U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210 		FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 07-31-2019
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

This report is mandatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
506-906
2. PERIOD COVERED
From07/01/2015
Through06/30/2016
3. (a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This is a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
SERVICE EMPLOYEES
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
 6. DESIGNATION NBR

7. UNIT NAME (if any)
COMMITTEE OF INTERNS AND RESIDENTS
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Eric
 Last Name
Scherzer
P.O Box - Building and Room Number
Suite 1200
Number and Street
520 Eighth Avenue
City
New York
State
NY		 ZIP Code + 4
10018


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:Eve KellnerPRESIDENT71. SIGNED:Jonathan NguyenTREASURER
Date:Sep 29, 2016Telephone Number:212-356-8100Date:Sep 29, 2016Telephone Number:212-356-8100
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 506-906
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?Yes
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?Yes
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?03/2017
20. How many members did the labor organization have at the end of the reporting period?10,327
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%perYear723.892023.52
(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: 506-906

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $255,735$481,464
23. Accounts Receivable1$856,173$905,766
24. Loans Receivable2$4,880$0
25. U.S. Treasury Securities $2,663,616$2,612,975
26. Investments5$0$0
27. Fixed Assets6$497,048$398,195
28. Other Assets7$954,648$610,621
29. TOTAL ASSETS $5,232,100$5,009,021

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$829,364$789,019
31. Loans Payable9$207,776$105,090
32. Mortgages Payable $0$0
33. Other Liabilities10$214,792$447,280
34. TOTAL LIABILITIES $1,251,932$1,341,389
35. NET ASSETS$3,980,168$3,667,632
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 506-906

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $10,017,966
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $33,483
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$1,365,119
44. Loans Obtained9$0
45. Repayments of Loans Made2$7,482
46. On Behalf of Affiliates for Transmittal to Them $32,329
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$2,327,989
49. TOTAL RECEIPTS $13,784,368
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,485,594
51. Political Activities and Lobbying16$76,893
52. Contributions, Gifts, and Grants17$92,624
53. General Overhead18$2,347,792
54. Union Administration19$1,285,641
55. Benefits20$1,578,581
56. Per Capita Tax $1,785,733
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$1,298,470
61. Loans Made2$2,602
62. Repayment of Loans Obtained9$102,686
63. To Affiliates of Funds Collected on Their Behalf $41,249
64. On Behalf of Individual Members $0
65. Direct Taxes $455,134
  
66. Subtotal $13,552,999
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,880,974  
  67b. Less Total Disbursed$1,886,614  
  67c. Total Withheld But Not Disbursed -$5,640
68. TOTAL DISBURSEMENTS $13,558,639
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 506-906

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$905,766   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $905,766$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 506-906

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$4,880$2,602$7,482$0$0
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Name: Belinda Nelson (E)
Purpose: Payroll Advance
Security: Future Payroll
Terms of Repayment: $50.00 biwkly PR ded
$1,799$1,799$0
Name: Jessica Bell-Masterson (E)
Purpose: Payroll Advance
Security: Future Payroll
Terms of Repayment: PR ded
$740$740$0
Name: Alyssa Cundari-Roelans (E)
Purpose: Payroll Advance
Security: Future Payroll
Terms of Repayment: PR ded
$475$475$0
Name: Michelle Kelly (E)
Purpose: Payroll Advance
Security: Future Payroll
Terms of Repayment: PR ded
$1,866$1,866$0
Name: Sara Holden(E)
Purpose: Payroll Advance
Security: Future Payroll
Terms of Repayment: $158.33 biwkly PR ded
$0$2,002$2,002$0
Name: Caitlin Ervin(E)
Purpose: Payroll Advance
Security: Future Payroll
Terms of Repayment: $150.00 biwkly PR ded
$0$600$600$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

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$1,362,050$1,362,050$1,365,119$1,365,119
US Treasury & Agency Securities$1,362,050$1,362,050$1,365,119$1,365,119
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$1,365,119
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$1,298,470$1,298,470$1,298,470
Computer & Equipment$8,408$8,408$8,408
US Treasury & Agency Securities$1,290,062$1,290,062$1,290,062
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$1,298,470
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 506-906

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$0
E. Total Book Value$0
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: 506-906

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$1,283,755$1,216,540$67,215$67,215
E. Other Fixed Assets$1,781,915$1,450,935$330,980$330,980
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $3,065,670$2,667,475$398,195$398,195
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 506-906

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $610,621
Prepaid Expenses$86,445
Accrued Income Receivable$6,215
Rebates Receivable$137,860
Security Deposits$90,235
Other Receivables$8,655
Due From Related Entities$281,211
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 506-906

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$789,019$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $789,019$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 506-906

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$207,776$0$102,686$0$105,090
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
JP Morgan Chase$207,776$0$102,686$0$105,090
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 506-906

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $447,280
Accrued Salaries Payable$77,000
Accrued Vacation & Sick Pay Payable$183,294
Other Payables$186,986
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 506-906

(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 		Kellner DO ,  Eve  
National President
C		$2,843$80$117$0$3,040
I
Schedule 15
Representational Activities 		24 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		25 % Schedule 19
Administration 		50 %
A
B
C 		Duncan MD ,  Alison  
National Vice President
C		$0$0$135$0$135
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Nguyen DO ,  Jonathan  
Secretary-Treasurer
C		$0$0$777$0$777
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Akopian MD ,  Vahe  
Regional VP - So CA
N		$0$0$95$0$95
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Caldwell MD ,  Corrielle  
Regional VP - NY
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Chatoor MBBS BBM ,  Matthew  
Regional VP - NY
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Chukwueke MD ,  Priscilla  
Regional VP - NY
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Dahn MD ,  Cassidy  
Regional VP - MA
C		$0$0$87$0$87
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Edwards DO MS ,  Jessica  
Regional VP - NJ
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Fletcher MD ,  Michelle  
Regional VP - FL
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Jangda MD ,  Umair  
Regional VP - NY
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Kar DO ,  Sunny  
Regional VP - NJ
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Loo MD ,  Dyani  
Regional VP - NM
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Pike MD ,  Cynthia  
Regional VP - So CA
N		$0$0$102$0$102
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Reddy Moylan MD ,  Swathi  
Regional VP - NY
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Valenzuela MD ,  Josephine  
Regional VP - No CA
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Waterman MD MBD ,  Gabriel  
Regional VP - So CA
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Worsham MD ,  Christopher  
Regional VP - MA
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Abraham MD MPH C ,  Jerry  
Regional VP - So CA
P		$0$0$852$0$852
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Brown MD ,  Craig  
Regional VP - FL
P		$0$0$242$0$242
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Canaba DPM MPH ,  Yvette  
Regional VP - NY
P		$0$0$66$0$66
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Charles MD ,  Marvinia  
Regional VP - NJ/DC
P		$0$0$390$0$390
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Davey MD ,  Kevin  
Regional VP - NY
P		$0$0$278$0$278
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Heredia MD ,  Wilson  
Regional VP - NY
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Lapointe MD ,  Ryan  
Regional VP - NY
P		$0$0$27$0$27
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Odufunade MD ,  Taiwo  
National Vice President
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Ramer MD MS ,  Sarah  
Secretary-Treasurer
P		$0$0$249$0$249
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Sindhu MD ,  Hemant  
National President
P		$146,498$0$753$0$147,251
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		70 % Schedule 19
Administration 		8 %
A
B
C 		Ureste MD ,  Peter  
Regional VP - So CA
P		$0$0$6$0$6
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Viviano DO ,  Robert  
Regional VP - NY
P		$0$0$30$0$30
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Wu MD ,  Diana  
Regional VP - No CA
P		$0$0$402$0$402
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
Total Officer Disbursements$149,341$80$4,608$0$154,029
Less Deductions    $58,575
Net Disbursements    $95,454
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 506-906

(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 		Altenor ,  Jennifer   J
Media Coordinator
None		$74,174$179$1,539$0$75,892
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		96 % Schedule 19
Administration 		1 %
A
B
C 		Appel ,  Heather   J
Communication Dir
None		$90,493$1,061$2,764$0$94,318
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Bell-Masterson ,  Jessica   B
Area Director
None		$94,597$1,276$31,252$0$127,125
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Carrube ,  Linda  
Office Manager
None		$82,213$156$1,135$0$83,504
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		80 % Schedule 19
Administration 		20 %
A
B
C 		Casey ,  Lauren   M
Contract Organizer
None		$14,066$110$268$0$14,444
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Cheung ,  Adam   L
Controller
None		$45,769$0$265$0$46,034
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		80 %
A
B
C 		Chow ,  Timothy  
Special Project Director
None		$90,313$172$1,421$0$91,906
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		80 %
A
B
C 		Ciuffreda ,  Alexandra   S
Paralegal
None		$63,004$0$570$0$63,574
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 		Clarkson ,  Lalit  
Contract Organizer
None		$69,867$110$3,661$0$73,638
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 		Cundari Roelans ,  Alyssa   G
Florida Area Dir
None		$95,460$406$4,636$96$100,598
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Daily-Scott ,  Megan  
Area Director
None		$45,524$12$2,387$0$47,923
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 		Daniel-Hill ,  Cheryle  
Special Project
None		$65,763$201$1,426$0$67,390
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		30 % Schedule 19
Administration 		70 %
A
B
C 		Dashefsky ,  David   J
Researcher Director
None		$91,107$760$7,595$0$99,462
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		1 %
A
B
C 		De La Cruz ,  Cindy  
Contract Organizer
None		$67,908$6,900$2,424$0$77,232
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		De Lano ,  Jordan   J
New Organizer
None		$64,358$9,145$4,724$0$78,227
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 		DeRosa ,  Ralph  
Deputy General Counsel
None		$125,146$159$2,310$0$127,615
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Dodd ,  Jennifer  
PCTF Coord
None		$65,508$0$450$0$65,958
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Donovan-Blood ,  Asella   A
NCA Area Director
None		$92,385$56$4,563$0$97,004
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		20 %
A
B
C 		Dunham ,  Carol   G
Staff Attorney
None		$63,462$0$1,012$0$64,474
I
Schedule 15
Representational Activities 		55 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		40 % Schedule 19
Administration 		5 %
A
B
C 		Eliot ,  Anita  
Managing Attorney
None		$122,617$0$129$0$122,746
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Ervin ,  Caitlin  
Contract Organizer
None		$75,794$126$9,450$90$85,460
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Fadel ,  Mike  
National Field Director
None		$14,538$269$1,845$0$16,652
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		10 %
A
B
C 		Fernandez ,  Vivian   M
Lead QI Coordinator
None		$94,533$460$1,848$0$96,841
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Foldes ,  Lila   S
Contract Organizer
None		$36,737$1,490$2,930$0$41,157
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Foley ,  Timothy  
Policy Director
None		$100,248$164$3,704$0$104,116
I
Schedule 15
Representational Activities 		55 % Schedule 16
Political Activities and Lobbying 		25 % Schedule 17
Contributions 		5 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		5 %
A
B
C 		Franklin ,  Harry  
General Counsel
None		$130,033$12$1,242$0$131,287
I
Schedule 15
Representational Activities 		70 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		10 %
A
B
C 		Gil ,  Marie   I
Regional Director
None		$67,750$343$9,782$0$77,875
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		8 % Schedule 19
Administration 		8 %
A
B
C 		Grass ,  Sylvia   Y
Contract Organizer
None		$20,961$708$192$0$21,861
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 		Graves ,  Dorcella  
Secretary
None		$57,385$0$510$0$57,895
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		80 % Schedule 19
Administration 		20 %
A
B
C 		Hamer-Hodges ,  David   J
Contract Organizer
None		$76,078$108$12,262$0$88,448
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Holden ,  Sara   A
QI Coordinator
None		$68,073$6,900$3,395$11$78,379
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Hom ,  Kevin   A
Contract Organizer
None		$61,490$7,516$406$0$69,412
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Hom ,  Stephen   J
Accountant
None		$67,435$0$540$0$67,975
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		95 % Schedule 19
Administration 		5 %
A
B
C 		Howard ,  Juanita   N
Contract Organizer
None		$72,073$6,982$2,755$0$81,810
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Hull ,  Christopher  
Managing Attorney
None		$124,173$513$2,926$0$127,612
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		0 %
A
B
C 		Joy ,  Traci  
Campaign Project Director
None		$63,938$1,232$974$0$66,144
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 		Kazdan ,  Anna  
Contract Organizer
None		$60,932$8,087$733$0$69,752
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		95 %
A
B
C 		Kelly ,  Michelle   T
NY Area Director
None		$90,539$351$2,510$318$93,718
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 		Kim ,  Dean  
New Organizer
None		$64,231$11,763$11,468$491$87,953
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 		Kioukis ,  Helen  
Contract Organizer
None		$61,203$5,700$19,947$0$86,850
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Kulenovic ,  Aleksandar  
New Organizer
None		$68,566$141$693$533$69,933
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 		Lazreg ,  Sonia   A
East Coast Org Dir
None		$90,201$3,489$12,726$106$106,522
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 		Lederer ,  Robert   B
QI Coordinator
None		$65,326$0$698$0$66,024
I
Schedule 15
Representational Activities 		30 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		70 % Schedule 19
Administration 		0 %
A
B
C 		Lundgren ,  Kathryn   J
Contract Organizer
None		$64,454$7,309$5,990$0$77,753
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 		Maingrette ,  Wiener  
Controller
None		$106,099$0$1,161$0$107,260
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		15 % Schedule 19
Administration 		85 %
A
B
C 		Maliandi-Warheit ,  Allison  
Special Project Coord
None		$65,450$206$615$0$66,271
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		80 % Schedule 19
Administration 		20 %
A
B
C 		Markstrom ,  Melissa   C
Contract Organizer
None		$68,935$7,025$4,904$0$80,864
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 		Martinez ,  Cynthia   M
Contract Organizer
None		$68,903$0$972$0$69,875
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 		Master ,  Karen  
Contract Organizer
None		$75,049$7,470$2,747$0$85,266
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 		McHenry ,  Patrick   J
Contract Organizer
None		$49,148$3,892$4,739$0$57,779
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		McRobert ,  Megan   H
New Organizer
None		$11,866$0$2,517$0$14,383
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		McSpedon ,  Laura  
Contract Organizer
None		$76,167$110$3,505$0$79,782
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 		Nelson ,  Belinda   K
Contract Organizer
None		$63,213$7,033$2,386$0$72,632
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Phillip ,  Sandra  
Secretary
None		$52,124$0$605$0$52,729
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		80 % Schedule 19
Administration 		20 %
A
B
C 		Ramirez ,  Marah  
Project Staff
None		$62,912$77$2,178$0$65,167
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 		Reich ,  Trenton   E
Contract Organizer
None		$36,554$0$2,205$0$38,759
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		0 %
A
B
C 		Riphagen ,  Margot  
National Field Director
None		$73,846$4,510$12,127$0$90,483
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 		Rivera ,  Kenia   D
Contract Organizer
None		$51,290$5,765$0$0$57,055
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Robinson ,  Carmen  
Org Admin Assistant
None		$64,087$0$535$0$64,622
I
Schedule 15
Representational Activities 		5 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		90 % Schedule 19
Administration 		5 %
A
B
C 		Roldan ,  Priscilla  
Paralegal Assistant
None		$72,262$0$540$0$72,802
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		90 % Schedule 19
Administration 		10 %
A
B
C 		Ruiz ,  Alyssa  
Health Bronx Initiative
None		$80,231$3,406$1,396$0$85,033
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Scherzer ,  Eric  
Executive Director
None		$165,436$962$7,667$0$174,065
I
Schedule 15
Representational Activities 		82 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		12 %
A
B
C 		Shea ,  Sandra  
Policy Director
None		$133,676$77$12,143$0$145,896
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 		Spahr ,  Michael  
Contract Organizer
None		$42,198$0$546$0$42,744
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Tufano ,  Alyssa   A
Researcher
None		$22,757$0$0$0$22,757
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		8 % Schedule 19
Administration 		0 %
A
B
C 		Tyrpak ,  Jed   D
Lead Contract Org
None		$90,978$308$6,418$0$97,704
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Van Raan-Welch ,  Rachel   H
Communications Coord
None		$66,107$601$3,161$0$69,869
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Warburton ,  Harry   R
Contract Organizer
None		$64,981$1,407$10,484$0$76,872
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 		Warner ,  Rosemary  
Secretary
None		$60,728$0$495$0$61,223
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		95 % Schedule 19
Administration 		5 %
A
B
C 		Whitten ,  Tracy   D
New Organizer
None		$29,545$3,595$804$0$33,944
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 		Williams ,  Arthur   J
Office Assistant
None		$48,425$0$477$0$48,902
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		90 % Schedule 19
Administration 		10 %
A
B
C 		Wong ,  Kimberly  
Area Director
None		$54,286$0$2,496$0$56,782
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		6 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$15,831$0$90$0$15,921
I Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		16 %
Total Employee Disbursements$5,093,509$130,810$271,970$1,645$5,497,934
Less Deductions    $1,822,399
Net Disbursements    $3,675,535
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 506-906

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 10,327 
Agency Fee Payers*817
Total Members/Fee Payers11,144 
*Agency Fee Payers are not considered members of the labor organization.
Members10,327Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 506-906

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$2,252,750
2. Named Payer Non-itemized Receipts$21,377
3. All Other Receipts$53,862
4. Total Receipts$2,327,989
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$59,772
2. Named Payee Non-itemized Disbursements$7,650
3. To Officers$0
4. To Employees$7,706
5. All Other Disbursements$17,496
6. Total Disbursements$92,624
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$131,234
2. Named Payee Non-itemized Disbursements$205,163
3. To Officers$32,052
4. To Employees$3,890,079
5. All Other Disbursements$227,066
6. Total Disbursements$4,485,594
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$664,555
2. Named Payee Non-itemized Disbursements$486,264
3. To Officers$103,836
4. To Employees$958,476
5. All Other Disbursements$134,661
6. Total Disbursements$2,347,792
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$7,000
2. Named Payee Non-itemized Disbursements$6,000
3. To Officers$2,975
4. To Employees$52,567
5. All Other Disbursements$8,351
6. Total Disbursements$76,893
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$445,433
2. Named Payee Non-itemized Disbursements$113,922
3. To Officers$15,172
4. To Employees$589,110
5. All Other Disbursements$122,004
6. Total Disbursements$1,285,641
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 506-906

Name and Address
(A)
Brookdale Hospital Medical Center

101-01 Avenue D
Brooklyn
NY
11236
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,150
Total Non-Itemized Transactions with this Payee/Payer$138
Total of All Transactions with this Payee/Payer for This Schedule$25,288
Settlement Claim09/28/2015$25,150
Name and Address
(A)
CIR Policy and Education Initiative

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Foundation
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$126,350
Total Non-Itemized Transactions with this Payee/Payer$2,867
Total of All Transactions with this Payee/Payer for This Schedule$129,217
Expense Reimbursement09/30/2015$51,385
Expense Reimbursement02/04/2016$22,328
Expense Reimbursement05/17/2016$52,637
Name and Address
(A)
Housestaff Benefit Plan

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$359,250
Total Non-Itemized Transactions with this Payee/Payer$3,938
Total of All Transactions with this Payee/Payer for This Schedule$363,188
Expense Reimbursment02/19/2016$31,580
Expense Reimbursement07/22/2015$27,670
Residents Program05/26/2016$300,000
Name and Address
(A)
InsMed Insurance Agency, Inc.

111 Brook Street #3
Scarsdale
NY
10583
Type or Classification
(B)
Insurance Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,500
Total Non-Itemized Transactions with this Payee/Payer$2,000
Total of All Transactions with this Payee/Payer for This Schedule$14,500
National Convention Sponsorship05/17/2016$12,500
Name and Address
(A)
Jessica Bell-Masterson

203 Chestnut Avenue # 2
Jamaica Plain
MA
02130
Type or Classification
(B)
Employee
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,047
Total of All Transactions with this Payee/Payer for This Schedule$6,047
Name and Address
(A)
Joint Quality Improvement Assoc.

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Association
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$39,497
Total Non-Itemized Transactions with this Payee/Payer$1,275
Total of All Transactions with this Payee/Payer for This Schedule$40,772
Expense Reimbursement08/28/2015$9,871
Expense Reimbursement04/05/2016$29,626
Name and Address
(A)
Patient Care Trust Fund

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Fund
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$293,530
Total Non-Itemized Transactions with this Payee/Payer$2,261
Total of All Transactions with this Payee/Payer for This Schedule$295,791
Expense Reimbursement05/10/2016$12,279
Expense Reimbursement06/17/2016$8,132
Expense Reimbursement09/28/2015$91,551
Expense Reimbursement04/29/2016$174,168
Expense Reimbursement06/22/2016$7,400
Name and Address
(A)
Professional Educational Plan

1375 Broadway 6th Floor
New York
NY
10018
Type or Classification
(B)
Affiliate Fund
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,524
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$26,524
Expense Reimbursement07/22/2015$12,997
Expense Reimbursement02/19/2016$13,527
Name and Address
(A)
Service Employees International Union

1800 Massachusetts Ave NW
Washington
DC
20036
Type or Classification
(B)
Affiliate Labor Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$1,188,518
Total Non-Itemized Transactions with this Payee/Payer$2,851
Total of All Transactions with this Payee/Payer for This Schedule$1,191,369
Per Capita Rebate04/29/2016$215,822
Per Capita Rebate12/23/2015$305,599
Per Capita Rebate07/24/2015$307,243
Per Capita Rebate07/03/2015$65,008
Per Capita Rebate12/11/2015$81,061
Per Capita Rebate12/31/2015$71,447
Per Capita Rebate05/06/2016$72,004
Per Capita Rebate06/24/2016$70,334
Name and Address
(A)
Voluntary Hospitals HSBP

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$181,431
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$181,431
Expense Reimbursement02/19/2016$34,639
Deposit Error Returned to PEI on 4/21/1603/16/2016$27,500
Expense Reimbursement07/23/2015$33,448
Expense Reimbursement09/25/2015$75,844
Expense Reimbursement02/19/2016$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 506-906

Name and Address
(A)
American Airlines
P.O. Box 619616
DFW Intl Apirport
Dallas
TX
75261
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,125
Total of All Transactions with this Payee/Payer for This Schedule$14,125
Name and Address
(A)
Amtrak

3 Penn Plaza
New York
NY
10001
Type or Classification
(B)
Rail Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,358
Total of All Transactions with this Payee/Payer for This Schedule$10,358
Name and Address
(A)
Boston Park Plaza Hotel and Towers

50 Park Plaza
Boston
MA
02116
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$7,881
Total of All Transactions with this Payee/Payer for This Schedule$7,881
Name and Address
(A)
Broadstripes

760 Chapel Street
New Haven
CT
06510
Type or Classification
(B)
Software Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$35,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$35,000
Member Defense/Strategic Fund Software Subscript.07/23/2015$17,500
Member Defense/Strategic Fund Software Subscript.12/17/2015$17,500
Name and Address
(A)
Casa De Suenos Old Town Historic Inn

310 Rio Grande Blvd SW
Albuquerque
NM
97104
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$6,723
Total of All Transactions with this Payee/Payer for This Schedule$6,723
Name and Address
(A)
Courtyard Manhattan Times Square West

307 West 37th Street
New York
NY
10018
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$6,854
Total of All Transactions with this Payee/Payer for This Schedule$6,854
Name and Address
(A)
Delta Air Lines
P.O. Box 20706

Atlanta
GA
30320
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,242
Total of All Transactions with this Payee/Payer for This Schedule$10,242
Name and Address
(A)
Holiday Inn Hotel and Suites Anaheim

1240 S Walnut Street
Anaheim
CA
92802
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$5,179
Total of All Transactions with this Payee/Payer for This Schedule$5,179
Name and Address
(A)
Homewood Suites Oakland Waterfront

1103 Embarcadero
Oakland
CA
94606
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$5,717
Total of All Transactions with this Payee/Payer for This Schedule$5,717
Name and Address
(A)
Hotels.com

5400 LBJ Freeway Suite 500
Dallas
TX
75240
Type or Classification
(B)
On Line Travel Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,430
Total of All Transactions with this Payee/Payer for This Schedule$5,430
Name and Address
(A)
JetBlue Airways

118-29 Queens Blvd
Forest Hills
NY
11375
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,810
Total of All Transactions with this Payee/Payer for This Schedule$5,810
Name and Address
(A)
Joy Products, Inc.

14 Vanderventer Avenue
Port Washington
NY
11050
Type or Classification
(B)
Promotional Products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,444
Total Non-Itemized Transactions with this Payee/Payer$1,199
Total of All Transactions with this Payee/Payer for This Schedule$15,643
Organizing/Orientation Pens01/15/2016$6,989
Orientation Envelopes01/15/2016$7,455
Name and Address
(A)
Kennedy, Jennik and Murray, P.C.

113 University Pl 7th Flr
New York
NY
10003
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$31,516
Total of All Transactions with this Payee/Payer for This Schedule$31,516
Name and Address
(A)
Lake Research Partners

1101 17th St NW Suite 301
Washington
DC
20036
Type or Classification
(B)
Research Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,282
Total Non-Itemized Transactions with this Payee/Payer$651
Total of All Transactions with this Payee/Payer for This Schedule$25,933
Member Survey02/26/2016$18,425
Member Survey02/26/2016$6,857
Name and Address
(A)
Phillips, Richard and Rind, P.A.

9360 SW 72 Street Suite 283
Miami
FL
33173
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$17,817
Total of All Transactions with this Payee/Payer for This Schedule$17,817
Name and Address
(A)
Schwartz, Steinsapir, Dohrman and Sommers

6300 Wilshire Blvd Ste 2000
Los Angeles
CA
90048-5202
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,952
Total Non-Itemized Transactions with this Payee/Payer$16,726
Total of All Transactions with this Payee/Payer for This Schedule$30,678
Legal Fees Labor Issues08/07/2015$6,037
Legal Fees Labor Issues06/03/2016$7,915
Name and Address
(A)
Signature Properties L.L.C.

2101 L Street NW Suite 800
Washington
DC
20037
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$13,603
Total of All Transactions with this Payee/Payer for This Schedule$13,603
Name and Address
(A)
Southwest Airlines
P.O. Box 36647

Dallas
TX
75235
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,873
Total of All Transactions with this Payee/Payer for This Schedule$9,873
Name and Address
(A)
The Segal Company

Church Street Station
New York
NY
10261-4058
Type or Classification
(B)
HR Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,891
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$11,891
Consulting Services03/25/2016$11,891
Name and Address
(A)
Vanessa Dixon

1007 Heather Avenue
Takoma Park
MD
20912
Type or Classification
(B)
Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,000
Total Non-Itemized Transactions with this Payee/Payer$3,704
Total of All Transactions with this Payee/Payer for This Schedule$27,704
Consulting Services07/30/2015$6,000
Consulting Services08/31/2015$6,000
Consulting Services09/30/2015$6,000
Consulting Services10/30/2015$6,000
Name and Address
(A)
Weissman and Mintz, LLC

One Executive Drive Ste 200
Somerset
NJ
08873
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,665
Total Non-Itemized Transactions with this Payee/Payer$20,258
Total of All Transactions with this Payee/Payer for This Schedule$26,923
Legal Fees Labor Issues05/27/2016$6,665
Name and Address
(A)
Zwerdling, Paul, Kahn and Wolly, PC

1025 Connecticut AveNW S712
Washington
DC
20036
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,497
Total of All Transactions with this Payee/Payer for This Schedule$11,497
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 506-906

Name and Address
(A)
Millennial Strategies LLC

85 Broad Street 18th Flr
New York
NY
10004
Type or Classification
(B)
Political Consultants
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)
Working Families Party

One Metrotech Ctr 11th Flr
Brooklyn
NY
11201
Type or Classification
(B)
Political Party
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,000
Contribution01/15/2016$7,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 506-906

Name and Address
(A)
American Medical Student Association

1902 Association Drive
Reston
VA
20191-1502
Type or Classification
(B)
Medical Association
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Fellowship and Sponsor Payment02/26/2016$10,000
Name and Address
(A)
CIR Policy and Education Initiative

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affilate Foundation
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$49,772
Total Non-Itemized Transactions with this Payee/Payer$400
Total of All Transactions with this Payee/Payer for This Schedule$50,172
Contribution07/15/2015$14,560
Contribution08/14/2015$15,000
Contribution11/12/2015$14,560
Contribution06/29/2016$5,652
Name and Address
(A)
National Patient Safety Foundation

Ninth Floor
Boston
MA
02210
Type or Classification
(B)
Non Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,250
Total of All Transactions with this Payee/Payer for This Schedule$7,250
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 506-906

Name and Address
(A)
617 Olive LLC

606 South Olive St Ste 600
Los Angeles
CA
90014
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$32,085
Total of All Transactions with this Payee/Payer for This Schedule$32,085
Name and Address
(A)
ADP, Inc.
P.O. Box 842875

Boston
MA
02284-2875
Type or Classification
(B)
Payroll Processor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,717
Total of All Transactions with this Payee/Payer for This Schedule$14,717
Name and Address
(A)
AmTrust North America
P.O. Box 6939

Cleveland
OH
44101-1939
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,919
Total Non-Itemized Transactions with this Payee/Payer$6,764
Total of All Transactions with this Payee/Payer for This Schedule$37,683
Workers Compensation Insurance01/01/2016$20,607
Workers Compensation Insurance04/15/2016$10,312
Name and Address
(A)
Borough Supplies Corp.

328 West 15th Street
New York
NY
10011
Type or Classification
(B)
Office Supply Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,093
Total of All Transactions with this Payee/Payer for This Schedule$6,093
Name and Address
(A)
Broadview Networks
P.O. Box 9242

Uniondale
NY
11555-9242
Type or Classification
(B)
Telecommunications Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,985
Total of All Transactions with this Payee/Payer for This Schedule$10,985
Name and Address
(A)
BSREP Marina Village Owner LLC
P.O. Box 398059

San Francisco
CA
94139-8059
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,314
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,314
Security Deposit and Rent06/27/2016$7,314
Name and Address
(A)
CIR Policy and Education Initiative

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affilate Foundation
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$27,500
Return VHHSBP Deposit Error of 3/16/1604/21/2016$27,500
Name and Address
(A)
Cleaning Service Industries, Inc.

1384 Broadway Suite 407
New York
NY
10018
Type or Classification
(B)
Office Maintenance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$22,475
Total of All Transactions with this Payee/Payer for This Schedule$22,475
Name and Address
(A)
Cool Breez Air Conditioning, Inc.

505 8th Avenue Suite 702
New York
NY
10018
Type or Classification
(B)
HVAC Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,778
Total Non-Itemized Transactions with this Payee/Payer$4,208
Total of All Transactions with this Payee/Payer for This Schedule$14,986
HVAC Service Contract09/23/2015$5,389
HVAC Service Contract05/05/2016$5,389
Name and Address
(A)
Dominion Tower

1400 NW 10th Ave Suite 101
Miami
FL
33136
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$24,529
Total of All Transactions with this Payee/Payer for This Schedule$24,529
Name and Address
(A)
Everbank Commercial Finance, Inc.

Dept 1608
Denver
CO
80291-1608
Type or Classification
(B)
Equipment Rental Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$22,510
Total of All Transactions with this Payee/Payer for This Schedule$22,510
Name and Address
(A)
Federal Express
P.O. Box 371461

Pittsburgh
PA
15250-7461
Type or Classification
(B)
Delivery Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,497
Total of All Transactions with this Payee/Payer for This Schedule$5,497
Name and Address
(A)
Federal Insurance Company
Segal Select Insurance Serv
333 West 34th St 2nd Flr
New York
NY
10001-2402
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,805
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,805
Liability Insurance04/01/2016$10,805
Name and Address
(A)
Industrial Carting

65 Emerson Place
Brooklyn
NY
11205
Type or Classification
(B)
Sanitation Services Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,095
Total of All Transactions with this Payee/Payer for This Schedule$5,095
Name and Address
(A)
KMR System Corporation

6800 Jericho Tpke Ste 207E
Syosset
NY
11791
Type or Classification
(B)
Computer Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$17,678
Total of All Transactions with this Payee/Payer for This Schedule$17,678
Name and Address
(A)
L and R Auto Parks Inc.

550 So Hope St Suite 2200
Los Angeles
CA
90071
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$11,200
Total of All Transactions with this Payee/Payer for This Schedule$11,200
Name and Address
(A)
Locktight Solutions, Inc.

11 Ridge Road
Creeskill
NJ
07626-1028
Type or Classification
(B)
Computer Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,959
Total Non-Itemized Transactions with this Payee/Payer$65,065
Total of All Transactions with this Payee/Payer for This Schedule$71,024
Google Licenses09/23/2015$5,959
Name and Address
(A)
Mail Finance

25881 Network Place
Chicago
IL
60673-1258
Type or Classification
(B)
Postage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,023
Total of All Transactions with this Payee/Payer for This Schedule$12,023
Name and Address
(A)
Manhattan Mini Storage

520 Eighth Avenue 19th Flr
New York
NY
10018
Type or Classification
(B)
Document Storage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$19,778
Total of All Transactions with this Payee/Payer for This Schedule$19,778
Name and Address
(A)
Michael Page International

177 Broad St 7th Fl Ste 700
Stamford
CT
06901
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$19,050
Total of All Transactions with this Payee/Payer for This Schedule$19,050
Name and Address
(A)
Neofunds By Neopost
P.O. Box 30193

Tampa
FL
33630-3193
Type or Classification
(B)
Postage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$27,016
Total of All Transactions with this Payee/Payer for This Schedule$27,016
Name and Address
(A)
Newmark and Co. Real Estate, Inc.

125 Park Ave 11th Floor
New York
NY
10017
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$467,486
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$467,486
Monthly Rent and Utilities for NY Office07/07/2015$39,702
Monthly Rent and Utilities for NY Office08/07/2015$40,769
Monthly Rent and Utilities for NY Office09/03/2015$40,077
Monthly Rent and Utilities for NY Office10/08/2015$39,858
Monthly Rent and Utilities for NY Office11/04/2015$39,208
Monthly Rent and Utilities for NY Office12/01/2015$38,790
Monthly Rent and Utilities for NY Office01/08/2016$38,457
Monthly Rent and Utilities for NY Office02/05/2016$37,885
Monthly Rent and Utilities for NY Office03/04/2016$38,803
Monthly Rent and Utilities for NY Office04/01/2016$38,073
Monthly Rent and Utilities for NY Office04/08/2016$37,932
Monthly Rent and Utilities for NY Office06/01/2016$37,932
Name and Address
(A)
OfficeTeam

12400 Collections Center Dr
Chicago
IL
60693
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,112
Total of All Transactions with this Payee/Payer for This Schedule$12,112
Name and Address
(A)
Pace Business Solutions

297 Route 72 West
Manahawkin
NJ
08050-2890
Type or Classification
(B)
Computer Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,194
Total Non-Itemized Transactions with this Payee/Payer$250
Total of All Transactions with this Payee/Payer for This Schedule$8,444
Annual Software Support10/09/2015$8,194
Name and Address
(A)
Pacific Workplaces

1300 Clay Street Suite 600
Oakland
CA
94612
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$39,375
Total of All Transactions with this Payee/Payer for This Schedule$39,375
Name and Address
(A)
Penn Parking LLC

One Penn Plaza
New York
NY
10001
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$10,125
Total of All Transactions with this Payee/Payer for This Schedule$10,125
Name and Address
(A)
Rogoff and Company, PC

355 Lexington Ave 6th Flr
New York
NY
10017
Type or Classification
(B)
Accounting Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$56,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$56,500
Accounting and Auditing Fees07/15/2015$14,125
Accounting and Auditing Fees10/21/2015$14,125
Accounting and Auditing Fees01/15/2016$14,125
Accounting and Auditing Fees04/22/2016$14,125
Name and Address
(A)
Seneca Insurance Company, Inc.

160 Water Street
New York
NY
10038-4922
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,859
Total Non-Itemized Transactions with this Payee/Payer$1,950
Total of All Transactions with this Payee/Payer for This Schedule$11,809
Commercial Package Insurance01/25/2016$9,859
Name and Address
(A)
Stacy Braun Associates, Inc.

377 Broadway
New York
NY
10013-3934
Type or Classification
(B)
Investment Advisors
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,097
Total of All Transactions with this Payee/Payer for This Schedule$13,097
Name and Address
(A)
Union Services Agency

119 Pere Marquette Suite 1A
Lansing
MI
48912
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$29,241
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$29,241
Union Liability Insurance01/15/2016$29,241
Name and Address
(A)
Verizon Business
P.O. Box 15043

Albany
NY
12212-5044
Type or Classification
(B)
Telecommunications Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,134
Total of All Transactions with this Payee/Payer for This Schedule$18,134
Name and Address
(A)
Verizon-NJ
P.O. Box 408

Newark
NJ
07101-0408
Type or Classification
(B)
Telecommunications Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$47,902
Total of All Transactions with this Payee/Payer for This Schedule$47,902
Name and Address
(A)
W.B. Mason Company, Inc.
P.O. Box 981101

Boston
MA
02298-1101
Type or Classification
(B)
Office Supply Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$16,551
Total of All Transactions with this Payee/Payer for This Schedule$16,551
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 506-906

Name and Address
(A)
American Airlines
P.O. Box 619616
DFW Intl Apirport
Dallas
TX
75261
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$35,476
Total of All Transactions with this Payee/Payer for This Schedule$35,476
Name and Address
(A)
Amtrak

3 Penn Plaza
New York
NY
10001
Type or Classification
(B)
Rail Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,912
Total of All Transactions with this Payee/Payer for This Schedule$14,912
Name and Address
(A)
CIR Policy and Education Initiative

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affilate Foundation
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,651
Total Non-Itemized Transactions with this Payee/Payer$8,895
Total of All Transactions with this Payee/Payer for This Schedule$16,546
Workshops and Meetings09/10/2015$7,651
Name and Address
(A)
Community Matters LLC.

99 Lloyd Ave
Providence
RI
02906
Type or Classification
(B)
Educational Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,316
Total of All Transactions with this Payee/Payer for This Schedule$13,316
Name and Address
(A)
Cornell University ILR School

Accounts Receivable Dept.
Ithaca
NY
14851-6838
Type or Classification
(B)
Educational Instiutute
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,900
Total Non-Itemized Transactions with this Payee/Payer$1,249
Total of All Transactions with this Payee/Payer for This Schedule$18,149
Training Program02/13/2016$16,900
Name and Address
(A)
Courtyard Manhattan Times Square West

307 West 37th Street
New York
NY
10018
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,599
Total Non-Itemized Transactions with this Payee/Payer$5,793
Total of All Transactions with this Payee/Payer for This Schedule$14,392
Executive Committee Meeting10/28/2015$8,599
Name and Address
(A)
Hilton Philadelphia at Penns Landing

201 S Christop Columbus Blv
Philadelphia
PA
19106
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$162,371
Total Non-Itemized Transactions with this Payee/Payer$98
Total of All Transactions with this Payee/Payer for This Schedule$162,469
CIR Convention 201605/14/2016$45,000
CIR Convention 201605/14/2016$50,000
CIR Convention 201605/26/2016$67,371
Name and Address
(A)
Hyatt Regency Washington on Capitol Hill

400 New Jersey Avenue NW
Washington
DC
20001
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$201,611
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$201,611
CIR Convention 201507/22/2015$201,611
Name and Address
(A)
Jay Star Group, Inc.

85 East Avenue
Norwalk
CT
06851
Type or Classification
(B)
LM2 Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,800
Total of All Transactions with this Payee/Payer for This Schedule$6,800
Name and Address
(A)
Joy Products, Inc.

14 Vanderventer Avenue
Port Washington
NY
11050
Type or Classification
(B)
Promotional Products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,354
Total of All Transactions with this Payee/Payer for This Schedule$8,354
Name and Address
(A)
Moshulu

401 S Columbus Blvd
Philadelphia
PA
19106
Type or Classification
(B)
Restaurant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,452
Total Non-Itemized Transactions with this Payee/Payer$2,500
Total of All Transactions with this Payee/Payer for This Schedule$8,952
CIR Convention 201602/24/2016$6,452
Name and Address
(A)
Renaissance Westchester

80 West Red Oak
West Harrison
NY
10604
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,360
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$26,360
Executive Committee Meeting08/05/2015$26,360
Name and Address
(A)
Southwest Airlines
P.O. Box 36647

Dallas
TX
75235
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,826
Total of All Transactions with this Payee/Payer for This Schedule$6,826
Name and Address
(A)
StepVisual Communications

38 Lawridge Dr Suite 1200
Rye Brook
NY
10573
Type or Classification
(B)
Printing Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,320
Total Non-Itemized Transactions with this Payee/Payer$385
Total of All Transactions with this Payee/Payer for This Schedule$6,705
CIR Newsletter06/03/2016$6,320
Name and Address
(A)
United Airlines

77 W Wacker Dr
Chicago
IL
60601
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,318
Total of All Transactions with this Payee/Payer for This Schedule$9,318
Name and Address
(A)
Wyndham Hamilton Park Hotel and Conference Center
Attn: Richard McCadden
175 Park Avenue
Florham Park
NJ
07932
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,169
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$9,169
Executive Committee Meeting12/23/2015$9,169
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 506-906

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,578,581
Disability InsuranceStandard Security Life Insurance Co.$2,068
Medical InsuranceEmployees$5,933
Medical InsuranceHousestaff Benefit Plan$91,619
Medical InsuranceSBLI$844
Medical InsuranceVoluntary Hospitals HSBP$474,562
Medical ReimbursementsEmployees$500
Pension BenefitsSEIU Affiliates Officers & Employee Pension Fund$1,003,055
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 506-906


Question 10: HOUSE STAFF BENEFIT PLAN ID # 13-6203291 A TAX EXEMPT 501-C-9 MULTI-EMPLOYER/EMPLOYEE BENEFIT PLAN VOLUNTARY HOSPITAL HOUSE STAFF BENEFIT PLAN ID # 13-3029280 A TAX EXEMPT 501-C-9 MULTI-EMPLOYER/EMPLOYEE BNTF PLAN PATIENT CARE TRUST FUND ID# 13-3045148 A TAX EXEMPT 501-C3 PROFESSIONAL EDUCATION PLAN ID# 13-4071468 A TAX EXEMPT 501-C9 MULTI EMPLOYER/EMPLOYEE BENEFIT PLAN.

Question 11(a):

Question 11(a): PAC FUND (CIR-SEIU LOCAL 1957 HEALTH CARE ADVOCACY FUND) FILES FORM A17520 WITH THE NEW YORK STATE BOARD OF ELECTIONS.

Question 12: AUDIT IS BEING PERFORMED BY ROGOFF & COMPANY, P.C. CPA'S, 355 LEXINGTON AVENUE 6TH FLOOR, NEW YORK, NY 10017 212-557-5666.

Question 16: CIR MAINTAINED A SECURITY DEPOSIT IN THE AMOUNT OF $80,438 WITH NEWMARK REAL ESTATE (LANDLORD) FOR THE LEASE. ALL INVENTORY, CHATTEL PAPER, ACCOUNTS, EQUIPMENT AND GENERAL INTANGIBLE AS COLLATERAL FOR CONSTRUCTION LOAN.

Schedule 13, Row1:MEMBERS PAY FULL DUES AND HAVE FULL VOTING RIGHTS.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)