U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210
FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 07-31-2019
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

This report is mandatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
506-906
2. PERIOD COVERED
From07/01/2017
Through06/30/2018
3. (a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This is a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
SERVICE EMPLOYEES
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR

7. UNIT NAME (if any)
COMMITTEE OF INTERNS AND RESIDENTS
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Margot
Last Name
Riphagen
P.O Box - Building and Room Number
Suite 1200
Number and Street
520 Eighth Avenue
City
New York
State
NY
ZIP Code + 4
10018


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


Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:Jessica EdwardsPRESIDENT71. SIGNED:Joanelle BaileyTREASURER
Date:Sep 29, 2018Telephone Number:212-356-8100Date:Sep 29, 2018Telephone Number:212-356-8100
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 506-906
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?Yes
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?Yes
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?03/2019
20. How many members did the labor organization have at the end of the reporting period?12,939
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.5%perYear698.612121.81
(b) Working Dues/Fees0per000
(c) Initiation Fees0per000
(d) Transfer Fees0per000
(e) Work Permits0per000

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

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $1,073,792$2,328,342
23. Accounts Receivable1$1,045,178$1,152,834
24. Loans Receivable2$53$221
25. U.S. Treasury Securities $2,559,903$2,435,714
26. Investments5$0$0
27. Fixed Assets6$466,888$513,685
28. Other Assets7$657,644$834,284
29. TOTAL ASSETS $5,803,458$7,265,080

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$891,503$670,773
31. Loans Payable9$8,544$0
32. Mortgages Payable $0$0
33. Other Liabilities10$393,614$273,212
34. TOTAL LIABILITIES $1,293,661$943,985
35. NET ASSETS$4,509,797$6,321,095
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 506-906

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $11,715,468
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $34,360
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$726,626
44. Loans Obtained9$0
45. Repayments of Loans Made2$5,995
46. On Behalf of Affiliates for Transmittal to Them $54,809
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$2,288,823
49. TOTAL RECEIPTS $14,826,081
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$3,970,282
51. Political Activities and Lobbying16$114,150
52. Contributions, Gifts, and Grants17$28,647
53. General Overhead18$3,081,218
54. Union Administration19$1,615,719
55. Benefits20$1,586,353
56. Per Capita Tax $1,900,179
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$781,882
61. Loans Made2$6,163
62. Repayment of Loans Obtained9$8,544
63. To Affiliates of Funds Collected on Their Behalf $57,846
64. On Behalf of Individual Members $0
65. Direct Taxes $423,703
  
66. Subtotal $13,574,686
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,619,729  
  67b. Less Total Disbursed$1,616,574  
  67c. Total Withheld But Not Disbursed $3,155
68. TOTAL DISBURSEMENTS $13,571,531
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 506-906

Entity or Individual Name
(A)
Total Account Receivable
(B)
90-180 Days
Past Due
(C)
180+ Days
Past Due
(D)
Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable$1,152,834   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $1,152,834$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 506-906

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above$53$980$812$0$221
Total of all lines above$53$6,163$5,995$0$221
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 45 Item 69
with Explanation
Item 24
Column (B)
Name: David Dashefsky
Purpose: ACH error
Security: Personal check
Terms of Repayment: 1 pay period
$0$1,358$1,358$0$0
Name: Juanita Howard
Purpose: ACH error
Security: Personal check
Terms of Repayment: 1 pay period
$0$632$632$0$0
Name: Kimberely Carter Martinez
Purpose: Personal charge
Security: Expense reimb.
Terms of Repayment: 1 pay period
$0$293$293$0$0
Name: Margot Riphagen
Purpose: Personal charges
Security: Expense reimb.
Terms of Repayment: 1 pay period
$0$546$546$0$0
Name: Russell Warburton
Purpose: ACH error
Security: Expense reimb.
Terms of Repayment: 1 pay period
$0$343$343$0$0
Name: Sharome Wiggins
Purpose: Personal charge
Security: Fund returned
Terms of Repayment: 1 pay period
$0$504$504$0$0
Name: Stephen Hom
Purpose: Payroll error
Security: Fund returned
Terms of Repayment: 1 pay period
$0$1,234$1,234$0$0
Name: Vivian Fernandez
Purpose: Conference advance
Security: Reimbursement return
Terms of Repayment: 1 pay period
$0$273$273$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Gross Sales Price
(D)
Amount Received
(E)
Total of all lines above$725,726$725,726$726,626$726,626
Computer & Equipmernt$0$0$30$30
US Treasury & Agency Securities$725,726$725,726$726,596$726,596
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$726,626
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$781,882$781,882$781,882
Computer & Equipment$16,908$16,908$16,908
Software$2,301$2,301$2,301
Leasehold Improvements$3,575$3,575$3,575
Work In Progress$115,125$115,125$115,125
US Treasury & Agency Securities$643,973$643,973$643,973
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$781,882
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 506-906

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$0
B. Total Book Value$0
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost
E. Total Book Value
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.  
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 506-906

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$1,350,531$1,271,484$79,047$79,047
E. Other Fixed Assets$2,011,497$1,576,859$434,638$434,638
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $3,362,028$2,848,343$513,685$513,685
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 506-906

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $834,284
Prepaid Expenses$99,508
Accrued Income Receivable$8,243
Rebates Receivable$153,265
Security Deposits$84,059
Other Receivables$11,090
Due from Related Entities$478,119
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 506-906

Entity or Individual Name
(A)
Total Account
Payable
(B)
90-180 Days
Past Due
(C)
180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$0$0$0$0
Total from all other accounts payable$670,773$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $670,773$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 506-906

Source of Loans Payable at Any
Time During the Reporting Period
(A)
Loans Owed at
Start of Period
(B)
Loans Obtained
During Period
(C)
Repayment
During Period
Cash
(D)(1)
Repayment
During Period
Other Than Cash
(D)(2)
Loans Owed at
End of Period
(E)
Total Loans Payable$8,544$0$8,544$0$0
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
JP Morgan Chase$8,544$0$8,544$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 506-906

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $273,212
Accrued Salaries Payable$82,294
Accrued Vacation & Sick Pay Payable$144,130
Withheld Payable$5,638
Other Payables$41,150
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 506-906

(A)
Name
(B)
Title
(C)
Status
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances
Disbursed
(F)
Disbursements for Official Business
(G)
Other
Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
Edwards DO ,  Jessica  
President
C
$0$0$163$0$163
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
Kellner DO ,  Eve   M
President
P
$25,295$0$2,554$0$27,849
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
25 %
A
B
C
Fletcher MD ,  Michelle  
Executive Vice President
C
$0$0$170$0$170
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Bailey MD ,  Joanelle  
Secretary-Treasurer
C
$0$0$433$0$433
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Frolov MD MPH ,  Latoya  
Regional VP - No CA
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Janeway MD ,  Hannah  
Regional VP - So CA No
N
$0$0$128$0$128
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Azeizat MD ,  Thomas  
Regional VP - So CA So
N
$0$0$312$0$312
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Bailey MD MA ,  Jacob  
Regional VP - So CA No
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Alvarez MD ,  Linda  
Regional VP - FL
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Damodaran MD MPH ,  Swathi  
Regional VP - MA
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Rymowicz DO ,  Robert  
Regional VP - NJ/DC
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Nguyen DO ,  Peter  
Regional VP - NJ/DC
N
$0$0$671$0$671
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Gonzales MD ,  Martin  
Regional VP - NM
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Plasencia MD ,  Amy  
Regional VP - NY
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Orrico MD ,  Josephine  
Regional VP - NY
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Manocha MD MPH ,  Pankaj  
Regional VP - NY
N
$0$0$214$0$214
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Gomez MD ,  Christina  
Regional VP - NY
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Abiri MD ,  Benjamin  
Regional VP - NY
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Cerrud-Rodriguez ,  Roberto   C
Regional VP - NY
N
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Losak MD ,  Michael  
UCSF Representative
C
$0$0$415$0$415
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Barry MD MPH ,  Ibrahim  
Regional VP - NY
P
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
BouRaad MD ,  Dany  
Regional VP - NM
P
$0$0$3,042$0$3,042
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Brown MD ,  Donald  
Regional VP - So CA No
P
$0$0$434$0$434
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Brown MD MPH ,  Italo   M
Regional VP - NY
P
$0$0$67$0$67
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Caldwell MD ,  Corrielle  
Regional VP - NY
P
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Cohen MD BA ,  Adam  
Regional VP - NJ/DC
P
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Dahn MD ,  Cassidy  
Advisory Member
P
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Khan MD PHD ,  Saahir  
Regional VP - So CA So
P
$0$0$273$0$273
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Leneweaver DO ,  Kyle  
Regional VP - NY
P
$0$0$30$0$30
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Meiri MD ,  Amir  
Regional VP - MA
P
$0$0$363$0$363
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Nguyen MD MPH ,  Alexander   T
Regional VP - So CA No
P
$0$0$367$0$367
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Ojo MD ,  Kafilat  
Regional VP - NY
P
$0$0$0$0$0
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Valenzuela MD ,  Josephine  
Advisory Member
P
$0$0$799$0$799
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Worthington MD ,  Chineze  
Regional VP - NY
P
$0$0$349$0$349
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
Total Officer Disbursements$25,295$0$10,784$0$36,079
Less Deductions    $6,387
Net Disbursements    $29,692
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 506-906

(A)
Name
(B)
Title
(C)
Other Payer
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances Disbursed
(F)
Disbursements for Official Business
(G)
Other Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
Altenor ,  Jennifer   J
Media Coordinator
None
$81,619$1,846$2,918$0$86,383
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
50 % Schedule 19
Administration
0 %
A
B
C
Appel ,  Heather   L
Communications Director
None
$28,545$179$915$0$29,639
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
3 % Schedule 19
Administration
0 %
A
B
C
Barrett ,  Lindsay   T
New Organizing Director
None
$29,463$113$361$0$29,937
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Bell-Masterson ,  Jessica  
Dir Member Engagement
None
$104,297$2,762$17,704$0$124,763
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
0 %
A
B
C
Bongay ,  Aminata   M
New Organizer
None
$13,925$51$223$0$14,199
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
0 %
A
B
C
Cardenas ,  Andrea  
Paralegal
None
$66,868$0$992$0$67,860
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
Carrube ,  Linda  
Office Manager
None
$86,741$95$894$0$87,730
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
Carter Martinez ,  Kimberely  
No CA-NM Are Director
None
$65,231$2,118$3,753$0$71,102
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
Cerdina ,  Nina   A
Lead Organizer
None
$65,034$11,816$11,970$0$88,820
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
Chow ,  Timothy  
Special Projects Director
None
$102,421$108$569$0$103,098
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Clarkson ,  Lalit  
Lead Contract Organizer
None
$79,508$69$3,203$0$82,780
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
Cundari Roelans ,  Alyssa   G
Florida Area Director
None
$96,632$1,392$2,132$0$100,156
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
0 %
A
B
C
Daniel-Hill ,  Cheryle  
Executive Assistant
None
$69,349$180$1,275$0$70,804
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
Dashefsky ,  David   J
Dir Research/Bargaining
None
$100,479$4,448$27,386$0$132,313
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
2 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Derosa ,  Ralph  
General Counsel
None
$134,672$247$2,331$0$137,250
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
6 % Schedule 19
Administration
0 %
A
B
C
Diaz-Baez ,  Nicole   M
Senior Accountant
None
$74,206$0$629$0$74,835
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Donovan-Blood ,  Asella   A
CA Regional Director
None
$8,962$931$3,819$0$13,712
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
20 %
A
B
C
Dunham ,  Carol   G
Senior Counsel
None
$82,661$0$22$0$82,683
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Eliot ,  Anita  
Director Legal Services
None
$132,624$0$224$0$132,848
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
Fernandez ,  Vivian   M
QI Director
None
$98,880$62$1,302$0$100,244
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
Foldes ,  Lila   S
Contract Organizer
None
$72,502$776$1,569$0$74,847
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Gin ,  Casey  
NY Contract Organizer
None
$60,783$173$1,497$0$62,453
I
Schedule 15
Representational Activities
78 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
20 % Schedule 19
Administration
0 %
A
B
C
Gottlieb ,  James   L
External Organizer
None
$37,914$3,424$4,540$0$45,878
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
Graves ,  Dorcella  
Secretary
None
$15,498$0$180$0$15,678
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
Holden ,  Sara   A
Contract Organizer
None
$77,636$7,200$759$0$85,595
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Hom ,  Kevin   A
Contract Organizer
None
$30,638$3,050$566$0$34,254
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Hom ,  Stephen   J
Accountant
None
$74,718$0$514$0$75,232
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
Howard ,  Juanita   N
NJ Lead Organizer
None
$79,093$7,430$3,267$0$89,790
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
3 % Schedule 19
Administration
0 %
A
B
C
Hull ,  Christopher  
Director of Legal Affairs
None
$132,632$208$2,803$0$135,643
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
20 % Schedule 19
Administration
0 %
A
B
C
Jackson ,  EJon   D
Contract Organizer
None
$34,673$3,600$85$0$38,358
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
Jennings-Rogers ,  Crystal  
Contract Organizer
None
$62,641$0$479$0$63,120
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
5 %
A
B
C
Jeremie ,  Rose-Sambour  
Housestaff Inv Fund Coord
None
$41,741$0$88$0$41,829
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Joy ,  Traci  
Campaign Communic Coord
None
$45,424$2,250$1,019$0$48,693
I
Schedule 15
Representational Activities
40 % Schedule 16
Political Activities and Lobbying
35 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
20 % Schedule 19
Administration
5 %
A
B
C
Kelly ,  Michelle   T
NY/NJ Regional Director
None
$114,799$5,048$8,315$0$128,162
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
20 % Schedule 19
Administration
0 %
A
B
C
Kulenovic ,  Aleksandar  
Contract Organizer
None
$66,560$4,300$4,021$0$74,881
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Lederer ,  Robert   B
ProgramFunding/AdminCoord
None
$39,077$0$270$0$39,347
I
Schedule 15
Representational Activities
10 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
90 %
A
B
C
Loreto ,  Romina   F
External Organizer
None
$69,807$15,993$15,122$0$100,922
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
10 % Schedule 17
Contributions
8 % Schedule 18
General Overhead
70 % Schedule 19
Administration
10 %
A
B
C
Lundgren ,  Kathryn   J
Lead Contract Organizer
None
$69,672$6,397$113$0$76,182
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
10 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
0 %
A
B
C
Maingrette ,  Wiener  
Controller
None
$116,607$313$2,394$0$119,314
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
95 %
A
B
C
Maliandi-Warheit ,  Allison  
Special Project Coord
None
$10,716$0$45$0$10,761
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
80 % Schedule 19
Administration
20 %
A
B
C
Markstrom ,  Melissa   C
Contract Organizer
None
$39,374$3,750$1,612$0$44,736
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
2 %
A
B
C
Master ,  Karen  
Lead Contract OrganizerNY
None
$76,796$5,529$1,657$0$83,982
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
McHenry ,  Patrick   J
Contract Organizer
None
$73,133$298$7,701$0$81,132
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
Montes-Irueste ,  Unai  
Communication Director
None
$40,804$586$3,147$0$44,537
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
Naranjo ,  Susan  
South California Area Dir
None
$90,818$0$2,012$0$92,830
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
Nelson ,  Belinda  
PCTF Coordinator
None
$73,324$6,560$3,332$0$83,216
I
Schedule 15
Representational Activities
35 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
65 %
A
B
C
Phillip ,  Sandra  
Secretary
None
$58,484$0$675$0$59,159
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
20 % Schedule 19
Administration
80 %
A
B
C
Pratali ,  Aimee   R
Contract Organizer
None
$38,260$4,593$2,473$0$45,326
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
3 %
A
B
C
Ramirez ,  Marah  
HE Coordinator
None
$73,132$0$1,157$0$74,289
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
Ricks ,  Asantewaa  
Regional Director NY-Bstn
None
$34,031$0$84$0$34,115
I
Schedule 15
Representational Activities
40 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
45 % Schedule 19
Administration
14 %
A
B
C
Riphagen ,  Margot  
Executive Director
None
$141,686$6,361$10,707$0$158,754
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
Rivera ,  Francesca   M
Contract Organizer
None
$30,383$2,850$698$0$33,931
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
5 %
A
B
C
Rivera ,  Kenia   D
Contract Organizer
None
$67,612$5,460$1,262$0$74,334
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
4 % Schedule 19
Administration
0 %
A
B
C
Robinson ,  Carmen  
Organizing AdminAssistant
None
$70,915$0$4,135$0$75,050
I
Schedule 15
Representational Activities
10 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
90 %
A
B
C
Roldan ,  Priscilla   C
Sr. Legal Secretary
None
$79,330$0$745$0$80,075
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
Ruiz ,  Alyssa  
Health Equity Director
None
$89,778$0$1,617$0$91,395
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
Salans ,  Jessica   L
New Organizer
None
$10,222$0$636$0$10,858
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Scherzer ,  Eric  
Executive Director
None
$171,163$212$4,960$724$177,059
I
Schedule 15
Representational Activities
88 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
5 % Schedule 19
Administration
5 %
A
B
C
Shatabdy ,  Shaila   S
Contract Organizer
None
$62,045$360$1,945$0$64,350
I
Schedule 15
Representational Activities
40 % Schedule 16
Political Activities and Lobbying
10 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
40 % Schedule 19
Administration
10 %
A
B
C
Snow ,  Anya  
Socal Lead Organizer
None
$75,477$7,634$641$0$83,752
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
0 %
A
B
C
Strater ,  Elizabeth   A
Digital Organizer
None
$30,425$0$0$0$30,425
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
20 % Schedule 17
Contributions
10 % Schedule 18
General Overhead
10 % Schedule 19
Administration
10 %
A
B
C
Travieso ,  Cynthia   M
Outer Region Director
None
$105,709$2,852$6,421$0$114,982
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Tyrpak ,  Jed   D
NY/NJ Regional Director
None
$105,554$206$7,830$0$113,590
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
0 %
A
B
C
Van Raan-Welch ,  Rachel   H
Communications Coord
None
$40,984$387$1,467$0$42,838
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
Warburton ,  Harry   R
Lead Contract Organizer
None
$74,325$6,420$30,575$0$111,320
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
3 % Schedule 19
Administration
2 %
A
B
C
Warner ,  Rosemary  
Secretary
None
$67,779$0$540$0$68,319
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
Wiggins ,  Sharome   R
Contract Organizer
None
$71,209$6,884$2,498$0$80,591
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Williams ,  Arthur   J
Clerical/Admin Asst.
None
$47,765$0$423$0$48,188
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
Wong ,  Kimberly  
Dir Recruitment/Training
None
$55,133$648$2,991$0$58,772
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$22,330$1,200$2,085$0$25,615
I Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
4 %
Total Employee Disbursements$4,793,228$149,369$236,294$724$5,179,615
Less Deductions    $1,613,342
Net Disbursements    $3,566,273
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 506-906

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 12,939 
Agency Fee Payers*321
Total Members/Fee Payers13,260 
*Agency Fee Payers are not considered members of the labor organization.
Members12,939Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 506-906

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$2,130,583
2. Named Payer Non-itemized Receipts$91,497
3. All Other Receipts$66,743
4. Total Receipts$2,288,823
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$15,875
5. All Other Disbursements$12,772
6. Total Disbursements$28,647
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$64,450
2. Named Payee Non-itemized Disbursements$178,304
3. To Officers$25,047
4. To Employees$3,536,939
5. All Other Disbursements$165,542
6. Total Disbursements$3,970,282
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$1,467,237
2. Named Payee Non-itemized Disbursements$640,121
3. To Officers$0
4. To Employees$487,533
5. All Other Disbursements$486,327
6. Total Disbursements$3,081,218
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$7,000
2. Named Payee Non-itemized Disbursements$3,000
3. To Officers$0
4. To Employees$97,783
5. All Other Disbursements$6,367
6. Total Disbursements$114,150
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$388,979
2. Named Payee Non-itemized Disbursements$89,317
3. To Officers$11,041
4. To Employees$1,041,491
5. All Other Disbursements$84,891
6. Total Disbursements$1,615,719
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 506-906

Name and Address
(A)
AmTrust North America
P.O. Box 6939

Cleveland
OH
44101-1939
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,052
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,052
Workers Compensation Refund05/11/2018$10,052
Name and Address
(A)
Health and Hospital Corp.

125 Worth Street
New York
NY
10013
Type or Classification
(B)
Hospital
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$216,382
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$216,382
Deposit Error Returned to PCTF on 8/11/1708/10/2017$216,382
Name and Address
(A)
Housestaff Benefit Plan

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$120,000
Total Non-Itemized Transactions with this Payee/Payer$13,969
Total of All Transactions with this Payee/Payer for This Schedule$133,969
Share allocat. exp pursuant to allocation studies08/09/2017$6,900
Share allocat. exp pursuant to allocation studies08/09/2017$5,100
Share allocat. exp pursuant to allocation studies09/06/2017$6,900
Share allocat. exp pursuant to allocation studies09/06/2017$5,100
Share allocat. exp pursuant to allocation studies10/20/2017$6,900
Share allocat. exp pursuant to allocation studies10/20/2017$5,100
Share allocat. exp pursuant to allocation studies11/08/2017$6,900
Share allocat. exp pursuant to allocation studies11/08/2017$5,100
Share allocat. exp pursuant to allocation studies12/19/2017$6,900
Share allocat. exp pursuant to allocation studies12/19/2017$5,100
Share allocat. exp pursuant to allocation studies02/22/2018$6,900
Share allocat. exp pursuant to allocation studies02/22/2018$5,100
Share allocat. exp pursuant to allocation studies03/09/2018$6,900
Share allocat. exp pursuant to allocation studies03/09/2018$5,100
Share allocat. exp pursuant to allocation studies03/30/2018$6,900
Share allocat. exp pursuant to allocation studies03/30/2018$5,100
Share allocat. exp pursuant to allocation studies06/27/2018$10,200
Share allocat. exp pursuant to allocation studies06/27/2018$13,800
Name and Address
(A)
Jackson Health System

1611 NW 12th Ave
Miami
FL
33136
Type or Classification
(B)
Hospital
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$175,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$175,000
Public Health Trust Fund07/14/2017$175,000
Name and Address
(A)
Joint Quality Improvement Assoc.

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Association
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$101,014
Total Non-Itemized Transactions with this Payee/Payer$2,116
Total of All Transactions with this Payee/Payer for This Schedule$103,130
Expense Reimbursement09/22/2017$10,843
Expense Reimbursement10/31/2017$17,515
Expense Reimbursement02/28/2018$45,957
Expense Reimbursement02/28/2018$16,233
Expense Reimbursement06/07/2018$10,466
Name and Address
(A)
Kenia Rivera

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Union Employee
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,117
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,117
EDD Disability Benefits Reimbursement03/30/2018$5,117
Name and Address
(A)
LA County Health Services

313 N. Figueroa Street
Los Angeles
CA
90012
Type or Classification
(B)
Government Department
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$300,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$300,000
Quality Improvement Program09/25/2017$300,000
Name and Address
(A)
Patient Care Trust Fund

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Association
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$122,108
Total Non-Itemized Transactions with this Payee/Payer$5,808
Total of All Transactions with this Payee/Payer for This Schedule$127,916
Share allocat. exp pursuant to allocation studies11/29/2017$6,753
Share allocat. exp pursuant to allocation studies03/09/2018$107,955
Share allocat. exp pursuant to allocation studies05/01/2018$7,400
Name and Address
(A)
Policy and Education Initiative

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Association
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$138,313
Total Non-Itemized Transactions with this Payee/Payer$4,385
Total of All Transactions with this Payee/Payer for This Schedule$142,698
Expense Reimbursement08/29/2017$27,130
Expense Reimbursement09/22/2017$5,342
Expense Reimbursement11/08/2017$12,069
Expense Reimbursement12/19/2017$63,410
Expense Reimbursement03/09/2018$13,405
Expense Reimbursement06/07/2018$9,826
Expense Reimbursement06/07/2018$7,131
Name and Address
(A)
Postmaster of New York

421 8th Ave Window #46
New York
NY
10199-9998
Type or Classification
(B)
Post Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,855
Total Non-Itemized Transactions with this Payee/Payer$212
Total of All Transactions with this Payee/Payer for This Schedule$17,067
Mailing Refund06/27/2018$16,855
Name and Address
(A)
Professional Educational Plan

1375 Broadway 6th Floor
New York
NY
10018
Type or Classification
(B)
Affiliate Association
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,292
Total of All Transactions with this Payee/Payer for This Schedule$15,292
Name and Address
(A)
Service Employees International Union

1800 Massachusetts Ave NW
Washington
DC
20036
Type or Classification
(B)
Affiliate Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$816,756
Total Non-Itemized Transactions with this Payee/Payer$1,996
Total of All Transactions with this Payee/Payer for This Schedule$818,752
Per Capita Rebate07/14/2017$66,741
Per Capita Rebate07/14/2017$82,124
Per Capita Rebate08/24/2017$47,374
Per Capita Rebate10/06/2017$64,426
Per Capita Rebate10/20/2017$40,771
Per Capita Rebate12/08/2017$73,509
Per Capita Rebate12/14/2017$52,624
Per Capita Rebate01/26/2018$66,741
Per Capita Rebate03/02/2018$64,566
Per Capita Rebate04/06/2018$65,272
COPE Overage Refund04/27/2018$23,300
Per Capita Rebate06/08/2018$37,697
Per Capita Rebate06/08/2018$67,627
Per Capita Rebate06/15/2018$63,984
Name and Address
(A)
Voluntary Hospitals HSBP

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$98,986
Total Non-Itemized Transactions with this Payee/Payer$47,719
Total of All Transactions with this Payee/Payer for This Schedule$146,705
Share allocat. exp pursuant to allocation studies08/09/2017$8,400
Share allocat. exp pursuant to allocation studies10/20/2017$8,400
Share allocat. exp pursuant to allocation studies10/23/2017$5,386
Share allocat. exp pursuant to allocation studies11/08/2017$8,400
Share allocat. exp pursuant to allocation studies11/08/2017$8,400
Share allocat. exp pursuant to allocation studies12/19/2017$8,400
Share allocat. exp pursuant to allocation studies02/22/2018$8,400
Share allocat. exp pursuant to allocation studies03/09/2018$8,400
Share allocat. exp pursuant to allocation studies03/30/2018$8,400
Share allocat. exp pursuant to allocation studies06/27/2018$9,600
Share allocat. exp pursuant to allocation studies06/27/2018$16,800
Name and Address
(A)
Working Families Party

One Metrotech Ctr 11th Flr
Brooklyn
NY
11201
Type or Classification
(B)
Political Party
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Expense Reimbursement01/31/2018$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 506-906

Name and Address
(A)
Airbnb Inc

888 Brannan Street 4th Flr
San Francisco
CA
94103
Type or Classification
(B)
On Line Travel Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,703
Total of All Transactions with this Payee/Payer for This Schedule$5,703
Name and Address
(A)
American Airlines
P.O. Box 619616
DFW Intl Apirport
Dallas
TX
75261
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,057
Total of All Transactions with this Payee/Payer for This Schedule$8,057
Name and Address
(A)
American Express Prepaid Card Management Corp.

4315 S 2700 West
Salt Lake City
UT
84184
Type or Classification
(B)
Credit Card
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,049
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,049
AMEX Gift Cards to Members07/07/2017$6,049
Name and Address
(A)
Broadstripes

760 Chapel Street
New Haven
CT
06510
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,000
Member Defense/Strategic Fund Software Subscript.07/07/2017$25,000
Name and Address
(A)
Delta Air Lines
P.O. Box 20706

Atlanta
GA
30320
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$25,678
Total of All Transactions with this Payee/Payer for This Schedule$25,678
Name and Address
(A)
Holiday Inn

11250 Santa Monica Blvd
West Los Angeles
CA
90025
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$20,511
Total of All Transactions with this Payee/Payer for This Schedule$20,511
Name and Address
(A)
Homewood Suites By Hilton Boston

111 Boylston Street
Boston
MA
02445
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,517
Total of All Transactions with this Payee/Payer for This Schedule$13,517
Name and Address
(A)
Homewood Suites By Hilton Oakland

1103 Embarcadero
Oakland
CA
94606
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,180
Total of All Transactions with this Payee/Payer for This Schedule$12,180
Name and Address
(A)
Hotels.com

5400 LBJ Freeway Suite 500
Dallas
TX
75240
Type or Classification
(B)
On Line Travel Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$19,133
Total of All Transactions with this Payee/Payer for This Schedule$19,133
Name and Address
(A)
Panera Bread

330 7th Avenue
New York
NY
10001
Type or Classification
(B)
Restaurant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,108
Total of All Transactions with this Payee/Payer for This Schedule$6,108
Name and Address
(A)
Phillips, Richard and Rind, P.A.

9360 SW 72 Street Suite 283
Miami
FL
33173
Type or Classification
(B)
Legal Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,912
Total of All Transactions with this Payee/Payer for This Schedule$7,912
Name and Address
(A)
Residence Inn

83 International Blvd
Newark
NJ
07201
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,346
Total of All Transactions with this Payee/Payer for This Schedule$13,346
Name and Address
(A)
Schwartz, Steinsapir, Dohrman and Sommers

6300 Wilshire Blvd Ste 2000
Los Angeles
CA
90048-5202
Type or Classification
(B)
Legal Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$33,401
Total Non-Itemized Transactions with this Payee/Payer$17,088
Total of All Transactions with this Payee/Payer for This Schedule$50,489
Legal Fees Labor Issues07/07/2017$19,577
Legal fees Labor Issues08/23/2017$5,431
Legal Fees Labor Issues02/23/2018$8,393
Name and Address
(A)
Southwest Airlines
P.O. Box 36647

Dallas
TX
75235
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$21,686
Total of All Transactions with this Payee/Payer for This Schedule$21,686
Name and Address
(A)
United Airlines

77 W Wacker Dr
Chicago
IL
60601
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,385
Total of All Transactions with this Payee/Payer for This Schedule$7,385
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 506-906

Name and Address
(A)
Working Families Party

One Metrotech Ctr 11th Flr
Brooklyn
NY
11201
Type or Classification
(B)
Political Party
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,000
Total Non-Itemized Transactions with this Payee/Payer$3,000
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution01/26/2018$7,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 506-906

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 506-906

Name and Address
(A)
1541 - 1545 Wilshire SEIU 721 Holding, LLC

1545 Wilshire Blvd Ste 100
Los Angeles
CA
90017
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$16,218
Total of All Transactions with this Payee/Payer for This Schedule$16,218
Name and Address
(A)
ABM Parking Services
SEIU Local 721
1545 Wilshire Blvd Ste 100
Los Angeles
CA
90017
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,880
Total of All Transactions with this Payee/Payer for This Schedule$5,880
Name and Address
(A)
Accountemps

12400 Collections Center Dr
Chicago
IL
60693
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$19,499
Total of All Transactions with this Payee/Payer for This Schedule$19,499
Name and Address
(A)
Adobe Systems Incorporated

345 Park Avenue
San Jose
CA
95110-2704
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$10,499
Total of All Transactions with this Payee/Payer for This Schedule$15,499
Annual Contract-Software07/19/2017$5,000
Name and Address
(A)
ADP, Inc.
P.O. Box 842875

Boston
MA
02284-2875
Type or Classification
(B)
Payroll Processor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,867
Total of All Transactions with this Payee/Payer for This Schedule$15,867
Name and Address
(A)
AmTrust North America
P.O. Box 6939

Cleveland
OH
44101-1939
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$56,248
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$56,248
Workers Compensation Insurance01/22/2018$22,493
Workers Compensation Insurance04/06/2018$33,755
Name and Address
(A)
Anjus LLC

875 Old Roswell Rd Ste 500
Roswell
GA
30076
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,709
Total of All Transactions with this Payee/Payer for This Schedule$10,709
Name and Address
(A)
Apple Inc

1 Infinite Loop
Cupertino
CA
95014
Type or Classification
(B)
Computer Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,818
Total of All Transactions with this Payee/Payer for This Schedule$5,818
Name and Address
(A)
Borough Supplies Corp.

328 West 15th Street
New York
NY
10011
Type or Classification
(B)
Office Supply Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,137
Total of All Transactions with this Payee/Payer for This Schedule$5,137
Name and Address
(A)
Broadview Networks
P.O. Box 9242

Uniondale
NY
11555-9242
Type or Classification
(B)
Telecommunications Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,446
Total of All Transactions with this Payee/Payer for This Schedule$11,446
Name and Address
(A)
BSREP Marina Village Owner LLC
P.O. Box 398059

San Francisco
CA
94139-8059
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$38,796
Total of All Transactions with this Payee/Payer for This Schedule$38,796
Name and Address
(A)
Certify Inc.

20 York Street Suite 201
Portland
ME
04101
Type or Classification
(B)
Computer Consultants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,662
Total of All Transactions with this Payee/Payer for This Schedule$8,662
Name and Address
(A)
Cleaning Service Industries, Inc.

1384 Broadway Suite 407
New York
NY
10018
Type or Classification
(B)
Office Maintenance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$25,715
Total of All Transactions with this Payee/Payer for This Schedule$25,715
Name and Address
(A)
Community Matters LLC.

99 Lloyde Ave
Providence
RI
02906
Type or Classification
(B)
Educational Consultants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,957
Total of All Transactions with this Payee/Payer for This Schedule$15,957
Name and Address
(A)
Cutting Room Recycling Corp.

65 Emerson Place
Brooklyn
NY
11205
Type or Classification
(B)
Sanitation Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,060
Total of All Transactions with this Payee/Payer for This Schedule$5,060
Name and Address
(A)
Dominion Tower

1400 NW 10th Ave Suite 101
Miami
FL
33136
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$22,961
Total of All Transactions with this Payee/Payer for This Schedule$22,961
Name and Address
(A)
Earl Mathurin
Housestaff Benefit Plan
520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Assoc Dir-Affiliate Benefit Plan
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,602
Total Non-Itemized Transactions with this Payee/Payer$17,393
Total of All Transactions with this Payee/Payer for This Schedule$37,995
Travel and Training Expenses11/20/2017$6,580
Travel and Training Expenses02/28/2018$7,772
Travel and Training Expenses04/24/2018$6,250
Name and Address
(A)
Everbank Commercial Finance, Inc.

Dept 1608
Denver
CO
80291-1608
Type or Classification
(B)
Equipment Rental Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$22,541
Total of All Transactions with this Payee/Payer for This Schedule$22,541
Name and Address
(A)
Federal Express
P.O. Box 371461

Pittsburgh
PA
15250-7461
Type or Classification
(B)
Delivery Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,595
Total of All Transactions with this Payee/Payer for This Schedule$5,595
Name and Address
(A)
Freedom Paper

3544 Tarpley Road Suite 114
Carrollton
TX
75006
Type or Classification
(B)
Copier Supply Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,981
Total of All Transactions with this Payee/Payer for This Schedule$6,981
Name and Address
(A)
Harbor Orthopaedics Research Education Fund
UCLA Med Center
1000 West Carson Street
Torrance
CA
90509
Type or Classification
(B)
Hospital
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,006
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,006
Quality Improvement Program05/16/2018$5,006
Name and Address
(A)
Harbor-UCLA Biomedical Research Instute

1124 West Carson Street
Torrance
CA
90502
Type or Classification
(B)
Hospital
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$66,350
Total Non-Itemized Transactions with this Payee/Payer$36,169
Total of All Transactions with this Payee/Payer for This Schedule$102,519
Quality Improvement Program07/01/2017$9,750
Quality Improvement Program06/13/2018$14,400
Quality Improvement Program06/13/2018$6,000
Quality Improvement Program06/13/2018$20,000
Quality Improvement Program06/13/2018$6,800
Quality Improvement Program06/13/2018$9,400
Name and Address
(A)
Harbor-UCLA Medical Center

1000 West Carson Street
Torrance
CA
90509
Type or Classification
(B)
Hospital
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,382
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,382
Quality Improvement Program07/01/2017$12,382
Name and Address
(A)
Health Plan Systems Inc.
2025 Lincoln Highway
State Route 27 Suite 340
Edison
NJ
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,200
Total of All Transactions with this Payee/Payer for This Schedule$13,200
Name and Address
(A)
Housestaff Benefit Plan

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$178,800
Total Non-Itemized Transactions with this Payee/Payer$6,026
Total of All Transactions with this Payee/Payer for This Schedule$184,826
Payroll Expense Allocation07/13/2017$14,900
Payroll Expense Allocation08/23/2017$14,900
Payroll Expense Allocation09/21/2017$14,900
Payroll Expense Allocation10/19/2017$14,900
Payroll Expense Allocation11/14/2017$14,900
Payroll Expense Allocation12/13/2017$14,900
Payroll Expense Allocation01/01/2018$14,900
Payroll Expense Allocation02/01/2018$14,900
Payroll Expense Allocation02/28/2018$14,900
Payroll Expense Allocation04/01/2018$14,900
Payroll Expense Allocation05/01/2018$14,900
Payroll Expense Allocation06/01/2018$14,900
Name and Address
(A)
Josie Mooney and Associates

1418 Henry Street
Berkeley
CA
94709
Type or Classification
(B)
Consultants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,000
Total of All Transactions with this Payee/Payer for This Schedule$15,000
Name and Address
(A)
Kauff, McGuire and Margolis LLP

950 Third Avenue 14th Floor
New York
NY
10022
Type or Classification
(B)
Legal Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,574
Total Non-Itemized Transactions with this Payee/Payer$2,473
Total of All Transactions with this Payee/Payer for This Schedule$11,047
Legal Fees HR Issues04/03/2018$8,574
Name and Address
(A)
KMR System Corporation

6800 Jericho Tpke Ste 207E
Syosset
NY
11791
Type or Classification
(B)
Computer Consultants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$23,770
Total of All Transactions with this Payee/Payer for This Schedule$23,770
Name and Address
(A)
Locktight Solutions, Inc.

11 Ridge Road
Creeskill
NJ
07626-1028
Type or Classification
(B)
Computer Consultants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,064
Total Non-Itemized Transactions with this Payee/Payer$64,647
Total of All Transactions with this Payee/Payer for This Schedule$76,711
Google User Licenses11/15/2017$12,064
Name and Address
(A)
Mail Finance

25881 Network Place
Chicago
IL
60673-1258
Type or Classification
(B)
Postage
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,186
Total of All Transactions with this Payee/Payer for This Schedule$12,186
Name and Address
(A)
Manhattan Mini Storage

520 Eighth Avenue 19th Flr
New York
NY
10018
Type or Classification
(B)
Document Storage
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$17,074
Total of All Transactions with this Payee/Payer for This Schedule$17,074
Name and Address
(A)
Meltwater News US Inc

Dept LA 23721
Pasadena
CA
91185-3721
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,710
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,710
Media Software Services11/28/2017$8,710
Name and Address
(A)
MotivBrand

6827 Chisholm Avenue
Van Nuys
CA
91406
Type or Classification
(B)
Promotional Merchanidise Supplier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,655
Total Non-Itemized Transactions with this Payee/Payer$463
Total of All Transactions with this Payee/Payer for This Schedule$17,118
Badge Holders03/28/2018$9,941
Lapel Pins04/30/2018$6,714
Name and Address
(A)
Neofunds By Neopost
P.O. Box 30193

Tampa
FL
33630-3193
Type or Classification
(B)
Postage
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,648
Total of All Transactions with this Payee/Payer for This Schedule$13,648
Name and Address
(A)
New 520 GSH LLC

520 Eighth Avenue
New York
NY
10018
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$522,262
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$522,262
Monthly Rent and Utilities for NY Office07/05/2017$44,356
Monthly Rent and Utilities for NY Office08/09/2017$45,712
Monthly Rent and Utilities for NY Office09/01/2017$44,901
Monthly Rent and Utilities for NY Office10/05/2017$44,709
Monthly Rent and Utilities for NY Office11/01/2017$44,572
Monthly Rent and Utilities for NY Office12/05/2017$42,994
Monthly Rent and Utilities for NY Office01/03/2018$42,572
Monthly Rent and Utilities for NY Office02/02/2018$42,175
Monthly Rent and Utilities for NY Office03/07/2018$41,893
Monthly Rent and Utilities for NY Office04/03/2018$42,897
Monthly Rent and Utilities for NY Office05/02/2018$42,100
Monthly Rent and Utilities for NY Office06/02/2018$43,381
Name and Address
(A)
Pace Business Solutions

297 Route 72 West Suite 35
Manahawkin
NJ
08050-2890
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,403
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,403
Software Support09/21/2017$8,403
Name and Address
(A)
Patient Care Trust Fund

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Fund
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$216,382
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$216,382
Return HHC Deposit Error of 8/10/1708/11/2017$216,382
Name and Address
(A)
Rogoff and Company, PC

355 Lexington Ave 6th Flr
New York
NY
10017
Type or Classification
(B)
Accounting Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$58,125
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$58,125
Payroll Expense Allocation07/26/2017$14,125
Accounting and Auditing Fees10/31/2017$14,125
Accounting and Auditing Fees02/07/2018$14,125
Accounting and Auditing Fees04/30/2018$15,750
Name and Address
(A)
Ross Resources, Inc.

441 Division Avenue
Hicksville
NY
11801
Type or Classification
(B)
Consultants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,302
Total Non-Itemized Transactions with this Payee/Payer$3,803
Total of All Transactions with this Payee/Payer for This Schedule$12,105
HR Consulting Services06/27/2018$8,302
Name and Address
(A)
Seneca Insurance Company, Inc.

160 Water Street
New York
NY
10038-4922
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,592
Total Non-Itemized Transactions with this Payee/Payer$2,008
Total of All Transactions with this Payee/Payer for This Schedule$11,600
Commercial Package Insurance01/22/2018$9,592
Name and Address
(A)
Stacy Braun Associates, Inc.

377 Broadway
New York
NY
10013-3934
Type or Classification
(B)
Investment Advisors
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,016
Total of All Transactions with this Payee/Payer for This Schedule$13,016
Name and Address
(A)
Staples Credit Plan
P.O. Box 689020

Des Moines
IA
50368-9020
Type or Classification
(B)
Office Supply Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,489
Total Non-Itemized Transactions with this Payee/Payer$13,819
Total of All Transactions with this Payee/Payer for This Schedule$20,308
LA QI Fund Supplies07/15/2017$6,489
Name and Address
(A)
Union Services Agency

119 Pere Marquette Suite 1A
Lansing
MI
48912
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$32,139
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$32,139
Union Liability Insurance12/20/2017$32,139
Name and Address
(A)
University of Miami-UMMG
Graduate Medical Education
1600 NW 10th Ave Ste 1149
Miami
FL
33136
Type or Classification
(B)
Univeristy
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,000
Research Services03/21/2018$8,000
Name and Address
(A)
University of Southern California

16200 Amber Valley Dr
Whittier
CA
90604
Type or Classification
(B)
Univeristy
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$180,521
Total Non-Itemized Transactions with this Payee/Payer$38,761
Total of All Transactions with this Payee/Payer for This Schedule$219,282
Quality Improvement Program01/31/2018$5,000
Quality Improvement Program01/31/2018$6,670
Quality Improvement Program01/31/2018$5,360
Quality Improvement Program01/31/2018$9,680
Quality Improvement Program01/31/2018$11,800
Quality Improvement Program01/31/2018$9,900
Quality Improvement Program01/31/2018$10,000
Quality Improvement Program01/31/2018$14,000
Quality Improvement Program01/31/2018$13,561
Quality Improvement Program01/31/2018$5,200
Quality Improvement Program03/30/2018$7,500
Quality Improvement Program03/30/2018$7,500
Quality Improvement Program03/30/2018$5,150
Quality Improvement Program03/30/2018$12,500
Quality Improvement Program03/30/2018$10,000
Quality Improvement Program03/30/2018$5,000
Quality Improvement Program05/16/2018$16,000
Quality Improvement Program05/16/2018$6,000
Quality Improvement Program05/16/2018$10,000
Quality Improvement Program05/23/2018$9,700
Name and Address
(A)
USC Clinical Tranlational Science Institute
Clinical Science Center
2250 Alcazar Street
Los Angeles
CA
90033
Type or Classification
(B)
Univeristy
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$20,000
Quality Improvement Program05/30/2018$20,000
Name and Address
(A)
Verizon Business
P.O. Box 15043

Albany
NY
12212-5044
Type or Classification
(B)
Telecommunications Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,443
Total of All Transactions with this Payee/Payer for This Schedule$18,443
Name and Address
(A)
Verizon Wireless
P.O. Box 408

Newark
NJ
07101-0408
Type or Classification
(B)
Telecommunications Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,631
Total Non-Itemized Transactions with this Payee/Payer$19,214
Total of All Transactions with this Payee/Payer for This Schedule$25,845
Mobile Phone Service02/28/2018$6,631
Name and Address
(A)
Verizon-NJ
P.O. Box 408

Newark
NJ
07101-0408
Type or Classification
(B)
Telecommunications Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$23,729
Total of All Transactions with this Payee/Payer for This Schedule$23,729
Name and Address
(A)
W.B. Mason Company, Inc.
P.O. Box 981101

Boston
MA
02298-1101
Type or Classification
(B)
Office Supply Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$31,938
Total of All Transactions with this Payee/Payer for This Schedule$31,938
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 506-906

Name and Address
(A)
American Airlines
P.O. Box 619616
DFW Intl Apirport
Dallas
TX
75261
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,077
Total of All Transactions with this Payee/Payer for This Schedule$13,077
Name and Address
(A)
Amtrak

3 Penn Plaza
New York
NY
10001
Type or Classification
(B)
Rail Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,257
Total of All Transactions with this Payee/Payer for This Schedule$6,257
Name and Address
(A)
Calle Dao Chelsea

461 West 23rd Street
New York
NY
10011
Type or Classification
(B)
Restaurant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,126
Total of All Transactions with this Payee/Payer for This Schedule$6,126
Name and Address
(A)
Courtyard By Marriott NY

133 Greenwich Street
New York
NY
10006
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,260
Total Non-Itemized Transactions with this Payee/Payer$1,890
Total of All Transactions with this Payee/Payer for This Schedule$9,150
Executive Committee Meeting02/13/2018$7,260
Name and Address
(A)
Delta Air Lines
P.O. Box 20706

Atlanta
GA
30320
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,097
Total of All Transactions with this Payee/Payer for This Schedule$10,097
Name and Address
(A)
Fourth Wall Events

209 West 40th St Suite 201
New York
NY
10018
Type or Classification
(B)
Event Planners
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$34,142
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$34,142
CIR Annual Convention01/22/2018$16,844
CIR Annual Convention04/20/2018$8,422
CIR Annual Convention06/05/2018$8,876
Name and Address
(A)
Gigi Cafe

307 7th Avenue
New York
NY
10001
Type or Classification
(B)
Restaurant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,064
Total of All Transactions with this Payee/Payer for This Schedule$7,064
Name and Address
(A)
Glen Cove Mansion

200 Dororis Lane
Glen Cove
NY
11542
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,032
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,032
Executive Committee Meeting03/03/2018$5,032
Name and Address
(A)
Hilton Garden Inn

65 W 35th Street
New York
NY
10001
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,651
Total Non-Itemized Transactions with this Payee/Payer$927
Total of All Transactions with this Payee/Payer for This Schedule$8,578
Executive Committee Meeting04/14/2018$7,651
Name and Address
(A)
Jay Star Group, Inc.

200 Connecticut Ave 5th Flr
Norwalk
CT
06854
Type or Classification
(B)
LM2 Consultants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,140
Total of All Transactions with this Payee/Payer for This Schedule$7,140
Name and Address
(A)
JetBlue Airways

118-29 Queens Blvd
Forest Hills
NY
11375
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,618
Total of All Transactions with this Payee/Payer for This Schedule$7,618
Name and Address
(A)
Joy Products, Inc.

14 Vanderventer Avenue
Port Washington
NY
11050
Type or Classification
(B)
Promotional Products
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,709
Total of All Transactions with this Payee/Payer for This Schedule$5,709
Name and Address
(A)
Renaissance Westchester

80 West Red Oak
West Harrison
NY
10604
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,280
Total Non-Itemized Transactions with this Payee/Payer$1,372
Total of All Transactions with this Payee/Payer for This Schedule$28,652
Executive Committee Meeting08/02/2017$27,280
Name and Address
(A)
Sheraton Tysons Corner

8661 Leesburg Pike
Tysons
VA
22182
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$281,137
Total Non-Itemized Transactions with this Payee/Payer$195
Total of All Transactions with this Payee/Payer for This Schedule$281,332
CIR Annual Convention07/01/2017$95,000
CIR Annual Convention07/01/2017$49,931
CIR Annual Convention04/20/2018$52,054
CIR Annual Convention05/19/2018$84,152
Name and Address
(A)
StepVisual Communications

38 Lawridge Dr Suite 1200
Rye Brook
NY
10573
Type or Classification
(B)
Printing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,790
Total Non-Itemized Transactions with this Payee/Payer$5,185
Total of All Transactions with this Payee/Payer for This Schedule$11,975
Conference Brochures06/27/2018$6,790
Name and Address
(A)
TrueBallot, Inc.

3 Bethesda Metro Ctr #700
Bethesda
MD
20814
Type or Classification
(B)
Election Service Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,687
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$19,687
CIR Election11/17/2017$10,763
CIR Election06/14/2018$8,924
Name and Address
(A)
United Airlines

77 W Wacker Dr
Chicago
IL
60601
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$16,660
Total of All Transactions with this Payee/Payer for This Schedule$16,660
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 506-906

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,586,353
Disability InsuranceStandard Security Life Ins Co.$1,946
Life InsuranceSBLI$844
Medical InsuranceEmployees$7,911
Medical InsuranceHousestaff Benefit Plan$81,603
Medical InsuranceVoluntary Hospitals HSBP$546,822
Pension BenefitsSEIU Affiliates Officers Employee Pension Fund$947,227
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 506-906


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

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

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

Question 15: DURING THE REPORTING PERIOD 2017-2018, CIR DISPOSED AB AFFINITY OF GOODS WITHOUT COST TO IT'S MEMBERS.

Question 16: CIR MAINTAINED A SECURITY DEPOSIT IN THE AMOUNT OF $80,438 WITH NEWMARK REAL ESTATE (LANDLORD) FOR THE LEASE.

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