent12/01/2015$9,042
Name and Address
(A)
ABM Parking Services

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$9,770
Total of All Transactions with this Payee/Payer for This Schedule$9,770
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$6,782
Total of All Transactions with this Payee/Payer for This Schedule$6,782
Name and Address
(A)
Barney & Barney
PO Box 740663

Los Angeles
CA
Type or Classification
(B)
Insurance brokers
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$32,100
Total Non-Itemized Transactions with this Payee/Payer$3,022
Total of All Transactions with this Payee/Payer for This Schedule$35,122
Insurance08/26/2015$32,100
Name and Address
(A)
Broadway HPY, LLC

3580 Wilshire Blvd, #1020
Los Angeles
CA
90010
Type or Classification
(B)
Landlords
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$67,344
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$67,344
Rent01/01/2015$5,612
Rent02/01/2015$5,612
Rent03/01/2015$5,612
Rent04/01/2015$5,612
Rent05/01/2015$5,612
Rent06/01/2015$5,612
Rent07/01/2015$5,612
Rent08/01/2015$5,612
Rent09/01/2015$5,612
Rent10/01/2015$5,612
Rent11/01/2015$5,612
Rent12/01/2015$5,612
Name and Address
(A)
BRE Properties, Inc.

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$27,126
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$27,126
Rent01/01/2015$9,042
Rent02/01/2015$9,042
Rent03/01/2015$9,042
Name and Address
(A)
Desmond Powers, CPA Inc.

4040 Civic Center Dr.,#200
San Rafael
CA
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)
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$17,425
Total of All Transactions with this Payee/Payer for This Schedule$17,425
Name and Address
(A)
PaySimple

1433 17th St., #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$16,958
Total of All Transactions with this Payee/Payer for This Schedule$16,958
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.)$586,425
Medical benefitsKaiser Foundation Health Plan, Inc.$379,362
Dental benefitsFinancial Managment Trust$53,676
Worker's Compensaton InsuranceState Compensation Insurance Fund$51,890
401k Plan TrusteeExpert Plan$250
401k Plan TrusteeMatrix Trust Company$99,166
401k Third Party AdministratorRetirement Plan Consultants$1,717
Vision benefitsDublin Insurance Services$364
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 544-076


Question 11(a):

Question 11(a): : : : : 1. National Union of Healthcare Workers Federal Committee on Political Education #C00461418 -- 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.

Schedule 1, Row1:

Schedule 1, Row1::

Schedule 8, Row1::

Schedule 9, Row1::::::

Schedule 13, Row 1: Full members, full dues

Schedule 13, Row1:::::::::

Schedule 13, Row 2: Retired members; pay $25 per month dues

Schedule 13, Row2:::::::::

Schedule 13, Row 3: Associate members -- Those who work in the healthcare industry but are not represented by NUHW; pay minimum of $10 dues per month:::

Schedule 13, Row 3: Associate members are not eligible to vote in NUHW elections

General Information:

Schedule 9

Loans Payable: By written agreement between the California Nurses Association and NUHW, effective February 17, 2016 the entire loan balance of $7,233,776 was forgiven.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)