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
057-419
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.)
LOCAL UNION
 6. DESIGNATION NBR
113
7. UNIT NAME (if any)
HEALTHCARE MINNESOTA
8. MAILING ADDRESS (Type or print in capital letters)
First Name
JAMIE
 Last Name
GULLEY
P.O Box - Building and Room Number

Number and Street
345 RANDOLPH AVE., STE. 100
City
ST. PAUL
State
MN		 ZIP Code + 4
55102


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:Jamie T GulleyPRESIDENT71. SIGNED:Jigme UgenTREASURER
Date:Mar 23, 2017Telephone Number:651-294-8100Date:Mar 27, 2017Telephone Number:612-812-5846
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 057-419
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?Yes
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?Yes
19. What is the date of the labor organization's next regular election of officers?10/2019
20. How many members did the labor organization have at the end of the reporting period?19,076
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees$79perMonth$10$79
(b) Working Dues/FeesN/AperMonthN/AN/A
(c) Initiation FeesN/AperNew MemberN/AN/A
(d) Transfer FeesN/AperMonthN/AN/A
(e) Work PermitsN/AperMonthN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 057-419

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $1,085,886$730,639
23. Accounts Receivable1$0
24. Loans Receivable2
25. U.S. Treasury Securities $0$0
26. Investments5$473,136$500,662
27. Fixed Assets6$55,966$31,468
28. Other Assets7
29. TOTAL ASSETS $1,614,988$1,262,769

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$0$0
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10
34. TOTAL LIABILITIES $0$0
35. NET ASSETS$1,614,988$1,262,769
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 057-419

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $11,124,460
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $43,790
39. Sale of Supplies $0
40. Interest $2,665
41. Dividends $0
42. Rents $33,749
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $239,828
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$528,239
49. TOTAL RECEIPTS $11,972,731
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$3,940,017
51. Political Activities and Lobbying16$270,172
52. Contributions, Gifts, and Grants17$65,250
53. General Overhead18$1,874,797
54. Union Administration19$235,008
55. Benefits20$1,288,772
56. Per Capita Tax $4,096,091
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$3,095
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $257,657
64. On Behalf of Individual Members $0
65. Direct Taxes $297,119
  
66. Subtotal $12,327,978
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$900,630  
  67b. Less Total Disbursed$900,630  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $12,327,978
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 057-419

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 057-419

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 057-419

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 
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 057-419

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$3,095$3,095$3,095
OFFICE FURNITURE$3,095$3,095$3,095
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$3,095
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 057-419

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$500,662
E. Total Book Value$500,662
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.  
  • Real Property: 345 Randolph Ste. 100, St. Paul, MN
$500,662
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $500,662
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 057-419

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$1,045,098$1,013,630$31,468$31,468
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,045,098$1,013,630$31,468$31,468
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 057-419

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: 057-419

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$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 057-419

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: 057-419

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 057-419

(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 		ALTHOFF ,  JOYCE  
DELEGATE
P		$2,624$143$2,767
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 		ASMUS ,  ELIZABETH  
EXECUTIVE VICE PRESIDENT
C		$97,002$1,608$98,610
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		BACK ,  KURT  
TRUSTEE
P		$3,890$256$4,146
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 		BALE ,  MARY  
DELEGATE
P		$1,602$385$1,987
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 		BARNES ,  JOSCELYN  
DELEGATE
P		$419$228$647
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 		BERNINI ,  BRIANNE  
DELEGATE
C		$2,564$307$2,871
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 		BHATTARAI ,  RAJIB  
DELEGATE
N		$1,248$295$1,543
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 		BLUHM ,  REBECCA  
DELEGATE
P		$0$50$50
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 		BURMAN ,  RENEE  
ASSISTANT GUARD
P		$2,190$530$2,720
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 		BUTTER ,  CHARLIE  
DELEGATE
P		$5,127$690$5,817
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 		CARLSON ,  LYNN  
VICE PRESIDENT
C		$4,529$569$5,098
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 		CROMEDY ,  BENNIE  
DELEGATE
C		$1,775$433$2,208
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 		CRYAN ,  PHILLIP  
EXECUTIVE VICE PRESIDENT
P		$90,156$846$91,002
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		2 %
A
B
C 		DONAZAL ,  CLEVELAND  
DELEGATE
C		$4,018$385$4,403
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 		EDWARDS ,  DIANNE  
EXECUTIVE VICE PRESIDENT
P		$5,432$5,432
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ELRITE ,  KATHRYN  
DELEGATE
P		$3,445$307$3,752
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 		FADERA ,  YANKUBA  
DELEGATE
P		$3,379$385$3,764
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 		FREEMAN ,  MARK  
DELEGATE
P		$1,655$685$2,340
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 		FRITZ ,  PATTI  
DELEGATE
N		$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 		GRAY ,  DARLENE  
DELEGATE
C		$532$532
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 		GULLEY ,  JAMIE  
PRESIDENT
C		$124,354$4,136$128,490
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		10 %
A
B
C 		HALL ,  FRANCIS  
DELEGATE
P		$5,144$1,464$6,608
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 		HANSON ,  CRISSY  
DELEGATE
N		$3,650$498$4,148
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 		HANSON ,  PENNY  
DELEGATE
C		$595$804$1,399
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 		HOLLMAN ,  IRENE  
GUARD
P		$727$50$777
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 		HOLT ,  JAMES  
DELEGATE
N		$165$165
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 		HOWZE ,  DEBRA  
DELEGATE
C		$2,379$17$2,396
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 		HUGHES ,  LATANYA  
DELEGATE
P		$306$306
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 		JACKSON ,  NATALIE  
DELEGATE
P		$2,651$68$2,719
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 		JOHNSON ,  SHAQUONICA  
VICE PRESIDENT
P		$666$666
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 		KOSKI ,  SANDY  
DELEGATE
C		$1,200$325$1,525
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 		LEMIRE ,  SONJA  
VICE PRESIDENT
C		$5,432$5,432
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 		LYNCH ,  KATHERINE  
VICE PRESIDENT
C		$5,963$577$6,540
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 		MALONEY ,  RUSSELL  
DELEGATE
N		$1,626$325$1,951
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 		MARTIN ,  EMILY  
TRUSTEE
P		$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 		MATTHEWS ,  RITA  
DELEGATE
C		$1,292$385$1,677
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 		MAXON ,  MAXINE  
DELEGATE
P		$1,883$504$2,387
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 		MEYER ,  KATHLENE  
DELEGATE
C		$3,232$200$3,432
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 		MINTEY ,  DAN  
TRUSTEE
C		$10,030$959$10,989
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 		NEWSOME ,  KATRICE  
DELEGATE
N		$175$385$560
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 		NORDBY ,  MELODY  
DELEGATE
C		$2,053$737$2,790
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 		O'MARA ,  HARRY  
DELEGATE
N		$5,237$385$5,622
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 		PHILLIPS ,  CORTNEY  
DELEGATE
C		$1,151$2,077$3,228
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 		PILLE ,  KIA  
DELEGATE
P		$3,185$564$3,749
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 		RAMNAUTH ,  KAMALA  
DELEGATE
P		$1,503$425$1,928
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 		SARRO ,  JEFF  
DELEGATE
C		$2,453$257$2,710
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 		SCHINDLER ,  LARRY  
DELEGATE
P		$1,053$180$1,233
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 		SCHMITZ ,  REBECCA  
DELEGATE
N		$2,418$642$3,060
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 		SMITH ,  JOHNNIE  
DELEGATE
C		$4,065$180$4,245
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 		SPIKA ,  SUMER  
VICE PRESIDENT
C		$7,633$200$7,833
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 		STANKOVICH ,  TRACY  
TRUSTEE
P		$826$826
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 		STRAUMAN ,  VIVIAN  
DELEGATE
N		$557$385$942
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 		TOMFOHRDE ,  MINDA  
VICE PRESIDENT
C		$4,892$705$5,597
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 		UGEN ,  JIGME  
EXECUTIVE VICE PRESIDENT
C		$105,208$2,599$107,807
I
Schedule 15
Representational Activities 		73 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		24 %
A
B
C 		URMAN ,  ELSIE  
RETIREE DELEGATE
P		$421$307$728
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 		VANDENBURGH ,  COREY  
DELEGATE
C		$858$336$1,194
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 		WEED ,  LISA  
EXECUTIVE VICE PRESIDENT
C		$96,713$1,454$98,167
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		WILCOX ,  KENT  
VICE PRESIDENT
P		$2,523$385$2,908
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 		WIRPEL ,  JAN  
DELEGATE
C		$580$580
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 		WOODARD ,  EMMA  
DELEGATE
P		$2,598$385$2,983
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 		YOST ,  JUSTIN  
UNDER 30 DELEGATE
P		$200$385$585
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 		ZAHN ,  MARTY  
DELEGATE
C		$3,502$633$4,135
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$652,686$0$32,020$0$684,706
Less Deductions    $167,579
Net Disbursements    $517,127
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 057-419

(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 		AHMAD-SHARIFF ,  RASHA  
DIRECTOR MAC
N/A		$72,699$19$0$72,718
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ANDERSON ,  KARAN  
INTERNAL ORGANIZER
N/A		$70,999$0$858$0$71,857
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ANDERSON ,  MELVIN  
DELEGATE
N/A		$69,754$0$2,096$0$71,850
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 		BIALKE ,  JAMES  
CONSULTANT
N/A		$23,375$0$2,881$0$26,256
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		25 %
A
B
C 		BOOTS ,  JULIE  
INTERNAL ORGANIZER
N/A		$81,533$0$1,777$0$83,310
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CHAPDELAINE ,  KAREN  
ADMIN STAFF
N/A		$42,010$0$321$0$42,331
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 		CHRISTENSON ,  ASHLEY  
COMMUNICATIONS
N/A		$78,309$0$1,047$0$79,356
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		98 % Schedule 19
Administration 		0 %
A
B
C 		DAVIS ,  RUTH  
INTERNAL ORGANIZER
N/A		$12,132$0$22$0$12,154
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 		FENNELL ,  THERESA  
INTERNAL ORGANIZER
N/A		$16,353$0$0$0$16,353
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 		FISHER ,  BENJAMIN  
INTERNAL ORGANIZER
N/A		$70,890$0$1,567$0$72,457
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 		FORESTER ,  TIFFANY  
ADMIN STAFF
N/A		$74,053$0$1,254$0$75,307
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		97 % Schedule 19
Administration 		0 %
A
B
C 		HAKALA ,  KRISTINE  
ADMIN STAFF
N/A		$39,136$0$46$0$39,182
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 		HILBRICH ,  BRENDA  
CHIEF OF STAFF
N/A		$100,536$0$886$0$101,422
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 		HOBBS ,  KASSANDRA  
INTERNAL ORGANIZER
N/A		$39,857$0$1,152$0$41,009
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 		HUNT ,  STEVE  
INTERNAL ORGANIZER
N/A		$80,266$0$562$0$80,828
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		INTEMANN ,  NICHOLE  
EXTERNAL ORGANIZER
N/A		$56,768$0$0$0$56,768
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 		KLEIN ,  KRYSTAL  
INTERNAL ORGANIZER
N/A		$73,596$0$0$0$73,596
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KUEHN ,  KEVIN  
INTERNAL ORGANIZER
N/A		$79,932$0$0$0$79,932
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		LUBAHN ,  JACKIE  
INTERNAL ORGANIZER
N/A		$74,299$0$1,386$0$75,685
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MARTIN ,  ELIZABETH  
UNDER 30 DELEGATE
N/A		$72,377$0$625$0$73,002
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 		MCCLELLAN ,  LISA  
INTERNAL ORGANIZER
N/A		$77,068$0$526$0$77,594
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MILLER ,  LAURA  
INTERNAL ORGANIZER
N/A		$59,692$0$0$0$59,692
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 		MILLER ,  MICHELLE  
INTERNAL ORGANIZER
N/A		$32,309$0$281$0$32,590
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		12 % Schedule 19
Administration 		1 %
A
B
C 		MOORE ,  ROGER  
INTERNAL ORGANIZER
N/A		$75,371$0$3,909$0$79,280
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		NAJI ,  ARWA  
SUPPORT STAFF
N/A		$22,805$0$0$0$22,805
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 		NOYES ,  SUSAN  
FINANCE MANAGER
N/A		$22,771$0$0$0$22,771
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 		PERRI ,  JOHN  
FINANCE MANAGER
N/A		$74,097$0$1,717$0$75,814
I
Schedule 15
Representational Activities 		44 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		54 % Schedule 19
Administration 		0 %
A
B
C 		ROBERTS ,  CAMILLE  
EXTERNAL ORGANIZER
N/A		$72,016$0$473$0$72,489
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SALMIA ,  CARRIE  
ADMIN STAFF
N/A		$43,944$0$0$0$43,944
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 		SALMINEN ,  ERIC  
EXTERNAL ORGANIZER
N/A		$82,449$0$341$0$82,790
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 		SCHMITZ ,  TODD  
EXTERNAL ORGANIZER
N/A		$43,652$0$146$0$43,798
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 		STUBSON ,  KATRINA  
SUPPORT STAFF
N/A		$51,946$0$0$0$51,946
I
Schedule 15
Representational Activities 		67 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		33 % Schedule 19
Administration 		0 %
A
B
C 		VARCO ,  RICHARD  
POLITICAL DIRECTOR
N/A		$87,591$0$29$0$87,620
I
Schedule 15
Representational Activities 		36 % Schedule 16
Political Activities and Lobbying 		64 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		WALLACE ,  HALLIE  
EXTERNAL ORGANIZER
N/A		$57,093$0$241$0$57,334
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 		WIGG ,  EDWARD  
INTERNAL ORGANIZER
N/A		$81,062$0$1,270$0$82,332
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		XIONG ,  JUDITH  
ADMIN STAFF
N/A		$53,130$0$85$0$53,215
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 		XIONG-VANG ,  BAO  
ADMIN STAFF
N/A		$49,979$0$0$0$49,979
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 		NESSEN ,  BRANDON  
EXTERNAL ORGANIZER
N/A		$75,083$0$0$0$75,083
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		NORMAN ,  D'ANDRE  
EXTERNAL ORGANIZER
N/A		$42,523$0$726$0$43,249
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 		SMITH ,  GALEN  
EXTERNAL ORGANIZER
N/A		$20,687$0$0$0$20,687
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$500,935$88,255$0$589,190
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 %
Total Employee Disbursements$2,855,077$0$114,498$0$2,969,575
Less Deductions    $733,051
Net Disbursements    $2,236,524
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 057-419

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 19,076 
Agency Fee Payers*88
Total Members/Fee Payers19,164 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members18,723Yes
Low Income Payers353Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 057-419

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$500,173
2. Named Payer Non-itemized Receipts$18,195
3. All Other Receipts$9,871
4. Total Receipts$528,239
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$41,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$24,250
6. Total Disbursements$65,250
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$1,131,070
2. Named Payee Non-itemized Disbursements$63,212
3. To Officers$464,688
4. To Employees$1,879,824
5. All Other Disbursements$401,223
6. Total Disbursements$3,940,017
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$562,096
2. Named Payee Non-itemized Disbursements$334,562
3. To Officers$7,335
4. To Employees$969,623
5. All Other Disbursements$1,181
6. Total Disbursements$1,874,797
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$109,644
2. Named Payee Non-itemized Disbursements$30,345
3. To Officers$16,943
4. To Employees$113,240
5. All Other Disbursements$0
6. Total Disbursements$270,172
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$8,872
2. Named Payee Non-itemized Disbursements$5,651
3. To Officers$195,741
4. To Employees$6,890
5. All Other Disbursements$17,854
6. Total Disbursements$235,008
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 057-419

Name and Address
(A)
Service Employees International Union

1800 Mass Avenue
Washington
DC
20036
Type or Classification
(B)
International Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$431,718
Total Non-Itemized Transactions with this Payee/Payer$16,638
Total of All Transactions with this Payee/Payer for This Schedule$448,356
Per Capita Rebates01/14/2016$23,308
Per Capita Rebates02/02/2016$24,749
Per Capita Rebates03/04/2016$22,350
Special Project Support03/04/2016$125,000
Per Capita Rebates04/08/2016$26,427
Per Capita Rebates04/30/2016$25,854
Per Capita Rebates06/30/2016$25,827
Per Capita Rebates07/15/2016$27,121
Per Capita Rebates08/05/2016$28,079
Per Capita Rebates09/09/2016$25,424
Per Capita Rebates10/14/2016$26,681
Per Capita Rebates11/15/2016$24,518
Per Capita Rebates12/15/2016$26,380
Name and Address
(A)
SEIU Minnesota State Council

2233 University Avenue West
St. Paul
MN
55114
Type or Classification
(B)
Union/Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$28,561
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$28,561
MPO Reimbursement 12/08/2016$10,665
State Council Reimbursement12/27/2016$17,896
Name and Address
(A)
Twin Cities Hospital Workers Pension

2520 Pilot Knob Rd, Ste 325
Mendota Heights
MN
55102
Type or Classification
(B)
Pension Administration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,849
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,849
Conference Expenses Pension Reimbursements01/11/2016$8,849
Name and Address
(A)
Workers United

333 South Ashland Avenue
Chicago
IL
60607
Type or Classification
(B)
Union/Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$31,045
Total Non-Itemized Transactions with this Payee/Payer$1,557
Total of All Transactions with this Payee/Payer for This Schedule$32,602
Rental Income08/18/2016$31,045
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 057-419

Name and Address
(A)
American Airlines
582880

Tulsa
OK
74158
Type or Classification
(B)
Airline Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,063
Total of All Transactions with this Payee/Payer for This Schedule$6,063
Name and Address
(A)
Blackwell Burke PA

431 South Seventh St #2500
Minneapolis
MN
55415
Type or Classification
(B)
Legal Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$15,000
Strike Expenses10/12/2016$15,000
Name and Address
(A)
CMRS-PB
0566

Carol Stream
IL
60132
Type or Classification
(B)
Postage
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
Postage Meter01/15/2016$10,000
Name and Address
(A)
Cummins & Cummins

920 Second Avenue South
Minneapolis
MN
55402
Type or Classification
(B)
Law Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$366,658
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$366,658
Legal Fees 01/15/2016$21,315
Legal Fees02/16/2016$33,514
Legal Fees03/22/2016$52,965
Legal Fees - Organizing & Bargaining04/11/2016$56,023
Legal Fees05/25/2016$28,140
Legal Fees06/20/2016$28,494
Legal Fees07/14/2016$18,188
Legal Fees08/12/2016$10,278
Legal Fees - Bargaining/Grievances/Arbitration09/19/2016$35,171
Legal Fees - Bargaining/Grievances/Arbitration10/18/2016$26,635
Legal Fees - Bargaining/Grievances/Arbitration11/16/2016$30,705
Legal Fees - Bargaining/Grievances/Arbitration12/27/2016$25,230
Name and Address
(A)
Delta Airlines
20706

Atlanta
GA
30320
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,764
Total Non-Itemized Transactions with this Payee/Payer$9,436
Total of All Transactions with this Payee/Payer for This Schedule$20,200
Travel - Airfare - Convention04/15/2016$10,764
Name and Address
(A)
Engelmeier & Umanah P.A.

706 Second Ave S Ste 1100
Minneapolis
MN
55402-3014
Type or Classification
(B)
Legal Services
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
Arbitration Fees08/31/2016$6,000
Name and Address
(A)
Fabian May

825 Nicollet Mall Ste 1625
Minneapolis
MN
55402
Type or Classification
(B)
Legal Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$27,000
Rouillard Settlement09/07/2016$27,000
Name and Address
(A)
Fred Anthony

1175 Kennard Street
Saint Paul
MN
55106
Type or Classification
(B)
Former Employee
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$13,000
Grievance Settlement12/29/2016$13,000
Name and Address
(A)
Greektown Casino-Hotel

555 E Lafayette
Detroit
MI
48226
Type or Classification
(B)
Convention Attendance Lodging
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,647
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$18,647
Conventions06/30/2016$18,647
Name and Address
(A)
Holiday Inn

75 South 37th Avenue
St. Cloud
MN
56301
Type or Classification
(B)
Conference Lodging
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,357
Total Non-Itemized Transactions with this Payee/Payer$8,083
Total of All Transactions with this Payee/Payer for This Schedule$13,440
Conference Expenses04/11/2016$5,357
Name and Address
(A)
Kjellberg Law Office, PLC

2356 University Ave W. #230
St. Paul
MN
55114-1850
Type or Classification
(B)
Legal Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,006
Total Non-Itemized Transactions with this Payee/Payer$2,251
Total of All Transactions with this Payee/Payer for This Schedule$7,257
Arbitration Fees08/01/2016$5,006
Name and Address
(A)
Ramada

1330 Industrial Blvd
Minneapolis
MN
55413
Type or Classification
(B)
Hotel for conventions and meetings
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$78,118
Total Non-Itemized Transactions with this Payee/Payer$6,312
Total of All Transactions with this Payee/Payer for This Schedule$84,430
Hotel Expenses - meetings02/26/2016$10,467
Hotel Expenses - meetings05/10/2016$11,974
Hotel Expenses - meetings08/10/2016$9,665
Membership Convention Lodging09/28/2016$46,012
Name and Address
(A)
Robert Rouillard

3661 40th Ave S
Minneapolis
MN
55416
Type or Classification
(B)
Former Employee
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$70,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$70,500
Grievance Settlement09/07/2016$70,500
Name and Address
(A)
St. Paul Saints

1771 Energy Park Drive
St. Paul
MN
55108
Type or Classification
(B)
Membership event at baseball game
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,756
Total of All Transactions with this Payee/Payer for This Schedule$10,756
Name and Address
(A)
Take Action Minnesota

705 Raymond Avenue Ste 100
St. Paul
MN
55114-1967
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$499,995
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$499,995
Contract Campaign - Organizing03/28/2016$222,220
Contract Campaign - Organizing06/01/2016$55,555
Contract Campaign - Organizing06/30/2016$55,555
Contract Campaign - Organizing07/20/2016$55,555
Contract Campaign - Organizing08/01/2016$55,555
Contract Campaign - Organizing09/02/2016$55,555
Name and Address
(A)
Town Hall

958 Coneflower Drive
Golden
CO
80401
Type or Classification
(B)
Telephone Town Hall Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,110
Total of All Transactions with this Payee/Payer for This Schedule$14,110
Name and Address
(A)
United Airlines
66140

Chicago
IL
60666
Type or Classification
(B)
Airline Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,273
Total of All Transactions with this Payee/Payer for This Schedule$5,273
Name and Address
(A)
Westin Hotel

320 Dearborn Street
Chicago
IL
60610
Type or Classification
(B)
Hotel & Hospitality
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,025
Total Non-Itemized Transactions with this Payee/Payer$928
Total of All Transactions with this Payee/Payer for This Schedule$5,953
Hotel Expenses02/18/2016$5,025
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 057-419

Name and Address
(A)
Frenette Legislative Advisors

1734 Blair Avenue
St. Paul
MN
55104
Type or Classification
(B)
Lobbying Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$26,500
Total of All Transactions with this Payee/Payer for This Schedule$26,500
Name and Address
(A)
SEIU Healthcare Minnesota Political Action Comm.

345 Randolph Ave Ste. 100
St. Paul
MN
55102
Type or Classification
(B)
PAC Affiliate
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$109,644
Total Non-Itemized Transactions with this Payee/Payer$3,845
Total of All Transactions with this Payee/Payer for This Schedule$113,489
Political Advocacy02/25/2016$8,727
Political Advocacy03/31/2016$11,084
Political Advocacy04/28/2016$10,064
Political Advocacy05/31/2016$9,881
Political Advocacy06/30/2016$9,233
Political Advocacy07/29/2016$12,370
Political Advocacy08/26/2016$8,398
Political Advocacy09/30/2016$10,630
Political Advocacy10/31/2016$9,591
Political Advocacy11/30/2016$10,128
Political Advocacy12/29/2016$9,538
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 057-419

Name and Address
(A)
Americans for Fairness
513

LaGrange
IL
60525
Type or Classification
(B)
Non-Profit Campaign
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
Local Charities03/21/2016$10,000
Name and Address
(A)
East Side Freedom Library

1105 Greenbrier Street
St. Paul
MN
55106
Type or Classification
(B)
Non-Profit Organization
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
Donation02/16/2016$5,000
Name and Address
(A)
Healthcare Career Advancement Program
2565

New York
MN
10108
Type or Classification
(B)
National Labor/Management Organization
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
Donation03/21/2016$6,000
Name and Address
(A)
Minnesotans for a Fair Economy

2233 Univ. Ave W Ste 422
St. Paul
MN
55114
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$20,000
Donation01/25/2016$20,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 057-419

Name and Address
(A)
AT&T
6463

Carol Stream
IL
60197-6463
Type or Classification
(B)
Telecommunications Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$41,819
Total of All Transactions with this Payee/Payer for This Schedule$41,819
Name and Address
(A)
Bellows Associates, P.A.

7890 Peters Rd, Suite G-102
Plantation
FL
33324
Type or Classification
(B)
CPA Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,884
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$14,884
Accounting Fees08/19/2016$14,884
Name and Address
(A)
CC Catering

4921 Boone Avenue North
Minneapolis
MN
55428
Type or Classification
(B)
Catering for Member Bargaining and Events
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,971
Total of All Transactions with this Payee/Payer for This Schedule$5,971
Name and Address
(A)
Corporate Technologies LLC
1450
NW 6333
Minneapolis
MN
55485
Type or Classification
(B)
IT Support Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$32,194
Total Non-Itemized Transactions with this Payee/Payer$40,080
Total of All Transactions with this Payee/Payer for This Schedule$72,274
Laptops06/27/2016$18,946
Backup Cloud Server08/09/2016$13,248
Name and Address
(A)
Dianne Edwards

415 Clark Street
River Falls
WI
54022
Type or Classification
(B)
Employee
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,017
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,017
Severance Payment12/12/2016$5,017
Name and Address
(A)
Honsa-Binder Printing Inc.

320 Spruce Street
St. Paul
MN
55101
Type or Classification
(B)
Commercial Printing Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,491
Total of All Transactions with this Payee/Payer for This Schedule$9,491
Name and Address
(A)
Image Pointe
657

Waterloo
IA
50704
Type or Classification
(B)
Member T-Shirt & Membership Bargaining & Events
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,062
Total Non-Itemized Transactions with this Payee/Payer$9,157
Total of All Transactions with this Payee/Payer for This Schedule$16,219
Membership Items09/28/2016$7,062
Name and Address
(A)
Innovative Office Solutions
270107

Minneapolis
MN
55427
Type or Classification
(B)
Office Supply Store
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,575
Total of All Transactions with this Payee/Payer for This Schedule$18,575
Name and Address
(A)
Integra Telecom
2966

Milwaukee
WI
53201
Type or Classification
(B)
Telecommunications Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$22,519
Total of All Transactions with this Payee/Payer for This Schedule$22,519
Name and Address
(A)
International Foundation of Employee Benefit Plans

18700 W. Bluemond Road
Brookfield
WI
53045
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,880
Total Non-Itemized Transactions with this Payee/Payer$325
Total of All Transactions with this Payee/Payer for This Schedule$11,205
Education Expense01/06/2016$10,880
Name and Address
(A)
Konica Minolta Premier Finance
790448

St. Louis
MO
63179
Type or Classification
(B)
Equipment Leasing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$31,930
Total of All Transactions with this Payee/Payer for This Schedule$31,930
Name and Address
(A)
Level 3 Communications
910182

Denver
CO
80291
Type or Classification
(B)
Telecommunications Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,145
Total of All Transactions with this Payee/Payer for This Schedule$12,145
Name and Address
(A)
Marco Copiers
1450
NW 1728
Minneapolis
MN
55485
Type or Classification
(B)
Equipment Leasing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,405
Total of All Transactions with this Payee/Payer for This Schedule$6,405
Name and Address
(A)
Minuteman Press

2101 Hennepin Ave South
Minneapolis
MN
55405
Type or Classification
(B)
Commercial Printing Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,184
Total Non-Itemized Transactions with this Payee/Payer$2,212
Total of All Transactions with this Payee/Payer for This Schedule$16,396
Printing Expense04/11/2016$14,184
Name and Address
(A)
Pitney Bowes
371896

Pittsburgh
PA
15250-7896
Type or Classification
(B)
Postage Meter
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,026
Total of All Transactions with this Payee/Payer for This Schedule$5,026
Name and Address
(A)
Rochester Town Offices

209 Woodlake Drive SE
Rochester
MN
55904
Type or Classification
(B)
Office Rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$32,368
Total of All Transactions with this Payee/Payer for This Schedule$32,368
Name and Address
(A)
Seven Corners Printing Company

1099 Snelling Ave North
St. Paul
MN
55108
Type or Classification
(B)
Commercial Printing Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$117,724
Total Non-Itemized Transactions with this Payee/Payer$37,298
Total of All Transactions with this Payee/Payer for This Schedule$155,022
Printing Expense01/25/2016$27,240
Printing Expense03/18/2016$8,773
Printing Expense06/09/2016$12,630
Printing Expense07/25/2016$17,130
Printing Expense10/03/2016$7,622
Printing Expense10/05/2016$21,600
Printing Expense11/09/2016$6,052
Printing Expense11/09/2016$16,677
Name and Address
(A)
SEIU Local 113 Building Corporation

345 Randolph, Ste. 100
St. Paul
MN
55102
Type or Classification
(B)
Office Rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$341,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$341,000
Rent01/25/2016$31,000
Rent02/22/2016$31,000
Rent04/04/2016$31,000
Rent04/26/2016$31,000
Rent05/24/2016$31,000
Rent06/30/2016$31,000
Rent07/29/2016$31,000
Rent08/22/2016$31,000
Rent09/28/2016$31,000
Rent11/22/2016$31,000
Rent11/28/2016$31,000
Name and Address
(A)
Unionware

260 Saulteaux Crescent
Winnipeg, MB Canada
00
R3J3T2
Type or Classification
(B)
IT Support Services & Equipment
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,790
Total Non-Itemized Transactions with this Payee/Payer$59,241
Total of All Transactions with this Payee/Payer for This Schedule$71,031
Computer Maintenance and IT Support02/22/2016$6,780
Computer Maintenance and IT Support07/20/2016$5,010
Name and Address
(A)
West Bond Mutual

1900 South 18th Avenue
West Bond
WI
53095
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,361
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,361
Office Equipment Insurance11/17/2016$7,361
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 057-419

Name and Address
(A)
Hillcrest

2200 East Larpenteur Avenue
St. Paul
MN
55109
Type or Classification
(B)
Leadership Meeting Hall Rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,872
Total Non-Itemized Transactions with this Payee/Payer$5,651
Total of All Transactions with this Payee/Payer for This Schedule$14,523
Recognition Dinner06/06/2016$8,872
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 057-419

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,288,772
BENEFITS ADMINISTRATIONFREEDOM SERVICES INC.$5,921
HEALTH INSURANCEHEALTH PARTNERS$464,248
LIFE INSURANCEMET LIFE$24,992
PENSIONSEIU AFFILIATES & OFFICERS$555,799
PENSIONSEIU FUND OFFICE$1,193
PENSIONTWIN CITY WORKERS PENSION FUND$53,144
HSA FUNDINGASSOCIATED BANK$132,220
WORKMENS COMPENSATIONAMTRUST NORTH AMERICA$18,561
WORKMENS COMPENSATIONWESTERN INSURANCE AGENCY$32,694
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 057-419


Question 11(a):

Question 11(a): : : : : : Name of PAC: SEIU Healthcare Minnesota Political Action Committee. Report Filed: Campaign finance report of receipts and expenditures. Government Agency: Filed with the Campaign Finance and Public Disclosure Board. Purpose: The PAC is a separate segregated fund established to support candidates for state and local offices who promote the interests of organized labor.

Question 11(b):

Question 11(b): : : : : : Name of Subsidiary: Service Employees International Union Local 113 Building Corporation. Address: 345 Randolph, Suite 100, St. Paul, MN 55102 Fiscal Year End: December 31, 2016. Relationship: The Union is the sole investor and owner of the Building Corporation in which the Union operates and conducts union business. Option #2 Recognition: The net assets of the Building Corporation are reported as an investment on Line 26 and on

Schedule 5 of the LM filing.

Question 12: Audit Firm: Bellows Associates, P.A. Address: 7890 Peters Road, Suite G-102, Plantation, FL 33324

Question 18: Bylaws were amended as attached.

Statement A,

Accounts Receivable Begin Total: Agreed to prior year finding and no change was made.

Schedule 13, Row1:

Schedule 13, Row1::A regular member is one who is active at a facility within the jurisdiction of the Local. Active members pay full dues and have full voting rights.

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row2:

Schedule 13, Row2::A low income payer is one who is active at a facility within the jurisdiction of the Local. Active members pay full dues and have full voting rights.

Schedule 13, Row2:

Schedule 13, Row2::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)