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
542-272
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
925
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
Cindy
 Last Name
Elizalde
P.O Box - Building and Room Number

Number and Street
1914 N 34th Street, Ste 100
City
SEATTLE
State
WA		 ZIP Code + 4
98103


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:Karen L HartPRESIDENT71. SIGNED:Cindy ElizaldeTREASURER
Date:Mar 30, 2017Telephone Number:206-322-3010Date:Mar 30, 2017Telephone Number:206-322-3010
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 542-272
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?12/2018
20. How many members did the labor organization have at the end of the reporting period?14,253
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.7%perMonthly Wage0$100 PER MONTH
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 542-272

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $3,616,597$5,006,867
23. Accounts Receivable1$0$0
24. Loans Receivable2$1,944,696$1,941,883
25. U.S. Treasury Securities $0$0
26. Investments5$1,919,181$356,412
27. Fixed Assets6$244,010$231,325
28. Other Assets7$568,115$431,403
29. TOTAL ASSETS $8,292,599$7,967,890

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$0$0
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$9,966$45,860
34. TOTAL LIABILITIES $9,966$45,860
35. NET ASSETS$8,282,633$7,922,030
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 542-272

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $8,704,069
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $2,997
41. Dividends $1,409
42. Rents $0
43. Sale of Investments and Fixed Assets3$736,662
44. Loans Obtained9$0
45. Repayments of Loans Made2$9,713
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$1,510,008
49. TOTAL RECEIPTS $10,964,858
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$3,722,872
51. Political Activities and Lobbying16$738,807
52. Contributions, Gifts, and Grants17$125,600
53. General Overhead18$924,883
54. Union Administration19$250,849
55. Benefits20$1,184,351
56. Per Capita Tax $2,358,296
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$6,900
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $297,924
  
66. Subtotal $9,610,482
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$812,491  
  67b. Less Total Disbursed$776,597  
  67c. Total Withheld But Not Disbursed $35,894
68. TOTAL DISBURSEMENTS $9,574,588
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 542-272

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
0$0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 542-272

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$1,944,696$6,900$9,713$0$1,941,883
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Name: FLORES, PARTRICIA
Purpose: AUTO LOAN
Security: PAYROLL DEDUCTION
Terms of Repayment: $112.00/MONTH
$768$2,000$1,496$0$1,272
Name: BRIDENSTINE, CAITLYN
Purpose: AUTO LOAN
Security: PAYROLL DEDUCTION
Terms of Repayment: $112.00/MONTH
$992$0$992$0$0
Name: CRAIG, AMANDA
Purpose: Auto Repair Loan
Security: PAYROLL DEDUCTION
Terms of Repayment: $200.00/MONTH
$484$2,000$1,708$0$776
Name: Douglas Durrel
Purpose: AUTO LOAN
Security: PAYROLL DEDUCTION
Terms of Repayment: $112.00/MONTH
$1,496$0$1,456$0$40
Name: DAMIAN, KENT
Purpose: AUTO LOAN
Security: PAYROLL DEDUCTION
Terms of Repayment: $80.00/MONTH
$820$0$820$0$0
Name: JADE, LEE
Purpose: AUTO LOAN
Security: PAYROLL DEDUCTION
Terms of Repayment: $112.00/MONTH
$1,100$1,950$2,220$0$830
Name: MAFUA, MELISSA
Purpose: Auto Repair Loan
Security: PAYROLL DEDUCTION
Terms of Repayment: $112.00/MONTH
$496$950$496$0$950
Name: McELROY-RAY, SHIRLEY
Purpose: AUTO LOAN
Security: PAYROLL DEDUCTION
Terms of Repayment: $80.00/MONTH
$270$0$270$0$0
Name: VIDRIO, APRIL
Purpose: AUTO LOAN
Security: PAYROLL DEDUCTION
Terms of Repayment: $170.00/MONTH
$255$0$255$0$0
Name: 9 to 5 LLC
Purpose: OPERATING ADVANCE
Security: EQUITY INTEREST
Terms of Repayment: ON DEMAND
$1,938,015$0$0$0$1,938,015
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-272

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$736,662$736,662$736,662$736,662
Stancorp Financial Group common stock$736,662$736,662$736,662$736,662
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$736,662
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-272

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$0$0$0
0$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: 542-272

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$356,412
E. Total Book Value$356,412
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.  
  • Equity Investment if S.E.&H. Inc
$356,412
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $356,412
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 542-272

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      VANCOUVER WASHINGTON$4,630 $4,630$4,630
B. Buildings (give location)    
Building  1 :      VANCOUVER WASHINGTON$13,374$4,904$8,470$60,000
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$442,331$392,280$50,051$50,000
E. Other Fixed Assets$209,651$41,477$168,174$168,174
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $669,986$438,661$231,325$282,804
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 542-272

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $431,403
PREPAID DSHS SOFTWARE DEVELOPMENT COSTS$421,143
PREPAID EMPLOYEE BENEFITS$10,260
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 542-272

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
0$0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 542-272

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: 542-272

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $45,860
Payroll Taxes and Deduction Payable $45,860
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 542-272

(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 		Hart ,  Karen  
President
C		$88,387$4,080$15,763$0$108,230
I
Schedule 15
Representational Activities 		30 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		30 % Schedule 19
Administration 		25 %
A
B
C 		Elizalde ,  Cindy  
Secretary Treasurer
C		$84,519$4,080$3,670$0$92,269
I
Schedule 15
Representational Activities 		40 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		30 % Schedule 19
Administration 		25 %
A
B
C 		Schroeder ,  Patricia  
Executive Vice Pres
C		$84,519$4,080$19,719$0$108,318
I
Schedule 15
Representational Activities 		65 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		10 %
A
B
C 		Harris ,  Carol   M
VP
C		$0$0$1,995$0$1,995
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 		Yasi ,  Katherine   A
VP
C		$0$0$854$0$854
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 		Nofsinger ,  Rhonda   B
VP
C		$0$0$172$0$172
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 		Gregory-Davis ,  Alisha   M
Executive Board
C		$0$0$2,276$0$2,276
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 		Botts ,  Allan   R
Executive Board
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 		Lawson ,  Anne   J
Executive Board
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 		Tyler ,  Beverly  
Executive Board
C		$0$0$80$0$80
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 		Harrah ,  Charles   A
Executive Board
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 		Lakey ,  Christine   M
Executive Board
C		$0$0$1,236$0$1,236
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 		Bradley ,  Colleen  
Executive Board
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 		Filbert ,  Donna   L
Executive Board
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 		Evans ,  Duane   J
Executive Board
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 		Keller ,  Helen Marie  
Executive Board
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 		Wheeler ,  Jacquelyn   J
Executive Board
C		$0$0$1,113$0$1,113
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 		Rehm ,  Jordan   M
Executive Board
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 		Mayorga ,  Jose   F
Executive Board
C		$0$0$85$0$85
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 		Chandler ,  Laura   A
Executive Board
C		$0$0$3,300$0$3,300
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 		Harrington ,  Laura   L
Executive Board
C		$0$0$500$0$500
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 		Daugs ,  Leslie  
Executive Board
C		$0$0$173$0$173
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 		Breed ,  Linda   A
Executive Board
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 		Layer II ,  Lylburn   T
Executive Board
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 		Marin ,  Maria  
Executive Board
C		$0$0$3,579$0$3,579
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 		Hand ,  Mark   R
Executive Board
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 		Saunders ,  Michelle  
Executive Board
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 		Bain ,  Noel   A
Executive Board
C		$0$0$881$0$881
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 		Bailey ,  Patricia  
Executive Board
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 		Brandes ,  Ramona   C
Executive Board
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 		Thomas ,  Raymond   E
Executive Board
C		$0$0$1,845$0$1,845
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 		Boultinghouse ,  Rebecca  
Executive Board
C		$0$0$300$0$300
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 		Gower ,  Torry   J
Executive Board
C		$0$0$85$0$85
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 		Lenzi ,  Umberto  
Executive Board
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 		White ,  Vicki   A
Executive Board
C		$0$0$142$0$142
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$257,425$12,240$57,768$0$327,433
Less Deductions    $116,237
Net Disbursements    $211,196
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 542-272

(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 		Bass ,  Tyler  
Field Director
None		$83,504$4,080$4,349$0$91,933
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Bayne ,  Jocelyn  
Organizer
None		$10,956$1,020$774$0$12,750
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Beaulaurier ,  Lisa  
O/R
None		$76,311$4,080$4,843$0$85,234
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Benstead ,  Caitlyn  
Organizer
None		$52,958$4,080$1,260$0$58,298
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Botcheos ,  Marilyn  
O/R
None		$80,045$4,080$4,981$0$89,106
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Bridenstine ,  Caitlyn  
O/R
None		$64,581$4,320$1,471$0$70,372
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Carrillo ,  Manuel  
MRC
None		$47,827$2,000$1,084$0$50,911
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Cowan ,  Rebecca  
bookeeper
None		$72,936$0$697$0$73,633
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		95 % Schedule 19
Administration 		5 %
A
B
C 		Craig ,  Amanda  
MRC
None		$60,778$4,080$3,459$0$68,317
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Crews ,  Victor  
Organizer
None		$56,811$4,080$2,242$0$63,133
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Dale ,  William  
Organizer
None		$49,030$4,080$1,150$0$54,260
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Dillon ,  Paul  
Organizer
None		$79,601$4,080$1,126$0$84,807
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Douglas ,  Durrel  
Pol Organizer
None		$50,531$4,080$687$0$55,298
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Driscoll ,  Don  
Field Director
None		$81,504$4,080$11,327$0$96,911
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Edgerly ,  Louisa  
Organizer
None		$50,109$4,080$2,180$0$56,369
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Flores ,  Patricia  
O/R MRC
None		$51,265$5,120$5,896$0$62,281
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Haick ,  Erin  
Pol Director
None		$42,820$2,210$789$0$45,819
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		70 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Hedlund ,  Jeremy  
Organizer
None		$49,031$4,080$6,324$0$59,435
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Horris ,  Glenda  
Admin
None		$46,533$0$318$0$46,851
I
Schedule 15
Representational Activities 		19 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		75 % Schedule 19
Administration 		5 %
A
B
C 		Jimenez ,  Gerardo  
Communications Dir
None		$25,817$1,190$440$0$27,447
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Kelly ,  Devin  
Organizer
None		$59,082$4,080$1,858$0$65,020
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Kent ,  Damian  
MRC
None		$75,022$4,080$4,404$0$83,506
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		King ,  Christopher  
IT Manager
None		$73,320$0$2,824$0$76,144
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Knowles ,  Anjulie  
O/R
None		$61,485$4,080$3,812$0$69,377
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Kovacik ,  Ida  
O/R
None		$75,919$4,080$5,728$0$85,727
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Laslett ,  Michael  
Strategic P
None		$83,504$4,080$5,185$0$92,769
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Lather ,  Brooke  
Organizer
None		$18,565$0$596$0$19,161
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Lee ,  Jade  
Orgnizer
None		$65,465$4,080$2,812$0$72,357
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Mackenzie ,  Rena  
Exec Assist
None		$85,757$0$1,939$0$87,696
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Mafua ,  Melissa  
O/R
None		$46,144$4,080$1,288$0$51,512
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		McElroy-Ray ,  Shirley  
O/R
None		$68,425$4,080$3,259$0$75,764
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Merklein ,  Miranda  
Organizer
None		$35,118$2,380$3,668$0$41,166
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Metcalf ,  Stephanie  
O/R
None		$76,032$4,080$6,605$0$86,717
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Nyman ,  Shawn  
Organizer
None		$55,538$4,080$3,440$0$63,058
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Palmer ,  Binah  
Communications Dir
None		$31,008$1,700$1,012$0$33,720
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Schleufer ,  Sherry  
O/R
None		$73,557$4,080$9,281$0$86,918
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Sharon ,  Crowley  
Organizer
None		$24,987$2,040$2,197$0$29,224
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Sharp ,  Kristen  
O/R
None		$75,897$4,080$3,061$0$83,038
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Taylor ,  Martha  
Admin Director
None		$77,874$0$2,266$0$80,140
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Thurston ,  David Paul  
Organizer
None		$13,978$850$1,205$0$16,033
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Tippy ,  Brandon  
O/R
None		$76,311$4,080$6,535$0$86,926
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Valtierra ,  Margarita  
O/R
None		$74,270$2,400$9,340$0$86,010
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Vidrio ,  Monica April  
MRC
None		$59,756$6,480$2,710$0$68,946
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Wolk ,  Abby  
O/R
None		$74,379$6,480$4,975$0$85,834
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Wright ,  Linda  
O/R
None		$53,839$4,080$4,098$0$62,017
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Yanover ,  Natasha  
Admin
None		$48,823$0$22$0$48,845
I
Schedule 15
Representational Activities 		19 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		75 % Schedule 19
Administration 		5 %
A
B
C 		Zhu ,  Jia-Jia  
Admin
None		$48,413$0$16$0$48,429
I
Schedule 15
Representational Activities 		19 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		75 % Schedule 19
Administration 		5 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$40,848$340$948$42,136
I Schedule 15
Representational Activities 		88 % Schedule 16
Political Activities and Lobbying 		11 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
Total Employee Disbursements$2,786,264$144,610$150,481$0$3,081,355
Less Deductions    $696,254
Net Disbursements    $2,385,101
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 542-272

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 14,253 
Agency Fee Payers*282
Total Members/Fee Payers14,535 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR DUES/FEES12,466Yes
LOW PAY1,740Yes
RETIRED MEMBERS47Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 542-272

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$1,485,435
2. Named Payer Non-itemized Receipts$13,080
3. All Other Receipts$11,493
4. Total Receipts$1,510,008
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$105,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$20,600
6. Total Disbursements$125,600
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$611,225
2. Named Payee Non-itemized Disbursements$121,602
3. To Officers$139,784
4. To Employees$2,546,729
5. All Other Disbursements$303,532
6. Total Disbursements$3,722,872
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$453,635
2. Named Payee Non-itemized Disbursements$200,527
3. To Officers$70,982
4. To Employees$178,045
5. All Other Disbursements$21,694
6. Total Disbursements$924,883
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$437,513
2. Named Payee Non-itemized Disbursements$0
3. To Officers$37,096
4. To Employees$201,910
5. All Other Disbursements$62,288
6. Total Disbursements$738,807
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$16,601
3. To Officers$79,573
4. To Employees$154,675
5. All Other Disbursements$0
6. Total Disbursements$250,849
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 542-272

Name and Address
(A)
IMAGINE INSTITUTE

1914 N 34TH ST. #100
SEATTLE
WA
98103
Type or Classification
(B)
NONPROFIT ENTITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$56,532
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$56,532
REIMBURSED EXPENSES-SEPTEMBER11/14/2016$18,844
REIMBURSED EXPENSES-OCTOBER11/17/2016$18,844
REIMBURSED EXPENSES-NOVEMBER11/18/2016$18,844
Name and Address
(A)
KING COUNTY
CNK-E9-0323
401 5TH AVENUE
SEATTLE
WA
98104
Type or Classification
(B)
COUNTY AGENCY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$111,925
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$111,925
SETTLEMENT04/14/2016$100,000
SETTLEMENT12/21/2016$11,925
Name and Address
(A)
SEIU INTERNATIONAL UNION

1800 MASSACHUSETTS AVE N
WASHINGTON
DC
20036
Type or Classification
(B)
INTERNATIONAL LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$1,216,491
Total Non-Itemized Transactions with this Payee/Payer$10,620
Total of All Transactions with this Payee/Payer for This Schedule$1,227,111
ORGANIZATION RESOURCE01/08/2016$50,000
CONTRIBUTION TO PAC01/15/2016$174,346
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND02/19/2016$24,810
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND03/04/2016$23,810
ORGANIZATION RESOURCE03/25/2016$90,000
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND04/08/2016$23,923
ORGANIZATION RESOURCE04/15/2016$30,000
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND05/06/2016$22,660
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND05/26/2016$22,420
ORGANIZATION RESOURCE06/03/2016$30,000
ORGANIZATION RESOURCE06/24/2016$30,000
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND07/08/2016$54,008
ORGANIZATION RUW SUPPORT07/29/2016$100,000
ORGANIZATION RUW SUPPORT08/12/2016$100,000
CONTRIBUTION TO PAC08/12/2016$136,762
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND08/26/2016$30,000
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND09/02/2016$46,315
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND10/07/2016$23,671
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND10/28/2016$20,167
ORGANIZATION RUW SUPPORT11/03/2016$50,000
ORGANIZATION RESOURCE11/18/2016$30,000
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND12/02/2016$23,030
ORGANIZATION RESOURCE12/09/2016$30,000
PER CAPITA REBATE- LOW DUES PAYERS/UNITY FUND12/30/2016$50,569
Name and Address
(A)
SKAGIT VALLEY COLLEGE

2405 W COLLEGE WAY
MT VERNON
WA
98273
Type or Classification
(B)
COLLEGE
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
MEMBER BENEFIT/IMAGINE INSTITUTE REPAYMENT07/29/2016$10,000
Name and Address
(A)
STATE OF WASHINGTON DSHS
41434

OLYMPIA
WA
98504
Type or Classification
(B)
STATE AGENCY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$90,487
Total Non-Itemized Transactions with this Payee/Payer$2,460
Total of All Transactions with this Payee/Payer for This Schedule$92,947
TRAINING REIMBURSEEMENT02/03/2016$15,517
TRAINING REIMBURSEEMENT06/13/2016$14,088
TRAINING REIMBURSEEMENT07/15/2016$45,882
TRAINING REIMBURSEEMENT08/16/2016$15,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 542-272

Name and Address
(A)
AAA Mailing Services, Inc.

151 S LANDER ST, SUITE C
SEATTLE
WA
98134
Type or Classification
(B)
POSTAGE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,184
Total of All Transactions with this Payee/Payer for This Schedule$10,184
Name and Address
(A)
Abracadabra Printing

6250 STANLEY AVE SOUTH
SEATTLE
WA
98108
Type or Classification
(B)
PRINTING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,145
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,145
MEMBERSHIP MAILERS01/29/2016$5,145
Name and Address
(A)
Alaska Airlines
68900

SEATTLE
WA
98168
Type or Classification
(B)
AIRFARE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,118
Total of All Transactions with this Payee/Payer for This Schedule$9,118
Name and Address
(A)
Change Works

10010 61st AVE S
SEATTLE
WA
98178
Type or Classification
(B)
CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$35,387
Total Non-Itemized Transactions with this Payee/Payer$3,515
Total of All Transactions with this Payee/Payer for This Schedule$38,902
Consulting08/09/2016$6,745
Consulting09/23/2016$6,721
Consulting10/07/2016$8,360
Consulting11/15/2016$6,626
Consulting12/15/2016$6,935
Name and Address
(A)
Comfort Inn and Suites- Seatac

19333 INTERNATIONAL BLVD
SEATAC
WA
98188
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,024
Total of All Transactions with this Payee/Payer for This Schedule$7,024
Name and Address
(A)
Delta Airlines

17801 INTERNATIONAL BLVD
SEATTLE
WA
98158
Type or Classification
(B)
AIRFARE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,804
Total of All Transactions with this Payee/Payer for This Schedule$11,804
Name and Address
(A)
Douglas, Drachler & McKee

1904 3RD AVE
SEATTLE
WA
98101
Type or Classification
(B)
ATTORNEY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$143,116
Total Non-Itemized Transactions with this Payee/Payer$23,858
Total of All Transactions with this Payee/Payer for This Schedule$166,974
Legal fees related to organizing & membership08/04/2016$49,379
Legal fees related to organizing & membership08/30/2016$19,101
Legal fees related to organizing & membership09/30/2016$21,673
Legal fees related to organizing & membership10/14/2016$19,998
Legal fees related to organizing & membership11/30/2016$16,293
Legal fees related to organizing & membership12/20/2016$16,672
Name and Address
(A)
Ingallina's Box Lunch, Inc.

135 S LUCILLE ST
SEATTLE
WA
98108
Type or Classification
(B)
FOOD SERVICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,041
Total of All Transactions with this Payee/Payer for This Schedule$6,041
Name and Address
(A)
Marriott Detroit

100 RENAISSANCE CENTER
DETROIT
MI
48243
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,057
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,057
Convention06/27/2016$9,057
Name and Address
(A)
Marysville School District

4220 80th St NE
MARYSVILLE
WA
98270
Type or Classification
(B)
SCHOOL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,206
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$14,206
BARGAINING UNIT RELEASES08/04/2016$14,206
Name and Address
(A)
Nation Builder

520 S GRAND AVE
LOS ANGELES
CA
90071
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,154
Total of All Transactions with this Payee/Payer for This Schedule$7,154
Name and Address
(A)
Overnight Printing and Graphics

2412 1st AVENUE S
SEATTLE
WA
98134
Type or Classification
(B)
PRINTING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,613
Total of All Transactions with this Payee/Payer for This Schedule$9,613
Name and Address
(A)
Schwerin Campbell Bernard Iglitzin Lavitt

18 W MERCER ST
SEATTLE
WA
98119
Type or Classification
(B)
ATTORNEY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$318,994
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$318,994
Legal01/29/2016$17,906
Legal02/29/2016$22,292
Legal03/31/2016$25,034
Legal04/29/2016$39,616
Legal05/31/2016$39,728
Legal07/28/2016$23,336
Legal08/19/2016$24,507
Legal08/31/2016$39,656
Legal09/30/2016$10,514
Legal10/31/2016$24,292
Legal11/30/2016$19,229
Legal12/20/2016$32,884
Name and Address
(A)
Service Printing Company, Inc.
106
3837 13TH AVE W
SEATTLE
WA
98119
Type or Classification
(B)
PRINTING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,855
Total of All Transactions with this Payee/Payer for This Schedule$15,855
Name and Address
(A)
SEIU-CC, LLC

330 W 42nd St #7
NEW YORK
NY
10036
Type or Classification
(B)
PREDICTIVE DIALER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,881
Total Non-Itemized Transactions with this Payee/Payer$3,789
Total of All Transactions with this Payee/Payer for This Schedule$10,670
Communication07/28/2016$6,881
Name and Address
(A)
Summit Strategy

8182 MARYLAND AVE # 600
ST. LOUIS
MO
63105
Type or Classification
(B)
CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,693
Total of All Transactions with this Payee/Payer for This Schedule$5,693
Name and Address
(A)
Team Soapbox LLC

2815 2ND AVE SUITE 555
SEATTLE
WA
98121
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$69,896
Total Non-Itemized Transactions with this Payee/Payer$1,000
Total of All Transactions with this Payee/Payer for This Schedule$70,896
Faculty Communications Support05/12/2016$15,981
Faculty Communications Support06/03/2016$13,915
Faculty Communications Support07/28/2016$10,000
Faculty Communications Support08/04/2016$6,000
Faculty Communications Support09/01/2016$6,000
Faculty Communications Support09/23/2016$6,000
Faculty Communications Support10/27/2016$6,000
Faculty Communications Support11/23/2016$6,000
Name and Address
(A)
Trade Printery

317 S BENNETT ST
SEATTLE
WA
98108
Type or Classification
(B)
PRINTING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,543
Total Non-Itemized Transactions with this Payee/Payer$6,954
Total of All Transactions with this Payee/Payer for This Schedule$15,497
RATIFICATION MAILERS & MEMBER CARDS10/27/2016$8,543
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 542-272

Name and Address
(A)
CAMPAIGN TO PREVENT FRAUD
12327

SEATTLE
WA
98111
Type or Classification
(B)
POLITICAL FUND
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$250,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$250,000
CONTRIBUTIONS09/01/2016$200,000
CONTRIBUTIONS11/07/2016$50,000
Name and Address
(A)
FUSE VOTE

1402 Third Avenue #406
SEATTLE
WA
98101
Type or Classification
(B)
POLITICAL FUND
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$17,000
CONTRIBUTIONS09/01/2016$9,000
CONTRIBUTIONS11/10/2016$8,000
Name and Address
(A)
HOME SUITES

206 WESTERN AVE W.
SEATTLE
WA
98119
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,514
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,514
Convention12/12/2016$6,514
Name and Address
(A)
IMAGE POINTE

1224 LA PORTE RD
WATERLOO
IA
50702
Type or Classification
(B)
RETAIL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,999
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$8,999
APPAREL10/21/2016$8,999
Name and Address
(A)
RAISE UP WASHINGTON

603 STEWART ST #819
SEATTLE
WA
98101
Type or Classification
(B)
POLITICAL FUND
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
CONTIRBUTIONS09/01/2016$50,000
Name and Address
(A)
SOUTH COVE STRATEGIES

1752 NW MARKET ST. #708
SEATTLE
WA
98107
Type or Classification
(B)
CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$40,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$40,000
Lobbying Service 07/28/2016$40,000
Name and Address
(A)
THE TRUMAN FUND
9100

SEATTLE
WA
98109
Type or Classification
(B)
POLITICAL FUND
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$40,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$40,000
CONTRIBUTION09/01/2016$40,000
Name and Address
(A)
WA STATE DEMOCRATIC CENTRAL COMM
4027

SEATTLE
WA
98194
Type or Classification
(B)
POLITICAL FUND
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
CONTIRBUTIONS10/07/2016$25,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 542-272

Name and Address
(A)
PUGET SOUND SAGE

1032 S JACKSON ST # 203
SEATTLE
WA
98101
Type or Classification
(B)
CONTRIBUTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
CONTRIBUTION11/15/2016$5,000
Name and Address
(A)
THE IMAGINE INSTITUTE

1914 N 34TH ST. #100
SEATTLE
WA
98103
Type or Classification
(B)
CONTRIBUTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$100,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$100,000
CONTRIBUTION07/01/2016$100,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 542-272

Name and Address
(A)
9TO5 LLC YATE WOOD CLIENT TRUST

425 PONTIUS AVE N
SEATTLE
WA
98109
Type or Classification
(B)
LANDLORD
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$307,584
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$307,584
RENT01/31/2016$25,632
RENT02/29/2016$25,632
RENT03/30/2016$25,632
RENT04/29/2016$25,632
RENT05/31/2016$25,632
RENT06/29/2016$25,632
RENT07/28/2016$25,632
RENT08/30/2016$25,632
RENT09/28/2016$25,632
RENT10/31/2016$25,632
RENT11/30/2016$25,632
RENT12/20/2016$25,632
Name and Address
(A)
CENTURY LINK

1600 7TH AVE
SEATTLE
WA
98191
Type or Classification
(B)
COMMUNICATION PROVIDER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,147
Total of All Transactions with this Payee/Payer for This Schedule$10,147
Name and Address
(A)
CLARK AND SAMPSON, INC.
200
28 S WASHINGTON ST
ALEXANDRIA
VA
22315
Type or Classification
(B)
INSURANCE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,972
Total Non-Itemized Transactions with this Payee/Payer$398
Total of All Transactions with this Payee/Payer for This Schedule$21,370
INSURANCE01/29/2016$20,972
Name and Address
(A)
CLIFTONLARSONALLEN LLP

10700 NORTHUP WAY STE 200
BELLEVUE
WA
98004
Type or Classification
(B)
CPA FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,565
Total Non-Itemized Transactions with this Payee/Payer$11,210
Total of All Transactions with this Payee/Payer for This Schedule$28,775
AUDIT AND TAX04/06/2016$17,565
Name and Address
(A)
ELECTRIC LIGHTWAVE

300 ELLIOTT AVE W STE 580
SEATTLE
WA
98119
Type or Classification
(B)
PHONE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,195
Total of All Transactions with this Payee/Payer for This Schedule$20,195
Name and Address
(A)
ETBA

2810 LOMBARD AVE
EVERETT
WA
98201
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$13,272
Total of All Transactions with this Payee/Payer for This Schedule$13,272
Name and Address
(A)
HONDA FINANCE
60001

CITY OF INDUSTRY
CA
91716
Type or Classification
(B)
VEHICLE LEASE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,856
Total of All Transactions with this Payee/Payer for This Schedule$7,856
Name and Address
(A)
JAEKLE GROUP INC.

1414 HIGHLAND RD
MACEDONIA
OH
44056
Type or Classification
(B)
COMPUTER CONSULTING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$34,244
Total Non-Itemized Transactions with this Payee/Payer$7,692
Total of All Transactions with this Payee/Payer for This Schedule$41,936
CONSULTING11/23/2016$7,338
CONSULTING12/19/2016$26,906
Name and Address
(A)
LAKESHORE LEARNING MATERIALS


BELLEVUE
WA
98004
Type or Classification
(B)
SUPPLIER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,159
Total Non-Itemized Transactions with this Payee/Payer$5,893
Total of All Transactions with this Payee/Payer for This Schedule$31,052
LEARNING SUPPLY06/08/2016$13,740
LEARNING SUPPLY06/16/2016$5,145
LEARNING SUPPLY06/27/2016$6,274
Name and Address
(A)
NORTHERN PACIFIC DIGITAL

110 S 9TH ST # 200
TACOMA
WA
98402
Type or Classification
(B)
CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,380
Total of All Transactions with this Payee/Payer for This Schedule$11,380
Name and Address
(A)
OFFICE DEPOT

6600 NORTH MILITARY RD TR
BOCA RATON
FL
33496
Type or Classification
(B)
OFFICE SUPPLY RETAILER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$21,022
Total of All Transactions with this Payee/Payer for This Schedule$21,022
Name and Address
(A)
PAYCHEX

20829 72ND AVE S
KENT
WA
98032
Type or Classification
(B)
PAYROLL PROVIDER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,926
Total of All Transactions with this Payee/Payer for This Schedule$13,926
Name and Address
(A)
RIES PRODUCTIONS LLC

2600 BURWELL ST
BREMERTON
WA
98312
Type or Classification
(B)
CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,100
Total of All Transactions with this Payee/Payer for This Schedule$6,100
Name and Address
(A)
STATE OF WA DISCLOSURE COMMISSION
40908

OLYMPIA
WA
98504
Type or Classification
(B)
POLITICAL ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$31,716
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$31,716
SETTLEMENT03/01/2016$10,871
SETTLEMENT03/01/2016$20,845
Name and Address
(A)
TEAMSTERS LOCAL 231

1700 N STATE ST PO BOX H
BELLINGHAM
WA
98227
Type or Classification
(B)
LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,400
Total of All Transactions with this Payee/Payer for This Schedule$8,400
Name and Address
(A)
TERRA STAFFING GROUP

1000 SE EVERETT W ST 301
EVERETT
WA
98208
Type or Classification
(B)
STAFFING AGENCY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,073
Total of All Transactions with this Payee/Payer for This Schedule$13,073
Name and Address
(A)
THE HARTFORD

277 PARK AVE
NEW YORK
NY
10172
Type or Classification
(B)
INSURANCE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,895
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,895
INSURANCE08/04/2016$6,895
Name and Address
(A)
UNION WARE

260 SAULTEAUX CRESENT
WINNEPEG
00
Type or Classification
(B)
CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,500
Total Non-Itemized Transactions with this Payee/Payer$22,593
Total of All Transactions with this Payee/Payer for This Schedule$32,093
MONTHLY SUPPORT FOR DATABASE12/19/2016$9,500
Name and Address
(A)
XEROX CORPORATION

45 GLOVER AVE
NORWALK
CT
68500
Type or Classification
(B)
OFFICE EQUIPMENT LEASE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$27,370
Total of All Transactions with this Payee/Payer for This Schedule$27,370
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 542-272

Name and Address
(A)
PITNEY BOWES CREDIT CORP

2225 AMERICAN DRIVE
NEENAH
WI
54956
Type or Classification
(B)
POSTAGE MACHINE LEASE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,601
Total of All Transactions with this Payee/Payer for This Schedule$16,601
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 542-272

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,184,351
PENSION PLANSEIU PENSION$598,872
HEALTH INSURANCEHEALTH CARE AUTHORITY$585,344
LIFE INSURANCESEIU PENSION$135
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 542-272


Question 11(a):

Question 11(a): : Service Employees International Union Local 925 Public Service PAC. EIN 45-4750032

Question 12: CliftonLarsonAllen LLP performed an audit of the organization's financial statements.

Schedule 13, Row1:Regular full dues members

Schedule 13, Row2:Regular members pay reduced dues.

Schedule 13, Row3:Retired members have voting rights but do not pay full dues.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)