U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210
FORM LM-3 LABOR ORGANIZATION ANNUAL REPORT Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 07-31-2019
FOR USE ONLY BY LABOR ORGANIZATIONS WITH LESS THAN $250,000 IN TOTAL ANNUAL RECEIPTS

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
544-897
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 - Is this a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
SERVICE EMPLOYEES
5. DESIGNATION (Local, Lodge, etc.)
SYSTEM COUNCIL
6. DESIGNATION NBR

7. UNIT NAME (if any)
COLORADO STATE COUNCIL
8. MAILING ADDRESS (Type or print in capital letters)
First Name
LAUREN
Last Name
MARTENS
P.O Box - Building and Room Number
SECOND FLOOR
Number and Street
2525 WEST ALAMEDA AVENUE
City
DENVER
State
CO
ZIP Code + 4
80219


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 VI on penalties in the instructions.)
57. SIGNED:Ronald P RuggieroPRESIDENT58. SIGNED:Timothy R MarkhamTREASURER
Date:Mar 31, 2017Contact Info:303-408-1390Date:Mar 30, 2017Contact Info:303-937-6455
Form LM-3 (Revised 2016)
FILE NUMBER: 544-897

During the Reporting Period Did Your Organization:
10. Have a "subsidiary organization" as defined in Section X of the instructions?No
11. Create or participate in the administration of a trust or other fund or organization which provides benefits for members or their beneficiaries?No
12. Have a Political Action Committee (PAC) fund?No
13. Acquire or dispose of any goods or property in any manner other than purchase or sale?No
14. Have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?No
15. Discover any loss or shortage of funds or other property? (Answer "Yes" even if there has been repayment or recovery.)No
16.Have any officer who was paid $10,000 or more by your organization and also received $10,000 or more as an officer or employee of another labor organization or of an employee benefit plan?No
17. Pay any employee salary, allowances, and other expenses which, together with any payments from affiliates, totaled more than $10,000?Yes
18. Have loans totaling more than $250 to any officer, employee, or member, or make any loans to a business enterprise?No
19. How many members did your organization have at the end of the reporting period?2
20. What is the maximum amount recoverable under your organization's fidelity bond for a loss caused by any officer or employee of your organization?$0
21. During the reporting period, did your 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
22. What is the date of the labor organization's next regular election of officers?01/2020
23. What are the labor organization's rates of dues and fees?

Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees$0.50perCapita$0.05$0.50
(b) Initiation FeesN/AperN/AN/AN/A
(c) Transfer FeesN/AperN/AN/AN/A
(d) Work PermitsN/AperN/AN/AN/A

Form LM-3 (Revised 2016)
24. ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 544-897

(A) Name (List all persons who held office during the reporting period even if they received no salary or other disbursements) Gross Salary (before taxes and other deductions)
(D)
Allowances and Other Disbursements
(E)
TOTAL
(F)
(B) Title (Enter title of officer, such as PRESIDENT or TREASURER) (C) Status *
Total Disbursements to Officers $0$0$0
Less Deductions $0
The Total from Net Disbursements will be entered in Item 45 Net Disbursements $0
** Code (C) Status: past officer - P; continuing officer - C;
new officer during the reporting period - N.
(If any officer was not elected at a regular election in accordance with your organzation's constitution and bylaws, explain in Item 56.)
RUGGIERORON
$0$0$0
 PRESIDENT C
MARKHAMTIMOTHY
$0$0$0
 SEC/TREASURER C
Form LM-3 (Revised 2016)

STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 544-897

ASSETS Start of Reporting Period
(A)
End of Reporting Period
(B)
25. Cash$32,034$27,270
26. Loans Receivable$0$0
27. U.S. Treasury Securities$0$0
28. Investments$0$0
29. Fixed Assets$0$0
30. Other Assets$0$0
31. TOTAL ASSETS$32,034$27,270
LIABILITIES Start of Reporting Period
(C)
End of Reporting Period
(D)
32. Accounts Payable$0$0
33. Loans Payable$0$0
34. Mortgages Payable$0$0
35. Other Liabilities$0$0
36. TOTAL LIABILITIES$0$0
   
37. NET ASSETS$32,034$27,270

STATEMENT B - RECEIPTS AND DISBURSEMENTS
CASH RECEIPTSAMOUNT
38. Dues$51,664
39. Per Capita Tax$0
40. Fees, Fines, Assessments, Work Permits$0
41. Interest and Dividends$0
42. Sale of Investments and Fixed Assets$0
43. Other Receipts$100,000
44. TOTAL RECEIPTS$151,664
If total receipts reported in Item 44 are $250,000 or more, your organization must file Form LM-2 instead of this form.
CASH DISBURSEMENTSAMOUNT
45. To Officers (from item 24)$0
46. To Employees (less deductions)$74,711
47. Per Capita Tax$0
48. Office and Administrative Expense$16,806
49. Professional Fees$9,400
50. Benefits$32,740
51. Contributions, Gifts, and Grants$20,000
52. Purchase of Investments and Fixed Assets$0
53. Loans Made$0
54. Other Disbursements$2,771
55. TOTAL DISBURSEMENTS$156,428
Form LM-3 (Revised 2016)
56. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 544-897



Question 17: Lauren Martens is the Executive Director and received compensation from SEIU Colorado State Council of $74,711.

Form LM-3 (Revised 2016)