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
019-804
2.
PERIOD COVERED
From
01/01/2016
Through
12/31/2016
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
6
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
SERGIO A
Last Name
SALINAS
P.O Box - Building and Room Number
P.O. BOX 3716
Number and Street
3720 AIRPORT WAY SOUTH
City
SEATTLE
State
WA
ZIP Code + 4
981243716
9. Are your organization's records kept at its
mailing address?
Yes
Each of the undersigned, duly authorized
officers of the above labor organization, declares,
under penalty of perjury and other applicable penalties
of law, that all of the information submitted in this
report (including information contained in any
accompanying documents) has been examined by the
signatory and is, to the best of the undersigned
individual's knowledge and belief, true, correct
and complete (See Section V on penalties in the
instructions.)
70. SIGNED:
Sergio A Salinas
PRESIDENT
71. SIGNED:
Yasmin Aden
TREASURER
Date:
Mar 31, 2017
Telephone
Number:
206-448-7348
Date:
Mar 30, 2017
Telephone
Number:
206-448-7348
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
019-804
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?
Yes
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?
$317,500
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
No
16. Were any of the labor organization's
assets pledged as security or encumbered in any way at the
end of the reporting period?
No
17. Did the labor organization have any
contingent liabilities at the end of the reporting period?
No
18. During the reporting period did the labor
organization have any changes in its constitution or
bylaws, other than rates of dues and fees, or in
practices/procedures listed in the instructions?
No
19. What is the date of the labor
organization's next regular election of officers?
12/2017
20. How many members did the labor organization
have at the end of the reporting period?
5,669
21. What are the labor organization's rates of dues
and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
.024
per
$1
0
0
(b) Working Dues/Fees
per
(c) Initiation Fees
per
(d) Transfer Fees
per
(e) Work Permits
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
019-804
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$406,788
$667,352
23. Accounts Receivable
1
$264,702
$354,862
24. Loans Receivable
2
$8,856
$1,800
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
27. Fixed Assets
6
28. Other Assets
7
$563,881
$563,881
29.
TOTAL ASSETS
$1,244,227
$1,587,895
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$128,684
$118,797
31. Loans Payable
9
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$18,992
34. TOTAL
LIABILITIES
$128,684
$137,789
35. NET
ASSETS
$1,115,543
$1,450,106
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
019-804
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$3,351,332
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$0
39. Sale of Supplies
$0
40. Interest
$325
41. Dividends
$0
42. Rents
$0
43. Sale of Investments
and Fixed Assets
3
44. Loans Obtained
9
45. Repayments of Loans
Made
2
$10,656
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$23,721
48. Other Receipts
14
$257,892
49. TOTAL RECEIPTS
$3,643,926
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$1,396,850
51.
Political Activities and Lobbying
16
$72,339
52.
Contributions, Gifts, and Grants
17
$40,405
53. General
Overhead
18
$323,836
54. Union
Administration
19
$172,805
55. Benefits
20
$440,202
56. Per
Capita Tax
$808,570
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$7,171
61. Loans
Made
2
$5,450
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$23,309
65. Direct
Taxes
$97,163
66. Subtotal
$3,388,100
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$319,415
67b. Less Total
Disbursed
$314,677
67c.
Total Withheld But Not Disbursed
$4,738
68.
TOTAL DISBURSEMENTS
$3,383,362
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
019-804
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
$319,456
$0
$0
$0
Totals from all other
accounts receivable
$35,406
$0
$0
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$354,862
$0
$0
$0
Able Bldg Maintenance
$26,038
Alliance Bldg Services
$22,497
Pacific Bldg Services
$20,821
Universal Protection Services
$20,465
G2 Secure Staffing
$18,516
Securitas
$14,159
Cascadian Bldg Maint
$13,274
Star Protection Serv
$12,222
Allied Universal Protection
$9,687
Huntleigh Corp
$8,125
Seattle Maint Serv
$7,970
GCA Services Group
$7,925
Metropolitan Bldg Serv
$7,696
G4s
$5,134
ABM Janitorial
$63,470
seiu
$61,457
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
019-804
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)
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:
019-804
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$6,454
$0
$7,171
Window coverings for lobby
$1,154
$1,871
Desk top computers - 2
$2,609
$2,609
Cubicles/work stations - 4
$2,691
$2,691
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$7,171
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
019-804
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:
019-804
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
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
019-804
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$563,881
year end
$563,881
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
019-804
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
$106,600
$0
$0
$0
Total from all other accounts payable
$12,197
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$118,797
$0
$0
$0
SEIU
$65,656
$0
$0
$0
Service Employees Health & Welfare Trust
$15,257
$0
$0
$0
SEIU Affiliates Officers
$20,549
$0
$0
$0
SEIU WA State Council
$5,138
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
019-804
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 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
019-804
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$18,992
offset existing leases
$18,992
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
019-804
(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
Alden
,
John
R member C
$600
$600
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Almejo
,
Adriana
L vice president C
$600
$897
$1,497
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Berkbigler
,
Bruce
member C
$500
$500
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Daud
,
Fatuma
member C
$550
$0
$3,003
$3,553
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Dinagde
,
Tulu
member C
$600
$0
$779
$1,379
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Foster
,
Allan
G member C
$550
$0
$0
$550
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Garcia Sanchez
,
Jesus
member C
$550
$200
$750
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Jackson
,
Ashley
member N
$600
$200
$326
$1,126
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Kalabic
,
Amir
member C
$600
$200
$51
$851
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Miles
,
David
member P
$100
$0
$100
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Pannell
,
Charles
vice president C
$600
$200
$0
$800
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Quinonez
,
Ernesto
member P
$50
$0
$50
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Walker
,
Bryce
D member P
$250
$250
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Salinas
,
Sergio
A president C
$107,238
$1,598
$108,836
I
Schedule 15
Representational Activities
85
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
Schedule 18
General Overhead
5
%
Schedule 19
Administration
5
%
A
B
C
Aden
,
Yasmen
secretary treasurer C
$65,783
$0
$65,783
I
Schedule 15
Representational Activities
90
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
5
%
Total Officer
Disbursements
$179,171
$800
$6,654
$0
$186,625
Less Deductions
Net
Disbursements
$186,625
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
019-804
(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
Cifuentes
,
Frank
organizer none
$12,599
$215
$12,814
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Duenas
,
Jorge
organizer none
$89,377
$4,628
$94,005
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Haney
,
Matthew
organizer none
$85,080
$1,803
$86,883
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
20
%
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Hankic
,
Erna
organizer none
$96,908
$1,612
$98,520
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Javalera
,
Zenia
organizer none
$70,832
$1,601
$72,433
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Klym
,
Graham
Admin none
$54,175
$371
$54,546
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100
%
A
B
C
Malaba
,
Patience
organizer none
$44,524
$3,661
$48,185
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Manago
,
Lance
organizer none
$19,674
$1,743
$21,417
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Montgomery
,
Eldean
M Admin none
$86,486
$8,993
$95,479
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
5
%
Schedule 19
Administration
95
%
A
B
C
Norris
,
Robert
C organizer none
$22,921
$411
$23,332
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
Ogbe
,
Elsa
organizer none
$63,042
$3,252
$66,294
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Phung
,
Kiet
organizer none
$25,758
$1,177
$26,935
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Prockiw
,
Fred
T organizer none
$99,846
$2,965
$102,811
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Ramirez
,
Greg
organizer none
$72,081
$2,513
$74,594
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Rayfield
,
Angela
M organizer none
$55,404
$2,499
$57,903
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Sandoval
,
Juan
Admin none
$17,615
$17,615
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
Walker
,
Bryce
organizer none
$14,290
$638
$14,928
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Way
,
Margaret
Admin none
$51,972
$51,972
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
Yussuf
,
Abdi
organizer none
$48,614
$1,050
$49,664
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
80
%
Schedule 17
Contributions
Schedule 18
General Overhead
20
%
Schedule 19
Administration
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$66,545
$2,359
$68,904
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total
Employee Disbursements
$1,097,743
$0
$41,491
$0
$1,139,234
Less
Deductions
Net Disbursements
$1,139,234
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
019-804
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
5,669
Agency Fee Payers*
7
Total Members/Fee Payers
5,676
*Agency Fee Payers are
not considered members of the labor organization.
regular
4,475
Yes
low dues members
1,181
Yes
retired and associate members
13
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
019-804
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$178,608
2. Named Payer
Non-itemized Receipts
$79,284
3. All Other Receipts
$0
4. Total
Receipts
$257,892
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$23,800
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$16,605
6. Total
Disbursements
$40,405
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$120,732
2. Named Payee
Non-itemized Disbursements
$230,564
3. To Officers
$163,722
4. To Employees
$829,249
5. All Other
Disbursements
$52,583
6. Total
Disbursements
$1,396,850
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$119,133
2. Named Payee
Non-itemized Disbursements
$71,567
3. To Officers
$5,442
4. To Employees
$107,626
5. All Other
Disbursements
$20,068
6. Total
Disbursements
$323,836
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$6,500
3. To Officers
$8,731
4. To Employees
$57,108
5. All Other
Disbursements
$0
6. Total
Disbursements
$72,339
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$16,000
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$8,731
4. To Employees
$145,251
5. All Other
Disbursements
$2,823
6. Total
Disbursements
$172,805
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
019-804
Name and Address
(A)
SEIU
1800 Massachusetts Ave NW Washington DC 20036
Type or Classification
(B)
growth
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$178,608
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$178,608
growth
02/05/2016
$14,884
growth
02/05/2016
$14,884
growth
03/04/2016
$14,884
growth
04/08/2016
$14,884
growth
05/06/2016
$14,884
growth
06/03/2016
$14,884
growth
07/08/2016
$14,884
growth
08/04/2016
$14,884
growth
09/02/2016
$14,884
growth
10/07/2016
$14,884
growth
11/04/2016
$14,884
growth
12/02/2016
$14,884
Name and Address
(A)
SEIU
1800 Massachusetts Ave NW Washington DC 20036
Type or Classification
(B)
per cap rebate;ieb subs;travel;blitz
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$79,284
Total of All Transactions with this
Payee/Payer for This Schedule
$79,284
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
019-804
Name and Address
(A)
Able Building Maintenance 39000
San Francisco CA 94139
Type or Classification
(B)
time loss members
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,944
Total
Non-Itemized Transactions with this Payee/Payer
$13,157
Total of All Transactions with this
Payee/Payer for This Schedule
$20,101
time loss members
10/12/2016
$6,944
Name and Address
(A)
Alaska Air
20313 28th Ave S SeaTac WA 98198
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
$16,229
Total of All Transactions with this
Payee/Payer for This Schedule
$16,229
Name and Address
(A)
Alliance Building Services
345 118th Ave SE #120 Bellevue WA 98005
Type or Classification
(B)
time loss members
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,603
Total of All Transactions with this
Payee/Payer for This Schedule
$5,603
Name and Address
(A)
American Building Maintenance
2001 22nd Ave South Seattle WA 98144
Type or Classification
(B)
time loss members
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$23,160
Total
Non-Itemized Transactions with this Payee/Payer
$7,860
Total of All Transactions with this
Payee/Payer for This Schedule
$31,020
time loss
01/21/2016
$6,938
time loss
12/20/2016
$16,222
Name and Address
(A)
Data Management Consultants
10445 SW Canyon Rd #26 Beaverton OR 97005
Type or Classification
(B)
hardware/software/network
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$9,418
Total of All Transactions with this
Payee/Payer for This Schedule
$9,418
Name and Address
(A)
De Lage Landen Financial Services 41602
Philadelphia PA 19101
Type or Classification
(B)
copier/printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$13,853
Total of All Transactions with this
Payee/Payer for This Schedule
$13,853
Name and Address
(A)
Delta Airlines
Delta.com Atlanta GA 30320
Type or Classification
(B)
air travel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$21,316
Total of All Transactions with this
Payee/Payer for This Schedule
$21,316
Name and Address
(A)
ESA Las Vegas
4270 S Valley View Blvd Las Vegas NV 89103
Type or Classification
(B)
rooms
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,214
Total of All Transactions with this
Payee/Payer for This Schedule
$10,214
Name and Address
(A)
GCA Service Group
312 Dexter N Seattle WA 98109
Type or Classification
(B)
time loss members
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,743
Total of All Transactions with this
Payee/Payer for This Schedule
$6,743
Name and Address
(A)
Image Point 657
Waterloo IA 50704
Type or Classification
(B)
shirts
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$11,005
Total of All Transactions with this
Payee/Payer for This Schedule
$11,005
Name and Address
(A)
Pacific Office Automation 51043
Los Angeles CA 90051
Type or Classification
(B)
copier/printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$23,318
Total of All Transactions with this
Payee/Payer for This Schedule
$23,318
Name and Address
(A)
Schwerin Campbell Barnard
18 W Mercer St #400 Seattle WA 98119
Type or Classification
(B)
attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$47,878
Total
Non-Itemized Transactions with this Payee/Payer
$19,271
Total of All Transactions with this
Payee/Payer for This Schedule
$67,149
guidance
03/17/2016
$6,137
guidance
04/21/2016
$6,158
guidance
07/26/2016
$11,140
guidance
08/22/2016
$7,489
guidance
09/14/2016
$8,077
guidance
10/24/2016
$8,877
Name and Address
(A)
Service Printing Co
3837 13th Avenue West Seattle WA 98119
Type or Classification
(B)
printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,147
Total of All Transactions with this
Payee/Payer for This Schedule
$7,147
Name and Address
(A)
South Seattle College
6000 16th Ave SW Seattle WA 98106
Type or Classification
(B)
meeting venue
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$15,179
Total of All Transactions with this
Payee/Payer for This Schedule
$15,179
Name and Address
(A)
Spectra
409B Maynard Ave S Seattle WA 98104
Type or Classification
(B)
communication
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$42,750
Total
Non-Itemized Transactions with this Payee/Payer
$923
Total of All Transactions with this
Payee/Payer for This Schedule
$43,673
communications
04/05/2016
$6,250
communications
05/19/2016
$8,000
communications
06/03/2016
$6,250
communications
07/06/2016
$8,000
communications
09/12/2016
$6,250
communications
11/29/2016
$8,000
Name and Address
(A)
STAR Protection Agency
345 118th Ave SE #200 Bellevue WA 98005
Type or Classification
(B)
time loss members
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$11,178
Total of All Transactions with this
Payee/Payer for This Schedule
$11,178
Name and Address
(A)
US Postmaster 84927
seattle WA 98124
Type or Classification
(B)
mailing
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,880
Total of All Transactions with this
Payee/Payer for This Schedule
$5,880
Name and Address
(A)
Verizon Wireless 660108
Dallas TX 75266
Type or Classification
(B)
cell phones
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$12,201
Total of All Transactions with this
Payee/Payer for This Schedule
$12,201
Name and Address
(A)
Xerox Corp 7405
Pasadena CA 91109
Type or Classification
(B)
copier/printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$20,069
Total of All Transactions with this
Payee/Payer for This Schedule
$20,069
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
019-804
Name and Address
(A)
SEIU Local 6 PAC
3720 Airport Wy S Seattle WA 98134
Type or Classification
(B)
social justice org
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,500
Total of All Transactions with this
Payee/Payer for This Schedule
$6,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
019-804
Name and Address
(A)
Church Council of Greater Seattle
2701 1st Ave, Suite 240 Seattle WA 98121
Type or Classification
(B)
social justice org
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,000
Total of All Transactions with this
Payee/Payer for This Schedule
$5,000
Name and Address
(A)
One America
1225 S Weller #430 Seattle WA 98144
Type or Classification
(B)
social justice org
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,000
Total of All Transactions with this
Payee/Payer for This Schedule
$5,000
Name and Address
(A)
Puget Sound SAGE
1032 S Jackson St #203 Seattle WA 98104
Type or Classification
(B)
social justice org
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,800
Total of All Transactions with this
Payee/Payer for This Schedule
$8,800
Name and Address
(A)
SEIU
1800 Massachusetts Ave NW Washington DC 20036
Type or Classification
(B)
member and family support fund
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,000
Total of All Transactions with this
Payee/Payer for This Schedule
$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
019-804
Name and Address
(A)
B Force Protection Security Inc 88143
Tukwila VT 98138
Type or Classification
(B)
security services
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$58,670
Total of All Transactions with this
Payee/Payer for This Schedule
$58,670
Name and Address
(A)
Brown & Brown 1718
Tacoma WA 98401
Type or Classification
(B)
insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,340
Total
Non-Itemized Transactions with this Payee/Payer
$2,560
Total of All Transactions with this
Payee/Payer for This Schedule
$12,900
annual policy
10/03/2016
$10,340
Name and Address
(A)
Mahrt & Associates PLLC
33308 13th Pl S #1 Federal Way WA 98003
Type or Classification
(B)
accounting firm
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$18,000
Total
Non-Itemized Transactions with this Payee/Payer
$10,000
Total of All Transactions with this
Payee/Payer for This Schedule
$28,000
audit
02/08/2016
$8,975
audit
03/30/2016
$9,025
Name and Address
(A)
Marriott Hotel
1 Microsoft Way Redmond WA 98052
Type or Classification
(B)
rooms
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,793
Total
Non-Itemized Transactions with this Payee/Payer
$337
Total of All Transactions with this
Payee/Payer for This Schedule
$7,130
room
05/31/2016
$6,793
Name and Address
(A)
Members First
3720 Airport Wy S Seattle WA 98134
Type or Classification
(B)
land lord
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$84,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$84,000
rent
01/26/2016
$7,000
rent
02/26/2016
$7,000
rent
03/26/2016
$7,000
rent
04/26/2016
$7,000
rent
05/26/2016
$7,000
rent
06/26/2016
$7,000
rent
07/26/2016
$7,000
rent
08/26/2016
$7,000
rent
09/26/2016
$7,000
rent
10/26/2016
$7,000
rent
11/26/2016
$7,000
rent
12/26/2016
$7,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
019-804
Name and Address
(A)
Malone Law Group
2208 NW Market ST Suite 420 seattle WA 98107
Type or Classification
(B)
attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$16,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$16,000
legal advice
08/01/2016
$16,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
019-804
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$440,202
auto club
AAA Washington
$140
medical/dental benefits
Service Employees Health & Welfare Trust
$190,148
pension
SEIU Affiliates and Employees Pension
$232,355
life/disability
Standard Insurance Company
$13,285
vision benefits
Vision Service Plan (VSP)
$2,700
reduced fuel costs
COSTCO membership
$440
bus pass
Sound Transit
$1,134
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
019-804
Question 10: Service Employees Health and Welfare Trust
Question 11(a): SEIU Local 6 PAC
Question 12: Jackie Muth/Mahrt and Associates
Schedule 1, Row1:
Schedule 1, Row1::
Schedule 1, Row2:
Schedule 1, Row2::
Schedule 1, Row3:
Schedule 1, Row3::
Schedule 1, Row4:
Schedule 1, Row4::
Schedule 1, Row5:
Schedule 1, Row5::
Schedule 1, Row6:
Schedule 1, Row6::
Schedule 1, Row7:
Schedule 1, Row7::
Schedule 1, Row9:
Schedule 1, Row9::
Schedule 1, Row8:
Schedule 1, Row8::
Schedule 1, Row10:
Schedule 1, Row10::
Schedule 1, Row11:
Schedule 1, Row11::
Schedule 1, Row12:
Schedule 1, Row12::
Schedule 1, Row13:
Schedule 1, Row13::
Schedule 1, Row14:
Schedule 1, Row14:
Schedule 1, Row15:
Schedule 1, Row15:
Schedule 1, Row16:
Schedule 1, Row16:
Schedule 2, Row1:
Schedule 2, Row1::::
Schedule 2, Row2:
Schedule 2, Row2::::
Schedule 2, Row3:
Schedule 2, Row3::::
Schedule 2, Row4:
Schedule 2, Row4::::
Schedule 2, Row5:
Schedule 2, Row5::::
Schedule 2, Row6:
Schedule 2, Row6:Write off = Bad Debt 12/31/2016
Schedule 2, Row7:
Schedule 2, Row7::::
Schedule 2, Row8:
Schedule 2, Row8::::
Schedule 2, Row9:
Schedule 2, Row9::::
Schedule 2, Row10:
Schedule 2, Row10::::
Schedule 2, Row11:
Schedule 2, Row11:::
Schedule 2, Row12:
Schedule 2, Row12:
Schedule 8, Row2:
Schedule 8, Row2::
Schedule 8, Row3:
Schedule 8, Row3::
Schedule 8, Row4:
Schedule 8, Row4::
Schedule 8, Row1:
Schedule 8, Row1::
Schedule 13, Row2:
Schedule 13, Row2::Low dues members pay less than $31 as a percentage of their monthly gross income.
Schedule 13, Row1:
Schedule 13, Row1::Regular Members who have paid $31 or more in monthly dues as a percentage of their monthly gross income.
Schedule 13, Row1:
Schedule 13, Row1::
Schedule 13, Row2:
Schedule 13, Row2::
Schedule 13, Row3:
Schedule 13, Row3::Retired Members who remain to be active pay $6 per month. Associate Members pay $25 per year. Staff Members who are associates pay $20 per month.