544-076 (LM2) 12/31/2016
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: 07-31-2019
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
From01/01/2016
Through12/31/2016
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 29, 2017Telephone Number:510-834-2009Date:Mar 29, 2017Telephone 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?03/2018
20. How many members did the labor organization have at the end of the reporting period?12,763
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%permonth25.00110.00
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

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 $440,579$767,917
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$10,059$10,038
28. Other Assets7$13,533$98,347
29. TOTAL ASSETS $464,171$876,302

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$35,749$36,815
31. Loans Payable9$9,387,816$1,772,535
32. Mortgages Payable $0$0
33. Other Liabilities10$755,070$422,308
34. TOTAL LIABILITIES $10,178,635$2,231,658
35. NET ASSETS-$9,714,464-$1,355,356
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 $6,978,954
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $460
40. Interest $90
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 $47,932
48. Other Receipts14$71,102
49. TOTAL RECEIPTS $7,098,538
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$3,716,015
51. Political Activities and Lobbying16$238,572
52. Contributions, Gifts, and Grants17$354,998
53. General Overhead18$750,083
54. Union Administration19$44,429
55. Benefits20$900,302
56. Per Capita Tax $26,300
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $1,505
60. Purchase of Investments and Fixed Assets4$3,610
61. Loans Made2$0
62. Repayment of Loans Obtained9$381,505
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $43,278
65. Direct Taxes $269,173
  
66. Subtotal $6,729,770
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,066,012  
  67b. Less Total Disbursed$1,107,442  
  67c. Total Withheld But Not Disbursed -$41,430
68. TOTAL DISBURSEMENTS $6,771,200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 544-076

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
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$3,610$3,610$3,610
Apple laptop (3)$3,610$3,610$3,610
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$3,610
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$18,700$8,662$10,038$10,038
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $18,700$8,662$10,038$10,038
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)) $98,347
Office Lease Deposits$7,628
State Compensation Insurance Fund deposit$7,575
Parking cards deposit$300
USPS BRM deposit$370
Prepaid expense$30,559
Receivable-Other$51,915
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$0$0$0$0
Total from all other accounts payable$36,815$74$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $36,815$74$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$9,387,816$0$381,505$7,233,776$1,772,535
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Labor Organizations$9,387,816$0$381,505$7,233,776$1,772,535
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)) $422,308
Accrued salaries$76,899
Accrued payroll taxes$21,585
Accrued vacation$282,625
Other Payables$40,800
COBRA benefits payable$399
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
Secretary-Treasurer
C		$121,036$6,000$8,386$0$135,422
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		2 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Rosselli ,  Sal  
President
C		$127,087$6,000$28,886$0$161,973
I
Schedule 15
Representational Activities 		76 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		4 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		15 %
A
B
C 		Ariizumi ,  Mark  
Vice President
C		$0$0$1,053$0$1,053
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$991$0$991
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 		Gedebu-Wilson ,  Turusew  
Vice President
C		$1,630$0$0$0$1,630
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$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 		Kees ,  Ruth  
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 		Loya ,  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 		Luna ,  Greg  
Vice President
C		$0$0$425$0$425
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Martinez ,  Menfil  
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 		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 		Quinn Siegel ,  Kirsten  
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 		Rogers ,  Ken  
Vice President
C		$0$0$391$0$391
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 		Shaner ,  Kellie  
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 		Villasenor ,  Gloria  
Vice President
C		$0$0$466$0$466
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		$4,410$0$831$0$5,241
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$254,163$12,000$41,429$0$307,592
Less Deductions     
Net Disbursements    $307,592
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		$62,093$6,000$2,284$0$70,377
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 		Albert ,  Marilyn   J
Community Liaison
N/A		$19,612$0$3,290$0$22,902
I
Schedule 15
Representational Activities 		6 % Schedule 16
Political Activities and Lobbying 		92 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Aukerman ,  Daniel   G
Organizer
N/A		$32,942$3,231$4,438$0$40,611
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 		Averette ,  Omari   K
Organizer
N/A		$12,029$1,038$436$0$13,503
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
Operations Coordinator
N/A		$91,516$0$29,893$0$121,409
I
Schedule 15
Representational Activities 		32 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		66 % Schedule 19
Administration 		1 %
A
B
C 		Black ,  Kristi   L
Staff Accountant
N/A		$65,591$0$0$0$65,591
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 		Brogan ,  Peter   M
Organizer
N/A		$59,980$5,307$4,444$0$69,731
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Casique ,  Francisco   D
Researcher
N/A		$65,619$0$719$0$66,338
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 		Childers ,  John  
Organizer
N/A		$13,955$1,131$493$0$15,579
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Clayton ,  Pieter   M
Organizing Coordinator
N/A		$37,855$2,423$1,935$0$42,213
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 		Coe ,  Vanessa   G
Political/Community Org
N/A		$45,469$4,384$2,910$0$52,763
I
Schedule 15
Representational Activities 		7 % Schedule 16
Political Activities and Lobbying 		93 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Cornejo ,  Ralph   R
Hosp/Nursing Hm Director
N/A		$105,944$6,000$6,172$0$118,116
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 		DeFreitas ,  Justin   F
Communications Asst Dir
N/A		$99,511$0$2,413$0$101,924
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 		Dhanraj ,  Edan  
Organizer
N/A		$63,714$5,914$2,939$0$72,567
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 		Diaz ,  Roberto   J
Organizer
N/A		$54,747$4,015$751$0$59,513
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Draper ,  Richard   E
Organizing Director
N/A		$105,544$6,000$5,972$0$117,516
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 		Dugan ,  Dennis   A
Hosp/Nursing Hm Coord
N/A		$91,516$6,000$5,655$0$103,171
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 		Eichert ,  Jacob  
Data/Admin Associate
N/A		$13,440$0$0$0$13,440
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 		Flores ,  Alexandria   T
Organizer
N/A		$65,180$5,423$3,071$0$73,674
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Floyd ,  Michael   A
Organizer
N/A		$35,324$2,538$813$0$38,675
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 		Griffith ,  Beverly   J
Organizer
N/A		$81,902$6,000$2,667$0$90,569
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 		Herzog ,  Edwin   J
Videographer
N/A		$18,000$0$1,779$0$19,779
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		$69,799$6,000$798$0$76,597
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 		Howe ,  Sinalemoana   F
Organizer
N/A		$81,902$6,000$3,224$0$91,126
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 		Lopez ,  Jesus   M
Organizer
N/A		$19,498$1,385$0$0$20,883
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		8 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Lucas Jr ,  Hugh   L
Organizer
N/A		$16,116$0$850$0$16,966
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 		Martin ,  Daniel   H
Assistant to President
N/A		$75,553$3,877$2,220$0$81,650
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 		Murguia ,  Cristian   E
Organizer
N/A		$62,490$6,000$3,530$0$72,020
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 		Nguyen ,  Thanh-Van   T
Communications Specialist
N/A		$67,138$0$2,187$0$69,325
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		$76,316$6,000$4,089$0$86,405
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Orea ,  Antonio  
Assistant Director
N/A		$100,061$6,000$6,749$0$112,810
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		$76,200$6,000$3,028$0$85,228
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 		Poulson ,  Hilda   A
Organizer
N/A		$36,642$3,231$1,977$0$41,850
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 		Saldana ,  David   M
Communications Specialist
N/A		$12,817$0$1,116$0$13,933
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		3 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Salmeron ,  Lesli   E
Organizer
N/A		$45,027$4,223$1,528$0$50,778
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
Research Director
N/A		$105,944$0$0$0$105,944
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 		Serrano Jr ,  Rafael  
Organizer
N/A		$17,012$1,500$0$0$18,512
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 		Sierra ,  Ruben  
Political/Community Org
N/A		$46,904$4,523$1,328$0$52,755
I
Schedule 15
Representational Activities 		62 % Schedule 16
Political Activities and Lobbying 		38 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Snyder ,  Benjamin   L
Organizer
N/A		$70,519$6,000$0$0$76,519
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 		Tavaglione ,  Kimberly  
Polit/Community Asst Dir
N/A		$99,511$6,000$5,628$0$111,139
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Tegenkamp ,  Gregory   L
Kaiser Director
N/A		$104,994$6,000$6,217$0$117,211
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		$67,470$6,000$457$0$73,927
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Vanegas ,  Pavel  
Researcher
N/A		$36,183$0$400$0$36,583
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Walton ,  Helen   L
Organizer
N/A		$14,372$0$752$0$15,124
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 		Watson ,  Laura   N
Organizer
N/A		$25,486$1,869$565$0$27,920
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 		Willett ,  Phyllis   H
Director of Operations
N/A		$16,116$0$90,855$0$106,971
I
Schedule 15
Representational Activities 		15 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		81 % Schedule 19
Administration 		3 %
A
B
C 		Woolverton ,  Ian   H
Organizer
N/A		$38,997$3,438$798$0$43,233
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 		Yahya ,  Abid   H
Organizing Coordinator
N/A		$53,358$3,415$606$0$57,379
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$52,421$1,154$2,133$0$55,708
I Schedule 15
Representational Activities 		72 % Schedule 16
Political Activities and Lobbying 		9 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		18 % Schedule 19
Administration 		0 %
Total Employee Disbursements$2,730,329$154,019$224,109$0$3,108,457
Less Deductions     
Net Disbursements    $3,108,457
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) 12,763 
Agency Fee Payers*27
Total Members/Fee Payers12,790 
*Agency Fee Payers are not considered members of the labor organization.
Members12,737Yes
Retired Members18Yes
Associate Members8No
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$56,880
2. Named Payer Non-itemized Receipts$237
3. All Other Receipts$13,985
4. Total Receipts$71,102
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$285,000
2. Named Payee Non-itemized Disbursements$14,200
3. To Officers$9,187
4. To Employees$4,436
5. All Other Disbursements$42,175
6. Total Disbursements$354,998
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$466,870
2. Named Payee Non-itemized Disbursements$237,560
3. To Officers$250,603
4. To Employees$2,689,722
5. All Other Disbursements$71,260
6. Total Disbursements$3,716,015
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$387,826
2. Named Payee Non-itemized Disbursements$43,693
3. To Officers$0
4. To Employees$257,304
5. All Other Disbursements$61,260
6. Total Disbursements$750,083
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$24,000
2. Named Payee Non-itemized Disbursements$44,597
3. To Officers$9,453
4. To Employees$151,608
5. All Other Disbursements$8,914
6. Total Disbursements$238,572
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$38,349
4. To Employees$5,391
5. All Other Disbursements$689
6. Total Disbursements$44,429
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 544-076

Name and Address
(A)
ADR Services, Inc

1100 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$6,050
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,050
Professional fees--returned05/31/2016$6,050
Name and Address
(A)
Altshuler Berzon LLP

177 Post St, Ste 300
San Francisco
CA
94108
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,830
Total Non-Itemized Transactions with this Payee/Payer$237
Total of All Transactions with this Payee/Payer for This Schedule$16,067
refund of judgement02/16/2016$15,830
Name and Address
(A)
Angela Alioto

700 Montgomery Street
San Francisco
CA
94111
Type or Classification
(B)
Attorney
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
return of retainer11/04/2016$35,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 544-076

Name and Address
(A)
Alejandra Juarez
PO Box 1299

Hughson
CA
95326
Type or Classification
(B)
Translator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,075
Total of All Transactions with this Payee/Payer for This Schedule$6,075
Name and Address
(A)
Alexandra Early

4421 Gilbert St Apt 217
Oakland
CA
94611
Type or Classification
(B)
Independent Contractor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,180
Total of All Transactions with this Payee/Payer for This Schedule$7,180
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$15,995
Total Non-Itemized Transactions with this Payee/Payer$16,072
Total of All Transactions with this Payee/Payer for This Schedule$32,067
Promotional items10/19/2016$7,926
Promotional items06/08/2016$8,069
Name and Address
(A)
Barry Winograd

1999 Harrison Street, #14
Oakland
CA
94612
Type or Classification
(B)
Arbitrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,365
Total of All Transactions with this Payee/Payer for This Schedule$5,365
Name and Address
(A)
CLUE-LA

464 Lucas Avenue, Ste 202
Los Angeles
CA
90017
Type or Classification
(B)
Community Coalition
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
Community organizing support02/16/2016$5,000
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$21,933
Total of All Transactions with this Payee/Payer for This Schedule$21,933
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$95,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$95,500
Legal services01/06/2016$7,000
Legal services02/03/2016$7,221
Legal services03/02/2016$7,440
Legal services04/06/2016$8,172
Legal services05/04/2016$8,139
Legal services06/01/2016$8,284
Legal services07/06/2016$8,000
Legal services08/03/2016$8,130
Legal services09/07/2016$8,238
Legal services10/05/2016$8,000
Legal services11/02/2016$8,388
Legal services12/07/2016$8,488
Name and Address
(A)
FWDLABS

1650 Echo Park Ave, Ste 305
Los Angeles
CA
90026
Type or Classification
(B)
Video Production
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,451
Total of All Transactions with this Payee/Payer for This Schedule$17,451
Name and Address
(A)
IAMAW District Lodge 60
PO 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$15,150
Total of All Transactions with this Payee/Payer for This Schedule$15,150
Name and Address
(A)
Lang, Hansen, O'Malley & Miller

1121 L Street, Suite 100
Sacramento
CA
95814
Type or Classification
(B)
Governmental Relations
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$37,730
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$37,730
Public Policy06/23/2016$5,390
Public Policy07/06/2016$5,390
Public Policy08/03/2016$5,390
Public Policy09/01/2016$5,390
Public Policy10/05/2016$5,390
Public Policy11/02/2016$5,390
Public Policy12/07/2016$5,390
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$13,025
Total Non-Itemized Transactions with this Payee/Payer$51,599
Total of All Transactions with this Payee/Payer for This Schedule$64,624
Printing03/16/2016$7,271
Printing12/14/2016$5,754
Name and Address
(A)
Mister Troy

842 Everett Street
El Cerrito
CA
94530
Type or Classification
(B)
Video Production
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,800
Total of All Transactions with this Payee/Payer for This Schedule$12,800
Name and Address
(A)
Netroots Nation

4741 Central St, #377
Kansas City
MO
64112
Type or Classification
(B)
Convention
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,500
Convention sponsorship04/13/2016$12,500
Name and Address
(A)
Norwalk Printing
PO Box 95

Norwalk
CA
90650
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$5,083
Total of All Transactions with this Payee/Payer for This Schedule$5,083
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 
Total Non-Itemized Transactions with this Payee/Payer$25,800
Total of All Transactions with this Payee/Payer for This Schedule$25,800
Name and Address
(A)
PRWRK

1100 Vermont Ave, 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$36,000
Total of All Transactions with this Payee/Payer for This Schedule$36,000
Name and Address
(A)
Red Lion Hotel Oakland Intl Airport

150 Hegenberger Road
Oakland
CA
94621
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,055
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,055
Leadership Conference hotel rooms09/12/2016$8,055
Name and Address
(A)
Sheraton Park Hotel Anaheim

1855 S Harbor Blvd
Anaheim
CA
92802
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,559
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$30,559
Leadership Conference11/23/2016$30,559
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 services01/06/2016$7,500
Legal services02/03/2016$7,500
Legal services03/02/2016$7,500
Legal services04/06/2016$7,500
Legal services05/04/2016$7,500
Legal services06/01/2016$7,500
Legal services07/06/2016$7,500
Legal services08/03/2016$7,500
Legal services09/07/2016$7,500
Legal services10/05/2016$7,500
Legal services11/02/2016$7,500
Legal services12/07/2016$7,500
Name and Address
(A)
Siegel, LeWitter & Malkani

1939 Harrison St, Ste 307
Oakland
CA
94612
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$158,506
Total Non-Itemized Transactions with this Payee/Payer$4,354
Total of All Transactions with this Payee/Payer for This Schedule$162,860
Legal services01/29/2016$22,457
Legal services02/24/2016$21,601
Legal services03/22/2016$38,353
Legal services04/27/2016$22,308
Legal services05/25/2016$5,836
Legal services06/22/2016$8,984
Legal services08/24/2016$8,307
Legal services09/22/2016$10,644
Legal services10/26/2016$7,340
Legal services11/23/2016$7,506
Legal services12/21/2016$5,170
Name and Address
(A)
Southwest Airlines
P.O. Box 36647-1CR

Dallas
TX
75235
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,698
Total of All Transactions with this Payee/Payer for This Schedule$12,698
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 544-076

Name and Address
(A)
Deane & Company

1787 Tribute Road, Ste k
Sacramento
CA
95815
Type or Classification
(B)
PAC administrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,390
Total of All Transactions with this Payee/Payer for This Schedule$5,390
Name and Address
(A)
Democrats for New CA Leadership

12777 Victory Blvd
North Hollywood
CA
91606
Type or Classification
(B)
Political organization
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
Campaign-state party chair07/11/2016$5,000
Name and Address
(A)
Henry Levy Group

5940 College Avenue
Oakland
CA
94618
Type or Classification
(B)
PAC administrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,201
Total of All Transactions with this Payee/Payer for This Schedule$9,201
Name and Address
(A)
Kaiser Permanente

300 Lakeside Dr
Oakland
CA
94612
Type or Classification
(B)
HMO
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$19,000
COPE set up programming05/04/2016$19,000
Name and Address
(A)
Lang, Hansen, O'Malley & Miller

1121 L Street, Suite 100
Sacramento
CA
95814
Type or Classification
(B)
Governmental Relations
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,270
Total of All Transactions with this Payee/Payer for This Schedule$11,270
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$18,736
Total of All Transactions with this Payee/Payer for This Schedule$18,736
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 544-076

Name and Address
(A)
Consumer Watchdog

2701 Ocean Park Blvd, Ste 1
Santa Monica
CA
90405
Type or Classification
(B)
Consumer protection group
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,000
Total of All Transactions with this Payee/Payer for This Schedule$6,000
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$15,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$15,000
Donation02/17/2016$5,000
Awards dinner03/16/2016$10,000
Name and Address
(A)
Courage Campaign Institute

7119 W Sunset Blvd #195
Los Angeles
CA
90046
Type or Classification
(B)
Institute 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
Awards dinner10/12/2016$10,000
Name and Address
(A)
Diversified Media Enterprises

520 University Ave, Ste 320
Madison
WI
53703
Type or Classification
(B)
Radio News
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
Contribution02/17/2016$5,000
Name and Address
(A)
Dolores Huerta Foundation
PO Box 2087

Bakersfield
CA
93303
Type or Classification
(B)
Community Organizing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,200
Total of All Transactions with this Payee/Payer for This Schedule$5,200
Name and Address
(A)
John Burton Foundation

39 Mesa Street, Ste 205
San Francisco
CA
94129
Type or Classification
(B)
Youth advocacy foundation
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
Contribution11/15/2016$10,000
Name and Address
(A)
NUHW-Candidate Comm for Patient Care

1787 Tribute Road, Ste k
Sacramento
CA
95815
Type or Classification
(B)
PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$235,000
Total Non-Itemized Transactions with this Payee/Payer$3,000
Total of All Transactions with this Payee/Payer for This Schedule$238,000
Contribution02/17/2016$15,000
Contribution03/02/2016$15,000
Contribution04/06/2016$15,000
Contribution05/04/2016$15,000
Contribution06/01/2016$10,000
Contribution07/06/2016$25,000
Contribution08/03/2016$25,000
Contribution09/07/2016$25,000
Contribution10/05/2016$25,000
Contribution11/02/2016$25,000
Contribution12/07/2016$25,000
Contribution06/15/2016$15,000
Name and Address
(A)
SFLC Labor Neighbor Member Inc

1188 Franklin St, Ste 2033
San Francisco
CA
94109
Type or Classification
(B)
Labor Council Education Committee
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
Dinner03/16/2016$10,000
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$174,601
Total Non-Itemized Transactions with this Payee/Payer$7,896
Total of All Transactions with this Payee/Payer for This Schedule$182,497
Rent01/01/2016$9,042
Rent02/01/2016$14,019
Rent03/01/2016$14,019
Rent04/01/2016$14,019
Rent05/01/2016$14,019
Rent06/01/2016$14,019
Rent07/01/2016$14,127
Rent08/01/2016$14,127
Rent09/01/2016$14,127
Rent10/01/2016$14,127
Rent11/01/2016$19,478
Rent12/01/2016$19,478
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$10,313
Total of All Transactions with this Payee/Payer for This Schedule$10,313
Name and Address
(A)
Ascentis Corporation

150 120th Ave NE, Ste 400
Bellevue
WA
98005
Type or Classification
(B)
Payroll service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,002
Total of All Transactions with this Payee/Payer for This Schedule$6,002
Name and Address
(A)
AT&T
PO Box 5025

Carol Stream
IL
60197
Type or Classification
(B)
Phone service & internet provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,101
Total of All Transactions with this Payee/Payer for This Schedule$7,101
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$72,003
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$72,003
Rent01/01/2016$5,612
Rent02/01/2016$5,612
Rent03/01/2016$5,678
Rent04/01/2016$7,331
Rent05/01/2016$5,843
Rent06/01/2016$5,843
Rent07/01/2016$6,014
Rent08/01/2016$6,014
Rent09/01/2016$6,014
Rent10/01/2016$6,014
Rent11/01/2016$6,014
Rent12/01/2016$6,014
Name and Address
(A)
Desmond Powers, CPA Inc

4040 Civic Center Dr., #20
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)
Marsh & McLennan Agency LLC
PO Box 740663

Los Angeles
CA
90074
Type or Classification
(B)
Insurance Broker
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,422
Total Non-Itemized Transactions with this Payee/Payer$2,881
Total of All Transactions with this Payee/Payer for This Schedule$33,303
Insurance08/03/2016$30,422
Name and Address
(A)
Siegel & Yee Trust Account

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$110,800
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$110,800
Legal Judgment11/09/2016$35,000
Legal Judgment03/16/2016$75,800
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.)$900,302
Medical benefitsKaiser Foundation Health Plan, Inc.$386,552
Dental BenefitsFinancial Management Trust$74,308
Worker's Comp InsuranceState Compensation Insurance Fund$71,720
401k Plan TrusteeMatrix Trust Company$343,723
Vision BenefitsDublin Insurance Services$5,558
HRA benefitsHealthComp$15,859
Life InsuranceLincoln National Life Insurance Company$2,582
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.

Statement A,

Cash Begin Total: : : : no change

Schedule 1, Row1:

Schedule 1, Row1:

Schedule 9, Row1:

Schedule 9, Row1:Sch 9

Loans Payable: By written agreement between the California Nurses Association and NUHW, effective February 17, 2016 the entire loan balance of $7,233.766 was forgiven.

Schedule 13, Row1:

Schedule 13, Row1:::

Schedule 13, Row1:

Schedule 13, Row1:::

Schedule 13, Row2:

Schedule 13, Row2:::Row 2:Retired members; pay $25 per month dues

Schedule 13, Row2:

Schedule 13, Row2:::

Schedule 13, Row3:

Schedule 13, Row3:::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, Row3:

Schedule 13, Row3:::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)