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
543-857
2. PERIOD COVERED
From01/01/2017
Through12/31/2017
3. (a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This is a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
SERVICE EMPLOYEES
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR

7. UNIT NAME (if any)
SEIU HEALTHCARE MICHIGAN
8. MAILING ADDRESS (Type or print in capital letters)
First Name
INGA
Last Name
SKIPPINGS
P.O Box - Building and Room Number

Number and Street
3031 WEST GRAND BLVD #555
City
DETROIT
State
MI
ZIP Code + 4
48202


9. Are your organization's records kept at its mailing address?


Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:Mary K HenryPRESIDENT71. SIGNED:Gerald R HudsonTREASURER
Date:Jul 11, 2018Telephone Number:202-730-7000Date:Jul 11, 2018Telephone Number:202-730-7700
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 543-857
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?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?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?01/2019
20. How many members did the labor organization have at the end of the reporting period?9,120
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesSEE ITEM 69perN/AN/AN/A
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation FeesSEE ITEM 69perN/AN/AN/A
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 543-857

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $1,229,379$1,085,330
23. Accounts Receivable1$289,530$230,923
24. Loans Receivable2$4,350$1,450
25. U.S. Treasury Securities $0$0
26. Investments5
27. Fixed Assets6$87,718$124,803
28. Other Assets7$61,113$58,988
29. TOTAL ASSETS $1,672,090$1,501,494

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$45,636$61,217
31. Loans Payable9$2,775,000$2,775,000
32. Mortgages Payable $0$0
33. Other Liabilities10$322,441$336,091
34. TOTAL LIABILITIES $3,143,077$3,172,308
35. NET ASSETS-$1,470,987-$1,670,814
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 543-857

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $4,873,948
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $10
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9$0
45. Repayments of Loans Made2$4,900
46. On Behalf of Affiliates for Transmittal to Them $85,322
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$711,644
49. TOTAL RECEIPTS $5,675,824
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,862,688
51. Political Activities and Lobbying16$195,216
52. Contributions, Gifts, and Grants17$45,655
53. General Overhead18$1,002,537
54. Union Administration19$49,146
55. Benefits20$920,835
56. Per Capita Tax $1,376,287
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$67,746
61. Loans Made2$2,000
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $85,400
64. On Behalf of Individual Members $0
65. Direct Taxes $200,868
  
66. Subtotal $5,808,378
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$566,947  
  67b. Less Total Disbursed$578,442  
  67c. Total Withheld But Not Disbursed -$11,495
68. TOTAL DISBURSEMENTS $5,819,873
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 543-857

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$230,923$0$0$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $230,923$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 543-857

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$4,350$2,000$4,900$0$1,450
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 45 Item 69
with Explanation
Item 24
Column (B)
Name: Margaret Robinson (O)
Purpose: Hardship
Security: N/A
Terms of Repayment: $200 per pay period
$1,800$0$1,800$0$0
Name: Margaret Robinson (O)
Purpose: Reimb Personal Exp
Security: N/A
Terms of Repayment: On Demand
$250$0$0$0$250
Name: Sandra McMillan (E)
Purpose: Hardship
Security: N/A
Terms of Repayment: $100 per pay period
$1,800$0$600$0$1,200
Name: Kenneth J Spurgeon (E)
Purpose: Hardship
Security: N/A
Terms of Repayment: $100 per pay period
$500$0$500$0$0
Name: Eleisha Hollingsworth (E)
Purpose: Hardship
Security: N/A
Terms of Repayment: $200 per pay period
$0$2,000$2,000$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 543-857

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: 543-857

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$67,764$67,764$67,746
Office Furniture and Equipment$67,764$67,764$67,746
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$67,746
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 543-857

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: 543-857

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)    
Building  1 :      1120 N. CHEVROLET, FLINT, MI$31,500$29,729$1,771$30,400
C. Automobiles and Other Vehicles$50,765$50,765$0$7,500
D. Office Furniture and Equipment$645,024$538,239$106,785$106,785
E. Other Fixed Assets$47,909$31,662$16,247$16,247
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $775,198$650,395$124,803$160,932
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 543-857

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $58,988
SECURITY DEPOSITS$27,243
PREPAID PAYROLL WITHHOLDINGS$31,745
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 543-857

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$61,217$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $61,217$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 543-857

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$2,775,000$0$0$0$2,775,000
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
SERVICE EMPLOYEES INTERNATIONAL UNION$2,775,000$0$0$0$2,775,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 543-857

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $336,091
UNUSED SICK AND VACATION PAY PAYABLE$117,126
PER CAPITA TAX PAYABLE$218,965
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 543-857

(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
SKIPPINGS ,  INGA   D
TRUSTEE
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
BURKE ,  HAROLD  
TRUSTEE
N
$0$0$4,055$0$4,055
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
ROBINSON ,  MARGARET   R
PRESIDENT
P
$25,876$0$3,493$0$29,369
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
5 % Schedule 19
Administration
15 %
A
B
C
BRYANT ,  SHALAYA  
SECRETARY-TREASURER
P
$14,268$1,400$0$0$15,668
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
BLOOM ,  MELISSA  
EXECUTIVE BOARD
P
$901$0$0$0$901
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
BRIDGES ,  MARCIA  
EXECUTIVE BOARD
P
$300$0$0$0$300
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
BRYANT ,  YOLANDA  
EXECUTIVE BOARD
P
$442$0$0$0$442
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
CARR ,  BARBARA  
EXECUTIVE BOARD
P
$300$0$175$0$475
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
CONNER ,  EVETTE  
EXECUTIVE BOARD
P
$551$0$0$0$551
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
DECOSTER ,  TARA  
EXECUTIVE BOARD
P
$0$0$0$0$0
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
DIRKSE ,  CRAIG  
EXECUTIVE BOARD
P
$1,971$0$103$0$2,074
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
DUNCAN ,  KIMBERLY  
EXECUTIVE BOARD
P
$245$0$0$0$245
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
FAULKEN ,  SYVILRIA  
EXECUTIVE BOARD
P
$312$0$0$0$312
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
FETTIG ,  SENKA  
EXECUTIVE BOARD
P
$239$0$0$0$239
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
FLANNIGAN ,  LARRY  
EXECUTIVE BOARD
P
$648$0$0$0$648
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
GALLAGHER ,  SUSANNE  
EXECUTIVE BOARD
P
$822$0$0$0$822
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
GOUDY ,  ANGELINA  
EXECUTIVE BOARD
P
$988$0$10$0$998
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
HOLT ,  LAVON  
EXECUTIVE BOARD
P
$420$0$0$0$420
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
JAKOBI ,  JEAN ANNE  
EXECUTIVE BOARD
P
$1,669$0$191$0$1,860
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
LAFEVER ,  TESSILE  
EXECUTIVE BOARD
P
$300$0$0$0$300
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
MAXWELL ,  TAM   E
EXECUTIVE BOARD
P
$1,735$0$339$0$2,074
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
NICHOLS ,  MARTHA  
EXECUTIVE BOARD
P
$2,038$0$0$0$2,038
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
NUSSBAUM ,  DIANE  
EXECUTIVE BOARD
P
$400$0$65$0$465
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
PETE ,  SYLVESTER  
EXECUTIVE BOARD
P
$144$0$0$0$144
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
SCOTT ,  LOLA  
EXECUTIVE BOARD
P
$400$0$0$0$400
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
THOMAS ,  SHAJI  
EXECUTIVE BOARD
P
$458$0$0$0$458
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
TINSLEY ,  DAVID  
EXECUTIVE BOARD
P
$1,895$0$265$0$2,160
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
VANISACKER ,  JULIE  
EXECUTIVE BOARD
P
$271$0$0$0$271
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
WESTON ,  MARSHA  
EXECUTIVE BOARD
P
$100$0$0$0$100
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
BURKE ,  HAROLD  
TRUSTEE
P
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
THOMAS ,  BALANOFF  
TRUSTEE
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
THOMAS ,  BALANOFF  
TRUSTEE
P
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
Total Officer Disbursements$57,693$1,400$8,696$0$67,789
Less Deductions    $18,816
Net Disbursements    $48,973
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 543-857

(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
ACEVEDO ,  ANDREA  
AST DIR OF REPRESENTATION
N/A
$72,400$7,150$7,053$0$86,603
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
ALEQUIN ,  NICOLE  
ORGANIZER
N/A
$52,123$7,800$317$0$60,240
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
ALLISON ,  ROBERT  
GOVERNMENT AFFAIRS
N/A
$39,329$1,650$0$0$40,979
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
ATKINSON ,  JONDRA  
MBR SERV RECEPTIONIST
N/A
$39,170$0$0$0$39,170
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
CLARK ,  MARCELLA  
DIRECTOR ORGANIZING
N/A
$76,312$7,800$211$0$84,323
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
COUSINS ,  STEPHEN  
CONTRACT ADMINISTRATOR
N/A
$28,846$3,250$1,529$0$33,625
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
CURL ,  BENJAMIN  
LEGAL ASSISTANT
N/A
$28,786$2,850$215$0$31,851
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
DIEPPA ,  EMILY  
DIR CARE PATH TRNG CNTR
N/A
$71,346$7,800$1,110$0$80,256
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
EVERETT ,  SERENA  
DIR OF REPRESENTATION
N/A
$64,808$7,800$0$0$72,608
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
FIGG ,  KRISTIN  
INTERNAL ORGANIZER
N/A
$39,638$7,800$910$0$48,348
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
FOWLKES ,  KIM  
INTERNAL ORGANIZER
N/A
$61,704$7,800$0$0$69,504
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
FRAZIER ,  MARTIN  
SECURITY GUARD
N/A
$39,673$0$0$0$39,673
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
HAAG ,  PAUL  
INTERNAL ORGANIZER
N/A
$33,750$5,850$1,450$0$41,050
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
HANEY ,  KENNETH  
INTERNAL ORGANIZER
N/A
$59,415$7,800$264$0$67,479
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
HOLLINGSWORTH ,  ELEISHA  
INTERNAL ORGANIZER
N/A
$12,166$1,950$529$0$14,645
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
HOMAN ,  NANETTE  
INTERNAL ORGANIZER
N/A
$39,635$7,020$2,446$0$49,101
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
HOWARD ,  JUNIUS  
HOME CARE ORGANIZER
N/A
$40,868$7,800$33$0$48,701
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
KERSTING ,  NORMA  
DIR OF REPRESENTATION
N/A
$25,020$0$0$0$25,020
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
MC LAIN ,  RYAN  
RESEARCHER
N/A
$43,166$5,116$0$0$48,282
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
MC MILLAN ,  SANDRA  
DIRECTOR OF DUES DEPT
N/A
$20,734$1,950$0$0$22,684
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
MIAZEK ,  PAULINA  
FINANCE MANAGER
N/A
$57,234$0$0$0$57,234
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
MOORE ,  PAMELA  
LEGAL ASSISTANT
N/A
$51,989$0$573$0$52,562
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
MORRAST ,  LAJOYCE  
INTERNAL ORGANIZER
N/A
$38,831$7,800$675$0$47,306
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
NELSON ,  MARY  
INTERNAL ORGANIZER
N/A
$48,895$7,800$0$0$56,695
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
POLANCO ,  FREDDY  
POLITCAL DIRECTOR
N/A
$81,154$7,800$2,420$0$91,374
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
90 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
10 %
A
B
C
REED ,  SHAKITA  
DUES COORDINATOR
N/A
$32,780$0$0$0$32,780
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
ROBINSON ,  BRENDA   D
GENERAL COUNSEL
N/A
$29,752$1,950$514$0$32,216
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
ROBINSON ,  JEROME  
INTERNAL ORGANIZER
N/A
$36,858$7,150$0$0$44,008
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
RZEPPA ,  STEVEN  
COMMUNICATIONS
N/A
$43,828$7,150$1,184$0$52,162
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
30 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
68 % Schedule 19
Administration
0 %
A
B
C
SPEER ,  VICTORIA  
ASSIST TO PRES.
N/A
$36,346$3,900$2,282$0$42,528
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
STRICKLAND ,  BENJAMIN  
REPRESENTATION COORD
N/A
$71,346$7,800$331$0$79,477
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
THOMAS ,  ASHLEY  
HOME CARE ORGANIZER
N/A
$43,226$7,800$224$0$51,250
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
TROUTMAN ,  CHREDA  
DPHC
N/A
$51,872$7,800$0$0$59,672
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
WALKER ,  SARAN  
INTERNAL ORGANIZER
N/A
$39,638$7,800$0$0$47,438
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
WRIGHT ,  ROXY  
DUES COORDINATOR
N/A
$45,431$0$0$0$45,431
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$82,557$1,950$620$0$85,127
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 %
Total Employee Disbursements$1,680,626$175,886$24,890$0$1,881,402
Less Deductions    $548,131
Net Disbursements    $1,333,271
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 543-857

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 9,120 
Agency Fee Payers*0
Total Members/Fee Payers9,120 
*Agency Fee Payers are not considered members of the labor organization.
Active Members9,120Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 543-857

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$641,092
2. Named Payer Non-itemized Receipts$37,000
3. All Other Receipts$33,552
4. Total Receipts$711,644
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$6,867
3. To Officers$294
4. To Employees$13,280
5. All Other Disbursements$25,214
6. Total Disbursements$45,655
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$171,108
2. Named Payee Non-itemized Disbursements$28,927
3. To Officers$39,868
4. To Employees$1,452,130
5. All Other Disbursements$170,655
6. Total Disbursements$1,862,688
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$244,910
2. Named Payee Non-itemized Disbursements$395,727
3. To Officers$1,468
4. To Employees$212,633
5. All Other Disbursements$147,799
6. Total Disbursements$1,002,537
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,958
4. To Employees$193,258
5. All Other Disbursements$0
6. Total Disbursements$195,216
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$12,625
3. To Officers$24,200
4. To Employees$10,103
5. All Other Disbursements$2,218
6. Total Disbursements$49,146
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 543-857

Name and Address
(A)
Blue Care Network of Michigan

20500 Civic Center Dr
Southfield
MI
48076
Type or Classification
(B)
Health Insurance Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,618
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$15,618
2016 Rebate ACA10/05/2017$15,618
Name and Address
(A)
First American Title Ins. Co.

100 Bloomfield Hills Pkwy
Bloomfield Hills
MI
48304
Type or Classification
(B)
Title Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$39,550
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$39,550
Return of Deposit03/23/2017$39,550
Name and Address
(A)
JP Morgan Chase Bank, NA

800 Connecticut Ave NW
Washington
DC
20006
Type or Classification
(B)
Bank
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,175
Total of All Transactions with this Payee/Payer for This Schedule$11,175
Name and Address
(A)
Paychex Inc.

29065 Cabot
Novi
MI
48377
Type or Classification
(B)
Payroll Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,614
Total of All Transactions with this Payee/Payer for This Schedule$5,614
Name and Address
(A)
Service Employees International Union

1800 Massachusetts Ave
Washington
DC
20036
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$451,912
Total Non-Itemized Transactions with this Payee/Payer$12,317
Total of All Transactions with this Payee/Payer for This Schedule$464,229
Homecare Subsidy01/24/2017$78,000
Per Capita Tax / Unity Fund Rebate02/03/2017$31,146
Homecare Subsidy04/14/2017$39,000
Per Capita Tax / Unity Fund Rebate04/14/2017$30,452
Per Capita Tax / Unity Fund Rebate05/05/2017$28,903
Per Capita Tax / Unity Fund Rebate05/26/2017$28,804
Per Capita Tax / Unity Fund Rebate06/16/2017$23,195
Per Capita Tax / Unity Fund Rebate06/23/2017$27,985
Per Capita Tax / Unity Fund Rebate07/21/2017$25,255
Per Capita Tax / Unity Fund Rebate08/17/2017$29,205
Per Capita Tax / Unity Fund Rebate09/01/2017$25,778
Per Capita Tax / Unity Fund Rebate10/27/2017$27,947
Per Capita Tax / Unity Fund Rebate11/24/2017$28,670
Per Capita Tax / Unity Fund Rebate12/15/2017$27,572
Name and Address
(A)
SEIU Michigan State Council

2604 Fourth Street
Detroit
MI
48201
Type or Classification
(B)
SEIU/State Council
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$86,580
Total Non-Itemized Transactions with this Payee/Payer$4,177
Total of All Transactions with this Payee/Payer for This Schedule$90,757
Expense Reimbursements01/06/2017$16,183
Expense Reimbursements02/17/2017$15,552
Expense Reimbursements04/10/2017$32,210
Expense Reimbursements08/01/2017$11,311
Expense Reimbursements10/05/2017$11,324
Name and Address
(A)
Toshiba Financial Services
P.O. Box 70239

Philadelphia
PA
19176-0239
Type or Classification
(B)
Office Equipment Leasing Agent
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$40,898
Total Non-Itemized Transactions with this Payee/Payer$1,400
Total of All Transactions with this Payee/Payer for This Schedule$42,298
Reimbursement of early lease termination fee 08/21/2017$40,898
Name and Address
(A)
Travelers Insurance
P.O. Box 660333

Dallas
TX
75266-0333
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,534
Total Non-Itemized Transactions with this Payee/Payer$2,317
Total of All Transactions with this Payee/Payer for This Schedule$8,851
Refund06/20/2017$6,534
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 543-857

Name and Address
(A)
Allied Union Services

240 N. Fenway Drive
Fenton
MI
48430
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,677
Total of All Transactions with this Payee/Payer for This Schedule$6,677
Name and Address
(A)
At & T Mobility
PO 9004

Carol Stream
IL
60197
Type or Classification
(B)
Cellular Telephone Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$67,174
Total Non-Itemized Transactions with this Payee/Payer$1,302
Total of All Transactions with this Payee/Payer for This Schedule$68,476
Cellular Telephone Service02/09/2017$10,045
Cellular Telephone Service03/24/2017$11,859
Cellular Telephone Service04/24/2017$10,320
Cellular Telephone Service05/31/2017$5,518
Cellular Telephone Service06/21/2017$5,320
Cellular Telephone Service07/31/2017$5,668
Cellular Telephone Service08/28/2017$6,657
Cellular Telephone Service10/23/2017$5,518
Cellular Telephone Service11/07/2017$6,269
Name and Address
(A)
Goodman Acker, P.C.

17000 West Ten Mile Rd
Southfield
MI
48075
Type or Classification
(B)
Law Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,500
Legal Fees - Representational04/05/2017$7,500
Name and Address
(A)
Mcknight, Mcclow, Canzano, Smith & Radtke

423 N. Main Street
Royal Oak
MI
48067
Type or Classification
(B)
Legal Counsel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$89,507
Total Non-Itemized Transactions with this Payee/Payer$377
Total of All Transactions with this Payee/Payer for This Schedule$89,884
Legal Fees - Representational07/01/2017$5,248
Legal Fees - Representational09/19/2017$47,563
Legal Fees - Representational11/15/2017$23,948
Legal Fees - Representational12/01/2017$12,748
Name and Address
(A)
Paul Glendon

414 N. Main Street
Ann Arbor
MI
48104
Type or Classification
(B)
Arbitrator
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,790
Total of All Transactions with this Payee/Payer for This Schedule$5,790
Name and Address
(A)
Stevenson & Bullock, P.L.C.

26100 American Drive
Southfield
MI
48034
Type or Classification
(B)
Law Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,781
Total of All Transactions with this Payee/Payer for This Schedule$14,781
Name and Address
(A)
UBE, INC.

2000 Maxon Rd
Onaway
MI
49765
Type or Classification
(B)
Real Estate Manager
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,927
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,927
Facilities for Outstate Steward's Training01/19/2017$6,927
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 543-857

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 543-857

Name and Address
(A)
Image Point
P.O. Box 657

Waterloo
IA
50704-0657
Type or Classification
(B)
Promotional Item Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,867
Total of All Transactions with this Payee/Payer for This Schedule$6,867
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 543-857

Name and Address
(A)
123 Net, Inc.

24275 Northwestern Highway
Southfield
MI
48075
Type or Classification
(B)
Telephone and Internet Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$26,742
Total of All Transactions with this Payee/Payer for This Schedule$26,742
Name and Address
(A)
Bellows Associates, P.C.

7890 Peters Rd, Suite G-102
Plantation
FL
33324
Type or Classification
(B)
Accounting Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,741
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,741
2014 GJN Audit and Tax Services07/25/2017$7,741
Name and Address
(A)
Capri Cleaning

8095 Prospect
Warren
MI
48089
Type or Classification
(B)
Maintenance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,150
Total of All Transactions with this Payee/Payer for This Schedule$12,150
Name and Address
(A)
Dayton Group

1303 N. Pleasant
Royal Oak
MI
48067
Type or Classification
(B)
Network Consultants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$0
Name and Address
(A)
DTE Energy
PO 2859

Detroit
MI
48260-0001
Type or Classification
(B)
Utility Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$21,624
Total of All Transactions with this Payee/Payer for This Schedule$21,624
Name and Address
(A)
Jabtech, Llc

556 S. Marias
Clawson
MI
48017
Type or Classification
(B)
Information Technology Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$53,433
Total Non-Itemized Transactions with this Payee/Payer$33,606
Total of All Transactions with this Payee/Payer for This Schedule$87,039
Computer maintenance and IT consulting01/23/2017$8,200
Computer maintenance and IT consulting04/18/2017$8,300
Computer maintenance and IT consulting07/11/2017$5,812
Computer maintenance and IT consulting10/10/2017$31,121
Name and Address
(A)
Konica Minolta

21146 Network Place
Chicago
IL
60673
Type or Classification
(B)
Office Eq Leasing Agent
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$39,667
Total of All Transactions with this Payee/Payer for This Schedule$39,667
Name and Address
(A)
Konica Minolta Business Solutions
PO 19188

Palatine
IL
60055
Type or Classification
(B)
Office Eq Leasing Agent
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,165
Total of All Transactions with this Payee/Payer for This Schedule$9,165
Name and Address
(A)
Kushner, Kippelman & Taub, Pllc

28580 Orchard Lake Road
Farmington Hills
MI
48334
Type or Classification
(B)
Accounting Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,800
Total Non-Itemized Transactions with this Payee/Payer$1,565
Total of All Transactions with this Payee/Payer for This Schedule$20,365
Audit fees02/23/2017$11,385
Audit fees06/15/2017$7,415
Name and Address
(A)
Laura Berghuis

3510 W. River Road
Muskegon
MI
49445
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$45,500
Total of All Transactions with this Payee/Payer for This Schedule$45,500
Name and Address
(A)
McKnight, McClow, Canzano, Smith & Radtke

423 N. Main Street
Royal Oak
MI
48067
Type or Classification
(B)
Legal Counsel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$680
Total of All Transactions with this Payee/Payer for This Schedule$680
Name and Address
(A)
Michon Policicchio

23350 Duchess Court
Novi
MI
48375
Type or Classification
(B)
Retiree Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$57,850
Total of All Transactions with this Payee/Payer for This Schedule$57,850
Name and Address
(A)
New Center, Llc

3031 W Grand Blvd Ste 555
Detroit
MI
48202
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$116,438
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$116,438
Security deposit plus one first month rent05/23/2017$38,614
Rent06/21/2017$12,871
Rent08/23/2017$12,871
Rent and expenses09/21/2017$12,916
Rent10/23/2017$12,871
Rent11/20/2017$12,871
Rent plus electrical work12/20/2017$13,424
Name and Address
(A)
Paychex, Inc.

29065 Cabot Drive
Novi
MI
48377
Type or Classification
(B)
Payroll Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,848
Total of All Transactions with this Payee/Payer for This Schedule$13,848
Name and Address
(A)
Pitney Bowes
P.O. Box 865042

Louisville
KY
40285-6042
Type or Classification
(B)
Office Eq Leasing Agent
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,918
Total of All Transactions with this Payee/Payer for This Schedule$11,918
Name and Address
(A)
Republic Waste Services

36850 Van Born Road
Wayne
MI
48184
Type or Classification
(B)
Utility Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,220
Total of All Transactions with this Payee/Payer for This Schedule$7,220
Name and Address
(A)
Service Employees International Union

1800 Massachusetts Ave
Washington
DC
20036
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,847
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,847
Software license fee02/23/2017$9,847
Name and Address
(A)
Seyburn Kahn

2000 Town Center #1500
Detroit
MI
48095
Type or Classification
(B)
Law Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,639
Total of All Transactions with this Payee/Payer for This Schedule$7,639
Name and Address
(A)
State Auto Insurance Company
P.O. Box 182738

Columbus
OH
43218-2738
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$21,716
Total of All Transactions with this Payee/Payer for This Schedule$21,716
Name and Address
(A)
Toshiba Financial Services
P.O. Box 70239

Philadelphia
PA
19176-0239
Type or Classification
(B)
Office Equipment Lease
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$20,160
Total of All Transactions with this Payee/Payer for This Schedule$20,160
Name and Address
(A)
Travelers Insurance
PO 660333

Dallas
TX
75266-0333
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,119
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$13,119
Workers Comp Premium01/05/2017$13,119
Name and Address
(A)
Union Insurance Group

2125 W. Roscoe Street
Chicago
IL
60618
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,932
Total Non-Itemized Transactions with this Payee/Payer$3,751
Total of All Transactions with this Payee/Payer for This Schedule$23,683
Liability Insurance11/13/2017$19,932
Name and Address
(A)
Unionware

260 Saulteaux
Winnepeg
ca
20001
Type or Classification
(B)
Consultant-Dues Processing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,600
Total Non-Itemized Transactions with this Payee/Payer$43,700
Total of All Transactions with this Payee/Payer for This Schedule$49,300
Dues Processing02/09/2017$5,600
Name and Address
(A)
W.B. Mason Co, Inc.

59 Centre St
Brockton
MA
02301
Type or Classification
(B)
Office Supplies Distributor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,356
Total of All Transactions with this Payee/Payer for This Schedule$8,356
Name and Address
(A)
Witt Mechanical, Inc
P.O. Box 930379

Wixom
MI
48393
Type or Classification
(B)
Building Maintenance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,870
Total of All Transactions with this Payee/Payer for This Schedule$8,870
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 543-857

Name and Address
(A)
McConnell Communications, Inc

400 Monroe Street
Detroit
MI
48226
Type or Classification
(B)
Communications Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,625
Total of All Transactions with this Payee/Payer for This Schedule$12,625
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 543-857

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$920,835
PensionTrust Fund$338,612
401(k) MatchInvestment Company$43,861
Health and WelfareTrust Fund/Insurance Company$385,328
Dental and VisionTrust Fund/Insurance Company$23,687
Life InsuranceInsurance Company$27,076
Retiree SupplementRetired Employees or Beneficiaries$81,420
Staff parkingParking facility$20,851
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SIGNATURE PAGE FILE NUMBER: 543-857

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.)


SIGNED:Inga D Skippings
DATE:Jul 03, 2018
CONTACT INFO:202-256-2532
TITLE:Trustee
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 543-857


Question 11(a):

Question 11(a): : : SEIU Healthcare Michigan PAC - Reports are filed with the Michigan Department of State, Bureau of Elections.

Question 11(b):

Question 11(b): : : Fourth Street Center, Inc. 2604 Fourth Street Detroit, MI 48201 Holds title to Local Union's real estate. Service Employees Center 3031 West Grand Blvd #555 Detroit, MI 48201 Held title to Local Union's real estate.

Question 12: The year ending December 31, 2017, will be audited by WithumSmith+Brown, P.C.

Question 15: The Union purchases various promotional items that are distributed to membership to maintain market share visibility.

Schedule 13, Row1:Active members pay full dues and have voting rights.

General Information: Item 19: The next scheduled election is subject to change as the Union is in trusteeship. Item 21: Home healthcare workers pay dues at a rate of $10 per month. All other members pay dues at a rate of 2.50% of their monthly wages up to a maximum of $55. Home healthcare workers do not pay initiation fees. Nursing home facility members pay an initiation fee of $40. Hospital facility members pay an initiation fee of $75.

General Information: The Local Union was placed into trusteeship by the SEIU effective February 14, 2017. Inga Skippings is the Trustee. Because the Local Union is in trusteeship, SEIU International President Mary Kay Henry and SEIU International Secretary-Treasurer Gerry Hudson are signing this report in addition to Trustee Skippings.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)