059-961 (LM2) 12/31/2019
U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210 		FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 09-30-2021
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

This report is mandatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
059-961
2. PERIOD COVERED
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.)
STATE COUNCIL
 6. DESIGNATION NBR
14
7. UNIT NAME (if any)
WASHINGTON STATE COUNCIL NORTHWESTERN STATES
8. MAILING ADDRESS (Type or print in capital letters)
First Name
ZENIA
 Last Name
JAVALERA
P.O Box - Building and Room Number
SUITE 300
Number and Street
3161 ELLIOTT AVENUE
City
SEATTLE
State
WA		 ZIP Code + 4
98121


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


Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:Zenia JavaleraPRESIDENT71. SIGNED:Tricia SchroederTREASURER
Date:Mar 31, 2020Telephone Number:206-441-0202Date:Mar 31, 2020Telephone Number:206-441-0202
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 059-961
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$390,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?12/2020
20. How many members did the labor organization have at the end of the reporting period?0
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees0per000
(b) Working Dues/Fees0per000
(c) Initiation Fees0per000
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 059-961

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $352,281$565,494
23. Accounts Receivable1$212,269$9,019
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$0
27. Fixed Assets6$2,058$1,408
28. Other Assets7$0
29. TOTAL ASSETS $566,608$575,921

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$928$0
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$7,952$9,353
34. TOTAL LIABILITIES $8,880$9,353
35. NET ASSETS$557,728$566,568
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 059-961

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $0
37. Per Capita Tax $781,835
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $29
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$179,434
49. TOTAL RECEIPTS $961,298
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$0
51. Political Activities and Lobbying16$401,776
52. Contributions, Gifts, and Grants17$52,642
53. General Overhead18$86,020
54. Union Administration19$130,490
55. Benefits20$64,274
56. Per Capita Tax $0
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $15,270
  
66. Subtotal $750,472
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$50,971  
  67b. Less Total Disbursed$48,584  
  67c. Total Withheld But Not Disbursed $2,387
68. TOTAL DISBURSEMENTS $748,085
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 059-961

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable$9,019   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $9,019$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 059-961

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$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: 059-961

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Gross Sales Price
(D) 		Amount Received
(E)
Total of all lines above$0$0$0$0
Less Reinvestments 
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 059-961

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments 
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 059-961

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost
E. Total Book Value
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.  
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 059-961

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$9,936$8,528$1,408$1,408
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $9,936$8,528$1,408$1,408
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 059-961

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 059-961

Entity or Individual Name
(A) 		Total Account
Payable
(B) 		90-180 Days
Past Due
(C) 		180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$0$0$0$0
Total from all other accounts payable$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 059-961

Source of Loans Payable at Any
Time During the Reporting Period
(A) 		Loans Owed at
Start of Period
(B) 		Loans Obtained
During Period
(C) 		Repayment
During Period
Cash
(D)(1) 		Repayment
During Period
Other Than Cash
(D)(2) 		Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 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: 059-961

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $9,353
Payroll Liabilities$6,924
Accrued Vacation Leave$2,429
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 059-961

(A)
Name		(B)
Title		(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 		Sosne ,  Diane  
Vice President
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 		Hart ,  Karen  
Chair
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 		Salinas ,  Sergio  
Vice President
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 		Niemi ,  Meg  
Vice President
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 		Shindler ,  Charlotte  
Vice President
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 		Harders ,  Sterling  
Vice President
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 		Schroeder ,  Patricia  
Vice President
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 		Javalera ,  Zenia  
Vice President
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 %
Total Officer Disbursements$0$0$0$0$0
Less Deductions     
Net Disbursements    $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 059-961

(A)
Name		(B)
Title		(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 		Nelson ,  Michael  
Co-Executive Director
None		$79,803$0$1,625$0$81,428
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		75 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		25 %
A
B
C 		Crapsey ,  Ana Maria  
Co-Executive Director
None		$80,562$0$2,099$0$82,661
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 		Uyehara ,  Torii  
Director
None		$14,583$0$195$0$14,778
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$0
I Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
Total Employee Disbursements$174,948$0$3,919$0$178,867
Less Deductions     
Net Disbursements    $178,867
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 059-961

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 0 
Agency Fee Payers*0
Total Members/Fee Payers0 
*Agency Fee Payers are not considered members of the labor organization.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 059-961

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$169,962
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$9,472
4. Total Receipts$179,434
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$40,000
2. Named Payee Non-itemized Disbursements$2,500
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$10,142
6. Total Disbursements$52,642
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$0
6. Total Disbursements$0
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$10,192
2. Named Payee Non-itemized Disbursements$65,691
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$10,137
6. Total Disbursements$86,020
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$324,112
2. Named Payee Non-itemized Disbursements$11,534
3. To Officers$0
4. To Employees$61,071
5. All Other Disbursements$5,059
6. Total Disbursements$401,776
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$6,500
2. Named Payee Non-itemized Disbursements$2,350
3. To Officers$0
4. To Employees$117,796
5. All Other Disbursements$3,844
6. Total Disbursements$130,490
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 059-961

Name and Address
(A)
SEIU780120SEIU International Union

1800 Massachusetts Ave N
Washington
DC
20036
Type or Classification
(B)
International Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$100,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$100,000
Infrastructure Subsidy01/25/2019$8,334
Infrastructure Subsidy02/08/2019$8,334
Infrastructure Subsidy03/08/2019$8,334
Infrastructure Subsidy04/05/2019$8,334
Infrastructure Subsidy05/03/2019$8,333
Infrastructure Subsidy06/07/2019$8,333
Infrastructure Subsidy07/04/2019$8,333
Infrastructure Subsidy08/02/2019$8,333
Infrastructure Subsidy09/06/2019$8,333
Infrastructure Subsidy10/04/2019$8,333
Infrastructure Subsidy11/08/2019$8,333
Infrastructure Subsidy12/06/2019$8,333
Name and Address
(A)
Ullico Casualty Group

8403 Colesville Rd
Silver Spring
MD
20910
Type or Classification
(B)
Legal Settlement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$69,962
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$69,962
Legal Reimbursement03/22/2019$69,962
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 059-961

There was no data found for this schedule.

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 059-961

Name and Address
(A)
Barnard Iglitzin Lavitt LLP

18 W Mercer ST, Ste 400
Seattle
WA
98119
Type or Classification
(B)
Professional Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,663
Total Non-Itemized Transactions with this Payee/Payer$11,534
Total of All Transactions with this Payee/Payer for This Schedule$29,197
Legal Services03/25/2019$5,500
Legal Services04/11/2019$12,163
Name and Address
(A)
Fuse Washington

1402 Third Ave, Ste 406
Seattle
WA
98101
Type or Classification
(B)
Statewide 501c4 organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution05/24/2019$5,000
Name and Address
(A)
GBAO

1701 K Street NW, Ste 600
Washington
DC
20006
Type or Classification
(B)
Professional Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$30,000
Revenue Research08/23/2019$30,000
Name and Address
(A)
Moxie Media
30084

Seattle
WA
98113-0084
Type or Classification
(B)
Communications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$39,885
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$39,885
Member Communication Mailing10/14/2019$39,885
Name and Address
(A)
Northwest Accountability Project
42561

Portland
OR
97242
Type or Classification
(B)
Statewide 501c4 organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$50,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$50,000
Contribution11/11/2019$50,000
Name and Address
(A)
Proteus Action League

15 Research Dr, Ste B
Amherst
MA
01002
Type or Classification
(B)
Statewide 501c4 organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution08/29/2019$5,000
Name and Address
(A)
Washington Bus

307 3rd Ave S #530
Seattle
MA
98104
Type or Classification
(B)
Statewide 501c4 organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution05/24/2019$5,000
Name and Address
(A)
Washington State Treasurer
40908

Olympia
WA
98504
Type or Classification
(B)
Lawsuit Settlement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$146,564
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$146,564
Case #17-2-04061-3403/08/2019$146,564
Name and Address
(A)
Win/Win Action

1402 3rd Ave, Ste 201
Seattle
WA
98101
Type or Classification
(B)
Statewide 501c4 organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$15,000
Contribution04/16/2019$15,000
Name and Address
(A)
Working Washington

116 Warren Ave N, Ste A
Seattle
WA
98109
Type or Classification
(B)
Statewide 501c4 organization
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
Contribution05/30/2019$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 059-961

Name and Address
(A)
Comm Hlth Wrkr Cltn for Migrants and Refugees

24315 89th Pl W
Edmonds
WA
98026
Type or Classification
(B)
501c3 Nonprofit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution11/21/2019$5,000
Name and Address
(A)
Washington Immigrant Solidarity Network
48159

Burien
WA
98148
Type or Classification
(B)
501c3 Nonprofit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution12/16/2019$5,000
Name and Address
(A)
Washington Low Income Housing Alliance

100 W Harrison St, Ste N220
Seattle
WA
98119
Type or Classification
(B)
501c3 Nonprofit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution08/23/2019$5,000
Name and Address
(A)
Washington State Budget & Policy Center

1402 Third Ave, Ste 1215
Seattle
WA
98101
Type or Classification
(B)
501c3 Nonprofit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer$2,500
Total of All Transactions with this Payee/Payer for This Schedule$27,500
Contribution07/11/2019$25,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 059-961

Name and Address
(A)
Century Link Seattle
91155

Seattle
WA
98111-9255
Type or Classification
(B)
Telephone Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,664
Total of All Transactions with this Payee/Payer for This Schedule$6,664
Name and Address
(A)
Diamond Building

76 S. Washington St, M102
Seattle
WA
98104
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$31,568
Total of All Transactions with this Payee/Payer for This Schedule$31,568
Name and Address
(A)
Labor 1992 Corporation

321 16th Ave S
Seattle
WA
98144
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$22,035
Total of All Transactions with this Payee/Payer for This Schedule$22,035
Name and Address
(A)
Parking Services
2150

Spokane
WA
99201-7197
Type or Classification
(B)
Parking permit company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,416
Total of All Transactions with this Payee/Payer for This Schedule$5,416
Name and Address
(A)
Redmond General Insurance Agency
847

Redmond
WA
98073-0847
Type or Classification
(B)
Insurance Broker
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,192
Total Non-Itemized Transactions with this Payee/Payer$8
Total of All Transactions with this Payee/Payer for This Schedule$10,200
D&O Insurance10/23/2019$10,192
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 059-961

Name and Address
(A)
Brantley Janson Yost & Ellison

1617 325th St
Federal Way
WA
98003-6009
Type or Classification
(B)
Professional Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,500
Total Non-Itemized Transactions with this Payee/Payer$2,350
Total of All Transactions with this Payee/Payer for This Schedule$8,850
Accounting Services03/11/2019$6,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 059-961

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$64,274
PensionSEIU Affiliates Pension Fund$36,125
Health InsuranceService Employees Health & Welfare Trust$25,922
Life & Disability InsuranceStandard Insurance Company$1,871
Vision InsuranceVision Service Plan$356
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 059-961


Question 11(a):

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

Question 12: Brantley Janson
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)