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
506-906
2. PERIOD COVERED
From07/01/2020
Through06/30/2021
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

7. UNIT NAME (if any)
COMMITTEE OF INTERNS AND RESIDENTS
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Susan
 Last Name
Naranjo
P.O Box - Building and Room Number

Number and Street
10-27 46th Ave, Suite 300-2
City
Long Island City
State
NY		 ZIP Code + 4
11101


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:Darshan PatelPRESIDENT71. SIGNED:Oluyemi OmotosoTREASURER
Date:Sep 28, 2021Telephone Number:717-808-9230Date:Sep 28, 2021Telephone Number:646-945-1820
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 506-906
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?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?Yes
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?05/2022
20. How many members did the labor organization have at the end of the reporting period?15,463
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.6pperYear856.132317.58
(b) Working Dues/Feesper000
(c) Initiation Fees0per000
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 506-906

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $5,044,185$9,800,478
23. Accounts Receivable1$2,682,873$969,597
24. Loans Receivable2$2,743$159
25. U.S. Treasury Securities $2,845,409$2,666,914
26. Investments5$0$0
27. Fixed Assets6$589,978$475,851
28. Other Assets7$1,721,449$1,911,779
29. TOTAL ASSETS $12,886,637$15,824,778

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$976,732$1,824,214
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$1,087,043$1,085,908
34. TOTAL LIABILITIES $2,063,775$2,910,122
35. NET ASSETS$10,822,862$12,914,656
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 506-906

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $16,127,003
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $49,737
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$313,667
44. Loans Obtained9
45. Repayments of Loans Made2$4,973
46. On Behalf of Affiliates for Transmittal to Them $157,003
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$2,433,063
49. TOTAL RECEIPTS $19,085,446
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,441,995
51. Political Activities and Lobbying16$186,102
52. Contributions, Gifts, and Grants17$97,154
53. General Overhead18$4,213,482
54. Union Administration19$416,689
55. Benefits20$2,129,793
56. Per Capita Tax $1,982,994
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$236,412
61. Loans Made2$2,389
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $129,601
64. On Behalf of Individual Members $0
65. Direct Taxes $496,166
  
66. Subtotal $14,332,777
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,906,675  
  67b. Less Total Disbursed$1,903,051  
  67c. Total Withheld But Not Disbursed $3,624
68. TOTAL DISBURSEMENTS $14,329,153
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 506-906

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$969,597   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $969,597$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 506-906

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$50$612$503$0$159
Total of all lines above$2,743$2,389$4,973$0$159
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Name: Alphonso Nyenuh (E)
Purpose: 6mo Loan
Security: Payroll deduction
Terms of Repayment: $192/pay period
$380$0$380$0
Name: Jonathan Gamboa (E)
Purpose: Expense Overpayment
Security: Expense Reimb.
Terms of Repayment: 1 pay period
$0$655$655$0
Name: Rashina Young (E)
Purpose: Personal charge
Security: Expense Reimb.
Terms of Repayment: 1 pay period
$390$0$390$0
Name: Rosemary Warner (E)
Purpose: 6mo Loan
Security: Payroll deduction
Terms of Repayment: $80/pay period
$0$802$802$0
Name: Sandra Grant (E)
Purpose: Expense Overpayment
Security: Expense Reimb.
Terms of Repayment: 1 pay period
$0$320$320$0
Name: Susan Naranjo (E)
Purpose: Expense Overpayment
Security: Expense Reimb.
Terms of Repayment: 1 pay period
$1,923$0$1,923$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

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$313,175$313,175$313,667$313,667
US Treasury & agency securities$313,175$313,175$313,667$313,667
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$313,667
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$240,401$240,401$236,412
Furniture & Fixtures$1,731$1,731$1,731
Computer equipment$35,475$35,475$31,486
Computer software$11,976$11,976$11,976
Leasehold improvements$6,651$6,651$6,651
US Treasury & agency securities$184,568$184,568$184,568
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$236,412
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 506-906

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost$0
B. Total Book Value$0
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost$0
E. Total Book Value$0
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.  
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 506-906

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$440,031$232,284$207,747$207,747
E. Other Fixed Assets$397,588$129,484$268,104$268,104
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $837,619$361,768$475,851$475,851
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 506-906

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $1,911,779
Prepaid expenses$126,267
Accrued income receivable$10,082
Rebates receivables$117,887
Security deposits$86,708
Other receivables$20,100
Due from related entities$1,550,735
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 506-906

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$1,824,214$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $1,824,214$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 506-906

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: 506-906

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,085,908
Accrued salaries payable$215,599
Accrued vacation & sick pay payable$360,066
Withheld payable$16,753
Other payables$493,490
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 506-906

(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 		Shalvoy ,  Keriann  
President
N		$0$65$50$0$115
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		80 %
A
B
C 		Patel ,  Darshan   N
Executive Vice President
N		$0$65$0$0$65
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		80 %
A
B
C 		Gabrellas ,  Greg  
Secretary-Treasurer
C		$0$65$235$0$300
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		70 % Schedule 19
Administration 		20 %
A
B
C 		Abu-Arja ,  Mohammad   H
Regional VP - NY Private
N		$0$25$0$0$25
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Arroyo ,  Clare  
Regional VP - NM
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Benn ,  Gregory  
Regional VP - NJ/DC
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Berland ,  Noah  
Regional VP - NY Public
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Borkowski ,  Suzanne  
Regional VP - NJ/DC
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Brittain ,  Ashley  
Regional VP - NY Private
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Campbell ,  Linelle  
Regional VP - NY Public
N		$0$25$0$0$25
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Gonzalez ,  Lorenzo  
Regional VP - So CA
C		$0$20$0$0$20
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Hirschbaum ,  Julian  
Regional VP - So CA
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Hyatt ,  Andrew  
Regional VP - MA
N		$0$25$0$0$25
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Kelly ,  Mark  
Regional VP - So CA-UC
N		$0$45$81$0$126
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Mitchell ,  Andreas  
Regional VP - Nor Cal
N		$0$20$0$0$20
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Mitra ,  Souparno  
Regional VP - NY Private
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Nandam ,  Aneesh  
Regional VP - Nor Cal
C		$0$65$0$0$65
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Omotoso ,  Oluyemi  
Regional VP - NY Public
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Ostrer ,  Lily  
Regional VP - FL
N		$0$25$0$0$25
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Patel ,  Tulsi  
Regional VP - NJ/DC
N		$0$0$400$0$400
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Rodriguez Ortiz ,  Yariana  
Regional VP - NY Private
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Smith ,  Jared  
Regional VP - NY Private
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Thorp ,  Marguerite  
Regional VP - So CA-UC
N		$0$25$0$0$25
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Vo ,  Chris  
Regional VP - So CA
C		$0$45$0$0$45
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Weze ,  Kelechi  
Regional VP - NJ/DC
N		$0$20$0$0$20
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Edwards ,  Jessica  
President
P		$44,964$0$0$0$44,964
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		80 %
A
B
C 		Plasencia ,  Amy  
Executive Vice President
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Alvarez ,  Linda  
Secretary-Treasurer
P		$28,990$7,667$8,270$0$44,927
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		70 % Schedule 19
Administration 		20 %
A
B
C 		Barrios ,  Erica  
Regional VP - So CA No
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Breyre ,  Amelia  
Regional VP - No CA
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Davies ,  Georgia  
Regional VP - NJ/DC
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Elnajjar ,  Alaa  
Regional VP - NY
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Garg ,  Mohit  
Regional VP - NY
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Gaudiot ,  Christopher  
Regional VP - NM
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Gomez-Juge ,  Christina  
Regional VP - NY
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Gordon ,  Alexis  
Regional VP - So CA No
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Manalo ,  Rachel  
Regional VP - FL
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Newsome ,  Brandon  
Regional VP - MA
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Oppong-Dwamena ,  Adelaide  
Regional VP - NY
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Somvanshi ,  Saurabh  
Regional VP - NY
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Ugwu ,  Chidiebere  
Regional VP - NY
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Yap ,  Anna  
UCLA Representative
P		$0$0$84$0$84
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
Total Officer Disbursements$73,954$8,202$9,120$0$91,276
Less Deductions    $18,721
Net Disbursements    $72,555
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 506-906

(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 		Riphagen ,  Margot  
Executive Director
None		$111,569$0$312$0$111,881
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		13 % Schedule 19
Administration 		75 %
A
B
C 		Altenor ,  Jennifer   J
Media Coordinator
None		$100,599$0$790$0$101,389
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		14 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		66 % Schedule 19
Administration 		0 %
A
B
C 		Babaria ,  Sejal   A
No CA Area Director
None		$105,752$0$1,718$0$107,470
I
Schedule 15
Representational Activities 		25 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		64 % Schedule 19
Administration 		1 %
A
B
C 		Bailey ,  Theresa  
New Organizer
None		$51,780$0$46$0$51,826
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Blado ,  Christopher   M
Research-Negotiations Mgr
None		$90,741$0$350$0$91,091
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 		Bush ,  Alexandra   H
No. CA Contract Organizer
None		$83,054$7,350$1,140$0$91,544
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Cardenas ,  Andrea  
Communication Coordinator
None		$64,310$0$720$0$65,030
I
Schedule 15
Representational Activities 		55 % Schedule 16
Political Activities and Lobbying 		30 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		15 % Schedule 19
Administration 		0 %
A
B
C 		Cardona ,  Karen  
New Organizer
None		$52,080$0$13$0$52,093
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 		Carrillo ,  Daniel  
Organizer
None		$17,928$0$300$0$18,228
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Carrube ,  Linda  
Office Manager
None		$105,789$0$2,285$0$108,074
I
Schedule 15
Representational Activities 		3 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		97 % Schedule 19
Administration 		0 %
A
B
C 		Cerdina ,  Nina   A
Organizing Director
None		$119,825$0$370$0$120,195
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Chow ,  Timothy  
Dir Spec Projects-Systems
None		$122,158$0$630$0$122,788
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Clarkson ,  Lalit  
Lead Contract OrganizerNY
None		$94,118$0$75$0$94,193
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 		Cundari Roelans ,  Alyssa   G
Florida Area Director
None		$130,204$0$1,346$0$131,550
I
Schedule 15
Representational Activities 		65 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		30 % Schedule 19
Administration 		5 %
A
B
C 		Currier ,  Morgan   R
Organizer
None		$80,733$6,200$787$0$87,720
I
Schedule 15
Representational Activities 		91 % Schedule 16
Political Activities and Lobbying 		7 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Daniel-Hill ,  Cheryle  
Executive Assistant
None		$93,915$0$1,099$0$95,014
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		93 % Schedule 19
Administration 		6 %
A
B
C 		Dashefsky ,  David   J
Dir Strategic Campaigns
None		$122,507$0$1,430$0$123,937
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Derosa ,  Ralph  
General Counsel
None		$167,122$70$2,396$0$169,588
I
Schedule 15
Representational Activities 		81 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		15 % Schedule 19
Administration 		2 %
A
B
C 		Desmond ,  Dominic  
Organizer
None		$46,425$0$0$0$46,425
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 		Devoe ,  Dwane  
So. CA Contract Organizer
None		$82,052$6,150$340$0$88,542
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Duffee ,  Ian  
Dues and Data Coordinator
None		$33,547$0$0$0$33,547
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Dunham ,  Carol   G
Senior Counsel
None		$98,718$0$0$0$98,718
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		0 %
A
B
C 		Eliot ,  Anita  
Director Legal Services
None		$160,675$0$2,650$0$163,325
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		98 % Schedule 19
Administration 		0 %
A
B
C 		Ergasheva ,  Zaynab   S
FL Contract Organizer
None		$75,212$0$6,233$0$81,445
I
Schedule 15
Representational Activities 		91 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		3 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Feldberg ,  Eve  
NY Contract Organizer
None		$78,012$0$2,164$0$80,176
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Fernandez ,  Vivian   M
QI Director
None		$112,135$0$0$0$112,135
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Foldes ,  Lila   S
NY Contract Organizer
None		$84,785$0$0$0$84,785
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Gamboa ,  Jonathan   A
Senior Accountant
None		$89,089$0$2,010$0$91,099
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Granado ,  Andreina  
Organizer
None		$12,723$0$0$0$12,723
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 		Gutmann-McKenzie ,  Liliana  
Organizer
None		$44,964$0$335$0$45,299
I
Schedule 15
Representational Activities 		89 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		8 % Schedule 19
Administration 		0 %
A
B
C 		Holden ,  Sara   A
NY Contract Organizer
None		$92,360$6,900$25$0$99,285
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Hom ,  Stephen   J
Accountant
None		$89,968$0$3,038$0$93,006
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Hull ,  Christopher  
Director of Legal Affairs
None		$160,731$0$1,181$0$161,912
I
Schedule 15
Representational Activities 		76 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		24 %
A
B
C 		Kang ,  Joon  
New Organizer
None		$12,536$0$0$0$12,536
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Lefebvre ,  Lyndsey  
Organizer
None		$31,097$0$40$0$31,137
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 		Lindsey ,  Marley-Vince  
NJ Contract Organizer
None		$78,170$0$0$0$78,170
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 		Mahabir ,  Rebecca   L
Sr. Legal Assistant
None		$71,373$0$130$0$71,503
I
Schedule 15
Representational Activities 		7 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		89 % Schedule 19
Administration 		0 %
A
B
C 		Maingrette ,  Wiener  
Controller
None		$143,749$0$704$0$144,453
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		2 % Schedule 18
General Overhead 		88 % Schedule 19
Administration 		10 %
A
B
C 		Manglani ,  Rhea  
New Organizer
None		$10,182$0$0$0$10,182
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		0 %
A
B
C 		Martin ,  Sophie   S
Organizer
None		$16,548$0$53$0$16,601
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Master ,  Karen  
Lead Contract OrganizerNY
None		$100,641$6,900$71$0$107,612
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Mathurin ,  Earl  
Associate Director
None		$175,119$440$6,166$0$181,725
I
Schedule 15
Representational Activities 		30 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		7 % Schedule 19
Administration 		61 %
A
B
C 		Menon ,  Mohan  
Organizer
None		$23,968$0$0$0$23,968
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		0 %
A
B
C 		Morse ,  George   M
So. CA Contract Organizer
None		$75,708$3,050$262$0$79,020
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Naranjo ,  Susan  
Public Affairs Director
None		$148,969$0$1,801$0$150,770
I
Schedule 15
Representational Activities 		40 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		39 % Schedule 19
Administration 		20 %
A
B
C 		Nazzaro ,  Suzette   I
Human Resources Director
None		$81,517$0$295$0$81,812
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Nyenuh ,  Alphonso  
NY Contract Organizer
None		$101,958$0$324$0$102,282
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Paz ,  Edwin   J
Organizer
None		$10,782$3,600$669$0$15,051
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Peterson ,  Eric  
Organizer
None		$36,146$0$350$0$36,496
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		13 % Schedule 19
Administration 		0 %
A
B
C 		Phillip ,  Sandra  
Dues and Data Associate
None		$72,120$0$1,476$0$73,596
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Pinsonneault ,  David  
Organizer
None		$47,289$0$245$0$47,534
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		0 %
A
B
C 		Porter ,  Andrew   R
Organizer
None		$17,073$0$0$0$17,073
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		13 % Schedule 19
Administration 		0 %
A
B
C 		Pratali ,  Aimee   R
Contract Organizer
None		$38,847$2,950$253$0$42,050
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		7 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Ragnauth ,  Amanda   A
Researcher
None		$18,498$0$35$0$18,533
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 		Ramirez ,  Marah  
HE Coordinator
None		$90,249$0$500$0$90,749
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		80 % Schedule 19
Administration 		0 %
A
B
C 		Ramirez ,  Sarah   M
Paralegal
None		$75,119$0$425$0$75,544
I
Schedule 15
Representational Activities 		3 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		93 % Schedule 19
Administration 		2 %
A
B
C 		Robinson ,  Carmen  
Dues and Data Associate
None		$82,672$0$1,550$0$84,222
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Rothfelder ,  Alexander  
New Organizer
None		$13,989$0$64$0$14,053
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 		Rudich ,  Micaela  
New Organizer
None		$76,668$0$643$0$77,311
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Ruiz ,  Alyssa  
Health Equity Director
None		$105,005$0$300$0$105,305
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		80 % Schedule 19
Administration 		0 %
A
B
C 		Schubert ,  Coralie   A
Political Coordinator
None		$66,312$0$0$0$66,312
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Scott ,  Seneca   C
Organizer
None		$14,841$2,300$0$0$17,141
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 		Shatabdy ,  Shaila   S
NY Contract Organizer
None		$82,562$0$0$0$82,562
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 		Snow ,  Anya  
Digital Organizer, CIR/SE
None		$90,967$0$979$0$91,946
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 		Snurpus ,  Suzanne   A
Organizer
None		$70,841$0$100$0$70,941
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Struth ,  Sabrina  
No. CA Contract Organizer
None		$88,128$7,801$1,490$0$97,419
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Szeps ,  Marisa   M
Political Coordinator
None		$101,103$5,650$719$0$107,472
I
Schedule 15
Representational Activities 		8 % Schedule 16
Political Activities and Lobbying 		11 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		81 % Schedule 19
Administration 		0 %
A
B
C 		Tyrpak ,  Jed   D
NY/NJ Regional Director
None		$119,360$6,750$600$0$126,710
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Valentina ,  Susan   T
Organizer
None		$17,073$0$0$0$17,073
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		3 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		0 %
A
B
C 		Warburton ,  Harry   R
Lead Contract OrganizerDC
None		$89,729$6,200$17,968$0$113,897
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Warner ,  Rosemary  
Dues and Data Associate
None		$98,733$0$1,858$0$100,591
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Washburn ,  Ira   B
New Organizer
None		$86,396$0$353$0$86,749
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 		Weinstein ,  Zachary  
Organizer
None		$18,498$0$498$0$18,996
I
Schedule 15
Representational Activities 		64 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		33 % Schedule 19
Administration 		0 %
A
B
C 		Wiggins ,  Sharome   R
NJ Contract Organizer
None		$87,200$9,600$852$0$97,652
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Williams ,  Arthur   J
Dues and Data Associate
None		$69,502$0$844$0$70,346
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		90 % Schedule 19
Administration 		0 %
A
B
C 		Winkler ,  Joy   I
Regional Director NY/MA
None		$101,682$142$869$0$102,693
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Wolffe ,  Mary   P
New Organizer
None		$53,594$0$806$0$54,400
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		12 % Schedule 19
Administration 		0 %
A
B
C 		Young ,  Rashina   D
SO CAL Regional Director
None		$107,796$7,400$1,068$0$116,264
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$18,046$0$0$0$18,046
I Schedule 15
Representational Activities 		38 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		60 % Schedule 19
Administration 		2 %
Total Employee Disbursements$6,113,935$89,453$79,143$0$6,282,531
Less Deductions    $1,887,954
Net Disbursements    $4,394,577
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 506-906

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 15,463 
Agency Fee Payers*0
Total Members/Fee Payers15,463 
*Agency Fee Payers are not considered members of the labor organization.
Members15,463Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 506-906

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$2,361,158
2. Named Payer Non-itemized Receipts$24,643
3. All Other Receipts$47,262
4. Total Receipts$2,433,063
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$58,905
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$6,721
5. All Other Disbursements$31,528
6. Total Disbursements$97,154
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$444,071
2. Named Payee Non-itemized Disbursements$133,984
3. To Officers$9,132
4. To Employees$3,771,677
5. All Other Disbursements$83,131
6. Total Disbursements$4,441,995
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$987,007
2. Named Payee Non-itemized Disbursements$424,430
3. To Officers$36,355
4. To Employees$2,066,717
5. All Other Disbursements$698,973
6. Total Disbursements$4,213,482
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$40,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$132,763
5. All Other Disbursements$13,339
6. Total Disbursements$186,102
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$46,310
2. Named Payee Non-itemized Disbursements$0
3. To Officers$45,797
4. To Employees$304,657
5. All Other Disbursements$19,925
6. Total Disbursements$416,689
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 506-906

Name and Address
(A)
Housestaff Benefit Plan

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,337
Total Non-Itemized Transactions with this Payee/Payer$88
Total of All Transactions with this Payee/Payer for This Schedule$8,425
Reimbursement of Benefits01/27/2021$8,337
Name and Address
(A)
Hyatt Regency Los Angeles Airport

6225 West Century Blvd
Los Angeles
CA
90045
Type or Classification
(B)
Hotel
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
Refund of F2F Conference Expense04/28/2021$10,000
Name and Address
(A)
Jackson Health System

1611 NW 12th Ave
Miami
FL
33136
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$175,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$175,000
Public Health Trust Fund07/14/2020$175,000
Name and Address
(A)
LAC + USC Medical Center
USC Health Sciences
2051 Marengo Street
Los Amgeles
CA
90033
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$600,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$600,000
Quality Improvement Program Funds - 202003/16/2021$300,000
Quality Improvement Program Funds - 202103/16/2021$300,000
Name and Address
(A)
NYC Health + Hospitals

125 Worth Street
New York
NY
10013
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$631,216
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$631,216
Housestaff Appr12/31/2020$150,000
Well Being Comm12/31/2020$50,000
Deposit Error belongs to HSBP05/12/2021$431,216
Name and Address
(A)
Service Employees International Union

1800 Massachusetts Ave NW
Washington
DC
20038
Type or Classification
(B)
Affiliate Labor Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$772,583
Total Non-Itemized Transactions with this Payee/Payer$7,113
Total of All Transactions with this Payee/Payer for This Schedule$779,696
Organizing Support07/03/2020$6,868
Per Capita Rebate07/10/2020$36,036
Organizing Support08/07/2020$6,868
Per Capita Rebate09/04/2020$78,267
Organizing Support09/11/2020$6,868
Per Capita Rebate09/11/2020$85,788
Member Political Engagement Grant09/18/2020$40,000
New Member Experience Grant09/18/2020$25,000
Organizing Support10/02/2020$6,868
Organizing Support11/06/2020$6,868
Organizing Support12/04/2020$6,868
Per Capita Rebate12/18/2020$50,840
Per Capita Rebate02/05/2021$5,053
Per Capita Rebate02/05/2021$57,407
Per Capita Rebate02/26/2021$44,380
Per Capita Rebate03/12/2021$30,828
Per Capita Rebate03/12/2021$117,658
Per Capita Rebate05/21/2021$38,747
Per Capita Rebate05/21/2021$71,371
New Generation Contract Campign Grant06/18/2021$50,000
Name and Address
(A)
Source M, LLC

1601 Vine Street
Los Angeles
CA
90028
Type or Classification
(B)
Promotional Products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$42,470
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$42,470
Refund for Face Masks09/16/2020$42,470
Name and Address
(A)
The Lundquist Institute
Harbor UCLA Medical Center
1124 W Carson Street
Torrance
CA
90502
Type or Classification
(B)
Non-Profit
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$84,889
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$84,889
Return of Unused Grant Funds02/17/2021$34,890
Return of Unused Grant Funds02/17/2021$49,999
Name and Address
(A)
University of Southern California

16200 Amber Valley Dr
Whittier
CA
90604
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$36,663
Total Non-Itemized Transactions with this Payee/Payer$17,442
Total of All Transactions with this Payee/Payer for This Schedule$54,105
Quality Improvement Program Refund03/04/2021$7,200
Quality Improvement Program Refund06/30/2021$7,663
Quality Improvement Program Refund06/30/2021$10,000
Quality Improvement Program Refund06/30/2021$11,800
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 506-906

Name and Address
(A)
Cohen Weiss and Simon LLP

900 Third Avenuue
New York
NY
10022-4869
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,356
Total Non-Itemized Transactions with this Payee/Payer$14,840
Total of All Transactions with this Payee/Payer for This Schedule$39,196
Legal fees Labor Issues06/08/2021$24,356
Name and Address
(A)
Cornell University ILR School

570 Lexington Ave 12th Flr
New York
NY
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,450
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,450
Leadership Training05/20/2021$8,450
Name and Address
(A)
Despres Schwartz and Geoghegan

77 W Washington St Ste 711
Chicago
IL
60602
Type or Classification
(B)
Legal Firm
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
Recruitment Expense05/04/2021$10,000
Name and Address
(A)
Grubhub

111 W Washington St# 2100
Chicago
IL
60602
Type or Classification
(B)
Food Delivery Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,282
Total of All Transactions with this Payee/Payer for This Schedule$12,282
Name and Address
(A)
Kauff, McGuire and Margolis LLP

950 Third Avenue 14th Floor
New York
NY
10022
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$57,488
Total Non-Itemized Transactions with this Payee/Payer$11,324
Total of All Transactions with this Payee/Payer for This Schedule$68,812
Legal fees Labor Issues11/27/2020$12,476
Legal fees Labor Issues01/14/2021$8,565
Legal fees Labor Issues04/15/2021$12,533
Legal fees Labor Issues06/08/2021$23,914
Name and Address
(A)
Labor Notes

7435 Michigan Ave
Detroit
MI
48210
Type or Classification
(B)
Non-Profit
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,475
Total of All Transactions with this Payee/Payer for This Schedule$7,475
Name and Address
(A)
Lewis Brisbois Bisgaard and Smith LLP

633 W 5th St Suite 4000
Los Angeles
CA
90071
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,529
Total of All Transactions with this Payee/Payer for This Schedule$11,529
Name and Address
(A)
Local Legend Films

1418 W Division Street
Chicago
IL
60642
Type or Classification
(B)
Documentary Film Studio
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,750
Total Non-Itemized Transactions with this Payee/Payer$3,375
Total of All Transactions with this Payee/Payer for This Schedule$10,125
Organizing Documentary04/19/2021$6,750
Name and Address
(A)
Margolies, Potterton and Associates

461 Hillsdale Drive
Santa Rosa
CA
95409
Type or Classification
(B)
Staffing Agency
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
Consulting03/26/2021$15,000
Name and Address
(A)
Mooney,Green,Saindon,Murphy and Welch,P.C.

1920 L Street NW Suite 400
Washington
DC
20036
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,540
Total of All Transactions with this Payee/Payer for This Schedule$6,540
Name and Address
(A)
Phillips, Richard and Rind, P.A.

9360 SW 72 Street Suite 283
Miami
FL
33173
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,642
Total of All Transactions with this Payee/Payer for This Schedule$5,642
Name and Address
(A)
Rutgers University

50 Labor Center Way
New Brunswick
NJ
08901
Type or Classification
(B)
University
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
Collective Bargaining Workshop04/08/2021$6,000
Name and Address
(A)
Schwartz, Steinsapir, Dohrman and Sommers

6300 Wilshire Blvd Ste 2000
Los Angeles
CA
90048-5202
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$155,132
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$155,132
Legal fees Labor Issues07/06/2020$9,502
Legal fees Labor Issues08/03/2020$14,840
Legal fees Labor Issues09/04/2020$23,979
Legal fees Labor Issues09/04/2020$13,875
Legal fees Labor Issues10/05/2020$17,168
Legal fees Labor Issues11/10/2020$15,071
Legal fees Labor Issues02/09/2021$10,115
Legal fees Labor Issues02/23/2021$35,131
Legal fees Labor Issues06/08/2021$15,451
Name and Address
(A)
Segal Roitman, LLP

33 Harrison Ave 7th Flr
Boston
MA
02111
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,845
Total of All Transactions with this Payee/Payer for This Schedule$7,845
Name and Address
(A)
SEIU Local 73

300 S Ashland Ave #400
Chicago
IL
60607
Type or Classification
(B)
Labor Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,570
Total of All Transactions with this Payee/Payer for This Schedule$9,570
Name and Address
(A)
Stephen M. Perlitsh, PC

110 W 34th Street Suite 300
NEW YORK
NY
10001
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,895
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,895
Legal fees Labor Issues01/25/2021$7,895
Name and Address
(A)
StepVisual Communications

519 8th Ave 3rd Flr
New York
NY
10018
Type or Classification
(B)
Printing Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,605
Total Non-Itemized Transactions with this Payee/Payer$3,804
Total of All Transactions with this Payee/Payer for This Schedule$9,409
Orientation Brochures07/06/2020$5,605
Name and Address
(A)
Telegraph

1611 Telegraph Ave Ste 725
Oakland
CA
94612
Type or Classification
(B)
Media Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$135,395
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$135,395
Media Consulting for CA Labor Negotiations08/03/2020$12,870
Media Consulting for CA Labor Negotiations09/04/2020$10,878
Media Consulting for CA Labor Negotiations09/04/2020$13,005
Media Consulting for CA Labor Negotiations11/10/2020$11,700
Media Consulting for CA Labor Negotiations11/27/2020$15,925
Media Consulting for CA Labor Negotiations12/24/2020$11,761
Media Consulting for CA Labor Negotiations02/09/2021$12,798
Media Consulting for CA Labor Negotiations03/19/2021$10,000
Media Consulting for CA Labor Negotiations04/30/2021$11,390
Media Consulting for CA Labor Negotiations06/10/2021$25,068
Name and Address
(A)
Transit Pictures LLC

5831 Riverton Avenue
North Hollywood
CA
91601
Type or Classification
(B)
Video Production Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,550
Total of All Transactions with this Payee/Payer for This Schedule$8,550
Name and Address
(A)
USPS

421 8th Ave Window #46
New York
NY
10199-9998
Type or Classification
(B)
Postage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,058
Total of All Transactions with this Payee/Payer for This Schedule$5,058
Name and Address
(A)
Weinberg, Roger and Rosenfeld

1001 Marina Village Pky 200
Alameda
CA
94501-6430
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,000
Total Non-Itemized Transactions with this Payee/Payer$21,039
Total of All Transactions with this Payee/Payer for This Schedule$33,039
Legal fees Labor Issues12/24/2020$6,000
Legal fees Labor Issues04/09/2021$6,000
Name and Address
(A)
Weiss, Zarett, Brofman and Sonnenklar P.C

3333 New Hyde Park Rd #211
New Hyde Park
NY
11042
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,111
Total of All Transactions with this Payee/Payer for This Schedule$5,111
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 506-906

Name and Address
(A)
Bendixen and Amandi International

3250 Mary Street # 403
Miami
FL
33133
Type or Classification
(B)
Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,000
Advertising04/19/2021$25,000
Name and Address
(A)
Florida Decides Healthcare Inc.
P.O. Box 10829

Tallahassee
FL
32302
Type or Classification
(B)
PAC Fund
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
Contribution06/30/2021$15,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 506-906

Name and Address
(A)
American Medical Student Assoc.

45610 Woodland Rd #300
Sterling
UT
20166
Type or Classification
(B)
Medical Association
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
Support/Donations04/29/2021$6,000
Name and Address
(A)
Emergency Medicine Lincoln Medical Center

234 E 149th Street
Bronx
NY
10451
Type or Classification
(B)
Hospital
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
Grant02/01/2021$5,200
Name and Address
(A)
MotivBrand

6827 Chisholm Avenue
Van Nuys
CA
91406
Type or Classification
(B)
Promotional Products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$47,705
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$47,705
Face Masks08/31/2020$47,705
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 506-906

Name and Address
(A)
10-27 46th Avenue, LLC
c/o GFP Real Estate LLC
125 Park Avenue
New York
NY
10017
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$319,533
Total Non-Itemized Transactions with this Payee/Payer$214
Total of All Transactions with this Payee/Payer for This Schedule$319,747
Rent for National Office07/06/2020$26,822
Rent for National Office07/20/2020$26,822
Rent for National Office09/04/2020$28,412
Rent for National Office10/05/2020$26,937
Rent for National Office11/10/2020$26,859
Rent for National Office12/24/2020$25,565
Rent for National Office02/09/2021$25,632
Rent for National Office02/09/2021$26,328
Rent for National Office03/03/2021$25,983
Rent for National Office05/10/2021$53,410
Rent for National Office06/08/2021$26,763
Name and Address
(A)
1541-1545 Wilshire SEIU 721 Holding, LLC

1545 Wilshire Blvd Ste 100
Los Angeles
CA
90017
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$20,040
Total of All Transactions with this Payee/Payer for This Schedule$20,040
Name and Address
(A)
Accountemps

12400 Collections Center Dr
Chicago
IL
60693
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$17,657
Total of All Transactions with this Payee/Payer for This Schedule$17,657
Name and Address
(A)
Adobe Systems Incorporated

345 Park Avenue
San Jose
CA
95110-2704
Type or Classification
(B)
Software Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,161
Total Non-Itemized Transactions with this Payee/Payer$7,658
Total of All Transactions with this Payee/Payer for This Schedule$14,819
Annual Contract-Software11/27/2020$7,161
Name and Address
(A)
ADP, Inc.
P.O. Box 842875

Boston
MA
02284-2875
Type or Classification
(B)
Payroll Processor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$17,750
Total of All Transactions with this Payee/Payer for This Schedule$17,750
Name and Address
(A)
AmTrust North America
P.O. Box 6939

Cleveland
OH
44101-1939
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$56,200
Total Non-Itemized Transactions with this Payee/Payer$2,161
Total of All Transactions with this Payee/Payer for This Schedule$58,361
Workers Compensation Insurance12/11/2020$56,200
Name and Address
(A)
Certify Inc.

20 York Street Suite 201
Portland
ME
04101
Type or Classification
(B)
Accounting Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,750
Total of All Transactions with this Payee/Payer for This Schedule$7,750
Name and Address
(A)
Cleaning Service Industries, Inc.

1384 Broadway Suite 407
New York
NY
10018
Type or Classification
(B)
Office Maintenance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,325
Total of All Transactions with this Payee/Payer for This Schedule$9,325
Name and Address
(A)
Cool Breeze Air Conditioning

505 8th Avenue #702
New York
NY
10018
Type or Classification
(B)
Air Conditioning Contractor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,621
Total of All Transactions with this Payee/Payer for This Schedule$7,621
Name and Address
(A)
Crypsis

1410 Spring Hill Rd Ste 300
McLean
VA
22102
Type or Classification
(B)
Computer Security Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,600
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$26,600
Consulting08/03/2020$20,450
Consulting09/04/2020$6,150
Name and Address
(A)
Dominion Tower

1400 NW 10th Ave Suite 101
Miami
FL
33136
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$27,866
Total of All Transactions with this Payee/Payer for This Schedule$27,866
Name and Address
(A)
G-I IX Marina Village Portfolio LP

1050 Marina Village Parkway
Los Angeles
CA
90084
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$49,426
Total of All Transactions with this Payee/Payer for This Schedule$49,426
Name and Address
(A)
Health Plan Systems Inc.
2025 Lincoln Highway
State Route 27 Suite 340
Edison
NJ
08817
Type or Classification
(B)
Software Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$74,669
Total Non-Itemized Transactions with this Payee/Payer$9,918
Total of All Transactions with this Payee/Payer for This Schedule$84,587
Website and Computer Support07/06/2020$12,150
Website and Computer Support07/20/2020$5,068
Website and Computer Support08/03/2020$5,068
Website and Computer Support09/04/2020$9,315
Website and Computer Support04/30/2021$12,150
Website and Computer Support05/10/2021$5,175
Website and Computer Support05/10/2021$15,203
Website and Computer Support06/08/2021$5,270
Website and Computer Support06/11/2021$5,270
Name and Address
(A)
Intuit

2632 Marine Way
Mountain View
CA
94043
Type or Classification
(B)
Software Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,125
Total of All Transactions with this Payee/Payer for This Schedule$5,125
Name and Address
(A)
Jay Star Group, Inc.

200 Connecticut Ave 5th Flr
Norwalk
CT
06854
Type or Classification
(B)
LM2 Preparers
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,140
Total of All Transactions with this Payee/Payer for This Schedule$7,140
Name and Address
(A)
Joy Products, Inc.

14 Vanderventer Avenue
Port Washington
NY
11050
Type or Classification
(B)
Promotional Products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$72,193
Total Non-Itemized Transactions with this Payee/Payer$9,595
Total of All Transactions with this Payee/Payer for This Schedule$81,788
Promotional Merchandise07/06/2020$40,273
Promotional Merchandise07/20/2020$8,627
Promotional Merchandise09/04/2020$13,980
Promotional Merchandise12/24/2020$9,313
Name and Address
(A)
Locktight Solutions, Inc.

11 Ridge Road
Creeskill
NJ
07626-1028
Type or Classification
(B)
Computer Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$126,684
Total Non-Itemized Transactions with this Payee/Payer$27,531
Total of All Transactions with this Payee/Payer for This Schedule$154,215
IT Consulting and Licenses07/20/2020$23,618
IT Consulting and Licenses07/20/2020$5,320
IT Consulting and Licenses08/03/2020$5,320
IT Consulting and Licenses09/04/2020$5,029
IT Consulting and Licenses10/05/2020$20,336
IT Consulting and Licenses11/10/2020$5,883
IT Consulting and Licenses11/27/2020$5,026
IT Consulting and Licenses12/24/2020$5,026
IT Consulting and Licenses03/19/2021$5,028
IT Consulting and Licenses04/30/2021$46,098
Name and Address
(A)
Nur Consulting


.
00
Type or Classification
(B)
Data Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,600
Total of All Transactions with this Payee/Payer for This Schedule$9,600
Name and Address
(A)
Office Team-CA
P.O. Box 743295

Los Angeles
CA
90074-3295
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,882
Total Non-Itemized Transactions with this Payee/Payer$2,468
Total of All Transactions with this Payee/Payer for This Schedule$13,350
Temporary Staff06/08/2021$10,882
Name and Address
(A)
Optomed

.
San Francisco
CA
94102
Type or Classification
(B)
Health Care Equipment Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,650
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,650
Quality Improvement Fund11/10/2020$8,650
Name and Address
(A)
Quadient Finance USA, Inc
P.O. Box 6813

Carol Stream
IL
60197-6813
Type or Classification
(B)
Equipment Rental Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$21,482
Total of All Transactions with this Payee/Payer for This Schedule$21,482
Name and Address
(A)
Rogoff and Company, PC

355 Lexington Ave 6th Flr
New York
NY
10017
Type or Classification
(B)
Accounting Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$56,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$56,500
Accounting and Auditing Fees09/04/2020$14,125
Accounting and Auditing Fees12/24/2020$14,125
Accounting and Auditing Fees01/25/2021$14,125
Accounting and Auditing Fees06/11/2021$14,125
Name and Address
(A)
Ross Resources, Inc.

441 Division Avenue
Hicksville
NY
11801
Type or Classification
(B)
Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$110,813
Total Non-Itemized Transactions with this Payee/Payer$900
Total of All Transactions with this Payee/Payer for This Schedule$111,713
Consulting HR10/05/2020$15,600
Consulting HR12/24/2020$12,600
Consulting HR01/25/2021$21,900
Consulting HR02/23/2021$10,688
Consulting HR04/15/2021$24,975
Consulting HR06/10/2021$14,962
Consulting HR06/11/2021$10,088
Name and Address
(A)
Segal Select Insurance Services, Inc.

333 West 34th Street
New York
NY
10001
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,072
Total Non-Itemized Transactions with this Payee/Payer$400
Total of All Transactions with this Payee/Payer for This Schedule$5,472
Liability Insurance03/26/2021$5,072
Name and Address
(A)
Seneca Insurance Company, Inc.

160 Water Street
New York
NY
10038-4922
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,203
Total Non-Itemized Transactions with this Payee/Payer$3,500
Total of All Transactions with this Payee/Payer for This Schedule$12,703
Commercial Package Insurance01/07/2021$9,203
Name and Address
(A)
SEIU Affiliates' 401(K) Plan

1800 Mass Ave NW Suite 301
Washington
DC
20036-1202
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,850
Total of All Transactions with this Payee/Payer for This Schedule$5,850
Name and Address
(A)
SEIU Massachusetts State Council

145 Tremont St Suite 202
Boston
MA
02111
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$13,500
Total of All Transactions with this Payee/Payer for This Schedule$13,500
Name and Address
(A)
Stacy Braun Associates, Inc.

377 Broadway
New York
NY
10013-3934
Type or Classification
(B)
Investment Advisors
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,152
Total Non-Itemized Transactions with this Payee/Payer$7,135
Total of All Transactions with this Payee/Payer for This Schedule$14,287
Investment Fees01/25/2021$7,152
Name and Address
(A)
SurveyMonkey

One Curiosity Way
San Mateo
CA
94403
Type or Classification
(B)
Online Survey Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,228
Total of All Transactions with this Payee/Payer for This Schedule$5,228
Name and Address
(A)
Telco Experts
P.O. Box 945

Oakland
NJ
07436-0945
Type or Classification
(B)
Internet/Web Service Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,129
Total of All Transactions with this Payee/Payer for This Schedule$15,129
Name and Address
(A)
Time Warner Cable
P.O. Box 223085

Pittsburgh
PA
15251-2085
Type or Classification
(B)
Internet/Web Service Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,512
Total of All Transactions with this Payee/Payer for This Schedule$18,512
Name and Address
(A)
TIAA Commercial Finance, Inc.
P.O. Box 911608

Denver
CO
80291-1608
Type or Classification
(B)
Equipment Rental Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$19,365
Total of All Transactions with this Payee/Payer for This Schedule$19,365
Name and Address
(A)
Union of CA State Workers Properties

1808 14th Street
Sacramento
CA
95811
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,800
Total of All Transactions with this Payee/Payer for This Schedule$9,800
Name and Address
(A)
Union Services Agency

119 Pere Marquette Suite 1A
Lansing
MI
48912
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$51,572
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$51,572
Union Liability Insurance02/08/2021$51,572
Name and Address
(A)
University of Miami-Dept of Psychiatry
P.O. Box 405516

Atlanta
GA
30384-5516
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$9,000
Total of All Transactions with this Payee/Payer for This Schedule$15,000
Public Health Trust Fund10/08/2020$6,000
Name and Address
(A)
University of Southern California
Clinical Sciences Bldg
2250 Alcazar Street
Los Angeles
CA
90033
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$20,000
Quality Improvement Fund08/03/2020$20,000
Name and Address
(A)
University of Southern California.

16200 Amber Valley Dr
Whittier
CA
90604
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,276
Total Non-Itemized Transactions with this Payee/Payer$5,027
Total of All Transactions with this Payee/Payer for This Schedule$17,303
Quality Improvement Fund10/05/2020$12,276
Name and Address
(A)
Verizon-NJ
P.O. Box 408

Newark
NJ
07101-0408
Type or Classification
(B)
Telecommunications Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,847
Total Non-Itemized Transactions with this Payee/Payer$28,119
Total of All Transactions with this Payee/Payer for This Schedule$33,966
Telephone Service10/27/2020$5,847
Name and Address
(A)
WorcLab

44 Portland St 4th Flr
Worcester
LA
01608
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$6,605
Total of All Transactions with this Payee/Payer for This Schedule$6,605
Name and Address
(A)
Zoom

55 Almaden Blvd Suite 600
San Jose
CA
95113
Type or Classification
(B)
Online Meeting Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$16,033
Total of All Transactions with this Payee/Payer for This Schedule$16,033
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 506-906

Name and Address
(A)
Crossfire Sound Productions

276 Meserole Street
Brooklyn
NY
11206
Type or Classification
(B)
AV Equipment Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,754
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,754
Convention Web Streaming04/15/2021$7,754
Name and Address
(A)
Joe Shambro

10-26 47th Road #2
Long Island City
NY
11101
Type or Classification
(B)
Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,988
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,988
Consulting07/16/2020$6,988
Name and Address
(A)
TrueBallot

3 Bethesda Metro Ctr #700
Bethesda
MD
20814
Type or Classification
(B)
Election Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$31,568
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$31,568
CIR Election01/14/2021$31,568
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 506-906

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$2,129,793
Disability InsuranceStandard Security Life Ins Co.$8,127
Medical InsuranceEmployees$12,819
Medical InsuranceHousestaff Benefit Plan$118,549
Medical InsuranceVoluntary Hospitals HSBP$867,695
Pension BenefitsSEIU Affiliates Officers Employee Pension Fund$1,122,603
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 506-906


Question 10: HOUSE STAFF BENEFIT PLAN ID # 13-6203291 A TAX EXEMPT 501-C-9 MULTI-EMPLOYER/EMPLOYEE BENEFIT PLAN. VOLUNTARY HOSPITAL HOUSE STAFF BENEFIT PLAN ID # 13-3029280 A TAX EXEMPT 501-C-9 MULTI-EMPLOYER/EMPLOYEE BNTF PLAN. PATIENT CARE TRUST FUND ID# 13- 3045148 A TAX EXEMPT 501-C3. PROFESSIONAL EDUCATION PLAN ID# 13-4071468 A TAX EXEMPT 501-C9 MULTI EMPLOYER/EMPLOYEE BENEFIT PLAN.

Question 11(a): : PAC FUND (CIR-SEIU LOCAL 1957 HEALTH CARE ADVOCACY FUND) FILES FORM A17520 WITH THE NEW YORK STATE BOARD OF ELECTIONS.

Question 12: AUDIT IS BEING PERFORMED BY ROGOFF & COMPANY, P.C. CPA'S, 355 LEXINGTON AVENUE 6TH FLOOR, NEW YORK, NY 10017 212-557-5666.

Question 16: CIR MAINTAINED A SECURITY DEPOSIT IN THE AMOUNT OF $80,438 WITH GFP REAL ESTATE LLC(LANDLORD) FOR THE NATIONAL OFFICE LEASE.

Schedule 13, Row1:MEMBERS PAY FULL DUES AND HAVE FULL VOTING RIGHTS.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)