544-076 (LM2) 12/31/2022
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
From01/01/2022
Through12/31/2022
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 VI on penalties in the instructions.)
70. SIGNED:Sal RosselliPRESIDENT71. SIGNED:Sophia MendozaTREASURER
Date:Dec 19, 2023Telephone Number:510-834-2009Date:Dec 19, 2023Telephone 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.)Yes
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?16,510
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%permonthn/a130.00
(b) Working Dues/Feesn/apern/an/an/a
(c) Initiation Feesn/apern/an/an/a
(d) Transfer Feesn/apern/an/an/a
(e) Work Permitsn/apern/an/an/a

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 $3,254,936$2,175,507
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$27,738$178,193
28. Other Assets7$322,600$72,970
29. TOTAL ASSETS $3,605,274$2,426,670

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$72,773$41,196
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$811,711$12,220
34. TOTAL LIABILITIES $884,484$53,416
35. NET ASSETS$2,720,790$2,373,254
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 544-076

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $12,903,766
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $710
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 $220,816
48. Other Receipts14$354,881
49. TOTAL RECEIPTS $13,480,173
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$8,928,811
51. Political Activities and Lobbying16$1,254,992
52. Contributions, Gifts, and Grants17$144,043
53. General Overhead18$1,460,734
54. Union Administration19$12,155
55. Benefits20$1,834,828
56. Per Capita Tax $75,972
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$82,381
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 $224,460
65. Direct Taxes $541,255
  
66. Subtotal $14,559,631
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$2,301,055  
  67b. Less Total Disbursed$2,301,055  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $14,559,631
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$82,381$82,381$82,381
Apple laptop$2,765$2,765$2,765
Kyocera copier$4,101$4,101$4,101
Glendale A/V system payment 2$33,910$33,910$33,910
Emeryville A/V system payment 2/final$33,145$33,145$33,145
Glendale A/V system final$8,460$8,460$8,460
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$82,381
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$191,064$12,871$178,193$178,193
E. Other Fixed Assets$0$0$0$0
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $191,064$12,871$178,193$178,193
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)) $72,970
Office lease deposit$66,205
Other deposits$868
Other receivables$5,897
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$41,196$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $41,196$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)) $12,220
COBRA payable$507
Misc payable$9,657
NSU dues$2,056
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
$152,730$6,254$24,368$0$183,352
I
Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
MENDOZA ,  SOPHIA  
SECRETARY-TREASURER
C
$145,457$6,254$14,398$0$166,109
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
BARTSCH ,  REGINA  
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
BENARD ,  DEWANDA  
VICE PRESIDENT
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
CLIFFORD ,  JAMES  
VICE PRESIDENT
C
$3,703$0$775$0$4,478
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
CONNER ,  DENENEA  
VICE PRESIDENT
N
$0$0$627$0$627
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$996$0$996
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
P
$0$0$0$0$0
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
FONTENELLE ,  CREIGHT  
VICE PRESIDENT
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
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
GEDEBU-WILSON ,  TURUSEW  
VICE PRESIDENT
P
$0$0$91$0$91
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$646$0$646
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
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$36$0$36
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$319$0$319
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
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
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
C
$0$0$70$0$70
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
WHITE ,  ELIZABETH  
VICE PRESIDENT
C
$0$0$504$0$504
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$301,890$12,508$42,830$0$357,228
Less Deductions     
Net Disbursements    $357,228
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
$44,025$2,538$661$0$47,224
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
ALCOCER KEMP ,  SYLIS  
ORGANIZER
N/A
$16,716$1,650$624$0$18,990
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
ALLEN ,  RACHEL  
ORGANIZER
N/A
$75,141$5,861$4,284$0$85,286
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
ARTZ ,  MATTHEW  
COMMS COORDINATOR
N/A
$111,538$0$1,333$0$112,871
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
AVALOS ,  JOHN  
ASST DIR POL & COMM ORG
N/A
$31,925$1,361$500$0$33,786
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
$126,484$0$12,476$0$138,960
I
Schedule 15
Representational Activities
17 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
81 % Schedule 19
Administration
1 %
A
B
C
BOWMAN ,  CHARLOTTE  
ORGANIZER
N/A
$86,892$6,092$1,446$0$94,430
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
CAMPOS ,  ASTRID  
POL & COMM ORGANIZER
N/A
$103,566$6,208$7,033$0$116,807
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
CASIQUE ,  FRANCISCO  
RESEARCHER
N/A
$97,141$0$2,639$0$99,780
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
CASTRO ,  FRANCISCO  
COMMUNICATIONS SPECIALIST
N/A
$77,390$0$987$0$78,377
I
Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
0 %
A
B
C
CENDEJAS ,  FRANCISCO  
DIR HOSPITALS & NH
N/A
$123,963$6,179$1,492$0$131,634
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
$23,251$1,269$817$0$25,337
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
19 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
CLAYTON ,  PIETER  
ORGANIZING COORDINATOR
N/A
$77,488$4,408$4,494$0$86,390
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
COE ,  VANESSA  
DIR HOSPITALS & NH
N/A
$127,964$6,254$2,046$0$136,264
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
$55,487$2,995$690$0$59,172
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
$18,273$1,500$249$0$20,022
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
$127,964$6,254$2,444$0$136,662
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
$126,484$0$1,242$0$127,726
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
DESCHAMS ,  STEPHANIE  
ORGANIZER
N/A
$10,281$888$0$0$11,169
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
DHANRAJ ,  EDAN  
ORGANIZER
N/A
$104,169$6,208$4,109$0$114,486
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
$82,960$6,208$2,873$0$92,041
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
$90,463$6,208$1,898$0$98,569
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
DRAPER ,  RICHARD  
DIRECTOR OF ORGANIZING
N/A
$126,484$6,254$12,961$0$145,699
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
DRAPER ,  TARA  
ORGANIZER
N/A
$99,641$6,208$7,770$0$113,619
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
EARLY ,  JESSICA  
PATIENT ADVOCACY COORD
N/A
$41,481$2,333$409$0$44,223
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
EDWARDS ,  CLARENCE  
ORGANIZER
N/A
$99,463$5,446$1,453$0$106,362
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
EICHERT ,  JACOB  
DATA/ADMIN ASSOCIATE
N/A
$20,072$0$143$0$20,215
I
Schedule 15
Representational Activities
17 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
83 % Schedule 19
Administration
0 %
A
B
C
GAETE ,  CINDY  
ORGANIZER
N/A
$84,276$6,208$4,521$0$95,005
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
$89,839$6,208$10,492$0$106,539
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
GOECKE ,  SHANNON  
COMMUNICATIONS SPECIALIST
N/A
$97,341$0$1,314$0$98,655
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
$77,730$6,208$2,793$0$86,731
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
$106,227$6,208$8,607$0$121,042
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
HERZOG ,  EDWIN  
VIDEOGRAPHER
N/A
$21,418$0$0$0$21,418
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
HILLMON ,  ALADRIAN  
POL & COMM ORGANIZER
N/A
$18,573$1,650$287$0$20,510
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
HORRELL ,  NATHAN  
RESEARCHER
N/A
$31,531$0$400$0$31,931
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
KEEGAN ,  CIARA  
RESEARCHER
N/A
$37,138$0$929$0$38,067
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
$113,018$6,254$5,823$0$125,095
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
LEWIS ,  BARBARA  
DIR HOSPITALS & NH
N/A
$126,484$6,254$13,514$0$146,252
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 ,  IAN  
DIR POL & RESEARCH
N/A
$126,484$5,100$10,148$0$141,732
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
LIGOURI ,  LAWRENCE  
ORGANIZER
N/A
$25,800$1,563$3,386$0$30,749
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
LIU ,  YVONNE  
RESEARCHER
N/A
$19,771$0$200$0$19,971
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
LOPEZ ,  ROBERTO  
OPERATIONS COORDINATOR
N/A
$91,694$0$1,765$0$93,459
I
Schedule 15
Representational Activities
25 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
74 % Schedule 19
Administration
0 %
A
B
C
MACIAS ,  ANTONIA  
ORGANIZER
N/A
$98,791$6,208$0$0$104,999
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
MANUTA ,  LEALANI  
ORGANIZER
N/A
$67,501$5,861$1,252$0$74,614
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
MARTIN ,  DANIEL  
ASST TO THE PRESIDENT
N/A
$21,528$0$897$0$22,425
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
MCCOY ,  JULISA  
RESEARCHER
N/A
$65,628$0$2,435$0$68,063
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
MEDINA BUENROSTR ,  JESSICA  
ORGANIZER
N/A
$26,027$1,650$1,084$0$28,761
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
MENTZER ,  DANIELLE  
DATA/ADMIN ASSOCIATE
N/A
$65,275$0$1,739$0$67,014
I
Schedule 15
Representational Activities
22 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
78 % Schedule 19
Administration
0 %
A
B
C
MINTON ,  JULIA  
ORGANIZER
N/A
$66,965$5,252$5,082$0$77,299
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
NIELSON ,  JULIE  
LEGISLATIVE COORDINATOR
N/A
$86,097$4,869$282$0$91,248
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
PAGE ,  SAM  
ORGANIZER
N/A
$106,227$6,208$3,848$0$116,283
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
POULSON ,  HILDA  
ED & TRAINING COORD
N/A
$95,494$5,238$2,019$0$102,751
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
$102,253$6,208$4,386$0$112,847
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
REBECCHI ,  MATEO  
ORGANIZER
N/A
$86,797$6,208$4,197$0$97,202
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
RECINOS-WALSH ,  JOAQUIN  
ORGANIZING COORDINATOR
N/A
$107,802$6,254$2,883$0$116,939
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
RHODES ,  VANESSA  
DIR OF ED & TRAINING
N/A
$116,809$6,062$2,469$0$125,340
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
RIFKIN ,  SONYA  
RESEARCH COORDINATOR
N/A
$111,538$0$2,941$0$114,479
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
SEAVEY ,  FREDERIC  
DIRECTOR
N/A
$126,484$0$0$0$126,484
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
$101,675$6,208$36,290$0$144,173
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
SISCO ,  MARGARET  
COMMUNICATIONS SPECIALIST
N/A
$90,127$0$1,883$0$92,010
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
SNYDER ,  BENJAMIN  
ORGANIZING COORDINATOR
N/A
$111,538$6,254$4,590$0$122,382
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
$111,538$6,254$3,289$0$121,081
I
Schedule 15
Representational Activities
92 % Schedule 16
Political Activities and Lobbying
8 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
SOZA ,  NELSON  
ORGANIZER
N/A
$100,581$6,208$3,565$0$110,354
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
STEVENSON ,  MAISIE  
ORGANIZER
N/A
$50,212$4,050$569$0$54,831
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
TEGENKAMP ,  GREGORY  
KAISER DIRECTOR
N/A
$126,484$6,254$1,945$0$134,683
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
0 %
A
B
C
TOM ,  KARISSA  
ORGANIZING COORDINATOR
N/A
$108,900$6,254$4,961$0$120,115
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
$104,211$6,006$1,386$0$111,603
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
VELAZQUEZ ,  SEBASTIAN  
ORGANIZER
N/A
$72,234$4,938$2,662$0$79,834
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
WATSON ,  MARY VIRGINI  
POL & COMM ORGANIZER
N/A
$24,766$1,223$1,191$0$27,180
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
WHITNEY ,  SUSAN  
TEMP ORGANIZER
N/A
$14,595$0$0$0$14,595
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
WILLETT ,  JESSICA  
ASST DIR OF OPERATIONS
N/A
$120,461$0$1,406$0$121,867
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
97 % Schedule 19
Administration
1 %
A
B
C
WILLIAMS ,  CACILIE  
ORGANIZER
N/A
$22,138$1,800$0$0$23,938
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
WOOLVERTON ,  IAN  
ORGANIZER
N/A
$104,205$6,208$973$0$111,386
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
WRISLEY ,  GENEAN  
ORGANIZER
N/A
$75,481$6,208$3,145$0$84,834
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
YAHYA ,  ABID  
DIR HOSPITALS & NH
N/A
$123,555$6,115$1,417$0$131,087
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$4,756$0$1,254$0$6,010
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$6,012,703$271,973$247,292$0$6,531,968
Less Deductions     
Net Disbursements    $6,531,968
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) 16,510 
Agency Fee Payers*33
Total Members/Fee Payers16,543 
*Agency Fee Payers are not considered members of the labor organization.
Members16,480Yes
Retired Members26Yes
Associate Members4No
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$8,650
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$346,231
4. Total Receipts$354,881
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$112,204
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,834
4. To Employees$0
5. All Other Disbursements$30,005
6. Total Disbursements$144,043
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$1,842,070
2. Named Payee Non-itemized Disbursements$525,988
3. To Officers$339,022
4. To Employees$6,056,444
5. All Other Disbursements$165,287
6. Total Disbursements$8,928,811
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$752,457
2. Named Payee Non-itemized Disbursements$251,652
3. To Officers$0
4. To Employees$378,496
5. All Other Disbursements$78,129
6. Total Disbursements$1,460,734
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$1,089,422
2. Named Payee Non-itemized Disbursements$47,951
3. To Officers$7,162
4. To Employees$94,424
5. All Other Disbursements$16,033
6. Total Disbursements$1,254,992
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$9,212
4. To Employees$2,609
5. All Other Disbursements$334
6. Total Disbursements$12,155
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 544-076

Name and Address
(A)
Delta Dental

560 Mission St., #1300
San Francisco
CA
94105
Type or Classification
(B)
dental insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,650
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,650
COVID related insurance refund02/09/2022$8,650
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 544-076

Name and Address
(A)
360 Gourmet Burritos

853 Marina Village Parkway
Alameda
CA
94501
Type or Classification
(B)
food vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,081
Total of All Transactions with this Payee/Payer for This Schedule$11,081
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$10,889
Total Non-Itemized Transactions with this Payee/Payer$1,619
Total of All Transactions with this Payee/Payer for This Schedule$12,508
promotional items01/12/2022$10,889
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$21,248
Total Non-Itemized Transactions with this Payee/Payer$24,108
Total of All Transactions with this Payee/Payer for This Schedule$45,356
promotional products02/09/2022$13,548
campaign materials08/19/2022$7,700
Name and Address
(A)
Amazon

410 Terry Ave. North
Seattle
WA
98109
Type or Classification
(B)
supplies vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,437
Total of All Transactions with this Payee/Payer for This Schedule$7,437
Name and Address
(A)
Anthony Miller

24255 Pacific Coast Hwy
Malibu
CA
90263
Type or Classification
(B)
attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,600
Total of All Transactions with this Payee/Payer for This Schedule$9,600
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$27,500
Total of All Transactions with this Payee/Payer for This Schedule$27,500
Name and Address
(A)
California Alliance for Retired Americans (CARA)

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 building01/20/2022$5,000
coalition building06/15/2022$10,000
Name and Address
(A)
CallHub.io

340 S. Lemon Ave, #7468
Walnut
CA
91789
Type or Classification
(B)
member communication
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,750
Total of All Transactions with this Payee/Payer for This Schedule$15,750
Name and Address
(A)
Chipotle

610 Newport Center Drive
Newport Beach
CA
92660
Type or Classification
(B)
food vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,577
Total of All Transactions with this Payee/Payer for This Schedule$9,577
Name and Address
(A)
Clergy & Laity United for Economic Justice

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 building04/13/2022$5,000
coalition building09/14/2022$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$0
Total Non-Itemized Transactions with this Payee/Payer$6,000
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Name and Address
(A)
Courage California

7119 W Sunset Blvd., #215
Los Angeles
CA
90046
Type or Classification
(B)
advocacy organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$50,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$50,000
coalition building05/17/2022$25,000
coalition building08/19/2022$25,000
Name and Address
(A)
Dolores Huerta Foundation
P.O. Box 2087

Bakersfield
CA
93303
Type or Classification
(B)
community organizing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,000
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Name and Address
(A)
Everett & Jones

126 Broadway
Oakland
CA
94607
Type or Classification
(B)
food vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,912
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$8,912
food09/09/2022$8,912
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$16,488
Total of All Transactions with this Payee/Payer for This Schedule$16,488
Name and Address
(A)
FWDlabs
P.O. 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$10,840
Total of All Transactions with this Payee/Payer for This Schedule$10,840
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 outreach02/02/2022$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$14,122
Total of All Transactions with this Payee/Payer for This Schedule$14,122
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
coalition building03/16/2022$5,000
Name and Address
(A)
Kathy Fragnoli

300 W. Beech St., #1
San Diego
CA
92101
Type or Classification
(B)
attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,100
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,100
legal services07/27/2022$5,100
Name and Address
(A)
Labor Campaign for Single Payer
P.O. 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 outreach03/16/2022$25,000
Name and Address
(A)
Law Office of Florice Hoffman, L.C.

8502 E Chapman, Suite 353
Orange
CA
92869
Type or Classification
(B)
attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$135,599
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$135,599
legal services08/03/2022$10,530
legal services09/01/2022$10,400
legal services10/01/2022$10,356
legal services01/05/2022$10,334
legal services02/02/2022$10,419
legal services03/02/2022$10,459
legal services04/06/2022$10,078
legal services05/04/2022$10,404
legal services06/08/2022$10,548
legal services07/06/2022$10,621
legal services11/01/2022$10,410
legal services12/01/2022$10,498
legal services12/22/2022$10,542
Name and Address
(A)
Mental Health America of California (MHAC)
P.O. 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$15,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$15,000
mental health forum04/27/2022$15,000
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 advocacy01/05/2022$5,000
single payer advocacy02/02/2022$5,000
single payer advocacy03/02/2022$5,000
single payer advocacy04/06/2022$5,000
single payer advocacy05/04/2022$5,000
single payer advocacy06/08/2022$5,000
single payer advocacy07/06/2022$5,000
single payer advocacy08/01/2022$5,000
single payer advocacy09/02/2022$5,000
single payer advocacy10/05/2022$5,000
single payer advocacy11/04/2022$5,000
single payer advocacy12/07/2022$5,000
Name and Address
(A)
Mobilize Networks, Inc.
P.O. Box 150243

Arlington
TX
76015
Type or Classification
(B)
membership connectivity
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,304
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$13,304
member communication11/30/2022$13,304
Name and Address
(A)
National Construction Rentals

P.O. Box 841461
Los Angeles
CA
90084
Type or Classification
(B)
construction rentals
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$21,074
Total of All Transactions with this Payee/Payer for This Schedule$21,074
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$1,000
Total of All Transactions with this Payee/Payer for This Schedule$6,000
bargaining outreach01/12/2022$5,000
Name and Address
(A)
NUHW

1250 45th St., Suite 200
Emeryville
CA
94608
Type or Classification
(B)
labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$956,000
Total Non-Itemized Transactions with this Payee/Payer$4,100
Total of All Transactions with this Payee/Payer for This Schedule$960,100
strike funds09/02/2022$100,000
strike funds09/12/2022$100,000
strike funds09/12/2022$300,000
strike funds09/16/2022$150,000
strike funds09/21/2022$100,000
strike funds09/28/2022$100,000
strike funds10/05/2022$50,000
strike funds10/13/2022$50,000
strike funds12/29/2022$6,000
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$6,456
Total Non-Itemized Transactions with this Payee/Payer$1,796
Total of All Transactions with this Payee/Payer for This Schedule$8,252
member education05/10/2022$6,456
Name and Address
(A)
Orange County Labor Federation AFL-CIO (OCLF)

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$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
coalition building04/13/2022$10,000
Name and Address
(A)
Outfront

P.O. Box 33074
Newark
NJ
07188
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
campaign activities06/15/2022$30,000
Name and Address
(A)
Panera Bread

3630 South Geyer Road, #100
St. Louis
MO
63127
Type or Classification
(B)
food vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,235
Total of All Transactions with this Payee/Payer for This Schedule$11,235
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$132,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$132,000
campaign activities01/05/2022$11,000
campaign activities02/02/2022$11,000
campaign activities03/02/2022$11,000
campaign activities04/06/2022$11,000
campaign activities05/04/2022$11,000
campaign activities06/08/2022$11,000
campaign activities07/01/2022$11,000
campaign activities08/01/2022$11,000
campaign activities09/02/2022$11,000
campaign activities10/05/2022$11,000
campaign activities11/04/2022$11,000
campaign activities12/07/2022$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$29,798
Total Non-Itemized Transactions with this Payee/Payer$41,473
Total of All Transactions with this Payee/Payer for This Schedule$71,271
contracts04/27/2022$13,365
contracts07/21/2022$5,336
contracts12/07/2022$11,097
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$15,750
Total Non-Itemized Transactions with this Payee/Payer$48,000
Total of All Transactions with this Payee/Payer for This Schedule$63,750
campaign activities10/05/2022$15,750
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$120,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$120,000
mental health parity outreach01/06/2022$10,000
mental health parity outreach03/03/2022$10,000
mental health parity outreach04/05/2022$10,000
mental health parity outreach05/04/2022$10,000
mental health parity outreach06/08/2022$10,000
mental health parity outreach07/06/2022$10,000
mental health parity outreach08/09/2022$10,000
mental health parity outreach02/08/2022$10,000
mental health parity outreach09/08/2022$10,000
mental health parity outreach10/04/2022$10,000
mental health parity outreach11/04/2022$10,000
mental health parity outreach12/13/2022$10,000
Name and Address
(A)
Round Table Pizza

5555 Glenridge Conn., #850
Atlanta
GA
30342
Type or Classification
(B)
food vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,097
Total of All Transactions with this Payee/Payer for This Schedule$8,097
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$17,828
Total Non-Itemized Transactions with this Payee/Payer$26,375
Total of All Transactions with this Payee/Payer for This Schedule$44,203
legal services09/28/2022$9,638
legal services12/14/2022$8,190
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$15,000
Total Non-Itemized Transactions with this Payee/Payer$25,000
Total of All Transactions with this Payee/Payer for This Schedule$40,000
legal services01/05/2022$7,500
legal services02/02/2022$7,500
Name and Address
(A)
Sonesta Select Huntington

9950 Slater Road
Fountain Valley
CA
92708
Type or Classification
(B)
hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,612
Total of All Transactions with this Payee/Payer for This Schedule$14,612
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$0
Total Non-Itemized Transactions with this Payee/Payer$6,050
Total of All Transactions with this Payee/Payer for This Schedule$6,050
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$104,186
Total Non-Itemized Transactions with this Payee/Payer$9,634
Total of All Transactions with this Payee/Payer for This Schedule$113,820
campaign activities05/25/2022$5,575
campaign activities07/21/2022$6,717
campaign activities08/11/2022$14,094
campaign activities08/11/2022$43,089
campaign activities08/19/2022$25,961
campaign activities09/02/2022$8,750
Name and Address
(A)
Suzanne Wilson-c

6111 Burlingame
Richmond
CA
94804
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$17,206
Total of All Transactions with this Payee/Payer for This Schedule$17,206
Name and Address
(A)
Tele-Town Hall Services
P.O. 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$8,616
Total of All Transactions with this Payee/Payer for This Schedule$8,616
Name and Address
(A)
TOGO's (Meridian Ave.)

1111 Meridian Ave, #1
San Jose
CA
95125
Type or Classification
(B)
food vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$39,982
Total of All Transactions with this Payee/Payer for This Schedule$39,982
Name and Address
(A)
Troy Creative, Inc.

842 Everett St.
El Cerrito
CA
94530
Type or Classification
(B)
video production
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,850
Total of All Transactions with this Payee/Payer for This Schedule$5,850
Name and Address
(A)
United Coach Tours

69 South Linden Avenue
South San Francisco
CA
94080
Type or Classification
(B)
bus rental
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,305
Total of All Transactions with this Payee/Payer for This Schedule$5,305
Name and Address
(A)
VIP Sanitation, Inc.

662 Hoohai Place
Pearl City
HI
96782
Type or Classification
(B)
portable toilets
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,126
Total of All Transactions with this Payee/Payer for This Schedule$7,126
Name and Address
(A)
World Wrapps

145 Town Center, #460
Corte Madera
CA
94925
Type or Classification
(B)
food vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,538
Total of All Transactions with this Payee/Payer for This Schedule$5,538
Name and Address
(A)
Zters

13727 Office Park Drive
Houston
TX
77070
Type or Classification
(B)
portable toilets
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$32,297
Total of All Transactions with this Payee/Payer for This Schedule$32,297
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 544-076

Name and Address
(A)
Calif Legislative Black Caucus Policy Institute

777 S. Figueroa St., #4050
Los Angeles
CA
90017
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
coalition building02/16/2022$5,000
Name and Address
(A)
Close the Gap California

1121 L Street, Suite 211
Sacramento
CA
95814
Type or Classification
(B)
non-profit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
election support05/17/2022$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 
Total Non-Itemized Transactions with this Payee/Payer$44,409
Total of All Transactions with this Payee/Payer for This Schedule$44,409
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 policy01/01/2022$10,000
public policy02/01/2022$10,000
public policy03/02/2022$10,000
public policy04/06/2022$10,000
public policy05/04/2022$10,000
public policy06/08/2022$10,000
public policy07/01/2022$10,000
public policy08/01/2022$10,000
public policy09/01/2022$10,000
public policy10/01/2022$10,000
public policy11/01/2022$10,000
public policy12/01/2022$10,000
Name and Address
(A)
Mountain View Staging Services

545 W 1300 N
Springville
UT
84663
Type or Classification
(B)
audio/video company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,115
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,115
gubernatorial debate03/16/2022$7,115
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$900,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$900,000
transfer funds to PAC02/02/2022$100,000
transfer funds to PAC03/02/2022$100,000
transfer funds to PAC04/06/2022$100,000
transfer funds to PAC05/04/2022$100,000
transfer funds to PAC06/08/2022$100,000
transfer funds to PAC07/06/2022$100,000
transfer funds to PAC08/11/2022$100,000
transfer funds to PAC10/12/2022$100,000
transfer funds to PAC01/05/2022$100,000
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$19,589
Total Non-Itemized Transactions with this Payee/Payer$3,542
Total of All Transactions with this Payee/Payer for This Schedule$23,131
slate card05/25/2022$5,647
slate card05/25/2022$8,306
slate card10/19/2022$5,636
Name and Address
(A)
Shallman Communications

23371 Mulholland Dr., #242
Woodland Hills
CA
91364
Type or Classification
(B)
advertising agency
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
voter education campaign08/11/2022$15,000
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$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
voter education campaign08/19/2022$10,000
Name and Address
(A)
United States Postal Service

475 L'Enfant Plaza SW
Washington
DC
20260
Type or Classification
(B)
postal service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,718
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,718
slate card10/06/2022$7,718
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
support11/17/2022$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$50,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$50,000
support12/14/2022$50,000
Name and Address
(A)
DeMarillac Academy

175 Golden Gate Ave
San Francisco
CA
94102
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
support02/16/2022$5,000
Name and Address
(A)
Fairness Fund, a 501c3 nonprofit, The

6330 San Vicente Blvd, #250
Los Angeles
CA
90048
Type or Classification
(B)
policy research organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,500
support08/19/2022$7,500
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$17,205
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$17,205
support11/17/2022$17,205
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$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
support08/19/2022$10,000
Name and Address
(A)
John Burton Advocates for Youth

235 Montgomery St., #1142
San Francisco
CA
94104
Type or Classification
(B)
youth advocacy organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,999
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,999
support11/17/2022$9,999
Name and Address
(A)
SFBCTC

825 Van Ness Ave., #301
San Francisco
CA
94009
Type or Classification
(B)
labor advocates
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,500
support07/18/2022$7,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 544-076

Name and Address
(A)
225 W Broadway LLC

9255 Sunset Blvd., #405
West Hollywood
CA
90069
Type or Classification
(B)
landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$112,854
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$112,854
rent07/21/2022$16,122
rent08/01/2022$16,122
rent08/19/2022$16,122
rent09/01/2022$16,122
rent10/01/2022$16,122
rent11/01/2022$16,122
rent12/01/2022$16,122
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 
Total Non-Itemized Transactions with this Payee/Payer$5,656
Total of All Transactions with this Payee/Payer for This Schedule$5,656
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$12,638
Total of All Transactions with this Payee/Payer for This Schedule$12,638
Name and Address
(A)
Broadway HPY, LLC

3055 Wilshire Blvd., #710
Los Angeles
CA
90010
Type or Classification
(B)
landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$95,322
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$95,322
rent01/01/2022$15,652
rent02/01/2022$15,652
rent03/01/2022$15,652
rent04/01/2022$16,122
rent05/01/2022$16,122
rent06/01/2022$16,122
Name and Address
(A)
Comcast Business
P.O. 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$6,021
Total of All Transactions with this Payee/Payer for This Schedule$6,021
Name and Address
(A)
Dodgers Mobile Payment

1271 Avenue of the Americas
New York
NY
10020
Type or Classification
(B)
sports team
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,810
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,810
coalition building07/10/2022$6,810
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$356,701
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$356,701
rent01/01/2022$23,977
CAM01/05/2022$5,491
rent02/01/2022$23,977
CAM02/02/2022$5,193
rent03/01/2022$23,977
CAM03/02/2022$5,517
rent04/01/2022$23,977
CAM04/06/2022$5,308
rent05/01/2022$23,977
CAM05/04/2022$5,687
rent06/01/2022$23,977
CAM06/08/2022$5,575
rent07/01/2022$23,977
CAM07/06/2022$5,873
CAM07/27/2022$5,763
rent08/01/2022$23,977
CAM09/01/2022$6,187
rent09/01/2022$23,977
rent10/01/2022$23,977
CAM10/05/2022$5,855
rent11/01/2022$23,977
CAM11/04/2022$6,286
CAM12/01/2022$6,242
rent12/01/2022$23,977
Name and Address
(A)
FWDlabs
P.O. 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$11,529
Total of All Transactions with this Payee/Payer for This Schedule$11,529
Name and Address
(A)
Google GSuite

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$9,885
Total of All Transactions with this Payee/Payer for This Schedule$9,885
Name and Address
(A)
Imperial Parking Newco, LLC

6404 Wilshire Blvd., #1250
Los Angeles
CA
90048
Type or Classification
(B)
office parking
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,600
Total of All Transactions with this Payee/Payer for This Schedule$6,600
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$30,465
Total Non-Itemized Transactions with this Payee/Payer$3,380
Total of All Transactions with this Payee/Payer for This Schedule$33,845
audit03/02/2022$14,790
audit12/14/2022$15,675
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$6,487
Total of All Transactions with this Payee/Payer for This Schedule$6,487
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$0
Total Non-Itemized Transactions with this Payee/Payer$16,000
Total of All Transactions with this Payee/Payer for This Schedule$16,000
Name and Address
(A)
LAZ Parking (deleted)

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$10,050
Total of All Transactions with this Payee/Payer for This Schedule$10,050
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$17,650
Total Non-Itemized Transactions with this Payee/Payer$29,710
Total of All Transactions with this Payee/Payer for This Schedule$47,360
database work02/16/2022$6,275
database work07/13/2022$5,400
database work08/19/2022$5,975
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$39,482
Total Non-Itemized Transactions with this Payee/Payer$8,038
Total of All Transactions with this Payee/Payer for This Schedule$47,520
D&O insurance08/11/2022$39,482
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$21,560
Total of All Transactions with this Payee/Payer for This Schedule$21,560
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$10,644
Total of All Transactions with this Payee/Payer for This Schedule$10,644
Name and Address
(A)
RAM Janitorial Services, Inc.

2128 W 133rd Ave.
San Leandro
CA
94577
Type or Classification
(B)
janitorial services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,250
Total of All Transactions with this Payee/Payer for This Schedule$8,250
Name and Address
(A)
Retirement Plan Consultants LLC
P.O. Box 1264

Norfolk
NE
68702
Type or Classification
(B)
retirement plan TPA
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,340
Total of All Transactions with this Payee/Payer for This Schedule$11,340
Name and Address
(A)
San Francisco Labor Council (SFLC)

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$16,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$16,000
interns05/17/2022$16,000
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$17,173
Total Non-Itemized Transactions with this Payee/Payer$15,288
Total of All Transactions with this Payee/Payer for This Schedule$32,461
legal services07/06/2022$17,173
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$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 and other advocacy04/20/2022$10,000
single payer and other advocacy04/20/2022$10,000
single payer and other advocacy05/11/2022$5,000
single payer and other advocacy06/08/2022$5,000
single payer and other advocacy08/11/2022$5,000
single payer and other advocacy08/19/2022$5,000
single payer and other advocacy09/08/2022$5,000
single payer and other advocacy10/05/2022$5,000
single payer and other advocacy11/04/2022$5,000
single payer and other advocacy12/14/2022$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)
Union Jobs Clearinghouse (UJC)

122 Calistoga Road, #181
Santa Rosa
CA
95409
Type or Classification
(B)
job site
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,350
Total of All Transactions with this Payee/Payer for This Schedule$5,350
Name and Address
(A)
Unwired Ltd

1331 7th St., Suite A
Berkeley
CA
94710
Type or Classification
(B)
internet provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,939
Total of All Transactions with this Payee/Payer for This Schedule$9,939
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$6,120
Total of All Transactions with this Payee/Payer for This Schedule$6,120
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.)$1,834,828
MedicalAnthem Blue Cross$11,198
DentalFinancial Management Trust$110,739
MedicalKaiser Foundation Health Plan, Inc.$735,050
MedicalUCSF Benioff Children's Hospital Oakland$2,537
HRAHealthComp$90,822
Life/AD&DMetropolitan Life Insurance Company$6,159
401kMG Trust$836,474
Workers CompensationState Compensation Insurance Fund$41,849
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

Question 13: : : A rent check the amount of $16,121.98 was intercepted in transit and the perpetrator forged a check to themselves that they deposited with their credit union. Upon discovery the forgery was reported to the police and the bank and the money was refunded to our account.

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)