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: 01-31-2025
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
540-083
2. PERIOD COVERED
From01/01/2021
Through12/31/2021
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
SERVICE EMPLOYEES
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
 6. DESIGNATION NBR
1107
7. UNIT NAME (if any)
NEVADA SERVICE EMPLOYEES UNION
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Grace
 Last Name
Mactal
P.O Box - Building and Room Number

Number and Street
2250 S. Rancho Drive #165
City
LAS VEGAS
State
NV		 ZIP Code + 4
891026250


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:GRACE T MACTALEXECUTIVE DIRECTOR71. SIGNED:Kevin CareyPRESIDENT
Date:Mar 17, 2022Telephone Number:702-540-2834Date:Mar 16, 2022Telephone Number:702-755-7613
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 540-083
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?03/2025
20. How many members did the labor organization have at the end of the reporting period?9,273
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesSee Min/MaxperMonthly31.4251
(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: 540-083

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $1,687,853$3,091,713
23. Accounts Receivable1$188,565$173,908
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$98,593$77,896
28. Other Assets7$19,777$19,777
29. TOTAL ASSETS $1,994,788$3,363,294

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$38,656$62,516
31. Loans Payable9$0$383,732
32. Mortgages Payable $0$0
33. Other Liabilities10$380,636$250,650
34. TOTAL LIABILITIES $419,292$696,898
35. NET ASSETS$1,575,496$2,666,396
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 540-083

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $4,836,489
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $1,749
41. Dividends $0
42. Rents $3,864
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$383,732
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $166,160
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$760,960
49. TOTAL RECEIPTS $6,152,954
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,462,223
51. Political Activities and Lobbying16$269,004
52. Contributions, Gifts, and Grants17$490
53. General Overhead18$689,931
54. Union Administration19$145,723
55. Benefits20$607,560
56. Per Capita Tax $1,281,324
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$7,980
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $170,879
64. On Behalf of Individual Members $0
65. Direct Taxes $113,980
  
66. Subtotal $4,749,094
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$201,958  
  67b. Less Total Disbursed$201,958  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $4,749,094
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 540-083

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$173,908   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $173,908$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 540-083

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: 540-083

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: 540-083

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$7,980$7,980$7,980
Furniture and Equipment$7,980$7,980$7,980
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$7,980
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 540-083

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: 540-083

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$167,805$104,624$63,181$63,181
E. Other Fixed Assets$23,787$9,072$14,715$14,715
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $191,592$113,696$77,896$77,896
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 540-083

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $19,777
Security Deposits$19,777
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 540-083

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$62,516$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $62,516$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 540-083

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$0$383,732$0$0$383,732
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Paycheck Protection Program$0$383,732$0$0$383,732
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 540-083

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $250,650
Accrued Time Off$139,000
Due to International$3,316
Per Capita Tax Payable$108,334
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 540-083

(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 		Carey ,  Kevin  
President
C		$0$0$464$0$464
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		30 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		20 %
A
B
C 		Vergara-Mactal ,  Grace  
Executive Director
C		$127,956$6,250$84$0$134,290
I
Schedule 15
Representational Activities 		35 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Maese ,  Michelle  
Secretary-Treasurer
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		40 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		20 %
A
B
C 		Springer ,  Debra  
Public Sector VP
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Norman ,  Zavia  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Hardy ,  Ahsaki  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Domineck ,  Jody  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Roa-Dugan ,  Yarleny  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Snowden ,  Romenia  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Tucker ,  Paula  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Lambeth ,  Melissa  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Capa ,  Adonis  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Harding ,  Victoria  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Summersarmstrong ,  Shondra  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Shen ,  Krystal  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Punchard ,  Anthony  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Campbell ,  Joseph  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Mallory-Edmonson ,  Phyllis  
E-Board Member
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Jacobi ,  Maria  
E-Board Member
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Castellanos ,  Mariela  
E-Board Member
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Holloway ,  Jamerson  
E-Board Member
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
Total Officer Disbursements$127,956$6,250$548$0$134,754
Less Deductions    $22,677
Net Disbursements    $112,077
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 540-083

(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 		Cabrera ,  Javier  
Former Organizer
N/A		$92,466$0$0$0$92,466
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Cardenas ,  Marcos  
Representation Coord.
N/A		$20,766$0$148$0$20,914
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Chavez ,  Keith Eric  
Organizer
N/A		$16,744$2,150$0$0$18,894
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Curry ,  Patti  
Database Administrator
N/A		$62,920$0$0$0$62,920
I
Schedule 15
Representational Activities 		5 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		90 % Schedule 19
Administration 		0 %
A
B
C 		Danglapin ,  Felipe  
Dir. of Finance & Admin
N/A		$76,205$6,250$1,047$0$83,502
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		85 % Schedule 19
Administration 		5 %
A
B
C 		Dodson ,  Thelma  
Representation Coord.
N/A		$39,660$4,250$148$0$44,058
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		El-Amin ,  Salahadin  
Organizer
N/A		$52,429$6,250$261$0$58,940
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Gutierrez ,  Steven  
Organizing Coordinator
N/A		$78,587$6,250$0$0$84,837
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Hilton ,  Christopher  
Organizer
N/A		$9,752$1,650$0$0$11,402
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Jordan ,  Natalia  
Communications Specialist
N/A		$10,120$1,650$0$0$11,770
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Madrid ,  Gloria  
Organizer
N/A		$67,537$6,250$495$0$74,282
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Morales ,  Fabiola  
Organizing Director
N/A		$77,693$6,250$364$0$84,307
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Ornelas ,  Veronica  
Contract Representative
N/A		$24,344$1,500$0$0$25,844
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Rangel ,  Maria  
Organizer
N/A		$32,028$2,733$0$0$34,761
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Salinas ,  Rosario  
Organizer
N/A		$56,606$6,250$74$0$62,930
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Shaw ,  Samuel  
Chief of Staff
N/A		$106,977$6,250$117$0$113,344
I
Schedule 15
Representational Activities 		30 % Schedule 16
Political Activities and Lobbying 		30 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		30 %
A
B
C 		Shepard ,  Brian  
Former Chief of Staff
N/A		$21,404$500$0$0$21,904
I
Schedule 15
Representational Activities 		30 % Schedule 16
Political Activities and Lobbying 		30 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		30 %
A
B
C 		Small ,  Dylan  
Organizer
N/A		$52,611$6,250$870$0$59,731
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Valdecantos ,  Jennifer  
Admin Support Specialist
N/A		$55,813$0$0$0$55,813
I
Schedule 15
Representational Activities 		5 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		90 % Schedule 19
Administration 		0 %
A
B
C 		Webster ,  Thomas  
Comm & Political Coord
N/A		$63,672$6,250$474$0$70,396
I
Schedule 15
Representational Activities 		65 % Schedule 16
Political Activities and Lobbying 		30 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$0$0$0$0$0
I Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
Total Employee Disbursements$1,018,334$70,683$3,998$0$1,093,015
Less Deductions    $179,281
Net Disbursements    $913,734
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 540-083

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 9,273 
Agency Fee Payers*0
Total Members/Fee Payers9,273 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members9,273Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 540-083

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$722,731
2. Named Payer Non-itemized Receipts$38,224
3. All Other Receipts$5
4. Total Receipts$760,960
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$490
6. Total Disbursements$490
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$585,890
2. Named Payee Non-itemized Disbursements$151,766
3. To Officers$47,234
4. To Employees$657,131
5. All Other Disbursements$20,202
6. Total Disbursements$1,462,223
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$341,253
2. Named Payee Non-itemized Disbursements$102,229
3. To Officers$0
4. To Employees$191,361
5. All Other Disbursements$55,088
6. Total Disbursements$689,931
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$60,000
2. Named Payee Non-itemized Disbursements$13,603
3. To Officers$20,283
4. To Employees$174,210
5. All Other Disbursements$908
6. Total Disbursements$269,004
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$5,682
3. To Officers$67,238
4. To Employees$70,314
5. All Other Disbursements$2,489
6. Total Disbursements$145,723
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 540-083

Name and Address
(A)
Service Employees Int'l Union

1800 Massachusetts Avenue
Washington DC
DC
20036
Type or Classification
(B)
Labor Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$722,731
Total Non-Itemized Transactions with this Payee/Payer$38,224
Total of All Transactions with this Payee/Payer for This Schedule$760,955
Together We Rise (TRW) Grant01/15/2021$21,100
Together We Rise (TRW) Grant06/18/2021$50,000
Together We Rise (TRW) Grant11/26/2021$49,812
Home Care Workers Campaign02/20/2021$35,000
AAPI Voter Engagement08/20/2021$125,000
2021 Nevada JRA09/17/2021$279,000
Per Capita Rebate04/16/2021$93,664
Per Capita Rebate05/21/2021$21,635
Per Capita Rebate09/17/2021$23,542
Per Capita Rebate12/03/2021$23,978
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 540-083

Name and Address
(A)
Blucat Group, Inc.

6619 Brick House Avenue
Las Vegas
NV
89122
Type or Classification
(B)
Media Design
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
Civic engagement organizing 08/10/2021$5,000
Civic engagement organizing 09/02/2021$5,000
Civic engagement organizing 10/05/2021$5,000
Civic engagement organizing 11/03/2021$5,000
Civic engagement organizing 12/06/2021$5,000
Name and Address
(A)
Christensen, James & Martin

7440 W. Sahara Avenue
Las Vegas
NV
89117
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$110,585
Total Non-Itemized Transactions with this Payee/Payer$6,159
Total of All Transactions with this Payee/Payer for This Schedule$116,744
Legal Fees04/22/2021$10,817
Legal Fees05/13/2021$14,668
Legal Fees06/23/2021$21,038
Legal Fees07/14/2021$7,944
Legal Fees09/23/2021$14,915
Legal Fees10/18/2021$10,276
Legal Fees11/17/2021$16,064
Legal Fees12/17/2021$14,863
Name and Address
(A)
Christopher Hilton

1613 N Raul Street
North Las Vegas
NV
89030
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$12,500
Total of All Transactions with this Payee/Payer for This Schedule$12,500
Name and Address
(A)
Erika Watanabe

2090 Irwin Circle
Las Vegas
NV
89119
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$11,800
Total of All Transactions with this Payee/Payer for This Schedule$11,800
Name and Address
(A)
Jason Karsh

8918 Manaland Road
Las Vegas
NV
89123
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$25,000
Total of All Transactions with this Payee/Payer for This Schedule$25,000
Name and Address
(A)
Keith Eric Chavez

6721 Mojave Blush Drive
Las Vegas
NV
89122
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$19,000
Total of All Transactions with this Payee/Payer for This Schedule$19,000
Name and Address
(A)
Marcos Cardenas

120 N. Magnolia Avenue #54
Anaheim
CA
92801
Type or Classification
(B)
Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,000
Total Non-Itemized Transactions with this Payee/Payer$833
Total of All Transactions with this Payee/Payer for This Schedule$15,833
Contract Representation05/05/2021$5,000
Contract Representation06/02/2021$5,000
Contract Representation07/01/2021$5,000
Name and Address
(A)
Mario Bognanno

7580 N Calle Sin Controvers
Tucson
AZ
85718
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$8,035
Total of All Transactions with this Payee/Payer for This Schedule$8,035
Name and Address
(A)
Michelle Dominguez

210 Quest Park St. Apt 818
Henderson
NV
89074
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$25,000
Total of All Transactions with this Payee/Payer for This Schedule$25,000
Name and Address
(A)
MPower 360

3880 W. Ann Road, Suite 120
Las Vegas
NV
89013
Type or Classification
(B)
Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,118
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$26,118
Civic Engagement Organizing Consulting10/12/2021$26,118
Name and Address
(A)
Nilda Mason

3504 Emmons Avenue
North Las Vegas
NV
89030
Type or Classification
(B)
Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,267
Total of All Transactions with this Payee/Payer for This Schedule$18,267
Name and Address
(A)
Rothner Segall & Greenstone

510 South Marengo Avenue
Pasadena
CA
91101-3115
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,340
Total Non-Itemized Transactions with this Payee/Payer$6,780
Total of All Transactions with this Payee/Payer for This Schedule$20,120
Legal Fees02/18/2021$13,340
Name and Address
(A)
Scott Egnor

4259 S. Maryland Parkway
Las Vegas
NV
89119
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$10,950
Total of All Transactions with this Payee/Payer for This Schedule$10,950
Name and Address
(A)
Seth C. Dietz

1200 S. Cleveland Street
Arlington
VA
22204
Type or Classification
(B)
Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,085
Total Non-Itemized Transactions with this Payee/Payer$1,762
Total of All Transactions with this Payee/Payer for This Schedule$21,847
Organizing Consulting02/18/2021$5,000
Organizing Consulting03/17/2021$5,000
Organizing Consulting04/14/2021$5,000
Organizing Consulting05/20/2021$5,085
Name and Address
(A)
Simon Washburn

2842 North Pershing Avenue
San Bernardino
CA
92405
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$3,065
Total of All Transactions with this Payee/Payer for This Schedule$8,065
Organizing Consulting02/05/2021$5,000
Name and Address
(A)
The Urban Law Firm
Suite A-9
4270 S. Decatur Blvd.
Las Vegas
NV
89103
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$355,762
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$355,762
Legal Fees01/11/2021$30,959
Legal Fees02/05/2021$28,237
Legal Fees03/04/2021$27,865
Legal Fees04/19/2021$29,614
Legal Fees05/13/2021$29,112
Legal Fees06/02/2021$37,685
Legal Fees07/14/2021$27,925
Legal Fees08/03/2021$27,729
Legal Fees09/02/2021$28,966
Legal Fees11/03/2021$30,838
Legal Fees12/17/2021$27,995
Legal Fees10/05/2021$28,837
Name and Address
(A)
Thelma Dodson

2121 E. Warm Spring Road
Las Vegas
NV
89119
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$1,833
Total of All Transactions with this Payee/Payer for This Schedule$6,833
Organizing Consulting03/31/2021$5,000
Name and Address
(A)
Tres Alanna Brooks

50 E. Bluebird Avenue
Pahrump
NV
89060
Type or Classification
(B)
Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$782
Total of All Transactions with this Payee/Payer for This Schedule$10,782
Organizing Consulting09/14/2021$5,000
Organizing Consulting10/05/2021$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 540-083

Name and Address
(A)
Stella Marlene Lockard dba Capital Strategies, Ltd

3935 San Donato Loop
Reno
NV
89519
Type or Classification
(B)
Lobbyist
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$60,000
Total Non-Itemized Transactions with this Payee/Payer$652
Total of All Transactions with this Payee/Payer for This Schedule$60,652
Lobbying01/11/2021$5,000
Lobbying02/05/2021$5,000
Lobbying03/04/2021$5,000
Lobbying04/06/2021$5,000
Lobbying05/05/2021$5,000
Lobbying06/02/2021$5,000
Lobbying07/01/2021$5,000
Lobbying08/03/2021$5,000
Lobbying09/02/2021$5,000
Lobbying10/05/2021$5,000
Lobbying11/03/2021$5,000
Lobbying12/17/2021$5,000
Name and Address
(A)
Tessyn Opferman
6029

Reno
NV
89513
Type or Classification
(B)
Lobbyist
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,951
Total of All Transactions with this Payee/Payer for This Schedule$12,951
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 540-083

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 18 - GENERAL OVERHEAD FILE NUMBER: 540-083

Name and Address
(A)
Anexeon LLC
Suite 100
8704 Spanish Ridge Ave
Las Vegas
NV
89148
Type or Classification
(B)
IT Support and Consulting
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,677
Total of All Transactions with this Payee/Payer for This Schedule$9,677
Name and Address
(A)
Artkore Print Group

6035 Harrison Drive, Ste 3
Las Vegas
NV
89120
Type or Classification
(B)
Printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,207
Total Non-Itemized Transactions with this Payee/Payer$4,850
Total of All Transactions with this Payee/Payer for This Schedule$12,057
Printing & Productions08/03/2021$7,207
Name and Address
(A)
Extra Storage
Suite 400
279 E Cottnowood Pkwy
Salt Lake City
UT
84121
Type or Classification
(B)
Storage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,046
Total of All Transactions with this Payee/Payer for This Schedule$12,046
Name and Address
(A)
Gersam Lopez

2775 Fremont Street
Las Vegas
NV
89104
Type or Classification
(B)
Maintenance Contractor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,805
Total of All Transactions with this Payee/Payer for This Schedule$6,805
Name and Address
(A)
Gold Coast Hotel & Casino

4000 West Flamingo Road
Las Vegas
NV
89103
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,541
Total Non-Itemized Transactions with this Payee/Payer$500
Total of All Transactions with this Payee/Payer for This Schedule$7,041
Event Venue12/18/2021$6,541
Name and Address
(A)
Google LLC

1600 Amphitheatre Pkwy
Mountain View
CA
84043
Type or Classification
(B)
Online Retailer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,581
Total of All Transactions with this Payee/Payer for This Schedule$8,581
Name and Address
(A)
Kenneth Paul Penton

1513 W. Market Street
Aberdeen
WA
98520
Type or Classification
(B)
Member
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,108
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,108
Settlement Agreement & Release - Sunrise Hospital03/17/2021$5,108
Name and Address
(A)
Markel
650028

Dallas
TX
75265
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,883
Total of All Transactions with this Payee/Payer for This Schedule$7,883
Name and Address
(A)
Marsh & McLennan Agency
Lockbox 740663

Los Angeles
CA
90074
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,908
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$21,908
Union Liability and Cyber Security Insurance06/03/2021$21,908
Name and Address
(A)
Nextiva, Inc.

8800 E Chaparral Rd Ste 300
Scottsdale
AZ
85250
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,879
Total of All Transactions with this Payee/Payer for This Schedule$5,879
Name and Address
(A)
RubinBrown LLP
PO Box 790379

St. Louis
MO
63179-0379
Type or Classification
(B)
Accountants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$28,600
Total Non-Itemized Transactions with this Payee/Payer$3,800
Total of All Transactions with this Payee/Payer for This Schedule$32,400
Accounting & Audit Fees03/17/2021$15,000
Accounting & Audit Fees04/06/2021$13,600
Name and Address
(A)
Sahara Rancho Office Center LLC
PO Box 36830

Las Vegas
NV
89133-6860
Type or Classification
(B)
Rental Agent
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$271,889
Total Non-Itemized Transactions with this Payee/Payer$533
Total of All Transactions with this Payee/Payer for This Schedule$272,422
Rent Expense01/26/2021$22,656
Rent Expense02/18/2021$22,656
Rent Expense03/17/2021$22,656
Rent Expense04/14/2021$22,656
Rent Expense05/20/2021$22,656
Rent Expense06/23/2021$22,656
Rent Expense07/14/2021$22,657
Rent Expense08/17/2021$22,657
Rent Expense09/14/2021$22,657
Rent Expense10/05/2021$22,137
Rent Expense11/03/2021$22,656
Rent Expense12/21/2021$23,189
Name and Address
(A)
T-Mobile
742596

Cincinnati
OH
75274
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,141
Total of All Transactions with this Payee/Payer for This Schedule$10,141
Name and Address
(A)
Wells Fargo Financial Leasing, Inc.
10306

Des Moines
IA
50306
Type or Classification
(B)
Equipment Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,014
Total of All Transactions with this Payee/Payer for This Schedule$18,014
Name and Address
(A)
WinMill Software, Inc.

400 Park Avenue, Floor 19
New York
NY
10022
Type or Classification
(B)
Software
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,520
Total of All Transactions with this Payee/Payer for This Schedule$13,520
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 540-083

Name and Address
(A)
Southwest Airlines
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$5,682
Total of All Transactions with this Payee/Payer for This Schedule$5,682
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 540-083

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$607,560
Staff Health & WelfareSEIU H&W Trust Fund$350,573
Staff PensionSEIU Pension Trust Fund$238,889
Staff LT DisabilityInsurance Company$18,098
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 540-083
Item 70 Title: The authorized signers for SEIU Local 1107 are the Executive Director and the President.Item 71 Title: The authorized signers for SEIU Local 1107 are the Executive Director and the President.

Question 11(a):

Question 11(a): Nevada Service Employees Union Local 1107 Political Action Committee (PAC) reports are filed with the State of Nevada and the PAC Fund activity is not included in this LM-2 filing (EIN 20-0859683).

Question 12: An audit was performed by an outside accounting firm, RubinBrown, LLP.

Question 15: The Local disposed of office furniture and equipment that was obsolete and/or no longer usable. The cost of the office furniture and equipment disposed of was $1,250 with accumulated depreciation of $486 (net book value of $764).

Schedule 13, Row1:

Schedule 13, Row1:Regular members are actively employed and pay full dues.

Schedule 13, Row1:

Schedule 13, Row1:::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)