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
042-203
2. PERIOD COVERED
From10/01/2015
Through09/30/2016
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
NATIONAL FEDERATION OF NURSES
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR

7. UNIT NAME (if any)
WASHINGTON STATE NURSES ASSOCIATION
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Janice E
Last Name
Bussert
P.O Box - Building and Room Number
SUITE 101
Number and Street
575 ANDOVER PARK W
City
SEATTLE
State
WA
ZIP Code + 4
981883348


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:Janice E BussertPRESIDENT71. SIGNED:Judith A TurnerTREASURER
Date:Dec 28, 2016Telephone Number:206-463-1687Date:Dec 27, 2016Telephone Number:360-519-3510
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 042-203
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?05/2017
20. How many members did the labor organization have at the end of the reporting period?14,256
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees928.80perYear202.00928.80
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 042-203

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $8,703,026$8,181,374
23. Accounts Receivable1$5,280$578
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$183,281$399,420
28. Other Assets7$198,487$233,100
29. TOTAL ASSETS $9,090,074$8,814,472

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$701,266$866,244
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$1,357,033$1,215,609
34. TOTAL LIABILITIES $2,058,299$2,081,853
35. NET ASSETS$7,031,775$6,732,619
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 042-203

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $8,149,695
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $3,186
40. Interest $4,207
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $3,622,469
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$439,441
49. TOTAL RECEIPTS $12,218,998
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,691,500
51. Political Activities and Lobbying16$404,857
52. Contributions, Gifts, and Grants17$24,250
53. General Overhead18$1,950,432
54. Union Administration19$700,886
55. Benefits20$682,993
56. Per Capita Tax $125,376
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$293,097
61. Loans Made2$0
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $3,512,799
64. On Behalf of Individual Members $0
65. Direct Taxes $354,460
  
66. Subtotal $12,740,650
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,316,981  
  67b. Less Total Disbursed$1,316,981  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $12,740,650
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 042-203

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$578   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $578$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 042-203

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$0$0$0$0$0
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: 042-203

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$35,005$5,985$0$0
Computer equipment$32,651$5,985$0$0
Furniture $1,245$0$0$0
Software$1,109$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: 042-203

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$293,097$293,097$293,097
Software - Microsoft Dynamics CRM$259,900$259,900$259,900
Computer equipment$27,050$27,050$27,050
Furniture$2,314$2,314$2,314
Leasehold improvements$3,833$3,833$3,833
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$293,097
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 042-203

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$0
B. Total Book Value$0
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: 042-203

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$1,090,832$691,412$399,420$399,420
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,090,832$691,412$399,420$399,420
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 042-203

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $233,100
Security deposit$9,016
Prepaid postage$16,360
Miscellaneous prepaids$54,397
Interfund receivables$153,327
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 042-203

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$866,244$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $866,244$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 042-203

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: 042-203

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,215,609
Accrued wages and payroll taxes$93,505
Accrued vacation and sick leave$711,137
Dues collected on behalf of districts$144,791
Interfund payable$154,843
Miscellaneous accrued expenses$73,185
Deferred rent$38,148
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 042-203

(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
Whitley ,  Ann  
Director
C
$0$0$4,266$0$4,266
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
Street ,  Evelyn  
Director
C
$0$0$82$0$82
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
Kuebel ,  Helen  
Director
C
$0$0$485$0$485
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
Barcott ,  Julia  
Director
C
$6,900$0$3,921$0$10,821
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
Bussert ,  Jan  
President
C
$15,600$0$9,466$179$25,245
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
Graves ,  Jennifer  
Vice President
C
$0$0$1,589$0$1,589
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
Turner ,  Judith  
Secretary
C
$0$0$577$0$577
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
Ormsby ,  Kathy  
Director
C
$0$0$2,290$0$2,290
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
Vehrs ,  Lynnette  
Director
C
$0$0$2,079$0$2,079
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
Pasquale ,  Pam  
Director
C
$0$0$2,042$0$2,042
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
Glass ,  Susan  
Director
C
$0$0$905$0$905
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
Total Officer Disbursements$22,500$0$27,702$179$50,381
Less Deductions     
Net Disbursements    $50,381
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 042-203

(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
Anderson ,  Laura  
Legal Counsel
None
$115,004$15,507$130,511
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
Aragon ,  Sofia  
Senior Gov Affairs Adv.
None
$1,424$1,424
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Bessmer ,  Deborah  
Nurse Representative
None
$112,809$2,833$115,642
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Brewer ,  Sydney  
Nurse Organizer
None
$87,583$6,136$101$93,820
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
Burton ,  Richard  
Political Action Coord.
None
$28$28
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Combs ,  Terri  
Membership Processor
None
$39,514$42$4$39,560
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
Conley ,  Margaret  
Ass. Dir. of Labor Rel.
None
$119,174$1,990$121,164
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
Cridland ,  Lillie  
Communications Specialist
None
$1,432$1,432
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
Delgado ,  Darlene  
Special Projects Manager
None
$129,854$403$130,257
I
Schedule 15
Representational Activities
1 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
99 % Schedule 19
Administration
0 %
A
B
C
Desimone ,  Bethany  
Administrative Assistant
None
$42,951$194$27$43,172
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
98 % Schedule 19
Administration
2 %
A
B
C
Dick ,  Jayson  
Nurse Representative
None
$99,885$10,426$1,647$111,958
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Dube ,  Christian  
Missing
None
$17,138$17,138
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Elmore ,  Travis  
Nurse Representative
None
$105,337$29,206$48$134,591
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
Faber ,  Hilke  
Educ. Prog. Specialist
None
$2,160$2,160
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
Frey ,  Sarah  
Nurse Representative
None
$113,967$8,165$44$122,176
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
13 %
A
B
C
Friesen ,  Barbara  
Nurse Representative
None
$111,967$20,608$132,575
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
Frye ,  Barbara  
Missing
None
$12,760$9,283$22,043
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
Garrett ,  Linda  
Admin. Ass., E&GW
None
$15,951$25$15,976
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
Garrison ,  Carmen  
Nurse Representative
None
$124,081$16,528$140,609
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
0 %
A
B
C
Goode ,  Tara  
Nurse Organizer
None
$109,343$7,703$119$117,165
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Himmelsbach ,  Christine  
Ass. Exec. Dir. Lab Rel.
None
$159,163$6,698$853$166,714
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
Hsiung ,  Martin  
Systems Administrator
None
$73,729$354$74,083
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
Huntington ,  Judith  
Executive Director
None
$184,226$14,870$185$199,281
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
98 % Schedule 19
Administration
0 %
A
B
C
Keys ,  Christina  
Nurse Representative
None
$1,384$1,384
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
Kieval ,  Mara  
Nurse Representative
None
$109,867$8,436$118,303
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
King ,  Kelly  
Membership Processor
None
$53,107$4$53,111
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
McCausland ,  Jennifer  
Legislative Affairs Dir.
None
$90,392$17$90,409
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Machia ,  Linda  
Legal Counsel
None
$75,612$9,622$40$85,274
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
MacLeod ,  Kathryn  
Communications Processor
None
$69,225$102$69,327
I
Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
28 %
A
B
C
Marken ,  Judy  
Nurse Representative
None
$95,270$14,033$109,303
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
McClure ,  Patricia  
Nurse Representative
None
$123,272$8,253$1,036$132,561
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
McGraw ,  Patrick  
Membership Processor
None
$72,442$476$4$72,922
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
Mueller ,  Irene  
Receptionist
None
$59,699$17$59,716
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
Muhm ,  Jennifer  
Missing
None
$5,938$1,042$6,980
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
75 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
25 %
A
B
C
O'Donnell ,  Elizabeth  
Nurse Representative
None
$93,753$6,125$99,878
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
Parker ,  Macy  
Missing
None
$919$4$923
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
Perkins ,  Jaclyn  
Nurse Representative
None
$106,769$22,958$40$129,767
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Peterson ,  Mary  
Membership Coordinator
None
$102,417$771$27$103,215
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
Pettit ,  Maria  
Paralegal
None
$97,241$337$70$97,648
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
Piazza ,  Anne  
Ass. Exec. Dir. Gov. Aff.
None
$152,911$6,781$102$159,794
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
39 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
61 % Schedule 19
Administration
0 %
A
B
C
Reed ,  Mary  
Bookkeeper
None
$100,096$368$32$100,496
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
99 % Schedule 19
Administration
0 %
A
B
C
Rose ,  Michelle  
Nurse Representative
None
$119,206$3,119$586$122,911
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
Sanderson ,  Michael  
General Counsel
None
$124,795$22,404$18$147,217
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
3 %
A
B
C
Schubert ,  Ruth  
Comm. Pub. Rel. Prog Mgr
None
$82,970$5,564$99$88,633
I
Schedule 15
Representational Activities
16 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
82 %
A
B
C
Sears ,  Timothy  
General/Corporate Counsel
None
$149,230$4,833$369$154,432
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
Skorupa ,  Nathasja  
Missing
None
$63,027$829$300$64,156
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
94 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
0 %
A
B
C
Steinshouer ,  Shastie  
Membership Processor
None
$51,343$51,343
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
Stephen-Selby ,  Heather  
Ass. Exec. Dir. Prac. Ed.
None
$130,047$4,585$134,632
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
99 %
A
B
C
Swackhammer ,  Jennifer  
Nurse Representative
None
$17,492$17,492
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
Taylor ,  Omar  
Nurse representative
None
$3,310$3,310
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
Te ,  Jeanna  
Missing
None
$35,838$598$36,436
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
Tilden ,  Ben  
Web Comm. Specialist
None
$112,511$943$113,454
I
Schedule 15
Representational Activities
19 % Schedule 16
Political Activities and Lobbying
8 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
73 %
A
B
C
Tran ,  Hue  
Admin. Ass. Prog. & Ops
None
$63,876$385$54$64,315
I
Schedule 15
Representational Activities
1 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
72 % Schedule 19
Administration
25 %
A
B
C
Welander ,  Hanna  
Nurse Representative
None
$118,993$2,898$467$122,358
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
Williams ,  Theresa  
Nurse Representative
None
$93,201$9,299$788$103,288
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
Yount ,  Amy  
Missing
None
$12,529$12,529
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
Zercher ,  Edward  
Nurse Representative
None
$121,561$7,955$129,516
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$0
I Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total Employee Disbursements$4,489,723$0$293,560$7,229$4,790,512
Less Deductions    $1,316,981
Net Disbursements    $3,473,531
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 042-203

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 14,256 
Agency Fee Payers*311
Total Members/Fee Payers14,567 
*Agency Fee Payers are not considered members of the labor organization.
Bargaining unit members13,636Yes
Non-bargaining unit members536Yes
Life/Honorary members46Yes
Religious Objectors38No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 042-203

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$332,843
2. Named Payer Non-itemized Receipts$11,646
3. All Other Receipts$94,952
4. Total Receipts$439,441
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$20,000
2. Named Payee Non-itemized Disbursements$3,285
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$965
6. Total Disbursements$24,250
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$1,099,626
2. Named Payee Non-itemized Disbursements$74,610
3. To Officers$0
4. To Employees$3,076,746
5. All Other Disbursements$440,518
6. Total Disbursements$4,691,500
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$358,813
2. Named Payee Non-itemized Disbursements$255,481
3. To Officers$0
4. To Employees$1,070,296
5. All Other Disbursements$265,842
6. Total Disbursements$1,950,432
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$13,541
2. Named Payee Non-itemized Disbursements$59,734
3. To Officers$0
4. To Employees$262,706
5. All Other Disbursements$68,876
6. Total Disbursements$404,857
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$141,966
2. Named Payee Non-itemized Disbursements$57,232
3. To Officers$50,381
4. To Employees$380,766
5. All Other Disbursements$70,541
6. Total Disbursements$700,886
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 042-203

Name and Address
(A)
American Federation of Teachers

555 New Jersey Avenue NW
Washington
DC
20001
Type or Classification
(B)
Organizing grant
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
Organizing grant07/26/2016$10,000
Name and Address
(A)
National Federation of Nurses

888 16th Street NW
Washington
DC
20006
Type or Classification
(B)
Organizing grant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$60,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$60,000
Organizing grant07/26/2016$60,000
Name and Address
(A)
National Federation of Nurses

888 16th Street NW
Washington
DC
20006
Type or Classification
(B)
Dues Rebate
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$251,843
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$251,843
Dues Rebate12/04/2015$19,484
Dues Rebate12/04/2015$19,100
Dues Rebate02/12/2016$22,250
Dues Rebate03/15/2016$22,194
Dues Rebate03/15/2016$20,077
Dues Rebate05/17/2016$22,425
Dues Rebate05/17/2016$18,009
Dues Rebate06/30/2016$44,683
Dues Rebate09/30/2016$63,621
Name and Address
(A)
Nurses Service Organization

159 E County Line Road
Hatboro
PA
19040
Type or Classification
(B)
Stipend
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$11,000
Stipend07/26/2016$11,000
Name and Address
(A)
The John Merck Fund

47 Winter Street, 7th Fl
Boston
MA
02108
Type or Classification
(B)
Research grant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,646
Total of All Transactions with this Payee/Payer for This Schedule$11,646
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattls
WA
98104
Type or Classification
(B)
Printing/Promotion
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,964
Total Non-Itemized Transactions with this Payee/Payer$33,652
Total of All Transactions with this Payee/Payer for This Schedule$42,616
Promotional Items09/29/2016$8,964
Name and Address
(A)
Alaska Airlines

1301 4th Ave
Seattle
WA
98168
Type or Classification
(B)
Travel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,232
Total of All Transactions with this Payee/Payer for This Schedule$18,232
Name and Address
(A)
Angela Klaudt

7816 N Lindeke St
Spokane
WA
99208
Type or Classification
(B)
Contract Negotiations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Contract Negotiations08/12/2016$6,000
Name and Address
(A)
Campbells Resort
278

Chelan
WA
98816
Type or Classification
(B)
Facilities
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$39,305
Total Non-Itemized Transactions with this Payee/Payer$130
Total of All Transactions with this Payee/Payer for This Schedule$39,435
Conference10/15/2015$23,586
Conference10/27/2015$15,719
Name and Address
(A)
David Emerson

1714 N. Normandie St.
Spokane
WA
99205
Type or Classification
(B)
Contract Negotiations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,400
Total Non-Itemized Transactions with this Payee/Payer$40
Total of All Transactions with this Payee/Payer for This Schedule$6,440
Contract Negotiations08/12/2016$6,400
Name and Address
(A)
Deborah Perry

7878 N Wilding Dr #63
Spokane
WA
99208
Type or Classification
(B)
Events and meetings
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,800
Total Non-Itemized Transactions with this Payee/Payer$2,088
Total of All Transactions with this Payee/Payer for This Schedule$14,888
Local Unit Events04/26/2016$7,200
Local Unit Events08/30/2016$5,600
Name and Address
(A)
Douglas Hammond

3130 N 160th Avenue
Goodyear
AZ
85395
Type or Classification
(B)
Arbitration/Mediation
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,599
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,599
Arbitration/Mediation02/05/2016$7,599
Name and Address
(A)
Ethix Ventures, Inc.

9 Main St #3c
Sutton
MA
01590
Type or Classification
(B)
Promotional Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,352
Total Non-Itemized Transactions with this Payee/Payer$6,214
Total of All Transactions with this Payee/Payer for This Schedule$13,566
Promotional Supplies08/07/2016$7,352
Name and Address
(A)
Inga Matheson

1607 E. 18th Ave
Spokane
WA
99203
Type or Classification
(B)
Contract Negotiations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,400
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,400
Contract Negotiations08/19/2016$6,400
Name and Address
(A)
LaDonna Reel
7115

Spokane
WA
99207
Type or Classification
(B)
Contract Negotiations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,800
Total Non-Itemized Transactions with this Payee/Payer$1,148
Total of All Transactions with this Payee/Payer for This Schedule$7,948
Contract Negotiations09/28/2016$6,800
Name and Address
(A)
Linda Jones

1123 N Marus Lane
Spokane Valley
WA
99207
Type or Classification
(B)
Contract Negotiations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,400
Total Non-Itemized Transactions with this Payee/Payer$231
Total of All Transactions with this Payee/Payer for This Schedule$6,631
Contract Negotiations08/19/2016$6,400
Name and Address
(A)
Lisa A Rolston

2722 Colby Avenue #706
Everett
WA
98201
Type or Classification
(B)
Arbitration/Mediation
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,733
Total Non-Itemized Transactions with this Payee/Payer$119
Total of All Transactions with this Payee/Payer for This Schedule$5,852
Arbitration/Mediation02/25/2016$5,733
Name and Address
(A)
Luna Prints

243 Silver Maple Way
Colville
WA
99114
Type or Classification
(B)
Promotional Items
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,849
Total Non-Itemized Transactions with this Payee/Payer$4,107
Total of All Transactions with this Payee/Payer for This Schedule$10,956
Promotional Items06/23/2016$6,849
Name and Address
(A)
M/T Headed Inc.

2865 Sunshine Ridge Rd
Richland
WA
99352
Type or Classification
(B)
Promotional Items
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,028
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,028
Promotional Items10/01/2015$5,028
Name and Address
(A)
Michael G Merrill
1121

Renton
WA
98057
Type or Classification
(B)
Arbitration/Mediation
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,070
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,070
Arbitration/Mediation10/15/2015$6,070
Name and Address
(A)
Miz Dee's Bar-B-Que

523 West Yakima Ave
Yakima
WA
98902
Type or Classification
(B)
Meeting - Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,150
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,150
Meeting - Catering08/30/2016$5,150
Name and Address
(A)
Nancy Strong
13604

Spokane Valley
WA
99213
Type or Classification
(B)
Contract Negotiations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,600
Total Non-Itemized Transactions with this Payee/Payer$114
Total of All Transactions with this Payee/Payer for This Schedule$5,714
Contract Negotiations08/12/2016$5,600
Name and Address
(A)
Patricia Kandatowicz

1004 S. Sun Devil Ct
Spokane
WA
99224
Type or Classification
(B)
Contract Negotiations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,600
Total Non-Itemized Transactions with this Payee/Payer$260
Total of All Transactions with this Payee/Payer for This Schedule$5,860
Contract Negotiations08/12/2016$5,600
Name and Address
(A)
Paula Thomas

7415 N. Wilding Drive
Spokane
WA
98208
Type or Classification
(B)
Contract Negotiations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,822
Total Non-Itemized Transactions with this Payee/Payer$167
Total of All Transactions with this Payee/Payer for This Schedule$6,989
Contract Negotiations08/12/2016$6,822
Name and Address
(A)
Ray's Boathouse Catering

6049 Seaview Ave NW
Seattle
WA
98107
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,310
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$16,310
Unity Dinner Catering10/13/2015$6,805
Nurses Day Catering06/16/2016$9,505
Name and Address
(A)
Rich Marketing

3042 W. Viewmont Way W.
Seattle
WA
98199
Type or Classification
(B)
Marketing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$18,000
Marketing05/16/2016$10,000
Marketing07/11/2016$8,000
Name and Address
(A)
Ruth Weatherly

7067 Oak Brook Dr.
Urbandale
IA
50322
Type or Classification
(B)
Arbitration/Mediation
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,946
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,946
Arbitration/Mediation02/16/2016$5,946
Name and Address
(A)
Sarah Newell

5313 Belfern Dr
Bellingham
WA
98226
Type or Classification
(B)
Contract Negotiations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,108
Total of All Transactions with this Payee/Payer for This Schedule$8,108
Name and Address
(A)
Schwerin, Campbell, & Barnard, LLP

18 W Mercer Street, #400
Seattle
WA
98119
Type or Classification
(B)
Mediation/arbitration/legal services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$904,498
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$904,498
Mediation/arbitration/legal services10/15/2015$79,852
Mediation/arbitration/legal services01/07/2016$67,308
Mediation/arbitration/legal services02/05/2016$72,651
Mediation/arbitration/legal services03/30/2016$208,679
Mediation/arbitration/legal services04/05/2016$60,791
Mediation/arbitration/legal services04/18/2016$90,745
Mediation/arbitration/legal services06/10/2016$69,867
Mediation/arbitration/legal services08/12/2016$184,472
Mediation/arbitration/legal services09/30/2016$70,133
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 042-203

Name and Address
(A)
Bogard and Johnson

200 Union Ave SE
Olympia
WA
98501
Type or Classification
(B)
Lobbyist
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$33,263
Total of All Transactions with this Payee/Payer for This Schedule$33,263
Name and Address
(A)
Mary Clogston, LLC

6647 Appletree Lane NE
Olympia
WA
98506
Type or Classification
(B)
Lobbyist
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,000
Total of All Transactions with this Payee/Payer for This Schedule$18,000
Name and Address
(A)
Occasions Catering

1615 State St. NE
Olympia
WA
98506
Type or Classification
(B)
Catering - Event
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,541
Total Non-Itemized Transactions with this Payee/Payer$2,171
Total of All Transactions with this Payee/Payer for This Schedule$15,712
Catering - Leg Day04/05/2016$13,541
Name and Address
(A)
South Cove Strategies, LLC

1752 NW Market St. #708
Seattle
WA
98107
Type or Classification
(B)
Lobbyist
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,300
Total of All Transactions with this Payee/Payer for This Schedule$6,300
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 042-203

Name and Address
(A)
Best Starts for Kids

603 Stewart St #819
Seattle
WA
98101
Type or Classification
(B)
Contribution
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
Contribution10/08/2015$10,000
Name and Address
(A)
Washington Center for Nursing

3307 3rd Ave
Seattle
WA
98134
Type or Classification
(B)
Contribution
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution08/08/2016$5,000
Name and Address
(A)
Washington State Public Health Association

155 NE 100th Street
Seattle
WA
98125
Type or Classification
(B)
Contribution
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$3,285
Total of All Transactions with this Payee/Payer for This Schedule$8,285
Contribution09/21/2016$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing/Promotion
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$41,200
Total of All Transactions with this Payee/Payer for This Schedule$41,200
Name and Address
(A)
ADP, Inc.

18072 N Creek Pkwy #100
Bothell
WA
98011
Type or Classification
(B)
Payroll Processing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,559
Total of All Transactions with this Payee/Payer for This Schedule$9,559
Name and Address
(A)
Comcast
34

Seattle
WA
98121
Type or Classification
(B)
Telecommunications
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,413
Total of All Transactions with this Payee/Payer for This Schedule$13,413
Name and Address
(A)
Consensus Management Group

9584 Cadbury Cir
Indianapolis
IN
46260
Type or Classification
(B)
Employment Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer$2,914
Total of All Transactions with this Payee/Payer for This Schedule$22,914
Executive search07/12/2016$20,000
Name and Address
(A)
CQ-Roll Call

77 K Street NE
Washington
DC
20002
Type or Classification
(B)
Subscriptions
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,590
Total of All Transactions with this Payee/Payer for This Schedule$5,590
Name and Address
(A)
Double Tree Hotel - Seattle

18740 Pacific Hwy S
Seattle
WA
98188
Type or Classification
(B)
Lodging
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,489
Total of All Transactions with this Payee/Payer for This Schedule$5,489
Name and Address
(A)
Eberts & Harrison, Inc.

1000 Century Plaza Bldg
Columbia
MD
21044
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,488
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$27,488
Director and officer insurance08/12/2016$27,488
Name and Address
(A)
Fedex

11034 8th Ave NE
Seattle
WA
98125
Type or Classification
(B)
Shipping
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,283
Total of All Transactions with this Payee/Payer for This Schedule$5,283
Name and Address
(A)
Iron Mountain
27129

New York
NY
10087
Type or Classification
(B)
Data Storage Management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,976
Total of All Transactions with this Payee/Payer for This Schedule$5,976
Name and Address
(A)
Liberty Mutual Insurance

1191 2nd Ave
Seattle
WA
98101
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,877
Total Non-Itemized Transactions with this Payee/Payer$1,371
Total of All Transactions with this Payee/Payer for This Schedule$9,248
Insurance05/10/2016$7,877
Name and Address
(A)
Lusher Corp

615 8th Ave S., Suite 108
Seattle
WA
98104
Type or Classification
(B)
IT Consulting
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$46,245
Total of All Transactions with this Payee/Payer for This Schedule$46,245
Name and Address
(A)
Pinnacle Property Management

2801 Alaskan Way, #200
Seattle
WA
98121
Type or Classification
(B)
Occupancy Lease
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$213,751
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$213,751
Occupancy Lease10/01/2015$17,514
Occupancy Lease10/27/2015$18,026
Occupancy Lease12/08/2015$18,026
Occupancy Lease01/07/2016$18,098
Occupancy Lease02/05/2016$18,098
Occupancy Lease03/07/2016$15,397
Occupancy Lease04/05/2016$18,098
Occupancy Lease04/27/2016$18,099
Occupancy Lease06/01/2016$18,181
Occupancy Lease07/06/2016$18,099
Occupancy Lease07/28/2016$18,099
Occupancy Lease09/08/2016$18,016
Name and Address
(A)
Postal Express
864

Bellevue
WA
98009
Type or Classification
(B)
Shipping
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,347
Total of All Transactions with this Payee/Payer for This Schedule$5,347
Name and Address
(A)
Ricoh USA, Inc.
31001-0743

Pasadena
CA
91110
Type or Classification
(B)
Equipment Lease/Maintenance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,754
Total Non-Itemized Transactions with this Payee/Payer$37,645
Total of All Transactions with this Payee/Payer for This Schedule$51,399
Equipment Lease/Maintenance10/27/2015$7,754
Equipment Lease/Maintenance09/28/2016$6,000
Name and Address
(A)
SimplyDigi.com, Inc
90157

Albuquerque
NM
87190
Type or Classification
(B)
Licensing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,190
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,190
Software Licensing Fee12/02/2015$12,190
Name and Address
(A)
Staples Advantage
83689

Chicago
IL
60695
Type or Classification
(B)
Office Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$26,463
Total of All Transactions with this Payee/Payer for This Schedule$26,463
Name and Address
(A)
Tukwilla Self Storage

5950 Southcenter Blvd
Tukwilla
WA
98188
Type or Classification
(B)
Storage
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,523
Total Non-Itemized Transactions with this Payee/Payer$4,144
Total of All Transactions with this Payee/Payer for This Schedule$9,667
Storage10/13/2015$5,523
Name and Address
(A)
Unionsoft, LLC

370 S. Lowe Ave Suite A-149
Cookeville
TN
38501
Type or Classification
(B)
Software Licensing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,495
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,495
Software Licensing Fee08/08/2016$5,495
Name and Address
(A)
USPS

475 L'Enfant Plaza SW
Washington
WA
20260
Type or Classification
(B)
Postage
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$28,000
Total Non-Itemized Transactions with this Payee/Payer$251
Total of All Transactions with this Payee/Payer for This Schedule$28,251
Prepaid postage02/03/2016$10,000
Prepaid postage04/18/2016$10,000
Prepaid postage07/28/2016$8,000
Name and Address
(A)
Verity Accountancy PC

6915 SW Macadam Ave #145
Portland
OR
97219
Type or Classification
(B)
Independent Accountant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,735
Total Non-Itemized Transactions with this Payee/Payer$7,185
Total of All Transactions with this Payee/Payer for This Schedule$31,920
Annual audit, tax and information return prep11/16/2015$17,000
Annual audit, tax and information return prep03/07/2016$7,735
Name and Address
(A)
Verizon Wireless
4001

Inglewood
CA
90313
Type or Classification
(B)
Telecommunication
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$29,798
Total of All Transactions with this Payee/Payer for This Schedule$29,798
Name and Address
(A)
Voiceshot, LLC

30150 Telegraph Rd
Bingham Farms
MI
48025
Type or Classification
(B)
Telecommunication
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,608
Total of All Transactions with this Payee/Payer for This Schedule$7,608
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing/Promotion
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$27,254
Total of All Transactions with this Payee/Payer for This Schedule$27,254
Name and Address
(A)
Capitol City Press, Inc

2975 37th Ave SW
Tumwater
WA
98512
Type or Classification
(B)
Publication
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$60,291
Total Non-Itemized Transactions with this Payee/Payer$2,178
Total of All Transactions with this Payee/Payer for This Schedule$62,469
Publication11/03/2015$15,404
Publication02/16/2016$13,390
Publication05/10/2016$12,634
Publication08/12/2016$18,863
Name and Address
(A)
David M. Keepnews

111-32 76th Ave #2C
Forrest Hills
NY
11375
Type or Classification
(B)
Consulting
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,750
Total of All Transactions with this Payee/Payer for This Schedule$5,750
Name and Address
(A)
Frank Doolittle Company

325 118th Ave SE #305
Bellevue
WA
Type or Classification
(B)
Promotional Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,590
Total of All Transactions with this Payee/Payer for This Schedule$10,590
Name and Address
(A)
GMMB

1200 Westlake Ave N #1005
Seattle
WA
98109
Type or Classification
(B)
Public Relations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$38,853
Total Non-Itemized Transactions with this Payee/Payer$11,460
Total of All Transactions with this Payee/Payer for This Schedule$50,313
Public Relations11/03/2015$8,774
Public Relations11/16/2015$7,330
Public Relations02/16/2016$7,220
Public Relations04/05/2016$5,578
Public Relations07/11/2016$9,951
Name and Address
(A)
Informz, Inc.

92 Congress St.
Saratoga Springs
NY
12866
Type or Classification
(B)
Public Relations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,200
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,200
Public Relations05/10/2016$5,200
Name and Address
(A)
Karen Bowman & Associates

12223 Freemont Ave N
Seattle
WA
98133
Type or Classification
(B)
Health and Safety Consulting
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$21,000
Health and Safety Consulting11/03/2015$10,500
Health and Safety Consulting01/07/2016$5,250
Health and Safety Consulting02/05/2016$5,250
Name and Address
(A)
Salty's on Alki

1936 Harbor Ave SW
Seattle
WA
98126
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,622
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,622
Nurses Hall of Fame Catering03/16/2016$7,622
Name and Address
(A)
Seattle Storm

351 Elliot Ave W Suite 500
Seattle
WA
98104
Type or Classification
(B)
Sponsorship
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$9,000
Sponsorship04/18/2016$9,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 042-203

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$682,993
Medical InsuranceGroup Health Cooperative$420,860
Employer 401(k) matching contributionLincoln National$69,330
Employer 401(k) matching contributionTeamster's Pension Plan$164,016
Dental InsuranceDelta Dental of WA$8,047
Vision InsuranceVision Service Plan - WA$4,665
Life InsuranceDearborn National Insurance$16,075
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 042-203


Question 11(a):

Question 11(a): : Washington State Nurses PAC. The PAC files reports with the Washington Secretary of State - Election Division. The PAC is exempt from federal 990 and 1120-POL filings.

Question 12: The audit was performed by an outside independent accountant - Verity Accountancy, PC.

Schedule 13, Row1:Bargaining unit members - full paying members with full voting rights

Schedule 13, Row2:Non-bargaining unit members - members pay full non-membership rate without additional bargaining unit fee. Members have full voting rights except for issues related to collective bargaining.

Schedule 13, Row3:Life/Honorary members - Members with 30 years of membership and older than 65 years of age. Members pay no membership fees. Members have full voting rights except for issues related to collective bargaining.

Schedule 13, Row4:Religious Objectors - Members who have objected membership based upon religious opposition. Members pay a reduced membership fee to a non-religious and non-labor organization exempt under IRC 501(c)(3). Members have no voting rights.

Schedule 13, Row4:Religious Objectors - No voting rights are granted for members who voluntarily waive the membership requirement.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)