544-076 (LM2) 12/31/2019
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: 09-30-2021
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
From01/01/2019
Through12/31/2019
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 200
Number and Street
1250 45TH STREET
City
EMERYVILLE
State
CA		 ZIP Code + 4
946082964


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, 2020Telephone Number:510-834-2009Date:Mar 30, 2020Telephone 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?03/2021
20. How many members did the labor organization have at the end of the reporting period?15,434
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%permonth25.00122.00
(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 $1,834,686$2,487,451
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$12,739$19,194
28. Other Assets7$77,704$104,235
29. TOTAL ASSETS $1,925,129$2,610,880

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$88,100$90,365
31. Loans Payable9$442,950$0
32. Mortgages Payable $0$0
33. Other Liabilities10$539,931$675,309
34. TOTAL LIABILITIES $1,070,981$765,674
35. NET ASSETS$854,148$1,845,206
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 $12,049,587
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $464
40. Interest $322
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 $219,179
48. Other Receipts14$54,002
49. TOTAL RECEIPTS $12,323,554
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$7,134,964
51. Political Activities and Lobbying16$548,431
52. Contributions, Gifts, and Grants17$115,358
53. General Overhead18$1,205,451
54. Union Administration19$20,205
55. Benefits20$1,493,991
56. Per Capita Tax $40,672
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $2,505
60. Purchase of Investments and Fixed Assets4$10,740
61. Loans Made2$0
62. Repayment of Loans Obtained9$442,950
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $215,866
65. Direct Taxes $453,441
  
66. Subtotal $11,684,574
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,900,268  
  67b. Less Total Disbursed$1,886,482  
  67c. Total Withheld But Not Disbursed $13,786
68. TOTAL DISBURSEMENTS $11,670,788
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 544-076

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

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
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$10,740$10,740$10,740
desk$1,049$1,049$1,049
tv/monitor$1,421$1,421$1,421
copy machine$3,528$3,528$3,528
laptop$2,320$2,320$2,320
desktop$2,422$2,422$2,422
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$10,740
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$36,984$17,790$19,194$19,194
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $36,984$17,790$19,194$19,194
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)) $104,235
Office Lease Deposits$70,705
State Compensation Insurance Fund Deposit$7,244
Parking Cards Deposits$340
Keys/Gate Openers Deposits$288
Meeting Room Deposit$120
Prepaid Expense$22,601
Candidate PAC Receivable$2,366
Other Receivables$571
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$90,365$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $90,365$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$442,950$0$442,950$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Labor Organizations$442,950$0$442,950$0$0
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)) $675,309
COBRA Payable$2,250
Accrued Payroll$144,632
Accrued Payroll Taxes$61,162
Accrued Vacation$463,481
HCRA Payable$843
DCAP Payable$2,941
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  
Secretary-Treasurer
N		$132,998$6,000$11,377$0$150,375
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 		Rosselli ,  Sal  
President
C		$139,785$6,000$41,423$0$187,208
I
Schedule 15
Representational Activities 		88 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		4 %
A
B
C 		Ambriz ,  Nicki  
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 		Careaga ,  Elvis  
Vice President
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Clifford ,  James  
Vice President
C		$0$0$1,394$0$1,394
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 		Davison ,  Taylor  
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 		Evans ,  Justin  
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 		Fanaika ,  Amiame  
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		$0$0$358$0$358
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 		Gonzalez ,  Jose  
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 		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 		Land-Ariizumi ,  Mark  
Vice President
P		$0$0$1,383$0$1,383
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 		Loftus ,  Shay  
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 		Lum Ho ,  Stephanie  
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$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Martinez-Medrano ,  Margaret  
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 		Napoli ,  Tony  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		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 ,  Kirstin  
Vice President
C		$0$0$76$0$76
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
P		$0$0$128$0$128
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$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 		Schalit ,  Jackie  
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 		Shaner ,  Kellie  
Vice President
C		$0$0$1,872$0$1,872
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 		Shannon-Mabry ,  Marsha  
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 		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 		Villase?or ,  Gloria  
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 		White ,  Elizabeth  
Vice President
C		$0$0$494$0$494
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 		Whitney ,  Susan  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
Total Officer Disbursements$272,783$12,000$58,505$0$343,288
Less Deductions    $0
Net Disbursements    $343,288
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 		Ailisheva ,  Rebecca  
Organizer
N/A		$77,005$6,000$7,535$0$90,540
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  
Organizer
N/A		$24,505$0$923$0$25,428
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 		Arellano ,  Irene  
Political & Comm Orgnzr
N/A		$31,725$3,053$4,366$0$39,144
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 		Artz ,  Matthew  
Political & Comm Orgnzr
N/A		$97,223$0$1,647$0$98,870
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 		Avalos ,  John  
Coordinator
N/A		$102,085$6,000$3,538$0$111,623
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 		Beaston ,  Ryan  
Coordinator
N/A		$94,052$5,515$5,178$0$104,745
I
Schedule 15
Representational Activities 		34 % Schedule 16
Political Activities and Lobbying 		62 % Schedule 17
Contributions 		2 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Besst ,  Kenneth  
Operations Director
N/A		$115,764$0$30,448$0$146,212
I
Schedule 15
Representational Activities 		14 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		85 % Schedule 19
Administration 		1 %
A
B
C 		Bowden ,  Carolyn  
Organizer
N/A		$54,404$3,346$5,575$0$63,325
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 		Brogan ,  Peter  
Organizer
N/A		$14,737$808$1,352$0$16,897
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  
Researcher
N/A		$89,090$0$0$0$89,090
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 		Cendejas ,  Francisco  
Coordinator
N/A		$103,125$6,000$9,917$0$119,042
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 		Chukwuneta ,  Keane  
Political & Comm Orgnzr
N/A		$62,031$6,000$3,710$0$71,741
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  
Asst Dir of Organizing
N/A		$96,257$5,146$3,383$0$104,786
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 		Coe ,  Vanessa  
Hospital & NH Coordinator
N/A		$103,125$6,000$6,539$0$115,664
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 		Collins ,  Ronald  
Hospital & NH Coordinator
N/A		$93,477$5,496$11,132$0$110,105
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  
Dir of Hospitals & NHs
N/A		$115,764$6,000$7,161$0$128,925
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  
Communications Director
N/A		$115,764$0$1,177$0$116,941
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 		Dhanraj ,  Edan  
Organizer
N/A		$89,090$6,000$5,353$0$100,443
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 		Doolittle ,  Jake  
Organizer
N/A		$50,439$5,354$665$0$56,458
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  
Director of Organizing
N/A		$115,764$6,000$8,960$0$130,724
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 ,  Tara  
Organizer
N/A		$69,157$6,000$8,485$0$83,642
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 		Early ,  Alexandra  
Organizer
N/A		$88,581$6,000$4,170$0$98,751
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 		Edwards II ,  Clarence  
Organizer
N/A		$72,023$6,000$500$0$78,523
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 		Eichert ,  Jacob  
Data/Admin Associate
N/A		$60,484$0$184$0$60,668
I
Schedule 15
Representational Activities 		9 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		91 % Schedule 19
Administration 		0 %
A
B
C 		Goecke ,  Shannon  
Communications Specialist
N/A		$68,520$0$1,285$0$69,805
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 		Goldstein ,  Zachary  
Communications Specialist
N/A		$48,224$0$1,701$0$49,925
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 		Gomez ,  Carolyn  
Organizer
N/A		$71,251$6,000$2,065$0$79,316
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 		Griffith ,  Beverly  
Organizer
N/A		$94,559$5,836$3,564$0$103,959
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 		Hawk ,  Wynter  
Organizer
N/A		$34,696$2,828$970$0$38,494
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 		Herzog ,  Edwin  
Videographer
N/A		$19,829$0$1,336$0$21,165
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  
Organizer
N/A		$84,952$5,261$2,125$0$92,338
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Howe ,  Sinalemoana  
Organizer
N/A		$97,223$6,000$2,312$0$105,535
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 		Kissinger ,  Tyler  
Organizer
N/A		$34,799$2,769$4,367$0$41,935
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 		Lewis ,  Barbara  
Dir of Hospitals & NHs
N/A		$115,764$6,000$10,357$0$132,121
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 		Ligouri ,  Lawrence  
Organizer
N/A		$59,760$4,198$2,280$0$66,238
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 		Liu ,  Yvonne  
Researcher
N/A		$22,512$0$1,426$0$23,938
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  
Asst to the President
N/A		$127,470$6,000$7,120$0$140,590
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Mentzer ,  Danielle  
Operations Assistant
N/A		$41,096$0$2,931$0$44,027
I
Schedule 15
Representational Activities 		39 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		60 % Schedule 19
Administration 		0 %
A
B
C 		Murguia ,  Cristian  
Organizer
N/A		$90,130$6,000$2,467$0$98,597
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  
Asst Dir Hospitals & NHs
N/A		$111,276$6,000$8,591$0$125,867
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 		Page ,  Sam  
Organizer
N/A		$92,194$5,971$4,611$0$102,776
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 		Palmer ,  Justin  
Organizer
N/A		$87,982$6,000$0$0$93,982
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 		Poulson ,  Hilda  
Ed & Training Coordinator
N/A		$71,766$4,177$2,484$0$78,427
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 		Ramirez Perez ,  Isacc  
Organizer
N/A		$80,634$6,000$4,717$0$91,351
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 		Rhodes ,  Vanessa  
Asst Dir Ed & Training
N/A		$38,401$2,230$1,287$0$41,918
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  
Coordinator
N/A		$11,520$738$526$0$12,784
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 		Rifkin ,  Sonya  
Researcher
N/A		$69,182$0$2,351$0$71,533
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 		Samati ,  Ravahn  
Organizer
N/A		$39,726$3,184$2,800$0$45,710
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 		Saucedo ,  Renee  
Organizer
N/A		$88,953$5,654$3,267$0$97,874
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  
Research Director
N/A		$115,764$0$1,943$0$117,707
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 		Showell ,  Haley  
Organizer
N/A		$81,619$6,000$10,824$0$98,443
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 		Snyder ,  Benjamin  
Organizer
N/A		$94,538$6,000$1,303$0$101,841
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 		Soto ,  Michael  
Political & Comm Orgnzr
N/A		$80,477$6,000$2,914$0$89,391
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 		Tegenkamp ,  Gregory  
Kaiser Director
N/A		$115,764$6,000$11,074$0$132,838
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 		Tom ,  Karissa  
Organizer
N/A		$71,876$6,000$2,835$0$80,711
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 		Torres ,  Juan  
Organizer
N/A		$76,174$5,016$843$0$82,033
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Vanegas ,  Pavel  
Research Coordinator
N/A		$94,251$0$1,875$0$96,126
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Vega ,  Luis  
Organizer
N/A		$74,959$6,000$5,001$0$85,960
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 		Watson ,  Mary  
Political & Comm Orgnzr
N/A		$41,082$3,042$0$0$44,124
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Willett ,  Jessica  
Finance/HR Coordinator
N/A		$102,085$0$1,485$0$103,570
I
Schedule 15
Representational Activities 		7 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		93 % Schedule 19
Administration 		0 %
A
B
C 		Willett ,  Phyllis  
Emeritus Ops Director
N/A		$20,379$0$920$0$21,299
I
Schedule 15
Representational Activities 		12 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		84 % Schedule 19
Administration 		4 %
A
B
C 		Wood ,  Nicholas  
Organizer
N/A		$35,111$2,723$1,008$0$38,842
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 		Woolverton ,  Ian  
Organizer
N/A		$89,090$6,000$4,265$0$99,355
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 		Yahya ,  Abid  
Asst Dir Hospital/NH
N/A		$90,254$4,915$2,722$0$97,891
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$11,895$808$980$13,683
I Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
Total Employee Disbursements$4,833,408$244,068$258,830$0$5,336,306
Less Deductions     
Net Disbursements    $5,336,306
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) 15,434 
Agency Fee Payers*49
Total Members/Fee Payers15,483 
*Agency Fee Payers are not considered members of the labor organization.
Members15,400Yes
Retired Members28Yes
Associate Members6No
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$18,309
2. Named Payer Non-itemized Receipts$3,940
3. All Other Receipts$31,753
4. Total Receipts$54,002
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$66,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,872
4. To Employees$2,536
5. All Other Disbursements$44,950
6. Total Disbursements$115,358
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$1,218,454
2. Named Payee Non-itemized Disbursements$522,093
3. To Officers$316,026
4. To Employees$4,896,639
5. All Other Disbursements$181,752
6. Total Disbursements$7,134,964
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$631,659
2. Named Payee Non-itemized Disbursements$142,642
3. To Officers$1,872
4. To Employees$322,210
5. All Other Disbursements$107,068
6. Total Disbursements$1,205,451
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$380,202
2. Named Payee Non-itemized Disbursements$34,131
3. To Officers$14,240
4. To Employees$106,024
5. All Other Disbursements$13,834
6. Total Disbursements$548,431
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$9,278
4. To Employees$8,899
5. All Other Disbursements$2,028
6. Total Disbursements$20,205
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 544-076

Name and Address
(A)
Blue Line Media LLC

11301 W Olympic, Suite 464
Los Angeles
CA
90064
Type or Classification
(B)
media
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,400
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,400
cancelled bargaining outreach-refund11/21/2019$12,400
Name and Address
(A)
NUHW Issues Committee

1787 Tribute Rd, Suite K
Sacramento
CA
95815
Type or Classification
(B)
PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,909
Total Non-Itemized Transactions with this Payee/Payer$3,940
Total of All Transactions with this Payee/Payer for This Schedule$9,849
reimbursement of staff pay for initiative work11/29/2019$5,909
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 544-076

Name and Address
(A)
Alejandra Juarez
P.O. 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$10,145
Total of All Transactions with this Payee/Payer for This Schedule$10,145
Name and Address
(A)
Alliance Graphics

1101 8th Street
Berkeley
CA
94710
Type or Classification
(B)
printer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$85,184
Total Non-Itemized Transactions with this Payee/Payer$27,442
Total of All Transactions with this Payee/Payer for This Schedule$112,626
promotional products01/30/2019$5,187
strikes/pickets06/19/2019$24,608
leadership conference09/11/2019$25,647
leadership conference09/18/2019$5,733
strikes/pickets10/30/2019$6,453
strikes/pickets11/20/2019$9,184
leadership conference12/04/2019$8,372
Name and Address
(A)
Allied Nationwide Security, Inc.

7247 Hayvenhurst, Suite A-7
Van Nuys
CA
91406
Type or Classification
(B)
security
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,898
Total of All Transactions with this Payee/Payer for This Schedule$7,898
Name and Address
(A)
Ausencia Bejar

9711 Garvey Ave.
El Monte
CA
91733
Type or Classification
(B)
food vendor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,815
Total of All Transactions with this Payee/Payer for This Schedule$7,815
Name and Address
(A)
Bay Area Lighting

164 Robles Way
Vallejo
CA
94591
Type or Classification
(B)
lighting rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,017
Total of All Transactions with this Payee/Payer for This Schedule$5,017
Name and Address
(A)
Blue Line Media LLC

11301 W Olympic, Suite 464
Los Angeles
CA
90064
Type or Classification
(B)
media
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$63,700
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$63,700
bargaining outreach10/31/2019$15,500
bargaining outreach11/07/2019$21,700
bargaining outreach11/08/2019$6,000
bargaining outreach12/09/2019$14,000
bargaining outreach12/16/2019$6,500
Name and Address
(A)
California Alliance for Retired Americans (CARA)

600 Grand Avenue, Room 410
Oakland
CA
94610
Type or Classification
(B)
community organizing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
coalition building05/15/2019$5,000
coalition building07/17/2019$5,000
Name and Address
(A)
CLUE-LA

464 Lucas Avenue, Ste 202
Los Angeles
CA
90017
Type or Classification
(B)
education & advocacy
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$14,500
Total of All Transactions with this Payee/Payer for This Schedule$19,500
coalition building05/15/2019$5,000
Name and Address
(A)
Comcast Spotlight

5 Times Square
New York
NY
10036
Type or Classification
(B)
media
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,075
Total Non-Itemized Transactions with this Payee/Payer$7,412
Total of All Transactions with this Payee/Payer for This Schedule$15,487
bargaining outreach05/10/2019$8,075
Name and Address
(A)
Consumer Watchdog

6330 San Vicente, Suite 250
Los Angeles
CA
90048
Type or Classification
(B)
consumer protection
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer$6,000
Total of All Transactions with this Payee/Payer for This Schedule$13,500
coalition building04/17/2019$7,500
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$25,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$25,000
coalition building07/17/2019$25,000
Name and Address
(A)
Dolores Huerta Foundation
P.O. Box 2087

Bakersfield
CA
93303
Type or Classification
(B)
community organizing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
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)
Facebook

1601 Willow Road
Menlo Park
CA
94025
Type or Classification
(B)
social media platform
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$34,270
Total of All Transactions with this Payee/Payer for This Schedule$34,270
Name and Address
(A)
FWDlabs
P.O. Box 261021

Los Angeles
CA
90026
Type or Classification
(B)
video/website production
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,719
Total Non-Itemized Transactions with this Payee/Payer$26,610
Total of All Transactions with this Payee/Payer for This Schedule$32,329
video production12/31/2019$5,719
Name and Address
(A)
Healthy California Now

1787 Tribute Road, Suite K
Sacramento
CA
95815
Type or Classification
(B)
single payer advocacy
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$24,000
single payer outreach01/16/2019$24,000
Name and Address
(A)
Hertz Rent-A-Car

225 Brae Blvd
Park Ridge
NJ
07656
Type or Classification
(B)
car rentals
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,338
Total of All Transactions with this Payee/Payer for This Schedule$7,338
Name and Address
(A)
Intersection Media, LLC
P.O. Box 5465

White Plains
NY
10602
Type or Classification
(B)
media
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,820
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,820
bargaining outreach07/03/2019$10,820
Name and Address
(A)
Labor Campaign for Single Payer

2929 S. Jefferson Avenue
St. Louis
MO
63118
Type or Classification
(B)
single payer advocacy
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$25,000
single payer outreach01/16/2019$25,000
Name and Address
(A)
Law Office of Florice Hoffman, L.C.

8502 E Chapman, Suite 353
Orange
CA
92869
Type or Classification
(B)
attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$113,360
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$113,360
legal services01/02/2019$9,321
legal services02/06/2019$9,370
legal services03/06/2019$9,732
legal services04/03/2019$9,803
legal services05/02/2019$9,397
legal services06/05/2019$9,388
legal services07/03/2019$9,354
legal services08/01/2019$9,133
legal services09/04/2019$9,312
legal services10/03/2019$10,041
legal services11/06/2019$9,340
legal services12/04/2019$9,169
Name and Address
(A)
LA Coach

5300 Beach Blvd., 110-519
Buena Park
CA
90621
Type or Classification
(B)
charter bus
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,925
Total of All Transactions with this Payee/Payer for This Schedule$6,925
Name and Address
(A)
LocalJoin Inc.

381 Belmont St., Apt 104
Oakland
CA
94610
Type or Classification
(B)
database consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,525
Total of All Transactions with this Payee/Payer for This Schedule$5,525
Name and Address
(A)
Matthew Goldberg

130 Capricorn Avenue
Oakland
CA
94611
Type or Classification
(B)
arbitrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,971
Total of All Transactions with this Payee/Payer for This Schedule$7,971
Name and Address
(A)
Mental Health America of California
P.O. Box 2007

Sacramento
CA
95812
Type or Classification
(B)
non-profit
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
coalition building03/13/2019$5,000
Name and Address
(A)
MHLI - The Kennedy Forum Illinois

1543 N. Wells, Garden Level
Chicago
IL
60610
Type or Classification
(B)
mental health advocacy
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$25,000
mental health forum01/16/2019$25,000
Name and Address
(A)
Michael Lighty

200 Villanova Drive
Oakland
CA
94611
Type or Classification
(B)
consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$25,402
Total of All Transactions with this Payee/Payer for This Schedule$25,402
Name and Address
(A)
Mobilize.io

44 Tehama St, Galvanize
San Francisco
CA
94105
Type or Classification
(B)
membership connectivity
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,300
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,300
member communication12/10/2019$12,300
Name and Address
(A)
Mountain View Staging Services

545 W 1300 N
Springville
UT
84663
Type or Classification
(B)
audio/video specialists
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$35,626
Total Non-Itemized Transactions with this Payee/Payer$1,500
Total of All Transactions with this Payee/Payer for This Schedule$37,126
audio/video specialists08/28/2019$35,626
Name and Address
(A)
Nationwide Waste Services
PO Box 1939

Queen Creek
AZ
85142
Type or Classification
(B)
portable toilet rentals
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,583
Total of All Transactions with this Payee/Payer for This Schedule$5,583
Name and Address
(A)
Norwalk Printing Inc.
P.O. Box 95

Norwalk
CA
90650
Type or Classification
(B)
printer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,538
Total of All Transactions with this Payee/Payer for This Schedule$10,538
Name and Address
(A)
Oakland Planning/Building

250 Frank H. Ogawa Plaza
Oakland
CA
94612
Type or Classification
(B)
parking permits
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,724
Total Non-Itemized Transactions with this Payee/Payer$402
Total of All Transactions with this Payee/Payer for This Schedule$6,126
bargaining outreach10/10/2019$5,724
Name and Address
(A)
Online Training

Two Town Sq Blvd, Suite 242
Asheville
NC
28803
Type or Classification
(B)
continuing education platform
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,388
Total of All Transactions with this Payee/Payer for This Schedule$5,388
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$55,000
Total Non-Itemized Transactions with this Payee/Payer$5,000
Total of All Transactions with this Payee/Payer for This Schedule$60,000
campaign activities02/06/2019$5,000
campaign activities03/06/2019$5,000
campaign activities04/03/2019$5,000
campaign activities05/08/2019$5,000
campaign activities06/05/2019$5,000
campaign activities07/03/2019$5,000
campaign activities08/07/2019$5,000
campaign activities09/04/2019$5,000
campaign activities10/02/2019$5,000
campaign activities11/06/2019$5,000
campaign activities12/18/2019$5,000
Name and Address
(A)
ProPrint

181-C Mayhew Way
Walnut Creek
CA
94597
Type or Classification
(B)
printer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,031
Total Non-Itemized Transactions with this Payee/Payer$17,479
Total of All Transactions with this Payee/Payer for This Schedule$23,510
strikes/pickets06/19/2019$6,031
Name and Address
(A)
PRWRK LLC

1100 Vermont NW, Suite 1200
Washington
DC
20005
Type or Classification
(B)
public relations
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$48,000
Total of All Transactions with this Payee/Payer for This Schedule$48,000
Name and Address
(A)
Remcho, Johansen & Purcell

1901 Harrison, Suite 1550
Oakland
CA
94612
Type or Classification
(B)
attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,804
Total of All Transactions with this Payee/Payer for This Schedule$9,804
Name and Address
(A)
Ronald Douglas Collins

703 Pier Ave., Suite B #805
Hermosa Beach
CA
90254
Type or Classification
(B)
arbitrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,250
Total of All Transactions with this Payee/Payer for This Schedule$6,250
Name and Address
(A)
Rosselli & Associates

40 Prospect Road
Piedmont
CA
94610
Type or Classification
(B)
consultant-NO RELATION TO PRESIDENT, SAL ROSSELLI
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$146,059
Total Non-Itemized Transactions with this Payee/Payer$14,174
Total of All Transactions with this Payee/Payer for This Schedule$160,233
campaign activities01/30/2019$7,280
campaign activities02/06/2019$5,881
campaign activities02/20/2019$11,040
campaign activities04/03/2019$5,414
campaign activities05/22/2019$5,893
campaign activities06/05/2019$9,488
campaign activities06/12/2019$7,325
campaign activities07/17/2019$7,200
campaign activities07/24/2019$7,200
campaign activities08/07/2019$7,200
campaign activities08/28/2019$7,200
campaign activities09/11/2019$7,200
campaign activities09/18/2019$7,200
campaign activities10/09/2019$14,400
campaign activities11/06/2019$7,318
campaign activities11/13/2019$7,220
campaign activities12/11/2019$10,800
campaign activities12/18/2019$10,800
Name and Address
(A)
San Francisco Labor Council

1188 Franklin St, #203
San Francisco
CA
94109
Type or Classification
(B)
labor council
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,200
Total Non-Itemized Transactions with this Payee/Payer$3,400
Total of All Transactions with this Payee/Payer for This Schedule$9,600
coalition building03/27/2019$6,200
Name and Address
(A)
Sheraton Park Hotel Anaheim Resort

1855 South Harbor Blvd
Anaheim
CA
92802
Type or Classification
(B)
hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$204,701
Total Non-Itemized Transactions with this Payee/Payer$4,932
Total of All Transactions with this Payee/Payer for This Schedule$209,633
leadership conference03/06/2019$41,000
leadership conference06/05/2019$41,000
leadership conference08/14/2019$41,000
leadership conference09/10/2019$81,701
Name and Address
(A)
Siegel, LeWitter & Malkani

1939 Harrison, Suite 307
Oakland
CA
94612
Type or Classification
(B)
attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$105,654
Total Non-Itemized Transactions with this Payee/Payer$3,580
Total of All Transactions with this Payee/Payer for This Schedule$109,234
legal services01/30/2019$6,754
legal services03/06/2019$7,121
legal services04/03/2019$14,351
legal services05/02/2019$8,966
legal services05/29/2019$5,590
legal services06/19/2019$12,766
legal services07/17/2019$8,170
legal services09/04/2019$9,022
legal services10/23/2019$7,288
legal services12/04/2019$9,270
legal services12/24/2019$16,356
Name and Address
(A)
Siegel, Yee & Brunner

475 14th St., Suite 500
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 services01/09/2019$7,500
legal services02/06/2019$7,500
legal services03/06/2019$7,500
legal services04/03/2019$7,500
legal services05/08/2019$7,500
legal services06/05/2019$7,500
legal services07/03/2019$7,500
legal services08/07/2019$7,500
legal services09/04/2019$7,500
legal services10/02/2019$7,500
legal services11/06/2019$7,500
legal services12/04/2019$7,500
Name and Address
(A)
Southwest Airlines
P.O. Box 97617

Dallas
TX
75397
Type or Classification
(B)
airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$52,690
Total of All Transactions with this Payee/Payer for This Schedule$52,690
Name and Address
(A)
Storefront Political Media

160 Pine St., Suite 700
San Francisco
CA
94111
Type or Classification
(B)
media
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$76,667
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$76,667
bargaining outreach07/11/2019$45,000
bargaining outreach07/24/2019$10,000
bargaining outreach07/31/2019$21,667
Name and Address
(A)
Superior One Protective Services

1511 Sycamore, Suite M206
Hercules
CA
94547
Type or Classification
(B)
security
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,732
Total of All Transactions with this Payee/Payer for This Schedule$11,732
Name and Address
(A)
Suzanne Wilson

6111 Burlingame
Richmond
CA
94804
Type or Classification
(B)
consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,216
Total Non-Itemized Transactions with this Payee/Payer$26,160
Total of All Transactions with this Payee/Payer for This Schedule$44,376
member training08/07/2019$6,939
member training09/11/2019$5,431
member training10/02/2019$5,846
Name and Address
(A)
Tele-Town Hall Services

1001 North 19th, Suite 1200
Arlington
VA
22209
Type or Classification
(B)
membership connectivity
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,895
Total of All Transactions with this Payee/Payer for This Schedule$6,895
Name and Address
(A)
Troy Creative, Inc.

842 Everett St.
El Cerrito
CA
94530
Type or Classification
(B)
video production
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,050
Total Non-Itemized Transactions with this Payee/Payer$17,765
Total of All Transactions with this Payee/Payer for This Schedule$42,815
video production03/20/2019$5,550
video production03/27/2019$5,625
video production08/28/2019$5,250
video production10/09/2019$8,625
Name and Address
(A)
United Airlines

77 W Wacker Drive
Chicago
IL
60601
Type or Classification
(B)
airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,914
Total of All Transactions with this Payee/Payer for This Schedule$14,914
Name and Address
(A)
United Coach Tours

69 South Linden Avenue
South San Francisco
CA
94080
Type or Classification
(B)
charter bus
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,868
Total Non-Itemized Transactions with this Payee/Payer$1,062
Total of All Transactions with this Payee/Payer for This Schedule$18,930
member action11/07/2019$5,000
member action12/11/2019$12,868
Name and Address
(A)
United Site Services
P.O. Box 53267

Phoenix
AZ
85072
Type or Classification
(B)
portable toilet rentals
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$33,275
Total of All Transactions with this Payee/Payer for This Schedule$33,275
Name and Address
(A)
Upland Software, Inc.
P.O. Box 205921

Dallas
TX
75320
Type or Classification
(B)
membership connectivity
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,300
Total of All Transactions with this Payee/Payer for This Schedule$15,300
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, Suite 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$19,653
Total of All Transactions with this Payee/Payer for This Schedule$19,653
Name and Address
(A)
Handled with Care

14358 Wicks Blvd
San Leandro
CA
94577
Type or Classification
(B)
mail house
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,576
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,576
primary endorsement vote09/16/2019$5,576
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$84,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$84,000
public policy01/09/2019$7,000
public policy02/06/2019$7,000
public policy03/06/2019$7,000
public policy04/03/2019$7,000
public policy05/02/2019$7,000
public policy06/02/2019$7,000
public policy07/03/2019$7,000
public policy08/07/2019$7,000
public policy09/04/2019$7,000
public policy10/02/2019$7,000
public policy11/06/2019$7,000
public policy12/04/2019$7,000
Name and Address
(A)
Mountain View Staging Services

545 W 1300 N
Springville
UT
84663
Type or Classification
(B)
audio/video specialists
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$35,626
Total Non-Itemized Transactions with this Payee/Payer$9,023
Total of All Transactions with this Payee/Payer for This Schedule$44,649
leadership conference-pres candidates08/28/2019$35,626
Name and Address
(A)
NUHW-Candidate COPE

1787 Tribute Road, Suite K
Sacramento
CA
95815
Type or Classification
(B)
PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$250,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$250,000
transfer funds to PAC03/06/2019$25,000
transfer funds to PAC04/03/2019$25,000
transfer funds to PAC05/08/2019$25,000
transfer funds to PAC06/05/2019$25,000
transfer funds to PAC07/03/2019$25,000
transfer funds to PAC08/07/2019$25,000
transfer funds to PAC09/04/2019$25,000
transfer funds to PAC10/02/2019$25,000
transfer funds to PAC11/06/2019$25,000
transfer funds to PAC12/04/2019$25,000
Name and Address
(A)
ProPrint

181-C Mayhew Way
Walnut Creek
CA
94597
Type or Classification
(B)
printer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,455
Total of All Transactions with this Payee/Payer for This Schedule$5,455
Name and Address
(A)
Rusty for Chair

1443 E. Washington, #199
Pasadena
CA
91104
Type or Classification
(B)
committee
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
endorsement04/17/2019$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 544-076

Name and Address
(A)
Alameda Labor Council

4200 Park Blvd., #128
Oakland
CA
94602
Type or Classification
(B)
labor council
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
donation04/17/2019$5,000
Name and Address
(A)
Asian Pacific Islander Legislative Caucus Fndtn

1414 K Street, Suite 250
Sacramento
CA
95814
Type or Classification
(B)
non-profit
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
donation04/17/2019$5,000
Name and Address
(A)
Bay Scholars

465 California St, 16th Fl
San Francisco
CA
94104
Type or Classification
(B)
non-profit
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
donation10/16/2019$5,000
Name and Address
(A)
California Legislative Black Caucus Policy Instt

777 S Figueroa St, Ste 4050
Los Angeles
CA
90017
Type or Classification
(B)
non-profit
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$15,000
donation10/16/2019$15,000
Name and Address
(A)
Equality California

3701 Wilshire, Suite 725
Los Angeles
CA
90010
Type or Classification
(B)
non-profit
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$11,000
donation01/16/2019$5,000
donation03/13/2019$6,000
Name and Address
(A)
Harvey Milk LGBT Democratic Club

1718 36th Ave.
Oakland
CA
94601
Type or Classification
(B)
democratic club
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
donation06/12/2019$5,000
Name and Address
(A)
Human Rights Campaign

1640 Rhode Isl Ave., N.W.
Washington
DC
20036
Type or Classification
(B)
non-profit
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
donation08/14/2019$5,000
Name and Address
(A)
John Burton Advocates for Youth

39 Mesa St., Suite 205
San Francisco
CA
94129
Type or Classification
(B)
non-profit
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
donation11/13/2019$5,000
Name and Address
(A)
Nathan Allbee

932 Bartholomew
New Orleans
LA
70117
Type or Classification
(B)
consultant
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
polling04/24/2019$5,000
Name and Address
(A)
One Mind
P.O. Box 680

Rutherford
CA
94573
Type or Classification
(B)
non-profit
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
donation07/17/2019$5,000
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

180 Grand Ave., Suite 1400
Oakland
CA
94610
Type or Classification
(B)
landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$262,584
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$262,584
rent01/01/2019$21,882
rent02/01/2019$21,882
rent03/01/2019$21,882
rent04/01/2019$21,882
rent05/01/2019$21,882
rent06/01/2019$21,882
rent07/01/2019$21,882
rent08/01/2019$21,882
rent09/01/2019$21,882
rent10/01/2019$21,882
rent11/01/2019$21,882
rent12/01/2019$21,882
Name and Address
(A)
Alliance Graphics

1101 8th Street
Berkeley
CA
94710
Type or Classification
(B)
printer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,138
Total of All Transactions with this Payee/Payer for This Schedule$10,138
Name and Address
(A)
Amazon

410 Terry Ave. North
Seattle
WA
98109
Type or Classification
(B)
supplies vendor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,063
Total of All Transactions with this Payee/Payer for This Schedule$7,063
Name and Address
(A)
Amazon Web Services

410 Terry Ave. North
Seattle
WA
98109
Type or Classification
(B)
database hosting
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,959
Total of All Transactions with this Payee/Payer for This Schedule$5,959
Name and Address
(A)
Ascentis Corporation

150 120th Ave NE, Ste 400
Bellevue
WA
98005
Type or Classification
(B)
payroll & hr service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,489
Total of All Transactions with this Payee/Payer for This Schedule$9,489
Name and Address
(A)
AT&T
P.O. Box 5025

Carol Stream
IL
60197
Type or Classification
(B)
phone & internet provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,157
Total of All Transactions with this Payee/Payer for This Schedule$7,157
Name and Address
(A)
Broadway HPY, LLC

3055 Wilshire, Suite 710
Los Angeles
CA
90010
Type or Classification
(B)
landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$143,443
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$143,443
rent01/01/2019$6,749
rent02/01/2019$6,749
rent03/01/2019$6,749
rent03/20/2019$6,197
rent04/01/2019$14,754
rent06/01/2019$13,721
rent07/01/2019$14,754
rent08/01/2019$14,754
rent09/01/2019$14,754
rent10/01/2019$14,754
rent11/01/2019$14,754
rent12/01/2019$14,754
Name and Address
(A)
Eckhoff and Company

145 North Redwood Drive
San Rafael
CA
94903
Type or Classification
(B)
CPAs
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,590
Total Non-Itemized Transactions with this Payee/Payer$3,500
Total of All Transactions with this Payee/Payer for This Schedule$10,090
tax preparation & partial audit fees11/27/2019$6,590
Name and Address
(A)
Emeryville Business Centre

5835 Doyle St, #101
Emeryville
CA
94608
Type or Classification
(B)
landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$73,476
Total Non-Itemized Transactions with this Payee/Payer$288
Total of All Transactions with this Payee/Payer for This Schedule$73,764
move-in deposit & 1 month's rent07/24/2019$73,476
Name and Address
(A)
Google Storage

1600 Amphitheatre Pkwy
Mountain View
CA
94043
Type or Classification
(B)
email
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,593
Total of All Transactions with this Payee/Payer for This Schedule$5,593
Name and Address
(A)
HealthComp
P.O. Box 45018

Fresno
CA
93718
Type or Classification
(B)
FSA/HRA administration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,106
Total of All Transactions with this Payee/Payer for This Schedule$5,106
Name and Address
(A)
Jobs with Justice San Francisco

209 Golden Gate Ave.
San Francisco
CA
94102
Type or Classification
(B)
community organizing
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
membership02/27/2019$5,000
Name and Address
(A)
Lang, Hansen, O'Malley & Miller

1121 L Street, Suite 100
Sacramento
CA
95814
Type or Classification
(B)
landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$16,500
Total of All Transactions with this Payee/Payer for This Schedule$16,500
Name and Address
(A)
LAZ Parking

101 N. Brand, Suite 1710
Glendale
CA
91203
Type or Classification
(B)
parking garage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,850
Total of All Transactions with this Payee/Payer for This Schedule$14,850
Name and Address
(A)
LocalJoin Inc.

381 Belmont St., Apt 104
Oakland
CA
94610
Type or Classification
(B)
consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$67,900
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$67,900
database work02/13/2019$5,200
database work04/10/2019$11,550
database work05/29/2019$11,100
database work08/07/2019$18,375
database work10/02/2019$12,050
database work12/18/2019$9,625
Name and Address
(A)
Marsh & McLennan Agency LLC
Lockbox 740663

Los Angeles
CA
90074
Type or Classification
(B)
insurance broker
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$34,003
Total Non-Itemized Transactions with this Payee/Payer$4,295
Total of All Transactions with this Payee/Payer for This Schedule$38,298
D&O insurance07/24/2019$34,003
Name and Address
(A)
NationBuilder

448 S Hill St #200
Los Angeles
CA
90013
Type or Classification
(B)
communications platform
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,989
Total of All Transactions with this Payee/Payer for This Schedule$5,989
Name and Address
(A)
Public Storage

701 Western Ave
Glendale
CA
91201
Type or Classification
(B)
storage unit rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,074
Total of All Transactions with this Payee/Payer for This Schedule$5,074
Name and Address
(A)
Retirement Plan Consultants LLC
P.O. Box 1264

Norfolk
NE
68702
Type or Classification
(B)
retirement plan TPA
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,183
Total of All Transactions with this Payee/Payer for This Schedule$13,183
Name and Address
(A)
Siegel, LeWitter & Malkani

1939 Harrison St, Suite 307
Oakland
CA
94612
Type or Classification
(B)
attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$28,897
Total Non-Itemized Transactions with this Payee/Payer$12,603
Total of All Transactions with this Payee/Payer for This Schedule$41,500
legal services05/29/2019$5,138
legal services07/17/2019$5,402
legal services09/25/2019$7,252
legal services10/23/2019$5,115
legal services12/04/2019$5,990
Name and Address
(A)
UFCW Union Local 324

8530 Stanton Avenue
Buena Park
CA
90620
Type or Classification
(B)
landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,855
Total of All Transactions with this Payee/Payer for This Schedule$15,855
Name and Address
(A)
Waters Moving & Storage, Inc.

37 Bridgehead Road
Martinez
CA
94553
Type or Classification
(B)
moving company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,766
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,766
office move12/06/2019$9,766
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 544-076

There was no data found for this schedule.

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.)$1,493,991
Medical benefitsBlue Shield$36,780
Dental benefitsFinancial Management Trust$99,367
Medical benefitsKaiser Foundation Health Plan, Inc.$594,632
HRA benefitsHealthComp$54,719
Life/AD&D InsuranceLincoln National Life Insurance Company$5,884
401k Plan TrusteeMatrix Trust Company$656,817
Worker's Compensation InsuranceState Compensation Insurance Fund$45,792
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 544-076


Question 11(a): 1. National Union of Healthcare Workers Candidate Committee for Quality Patient Care and Union Democracy #1318200--CA Secretary of State 2. National Union of Healthcare Workers Issues Committee for Quality Patient Care and Union Democracy #1401024--CA Secretary of State 3. National Union of Healthcare Workers Federal Committee on Political Education #C00461418--Federal Election Commission

Question 12: Eckhoff & Company

Schedule 1, Row1:

Schedule 9, Row1:

Schedule 9, Row1:

Schedule 13, Row1:

Schedule 13, Row1::Full members, full dues

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row2:

Schedule 13, Row2::Retired members, pay $10/month

Schedule 13, Row2:

Schedule 13, Row2::

Schedule 13, Row3:

Schedule 13, Row3::Associate members, folks who work in the healthcare industry but are not represented by NUHW - pay $10/month

Schedule 13, Row3:

Schedule 13, Row3:Associate members are not eligible to vote in NUHW elections
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)