059-961 (LM2) 12/31/2020

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
059-961

2. PERIOD COVERED
From	01/01/2020
Through	12/31/2020

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.) STATE COUNCIL	6. DESIGNATION NBR 14
7. UNIT NAME (if any) WASHINGTON STATE COUNCIL NORTHWESTERN STATES

8. MAILING ADDRESS (Type or print in capital letters)
First Name CHARLOTTE	Last Name SHINDLER
P.O Box - Building and Room Number SUITE 300
Number and Street 3161 ELLIOTT AVENUE
City SEATTLE
State WA	ZIP Code + 4 98121

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:

Charlotte Shindler

PRESIDENT

71. SIGNED:

Joan Jones

TREASURER

Date:

Mar 30, 2021

Telephone Number:

206-441-0202

Date:

Mar 30, 2021

Telephone Number:

206-441-0202

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

ITEMS 10 THROUGH 21

FILE NUMBER: 059-961

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?	$390,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?	No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?	No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?	No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?	No
19. What is the date of the labor organization's next regular election of officers?	12/2021

20. How many members did the labor organization have at the end of the reporting period?

21. What are the labor organization's rates of dues and fees?

Rates of Dues and Fees
Dues/Fees	Amount		Unit	Minimum	Maximum
(a) Regular Dues/Fees	0	per	0	0	0
(b) Working Dues/Fees	0	per	0	0	0
(c) Initiation Fees	0	per	0	0	0
(d) Transfer Fees	0	per	0	0	0
(e) Work Permits	0	per	0	0	0

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

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 059-961

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$565,494	$220,409
23. Accounts Receivable	1	$9,019	$188,525
24. Loans Receivable	2		$0
25. U.S. Treasury Securities		$0	$0
26. Investments	5
27. Fixed Assets	6	$1,408	$632
28. Other Assets	7
29. TOTAL ASSETS		$575,921	$409,566

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8	$0	$622
31. Loans Payable	9
32. Mortgages Payable		$0	$0
33. Other Liabilities	10	$9,353	$118,253
34. TOTAL LIABILITIES		$9,353	$118,875

35. NET ASSETS

$566,568

$290,691

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

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 059-961

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$0
37. Per Capita Tax		$303,886
38. Fees, Fines, Assessments, Work Permits		$0
39. Sale of Supplies		$0
40. Interest		$22
41. Dividends		$0
42. Rents		$0
43. Sale of Investments and Fixed Assets	3
44. Loans Obtained	9
45. Repayments of Loans Made	2	$0
46. On Behalf of Affiliates for Transmittal to Them		$0
47. From Members for Disbursement on Their Behalf		$0
48. Other Receipts	14	$111,854
49. TOTAL RECEIPTS		$415,762

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$0
51. Political Activities and Lobbying		16	$413,523
52. Contributions, Gifts, and Grants		17	$55,667
53. General Overhead		18	$98,615
54. Union Administration		19	$117,771
55. Benefits		20	$58,825
56. Per Capita Tax			$0
57. Strike Benefits			$0
58. Fees, Fines, Assessments, etc.			$0
59. Supplies for Resale			$0
60. Purchase of Investments and Fixed Assets		4
61. Loans Made		2	$0
62. Repayment of Loans Obtained		9
63. To Affiliates of Funds Collected on Their Behalf			$0
64. On Behalf of Individual Members			$0
65. Direct Taxes			$14,328

66. Subtotal			$758,729
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$48,143
67b. Less Total Disbursed	$50,261
67c. Total Withheld But Not Disbursed			-$2,118
68. TOTAL DISBURSEMENTS			$760,847

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

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 059-961

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	$188,525	$0	$0	$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B))	$188,525	$0	$0	$0

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

SCHEDULE 2 - LOANS RECEIVABLE

FILE NUMBER: 059-961

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

Totals will be automatically entered in...

Item 24
Column (A)

Item 61

Item 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: 059-961

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Gross Sales Price (D)	Amount Received (E)
Total of all lines above	$0	$0	$0	$0

				Less Reinvestments
(The total from Net Sales Line will be automatically entered in Item 43)				Net Sales

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

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 059-961

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Cash Paid (D)
Total of all lines above	$0	$0	$0

		Less Reinvestments
(The total from Net Purchases Line will be automatically entered in Item 60.)		Net Purchases

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

SCHEDULE 5 - INVESTMENTS

FILE NUMBER: 059-961

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))

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

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 059-961

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)

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment

$9,936

$9,304

$632

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B))

$9,936

$9,304

$632

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

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 059-961

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: 059-961

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	$622	$0	$0	$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D))	$622	$0	$0	$0

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

SCHEDULE 9 - LOANS PAYABLE

FILE NUMBER: 059-961

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 44	Item 62	Item 69 with Explanation	Item 31 Column (D)

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

SCHEDULE 10 - OTHER LIABILITIES

FILE NUMBER: 059-961

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$118,253
Payroll Liabilities	$7,638
Accrued Vacation Leave	$1,615
Accrued Contributions	$109,000

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

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 059-961

(A)
Name

(B)
Title

(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

Sonse , Diane
Vice President
C

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

Niemi , Meg
Vice President
C

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

Shindler , Charlotte
Vice President
C

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

Harders , Sterling
Vice President
C

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

Schroeder , Tricia
Vice President
C

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

Javalera , Zenia
Chair
C

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

100 %

Total Officer Disbursements	$0	$0	$0	$0	$0
Less Deductions
Net Disbursements					$0

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

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 059-961

(A)
Name

(B)
Title

(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

Crapsey , Ana Maria
Co-Executive Director
None

$2,851

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

Uyehara , Torii
Director
None

$70,000

$2,046

$72,046

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

Jones , Joan
Executive Director
None

$89,023

$4,514

$93,537

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

75 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

25 %

TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

Total Employee Disbursements	$161,874	$0	$6,560	$0	$168,434
Less Deductions
Net Disbursements					$168,434

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

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 059-961

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	0
Agency Fee Payers*
Total Members/Fee Payers	0
*Agency Fee Payers are not considered members of the labor organization.

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

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 059-961

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$100,000
2. Named Payer Non-itemized Receipts	$7,955
3. All Other Receipts	$3,899
4. Total Receipts	$111,854

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements	$50,000
2. Named Payee Non-itemized Disbursements	$2,500
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements	$3,167
6. Total Disbursements	$55,667

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements
6. Total Disbursements	$0

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$8,427
2. Named Payee Non-itemized Disbursements	$72,899
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements	$17,289
6. Total Disbursements	$98,615

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$335,201
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$0
4. To Employees	$70,153
5. All Other Disbursements	$8,169
6. Total Disbursements	$413,523

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$12,445
2. Named Payee Non-itemized Disbursements	$3,030
3. To Officers	$0
4. To Employees	$98,281
5. All Other Disbursements	$4,015
6. Total Disbursements	$117,771

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

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 059-961

Name and Address
(A)

Service Employees Cncl PAC

3161 Elliot Ave Suite 300
Seattle
WA
98121

Type or Classification
(B)

International Union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$7,955
Total of All Transactions with this Payee/Payer for This Schedule		$7,955

Name and Address
(A)

SEIU International

1800 Massachusetts Ave NW
Washington
DC
20036

Type or Classification
(B)

International Union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$100,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$100,000
Infrastructure Subsidy	03/06/2020	$8,333
Infrastructure Subsidy	03/06/2020	$8,333
Infrastructure Subsidy	03/06/2020	$8,333
Infrastructure Subsidy	04/03/2020	$8,333
Infrastructure Subsidy	05/08/2020	$8,333
Infrastructure Subsidy	06/05/2020	$8,333
Infrastructure Subsidy	07/03/2020	$8,333
Infrastructure Subsidy	08/07/2020	$8,333
Infrastructure Subsidy	09/03/2020	$8,334
Infrastructure Subsidy	10/02/2020	$8,334
Infrastructure Subsidy	11/06/2020	$8,334
Infrastructure Subsidy	12/04/2020	$8,334

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

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 059-961

Name and Address
(A)

-1

Type or Classification
(B)

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$0

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

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 059-961

Name and Address
(A)

Black Lives Matter Seattle

505 Broadway E #328
Seattle
WA
98102

Type or Classification
(B)

Statewide 501c4 organization

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
Contribution	10/15/2020	$5,000

Name and Address
(A)

Fairbank, Maslin, Maullin, Metz & Assoc

1999 Harrison Street S2020
Oakland
CA
94612

Type or Classification
(B)

Professional Services

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
Legal Services	12/10/2020	$5,000

Name and Address
(A)

Fuse Washington

1402 Third Ave, Ste 406
Seattle
WA
98101

Type or Classification
(B)

Statewide 501c4 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$10,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$10,000
Contribution	03/23/2020	$5,000
Contribution	05/20/2020	$5,000

Name and Address
(A)

GBAO

1701 K Street NW, Ste 600
Washington
DC
20006

Type or Classification
(B)

Professional Services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$29,200
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$29,200
Revenue Research	03/02/2020	$29,200

Name and Address
(A)

Invest in Washington Now Campaign

603 Stewart Street Ste 819
Seattle
WA
98101

Type or Classification
(B)

Statewide 501c4 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$200,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$200,000
Contribution	11/13/2020	$100,000
Contribution	12/10/2020	$100,000

Name and Address
(A)

Moxie Media
30084

Seattle
WA
98113-0084

Type or Classification
(B)

Communications

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$36,001
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$36,001
Member Communication Mailing	10/15/2020	$18,201
Member Communication Mailing	11/02/2020	$17,800

Name and Address
(A)

Public News Service

3980 Broadway Street Ste 10
Boulder
CO
80304

Type or Classification
(B)

Membership

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
Membership Dues	05/01/2020	$5,000

Name and Address
(A)

Washington State Labor Council

321 16th Ave S
Seattle
WA
98144

Type or Classification
(B)

Statewide 501c4 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$30,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$30,000
Contribution	07/15/2020	$30,000

Name and Address
(A)

Win/Win Action

1402 3rd Ave, Ste 201
Seattle
WA
98101

Type or Classification
(B)

Statewide 501c4 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$15,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$15,000
Contribution	12/02/2020	$15,000

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

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS

FILE NUMBER: 059-961

Name and Address
(A)

Northwest Community Bail Fund

2311 N 45th Street, Ste 303
Seattle
WA
98103

Type or Classification
(B)

501c3 organization

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
Contribution	07/01/2020	$5,000

Name and Address
(A)

Scholarship Junkies
45406

Seattle
WA
98145

Type or Classification
(B)

501c3 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$10,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$10,000
Contribution	06/04/2020	$10,000

Name and Address
(A)

Washington Bus Education Fund

1801 12th Ave, Ste A
Seattle
WA
98122

Type or Classification
(B)

501c3 organization

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
Contribution	07/01/2020	$5,000

Name and Address
(A)

Washington Low Income Housing Alliance

100 W Harrison St Ste N220
Seattle
WA
98119

Type or Classification
(B)

501c3 organization

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
Contribution	01/21/2020	$5,000

Name and Address
(A)

Washington State Budget & Policy Center

1402 Third Ave, Ste 1215
Seattle
WA
98101

Type or Classification
(B)

501c3 organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$25,000
Total Non-Itemized Transactions with this Payee/Payer		$2,500
Total of All Transactions with this Payee/Payer for This Schedule		$27,500
Contribution	10/08/2020	$25,000

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

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 059-961

Name and Address
(A)

Arianna Jimenez

2614 S Lane Street
Seattle
WA
98144

Type or Classification
(B)

Contract Staff

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,389
Total of All Transactions with this Payee/Payer for This Schedule		$6,389

Name and Address
(A)

Barnard Iglitzin Lavitt LLP

18 W Mercer St, Ste 400
Seattle
WA
98119

Type or Classification
(B)

Professional Services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,392
Total of All Transactions with this Payee/Payer for This Schedule		$6,392

Name and Address
(A)

Century Link Seattle
91155

Seattle
WA
98111-9255

Type or Classification
(B)

Telephone Company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$8,037
Total of All Transactions with this Payee/Payer for This Schedule		$8,037

Name and Address
(A)

Diamond Building

85 S Washington St #211
Seattle
WA
98104

Type or Classification
(B)

Landlord

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$29,538
Total of All Transactions with this Payee/Payer for This Schedule		$29,538

Name and Address
(A)

Labor 1992 Corporation

321 16th Ave S
Seattle
WA
98144

Type or Classification
(B)

Landlord

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$22,543
Total of All Transactions with this Payee/Payer for This Schedule		$22,543

Name and Address
(A)

Redmond General Insurance Agency
847

Redmond
WA
98073-0847

Type or Classification
(B)

Insurance Broker

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,427
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$8,427
D&O Insurance	11/13/2020	$8,427

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

SCHEDULE 19 - UNION ADMINISTRATION

FILE NUMBER: 059-961

Name and Address
(A)

Barnard Iglitzin Lavitt LLP

18 W Mercer St, Ste 400
Seattle
WA
98119

Type or Classification
(B)

Professional Services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,445
Total Non-Itemized Transactions with this Payee/Payer		$880
Total of All Transactions with this Payee/Payer for This Schedule		$6,325
Legal Services	02/11/2020	$5,445

Name and Address
(A)

Brantley Janson

909 S 336th St, Ste 201
Federal Way
WA
98003

Type or Classification
(B)

Professional Services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,000
Total Non-Itemized Transactions with this Payee/Payer		$2,150
Total of All Transactions with this Payee/Payer for This Schedule		$9,150
Accounting Service	02/11/2020	$7,000

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

SCHEDULE 20 - BENEFITS

FILE NUMBER: 059-961

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$58,825
Pension	SEIU Affiliates Pension Fund	$30,027
Health Insurance	Service Employees Health & Welfare Trust	$26,991
Life & Disability Insurance	Standard Insurance Company	$1,673
Vision Insurance	Vision Service Plan	$134

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

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 059-961

Question 11(a):

Question 11(a): : : : : Service Employees International Union WA State Council PAC, reports filed with WA State Public Disclosure Commission SEIU Initiative Fund, reports filed with WA State Public Disclosure Commission.

Question 12: : : : Brantley Janson



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