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
042-203
2. PERIOD COVERED
From10/01/2018
Through09/30/2019
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
NATIONAL FEDERATION OF NURSES
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR

7. UNIT NAME (if any)
WASHINGTON STATE NURSES ASSOCIATION
8. MAILING ADDRESS (Type or print in capital letters)
First Name
LYNNETTE
Last Name
VEHRS
P.O Box - Building and Room Number
SUITE 101
Number and Street
575 ANDOVER PARK W
City
SEATTLE
State
WA
ZIP Code + 4
981883348


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:Lynnette K VehrsPRESIDENT71. SIGNED:Verlee M SutherlinTREASURER
Date:Dec 26, 2019Telephone Number:509-220-0343Date:Dec 26, 2019Telephone Number:509-466-4406
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 042-203
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?05/2021
20. How many members did the labor organization have at the end of the reporting period?15,655
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1032.48perYear2041032.48
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 042-203

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $9,992,884$10,615,918
23. Accounts Receivable1$5,901$6,626
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$456,068$380,051
28. Other Assets7$273,776$217,103
29. TOTAL ASSETS $10,728,629$11,219,698

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$711,896$734,553
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$1,222,033$1,084,870
34. TOTAL LIABILITIES $1,933,929$1,819,423
35. NET ASSETS$8,794,700$9,400,275
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 042-203

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $10,481,747
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $9,423
40. Interest $62,185
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $4,035,370
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$208,699
49. TOTAL RECEIPTS $14,797,424
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,405,371
51. Political Activities and Lobbying16$413,229
52. Contributions, Gifts, and Grants17$59,708
53. General Overhead18$2,453,217
54. Union Administration19$1,169,575
55. Benefits20$975,682
56. Per Capita Tax $158,989
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$51,388
61. Loans Made2$0
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $4,041,538
64. On Behalf of Individual Members $0
65. Direct Taxes $445,693
  
66. Subtotal $14,174,390
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,694,803  
  67b. Less Total Disbursed$1,694,803  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $14,174,390
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 042-203

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$6,626   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $6,626$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 042-203

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above$0$0$0$0$0
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 45 Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 042-203

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$22,544$4,522$0$0
Office Furniture$1,065$0$0$0
Computer Equipment$20,795$4,522$0$0
Software$684$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: 042-203

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$51,388$51,388$51,388
Computer Equipment$46,625$46,625$46,625
Software$3,087$3,087$3,087
Signage$1,676$1,676$1,676
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$51,388
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 042-203

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$0
B. Total Book Value$0
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost$0
E. Total Book Value$0
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.  
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 042-203

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$897,232$519,983$377,249$377,249
E. Other Fixed Assets$236,817$234,015$2,802$2,802
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,134,049$753,998$380,051$380,051
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 042-203

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $217,103
Interfund receivables$119,269
Security deposit$23,941
Prepaid Insurance$37,941
Prepaid Postage$13,380
Misc Prepaid Expenses$15,586
Prepaid Rent$6,986
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 042-203

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$734,553$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $734,553$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 042-203

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: 042-203

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,084,870
Accrued Payroll and Payroll taxes$128,960
Accrued Vacation and Sick Pay$651,032
Other Payroll Payable$200
Dues Collected for Districts$134,637
Interfund payables$109,129
Deferred Rent$60,912
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 042-203

(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
Bussert ,  Janice  
Fmr. President
P
$13,084$2,127$15,211
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
Bowlden ,  Renata  
Fmr Vice President
P
$0$50$50
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
Sutherlin ,  Verlee  
Secretary/ Treasurer
C
$0$1,882$1,882
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
Barcott ,  Julia  
Cabinet Chair
C
$6,900$1,971$8,871
I
Schedule 15
Representational Activities
78 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
22 %
A
B
C
Vehrs ,  Lynnette  
President
C
$3,676$9,441$13,117
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
Pasquale ,  Pamela  
Cabinet Chair
P
$0$1,684$1,684
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
Young ,  Rosa  
Director
C
$0$1,878$1,878
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
Pai Palimar ,  Jordan  
Director
P
$0$153$153
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
Glass ,  Susan  
Director
C
$0$2,906$2,906
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
Whitley ,  Ann  
Director
P
$0$2,510$2,510
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
Street ,  Evelyn  
Director
P
$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
Graves ,  Jennifer  
Vice President
N
$0$1,502$1,502
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
Gill ,  Justin  
Cabinet Chair
N
$0$1,906$1,906
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
Cumiskey ,  Charles  
Cabinet Chair
N
$0$2,065$2,065
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
Halvorsen ,  Adam  
Director
N
$0$147$147
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
Lyons ,  Judi  
Director
N
$0$1,397$1,397
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
Bradley ,  Christina  
Director
N
$0$382$382
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$23,660$0$32,001$0$55,661
Less Deductions    $0
Net Disbursements    $55,661
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 042-203

(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
Anderson ,  Rebecca  
Administrative Assistant
None
$38,206$38,206
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
0 %
A
B
C
Barnes ,  Tara  
Nurse Organizer
None
$89,804$7,963$97,767
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
Bessmer ,  Deborah  
Nurse Representative
None
$124,028$3,442$127,470
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
Brigham ,  Gloria  
Director of Education
None
$128,995$2,483$131,478
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
5 % Schedule 18
General Overhead
90 % Schedule 19
Administration
0 %
A
B
C
Brown ,  Joshua  
Director of Membership
None
$138,917$138,917
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
33 % Schedule 19
Administration
60 %
A
B
C
Burrell ,  Karrie  
Membership Assistant
None
$14,787$723$15,510
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Campbell ,  David  
Special Counsel
None
$191,824$6,334$198,158
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
Conces ,  Eleashia  
Administrative Assistant
None
$17,453$17,453
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Conley ,  Margaret  
Ass. Dir. of Labor Rel.
None
$96,277$96,277
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
0 %
A
B
C
Dick ,  Jayson  
Nurse Representative
None
$118,437$6,341$124,778
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
Elmore ,  Travis  
Nurse Representative
None
$125,492$23,225$148,717
I
Schedule 15
Representational Activities
45 % Schedule 16
Political Activities and Lobbying
50 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
0 %
A
B
C
Frey ,  Sara  
Nurse Representative
None
$124,650$7,192$131,842
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
Friesen ,  Barbara  
Nurse Representative
None
$126,431$17,412$143,843
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
Fullerton ,  Ione  
Nurse Organizer
None
$61,273$8,799$70,072
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
Garrison ,  Carmen  
Nurse Representative
None
$131,602$18,039$149,641
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
Goode ,  Tara  
Director of Organizing
None
$124,169$5,926$130,095
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
25 % Schedule 19
Administration
0 %
A
B
C
Hsiung ,  Cheng-En  
Office Manager
None
$97,086$887$97,973
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
95 % Schedule 19
Administration
0 %
A
B
C
Huntington ,  Judith  
Fmr. Executive Director
None
$53,139$1,850$54,989
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
James ,  Sydne  
Nurse Representative
None
$109,750$8,329$118,079
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
Keller ,  Matthew  
Director
None
$89,106$1,068$90,174
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
25 % Schedule 17
Contributions
5 % Schedule 18
General Overhead
0 % Schedule 19
Administration
65 %
A
B
C
Kieval ,  Mara  
Nurse Representative
None
$124,589$3,956$128,545
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
King ,  Kelly  
Membership Assistant
None
$61,343$398$61,741
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Mansfield ,  Anne  
Nurse Organizer
None
$51,122$6,706$57,828
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
Marken ,  Judy  
Nurse Organizer
None
$104,054$5,688$109,742
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
McClure ,  Patricia  
Nurse Representative
None
$182,213$2,819$185,032
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
McGraw ,  Patrick  
Membership Processor
None
$86,884$86,884
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Mueller ,  Irene  
Receptionist
None
$67,455$53$67,508
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Muhm ,  Jennifer  
Dir. Public Relations
None
$148,069$10,153$158,222
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
55 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
40 % Schedule 19
Administration
0 %
A
B
C
Nesper ,  William  
Nurse Organizer
None
$84,773$15,081$99,854
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
Nguyen ,  Christine  
Comm. Coordinator
None
$26,934$345$27,279
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
O'Donnell ,  Susan  
Nurse Representative
None
$114,285$3,514$117,799
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
Perkins ,  Jaclyn  
Nurse Representative
None
$120,394$8,637$129,031
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
Peterson ,  Mary  
Membership Coordinator
None
$113,357$299$113,656
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Petit ,  Maria  
Paralegal
None
$52,692$649$53,341
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
0 %
A
B
C
Piazza ,  Anne  
Senior Director
None
$183,466$10,491$193,957
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
43 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
50 %
A
B
C
Railey ,  Joline  
Administrative Assistant
None
$45,527$162$45,689
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
0 %
A
B
C
Reed ,  Mary  
Dir. of Finance
None
$139,705$254$139,959
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Rose ,  Michelle  
Nurse Representative
None
$174,476$3,698$178,174
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
Ruhl ,  Emma  
Executive Assistant
None
$67,209$66$67,275
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
Sanderson ,  Michael  
General Counsel
None
$148,537$24,137$172,674
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
Schubert ,  Ruth  
Communications Director
None
$98,156$598$98,754
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
90 % Schedule 19
Administration
0 %
A
B
C
Sears ,  Timothy  
Chief General Counsel
None
$162,594$4,029$166,623
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
Skorupa ,  Nathasja  
Political Cordinator
None
$11,392$11,392
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
62 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
38 % Schedule 19
Administration
0 %
A
B
C
Steinshouer ,  Shereen  
Membership Processor
None
$60,088$203$60,291
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Te ,  Jeanna  
Paralegal
None
$82,765$896$83,661
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
0 %
A
B
C
Tilden ,  Ben  
Web Design Specialist
None
$123,662$35,927$159,589
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
95 % Schedule 19
Administration
0 %
A
B
C
Toensmeier ,  David  
Labor Counsel
None
$113,875$15,814$129,689
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
0 %
A
B
C
Tran ,  Hue  
Accounting Specialist
None
$79,212$36$79,248
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Vivion ,  Matthew  
Digital Media Specialist
None
$28,225$28,225
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Watkins ,  Sally  
Executive Director
None
$203,725$1,535$205,260
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
5 % Schedule 18
General Overhead
0 % Schedule 19
Administration
90 %
A
B
C
Watts ,  Christine  
Senior Labor Advisor
None
$165,616$624$166,240
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
0 %
A
B
C
Welander ,  Hanna  
Nurse Representative
None
$128,666$3,676$132,342
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
Williams ,  Katherine  
Membership Processor
None
$45,643$45,643
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Williams ,  Theresa  
Nurse Representative
None
$116,963$8,203$125,166
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
Zercher ,  Edward  
Nurse Representative
None
$128,816$6,923$135,739
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
Dunlap ,  Susan  
Nurse Representative
None
$96,013$11,472$107,485
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$15,400$1,618$17,018
I Schedule 15
Representational Activities
8 % Schedule 16
Political Activities and Lobbying
21 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
58 % Schedule 19
Administration
13 %
Total Employee Disbursements$5,759,321$0$308,673$0$6,067,994
Less Deductions    $1,764,104
Net Disbursements    $4,303,890
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 042-203

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 15,655 
Agency Fee Payers*229
Total Members/Fee Payers15,884 
*Agency Fee Payers are not considered members of the labor organization.
Bargaining unit members15,067Yes
Non-bargaining unit members511Yes
Life/Honorary members49Yes
Religious objectors28No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 042-203

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$35,858
2. Named Payer Non-itemized Receipts$13,241
3. All Other Receipts$159,600
4. Total Receipts$208,699
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$22,778
2. Named Payee Non-itemized Disbursements$3,000
3. To Officers$0
4. To Employees$21,346
5. All Other Disbursements$12,584
6. Total Disbursements$59,708
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$285,463
2. Named Payee Non-itemized Disbursements$157,391
3. To Officers$6,919
4. To Employees$3,789,048
5. All Other Disbursements$166,550
6. Total Disbursements$4,405,371
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$483,924
2. Named Payee Non-itemized Disbursements$288,258
3. To Officers$0
4. To Employees$1,423,771
5. All Other Disbursements$257,264
6. Total Disbursements$2,453,217
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$48,980
2. Named Payee Non-itemized Disbursements$62,932
3. To Officers$0
4. To Employees$285,680
5. All Other Disbursements$15,637
6. Total Disbursements$413,229
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$358,699
2. Named Payee Non-itemized Disbursements$104,316
3. To Officers$48,742
4. To Employees$548,152
5. All Other Disbursements$109,666
6. Total Disbursements$1,169,575
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 042-203

Name and Address
(A)
American Federation Teacher

555 New Jersey Avenue
Washington
DC
20001
Type or Classification
(B)
Grant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,015
Total Non-Itemized Transactions with this Payee/Payer$5,402
Total of All Transactions with this Payee/Payer for This Schedule$11,417
Organizing Grant07/24/2019$6,015
Name and Address
(A)
American Federation Teachers

555 New Jersey Avenue
Washington
DC
20001
Type or Classification
(B)
Dues Rebate
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,843
Total Non-Itemized Transactions with this Payee/Payer$7,839
Total of All Transactions with this Payee/Payer for This Schedule$26,682
Dues Rebate03/14/2019$9,703
Dues Rebate04/24/2019$9,140
Name and Address
(A)
AON Association Insurance Services

1420 Fifth Ave, Suite 1200
Seattle
WA
97101
Type or Classification
(B)
Stipend
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$11,000
Stipend06/02/2019$11,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$23,129
Total of All Transactions with this Payee/Payer for This Schedule$23,129
Name and Address
(A)
Alaska Airlines

1301 4th Avenue
Seattle
WA
98168
Type or Classification
(B)
Travel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$23,006
Total of All Transactions with this Payee/Payer for This Schedule$23,006
Name and Address
(A)
B&B Express Printing, Inc

7519 W Kennewick Ave
Kennewick
WA
99336
Type or Classification
(B)
Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,483
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$9,483
Printing01/22/2019$9,483
Name and Address
(A)
Barnard Iglitzin & Lavitt LLP

18 W
Seattle
WA
98119
Type or Classification
(B)
Mediation/ arbitration/ legal services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$156,911
Total Non-Itemized Transactions with this Payee/Payer$5,734
Total of All Transactions with this Payee/Payer for This Schedule$162,645
Mediation/ arbitration/ legal services01/15/2019$20,103
Mediation/ arbitration/ legal services04/04/2019$7,312
Mediation/ arbitration/ legal services04/29/2019$16,649
Mediation/ arbitration/ legal services05/17/2019$7,169
Mediation/ arbitration/ legal services07/16/2019$7,638
Mediation/ arbitration/ legal services07/16/2019$12,232
Mediation/ arbitration/ legal services09/09/2019$13,900
Mediation/ arbitration/ legal services09/16/2019$8,543
Mediation/ arbitration/ legal services09/16/2019$22,559
Mediation/ arbitration/ legal services09/30/2019$40,806
Name and Address
(A)
Campbells Resort
278

Chelan
WA
98816
Type or Classification
(B)
Conference Facilities
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,358
Total Non-Itemized Transactions with this Payee/Payer$84
Total of All Transactions with this Payee/Payer for This Schedule$18,442
Conference Facilities10/16/2018$18,358
Name and Address
(A)
Capitol City Press, Inc.

2975 37th Avenue SW
Tumwater
WA
98512
Type or Classification
(B)
Publications
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,602
Total of All Transactions with this Payee/Payer for This Schedule$6,602
Name and Address
(A)
Charles James

13110 66th Ave S
Seattle
WA
98178
Type or Classification
(B)
E&GW Local Unit Cabinet Expense Reimbursement
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,586
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,586
Nurse Day Event Expenses04/09/2019$6,586
Name and Address
(A)
Edna Cortez

8100 238th st SW #D
Edmonds
WA
98626
Type or Classification
(B)
E&GW Local Unit Cabinet Expense Reimbursement
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,945
Total of All Transactions with this Payee/Payer for This Schedule$6,945
Name and Address
(A)
Frank Doolittle Company

11811 NE 1st St., Ste A-209
Bellevue
WA
98005
Type or Classification
(B)
Promotional Items
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,372
Total Non-Itemized Transactions with this Payee/Payer$4,256
Total of All Transactions with this Payee/Payer for This Schedule$27,628
Promotional Items02/14/2019$5,365
Promotional Items05/30/2019$11,614
Promotional Items06/11/2019$6,393
Name and Address
(A)
Heather Weiner

1741 S Snoqualmie St
Seattle
WA
98104
Type or Classification
(B)
Policy Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,000
Consulting on Providence Campaign03/20/2019$6,000
Consulting on Providence Campaign05/22/2019$6,000
Name and Address
(A)
Human Resources, Inc.

2127 Espey Court, Suite 306
Crofton
MD
21114
Type or Classification
(B)
Human Resources Outsourcing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,400
Total of All Transactions with this Payee/Payer for This Schedule$5,400
Name and Address
(A)
Ingallina's Catering Lunch

135 S Lucile St.
Seattle
WA
98108
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,227
Total of All Transactions with this Payee/Payer for This Schedule$5,227
Name and Address
(A)
Janet Stewart

1419 N Shirley St.
Tacoma
WA
98406
Type or Classification
(B)
E&GW Local Unit Cabinet Expense Reimbursement
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,146
Total of All Transactions with this Payee/Payer for This Schedule$5,146
Name and Address
(A)
Kay Wright McGlocklin

1905 S Evergreen Rd.
Spokane Valley
WA
99037
Type or Classification
(B)
E&GW Local Unit Cabinet Expense Reimbursement
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,868
Total of All Transactions with this Payee/Payer for This Schedule$8,868
Name and Address
(A)
LexisNexis

28544 Network Place
Chicago
IL
60673
Type or Classification
(B)
Legal Resource Subscription
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,472
Total of All Transactions with this Payee/Payer for This Schedule$11,472
Name and Address
(A)
Michelle Leidal

9420 Turnstone Ln
Blaine
WA
98230
Type or Classification
(B)
E&GW Local Unit Cabinet Expense Reimbursement
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$2,064
Total of All Transactions with this Payee/Payer for This Schedule$7,064
Nurse Day Event Expenses04/03/2019$5,000
Name and Address
(A)
Occasions Catering - Event Catering

1615 State Street NE
Olympia
WA
98506
Type or Classification
(B)
Catering - Event
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,133
Total of All Transactions with this Payee/Payer for This Schedule$5,133
Name and Address
(A)
Schwerin Campbell & Barnard

18 W Mercer Street, #400
Seattle
WA
98119
Type or Classification
(B)
Mediation/ arbitration/ legal services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$36,360
Total Non-Itemized Transactions with this Payee/Payer$3,898
Total of All Transactions with this Payee/Payer for This Schedule$40,258
Mediation/ arbitration/ legal services12/14/2018$36,360
Name and Address
(A)
Shelly Shapiro

4616 25th Ave NE #128
Seattle
WA
98102
Type or Classification
(B)
Arbitration
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,619
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,619
Arbitration09/30/2019$5,619
Name and Address
(A)
Tiffany Repar

729 South Vassault Unit 4B
Tacoma
WA
98465
Type or Classification
(B)
E&GW Local Unit Cabinet Expense Reimbursement
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,614
Total Non-Itemized Transactions with this Payee/Payer$3,354
Total of All Transactions with this Payee/Payer for This Schedule$9,968
Nurse Day Event Expenses04/22/2019$6,614
Name and Address
(A)
Verizon Wireless
4001

Ingelwood
CA
90313
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$37,073
Total of All Transactions with this Payee/Payer for This Schedule$37,073
Name and Address
(A)
Washington State Labor Council

321 16th Ave S
Seattle
WA
98144
Type or Classification
(B)
Convention
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,160
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,160
Convention07/01/2019$5,160
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 042-203

Name and Address
(A)
Barnard Iglitzin & Lavitt LLP

18 W Mercer Street, #400
Seattle
WA
98119
Type or Classification
(B)
Legal
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,286
Total Non-Itemized Transactions with this Payee/Payer$5,680
Total of All Transactions with this Payee/Payer for This Schedule$13,966
Legal04/29/2019$8,286
Name and Address
(A)
Bogard & Johnson

200 Union Ave SE
Olympia
WA
98501
Type or Classification
(B)
Lobbyist
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$32,314
Total of All Transactions with this Payee/Payer for This Schedule$32,314
Name and Address
(A)
Heather Weiner

1741 S Snoqualmie Street
Seattle
WA
98104
Type or Classification
(B)
Political Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,583
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,583
Consulting04/02/2019$6,583
Name and Address
(A)
Hotel RL Olympia

2300 Evergreen Park Dr. SW
Olympia
WA
98502
Type or Classification
(B)
Advocacy Camp Facilities
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,111
Total Non-Itemized Transactions with this Payee/Payer$938
Total of All Transactions with this Payee/Payer for This Schedule$20,049
Facilities01/31/2019$19,111
Name and Address
(A)
Oyster Bay Public Affairs
4173

Olympia
WA
98501
Type or Classification
(B)
Lobbyist
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)
Phone 2 Action

1500 Wilson Blvd #700
Arlington
VA
22209
Type or Classification
(B)
Advocacy Software
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Advocacy Software04/16/2019$5,000
Name and Address
(A)
Wilson Strategic/ State of Reform

19101 36th Ave W, #203
Lynwood
WA
98037
Type or Classification
(B)
Sponsorship
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Sponsorship10/11/2018$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 042-203

Name and Address
(A)
Nurse Students of Washington State

575 Andover Park W Ste 101
Tukwilla
WA
98188
Type or Classification
(B)
Contribution
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,778
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,778
Contribution01/24/2019$7,778
Name and Address
(A)
Washington Center for Nursing

1101 Andover Park W #105
Tukwila
WA
98188
Type or Classification
(B)
Contribution
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution10/25/2018$5,000
Contribution09/30/2019$5,000
Name and Address
(A)
Washington State Public Health Association

NE 100th Street
Seattle
WA
98195
Type or Classification
(B)
Contribution
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$3,000
Total of All Transactions with this Payee/Payer for This Schedule$8,000
Contribution12/04/2018$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 042-203

Name and Address
(A)
501 Commons

1200 12th Ave S #1101
Seattle
WA
98144
Type or Classification
(B)
Non Profit Consulting
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,112
Total of All Transactions with this Payee/Payer for This Schedule$7,112
Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing/ Publications/ Promotional
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,139
Total of All Transactions with this Payee/Payer for This Schedule$13,139
Name and Address
(A)
ADP, Inc.

18072 N Creek Pkwy #100
Bothell
WA
98011
Type or Classification
(B)
Payroll Processing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,050
Total of All Transactions with this Payee/Payer for This Schedule$14,050
Name and Address
(A)
Capitol City Press, Inc.

2975 37th Avenue SW
Tumwater
WA
98512
Type or Classification
(B)
Publications
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,412
Total Non-Itemized Transactions with this Payee/Payer$10,330
Total of All Transactions with this Payee/Payer for This Schedule$18,742
Publications10/21/2018$8,412
Name and Address
(A)
Comcast
34

Seattle
WA
98121
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$13,501
Total of All Transactions with this Payee/Payer for This Schedule$13,501
Name and Address
(A)
Eberts & Harrison, Inc

1000 Century Plaza Bldg
Columbia
MD
21044
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,159
Total Non-Itemized Transactions with this Payee/Payer$4,156
Total of All Transactions with this Payee/Payer for This Schedule$31,315
Directors & Officers Insurance08/19/2019$27,159
Name and Address
(A)
Hotel Interurban

223 Andover Park E.
Tukwila
WA
98188
Type or Classification
(B)
Lodging
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,889
Total Non-Itemized Transactions with this Payee/Payer$9,672
Total of All Transactions with this Payee/Payer for This Schedule$22,561
Lodging09/20/2019$7,106
Lodging09/23/2019$5,783
Name and Address
(A)
Hyatt Regency

400 New Jersey Ave NW
Washington
DC
20001
Type or Classification
(B)
Lodging
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,151
Total Non-Itemized Transactions with this Payee/Payer$2,897
Total of All Transactions with this Payee/Payer for This Schedule$8,048
Lodging09/24/2019$5,151
Name and Address
(A)
King County Treasurer

516 Third Avenue
Seattle
WA
98104
Type or Classification
(B)
Property Taxes
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,182
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,182
Property taxes02/22/2019$10,182
Name and Address
(A)
Liberty Mutual Insurance

1191 2nd Avenue
Seattle
WA
98101
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,958
Total Non-Itemized Transactions with this Payee/Payer$1,934
Total of All Transactions with this Payee/Payer for This Schedule$11,892
Insurance05/17/2019$9,958
Name and Address
(A)
Logic 20/20 Inc.

6520 25th Ave NE
Seattle
WA
98115
Type or Classification
(B)
IT Consulting
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$45,159
Total of All Transactions with this Payee/Payer for This Schedule$45,159
Name and Address
(A)
Lusher Corp

615 8th Ave S #108
Seattle
WA
98104
Type or Classification
(B)
IT Consulting
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,487
Total Non-Itemized Transactions with this Payee/Payer$40,527
Total of All Transactions with this Payee/Payer for This Schedule$60,014
IT Management11/05/2018$9,503
IT Management07/16/2019$9,984
Name and Address
(A)
Red Vector

4890 W Kennedy Blvd, Suite
Tampa
FL
33609
Type or Classification
(B)
Continuing Education Software
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,672
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$23,672
Continuing Education Software10/08/2018$23,672
Name and Address
(A)
Ricoh USA, Inc
31001-0743

Pasadena
CA
91110
Type or Classification
(B)
Equipment Lease
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,224
Total Non-Itemized Transactions with this Payee/Payer$53,957
Total of All Transactions with this Payee/Payer for This Schedule$60,181
Equipment lease08/15/2019$6,224
Name and Address
(A)
South Seattle Business Park 2017, LLC

18230 E. Valley Hwy #195
Kent
WA
98032
Type or Classification
(B)
Occupancy- Lease
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$307,275
Total Non-Itemized Transactions with this Payee/Payer$1,001
Total of All Transactions with this Payee/Payer for This Schedule$308,276
Occupancy- Lease10/01/2018$25,064
Occupancy- Lease10/17/2018$25,064
Occupancy- Lease11/19/2018$25,064
Occupancy- Lease12/17/2018$25,787
Occupancy- Lease01/15/2019$25,787
Occupancy- Lease02/14/2019$25,787
Occupancy- Lease03/11/2019$25,787
Occupancy- Lease04/04/2019$25,787
Occupancy- Lease05/13/2019$25,787
Occupancy- Lease06/08/2019$25,787
Occupancy- Lease07/10/2019$25,787
Occupancy- Lease08/15/2019$25,787
Name and Address
(A)
Staples Advantage
83689

Chicago
IL
60695
Type or Classification
(B)
Office Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$41,263
Total of All Transactions with this Payee/Payer for This Schedule$41,263
Name and Address
(A)
Tukwila Self Storage

5950 Southcenter Blvd
Tukkila
WA
98188
Type or Classification
(B)
Storage
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,643
Total of All Transactions with this Payee/Payer for This Schedule$11,643
Name and Address
(A)
USPS

475 L'Efnfant Plaza SW
Washington
DC
20260
Type or Classification
(B)
Postage
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer$345
Total of All Transactions with this Payee/Payer for This Schedule$20,345
Postage01/31/2019$10,000
Postage02/28/2019$10,000
Name and Address
(A)
Verity Accountancy

4000 SE International Way
Portland
OR
97222
Type or Classification
(B)
Auditor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$33,515
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$33,515
Annual Audit11/29/2018$17,000
Annual Audit01/10/2019$5,000
Annual Audit02/14/2019$11,515
Name and Address
(A)
Verizon Wireless
4001

Ingelwood
CA
90313
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$9,387
Total of All Transactions with this Payee/Payer for This Schedule$9,387
Name and Address
(A)
WA Department of Labor & Industry

7273 Linderson Way SW
Tumwater
WA
98501
Type or Classification
(B)
Workman's Compensation Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,185
Total of All Transactions with this Payee/Payer for This Schedule$8,185
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing / Publications/ Promotional
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,196
Total of All Transactions with this Payee/Payer for This Schedule$19,196
Name and Address
(A)
Capitol City Press, Inc.

2975 37th Avenue SW
Tumwater
WA
98512
Type or Classification
(B)
Publications
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$57,886
Total Non-Itemized Transactions with this Payee/Payer$16,723
Total of All Transactions with this Payee/Payer for This Schedule$74,609
Publications10/29/2018$16,101
Publications02/14/2019$19,997
Publications05/17/2019$21,788
Name and Address
(A)
Double Tree Tukwila

16500 Southcenter Pkwy
Seattle
WA
98188
Type or Classification
(B)
Lodging
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,405
Total of All Transactions with this Payee/Payer for This Schedule$9,405
Name and Address
(A)
Fathi Consulting, LLC

4210 1st Ave NW
Seattle
WA
98107
Type or Classification
(B)
Consulting
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,975
Total Non-Itemized Transactions with this Payee/Payer$5,300
Total of All Transactions with this Payee/Payer for This Schedule$28,275
Consulting11/14/2018$9,000
Consulting12/05/2018$7,950
Consulting02/01/2019$6,025
Name and Address
(A)
Frank Doolittle Company

11811 NE 1st St., Ste A-209
Bellevue
WA
98005
Type or Classification
(B)
Promotional Items
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$36,602
Total Non-Itemized Transactions with this Payee/Payer$21,544
Total of All Transactions with this Payee/Payer for This Schedule$58,146
Promotional Items11/28/2018$8,694
Promotional Items12/05/2018$12,295
Promotional Items04/29/2019$15,613
Name and Address
(A)
Greater Tacoma Convention Center

1500 Commerce
Tacoma
WA
98402
Type or Classification
(B)
Convention Deposit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,925
Total of All Transactions with this Payee/Payer for This Schedule$14,925
Name and Address
(A)
Integrity Voting Systems

7720 Hardeson Rd
Everett
WA
98203
Type or Classification
(B)
Election services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$38,809
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$38,809
Election Services04/12/2019$6,800
Election Services04/12/2019$17,350
Election Services06/28/2019$14,659
Name and Address
(A)
Phyllis Kritek

3911 Green Cook Rd
Johnstown
OH
43031
Type or Classification
(B)
Convention Speaker
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$2,215
Total of All Transactions with this Payee/Payer for This Schedule$7,215
Speaker Fees04/16/2019$5,000
Name and Address
(A)
Publishing Concepts Inc

4835 Lyndon Johnson Fwy
Dallas
TX
75244
Type or Classification
(B)
Convention Publications
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,000
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Name and Address
(A)
Seattle Storm

351 Elliot Ave W #500
Seattle
WA
98104
Type or Classification
(B)
Sponsorship
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer$990
Total of All Transactions with this Payee/Payer for This Schedule$8,490
Sponsorship04/02/2019$7,500
Name and Address
(A)
Stephanie Staples

202-10421 Resthaven Drive
Sidney, BC
00
V8L 3H4
Type or Classification
(B)
Convention Speaker
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$1,362
Total of All Transactions with this Payee/Payer for This Schedule$6,362
Speaker Fees04/17/2019$5,000
Name and Address
(A)
Tulalip Resort Casino

10200 Quil Ceda Blvd
Tulalip
WA
98271
Type or Classification
(B)
Convention facilities
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$176,772
Total Non-Itemized Transactions with this Payee/Payer$329
Total of All Transactions with this Payee/Payer for This Schedule$177,101
Convention Facilities04/04/2019$5,000
Convention Facilities05/23/2019$171,772
Name and Address
(A)
UW School of Nursing
357260

Seattle
WA
98195
Type or Classification
(B)
Training
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,155
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,155
Staff Training06/12/2019$8,155
Name and Address
(A)
Verizon Wireless
4001

Ingelwood
CA
90313
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$7,327
Total of All Transactions with this Payee/Payer for This Schedule$7,327
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 042-203

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$975,682
Medical InsuranceKaiser Foundation Health Plan$633,141
Life InsuranceUnum Life Insurance Company$7,790
Life InsuranceMutual of Omaha$19,032
Vision InsuranceVision Service Plan - WA$6,201
Employer 401(k) matching contributionTeamster's Pension Plan$203,001
Employer 401(k) matching contributionCharles Schwab$100,419
Dental InsuranceWillamette Dental Group$6,098
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 042-203


Question 11(a):

Question 11(a): : Washington State Nurses PAC. The PAC files reports with the Washington Secretary of State - Elections Division. The PAC is exempt from federal 990 and 1120-POL fillings.

Question 12: The audit was performed by an outside independent accountant - Verity Accountancy, PC.

Schedule 13, Row4:

Schedule 13, Row4:

Schedule 13, Row4:Members who have objected membership based on religious opposition. Members pay a reduced membership fee to a non-religious and non-labor organization exempt under IRC 501(c)(3). Members have no voting rights.

Schedule 13, Row4:

Schedule 13, Row4:

Schedule 13, Row4: No voting rights are granted for members who voluntarily waive the membership requirement.

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row1:Full paying members with full voting rights.

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row2:

Schedule 13, Row2:

Schedule 13, Row2:Members pay full non-membership dues rate without additional bargaining unit fee. Members have full voting rights except for issues related to collective bargaining.

Schedule 13, Row2:

Schedule 13, Row2:

Schedule 13, Row2:

Schedule 13, Row3:

Schedule 13, Row3:

Schedule 13, Row3:Members with 30 years membership and older than 65 years in age. Members have full voting rights except for issues related to collective bargaining.

Schedule 13, Row3:

Schedule 13, Row3:

Schedule 13, Row3:
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)