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
058-417
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.)
SYSTEM COUNCIL
6. DESIGNATION NBR
7. UNIT NAME (if any)
SEIU MICHIGAN STATE COUNCIL
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
ANDREW
Last Name
POTTER
P.O Box - Building and Room Number
Number and Street
3031 W. 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:
ANDREW POTTER
VICE PRESIDENT
71. SIGNED:
Liza Estlund Olson
SECRETARY-TREASURER
Date:
Jul 07, 2017
Telephone
Number:
517-485-3310
Date:
Jul 11, 2017
Telephone
Number:
517-482-1737
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
058-417
10. During the reporting period did the labor
organization create or participate in the administration of
a trust or a fund or organization, as defined in the
instructions, which provides benefits for members or
beneficiaries?
No
11(a). During the reporting period did the
labor organization have a political action committee (PAC)
fund?
Yes
11(b). During the reporting period did the
labor organization have a subsidiary organization as
defined in Section X of these Instructions?
No
12. During the reporting period did the labor
organization have an audit or review of its books and
records by an outside accountant or by a parent body
auditor/representative?
Yes
13. During the reporting period did the labor
organization discover any loss or shortage of funds or
other assets? (Answer "Yes" even if there has
been repayment or recovery.)
No
14. What is the maximum amount recoverable
under the labor organization's fidelity bond for a
loss caused by any officer, employee or agent of the labor
organization who handled union funds?
$140,000
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
No
16. Were any of the labor organization's
assets pledged as security or encumbered in any way at the
end of the reporting period?
No
17. Did the labor organization have any
contingent liabilities at the end of the reporting period?
No
18. During the reporting period did the labor
organization have any changes in its constitution or
bylaws, other than rates of dues and fees, or in
practices/procedures listed in the instructions?
No
19. What is the date of the labor
organization's next regular election of officers?
11/2017
20. How many members did the labor organization
have at the end of the reporting period?
22,637
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
1.00
per
Month
n/a
n/a
(b) Working Dues/Fees
n/a
per
n/a
n/a
n/a
(c) Initiation Fees
n/a
per
n/a
n/a
n/a
(d) Transfer Fees
n/a
per
n/a
n/a
n/a
(e) Work Permits
n/a
per
n/a
n/a
n/a
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
058-417
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$470,163
$412,845
23. Accounts Receivable
1
$0
24. Loans Receivable
2
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
27. Fixed Assets
6
$439
$256
28. Other Assets
7
29.
TOTAL ASSETS
$470,602
$413,101
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
31. Loans Payable
9
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
34. TOTAL
LIABILITIES
$0
$0
35. NET
ASSETS
$470,602
$413,101
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
058-417
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$0
37. Per Capita Tax
$265,204
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 Assets
3
44. Loans Obtained
9
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$216,000
49. TOTAL RECEIPTS
$481,204
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$16,975
51.
Political Activities and Lobbying
16
$442,882
52.
Contributions, Gifts, and Grants
17
$1,500
53. General
Overhead
18
$30,598
54. Union
Administration
19
$36,034
55. Benefits
20
56. Per
Capita Tax
$0
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$10,533
66. Subtotal
$538,522
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$30,450
67b. Less Total
Disbursed
$30,450
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$538,522
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
058-417
Entity or Individual Name
(A)
Total Account Receivable
(B)
90-180 Days
Past Due
(C)
180+ Days
Past Due
(D)
Liquidated Account
Receivable
(E)
Total of all itemized
accounts receivable
$0
$0
$0
$0
Totals from all other
accounts receivable
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
058-417
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
$0
$0
$0
$0
Totals will be
automatically entered in...
Item 24
Column (A)
Item 61
Item 45
Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF
INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
058-417
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:
058-417
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$0
$0
$0
Less Reinvestments
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
058-417
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:
058-417
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
$3,089
$2,833
$256
$256
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$3,089
$2,833
$256
$256
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
058-417
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
058-417
Entity or Individual Name
(A)
Total Account
Payable
(B)
90-180 Days
Past Due
(C)
180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable
$0
$0
$0
$0
Total from all other accounts payable
$0
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
058-417
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:
058-417
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
058-417
(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
PRESIDENT C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
POTTER
,
ANDREW
VICE PRESIDENT C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
ESTLUND OLSON
,
LIZA
SECRETARY-TREASURER C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
GARZA
,
LAURA
RECORDING SECRETARY C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
COMBS
,
JOEY
TRUSTEE N
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
DAVIS-COMSTOCK
,
AMY
TRUSTEE P
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
HEATH
,
GEORGE
TRUSTEE C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
TYLUTKI
,
TOM
TRUSTEE C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
BRYANT
,
SHALAYA
TRUSTEE C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
POLANCO MARTE
,
FREDDY
TRUSTEE C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
Total Officer
Disbursements
$0
$0
$0
$0
$0
Less Deductions
$0
Net
Disbursements
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
058-417
(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
MILLER
,
FREDERICK
POLITICAL DIRECTOR SEIU HEALTHCARE MICHIGAN
$38,375
$1,800
$531
$0
$40,706
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
MINTLINE
,
STEPHEN
POLITICAL DIRECTOR SEIU HEALTHCARE MICHIGAN
$21,539
$2,559
$0
$0
$24,098
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
THOMAS
,
LONDELL
POLITICAL DIRECTOR SEIU HEALTHCARE MICHIGAN
$42,327
$4,000
$0
$0
$46,327
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
ALLISON
,
ROBERT
EXECUTIVE DIRECTOR SEIU HEALTHCARE MICHIGAN
$0
$0
$740
$0
$740
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
80
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$0
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total
Employee Disbursements
$102,241
$8,359
$1,271
$0
$111,871
Less
Deductions
$30,450
Net Disbursements
$81,421
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
058-417
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
22,637
Agency Fee Payers*
0
Total Members/Fee Payers
22,637
*Agency Fee Payers are
not considered members of the labor organization.
LOCAL UNION MEMBERSHIP
22,637
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
058-417
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$216,000
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
4. Total
Receipts
$216,000
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$1,500
6. Total
Disbursements
$1,500
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$16,901
3. To Officers
$0
4. To Employees
$74
5. All Other
Disbursements
6. Total
Disbursements
$16,975
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$22,322
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$8,276
6. Total
Disbursements
$30,598
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$339,642
2. Named Payee
Non-itemized Disbursements
$2,631
3. To Officers
$0
4. To Employees
$100,609
5. All Other
Disbursements
6. Total
Disbursements
$442,882
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$21,675
3. To Officers
$0
4. To Employees
$11,188
5. All Other
Disbursements
$3,171
6. Total
Disbursements
$36,034
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
058-417
Name and Address
(A)
SEIU LOCAL 1
111 E WACKER DR 2500 FLOOR CHICAGO IL 60601
Type or Classification
(B)
LOCAL UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$15,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$15,000
EXPENSE REIMBURSEMENT
09/12/2016
$15,000
Name and Address
(A)
SEIU LOCAL 517M
1026 E MICHIGAN AVE LANSING MI 48912
Type or Classification
(B)
LOCAL UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$60,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$60,000
EXPENSE REIMBURSEMENT
09/20/2016
$60,000
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
$141,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$141,000
INTERNATIONAL SUBSIDY
01/08/2016
$8,333
INTERNATIONAL SUBSIDY
02/02/2016
$8,333
INTERNATIONAL SUBSIDY
03/07/2016
$8,333
INTERNATIONAL SUBSIDY
04/08/2016
$8,333
INTERNATIONAL SUBSIDY
05/06/2016
$8,333
INTERNATIONAL SUBSIDY
06/03/2016
$8,333
INTERNATIONAL SUBSIDY
07/08/2016
$8,333
INTERNATIONAL SUBSIDY
08/05/2016
$8,333
EXPENSE REIMBURSEMENT
09/01/2016
$41,000
INTERNATIONAL SUBSIDY
09/02/2016
$8,334
INTERNATIONAL SUBSIDY
10/07/2016
$8,334
INTERNATIONAL SUBSIDY
11/04/2016
$8,334
INTERNATIONAL SUBSIDY
12/02/2016
$8,334
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
058-417
Name and Address
(A)
SEIU HEALTHCARE MICHIGAN
2604 FOURTH STREET DETROIT MI 48201
Type or Classification
(B)
LOCAL UNION-WAGE, BENEFIT & EXPENSE REIMBURSEMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$16,901
Total of All Transactions with this
Payee/Payer for This Schedule
$16,901
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
058-417
Name and Address
(A)
21ST CENTURY FUND
606 TOWNSEND STREET LANSING MI 48933
Type or Classification
(B)
POLITICAL ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$120,000
Total
Non-Itemized Transactions with this Payee/Payer
$1,750
Total of All Transactions with this
Payee/Payer for This Schedule
$121,750
CONTRIBUTION
10/06/2016
$60,000
CONTRIBUTION
10/24/2016
$60,000
Name and Address
(A)
HOPKINS & SACHS INC.
600 N. 36TH STREET #428 SEATTLE WA 98103
Type or Classification
(B)
DIRECT MAIL COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$21,197
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$21,197
DIRECT MAIL - GOTV
10/17/2016
$21,197
Name and Address
(A)
PROGRESS MICHIGAN
215 S. WASHINGTON SQ. #135 LANSING MI 48933
Type or Classification
(B)
POLITICAL ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$40,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$40,000
CONTRIBUTION
10/24/2016
$40,000
Name and Address
(A)
SEIU HEALTHCARE MICHIGAN
2604 FOURTH STREET DETROIT MI 48201
Type or Classification
(B)
LOCAL UNION-WAGE, BENEFIT & EXPENSE REIMBURSEMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$158,445
Total
Non-Itemized Transactions with this Payee/Payer
$881
Total of All Transactions with this
Payee/Payer for This Schedule
$159,326
WAGE & BENEFIT REIMBURSEMENT
01/04/2016
$12,285
WAGE & BENEFIT REIMBURSEMENT
02/02/2016
$12,285
WAGE & BENEFIT REIMBURSEMENT
03/01/2016
$12,285
WAGE & BENEFIT REIMBURSEMENT
04/01/2016
$17,474
WAGE & BENEFIT REIMBURSEMENT
05/02/2016
$11,205
WAGE & BENEFIT REIMBURSEMENT
06/17/2016
$11,464
WAGE & BENEFIT REIMBURSEMENT
07/14/2016
$11,673
WAGE & BENEFIT REIMBURSEMENT
08/01/2016
$11,673
WAGE & BENEFIT REIMBURSEMENT
09/07/2016
$19,511
WAGE & BENEFIT REIMBURSEMENT
10/03/2016
$12,864
WAGE & BENEFIT REIMBURSEMENT
10/24/2016
$12,863
WAGE & BENEFIT REIMBURSEMENT
12/01/2016
$12,863
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
058-417
There was no data
found for this schedule.
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
058-417
Name and Address
(A)
ATRIUM OFFICE PARTNERS
201 N. WASHINGTON SQUARE LANSING MI 48933
Type or Classification
(B)
LESSOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,322
Total of All Transactions with this
Payee/Payer for This Schedule
$10,322
Name and Address
(A)
SEIU HEALTHCARE MICHIGAN
2604 FOURTH STREET DETROIT MI 48201
Type or Classification
(B)
LOCAL UNION-ADMINISTRATIVE FEE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$12,000
Total of All Transactions with this
Payee/Payer for This Schedule
$12,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
058-417
Name and Address
(A)
SEIU HEALTHCARE MICHIGAN
2604 FOURTH STREET DETROIT MI 48201
Type or Classification
(B)
LOCAL UNION-WAGE, BENEFIT & EXPENSE REIMBURSEMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$21,675
Total of All Transactions with this
Payee/Payer for This Schedule
$21,675
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
058-417
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
058-417
Item 70 Title: The position of President is vacant at the time of the filing.
The Vice President is signing the Form LM-2 in place of the President.Item 71 Title: The chief financial officer of the Council is the Secretary-Treasurer.
Question 11(a):
Question 11(a): SEIU Michigan State Council PAC - Reports are filing with the Michigan Department of State, Bureau of Elections.
Schedule 13, Row1:Members with affiliated Local Unions. Each Local Union remits $1.00 per member per month. The Executive Board of the Council has voting privileges.