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
506-906
2. PERIOD COVERED
From07/01/2016
Through06/30/2017
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)
COMMITTEE OF INTERNS AND RESIDENTS
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Eric
 Last Name
Scherzer
P.O Box - Building and Room Number
Suite 1200
Number and Street
520 Eighth Avenue
City
New York
State
NY		 ZIP Code + 4
10018


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:Eve KellnerPRESIDENT71. SIGNED:Jessica EdwardsTREASURER
Date:Sep 28, 2017Telephone Number:212-356-8100Date:Sep 28, 2017Telephone Number:212-356-8100
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 506-906
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?$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?Yes
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?03/2019
20. How many members did the labor organization have at the end of the reporting period?10,939
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.5%peryear698.612072.09
(b) Working Dues/Fees0per000
(c) Initiation Fees0per000
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 506-906

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $481,464$1,073,792
23. Accounts Receivable1$905,766$1,045,178
24. Loans Receivable2$0$53
25. U.S. Treasury Securities $2,612,975$2,559,903
26. Investments5$0$0
27. Fixed Assets6$398,195$466,888
28. Other Assets7$610,621$657,644
29. TOTAL ASSETS $5,009,021$5,803,458

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$789,019$891,503
31. Loans Payable9$105,090$8,544
32. Mortgages Payable $0$0
33. Other Liabilities10$447,280$393,614
34. TOTAL LIABILITIES $1,341,389$1,293,661
35. NET ASSETS$3,667,632$4,509,797
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 506-906

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $11,042,571
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $40,338
41. Dividends $0
42. Rents $200
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$3,154
46. On Behalf of Affiliates for Transmittal to Them $58,689
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$2,597,547
49. TOTAL RECEIPTS $13,742,499
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,101,346
51. Political Activities and Lobbying16$153,416
52. Contributions, Gifts, and Grants17$21,427
53. General Overhead18$3,393,870
54. Union Administration19$1,212,790
55. Benefits20$1,722,692
56. Per Capita Tax $1,799,543
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$158,478
61. Loans Made2$4,700
62. Repayment of Loans Obtained9$96,546
63. To Affiliates of Funds Collected on Their Behalf $43,524
64. On Behalf of Individual Members $0
65. Direct Taxes $444,290
  
66. Subtotal $13,152,622
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,772,645  
  67b. Less Total Disbursed$1,770,194  
  67c. Total Withheld But Not Disbursed $2,451
68. TOTAL DISBURSEMENTS $13,150,171
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 506-906

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$1,045,178   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $1,045,178$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 506-906

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$4,700$3,154$1,493$53
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Name: Jennifer Sunyata Altenor
Purpose: Payroll Advance
Security: Payroll Deduction
Terms of Repayment: $53.33/pay period
$0$800$747$53
Name: Sara Holden
Purpose: Payroll Advance
Security: Payroll Deduction
Terms of Repayment: $250/pay period
$0$1,000$1,000$0
Name: Cecilia Jones
Purpose: Payroll Advance
Security: Payroll Deduction
Terms of Repayment: $135.71/pay period
$0$1,900$407$1,493$0
Name: Michelle Kelly
Purpose: Payroll Advance
Security: Payroll Deduction
Terms of Repayment: $250/pay period
$0$1,000$1,000$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

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$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$158,478$158,478$158,478
Furniture & Fixtures$2,979$2,979$2,979
Computer & Equipment$46,918$46,918$46,918
Computer Software$8,710$8,710$8,710
Work-In-Progress$99,871$99,871$99,871
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$158,478
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 506-906

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost$0
B. Total Book Value$0
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost
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: 506-906

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$1,333,653$1,244,358$89,295$89,295
E. Other Fixed Assets$1,890,496$1,512,902$377,593$377,593
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $3,224,149$2,757,260$466,888$466,888
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 506-906

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $657,644
Prepaid Expenses$100,045
Accrued Income Receivable$6,848
Rebates Receivable$196,239
Security Deposits$85,891
Other Receivables$14,561
Due From Related Entities$252,988
Due From Employees$1,072
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 506-906

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$891,503$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $891,503$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 506-906

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$105,090$0$96,546$0$8,544
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
JP Morgan Chase$105,090$0$96,546$0$8,544
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 506-906

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $393,614
Accrued Salaries Payable$94,703
Accrued Vacation & Sick Pay Payable$187,364
Other Payables$111,547
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 506-906

(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 		Kellner DO ,  Eve   M
President
C		$31,482$0$0$0$31,482
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		25 %
A
B
C 		Fletcher MD ,  Michelle  
Executive Vice President
C		$0$0$378$0$378
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Edwards DO ,  Jessica  
Secretary-Treasurer
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Alvarez MD ,  Linda  
Regional VP - FL
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Bailey MD ,  Joanelle  
Regional VP - NJ/DC
N		$0$0$121$0$121
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Barry MD MPH ,  Ibrahim  
Regional VP - NY
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Bouraad MD ,  Dany  
Regional VP - NM
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Brown MD ,  Donald  
Regional VP - So CA No
N		$0$0$96$0$96
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Brown MD MPH ,  Italo   M
Regional VP - NY
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Caldwell MD ,  Corrielle  
Regional VP - NY
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Cohen MD BA ,  Adam  
Regional VP - NJ/DC
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Dahn MD ,  Cassidy  
Advisory Member
C		$0$0$23$0$23
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Froilov MD MPH ,  Latoya  
Regional VP - So CA So
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Khan MD PHD ,  Saahir  
Regional VP - So CA So
N		$0$0$254$0$254
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Leneweaver DO ,  Kyle  
Regional VP - NY
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Losak MD ,  Michael  
Regional VP - No CA
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Meiri MD ,  Amir  
Regional VP - MA
N		$0$0$85$0$85
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Nguyen MD MPH ,  Alexander   T
Regional VP - So CA No
N		$0$0$49$0$49
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Ojo MD ,  Kafilat  
Regional VP - NY
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Valenzuela MD ,  Josephine  
Advisory Member
C		$0$0$254$0$254
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Worthington MD ,  Chineze  
Regional VP - NY
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Akopian MD ,  Vahe  
Regional VP - So CA
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Chatoor MBBS BBM ,  Matthew  
Regional VP - NY
P		$0$0$39$0$39
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Chukwueke MD ,  Priscilla  
Regional VP - NY
P		$0$0$51$0$51
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Duncan MD ,  Alison  
National Vice President
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Jangda MD ,  Umair  
Regional VP - NY
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Kar DO ,  Sunny  
Regional VP - NJ/DC
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Loo MD ,  Dyani  
Regional VP - NM
P		$0$0$70$0$70
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Nguyen DO ,  Jonathan  
Secretary-Treasurer
P		$0$0$684$0$684
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Pike MD ,  Cynthia  
Regional VP - So CA
P		$0$0$277$0$277
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Reddy Moylan MD ,  Swathi  
Regional VP - NY
P		$0$0$157$0$157
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Waterman MD MBD ,  Gabriel  
Regional VP - So CA
P		$0$0$104$0$104
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Worsham MD ,  Christopher  
Regional VP - MA
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
Total Officer Disbursements$31,482$0$2,642$0$34,124
Less Deductions    $10,159
Net Disbursements    $23,965
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 506-906

(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 		Altenor ,  Jennifer   J
MEdia Coordinator
None		$76,071$0$762$0$76,833
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		98 %
A
B
C 		Appel ,  Heather   L
Communications Director
None		$92,537$1,318$1,673$0$95,528
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Barrett ,  Lindsay   T
New Organizing Director
None		$100,577$1,988$11,701$0$114,266
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Bell-Masterson ,  Jessica   B
Dir Member Engagement
None		$96,212$456$3,639$0$100,307
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		2 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		3 %
A
B
C 		Cardenas ,  Andrea  
Paralegal
None		$40,572$434$558$0$41,564
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		5 %
A
B
C 		Carrube ,  Linda  
Office Manager
None		$83,780$412$1,763$0$85,955
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		80 % Schedule 19
Administration 		20 %
A
B
C 		Casey ,  Lauren   M
Contract Organizer
None		$59,065$2,413$4,030$390$65,898
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Cerdina ,  Nina   A
New Organizer
None		$20,901$1,944$1,029$0$23,874
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Chow ,  Timothy  
Dir Special Projects/Syst
None		$94,957$0$129$0$95,086
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		95 %
A
B
C 		Ciuffreda ,  Alexandra   S
Paralegal
None		$38,050$0$135$0$38,185
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Clarkson ,  Lalit  
NY Contract LeadOrganizer
None		$75,393$325$5,785$0$81,503
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 		Cundari Roelans ,  Alyssa   G
Florida Area Director
None		$94,950$896$1,788$890$98,524
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Daniel-Hill ,  Cheryle  
Executive Assistant
None		$66,964$174$987$0$68,125
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		30 % Schedule 19
Administration 		70 %
A
B
C 		Dashefsky ,  David   J
Dir Research/Bargaining
None		$97,735$1,889$16,690$1,500$117,814
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		1 %
A
B
C 		De La Cruz ,  Cindy  
Contract Organizer
None		$57,524$6,082$2,068$0$65,674
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		De Lano ,  Jordan   J
New Organizer
None		$66,901$6,882$2,139$0$75,922
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 		Derosa ,  Ralph  
General Counsel
None		$132,690$131$3,345$0$136,166
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Diaz-Baez ,  Nicole   M
Senior Accountant
None		$18,839$0$371$0$19,210
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 		Dodd ,  Jennifer  
PCTF Coord
None		$10,666$0$122$0$10,788
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 		Donovan-Blood ,  Asella   A
CA Regional Director
None		$103,239$1,452$9,070$10$113,771
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		20 %
A
B
C 		Dunham ,  Carol   G
Senior Counsel
None		$74,369$0$157$0$74,526
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 		Eliot ,  Anita  
Director Legal Services
None		$130,708$0$229$0$130,937
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 		Fernandez ,  Vivian   M
QI Director
None		$96,260$598$1,611$96$98,565
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 		Foldes ,  Lila   S
Contract Organizer
None		$63,643$0$1,937$105$65,685
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 		Foley ,  Timothy  
Policy Director
None		$96,592$359$6,238$0$103,189
I
Schedule 15
Representational Activities 		55 % Schedule 16
Political Activities and Lobbying 		25 % Schedule 17
Contributions 		5 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		5 %
A
B
C 		Gottlieb ,  James   L
External organizer
None		$34,534$700$2,603$0$37,837
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Grass ,  Sylvia   Y
Contract Organizer
None		$70,220$0$100$0$70,320
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		0 %
A
B
C 		Graves ,  Dorcella  
Secretary
None		$60,166$0$300$0$60,466
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 		Hamer-Hodges ,  David   J
Contract Organizer
None		$46,799$0$6,848$0$53,647
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Holden ,  Sara   A
QI Coordinator
None		$67,605$6,900$598$1,094$76,197
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 		Hom ,  Kevin   A
Contract Organizer
None		$59,799$6,600$168$0$66,567
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 		Hom ,  Stephen   J
Accountant
None		$71,845$0$1,611$0$73,456
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		85 % Schedule 19
Administration 		15 %
A
B
C 		Howard ,  Juanita   N
Contract Administrator
None		$70,129$6,949$2,242$941$80,261
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		10 %
A
B
C 		Hull ,  Christopher  
Director of Legal Affairs
None		$130,708$677$6,105$162$137,652
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Jennings-Rogers ,  Crystal  
Contract Organizer
None		$40,630$0$225$0$40,855
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		10 %
A
B
C 		Jeremie ,  Rose-Sambour  
Housestaff Inv Fund Coord
None		$22,093$0$984$0$23,077
I
Schedule 15
Representational Activities 		25 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		25 % Schedule 19
Administration 		50 %
A
B
C 		Jones ,  Cecilia   C
Organizer
None		$21,466$3,200$2,792$0$27,458
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 		Joy ,  Traci  
Campaign Communic Coord
None		$71,475$845$3,937$0$76,257
I
Schedule 15
Representational Activities 		65 % Schedule 16
Political Activities and Lobbying 		35 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Kazdan ,  Anna  
QI coordinator
None		$69,046$7,669$1,324$839$78,878
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		35 %
A
B
C 		Kelly ,  Michelle   T
NY Regional Director
None		$96,006$1,365$1,881$134$99,386
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		2 %
A
B
C 		Kim ,  Dean  
New Organizer
None		$28,363$3,019$7,080$225$38,687
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 		Kulenovic ,  Aleksandar  
Contract Organizer
None		$71,903$5,277$3,712$0$80,892
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 		Lazreg ,  Sonia   A
East Coast Org Dir
None		$39,971$1,794$14,259$39$56,063
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 		Lederer ,  Robert   B
ProgramFunding/AdminCoord
None		$69,018$0$450$0$69,468
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		90 % Schedule 19
Administration 		0 %
A
B
C 		Lundgren ,  Kathryn   J
Lead Contract Organizer
None		$68,606$7,200$2,381$0$78,187
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Maingrette ,  Wiener  
Controller
None		$112,663$58$1,182$0$113,903
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		95 %
A
B
C 		Maliandi-Warheit ,  Allison  
Special Project Coord
None		$69,218$146$1,287$0$70,651
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		80 % Schedule 19
Administration 		20 %
A
B
C 		Markstrom ,  Melissa   C
Contract Organizer
None		$71,709$7,560$3,948$148$83,365
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 		Master ,  Karen  
Lead Contract Organizer
None		$75,781$7,496$1,965$0$85,242
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 		McHenry ,  Patrick   J
Contract Organzier
None		$73,665$12$5,263$0$78,940
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 		McSpedon ,  Laura  
Contract Organizer
None		$25,837$0$58$0$25,895
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		0 %
A
B
C 		Nelson ,  Belinda  
PCTF Coordinator
None		$68,023$7,605$3,531$0$79,159
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 		Phillip ,  Sandra  
Secretary
None		$54,838$0$467$0$55,305
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 		Ramirez ,  Marah  
HE Coordinator
None		$71,307$646$1,478$0$73,431
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 		Riphagen ,  Margot  
National Field Director
None		$120,554$3,604$13,489$132$137,779
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Rivera ,  Kenia   D
Organizer
None		$64,373$7,200$679$0$72,252
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 		Robinson ,  Carmen  
Organizing AdminAssistant
None		$67,041$0$1,363$0$68,404
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		80 % Schedule 19
Administration 		0 %
A
B
C 		Roldan ,  Priscilla  
Sr. Legal Secretary
None		$75,881$0$672$0$76,553
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 		Ruiz ,  Alyssa  
Health Equity Director
None		$88,406$77$636$0$89,119
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 		Scherzer ,  Eric  
Executive Director
None		$165,886$530$7,108$0$173,524
I
Schedule 15
Representational Activities 		81 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		12 %
A
B
C 		Shatabdy ,  Shaila   S
Contract Organizer
None		$27,616$491$611$0$28,718
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		20 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		25 %
A
B
C 		Shea ,  Sandra  
Policy Director
None		$74,277$0$3,516$0$77,793
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Spahr ,  Michael  
Contract Organizer
None		$50,953$0$8,153$63$59,169
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Travieso ,  Cynthia   M
Outer Region Director
None		$82,369$4,117$4,454$318$91,258
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Tyrpak ,  Jed   D
NY/NJ Regional Director
None		$102,903$336$7,443$0$110,682
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 		Van Raan Welch ,  Rachel   H
Communications Coord
None		$69,557$240$1,243$0$71,040
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Walter ,  Carl   L
New Organizer
None		$23,247$1,803$412$0$25,462
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Warburton ,  Harry   R
Contract Organizer
None		$68,565$8,530$12,565$0$89,660
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Warner ,  Rosemary  
Secretary
None		$62,254$0$450$0$62,704
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 		Wiggins ,  Sharome   R
Contract Organizer
None		$32,436$2,700$345$0$35,481
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Williams ,  Arthur  
Clerical/Office Assistant
None		$46,075$0$770$0$46,845
I
Schedule 15
Representational Activities 		5 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		90 % Schedule 19
Administration 		5 %
A
B
C 		Wong ,  Kimberly  
Dir Recruitment/Training
None		$53,643$291$2,777$0$56,711
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$28,326$1,218$2,141$0$31,685
I Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		2 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		6 %
Total Employee Disbursements$5,026,980$134,608$225,562$7,086$5,394,236
Less Deductions    $1,762,486
Net Disbursements    $3,631,750
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 506-906

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 10,939 
Agency Fee Payers*1,054
Total Members/Fee Payers11,993 
*Agency Fee Payers are not considered members of the labor organization.
Members10,939Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 506-906

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$2,425,220
2. Named Payer Non-itemized Receipts$85,565
3. All Other Receipts$86,762
4. Total Receipts$2,597,547
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$6,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$10,244
5. All Other Disbursements$5,183
6. Total Disbursements$21,427
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$72,935
2. Named Payee Non-itemized Disbursements$116,370
3. To Officers$24,937
4. To Employees$3,710,923
5. All Other Disbursements$176,181
6. Total Disbursements$4,101,346
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$1,595,754
2. Named Payee Non-itemized Disbursements$584,626
3. To Officers$0
4. To Employees$748,747
5. All Other Disbursements$464,743
6. Total Disbursements$3,393,870
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$7,000
2. Named Payee Non-itemized Disbursements$3,000
3. To Officers$0
4. To Employees$120,149
5. All Other Disbursements$23,267
6. Total Disbursements$153,416
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$96,858
2. Named Payee Non-itemized Disbursements$116,043
3. To Officers$9,196
4. To Employees$804,177
5. All Other Disbursements$186,516
6. Total Disbursements$1,212,790
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 506-906

Name and Address
(A)
California Hospital Medical Center

1401 S Grand Ave
Los Angeles
CA
90015
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Settlement Claim to be distributed05/08/2017$6,000
Name and Address
(A)
Chase Cardmember Service
P.O. Box 94014

Palatine
IL
60094-4014
Type or Classification
(B)
Credit Card
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Credit Card Redemption06/16/2017$6,000
Name and Address
(A)
CIR Policy and Education Initiative

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Foundation
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$132,458
Total Non-Itemized Transactions with this Payee/Payer$7,353
Total of All Transactions with this Payee/Payer for This Schedule$139,811
Expense Reimbursement07/29/2016$5,350
Expense Reimbursement08/26/2016$18,187
Expense Reimbursement09/02/2016$51,469
Expense Reimbursement11/30/2016$15,894
Expense Reimbursement03/01/2017$9,639
Expense Reimbursement04/20/2017$19,604
Expense Reimbursement05/12/2017$12,315
Name and Address
(A)
CIR SEIU COPE

1800 Massachusetts Ave NW
Washington
DC
20036
Type or Classification
(B)
Affiliate PAC Fund
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,830
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$18,830
Share allocat. exp pursuant to allocation studies03/17/2017$18,830
Name and Address
(A)
Darien Rowayton Bank

1001 Post Road
Darien
CT
06820
Type or Classification
(B)
Bank
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
National Convention Sponsorship04/20/2017$5,000
Name and Address
(A)
Empire Blue Cross

530 West 207th St
New York
NY
10034
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$3,000
Total of All Transactions with this Payee/Payer for This Schedule$9,000
National Convention Sponsorship04/20/2017$6,000
Name and Address
(A)
Health and Hospital Corp.

125 Worth Street
New York
NY
10013
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$218,182
Total Non-Itemized Transactions with this Payee/Payer$3,375
Total of All Transactions with this Payee/Payer for This Schedule$221,557
Deposit Error Returned to PCTF on 11/13/1611/01/2016$218,182
Name and Address
(A)
Hotels.com

5400 LBJ Freeway Suite 500
Dallas
TX
75240
Type or Classification
(B)
On Line Travel Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,612
Total of All Transactions with this Payee/Payer for This Schedule$5,612
Name and Address
(A)
Housestaff Benefit Plan

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$307,788
Total Non-Itemized Transactions with this Payee/Payer$14,263
Total of All Transactions with this Payee/Payer for This Schedule$322,051
Share allocat. exp pursuant to allocation studies08/18/2016$173,736
Share allocat. exp pursuant to allocation studies09/12/2016$14,250
Share allocat. exp pursuant to allocation studies09/30/2016$8,874
Share allocat. exp pursuant to allocation studies11/17/2016$6,900
Share allocat. exp pursuant to allocation studies12/08/2016$7,007
Share allocat. exp pursuant to allocation studies12/21/2016$6,900
Share allocat. exp pursuant to allocation studies01/06/2017$5,164
Share allocat. exp pursuant to allocation studies02/01/2017$12,000
Share allocat. exp pursuant to allocation studies02/22/2017$12,000
Share allocat. exp pursuant to allocation studies04/20/2017$12,264
Share allocat. exp pursuant to allocation studies04/20/2017$12,000
Share allocat. exp pursuant to allocation studies05/12/2017$12,000
Share allocat. exp pursuant to allocation studies06/15/2017$12,550
Share allocat. exp pursuant to allocation studies06/30/2017$12,143
Name and Address
(A)
InsMed Insurance Agency, Inc.

111 Brook Street #3
Scarsdale
NY
10583
Type or Classification
(B)
Insurance Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,500
Total Non-Itemized Transactions with this Payee/Payer$150
Total of All Transactions with this Payee/Payer for This Schedule$18,650
National Convention Sponsorship05/23/2017$18,500
Name and Address
(A)
Jackson Health System

1611 NW 12th Ave
Miami
FL
33136
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$175,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$175,000
Public Health Trust Fund07/14/2016$175,000
Name and Address
(A)
Joint Quality Improvement Assoc.

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Association
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$65,554
Total Non-Itemized Transactions with this Payee/Payer$813
Total of All Transactions with this Payee/Payer for This Schedule$66,367
Expense Reimbursement04/20/2017$52,591
Expense Reimbursement05/31/2017$12,963
Name and Address
(A)
LA County Health Services

313 N. Figueroa Street
Los Angeles
CA
90012
Type or Classification
(B)
Government Department
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$330,372
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$330,372
Quality Improvement Program08/10/2016$300,000
Stale checks04/01/2017$30,372
Name and Address
(A)
North General Hospital

1879 Madison Ave
New York
NY
10035
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,612
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,612
State disbursement from bankruptcy dissolution07/08/2016$25,612
Name and Address
(A)
Patient Care Trust Fund

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Fund
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$31,617
Total Non-Itemized Transactions with this Payee/Payer$2,151
Total of All Transactions with this Payee/Payer for This Schedule$33,768
Share allocat. exp pursuant to allocation studies08/17/2016$7,400
Share allocat. exp pursuant to allocation studies09/02/2016$7,400
Share allocat. exp pursuant to allocation studies10/12/2016$9,417
Share allocat. exp pursuant to allocation studies10/24/2016$7,400
Name and Address
(A)
Professional Educational Plan

1375 Broadway 6th Floor
New York
NY
10018
Type or Classification
(B)
Affiliate Fund
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,929
Total Non-Itemized Transactions with this Payee/Payer$18,559
Total of All Transactions with this Payee/Payer for This Schedule$37,488
Share allocat. exp pursuant to allocation studies08/18/2016$18,929
Name and Address
(A)
Service Employees International Union

1800 Massachusetts Ave NW
Washington
DC
20036
Type or Classification
(B)
Affiliate Labor Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$770,651
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$770,651
Per Capita Rebate07/28/2016$67,855
Per Capita Rebate08/26/2016$70,005
Per Capita Rebate09/30/2016$66,020
Per Capita Rebate12/16/2016$75,419
Per Capita Rebate12/16/2016$79,638
Per Capita Rebate01/12/2017$72,276
Expense Reimbursement01/19/2017$5,844
Per Capita Rebate02/10/2017$57,020
Per Capita Rebate02/17/2017$52,561
Per Capita Rebate04/21/2017$137,493
Per Capita Rebate05/26/2017$86,520
Name and Address
(A)
SEIU Local 2015

2910 Beverly Blvd
Los Angeles
CA
90057
Type or Classification
(B)
Labor Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,000
Expense Reimbursement07/20/2016$7,000
Name and Address
(A)
Stacy Braun Associates, Inc.

377 Broadway
New York
NY
10013-3934
Type or Classification
(B)
Investment Advisors
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$3,000
Total of All Transactions with this Payee/Payer for This Schedule$9,000
National Convention Sponsorship03/28/2017$6,000
Name and Address
(A)
Standard Security Life Ins Co.
P.O. Box 6240
Church Street Station
New York
NY
10249-6240
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,840
Total of All Transactions with this Payee/Payer for This Schedule$8,840
Name and Address
(A)
University of California

260 Aldrich Hall
Irvine
CA
92697-1075
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,399
Total of All Transactions with this Payee/Payer for This Schedule$5,399
Name and Address
(A)
Voluntary Hospitals HSBP

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$275,727
Total Non-Itemized Transactions with this Payee/Payer$13,050
Total of All Transactions with this Payee/Payer for This Schedule$288,777
Share allocat. exp pursuant to allocation studies08/18/2016$153,318
Share allocat. exp pursuant to allocation studies09/30/2016$8,400
Share allocat. exp pursuant to allocation studies11/17/2016$8,400
Share allocat. exp pursuant to allocation studies12/08/2016$8,507
Share allocat. exp pursuant to allocation studies12/21/2016$8,400
Share allocat. exp pursuant to allocation studies02/22/2017$21,600
Share allocat. exp pursuant to allocation studies04/20/2017$13,200
Share allocat. exp pursuant to allocation studies04/20/2017$13,200
Share allocat. exp pursuant to allocation studies05/12/2017$13,200
Share allocat. exp pursuant to allocation studies06/15/2017$13,200
Share allocat. exp pursuant to allocation studies06/30/2017$14,302
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 506-906

Name and Address
(A)
American Airlines
P.O. Box 619616
DFW Intl Apirport
Dallas
TX
75261
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,726
Total of All Transactions with this Payee/Payer for This Schedule$14,726
Name and Address
(A)
American Express Prepaid Card Management Corp.

4315 S 2700 West
Salt Lake City
UT
84184
Type or Classification
(B)
Credit Card
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,008
Total Non-Itemized Transactions with this Payee/Payer$425
Total of All Transactions with this Payee/Payer for This Schedule$5,433
AMEX Gift Cards to members05/03/2017$5,008
Name and Address
(A)
Broadstripes

760 Chapel Street
New Haven
CT
06510
Type or Classification
(B)
Software Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,000
Member Defense/Strategic Fund Software Subscript.11/03/2016$6,250
Member Defense/Strategic Fund Software Subscript.11/22/2016$9,375
Member Defense/Strategic Fund Software Subscript.01/31/2017$9,375
Name and Address
(A)
City Works Foundation
The Murphy Institute, CUNY
25 W 43rd Street 19th Flr
New York
NY
10036
Type or Classification
(B)
College
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,750
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,750
NY Union Semester Inter Placement11/30/2016$7,750
Name and Address
(A)
Delta Air Lines
P.O. Box 20706

Atlanta
GA
30320
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,303
Total of All Transactions with this Payee/Payer for This Schedule$13,303
Name and Address
(A)
Extended Stay America

18-30 Whitestone Expwy
Whitestone
NY
11537
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,159
Total of All Transactions with this Payee/Payer for This Schedule$7,159
Name and Address
(A)
Home2 Suites by Hilton

1660 University Blvd NE
Albequerque
NM
87102
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,161
Total of All Transactions with this Payee/Payer for This Schedule$5,161
Name and Address
(A)
Homewood Suites by Hilton NY

312 W 37th Street
New York
NY
10018
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,943
Total of All Transactions with this Payee/Payer for This Schedule$9,943
Name and Address
(A)
Hotels.com

5400 LBJ Freeway Suite 500
Dallas
TX
75240
Type or Classification
(B)
On Line Travel Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,337
Total of All Transactions with this Payee/Payer for This Schedule$10,337
Name and Address
(A)
Hyatt Hotels Corporation

71 So Wacker Drive
Chicago
IL
60606
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,125
Total of All Transactions with this Payee/Payer for This Schedule$8,125
Name and Address
(A)
Josie Mooney and Associates

1418 Henry Street
Berkeley
CA
94709
Type or Classification
(B)
Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,500
Total of All Transactions with this Payee/Payer for This Schedule$7,500
Name and Address
(A)
Karyn Baum

845 Laurel Avenue
St Paul
MN
55014
Type or Classification
(B)
Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,437
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,437
Quality Improvement Workshop01/31/2017$10,437
Name and Address
(A)
Kennedy, Jennik and Murray, P.C.

113 University Pl 7th Flr
New York
NY
10003
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$10,041
Total of All Transactions with this Payee/Payer for This Schedule$15,041
Legal Fees Labor Issues11/20/2016$5,000
Name and Address
(A)
Phillips, Richard and Rind, P.A.

9360 SW 72 Street Suite 283
Miami
FL
33173
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,650
Total of All Transactions with this Payee/Payer for This Schedule$7,650
Name and Address
(A)
Schwartz, Steinsapir, Dohrman and Sommers

6300 Wilshire Blvd Ste 2000
Los Angeles
CA
90048-5202
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,950
Total Non-Itemized Transactions with this Payee/Payer$6,442
Total of All Transactions with this Payee/Payer for This Schedule$13,392
Legal Fees Labor Issues04/28/2017$6,950
Name and Address
(A)
Sharon Goldstone

34 Fairfield Way
San Francisco
CA
94127
Type or Classification
(B)
Organizing Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,340
Total Non-Itemized Transactions with this Payee/Payer$1,500
Total of All Transactions with this Payee/Payer for This Schedule$8,840
Lodging for Organizing01/27/2017$7,340
Name and Address
(A)
StepVisual Communications

38 Lawridge Dr Suite 1200
Rye Brook
NY
10573
Type or Classification
(B)
Printing Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,450
Total Non-Itemized Transactions with this Payee/Payer$275
Total of All Transactions with this Payee/Payer for This Schedule$5,725
Orientation Flyers05/31/2017$5,450
Name and Address
(A)
United Airlines

77 W Wacker Dr
Chicago
IL
60601
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,457
Total of All Transactions with this Payee/Payer for This Schedule$6,457
Name and Address
(A)
Weissman and Mintz, LLC

One Executive Drive Ste 200
Somerset
NJ
08873
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,326
Total of All Transactions with this Payee/Payer for This Schedule$7,326
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 506-906

Name and Address
(A)
Working Families Party

One Metrotech Ctr 11th Flr
Brooklyn
NY
11201
Type or Classification
(B)
Political Party
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,000
Total Non-Itemized Transactions with this Payee/Payer$3,000
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution01/19/2017$7,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 506-906

Name and Address
(A)
American Medical Student Association

1902 Association Drive
Reston
VA
20191-1502
Type or Classification
(B)
Medical Association
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Fellowship and Sponsor Payment01/18/2017$6,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 506-906

Name and Address
(A)
617 Olive LLC

606 South Olive St Ste 600
Los Angeles
CA
90014
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$18,959
Total of All Transactions with this Payee/Payer for This Schedule$18,959
Name and Address
(A)
Accountemps

12400 Collections Center Dr
Chicago
IL
60693
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,818
Total Non-Itemized Transactions with this Payee/Payer$62,054
Total of All Transactions with this Payee/Payer for This Schedule$71,872
Temporary Office Help11/30/2016$9,818
Name and Address
(A)
ADP, Inc.
P.O. Box 842875

Boston
MA
02284-2875
Type or Classification
(B)
Payroll Processor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,294
Total of All Transactions with this Payee/Payer for This Schedule$15,294
Name and Address
(A)
AmTrust North America
P.O. Box 6939

Cleveland
OH
44101-1939
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$101,589
Total Non-Itemized Transactions with this Payee/Payer$1,786
Total of All Transactions with this Payee/Payer for This Schedule$103,375
Workers Compensation Insurance07/13/2016$10,337
Workers Compensation Insurance08/05/2016$26,896
Workers Compensation Insurance10/07/2016$10,312
Workers Compensation Insurance12/26/2016$21,634
Workers Compensation Insurance04/14/2017$32,410
Name and Address
(A)
Borough Supplies Corp.

328 West 15th Street
New York
NY
10011
Type or Classification
(B)
Office Supply Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,431
Total of All Transactions with this Payee/Payer for This Schedule$6,431
Name and Address
(A)
Broadview Networks
P.O. Box 9242

Uniondale
NY
11555-9242
Type or Classification
(B)
Telecommunications Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,095
Total of All Transactions with this Payee/Payer for This Schedule$11,095
Name and Address
(A)
BSREP Marina Village Owner LLC
P.O. Box 398059

San Francisco
CA
94139-8059
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$30,557
Total of All Transactions with this Payee/Payer for This Schedule$30,557
Name and Address
(A)
Chubb
Segal Select Insurance Serv
333 West 34th St 2nd Flr
New York
NY
10001-2402
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,932
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$9,932
Liability Insurance05/26/2017$9,932
Name and Address
(A)
Cleaning Service Industries, Inc.

1384 Broadway Suite 407
New York
NY
10018
Type or Classification
(B)
Office Maintenance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$23,688
Total of All Transactions with this Payee/Payer for This Schedule$23,688
Name and Address
(A)
Comcast
P.O. Box 37601

Philadelphia
PA
19101-0601
Type or Classification
(B)
Telecommunications Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,536
Total of All Transactions with this Payee/Payer for This Schedule$6,536
Name and Address
(A)
Community Matters LLC.

99 Lloyd Ave
Providence
RI
02906
Type or Classification
(B)
Educational Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,132
Total Non-Itemized Transactions with this Payee/Payer$14,238
Total of All Transactions with this Payee/Payer for This Schedule$20,370
Consultant04/06/2017$6,132
Name and Address
(A)
Corporate Coffee Systems

745 Summa Avenue
Westbury
NY
11590
Type or Classification
(B)
Bverage Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,005
Total of All Transactions with this Payee/Payer for This Schedule$5,005
Name and Address
(A)
Creative Financial Staffing LLC
P.O. Box 95111

Chicago
IL
60694-5111
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,600
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$14,600
Placement Fee for Employee03/19/2017$14,600
Name and Address
(A)
Cutting Room Recycling Corp.

65 Emerson Place
Brooklyn
NY
11205
Type or Classification
(B)
Sanitation Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,520
Total of All Transactions with this Payee/Payer for This Schedule$5,520
Name and Address
(A)
Dominion Tower

1400 NW 10th Ave Suite 101
Miami
FL
33136
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$20,104
Total of All Transactions with this Payee/Payer for This Schedule$20,104
Name and Address
(A)
Earl Mathurin
Housestaff Benefit Plan
520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Assoc Dir-Affiliate Benefit Plan
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,916
Total of All Transactions with this Payee/Payer for This Schedule$11,916
Name and Address
(A)
Everbank Commercial Finance, Inc.

Dept 1608
Denver
CO
80291-1608
Type or Classification
(B)
Equipment Rental Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$24,220
Total of All Transactions with this Payee/Payer for This Schedule$24,220
Name and Address
(A)
Harbor-UCLA Biomedical Research Instute

1124 West Carson Street
Torrance
CA
90502
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$29,500
Total Non-Itemized Transactions with this Payee/Payer$5,600
Total of All Transactions with this Payee/Payer for This Schedule$35,100
Quality Improvement Program03/17/2017$12,000
Quality Improvement Program03/31/2017$17,500
Name and Address
(A)
Harbor-UCLA Dept of Emergency Medicine

1000 West Carson St Box 21
Torrance
CA
90509
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,400
Total Non-Itemized Transactions with this Payee/Payer$3,850
Total of All Transactions with this Payee/Payer for This Schedule$16,250
Quality Improvement Program09/07/2016$12,400
Name and Address
(A)
Harbor-UCLA Medical Center

1000 West Carson Street
Torrance
CA
90509
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,514
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,514
Quality Improvement Program06/30/2017$10,514
Name and Address
(A)
Harbor-UCLA Trauma Education Fund
Dept Emergency Medicine
1000 West Carson St Box 21
Torrance
CA
90509
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,600
Total Non-Itemized Transactions with this Payee/Payer$1,700
Total of All Transactions with this Payee/Payer for This Schedule$10,300
Quality Improvement Program10/13/2016$8,600
Name and Address
(A)
Housestaff Benefit Plan

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$448,175
Total Non-Itemized Transactions with this Payee/Payer$1,688
Total of All Transactions with this Payee/Payer for This Schedule$449,863
Payroll Expense Allocation08/18/2016$89,400
Payroll Expense Allocation08/18/2016$179,975
Payroll Expense Allocation08/23/2016$29,800
Payroll Expense Allocation09/22/2016$14,900
Payroll Expense Allocation10/19/2016$14,900
Payroll Expense Allocation11/22/2016$14,900
Payroll Expense Allocation12/15/2016$14,900
Payroll Expense Allocation01/02/2017$14,900
Payroll Expense Allocation02/15/2017$14,900
Payroll Expense Allocation03/24/2017$14,900
Payroll Expense Allocation04/01/2017$14,900
Payroll Expense Allocation05/01/2017$14,900
Payroll Expense Allocation06/08/2017$14,900
Name and Address
(A)
Joy Products, Inc.

14 Vanderventer Avenue
Port Washington
NY
11050
Type or Classification
(B)
Promotional Products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,856
Total Non-Itemized Transactions with this Payee/Payer$909
Total of All Transactions with this Payee/Payer for This Schedule$14,765
Office Supplies04/14/2017$13,856
Name and Address
(A)
Kauff, McGuire and Margolis LLP

950 Third Avenue 14th Floor
New York
NY
10022
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,473
Total of All Transactions with this Payee/Payer for This Schedule$11,473
Name and Address
(A)
KMR System Corporation

6800 Jericho Tpke Ste 207E
Syosset
NY
11791
Type or Classification
(B)
Computer Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$34,659
Total of All Transactions with this Payee/Payer for This Schedule$34,659
Name and Address
(A)
L and R Auto Parks Inc.

550 So Hope St Suite 2200
Los Angeles
CA
90071
Type or Classification
(B)
Parking Garage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,120
Total of All Transactions with this Payee/Payer for This Schedule$5,120
Name and Address
(A)
LAC + USC Dept Pediatrics

2020 Zonal Ave Rm 112
Los Angeles
CA
90033
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,022
Total of All Transactions with this Payee/Payer for This Schedule$9,022
Name and Address
(A)
LAC + USC Medical Center Foundation

1200 N State Street
Los Angeles
CA
90033
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$59,328
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$59,328
Quality Improvement Program03/02/2017$30,998
Quality Improvement Program03/29/2017$8,850
Quality Improvement Program03/31/2017$19,480
Name and Address
(A)
Locktight Solutions, Inc.

11 Ridge Road
Creeskill
NJ
07626-1028
Type or Classification
(B)
Computer Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,032
Total Non-Itemized Transactions with this Payee/Payer$50,085
Total of All Transactions with this Payee/Payer for This Schedule$62,117
Google User Licenses11/17/2016$12,032
Name and Address
(A)
Mail Finance

25881 Network Place
Chicago
IL
60673-1258
Type or Classification
(B)
Postage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,023
Total of All Transactions with this Payee/Payer for This Schedule$12,023
Name and Address
(A)
Manhattan Mini Storage

520 Eighth Avenue 19th Flr
New York
NY
10018
Type or Classification
(B)
Document Storage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$21,201
Total of All Transactions with this Payee/Payer for This Schedule$21,201
Name and Address
(A)
Neofunds By Neopost
P.O. Box 30193

Tampa
FL
33630-3193
Type or Classification
(B)
Postage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,111
Total of All Transactions with this Payee/Payer for This Schedule$11,111
Name and Address
(A)
Newmark and Co. Real Estate, Inc.

125 Park Ave 11th Floor
New York
NY
10017
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$512,989
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$512,989
Monthly Rent and Utilities for NY Office07/07/2016$40,774
Monthly Rent and Utilities for NY Office08/05/2016$44,971
Monthly Rent and Utilities for NY Office09/01/2016$44,629
Monthly Rent and Utilities for NY Office10/01/2016$44,773
Monthly Rent and Utilities for NY Office11/03/2016$43,810
Monthly Rent and Utilities for NY Office12/01/2016$42,676
Monthly Rent and Utilities for NY Office01/05/2017$41,994
Monthly Rent and Utilities for NY Office02/02/2017$41,673
Monthly Rent and Utilities for NY Office03/03/2017$41,657
Monthly Rent and Utilities for NY Office04/04/2017$41,631
Monthly Rent and Utilities for NY Office05/04/2017$41,596
Monthly Rent and Utilities for NY Office06/01/2017$42,805
Name and Address
(A)
Pacific Workplaces

1300 Clay Street Suite 600
Oakland
CA
94612
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$5,935
Total of All Transactions with this Payee/Payer for This Schedule$5,935
Name and Address
(A)
Patient Care Trust Fund

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Fund
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$218,182
Total Non-Itemized Transactions with this Payee/Payer$6,750
Total of All Transactions with this Payee/Payer for This Schedule$224,932
Return HHC Deposit Error of 11/1/1611/13/2016$218,182
Name and Address
(A)
Penn Parking LLC

One Penn Plaza
New York
NY
10001
Type or Classification
(B)
Parking Garage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,825
Total of All Transactions with this Payee/Payer for This Schedule$6,825
Name and Address
(A)
Rogoff and Company, PC

355 Lexington Ave 6th Flr
New York
NY
10017
Type or Classification
(B)
Accounting Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$56,500
Total Non-Itemized Transactions with this Payee/Payer$2,400
Total of All Transactions with this Payee/Payer for This Schedule$58,900
Accounting and Auditing Fees07/13/2016$14,125
Accounting and Auditing Fees10/07/2016$14,125
Accounting and Auditing Fees02/15/2017$14,125
Accounting and Auditing Fees04/21/2017$14,125
Name and Address
(A)
Seneca Insurance Company, Inc.

160 Water Street
New York
NY
10038-4922
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,331
Total Non-Itemized Transactions with this Payee/Payer$2,587
Total of All Transactions with this Payee/Payer for This Schedule$11,918
Commercial Package Insurance01/01/2017$9,331
Name and Address
(A)
Stacy Braun Associates, Inc.

377 Broadway
New York
NY
10013-3934
Type or Classification
(B)
Investment Advisors
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,014
Total of All Transactions with this Payee/Payer for This Schedule$13,014
Name and Address
(A)
Staples Business Advantage
P.O. Box 415256

Boston
MA
02241-5256
Type or Classification
(B)
Office Supply Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,660
Total of All Transactions with this Payee/Payer for This Schedule$13,660
Name and Address
(A)
StepVisual Communications

38 Lawridge Dr Suite 1200
Rye Brook
NY
10573
Type or Classification
(B)
Printing Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,305
Total of All Transactions with this Payee/Payer for This Schedule$7,305
Name and Address
(A)
Time of Day Media, LLC

239 Thompson
New York
NY
10012
Type or Classification
(B)
Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,300
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,300
Video Production10/07/2016$6,300
Name and Address
(A)
Union Jobs Clearinghouse

122 Calistoga Road #181
Santa Rosa
CA
95409-3702
Type or Classification
(B)
Employment Listing Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,675
Total of All Transactions with this Payee/Payer for This Schedule$5,675
Name and Address
(A)
Union Services Agency

119 Pere Marquette Suite 1A
Lansing
MI
48912
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,606
Total Non-Itemized Transactions with this Payee/Payer$3,595
Total of All Transactions with this Payee/Payer for This Schedule$30,201
Liability Insurance03/17/2017$26,606
Name and Address
(A)
University of Southern California

16200 Amber Valley Dr
Whittier
CA
90604
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer$999
Total of All Transactions with this Payee/Payer for This Schedule$20,999
Quality Improvement Program01/21/2017$20,000
Name and Address
(A)
USC Department of Medicine

1975 Zonal Avenue
Los Angeles
CA
90033
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,370
Total Non-Itemized Transactions with this Payee/Payer$4,428
Total of All Transactions with this Payee/Payer for This Schedule$13,798
Quality Improvement Program09/22/2016$9,370
Name and Address
(A)
Verizon Business
P.O. Box 15043

Albany
NY
12212-5044
Type or Classification
(B)
Telecommunications Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,046
Total of All Transactions with this Payee/Payer for This Schedule$18,046
Name and Address
(A)
Verizon-NJ
P.O. Box 408

Newark
NJ
07101-0408
Type or Classification
(B)
Telecommunications Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$43,047
Total of All Transactions with this Payee/Payer for This Schedule$43,047
Name and Address
(A)
W.B. Mason Company, Inc.
P.O. Box 981101

Boston
MA
02298-1101
Type or Classification
(B)
Office Supply Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$24,516
Total of All Transactions with this Payee/Payer for This Schedule$24,516
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 506-906

Name and Address
(A)
American Airlines
P.O. Box 619616
DFW Intl Apirport
Dallas
TX
75261
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$45,776
Total of All Transactions with this Payee/Payer for This Schedule$45,776
Name and Address
(A)
Amtrak

3 Penn Plaza
New York
NY
10001
Type or Classification
(B)
Rail Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,921
Total of All Transactions with this Payee/Payer for This Schedule$10,921
Name and Address
(A)
Delta Air Lines
P.O. Box 20706

Atlanta
GA
30320
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,906
Total of All Transactions with this Payee/Payer for This Schedule$8,906
Name and Address
(A)
Even Hotel Times Square

321 W 35th St
New York
NY
10001
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,621
Total Non-Itemized Transactions with this Payee/Payer$3,684
Total of All Transactions with this Payee/Payer for This Schedule$12,305
Executive Committee Meeting12/06/2016$8,621
Name and Address
(A)
Jay Star Group, Inc.

85 East Avenue
Norwalk
CT
06851
Type or Classification
(B)
LM2 Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,970
Total of All Transactions with this Payee/Payer for This Schedule$6,970
Name and Address
(A)
Joy Products, Inc.

14 Vanderventer Avenue
Port Washington
NY
11050
Type or Classification
(B)
Promotional Products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,050
Total Non-Itemized Transactions with this Payee/Payer$10,691
Total of All Transactions with this Payee/Payer for This Schedule$25,741
CIR Annual Convention07/13/2016$7,237
CIR Annual Convention05/19/2017$7,813
Name and Address
(A)
Juniper

237 W 35th St
New York
NY
10001
Type or Classification
(B)
Restaurant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,071
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,071
Executive Committee Meeting12/04/2016$5,071
Name and Address
(A)
LA Trenza Global Consulting, LLC

2226 Newton St NE
Washington
DC
20018
Type or Classification
(B)
Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,888
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,888
Consultant Fees03/09/2017$8,888
Name and Address
(A)
MedStar Health

5565 Sterrett Place Ste 300
Columbia
MD
21044
Type or Classification
(B)
Health Care Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,400
Total of All Transactions with this Payee/Payer for This Schedule$8,400
Name and Address
(A)
Midwest Academy

27 E Monroe Suite 1100
Chicago
IL
60603
Type or Classification
(B)
Training School
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,100
Total of All Transactions with this Payee/Payer for This Schedule$5,100
Name and Address
(A)
Sheraton City Center

120 Race Street
Philadelphia
PA
19107
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,000
Total Non-Itemized Transactions with this Payee/Payer$207
Total of All Transactions with this Payee/Payer for This Schedule$30,207
Deposit for CIR Annual Convention03/29/2017$30,000
Name and Address
(A)
Tir Na Nog

1600 Arch Street
Philadelphia
PA
19103
Type or Classification
(B)
Restaurant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,221
Total Non-Itemized Transactions with this Payee/Payer$1,000
Total of All Transactions with this Payee/Payer for This Schedule$6,221
CIR Annual Convention05/07/2017$5,221
Name and Address
(A)
TrueBallot, Inc.

3 Bethesda Metro Ctr #700
Bethesda
MD
20814
Type or Classification
(B)
Election Service Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,347
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$11,347
CIR Election Services09/22/2016$11,347
Name and Address
(A)
United Airlines

77 W Wacker Dr
Chicago
IL
60601
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,884
Total of All Transactions with this Payee/Payer for This Schedule$7,884
Name and Address
(A)
UN Travel

130 Chestnut St Suite 1
Philadelphia
PA
19106
Type or Classification
(B)
Travel Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,504
Total of All Transactions with this Payee/Payer for This Schedule$6,504
Name and Address
(A)
Wyndham Hamilton Park Hotel

175 Park Avenue
Florham Park
NJ
07932
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,660
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,660
Executive Committee Meeting08/12/2016$12,660
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 506-906

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,722,692
Disability InsuranceStandard Security Life Ins Co.$6,347
Life InsuranceSBLI$844
Medical InsuranceEmployees$7,724
Medical InsuranceHousestaff Benefit Plan$98,569
Medical InsuranceVoluntary Hospitals HSBP$556,473
Pension BenefitsSEIU Affiliates Officers & Employee Pension Fund$1,052,735
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 506-906


Question 10: HOUSE STAFF BENEFIT PLAN ID # 13-6203291 A TAX EXEMPT 501-C-9 MULTI-EMPLOYER/EMPLOYEE BENEFIT PLAN VOLUNTARY HOSPITAL HOUSE STAFF BENEFIT PLAN ID # 13-3029280 A TAX EXEMPT 501-C-9 MULTI-EMPLOYER/EMPLOYEE BNTF PLAN PATIENT CARE TRUST FUND ID# 13- 3045148 A TAX EXEMPT 501-C3 PROFESSIONAL EDUCATION PLAN ID# 13-4071468 A TAX EXEMPT 501-C9 MULTI EMPLOYER/EMPLOYEE BENEFIT PLAN.PLAN.

Question 11(a): PAC FUND (CIR-SEIU LOCAL 1957 HEALTH CARE ADVOCACY FUND) FILES FORM A17520 WITH THE NEW YORK STATE BOARD OF ELECTIONS.

Question 12: AUDIT IS BEING PERFORMED BY ROGOFF & COMPANY, P.C. CPA'S, 355 LEXINGTON AVENUE 6TH FLOOR, NEW YORK, NY 10017 212-557-5666.

Question 15: During the reporting period 2016-2017, CIR disposed an affinity of goods without cost to its members.

Question 16: CIR MAINTAINED A SECURITY DEPOSIT IN THE AMOUNT OF $80,438 WITH NEWMARK REAL ESTATE (LANDLORD) FOR THE LEASE. ALL INVENTORY, CHATTEL PAPER, ACCOUNTS, EQUIPMENT AND GENERAL INTANGIBLE AS COLLATERAL FOR CONSTRUCTION LOAN.

Schedule 2, Row3:Loan was written off.

Schedule 13, Row1:MEMBERS PAY FULL DUES AND HAVE FULL VOTING RIGHTS.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)