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
069-941
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
UNION OF AMERICAN PHYSICIANS
5. DESIGNATION (Local, Lodge, etc.)
STATE FEDERATION
 6. DESIGNATION NBR

7. UNIT NAME (if any)
CALIFORNIA FEDERATION OF THE UNION OF AMERICAN
8. MAILING ADDRESS (Type or print in capital letters)
First Name
STUART
 Last Name
BUSSEY
P.O Box - Building and Room Number
SUITE 1380
Number and Street
180 GRAND AVE
City
OAKLAND
State
CA		 ZIP Code + 4
94612


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:stuart A BusseyPRESIDENT71. SIGNED:Peter A StattiTREASURER
Date:Dec 28, 2017Telephone Number:510-839-0193Date:Dec 28, 2017Telephone Number:805-922-8311
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 069-941
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?09/2018
20. How many members did the labor organization have at the end of the reporting period?2,685
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees440peryear$72.00$3385.00
(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: 069-941

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $6,365,411$7,043,159
23. Accounts Receivable1$0$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$0
27. Fixed Assets6$0
28. Other Assets7$0
29. TOTAL ASSETS $6,365,411$7,043,159

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$0
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$0
34. TOTAL LIABILITIES $0$0
35. NET ASSETS$6,365,411$7,043,159
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 069-941

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $5,951,498
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $27,217
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$0
49. TOTAL RECEIPTS $5,978,715
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$2,067,141
51. Political Activities and Lobbying16$505,779
52. Contributions, Gifts, and Grants17$0
53. General Overhead18$1,065,108
54. Union Administration19$691,129
55. Benefits20$483,481
56. Per Capita Tax $488,329
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$0
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $0
  
66. Subtotal $5,300,967
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$792,367  
  67b. Less Total Disbursed$792,367  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $5,300,967
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 069-941

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 069-941

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: 069-941

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Gross Sales Price
(D) 		Amount Received
(E)
Total of all lines above$0$0$0$0
Less Reinvestments 
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 069-941

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 069-941

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: 069-941

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 069-941

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 069-941

Entity or Individual Name
(A) 		Total Account
Payable
(B) 		90-180 Days
Past Due
(C) 		180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$0$0$0$0
Total from all other accounts payable$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 069-941

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: 069-941

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 069-941

(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 		Bussey ,  Stuart   A
Presient
C		$15,898$15,898
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Statti ,  Peter   A
Treasurer
C		$1,161$1,161
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Pendukar ,  Shakalpi  
Secretary
C		$467$467
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Lewis ,  Ronald   H
Vice President
C		$5,074$5,074
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Mubashir ,  Farooqi   A
Vice President
C		$2,432$2,432
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Behrman ,  Victoria   A
Board Member
C		$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Cheng ,  Rex   L
Board Member
C		$162$162
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Dilibero ,  Ralph  
Board Member
P		$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Flocks ,  Jay   S
Board Member
C		$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Jetton ,  James   K
Board Member
C		$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Keulen ,  David   J
Board Member
C		$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Landers ,  Michael   J
Board Member
C		$676$676
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Lorig ,  Milton   L
Board Member
C		$2,113$2,113
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Quint ,  Keith   M
Board Member
C		$1,113$1,113
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Shepperson ,  Ronald  
Board Member
P		$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Yee ,  Brian   Y
Board Member
C		$415$415
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
Total Officer Disbursements$0$29,511$0$0$29,511
Less Deductions     
Net Disbursements    $29,511
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 069-941

(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 		Adams ,  Indya   M
Representative
N/A		$47,590$1,756$49,346
I
Schedule 15
Representational Activities 		64 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		36 %
A
B
C 		Alexander ,  Cheryl   R
Finance & Benefits Manage
N/A		$98,030$1,885$99,915
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Anderson ,  Laura  
General Counsel
N/A		$107,130$4,002$111,132
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Baldovinos ,  Nancy  
Office Manager
N/A		$68,009$10,364$78,373
I
Schedule 15
Representational Activities 		61 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		39 %
A
B
C 		Bussey ,  Stuart   A
President
N/A		$192,622$0$192,622
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		Baxter ,  Andrew   J
Sr. Rep/Organizer
N/A		$110,129$9,106$119,235
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		2 %
A
B
C 		Chiappetta ,  R Douglas  
Dir. Legislative & Politi
N/A		$152,424$11,283$163,707
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		100 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Cordova ,  Christine   A
Administrative Specialist
N/A		$60,209$76$60,285
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		Diel ,  John   J
Organizer/Rep
N/A		$60,975$1,502$62,477
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Duarte ,  Gloria   A
Office Manager
N/A		$103,604$1,512$105,116
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		Dunn ,  Laurel  
Administrative Specialist
N/A		$44,257$35$44,292
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Duritz ,  Jeff  
Senior Representative
N/A		$106,031$9,008$115,039
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Golden Ortiz ,  Glynnis  
Senior Representative
N/A		$92,800$26,072$118,872
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		13 %
A
B
C 		Hernandez ,  Patricia  
Senior Representative
N/A		$134,684$6,588$141,272
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Ige ,  Christopher  
Sr. Rep/Political Liasion
N/A		$104,746$23,198$127,944
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Irvin ,  Lux  
Senior Representative
N/A		$107,722$16,147$123,869
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		1 %
A
B
C 		Ford Lewis ,  Lisa  
Representative
N/A		$70,514$23,595$94,109
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Lester ,  Charles  
Dir. of Organizing
N/A		$145,684$23,835$169,519
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Modrall ,  Claudia  
Private Practice Assistan
N/A		$48,094$212$48,306
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Mohammed ,  Adrian  
Representative
N/A		$46,247$76$46,323
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		80 %
A
B
C 		Munoz ,  Albert  
Senior Representative
N/A		$88,799$14,533$103,332
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Murillo ,  John  
Regional Administrator
N/A		$140,883$8,101$148,984
I
Schedule 15
Representational Activities 		61 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		39 %
A
B
C 		Rivera ,  Nereyda  
Senior Representative
N/A		$113,059$25,861$138,920
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Robinson ,  Gary  
Consultant
N/A		$41,027$3,105$44,132
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		4 %
A
B
C 		Snipes ,  Carolyn  
Office Manager
N/A		$66,209$0$66,209
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		Williams ,  Zegory  
Executive Director
N/A		$185,931$29,894$215,825
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Wilson ,  Suzanne  
Business & Comm. Dir.
N/A		$148,850$11,466$160,316
I
Schedule 15
Representational Activities 		48 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		52 %
A
B
C 		Crane ,  Joseph  
Organizer
N/A		$5,371$0$5,371
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Groh ,  Albert  
Consultant
N/A		$2,975$406$3,381
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Gashaw ,  Theodros   K
Dir. of Organizing-WA
N/A		$78,890$28,667$107,557
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Torres ,  Juan  
Administrative Specialist
N/A		$19,148$51$19,199
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$0
I Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
Total Employee Disbursements$2,792,643$0$289,231$3,105$3,084,979
Less Deductions     
Net Disbursements    $3,084,979
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 069-941

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 2,685 
Agency Fee Payers*777
Total Members/Fee Payers3,462 
*Agency Fee Payers are not considered members of the labor organization.
Direct Bill Members110Yes
State Employed Members1,140Yes
County Employed Members1,435Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 069-941

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$0
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts
4. Total Receipts$0
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements
6. Total Disbursements$0
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$29,511
4. To Employees$2,037,630
5. All Other Disbursements
6. Total Disbursements$2,067,141
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$35,242
2. Named Payee Non-itemized Disbursements$730,071
3. To Officers$0
4. To Employees$192,513
5. All Other Disbursements$107,282
6. Total Disbursements$1,065,108
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$342,072
3. To Officers$0
4. To Employees$163,707
5. All Other Disbursements
6. Total Disbursements$505,779
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$691,129
5. All Other Disbursements
6. Total Disbursements$691,129
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 069-941

Name and Address
(A)
AFSCME Advocacy & Education Fund

1121 L Street, Ste. 904
Sacramento
CA
95814
Type or Classification
(B)
PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,000
Total of All Transactions with this Payee/Payer for This Schedule$13,000
Name and Address
(A)
AFSCME CA People Small Contributor

1121 L Street, Ste. 904
Sacramento
CA
95814
Type or Classification
(B)
PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$71,453
Total of All Transactions with this Payee/Payer for This Schedule$71,453
Name and Address
(A)
AFSCME PEOPLE Qualified Committee

1625 L Street, N.W.
Washington
DC
20036
Type or Classification
(B)
PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,627
Total of All Transactions with this Payee/Payer for This Schedule$7,627
Name and Address
(A)
UAPD Medical Action Committee

555 Capital Mall, Ste. 1425
Sacramento
CA
95814
Type or Classification
(B)
PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$249,992
Total of All Transactions with this Payee/Payer for This Schedule$249,992
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 069-941

Name and Address
(A)
180 Grand Owner, LLC
P.O. Box 398798
595 Market Street, Ste. 1
San Francisco
CA
94139
Type or Classification
(B)
Rent for Oakland Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,938
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,938
Rent09/01/2017$12,938
Name and Address
(A)
520 Capital Mall Inc

2870 Gateway Oaks
Sacramento
CA
95833
Type or Classification
(B)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,252
Total Non-Itemized Transactions with this Payee/Payer$279
Total of All Transactions with this Payee/Payer for This Schedule$7,531
Sacramento Rent10/01/2016$7,252
Name and Address
(A)
ABM Parking Services

1960 E. Grand Avenue
El Segundo
CA
90245
Type or Classification
(B)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,460
Total of All Transactions with this Payee/Payer for This Schedule$13,460
Name and Address
(A)
AmTrust North America
P.O. Box 6939

Cleveland
OH
44101
Type or Classification
(B)
WKC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$31,291
Total of All Transactions with this Payee/Payer for This Schedule$31,291
Name and Address
(A)
AT&T
P.O. Box 105068

Atlanta
GA
30348
Type or Classification
(B)
Telephone System Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,024
Total of All Transactions with this Payee/Payer for This Schedule$16,024
Name and Address
(A)
Coalition of County Unions

2 Cupania Circle
Monterey Park
CA
91750
Type or Classification
(B)
Arbitration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,470
Total of All Transactions with this Payee/Payer for This Schedule$11,470
Name and Address
(A)
Comcast
P.O. Box 34744

Seattle
WA
98124
Type or Classification
(B)
Internet, Telephone for all offices
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,041
Total of All Transactions with this Payee/Payer for This Schedule$12,041
Name and Address
(A)
Davis Cowell & Bowe

595 Market Street, Ste. 1
San Francisco
CA
94105
Type or Classification
(B)
Legal Office for Oakland Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,219
Total of All Transactions with this Payee/Payer for This Schedule$6,219
Name and Address
(A)
Easy Permit
P.O. Box 374874

Pittsburg
PA
15250
Type or Classification
(B)
Postage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,208
Total of All Transactions with this Payee/Payer for This Schedule$6,208
Name and Address
(A)
Golden Gate Print & Media Services

11144 Golf Links Road
Oakland
CA
94605
Type or Classification
(B)
Printing Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,403
Total of All Transactions with this Payee/Payer for This Schedule$19,403
Name and Address
(A)
inandoutprinting

14628 Wicks Blvd
San Leandro
CA
94577
Type or Classification
(B)
Printing Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,566
Total of All Transactions with this Payee/Payer for This Schedule$9,566
Name and Address
(A)
James R. Mount

3967 Mead Street
Antioch
CA
94531
Type or Classification
(B)
Computer Tech for Oakland Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,225
Total of All Transactions with this Payee/Payer for This Schedule$10,225
Name and Address
(A)
Jaystar Group Inc.

85 East Avenue
Norwalk
CT
06851
Type or Classification
(B)
Computer Tech for Oakland Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$75,965
Total of All Transactions with this Payee/Payer for This Schedule$75,965
Name and Address
(A)
Law Office of Lawrence Rozenweig

2730 Wilshire Blvd., #425
Santa Monica
CA
90403
Type or Classification
(B)
Legal Office for LA Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,038
Total Non-Itemized Transactions with this Payee/Payer$36,044
Total of All Transactions with this Payee/Payer for This Schedule$44,082
Legal Representation09/22/2017$8,038
Name and Address
(A)
Level 3 Communications
P.O. Box 910182

/Denver
CO
80291
Type or Classification
(B)
Lease for El Segundo Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,961
Total of All Transactions with this Payee/Payer for This Schedule$6,961
Name and Address
(A)
Mach 11 180 LLC
P.O. Box 3982302

San Francisco
CA
94104
Type or Classification
(B)
Rent for Oakland Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$142,780
Total of All Transactions with this Payee/Payer for This Schedule$142,780
Name and Address
(A)
Mr. Copy

5657 Copley Drive
San Diego
CA
92111
Type or Classification
(B)
Xerox
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,801
Total of All Transactions with this Payee/Payer for This Schedule$7,801
Name and Address
(A)
Office Depot
P.O. Box 689020

Des Moines
IA
50368
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$16,196
Total of All Transactions with this Payee/Payer for This Schedule$16,196
Name and Address
(A)
Olson Hagel & Fishburn LLP

555 Capital Mall, Ste. 1425
Sacramento
CA
95814
Type or Classification
(B)
Legal for Oakland Office - Lobbyist & PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,525
Total of All Transactions with this Payee/Payer for This Schedule$19,525
Name and Address
(A)
Pitney Bowes Global Financial Services
P.O. Box 37187

Pittsburg
PA
15250
Type or Classification
(B)
Postage Machine Leases for 3 offices
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,157
Total of All Transactions with this Payee/Payer for This Schedule$6,157
Name and Address
(A)
RT Capital Mall, LLP

2870 Gateway Oaks
Sacramento
CA
95833
Type or Classification
(B)
Rent for Sacramento Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$88,818
Total of All Transactions with this Payee/Payer for This Schedule$88,818
Name and Address
(A)
Schwerin Campbell Barnard LLP

18 West Mercer St, Ste. 400
Seattle
WA
98119
Type or Classification
(B)
Legal Office for Washington State
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$44,954
Total of All Transactions with this Payee/Payer for This Schedule$44,954
Name and Address
(A)
Standard Parking

202 Kitredge Street
Berkeley
CA
94704
Type or Classification
(B)
Parking for Oakland Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,025
Total of All Transactions with this Payee/Payer for This Schedule$18,025
Name and Address
(A)
The Realty Associates
P.O. Box 848590

Los Angeles
CA
90084
Type or Classification
(B)
Rent for El Segundo Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$84,203
Total of All Transactions with this Payee/Payer for This Schedule$84,203
Name and Address
(A)
TPX
P.O. Box 509013
5657 Copley Drive
San Diego
CA
92150
Type or Classification
(B)
Lease for El Segundo Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,728
Total of All Transactions with this Payee/Payer for This Schedule$11,728
Name and Address
(A)
US Bancorop
P.O. Box 790448

St. Louis
MO
63179
Type or Classification
(B)
Lease for Telephone
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,068
Total of All Transactions with this Payee/Payer for This Schedule$18,068
Name and Address
(A)
Van Sloten & Laranang CPAs

39176-B State Street
Fremont
CA
94538
Type or Classification
(B)
CPAs for Annual Audit
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,014
Total Non-Itemized Transactions with this Payee/Payer$1,353
Total of All Transactions with this Payee/Payer for This Schedule$8,367
Annual Audit01/20/2017$7,014
Name and Address
(A)
Xerox Corporation
P.O. Box 7405

Pasadena
CA
91109
Type or Classification
(B)
Copier Lease for El Segundo Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,742
Total of All Transactions with this Payee/Payer for This Schedule$5,742
Name and Address
(A)
Xobee Communications LLC

440 W. Fallbrook
Fresno
CA
93711
Type or Classification
(B)
Telephone System Company for Oakland and Sacrament
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,565
Total of All Transactions with this Payee/Payer for This Schedule$9,565
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS FILE NUMBER: 069-941

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$483,481
Dental InsuranceDelta Dental$41,593
Health and Vision InsuranceWestern Alliance Trust Fund$146,959
HealthKaiser$16,502
Life InsuranceStandard Life Insurance$4,151
PensionAFSCME Pension Plan$274,276
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 069-941


Question 12: Van Sloten & Laranang CPAs

Question 11(a):

Question 11(a): : UAPD - Medical Action Committee UAPD - Issues Committee UAPD - IE PAC

Statement A,

Accounts Receivable Begin Total: : : : Dont know why these explanations for $0.

Statement A,

Loans Receivable Begin Total: : : : ???

Statement A,Treasury Begin Total: : : : ???

Statement A,Investments Begin Total: : : : ???

Statement A,Fixed Assets Value Begin Total: : : : ???

Statement A,Other Asset Book Value Begin Total: : : : ???

Statement A,

Accounts Payable Begin Total: : : : ???

Statement A,

Loans Payable Begin Total: : : : ???

Statement A,Mortagages Payable Begin Total: : : : ???

Statement A,Other Liabilities Amount Begin Total: ???

Schedule 13, Row1:

Schedule 13, Row1:: Private Practice Doctors

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row2:

Schedule 13, Row2:: State Employed Doctors

Schedule 13, Row2:

Schedule 13, Row2::

Schedule 13, Row3:

Schedule 13, Row3:: County Employed Doctors

Schedule 13, Row3:

Schedule 13, Row3::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)