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
057-419
2. PERIOD COVERED
From01/01/2018
Through12/31/2018
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.)
LOCAL UNION
 6. DESIGNATION NBR
113
7. UNIT NAME (if any)
HEALTHCARE MINNESOTA
8. MAILING ADDRESS (Type or print in capital letters)
First Name
JAMIE
 Last Name
GULLEY
P.O Box - Building and Room Number

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


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


Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:Jamie T GulleyPRESIDENT71. SIGNED:Jigme UgenTREASURER
Date:Mar 27, 2019Telephone Number:651-294-8100Date:Mar 28, 2019Telephone Number:612-812-5846
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 057-419
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?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?Yes
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?09/2019
20. How many members did the labor organization have at the end of the reporting period?21,185
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees3.1 times Hourly-RateperMonth1079
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation FeesN/AperN/AN/AN/A
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

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

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $513,738$671,432
23. Accounts Receivable1$0$0
24. Loans Receivable2
25. U.S. Treasury Securities $0$0
26. Investments5$537,101$512,223
27. Fixed Assets6$18,703$37,834
28. Other Assets7
29. TOTAL ASSETS $1,069,542$1,221,489

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$22,296$13,714
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$5,108
34. TOTAL LIABILITIES $22,296$18,822
35. NET ASSETS$1,047,246$1,202,667
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 057-419

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $11,381,495
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $7,209
41. Dividends $0
42. Rents $1,913
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $205,215
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$1,200,815
49. TOTAL RECEIPTS $12,796,647
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$3,906,419
51. Political Activities and Lobbying16$746,095
52. Contributions, Gifts, and Grants17$366,016
53. General Overhead18$1,536,387
54. Union Administration19$205,502
55. Benefits20$1,557,287
56. Per Capita Tax $3,773,914
57. Strike Benefits $23,372
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$31,586
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $200,299
64. On Behalf of Individual Members $0
65. Direct Taxes $292,076
  
66. Subtotal $12,638,953
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$981,719  
  67b. Less Total Disbursed$981,719  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $12,638,953
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 057-419

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 057-419

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 057-419

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Gross Sales Price
(D) 		Amount Received
(E)
Total of all lines above$0$0$0$0
Less Reinvestments 
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 057-419

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$31,586$31,586$31,586
SECURITY CAMERA SYSTEM$15,376$15,376$15,376
SERVER$6,719$6,719$6,719
POSTAGE MACHINE$9,491$9,491$9,491
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$31,586
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 057-419

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost$512,223
E. Total Book Value$512,223
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.  
  • REAL PROPERTY: 345 RANDOLPH STE. 100, ST PAUL, MN
$512,223
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $512,223
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 057-419

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$1,076,685$1,038,851$37,834$37,834
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,076,685$1,038,851$37,834$37,834
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 057-419

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 057-419

Entity or Individual Name
(A) 		Total Account
Payable
(B) 		90-180 Days
Past Due
(C) 		180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$13,714$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)) $13,714$0$0$0
CREDIT CARDS$13,714$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 057-419

Source of Loans Payable at Any
Time During the Reporting Period
(A) 		Loans Owed at
Start of Period
(B) 		Loans Obtained
During Period
(C) 		Repayment
During Period
Cash
(D)(1) 		Repayment
During Period
Other Than Cash
(D)(2) 		Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 057-419

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $5,108
COPE WITHHOLDINGS$5,108
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 057-419

(A)
Name		(B)
Title		(C)
Status		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances
Disbursed 		(F)
Disbursements for Official Business 		(G)
Other
Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		ASMUS ,  ELIZABETH  
EXECUTIVE VICE PRESIDENT
P		$64,316$0$1,166$0$65,482
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		BALE ,  MARY  
DELEGATE
N		$2,208$0$385$0$2,593
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 		BERNINI ,  BRIANNE  
DELEGATE
C		$3,240$0$307$0$3,547
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		BHATTARAI ,  RAJIB  
DELEGATE
P		$876$0$385$0$1,261
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 		BURNFIN ,  DAWN  
DELEGATE
N		$5,157$0$64$0$5,221
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		CARLSON ,  LYNN  
VICE PRESIDENT
C		$3,754$0$385$0$4,139
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		CROMEDY ,  BENNIE  
DELEGATE
C		$2,277$0$385$0$2,662
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		CRYAN ,  PHILLIP  
EXECUTIVE VICE PRESIDENT
C		$102,816$0$299$0$103,115
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		10 %
A
B
C 		DONAZAL ,  CLEVELAND  
DELEGATE
C		$4,480$0$385$0$4,865
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 		DUFFEE ,  LOUISE  
DELEGATE
N		$3,261$0$86$0$3,347
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 		ELRITE ,  KATHRYN  
DELEGATE
N		$2,153$0$307$0$2,460
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 		FADERA ,  YANKUBA  
DELEGATE
N		$2,154$0$405$0$2,559
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 		FREEMAN ,  MARK  
DELEGATE
N		$1,026$0$385$0$1,411
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		FRITZ ,  PATTI  
DELEGATE
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		GRAY ,  DARLENE  
DELEGATE
P		$187$0$0$0$187
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		GULLEY ,  JAMIE  
PRESIDENT
C		$125,298$0$3,733$0$129,031
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		10 %
A
B
C 		HALL ,  FRANCIS  
DELEGATE
N		$5,015$0$80$0$5,095
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 		HANSEN ,  PENNY  
DELEGATE
C		$2,627$0$365$0$2,992
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		HANSON ,  CRISSY  
DELEGATE
C		$2,991$0$307$0$3,298
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		HOLT ,  JAMES  
DELEGATE
C		$4,253$0$780$0$5,033
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		HOWZE ,  DEBRA  
DELEGATE
C		$1,622$0$348$0$1,970
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 		HUGHES ,  LATANYA  
DELEGATE
N		$1,834$0$0$0$1,834
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 		JACKSON ,  NATALIE  
DELEGATE
N		$2,238$0$0$0$2,238
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		KOSKI ,  SANDY  
DELEGATE
P		$167$0$385$0$552
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		LEMIRE ,  SONJA  
VICE PRESIDENT
C		$1,801$0$0$0$1,801
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		LYNCH ,  KATHERINE  
VICE PRESIDENT
C		$5,942$0$385$0$6,327
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		MALONEY ,  RUSS  
DELEGATE
C		$4,869$0$325$0$5,194
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		MATTHEWS ,  RITA  
DELEGATE
C		$1,046$0$385$0$1,431
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		MEYER ,  KATHLENE  
DELEGATE
C		$1,915$0$0$0$1,915
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		MINTEY ,  DAN  
TRUSTEE
C		$7,685$0$385$0$8,070
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		NEWSOME ,  KATRICE  
DELEGATE
P		$248$0$385$0$633
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		NORDBY ,  MELODY  
DELEGATE
C		$3,909$0$307$0$4,216
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		O'MARA ,  HARRY  
DELEGATE
P		$330$0$385$0$715
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		PHILLIPS ,  CORTNEY  
DELEGATE
C		$809$0$0$0$809
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 		PIKALA ,  MELODY  
DELEGATE
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		PILLE ,  KIA  
DELEGATE
N		$2,860$0$385$0$3,245
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 		RAMNAUTH ,  KAMALA  
DELEGATE
N		$2,313$0$385$0$2,698
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 		SANTOS NORGREN ,  JENNIFER  
DELEGATE
N		$1,253$0$0$0$1,253
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		SARRO ,  JEFF  
DELEGATE
C		$2,484$0$25$0$2,509
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		SCHMITZ ,  REBECCA  
DELEGATE
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		SMITH ,  JOHNNIE  
DELEGATE
C		$3,062$0$0$0$3,062
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 		STRAUMAN ,  VIVIAN  
DELEGATE
C		$2,189$0$385$0$2,574
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		TOMFOHRDE ,  MINDA  
VICE PRESIDENT
P		$2,864$0$180$0$3,044
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		UGEN ,  JIGME  
EXECUTIVE VICE PRESIDENT
C		$113,265$0$3,499$0$116,764
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		15 %
A
B
C 		VANDENBURGH ,  COREY  
DELEGATE
C		$3,495$0$0$0$3,495
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		WEED ,  LISA  
EXECUTIVE VICE PRESIDENT
C		$102,806$0$292$0$103,098
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		15 %
A
B
C 		WIRPEL ,  JAN  
DELEGATE
C		$350$0$0$0$350
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 		WOODARD ,  EMMA  
DELEGATE
N		$1,265$0$385$1,650
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		ZAHN ,  MARTY  
DELEGATE
P		$2,494$0$120$0$2,614
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
Total Officer Disbursements$613,204$0$19,155$0$632,359
Less Deductions    $157,116
Net Disbursements    $475,243
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 057-419

(A)
Name		(B)
Title		(C)
Other Payer		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances Disbursed 		(F)
Disbursements for Official Business 		(G)
Other Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		AHMAD-SHARIFF ,  RASHA  
DIRECTOR MAC
N/A		$80,679$0$253$0$80,932
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 		AFRAH ,  MOHAMED  
TEMPORARY ORGANIZER
N/A		$30,233$0$0$0$30,233
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 		ANDERSON ,  MELVIN  
DELEGATE
N/A		$77,236$0$1,207$0$78,443
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 		BIALKE ,  JAMES  
CONSULTANT
N/A		$25,377$0$0$0$25,377
I
Schedule 15
Representational Activities 		70 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		25 %
A
B
C 		BLACKMON ,  ALICE  
TEMPORARY ORGANIZER
N/A		$10,870$0$0$0$10,870
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 		BOOTS ,  JULIE  
INTERNAL ORGANIZER
N/A		$78,560$0$1,096$0$79,656
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 		CHAPDELAINE ,  KAREN  
SUPPORT STAFF
N/A		$48,074$0$0$0$48,074
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CHRISTENSON ,  ASHLEY  
COMMUNICATIONS
N/A		$86,122$0$995$0$87,117
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 		DAVIS ,  RUTH  
INTERNAL ORGANIZER
N/A		$70,205$0$294$0$70,499
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 		EL HAMAWI ,  YOUSSEF  
INTERNAL ORGANIZER
N/A		$11,655$0$31$0$11,686
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 		FISHER ,  BENJAMIN  
INTERNAL ORGANIZER
N/A		$75,480$0$2,134$0$77,614
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 		FORESTER ,  TIFFANY  
DIRECTOR SUPPORT STAFF
N/A		$82,382$0$966$0$83,348
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 		FRANK ,  TYLER  
INTERNAL ORGANIZER
N/A		$64,648$0$641$0$65,289
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 		GEORGE ,  MAMENEH  
SUPPORT STAFF
N/A		$33,721$0$0$0$33,721
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 		HAKALA ,  KRISTINE  
SUPPORT STAFF
N/A		$55,920$0$1,253$0$57,173
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HILBRICH ,  BRENDA  
CHIEF OF STAFF
N/A		$104,740$0$477$0$105,217
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		HOBBS ,  KASSANDRA  
INTERNAL ORGANIZER
N/A		$77,304$0$666$0$77,970
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 		HUNT ,  STEVE  
INTERNAL ORGANIZER
N/A		$82,835$0$3,347$0$86,182
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 		KLEIN ,  KRYSTAL  
INTERNAL ORGANIZER
N/A		$74,506$0$0$0$74,506
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 		KOHA DEI-ANANG ,  MIKHAIL  
EXTERNAL ORGANIZER
N/A		$26,298$0$0$0$26,298
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 		KUEHN ,  KEVIN  
INTERNAL ORGANIZER
N/A		$80,705$0$0$0$80,705
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 		KUTZLER ,  KELSEY  
INTERNAL ORGANIZER
N/A		$70,724$0$8$0$70,732
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 		LADUCER-KITTO ,  JASMINE  
INTERNAL ORGANIZER
N/A		$62,876$0$315$0$63,191
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 		LOPEZ ,  CHE  
EXTERNAL ORGANIZER
N/A		$49,286$0$809$0$50,095
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 		LUBAHN ,  JACKIE  
INTERNAL ORGANIZER
N/A		$77,197$0$192$0$77,389
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 		MILLER ,  MICHELLE  
INTERNAL ORGANIZER
N/A		$73,260$0$1,490$0$74,750
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 		MOORE ,  ROGER  
INTERNAL ORGANIZER
N/A		$76,063$0$1,412$0$77,475
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 		NADAL ,  WILLIAM  
INTERNAL ORGANIZER
N/A		$22,733$0$0$0$22,733
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 		NAJI ,  ARWA  
SUPPORT STAFF
N/A		$39,557$0$4,239$0$43,796
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		NESSEN ,  BRANDON  
ASST ORGANIZING DIRECTOR
N/A		$84,451$0$3,176$0$87,627
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 		PERRI ,  JOHN  
FINANCE MANAGER
N/A		$96,797$0$1,816$0$98,613
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		45 % Schedule 19
Administration 		0 %
A
B
C 		SALMIA ,  CARRIE  
SUPPORT STAFF
N/A		$48,962$0$200$0$49,162
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SCHMITZ ,  TODD  
INTERNAL ORGANIZER
N/A		$62,223$0$928$0$63,151
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 		SPIKA ,  SUMER  
INTERNAL ORGANIZER
N/A		$64,753$0$390$0$65,143
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 		VARCO ,  RICHARD  
POLITICAL DIRECTOR
N/A		$85,393$0$111$0$85,504
I
Schedule 15
Representational Activities 		36 % Schedule 16
Political Activities and Lobbying 		64 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		WALLACE ,  HALLIE  
EXTERNAL ORGANIZER
N/A		$71,607$0$692$0$72,299
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 		XIONG ,  JUDITH  
SUPPORT STAFF
N/A		$59,498$0$66$0$59,564
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		XIONG-VANG ,  BAO  
SUPPORT STAFF
N/A		$56,242$0$0$0$56,242
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 		ABRAHAM ,  DANNETE  
INTERNAL ORGANIZER
N/A		$60,844$0$0$0$60,844
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$778,311$0$78,945$0$857,256
I Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
Total Employee Disbursements$3,218,327$0$108,149$0$3,326,476
Less Deductions    $824,603
Net Disbursements    $2,501,873
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 057-419

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 21,185 
Agency Fee Payers*15
Total Members/Fee Payers21,200 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS21,000Yes
LOW INCOME PAYERS185Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 057-419

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$1,162,242
2. Named Payer Non-itemized Receipts$25,251
3. All Other Receipts$13,322
4. Total Receipts$1,200,815
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$361,906
2. Named Payee Non-itemized Disbursements$50
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$4,060
6. Total Disbursements$366,016
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$933,204
2. Named Payee Non-itemized Disbursements$303,776
3. To Officers$402,524
4. To Employees$2,165,229
5. All Other Disbursements$101,686
6. Total Disbursements$3,906,419
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$463,530
2. Named Payee Non-itemized Disbursements$140,808
3. To Officers$11,608
4. To Employees$901,632
5. All Other Disbursements$18,809
6. Total Disbursements$1,536,387
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$391,690
2. Named Payee Non-itemized Disbursements$57,835
3. To Officers$47,165
4. To Employees$248,014
5. All Other Disbursements$1,391
6. Total Disbursements$746,095
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$171,064
4. To Employees$11,605
5. All Other Disbursements$22,833
6. Total Disbursements$205,502
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 057-419

Name and Address
(A)
AFSCME

1625 L STREET
WASHINGTON
DC
20036-5687
Type or Classification
(B)
INTERNATIONAL UNION - CONTRIBUTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
KEEPING FAMILIES TOGETHER07/18/2018$10,000
Name and Address
(A)
MINNESOTA NURSES ASSOCIATION

345 RANDOLPH BLVD., SUITE 2
ST. PAUL
MN
55102
Type or Classification
(B)
ASSOCIATION - CONTRIBUTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
KEEPING FAMILIES TOGETHER06/25/2018$10,000
Name and Address
(A)
NEA - HUMAN AND CIVIL RIGHTS

1201 16TH STREET, NW
WASHINGTON
DC
20036-3290
Type or Classification
(B)
ASSOCIATION - CONTRIBUTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
KEEPING FAMILIES TOGETHER10/18/2018$10,000
Name and Address
(A)
SEIU 113 BUILDING CORPORATION

345 RANDOLPH BLVD., STE 100
ST. PAUL
MN
55102
Type or Classification
(B)
AFFILIATED HOLDING CORPORATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$245,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$245,000
TRANSFERS FOR OPERATING EXPENSES04/09/2018$50,000
TRANSFERS FOR OPERATING EXPENSES07/11/2018$60,000
TRANSFERS FOR OPERATING EXPENSES10/02/2018$50,000
TRANSFERS FOR OPERATING EXPENSES12/20/2018$25,000
TRANSFERS FOR OPERATING EXPENSES12/26/2018$10,000
TRANSFERS FOR OPERATING EXPENSES12/28/2018$50,000
Name and Address
(A)
SEIU HEALTHCARE PAC

345 RANDOLPH BLVD., STE 100
ST. PAUL
MN
55102
Type or Classification
(B)
AFFILIATE PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$293,841
Total Non-Itemized Transactions with this Payee/Payer$12,849
Total of All Transactions with this Payee/Payer for This Schedule$306,690
TRANSFERS FOR OPERATING EXPENSES04/09/2018$50,000
TRANSFERS FOR OPERATING EXPENSES07/11/2018$100,000
TRANSFERS FOR OPERATING EXPENSES07/24/2018$19,408
TRANSFERS FOR OPERATING EXPENSES09/04/2018$36,398
TRANSFERS FOR OPERATING EXPENSES12/26/2018$8,035
TRANSFERS FOR OPERATING EXPENSES12/26/2018$30,000
TRANSFERS FOR OPERATING EXPENSES12/26/2018$50,000
Name and Address
(A)
SEIU LOCAL 284

450 SOUTHVIEW BLVD SOUTH
ST. PAUL
MN
55075
Type or Classification
(B)
LOCAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,151
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,151
MEMBER EVENT REIMBURSEMENT07/27/2018$5,070
MEMBER EVENT REIMBURSEMENT07/28/2018$5,081
Name and Address
(A)
SEIU MINNESOTA STATE COUNCIL

2233 UNIVERSITY AVE WEST
ST PAUL
MN
55114
Type or Classification
(B)
UNION/ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$302,665
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$302,665
MIDWEST INITIATIVE SUPPORT01/03/2018$18,763
MIDWEST INITIATIVE SUPPORT01/31/2018$18,763
MIDWEST INITIATIVE SUPPORT03/02/2018$18,763
MIDWEST INITIATIVE SUPPORT04/04/2018$18,763
MIDWEST INITIATIVE SUPPORT04/10/2018$18,763
MIDWEST INITIATIVE SUPPORT05/02/2018$18,763
MIDWEST INITIATIVE SUPPORT06/11/2018$18,763
MIDWEST INITIATIVE SUPPORT06/29/2018$18,763
MPO REIMBURSEMENT08/13/2018$13,869
MIDWEST INITIATIVE SUPPORT08/14/2018$18,763
MIDWEST INITIATIVE SUPPORT08/31/2018$16,945
MIDWEST INITIATIVE SUPPORT10/05/2018$16,945
MPO REIMBURSEMENT10/12/2018$30,281
MIDWEST INITIATIVE SUPPORT10/31/2018$16,943
MPO COSTS11/14/2018$21,870
MIDWEST INITIATIVE SUPPORT11/30/2018$16,945
Name and Address
(A)
SERVICE EMPLOYEES INTERNATIONAL UNION

1800 MASS AVENUE
WASHINGTON
DC
20036
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$273,140
Total Non-Itemized Transactions with this Payee/Payer$12,402
Total of All Transactions with this Payee/Payer for This Schedule$285,542
PER CAPITA REBATES01/12/2018$27,979
PER CAPITA REBATES02/23/2018$24,910
PER CAPITA REBATES03/16/2018$29,246
PER CAPITA REBATES04/06/2018$15,308
PER CAPITA REBATES04/13/2018$21,988
PER CAPITA REBATES05/18/2018$25,828
PER CAPITA REBATES06/22/2018$27,037
PER CAPITA REBATES07/13/2018$28,263
PER CAPITA REBATES08/17/2018$25,813
PER CAPITA REBATES09/14/2018$21,616
PER CAPITA REBATES10/19/2018$25,152
Name and Address
(A)
WEST BEND MUTUTAL
BIN 432

MILWAUKEE
WI
53288-0432
Type or Classification
(B)
INSURANCE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,445
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,445
INSURANCE REFUND01/02/2018$7,445
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 057-419

Name and Address
(A)
ALINA HEALTH

2925 CHICAGO AVE
MINNEAPOLIS
MN
55407
Type or Classification
(B)
NOT-FOR-PROFIT HEALTHCARE SYSTEM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$46,488
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$46,488
DUES REFUND10/30/2018$46,488
Name and Address
(A)
B & P PRINTING

24748 685 STREET
KASSON
MN
55944
Type or Classification
(B)
PRINTING COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,185
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,185
PRINTING OF MEMBER CONTRACTS & BARG. AGREEMENTS08/22/2018$5,185
Name and Address
(A)
BERRY SWEET KITCHEN

5406 S 34TH AVENUE
MINNEAPOLIS
MN
55417
Type or Classification
(B)
FOOD FOR MEMBER BARG. MEETINGS & EVENTS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,978
Total of All Transactions with this Payee/Payer for This Schedule$11,978
Name and Address
(A)
CORPORATE TECHNOLOGIES
1450
NW 6333
MINNEAPOLIS
MN
55485
Type or Classification
(B)
IT SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,091
Total Non-Itemized Transactions with this Payee/Payer$45,493
Total of All Transactions with this Payee/Payer for This Schedule$53,584
IT SERVICE11/08/2018$8,091
Name and Address
(A)
CUMMINS & CUMMINS

920 SECOND AVENUE SOUTH
MINNEAPOLIS
MN
55402
Type or Classification
(B)
LAW FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$395,332
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$395,332
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL01/15/2018$31,352
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL02/22/2018$38,389
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL03/21/2018$36,107
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL04/25/2018$32,637
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL05/30/2018$28,838
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL06/28/2018$23,191
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL07/24/2018$16,288
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL08/28/2018$82,506
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL09/24/2018$50,555
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL10/26/2018$22,997
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL12/04/2018$24,508
LEGAL REP. AT ARBITRATIONS & OTHER MEMBER LEGAL12/27/2018$7,964
Name and Address
(A)
DELTA AIR LINES, INC.
20980

ATLANTA
GA
30320-2980
Type or Classification
(B)
AIRLINE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,449
Total Non-Itemized Transactions with this Payee/Payer$17,495
Total of All Transactions with this Payee/Payer for This Schedule$28,944
KEEPING FAMILIES TOGETHER06/27/2018$11,449
Name and Address
(A)
DOUBLETREE

150 SOUTH BROADWAY
ROCHESTER
MN
55904
Type or Classification
(B)
CONVENTION LODGING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$58,042
Total Non-Itemized Transactions with this Payee/Payer$2,216
Total of All Transactions with this Payee/Payer for This Schedule$60,258
MEMBER CONVENTION LODGING09/26/2018$58,042
Name and Address
(A)
EXPEDIA TRAVEL

333 108TH AVENUE NE
BELLEVUE
WA
98004
Type or Classification
(B)
TRAVEL COMPANY - MEMBER RELATED
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,445
Total of All Transactions with this Payee/Payer for This Schedule$5,445
Name and Address
(A)
GIL VERNON

808 CARMICHAEL RD # 115
HUDSON
WI
54016
Type or Classification
(B)
ABRITRATION FEES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,048
Total of All Transactions with this Payee/Payer for This Schedule$10,048
Name and Address
(A)
HOLIDAY INN

75 SOUTH 37TH AVE
ST. CLOUD
MN
56301
Type or Classification
(B)
HOTEL - MEMBER EVENT LODGING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,047
Total of All Transactions with this Payee/Payer for This Schedule$7,047
Name and Address
(A)
HONSA-BINDER PRINTING INC.

320 SPRUCE STREET
ST PAUL
MN
55101
Type or Classification
(B)
PRINTING COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$42,414
Total Non-Itemized Transactions with this Payee/Payer$9,342
Total of All Transactions with this Payee/Payer for This Schedule$51,756
PRINTING OF MEMBER CONTRACTS & BARG. AGREEMENTS04/02/2018$7,929
PRINTING OF MEMBER CONTRACTS & BARG. AGREEMENTS11/20/2018$34,485
Name and Address
(A)
IMAGE POINTE
657

WATERLOO
IA
50704
Type or Classification
(B)
PRINTING OF MEMBER MATERIALS FOR BARGAIN. & EVENTS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,996
Total of All Transactions with this Payee/Payer for This Schedule$6,996
Name and Address
(A)
JAY C. FOGLEBERG

10970 SPOON RIDGE
EDEN PRARIE
MN
55347
Type or Classification
(B)
ARBITRATOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,390
Total of All Transactions with this Payee/Payer for This Schedule$10,390
Name and Address
(A)
JEFFREY JACOBS

7300 METRO BLVD. STE 300
EDINA
MN
55439
Type or Classification
(B)
ARBITRATOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,525
Total Non-Itemized Transactions with this Payee/Payer$2,100
Total of All Transactions with this Payee/Payer for This Schedule$9,625
ARBITRATION10/08/2018$7,525
Name and Address
(A)
LANCER AT COMO ZOO

1225 ESTABROOK DR
ST PAUL
MN
55103
Type or Classification
(B)
CATERING COMPANY - MEMBER EVENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,336
Total Non-Itemized Transactions with this Payee/Payer$3,800
Total of All Transactions with this Payee/Payer for This Schedule$10,136
MEMBER RECOGNITION DINNER07/06/2018$6,336
Name and Address
(A)
LAURENELLEN MCMANN

1773 LANIER PL NW, APT 14
WASHINGTON DC
DC
20009
Type or Classification
(B)
LEADERSHIP DEVELOPMENT TRAINER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,000
Total Non-Itemized Transactions with this Payee/Payer$3,876
Total of All Transactions with this Payee/Payer for This Schedule$33,876
LEADERSHIP DEVELOPMENT TRAINER05/04/2018$6,000
LEADERSHIP DEVELOPMENT TRAINER06/04/2018$6,000
LEADERSHIP DEVELOPMENT TRAINER07/13/2018$6,000
LEADERSHIP DEVELOPMENT TRAINER08/10/2018$6,000
LEADERSHIP DEVELOPMENT TRAINER09/18/2018$6,000
Name and Address
(A)
LOFFLER COMPANIES - 131511
1511

MINNEAPOLIS
MN
55480-1511
Type or Classification
(B)
COPY MACHINE RENTAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,311
Total of All Transactions with this Payee/Payer for This Schedule$5,311
Name and Address
(A)
MARCO TECHNOLOGIES LLC
1450
NW 7128
MINNEAPOLIS
MN
55485
Type or Classification
(B)
COPY MACHINE RENTAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$26,238
Total of All Transactions with this Payee/Payer for This Schedule$26,238
Name and Address
(A)
PITNEY BOWES
371896

PITTSBURGH
PA
15250-7896
Type or Classification
(B)
POSTAGE STAMP METER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$27,479
Total of All Transactions with this Payee/Payer for This Schedule$27,479
Name and Address
(A)
PRICELINE

800 CONNECTICUIT AVENUE
NORWALK
CT
06854
Type or Classification
(B)
HOTEL - MEMBER LODGING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,589
Total of All Transactions with this Payee/Payer for This Schedule$9,589
Name and Address
(A)
RICHARD MILLER

7919 ORCHID LANE NORTH
MAPLE GROVE
MN
55311
Type or Classification
(B)
ARBITRATOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,043
Total of All Transactions with this Payee/Payer for This Schedule$9,043
Name and Address
(A)
SEIU-MN STATE COUNCIL

2233 UNIVERSITY AVE W #422
ST PAUL
MN
55114
Type or Classification
(B)
UNION/ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$105,414
Total Non-Itemized Transactions with this Payee/Payer$500
Total of All Transactions with this Payee/Payer for This Schedule$105,914
REIMBURSEMENT04/02/2018$18,763
CONTRACTED LABOR06/15/2018$50,355
CONTRACTED LABOR10/16/2018$36,296
Name and Address
(A)
SEVEN CORNERS PRINTING COMPANY

1099 SNELLING AVENUE N
ST PAUL
MN
55108
Type or Classification
(B)
PRINTING COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$123,194
Total Non-Itemized Transactions with this Payee/Payer$54,970
Total of All Transactions with this Payee/Payer for This Schedule$178,164
PRINTING BARGAIN, MATERIAL, CONTRACTS, NEWSLETTER02/20/2018$22,963
PRINTING BARGAIN, MATERIAL, CONTRACTS, NEWSLETTER04/02/2018$19,968
PRINTING BARGAIN, MATERIAL, CONTRACTS, NEWSLETTER11/05/2018$14,453
PRINTING BARGAIN, MATERIAL, CONTRACTS, NEWSLETTER10/15/2018$14,097
PRINTING BARGAIN, MATERIAL, CONTRACTS, NEWSLETTER08/20/2018$13,131
PRINTING BARGAIN, MATERIAL, CONTRACTS, NEWSLETTER07/05/2018$12,863
PRINTING BARGAIN, MATERIAL, CONTRACTS, NEWSLETTER07/12/2018$11,069
PRINTING BARGAIN, MATERIAL, CONTRACTS, NEWSLETTER09/18/2018$8,047
PRINTING BARGAIN, MATERIAL, CONTRACTS, NEWSLETTER03/22/2018$6,603
Name and Address
(A)
SOUNA' SMITH

1120 ENGLEWOOD AVENUE
ST PAUL
MN
55104
Type or Classification
(B)
CHILD CARE - MEMBER EVENTS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,595
Total of All Transactions with this Payee/Payer for This Schedule$9,595
Name and Address
(A)
ST. PAUL SAINTS

1771 ENERGY PARK DRIVE
ST PAUL
MN
55108
Type or Classification
(B)
MEMBER DEVELOPMENT EVENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,228
Total Non-Itemized Transactions with this Payee/Payer$4,234
Total of All Transactions with this Payee/Payer for This Schedule$11,462
MEMBER DEVELOPMENT EVENT12/12/2018$7,228
Name and Address
(A)
SUN COUNTRY AIRLINES

1300 MENDOTA HEIGHTS ROAD
ST. PAUL
MN
55120
Type or Classification
(B)
AIRLINE - MEMBER EVENT RELATED
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,518
Total Non-Itemized Transactions with this Payee/Payer$825
Total of All Transactions with this Payee/Payer for This Schedule$7,343
KEEP FAMILIES TOGETHER EXPENSES06/27/2018$6,518
Name and Address
(A)
TELEPHONE TOWN HALL MEETING, INC.

958 CONEFLOWER DR
GOLDEN
CO
80401
Type or Classification
(B)
TELEPHONE TOWN HALL SERVICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,270
Total of All Transactions with this Payee/Payer for This Schedule$10,270
Name and Address
(A)
UNIONWARE

260 SAULTEAUX CRESCENT
WINNIPEG/CANADA
00
R3J3T2
Type or Classification
(B)
IT SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$79,988
Total Non-Itemized Transactions with this Payee/Payer$9,496
Total of All Transactions with this Payee/Payer for This Schedule$89,484
IT SERVICES01/15/2018$5,254
IT SERVICES02/15/2018$5,254
IT SERVICES03/15/2018$9,600
IT SERVICES03/18/2018$5,254
IT SERVICES04/11/2018$5,254
IT SERVICES05/15/2018$5,404
IT SERVICES06/18/2018$5,404
IT SERVICES08/15/2018$5,404
IT SERVICES09/24/2018$5,404
IT SERVICES10/15/2018$5,404
IT SERVICES11/07/2018$5,700
IT SERVICES11/14/2018$5,404
IT SERVICES11/15/2018$5,624
IT SERVICES12/17/2018$5,624
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 057-419

Name and Address
(A)
FRENETTE LEGISLATIVE ADVISORS

1734 BLAIR AVENUE
ST PAUL
MN
55104
Type or Classification
(B)
LAW FIRM - POLITICAL ISSUES ADVOCACY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$28,024
Total of All Transactions with this Payee/Payer for This Schedule$28,024
Name and Address
(A)
HILL CAPITOL STRATEGIES, INC.

13570 GROVE DRIVE #281
MAPLE GROVE
MN
55311
Type or Classification
(B)
CONSULTING FIRM - POLITICAL ISSUES ADVOCACY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$24,000
Total of All Transactions with this Payee/Payer for This Schedule$24,000
Name and Address
(A)
SEIU HEALTHCARE PAC

345 RANDOLPH AVE STE. 100
ST PAUL
MN
55102
Type or Classification
(B)
AFFILIATE PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$391,690
Total Non-Itemized Transactions with this Payee/Payer$5,811
Total of All Transactions with this Payee/Payer for This Schedule$397,501
POLITICAL ADVOCACY01/31/2018$8,525
POLITICAL ADVOCACY03/06/2018$32,954
POLITICAL ADVOCACY04/03/2018$29,492
POLITICAL ADVOCACY04/12/2018$50,000
POLITICAL ADVOCACY05/04/2018$32,355
POLITICAL ADVOCACY05/31/2018$29,609
POLITICAL ADVOCACY06/30/2018$33,320
POLITICAL ADVOCACY07/31/2018$30,759
POLITICAL ADVOCACY08/31/2018$25,310
POLITICAL ADVOCACY09/28/2018$30,000
POLITICAL ADVOCACY10/31/2018$28,514
POLITICAL ADVOCACY11/30/2018$37,110
POLITICAL ADVOCACY12/28/2018$23,742
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 057-419

Name and Address
(A)
AFSCME COUNCIL 5

300 HARDMAN AVE S
ST PAUL
MN
55075
Type or Classification
(B)
NATIONAL LABOR/MANAGEMENT ORGANIZATION
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
JANUS CAMPAIGN01/02/2018$20,000
Name and Address
(A)
FAITH IN MINNESOTA

2356 UNIVERSITY AVE W #405
ST PAUL
MN
55114
Type or Classification
(B)
NON-PROFIT ORGANIZATION - CONTRIBUTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
DONATION08/09/2018$10,000
Name and Address
(A)
HEALTHCARE CAREER ADVANCEMENT PROGRAM
2565

NEW YORK
NY
10108
Type or Classification
(B)
LABOR ORGANIZATION - CONTRIBUTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,000
DONATION03/17/2018$6,000
Name and Address
(A)
MAYORAL INAUGURAL FUND

175 W KELLOGG BLVD STE 502
ST PAUL
MN
55102
Type or Classification
(B)
INAUGURAL FUND - CONTRIBUTION
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
DONATION03/15/2018$5,000
Name and Address
(A)
ONE MINNESOTA INAUGURAL COMMITTEE

555 PARK ST #317
ST PAUL
MN
55103
Type or Classification
(B)
INAUGURAL FUND - CONTRIBUTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
DONATION12/19/2018$10,000
Name and Address
(A)
SEIU HEALTHCARE PAC

345 RANDOLPH BLVD., STE 100
ST. PAUL
MN
55102
Type or Classification
(B)
AFFILIATE PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$130,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$130,000
CONTRIBUTION07/11/2018$100,000
CONTRIBUTION12/28/2018$30,000
Name and Address
(A)
SEIU LOCAL 113 BUILDING CORPORATION

345 RANDOLPH BLVD., STE 100
ST. PAUL
MN
55102
Type or Classification
(B)
AFFILIATE HOLDING CORPORATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$150,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$150,000
CONTRIBUTION04/17/2018$50,000
CONTRIBUTION07/18/2018$50,000
CONTRIBUTION10/09/2018$50,000
Name and Address
(A)
ST. PAUL REGIONAL LABOR FEDERATION

353 W 7TH ST STE 201
ST PAUL
MN
55102
Type or Classification
(B)
LABOR ORGANIZATION - CONTRIBUTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
DONATION08/14/2018$10,000
Name and Address
(A)
UNIDOS MN

1515 EAST LAKE ST STE 202
MINNEAPOLIS
MN
55407
Type or Classification
(B)
NON-PROFIT ORGANIZATION - CONTRIBUTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,906
Total Non-Itemized Transactions with this Payee/Payer$50
Total of All Transactions with this Payee/Payer for This Schedule$20,956
CONTRIBUTION09/05/2018$20,906
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 057-419

Name and Address
(A)
ADP
842875

BOSTON
MA
02284-2875
Type or Classification
(B)
PAYROLL SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$21,892
Total of All Transactions with this Payee/Payer for This Schedule$21,892
Name and Address
(A)
ALLSTREAM

7550 BIRCHMOUNT RD
MARKHAM/CANADA
00
L3R6C6
Type or Classification
(B)
TELECOMMUNICATIONS COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,762
Total of All Transactions with this Payee/Payer for This Schedule$18,762
Name and Address
(A)
AMAZON

410 TERRY AVE NORTH
SEATTLE
WA
98109-5210
Type or Classification
(B)
MEMBER RECOGNITION ITEMS & OFFICE SUPPLIES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,907
Total of All Transactions with this Payee/Payer for This Schedule$5,907
Name and Address
(A)
BELLOWS ASSOCIATES P.A.

7890 PETERS RD, SUITE G102
PLANTATION
FL
33324
Type or Classification
(B)
CPA FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$35,054
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$35,054
ACCOUNTANT FEES01/30/2018$17,532
ACCOUNTANT FEES07/09/2018$17,522
Name and Address
(A)
CORPORATE TECHNOLOGIES LLC
1450
NW 6333
MINNEAPOLIS
MN
55485
Type or Classification
(B)
IT SUPPORT SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,064
Total of All Transactions with this Payee/Payer for This Schedule$9,064
Name and Address
(A)
INNOVATIVE OFFICE SOLUTIONS
270107

MINNEAPOLIS
MN
55427
Type or Classification
(B)
SUPPLIES FOR MEMBER RELATED ACTIVITIES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,400
Total of All Transactions with this Payee/Payer for This Schedule$13,400
Name and Address
(A)
ROCHESTER TOWN OFFICES

209 WOODLAKE DRIVE SE
ROCHESTER
MN
55904
Type or Classification
(B)
OFFICE RENTAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$32,408
Total of All Transactions with this Payee/Payer for This Schedule$32,408
Name and Address
(A)
SEIU LOCAL 113 BUILDING CORPORATION

345 RANDOLPH, STE. 100
ST PAUL
MN
55102
Type or Classification
(B)
AFFILIATE - OFFICE RENTAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$372,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$372,000
RENT01/24/2018$31,000
RENT02/20/2018$31,000
RENT03/22/2018$31,000
RENT04/23/2018$31,000
RENT05/29/2018$31,000
RENT06/21/2018$31,000
RENT07/23/2018$31,000
RENT08/21/2018$31,000
RENT09/24/2018$31,000
RENT10/19/2018$31,000
RENT11/20/2018$31,000
RENT12/14/2018$31,000
Name and Address
(A)
UNION INSURANCE GROUP

303 W ERIE ST. #310
CHICAGO
IL
60654
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$56,476
Total Non-Itemized Transactions with this Payee/Payer$2,000
Total of All Transactions with this Payee/Payer for This Schedule$58,476
UNION GENERAL & OTHER INSURANCE11/08/2018$9,761
UNION GENERAL & OTHER INSURANCE12/05/2018$46,715
Name and Address
(A)
VERIZON
291089

COLUMBIA
SC
29229
Type or Classification
(B)
TELECOMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$37,375
Total of All Transactions with this Payee/Payer for This Schedule$37,375
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 057-419

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: 057-419

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,557,287
BENEFITS ADMINISTRACTIONFREEDOM SERVICES INC. $3,321
HEALTH INSURANCEHEALTH PARTNERS$577,105
LIFE INSURANCEMUTUAL OF OMAHA$32,379
PENSIONSEIU AFFILIATES & OFFICERS$681,843
PENSIONTWIN CITY WORKERS PENSION FUND$62,835
HSA FUNDINGASSOCIATED BANK$132,592
WORKMENS COMPENSATIONSFM/SUPERIOR POINT$24,460
MEMBERSHIP SCHOLARSHIPSMEMBERS AND MEMBERS' BENEFICIARIES$6,000
MEMBER RECOGNITIONMULTIPLE MEMBERS$16,752
MEMBER MEMORIALSMEMBER'S BENEFICIARIES $20,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 057-419


Question 10: Fund Name: Twin City Hospital Workers Pension Fund. C/O Address: 2520 Pilot Knob Rd., Suite 325, Mendota Heights, MN 55120 EIN: 41-1303906 Plan #: 001 Purpose: To provide pension benefits for eligible members of participating employers.

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

Question 11(b): : : : : : : : : : Name of Subsidiary: Service Employees International Union Local 113 Building Corporation. Address: 345 Randolph, Suite 100, St. Paul, MN 55102 Fiscal Year End: December 31, 2018. Relationship: The Union is the sole investor and owner of the Building Corporation in which the Union operates and conducts union business. Option #2 Recognition: The net assets of the Building Corporation are reported as an investment on Line 26 and on

Schedule 5 of the LM filing.

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

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

Schedule 13, Row2:A low income payee member is one who is active at a facility within the jurisdiction of the Local. Active members pay full dues and have full voting rights.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)