544-076 (LM2) 12/31/2021
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
544-076
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
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

Number and Street
1250 45TH ST, SUITE 200
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 31, 2022Telephone Number:510-834-2009Date:Mar 31, 2022Telephone 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?03/2024
20. How many members did the labor organization have at the end of the reporting period?15,166
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%permonth0126.00
(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 $3,131,051$3,254,936
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$19,744$27,738
28. Other Assets7$117,073$322,600
29. TOTAL ASSETS $3,267,868$3,605,274

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$80,335$72,773
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$760,557$811,711
34. TOTAL LIABILITIES $840,892$884,484
35. NET ASSETS$2,426,976$2,720,790
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 $13,030,580
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $200
40. Interest $609
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 $222,595
48. Other Receipts14$66,690
49. TOTAL RECEIPTS $13,320,674
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$7,479,021
51. Political Activities and Lobbying16$1,441,594
52. Contributions, Gifts, and Grants17$202,591
53. General Overhead18$1,410,718
54. Union Administration19$34,183
55. Benefits20$1,822,436
56. Per Capita Tax $48,397
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$12,325
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $221,628
65. Direct Taxes $536,155
  
66. Subtotal $13,209,048
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$2,329,186  
  67b. Less Total Disbursed$2,316,939  
  67c. Total Withheld But Not Disbursed $12,247
68. TOTAL DISBURSEMENTS $13,196,801
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$12,325$12,325$12,325
18 tablets$4,562$4,562$4,562
copier$5,793$5,793$5,793
laptop$1,970$1,970$1,970
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$12,325
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$40,308$12,570$27,738$27,738
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $40,308$12,570$27,738$27,738
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)) $322,600
Office Lease deposits$66,205
USPS Business Reply Mail deposit$200
Parking Cards deposits$380
Keys/Gate Openers deposits$288
Prepaid Expense$254,882
Other Receivables$645
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$72,773$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $72,773$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$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
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)) $811,711
COBRA Payable$283
Miscellaneous Payables$1,983
Accrued Payroll$238,660
Accrued Payroll Taxes$100,731
Accrued Vacation$468,994
HCRA Payable$704
DCAP Payable$356
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 		Rosselli ,  Sal  
President
C		$148,131$6,000$12,441$0$166,572
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Mendoza ,  Sophia  
Secretary-Treasurer
C		$141,077$6,000$4,820$0$151,897
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Benard ,  Dewanda  
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 		Clemons ,  Jay  
Vice President
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Clifford ,  James  
Vice President
C		$0$0$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
P		$0$0$81$0$81
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
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 		Fitzpatrick ,  Mickey  
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 		Forter ,  Jody  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Gedebu-Wilson ,  Turusew  
Vice President
C		$0$0$177$0$177
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
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 		Gonzalez ,  Jose  
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 		Graham ,  Emily  
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 		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
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 		Musyoki ,  Ken  
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 		Patrick ,  Jackki  
Vice President
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Quintano ,  Porfirio  
Vice President
C		$0$0$25$0$25
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
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 		Shaner ,  Kellie  
Vice President
C		$0$0$917$0$917
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
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Sidrow-Thompson ,  Julia  
Vice President
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Taylor ,  Sean  
Vice President
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		White ,  Elizabeth  
Vice President
C		$752$0$0$0$752
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
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
Total Officer Disbursements$289,960$12,000$18,461$0$320,421
Less Deductions     
Net Disbursements    $320,421
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		$62,144$3,946$648$0$66,738
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Allen ,  Rachel  
Lost Timer
N/A		$14,667$0$378$0$15,045
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 		Artz ,  Matthew  
Comms Coordinator
N/A		$108,180$0$1,285$0$109,465
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 		Avalos ,  John  
Asst Dir Pol & Comm Org
N/A		$116,510$6,000$1,207$0$123,717
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 		Avila ,  Betsy  
Digital Organizer
N/A		$50,174$0$193$0$50,367
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Besst ,  Kenneth  
Operations Director
N/A		$122,676$0$2,957$0$125,633
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		95 % Schedule 19
Administration 		2 %
A
B
C 		Bowden ,  Carolyn  
Organizer
N/A		$105,465$6,000$741$0$112,206
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 		Camp Jr ,  Dwane  
Pol & Comm Org Coord
N/A		$96,712$5,273$1,096$0$103,081
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		0 %
A
B
C 		Campos ,  Astrid  
Pol & Comm Organizer
N/A		$99,653$6,000$1,831$0$107,484
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 		Casique ,  Francisco  
Researcher
N/A		$97,382$0$1,131$0$98,513
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 		Castro ,  Francisco  
Communications Specialist
N/A		$20,825$0$294$0$21,119
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  
Asst Dir Hospitals & NH
N/A		$111,895$6,000$1,576$0$119,471
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 		Chukwuneta ,  Keane  
Pol & Comm Organizer
N/A		$81,960$6,000$1,300$0$89,260
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		7 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Coe ,  Vanessa  
Dir Hospitals & NH
N/A		$119,680$6,000$1,533$0$127,213
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 		Collins ,  Ronald  
Organizing Coordinator
N/A		$108,180$6,000$1,774$0$115,954
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Contreras ,  Audel  
Organizer
N/A		$13,848$1,361$0$0$15,209
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  
Director
N/A		$123,176$6,000$1,853$0$131,029
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		$122,676$0$1,421$0$124,097
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Dhanraj ,  Edan  
Organizer
N/A		$98,613$6,000$1,319$0$105,932
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 		Dominguez ,  Daniel  
Organizer
N/A		$73,419$6,000$1,615$0$81,034
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 		Doolittle ,  Jake  
Organizer
N/A		$80,077$6,000$934$0$87,011
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 		Draper ,  Richard  
Director of Organizing
N/A		$122,676$6,000$3,380$0$132,056
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 		Draper ,  Tara  
Organizer
N/A		$87,450$6,000$4,088$0$97,538
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 		Early ,  Jessica  
Patient Advocacy Coord
N/A		$86,544$4,800$503$0$91,847
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		$91,411$6,000$1,870$0$99,281
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Eichert ,  Jacob  
Data/Admin Associate
N/A		$66,610$0$956$0$67,566
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 		Gaete ,  Cindy  
Organizer
N/A		$74,640$6,000$1,072$0$81,712
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 		Garcia ,  Izeah  
Pol & Comm Organizer
N/A		$82,173$6,000$2,351$0$90,524
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 		Garcia-Cano ,  Joanna  
Organizer
N/A		$35,875$3,552$835$0$40,262
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 		Goecke ,  Shannon  
Communications Specialist
N/A		$86,596$0$1,038$0$87,634
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 ,  Hayley  
Organizer
N/A		$66,209$6,000$1,657$0$73,866
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		$103,028$6,000$1,804$0$110,832
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		$20,773$0$0$0$20,773
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 		Horrell ,  Nathan  
Researcher
N/A		$98,613$0$1,300$0$99,913
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Howe ,  Sinalemoana  
Organizer
N/A		$68,652$3,115$651$0$72,418
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 		Kissinger ,  Tyler  
Organizing Coordinator
N/A		$100,427$6,000$3,264$0$109,691
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 		Lewis ,  Barbara  
Dir Hospitals & NH
N/A		$122,676$6,000$13,706$0$142,382
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 		Lewis ,  Ian  
Dir Pol & Research
N/A		$66,354$0$3,600$0$69,954
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Ligouri ,  Lawrence  
Organizer
N/A		$86,608$5,350$2,165$0$94,123
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		$103,028$0$1,321$0$104,349
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 		Macias ,  Antonia  
Organizer
N/A		$95,450$6,000$354$0$101,804
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 		Mentzer ,  Danielle  
Data/Admin Associate
N/A		$60,594$0$2,235$0$62,829
I
Schedule 15
Representational Activities 		11 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		89 % Schedule 19
Administration 		0 %
A
B
C 		Minton ,  Julia  
Organizer
N/A		$68,965$6,000$2,369$0$77,334
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 		Murguia ,  Cristian  
Organizer
N/A		$79,465$3,715$800$0$83,980
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Page ,  Sam  
Organizer
N/A		$102,482$6,000$1,729$0$110,211
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  
Organizing Coordinator
N/A		$112,764$5,054$1,428$0$119,246
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 Coord
N/A		$83,623$4,600$1,104$0$89,327
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		$95,450$6,000$3,955$0$105,405
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 		Rebecchi ,  Mateo  
Organizer
N/A		$76,979$6,000$2,612$0$85,591
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Recinos-Walsh ,  Joaquin  
Organizer
N/A		$80,266$6,000$1,973$0$88,239
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Rhodes ,  Vanessa  
Asst Dir of Ed & Training
N/A		$116,834$6,000$2,249$0$125,083
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  
Temp Organizing Coord
N/A		$21,751$1,454$925$0$24,130
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Rifkin ,  Sonya  
Research Coordinator
N/A		$97,363$0$1,100$0$98,463
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 		Sapp-Snurpus ,  Suzanne  
Organizer
N/A		$47,597$2,792$170$0$50,559
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Seavey ,  Frederic  
Director
N/A		$122,676$0$290$0$122,966
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Showell ,  Haley  
Organizer
N/A		$94,816$6,000$2,351$0$103,167
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 		Sisco ,  Margaret  
Communications Specialist
N/A		$18,183$0$659$0$18,842
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		0 %
A
B
C 		Snyder ,  Benjamin  
Organizing Coordinator
N/A		$108,180$6,000$817$0$114,997
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  
Pol & Comm Org Coord
N/A		$108,180$6,000$2,385$0$116,565
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 		Soza ,  Nelson  
Organizer
N/A		$14,381$900$164$0$15,445
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 		Tegenkamp ,  Gregory  
Kaiser Director
N/A		$122,676$6,000$1,202$0$129,878
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 		Tom ,  Karissa  
Organizer
N/A		$92,306$6,000$474$0$98,780
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Torres ,  Juan  
Organizer
N/A		$87,179$5,198$1,537$0$93,914
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Vanegas ,  Pavel  
Research Coordinator
N/A		$55,460$0$0$0$55,460
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 		Vega ,  Luis  
Organizer
N/A		$49,302$2,686$1,006$0$52,994
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 		Velazquez ,  Sebastian  
Organizer
N/A		$69,584$6,000$2,090$0$77,674
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 		Watler ,  Theodore  
Organizer
N/A		$13,552$1,154$0$0$14,706
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 ,  MV  
Pol & Comm Organizer
N/A		$92,805$5,898$1,030$0$99,733
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Willett ,  Jessica  
Asst Dir of Operations
N/A		$116,834$0$857$0$117,691
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		99 % Schedule 19
Administration 		1 %
A
B
C 		Willett ,  Phyllis  
Emeritus Ops Director
N/A		$21,965$0$0$0$21,965
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		29 % Schedule 19
Administration 		71 %
A
B
C 		Williams ,  Cacilie  
Organizer
N/A		$36,682$3,669$512$0$40,863
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 		Woolverton ,  Ian  
Organizer
N/A		$98,613$6,000$571$0$105,184
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 		Wrisley ,  Genean  
Organizer
N/A		$15,258$1,269$310$0$16,837
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 		Yahya ,  Abid  
Dir Hospitals & NH
N/A		$121,382$5,937$2,102$0$129,421
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$9,806$231$2,006$0$12,043
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$6,007,658$275,954$114,013$0$6,397,625
Less Deductions     
Net Disbursements    $6,397,625
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) 15,166 
Agency Fee Payers*48
Total Members/Fee Payers15,214 
*Agency Fee Payers are not considered members of the labor organization.
Members15,138Yes
Retired Members22Yes
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$18,899
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$47,791
4. Total Receipts$66,690
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$171,000
2. Named Payee Non-itemized Disbursements$1,500
3. To Officers$0
4. To Employees$1,738
5. All Other Disbursements$28,353
6. Total Disbursements$202,591
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$862,355
2. Named Payee Non-itemized Disbursements$277,723
3. To Officers$305,772
4. To Employees$5,950,090
5. All Other Disbursements$83,081
6. Total Disbursements$7,479,021
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$744,408
2. Named Payee Non-itemized Disbursements$221,554
3. To Officers$0
4. To Employees$367,137
5. All Other Disbursements$77,619
6. Total Disbursements$1,410,718
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$1,335,000
2. Named Payee Non-itemized Disbursements$33,634
3. To Officers$6,516
4. To Employees$59,374
5. All Other Disbursements$7,070
6. Total Disbursements$1,441,594
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$8,133
4. To Employees$19,285
5. All Other Disbursements$6,765
6. Total Disbursements$34,183
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 544-076

Name and Address
(A)
Kaiser Permanente

1950 Franklin Street
Oakland
CA
94612
Type or Classification
(B)
member employer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,899
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$18,899
er portion of IBHS contracts01/11/2021$8,894
er portion of HPC/KPC contracts02/25/2021$10,005
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 544-076

Name and Address
(A)
Alejandra Juarez

2800 Santa Fe Ave.
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$11,390
Total of All Transactions with this Payee/Payer for This Schedule$11,390
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$17,609
Total Non-Itemized Transactions with this Payee/Payer$18,166
Total of All Transactions with this Payee/Payer for This Schedule$35,775
promotional products12/15/2021$6,495
promotional products06/24/2021$11,114
Name and Address
(A)
Barry Winograd

1999 Harrison St, Ste 1400
Oakland
CA
94612
Type or Classification
(B)
arbitrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,400
Total Non-Itemized Transactions with this Payee/Payer$1,600
Total of All Transactions with this Payee/Payer for This Schedule$10,000
arbitration services01/14/2021$8,400
Name and Address
(A)
Burton and The Brains

1611 26th Street
Sacramento
CA
95816
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$25,000
Total of All Transactions with this Payee/Payer for This Schedule$25,000
Name and Address
(A)
California Alliance for Retired Americans

1675 7th Street, #23754
Oakland
CA
94610
Type or Classification
(B)
community organizing
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
coalition building09/15/2021$5,000
coalition building05/13/2021$10,000
Name and Address
(A)
Catherine Harris, Esq.

5960 S Land Park Dr, #255
Sacramento
CA
95822
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$5,100
Total of All Transactions with this Payee/Payer for This Schedule$5,100
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$10,000
Total Non-Itemized Transactions with this Payee/Payer$24,000
Total of All Transactions with this Payee/Payer for This Schedule$34,000
coalition building02/17/2021$5,000
coalition building05/13/2021$5,000
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$10,000
Total Non-Itemized Transactions with this Payee/Payer$6,000
Total of All Transactions with this Payee/Payer for This Schedule$16,000
consumer protection05/13/2021$10,000
Name and Address
(A)
Dolores Huerta Foundation
PO Box 2087

Bakersfield
CA
93303
Type or Classification
(B)
community organizing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$6,500
Total of All Transactions with this Payee/Payer for This Schedule$11,500
coalition building07/20/2021$5,000
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$13,450
Total of All Transactions with this Payee/Payer for This Schedule$13,450
Name and Address
(A)
FWDlabs
PO Box 9722

North Hollywood
CA
91609
Type or Classification
(B)
video/website production
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,730
Total of All Transactions with this Payee/Payer for This Schedule$12,730
Name and Address
(A)
Grassroots Policy Project

1400 Shattuck, Ste 12, #148
Berkeley
CA
94709
Type or Classification
(B)
non-profit
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$32,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$32,000
training01/29/2021$12,500
training04/01/2021$19,500
Name and Address
(A)
Healthy California Now

1787 Tribute Road, Ste K
Sacramento
CA
95815
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 outreach01/14/2021$25,000
Name and Address
(A)
House of Printing, Inc.

3336 E. Colorado Blvd.
Pasadena
CA
91107
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$11,664
Total of All Transactions with this Payee/Payer for This Schedule$11,664
Name and Address
(A)
Hyatt Regency LAX

6225 West Century Blvd.
Los Angeles
CA
90045
Type or Classification
(B)
hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$130,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$130,000
leadership conference03/10/2021$65,000
leadership conference05/01/2021$65,000
Name and Address
(A)
Ian David Lewis

551 Santa Clara Ave.
Alameda
CA
94501
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$8,000
Total of All Transactions with this Payee/Payer for This Schedule$8,000
Name and Address
(A)
Jobs with Justice San Francisco

209 Golden Gate Ave.
San Francisco
CA
94102
Type or Classification
(B)
worker advocacy
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$1,500
Total of All Transactions with this Payee/Payer for This Schedule$6,500
bargaining outreach03/10/2021$5,000
Name and Address
(A)
Labor Campaign for Single Payer
PO Box 34262

Washington
DC
20043
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 outreach03/17/2021$25,000
Name and Address
(A)
Labor Notes

7435 Michigan Avenue
Detroit
MI
48210
Type or Classification
(B)
media & organizing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,100
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,100
member materials02/07/2021$9,100
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$118,352
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$118,352
legal services05/07/2021$9,096
legal services03/03/2021$9,257
legal services06/09/2021$9,312
legal services01/05/2021$9,460
legal services02/03/2021$9,486
legal services04/07/2021$9,526
legal services12/01/2021$10,101
legal services09/08/2021$10,176
legal services08/04/2021$10,460
legal services07/07/2021$10,488
legal services10/06/2021$10,495
legal services11/02/2021$10,495
Name and Address
(A)
Mental Health America of California
PO Box 567

Sacramento
CA
95812
Type or Classification
(B)
mental health advocacy
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
mental health forum08/18/2021$10,000
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$60,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$60,000
single payer advocacy01/05/2021$5,000
single payer advocacy02/03/2021$5,000
single payer advocacy03/03/2021$5,000
single payer advocacy04/07/2021$5,000
single payer advocacy05/07/2021$5,000
single payer advocacy06/02/2021$5,000
single payer advocacy07/07/2021$5,000
single payer advocacy08/04/2021$5,000
single payer advocacy09/08/2021$5,000
single payer advocacy10/06/2021$5,000
single payer advocacy11/02/2021$5,000
single payer advocacy12/01/2021$5,000
Name and Address
(A)
Mobilize Networks, Inc.
Dept LA 25340

Pasadena
CA
91185
Type or Classification
(B)
membership connectivity
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,792
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,792
member communication11/24/2021$12,792
Name and Address
(A)
North Bay Jobs with Justice

P.O. Box 427
Santa Rosa
CA
95402
Type or Classification
(B)
worker advocacy
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$1,542
Total of All Transactions with this Payee/Payer for This Schedule$6,542
bargaining outreach02/17/2021$5,000
Name and Address
(A)
Online Training

Two Town Sq Blvd, #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)
Orange County Labor Federation AFL-CIO

309 N Rampart St, Suite A
Orange
CA
92868
Type or Classification
(B)
labor council
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$500
Total of All Transactions with this Payee/Payer for This Schedule$10,500
coalition building02/10/2021$10,000
Name and Address
(A)
Paul Kumar

150 Monticello Ave, #4
Piedmont
CA
94611
Type or Classification
(B)
consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$87,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$87,000
campaign activities01/05/2021$6,500
campaign activities02/03/2021$6,500
campaign activities03/03/2021$6,500
campaign activities04/07/2021$6,500
campaign activities05/07/2021$6,500
campaign activities06/02/2021$6,500
campaign activities07/07/2021$6,500
campaign activities08/04/2021$6,500
campaign activities09/08/2021$6,500
campaign activities10/06/2021$6,500
campaign activities11/02/2021$11,000
campaign activities12/01/2021$11,000
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$56,836
Total Non-Itemized Transactions with this Payee/Payer$25,675
Total of All Transactions with this Payee/Payer for This Schedule$82,511
contracts09/08/2021$5,270
strike materials11/24/2021$7,348
leadership conference materials12/09/2021$10,664
contracts01/29/2021$17,838
contracts01/29/2021$15,716
Name and Address
(A)
PRWRK LLC

3238 Arcadia Place NW
Washington
DC
20015
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)
Psych-Appeal, Inc.

7 West Figueroa St., #300
Santa Barbara
CA
93101
Type or Classification
(B)
mental health advocacy
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$40,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$40,000
mental health parity outreach09/02/2021$10,000
mental health parity outreach10/12/2021$10,000
mental health parity outreach11/05/2021$10,000
mental health parity outreach12/08/2021$10,000
Name and Address
(A)
San Diego & Imperial Counties LC

3737 Camino del Rio S, 403
San Diego
CA
92108
Type or Classification
(B)
labor council
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 building03/17/2021$5,000
coalition building10/15/2021$5,000
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$17,377
Total Non-Itemized Transactions with this Payee/Payer$19,963
Total of All Transactions with this Payee/Payer for This Schedule$37,340
legal services06/09/2021$5,311
legal services02/17/2021$5,636
legal services09/08/2021$6,430
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 services01/05/2021$7,500
legal services02/03/2021$7,500
legal services03/03/2021$7,500
legal services04/07/2021$7,500
legal services05/07/2021$7,500
legal services06/02/2021$7,500
legal services07/07/2021$7,500
legal services08/04/2021$7,500
legal services09/08/2021$7,500
legal services10/06/2021$7,500
legal services11/02/2021$7,500
legal services12/01/2021$7,500
Name and Address
(A)
Stiglitz Dispute Resolution, Inc.

14462 Garden Trail
San Diego
CA
92127
Type or Classification
(B)
arbitrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,600
Total Non-Itemized Transactions with this Payee/Payer$1,125
Total of All Transactions with this Payee/Payer for This Schedule$7,725
arbitration services01/05/2021$6,600
Name and Address
(A)
Storefront Political Media

160 Pine St., Suite 700
San Francisco
CA
94111
Type or Classification
(B)
advertising agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$40,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$40,000
campaign activities12/09/2021$40,000
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$6,289
Total Non-Itemized Transactions with this Payee/Payer$20,360
Total of All Transactions with this Payee/Payer for This Schedule$26,649
member training02/24/2021$6,289
Name and Address
(A)
Tele-Town Hall Services
PO Box 735080

Chicago
IL
60673
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$10,070
Total of All Transactions with this Payee/Payer for This Schedule$10,070
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 544-076

Name and Address
(A)
Betty Yee for CDP Vice Chair 2021

16633 Ventura Blvd., #1008
Encino
CA
91436
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
political endorsement02/17/2021$5,000
Name and Address
(A)
Caregivers and Californians United

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$40,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$40,000
election support02/17/2021$40,000
Name and Address
(A)
Close the Gap California

555 Bryant St., #241
Palo Alto
CA
94301
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
election support04/14/2021$5,000
Name and Address
(A)
David Campos for CDP Vice Chair

401 Chapman Street
San Francisco
CA
94110
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
political endorsement01/14/2021$5,000
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$0
Total Non-Itemized Transactions with this Payee/Payer$33,634
Total of All Transactions with this Payee/Payer for This Schedule$33,634
Name and Address
(A)
Lang, Hansen, Giroux & Kidane

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$120,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$120,000
public policy01/01/2021$10,000
public policy02/01/2021$10,000
public policy03/01/2021$10,000
public policy04/01/2021$10,000
public policy05/01/2021$10,000
public policy06/01/2021$10,000
public policy07/01/2021$10,000
public policy08/01/2021$10,000
public policy09/01/2021$10,000
public policy10/01/2021$10,000
public policy11/02/2021$10,000
public policy12/08/2021$10,000
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$650,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$650,000
transfer funds to PAC01/05/2021$50,000
transfer funds to PAC02/03/2021$50,000
transfer funds to PAC03/03/2021$50,000
transfer funds to PAC04/07/2021$50,000
transfer funds to PAC05/07/2021$50,000
transfer funds to PAC06/09/2021$50,000
transfer funds to PAC07/07/2021$50,000
transfer funds to PAC08/04/2021$50,000
transfer funds to PAC09/08/2021$50,000
transfer funds to PAC10/06/2021$50,000
transfer funds to PAC11/02/2021$50,000
transfer funds to PAC12/15/2021$100,000
Name and Address
(A)
NUHW-Issues 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$470,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$470,000
transfer funds to PAC01/05/2021$10,000
transfer funds to PAC02/03/2021$10,000
transfer funds to PAC03/03/2021$50,000
transfer funds to PAC04/07/2021$50,000
transfer funds to PAC05/07/2021$50,000
transfer funds to PAC06/09/2021$50,000
transfer funds to PAC07/07/2021$50,000
transfer funds to PAC08/04/2021$50,000
transfer funds to PAC09/08/2021$50,000
transfer funds to PAC10/06/2021$50,000
transfer funds to PAC11/02/2021$50,000
Name and Address
(A)
Storefront Political Media

160 Pine St., Suite 700
San Francisco
CA
94111
Type or Classification
(B)
advertising agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$40,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$40,000
election support09/29/2021$40,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 544-076

Name and Address
(A)
Bay Scholars

465 California St, 16th Fl
San Francisco
CA
94104
Type or Classification
(B)
youth scholarships
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
support10/15/2021$5,000
Name and Address
(A)
Capital & Main

1910 W. Sunset Blvd., #740
Los Angeles
CA
90026
Type or Classification
(B)
non-profit
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
support01/14/2021$40,000
support12/15/2021$50,000
Name and Address
(A)
Coalition for Humane Immigrant Rights

2533 West 3rd St., #101
Los Angeles
CA
90057
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$1,500
Total of All Transactions with this Payee/Payer for This Schedule$6,500
support07/14/2021$5,000
Name and Address
(A)
DeMarillac Academy

50 Francisco St., Suite 235
San Francisco
CA
94133
Type or Classification
(B)
school
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
support04/14/2021$5,000
Name and Address
(A)
Harvey Milk LGBTQ Democratic Club

1718 36th Ave.
Oakland
CA
94601
Type or Classification
(B)
human rights advocacy
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
support09/15/2021$5,000
Name and Address
(A)
Human Rights Campaign

1640 Rhode Island Ave., NW
Washington
DC
20036
Type or Classification
(B)
human rights advocacy
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,000
support10/15/2021$6,000
Name and Address
(A)
Local 39 Strike Fund

1620 North Market Blvd.
Sacramento
CA
95834
Type or Classification
(B)
labor union
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
support10/11/2021$25,000
Name and Address
(A)
Massachusetts Nurses Association

340 Turnpike St
Canton
MA
02021
Type or Classification
(B)
labor union
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
support04/21/2021$25,000
Name and Address
(A)
Progressive Leadership Initiative

1250 I St. NW, Suite 330
Washington
DC
20005
Type or Classification
(B)
social welfare organization
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
support03/24/2021$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 544-076

Name and Address
(A)
Adobe Systems, Inc.

151 South Almaden Blvd.
San Jose
CA
95113
Type or Classification
(B)
software provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,939
Total of All Transactions with this Payee/Payer for This Schedule$5,939
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$5,839
Total Non-Itemized Transactions with this Payee/Payer$14,769
Total of All Transactions with this Payee/Payer for This Schedule$20,608
equipment purchase10/10/2021$5,839
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$7,228
Total of All Transactions with this Payee/Payer for This Schedule$7,228
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$10,840
Total of All Transactions with this Payee/Payer for This Schedule$10,840
Name and Address
(A)
AT&T Mobility
PO Box 6463

Carol Stream
IL
60197
Type or Classification
(B)
phone service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,242
Total of All Transactions with this Payee/Payer for This Schedule$5,242
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$170,807
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$170,807
rent01/01/2021$15,197
rent02/01/2021$15,197
rent03/01/2021$15,197
rent05/01/2021$15,652
rent06/01/2021$15,652
rent07/01/2021$15,652
rent08/01/2021$15,652
rent09/01/2021$15,652
rent10/01/2021$15,652
rent11/01/2021$15,652
rent12/01/2021$15,652
Name and Address
(A)
Comcast Business
PO Box 60533

City of Industry
CA
91716
Type or Classification
(B)
internet & phone service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,035
Total of All Transactions with this Payee/Payer for This Schedule$9,035
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$344,185
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$344,185
rent01/01/2021$28,562
rent02/01/2021$28,545
rent03/01/2021$23,279
CAM03/03/2021$5,542
rent04/01/2021$23,279
CAM04/07/2021$5,243
rent05/01/2021$28,797
rent06/01/2021$23,279
CAM06/09/2021$5,309
rent07/01/2021$23,279
CAM07/07/2021$5,502
rent08/01/2021$23,279
CAM08/11/2021$5,468
rent09/01/2021$23,279
CAM09/08/2021$5,831
rent10/01/2021$23,279
CAM10/06/2021$5,344
rent11/01/2021$23,279
CAM11/02/2021$5,390
rent12/01/2021$28,420
Name and Address
(A)
Forensic Analytical Consulting Services

21228 Cabot Blvd.
Hayward
CA
94545
Type or Classification
(B)
environmental consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer$2,500
Total of All Transactions with this Payee/Payer for This Schedule$10,000
COVID safety08/18/2021$7,500
Name and Address
(A)
FWDlabs
PO Box 9722

North Hollywood
CA
91609
Type or Classification
(B)
video/website production
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,923
Total of All Transactions with this Payee/Payer for This Schedule$6,923
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$9,475
Total of All Transactions with this Payee/Payer for This Schedule$9,475
Name and Address
(A)
Islip + Company, LLP

3465 American River Dr, #D
Sacramento
CA
95864
Type or Classification
(B)
CPA
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,600
Total Non-Itemized Transactions with this Payee/Payer$1,550
Total of All Transactions with this Payee/Payer for This Schedule$16,150
audit01/05/2021$14,600
Name and Address
(A)
Knack

160 W 71st St., Suite 11N
New York
NY
10023
Type or Classification
(B)
online data platform
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,988
Total of All Transactions with this Payee/Payer for This Schedule$5,988
Name and Address
(A)
LAZ Parking

500 N. Brand Blvd, #650
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$14,563
Total of All Transactions with this Payee/Payer for This Schedule$14,563
Name and Address
(A)
LightWerks Communication Systems, Inc.

701 East Gardena Blvd.
Gardena
CA
90248
Type or Classification
(B)
audio/video specialists
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$74,882
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$74,882
audio/video system06/25/2021$74,882
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$19,125
Total Non-Itemized Transactions with this Payee/Payer$23,300
Total of All Transactions with this Payee/Payer for This Schedule$42,425
database work02/10/2021$6,025
database work04/14/2021$7,925
database work09/15/2021$5,175
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$38,046
Total Non-Itemized Transactions with this Payee/Payer$6,644
Total of All Transactions with this Payee/Payer for This Schedule$44,690
D&O insurance07/07/2021$38,046
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$14,144
Total of All Transactions with this Payee/Payer for This Schedule$14,144
Name and Address
(A)
Omni Janitorial Services, Inc.

2737 North Main St., #10
Walnut Creek
CA
94597
Type or Classification
(B)
janitorial service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,256
Total of All Transactions with this Payee/Payer for This Schedule$14,256
Name and Address
(A)
PG&E

Box 997300
Sacramento
CA
95899
Type or Classification
(B)
utilities provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,023
Total of All Transactions with this Payee/Payer for This Schedule$7,023
Name and Address
(A)
Retirement Plan Consultants LLC
PO 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$12,195
Total of All Transactions with this Payee/Payer for This Schedule$12,195
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$14,400
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$14,400
interns06/09/2021$14,400
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$25,024
Total Non-Itemized Transactions with this Payee/Payer$19,855
Total of All Transactions with this Payee/Payer for This Schedule$44,879
legal services02/15/2021$6,976
legal services02/17/2021$12,795
legal services06/24/2021$5,253
Name and Address
(A)
Storefront Political Media

160 Pine St., Suite 700
San Francisco
CA
94111
Type or Classification
(B)
advertising agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$30,000
mental health parity and other advocacy08/25/2021$10,000
mental health parity and other advocacy09/08/2021$5,000
mental health parity and other advocacy10/15/2021$5,000
mental health parity and other advocacy11/18/2021$5,000
mental health parity and other advocacy12/15/2021$5,000
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$24,000
Total of All Transactions with this Payee/Payer for This Schedule$24,000
Name and Address
(A)
Zoom.us

5 Almaden Blvd., Suite 600
San Jose
CA
95113
Type or Classification
(B)
video conferencing software
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,085
Total of All Transactions with this Payee/Payer for This Schedule$6,085
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 544-076

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 544-076

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,822,436
Medical benefitsAnthem Blue Cross$11,198
Dental benefitsFinancial Management Trust$108,145
Medical benefitsKaiser Foundation Health Plan, Inc.$720,530
Medical benefitsUCSF Benioff Children's Hospital Oakland$5,024
HRA benefitsHealthComp$92,760
Life/AD&D InsuranceLincoln National Life Insurance Co.$3,397
Life/AD&D InsuranceMetropolitan Life Insurance Co.$3,199
401k Plan TrusteeMG Trust$835,572
Worker's Compensation InsuranceState Compensation Insurance Fund$42,611
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 544-076


Question 11(a):

Question 11(a): National Union of Healthcare Workers Candidate Committee for Quality Patient Care and Union Democracy #1318200--CA Secretary of State National Union of Healthcare Workers Issues Committee for Quality Patient Care and Union Democracy #1401024--CA Secretary of State Caregivers and Californians United, sponsored by the National Union of Healthcare Workers #1435892--CA Secretary of State National Union of Healthcare Workers Federal Committee on Political Education #C00461418--Federal Election Commission

Question 12: Islip + Company, LLP

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)