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
From01/01/2019
Through12/31/2019
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
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 UgenEXECUTIVE VP
Date:Mar 30, 2020Telephone Number:651-294-8100Date:Mar 30, 2020Telephone 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?10/2022
20. How many members did the labor organization have at the end of the reporting period?21,536
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.25%-3% gross wagesperPay Period$5$36
(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 $671,432$1,696,202
23. Accounts Receivable1$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$512,223$601,438
27. Fixed Assets6$37,834$60,085
28. Other Assets7$0
29. TOTAL ASSETS $1,221,489$2,357,725

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$13,714$11,306
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$5,108$4,875
34. TOTAL LIABILITIES $18,822$16,181
35. NET ASSETS$1,202,667$2,341,544
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 $12,026,943
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $5,592
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $186,413
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$745,045
49. TOTAL RECEIPTS $12,963,993
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,592,262
51. Political Activities and Lobbying16$638,940
52. Contributions, Gifts, and Grants17$48,835
53. General Overhead18$933,665
54. Union Administration19$243,300
55. Benefits20$1,740,167
56. Per Capita Tax $3,169,480
57. Strike Benefits $9,790
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$35,820
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $186,644
64. On Behalf of Individual Members $0
65. Direct Taxes $340,320
  
66. Subtotal $11,939,223
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,019,960  
  67b. Less Total Disbursed$1,019,960  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $11,939,223
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$0$0$0$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 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$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: 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$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: 057-419

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$35,820$35,820$35,820
OFFICE EQUIPMENT$28,383$28,383$28,383
OTHER FIXED ASSETS$7,437$7,437$7,437
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$35,820
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$601,438
E. Total Book Value$601,438
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 Prop: 345 Randolph Ave Ste. 100, St. Paul, MN
$601,438
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $601,438
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$1,105,068$1,051,924$53,144$53,144
E. Other Fixed Assets$7,437$496$6,941$6,941
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,112,505$1,052,420$60,085$60,085
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$0$0$0$0
Total from all other accounts payable$11,306$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $11,306$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)) $4,875
Cope Withholding$4,875
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
BALE ,  MARY  
DELEGATE
C
$2,183$0$735$0$2,918
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
$3,148$0$556$0$3,704
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
C
$3,687$0$3,892$0$7,579
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
$4,927$0$951$0$5,878
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
CROMEDY ,  BENNIE  
DELEGATE
C
$16,348$14,467$976$0$31,791
I
Schedule 15
Representational Activities
60 % Schedule 16
Political Activities and Lobbying
10 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
30 %
A
B
C
CRYAN ,  PHILLIP  
EXECUTIVE VICE PRESIDENT
C
$98,797$5,985$1,459$0$106,241
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
$3,241$0$385$0$3,626
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
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
ELRITE ,  KATHRYN  
DELEGATE
C
$2,592$0$425$0$3,017
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
C
$1,480$0$385$0$1,865
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
FREEMAN ,  MARK  
DELEGATE
C
$1,715$0$385$0$2,100
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
$127,933$6,132$3,692$0$137,757
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
C
$6,860$0$4,327$0$11,187
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
HANSEN ,  PENNY  
DELEGATE
C
$4,566$0$2,162$0$6,728
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
$2,553$0$343$0$2,896
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
$3,938$0$491$0$4,429
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
$1,323$0$0$0$1,323
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
C
$2,334$0$0$0$2,334
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
C
$418$0$0$0$418
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
$1,036$0$1,469$0$2,505
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
$8,198$0$464$0$8,662
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
MALONEY ,  RUSS  
DELEGATE
C
$19,446$788$1,332$0$21,566
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
$1,638$0$360$0$1,998
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
$2,971$0$381$0$3,352
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
$7,933$0$1,025$0$8,958
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
90 %
A
B
C
NORDBY ,  MELODY  
DELEGATE
C
$3,027$0$1,847$0$4,874
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
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
PIKALA ,  MELODY  
DELEGATE
C
$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
C
$3,420$0$724$0$4,144
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
C
$1,627$0$620$0$2,247
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
C
$1,203$0$93$0$1,296
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
$2,421$0$238$0$2,659
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
$3,025$0$0$0$3,025
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
$1,724$0$385$0$2,109
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
$111,222$6,195$7,507$0$124,924
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
$1,942$0$220$0$2,162
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
$103,464$7,540$491$0$111,495
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
P
$100$0$0$0$100
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
C
$1,175$0$385$0$1,560
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$563,615$41,107$38,705$0$643,427
Less Deductions    $155,493
Net Disbursements    $487,934
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
ABDISALAM ,  OSOB   A
TEMPORARY ORGANIZER
N/A
$13,344$3,647$0$0$16,991
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
ABRAHAM ,  DANETTE  
INTERNAL ORGANIZER
N/A
$68,268$5,670$583$0$74,521
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
$37,840$10,275$38$0$48,153
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
AHMAD-SHARIFF ,  RASHA  
DIRECTOR MAC
N/A
$74,812$5,418$130$0$80,360
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
ANDERSON ,  MELVIN  
DELEGATE
N/A
$65,308$4,935$229$0$70,472
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
$24,489$0$94$0$24,583
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
BJORNNES ,  ROMELIA  
TEMPORARY ORGANIZER
N/A
$24,492$7,219$0$0$31,711
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
BLACKMON ,  ALICE  
TEMPORARY ORGANIZER
N/A
$16,499$5,012$283$0$21,794
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
$72,456$7,020$716$0$80,192
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
$51,260$0$0$0$51,260
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
$76,237$5,838$731$0$82,806
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
$69,877$5,586$473$0$75,936
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 ,  ABDALLAH  
INTERNAL ORGANIZER
N/A
$62,761$5,565$2,098$0$70,424
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
0 %
A
B
C
EL HAMAWI ,  YOUSSEF  
INTERNAL ORGANIZER
N/A
$59,774$5,523$4,407$0$69,704
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
$70,669$5,670$1,724$0$78,063
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
FLYNN ,  MACKENZIE  
OIT
N/A
$19,707$4,970$43$0$24,720
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
$75,131$5,460$0$0$80,591
I
Schedule 15
Representational Activities
45 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
45 % Schedule 19
Administration
5 %
A
B
C
FRANK ,  TYLER  
INTERNAL ORGANIZER
N/A
$65,930$5,460$721$0$72,111
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
FRIEDER ,  ELISE   M
OIT
N/A
$21,937$4,929$59$0$26,925
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
GAKYI ,  TENZIN  
INTERNAL ORGANIZER
N/A
$15,394$1,575$0$0$16,969
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
$42,209$0$0$0$42,209
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  
INTERNAL ORGANIZER
N/A
$59,489$1,995$551$0$62,035
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
HEWITT ,  GABRIEL   T
SUPPORT STAFF
N/A
$38,256$0$200$0$38,456
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
$99,139$5,565$0$0$104,704
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
$77,986$5,770$1,286$0$85,042
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
$74,034$7,280$2,431$0$83,745
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
JOHNSON ,  KIMETHA   L
INTERNAL ORGANIZER
N/A
$60,588$5,040$161$0$65,789
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
KELBERG ,  MIRIAM   A
OIT
N/A
$37,555$9,533$680$0$47,768
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
$69,615$6,485$2,161$0$78,261
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
$58,768$5,460$0$0$64,228
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
KRANTZ ,  NATHANIEL   D
HOMECARE ORGANIZING
N/A
$40,405$9,537$0$0$49,942
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
$71,872$5,649$47$0$77,568
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
$15,017$1,260$0$0$16,277
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
$9,754$840$0$0$10,594
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
$68,640$6,149$0$0$74,789
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
$72,322$5,691$137$0$78,150
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
$67,641$5,460$801$0$73,902
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
$16,209$1,260$100$0$17,569
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
$70,363$5,649$149$0$76,161
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
$50,193$0$115$0$50,308
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
$31,627$8,263$1,256$0$41,146
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
NELSON ,  LAURENCE   E
TEMPORARY ORGANIZER
N/A
$23,419$2,210$0$0$25,629
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 DIRECTOR
N/A
$90,981$5,670$8,718$0$105,369
I
Schedule 15
Representational Activities
45 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
45 % Schedule 19
Administration
5 %
A
B
C
SALMIA ,  CARRIE  
SUPPORT STAFF
N/A
$53,817$0$0$0$53,817
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
$71,431$8,424$1,373$0$81,228
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
SCHULTZ ,  JOSHUA   D
HOMECARE ORGANIZING
N/A
$17,073$3,805$0$0$20,878
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
10 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
SPIKA ,  SUMER  
INTERNAL ORGANIZER
N/A
$67,612$5,670$359$0$73,641
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
SPLITTSTOESSER ,  ABIGAIL   B
TEMPORARY ORGANIZER
N/A
$14,924$4,065$0$0$18,989
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
UGAAS ,  ABDINASIR  
OIT
N/A
$38,306$9,578$189$0$48,073
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
VANG ,  LOVELY  
SUPPORT STAFF
N/A
$11,886$0$0$0$11,886
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
VARCO ,  RICHARD  
POLITICAL DIRECTOR
N/A
$79,619$5,880$613$0$86,112
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
$54,158$3,357$371$0$57,886
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
$61,555$0$146$0$61,701
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 ,  KONG   P
TEMPORARY ORGANIZER
N/A
$26,650$7,327$0$0$33,977
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-VANG ,  BAO  
SUPPORT STAFF
N/A
$61,030$0$0$0$61,030
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
YONGVANG ,  CHRISTY   Y
TEMPORARY ORGANIZER
N/A
$27,686$7,845$0$0$35,531
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$279,825$3,642$54,844$0$338,311
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 %
Total Employee Disbursements$3,097,839$264,131$89,017$0$3,450,987
Less Deductions    $864,467
Net Disbursements    $2,586,520
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) 21,536 
Agency Fee Payers*61
Total Members/Fee Payers21,597 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS21,521Yes
LOW INCOME PAYERS15Yes
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$707,835
2. Named Payer Non-itemized Receipts$27,198
3. All Other Receipts$10,012
4. Total Receipts$745,045
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$20,000
2. Named Payee Non-itemized Disbursements$5,500
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$23,335
6. Total Disbursements$48,835
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$694,139
2. Named Payee Non-itemized Disbursements$378,718
3. To Officers$379,388
4. To Employees$3,038,632
5. All Other Disbursements$101,385
6. Total Disbursements$4,592,262
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$580,713
2. Named Payee Non-itemized Disbursements$211,790
3. To Officers$13,096
4. To Employees$87,203
5. All Other Disbursements$40,863
6. Total Disbursements$933,665
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$232,428
2. Named Payee Non-itemized Disbursements$50,816
3. To Officers$51,221
4. To Employees$304,475
5. All Other Disbursements$0
6. Total Disbursements$638,940
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$5,200
2. Named Payee Non-itemized Disbursements$0
3. To Officers$199,723
4. To Employees$20,679
5. All Other Disbursements$17,698
6. Total Disbursements$243,300
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 057-419

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$108,000
Total Non-Itemized Transactions with this Payee/Payer$2,000
Total of All Transactions with this Payee/Payer for This Schedule$110,000
TRANSFERS FOR OPERATIONS01/02/2019$30,000
TRANSFERS FOR OPERATIONS01/18/2019$50,000
TRANSFERS FOR OPERATIONS02/21/2019$28,000
Name and Address
(A)
SEIU MINNESOTA STATE COUNCIL

2233 UNIVERSITY AVE WEST
ST PAUL
MN
55114
Type or Classification
(B)
JOINT COUNCIL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$202,300
Total Non-Itemized Transactions with this Payee/Payer$6,852
Total of All Transactions with this Payee/Payer for This Schedule$209,152
MIDWEST INITIATIVE SUPPORT01/10/2019$16,945
MPO REIMBURSEMENT02/05/2019$18,689
MIDWEST INITIATIVE SUPPORT06/28/2019$100,000
MIDWEST INITIATIVE SUPPORT09/05/2019$33,333
MIDWEST INITIATIVE SUPPORT10/03/2019$33,333
Name and Address
(A)
SERVICE EMPLOYEES INTERNATIONAL UNION

1800 MASS AVE NW
WASHINGTON
DC
20036
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$397,535
Total Non-Itemized Transactions with this Payee/Payer$18,346
Total of All Transactions with this Payee/Payer for This Schedule$415,881
PER CAPITA REBATES03/08/2019$19,253
PER CAPITA REBATES03/08/2019$24,711
PER CAPITA REBATES03/08/2019$26,022
PER CAPITA REBATES03/29/2019$17,532
PER CAPITA REBATES04/19/2019$17,952
PER CAPITA REBATES05/17/2019$16,551
PER CAPITA REBATES05/31/2019$23,693
PER CAPITA REBATES06/14/2019$16,247
PER CAPITA REBATES06/21/2019$78,690
PER CAPITA REBATES07/12/2019$17,374
PER CAPITA REBATES08/02/2019$19,331
PER CAPITA REBATES08/09/2019$18,693
PER CAPITA REBATES09/13/2019$25,791
PER CAPITA REBATES09/27/2019$19,331
PER CAPITA REBATES10/11/2019$19,528
PER CAPITA REBATES11/22/2019$15,827
PER CAPITA REBATES12/13/2019$21,009
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 057-419

Name and Address
(A)
ALLSTREAM

18110 SE 34TH ST, STE 100
VANCOUVER
WA
98683
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$20,719
Total of All Transactions with this Payee/Payer for This Schedule$20,719
Name and Address
(A)
AMAZON
-
410 TERRY AVE NORTH
SEATTLE
WA
98109
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$6,640
Total of All Transactions with this Payee/Payer for This Schedule$6,640
Name and Address
(A)
BERRY SWEET KITCHEN

5406 S 34TH AVENUE
MINNEAPOLIS
MN
55417
Type or Classification
(B)
FOOD FOR MEMBER BARGAINING MEETINGS AND EVENTS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,249
Total of All Transactions with this Payee/Payer for This Schedule$8,249
Name and Address
(A)
CAPACITY BUILDING PARTNERSHIPS, LLC

5511 SW HOOD AVE
PORTLAND
OR
97239
Type or Classification
(B)
ORGANIZATIONAL EQUITY & INCLUSION TRAINERS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,641
Total of All Transactions with this Payee/Payer for This Schedule$5,641
Name and Address
(A)
CHAMPION S. FLEMING

987 56TH ST
OAKLAND
CA
94608
Type or Classification
(B)
ORGANIZATIONAL EQUITY & INCLUSION TRAINERS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,810
Total of All Transactions with this Payee/Payer for This Schedule$12,810
Name and Address
(A)
COMO TOWN
-
1301 MIDWAY PARK
ST PAUL
MN
55103
Type or Classification
(B)
ANNUAL MEMBERSHIP PICNIC
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,479
Total of All Transactions with this Payee/Payer for This Schedule$6,479
Name and Address
(A)
CUMMINS & CUMMINS

920 SECOND AVENUE S #1245
MINNEAPOLIS
MN
55402
Type or Classification
(B)
LAW FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$249,878
Total Non-Itemized Transactions with this Payee/Payer$2,354
Total of All Transactions with this Payee/Payer for This Schedule$252,232
Contract Negotiation and Representation Litigation02/01/2019$21,340
Contract Negotiation and Representation Litigation02/26/2019$23,176
Contract Negotiation and Representation Litigation04/09/2019$9,758
Contract Negotiation and Representation Litigation05/03/2019$22,918
Contract Negotiation and Representation Litigation06/04/2019$18,654
Contract Negotiation and Representation Litigation06/28/2019$23,835
Contract Negotiation and Representation Litigation07/31/2019$14,074
Contract Negotiation and Representation Litigation08/28/2019$21,171
Contract Negotiation and Representation Litigation10/04/2019$26,482
Contract Negotiation and Representation Litigation11/06/2019$22,441
Contract Negotiation and Representation Litigation12/04/2019$22,749
Contract Negotiation and Representation Litigation12/26/2019$23,280
Name and Address
(A)
DELTA AIR LINES, INC.

1030 DELTA BLVD
ATLANTA
GA
30320-2980
Type or Classification
(B)
FLIGHTS FOR SEIU INT'L TRAININGS & EVENTS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$26,876
Total of All Transactions with this Payee/Payer for This Schedule$26,876
Name and Address
(A)
DELTA HOTELS MINNEAPOLIS NE

1330 INDUSTRIAL BLVD NE
MINNEAPOLIS
MN
55413
Type or Classification
(B)
HOTEL - MEMBER LEADERSHIP ASSEMB & MEMBER MEETINGS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$61,939
Total Non-Itemized Transactions with this Payee/Payer$11,726
Total of All Transactions with this Payee/Payer for This Schedule$73,665
MEETING ROOMS - LEADERSHIP ASSEMBLY09/26/2019$61,939
Name and Address
(A)
EXPEDIA TRAVEL

333 108TH AVENUE NE
BELLEVUE
WA
98004
Type or Classification
(B)
HOTELS FOR MEMBER MEETINGS, BARGAINING & TRAININGS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$54,152
Total of All Transactions with this Payee/Payer for This Schedule$54,152
Name and Address
(A)
H-CAP, INC.

330 W 42ND ST. SUITE 900
NEW YORK
NY
10036
Type or Classification
(B)
NATIONAL LABOR/MANAGEMENT ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,000
EDUCATION09/30/2019$6,000
Name and Address
(A)
HOLIDAY INN

200 W FIRST ST
DULUTH
MN
55802
Type or Classification
(B)
HOTELS FOR MEMBER MEETINGS, BARGAINING & TRAININGS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,088
Total of All Transactions with this Payee/Payer for This Schedule$8,088
Name and Address
(A)
IMAGE POINTE

1224 LAPORTE RD
WATERLOO
IA
50702
Type or Classification
(B)
PROMOTIONAL MEMBER MATERIALS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,027
Total Non-Itemized Transactions with this Payee/Payer$22,712
Total of All Transactions with this Payee/Payer for This Schedule$29,739
PROMOTIONAL MEMBER MATERIALS05/06/2019$7,027
Name and Address
(A)
INNOVATIVE OFFICE SOLUTIONS

151 CLIFF RD E
BURNSVILLE
MN
55337
Type or Classification
(B)
OFFICE SUPPLIES VENDOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,990
Total of All Transactions with this Payee/Payer for This Schedule$16,990
Name and Address
(A)
JAY C. FOGLEBERG

10970 SPOON RIDGE
EDEN PRAIRIE
MN
55347
Type or Classification
(B)
ARBITRATOR - MEMBER GRIEVANCES & BARGAINING CASES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,930
Total of All Transactions with this Payee/Payer for This Schedule$11,930
Name and Address
(A)
KJELLBERG LAW OFFICE, PLC

2356 UNIVERSITY AVE W. #230
ST PAUL
MN
55114-1850
Type or Classification
(B)
ATTORNEY - MEMBER ARBITRATIONS & PENSION MATTERS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,314
Total Non-Itemized Transactions with this Payee/Payer$4,883
Total of All Transactions with this Payee/Payer for This Schedule$10,197
MEMBER ARBITRATIONS & MEMBER PENSION MATTERS04/30/2019$5,314
Name and Address
(A)
KURT ERRICKSON

1183 MCLEAN AVE
ST PAUL
MN
55106
Type or Classification
(B)
ARBITRATOR - MEMBER GRIEVANCES & BARGAINING CASES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,823
Total of All Transactions with this Payee/Payer for This Schedule$20,823
Name and Address
(A)
LANCER

1225 KAUFMAN DRIVE N
ST PAUL
MN
55103
Type or Classification
(B)
FOOD FOR MEMBER RECOGNITION CEREMONY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,982
Total Non-Itemized Transactions with this Payee/Payer$3,299
Total of All Transactions with this Payee/Payer for This Schedule$9,281
FOOD FOR MEMBER RECOGNITION CEREMONY05/06/2019$5,982
Name and Address
(A)
MARCO TECHNOLOGIES LLC

4510 HEATHERWOOD ROAD
SAINT CLOUD
MN
56301
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$29,315
Total of All Transactions with this Payee/Payer for This Schedule$29,315
Name and Address
(A)
MINUTEMAN PRESS

2101 HENNEPIN AVE S STE 112
MINNEAPOLIS
MN
55405
Type or Classification
(B)
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,458
Total Non-Itemized Transactions with this Payee/Payer$4,830
Total of All Transactions with this Payee/Payer for This Schedule$16,288
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS09/12/2019$11,458
Name and Address
(A)
NEW BROOKWOOD LABOR COLLEGE

10015 HAMPSHIRE TERRACE
MINNEAPOLIS
MN
55445
Type or Classification
(B)
LABOR EDUCATION FOR MEMBERS & STAFF
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,349
Total of All Transactions with this Payee/Payer for This Schedule$9,349
Name and Address
(A)
PITNEY BOWES

3001 SUMMER ST
STAMFORD
CT
06926
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$26,149
Total of All Transactions with this Payee/Payer for This Schedule$26,149
Name and Address
(A)
SEIU MINNESOTA STATE COUNCIL

2233 UNIVERSITY AVE W #422
ST PAUL
MN
55114
Type or Classification
(B)
JOINT COUNCIL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$58,117
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$58,117
CONTRACT LABOR01/15/2019$29,963
CONTRACT LABOR05/06/2019$28,154
Name and Address
(A)
SEVEN CORNERS PRINTING COMPANY

1099 SNELLING AVE N
ST PAUL
MN
55108
Type or Classification
(B)
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$183,717
Total Non-Itemized Transactions with this Payee/Payer$35,392
Total of All Transactions with this Payee/Payer for This Schedule$219,109
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS01/10/2019$14,561
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS01/16/2019$19,808
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS02/13/2019$7,251
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS02/22/2019$19,985
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS04/25/2019$14,909
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS06/05/2019$7,196
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS07/16/2019$16,873
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS07/22/2019$18,659
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS07/26/2019$8,997
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS08/20/2019$5,866
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS09/09/2019$15,672
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS09/24/2019$18,025
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS10/24/2019$15,915
Name and Address
(A)
SOUNA SMITH

1120 ENGLEWOOD AVE
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$10,415
Total of All Transactions with this Payee/Payer for This Schedule$10,415
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$5,772
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,772
MEMBER DEVELOPMENT EVENT12/04/2019$5,772
Name and Address
(A)
TELEPHONE TOWN HALL MEETING, INC.

958 CONEFLOWER DR.
GOLDEN
CO
80401
Type or Classification
(B)
HOMECARE ORG & LEADERSHIP TELECONFERENCE MEETINGS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,486
Total of All Transactions with this Payee/Payer for This Schedule$7,486
Name and Address
(A)
UNIONWARE

260 SAULTEAUX CRESCENT
WINNIPEG, CANADA
00
R3J3T2
Type or Classification
(B)
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$98,935
Total Non-Itemized Transactions with this Payee/Payer$5,391
Total of All Transactions with this Payee/Payer for This Schedule$104,326
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE01/15/2019$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE02/18/2019$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE03/18/2019$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE04/12/2019$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE05/16/2019$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE06/18/2019$11,515
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE06/19/2019$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE06/20/2019$6,000
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE07/08/2019$8,260
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE07/16/2019$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE08/08/2019$8,460
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE08/15/2019$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE08/28/2019$8,460
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE09/13/2019$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE12/30/2019$5,624
Name and Address
(A)
UNIVERSITY OF MINNESOTA

100 CHURCH ST S.E.
MINNEAPOLIS
MN
55455
Type or Classification
(B)
MEMBER SCHOLARSHIP & LABOR EDUCATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,020
Total of All Transactions with this Payee/Payer for This Schedule$6,020
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)
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$25,646
Total of All Transactions with this Payee/Payer for This Schedule$25,646
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$24,479
Total of All Transactions with this Payee/Payer for This Schedule$24,479
Name and Address
(A)
SEIU HEALTHCARE MINNESOTA POLITICAL ACTION COMMITT

345 RANDOLPH AVE STE 100
ST PAUL
MN
55102
Type or Classification
(B)
PAC AFFILIATE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$223,449
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$223,449
REIMBURSEMENT OF FUNDS TO COVER OPERATIONS01/04/2019$30,000
REIMBURSEMENT OF FUNDS TO COVER OPERATIONS01/22/2019$25,000
REIMBURSEMENT OF FUNDS TO COVER OPERATIONS02/05/2019$25,000
REIMBURSEMENT OF FUNDS TO COVER OPERATIONS05/30/2019$81,500
POLITICAL ADVOCACY06/28/2019$9,299
POLITICAL ADVOCACY07/30/2019$8,617
POLITICAL ADVOCACY08/30/2019$8,703
POLITICAL ADVOCACY09/30/2019$8,131
POLITICAL ADVOCACY10/30/2019$8,865
POLITICAL ADVOCACY12/02/2019$18,334
Name and Address
(A)
THE WESTIN BONAVENTURE HOTEL & SUITES, LOS ANGELES

404 S FIGUEROA ST
LOS ANGELES
CA
90071
Type or Classification
(B)
HOTEL - MEMBER CONFERENCE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,979
Total Non-Itemized Transactions with this Payee/Payer$691
Total of All Transactions with this Payee/Payer for This Schedule$9,670
HOTEL - MEMBER CONFERENCE IN LA HOSTED BY SEIU09/27/2019$8,979
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 057-419

Name and Address
(A)
EAST SIDE FREEDOM LIBRARY

1105 GREENBRIER ST
ST PAUL
MN
55106
Type or Classification
(B)
LIBRARY
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
CONTRIBUTION FOR LABOR EDUCATION07/17/2019$5,000
Name and Address
(A)
MN 350

4407 E LAKE ST
MINNEAPOLIS
MN
55406
Type or Classification
(B)
501C3 ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,500
Total of All Transactions with this Payee/Payer for This Schedule$5,500
Name and Address
(A)
NEW BROOKWOOD LABOR COLLEGE

10015 HAMPSHIRE TERRACE
MINNEAPOLIS
MN
55445
Type or Classification
(B)
LABOR EDUCATION FOR MEMBERS & STAFF
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
CONTRIBUTION03/08/2019$5,000
Name and Address
(A)
SEIU LOCAL 73

300 S ASHLAND AVE #400
CHICAGO
IL
60607
Type or Classification
(B)
LABOR UNION
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
CONTRIBUTION - STRIKE HARDSHIP FUND10/25/2019$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 057-419

Name and Address
(A)
A.B. SYSTEMS, INC.

209 WOOD LAKE DR. S.E.
ROCHESTER
MN
55904
Type or Classification
(B)
DESIGNER/BUILDER/DEVELOPER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,417
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,417
ROCHESTER MEMBER OFFICE RENOVATIONS - STORM DAMAGE12/10/2019$6,417
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$20,317
Total of All Transactions with this Payee/Payer for This Schedule$20,317
Name and Address
(A)
BELLOWS ASSOCIATES, P.A.

7890 PETERS RD STE G-102
PLANTATION
FL
33324
Type or Classification
(B)
CPA FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,136
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$19,136
AUDIT AND ACCOUNTING FEES04/09/2019$19,136
Name and Address
(A)
BUSINESS DATA RECORD SERVICES

201 9TH AVE SW
ST PAUL
MN
55112
Type or Classification
(B)
RECORDS MANAGEMENT COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,053
Total of All Transactions with this Payee/Payer for This Schedule$5,053
Name and Address
(A)
CORPORATE TECHNOLOGIES

6210 BURY DRIVE
MINNEAPOLIS
MN
55346
Type or Classification
(B)
IT SERVICE MANAGEMENT COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,326
Total Non-Itemized Transactions with this Payee/Payer$49,311
Total of All Transactions with this Payee/Payer for This Schedule$60,637
IT SERVICES11/08/2019$11,326
Name and Address
(A)
JGB PAINTING

7611 16TH AVE S
RICHFIELD
MN
55423
Type or Classification
(B)
ST PAUL OFFICE PAINTING FOR MEMBER MEETING ROOMS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,692
Total of All Transactions with this Payee/Payer for This Schedule$7,692
Name and Address
(A)
LENOVO INC.

1009 THINK PLACE
MORRISVILLE
NC
27560
Type or Classification
(B)
COMPUTERS FOR UNION ORGANIZERS & STAFF FOR REP.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$58,245
Total of All Transactions with this Payee/Payer for This Schedule$58,245
Name and Address
(A)
ROCHESTER TOWN OFFICES

209 WOODLAKE DRIVE SE
ROCHESTER
MN
55904
Type or Classification
(B)
ROCHESTER MEMBER OFFICE MONTHLY RENT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$33,334
Total of All Transactions with this Payee/Payer for This Schedule$33,334
Name and Address
(A)
SEIU LOCAL 113 BUILDING CORPORATION

345 RANDOLPH AVE 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$442,025
Total Non-Itemized Transactions with this Payee/Payer$3,356
Total of All Transactions with this Payee/Payer for This Schedule$445,381
RENT01/10/2019$25,000
RENT02/05/2019$18,000
RENT02/25/2019$17,025
RENT03/06/2019$10,000
RENT03/29/2019$31,000
RENT04/02/2019$31,000
RENT04/02/2019$31,000
RENT04/02/2019$31,000
RENT04/22/2019$31,000
RENT06/28/2019$31,000
RENT07/24/2019$31,000
RENT08/26/2019$31,000
RENT09/24/2019$31,000
RENT10/28/2019$31,000
RENT11/20/2019$31,000
RENT12/16/2019$31,000
Name and Address
(A)
SERVICE RESTORATION INC.

1480 3RD AVE W STE 110
SHAKOPEE
MN
55379
Type or Classification
(B)
WATER DAMAGE RESTORATION SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,673
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,673
ROCHESTER MEMBER OFFICE RENOVATIONS - STORM DAMAGE08/28/2019$6,673
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$55,645
Total Non-Itemized Transactions with this Payee/Payer$2,500
Total of All Transactions with this Payee/Payer for This Schedule$58,145
GENERAL INSURANCES12/02/2019$55,645
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$39,491
Total Non-Itemized Transactions with this Payee/Payer$31,982
Total of All Transactions with this Payee/Payer for This Schedule$71,473
CELL PHONE & COMPUTER EQUIPMENT05/03/2019$12,010
CELL PHONE & COMPUTER EQUIPMENT06/03/2019$6,128
CELL PHONE & COMPUTER EQUIPMENT08/02/2019$5,207
CELL PHONE & COMPUTER EQUIPMENT09/03/2019$5,229
CELL PHONE & COMPUTER EQUIPMENT10/03/2019$5,236
CELL PHONE & COMPUTER EQUIPMENT11/06/2019$5,681
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 057-419

Name and Address
(A)
DILIGENT CORPORATION

111 W 33RD ST 16TH FLOOR
NEW YORK
NY
10001
Type or Classification
(B)
COMPUTER SOFTWARE COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,200
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,200
BOARD OF DIRECTORS ELECTRONIC DOCUMENTS SOFTWARE12/17/2019$5,200
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.)$1,740,167
COBRA ADMIN FEESFLYTE HCM LLC$1,180
HEALTH INSURANCEHEALTH PARTNERS$774,998
401K ADMINISTRATIONSEIU AFFILIATES 401K PLAN$1,215
401K FEESSEIU FUND OFFICE$383
LIFE INSURANCEMUTUAL OF OMAHA$27,707
PENSIONSEIU AFFILIATES & OFFICERS$645,131
PENSIONTWIN CITY WORKERS PENSION FUND$60,244
HSA FUNDINGASSOCIATED BANK$121,299
WORKMEN'S COMPENSATIONUNION INSURANCE GROUP$61,906
MEMBER SCHOLARSHIPSMEMBERS AND MEMBERS' BENEFICIARIES$11,000
MEMBER RECOGNITIONMULTIPLE MEMBERS$25,104
MEMBER MEMORIALSMEMBERS' BENEFICIARIES$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 057-419
Item 71 Title: Per the Union's constitution and bylaws, the President assigns one of the Executive VPs to perform the duties of principal financial officer. Jigme Ugen has been assigned such duties.

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

Question 10: Fund Name: Twin City Hospital Workers Pension Plan 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):

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):

Question 11(b): : : Name of Subsidiary: Service Employees International Union Local 113 Building Corporation. Address: 345 Randolph Ave., Suite 100, St. Paul, MN 55102 Fiscal Year End: December 31, 2019. 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.

Schedule 13, Row1:

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, Row1:

Schedule 13, Row1:

Schedule 13, Row2:

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.

Schedule 13, Row2:

Schedule 13, Row2:
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)