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
057-419
2. PERIOD COVERED
From01/01/2017
Through12/31/2017
3. (a) AMENDED - Is this an amended report:
Yes
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This is a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
SERVICE EMPLOYEES
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
 6. DESIGNATION NBR
113
7. UNIT NAME (if any)
HEALTHCARE MINNESOTA
8. MAILING ADDRESS (Type or print in capital letters)
First Name
JAMIE
 Last Name
GULLEY
P.O Box - Building and Room Number

Number and Street
345 RANDOLPH AVE., STE. 100
City
ST. PAUL
State
MN		 ZIP Code + 4
55102


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:Jamie T GulleyPRESIDENT71. SIGNED:Jigme UgenTREASURER
Date:Apr 02, 2018Telephone Number:651-294-8100Date:Apr 02, 2018Telephone Number:612-812-5846
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 057-419
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?Yes
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)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?01/2020
20. How many members did the labor organization have at the end of the reporting period?22,485
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesN/AperMonth$10$79
(b) Working Dues/FeesN/AperMonthN/AN/A
(c) Initiation FeesN/AperNew MemberN/AN/A
(d) Transfer FeesN/AperMonthN/AN/A
(e) Work PermitsN/AperMonthN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 057-419

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $730,639$513,738
23. Accounts Receivable1$0
24. Loans Receivable2
25. U.S. Treasury Securities $0$0
26. Investments5$500,662$537,101
27. Fixed Assets6$31,468$18,703
28. Other Assets7
29. TOTAL ASSETS $1,262,769$1,069,542

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$0$22,296
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10
34. TOTAL LIABILITIES $0$22,296
35. NET ASSETS$1,262,769$1,047,246
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 057-419

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $11,033,882
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $3,382
41. Dividends $0
42. Rents $1,721
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$618,536
49. TOTAL RECEIPTS $11,657,521
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,108,723
51. Political Activities and Lobbying16$300,991
52. Contributions, Gifts, and Grants17$57,365
53. General Overhead18$1,565,822
54. Union Administration19$174,585
55. Benefits20$1,553,756
56. Per Capita Tax $3,782,954
57. Strike Benefits $7,420
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4
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 $322,806
  
66. Subtotal $11,874,422
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,010,013  
  67b. Less Total Disbursed$1,010,013  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $11,874,422
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 057-419

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: 057-419

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: 057-419

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: 057-419

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments 
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 057-419

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$537,101
E. Total Book Value$537,101
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)) $537,101
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 057-419

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$1,045,098$1,026,395$18,703$18,703
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,045,098$1,026,395$18,703$18,703
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 057-419

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: 057-419

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$22,296$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)) $22,296$0$0$0
Sunrise Bank Credit Card$22,296$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 057-419

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: 057-419

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: 057-419

(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 		ASMUS ,  ELIZABETH  
EXECUTIVE VICE PRESIDENT
C		$102,312$285$102,597
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		BERNINI ,  BRIANNE  
DELEGATE
C		$3,681$307$3,988
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 		BHATTARAI ,  RAJIB  
DELEGATE
C		$2,977$385$3,362
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 		CARLSON ,  LYNN  
VICE PRESIDENT
C		$5,303$385$5,688
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 		CROMEDY ,  BENNIE  
DELEGATE
C		$2,043$529$2,572
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 		DONAZAL ,  CLEVELAND  
DELEGATE
C		$2,785$385$3,170
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 		FRITZ ,  PATTI  
DELEGATE
C		$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		GRAY ,  DARLENE  
DELEGATE
C		$621$621
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 		GULLEY ,  JAMIE  
PRESIDENT
C		$135,521$5,122$140,643
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		10 %
A
B
C 		HANSEN ,  PENNY  
DELEGATE
C		$2,342$372$2,714
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 		HANSON ,  CRISSY  
DELEGATE
C		$3,242$307$3,549
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 		HOLT ,  JAMES  
DELEGATE
C		$2,190$385$2,575
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 		HOWZE ,  DEBRA  
DELEGATE
C		$1,586$1,586
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 		KOSKI ,  SANDY  
DELEGATE
C		$936$385$1,321
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 		LEMIRE ,  SONJA  
VICE PRESIDENT
C		$877$877
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 		LYNCH ,  KATHERINE  
VICE PRESIDENT
C		$5,586$385$5,971
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 		MALONEY ,  RUSS  
DELEGATE
C		$5,250$385$5,635
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 		MATTHEWS ,  RITA  
DELEGATE
C		$1,992$385$2,377
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 		MEYER ,  KATHLENE  
DELEGATE
C		$1,994$0$1,994
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 		MINTEY ,  DAN  
TRUSTEE
C		$8,490$385$8,875
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 		NEWSOME ,  KATRICE  
DELEGATE
C		$290$385$675
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 		NORDBY ,  MELODY  
DELEGATE
C		$4,053$307$4,360
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 		O'MARA ,  HARRY  
DELEGATE
C		$2,093$385$2,478
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 		PHILLIPS ,  CORTNEY  
DELEGATE
C		$1,614$1,614
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 		SARRO ,  JEFF  
DELEGATE
C		$3,665$25$3,690
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 		SCHMITZ ,  REBECCA  
DELEGATE
C		$2,243$305$2,548
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 		SMITH ,  JOHNNIE  
DELEGATE
C		$2,507$2,507
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 		SPIKA ,  SUMER  
VICE PRESIDENT
P		$34,267$176$34,443
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		STRAUMAN ,  VIVIAN  
DELEGATE
C		$2,464$385$2,849
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 		TOMFOHRDE ,  MINDA  
VICE PRESIDENT
C		$4,352$385$4,737
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 		UGEN ,  JIGME  
EXECUTIVE VICE PRESIDENT
C		$113,133$2,577$115,710
I
Schedule 15
Representational Activities 		73 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		24 %
A
B
C 		VANDENBURGH ,  COREY  
DELEGATE
C		$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 		WEED ,  LISA  
EXECUTIVE VICE PRESIDENT
C		$111,068$2,427$113,495
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		WIRPEL ,  JAN  
DELEGATE
C		$747$747
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 		ZAHN ,  MARTY  
DELEGATE
C		$3,388$385$3,773
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 		CRYAN ,  PHILLIP  
EXECUTIVE VICE PRESIDENT
C		$94,931$1,897$96,828
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		10 %
Total Officer Disbursements$671,300$0$20,026$0$691,326
Less Deductions    $174,211
Net Disbursements    $517,115
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 057-419

(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 		AHMAD-SHARIFF ,  RASHA  
DIRECTOR MAC
N/A		$79,286$50$79,336
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ABRAHAM ,  DANETTA  
INTERNAL ORGANIZER
N/A		$25,665$30$25,695
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ANDERSON ,  KARAN  
INTERNAL ORGANIZER
N/A		$74,714$490$75,204
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ANDERSON ,  MELVIN  
DELEGATE
N/A		$72,722$2,960$75,682
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 		BIALKE ,  JAMES  
CONSULTANT
N/A		$24,266$24,266
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		25 %
A
B
C 		BOOTS ,  JULIE  
INTERNAL ORGANIZER
N/A		$77,620$1,453$79,073
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CHAPDELAINE ,  KAREN  
SUPPORT STAFF
N/A		$45,213$768$45,981
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 		CHRISTENSON ,  ASHLEY  
COMMUNICATIONS
N/A		$85,770$1,181$86,951
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		98 % Schedule 19
Administration 		0 %
A
B
C 		DAVIS ,  RUTH  
INTERNAL ORGANIZER
N/A		$62,326$286$62,612
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 		FISHER ,  BENJAMIN  
INTERNAL ORGANIZER
N/A		$73,304$2,007$75,311
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 		FORESTER ,  TIFFANY  
DIRECTOR SUPPORT STAFF
N/A		$80,335$27$80,362
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		97 % Schedule 19
Administration 		0 %
A
B
C 		FRANK ,  TYLER  
INTERNAL ORGANIZER
N/A		$40,390$283$40,673
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HAKALA ,  KRISTINE  
SUPPORT STAFF
N/A		$48,634$48,634
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 		HILBRICH ,  BRENDA  
CHIEF OF STAFF
N/A		$104,126$421$104,547
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 		HOBBS ,  KASSANDRA  
INTERNAL ORGANIZER
N/A		$74,039$745$74,784
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 		HUNT ,  STEVE  
INTERNAL ORGANIZER
N/A		$82,632$82,632
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KLEIN ,  KRYSTAL  
INTERNAL ORGANIZER
N/A		$75,141$75,141
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KUEHN ,  KEVIN  
INTERNAL ORGANIZER
N/A		$77,419$261$77,680
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		LADUCER-KITTO ,  JASMINE  
INTERNAL ORGANIZER
N/A		$61,275$203$61,478
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		LUBAHN ,  JACKIE  
INTERNAL ORGANIZER
N/A		$76,395$132$76,527
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MARTIN ,  ELIZABETH  
UNDER 30 DELEGATE
N/A		$76,307$264$76,571
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 		MCCLELLAN ,  LISA  
INTERNAL ORGANIZER
N/A		$78,039$504$78,543
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MILLER ,  MICHELLE  
INTERNAL ORGANIZER
N/A		$70,310$101$70,411
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		12 % Schedule 19
Administration 		1 %
A
B
C 		MOORE ,  ROGER  
INTERNAL ORGANIZER
N/A		$74,951$694$75,645
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		NAJI ,  ARWA  
SUPPORT STAFF
N/A		$36,241$36,241
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 		NESSEN ,  BRANDON  
ASSISTANT ORG DIRECOR
N/A		$85,040$2,424$87,464
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		NORMAN ,  D'ANDRE  
EXTERNAL ORGANIZER
N/A		$70,253$3,557$73,810
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 		PERRI ,  JOHN  
FINANCE MANAGER
N/A		$92,151$2,479$94,630
I
Schedule 15
Representational Activities 		44 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		54 % Schedule 19
Administration 		0 %
A
B
C 		SALMIA ,  CARRIE  
SUPPORT STAFF
N/A		$46,653$46,653
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 		SALMINEN ,  ERIC  
ORGANIZING DIRECTOR
N/A		$85,570$398$85,968
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 		SCHMITZ ,  TODD  
EXTERNAL ORGANIZER
N/A		$46,595$391$46,986
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 		STUBSON ,  KATRINA  
EXTERNAL ORGANIZER
N/A		$72,574$72,574
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 		VARCO ,  RICHARD  
POLITICAL DIRECTOR
N/A		$84,130$761$84,891
I
Schedule 15
Representational Activities 		36 % Schedule 16
Political Activities and Lobbying 		64 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		WALLACE ,  HALLIE  
EXTERNAL ORGANIZER
N/A		$65,112$239$65,351
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 		WIGG ,  EDWARD  
INTERNAL ORGANIZER
N/A		$82,121$834$82,955
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		XIONG ,  JUDITH  
ADMIN STAFF
N/A		$53,807$1,121$54,928
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 		XIONG-VANG ,  BAO  
ADMIN STAFF
N/A		$53,219$53,219
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 		HEIKEL ,  STEFAN  
TEMPORARY ORGANIZER
N/A		$10,922$1,053$11,975
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 		INTEMANN ,  NICHOLE  
EXTERNAL ORGANIZER
N/A		$23,963$2,224$26,187
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KUTZLER ,  KELSEY  
INTERNAL ORGANIZER
N/A		$65,542$26$65,568
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ROBERTS ,  CAMILLE  
INTERNAL ORGANIZER
N/A		$35,959$178$36,137
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CHAUSSEE ,  STEVEN  
SUPPORT STAFF
N/A		$39,833$286$40,119
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CARRION ,  AMARILIS  
INTERNAL ORGANIZER
N/A		$62,934$48$62,982
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		DAVUNT ,  CANTARE  
TEMP. ORGANIZER
N/A		$15,427$15,427
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 		HERTZ ,  DAVID  
TEMP. ORGANIZER
N/A		$13,207$13,207
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 		LOPEZ ,  CHE  
TEMP. ORGANIZER
N/A		$10,080$484$10,564
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 		LOR ,  YUE  
TEMP. ORGANIZER
N/A		$11,587$11,587
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 		ROBERTSON ,  DALLAS  
TEMP. ORGANIZER
N/A		$12,710$12,710
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$404,146$116,764$520,910
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 %
Total Employee Disbursements$3,220,655$0$146,127$0$3,366,782
Less Deductions    $835,802
Net Disbursements    $2,530,980
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 057-419

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 22,485 
Agency Fee Payers*69
Total Members/Fee Payers22,554 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members22,090Yes
Low Income Payers395Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 057-419

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$558,236
2. Named Payer Non-itemized Receipts$20,028
3. All Other Receipts$40,272
4. Total Receipts$618,536
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$38,500
2. Named Payee Non-itemized Disbursements$5,300
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$13,565
6. Total Disbursements$57,365
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$783,949
2. Named Payee Non-itemized Disbursements$276,053
3. To Officers$518,942
4. To Employees$2,346,615
5. All Other Disbursements$183,164
6. Total Disbursements$4,108,723
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$433,547
2. Named Payee Non-itemized Disbursements$150,130
3. To Officers$11,873
4. To Employees$895,875
5. All Other Disbursements$74,397
6. Total Disbursements$1,565,822
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$125,585
2. Named Payee Non-itemized Disbursements$36,295
3. To Officers$21,381
4. To Employees$117,521
5. All Other Disbursements$209
6. Total Disbursements$300,991
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$139,127
4. To Employees$6,771
5. All Other Disbursements$28,687
6. Total Disbursements$174,585
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 057-419

Name and Address
(A)
Service Employees International Union

1800 Mass Avenue
Washington
DC
20036
Type or Classification
(B)
International Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$445,665
Total Non-Itemized Transactions with this Payee/Payer$20,028
Total of All Transactions with this Payee/Payer for This Schedule$465,693
Per Capita Rebates01/13/2017$25,936
Per Capita Rebates02/10/2017$27,702
Per Capita Rebates03/10/2017$21,098
Special Project Support04/07/2017$25,952
Per Capita Rebates05/12/2017$22,150
MLDP Expense Reimursement05/26/2017$19,843
Per Capita Rebates06/09/2017$27,339
Per Capita Rebates07/14/2017$29,300
Per Capita Rebates08/11/2017$26,626
Per Capita Rebates09/15/2017$26,680
Per Capita Rebates10/13/2017$24,964
Per Capita Rebates11/17/2017$25,456
Member Training Reimbursement11/30/2017$30,000
Per Capita Rebates12/08/2017$27,721
Homecare Blitz Reimbursements05/26/2017$79,313
MidWest Initiative Reimbursements11/27/2017$5,585
Name and Address
(A)
SEIU Minnesota State Council

2233 University Avenue West
St, Paul
MN
55114
Type or Classification
(B)
State Council
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$112,571
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$112,571
State Council Reimbursement07/28/2017$37,521
State Council Reimbursement09/05/2017$18,761
State Council Reimbursement10/03/2017$18,763
State Council Reimbursement11/01/2017$18,763
State Council Reimbursement12/01/2017$18,763
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 057-419

Name and Address
(A)
Albert Lea Newspaper, Inc.

808 W Front Street
Albert Lea
MN
56007
Type or Classification
(B)
Newspaper Advertising
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,744
Total of All Transactions with this Payee/Payer for This Schedule$9,744
Name and Address
(A)
American Airlines
582880

Tulsa
OK
74158
Type or Classification
(B)
Airline Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,203
Total of All Transactions with this Payee/Payer for This Schedule$6,203
Name and Address
(A)
Berry Sweet Kitchen

5406 S. 34th Avenue
Minneapolis
MN
55417
Type or Classification
(B)
Food for Member Bargaining and Training Meetings
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,760
Total of All Transactions with this Payee/Payer for This Schedule$7,760
Name and Address
(A)
CHS Field

360 N. Broadway Street
St. Paul
MN
55101
Type or Classification
(B)
Member Development Meeting Rental Space
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,059
Total of All Transactions with this Payee/Payer for This Schedule$5,059
Name and Address
(A)
Corporate Technologies
1450
NW 6333
Minneapolis
MN
55485
Type or Classification
(B)
IT Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,112
Total Non-Itemized Transactions with this Payee/Payer$18,990
Total of All Transactions with this Payee/Payer for This Schedule$25,102
IT Services06/28/2017$6,112
Name and Address
(A)
Country Inn & Suites

11340 Blondo Street, #100
Omaha
NE
68164
Type or Classification
(B)
Hotel for Member Bargaining Meeting and Training
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,585
Total Non-Itemized Transactions with this Payee/Payer$14,782
Total of All Transactions with this Payee/Payer for This Schedule$20,367
Hotel for Member Bargaining Meeting and Training10/19/2017$5,585
Name and Address
(A)
Creative Resources

1208 5th Street S
Hopkins
MN
55343
Type or Classification
(B)
Advertising
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,802
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,802
Advertisement Expense11/03/2017$6,802
Name and Address
(A)
Cummins & Cummins

920 Second Avenue South
Minneapolis
MN
55402
Type or Classification
(B)
Law Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$365,362
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$365,362
Legal Fees01/26/2017$40,447
Legal Fees02/24/2017$21,090
Legal Fees03/20/2017$13,835
Legal Fees05/01/2017$34,492
Legal Fees05/26/2017$36,138
Legal Fees06/19/2017$32,855
Legal Fees07/20/2017$28,386
Legal Fees08/30/2017$18,108
Legal Fees09/29/2017$40,524
Legal Fees10/20/2017$18,805
Legal Fees11/21/2017$47,850
Legal Fees12/21/2017$32,832
Name and Address
(A)
Delta Air Lines
20706

Atlanta
GA
30320
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,352
Total of All Transactions with this Payee/Payer for This Schedule$5,352
Name and Address
(A)
Gil Vernon

808 Carmichael Rd #115
Hudson
WI
54016
Type or Classification
(B)
Arbitration Fees
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,500
Total of All Transactions with this Payee/Payer for This Schedule$8,500
Name and Address
(A)
HealthPartners, Inc.

8170 33rd Avenue S
Bloomington
MN
55425
Type or Classification
(B)
Bargained Unit
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,248
Total Non-Itemized Transactions with this Payee/Payer$45
Total of All Transactions with this Payee/Payer for This Schedule$24,293
Bargaining Costs05/10/2017$24,248
Name and Address
(A)
Hillcrest Operations, Inc.

2200 E Larpentuer Ave
St. Paul
MN
55109
Type or Classification
(B)
Meeting Rental for Member Training Event
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,697
Total of All Transactions with this Payee/Payer for This Schedule$8,697
Name and Address
(A)
Holiday Inn

75 South 37th Avenue
St. Cloud
MN
56301
Type or Classification
(B)
Hotel for Member Bargaining and Training
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$67,464
Total Non-Itemized Transactions with this Payee/Payer$14,620
Total of All Transactions with this Payee/Payer for This Schedule$82,084
Hotel for Member Bargaining and Training02/03/2017$56,331
Hotel for Member Bargaining and Training02/10/2017$5,326
Hotel for Member Bargaining and Training02/15/2017$5,807
Name and Address
(A)
Honsa-Binder Printing Inc.

320 Spruce Street
St. Paul
MN
55101
Type or Classification
(B)
Printing Expense
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,736
Total of All Transactions with this Payee/Payer for This Schedule$12,736
Name and Address
(A)
Image Pointe
657

Waterloo
IA
50704
Type or Classification
(B)
Member T-Shirts for Bargaining & Convention
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,867
Total Non-Itemized Transactions with this Payee/Payer$17,421
Total of All Transactions with this Payee/Payer for This Schedule$24,288
Member T-Shirts for Bargaining & Convention04/24/2017$6,867
Name and Address
(A)
Jay C. Fogleberg

10970 Spoon Ridge
Eden Prarie
MN
55347
Type or Classification
(B)
Arbitration Fees
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,764
Total Non-Itemized Transactions with this Payee/Payer$9,383
Total of All Transactions with this Payee/Payer for This Schedule$16,147
Arbitration Fees02/28/2017$6,764
Name and Address
(A)
Konica Minolta Premier Finance
790448

St. Louis
MO
63179
Type or Classification
(B)
Copy Machine Rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,194
Total of All Transactions with this Payee/Payer for This Schedule$16,194
Name and Address
(A)
Line Break Media

2525 E. Franklin Ave, #301
Minneapolis
MN
55406
Type or Classification
(B)
Video Production
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,937
Total of All Transactions with this Payee/Payer for This Schedule$9,937
Name and Address
(A)
Marco Technologies, LLC
1450
NW 7128
Minneapolis
MN
55485
Type or Classification
(B)
Copy Machine Rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,938
Total of All Transactions with this Payee/Payer for This Schedule$20,938
Name and Address
(A)
Ramada

1330 Industrial Blvd
Minneapolis
MN
55413
Type or Classification
(B)
Hotel for Member Bargaining, Convention & Training
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$44,061
Total Non-Itemized Transactions with this Payee/Payer$11,428
Total of All Transactions with this Payee/Payer for This Schedule$55,489
Hotel for Member Bargaining, Convention & Training09/22/2017$44,061
Name and Address
(A)
Seven Corners Printing Company

1099 Snelling Ave N
St. Paul
MN
55108
Type or Classification
(B)
Printing Bargain. Materials, Contracts, Newsletter
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$195,672
Total Non-Itemized Transactions with this Payee/Payer$28,311
Total of All Transactions with this Payee/Payer for This Schedule$223,983
Printing Bargain. Materials, Contracts, Newsletter01/18/2017$12,522
Printing Bargain. Materials, Contracts, Newsletter01/31/2017$20,668
Printing Bargain. Materials, Contracts, Newsletter02/10/2017$15,019
Printing Bargain. Materials, Contracts, Newsletter02/24/2017$32,320
Printing Bargain. Materials, Contracts, Newsletter03/30/2017$8,452
Printing Bargain. Materials, Contracts, Newsletter04/17/2017$11,752
Printing Bargain. Materials, Contracts, Newsletter05/08/2017$7,689
Printing Bargain. Materials, Contracts, Newsletter05/26/2017$17,426
Printing Bargain. Materials, Contracts, Newsletter07/12/2017$6,857
Printing Bargain. Materials, Contracts, Newsletter07/31/2017$15,530
Printing Bargain. Materials, Contracts, Newsletter08/01/2017$10,483
Printing Bargain. Materials, Contracts, Newsletter09/05/2017$11,847
Printing Bargain. Materials, Contracts, Newsletter09/11/2017$12,890
Printing Bargain. Materials, Contracts, Newsletter10/30/2017$12,217
Name and Address
(A)
SEIU-CC, LLC

330 W 42nd St #7
New York
NY
10036
Type or Classification
(B)
Call Center
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,532
Total Non-Itemized Transactions with this Payee/Payer$4,266
Total of All Transactions with this Payee/Payer for This Schedule$9,798
Organization Expense08/01/2017$5,532
Name and Address
(A)
Telephone Town Hall Meeting, Inc.

958 Coneflower Dr.
Golden
CO
80401
Type or Classification
(B)
Telephone Town Hall Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,241
Total Non-Itemized Transactions with this Payee/Payer$16,286
Total of All Transactions with this Payee/Payer for This Schedule$29,527
Communications Expense05/01/2017$8,082
Communications Expense05/08/2017$5,159
Name and Address
(A)
UnionWare

260 Saulteaux Crescent
Winnipeg, Canada
00
Type or Classification
(B)
IT Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$36,239
Total Non-Itemized Transactions with this Payee/Payer$29,401
Total of All Transactions with this Payee/Payer for This Schedule$65,640
IT Services06/16/2017$5,119
IT Services07/17/2017$5,119
IT Services08/15/2017$5,119
IT Services09/18/2017$5,119
IT Services10/16/2017$5,119
IT Services11/16/2017$5,390
IT Services12/15/2017$5,254
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 057-419

Name and Address
(A)
Frenette Legislative Advisors

1734 Blair Avenue
St. Paul
MN
55104
Type or Classification
(B)
Lobbying Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$27,295
Total of All Transactions with this Payee/Payer for This Schedule$27,295
Name and Address
(A)
Hill Capitol Strategies, Inc.

13570 Grove Drive #281
Maple Grove
MN
55311
Type or Classification
(B)
Consulting Fee
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$9,000
Total of All Transactions with this Payee/Payer for This Schedule$15,000
Consulting Fee04/06/2017$6,000
Name and Address
(A)
SEIU Healthcare Minnesota PAC

345 Randolph Ave #100
St. Paul
MN
55102
Type or Classification
(B)
PAC Affiliate
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$119,585
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$119,585
Political Advocacy01/31/2017$10,148
Political Advocacy02/28/2017$8,380
Political Advocacy03/31/2017$10,739
Political Advocacy04/28/2017$9,811
Political Advocacy05/30/2017$9,500
Political Advocacy06/30/2017$12,191
Political Advocacy07/31/2017$8,944
Political Advocacy08/31/2017$9,255
Political Advocacy10/02/2017$10,910
Political Advocacy10/31/2017$9,482
Political Advocacy11/30/2017$10,028
Political Advocacy12/28/2017$10,197
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 057-419

Name and Address
(A)
Healthcare Career Advancement Program
2565

New York
NY
10108
Type or Classification
(B)
National Labor/Management Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$1,500
Total of All Transactions with this Payee/Payer for This Schedule$7,500
Donation03/17/2017$6,000
Name and Address
(A)
MN350

2104 Stevens Ave S
Minneapolis
MN
55408
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,500
Total Non-Itemized Transactions with this Payee/Payer$800
Total of All Transactions with this Payee/Payer for This Schedule$7,300
Donation04/19/2017$6,500
Name and Address
(A)
Somali Community Resettlement Services

1312 1/2 St. NW, #206
Rochester
MN
55901
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Donation09/26/2017$6,000
Name and Address
(A)
Take Action Minnesota

705 Raymond Ave #100
St. Paul
MN
55114
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$3,000
Total of All Transactions with this Payee/Payer for This Schedule$13,000
Donation11/13/2017$10,000
Name and Address
(A)
Working America

815 16th St. NW
Washington
DC
20006
Type or Classification
(B)
Non-Profit Organization
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
Donation03/14/2017$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 057-419

Name and Address
(A)
Allstream

7550 Birchmount Rd
Markham, Ontario
00
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$11,717
Total of All Transactions with this Payee/Payer for This Schedule$11,717
Name and Address
(A)
AT&T Mobility
6463

Carol Stream
IL
60197-6463
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,894
Total Non-Itemized Transactions with this Payee/Payer$37,385
Total of All Transactions with this Payee/Payer for This Schedule$44,279
Telecommunication11/06/2017$6,894
Name and Address
(A)
Bloomberg BNA

1801 South Bell Street
Arlington
VA
22202
Type or Classification
(B)
Subscriptions
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,029
Total of All Transactions with this Payee/Payer for This Schedule$8,029
Name and Address
(A)
Corporate Technologies LLC
1450
NW 6333
Minneapolis
MN
55485
Type or Classification
(B)
IT Support Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,927
Total of All Transactions with this Payee/Payer for This Schedule$17,927
Name and Address
(A)
Innovative Office Solutions
270107

Minneapolis
MN
55427
Type or Classification
(B)
Office Supply Store
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,530
Total of All Transactions with this Payee/Payer for This Schedule$17,530
Name and Address
(A)
Integra Telecom
2966

Milwaukee
WI
53201
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$5,960
Total of All Transactions with this Payee/Payer for This Schedule$5,960
Name and Address
(A)
Level 3 Communications
910182

Denver
CO
80291
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$11,035
Total of All Transactions with this Payee/Payer for This Schedule$11,035
Name and Address
(A)
Rochester Town Offices

209 Woodlake Drive SE
Rochester
MN
55904
Type or Classification
(B)
Office Rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$32,408
Total of All Transactions with this Payee/Payer for This Schedule$32,408
Name and Address
(A)
SEIU Local 113 Building Corporation

345 Randolph Ave #100
St. Paul
MN
55102
Type or Classification
(B)
Office Rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$372,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$372,000
Rent12/27/2017$31,000
Rent02/21/2017$31,000
Rent03/06/2017$62,000
Rent04/17/2017$31,000
Rent05/22/2017$31,000
Rent06/09/2017$31,000
Rent07/05/2017$31,000
Rent08/15/2017$31,000
Rent09/22/2017$31,000
Rent10/19/2017$31,000
Rent11/20/2017$31,000
Name and Address
(A)
Union Insurance Group

303 W Erie St. #310
Chicago
IL
60654
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$38,814
Total Non-Itemized Transactions with this Payee/Payer$3,751
Total of All Transactions with this Payee/Payer for This Schedule$42,565
Bonding Insurance12/15/2017$38,814
Name and Address
(A)
Verizon
291089

Columbia
SC
29229
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,394
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,394
Telecommunication11/13/2017$8,394
Name and Address
(A)
West Bend Mutual

1900 South 18th Avenue
West Bend
WI
53095
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,445
Total Non-Itemized Transactions with this Payee/Payer$283
Total of All Transactions with this Payee/Payer for This Schedule$7,728
Office Equipment Insurance11/20/2017$7,445
Name and Address
(A)
Western Insurance Agency

1740 Rice St., #200
St. Paul
MN
55113
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$4,105
Total of All Transactions with this Payee/Payer for This Schedule$4,105
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 057-419

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS FILE NUMBER: 057-419

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,553,756
Benefits AdministrationFreedom Services Inc.$6,948
Health InsuranceHealth Partners$547,404
Life InsuranceMutual of Omaha$30,129
PensionSEIU Affiliates & Officers$670,295
PensionTwin City Workers Pension Fund$61,245
HSA FundingAssociated Bank$134,894
Workmens CompensationSFM$35,979
Workmens CompensationWestern Insurance$13,303
Member BenefitsMultiple$53,559
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 057-419


Question 11(a):

Question 11(a): Name of PAC: SEIU Healthcare Minnesota Political Action Committee. Report filed: Campaign finance report of receipts and expenditures. Government Agency: Filed with the Campaign Finance and Public Disclosure Board. Purpose: The PAC is a separate segregated fund established to support candidates for state and local offices who promote the interests of organized labor.

Question 11(b):

Question 11(b): Name of Subsidiary: Service Employees International Union Local 113 Building Corporation. Address: 345 Randolph Ave, Suite 100, St. Paul, MN 55102 Fiscal Year End: December 31, 2017. Relationship: The Union is the sole investor and owner of the Building Corporation in which the Union operates and conducts union business. Option #2 Recognition: The net assets of the Building Corporation are reported as an investment on Line 26 and on

Schedule 5 of the LM filing.

Question 12: Audit Firm: Bellows Associates, P.A. Address: 7890 Peters Road, Suite G-102. Plantation, FL 33324.

Statement A,

Cash Begin Total:

Cash Balance agrees to prior year filing and no changes were made.

Statement A,

Accounts Payable Begin Total: Balance agrees to prior year filing and no changes were made.

Schedule 13, Row1:

Schedule 13, Row1::A regular member is one who is active at a facility within the jurisdiction of the Local. Active members pay full dues and have full voting rights.

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row2:

Schedule 13, Row2::A low income payee member is one who is active at a facility within the jurisdiction of the Local. Active members pay full dues and have full voting rights.

Schedule 13, Row2:

Schedule 13, Row2::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)