059-961 (LM2) 12/31/2018

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: 09-30-2021

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
059-961

2. PERIOD COVERED
From	01/01/2018
Through	12/31/2018

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.) LEADERSHIP COUNCIL	6. DESIGNATION NBR 14
7. UNIT NAME (if any) NORTHWESTERN STATES

8. MAILING ADDRESS (Type or print in capital letters)
First Name Sterling	Last Name Harders
P.O Box - Building and Room Number
Number and Street 3161 Elliott Ave, Ste 300
City SEATTLE
State WA	ZIP Code + 4 98121

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:

Sterling Harders

PRESIDENT

71. SIGNED:

Sterling Harders

TREASURER

Date:

Mar 22, 2019

Telephone Number:

206-441-0202

Date:

Mar 22, 2019

Telephone Number:

206-441-0202

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

ITEMS 10 THROUGH 21

FILE NUMBER: 059-961

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?	$390,000
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?	12/2019

20. How many members did the labor organization have at the end of the reporting period?

21. What are the labor organization's rates of dues and fees?

Rates of Dues and Fees
Dues/Fees	Amount		Unit	Minimum	Maximum
(a) Regular Dues/Fees	0	per	0	0	0
(b) Working Dues/Fees	0	per	0	0	0
(c) Initiation Fees	0	per	0	0	0
(d) Transfer Fees	0	per	0	0	0
(e) Work Permits	0	per	0	0	0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 059-961

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$970,728	$352,281
23. Accounts Receivable	1	$19,804	$212,269
24. Loans Receivable	2		$0
25. U.S. Treasury Securities		$0	$0
26. Investments	5		$0
27. Fixed Assets	6	$2,852	$2,058
28. Other Assets	7		$0
29. TOTAL ASSETS		$993,384	$566,608

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8	$349	$928
31. Loans Payable	9		$0
32. Mortgages Payable		$0	$0
33. Other Liabilities	10	$9,309	$7,952
34. TOTAL LIABILITIES		$9,658	$8,880

35. NET ASSETS

$983,726

$557,728

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 059-961

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$0
37. Per Capita Tax		$398,158
38. Fees, Fines, Assessments, Work Permits		$0
39. Sale of Supplies		$0
40. Interest		$29
41. Dividends		$0
42. Rents		$0
43. Sale of Investments and Fixed Assets	3	$0
44. Loans Obtained	9	$0
45. Repayments of Loans Made	2	$0
46. On Behalf of Affiliates for Transmittal to Them		$0
47. From Members for Disbursement on Their Behalf		$0
48. Other Receipts	14	$183,617
49. TOTAL RECEIPTS		$581,804

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$0
51. Political Activities and Lobbying		16	$595,257
52. Contributions, Gifts, and Grants		17	$38,250
53. General Overhead		18	$77,743
54. Union Administration		19	$418,488
55. Benefits		20	$57,023
56. Per Capita Tax			$0
57. Strike Benefits			$0
58. Fees, Fines, Assessments, etc.			$0
59. Supplies for Resale			$0
60. Purchase of Investments and Fixed Assets		4	$0
61. Loans Made		2	$0
62. Repayment of Loans Obtained		9	$0
63. To Affiliates of Funds Collected on Their Behalf			$0
64. On Behalf of Individual Members			$0
65. Direct Taxes			$13,829

66. Subtotal			$1,200,590
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$48,055
67b. Less Total Disbursed	$47,716
67c. Total Withheld But Not Disbursed			$339
68. TOTAL DISBURSEMENTS			$1,200,251

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 059-961

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	$212,269
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B))	$212,269	$0	$0	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 2 - LOANS RECEIVABLE

FILE NUMBER: 059-961

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)

Loans
Outstanding at
Start of Period
(B)

Loans Made
During Period
(C)

Repayments Received During Period
Cash (D)(1)	Other Than Cash (D)(2)

Loans
Outstanding at
End of Period
(E)

Total of loans not listed above

Total of all lines above

Totals will be automatically entered in...

Item 24
Column (A)

Item 61

Item 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: 059-961

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Gross Sales Price (D)	Amount Received (E)
Total of all lines above	$0	$0	$0	$0

				Less Reinvestments	$0
(The total from Net Sales Line will be automatically entered in Item 43)				Net Sales	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 059-961

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: 059-961

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))

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 059-961

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)

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment

$9,936

$7,878

$2,058

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B))

$9,936

$7,878

$2,058

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 059-961

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: 059-961

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	$928	$0	$0	$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D))	$928	$0	$0	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 9 - LOANS PAYABLE

FILE NUMBER: 059-961

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 44	Item 62	Item 69 with Explanation	Item 31 Column (D)

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 10 - OTHER LIABILITIES

FILE NUMBER: 059-961

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$7,952
payroll liabilities	$4,124
accrued vacation leave	$3,828

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 059-961

(A)
Name

(B)
Title

(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

Sosne , Diane
Vice President
C

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

Hart , Karen
Chair
P

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

Salinas , Sergio
Vice President
P

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

Niemi , Meg
Vice President
C

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

Shindler , Charlotte
Vice President
C

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

Harders , Sterling
Vice President
C

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

Schroeder , Patricia
Vice President
C

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

Javalera , Zenia
Vice President
C

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

100 %

Total Officer Disbursements	$0	$0	$0	$0	$0
Less Deductions
Net Disbursements					$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 059-961

(A)
Name

(B)
Title

(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

Nelson , Michael
Co-Executive Director
None

$79,494

$6,000

$1,326

$86,820

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

75 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

25 %

A
B
C

Crapsey , Ana Maria
Co-Executive Director
None

$79,619

$2,242

$81,861

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

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

Total Employee Disbursements	$159,113	$6,000	$3,568	$0	$168,681
Less Deductions
Net Disbursements					$168,681

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 059-961

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	0
Agency Fee Payers*
Total Members/Fee Payers	0
*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: 059-961

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$169,151
2. Named Payer Non-itemized Receipts	$5,346
3. All Other Receipts	$9,120
4. Total Receipts	$183,617

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements	$30,000
2. Named Payee Non-itemized Disbursements	$2,500
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements	$5,750
6. Total Disbursements	$38,250

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
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	$0
6. Total Disbursements	$0

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$6,376
2. Named Payee Non-itemized Disbursements	$63,913
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements	$7,454
6. Total Disbursements	$77,743

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$517,449
2. Named Payee Non-itemized Disbursements	$6,041
3. To Officers	$0
4. To Employees	$65,115
5. All Other Disbursements	$6,652
6. Total Disbursements	$595,257

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$300,300
2. Named Payee Non-itemized Disbursements	$8,327
3. To Officers	$0
4. To Employees	$103,566
5. All Other Disbursements	$6,295
6. Total Disbursements	$418,488

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 059-961

Name and Address
(A)

Service Employees Intl Union WA State Council PAC

3161 Elliott Ave, Suite 300
Seattle
WA
98121

Type or Classification
(B)

Political action committee

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,346
Total of All Transactions with this Payee/Payer for This Schedule		$5,346

Name and Address
(A)

SEIU Healthcare 1199NW

15 S Grady Way #200
Renton
WA
98057

Type or Classification
(B)

labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$11,696
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$11,696
reimbursement for member mailing	11/15/2018	$11,696

Name and Address
(A)

SEIU International Union

1800 Massachusetts Ave NW
Washington
DC
20036

Type or Classification
(B)

International union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$100,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$100,000
infrastructure subsidy	01/05/2018	$8,333
infrastructure subsidy	02/02/2018	$8,333
infrastructure subsidy	03/02/2018	$8,333
infrastructure subsidy	04/06/2018	$8,333
infrastructure subsidy	05/04/2018	$8,334
infrastructure subsidy	06/08/2018	$8,334
infrastructure subsidy	07/06/2018	$8,334
infrastructure subsidy	08/03/2018	$8,334
infrastructure subsidy	09/07/2018	$8,333
infrastructure subsidy	10/05/2018	$8,333
infrastructure subsidy	11/02/2018	$8,333
infrastructure subsidy	12/07/2018	$8,333

Name and Address
(A)

SEIU Local 775

215 Columbia St
Seattle
WA
98104

Type or Classification
(B)

labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$17,593
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$17,593
reimbursement for member mailing	11/15/2018	$17,593

Name and Address
(A)

SEIU Local 925

1914 N 34th St
Seattle
WA
98103

Type or Classification
(B)

labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$39,862
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$39,862
reimbursement for member mailing	10/30/2018	$39,862

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 059-961

There was no data found for this schedule.

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 059-961

Name and Address
(A)

All in for Action

603 Stewart St, Suite 819
Seattle
WA
98101

Type or Classification
(B)

WA State Revenue Coalition

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$25,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$25,000
contribution	01/19/2018	$15,000
contribution	02/07/2018	$10,000

Name and Address
(A)

Balance Our Tax Code

603 Stewart St, Suite 819
Seattle
WA
98101

Type or Classification
(B)

Statewide 501c4 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$250,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$250,000
contribution	10/01/2018	$125,000
contribution	10/05/2018	$125,000

Name and Address
(A)

Cerillion N4 Partners

500 Union St #909
Seattle
WA
98101

Type or Classification
(B)

consultant

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$39,862
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$39,862
mailing to 925 members	10/31/2018	$39,862

Name and Address
(A)

Free Range Productions
PO Box 2727

Vashon Island
WA
98070

Type or Classification
(B)

consultant

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$37,969
Total Non-Itemized Transactions with this Payee/Payer		$3,435
Total of All Transactions with this Payee/Payer for This Schedule		$41,404
Member video	11/15/2018	$15,394
member mailing	11/15/2018	$16,360
member mailing	11/15/2018	$6,215

Name and Address
(A)

Fuse Washington

1402 3rd Ave Suite 406
Seattle
WA
98101

Type or Classification
(B)

Statewide 501c4 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$15,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$15,000
contribution	04/25/2018	$5,000
contribution	10/04/2018	$10,000

Name and Address
(A)

Greenberg Quinlan Rosner Research

1101 15th St NW
Washington
DC
20005

Type or Classification
(B)

polling company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$5,000
polling legislative issues	11/15/2018	$5,000

Name and Address
(A)

Morel Ink

4824 NE 42nd Ave
Portland
OR
97218

Type or Classification
(B)

printer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$14,618
Total Non-Itemized Transactions with this Payee/Payer		$1,106
Total of All Transactions with this Payee/Payer for This Schedule		$15,724
member communication	10/31/2018	$9,115
postage	11/15/2018	$5,503

Name and Address
(A)

Northwest Accountability Project

2010 Massachusetts Ave NW
Washington
DC
20036

Type or Classification
(B)

Statewide 501c4 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$50,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$50,000
contribution	11/19/2018	$50,000

Name and Address
(A)

Patinkin Research

12706 Burnham Dr NW
Gig Harbor
WA
98332

Type or Classification
(B)

Polling Company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$5,000
member poll	10/18/2018	$5,000

Name and Address
(A)

Progress Alliance

1402 3rd Ave Suite 201
Seattle
WA
98101

Type or Classification
(B)

501c4 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$50,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$50,000
contribution	07/02/2018	$50,000

Name and Address
(A)

Washington Bus

307 3rd Ave S #530
Seattle
WA
98104

Type or Classification
(B)

Statewide 501c4 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$5,000
contribution	10/04/2018	$5,000

Name and Address
(A)

Washington CAN

1806 E Yesler Way
Seattle
WA
98122

Type or Classification
(B)

Statewide 501c4 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$1,500
Total of All Transactions with this Payee/Payer for This Schedule		$6,500
contribution	11/06/2018	$5,000

Name and Address
(A)

Win/Win Action

1402 3rd Ave Suite 201
Seattle
WA
98101

Type or Classification
(B)

Statewide organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$15,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$15,000
contribution	07/23/2018	$15,000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS

FILE NUMBER: 059-961

Name and Address
(A)

Colectiva Legal Del Pueblo

201 SW 153rd St
Burien
WA
98166

Type or Classification
(B)

501c3 nonprofit organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$5,000
contribution	04/25/2018	$5,000

Name and Address
(A)

Washington State Budget & Policy Center

1402 3rd Ave Suite 1215
Seattle
WA
98101

Type or Classification
(B)

501c3 nonprofit organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$25,000
Total Non-Itemized Transactions with this Payee/Payer		$2,500
Total of All Transactions with this Payee/Payer for This Schedule		$27,500
contribution	02/23/2018	$25,000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 059-961

Name and Address
(A)

Century Link
PO Box 91155

Seattle
WA
98111

Type or Classification
(B)

telephone company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$7,143
Total of All Transactions with this Payee/Payer for This Schedule		$7,143

Name and Address
(A)

Diamond Building

76 S Washington St M102
Seattle
WA
98104

Type or Classification
(B)

Landlord

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$29,760
Total of All Transactions with this Payee/Payer for This Schedule		$29,760

Name and Address
(A)

Labor 1992 Corp

321 16th Ave S
Seattle
WA
98144

Type or Classification
(B)

Landlord

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$21,594
Total of All Transactions with this Payee/Payer for This Schedule		$21,594

Name and Address
(A)

Parking Services

4739 University Way NE #164
Seattle
WA
98105

Type or Classification
(B)

Parking permit company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,416
Total of All Transactions with this Payee/Payer for This Schedule		$5,416

Name and Address
(A)

Redmond General Insurance Agency
PO Box 847

Redmond
WA
98073

Type or Classification
(B)

insurance broker

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,376
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$6,376
D&O insurance	12/11/2018	$6,376

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 19 - UNION ADMINISTRATION

FILE NUMBER: 059-961

Name and Address
(A)

Mahrt & Associates

33308 13th Pl S, Suite 1
Federal Way
WA
98003

Type or Classification
(B)

accounting firm

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$8,327
Total of All Transactions with this Payee/Payer for This Schedule		$8,327

Name and Address
(A)

SEIU Healthcare 1199NW

15 S Grady Way #200
Renton
WA
98057

Type or Classification
(B)

labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$64,800
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$64,800
per cap rebate	04/25/2018	$64,800

Name and Address
(A)

SEIU Local 1948/PSE
PO Box 798

Auburn
WA
98071

Type or Classification
(B)

labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$73,200
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$73,200
per cap rebate	04/25/2018	$73,200

Name and Address
(A)

SEIU Local 49

3536 SE 26th Ave
Portland
OR
97202

Type or Classification
(B)

labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,300
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$6,300
per cap rebate	04/25/2018	$6,300

Name and Address
(A)

SEIU Local 6

3720 Airport Way S
Seattle
WA
98134

Type or Classification
(B)

labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$12,900
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$12,900
per cap rebate	04/25/2018	$12,900

Name and Address
(A)

SEIU Local 775

215 Columbia St
Seattle
WA
98104

Type or Classification
(B)

labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$102,900
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$102,900
per cap rebate	04/25/2018	$102,900

Name and Address
(A)

SEIU Local 925

1914 N 34th St
Seattle
WA
98103

Type or Classification
(B)

labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$40,200
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$40,200
per cap rebate	04/25/2018	$40,200

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 20 - BENEFITS

FILE NUMBER: 059-961

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$57,023
Pension	SEIU Affiliates Pension Fund	$33,387
Health Insurance	Service Employees Health & Welfare Trust	$21,569
Life & Disability insurance	Standard Insurance Company	$1,680
Vision insurance	Vision Service Plan	$387

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 059-961

Question 11(a):

Question 11(a): : Service Employees International Union WA State Council PAC,reports filed with WA State Public Disclosure Commission SEIU Initiative Fund, reports filed with WA State Public Disclosure Commission

Question 12: Brantley Janson



Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)