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
540-833
2. PERIOD COVERED
From10/01/2019
Through09/30/2020
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
1984
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
BRADLEY
Last Name
FREY
P.O Box - Building and Room Number

Number and Street
207 NORTH MAIN STREET
City
CONCORD
State
NH
ZIP Code + 4
03301


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:Richard GullaPRESIDENT71. SIGNED:Avis CraneTREASURER
Date:Dec 21, 2020Telephone Number:603-271-3411Date:Dec 21, 2020Telephone Number:603-271-3411
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 540-833
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?10/2020
20. How many members did the labor organization have at the end of the reporting period?6,725
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.25%perHOURN/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: 540-833

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $4,688,690$4,975,038
23. Accounts Receivable1$46,276$16,291
24. Loans Receivable2$913,194$855,003
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$76,283$51,706
28. Other Assets7$34,531$60,489
29. TOTAL ASSETS $5,758,974$5,958,527

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$208,736$182,470
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$3,611,414$2,929,456
34. TOTAL LIABILITIES $3,820,150$3,111,926
35. NET ASSETS$1,938,824$2,846,601
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 540-833

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $4,155,956
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $33,420
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$58,191
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$247,086
49. TOTAL RECEIPTS $4,494,653
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,351,821
51. Political Activities and Lobbying16$252,547
52. Contributions, Gifts, and Grants17$23,048
53. General Overhead18$655,791
54. Union Administration19$269,560
55. Benefits20$544,920
56. Per Capita Tax $971,555
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$0
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $139,063
  
66. Subtotal $4,208,305
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$546,118  
  67b. Less Total Disbursed$546,118  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $4,208,305
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 540-833

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$16,291   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $16,291$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 540-833

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$913,194$0$58,191$0$855,003
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 45 Item 69
with Explanation
Item 24
Column (B)
Name: NH SEA BUILDING ASSOCIATION
Purpose: 207 NORTH MAIN BLDG
Security: REAL ESTATE
Terms of Repayment: 348 MONTHS
$419,823$0$43,273$0$376,550
Name: NH SEA BUILDING CORPORATION
Purpose: 205 NORTH MAIN LAND
Security: REAL ESTATE
Terms of Repayment: 360 MONTHS
$493,371$0$14,918$0$478,453
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 540-833

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: 540-833

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$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 540-833

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: 540-833

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$180,522$140,670$39,852$39,852
E. Other Fixed Assets$17,059$5,205$11,854$11,854
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $197,581$145,875$51,706$51,706
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 540-833

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $60,489
PREPAID UNIONWARE$25,935
PREPAID INSURANCE$34,554
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 540-833

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$182,470$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $182,470$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 540-833

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: 540-833

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $2,929,456
ACCRUED RETIREMENT OBLIGATION$2,683,145
ACCRUED LEAVE$145,520
ACCRUED SALARIES$83,217
PAYROLL LIABILITIES$17,574
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 540-833

(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
GULLA ,  RICHARD  
PRESIDENT
C
$120,940$0$204$0$121,144
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
FIELDS ,  MARY  
1ST VICE PRESIDENT
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
HATTAN ,  JOHN  
2ND VICE PRESIDENT
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
PERKINS ,  CINDY  
SECRETARY
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
GRIFFIN ,  KIMOTHY  
TREASURER
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
CRANE ,  AVIS  
DIRECTOR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
BOURQUE ,  MIKAYLA  
DIRECTOR
C
$0$0$101$0$101
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
MARTINS ,  GERMANO  
DIRECTOR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
DERDERIAN ,  MICHAEL  
DIRECTOR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
AMROL ,  JOHN  
DIRECTOR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
TOWNE ,  CHERYL  
DIRECTOR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
FAIRCHILD ,  HEATHER  
DIRECTOR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
NALL ,  JAMES  
DIRECTOR
C
$0$0$749$0$749
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
DEARBORN ,  COREY  
DIRECTOR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
MUSKE ,  KENNETH  
DIRECTOR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
BURT ,  PHILLIP  
DIRECTOR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
A
B
C
BRUNETTE ,  PETER  
DIRECTOR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
91 %
Total Officer Disbursements$120,940$0$1,054$0$121,994
Less Deductions    $7,738
Net Disbursements    $114,256
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 540-833

(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
ABORN ,  BETH  
LEGAL COORDINATOR
N/A
$73,292$0$505$0$73,797
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
10 %
A
B
C
BAKER ,  TAMMY  
ACCOUNT TECH./SECRETARY
N/A
$28,549$0$342$0$28,891
I
Schedule 15
Representational Activities
55 % Schedule 16
Political Activities and Lobbying
20 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
13 % Schedule 19
Administration
11 %
A
B
C
BERNARDIN ,  MELISSA  
POLITICAL DIRECTOR
N/A
$36,115$0$758$0$36,873
I
Schedule 15
Representational Activities
6 % Schedule 16
Political Activities and Lobbying
94 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
BOLTON ,  SEAN  
GRIEVANCE REPRESENTATIVE
N/A
$70,921$0$2,150$0$73,071
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
CAPEN ,  ANDREW  
INTERNAL ORGANIZER
N/A
$70,919$0$1,409$0$72,328
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
CHELLIS ,  JEAN  
SR FIELD REP/INTERNAL ORG
N/A
$56,228$0$253$0$56,481
I
Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
3 % Schedule 19
Administration
3 %
A
B
C
COCUZZO ,  KRISTEN  
BUSINESS ADMINISTRATOR
N/A
$75,605$0$35$0$75,640
I
Schedule 15
Representational Activities
6 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
49 % Schedule 19
Administration
44 %
A
B
C
FILLION ,  TINA  
ACCOUNTANT
N/A
$84,069$0$455$0$84,524
I
Schedule 15
Representational Activities
55 % Schedule 16
Political Activities and Lobbying
20 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
13 % Schedule 19
Administration
11 %
A
B
C
FREY ,  BRADLEY  
FINANCE MANAGER
N/A
$21,203$0$222$0$21,425
I
Schedule 15
Representational Activities
6 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
49 % Schedule 19
Administration
44 %
A
B
C
HOLT ,  DAVID  
EXTERNAL LEAD ORGANIZER
N/A
$66,120$0$1,912$0$68,032
I
Schedule 15
Representational Activities
71 % Schedule 16
Political Activities and Lobbying
12 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
8 %
A
B
C
HUBERTY ,  ADAM  
INTERNAL ORGANIZER
N/A
$57,510$0$2,051$0$59,561
I
Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
1 %
A
B
C
HUNNEYMAN ,  RANDY  
EXEC BRANCH NEGOTIATOR
N/A
$80,128$0$756$0$80,884
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
JARDINE ,  JUSTIN  
INTERNAL ORGANIZER
N/A
$42,055$0$667$0$42,722
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
MANK ,  MEREDITH  
ASSISTANT MANAGER OF COMM
N/A
$15,687$0$35$0$15,722
I
Schedule 15
Representational Activities
40 % Schedule 16
Political Activities and Lobbying
27 % Schedule 17
Contributions
9 % Schedule 18
General Overhead
9 % Schedule 19
Administration
15 %
A
B
C
MCCARTHY ,  MICHAEL  
IT SPECIALIST
N/A
$50,780$0$520$0$51,300
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
MCENANY ,  WESLEY  
ORGANIZING ADMINISTRATOR
N/A
$34,538$0$520$0$35,058
I
Schedule 15
Representational Activities
77 % Schedule 16
Political Activities and Lobbying
15 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
8 %
A
B
C
MCMAHON ,  CHARLES  
GRIEVANCE REPRESENTATIVE
N/A
$70,929$0$924$0$71,853
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
MORIARTY ,  MELISSA  
COMMUNICATIONS DIRECTOR
N/A
$89,912$0$507$0$90,419
I
Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
9 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
0 %
A
B
C
MORRILL ,  JACALYN  
MEMBERSHIP COORDINATOR
N/A
$45,782$0$378$0$46,160
I
Schedule 15
Representational Activities
55 % Schedule 16
Political Activities and Lobbying
20 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
13 % Schedule 19
Administration
11 %
A
B
C
PELLETIER ,  LAURIE  
INTERNAL ORGANIZER
N/A
$65,871$0$2,332$0$68,203
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
PETIT ,  MASON  
CONS. MEM. ENGAGE. COORD.
N/A
$62,948$0$241$0$63,189
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
SMITH ,  NEIL  
FIELD REPRESENTATIVE II
N/A
$86,504$0$3,483$0$89,987
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
SCHMUHL ,  PAMELA  
CHIEF OPERATING OFFICER
N/A
$18,732$0$388$0$19,120
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
49 % Schedule 19
Administration
45 %
A
B
C
SNYDER ,  GARY  
GENERAL COUNSEL
N/A
$108,006$0$6,143$0$114,149
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
10 %
A
B
C
THYNG ,  JOHN  
LEAD INTERNAL ORGANIZER
N/A
$87,948$0$746$0$88,694
I
Schedule 15
Representational Activities
84 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
11 % Schedule 18
General Overhead
2 % Schedule 19
Administration
0 %
A
B
C
TIERNAN ,  CULLEN  
POLITICAL DIRECTOR
N/A
$15,502$0$1,137$0$16,639
I
Schedule 15
Representational Activities
6 % Schedule 16
Political Activities and Lobbying
94 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
TOLAND ,  ANDREW  
MEDIA & COMMUNICATIONS
N/A
$33,583$0$416$0$33,999
I
Schedule 15
Representational Activities
40 % Schedule 16
Political Activities and Lobbying
27 % Schedule 17
Contributions
9 % Schedule 18
General Overhead
9 % Schedule 19
Administration
15 %
A
B
C
WARD ,  JAY  
POLITICAL ORGANIZER
N/A
$50,000$0$25$0$50,025
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
85 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
15 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$12,075$0$0$0$12,075
I Schedule 15
Representational Activities
55 % Schedule 16
Political Activities and Lobbying
20 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
13 % Schedule 19
Administration
11 %
Total Employee Disbursements$1,611,511$0$29,310$0$1,640,821
Less Deductions    $538,380
Net Disbursements    $1,102,441
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 540-833

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 6,725 
Agency Fee Payers*2
Total Members/Fee Payers6,727 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR6,204Yes
ASSOCIATE521Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 540-833

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$233,874
2. Named Payer Non-itemized Receipts$7,808
3. All Other Receipts$5,404
4. Total Receipts$247,086
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,219
4. To Employees$15,948
5. All Other Disbursements$5,881
6. Total Disbursements$23,048
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$190,750
2. Named Payee Non-itemized Disbursements$29,426
3. To Officers$2,440
4. To Employees$1,109,753
5. All Other Disbursements$19,452
6. Total Disbursements$1,351,821
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$176,210
2. Named Payee Non-itemized Disbursements$197,160
3. To Officers$1,219
4. To Employees$155,728
5. All Other Disbursements$125,474
6. Total Disbursements$655,791
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$6,099
4. To Employees$237,396
5. All Other Disbursements$9,052
6. Total Disbursements$252,547
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$19,690
2. Named Payee Non-itemized Disbursements$5,794
3. To Officers$111,015
4. To Employees$122,001
5. All Other Disbursements$11,060
6. Total Disbursements$269,560
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 540-833

Name and Address
(A)
NORTHEAST DELTA DENTAL
2002

CONCORD
NH
03302-2002
Type or Classification
(B)
EVENT SPONSORSHIPS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,816
Total of All Transactions with this Payee/Payer for This Schedule$6,816
Name and Address
(A)
SEIU GENERAL FUND

1800 MASSACHUSETTS AVE
WASHINGTON
DC
20036
Type or Classification
(B)
UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$233,874
Total Non-Itemized Transactions with this Payee/Payer$992
Total of All Transactions with this Payee/Payer for This Schedule$234,866
INFRASTRUCTURE SUBSIDY & BOD STIPEND10/07/2019$9,293
INFRASTRUCTURE SUBSIDY & BOD STIPEND11/08/2019$9,293
INFRASTRUCTURE SUBSIDY & BOD STIPEND12/06/2019$9,293
PROGRAM GRANT12/20/2019$30,000
LEGAL DEFENSE12/27/2019$43,417
INFRASTRUCTURE SUBSIDY & BOD STIPEND01/03/2020$9,293
ARBITRATION REIMBURSEMENT01/31/2020$24,969
INFRASTRUCTURE SUBSIDY & BOD STIPEND02/07/2020$9,293
INFRASTRUCTURE SUBSIDY & BOD STIPEND03/06/2020$9,293
INFRASTRUCTURE SUBSIDY & BOD STIPEND04/03/2020$9,293
INFRASTRUCTURE SUBSIDY & BOD STIPEND05/08/2020$9,293
INFRASTRUCTURE SUBSIDY & BOD STIPEND06/05/2020$9,293
ARBITRATION REIMBURSEMENT06/12/2020$23,972
INFRASTRUCTURE SUBSIDY & BOD STIPEND07/03/2020$9,293
INFRASTRUCTURE SUBSIDY & BOD STIPEND08/07/2020$9,293
INFRASTRUCTURE SUBSIDY & BOD STIPEND09/04/2020$9,293
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 540-833

Name and Address
(A)
BETTER FORMS

1650 ELM ST, STE 202
MANCHESTER
NH
03101
Type or Classification
(B)
PRINTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,743
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,743
PRINTING CBAS05/05/2020$6,743
Name and Address
(A)
BREDHOFF & KAISER, PLLC

805 15TH ST NW #1000
WASHINGTON
DC
20005
Type or Classification
(B)
ATTORNEY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$44,907
Total Non-Itemized Transactions with this Payee/Payer$4,288
Total of All Transactions with this Payee/Payer for This Schedule$49,195
ATTORNEY SERVICES12/12/2019$15,826
ATTORNEY SERVICES12/13/2019$5,812
ATTORNEY SERVICES12/18/2019$12,298
ATTORNEY SERVICES03/26/2020$10,971
Name and Address
(A)
IMAGE POINTE
657

WATERLOO
IA
50702
Type or Classification
(B)
PROMOTIONAL ITEMS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,613
Total Non-Itemized Transactions with this Payee/Payer$2,061
Total of All Transactions with this Payee/Payer for This Schedule$9,674
GARMENTS06/18/2020$7,613
Name and Address
(A)
JAMES S. COOPER

8 WINCHESTER ST
BOSTON
MA
02116
Type or Classification
(B)
ATTORNEY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,570
Total of All Transactions with this Payee/Payer for This Schedule$5,570
Name and Address
(A)
MILNER & KRUPSKI, PLLC

1 PILLSBURY ST, STE 204
CONCORD
NH
03301
Type or Classification
(B)
ATTORNEY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$108,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$108,000
LEGAL SERVICES10/01/2019$9,000
LEGAL SERVICES11/01/2019$9,000
LEGAL SERVICES12/01/2019$9,000
LEGAL SERVICES01/01/2020$9,000
LEGAL SERVICES02/03/2020$9,000
LEGAL SERVICES03/01/2020$9,000
LEGAL SERVICES04/01/2020$9,000
LEGAL SERVICES05/01/2020$9,000
LEGAL SERVICES06/01/2020$9,000
LEGAL SERVICES07/01/2020$9,000
LEGAL SERVICES08/01/2020$9,000
LEGAL SERVICES09/01/2020$9,000
Name and Address
(A)
PASTORI KRANS, PLLC

70 COMMERCIAL ST, STE 203
CONCORD
NH
03301
Type or Classification
(B)
ATTORNEY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,487
Total Non-Itemized Transactions with this Payee/Payer$17,507
Total of All Transactions with this Payee/Payer for This Schedule$35,994
LEGAL SERVICES12/06/2019$8,528
LEGAL SERVICES05/28/2020$9,959
Name and Address
(A)
SARAH KERR GARRATY

21 WEST CIRCLE
CONCORD
MA
01742
Type or Classification
(B)
LEGAL SERVICES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
LEGAL SERVICES01/30/2020$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 540-833

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 540-833

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 540-833

Name and Address
(A)
AMOSKEAG NETWORK CONSULTING GROUP

34 CRYSTAL AVE
DERRY
NH
03038
Type or Classification
(B)
NETWORK/COMPUTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,633
Total of All Transactions with this Payee/Payer for This Schedule$13,633
Name and Address
(A)
BOLTON PARTNERS, INC.

100 LIGHT ST, 9TH FLOOR
BALTIMORE
MD
21202
Type or Classification
(B)
CONSULTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,500
ACTUARIAL SERVICES02/04/2020$7,500
Name and Address
(A)
DAVID MAILHOT ENTERPRISES, INC.

65 MANOR ROAD
CONCORD
NH
03303
Type or Classification
(B)
GROUNDS MAINTENANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,776
Total of All Transactions with this Payee/Payer for This Schedule$18,776
Name and Address
(A)
DE LAGE LANDEN FIN SVCS INC
41602

PHILADELPHIA
PA
19101
Type or Classification
(B)
COPIER LEASE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,299
Total of All Transactions with this Payee/Payer for This Schedule$12,299
Name and Address
(A)
GOOGLE SERVICES

1600 AMPHITHEATRE PARKWAY
MOUNTAIN VIEW
CA
94043
Type or Classification
(B)
ONLINE SERVICES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,988
Total of All Transactions with this Payee/Payer for This Schedule$5,988
Name and Address
(A)
KBW FINANCIAL STAFFING & RECRUITING

5 BEDFORD FARMS, STE 304
BEDFORD
NH
03110
Type or Classification
(B)
CONTRACT LABOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,038
Total of All Transactions with this Payee/Payer for This Schedule$17,038
Name and Address
(A)
KELLY CLEANING SERVICE

193 N STATE ST
CONCORD
NH
03301
Type or Classification
(B)
CLEANING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,809
Total of All Transactions with this Payee/Payer for This Schedule$8,809
Name and Address
(A)
KEYSTONE PRESS, INC.

9 OLD FALLS ROAD
MANCHESTER
NH
03103
Type or Classification
(B)
PRINTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,510
Total of All Transactions with this Payee/Payer for This Schedule$6,510
Name and Address
(A)
NESSERALLA & COMPANY, LLC
1752

MANOMET
MA
02345
Type or Classification
(B)
ACCOUNTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,700
Total Non-Itemized Transactions with this Payee/Payer$3,840
Total of All Transactions with this Payee/Payer for This Schedule$22,540
AUDIT & TAX SERVICES12/06/2019$18,700
Name and Address
(A)
NH SEA BUILDING ASSOCIATION

207 NORTH MAIN STREET
CONCORD
NH
03301
Type or Classification
(B)
OFFICE BUILDING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$102,180
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$102,180
RENT10/03/2019$8,515
RENT11/05/2019$8,515
RENT12/12/2019$8,515
RENT01/02/2020$8,515
RENT02/24/2020$8,515
RENT03/31/2020$8,515
RENT04/10/2020$8,515
RENT05/05/2020$8,515
RENT06/01/2020$8,515
RENT07/15/2020$8,515
RENT08/01/2020$8,515
RENT09/01/2020$8,515
Name and Address
(A)
NH SEA BUILDING CORPORATION

205 NORTH MAIN STREET
CONCORD
NH
03301
Type or Classification
(B)
PARKING LOT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$41,660
Total of All Transactions with this Payee/Payer for This Schedule$41,660
Name and Address
(A)
QUILL CORPORATION
37600

PHILADELPHIA
PA
19101
Type or Classification
(B)
OFFICE SUPPLIES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,164
Total of All Transactions with this Payee/Payer for This Schedule$10,164
Name and Address
(A)
RISK PLACEMENT SERVICES, INC.

33719 TREASURY CENTER
CHICAGO
IL
60694
Type or Classification
(B)
INSURANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$47,830
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$47,830
PROFESSIONAL LIABILITY POLICY03/26/2020$21,875
EMPLOYMENT PRACTICES LIABILITY POLICY04/07/2020$25,955
Name and Address
(A)
THE JOHN SCARPONI AGENCY

1 FISHER AVE
BOSCAWEN
NH
03303
Type or Classification
(B)
INSURANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,050
Total of All Transactions with this Payee/Payer for This Schedule$7,050
Name and Address
(A)
UNION INSURANCE GROUP

303 W ERIE ST, STE 310
CHICAGO
IL
60654
Type or Classification
(B)
INSURANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,161
Total of All Transactions with this Payee/Payer for This Schedule$9,161
Name and Address
(A)
UNIONWARE

260 SAULTEAUX CRESCENT
WINNIPEG
00
R3J 3T2
Type or Classification
(B)
SOFTWARE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$25,935
Total of All Transactions with this Payee/Payer for This Schedule$25,935
Name and Address
(A)
UNITIL
2012

CONCORD
NH
03302
Type or Classification
(B)
ELECTRIC
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,115
Total of All Transactions with this Payee/Payer for This Schedule$10,115
Name and Address
(A)
VERIZON WIRELESS
15023

WORCESTER
MA
01615
Type or Classification
(B)
TELEPHONES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,182
Total of All Transactions with this Payee/Payer for This Schedule$6,182
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 540-833

Name and Address
(A)
BETTER FORMS

1650 ELM ST STE 202
MANCHESTER
NH
03101
Type or Classification
(B)
PRINTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,587
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,587
PRINTING MEMBERSHIP CARDS09/01/2020$7,587
Name and Address
(A)
CANOBIE LAKE PARK CORP

85 NORTH POLICY STREET
SALEM
NH
03079
Type or Classification
(B)
AMUSEMENT PARK
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,171
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,171
ADMISSION TICKETS11/01/2019$6,171
Name and Address
(A)
IMAGE POINTE

1224 LAPORTE RD
WATERLOO
IA
50702
Type or Classification
(B)
UNION GARMENTS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,794
Total of All Transactions with this Payee/Payer for This Schedule$5,794
Name and Address
(A)
PLYMOUTH STATE UNIVERSITY

17 HIGH ST
PLYMOUTH
NH
03264
Type or Classification
(B)
CONVENTION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,932
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,932
CONVENTION FACILITY FEE11/13/2019$5,932
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 540-833

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$544,920
UNEMPLOYMENT INSURANCESTATE OF NH - UC$1,715
RETIREMENT HEALTH INSURANCERETIRED EMPLOYEES$50,897
RETIREMENT PLANEMPOWER$215,655
HEALTH INSURANCETREASURER, STATE OF NH$228,150
RETIREMENT HEALTH INSURANCETREASURER, STATE OF NH$17,945
DENTAL INSURANCEDELTA DENTAL$15,672
LIFE INSURANCESTANDARD INSURANCE CO, ANTHEM LIFE, AND AFLAC$691
AAAAAA$309
DISABILITY INSURANCESTANDARD INSURANCE CO$13,886
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 540-833


Question 11(a):

Question 11(a): SEA PAC, NH STATE EMPLOYEES LOCAL 1984 REPORTING WITH THE STATE OF NEW HAMPSHIRE UNDER CF ID #05005515.

Question 12: AUDIT PERFORMED BY OUTSIDE ACCOUNTANT: NESSERALLA & COMPANY, LLC, P.O. BOX 1752, MANOMET, MA 02345

Schedule 2, Row1:

Schedule 2, Row1::

Schedule 2, Row2:

Schedule 2, Row2::

Schedule 13, Row1:

Schedule 13, Row1::REGULAR MEMBERS ARE ANY PEOPLE HOLDING A STATE CLASSIFIED POSITION, AND THOSE EMPLOYED WITHIN THE UNIVERSITY SYSTEM OF NEW HAMPSHIRE, SCHOOL DISTRICTS, ANY AGENCY CREATED BY GOVERNMENT, AND ENTITY FUNDED TOTALLY OR IN PART BY GOVERNMENT MONEY, OR ANY EMPLOYEE OR ANY EMPLOYER, EXCLUSIVE OF POLITICAL APPOINTEES, THE CHIEF EXECUTIVE OF THE LOCAL POLITICAL SUBDIVISIONS, AND ELECTED OFFICIALS, SHALL BE ELIGIBLE FOR MEMBERSHIP.

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row2:

Schedule 13, Row2::ASSOCIATE MEMBERS ARE ANY PART-TIME WORKERS HOLDING ANY POSITION WHICH ARE ELIGIBLE FOR REGULAR MEMBERSHIP.

Schedule 13, Row2:

Schedule 13, Row2::

General Information:
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)