069-941 (LM2) 09/30/2021

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
069-941

2. PERIOD COVERED
From	10/01/2020
Through	09/30/2021

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 UNION OF AMERICAN PHYSICIANS
5. DESIGNATION (Local, Lodge, etc.) STATE FEDERATION	6. DESIGNATION NBR
7. UNIT NAME (if any) CALIFORNIA FEDERATION OF THE UNION OF AMERICAN

8. MAILING ADDRESS (Type or print in capital letters)
First Name STUART	Last Name BUSSEY
P.O Box - Building and Room Number
Number and Street 520 CAPITOL MALL, SUITE 220
City SACRAMENTO
State CA	ZIP Code + 4 95814

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:

stuart A Bussey

PRESIDENT

71. SIGNED:

Ronald H Lewis, M.D.

TREASURER

Date:

Dec 27, 2021

Telephone Number:

510-839-0193

Date:

Dec 27, 2021

Telephone Number:

619-889-7500

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

ITEMS 10 THROUGH 21

FILE NUMBER: 069-941

10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?	No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?	Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?	No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?	Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)	No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?	$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?	No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?	No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?	No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?	No
19. What is the date of the labor organization's next regular election of officers?	10/2024

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

2,872

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	440	per	year	$72.00	$3500.00
(b) Working Dues/Fees		per
(c) Initiation Fees		per
(d) Transfer Fees		per
(e) Work Permits		per

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

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 069-941

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$10,722,574	$11,863,880
23. Accounts Receivable	1	$0	$0
24. Loans Receivable	2	$0
25. U.S. Treasury Securities		$0	$0
26. Investments	5	$0
27. Fixed Assets	6	$0
28. Other Assets	7	$0
29. TOTAL ASSETS		$10,722,574	$11,863,880

LIABILITIES

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

35. NET ASSETS

$10,722,574

$11,863,880

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

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 069-941

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$6,111,705
37. Per Capita Tax		$0
38. Fees, Fines, Assessments, Work Permits		$0
39. Sale of Supplies		$0
40. Interest		$249,073
41. Dividends		$0
42. Rents		$0
43. Sale of Investments and Fixed Assets	3	$0
44. Loans Obtained	9
45. Repayments of Loans Made	2
46. On Behalf of Affiliates for Transmittal to Them		$0
47. From Members for Disbursement on Their Behalf		$0
48. Other Receipts	14	$0
49. TOTAL RECEIPTS		$6,360,778

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$1,508,184
51. Political Activities and Lobbying		16	$477,543
52. Contributions, Gifts, and Grants		17	$0
53. General Overhead		18	$2,376,785
54. Union Administration		19	$324,423
55. Benefits		20	$532,537
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
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			$0

66. Subtotal			$5,219,472
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$704,541
67b. Less Total Disbursed	$704,541
67c. Total Withheld But Not Disbursed
68. TOTAL DISBURSEMENTS			$5,219,472

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

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 069-941

Entity or Individual Name (A)	Total Account Receivable (B)	90-180 Days Past Due (C)	180+ Days Past Due (D)	Liquidated Account Receivable (E)
Total of all itemized accounts receivable	$0	$0	$0	$0
Totals from all other accounts receivable
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B))	$0	$0	$0	$0

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

SCHEDULE 2 - LOANS RECEIVABLE

FILE NUMBER: 069-941

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: 069-941

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

				Less Reinvestments	$0
(The total from Net Sales Line will be automatically entered in Item 43)				Net Sales	$0

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

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 069-941

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: 069-941

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: 069-941

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

E. Other Fixed Assets

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

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

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 069-941

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: 069-941

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

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

SCHEDULE 9 - LOANS PAYABLE

FILE NUMBER: 069-941

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: 069-941

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$0

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

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 069-941

(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

Bussey , Stuart
President
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Lewis , Ronald
Vice President
C

$1,000

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Farooqi , Mubashir
Vice President
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Pendurkar , Shakalpi
Secretary
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Behrman , Victoria
Treasurer
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Kim , Ryan
Board Member
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Cheng , Rex
Board Member
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Lorig , Milton
Board Member
C

$190

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Pednault , Gary
Board Member
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Bitonte , Robert
Board Member
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Lorig , Milton
Board Member
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Sabo , Steven
Board Member
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Sarka , George
Board Member
N

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Uddhandi , Nagaraj
Board Member
N

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

Total Officer Disbursements	$0	$0	$1,190	$0	$1,190
Less Deductions
Net Disbursements					$1,190

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

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 069-941

(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

Adams , Indya
Rep/Organizer
C

$92,500

$2,290

$3,519

$98,309

Schedule 15
Representational Activities

80 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

20 %

Schedule 19
Administration

A
B
C

Alexander , Cheryl
Finance & Benefits Manage
C

$116,667

$1,605

$118,272

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

70 %

Schedule 19
Administration

30 %

A
B
C

Baldovinos , Nancy
Office Manager
C

$71,400

$96

$14,419

$85,915

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

100 %

Schedule 19
Administration

A
B
C

Bussey , Stuart
President
C

$204,670

$3,220

$207,890

Schedule 15
Representational Activities

10 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

50 %

Schedule 19
Administration

40 %

A
B
C

Castillo , Patricia
Senior Representative
C

$116,670

$2,623

$6,522

$125,815

Schedule 15
Representational Activities

50 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

50 %

Schedule 19
Administration

A
B
C

Chiappetta , R. Douglas
Executive Director
C

$186,464

$1,317

$14,679

$202,460

Schedule 15
Representational Activities

10 %

Schedule 16
Political Activities and Lobbying

20 %

Schedule 17
Contributions

Schedule 18
General Overhead

35 %

Schedule 19
Administration

35 %

A
B
C

Cordova , Christine
Program Specialist
C

$83,100

$2,632

$85,732

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

100 %

Schedule 19
Administration

A
B
C

Crane , Joseph
Regional Administrator
P

$113,575

$3,120

$8,222

$124,917

Schedule 15
Representational Activities

70 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

10 %

Schedule 19
Administration

20 %

A
B
C

Davison , Spencer
Rep/Organizer
N

$45,115

$1,780

$46,895

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Duarte , Gloria
Office Manager
C

$111,241

$2,050

$50,898

$164,189

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

100 %

Schedule 19
Administration

A
B
C

Dunn , Laurel
Communications Specialist
C

$75,833

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

100 %

Schedule 19
Administration

A
B
C

Flores , Rachel
Organizing Director
C

$126,254

$4,347

$12,483

$143,084

Schedule 15
Representational Activities

80 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

10 %

Schedule 19
Administration

10 %

A
B
C

Golden Ortiz , Glynnis
Senior Representative
C

$115,566

$1,548

$5,221

$122,335

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Gonzalez , Jose
Rep/Organizer
N

$28,673

$231

$28,904

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Hanley , Gabrielle
Rep/Organizer
P

$85,788

$1,893

$7,258

$94,939

Schedule 15
Representational Activities

90 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

10 %

Schedule 19
Administration

A
B
C

Hernandez , Patricia
Chief Negotiator
C

$151,367

$100

$151,467

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Ige , Christopher
Regional Administrator
C

$151,246

$970

$3,711

$155,927

Schedule 15
Representational Activities

70 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

30 %

A
B
C

Jacobs , John
Technical Support Special
N

$19,866

$222

$20,088

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

100 %

Schedule 19
Administration

A
B
C

Jenkins , Timothy
Rep/Media Relations Speci
C

$142,277

$2,588

$144,865

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Mark , Johnson
Organizer
C

$12,981

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

King , Pierre
Rep/Organizer
C

$64,932

$4,767

$340

$70,039

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Leonard , Robert
Rep/Organizer
C

$115,566

$1,518

$117,084

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Matthews Green , Miracle
Accounting Assistant
N

$1,670

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Modrall , Claudia
Administrative Assistant
P

$35,851

$25

$35,876

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

100 %

Schedule 19
Administration

A
B
C

Powell , Marisa
Rep/Organizer
P

$67,177

$6,135

$73,312

Schedule 15
Representational Activities

80 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

20 %

Schedule 19
Administration

A
B
C

Rivera , Nereyda
Senior Representative
C

$142,641

$3,687

$146,328

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Robinson , Gary
Consultant
C

$52,477

$940

$53,417

Schedule 15
Representational Activities

25 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

50 %

Schedule 19
Administration

25 %

A
B
C

Toledano , Bryan
Rep/Organizer
N

$2,109

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Tovar , Paula
Administrative Assistant
P

$20,554

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

100 %

Schedule 19
Administration

A
B
C

Yount , Amy
Rep/Organizer
N

$12,410

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

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	$2,566,640	$0	$40,881	$136,095	$2,743,616
Less Deductions
Net Disbursements					$2,743,616

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

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 069-941

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	2,872
Agency Fee Payers*
Total Members/Fee Payers	2,872
*Agency Fee Payers are not considered members of the labor organization.
State Employed Members	978	Yes
County Employed Members	1,847	Yes
Private Practice Members	47	Yes

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

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 069-941

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$0
2. Named Payer Non-itemized Receipts	$0
3. All Other Receipts
4. Total Receipts	$0

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
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 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$0
4. To Employees	$1,508,184
5. All Other Disbursements
6. Total Disbursements	$1,508,184

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$973,521
2. Named Payee Non-itemized Disbursements	$497,246
3. To Officers	$0
4. To Employees	$906,018
5. All Other Disbursements
6. Total Disbursements	$2,376,785

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$411,339
2. Named Payee Non-itemized Disbursements	$25,712
3. To Officers	$0
4. To Employees	$40,492
5. All Other Disbursements
6. Total Disbursements	$477,543

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$1,190
4. To Employees	$288,922
5. All Other Disbursements	$34,311
6. Total Disbursements	$324,423

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

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 069-941

Name and Address
(A)

AFSCME CA PEOPLE Small Contributor

1121 L Street, Suite 904
Sacramento
CA
95814

Type or Classification
(B)

UAPD CA Small Contributor

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$21,901
Total of All Transactions with this Payee/Payer for This Schedule		$21,901

Name and Address
(A)

AFSCME PEOPLE Qualified Committee

1625 L Street, N.W.
Washington
DC
20036

Type or Classification
(B)

AFSCME Qualified PAC Fund

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$3,811
Total of All Transactions with this Payee/Payer for This Schedule		$3,811

Name and Address
(A)

UAPD I.E. PAC

555 Capital Mall, Ste. 400
Sacramento
CA
95814

Type or Classification
(B)

UAPD I.E. PAC

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$101,955
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$101,955
Monthly Expense	10/31/2020	$8,425
Monthly Expense	11/30/2020	$8,480
Monthly Expense	12/31/2020	$8,565
Monthly Expense	01/31/2021	$8,545
Monthly Expense	02/28/2021	$8,640
Monthly Expense	03/31/2021	$8,545
Monthly Expense	04/30/2021	$8,495
Monthly Expense	05/31/2021	$8,450
Monthly Expense	06/30/2021	$8,400
Monthly Expense	07/31/2021	$8,400
Monthly Expense	08/31/2021	$8,450
Monthly Expense	09/30/2021	$8,560

Name and Address
(A)

UAPD Small Contributor Committee PAC

555 Capitol Mall, Ste. 400
Sacramento
CA
95814

Type or Classification
(B)

UAPD Small Contributor Committee Contributions

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$309,384
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$309,384
Monthly Expense	10/31/2020	$26,066
Monthly Expense	11/30/2020	$26,056
Monthly Expense	12/31/2020	$26,087
Monthly Expense	01/31/2021	$26,088
Monthly Expense	02/28/2021	$26,221
Monthly Expense	03/31/2021	$25,849
Monthly Expense	04/30/2021	$25,754
Monthly Expense	05/31/2021	$25,536
Monthly Expense	06/30/2021	$25,510
I.E. Expenditures	07/31/2021	$25,352
Monthly Expense	08/31/2021	$25,393
Monthly Expense	09/30/2021	$25,472

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

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS

FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 069-941

Name and Address
(A)

1960 Grand Office Owner 1 LP

3440 Flair Drive
El Monte
CA
91731

Type or Classification
(B)

Monthly Lease El Segundo office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$111,292
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$111,292
Lease Payment	10/01/2020	$13,558
Lease Payment	11/01/2020	$13,558
Lease Payment	12/01/2020	$13,558
Lease Payment	01/01/2021	$13,558
Lease Payment	02/01/2021	$14,972
Lease Payment	03/01/2021	$13,558
Lease Payment	04/01/2021	$14,265
Lease Payment	05/03/2021	$14,265

Name and Address
(A)

AACDP

6825 Vineyard Haven Logs
Dublin
OH
43016

Type or Classification
(B)

Dental Association Donation

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
Donation	01/15/2021	$5,000

Name and Address
(A)

AFSCME AFL-CIO Per Cap

1625 L Street, N.W.
Washington
DC
20036

Type or Classification
(B)

Union Affiliate Per Cap Dues/Fees

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$381,425
Total Non-Itemized Transactions with this Payee/Payer		$78,937
Total of All Transactions with this Payee/Payer for This Schedule		$460,362
Per Capita	10/31/2020	$37,692
Per Capita	11/30/2020	$35,132
Per Capita	12/31/2020	$38,149
Per Capita	01/31/2021	$38,567
Per Capita	02/28/2021	$38,932
Per Capita	03/31/2021	$38,740
Per Capita	04/30/2021	$38,795
Per Capita	05/31/2021	$38,730
Per Capita	06/30/2021	$37,053
Per Capita	07/31/2021	$39,635

Name and Address
(A)

All State Moving

12356 McIvers Court
Poway
CA
92064

Type or Classification
(B)

Relocation of So California Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,758
Total Non-Itemized Transactions with this Payee/Payer		$2,112
Total of All Transactions with this Payee/Payer for This Schedule		$10,870
One Payment	08/31/2021	$8,758

Name and Address
(A)

AmTrust North America

P.O. Box 6939
Cleveland
OH
44101

Type or Classification
(B)

WKC, Umbrella, etc. insurances

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,475
Total Non-Itemized Transactions with this Payee/Payer		$37,895
Total of All Transactions with this Payee/Payer for This Schedule		$45,370
WKC Installment	09/10/2021	$7,475

Name and Address
(A)

Ari Salomon

16 Abbey Street
San Francisco
CA
94114

Type or Classification
(B)

Website development

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,567
Total of All Transactions with this Payee/Payer for This Schedule		$6,567

Name and Address
(A)

Armenian Cultural

1031 L Street
Sacramento
CA
95814

Type or Classification
(B)

Armenian Association

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,000
Total of All Transactions with this Payee/Payer for This Schedule		$5,000

Name and Address
(A)

Barnard, Iglitzin & Lavitt, LLP

18 West Mercer St, Ste. 400
Seattle
WA
98124

Type or Classification
(B)

Legal Services for Washington area

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$63,376
Total Non-Itemized Transactions with this Payee/Payer		$1,084
Total of All Transactions with this Payee/Payer for This Schedule		$64,460
Monthly Expense	10/23/2020	$7,123
Monthly Expense	12/18/2020	$7,948
Monthly Expense	12/18/2020	$6,958
Monthly Expense	01/15/2021	$5,445
Monthly Expense	02/19/2021	$11,123
Monthly Expense	03/19/2021	$11,991
Monthly Expense	04/16/2021	$12,788

Name and Address
(A)

BCT Consulting, Inc.

7910 N. Ingram Ave. #101
Fresno
CA
93711

Type or Classification
(B)

Telephone Lease for Northern California Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$7,150
Total of All Transactions with this Payee/Payer for This Schedule		$7,150

Name and Address
(A)

Broadway Civic Center, LP

205 South Broadway, #510
Los Angeles
CA
90012

Type or Classification
(B)

Lease payments for the El Segundo Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$25,500
Total Non-Itemized Transactions with this Payee/Payer		$4,600
Total of All Transactions with this Payee/Payer for This Schedule		$30,100
Initial Payment	06/29/2021	$25,500

Name and Address
(A)

Bryan Toledano

327 "F" Street
Oxnard
CA
93030

Type or Classification
(B)

Consultant - Organizing

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$11,352
Total of All Transactions with this Payee/Payer for This Schedule		$11,352

Name and Address
(A)

Coalition of County Unions

2 Cupania Circle
Monterey Park
CA
91750

Type or Classification
(B)

Arbitration/legal services for unions

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$19,653
Total Non-Itemized Transactions with this Payee/Payer		$8,835
Total of All Transactions with this Payee/Payer for This Schedule		$28,488
Monthly Expense	10/23/2020	$19,653

Name and Address
(A)

Comcast
P.O. Box 60533

City of Industry
CA
91716

Type or Classification
(B)

Computer Internet Services for Sac and WA Offices

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$9,587
Total of All Transactions with this Payee/Payer for This Schedule		$9,587

Name and Address
(A)

Cousins Holdings, LLC

40400 Harts Lake Valley Rd
Roy
WA
98580

Type or Classification
(B)

Monthly Lease for Washington state office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$24,000
Total of All Transactions with this Payee/Payer for This Schedule		$24,000

Name and Address
(A)

FedEx
P.O. Box 7221

Pasadena
CA
91109

Type or Classification
(B)

Delivery Services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$9,831
Total of All Transactions with this Payee/Payer for This Schedule		$9,831

Name and Address
(A)

Golden Gate Print & Media Services
11144 Golf Links Road
11144 Golf Links Road
Oakland
CA
94605

Type or Classification
(B)

Printing Company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,286
Total of All Transactions with this Payee/Payer for This Schedule		$6,286

Name and Address
(A)

James R. Mount

3967 Mead Street
Antioch
CA
94531

Type or Classification
(B)

IT Consultant

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$11,979
Total of All Transactions with this Payee/Payer for This Schedule		$11,979

Name and Address
(A)

Jaystar Group Inc.

200 Connecticut Ave, 5th Fl
Norwalk
CT
06854

Type or Classification
(B)

Database for Membership

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$12,719
Total Non-Itemized Transactions with this Payee/Payer		$20,281
Total of All Transactions with this Payee/Payer for This Schedule		$33,000
Database work	12/24/2020	$5,375
Database work	04/16/2021	$7,344

Name and Address
(A)

Law Office of Lawrence Rosezweig

1900 S. Bundy Drive, #777
Los Angeles
CA
90025

Type or Classification
(B)

Legal Services for SoCal Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,525
Total Non-Itemized Transactions with this Payee/Payer		$18,673
Total of All Transactions with this Payee/Payer for This Schedule		$25,198
Monthly Expense	12/04/2020	$6,525

Name and Address
(A)

Mr Copy/Fax City
P.O. Box 843760
1600 S. Sherbourne Drive
Los Angeles
CA
90084

Type or Classification
(B)

Copier payments in Sacramento office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$1,094
Total of All Transactions with this Payee/Payer for This Schedule		$1,094

Name and Address
(A)

Osborn Strategies, LLC

4840 Finlandia Way
Carmichael
CA
95608

Type or Classification
(B)

Media Communications

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$25,000
Total Non-Itemized Transactions with this Payee/Payer		$31,285
Total of All Transactions with this Payee/Payer for This Schedule		$56,285
Monthly Expense	05/03/2021	$5,000
Monthly Expense	06/01/2021	$5,000
Monthly Expense	07/01/2021	$5,000
Monthly Expense	08/01/2021	$5,000
Monthly Expense	09/01/2021	$5,000

Name and Address
(A)

Parking Concepts Inc.

1801 South Georgia Street
Los Angeles
CA
90015

Type or Classification
(B)

Parking for El Segundo Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$9,520
Total of All Transactions with this Payee/Payer for This Schedule		$9,520

Name and Address
(A)

Pelote Strategic Advisors

351 Ross Way
Sacramento
CA
95864

Type or Classification
(B)

Lobbyist Assistance

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$52,500
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$52,500
Contract Payment	05/17/2021	$22,500
Contract Payment	07/01/2021	$10,000
Contract Payment	08/01/2021	$10,000
Contract Payment	08/31/2021	$10,000

Name and Address
(A)

Pitney Bowes Global Financial Services
P.O. Box 371887

Pittsburgh
PA
15250

Type or Classification
(B)

Postage Machine Leases

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$9,579
Total of All Transactions with this Payee/Payer for This Schedule		$9,579

Name and Address
(A)

R. T. Capital Mall LP

2870 Gateway Oaks
Sacramento
CA
95833

Type or Classification
(B)

Monthly Lease for Sacramento Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$88,815
Total Non-Itemized Transactions with this Payee/Payer		$17,946
Total of All Transactions with this Payee/Payer for This Schedule		$106,761
Monthly Lease	10/01/2020	$8,861
Monthly Lease	11/01/2020	$7,574
Monthly Lease	12/01/2020	$9,044
Monthly Lease	01/01/2021	$9,148
Monthly Lease	02/01/2021	$9,128
Monthly Lease	03/01/2021	$9,168
Monthly Lease	04/01/2021	$8,973
Monthly Lease	05/01/2021	$8,973
Monthly Lease	06/01/2021	$8,973
Monthly Lease	07/01/2021	$8,973

Name and Address
(A)

River City Communications

1835 Iron Point Road, #180
Folsom
CA
95630

Type or Classification
(B)

Communications Consultants

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$22,349
Total Non-Itemized Transactions with this Payee/Payer		$28,150
Total of All Transactions with this Payee/Payer for This Schedule		$50,499
Monthly Expense	12/01/2020	$5,547
Monthly Expense	12/11/2020	$5,772
Monthly Expense	03/19/2021	$5,640
Monthly Expense	04/09/2021	$5,390

Name and Address
(A)

Suzanne Wilson Consulting

6111 Burlingame
Richmond
CA
94804

Type or Classification
(B)

Consultant - Website and Communications

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$14,509
Total Non-Itemized Transactions with this Payee/Payer		$12,967
Total of All Transactions with this Payee/Payer for This Schedule		$27,476
Monthly Expense	06/11/2021	$5,081
Monthly Expense	06/11/2021	$9,428

Name and Address
(A)

TPX Communications
P.O. Box 509013

San Diego
CA
92150

Type or Classification
(B)

Telephone Lease for Southern California Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$14,476
Total of All Transactions with this Payee/Payer for This Schedule		$14,476

Name and Address
(A)

Unionware
P.O. Box 930473

Atlanta
GA
31193

Type or Classification
(B)

New Database to be launched 2022

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$119,775
Total Non-Itemized Transactions with this Payee/Payer		$6,726
Total of All Transactions with this Payee/Payer for This Schedule		$126,501
Quarterly Expense	11/20/2020	$39,925
Quarterly Expense	04/30/2021	$39,925
Quarterly Expense	08/13/2021	$39,925

Name and Address
(A)

US Bancorp Equipment Finance
P.O. Box 790448

St. Louis
MO
63179

Type or Classification
(B)

Leases for SoCal Phone Services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$17,565
Total of All Transactions with this Payee/Payer for This Schedule		$17,565

Name and Address
(A)

Van Sloten & Laranang CPAs

39572 Stevenson Place #226
Fremont
CA
94539

Type or Classification
(B)

CPAs for Annual Audit

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,850
Total Non-Itemized Transactions with this Payee/Payer		$2,500
Total of All Transactions with this Payee/Payer for This Schedule		$11,350
Audit Preparation Payment	01/31/2021	$8,850

Name and Address
(A)

Weinberg, Roger & Rosenfeld

1375 - 55th Street
Emeryville
CA
94608

Type or Classification
(B)

Legal Services for Sacramento area

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$68,715
Total of All Transactions with this Payee/Payer for This Schedule		$68,715

Name and Address
(A)

Xerox Financial Center

P.O. Box 202882
Dallas
TX
75320

Type or Classification
(B)

Lease payments for the El Segundo Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$12,554
Total of All Transactions with this Payee/Payer for This Schedule		$12,554

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

SCHEDULE 19 - UNION ADMINISTRATION

FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS

FILE NUMBER: 069-941

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$532,537
Dental Insurance	Delta Dental	$41,396
Health and Vision Insurance	Western Alliance Trust Fund	$157,142
Health	Kaiser	$36,288
Life Insurance	Standard Life Insurance	$3,540
AFSCME Pension	AFSCME Pension Plan	$294,171

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

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 069-941

Question 11(a):

Question 11(a): : : : Independent Expenditures PAC Issues PAC Small Contributors PAC

Question 12: Van Sloten & Laranang, CPAs

Schedule 13, Row3:

Schedule 13, Row3:Private Practice physicians and dentists

Schedule 13, Row3:

Schedule 13, Row3:

Schedule 13, Row1:

Schedule 13, Row1:State of California Employed Physicians and Dentists

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row2:

Schedule 13, Row2:Counties throughout the state of California employed Physicians and Dentists

Schedule 13, Row2:

Schedule 13, Row2:



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