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
543-857
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

7. UNIT NAME (if any)
SEIU HEALTHCARE MICHIGAN
8. MAILING ADDRESS (Type or print in capital letters)
First Name
TREASURER
 Last Name
SEIU
P.O Box - Building and Room Number

Number and Street
3031 WEST GRAND BLVD #555
City
DETROIT
State
MI		 ZIP Code + 4
48202


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:Mary K HenryPRESIDENT71. SIGNED:Gerald R HudsonTREASURER
Date:Jul 10, 2017Telephone Number:202-730-7000Date:Jul 10, 2017Telephone Number:202-730-7700
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 543-857
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?Yes
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)Yes
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?Yes
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?01/2019
20. How many members did the labor organization have at the end of the reporting period?9,719
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesSEE ITEM 69perN/AN/AN/A
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation FeesSEE ITEM 69perN/AN/AN/A
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 543-857

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $1,319,568$1,229,379
23. Accounts Receivable1$289,530
24. Loans Receivable2$4,350
25. U.S. Treasury Securities $0$0
26. Investments5$0
27. Fixed Assets6$101,616$87,718
28. Other Assets7$7,357$61,113
29. TOTAL ASSETS $1,428,541$1,672,090

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$43,134$45,636
31. Loans Payable9$2,775,000$2,775,000
32. Mortgages Payable $0$0
33. Other Liabilities10$71,172$322,441
34. TOTAL LIABILITIES $2,889,306$3,143,077
35. NET ASSETS-$1,460,765-$1,470,987
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 543-857

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $5,527,195
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $0
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9$0
45. Repayments of Loans Made2$14,100
46. On Behalf of Affiliates for Transmittal to Them $103,862
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$959,519
49. TOTAL RECEIPTS $6,604,676
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$2,329,940
51. Political Activities and Lobbying16$291,218
52. Contributions, Gifts, and Grants17$81,177
53. General Overhead18$864,129
54. Union Administration19$216,552
55. Benefits20$1,067,113
56. Per Capita Tax $1,439,415
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$10,005
61. Loans Made2$18,450
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $104,072
64. On Behalf of Individual Members $0
65. Direct Taxes $261,248
  
66. Subtotal $6,683,319
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$795,632  
  67b. Less Total Disbursed$807,178  
  67c. Total Withheld But Not Disbursed -$11,546
68. TOTAL DISBURSEMENTS $6,694,865
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 543-857

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$289,530$1,990$0$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $289,530$1,990$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 543-857

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$18,450$14,100$0$4,350
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Name: MARGARET ROBINSON (O)
Purpose: HARDSHIP
Security: N/A
Terms of Repayment: $200 PER PAY PERIOD
$0$4,700$2,900$0$1,800
Name: MARGARET ROBINSON (O)
Purpose: REIMB PERSONAL EXP
Security: N/A
Terms of Repayment: ON DEMAND
$0$250$0$0$250
Name: SANDRA MCMILLAN (E)
Purpose: HARDSHIP
Security: N/A
Terms of Repayment: $200 PER PAY PERIOD
$0$4,000$2,200$0$1,800
Name: KENNETH SPURGEON (E)
Purpose: HARDSHIP
Security: N/A
Terms of Repayment: $200 PER PAY PERIOD
$0$2,500$2,000$0$500
Name: FREDDY POLANCO (E)
Purpose: HARDSHIP
Security: N/A
Terms of Repayment: $200 PER PAY PERIOD
$0$2,000$2,000$0$0
Name: ELISHA HOLLINGSWORTH (E)
Purpose: HARDSHIP
Security: N/A
Terms of Repayment: $200 PER PAY PERIOD
$0$2,000$2,000$0$0
Name: NORMA KERSTING (E)
Purpose: HARDSHIP
Security: N/A
Terms of Repayment: $200 PER PAY PERIOD
$0$3,000$3,000$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 543-857

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: 543-857

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$10,005$10,005$10,005
Office equipment$10,005$10,005$10,005
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$10,005
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 543-857

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: 543-857

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)    
Building  1 :      1120 N. CHEVROLET, FLINT, MI$31,500$28,941$2,559$30,400
C. Automobiles and Other Vehicles$50,765$50,765$0$8,500
D. Office Furniture and Equipment$577,260$510,362$66,898$66,898
E. Other Fixed Assets$47,909$29,648$18,261$18,261
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $707,434$619,716$87,718$124,059
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 543-857

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $61,113
SECURITY DEPOSITS$41,000
PREPAID PAYROLL WITHHOLDINGS$20,113
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 543-857

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$45,636$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $45,636$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 543-857

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$2,775,000$0$0$0$2,775,000
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
SERVICE EMPLOYEES INTERNATIONAL UNION$2,775,000$0$0$0$2,775,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 543-857

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $322,441
UNUSED SICK AND VACATION PAY PAYABLE$91,385
PER CAPITA TAX PAYABLE$231,056
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 543-857

(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 		ROBINSON ,  MARGARET   R
PRESIDENT
C		$197,328$0$26,147$7,040$230,515
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		15 %
A
B
C 		BRYANT ,  SHALAYA  
SECRETARY-TREASURER
C		$100,878$7,150$639$0$108,667
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		BRIGGS ,  LORETTA  
RECORDING SECRETARY
P		$8,790$650$0$0$9,440
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		BAILEY ,  ALLEN  
EXECUTIVE BOARD
P		$500$0$0$0$500
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		BLOOM ,  MELISSA  
EXECUTIVE BOARD
N		$6,316$0$179$0$6,495
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		BRIDGES ,  MARCIA  
EXECUTIVE BOARD
N		$800$0$125$0$925
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		BRYANT ,  YOLANDA  
EXECUTIVE BOARD
N		$783$0$50$0$833
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		CARR ,  BARBARA  
EXECUTIVE BOARD
C		$1,800$0$323$0$2,123
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		CONNER ,  EVETTE  
EXECUTIVE BOARD
N		$2,160$0$346$0$2,506
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		DIEBEL ,  RANDY  
EXECUTIVE BOARD
P		$127$0$0$0$127
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		DIRKSE ,  CRAIG  
EXECUTIVE BOARD
C		$4,060$0$254$0$4,314
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		DUNCAN ,  KIMBERLY  
EXECUTIVE BOARD
C		$2,088$0$157$0$2,245
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		EMANS ,  ANDREA  
EXECUTIVE BOARD
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		FAULKEN ,  SYVILRIA  
EXECUTIVE BOARD
N		$204$0$44$0$248
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		FETTIG ,  SENKA  
EXECUTIVE BOARD
C		$1,076$0$125$0$1,201
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		FLANNIGAN ,  LARRY  
EXECUTIVE BOARD
N		$1,674$0$125$0$1,799
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		GALLAGHER ,  SUSANNE  
EXECUTIVE BOARD
N		$2,433$0$125$0$2,558
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		GOUDY ,  ANGELINA  
EXECUTIVE BOARD
C		$3,415$0$125$0$3,540
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		HOLT ,  LAVON  
EXECUTIVE BOARD
C		$2,165$0$125$0$2,290
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		JAKOBI ,  JEAN ANNE  
EXECUTIVE BOARD
C		$5,949$0$125$0$6,074
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		JOHNSON ,  ALICE  
EXECUTIVE BOARD
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		LAFEVER ,  TESSILE  
EXECUTIVE BOARD
C		$1,000$0$0$0$1,000
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		LYNN ,  CONNIE  
EXECUTIVE BOARD
P		$1,516$0$14$0$1,530
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		MAXWELL ,  TAM   E
EXECUTIVE BOARD
C		$5,424$0$604$0$6,028
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		MCCLINTOCK ,  RITA  
EXECUTIVE BOARD
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		MITCHELL ,  SHEILA  
EXECUTIVE BOARD
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		NICHOLS ,  MARTHA  
EXECUTIVE BOARD
C		$5,436$0$225$0$5,661
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		NOWASKE ,  TARA  
EXECUTIVE BOARD
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		NUSSBAUM ,  DIANE  
EXECUTIVE BOARD
C		$1,500$0$270$0$1,770
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		PETE ,  SYLVESTER  
EXECUTIVE BOARD
C		$2,736$0$280$0$3,016
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		PITTMAN ,  FAYE  
EXECUTIVE BOARD
P		$1,240$0$0$0$1,240
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		SCOTT ,  LOLA  
EXECUTIVE BOARD
C		$1,581$0$125$0$1,706
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		THOMAS ,  SHAJI  
EXECUTIVE BOARD
C		$2,894$0$297$0$3,191
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		TINSLEY ,  DAVID  
EXECUTIVE BOARD
C		$5,544$0$561$0$6,105
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		VANISACKER ,  JULIE  
EXECUTIVE BOARD
N		$2,029$0$265$0$2,294
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		VILLAREAL ,  ELIZABETH  
EXECUTIVE BOARD
N		$136$0$0$0$136
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		VILLAREAL ,  ELIZABETH  
EXECUTIVE BOARD
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		WESTON ,  MARSHA  
EXECUTIVE BOARD
C		$1,300$0$56$0$1,356
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		YOUNGBLOOD ,  JUDY  
EXECUTIVE BOARD
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
A
B
C 		DECOSTER ,  TARA  
EXECUTIVE BOARD
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		80 %
Total Officer Disbursements$374,882$7,800$31,711$7,040$421,433
Less Deductions    $152,836
Net Disbursements    $268,597
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 543-857

(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 		ACEVEDO ,  ANDREA  
AST DIR OF REPRESENTATION
N/A		$78,697$6,850$2,668$0$88,215
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ALEQUIN ,  NICOLE  
LWWC/CANVASSER
N/A		$55,666$6,850$524$0$63,040
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ALLISON ,  ROBERT  
GOVERNMENT AFFAIRS
SEIU MICHIGAN STATE COUNCIL		$110,550$6,050$0$0$116,600
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		100 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		BARANTINE ,  JANAY  
MBR SERV RECEPTIONIST
N/A		$29,616$0$0$655$30,271
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ATKINSON ,  JONDRA  
MBR SERV RECEPTIONIST
N/A		$36,002$0$0$0$36,002
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CLARK ,  MARCELLA  
DIRECTOR ORGANIZING
N/A		$80,491$6,850$1,405$0$88,746
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CURL ,  BENJAMIN  
LEGAL ASSISTANT
N/A		$40,500$3,900$549$0$44,949
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		DIEPPA ,  EMILY  
DIR CARE PATH TRNG CNTR
N/A		$45,073$4,550$420$0$50,043
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		EVERETT ,  SERENA  
DIR OF REPRESENTATION
N/A		$58,302$6,850$1,077$0$66,229
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FOWLKES ,  KIM  
INTERNAL ORGANIZER
N/A		$79,932$6,850$227$120$87,129
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FRAZIER ,  MARTIN  
SECURITY GUARD
N/A		$42,832$0$21$0$42,853
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		GEMZER ,  BRANDEN  
INTERNAL ORGANIZER
N/A		$45,358$6,850$1,983$15$54,206
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FIGG ,  KRISTIN  
INTERNAL ORGANIZER
N/A		$9,702$1,300$1,399$0$12,401
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		GUZMAN ,  MAYRA  
GJN/CAM DATA ENTRY
N/A		$32,346$0$0$160$32,506
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HANEY ,  KENNETH  
INTERNAL ORGANIZER
N/A		$42,646$6,850$17$0$49,513
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HOLLINGSWORTH ,  ELEISHA  
INTERNAL ORGANIZER
N/A		$40,426$6,850$6,026$0$53,302
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HOWARD ,  JUNIUS  
DPHC
N/A		$39,987$6,850$375$0$47,212
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		JONES SR ,  DARRYL  
INTERNAL ORGANIZER
N/A		$7,894$1,300$0$0$9,194
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KERSTING ,  NORMA  
DIR OF REPRESENTATION
N/A		$87,591$6,850$0$0$94,441
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MC LAIN ,  RYAN  
DATA ENTRY
N/A		$32,331$0$0$0$32,331
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MC MILLAN ,  SANDRA  
DIRECTOR OF DUES DEPT
N/A		$85,323$6,850$456$7,498$100,127
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MIAZEK ,  PAULINA  
FINANCE MANAGER
N/A		$61,162$0$0$0$61,162
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		MOORE ,  PAMELA  
LEGAL ASSISTANT
N/A		$53,595$0$1,396$0$54,991
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		NELSON ,  MARY  
INTERNAL ORGANIZER
N/A		$49,210$6,850$495$0$56,555
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		PATRICK ,  PHILLIP  
GOV.AFF.
N/A		$36,923$2,950$673$0$40,546
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		POLANCO ,  FREDDY  
POLITCAL DIRECTOR
N/A		$73,073$6,850$973$0$80,896
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		90 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		ROBINSON ,  BRENDA   D
DIRECTOR OF LEGAL
N/A		$99,159$6,850$2,520$1,241$109,770
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		RZEPPA ,  STEVEN  
COMMUNICATIONS
N/A		$38,552$6,850$1,284$0$46,686
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		30 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		68 % Schedule 19
Administration 		0 %
A
B
C 		ROBINSON ,  JEROME  
INTERNAL ORGANIZER
N/A		$18,139$1,950$200$0$20,289
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SMITH ,  ANDREW  
INTERNAL ORGANIZER
N/A		$25,376$3,600$175$0$29,151
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SPEER ,  VICTORIA  
ASSIST TO PRES.
N/A		$56,223$5,550$458$200$62,431
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SPURGEON ,  KENNETH  
SECURITY GUARD
N/A		$13,515$0$171$0$13,686
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		STACHULSKI ,  NORMAN  
INTERNAL ORGANIZER
N/A		$23,180$3,600$675$0$27,455
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		STRICKLAND ,  BENJAMIN  
INTERNAL ORGANIZER
N/A		$64,206$6,850$25$0$71,081
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		STURGIS ,  KRISTA  
INTERNAL ORGANIZER
N/A		$10,776$1,300$0$0$12,076
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		THOMAS ,  ASHLEY  
INTERNAL ORGANIZER
N/A		$45,674$6,850$0$200$52,724
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		TROUTMAN ,  CHREDA  
DPHC
N/A		$56,889$6,850$298$212$64,249
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		WRIGHT ,  ROXY  
DUES COORDINATOR
N/A		$12,194$0$0$0$12,194
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		WALKER ,  SARAN  
INTERNAL ORGANIZER
N/A		$12,316$1,950$301$0$14,567
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$114,603$4,943$775$0$120,321
I Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
Total Employee Disbursements$1,946,030$166,243$27,566$10,301$2,150,140
Less Deductions    $642,796
Net Disbursements    $1,507,344
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 543-857

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 9,719 
Agency Fee Payers*0
Total Members/Fee Payers9,719 
*Agency Fee Payers are not considered members of the labor organization.
ACTIVE MEMBERS9,719Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 543-857

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$888,735
2. Named Payer Non-itemized Receipts$31,567
3. All Other Receipts$39,217
4. Total Receipts$959,519
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$23,089
2. Named Payee Non-itemized Disbursements$8,627
3. To Officers$2,305
4. To Employees$12,145
5. All Other Disbursements$35,011
6. Total Disbursements$81,177
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$106,813
2. Named Payee Non-itemized Disbursements$60,575
3. To Officers$294,689
4. To Employees$1,673,324
5. All Other Disbursements$194,539
6. Total Disbursements$2,329,940
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$184,072
2. Named Payee Non-itemized Disbursements$428,965
3. To Officers$11,526
4. To Employees$199,490
5. All Other Disbursements$40,076
6. Total Disbursements$864,129
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$5,450
3. To Officers$14,654
4. To Employees$253,799
5. All Other Disbursements$17,315
6. Total Disbursements$291,218
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$46,385
2. Named Payee Non-itemized Disbursements$38,118
3. To Officers$98,258
4. To Employees$11,383
5. All Other Disbursements$22,408
6. Total Disbursements$216,552
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 543-857

Name and Address
(A)
MICHIGAN INTEGRATED HEALTH TRAINING CENTER

269 WALKER ST UNIT 55
DETROIT
MI
48207
Type or Classification
(B)
TRAINING CENTER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,700
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$15,700
REIMBURSED SALARY AND EXPENSES06/29/2016$15,700
Name and Address
(A)
PAYCHEX INC.

29065 CABOT
NOVI
MI
48377
Type or Classification
(B)
PAYROLL SERVICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,026
Total of All Transactions with this Payee/Payer for This Schedule$6,026
Name and Address
(A)
SEIU MICHIGAN STATE COUNCIL

2604 FOURTH STREET
DETROIT
MI
48201
Type or Classification
(B)
SEIU/STATE COUNCIL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$203,239
Total Non-Itemized Transactions with this Payee/Payer$6,664
Total of All Transactions with this Payee/Payer for This Schedule$209,903
EXPENSE REIMBURSEMENTS01/07/2016$16,131
EXPENSE REIMBURSEMENTS02/07/2016$16,541
EXPENSE REIMBURSEMENTS03/12/2016$15,131
EXPENSE REIMBURSEMENTS04/11/2016$21,618
EXPENSE REIMBURSEMENTS05/16/2016$14,931
EXPENSE REIMBURSEMENTS06/29/2016$14,169
EXPENSE REIMBURSEMENTS07/22/2016$14,401
EXPENSE REIMBURSEMENTS08/11/2016$15,401
EXPENSE REIMBURSEMENTS09/10/2016$24,717
EXPENSE REIMBURSEMENTS10/11/2016$16,733
EXPENSE REIMBURSEMENTS10/27/2016$16,733
EXPENSE REIMBURSEMENTS12/19/2016$16,733
Name and Address
(A)
SERVICE EMPLOYEES INTERNATIONAL UNION

1800 MASSACHUSETTS AVE
WASHINGTON
DC
20036
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$662,004
Total Non-Itemized Transactions with this Payee/Payer$18,877
Total of All Transactions with this Payee/Payer for This Schedule$680,881
SUBSIDY - HOMECARE01/30/2016$78,000
PER CAPITA TAX / UNITY FUND REBATE02/05/2016$34,367
PER CAPITA TAX / UNITY FUND REBATE02/29/2016$34,288
PER CAPITA TAX / UNITY FUND REBATE03/25/2016$33,246
SUBSIDY - HOMECARE04/01/2016$78,000
PER CAPITA TAX / UNITY FUND REBATE04/26/2016$33,096
PER CAPITA TAX / UNITY FUND REBATE05/27/2016$32,997
PER CAPITA TAX / UNITY FUND REBATE06/24/2016$31,663
SUBSIDY - HOMECARE07/15/2016$78,000
PER CAPITA TAX / UNITY FUND REBATE07/22/2016$30,247
PER CAPITA TAX / UNITY FUND REBATE08/19/2016$29,954
PER CAPITA TAX / UNITY FUND REBATE10/08/2016$29,259
SUBSIDY - HOMECARE10/08/2016$78,000
PER CAPITA TAX / UNITY FUND REBATE11/19/2016$28,592
PER CAPITA TAX / UNITY FUND REBATE12/22/2016$32,295
Name and Address
(A)
TRAVELERS INSURANCE
660333

DALLAS
TX
75266-0333
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,792
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,792
WORKERS COMP OVERPAYMENT REFUND02/23/2016$7,792
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 543-857

Name and Address
(A)
AT & T MOBILITY
PO 9004

CAROL STREAM
IL
60197
Type or Classification
(B)
CELLULAR TELEPHONE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$31,658
Total Non-Itemized Transactions with this Payee/Payer$18,596
Total of All Transactions with this Payee/Payer for This Schedule$50,254
CELLULAR TELEPHONE SERVICE02/23/2016$6,343
CELLULAR TELEPHONE SERVICE03/22/2016$7,371
CELLULAR TELEPHONE SERVICE07/27/2016$7,899
CELLULAR TELEPHONE SERVICE10/24/2016$10,045
Name and Address
(A)
CORNELL ILR-AR
PO 6838

ITHICA
NY
14851-6838
Type or Classification
(B)
PRINTER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,509
Total of All Transactions with this Payee/Payer for This Schedule$5,509
Name and Address
(A)
DELTA AIRLINES
PO 20706

ATLANTA
GA
30320
Type or Classification
(B)
AIRLINE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,429
Total of All Transactions with this Payee/Payer for This Schedule$12,429
Name and Address
(A)
FAIRFIELD INN

4665 BECKLEY ROAD
BATTLE CREEK
MI
49015
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,007
Total Non-Itemized Transactions with this Payee/Payer$3,007
Total of All Transactions with this Payee/Payer for This Schedule$15,014
ORGANIZING CAMPAIGN11/22/2016$12,007
Name and Address
(A)
McKnight, McClow, Canzano, Smith & Radtke

423 N. MAIN STREET
ROYAL OAK
MI
48067
Type or Classification
(B)
LEGAL COUNSEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$63,148
Total Non-Itemized Transactions with this Payee/Payer$680
Total of All Transactions with this Payee/Payer for This Schedule$63,828
LEGAL FEES - REPRESENTATIONAL01/04/2016$15,000
LEGAL FEES - REPRESENTATIONAL03/01/2016$10,000
LEGAL FEES - REPRESENTATIONAL04/29/2016$15,000
LEGAL FEES - REPRESENTATIONAL07/18/2016$15,000
LEGAL FEES - REPRESENTATIONAL08/24/2016$8,148
Name and Address
(A)
ORGANIZER

1118 HOWARD STREET
SAN FRANCISCO
CA
94103
Type or Classification
(B)
MOBILE APP LICENSING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,736
Total of All Transactions with this Payee/Payer for This Schedule$7,736
Name and Address
(A)
PAUL GLENDON

414 N. MAIN STREET
ANN ARBOR
MI
48104
Type or Classification
(B)
ARBITRATOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,430
Total of All Transactions with this Payee/Payer for This Schedule$5,430
Name and Address
(A)
The Bureau of National Affairs, Inc
PO 17009

BALTIMORE
MD
21297
Type or Classification
(B)
LABOR TRAINING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,188
Total of All Transactions with this Payee/Payer for This Schedule$7,188
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 543-857

Name and Address
(A)
ACT BLUE
PO 441146

SOMMERVILLE
MA
02144-0031
Type or Classification
(B)
POLITICAL NON=PROFIT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,450
Total of All Transactions with this Payee/Payer for This Schedule$5,450
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 543-857

Name and Address
(A)
IMAGE POINTE
657

WATERLOO
IA
50704
Type or Classification
(B)
PROMOTIONAL ITEM COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,582
Total Non-Itemized Transactions with this Payee/Payer$8,627
Total of All Transactions with this Payee/Payer for This Schedule$14,209
SHIRTS AND PENS FOR PROMO ITEMS05/02/2016$5,582
Name and Address
(A)
SEIU 1199 WV/KY/OH

1395 DUBLIN ROAD
COLUMBUS
OH
43215
Type or Classification
(B)
LOCAL UNION
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
DISASTER RELIEF - FLOOD VICTIMS07/18/2016$10,000
Name and Address
(A)
VERIZON STRIKING FAMILIES SOLIDARITY FUND

501 3RD ST NW
WASHINGTON
DC
20001
Type or Classification
(B)
STRIKE FUND
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,507
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,507
CONTRIBUTION05/26/2016$7,507
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 543-857

Name and Address
(A)
123 Net, Inc.

24275 NORTHWESTERN HIGHWAY
SOUTHFIELD
MI
48075
Type or Classification
(B)
TELEPHONE AND INTERNET COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$33,324
Total of All Transactions with this Payee/Payer for This Schedule$33,324
Name and Address
(A)
AT & T
PO 8100

AURORA
IL
60507-8100
Type or Classification
(B)
TELEPHONE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,411
Total of All Transactions with this Payee/Payer for This Schedule$7,411
Name and Address
(A)
CAPRI CLEANING

8095 PROSPECT
WARREN
MI
48089
Type or Classification
(B)
MAINTENANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$24,350
Total of All Transactions with this Payee/Payer for This Schedule$24,350
Name and Address
(A)
CHASE
PO 955200

FORT WORTH
TX
76155
Type or Classification
(B)
BANK
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,329
Total of All Transactions with this Payee/Payer for This Schedule$8,329
Name and Address
(A)
COMCAST
PO 7500

SOUTHEASTERN
PA
19398-7500
Type or Classification
(B)
CABLE PROVIDER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,157
Total of All Transactions with this Payee/Payer for This Schedule$5,157
Name and Address
(A)
DETROIT BOARD OF WATER
PO 32711

DETROIT
MI
48232
Type or Classification
(B)
UTILITY PROVIDER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,164
Total of All Transactions with this Payee/Payer for This Schedule$7,164
Name and Address
(A)
DTE ENERGY
PO 2859

DETROIT
MI
48260-0001
Type or Classification
(B)
UTILITY PROVIDER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$28,433
Total of All Transactions with this Payee/Payer for This Schedule$28,433
Name and Address
(A)
FIRST AMERICAN TITLE INS. CO.

100 BLOOMFIELD HILLS PKWY
BLOOMFIELD HILLS
MI
48304
Type or Classification
(B)
TITLE COMPANY
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
DEPOSIT ON PURCHASE OF BUILDING02/12/2016$25,000
DEPOSIT ON PURCHASE OF BUILDING11/19/2016$15,000
Name and Address
(A)
JABTECH, LLC

556 S. MARIAS
CLAWSON
MI
48017
Type or Classification
(B)
INFORMATION TECHNOLOGY COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$49,096
Total of All Transactions with this Payee/Payer for This Schedule$49,096
Name and Address
(A)
KELLY SERVICES

999 WEST BIG BEAVER ROAD
TROY
MI
48084
Type or Classification
(B)
TEMPORARY EMPLOYMENT SERVICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,352
Total Non-Itemized Transactions with this Payee/Payer$6,632
Total of All Transactions with this Payee/Payer for This Schedule$12,984
TEMPORARY HELP10/03/2016$6,352
Name and Address
(A)
KONICA MINOLTA

21146 NETWORK PLACE
CHICAGO
IL
60673
Type or Classification
(B)
OFFICE EQ LEASING AGENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$44,600
Total of All Transactions with this Payee/Payer for This Schedule$44,600
Name and Address
(A)
KONICA MINOLTA BUSINESS SOLUTIONS
PO 19188

PALATINE
IL
60055
Type or Classification
(B)
OFFICE EQ LEASING AGENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,603
Total of All Transactions with this Payee/Payer for This Schedule$12,603
Name and Address
(A)
KUSHNER, KIPPELMAN & TAUB, PLLC

28580 ORCHARD LAKE ROAD
FARMINGTON HILLS
MI
48334
Type or Classification
(B)
ACCOUNTING FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$9,040
Total of All Transactions with this Payee/Payer for This Schedule$14,040
AUDIT AND TAX RETURN PREPERATION08/09/2016$5,000
Name and Address
(A)
LAURA BERGHUIS

3510 W. RIVER ROAD
MUSKEGON
MI
49445
Type or Classification
(B)
LANDLORD
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$42,000
Total of All Transactions with this Payee/Payer for This Schedule$42,000
Name and Address
(A)
MICHON POLICICCHIO

23350 DUCHESS CT.
NOVI
MI
48375
Type or Classification
(B)
RETIREE CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$53,400
Total of All Transactions with this Payee/Payer for This Schedule$53,400
Name and Address
(A)
PAYCHEX, INC.

29065 CABOT DRIVE
NOVI
MI
48377
Type or Classification
(B)
PAYROLL SERVICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$17,484
Total of All Transactions with this Payee/Payer for This Schedule$17,484
Name and Address
(A)
PITNEY BOWES
PO 865042

LOUISVILLE
KY
40285-6042
Type or Classification
(B)
OFFICE EQ LEASING AGENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,067
Total of All Transactions with this Payee/Payer for This Schedule$10,067
Name and Address
(A)
POSTMASTER

1401 FORT STREET
DETROIT
MI
49233
Type or Classification
(B)
POSTAGE SUPPLIER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,722
Total of All Transactions with this Payee/Payer for This Schedule$5,722
Name and Address
(A)
REPUBLIC WASTE SERVICES

36850 VAN BORN ROAD
WAYNE
MI
48184
Type or Classification
(B)
UTILITY PROVIDER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,526
Total of All Transactions with this Payee/Payer for This Schedule$8,526
Name and Address
(A)
SERVICE EMPLOYEES INTERNATIONAL UNION

1800 MASSACHUSETTS AVE
WASHINGTON
DC
20036
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,834
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,834
SOFTWARE LICENSES05/24/2016$6,834
Name and Address
(A)
SEYBURN KAHN P.C.

2000 TOWN CENTER #1150
SOUTHFIELD
MI
48075
Type or Classification
(B)
LEGAL COUNSEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,415
Total Non-Itemized Transactions with this Payee/Payer$6,291
Total of All Transactions with this Payee/Payer for This Schedule$11,706
LEGAL SERVICES FOR BUILDING PURCHASE10/24/2016$5,415
Name and Address
(A)
STATE AUTO INSURANCE
PO 182738

COLUMBIA
OH
43218
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,294
Total of All Transactions with this Payee/Payer for This Schedule$19,294
Name and Address
(A)
SWEET & ASSOCIATES INTL LTD

30100 TELEGRAPH RD
BINGHAM FARMS
MI
48025
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,810
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,810
WORKERS COMP PREMIUM02/11/2016$6,810
Name and Address
(A)
TRAVELERS INSURANCE
PO 660333

DALLAS
TX
75266-0333
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,935
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$20,935
WORKERS COMP PREMIUM04/13/2016$20,935
Name and Address
(A)
UNION INSURANCE GROUP

2125 W. ROSCOE STREET
CHICAGO
IL
60618
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$51,156
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$51,156
LIABILITY INSURANCE10/17/2016$51,156
Name and Address
(A)
UNIONWARE

260 SAULTEAUX
WINNEPEG
00
R3J3T2
Type or Classification
(B)
CONSULTANT-DUES PROCESSING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$41,570
Total Non-Itemized Transactions with this Payee/Payer$30,042
Total of All Transactions with this Payee/Payer for This Schedule$71,612
DUES PROCESSING02/07/2016$23,970
DUES PROCESSING02/23/2016$5,400
DUES PROCESSING03/14/2016$5,000
DUES PROCESSING05/02/2016$7,200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 543-857

Name and Address
(A)
ALLIED UNION SERVICES

240 N. FENWAY
FENTON
MI
48430
Type or Classification
(B)
PRINTER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,038
Total Non-Itemized Transactions with this Payee/Payer$515
Total of All Transactions with this Payee/Payer for This Schedule$14,553
MEMBER NEWSLETTER03/15/2016$5,640
MEMBER NEWSLETTER06/14/2016$8,398
Name and Address
(A)
DELTA AIRLINES
PO 20706

ATLANTA
GA
30320
Type or Classification
(B)
AIRLINE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,029
Total of All Transactions with this Payee/Payer for This Schedule$5,029
Name and Address
(A)
DETROIT RENAISSANCE

400 Renaissance Dr
DETROIT
MI
48243
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,347
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$16,347
CONVENTION06/22/2016$16,347
Name and Address
(A)
MCCONNELL COMMUNICATIONS

400 MONROE STREET
DETROIT
MI
48226
Type or Classification
(B)
COMMUNICATIONS CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,000
Total Non-Itemized Transactions with this Payee/Payer$26,852
Total of All Transactions with this Payee/Payer for This Schedule$42,852
CONSULTING - NEWSLETTER/WEBSITE01/11/2016$5,000
CONSULTING - NEWSLETTER/WEBSITE02/22/2016$6,000
CONSULTING - NEWSLETTER/WEBSITE03/14/2016$5,000
Name and Address
(A)
POSTMASTER

1401 FORT STREET
DETROIT
MI
49233
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$5,722
Total of All Transactions with this Payee/Payer for This Schedule$5,722
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 543-857

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,067,113
PENSIONTRUST FUND$414,301
401(K) MATCHINVESTMENT COMPANY$47,346
HEALTH AND WELFARETRUST FUND / INSURANCE COMPANY$497,398
DENTAL AND VISIONTRUST FUND / INSURANCE COMPANY$29,283
LIFE INSURANCEINSURANCE COMPANY$21,896
RETIREE SUPPLEMENTRETIRED EMPLOYEES OR BENEFICIARIES$56,889
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SIGNATURE PAGE FILE NUMBER: 543-857

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.)


SIGNED:Inga D Skippings
DATE:Jul 10, 2017
CONTACT INFO:202-256-2532
TITLE:TRUSTEE
SIGNED:Harold Burke
DATE:Jul 10, 2017
CONTACT INFO:304-932-2242
TITLE:Trustee
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 543-857


Question 11(a): : : : : : SEIU Healthcare Michigan PAC - Reports are filed with the Michigan Department of State, Bureau of Elections.

Question 11(b): : : : : Fourth Street Center, Inc. 2604 Fourth Street Detroit, MI 48201 Holds title to Local Union's real estate. Service Employees Center 2604 Fourth Street Detroit, MI 48201 Held title to Local Union's real estate.

Question 12: The year ending December 31, 2016, will be audited by Bond Beebe, P.C.

Question 13: It was discovered that 4 checks totaling $10,875 were stolen from the outgoing mail and fraudulently endorsed and cashed. The bank was made aware and subsequent to year end, the Union was reimbursed to be made whole. The amount of the checks is currently reported as part of accounts receivable at December 31, 2016.

Question 15: The Union purchases various promotional items that are distributed to membership to maintain market share visibility.

Schedule 13, Row1:ACTIVE MEMBERS PAY FULL DUES

General Information: Item 19 - The next scheduled election is subject to change as the Union is in trusteeship. Item 21 - Home healthcare workers pay dues at a rate of $10 per month. All other members pay dues at a rate of 2.50% of their monthly wages up to a maximum of $55. Home healthcare workers do not pay initiation fees. Nursing home facility members pay an initiation fee of $40. Hospital facility members pay an initiation fee of $75. A vehicle provided to an Officer is used part of the time for personal transportation.

Schedules 11 and 12: During the year an officer and an employee mistakenly received overpayment of compensation of $18,283. The remainder of the compensation still not earned at December 31, 2016 has been included in column g. Restitution is being sought from these two individuals.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)