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
058-417
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.)
SYSTEM COUNCIL
 6. DESIGNATION NBR

7. UNIT NAME (if any)
SEIU MICHIGAN STATE COUNCIL
8. MAILING ADDRESS (Type or print in capital letters)
First Name
ANDREW
 Last Name
POTTER
P.O Box - Building and Room Number
P.O. BOX 13082
Number and Street
City
LANSING
State
MI		 ZIP Code + 4
48901


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


No

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:Andy PotterPRESIDENT71. SIGNED:Jeremy O TrippACTING TREASURER
Date:Jul 29, 2020Telephone Number:269-838-5864Date:Jul 29, 2020Telephone Number:517-395-8124
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 058-417
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?$83,000
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?25,505
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.00perMonthn/an/a
(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: 058-417

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $178,206$397,361
23. Accounts Receivable1$0
24. Loans Receivable2
25. U.S. Treasury Securities $0$0
26. Investments5
27. Fixed Assets6
28. Other Assets7
29. TOTAL ASSETS $178,206$397,361

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$49,736
34. TOTAL LIABILITIES $0$49,736
35. NET ASSETS$178,206$347,625
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 058-417

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $0
37. Per Capita Tax $307,316
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $0
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$237,500
49. TOTAL RECEIPTS $544,816
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$12,078
51. Political Activities and Lobbying16$247,897
52. Contributions, Gifts, and Grants17$9,380
53. General Overhead18$31,694
54. Union Administration19$19,412
55. Benefits20
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 $5,200
  
66. Subtotal $325,661
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$0  
  67b. Less Total Disbursed$0  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $325,661
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 058-417

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 058-417

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: 058-417

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: 058-417

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: 058-417

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: 058-417

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
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 058-417

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: 058-417

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: 058-417

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: 058-417

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $49,736
AMOUNT DUE TO AFFILIATES$49,736
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 058-417

(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 		POTTER ,  ANDREW   C
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 		ESTLUND OLSON ,  LIZA   A
TREASURER
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 		GARZA ,  LAURA  
RECORDING SECRETARY
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 		COMBS ,  JOEY   C
TRUSTEE
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 		HEATH ,  GEORGE   A
TRUSTEE
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 		TYLUTKI ,  THOMAS  
TRUSTEE
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 		TRIPP ,  JEREMY   O
TRUSTEE
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 		SKIPPINGS ,  INGA  
TRUSTEE
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 		POLANCO MARTE ,  FREDDY  
TRUSTEE
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 %
Total Officer Disbursements$0$0$0$0$0
Less Deductions    $0
Net Disbursements    $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 058-417

I Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
Total Employee Disbursements$0$0$0$0$0
Less Deductions     
Net Disbursements    $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 058-417

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 25,505 
Agency Fee Payers*0
Total Members/Fee Payers25,505 
*Agency Fee Payers are not considered members of the labor organization.
LOCAL UNION MEMBERSHIP25,505Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 058-417

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$237,500
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts
4. Total Receipts$237,500
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$7,500
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$1,880
6. Total Disbursements$9,380
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$12,078
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$0
6. Total Disbursements$12,078
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$10,000
2. Named Payee Non-itemized Disbursements$16,159
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$5,535
6. Total Disbursements$31,694
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$201,646
2. Named Payee Non-itemized Disbursements$45,677
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$574
6. Total Disbursements$247,897
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$18,939
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$473
6. Total Disbursements$19,412
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 058-417

Name and Address
(A)
SERVICE EMPLOYEES INTERNATIONAL UNION

1800 MASSACHUSETTS AVE
WASHINGTON
DC
20036
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$237,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$237,500
INTERNATIONAL SUBSIDY01/25/2019$8,333
INTERNATIONAL SUBSIDY02/08/2019$8,333
INTERNATIONAL SUBSIDY03/08/2019$8,333
INTERNATIONAL SUBSIDY04/05/2019$8,333
INTERNATIONAL SUBSIDY05/03/2019$8,333
INTERNATIONAL SUBSIDY06/07/2019$8,333
INTERNATIONAL SUBSIDY07/05/2019$8,333
INTERNATIONAL SUBSIDY08/02/2019$8,333
INTERNATIONAL SUBSIDY09/06/2019$8,334
INTERNATIONAL SUBSIDY10/04/2019$8,334
INTERNATIONAL SUBSIDY11/08/2019$8,334
INTERNATIONAL SUBSIDY12/06/2019$8,334
EXPENSE REIMBURSEMENT10/21/2019$137,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 058-417

Name and Address
(A)
SEIU HEALTHCARE MICHIGAN

3031 W. GRAND BLVD. #555
DETROIT
MI
48201
Type or Classification
(B)
LOCAL UNION-EXPENSE REIMBURSEMENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,272
Total of All Transactions with this Payee/Payer for This Schedule$5,272
Name and Address
(A)
SEIU LOCAL UNION 526-M

421 W. KALAMAZOO ST
LANSING
MI
48933
Type or Classification
(B)
LOCAL UNION-EXPENSE REIMBURSEMENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,806
Total of All Transactions with this Payee/Payer for This Schedule$6,806
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 058-417

Name and Address
(A)
BLUELOTUS STRATEGIES, LLC

2785 E. GRAND BLVD.
DETROIT
MI
48211
Type or Classification
(B)
POLITICAL CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,000
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Name and Address
(A)
COALITION FOR SECURE RETIREMENT

110 W. MICHIGAN
LANSING
MI
48933
Type or Classification
(B)
POLITICAL ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$20,000
SUBSCRIPTION04/22/2019$10,000
SUBSCRIPTION06/25/2019$10,000
Name and Address
(A)
MICHIGAN DEMOCRATIC PARTY

606 TOWNSEND
LANSING
MI
48933
Type or Classification
(B)
POLITICAL 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
CONTRIBUTION04/25/2019$10,000
Name and Address
(A)
SEIU 517-M

1026 E. MICHIGAN AVE.
LANSING
MI
48912
Type or Classification
(B)
LOCAL UNION-EXPENSE REIMBURSEMENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,384
Total Non-Itemized Transactions with this Payee/Payer$408
Total of All Transactions with this Payee/Payer for This Schedule$7,792
EXPENSE REIMBURSEMENT12/30/2019$7,384
Name and Address
(A)
SEIU HEALTHCARE MICHIGAN

3031 W. GRAND BLVD. #555
DETROIT
MI
48201
Type or Classification
(B)
LOCAL UNION-EXPENSE REIMBURSEMENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$47,112
Total Non-Itemized Transactions with this Payee/Payer$10,820
Total of All Transactions with this Payee/Payer for This Schedule$57,932
EXPENSE REIMBURSEMENT07/22/2019$15,000
EXPENSE REIMBURSEMENT08/10/2019$13,645
EXPENSE REIMBURSEMENT09/28/2019$7,923
EXPENSE REIMBURSEMENT11/21/2019$5,272
EXPENSE REIMBURSEMENT12/30/2019$5,272
Name and Address
(A)
SEIU LOCAL UNION 526-M

421 W. KALAMAZOO ST
LANSING
MI
48933
Type or Classification
(B)
LOCAL UNION-EXPENSE REIMBURSEMENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,000
Total Non-Itemized Transactions with this Payee/Payer$28,449
Total of All Transactions with this Payee/Payer for This Schedule$54,449
EXPENSE REIMBURSEMENT05/13/2019$14,000
EXPENSE REIMBURSEMENT07/17/2019$12,000
Name and Address
(A)
SERVICE EMPLOYEES INTERNATIONAL UNION

1800 MASSACHUSETTS AVE
WASHINGTON
DC
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$28,650
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$28,650
PROGRAM EXPENSE-CONTRIBUTION12/30/2019$15,000
PROGRAM EXPENSE-EXPENSE REIMBURSEMENT06/25/2019$13,650
Name and Address
(A)
TWO PENINSULAS RESEARCH GROUP

215 S. WASHINGTON #135
LANSING
MI
48933
Type or Classification
(B)
POLITICAL RESEARCH GROUP
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$62,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$62,500
RESEARCH SUBSCRIPTION04/22/2019$62,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 058-417

Name and Address
(A)
DETROIT BRANCH NAACP

8220 2ND AVENUE
DETROIT
MI
48202
Type or Classification
(B)
CHARITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,500
CONTRIBUTION04/22/2019$7,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 058-417

Name and Address
(A)
ATRIUM OFFICE PARTNERS

201 N. WASHINGTON SQUARE
LANSING
MI
48933
Type or Classification
(B)
LESSOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,659
Total of All Transactions with this Payee/Payer for This Schedule$13,659
Name and Address
(A)
DETROIT ASSOCIATION OF BLACK ORGANIZATIONS

12048 GRAND RIVER AVE.
DETROIT
MI
48204
Type or Classification
(B)
LESSOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$2,500
Total of All Transactions with this Payee/Payer for This Schedule$7,500
OFFICE RENTAL-OCTOBER/NOVEMBER 201909/25/2019$5,000
Name and Address
(A)
KUSHNER, KIPPELMAN & TAUB, PLLC

28580 ORCHARD LAKE ROAD
FARMINGTON HILLS
MI
48334
Type or Classification
(B)
ACCOUNTING AND AUDIT
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
ACCOUNTING AND AUDIT FEES12/16/2019$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 058-417

Name and Address
(A)
CITY FLATS HOTEL

83 MONROE CENTER
GRAND RAPIDS
MI
49503
Type or Classification
(B)
HOTEL-CONFERENCE EXPENSE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,861
Total of All Transactions with this Payee/Payer for This Schedule$6,861
Name and Address
(A)
SEIU HEALTHCARE MICHIGAN

3031 W. GRAND BLVD. #555
DETROIT
MI
48201
Type or Classification
(B)
LOCAL UNION - EXPENSE REIMBURSEMENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,272
Total of All Transactions with this Payee/Payer for This Schedule$5,272
Name and Address
(A)
SEIU LOCAL UNION 526-M

421 W. KALAMAZOO ST
LANSING
MI
48933
Type or Classification
(B)
LOCAL UNION - EXPENSE REIMBURSEMENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,806
Total of All Transactions with this Payee/Payer for This Schedule$6,806
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 058-417

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 058-417
Address of Record: The books and records are kept at 421 W. Kalamazoo Street, Lansing, MI 48933.Item 71 Title: The position of Treasurer is vacant at the time of this filing. Jeremy Tripp, Acting Treasurer will be signing in place of the Treasurer.

Question 12: Audit - Kushner, Kippelman & Taub, PLLC

Question 11(a):

Question 11(a): SEIU Michigan State Council PAC - Reports are filed with the Michigan Department of State, Bureau of Elections.

Schedule 13, Row1:

Schedule 13, Row1:Members with affiliated Local Unions. Each Local Union remits $1.00 per member per month. The Executive Board of the Council has voting privileges.

Schedule 13, Row1:

Schedule 13, Row1:

General Information:

Schedule 11 - All Officers and Disbursements to Officers As of December 31, 2019 the only remaining elected officer was Andrew C. Potter, President. All of the other Executive Board positions were vacant as of December 31, 2019. The Council is currently in the process of rewriting its bylaws and plans to hold an election before the end of 2020 to fill the vacant Executive Board positions.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)