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

This report is mandatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
042-203
2. PERIOD COVERED
From10/01/2019
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
TEACHERS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
 6. DESIGNATION NBR

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


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


Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:Lynnette K VehrsPRESIDENT71. SIGNED:Verlee M SutherlinTREASURER
Date:Dec 28, 2020Telephone Number:509-220-0343Date:Dec 28, 2020Telephone Number:509-466-4406
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 042-203
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?05/2021
20. How many members did the labor organization have at the end of the reporting period?15,646
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1048perYear2021048
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

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

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $10,615,918$10,862,884
23. Accounts Receivable1$6,626$99,299
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$0
27. Fixed Assets6$380,051$315,033
28. Other Assets7$217,103$353,212
29. TOTAL ASSETS $11,219,698$11,630,428

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$734,553$525,076
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$1,084,870$1,505,078
34. TOTAL LIABILITIES $1,819,423$2,030,154
35. NET ASSETS$9,400,275$9,600,274
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 042-203

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $10,654,771
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $5,082
40. Interest $19,680
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $4,240,421
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$316,531
49. TOTAL RECEIPTS $15,236,485
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$5,060,603
51. Political Activities and Lobbying16$402,570
52. Contributions, Gifts, and Grants17$24,540
53. General Overhead18$2,638,429
54. Union Administration19$872,056
55. Benefits20$973,698
56. Per Capita Tax $157,945
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$61,556
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $4,331,087
64. On Behalf of Individual Members $0
65. Direct Taxes $467,035
  
66. Subtotal $14,989,519
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,853,939  
  67b. Less Total Disbursed$1,853,939  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $14,989,519
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 042-203

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$84,043$0$0$0
Totals from all other accounts receivable$15,256   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $99,299$0$0$0
American Federation of Teachers$27,500
Seattle & King County Health Department$9,315
Virginia Mason Medical Center$47,228
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 042-203

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

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Gross Sales Price
(D) 		Amount Received
(E)
Total of all lines above$41,216$1,942$0$0
Office Furniture$10,474$707$0$0
Computer Equipment$28,437$1,235$0$0
Leasehold Improvement$2,305$0$0$0
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 042-203

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$61,556$61,556$61,556
Computer Equipment$55,001$55,001$55,001
Leasehold Improvements$6,555$6,555$6,555
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$61,556
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 042-203

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost
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: 042-203

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$913,321$606,454$306,867$306,867
E. Other Fixed Assets$241,067$232,901$8,166$8,166
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,154,388$839,355$315,033$315,033
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 042-203

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $353,212
Interfund receivables$254,143
Security deposit$23,941
Prepaid Insurance$37,456
Prepaid Postage$14,479
Misc Prepaid Expenses$23,193
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 042-203

Entity or Individual Name
(A) 		Total Account
Payable
(B) 		90-180 Days
Past Due
(C) 		180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$0$0$0$0
Total from all other accounts payable$525,076$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $525,076$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 042-203

Source of Loans Payable at Any
Time During the Reporting Period
(A) 		Loans Owed at
Start of Period
(B) 		Loans Obtained
During Period
(C) 		Repayment
During Period
Cash
(D)(1) 		Repayment
During Period
Other Than Cash
(D)(2) 		Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 042-203

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,505,078
Accrued Payroll and Payroll taxes$202,568
Accrued Vacation and Sick Pay$869,905
Dues Collected for Districts$144,836
Interfund Payable$244,260
Deferred Rent$43,509
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 042-203

(A)
Name		(B)
Title		(C)
Status		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances
Disbursed 		(F)
Disbursements for Official Business 		(G)
Other
Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		Vehrs ,  Lynnette  
President
C		$16,200$0$14,978$0$31,178
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Graves ,  Jennifer  
Vice-President
C		$0$0$18$0$18
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Sutherlin ,  Verlee  
Secretary/ Treasurer
C		$0$0$756$0$756
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Barcott ,  Julia  
Cabinet Chair
C		$0$0$339$0$339
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Gill ,  Justin  
Legislative Chair
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 		Cumiskey ,  Charles  
PNHCC Chair
C		$0$0$176$0$176
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Halvorsen ,  Adam  
Director
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 		Lyons ,  Judi  
Director
C		$0$0$417$0$417
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Bradley ,  Christina  
Director
C		$0$0$23$0$23
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Young ,  Rosa  
Director
C		$0$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 		Glass ,  Susan  
Director
C		$0$0$1,845$0$1,845
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$16,200$0$18,552$0$34,752
Less Deductions     
Net Disbursements    $34,752
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 042-203

(A)
Name		(B)
Title		(C)
Other Payer		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances Disbursed 		(F)
Disbursements for Official Business 		(G)
Other Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		Balogh ,  Brenda  
Nurse Representative
None		$64,694$4,746$69,440
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Barnes ,  Tara  
Nurse Organizer
None		$95,841$8,442$104,283
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Bessmer ,  Deborah  
Nurse Representative
None		$130,170$2,613$132,783
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Brigham ,  Gloria  
Director of Education
None		$164,778$1,288$166,066
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		98 %
A
B
C 		Brown ,  Joshua  
Director of Membership
None		$144,452$0$144,452
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		98 % Schedule 19
Administration 		0 %
A
B
C 		Campbell ,  David  
Special Counsel
None		$140,626$1,754$142,380
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 		Carson ,  Jennifer  
Communications Manager
None		$10,082$37$10,119
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 		Conces ,  Eleashia  
Administrative Assistant
None		$58,829$85$58,914
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
A
B
C 		Dick ,  Jayson  
Nurse Representative
None		$121,837$1,967$123,804
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		0 %
A
B
C 		Doll ,  Crystal  
Nurse Organizer
None		$60,677$2,847$63,524
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Dunlap ,  Susan  
Nurse Representative
None		$108,410$9,519$117,929
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Elmore ,  Travis  
Nurse Representative
None		$123,308$12,424$135,732
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 		Frey ,  Sara  
Nurse Representative
None		$130,476$2,340$132,816
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Friesen ,  Barbara  
Nurse Representative
None		$135,331$5,786$141,117
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 		Friesz ,  Gerard  
Director of Labor
None		$127,994$2,719$130,713
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Garrison ,  Carmen  
Nurse Representative
None		$146,029$8,154$154,183
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Goode ,  Tara  
Director of Organizing
None		$260,227$15,682$275,909
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Hsiung ,  Cheng-En  
Office Manager
None		$95,411$1,645$97,056
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 		James ,  Sydne  
Nurse Representative
None		$117,732$4,563$122,295
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 		Kieval ,  Mara  
Nurse Representative
None		$125,510$1,941$127,451
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Kilpatrick ,  Megan  
Education Director
None		$84,839$125$84,964
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 		King ,  Kelly  
Membership Assistant
None		$65,197$0$65,197
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 		Mainville ,  Mary  
Executive Assistant
None		$56,769$0$56,769
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Mansfield ,  Anne  
Nurse Organizer
None		$82,694$6,865$89,559
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		McGraw ,  Patrick  
Membership Processor
None		$95,764$0$95,764
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 		Moore ,  Michelle  
Nurse Representative
None		$85,442$6,086$91,528
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 		Mueller ,  Irene  
Receptionist
None		$17,464$0$17,464
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Muhm ,  Jennifer  
Dir. Public Relations
None		$166,319$5,231$171,550
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		96 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		3 %
A
B
C 		Murray ,  Anna  
Membership Associate
None		$40,545$330$40,875
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		99 % Schedule 19
Administration 		1 %
A
B
C 		Nesper ,  William  
Nurse Organizer
None		$92,379$10,729$103,108
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 		O'Donnell ,  Susan  
Nurse Representative
None		$136,154$3,358$139,512
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 		Percival ,  Bret  
Nurse Representative
None		$56,681$2,041$58,722
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Perkins ,  Jaclyn  
Nurse Representative
None		$126,010$5,526$131,536
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Peterson ,  Mary  
Membership Coordinator
None		$131,762$28$131,790
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Petit ,  Maria  
Paralegal
None		$61,558$619$62,177
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 		Piazza ,  Anne  
Asst. Exec. Director
None		$178,456$11,732$190,188
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 		Railey ,  Joline  
Administrative Assistant
None		$50,330$0$50,330
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 		Raughton ,  Jeremy  
Administrative Assistant
None		$55,084$1,344$56,428
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 		Reed ,  Mary  
Dir. of Finance
None		$149,852$68$149,920
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 		Rosenkranz ,  Ryan  
Nurse Organizer
None		$91,256$4,240$95,496
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 		Sanderson ,  Michael  
General Counsel
None		$154,190$17,121$171,311
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 		Schubert ,  Ruth  
Communications Director
None		$119,767$1,794$121,561
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 		Sears ,  Timothy  
Chief General Counsel
None		$157,787$1,796$159,583
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 		Steinshouer ,  Shereen  
Membership Processor
None		$64,191$663$64,854
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		99 % Schedule 19
Administration 		1 %
A
B
C 		Strite ,  Sara  
Nurse Representative
None		$29,412$474$29,886
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Te ,  Jeanna  
Paralegal
None		$89,057$0$89,057
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Tilden ,  Ben  
Web Design Specialist
None		$125,211$29,614$154,825
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		96 %
A
B
C 		Toensmeier ,  David  
Labor Counsel
None		$117,203$5,349$122,552
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		0 %
A
B
C 		Tran ,  Hue  
Accounting Specialist
None		$89,825$0$89,825
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		99 % Schedule 19
Administration 		1 %
A
B
C 		Triplett ,  Ann  
Receptionist
None		$42,449$489$42,938
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Vivion ,  Matthew  
Digital Media Specialist
None		$77,212$0$77,212
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 		Watkins ,  Sally  
Executive Director
None		$195,708$1,725$197,433
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 		Watts ,  Christine  
Senior Labor Advisor
None		$164,064$1,583$165,647
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 		Weiss ,  Katharine  
Pub. Affairs Asoc. Dir.
None		$104,580$3,386$107,966
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		96 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		3 %
A
B
C 		Welander ,  Hanna  
Nurse Representative
None		$141,067$3,388$144,455
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Williams ,  Katherine  
Nurse Representative
None		$50,293$0$50,293
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Williams ,  Theresa  
Nurse Representative
None		$127,338$3,819$131,157
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Zercher ,  Edward  
Nurse Representative
None		$140,537$3,082$143,619
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$22,131$2,178$24,309
I Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
Total Employee Disbursements$6,198,991$0$223,335$0$6,422,326
Less Deductions    $1,853,939
Net Disbursements    $4,568,387
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 042-203

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 15,646 
Agency Fee Payers*212
Total Members/Fee Payers15,858 
*Agency Fee Payers are not considered members of the labor organization.
Bargaining unit members15,057Yes
Non-bargaining unit members512Yes
Life/Honorary members52Yes
Religious objectors25No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 042-203

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$235,329
2. Named Payer Non-itemized Receipts$45,238
3. All Other Receipts$35,964
4. Total Receipts$316,531
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$5,000
2. Named Payee Non-itemized Disbursements$500
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$19,040
6. Total Disbursements$24,540
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$588,089
2. Named Payee Non-itemized Disbursements$93,137
3. To Officers$0
4. To Employees$4,000,739
5. All Other Disbursements$378,638
6. Total Disbursements$5,060,603
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$396,234
2. Named Payee Non-itemized Disbursements$345,490
3. To Officers$0
4. To Employees$1,504,912
5. All Other Disbursements$391,793
6. Total Disbursements$2,638,429
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$29,785
2. Named Payee Non-itemized Disbursements$63,255
3. To Officers$0
4. To Employees$290,956
5. All Other Disbursements$18,574
6. Total Disbursements$402,570
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$102,750
2. Named Payee Non-itemized Disbursements$82,336
3. To Officers$34,752
4. To Employees$625,722
5. All Other Disbursements$26,496
6. Total Disbursements$872,056
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 042-203

Name and Address
(A)
American Federation Teachers

555 New Jersey Avenue
Washington
DC
20001
Type or Classification
(B)
Organizing Grant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$55,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$55,000
Organizing Grant07/22/2020$27,500
Organizing Grant08/28/2020$27,500
Name and Address
(A)
American Federation Teachers

555 New Jersey Avenue
Washington
DC
20001
Type or Classification
(B)
Dues Rebates
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$169,329
Total Non-Itemized Transactions with this Payee/Payer$29,438
Total of All Transactions with this Payee/Payer for This Schedule$198,767
Dues Rebates04/22/2020$5,997
Solidarity Rebate07/22/2020$163,332
Name and Address
(A)
AON Association Insurance Services

1420 Fifth Ave, Suite 1200
Seattle
WA
97101
Type or Classification
(B)
Stipend
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,000
Total Non-Itemized Transactions with this Payee/Payer$2,000
Total of All Transactions with this Payee/Payer for This Schedule$13,000
Stipend07/22/2020$11,000
Name and Address
(A)
Association of Adv. Practice Psychiatric Nurses

1229 Cornwall Ave, Ste 308
Bellingham
WA
98225
Type or Classification
(B)
Lobbying Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,900
Total of All Transactions with this Payee/Payer for This Schedule$5,900
Name and Address
(A)
School Nurses Organization of Washington
1440

Owasso
OK
74055
Type or Classification
(B)
Lobbying Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,900
Total of All Transactions with this Payee/Payer for This Schedule$7,900
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 042-203

Name and Address
(A)
Barnard Iglitzin & Lavitt LLP

18 W Mercer Street, #400
Seattle
WA
Type or Classification
(B)
Mediation/ arbitration/ legal services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$451,611
Total Non-Itemized Transactions with this Payee/Payer$1,122
Total of All Transactions with this Payee/Payer for This Schedule$452,733
Legal01/08/2020$36,875
Legal01/22/2020$7,398
Legal01/22/2020$54,861
Legal02/19/2020$6,668
Legal02/19/2020$33,937
Legal02/19/2020$70,972
Legal05/19/2020$62,971
Legal05/29/2020$27,392
Legal06/26/2020$8,103
Legal07/07/2020$9,819
Legal07/07/2020$24,748
Legal07/10/2020$21,998
Legal09/29/2020$7,411
Legal09/29/2020$7,662
Legal09/29/2020$14,761
Legal09/29/2020$15,825
Legal09/29/2020$19,727
Legal09/29/2020$20,483
Name and Address
(A)
Clinton Wallace

715 E Westcrest Rd.
Colbert
WA
99005
Type or Classification
(B)
Local Unit - Negotiation Stipend, Reimbursements
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,512
Total Non-Itemized Transactions with this Payee/Payer$78
Total of All Transactions with this Payee/Payer for This Schedule$14,590
Negotiation Stipend04/10/2020$6,800
Nurses Day expense reimbursement04/24/2020$7,712
Name and Address
(A)
Cohen, Weiss and Simon, LLP

900 3rd Ave #2100
New York
NY
10022
Type or Classification
(B)
Legal
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,773
Total Non-Itemized Transactions with this Payee/Payer$6,615
Total of All Transactions with this Payee/Payer for This Schedule$31,388
Legal02/19/2020$11,088
Legal05/12/2020$13,685
Name and Address
(A)
Darryl Johnson

2637 S Garfield Rd.
Spokane
WA
99203
Type or Classification
(B)
Local Unit - Negotiation Stipend
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,800
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,800
Negotiation Stipend04/10/2020$6,800
Name and Address
(A)
David Emerson

1714 N. Normandie St
Spokane
WA
99205
Type or Classification
(B)
Local Unit - Negotiation Stipend, Reimbursements
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,100
Total Non-Itemized Transactions with this Payee/Payer$628
Total of All Transactions with this Payee/Payer for This Schedule$5,728
Negotiation Stipend04/10/2020$5,100
Name and Address
(A)
Frank Doolittle Company

1181 NE 1st St., Ste A-209
Bellevue
WA
98005
Type or Classification
(B)
Promotional Items
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,628
Total Non-Itemized Transactions with this Payee/Payer$5,613
Total of All Transactions with this Payee/Payer for This Schedule$12,241
Promotional Items12/13/2019$6,628
Name and Address
(A)
Human Resources Inc.

2127 Espey Court, Suite 306
Crofton
MD
21114
Type or Classification
(B)
Temporary staffing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,352
Total of All Transactions with this Payee/Payer for This Schedule$14,352
Name and Address
(A)
Janet Stewart

1419 N Shirley St.
Tacoma
WA
98406
Type or Classification
(B)
Local Unit - Reimbursements
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,933
Total Non-Itemized Transactions with this Payee/Payer$393
Total of All Transactions with this Payee/Payer for This Schedule$7,326
Nurses Day expense reimbursement05/08/2020$6,933
Name and Address
(A)
Jomay Ruiz

2036 32nd Ave South
Seattle
WA
98144
Type or Classification
(B)
Local Unit - Reimbursements
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,756
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,756
Nurses Day expense reimbursement05/15/2020$6,756
Name and Address
(A)
Katherine Raley-Jones

1924 E 59th Ave
Spokane
WA
99223
Type or Classification
(B)
Local Unit - Negotiation Stipend
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,500
Negotiation Stipend04/10/2020$8,500
Name and Address
(A)
LaDonna Reel

1405 West Ballard Rd.
Spokane
WA
99208
Type or Classification
(B)
Local Unit - Negotiation Stipend, Reimbursements
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,800
Total Non-Itemized Transactions with this Payee/Payer$371
Total of All Transactions with this Payee/Payer for This Schedule$7,171
Negotiation Stipend06/30/2020$6,800
Name and Address
(A)
Lawton Printing, Inc

4111 E Mission Ave.
Spokane
WA
99202
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$16,050
Total of All Transactions with this Payee/Payer for This Schedule$16,050
Name and Address
(A)
LexisNexis

28544 Network Place
Chicago
IL
60673
Type or Classification
(B)
Legal Resource Subscription
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,789
Total of All Transactions with this Payee/Payer for This Schedule$11,789
Name and Address
(A)
Linda Clanton

2230 West Liberty Ave.
Spokane
WA
99025
Type or Classification
(B)
Local Unit - Negotiation Stipend, Reimbursements
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,800
Total Non-Itemized Transactions with this Payee/Payer$482
Total of All Transactions with this Payee/Payer for This Schedule$7,282
Negotiation Stipend04/10/2020$6,800
Name and Address
(A)
Maisano Mediation, LLC

1420 Fifth Ave., Suite 3000
Seattle
WA
98101
Type or Classification
(B)
Mediation
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,240
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,240
Mediation04/29/2020$6,240
Name and Address
(A)
Norma Kingma

24502 N Donielle Ln.
Deer Park
WA
99006
Type or Classification
(B)
Local Unit - Negotiation Stipend, Reimbursements
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,800
Total Non-Itemized Transactions with this Payee/Payer$1,654
Total of All Transactions with this Payee/Payer for This Schedule$8,454
Negotiation Stipend05/05/2020$6,800
Name and Address
(A)
Ray's Boathouse Catering

6049 Seaview Avenue NW
Seattle
WA
98107
Type or Classification
(B)
Local Unit - Catering
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,695
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,695
Catering02/05/2020$10,695
Name and Address
(A)
Stephenie Krone

3403 S Bowdish Rd.
Spokane Valley
WA
99206
Type or Classification
(B)
Local Unit - Negotiation Stipend, Reimbursements
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,500
Total Non-Itemized Transactions with this Payee/Payer$947
Total of All Transactions with this Payee/Payer for This Schedule$9,447
Negotiation Stipend04/10/2020$8,500
Name and Address
(A)
USA Promo Items, LLC

1160 Dewey Way, Suite D
Upland
CA
91786
Type or Classification
(B)
Local Unit - Promotional Items
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,541
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,541
Promotional Items04/24/2020$5,541
Name and Address
(A)
Verizon Wireless
4001

Ingelwood
CA
90313
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$33,043
Total of All Transactions with this Payee/Payer for This Schedule$33,043
Name and Address
(A)
Vicki Benson

101 W 8th Ave.
Spokane
WA
99204
Type or Classification
(B)
Local Unit - Negotiation Stipend
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,100
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,100
Negotiation Stipend04/10/2020$5,100
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 042-203

Name and Address
(A)
Bogard & Johnson

200 Union Ave SE
Olympia
WA
98501
Type or Classification
(B)
Lobbyist
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$38,928
Total of All Transactions with this Payee/Payer for This Schedule$38,928
Name and Address
(A)
Hotel RL Olympia

2300 Evergreen Park Dr. SW
Olympia
WA
98502
Type or Classification
(B)
Event Facilities
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,785
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$19,785
Advocacy Camp Facilities03/04/2020$19,785
Name and Address
(A)
Occasions Catering

1615 State Street NE
Olympia
WA
98506
Type or Classification
(B)
Event Catering
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,566
Total of All Transactions with this Payee/Payer for This Schedule$5,566
Name and Address
(A)
Oyster Bay Public Affairs
4173

Olympia
WA
98501
Type or Classification
(B)
Lobbyist
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,453
Total of All Transactions with this Payee/Payer for This Schedule$16,453
Name and Address
(A)
Wilson Strategic/ State of Reform

19101 36th Ave W, #203
Lynwood
WA
98037
Type or Classification
(B)
Sponsorship and Event Registrations
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$2,308
Total of All Transactions with this Payee/Payer for This Schedule$12,308
Event Sponsorship10/21/2019$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 042-203

Name and Address
(A)
Washington State Public Health Association

NE 100th Street
Seattle
WA
98125
Type or Classification
(B)
Contribution
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$500
Total of All Transactions with this Payee/Payer for This Schedule$5,500
Contribution10/21/2019$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 042-203

Name and Address
(A)
501 Commons
1200 12th Ave S #1101

Seattle
WA
98144
Type or Classification
(B)
Non Profit Consulting
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,376
Total of All Transactions with this Payee/Payer for This Schedule$8,376
Name and Address
(A)
5D Holdings, LLC

4135 Sunnybank Dr
Chelan
WA
98816
Type or Classification
(B)
Storage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$27,435
Total of All Transactions with this Payee/Payer for This Schedule$27,435
Name and Address
(A)
ADP, Inc.
18072 N Creek Pkwy #100

Bothell
WA
98011
Type or Classification
(B)
Payroll Processing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,806
Total of All Transactions with this Payee/Payer for This Schedule$18,806
Name and Address
(A)
Amazon.com

1516 2nd Ave
Seattle
WA
98101
Type or Classification
(B)
Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,270
Total of All Transactions with this Payee/Payer for This Schedule$5,270
Name and Address
(A)
Barnard Iglitzin & Lavitt LLP
18 W Mercer Street, #400

Seattle
WA
98119
Type or Classification
(B)
Legal Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$24,901
Total of All Transactions with this Payee/Payer for This Schedule$24,901
Name and Address
(A)
Capitol City Press, Inc.

2975 37th Avenue SW
Tumwater
WA
98512
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$20,336
Total of All Transactions with this Payee/Payer for This Schedule$20,336
Name and Address
(A)
Comcast Business
34

Seattle
WA
98121
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,746
Total of All Transactions with this Payee/Payer for This Schedule$9,746
Name and Address
(A)
Double Tree Tukwila
16500 Southcenter Pkwy

Seattle
WA
98188
Type or Classification
(B)
Lodging
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,830
Total Non-Itemized Transactions with this Payee/Payer$516
Total of All Transactions with this Payee/Payer for This Schedule$9,346
Lodging07/21/2020$8,830
Name and Address
(A)
Human Resources Inc.
2127 Espey Court, Suite 306

Crofton
MD
21114
Type or Classification
(B)
Temporary staffing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,135
Total of All Transactions with this Payee/Payer for This Schedule$6,135
Name and Address
(A)
King County Treasurer
516 Third Avenue

Seattle
WA
98104
Type or Classification
(B)
Personal property Taxes
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,545
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,545
Personal property taxes02/26/2020$12,545
Name and Address
(A)
Logic 20/20 Inc.
6520 25th Ave NE

Seattle
WA
98115
Type or Classification
(B)
IT Consulting and Management Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$47,549
Total of All Transactions with this Payee/Payer for This Schedule$47,549
Name and Address
(A)
Lusher Corp
615 8th Ave S #108

Seattle
WA
98104
Type or Classification
(B)
IT Consulting and Management Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$55,168
Total of All Transactions with this Payee/Payer for This Schedule$55,168
Name and Address
(A)
M Fertakis Consulting, LLC

11822 42nd Ave S
Tukwila
WA
98168
Type or Classification
(B)
Consulting
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,000
Total of All Transactions with this Payee/Payer for This Schedule$9,000
Name and Address
(A)
Red Vector
4890 W Kennedy Blvd, Suite

Tampa
FL
33609
Type or Classification
(B)
Software Subscription
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$14,000
Continuing Education Software10/21/2019$14,000
Name and Address
(A)
Ricoh USA, Inc
31001-0743

Pasadena
CA
91110
Type or Classification
(B)
Equipment Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,953
Total Non-Itemized Transactions with this Payee/Payer$49,557
Total of All Transactions with this Payee/Payer for This Schedule$55,510
Equipment lease11/13/2019$5,953
Name and Address
(A)
South Seattle Business Park 2017, LLC
18230 E. Valley Hwy #195
18230
Kent
WA
98032
Type or Classification
(B)
Occupancy- Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$309,536
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$309,536
Occupancy- Lease10/01/2019$25,787
Occupancy- Lease10/22/2019$25,787
Occupancy- Lease11/14/2019$25,787
Occupancy- Lease12/16/2019$26,003
Occupancy- Lease01/09/2020$26,003
Occupancy- Lease02/13/2020$26,003
Occupancy- Lease03/18/2020$26,003
Occupancy- Lease04/29/2020$26,003
Occupancy- Lease05/12/2020$26,003
Occupancy- Lease06/09/2020$26,003
Occupancy- Lease07/07/2020$24,151
Occupancy- Lease08/14/2020$26,003
Name and Address
(A)
Staples Advantage
83689

Chicago
IL
60695
Type or Classification
(B)
Office Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$42,890
Total of All Transactions with this Payee/Payer for This Schedule$42,890
Name and Address
(A)
Terra Staffing Group

16400 Southcenter pkwy #200
Tukwila
WA
98188
Type or Classification
(B)
Temporary Staffing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,400
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$14,400
Temporary staffing12/02/2019$14,400
Name and Address
(A)
Verity Accountancy
4000 SE International Way,

Milwaukie
OR
97222
Type or Classification
(B)
Auditor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,970
Total Non-Itemized Transactions with this Payee/Payer$2,545
Total of All Transactions with this Payee/Payer for This Schedule$33,515
Annual Audit12/08/2019$17,000
Annual LM2 preparation01/15/2020$5,000
Annual Audit and tax return preparation02/29/2020$8,970
Name and Address
(A)
Verizon Wireless
4001

Ingelwood
CA
90313
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,260
Total of All Transactions with this Payee/Payer for This Schedule$17,260
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing / Publications/ Promotional
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,821
Total of All Transactions with this Payee/Payer for This Schedule$8,821
Name and Address
(A)
Capitol City Press, Inc.

2975 37th Avenue SW
Tumwater
WA
98512
Type or Classification
(B)
Printing/ Publications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$67,722
Total Non-Itemized Transactions with this Payee/Payer$5,177
Total of All Transactions with this Payee/Payer for This Schedule$72,899
Publications - Newsletter02/05/2020$18,922
Publications - Newsletter07/10/2020$24,233
Publications - Newsletter10/31/2019$24,567
Name and Address
(A)
Evan Sutton

802 Malcolm Dr
Silver Spring
MD
20901
Type or Classification
(B)
Public Relations
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,500
Total of All Transactions with this Payee/Payer for This Schedule$19,500
Name and Address
(A)
Frank Doolittle Company

1181 NE 1st St., Ste A-209
Bellevue
WA
98005
Type or Classification
(B)
Promotional Items
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,520
Total Non-Itemized Transactions with this Payee/Payer$25,635
Total of All Transactions with this Payee/Payer for This Schedule$34,155
Promotional Items03/05/2020$8,520
Name and Address
(A)
Hotel Interurban

223 Andover Park E.
Tukwila
WA
98188
Type or Classification
(B)
Event Space
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,274
Total of All Transactions with this Payee/Payer for This Schedule$9,274
Name and Address
(A)
Rich Marketing

3213 W Wheeler St., Ste 2
Seattle
WA
98199
Type or Classification
(B)
Public Relations
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,008
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$19,008
Advertising09/11/2020$19,008
Name and Address
(A)
Seattle Storm

351 Elliot Ave W #500
Seattle
WA
98104
Type or Classification
(B)
Sponsorship
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,500
Sponsorship04/02/2020$7,500
Name and Address
(A)
Verizon Wireless

4001
Ingelwood
CA
90313
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,179
Total of All Transactions with this Payee/Payer for This Schedule$5,179
Name and Address
(A)
Wilkinson Events

5500 Olympic Dr. Ste. 105
Gig Harbor
WA
98335
Type or Classification
(B)
Event Planning
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,750
Total of All Transactions with this Payee/Payer for This Schedule$8,750
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 042-203

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$973,698
Health InsuranceKaiser Foundation Health Plan$714,857
Life InsuranceMutual of Omaha$22,365
Vision InsuranceVision Service Plan - WA$6,835
PensionWestern Conference of Teamsters Pension Trust$226,212
Dental InsuranceWillamette Dental Group$3,429
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 042-203


Question 11(a):

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

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

Schedule 1, Row1:

Schedule 1, Row1:

Schedule 1, Row2:

Schedule 1, Row2:

Schedule 1, Row3:

Schedule 1, Row3:

Schedule 13, Row1:

Schedule 13, Row1:

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

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row2:

Schedule 13, Row2:

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

Schedule 13, Row2:

Schedule 13, Row2:

Schedule 13, Row2:

Schedule 13, Row3:

Schedule 13, Row3:

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

Schedule 13, Row3:

Schedule 13, Row3:

Schedule 13, Row3:

Schedule 13, Row4:

Schedule 13, Row4:

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

Schedule 13, Row4:

Schedule 13, Row4:

Schedule 13, Row4: No voting rights are granted for members who voluntarily waive the membership requirement.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)