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
057-419
2. PERIOD COVERED
From01/01/2020
Through12/31/2020
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
113
7. UNIT NAME (if any)
HEALTHCARE MINNESOTA
8. MAILING ADDRESS (Type or print in capital letters)
First Name
JAMIE
 Last Name
GULLEY
P.O Box - Building and Room Number

Number and Street
345 RANDOLPH AVE., STE. 100
City
ST. PAUL
State
MN		 ZIP Code + 4
55102


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:Jamie T GulleyPRESIDENT71. SIGNED:Jigme UgenTREASURER
Date:Mar 27, 2021Telephone Number:651-294-8100Date:Mar 30, 2021Telephone Number:651-294-8104
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 057-419
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?Yes
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?Yes
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?Yes
19. What is the date of the labor organization's next regular election of officers?10/2023
20. How many members did the labor organization have at the end of the reporting period?21,470
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.25% - 3%perGross Wages$5$36
(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: 057-419

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $1,696,202$2,050,326
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$601,438$620,202
27. Fixed Assets6$60,085$123,685
28. Other Assets7$0$0
29. TOTAL ASSETS $2,357,725$2,794,213

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$11,306$16,157
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$4,875$18,325
34. TOTAL LIABILITIES $16,181$34,482
35. NET ASSETS$2,341,544$2,759,731
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 057-419

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $11,376,077
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $9,196
41. Dividends $0
42. Rents $2,869
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $209,756
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$739,225
49. TOTAL RECEIPTS $12,337,123
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,683,958
51. Political Activities and Lobbying16$681,298
52. Contributions, Gifts, and Grants17$90,120
53. General Overhead18$840,210
54. Union Administration19$217,235
55. Benefits20$1,541,516
56. Per Capita Tax $3,251,462
57. Strike Benefits $66,856
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$89,958
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $196,306
64. On Behalf of Individual Members $0
65. Direct Taxes $324,080
  
66. Subtotal $11,982,999
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,040,080  
  67b. Less Total Disbursed$1,040,080  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $11,982,999
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 057-419

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 057-419

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: 057-419

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: 057-419

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$89,958$89,958$89,958
OFFICE EQUIPMENT$89,958$89,958$89,958
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$89,958
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 057-419

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$620,202
E. Total Book Value$620,202
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.  
  • REAL PROP: 345 RANDOLPH AVE STE. 100, ST. PAUL, MN
$620,202
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $620,202
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 057-419

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$1,195,026$1,076,794$118,232$118,232
E. Other Fixed Assets$7,437$1,984$5,453$5,453
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,202,463$1,078,778$123,685$123,685
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 057-419

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 057-419

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$16,157$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $16,157$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 057-419

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: 057-419

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $18,325
COPE WITHHOLDING$18,325
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 057-419

(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 		BALE ,  MARY  
DELEGATE
C		$921$0$385$0$1,306
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 		BERNINI ,  BRIANNE  
DELEGATE
C		$1,318$0$385$0$1,703
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 		BURNFIN ,  DAWN  
DELEGATE
C		$819$0$0$0$819
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 		CARLSON ,  LYNN  
VICE PRESIDENT
C		$1,332$0$385$0$1,717
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 		CROMEDY ,  BENNIE  
DELEGATE
C		$48,341$6,580$159$0$55,080
I
Schedule 15
Representational Activities 		60 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		30 %
A
B
C 		CRYAN ,  PHILLIP  
EXECUTIVE VICE PRESIDENT
C		$115,818$6,387$851$0$123,056
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		10 %
A
B
C 		DONAZAL ,  CLEVELAND  
DELEGATE
C		$1,584$0$385$0$1,969
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 		ELRITE ,  KATHRYN  
DELEGATE
C		$1,068$0$300$0$1,368
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 		FADERA ,  YANKUBA  
DELEGATE
C		$491$0$385$0$876
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 		FREEMAN ,  MARK  
DELEGATE
C		$573$0$385$0$958
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 		GULLEY ,  JAMIE  
PRESIDENT
C		$134,510$6,405$6,267$0$147,182
I
Schedule 15
Representational Activities 		60 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		20 %
A
B
C 		HALL ,  FRANCIS  
DELEGATE
C		$2,971$0$0$0$2,971
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 		HANSEN ,  PENNY  
DELEGATE
C		$1,235$0$385$0$1,620
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 		HANSON ,  CHRISSY  
DELEGATE
C		$1,590$0$385$0$1,975
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 		HOLT ,  JAMES  
DELEGATE
C		$1,882$0$385$0$2,267
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 		HOWZE ,  DEBRA  
DELEGATE
C		$1,075$0$0$0$1,075
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 		HUGHES ,  LATANYA  
DELEGATE
C		$1,082$0$0$0$1,082
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 		JACKSON ,  NATALIE  
DELEGATE
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		LEMIRE ,  SONJA  
VICE PRESIDENT
C		$450$0$0$0$450
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 		LYNCH ,  KATHERINE  
VICE PRESIDENT
C		$3,650$0$385$0$4,035
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 		MALONEY ,  RUSS  
DELEGATE
P		$2,073$0$385$0$2,458
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 		MATTHEWS ,  RITA  
DELEGATE
C		$999$0$385$0$1,384
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 		MEYER ,  KATHLENE  
DELEGATE
C		$1,244$0$0$0$1,244
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 		MINTEY ,  DAN  
TRUSTEE
C		$4,497$0$385$0$4,882
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 		NORDBY ,  MELODY  
DELEGATE
C		$1,104$0$300$0$1,404
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 		PIKALA ,  ROBIN  
DELEGATE
C		$12,065$0$0$0$12,065
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		94 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		6 %
A
B
C 		PILLE ,  KIA  
DELEGATE
C		$5,730$0$385$0$6,115
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 		RAMNAUTH ,  KAMALA  
DELEGATE
C		$931$0$385$0$1,316
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 		SANTOS NORGREN ,  JENNIFER  
DELEGATE
C		$457$0$0$0$457
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 		SARRO ,  JEFF  
DELEGATE
C		$4,784$0$385$0$5,169
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 		SMITH ,  JOHNNIE  
DELEGATE
C		$1,199$0$0$0$1,199
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 		STRAUMAN ,  VIVIAN  
DELEGATE
C		$538$0$385$0$923
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 		UGEN ,  JIGME  
EXECUTIVE VICE PRESIDENT
C		$125,422$6,510$1,310$0$133,242
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		15 %
A
B
C 		VANDENBURGH ,  COREY  
DELEGATE
C		$2,260$0$0$0$2,260
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 		WEED ,  LISA  
EXECUTIVE VICE PRESIDENT
P		$141,861$7,644$153$0$149,658
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		15 %
A
B
C 		WOODARD ,  EMMA  
DELEGATE
P		$0$0$385$0$385
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 		DAHLAN ,  ELIZABETH  
DELEGATE
N		$811$0$385$0$1,196
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 		GIOVANNIN ,  ANTONIA  
DELEGATE
N		$3,862$0$0$0$3,862
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 		HER ,  YOSHI  
DELEGATE
N		$1,278$0$0$0$1,278
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 		HILBRICH ,  BRENDA  
EXECUTIVE VICE PRESIDENT
N		$117,124$6,090$353$0$123,567
I
Schedule 15
Representational Activities 		68 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		10 %
A
B
C 		KAUP ,  LESLIE  
DELEGATE
N		$527$0$0$0$527
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 		MORRIS ,  KOLUBAH  
DELEGATE
P		$1,056$0$0$0$1,056
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 		URMAN ,  ELSIE  
DELEGATE
C		$750$0$0$0$750
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 		VO ,  DANH  
DELEGATE
C		$1,862$0$0$0$1,862
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 		WILLCOX ,  KENT  
DELEGATE
C		$429$0$385$0$814
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$753,573$39,616$17,393$0$810,582
Less Deductions    $211,489
Net Disbursements    $599,093
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 057-419

(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 		ABDI ,  FADUMO  
INTERNAL ORGANIZER
N/A		$45,130$4,137$0$0$49,267
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ABRAHAM ,  DANETTE  
INTERNAL ORGANIZER
N/A		$21,881$1,785$103$0$23,769
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		AFRAH ,  MOHAMED  
TEMPORARY ORGANIZER
N/A		$39,046$2,875$0$0$41,921
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		AHMAD-SHARIFF ,  RASHA  
DIRECTOR MAC
N/A		$89,065$5,880$0$0$94,945
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		AHMED ,  NAZRA  
POLITICAL ORGANIZER
N/A		$14,078$0$0$0$14,078
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 		BOOTS ,  JULIE  
INTERNAL ORGANIZER
N/A		$75,049$7,020$253$0$82,322
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CHAPDELAINE ,  KAREN  
SUPPORT STAFF
N/A		$54,263$0$0$0$54,263
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 		CHRISTENSON ,  ASHLEY  
COMMUNICATIONS
N/A		$81,526$5,775$804$0$88,105
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		DAVIS ,  RUTH  
INTERNAL ORGANIZER
N/A		$73,335$4,935$316$0$78,586
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		EL HAMAWI ,  ABDALLAH  
INTERNAL ORGANIZER
N/A		$37,103$3,087$8,000$0$48,190
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		0 %
A
B
C 		EL HAMAWI ,  YOUSSEF  
INTERNAL ORGANIZER
N/A		$49,512$4,127$8,000$0$61,639
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FISHER ,  BENJAMIN  
INTERNAL ORGANIZER
N/A		$70,291$5,460$315$0$76,066
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FLYNN ,  MACKENZIE  
EXTERNAL ORGANIZER
N/A		$52,372$5,712$347$0$58,431
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FORESTER ,  TIFFANY  
DIRECTOR SUPPORT STAFF
N/A		$86,320$5,670$0$0$91,990
I
Schedule 15
Representational Activities 		45 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		45 % Schedule 19
Administration 		5 %
A
B
C 		FRANK ,  TYLER  
INTERNAL ORGANIZER
N/A		$67,635$5,460$308$0$73,403
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FRIEDER ,  ELISE  
EXTERNALL ORGANIZER
N/A		$52,996$5,844$455$0$59,295
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		GAKYI ,  TENZIN  
INTERNAL ORGANIZER
N/A		$59,271$5,565$0$0$64,836
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HAKALA ,  KRISTINE  
INTERNAL ORGANIZER
N/A		$60,648$735$151$0$61,534
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HEWITT ,  GABRIEL  
SUPPORT STAFF
N/A		$41,280$840$183$0$42,303
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 		HOBBS ,  KASSANDRA  
INTERNAL ORGANIZER
N/A		$80,649$5,670$960$0$87,279
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HUNT ,  STEVE  
INTERNAL ORGANIZER
N/A		$75,450$7,098$1,497$0$84,045
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		JOHNSON ,  KIMETHA  
INTERNAL ORGANIZER
N/A		$55,338$4,389$0$0$59,727
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KLEIN ,  KRYSTAL  
INTERNAL ORGANIZER
N/A		$70,853$5,250$127$0$76,230
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KOHA DEI-ANANG ,  MIKHAIL  
EXTERNAL ORGANIZER
N/A		$60,448$5,250$0$0$65,698
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KUEHN ,  KEVIN  
INTERNAL ORGANIZER
N/A		$77,976$5,964$50$0$83,990
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		LACKEY ,  SHARI  
POLITICAL ORGANIZER
N/A		$16,444$0$0$0$16,444
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 		LARSON ,  HEATHER  
INTERNAL ORGANIZER
N/A		$67,755$5,565$0$0$73,320
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		LOPEZ ,  CHE  
INTERNAL ORGANIZER
N/A		$12,725$988$0$0$13,713
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		LUBAHN ,  JACKIE  
INTERNAL ORGANIZER
N/A		$76,661$5,775$14$0$82,450
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MILLER ,  MICHELLE  
INTERNAL ORGANIZER
N/A		$14,258$1,134$232$0$15,624
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MOHAMED ,  ANDULMAJID  
INTERNAL ORGANIZER
N/A		$29,935$3,045$12$0$32,992
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		NADAL ,  WILLIAM  
LEGAL DIRECTOR
N/A		$121,444$5,880$0$0$127,324
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		PERRI ,  JOHN  
FINANCE DIRECTOR
N/A		$99,540$5,775$4,698$0$110,013
I
Schedule 15
Representational Activities 		45 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		45 % Schedule 19
Administration 		5 %
A
B
C 		SALMIA ,  CARRIE  
SUPPORT STAFF
N/A		$53,842$0$0$0$53,842
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 		SCHMITZ ,  TODD  
INTERNAL ORGANIZER
N/A		$68,211$8,262$1,380$0$77,853
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SCHWANKL ,  KAYLA  
INTERNAL ORGANIZER
N/A		$61,029$1,321$0$0$62,350
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SPIKA ,  SUMER  
INTERNAL ORGANIZER
N/A		$69,284$5,565$383$0$75,232
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		STEVENS ,  LUCHELLE  
CHIEF OF STAFF
N/A		$60,900$3,150$877$0$64,927
I
Schedule 15
Representational Activities 		68 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		10 %
A
B
C 		TAYTHI ,  SANGAY  
INTERNAL ORGANIZER
N/A		$54,260$4,977$198$0$59,435
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		VANG ,  LOVELY  
SUPPORT STAFF
N/A		$11,580$0$0$0$11,580
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 		VARCO ,  RICHARD  
POLITCAL DIRECTOR
N/A		$81,518$5,796$0$0$87,314
I
Schedule 15
Representational Activities 		36 % Schedule 16
Political Activities and Lobbying 		64 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		XIONG ,  JUDITH  
SUPPORT STAFF
N/A		$58,353$0$0$0$58,353
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 		XIONG-VANG ,  BAO  
SUPPORT STAFF
N/A		$58,978$0$0$0$58,978
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 		CAMARA ,  FATIMA  
OIT
N/A		$10,930$1,398$0$0$12,328
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CHILDERS ,  ARABELLA  
OIT
N/A		$14,359$1,896$0$0$16,255
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		DEAMUSATEGUI ,  AMARIAH  
INTERNAL ORGANIZER
N/A		$47,074$4,977$116$0$52,167
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FARAH ,  SAHRA  
INTERNAL ORGANIZER
N/A		$19,404$2,100$0$0$21,504
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MCCLELLAN ,  LISA  
INTERNAL ORGANIZER
N/A		$72,327$6,760$106$0$79,193
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		PHAN ,  BUNNARD  
OIT
N/A		$13,145$1,515$0$0$14,660
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$234,132$3,607$68,370$306,109
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$2,919,603$188,014$98,255$0$3,205,872
Less Deductions    $828,591
Net Disbursements    $2,377,281
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 057-419

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 21,470 
Agency Fee Payers*48
Total Members/Fee Payers21,518 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS21,470Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 057-419

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$692,871
2. Named Payer Non-itemized Receipts$30,775
3. All Other Receipts$15,579
4. Total Receipts$739,225
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$60,000
2. Named Payee Non-itemized Disbursements$309
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$29,811
6. Total Disbursements$90,120
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$1,028,562
2. Named Payee Non-itemized Disbursements$297,676
3. To Officers$509,851
4. To Employees$2,764,027
5. All Other Disbursements$83,842
6. Total Disbursements$4,683,958
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$585,584
2. Named Payee Non-itemized Disbursements$102,745
3. To Officers$45,584
4. To Employees$106,297
5. All Other Disbursements$0
6. Total Disbursements$840,210
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$229,243
2. Named Payee Non-itemized Disbursements$58,457
3. To Officers$74,634
4. To Employees$318,964
5. All Other Disbursements$0
6. Total Disbursements$681,298
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$20,084
2. Named Payee Non-itemized Disbursements$43
3. To Officers$180,514
4. To Employees$16,594
5. All Other Disbursements$0
6. Total Disbursements$217,235
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 057-419

Name and Address
(A)
HEALTH PARTNERS
1450
NW 3600
MINNEAPOLIS
MN
55485
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,542
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$16,542
HEALTH INSURANCE REIMBURSEMENT11/13/2020$16,542
Name and Address
(A)
SEIU MINNESOTA STATE COUNCIL

2233 UNVERSITY AVENUE WEST
ST. PAUL
MN
55114
Type or Classification
(B)
JOINT COUNCIL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$156,129
Total Non-Itemized Transactions with this Payee/Payer$18,860
Total of All Transactions with this Payee/Payer for This Schedule$174,989
MPO COSTS09/28/2020$21,007
MPO COSTS09/28/2020$10,870
MPO COSTS10/28/2020$19,315
MPO COSTS10/28/2020$5,447
MPO COSTS12/04/2020$9,490
CURE 202012/16/2020$90,000
Name and Address
(A)
SERVICE EMPLOYEE INTERNATIONAL UNION

1800 MASS AVENUE
WASHINGTON
DC
20036
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$507,112
Total Non-Itemized Transactions with this Payee/Payer$11,915
Total of All Transactions with this Payee/Payer for This Schedule$519,027
PER CAPITA REBATES01/10/2020$18,512
OIT SUBSIDY01/17/2020$81,060
PER CAPITA REBATES02/14/2020$19,757
PER CAPITA REBATES03/13/2020$16,287
PER CAPITA REBATES04/10/2020$16,237
PER CAPITA REBATES05/15/2020$16,006
PER CAPITA REBATES06/12/2020$16,408
PER CAPITA REBATES07/03/2020$18,013
PER CAPITA REBATES07/24/2020$16,271
OIT SUBSIDY08/07/2020$18,013
PER CABITA REBATES08/28/2020$15,775
OIT SUBSIDY09/11/2020$18,013
PER CAPITA REBATES09/18/2020$18,435
OIT SUBSIDY10/02/2020$18,013
PER CAPITA REBATES10/23/2020$17,872
OIT SUBSIDY11/06/2020$18,013
PER CAPITA REBATES12/04/2020$18,013
PER CAPITA REBATES12/04/2020$20,719
PER CAPITA REBATES12/18/2020$21,655
PER CAPITA REBATES12/18/2020$54,040
NMX GRANT12/31/2020$50,000
Name and Address
(A)
UNION INSURANCE GROUP
-
303 W ERIE ST #310
CHICAGO
IL
60654
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,088
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$13,088
INSURANCE REIMBURSEMENT05/12/2020$13,088
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 057-419

Name and Address
(A)
ALLSTREAM

18110 SE 34TH ST 100
VANCOUVER
WA
98683
Type or Classification
(B)
TELECOMMUNICATIONS COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,111
Total of All Transactions with this Payee/Payer for This Schedule$15,111
Name and Address
(A)
AMAZON

410 TERRY AVE N
SEATTLE
WA
98109
Type or Classification
(B)
MEMBER MATERIALS & SUPPLIES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,570
Total of All Transactions with this Payee/Payer for This Schedule$8,570
Name and Address
(A)
BOGNANNO, MARIO

7580 N CALLE SIN CONTROVERS
TUCSON
AZ
85718
Type or Classification
(B)
ARBITRATOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,611
Total of All Transactions with this Payee/Payer for This Schedule$5,611
Name and Address
(A)
BUREAU OF NATIONAL AFFAIRS
419889

BOSTON
MA
02241
Type or Classification
(B)
LEGAL FEES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,952
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,952
LEGAL FEES11/09/2020$6,952
Name and Address
(A)
CAPACITY BUILDING PARTNERSHIP

5511 SW HOOD AVE
PORTLAND
OR
97239
Type or Classification
(B)
ORGANIZATIONAL EQUITY & INCLUSION TRAINERS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,474
Total of All Transactions with this Payee/Payer for This Schedule$9,474
Name and Address
(A)
CENTURYLINK
52187

PHOENIX
AZ
85072
Type or Classification
(B)
INTERNET SERVICE PROVIDER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,589
Total of All Transactions with this Payee/Payer for This Schedule$6,589
Name and Address
(A)
CORPORATE TECHNOLOGIES
9022

FARGO
ND
58106
Type or Classification
(B)
IT SUPPORT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$50,006
Total of All Transactions with this Payee/Payer for This Schedule$50,006
Name and Address
(A)
CUMMINS & CUMMINS

920 SECOND AVE SOUTH #1245
MINNEAPOLIS
MN
55402
Type or Classification
(B)
LAW FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$432,296
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$432,296
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION01/17/2020$22,944
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION03/06/2020$32,777
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION04/06/2020$49,640
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION05/04/2020$23,944
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION05/31/2020$28,533
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION06/30/2020$34,613
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION07/28/2020$37,769
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION08/31/2020$31,737
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION09/30/2020$41,171
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION11/03/2020$31,373
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION11/30/2020$56,853
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION12/23/2020$40,942
Name and Address
(A)
ERICKSON, KURT

1183 MCLEAN AVE
ST PAUL
MN
55106
Type or Classification
(B)
ARBITRATOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,185
Total Non-Itemized Transactions with this Payee/Payer$8,973
Total of All Transactions with this Payee/Payer for This Schedule$17,158
ARBITRATION FEES08/03/2020$8,185
Name and Address
(A)
EUREST
91337

CHICAGO
IL
60693
Type or Classification
(B)
MEMBER MEALS - BARGAINING SESSIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,280
Total of All Transactions with this Payee/Payer for This Schedule$5,280
Name and Address
(A)
EXPEDIA TRAVEL

333 108TH AVE NE
BELLEVUE
WA
98004
Type or Classification
(B)
HOTELS FOR MEMBER MEETINGS, BARGAINING & TRAININGS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$23,381
Total of All Transactions with this Payee/Payer for This Schedule$23,381
Name and Address
(A)
H-CAP, INC.

330 W 42ND ST. SUITE 900
NEW YORK
NY
10036
Type or Classification
(B)
NATIONAL LABOR/MANAGEMENT ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,000
MEMBERSHIP DUES10/23/2020$6,000
Name and Address
(A)
IMAGE POINTE

1224 LAPORTE ROAD
WATERLOO
IA
50702
Type or Classification
(B)
PRINTING OF MEMBER MATERIALS FOR BARGAIN & EVENTS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,898
Total Non-Itemized Transactions with this Payee/Payer$3,289
Total of All Transactions with this Payee/Payer for This Schedule$9,187
MEMBER MATERIALS08/03/2020$5,898
Name and Address
(A)
INNOVATIVE OFFICE SOLUTIONS

151 CLIFF RD E
BURNSVILLE
MN
55337
Type or Classification
(B)
OFFICE SUPPLIES VENDOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,804
Total of All Transactions with this Payee/Payer for This Schedule$8,804
Name and Address
(A)
JAY C. FOGLEBERG

10970 SPOON RIDGE
EDEN PRAIRIE
MN
55347
Type or Classification
(B)
ARBITRATOR - MEMBER GRIEVANCES & BARGAINING CASES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,789
Total of All Transactions with this Payee/Payer for This Schedule$12,789
Name and Address
(A)
LABOR MOVEMENT REP SERVICE

1183 MCLEAN AVE
ST PAUL
MN
55106
Type or Classification
(B)
ATTORNEY - MEMBER ARBITRATIONS & PERSONAL MATTERS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,445
Total of All Transactions with this Payee/Payer for This Schedule$8,445
Name and Address
(A)
M HEALTH FARIVIEW

400 STINSON BLVD
MINNEAPOLIS
MN
55413
Type or Classification
(B)
HEALTHCARE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$142,518
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$142,518
REFUND OF DUES OVERPAYMENT07/16/2020$142,518
Name and Address
(A)
MARCO TECHNOLOGIES LLC

4510 HEATHERWOOD ROAD
SAINT CLOUD
MN
56301
Type or Classification
(B)
COPY MACHINE RENTAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$26,610
Total of All Transactions with this Payee/Payer for This Schedule$26,610
Name and Address
(A)
MINUTEMAN PRESS

2101 HENNEPIN AVE S ST 112
MINNEAPOLIS
MN
55405
Type or Classification
(B)
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,777
Total Non-Itemized Transactions with this Payee/Payer$3,208
Total of All Transactions with this Payee/Payer for This Schedule$15,985
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS01/03/2020$6,940
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS01/07/2020$5,837
Name and Address
(A)
NEW BROOKWOOD LABOR COLLEGE

10015 HAMPSHIRE TERRACE
MINNEAPOLIS
MN
55445
Type or Classification
(B)
LABOR EDUCATION FOR MEMBERS & STAFF
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,000
Total Non-Itemized Transactions with this Payee/Payer$9,500
Total of All Transactions with this Payee/Payer for This Schedule$21,500
LABOR EDUCATION01/16/2020$12,000
Name and Address
(A)
PITNEY BOWES

3001 SUMMER ST
STAMFORD
CT
06926
Type or Classification
(B)
POSTAGE - MEMBER BARG. MATERIALS & COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,344
Total of All Transactions with this Payee/Payer for This Schedule$13,344
Name and Address
(A)
RICHARD MILLER

7919 ORCHID LANE NORTH
MAPLE GROVE
MN
55311
Type or Classification
(B)
ARBITRATOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,747
Total of All Transactions with this Payee/Payer for This Schedule$7,747
Name and Address
(A)
SEIU MINNESOTA STATE COUNCIL

2233 UNIVERSITY AVE W #422
ST. PAUL
MN
55114
Type or Classification
(B)
JOINT COUNCIL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$134,075
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$134,075
CO-EMPLOYMENT AGREEMENT WAGES & BENEFITS FOR STAFF03/10/2020$134,075
Name and Address
(A)
SEVEN CORNERS PRINTING COMPANY

1099 SNELLING AVE N
ST. PAUL
MN
55108
Type or Classification
(B)
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$159,839
Total Non-Itemized Transactions with this Payee/Payer$28,159
Total of All Transactions with this Payee/Payer for This Schedule$187,998
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS01/21/2020$18,143
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS02/07/2020$18,511
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS02/20/2020$25,528
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS04/14/2020$6,240
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS05/26/2020$7,418
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS05/26/2020$10,060
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS06/01/2020$9,678
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS06/22/2020$18,523
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS08/03/2020$15,114
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS08/07/2020$10,633
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS08/26/2020$6,649
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS09/08/2020$13,342
Name and Address
(A)
SOUNA SMITH

1120 ENGLEWOOD AVE
ST. PAUL
MN
55104
Type or Classification
(B)
CHILD CARE AT MEMBER BARG. & NEGOTIATION SESSIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,975
Total of All Transactions with this Payee/Payer for This Schedule$6,975
Name and Address
(A)
TELEPHONE TOWN HALL MEETING, INC.

958 CONEFLOWER DRIVE
GOLDEN
CO
80401
Type or Classification
(B)
HOMECARE ORG & LEADERSHIP TELECONFERENCE MEETINGS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$31,440
Total Non-Itemized Transactions with this Payee/Payer$16,183
Total of All Transactions with this Payee/Payer for This Schedule$47,623
ORG & LEADERSHIP MEETINGS03/30/2020$7,071
ORG & LEADERSHIP MEETINGS04/14/2020$9,848
ORG & LEADERSHIP MEETINGS04/27/2020$8,050
ORG & LEADERSHIP MEETINGS05/07/2020$6,471
Name and Address
(A)
UNIONWARE

260 SAULTEAUX CRESENT
WINNIPEG, CANADA
00
R3J3T2
Type or Classification
(B)
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$76,582
Total Non-Itemized Transactions with this Payee/Payer$3,255
Total of All Transactions with this Payee/Payer for This Schedule$79,837
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE01/21/2020$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE02/17/2020$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE03/19/2020$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE04/03/2020$6,990
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE04/16/2020$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE05/15/2020$5,624
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE06/16/2020$5,924
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE07/16/2020$5,924
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE08/07/2020$5,924
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE09/16/2020$5,925
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE10/07/2020$5,925
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE11/13/2020$5,925
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE12/23/2020$5,925
Name and Address
(A)
UNITED AIRLINES

233 SOUTH WACKER DR
CHICAGO
IL
60606
Type or Classification
(B)
AIRLINE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,311
Total of All Transactions with this Payee/Payer for This Schedule$10,311
Name and Address
(A)
ZOOM
350

BOSTON
MA
02134
Type or Classification
(B)
TELECONFERENCE AND ONLINE MEETING ROOMS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,062
Total of All Transactions with this Payee/Payer for This Schedule$6,062
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 057-419

Name and Address
(A)
FRENETTE LEGISLATIVE ADVISORS

1734 BLAIR AVENUE
ST. PAUL
MN
55104
Type or Classification
(B)
CONSULTING FIRM - POLITICAL ISSUES ADVOCACY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$27,977
Total of All Transactions with this Payee/Payer for This Schedule$27,977
Name and Address
(A)
HILL CAPITOL STRATEGIES, INC.

13570 GROVE DRIVE #281
MAPLE GROVE
MN
55311
Type or Classification
(B)
CONSULTING FIRM - POLITICAL ISSUES ADVOCACY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$30,480
Total of All Transactions with this Payee/Payer for This Schedule$30,480
Name and Address
(A)
SEIU HEALTHCARE MINNESOTA PAC

345 RANDOLPH AVE SUITE 100
ST. PAUL
MN
55102
Type or Classification
(B)
PAC AFFILIATE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$229,243
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$229,243
POLITICAL ADVOCACY01/01/2020$18,354
POLITICAL ADVOCACY01/29/2020$18,344
POLITICAL ADVOCACY02/28/2020$16,783
POLITICAL ADVOCACY03/31/2020$18,460
POLITICAL ADVOCACY04/30/2020$17,572
POLITICAL ADVOCACY05/29/2020$16,206
POLITICAL ADVOCACY06/30/2020$17,264
POLITICAL ADVOCACY07/30/2020$19,793
POLITICAL ADVOCACY08/30/2020$21,601
POLITICAL ADVOCACY09/30/2020$21,785
POLITICAL ADVOCACY10/30/2020$21,556
POLITICAL ADVOCACY11/30/2020$21,525
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 057-419

Name and Address
(A)
BERNSTEIN, ERIC HARRIS

2316 WARD ST APT 2
BERKELY
CA
94705
Type or Classification
(B)
COMMUNITY SERVICES GROUP
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
BETTER TOGETHER MN 2021 REVENU PROJECT06/30/2020$5,000
Name and Address
(A)
EAST SIDE FREEDOM LIBRARY

1105 GREENBRIER ST
ST. PAUL
MN
55106
Type or Classification
(B)
LIBRARY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$309
Total of All Transactions with this Payee/Payer for This Schedule$5,309
CONTRIBUTION10/22/2020$5,000
Name and Address
(A)
OUR STORIES, OUR HEALTH

1430 CONCORDIA AVE, 40085
ST. PAUL
MN
55104
Type or Classification
(B)
NONPROFIT ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$50,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$50,000
CONTRIBUTION12/24/2020$50,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 057-419

Name and Address
(A)
ADP
842875

BOSTON
MA
02284-2875
Type or Classification
(B)
PAYROLL SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,555
Total of All Transactions with this Payee/Payer for This Schedule$13,555
Name and Address
(A)
BELLOWS ASSOCIATES, P.A.
5401 N UNIVERSITY DRIVE 201

CORAL SPRINGS
FL
33067
Type or Classification
(B)
CPA FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,290
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,290
AUDIT & ACCOUNTING FEES12/22/2020$25,290
Name and Address
(A)
LENOVO INC.

1009 THINK PLACE
MORRISVILLE
NC
27560
Type or Classification
(B)
COMPUTER FOR UNION ORGANIZERS & STAFF REP.
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$24,619
Total of All Transactions with this Payee/Payer for This Schedule$24,619
Name and Address
(A)
OAK RIDGE CENTER

14665 GALAXIE AVE
APPLE VALLEY
MN
55124
Type or Classification
(B)
EDUCATION CONFERENCE FOR MEMBERS & STAFF
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,080
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,080
EDUCATION CONFERENCE FOR MEMBERS & STAFF01/03/2020$7,080
Name and Address
(A)
ROCHESTER TOWN OFFICES

209 WOODLAKE DRIVE SE
ROCHESTER
MN
55904
Type or Classification
(B)
ROCHESTER MEMBER OFFICE MONTHLY RENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$37,437
Total of All Transactions with this Payee/Payer for This Schedule$37,437
Name and Address
(A)
SERVICE EMPLOYEE INTERNATIONAL UNION LOCAL 113 BUI

345 RANDOLPH AVE, SUITE 100
ST. PAUL
MN
55102
Type or Classification
(B)
AFFILIATE OFFICE RENTAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$403,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$403,000
RENT01/24/2020$31,000
RENT02/17/2020$31,000
RENT03/10/2020$31,000
RENT03/31/2020$31,000
RENT04/21/2020$31,000
RENT05/18/2020$31,000
RENT06/15/2020$31,000
RENT07/13/2020$31,000
RENT08/13/2020$31,000
RENT09/15/2020$31,000
RENT11/03/2020$31,000
RENT12/21/2020$31,000
RENT12/21/2020$31,000
Name and Address
(A)
UNION INSURANCE GROUP

303 W ERIE ST. #310
CHICAGO
IL
60654
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$78,904
Total Non-Itemized Transactions with this Payee/Payer$18,042
Total of All Transactions with this Payee/Payer for This Schedule$96,946
GENERAL INSURANCES10/26/2020$10,280
GENERAL INSURANCES11/16/2020$31,810
GENERAL INSURANCES12/11/2020$36,814
Name and Address
(A)
VERIZON
291089

COLUMBIA
SC
29229
Type or Classification
(B)
TELECOMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$71,310
Total Non-Itemized Transactions with this Payee/Payer$9,092
Total of All Transactions with this Payee/Payer for This Schedule$80,402
CELLPHONE & COMPUTER EQUIPMENT02/03/2020$5,247
CELLPHONE & COMPUTER EQUIPMENT04/03/2020$6,210
CELLPHONE & COMPUTER EQUIPMENT05/04/2020$6,636
CELLPHONE & COMPUTER EQUIPMENT06/02/2020$6,460
CELLPHONE & COMPUTER EQUIPMENT07/06/2020$5,480
CELLPHONE & COMPUTER EQUIPMENT08/03/2020$5,027
CELLPHONE & COMPUTER EQUIPMENT09/08/2020$5,200
CELLPHONE & COMPUTER EQUIPMENT09/28/2020$16,111
CELLPHONE & COMPUTER EQUIPMENT10/16/2020$5,315
CELLPHONE & COMPUTER EQUIPMENT12/15/2020$9,624
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 057-419

Name and Address
(A)
AMAZON
-
410 TERRY AVE N
SEATTLE
WA
98109
Type or Classification
(B)
ELECTRONICS MARKETPLACE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,884
Total Non-Itemized Transactions with this Payee/Payer$43
Total of All Transactions with this Payee/Payer for This Schedule$14,927
BOARD MEMBER TABLETS FOR ONLINE MEETINGS01/08/2020$7,245
BOARD MEMBER TABLETS FOR ONLINE MEETINGS01/11/2020$7,639
Name and Address
(A)
DILIGENT CORPORATION

111 W 33RD ST 16TH FLOOR
NEW YORK
NY
10001
Type or Classification
(B)
COMPUTER SOFTWARE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,200
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,200
BOARD OF DIRECTORS ELECTRONIC DOCUMENTS SOFTWARE10/22/2020$5,200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 057-419

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,541,516
COBRA ADMIN FEESFLYTE HCM LLC$1,195
HEALTH INSURANCEHEALTH PARTNERS$592,908
401(K) ADMINISTRATIONSEIU AFFILIATES 401(K) PLAN$1,035
LIFE INSURANCEMUTUAL OF OMAHA$28,661
PENSIONSEIU AFFILIATES & OFFICERS$676,968
PENSIONTWIN CITY WORKERS PENSION FUND$56,543
HSA FUNDINGASSOCIATED BANK$124,000
WORKMENS COMPENSATIONUNION INSURANCE GROUP$31,810
MEMBERSHIP SCHOLARSHIPSMEMBER AND MEMBERS' BENEFICIARIES$5,000
MEMBER RECOGNITIONMULTIPLE MEMBERS$10,896
MEMBER MEMORIALSMEMBERS' BENEFICIARIES$12,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 057-419


Question 10: Fund Name: Twin City Hospital Workers Pension Plan C/O Address: 2520 Pilot Knob Rd., Suite 325, Mendota Heights, MN 55120 EIN: 41-1303906 Plan #: 001 Purpose: To provide pension benefits for eligible members of participating employers.

Question 11(a):

Question 11(a): Name of PAC: SEIU Healthcare Minnesota Political Action Committee. Report filed: Campaign finance report of receipts and expenditures. Government Agency: Filed with the Campaign Finance and Public Disclosure Board. Purpose: The PAC is a separate segregated fund established to support candidates for state and local offices who promote the interests of organized labor.

Question 11(b):

Question 11(b): : : : Name of Subsidiary: Service Employees International Union Local 113 Building Corporation. Address: 345 Randolph Ave., Suite 100, St. Paul, MN 55102 Fiscal Year End: December 31, 2020. Relationship: The Union is the sole investor and owner of the Building Corporation in which the Union operates and conducts union business. Option #2 Recognition: The net assets of the Building Corporation are reported as an investment on Line 26 and on

Schedule 5 of the LM filing.

Question 12: Audit Firm: Bellows Associates, P.A. Address: 5401 N University Drive, Suite 201. Coral Springs, FL 33067.

Question 18: The Union updated its constitution and bylaws in August 2020 as attached.

Schedule 13, Row1:

Schedule 13, Row1::::A regular member is one who is active at a facility within the jurisdiction of the Local. Active members pay full dues and have full voting rights.

Schedule 13, Row1:

Schedule 13, Row1::::

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