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

This report is mandatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
069-941
2. PERIOD COVERED
From10/01/2017
Through09/30/2018
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
UNION OF AMERICAN PHYSICIANS
5. DESIGNATION (Local, Lodge, etc.)
STATE FEDERATION
6. DESIGNATION NBR

7. UNIT NAME (if any)
CALIFORNIA FEDERATION OF THE UNION OF AMERICAN
8. MAILING ADDRESS (Type or print in capital letters)
First Name
STUART
Last Name
BUSSEY
P.O Box - Building and Room Number

Number and Street
520 CAPITOL MALL, SUITE 220
City
SACRAMENTO
State
CA
ZIP Code + 4
95814


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


Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:stuart A BusseyPRESIDENT71. SIGNED:Victoria BehrmanTREASURER
Date:Dec 29, 2018Telephone Number:510-839-0193Date:Jan 03, 2019Telephone Number:916-442-6977
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 069-941
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?09/2021
20. How many members did the labor organization have at the end of the reporting period?0
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees$440perYear$72.00$3385.00
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 069-941

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $7,043,159$8,170,050
23. Accounts Receivable1$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$0
27. Fixed Assets6$0
28. Other Assets7$0
29. TOTAL ASSETS $7,043,159$8,170,050

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$0
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$0
34. TOTAL LIABILITIES $0$0
35. NET ASSETS$7,043,159$8,170,050
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 069-941

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $6,269,392
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $94,320
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$1,000,000
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$0
49. TOTAL RECEIPTS $7,363,712
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,699,019
51. Political Activities and Lobbying16$437,592
52. Contributions, Gifts, and Grants17$0
53. General Overhead18$2,214,087
54. Union Administration19$852,054
55. Benefits20$547,541
56. Per Capita Tax $486,528
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$0
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $0
  
66. Subtotal $6,236,821
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$744,777  
  67b. Less Total Disbursed$744,777  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $6,236,821
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 069-941

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

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above$0$0$0$0$0
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 45 Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 069-941

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Gross Sales Price
(D)
Amount Received
(E)
Total of all lines above$1,000,000$1,000,000$1,000,000$1,000,000
Stock$1,000,000$1,000,000$1,000,000$1,000,000
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$1,000,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 069-941

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

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost
E. Total Book Value
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.  
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 069-941

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

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

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

Source of Loans Payable at Any
Time During the Reporting Period
(A)
Loans Owed at
Start of Period
(B)
Loans Obtained
During Period
(C)
Repayment
During Period
Cash
(D)(1)
Repayment
During Period
Other Than Cash
(D)(2)
Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 069-941

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

(A)
Name
(B)
Title
(C)
Status
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances
Disbursed
(F)
Disbursements for Official Business
(G)
Other
Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
Bussey ,  Stuart  
President
C
$0$0$0
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Lewis ,  Ronald  
Vice President
C
$0$7,707$7,707
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Farooqi ,  Mubashir  
Vice President
C
$0$71$71
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Pendurkar ,  Shakalpi  
Secretary
C
$0$589$589
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Statti ,  Peter  
Treasurer
C
$0$1,250$1,250
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Behrman ,  Victoria  
Board Member
C
$0$0
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Lorig ,  Milton  
Board Member
C
$0$4,573$4,573
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Nelson ,  Jeff  
Board Member
C
$0$400$400
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Bitonte ,  Robert  
Board Member
C
$0$0
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Cheng ,  Rex  
Board Member
C
$0$0
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Pedneault ,  Gary  
Board Member
C
$0$0
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Radhakrishnan ,  Sandhya  
Board Member
C
$0$0
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Spinoso ,  Alex  
Board Member
N
$0$0
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Uyanne ,  John  
Board Member
N
$0$0
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total Officer Disbursements$0$0$14,590$0$14,590
Less Deductions     
Net Disbursements    $14,590
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 069-941

(A)
Name
(B)
Title
(C)
Other Payer
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances Disbursed
(F)
Disbursements for Official Business
(G)
Other Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
Adams ,  Indya  
Rep/Organizer
N/A
$60,517$3,957$6,810$71,284
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Alexander ,  Cheryl  
Finance and Benefits Mgr
N/A
$102,932$3,042$105,974
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
100 % Schedule 19
Administration
A
B
C
Anderson ,  Laura  
Chief Negotiator
N/A
$135,000$3,210$138,210
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Baldovinos ,  Nancy  
Office Manager
N/A
$73,313$0$12,120$85,433
I
Schedule 15
Representational Activities
60 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
40 %
A
B
C
Baxter ,  Andrew  
Sr. Rep/Organizer
N/A
$107,763$6,432$1,689$115,884
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Bussey ,  Stuart  
President
N/A
$199,000$24,249$223,249
I
Schedule 15
Representational Activities
7 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
93 %
A
B
C
Chiappetta ,  R. Douglas  
Chief Lobbyist
N/A
$152,424$4,069$1,455$157,948
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
98 % Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Cordova ,  Christine  
Program Specialist
N/A
$67,219$329$67,548
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Crane ,  Joseph  
Lead Organizer
N/A
$72,750$7,368$4,620$84,738
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Diel ,  John  
Organizer/Rep
N/A
$69,010$4,144$73,154
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Duarte ,  Gloria  
Office Manager
N/A
$101,749$307$2,363$104,419
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
Dunn ,  Laurel  
Admin Specialist
N/A
$47,631$0$47,631
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
Duritz ,  Jeffrey  
Rep/Organizer
N/A
$65,863$4,012$5,043$74,918
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
Ford-Lewis ,  Lisa  
Representative
N/A
$70,827$7,784$10,171$88,782
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
Golden-Ortiz ,  Glynnis  
Sr. Representative
N/A
$96,036$8,727$12,500$117,263
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Groh ,  Albert  
Consultant
N/A
$16,420$1,583$18,003
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
Hanley ,  Gabrielle  
Organizer
N/A
$55,471$2,159$3,431$61,061
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Hernandez ,  Patricia  
Sr. Representative
N/A
$135,000$10,284$2,771$148,055
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Ige ,  Christopher  
Sr. Rep/Political Liason
N/A
$107,103$4,824$12,086$124,013
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Irvin ,  Lux  
Sr. Representative
N/A
$15,520$634$1,919$18,073
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Jenkins ,  Timothy  
Sr. Rep/Organizer
N/A
$63,391$2,638$66,029
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Lester ,  Charles  
Director of Organizing
N/A
$149,125$7,747$10$156,882
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Modrall ,  Claudia  
Private Practice Assist
N/A
$54,268$16$54,284
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
Mohammed ,  Adrian  
Leg. Liason/Representativ
N/A
$62,708$3,309$6,804$72,821
I
Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
3 %
A
B
C
Munoz ,  Albert  
Sr. Representative
N/A
$92,719$7,370$1,663$101,752
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Murillo ,  John  
RegionalAdministrator
N/A
$103,587$80$692$104,359
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
Rivera ,  Nereyda  
Sr. Representative
N/A
$116,991$23,080$140,071
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Robinson ,  Gary  
Consultant
N/A
$41,027$4,428$45,455
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Snipes ,  Carolyn  
Office Manager
N/A
$66,209$375$66,584
I
Schedule 15
Representational Activities
60 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
40 %
A
B
C
Williams ,  Zegory  
Executive Director
N/A
$185,236$10,181$20,326$215,743
I
Schedule 15
Representational Activities
7 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
93 % Schedule 19
Administration
A
B
C
Wilson ,  Suzanne  
Business Director
N/A
$56,402$859$4,579$61,840
I
Schedule 15
Representational Activities
48 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
52 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$0
I Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total Employee Disbursements$2,743,211$0$157,197$111,052$3,011,460
Less Deductions     
Net Disbursements    $3,011,460
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 069-941

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 0 
Agency Fee Payers*
Total Members/Fee Payers0 
*Agency Fee Payers are not considered members of the labor organization.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 069-941

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$0
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts
4. Total Receipts$0
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements
6. Total Disbursements$0
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$14,590
4. To Employees$1,684,429
5. All Other Disbursements
6. Total Disbursements$1,699,019
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$1,640,431
3. To Officers$0
4. To Employees$374,163
5. All Other Disbursements$199,493
6. Total Disbursements$2,214,087
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$279,890
3. To Officers$0
4. To Employees$157,702
5. All Other Disbursements
6. Total Disbursements$437,592
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$795,167
5. All Other Disbursements$56,887
6. Total Disbursements$852,054
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 069-941

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 069-941

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 069-941

Name and Address
(A)
AFSCME CA People Advocacy & Education
c/o Brian Allison
1121 L Street, Ste. 904
Sacramento
CA
95814
Type or Classification
(B)
Political Action
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,000
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Name and Address
(A)
AFSCME CA PEOPLE SMC

1121 L Street, Ste. 904
Sacramento
CA
95814
Type or Classification
(B)
Political Action
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,534
Total of All Transactions with this Payee/Payer for This Schedule$12,534
Name and Address
(A)
AFSCME PEOPLE Qualified Committee

1625 L Street, N.W.
Washington
DC
20036
Type or Classification
(B)
AFSCME Qualified
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,892
Total of All Transactions with this Payee/Payer for This Schedule$7,892
Name and Address
(A)
UAPD I.E. PAC
c/o Olson Hagel Fishburn
555 Capital Mall, Ste. 400
Sacramento
CA
95814
Type or Classification
(B)
UAPD I.E. PAC
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,350
Total of All Transactions with this Payee/Payer for This Schedule$12,350
Name and Address
(A)
UAPD SMall Contributor Committee
c/o Olson Hagel Fishburn
555 Capital Mall, Ste. 400
Sacramento
CA
95814
Type or Classification
(B)
UAPD Small ContributorCommittee
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$237,114
Total of All Transactions with this Payee/Payer for This Schedule$237,114
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 069-941

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 069-941

Name and Address
(A)
180 Grand Owner, LLC
P.O. Box 398798
595 Market Street, Ste. 1
San Francisco
CA
94139
Type or Classification
(B)
Oakland Rent
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$155,710
Total of All Transactions with this Payee/Payer for This Schedule$155,710
Name and Address
(A)
ABM Parking Services

1960 E. Grand Avenue
El Segundo
CA
90245
Type or Classification
(B)
Parking for LA Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,280
Total of All Transactions with this Payee/Payer for This Schedule$14,280
Name and Address
(A)
AFSCME AFL-CIO Per Cap

1625 L Street, N.W.
Washington
DC
20036
Type or Classification
(B)
Union Affiliate
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$477,799
Total of All Transactions with this Payee/Payer for This Schedule$477,799
Name and Address
(A)
AmTrust North America
P.O. Box 6939

Cleveland
OH
44101
Type or Classification
(B)
Workers Comp Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$36,304
Total of All Transactions with this Payee/Payer for This Schedule$36,304
Name and Address
(A)
Apple One
P.O. Box 29048

Glendale
CA
91209
Type or Classification
(B)
Extra Help
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$38,544
Total of All Transactions with this Payee/Payer for This Schedule$38,544
Name and Address
(A)
AT&T
P.O. Box 105068

Atlanta
GA
30348
Type or Classification
(B)
Telephone for Oakland Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,577
Total of All Transactions with this Payee/Payer for This Schedule$14,577
Name and Address
(A)
BSREP II Office Holding II LLC
P.O. Box 847386
1600 S. Sherbourne Drive
Los Angeles
CA
90084
Type or Classification
(B)
Rent for LA Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$130,776
Total of All Transactions with this Payee/Payer for This Schedule$130,776
Name and Address
(A)
Californians for Responsible Healthcare

1100 - 11th Street, Ste. 10
Sacramento
CA
95814
Type or Classification
(B)
Healthcare Reform
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,250
Total of All Transactions with this Payee/Payer for This Schedule$6,250
Name and Address
(A)
Capital Management Advisors

738 Broadway, Ste.301
Tacoma
WA
98402
Type or Classification
(B)
Parking for Washington Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$4,096
Total of All Transactions with this Payee/Payer for This Schedule$4,096
Name and Address
(A)
Coalition of County Unions

2 Cupania Circle
Monterey Park
CA
91750
Type or Classification
(B)
Legal Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,900
Total of All Transactions with this Payee/Payer for This Schedule$11,900
Name and Address
(A)
Comcast
P.O. Box 34744
18 West Mercer St, Ste. 400
Seattle
WA
98124
Type or Classification
(B)
Computer Internet for Washington Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,822
Total of All Transactions with this Payee/Payer for This Schedule$11,822
Name and Address
(A)
Cousins Holdings, LLC

40400 Harts Lake Valley Roa
Roy
WA
98580
Type or Classification
(B)
Monthly Rent for Washington Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$23,400
Total of All Transactions with this Payee/Payer for This Schedule$23,400
Name and Address
(A)
Easy Permit
P.O. Box 371874

Pittsburg
PA
15250
Type or Classification
(B)
Postage Machine Leases for 3 offices
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,439
Total of All Transactions with this Payee/Payer for This Schedule$13,439
Name and Address
(A)
First Fidelity Investments

111 Pine Street
San Francisco
CA
94111
Type or Classification
(B)
Interest
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$44,103
Total of All Transactions with this Payee/Payer for This Schedule$44,103
Name and Address
(A)
Full Production Services

2896 Vista Court
Diamond Bar
CA
91765
Type or Classification
(B)
Video Creation Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,500
Total of All Transactions with this Payee/Payer for This Schedule$6,500
Name and Address
(A)
Golden Gate Print & Media Services

11144 Golf Links Road
Oakland
CA
94605
Type or Classification
(B)
Printing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$21,193
Total of All Transactions with this Payee/Payer for This Schedule$21,193
Name and Address
(A)
Hub International
P.O. Box 5076

San Ramon
CA
94583
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,252
Total of All Transactions with this Payee/Payer for This Schedule$20,252
Name and Address
(A)
inandoutprinting

14628 Wicks Blvd
San Leandro
CA
94577
Type or Classification
(B)
Printing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,569
Total of All Transactions with this Payee/Payer for This Schedule$5,569
Name and Address
(A)
James R. Mount

3967 Mead Street
Antioch
CA
94531
Type or Classification
(B)
Computer IT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,500
Total of All Transactions with this Payee/Payer for This Schedule$13,500
Name and Address
(A)
Jaystar Group Inc.

85 East Avenue
Norwalk
CT
06851
Type or Classification
(B)
Database System for Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$33,714
Total of All Transactions with this Payee/Payer for This Schedule$33,714
Name and Address
(A)
Law Office of Lawrence Rozenweig

2730 Wilshire Blvd., #425
Santa Monica
CA
90403
Type or Classification
(B)
Legal for LA Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,535
Total of All Transactions with this Payee/Payer for This Schedule$6,535
Name and Address
(A)
Level 3 Communications
P.O. Box 910182

Denver
CO
80291
Type or Classification
(B)
Lease for El Segundo Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,944
Total of All Transactions with this Payee/Payer for This Schedule$6,944
Name and Address
(A)
Marriott LAX Airport

5855 W. Century Blvd
Los Angeles
CA
90045
Type or Classification
(B)
Conferences/Meetings
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$34,166
Total of All Transactions with this Payee/Payer for This Schedule$34,166
Name and Address
(A)
Mr. Copy

5657 Copley Drive
San Diego
CA
92111
Type or Classification
(B)
Xerox for Oakland Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,416
Total of All Transactions with this Payee/Payer for This Schedule$8,416
Name and Address
(A)
Office Depot
P.O. Box 689020

Des Moines
IA
50368
Type or Classification
(B)
Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,079
Total of All Transactions with this Payee/Payer for This Schedule$7,079
Name and Address
(A)
Olson Hagel & Fishburn LLP

555 Capital Mall, Ste. 400
Sacramento
CA
95814
Type or Classification
(B)
Legal PAC/Lobbyist Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,050
Total of All Transactions with this Payee/Payer for This Schedule$20,050
Name and Address
(A)
Pitney Bowes Global Financial Services
P.O. Box 37187

Pittsburg
PA
15250
Type or Classification
(B)
Postage Machine Leases for 3 offices
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,662
Total of All Transactions with this Payee/Payer for This Schedule$10,662
Name and Address
(A)
R. T. Capital Mall LP

2870 Gateway Oaks
Sacramento
CA
95833
Type or Classification
(B)
Rent for Sacramento Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$101,065
Total of All Transactions with this Payee/Payer for This Schedule$101,065
Name and Address
(A)
Rosenberg, Shpall &K Zeigen, APLC

750 B Street, Ste. 3210
San Diego
CA
92101
Type or Classification
(B)
Legal Office for LA Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$38,561
Total of All Transactions with this Payee/Payer for This Schedule$38,561
Name and Address
(A)
RTZ Associates

3726 Mt. Diablo, #301
Lafayette
CA
64549
Type or Classification
(B)
Monthly Parking for Oakland Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,200
Total of All Transactions with this Payee/Payer for This Schedule$7,200
Name and Address
(A)
Schwerin Campbell Barnard LLP

18 West Mercer St, Ste. 400
Seattle
WA
98119
Type or Classification
(B)
Legal Office for Washington State
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$43,976
Total of All Transactions with this Payee/Payer for This Schedule$43,976
Name and Address
(A)
Scientia

838 Central Avenue
Highland Park
IL
60035
Type or Classification
(B)
CME
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,800
Total of All Transactions with this Payee/Payer for This Schedule$5,800
Name and Address
(A)
Standard Parking

202 Kitredge Street
Berkeley
CA
94704
Type or Classification
(B)
Parking for Oakland Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$4,755
Total of All Transactions with this Payee/Payer for This Schedule$4,755
Name and Address
(A)
Theodros Gashaw

29604 - 7th Avenue
Federal Way
WA
98023
Type or Classification
(B)
Settlement
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,000
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Name and Address
(A)
TPX Communications
P.O. Box 509013
5657 Copley Drive
San Diego
CA
92150
Type or Classification
(B)
Lease for El Segundo Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,162
Total of All Transactions with this Payee/Payer for This Schedule$12,162
Name and Address
(A)
Travelers CL Remittance Center
P.O. Box 660317

Dallas
TX
75266
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,932
Total of All Transactions with this Payee/Payer for This Schedule$8,932
Name and Address
(A)
UAPD Escrow Account

520 CAPITOL MALL, SUITE 220
SACRAMENTO
CA
95814
Type or Classification
(B)
FS Escrow Account
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$25,643
Total of All Transactions with this Payee/Payer for This Schedule$25,643
Name and Address
(A)
US Bancorop
P.O. Box 790448

St. Louis
MO
63179
Type or Classification
(B)
Lease for Telephones
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,240
Total of All Transactions with this Payee/Payer for This Schedule$20,240
Name and Address
(A)
Van Sloten & Laranang CPAs

39176-B State Street
Fremont
CA
94538
Type or Classification
(B)
CPAs for Annual Audit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,006
Total of All Transactions with this Payee/Payer for This Schedule$7,006
Name and Address
(A)
Weinberg, Roger & Rosenfeld

1001 Marina Village Pkwy,
Alameda
CA
94501
Type or Classification
(B)
Legal Office for Oakland Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$103,071
Total of All Transactions with this Payee/Payer for This Schedule$103,071
Name and Address
(A)
Westin Hotel SFO

1 Old Bayshore Hwy
Millbrae
CA
94030
Type or Classification
(B)
Conferences/Meetings
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$49,741
Total of All Transactions with this Payee/Payer for This Schedule$49,741
Name and Address
(A)
Xerox Corporation
P.O. Box 7405

Pasadena
CA
91109
Type or Classification
(B)
Lease for LA Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,219
Total of All Transactions with this Payee/Payer for This Schedule$14,219
Name and Address
(A)
Xobee Communications LLC

440 W. Fallbrook
Fresno
CA
93711
Type or Classification
(B)
Telephone System Company for Oakland and Sacrament
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,480
Total of All Transactions with this Payee/Payer for This Schedule$10,480
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 069-941

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 069-941

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$547,541
Dental InsuranceDelta Dental$38,299
Health and Vision InsuranceWestern Alliance Trust Fund$133,374
HealthKaiser$51,181
Life InsuranceStandard Life Insurance$3,337
PensionAFSCME Pension Plan$321,350
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 069-941


Question 11(a):

Question 11(a): UAPD - Issues Committee UAPD - I.E. PAC UAPD - Small Contributors Fund

Question 12: Van Sloten & Laranang CPAs
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)