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
509-238
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

7. UNIT NAME (if any)
PA STATE COUNCIL
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Reesa
 Last Name
Kossoff
P.O Box - Building and Room Number

Number and Street
1500 N. SECOND ST. SUITE 11
City
HARRISBURG
State
PA		 ZIP Code + 4
17102


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:Reesa KossoffEXECUTIVE DIRECTOR71. SIGNED:Tom HermanTREASURER
Date:Mar 30, 2017Telephone Number:717-232-1270Date:Mar 30, 2017Telephone Number:717-232-1270
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 509-238
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?$155,000
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?12/2018
20. How many members did the labor organization have at the end of the reporting period?58,188
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.35permonthn/an/a
(b) Working Dues/Feesn/apern/an/an/a
(c) Initiation Feesn/apern/an/an/a
(d) Transfer Feesn/apern/an/an/a
(e) Work Permitsn/apern/an/an/a

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 509-238

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $133,204$287,025
23. Accounts Receivable1$0
24. Loans Receivable2$3,522$2,720
25. U.S. Treasury Securities $0$0
26. Investments5
27. Fixed Assets6$4,344$2,883
28. Other Assets7$3,531$16,303
29. TOTAL ASSETS $144,601$308,931

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$31,954$32,281
34. TOTAL LIABILITIES $31,954$32,281
35. NET ASSETS$112,647$276,650
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 509-238

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $0
37. Per Capita Tax $988,028
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $73
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2$3,522
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$124,795
49. TOTAL RECEIPTS $1,116,418
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$0
51. Political Activities and Lobbying16$320,923
52. Contributions, Gifts, and Grants17$0
53. General Overhead18$449,135
54. Union Administration19$0
55. Benefits20$158,274
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
61. Loans Made2$2,720
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 $33,826
  
66. Subtotal $964,878
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$96,473  
  67b. Less Total Disbursed$94,192  
  67c. Total Withheld But Not Disbursed $2,281
68. TOTAL DISBURSEMENTS $962,597
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 509-238

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: 509-238

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$3,522$2,720$3,522$0$2,720
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Name: Local Unions
Purpose: Legislative Services
Security: None
Terms of Repayment: One Month
$3,522$2,720$3,522$2,720
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 509-238

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: 509-238

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 
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 509-238

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost
E. Total Book Value
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.  
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 509-238

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$52,362$49,479$2,883$2,883
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $52,362$49,479$2,883$2,883
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 509-238

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $16,303
Security Deposit$2,526
Prepaid Expenses$13,777
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 509-238

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: 509-238

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: 509-238

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $32,281
Payroll Liabilities$2,281
Advances from Locals$30,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 509-238

(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 		Kossoff ,  Reesa  
Executive Director
C		$110,522$1,033$111,555
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		24 % Schedule 17
Contributions 		Schedule 18
General Overhead 		76 % Schedule 19
Administration
Total Officer Disbursements$110,522$0$1,033$0$111,555
Less Deductions     
Net Disbursements    $111,555
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 509-238

(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 		Gleason ,  Dena  
Legislative Director
n/a		$85,641$2,265$87,906
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		36 % Schedule 17
Contributions 		Schedule 18
General Overhead 		64 % Schedule 19
Administration
A
B
C 		Hensil ,  Kevin  
Communications Director
n/a		$10,397$625$11,022
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Burgan ,  Jessica  
Field Director
n/a		$73,662$1,189$74,851
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		63 % Schedule 17
Contributions 		Schedule 18
General Overhead 		37 % Schedule 19
Administration
A
B
C 		Weiss ,  Rita  
Finance Director
n/a		$41,281$876$42,157
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Bennett ,  Alana  
Member Organizer
n/a		$8,548$8,548
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		100 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Knupsky ,  Stephanie  
Member Organizer
n/a		$3,360$3,360
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		100 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Taylor ,  Corey  
Member Organizer
n/a		$3,920$3,920
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		100 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Vareen-Gibbs ,  Darrell  
Member Organizer
n/a		$3,500$3,500
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		100 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Domenico ,  Shawn  
Member Organizer
n/a		$3,544$3,544
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		100 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
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$233,853$0$4,955$0$238,808
Less Deductions     
Net Disbursements    $238,808
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 509-238

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 58,188 
Agency Fee Payers*
Total Members/Fee Payers58,188 
*Agency Fee Payers are not considered members of the labor organization.
General Members58,188Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 509-238

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$78,508
2. Named Payer Non-itemized Receipts$40,955
3. All Other Receipts$5,332
4. Total Receipts$124,795
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
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
6. Total Disbursements$0
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
6. Total Disbursements$0
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$141,700
2. Named Payee Non-itemized Disbursements$46,720
3. To Officers$84,782
4. To Employees$137,134
5. All Other Disbursements$38,799
6. Total Disbursements$449,135
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$173,845
2. Named Payee Non-itemized Disbursements$200
3. To Officers$26,773
4. To Employees$101,674
5. All Other Disbursements$18,431
6. Total Disbursements$320,923
SCHEDULE 19   UNION ADMINISTRATION
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
6. Total Disbursements$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 509-238

Name and Address
(A)
Katie McGinty for US Senate

2001 Market Street
Philadelphia
PA
19110
Type or Classification
(B)
Candidate
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,296
Total of All Transactions with this Payee/Payer for This Schedule$17,296
Name and Address
(A)
PA Democratic Party

229 State Street
Harrisburg
PA
17101
Type or Classification
(B)
Democratic Party
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,297
Total of All Transactions with this Payee/Payer for This Schedule$17,297
Name and Address
(A)
SEIU Healthcare PA

1500 North Second Street
Harrisburg
PA
17102
Type or Classification
(B)
Labor Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$50,000
Total Non-Itemized Transactions with this Payee/Payer$6,362
Total of All Transactions with this Payee/Payer for This Schedule$56,362
2016 Program Support01/06/2016$40,000
Philadelphia 201607/20/2016$10,000
Name and Address
(A)
SEIU International

1800 Massachusetts Ave
Washington
DC
20036
Type or Classification
(B)
International Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$28,508
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$28,508
Lost Timer Program04/29/2016$18,872
Lost Timer Program06/10/2016$9,636
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 509-238

There was no data found for this schedule.

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 509-238

Name and Address
(A)
Bergmann Zwerdling Direct

1015 18th St NW #500
Washington
DC
20036
Type or Classification
(B)
Marketing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$32,658
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$32,658
Marketing04/25/2016$12,914
Marketing04/12/2016$19,744
Name and Address
(A)
Keystone Research Center

412 N Third Street
Harrisburg
PA
17101
Type or Classification
(B)
Research Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,000
Advertising06/06/2016$5,000
Research06/22/2016$20,000
Name and Address
(A)
PA AFL-CIO

600 North Second Street
Harrisburg
PA
17101
Type or Classification
(B)
Labor Association
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer$200
Total of All Transactions with this Payee/Payer for This Schedule$20,200
Coalition for Labor Engaged for Accountable Revenu03/23/2016$20,000
Name and Address
(A)
Pennsylvania Legislative Services

240 N Third St, 11th Fl
Harrisburg
PA
17101
Type or Classification
(B)
Legislative Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,700
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,700
News and Alert Service01/06/2016$8,700
Name and Address
(A)
Philadelphia 2016

1900 Market St, Ste 300
Philadelphia
PA
19103
Type or Classification
(B)
Democratic Convention
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,000
Contribution to the DNC06/06/2016$25,000
Name and Address
(A)
Triad Strategies

116 Pine Street
Harrisburg
PA
17101
Type or Classification
(B)
Consultants/Lobbyists
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$62,487
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$62,487
Consulting01/01/2016$5,332
Consulting01/26/2016$5,375
Consulting02/23/2016$5,128
Consulting03/30/2016$5,305
Consulting04/27/2016$5,171
Consulting05/25/2016$5,128
Consulting06/22/2016$5,149
Consulting07/20/2016$5,277
Consulting08/24/2016$5,128
Consulting09/27/2016$5,164
Consulting10/24/2016$5,160
Consulting11/28/2016$5,170
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 509-238

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 509-238

Name and Address
(A)
Allegheny County Labor Council

401 Wood Street, Suite 50
Pittsburgh
PA
15222
Type or Classification
(B)
Labor Council
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
Funding Contribution01/12/2016$5,000
Name and Address
(A)
Brown Schultz Sheridan & Fritz

210 Grandview Avenue
Camp Hill
PA
17011
Type or Classification
(B)
Accounting Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,700
Total Non-Itemized Transactions with this Payee/Payer$4,375
Total of All Transactions with this Payee/Payer for This Schedule$16,075
Accounting Services02/10/2016$6,700
Accounting Services03/14/2016$5,000
Name and Address
(A)
E.I. 1500 North Second St., Inc.
PO Box 622

Lemoyne
PA
17043
Type or Classification
(B)
Lessor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$42,345
Total of All Transactions with this Payee/Payer for This Schedule$42,345
Name and Address
(A)
SEIU International

1800 Massachusetts Ave
Washington
DC
20036
Type or Classification
(B)
International Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$125,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$125,000
Support Fund Contribution04/13/2016$25,000
Support Fund Contribution09/08/2016$100,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 509-238

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS FILE NUMBER: 509-238

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$158,274
Health and WelfareSEIU Health & Welfare$87,572
DisabilityStandard Insurance$2,924
PensionSEIU Pension Fund & Affil. Office$63,463
Workers Comp InsuranceUnion Insurance Group$4,315
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 509-238
Item 70 Title: The Executive Director is signing because she is responsible for the day-to-day operations of PA State Council.

Question 11(a): : Pennsylvania SEIU COPE 1500 N. Second Street Harrisburg, PA 17102

Question 12: An audit is performed by Brown Schultz Sheridan & Fritz, 210 Grandview Ave, Camp Hill, PA 17011.

Statement A,

Accounts Payable Begin Total: Just tried to enter a 0 by accident. Beginning balance listed as 0 which was correct.

Schedule 13, Row1:

General Members are full dues paying members who are employed or engaged on any phase of private, nonprofit, or public employment; the unions who represent them are the voting members of SEIU PA State Council.

Schedule 13, Row1:::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)