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
042-203
2. PERIOD COVERED
From10/01/2016
Through09/30/2017
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
NATIONAL FEDERATION OF NURSES
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR

7. UNIT NAME (if any)
WASHINGTON STATE NURSES ASSOCIATION
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Janice E
Last Name
Bussert
P.O Box - Building and Room Number
SUITE 101
Number and Street
575 ANDOVER PARK W
City
SEATTLE
State
WA
ZIP Code + 4
981883348


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:Janice E BussertPRESIDENT71. SIGNED:Verlee M SutherlinTREASURER
Date:Dec 28, 2017Telephone Number:206-463-1687Date:Dec 28, 2017Telephone Number:509-466-4406
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 042-203
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?$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?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?05/2019
20. How many members did the labor organization have at the end of the reporting period?14,266
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees981.60perYear202.00981.60
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 042-203

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $8,181,374$9,203,747
23. Accounts Receivable1$578$2,379
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$399,420$521,473
28. Other Assets7$233,100$160,134
29. TOTAL ASSETS $8,814,472$9,887,733

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$866,244$677,349
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$1,215,609$1,208,786
34. TOTAL LIABILITIES $2,081,853$1,886,135
35. NET ASSETS$6,732,619$8,001,598
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 042-203

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $8,942,681
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $3,630
40. Interest $7,533
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $3,976,618
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$1,701,093
49. TOTAL RECEIPTS $14,631,555
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,501,190
51. Political Activities and Lobbying16$409,553
52. Contributions, Gifts, and Grants17$20,100
53. General Overhead18$2,244,325
54. Union Administration19$927,080
55. Benefits20$760,935
56. Per Capita Tax $149,730
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$245,576
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $3,982,838
64. On Behalf of Individual Members $0
65. Direct Taxes $367,855
  
66. Subtotal $13,609,182
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,482,212  
  67b. Less Total Disbursed$1,482,212  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $13,609,182
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 042-203

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$2,379   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $2,379$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 042-203

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 61Item 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: 042-203

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$183,811$2,812$0$0
Computer equipment$56,441$1,341$0$0
Software$9,897$0$0$0
Furniture and equipment$2,760$271$0$0
IMIS Membership Software$114,713$1,200$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: 042-203

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$245,576$245,576$245,576
Membership software - Microsoft Dynamics CRM$162,490$162,490$162,490
Computer equipment$81,647$81,647$81,647
Furniture and office equipment$1,439$1,439$1,439
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$245,576
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 042-203

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: 042-203

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$1,152,597$631,124$521,473$521,473
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,152,597$631,124$521,473$521,473
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 042-203

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $160,134
Security deposit$9,016
Prepaid postage$10,455
Prepaid insurance$32,066
Miscellaneous prepaid expenses$7,347
Interfund receivables$101,250
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 042-203

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$677,349$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $677,349$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 042-203

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 44Item 62 Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 042-203

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,208,786
Accrued wages and payroll taxes$102,814
Accrued vacation and sick leave$747,525
Dues collected on behalf of districts$158,596
Interfund payables$107,269
Miscellaneous accrued expenses$69,693
Deferred rent$22,889
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 042-203

(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
Whitley ,  Ann  
Director
C
$1,469$1,469
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
Street ,  Evelyn  
Director
C
$1,152$1,152
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
Kuebel ,  Helen  
Director
P
$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
Barcott ,  Julia  
Director
C
$6,900$5,489$12,389
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
Bussert ,  Jan  
President
C
$15,600$4,474$20,074
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
Graves ,  Jennifer  
Vice President
P
$2,201$2,201
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
Turner ,  Judith  
Secretary-Treasurer
P
$1,186$1,186
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
Ormsby ,  Kathy  
Director
P
$757$757
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
Vehrs ,  Lynnette  
Director
C
$4,679$4,679
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
Pasquale ,  Pam  
Director
C
$1,919$1,919
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
Glass ,  Susan  
Director
C
$2,704$2,704
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
Sutherlin ,  Verlee  
Secretary-Treasurer
N
$1,631$1,631
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
Bowlden ,  Renata  
Vice President
N
$2,245$2,245
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
Bradley ,  Christina  
Director
N
$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
Young ,  Rosa  
Director
N
$1,950$1,950
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$22,500$0$31,856$0$54,356
Less Deductions     
Net Disbursements    $54,356
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 042-203

(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
Anderson ,  Laura  
Legal Counsel
None
$69,476$1,580$180$71,236
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
Adams ,  Jamie  
Membership Processor
None
$18,719$18,719
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
93 % Schedule 19
Administration
7 %
A
B
C
Anderson ,  Rebecca  
Membership Processor
None
$5,032$5,032
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
Barnes ,  Tara  
Nurse Representative
None
$7,108$72$13$7,193
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
Bessmer ,  Deborah  
Nurse Representative
None
$113,996$1,712$115,708
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Brown ,  Josh  
CRM Systems Administrator
None
$74,200$74,200
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
Butler ,  Kaitlin  
Administrative Assistant
None
$13,973$2,064$16,037
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
Combs ,  Terri  
Membership Processor
None
$20,900$242$21,142
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
Conley ,  Margaret  
Ass. Dir. of Labor Rel.
None
$123,620$2,049$125,669
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
Delgado ,  Darlene  
Special Projects Manager
None
$135,628$416$136,044
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
Desimone ,  Bethany  
Administrative Assistant
None
$46,335$291$46,626
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
Dick ,  Jayson  
Nurse Representative
None
$104,738$8,577$544$113,859
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
Elmore ,  Travis  
Nurse Representative
None
$111,583$31,043$33$142,659
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
Frey ,  Sarah  
Nurse Representative
None
$115,214$9,073$52$124,339
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
Friesen ,  Barbara  
Nurse Representative
None
$115,869$22,109$137,978
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
Frye ,  Barbara  
Administrative
None
$1,320$1,320
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
Garrison ,  Carmen  
Nurse Representative
None
$125,153$13,551$138,704
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Goode ,  Tara  
Nurse Organizer
None
$113,178$7,587$113$120,878
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Hsiung ,  Martin  
Systems Administrator
None
$85,262$836$86,098
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
Huntington ,  Judith  
Fmr. Executive Director
None
$191,257$23,108$214,365
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
Sydne ,  James  
Nurse Representative
None
$89,270$6,023$50$95,343
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
Keys ,  Christina  
Nurse Representative
None
$476$476
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
Kieval ,  Mara  
Nurse Representative
None
$110,587$5,504$116,091
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
King ,  Kelly  
Membership Processor
None
$55,358$197$55,555
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
Kohlsdorf ,  Kai  
Communications Processor
None
$6,446$1,855$8,301
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
Machia ,  Linda  
Legal Counsel
None
$51,088$2,809$90$53,987
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
MacLeod ,  Kathryn  
Communications Processor
None
$59,646$52$59,698
I
Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
28 %
A
B
C
Marken ,  Judy  
Nurse Representative
None
$100,077$11,325$111,402
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
McCausland ,  Jennifer  
Public Relations
None
$247$247
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
McClure ,  Patricia  
Nurse Representative
None
$124,867$6,701$1,854$133,422
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
McGraw ,  Patrick  
Membership Processor
None
$81,456$81,456
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
Mueller ,  Irene  
Receptionist
None
$60,957$67$17$61,041
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
Muhm ,  Jennifer  
Dir. Public Relations
None
$112,678$6,055$91$118,824
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
75 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
25 %
A
B
C
Nesper ,  William  
Nurse Organizer
None
$5,888$13$5,901
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
O'Donnell ,  Elizabeth  
Nurse Representative
None
$98,622$6,798$105,420
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
Perkins ,  Jaclyn  
Nurse Representative
None
$108,850$16,199$18$125,067
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
Peterson ,  Mary  
Membership Coordinator
None
$106,316$298$26$106,640
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
Phan ,  Luu  
Administrative Assistant
None
$6,544$6,544
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
Pettit ,  Maria  
Paralegal
None
$100,674$746$119$101,539
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
Piazza ,  Anne  
Ass. Exec. Dir. Gov. Aff.
None
$159,201$4,569$20$163,790
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
33 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
50 % Schedule 19
Administration
17 %
A
B
C
Reed ,  Mary  
Director of Finance
None
$111,296$517$87$111,900
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
Rose ,  Michelle  
Nurse Representative
None
$121,488$5,658$687$127,833
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
Sanderson ,  Michael  
General Counsel
None
$130,598$18,219$34$148,851
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
4 %
A
B
C
Schubert ,  Ruth  
Comm. Pub. Rel. Prog Mgr
None
$85,680$694$234$86,608
I
Schedule 15
Representational Activities
7 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
92 %
A
B
C
Sears ,  Timothy  
General/Corporate Counsel
None
$138,429$4,807$143,236
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
A
B
C
Skorupa ,  Nathasja  
Political Cordinator
None
$84,871$1,209$86,080
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Steinshouer ,  Shereen  
Administrative Assistant
None
$53,201$53,201
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
Stephen-Selby ,  Heather  
Ass. Exec. Dir. Prac. Ed.
None
$135,224$3,997$139,221
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
Taylor ,  Omar  
Nurse representative
None
$26,069$3,118$508$29,695
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
Te ,  Jeanna  
Administrative Assistant
None
$48,972$1,052$65$50,089
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
Tilden ,  Ben  
Web Comm. Specialist
None
$115,893$5,875$121,768
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
10 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
70 %
A
B
C
Toensmeier ,  David  
Labor Attorney
None
$48,762$3,269$52,031
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
3 % Schedule 19
Administration
0 %
A
B
C
Tran ,  Hue  
Admin. Ass. Prog. & Ops
None
$63,644$580$34$64,258
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
78 % Schedule 19
Administration
22 %
A
B
C
Watkins ,  Sally  
Executive Director
None
$88,269$26,222$97$114,588
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
Watts ,  Christine  
Sr. Dir. Labor Relations
None
$154,334$2,268$107$156,709
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
Welander ,  Hanna  
Nurse Representative
None
$124,133$2,429$233$126,795
I
Schedule 15
Representational Activities
94 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
6 %
A
B
C
Williams ,  Theresa  
Nurse Representative
None
$99,194$7,102$106,296
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
Zercher ,  Edward  
Nurse Representative
None
$122,073$6,187$628$128,888
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$1,710$0$0$0$1,710
I Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
100 % Schedule 19
Administration
Total Employee Disbursements$4,785,649$0$286,659$5,999$5,078,307
Less Deductions    $1,482,212
Net Disbursements    $3,596,095
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 042-203

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 14,266 
Agency Fee Payers*283
Total Members/Fee Payers14,549 
*Agency Fee Payers are not considered members of the labor organization.
Bargaining unit members13,677Yes
Non-bargaining unit members509Yes
Life/Honorary members45Yes
Religious objectors35No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 042-203

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$1,477,254
2. Named Payer Non-itemized Receipts$3,930
3. All Other Receipts$219,909
4. Total Receipts$1,701,093
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$10,000
2. Named Payee Non-itemized Disbursements$3,000
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$7,100
6. Total Disbursements$20,100
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$1,028,533
2. Named Payee Non-itemized Disbursements$82,491
3. To Officers$0
4. To Employees$3,064,225
5. All Other Disbursements$325,941
6. Total Disbursements$4,501,190
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$390,681
2. Named Payee Non-itemized Disbursements$270,739
3. To Officers$0
4. To Employees$1,377,588
5. All Other Disbursements$205,317
6. Total Disbursements$2,244,325
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$23,614
2. Named Payee Non-itemized Disbursements$31,776
3. To Officers$0
4. To Employees$247,486
5. All Other Disbursements$106,677
6. Total Disbursements$409,553
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$302,406
2. Named Payee Non-itemized Disbursements$101,372
3. To Officers$54,356
4. To Employees$389,009
5. All Other Disbursements$79,937
6. Total Disbursements$927,080
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 042-203

Name and Address
(A)
National Federation of Nurses

888 16th Street NW
Washington
DC
20006
Type or Classification
(B)
Organizing grant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,139
Total Non-Itemized Transactions with this Payee/Payer$3,930
Total of All Transactions with this Payee/Payer for This Schedule$26,069
Organizing grant04/10/2017$22,139
Name and Address
(A)
National Federation of Nurses

888 16th Street NW
Washington
DC
20006
Type or Classification
(B)
Dues rebate
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$279,029
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$279,029
Dues rebate11/01/2016$20,771
Dues rebate11/01/2016$22,768
Dues rebate03/01/2017$41,171
Dues rebate04/01/2017$19,426
Dues rebate05/01/2017$21,565
Dues rebate06/01/2017$19,968
Dues rebate06/01/2017$23,044
Dues rebate07/01/2017$23,127
Dues rebate08/01/2017$22,236
Dues rebate09/30/2017$19,870
Dues rebate09/30/2017$22,880
Dues rebate09/30/2017$22,203
Name and Address
(A)
National Federation of Nurses

888 16th Street NW
Washington
DC
20006
Type or Classification
(B)
Dues Distribution
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$315,086
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$315,086
Distribution returning dues09/30/2017$230,836
Distribution returning dues09/30/2017$84,250
Name and Address
(A)
Nurse Service Organization

159 E County Line Road
Hatboro
PA
19040
Type or Classification
(B)
Stipend
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$11,000
Stipend05/17/2017$11,000
Name and Address
(A)
St. Joseph Hospital

1717 S J Street
Tacoma
WA
98405
Type or Classification
(B)
Lawsuit settlement
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$850,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$850,000
Lawsuit settlement04/04/2017$850,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,150
Total Non-Itemized Transactions with this Payee/Payer$18,827
Total of All Transactions with this Payee/Payer for This Schedule$23,977
Printing02/28/2017$5,150
Name and Address
(A)
Alaska Airlines

1301 4th Avenue
Seattle
WA
98168
Type or Classification
(B)
Travel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$24,043
Total of All Transactions with this Payee/Payer for This Schedule$24,043
Name and Address
(A)
Campbells Resort
278

Chelan
WA
98816
Type or Classification
(B)
Conference facilities
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$46,034
Total Non-Itemized Transactions with this Payee/Payer$339
Total of All Transactions with this Payee/Payer for This Schedule$46,373
Leadership conference facilities10/20/2016$46,034
Name and Address
(A)
Dante's Inferno Dogs

1752 NW Market Street
Seattle
WA
98107
Type or Classification
(B)
Food/meals
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,032
Total of All Transactions with this Payee/Payer for This Schedule$6,032
Name and Address
(A)
Deborah Perry

7878 N Wilding Dr #63
Spokane
WA
99208
Type or Classification
(B)
Event and meetings
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,600
Total Non-Itemized Transactions with this Payee/Payer$210
Total of All Transactions with this Payee/Payer for This Schedule$7,810
Local unit event05/10/2017$7,600
Name and Address
(A)
Jeff Munson

575 Andover Park W
Seattle
WA
98188
Type or Classification
(B)
Legal
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$57,387
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$57,387
Legal01/30/2017$18,875
Legal04/06/2017$9,562
Legal06/21/2017$28,950
Name and Address
(A)
Kay Langevin

575 Andover Park W
Seattle
WA
98188
Type or Classification
(B)
Meetings
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,436
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,436
Local unit event05/25/2017$7,436
Name and Address
(A)
Michael G. Merrill
1121

Renton
WA
98057
Type or Classification
(B)
Arbitration/mediation
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,070
Total Non-Itemized Transactions with this Payee/Payer$1,624
Total of All Transactions with this Payee/Payer for This Schedule$7,694
Arbitration/mediation11/28/2016$6,070
Name and Address
(A)
Schwerin, Campbell, & Barnard

18 W Mercer Street, #400
Seattle
WA
98119
Type or Classification
(B)
Mediation/arbitration/legal services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$898,856
Total Non-Itemized Transactions with this Payee/Payer$159
Total of All Transactions with this Payee/Payer for This Schedule$899,015
Mediation/arbitration/legal services10/20/2016$62,100
Mediation/arbitration/legal services10/28/2016$86,936
Mediation/arbitration/legal services12/07/2016$63,776
Mediation/arbitration/legal services01/10/2017$100,731
Mediation/arbitration/legal services01/30/2017$90,691
Mediation/arbitration/legal services03/07/2017$84,865
Mediation/arbitration/legal services03/30/2017$39,722
Mediation/arbitration/legal services04/21/2017$92,998
Mediation/arbitration/legal services05/22/2017$80,409
Mediation/arbitration/legal services06/29/2017$69,773
Mediation/arbitration/legal services08/24/2017$126,855
Name and Address
(A)
Verizon Wireless
4001

Ingelwood
CA
90313
Type or Classification
(B)
Telecommunications
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$31,257
Total of All Transactions with this Payee/Payer for This Schedule$31,257
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 042-203

Name and Address
(A)
Bogard and Johnson

200 Union Ave SE
Olympia
WA
98501
Type or Classification
(B)
Lobbyist
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$31,499
Total of All Transactions with this Payee/Payer for This Schedule$31,499
Name and Address
(A)
Occasions Catering

1615 State Street NE
Olympia
WA
98506
Type or Classification
(B)
Catering - event
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,614
Total Non-Itemized Transactions with this Payee/Payer$277
Total of All Transactions with this Payee/Payer for This Schedule$23,891
Catering - Leg Day01/12/2017$8,498
Cateriing - Leg Day02/28/2017$15,116
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 042-203

Name and Address
(A)
March of Dimes

1904 3rd Avenue
Seatlle
WA
98101
Type or Classification
(B)
Contribution
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$3,000
Total of All Transactions with this Payee/Payer for This Schedule$8,000
Contribution10/06/2016$5,000
Name and Address
(A)
Washington State Public Health Assoc

155 NE 100th Street
Seattle
WA
98125
Type or Classification
(B)
Contribution
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
Contribution11/10/2016$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,586
Total Non-Itemized Transactions with this Payee/Payer$46,986
Total of All Transactions with this Payee/Payer for This Schedule$58,572
Printing02/28/2017$5,482
Printing03/07/2017$6,104
Name and Address
(A)
ADP, Inc.

18072 N Creek Pkwy #100
Bothell
WA
98011
Type or Classification
(B)
Payroll processing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,921
Total of All Transactions with this Payee/Payer for This Schedule$8,921
Name and Address
(A)
Comcast
34

Seattle
WA
98121
Type or Classification
(B)
Telecommunications
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,786
Total of All Transactions with this Payee/Payer for This Schedule$11,786
Name and Address
(A)
Consensus Management Group

9584 Cadbury Circle
Indianapolis
IN
46260
Type or Classification
(B)
Employment services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$36,417
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$36,417
Executive search01/20/2017$20,000
Executive search02/15/2017$11,417
Executive search07/07/2017$5,000
Name and Address
(A)
Eberts & Harrison, Inc.

1000 Century Plaza Bldg
Columbia
MD
21044
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,052
Total Non-Itemized Transactions with this Payee/Payer$3,236
Total of All Transactions with this Payee/Payer for This Schedule$29,288
Directors and officers insurance09/13/2017$26,052
Name and Address
(A)
FedEx

11034 8th Avenue NE
Seattle
WA
98125
Type or Classification
(B)
Office expenses
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,507
Total of All Transactions with this Payee/Payer for This Schedule$5,507
Name and Address
(A)
Liberity Mutual Insurance

1191 2nd Avenue
Seattle
WA
98101
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,462
Total Non-Itemized Transactions with this Payee/Payer$253
Total of All Transactions with this Payee/Payer for This Schedule$8,715
Insurance05/25/2017$8,462
Name and Address
(A)
Logic 20/20 Inc.

6250 25th Ave NE
Seattle
WA
98115
Type or Classification
(B)
IT Consulting
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,158
Total Non-Itemized Transactions with this Payee/Payer$43,395
Total of All Transactions with this Payee/Payer for This Schedule$50,553
IT consulting01/20/2017$7,158
Name and Address
(A)
Lusher Corp

615 8th Ave S #108
Seattle
WA
98104
Type or Classification
(B)
IT consulting
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$40,188
Total of All Transactions with this Payee/Payer for This Schedule$40,188
Name and Address
(A)
Microsoft

1 Mircosoft Way
Redmond
WA
98052
Type or Classification
(B)
Software as service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,580
Total of All Transactions with this Payee/Payer for This Schedule$9,580
Name and Address
(A)
Pinnacle Property Management

2801 Alaskan Way #200
Seattle
WA
98121
Type or Classification
(B)
Occupany - Lease
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$219,248
Total Non-Itemized Transactions with this Payee/Payer$4,485
Total of All Transactions with this Payee/Payer for This Schedule$223,733
Occupany - lease10/06/2016$19,686
Occupany - lease10/28/2016$18,626
Occupany - lease12/07/2016$18,626
Occupany - lease01/04/2017$19,031
Occupany - lease01/30/2017$19,031
Occupany - lease02/28/2017$19,031
Occupany - lease03/23/2017$19,031
Occupany - lease04/27/2017$19,031
Occupany - lease05/25/2017$14,545
Occupany - lease06/21/2017$14,547
Occupany - lease07/27/2017$19,032
Occupany - lease08/24/2017$19,031
Name and Address
(A)
Postal Express
864

Bellevue
WA
98009
Type or Classification
(B)
Shipping
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,146
Total of All Transactions with this Payee/Payer for This Schedule$7,146
Name and Address
(A)
Ricoh USA, Inc.
31001-0743

Pasadena
CA
91110
Type or Classification
(B)
Equipment Lease
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$37,036
Total of All Transactions with this Payee/Payer for This Schedule$43,036
Equipment lease02/28/2017$6,000
Name and Address
(A)
SimplyDigi.com, Inc.
90157

Albuquerque
NM
87190
Type or Classification
(B)
Software licensing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,695
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$16,695
Software licensing fee10/06/2016$16,695
Name and Address
(A)
Staples Advantage
83689

Chicago
IL
60695
Type or Classification
(B)
Office supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$34,613
Total of All Transactions with this Payee/Payer for This Schedule$34,613
Name and Address
(A)
Tukwilla Self Storage

5950 Southcenter Blvd
Tukwilla
WA
98188
Type or Classification
(B)
Storage
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,708
Total Non-Itemized Transactions with this Payee/Payer$4,272
Total of All Transactions with this Payee/Payer for This Schedule$9,980
Storage11/17/2016$5,708
Name and Address
(A)
Unionsoft, LLC

370 S LoweAve Ste A1
Cookeville
TN
38501
Type or Classification
(B)
Software licensing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,620
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,620
Software licensing07/07/2017$5,620
Name and Address
(A)
USPS

475 L'Enfant Plaza SW
Washington
DC
20260
Type or Classification
(B)
Postage
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,000
Total Non-Itemized Transactions with this Payee/Payer$42
Total of All Transactions with this Payee/Payer for This Schedule$23,042
Prepaid postage05/10/2017$6,000
Prepaid postage09/20/2017$7,000
Prepaid postage01/10/2017$10,000
Name and Address
(A)
Verity Accountancy, PC

6915 SW Macadam Avenue
Portland
OR
97219
Type or Classification
(B)
Auditor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,735
Total Non-Itemized Transactions with this Payee/Payer$7,185
Total of All Transactions with this Payee/Payer for This Schedule$31,920
Annual audit11/28/2016$17,000
Annual audit02/15/2017$7,735
Name and Address
(A)
Voiceshot, LLC

30150 Telegraph Road
Bingham Farms
MI
48025
Type or Classification
(B)
Telecommunications
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,108
Total of All Transactions with this Payee/Payer for This Schedule$6,108
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,233
Total Non-Itemized Transactions with this Payee/Payer$36,257
Total of All Transactions with this Payee/Payer for This Schedule$44,490
Printing02/15/2017$8,233
Name and Address
(A)
Amazon.com

123 need address
Seattle
WA
98450
Type or Classification
(B)
Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,207
Total of All Transactions with this Payee/Payer for This Schedule$9,207
Name and Address
(A)
ANA Publications

8515 Georgia Ave #400
Silver Spring
MD
20910
Type or Classification
(B)
Publications
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,908
Total of All Transactions with this Payee/Payer for This Schedule$6,908
Name and Address
(A)
Capitol City Press, Inc.

2975 37th Avenue SW
Tumwater
WA
98512
Type or Classification
(B)
Publications
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$75,329
Total Non-Itemized Transactions with this Payee/Payer$6,006
Total of All Transactions with this Payee/Payer for This Schedule$81,335
Publications12/07/2016$16,023
Publications02/28/2017$15,999
Publications05/22/2017$21,935
Publications08/31/2017$21,372
Name and Address
(A)
Double Tree Hotel

18740 Pacific Hwy S
Seattle
WA
98188
Type or Classification
(B)
Lodging
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,796
Total of All Transactions with this Payee/Payer for This Schedule$20,796
Name and Address
(A)
Frank Doolittle Company

11811 NE 1st St. #A209
Bellevue
WA
98005
Type or Classification
(B)
Promotional supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,788
Total Non-Itemized Transactions with this Payee/Payer$5,949
Total of All Transactions with this Payee/Payer for This Schedule$15,737
Promotional supplies08/31/2017$9,788
Name and Address
(A)
Informz, Inc.

92 Congress St.
Saratoga Springs
NY
12866
Type or Classification
(B)
Public relations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,200
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,200
Public relations10/28/2016$5,200
Name and Address
(A)
Integrity Voting Systems

7720 Hardeson Rd
Everett
WA
98203
Type or Classification
(B)
Elections
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,672
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$23,672
Elections03/07/2017$15,325
Elections06/29/2017$8,347
Name and Address
(A)
Leaping Media, LLC

330 23rd Avenue #E
Seattle
WA
98112
Type or Classification
(B)
Media production
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,500
Total of All Transactions with this Payee/Payer for This Schedule$10,500
Name and Address
(A)
Seattle Storm

351 Elliot Ave W #500
Seattle
WA
98104
Type or Classification
(B)
Sponsorship
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Sponsorship04/13/2017$10,000
Name and Address
(A)
Success Marketing

906 Bob Wallace Ave #D2
Huntsville
AL
35801
Type or Classification
(B)
Promotional items
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,350
Total Non-Itemized Transactions with this Payee/Payer$5,243
Total of All Transactions with this Payee/Payer for This Schedule$12,593
Promotional items11/17/2016$7,350
Name and Address
(A)
Tulalip Resort Casino

10200 Quil Ceda Blvd
Tulalip
WA
98271
Type or Classification
(B)
Convention facilities
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$162,834
Total Non-Itemized Transactions with this Payee/Payer$506
Total of All Transactions with this Payee/Payer for This Schedule$163,340
Annual convention03/23/2017$10,000
Annual convention05/25/2017$152,834
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 042-203

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$760,935
Medical InsuranceGroup Health Cooperative$221,993
Medical InsuranceKaiser Foundation Health Plan$259,090
Employer 401(k) matching contributionLincoln National$74,972
Employer 401(k) matching contributionTeamster's Pension Plan$175,997
Vision InsuranceVision Service Plan - WA$5,102
Life InsuranceUnum Life Insurance Company$23,781
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 042-203


Question 11(a):

Question 11(a): : : Washington State Nurses PAC. The PAC files reports with the Washington Secretary of State - Election Division. The PAC is exempt from federal 990 and 1120-POL filings.

Question 12: The audit was performed by an outside independent accountant - Verity Accountancy, PC.

Schedule 13, Row1:Full paying members with full voting rights.

Schedule 13, Row2:Members pay full non-membership dues rate without additional bargaining unit fee. Members have full voting rights except for issues related to collective bargaining.

Schedule 13, Row3:Members with 30 years of membership and older than 65 years of age. Members pay no membership fees. Members have full voting rights except for issues related to collective bargaining.

Schedule 13, Row4:Members who have objected membership based on religious opposition. Members pay a reduced membership fee to a non-religious and non-labor organization exempt under IRC 501(c)(3). Members have no voting rights.

Schedule 13, Row4:No voting rights are granted for members who voluntarily waive the membership requirement.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)