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
059-961
2. PERIOD COVERED
From01/01/2016
Through12/31/2016
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.)
LEADERSHIP COUNCIL
6. DESIGNATION NBR
14
7. UNIT NAME (if any)
NORTHWESTERN STATES
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Sergio
Last Name
Salinas
P.O Box - Building and Room Number

Number and Street
3161 Elliott Ave, Ste 300
City
SEATTLE
State
WA
ZIP Code + 4
98121


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:Sergio SalinasPRESIDENT71. SIGNED:Sergio SalinasTREASURER
Date:Mar 17, 2017Telephone Number:206-441-0202Date:Mar 17, 2017Telephone Number:206-441-0202
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 059-961
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?$390,000
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?12/2017
20. How many members did the labor organization have at the end of the reporting period?0
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees0per000
(b) Working Dues/Fees0per000
(c) Initiation Fees0per000
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 059-961

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $1,103,745$438,814
23. Accounts Receivable1$182,302$187,321
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0
27. Fixed Assets6$1,666$908
28. Other Assets7
29. TOTAL ASSETS $1,287,713$627,043

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$26,119$490
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$6,989$6,782
34. TOTAL LIABILITIES $33,108$7,272
35. NET ASSETS$1,254,605$619,771
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 059-961

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $0
37. Per Capita Tax $1,394,797
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $29
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 $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$962,043
49. TOTAL RECEIPTS $2,356,869
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$0
51. Political Activities and Lobbying16$2,748,592
52. Contributions, Gifts, and Grants17$40,150
53. General Overhead18$71,378
54. Union Administration19$100,499
55. Benefits20$49,276
56. Per Capita Tax $0
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$0
61. Loans Made2$0
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $12,004
  
66. Subtotal $3,021,899
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$42,768  
  67b. Less Total Disbursed$42,669  
  67c. Total Withheld But Not Disbursed $99
68. TOTAL DISBURSEMENTS $3,021,800
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 059-961

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$187,321   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $187,321$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 059-961

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: 059-961

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Gross Sales Price
(D)
Amount Received
(E)
Total of all lines above$0$0$0$0
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 059-961

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 059-961

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: 059-961

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$12,840$11,932$908$908
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $12,840$11,932$908$908
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 059-961

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 059-961

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$490$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $490$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 059-961

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: 059-961

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $6,782
Accrued Vacation$3,070
Payroll Liabilities$3,712
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 059-961

(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
Doser ,  Reen  
Chair
P
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Salinas ,  Sergio  
Vice President
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Rolf ,  David  
Vice President
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Hart ,  Karen  
Vice President
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Niemi ,  Meg  
Vice President
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Sosne ,  Diane  
Vice President
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Shindler ,  Charlotte  
Vice President
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
Total Officer Disbursements$0$0$0$0$0
Less Deductions     
Net Disbursements    $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 059-961

(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
Nelson ,  Michael  
Executive Director
none
$76,407$6,000$1,548$0$83,955
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
Crapsey ,  Ana Maria  
Finance & Operations Mngr
none
$65,278$0$1,862$0$67,140
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 %
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$141,685$6,000$3,410$0$151,095
Less Deductions     
Net Disbursements    $151,095
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 059-961

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 0 
Agency Fee Payers*0
Total Members/Fee Payers0 
*Agency Fee Payers are not considered members of the labor organization.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 059-961

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$947,833
2. Named Payer Non-itemized Receipts$14,210
3. All Other Receipts$0
4. Total Receipts$962,043
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$35,000
2. Named Payee Non-itemized Disbursements$2,500
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$2,650
6. Total Disbursements$40,150
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$0
6. Total Disbursements$0
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$5,300
2. Named Payee Non-itemized Disbursements$59,286
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$6,792
6. Total Disbursements$71,378
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$2,665,627
2. Named Payee Non-itemized Disbursements$4,512
3. To Officers$0
4. To Employees$62,966
5. All Other Disbursements$15,487
6. Total Disbursements$2,748,592
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$7,802
3. To Officers$0
4. To Employees$88,129
5. All Other Disbursements$4,568
6. Total Disbursements$100,499
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 059-961

Name and Address
(A)
Labor 1992

321 16th Ave S
Seattle
WA
98144
Type or Classification
(B)
Olympia office Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
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)
Service Employees Intl Union WA State Council PAC

3161 Elliott Ave #300
Seattle
WA
98121
Type or Classification
(B)
Union PAC
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,210
Total of All Transactions with this Payee/Payer for This Schedule$8,210
Name and Address
(A)
SEIU International Union

1800 Massachusetts Ave NW
Washington
DC
20036
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$862,833
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$862,833
infrastructure subsidy01/08/2016$8,333
infrastructure subsidy02/05/2016$8,333
infrastructure subsidy03/04/2016$8,333
infrastructure subsidy04/08/2016$8,333
infrastructure subsidy05/06/2016$8,333
infrastructure subsidy06/03/2016$8,333
infrastructure subsidy07/08/2016$8,333
infrastructure subsidy08/04/2016$8,333
infrastructure subsidy09/02/2016$8,334
infrastructure subsidy10/07/2016$8,334
infrastructure subsidy11/04/2016$8,334
infrastructure subsidy12/02/2016$8,334
political program support08/22/2016$500,000
contribution for 2020 Campaign09/09/2016$131,416
contribution for 2020 Campaign09/30/2016$131,417
Name and Address
(A)
SEIU Local 775

215 Columbia St
Seattle
WA
98104
Type or Classification
(B)
Local union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$85,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$85,000
contribution10/11/2016$85,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 059-961

There was no data found for this schedule.

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 059-961

Name and Address
(A)
Alliance for Gun Responsiblity
PO Box 21712

Seattle
WA
98111
Type or Classification
(B)
Initiative committee
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$50,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$50,000
contribution to WA State Initiative I-149110/06/2016$50,000
Name and Address
(A)
Free Range Productions
PO Box 2727

Vashon
WA
98070
Type or Classification
(B)
consulting firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$80,736
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$80,736
Member mailing10/24/2016$25,337
Member mailing10/28/2016$10,547
Member mailing11/02/2016$25,102
Member mailing11/02/2016$19,750
Name and Address
(A)
Mass Transit Now

119 1st Ave S, #320
Seattle
WA
98104
Type or Classification
(B)
Initiative committee
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$30,000
contribution to Prop 109/21/2016$30,000
Name and Address
(A)
Opportunity for Olympia Initiative 1
PO Box 1254

Olympia
WA
98507
Type or Classification
(B)
Initiative committee
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution to Olympia Initiative #110/06/2016$10,000
Name and Address
(A)
Pacifica Law Group

1191 2nd Ave, #2000
Seattle
WA
98101
Type or Classification
(B)
law firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$58,058
Total Non-Itemized Transactions with this Payee/Payer$383
Total of All Transactions with this Payee/Payer for This Schedule$58,441
legal services01/28/2016$25,058
legal services11/02/2016$33,000
Name and Address
(A)
Patinkin Research Strategies

1120 Hoodview Lane
Lake Oswego
OR
97034
Type or Classification
(B)
polling & research consulting firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
survey05/04/2016$5,000
Name and Address
(A)
Philadelphia 2016 Host Committee

1900 Market St #300
Philadelphia
PA
19103
Type or Classification
(B)
Democratic National Convention host committee
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$25,000
contribution05/23/2016$25,000
Name and Address
(A)
Progressive Majority

1402 3rd Ave #201
Seattle
WA
98101
Type or Classification
(B)
Statewide organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$25,000
contribution01/20/2016$25,000
Name and Address
(A)
Raise Up Washington

603 Stewart St #819
Seattle
WA
98101
Type or Classification
(B)
Initiative committee
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$485,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$485,000
contribution to Minimum Wage initiative03/01/2016$55,000
contribution to Minimum Wage initiative03/21/2016$35,000
contribution to Minimum Wage initiative04/25/2016$50,000
contribution to Minimum Wage initiative06/15/2016$50,000
contribution to Minimum Wage initiative08/17/2016$60,000
contribution to Minimum Wage initiative09/07/2016$235,000
Name and Address
(A)
Service Employees Intl Union WA State Cncl PAC

3161 Elliott Ave #300
Seattle
WA
98121
Type or Classification
(B)
Union PAC
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$1,585,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$1,585,000
contribution03/21/2016$35,000
contribution05/05/2016$120,000
contribution05/18/2016$20,000
contribution05/25/2016$10,000
contribution06/15/2016$210,000
contribution08/04/2016$210,000
contribution08/17/2016$300,000
contribution09/07/2016$250,000
contribution09/15/2016$45,000
contribution10/04/2016$90,000
contribution10/06/2016$50,000
contribution10/11/2016$125,000
contribution10/12/2016$120,000
Name and Address
(A)
USPS

301 Union St
Seattle
WA
98101
Type or Classification
(B)
postal service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,000
Total Non-Itemized Transactions with this Payee/Payer$4,129
Total of All Transactions with this Payee/Payer for This Schedule$28,129
postage for member mailing10/06/2016$15,000
postage for member mailing10/25/2016$9,000
Name and Address
(A)
Washington Bus

307 3rd Ave S #530
Seattle
WA
98104
Type or Classification
(B)
Statewide organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$15,000
contribution06/01/2016$10,000
contribution10/20/2016$5,000
Name and Address
(A)
Washington Progress Alliance

1402 3rd Ave #201
Seattle
WA
98101
Type or Classification
(B)
501(c)4 organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$50,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$50,000
contribution06/01/2016$50,000
Name and Address
(A)
Win/Win Action

1402 3rd Ave #201
Seattle
WA
98101
Type or Classification
(B)
Statewide organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$30,000
contribution04/13/2016$15,000
contribution07/20/2016$15,000
Name and Address
(A)
Working Washington

215 Columbia St
Seattle
WA
98104
Type or Classification
(B)
Statewide organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$182,833
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$182,833
contribution 2020 plan09/15/2016$91,416
contribution 2020 plan10/05/2016$91,417
Name and Address
(A)
Yes on 97

519 SW 3rd Ave #801
Portland
OR
97204
Type or Classification
(B)
Oregon Initiative committee
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
contribution to OR Initiative 9710/19/2016$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 059-961

Name and Address
(A)
Puget Sound Sage

1032 S Jackson St #203
Seattle
WA
98104
Type or Classification
(B)
501(c)3 organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
contribution04/13/2016$5,000
Name and Address
(A)
Washington CAN

1806 E Yesler Way
Seattle
WA
98122
Type or Classification
(B)
501(c)3
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
contribution07/20/2016$5,000
Name and Address
(A)
Washington State Budget & Policy Center

1402 3rd Ave #1215
Seattle
WA
98101
Type or Classification
(B)
501(c)3 organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer$2,500
Total of All Transactions with this Payee/Payer for This Schedule$27,500
contribution02/10/2016$25,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 059-961

Name and Address
(A)
Century Link
PO Box 91155

Seattle
WA
98111
Type or Classification
(B)
telephone company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,540
Total of All Transactions with this Payee/Payer for This Schedule$6,540
Name and Address
(A)
Labor 1992

321 16th Ave S
Seattle
WA
98144
Type or Classification
(B)
Landlord for Olympia office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,591
Total of All Transactions with this Payee/Payer for This Schedule$20,591
Name and Address
(A)
Parking Services

4739 University Way NE #164
Seattle
WA
98105
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,371
Total of All Transactions with this Payee/Payer for This Schedule$5,371
Name and Address
(A)
Redmond General Insurance
PO Box 847

Redmond
WA
98073
Type or Classification
(B)
Insurance broker
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,300
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,300
general liability & directors/officers insurance11/08/2016$5,300
Name and Address
(A)
West & Wheeler

4739 University Way NE #164
Seattle
WA
98105
Type or Classification
(B)
Landlord for Seattle office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$26,784
Total of All Transactions with this Payee/Payer for This Schedule$26,784
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 059-961

Name and Address
(A)
Mahrt & Associates

33308 13th Pl S #1
Federal Way
WA
98003
Type or Classification
(B)
accounting firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,802
Total of All Transactions with this Payee/Payer for This Schedule$7,802
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 059-961

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$49,276
PensionSEIU Affiliates Pension Fund$28,337
Health insuranceService Employees Health & Welfare Trust$18,914
Life & Disability InsuranceStandard Insurance Co$1,646
Vision insuranceVision Service Plan$379
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 059-961


Question 11(a):

Question 11(a): Service Employees Intl Union WA State Council PAC, reports filed with WA State Public Disclosure Commission

Question 12: Mahrt & Associates

Statement A,Investments Begin Total: Neglected to enter zero in the 2015 LM2
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)