FORM
LM-20 - AGREEMENT
& ACTIVITIES REPORT
OMB No. 1245-0003 . Expires 09-30-2021 .
IMPORTANT: 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. Required of persons, including Labor Relations Consultants and Other Individuals and Organizations, under Section 203(b) of the Labor-Management Reporting and Disclosure Act of 1959, as amended (LMRDA).
Office of Labor-Management Standards
U.S. Department of Labor
For Official Use Only
E
OLMS
Read the instructions carefully before completing this report.
1.a. File Number: C-69103
Amended:
2.
Name and mailing address (including Zip Code):
Name:Patrick K O'Mara
Title:President
Organization:O'Mara & Associates, LLC
P.O. Box., Bldg., Room No., if any:
Street:6 Drakewood Lane
City:NovatoState:CA
ZIP code:94947
3.
Other address where records necessary to verify this report are kept:
Name:
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP code:
4.
Date fiscal year ends:Dec /31
5.
Type of person
a. X Individual       b. Partnership
c. Corporation C d. Other
Specify:

  Nature of Agreement or Arrangement
6.
Full name and address of employer with whom made (include ZIP Code):
Name:Paul Miller
Organization:Collectivo Coffee
Trade Name, if any:
P.O. Box., Bldg., Room No., if any:2999
Street:N Humboldt Blvd.
City:MilwaukeeState:WI
ZIP code:53212
7.
Date entered into09/24/2020

8.
Name of person(s) through whom made:
Name:Paul Miller
Signature and Verification
Each of the undersigned declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including the information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned's knowledge and belief, true, correct, and complete. (See Section VII on penalties in the instructions.)
13.
SIGNED: Patrick K O'Mara
Title: PRESIDENT
Date: Dec 31, 2020
Telephone Number: 707-803-4575
14.
SIGNED:
Title: TREASURER
Date:
Telephone Number:
Form LM-20 (2003)
9.
Check the appropriate box(es) to indicate whether an object of the activities undertaken is directly or indirectly:
a.
X
To persuade employees to exercise or not to exercise, or persuade employees as to the manner of exercising, the right to organize and bargain collectively through representatives of their own choosing.
b.
To supply an employer with information concerning the activities of employees or a labor organization in connection with a labor dispute involving such employer, except information for use solely in conjunction with an administrative or arbitral proceeding or a criminal or civil judicial proceeding.
10.
Terms and conditions. (Explain in detail; see instructions. Written agreements must be attached.):
Written Agreement/Arrangement
Verbal Agreement, $187.50 per hr. plus reasonable expenses.
Specific Activities to be performed
Activity1
11. For each activity, separately list in detail the information required. (See instructions.)
a. Nature of activity:To provide consultation and to give speeches to employees regarding their rights to organize and bargain collectively
11.b.Period during which activities performed:
Various days beginning 09/28/2020
11.c. Extent of performance:
Fully Performed
11.d.
Name and address of person(s) through whom activities were performed or will be performed:
  Name:Phil Wilson         Organization:LRI Consulting Services, Inc.
  P.O. Box, Bldg., Room No., If any:7850Street:S. Elm PlaceCity:Broken ArrowState:OKZip:74011
12.a. Identify subject groups of employees:
Various employees
12.b. Identify subject labor organizations:
ELECTRICAL WORKERS IBEW AFL-CIO( LOCAL UNION 494) - 40471
Form LM-20 (2003)