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
042-203
2. PERIOD COVERED
From10/01/2020
Through09/30/2021
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
TEACHERS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
 6. DESIGNATION NBR

7. UNIT NAME (if any)
WASHINGTON STATE NURSES ASSOCIATION
8. MAILING ADDRESS (Type or print in capital letters)
First Name
LYNNETTE
 Last Name
VEHRS
P.O Box - Building and Room Number
SUITE 101
Number and Street
575 ANDOVER PARKWAY WEST
City
SEATTLE
State
WA		 ZIP Code + 4
981883348


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:Lynnette K VehrsPRESIDENT71. SIGNED:Martha GoodallTREASURER
Date:Dec 29, 2021Telephone Number:509-220-0343Date:Dec 29, 2021Telephone Number:509-435-2227
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 042-203
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?05/2023
20. How many members did the labor organization have at the end of the reporting period?15,441
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1072perYear2021072
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 042-203

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $10,862,884$11,133,941
23. Accounts Receivable1$99,299$292
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5
27. Fixed Assets6$315,033$224,543
28. Other Assets7$353,212$224,648
29. TOTAL ASSETS $11,630,428$11,583,424

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$525,076$502,101
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$1,505,078$1,572,946
34. TOTAL LIABILITIES $2,030,154$2,075,047
35. NET ASSETS$9,600,274$9,508,377
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 042-203

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $10,787,747
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $924
40. Interest $5,445
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $4,194,698
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$313,542
49. TOTAL RECEIPTS $15,302,356
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,867,752
51. Political Activities and Lobbying16$326,280
52. Contributions, Gifts, and Grants17$26,300
53. General Overhead18$2,536,192
54. Union Administration19$1,188,388
55. Benefits20$1,121,562
56. Per Capita Tax $170,891
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$37,925
61. Loans Made2$0
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $4,267,312
64. On Behalf of Individual Members $0
65. Direct Taxes $488,697
  
66. Subtotal $15,031,299
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,985,012  
  67b. Less Total Disbursed$1,985,012  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $15,031,299
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 042-203

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$292$0$0$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $292$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 042-203

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 042-203

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$18,404$1,290$0$0
Computer Equipment$18,404$1,290$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: 042-203

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$37,925$37,925$37,925
Computer Equipment$31,582$31,582$31,582
Leasehold Improvements$6,343$6,343$6,343
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$37,925
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 042-203

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)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 042-203

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$926,499$714,242$212,257$212,257
E. Other Fixed Assets$247,409$235,123$12,286$12,286
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,173,908$949,365$224,543$224,543
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 042-203

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $224,648
Interfund receivables$120,249
Security deposit$23,941
Prepaid Insurance$38,434
Prepaid Postage$17,629
Misc Prepaid Expenses$24,395
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 042-203

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$502,101$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $502,101$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 042-203

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: 042-203

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,572,946
Accrued Payroll and Payroll taxes$253,839
Accrued Vacation and Sick Pay$1,068,317
Dues Collected for Districts$97,674
Interfund Payable$118,130
Deferred Rent$26,106
Other Accrued Liabilities$8,880
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 042-203

(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 		Vehrs ,  Lynnette  
President
C		$16,200$0$846$0$17,046
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Graves ,  Jennifer  
Vice-President
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Sutherlin ,  Verlee  
Secretary/ Treasurer
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Barcott ,  Julia  
Cabinet Chair
C		$6,900$0$139$0$7,039
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 		Gill ,  Justin  
Vice-President
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Cumiskey ,  Charles  
Cabinet Chair
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Halvorson ,  Adam  
Director
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Lyons ,  Judi  
Director
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Bradley ,  Christina  
Director
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Young ,  Rosa  
Director
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Glass ,  Susan  
Director
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Goodall ,  Martha  
Secretary / Treasurer
N		$0$0$2,273$0$2,273
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Allison ,  Erin  
Cabinet Chair
N		$0$0$453$0$453
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Bergenholtz ,  Sara  
Director
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Dang Lim-Vuong ,  Phoebe  
Director
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Gustafson ,  John  
Director
N		$0$0$454$0$454
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Stephen-Selby ,  Heather  
Director
N		$0$0$20$0$20
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
Total Officer Disbursements$23,100$0$4,185$0$27,285
Less Deductions     
Net Disbursements    $27,285
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 042-203

(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 		Balogh ,  Brenda  
Nurse Representative
None		$104,060$4,282$108,342
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 		Barnes ,  Tara  
Nurse Organizer
None		$102,080$1,891$103,971
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 		Bessmer ,  Deborah  
Nurse Representative
None		$93,727$93,727
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 		Brigham ,  Gloria  
Director of Education
None		$169,971$60$170,031
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Brown ,  Joshua  
Director of Membership
None		$100,529$100,529
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 		Carson ,  Jennifer  
Communications Manager
None		$88,444$609$89,053
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Chandran ,  Pamela  
Labor Counsel
None		$128,842$629$129,471
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 		Conces ,  Eleashia  
Administrative Assistant
None		$7,646$7,646
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 		Dick ,  Jayson  
Ass Dir Labor Advocacy
None		$148,389$14$148,403
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 		Doll ,  Crystal  
Nurse Organizer
None		$79,658$955$80,613
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 		Dunlap ,  Susan  
Nurse Representative
None		$115,286$4,345$119,631
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 		Elmore Nelson ,  Travis  
Nurse Representative
None		$130,491$5,903$136,394
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 		Frey ,  Sara  
Nurse Representative
None		$135,197$15$135,212
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 		Friesen ,  Barbara  
Nurse Representative
None		$131,439$131,439
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 		Friesz ,  Gerard  
Dir Labor and Organizing
None		$164,800$383$165,183
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 		Garrison ,  Carmen  
Nurse Representative
None		$139,347$1,208$140,555
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 		Harksen ,  Jacob  
Labor Counsel
None		$41,538$41,538
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 		Hsiung ,  Cheng-En  
Office Manager
None		$98,489$215$98,704
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 		James ,  Sydne  
Nurse Representative
None		$124,250$5,115$129,365
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 		Keepnews ,  David  
Executive Director
None		$19,519$19,519
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 		Kieval ,  Mara  
Nurse Representative
None		$140,477$256$140,733
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 		Kilpatrick ,  Megan  
Education Director
None		$126,050$126,050
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		King ,  Kelly  
Membership Assistant
None		$68,315$68,315
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 		Lamonte ,  Grace  
Labor Organizer
None		$22,490$40$22,530
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 		Machia ,  Linda  
Labor Counsel
None		$75,951$6,889$82,840
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 		Mainville ,  Mary  
Executive Assistant
None		$73,546$73,546
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 		Mansfield ,  Anne  
Nurse Organizer
None		$86,957$5,299$92,256
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 		McGraw ,  Patrick  
Finance Program Manager
None		$106,760$106,760
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 		Mikusko ,  Ian  
Strategic Researcher
None		$38,945$38,945
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 		Moore ,  Michelle  
Nurse Representative
None		$96,956$844$97,800
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 		Muhm ,  Jennifer  
Dir. Public Relations
None		$171,051$171,051
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		90 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Murray ,  Anna  
Membership Associate
None		$50,263$50,263
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 		Nesper ,  William  
Nurse Organizer
None		$101,348$4,477$105,825
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 		O'Donnell ,  Elizabeth  
Nurse Representative
None		$600$600
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 		Percival ,  Bret  
Nurse Representative
None		$95,090$1,371$96,461
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 		Petit ,  Maria  
Paralegal
None		$34,963$200$35,163
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 		Piazza ,  Anne Tan  
Asst. Exec. Director
None		$184,094$423$184,517
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 		Railey ,  Joline  
Administrative Assistant
None		$55,719$329$56,048
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 		Raughton ,  Jeremy  
Administrative Assistant
None		$73,026$2,012$75,038
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 		Reed ,  Mary  
Dir. of Finance
None		$156,160$475$156,635
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 		Reed ,  Shawn  
Nurse Representative
None		$72,881$1,861$74,742
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 		Robinson ,  Laurie  
Nurse Representative
None		$76,476$2,936$79,412
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 		Rose ,  Michele  
Membership Associate
None		$20,615$20,615
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 		Rosenkranz ,  Ryan  
Nurse Organizer
None		$100,849$2,571$103,420
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 		Sanderson ,  Michael  
General Counsel
None		$158,510$1,508$160,018
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 		Scholl ,  Samuel  
Nurse Representative
None		$92,636$235$92,871
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 		Schubert ,  Ruth  
Communications Director
None		$143,009$143,009
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Sears ,  Timothy  
Chief General Counsel
None		$192,531$2,602$195,133
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 		Seikel ,  Zachary  
Organizer
None		$68,800$1,326$70,126
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 		Smedley ,  Jaclyn  
Nurse Representative
None		$131,331$1,810$133,141
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 		Steinshouer ,  Shereen  
Membership Processor
None		$67,014$67,014
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 		Stewart ,  Janet  
Nurse Representative
None		$45,019$2,072$47,091
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 		Strite ,  Sara  
Nurse Representative
None		$47,288$47,288
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 		Te ,  Jeanna  
Nurse Representative
None		$80,452$80,452
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 		Tilden ,  Benjamin  
Web Design Specialist
None		$135,344$21,615$156,959
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Toensmeier ,  David  
Labor Counsel
None		$33,616$33,616
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 		Tran ,  Hue  
Accounting Specialist
None		$95,984$107$96,091
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 		Triplett ,  Ann  
Receptionist
None		$16,945$16,945
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 		Vivion ,  Matthew  
Digital Media Specialists
None		$96,605$96,605
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Watkins ,  Sally  
Fmr. Executive Director
None		$197,600$10$197,610
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 		Watts ,  Christine  
Senior Labor Advisor
None		$169,234$169,234
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 		Weiss ,  Katharine  
Pub. Affairs Asoc. Dir.
None		$114,801$1,192$115,993
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		100 % Schedule 17
Contributions 		Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Welander ,  Hanna  
Nurse Representative
None		$139,241$708$139,949
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 		Whitman ,  Matthew  
Receptionist
None		$32,342$32,342
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 		Williams ,  Katherine  
Membership Specialist
None		$66,451$66,451
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 		Williams ,  Theresa  
Nurse Representative
None		$131,659$131,659
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 		Yiu ,  Hana  
Paralegal
None		$34,041$34,041
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 		Zappone ,  Annelise  
Administrative Assistant
None		$38,502$38,502
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 		Zercher ,  Edward  
Nurse Representative
None		$143,319$1,444$144,763
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$0$0$0$0$0
I Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
Total Employee Disbursements$6,625,558$0$90,236$0$6,715,794
Less Deductions    $1,985,012
Net Disbursements    $4,730,782
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 042-203

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 15,441 
Agency Fee Payers*200
Total Members/Fee Payers15,641 
*Agency Fee Payers are not considered members of the labor organization.
Bargaining unit members14,875Yes
Non-bargaining unit members489Yes
Life/Honorary members49Yes
Religious objectors28No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 042-203

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$215,905
2. Named Payer Non-itemized Receipts$51,031
3. All Other Receipts$46,606
4. Total Receipts$313,542
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$10,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$16,300
6. Total Disbursements$26,300
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$420,766
2. Named Payee Non-itemized Disbursements$96,239
3. To Officers$7,039
4. To Employees$4,188,991
5. All Other Disbursements$154,717
6. Total Disbursements$4,867,752
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$528,376
2. Named Payee Non-itemized Disbursements$321,537
3. To Officers$0
4. To Employees$1,458,052
5. All Other Disbursements$228,227
6. Total Disbursements$2,536,192
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$10,305
2. Named Payee Non-itemized Disbursements$43,623
3. To Officers$0
4. To Employees$269,939
5. All Other Disbursements$2,413
6. Total Disbursements$326,280
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$250,238
2. Named Payee Non-itemized Disbursements$50,331
3. To Officers$20,246
4. To Employees$798,812
5. All Other Disbursements$68,761
6. Total Disbursements$1,188,388
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 042-203

Name and Address
(A)
American Federation of Teachers

555 New Jersey Avenue
Washington
DC
20001
Type or Classification
(B)
Dues Rebates
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,803
Total Non-Itemized Transactions with this Payee/Payer$42,618
Total of All Transactions with this Payee/Payer for This Schedule$48,421
Dues Rebate09/20/2021$5,803
Name and Address
(A)
American Federation of Teachers

555 New Jersey Avenue
Washington
DC
20001
Type or Classification
(B)
Grants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$203,502
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$203,502
Support Grant03/02/2021$27,500
Solidarity Grant03/30/2021$35,101
Support Grant04/07/2021$27,500
Solidarity Grant06/03/2021$34,684
Support Grant09/28/2021$27,500
Support Grant06/03/2021$28,775
Solidarity Grant09/30/2021$22,442
Name and Address
(A)
American Nurses Association

8515 Georgia Ave, Ste. 400
Silver Spring
MD
20910
Type or Classification
(B)
Convention Sponsorship
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,600
Total Non-Itemized Transactions with this Payee/Payer$2,413
Total of All Transactions with this Payee/Payer for This Schedule$9,013
Sponsorship08/12/2021$6,600
Name and Address
(A)
School Nurses Organization of Washington
1440

Owasso
OK
74055
Type or Classification
(B)
Lobbying Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,000
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 042-203

Name and Address
(A)
Barnard, Iglitzin & Lavitt LLP

18 W Mercer Street, #400
Seattle
WA
98119
Type or Classification
(B)
Mediation/ arbitration/ legal services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$329,041
Total Non-Itemized Transactions with this Payee/Payer$9,382
Total of All Transactions with this Payee/Payer for This Schedule$338,423
Legal12/18/2020$48,808
Legal04/30/2021$65,992
Legal05/13/2021$27,892
Legal05/21/2021$52,114
Legal09/24/2021$124,962
Legal09/30/2021$9,273
Name and Address
(A)
Capitol City Press, Inc.

2975 37th Avenue SW
Tumwater
WA
98512
Type or Classification
(B)
Printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,229
Total of All Transactions with this Payee/Payer for This Schedule$8,229
Name and Address
(A)
Clinton Wallace

715 E Westcrest Rd.
Cobert
WA
99005
Type or Classification
(B)
Local Unit - Negotiation Stipend
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,959
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,959
Negotiation Stipend05/04/2021$8,959
Name and Address
(A)
Dianne Gray

9309 NE 93rd Circle
Vancouver
WA
98662
Type or Classification
(B)
Local Unit - Stipend
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,710
Total of All Transactions with this Payee/Payer for This Schedule$5,710
Name and Address
(A)
Eric Lindauer

1000 SW Broadway, Ste 240
Portland
OR
97205
Type or Classification
(B)
Arbitration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,631
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,631
Arbitration04/20/2021$7,631
Name and Address
(A)
Frank Doolittle Company

1181 NE 1st St., Ste A-209
Bellevue
WA
98005
Type or Classification
(B)
Promotional Items
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$41,730
Total Non-Itemized Transactions with this Payee/Payer$5,479
Total of All Transactions with this Payee/Payer for This Schedule$47,209
Promotional Items11/03/2020$5,463
Promotional Items01/29/2021$11,099
Promotional Items06/22/2021$14,374
Promotional Items07/06/2021$5,786
Promotional Items09/30/2021$5,008
Name and Address
(A)
Linked In

2029 Stierlin Ct
Mountain View
CA
94043
Type or Classification
(B)
Subscription
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,257
Total of All Transactions with this Payee/Payer for This Schedule$7,257
Name and Address
(A)
The Bureau of National Affairs

1801 S Bell St.
Arlington
VA
22202
Type or Classification
(B)
Legal Subscription
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,480
Total Non-Itemized Transactions with this Payee/Payer$2,301
Total of All Transactions with this Payee/Payer for This Schedule$17,781
Legal Subscription02/11/2021$15,480
Name and Address
(A)
Thompson Reuters

301 Union Square
Seattle
WA
98101
Type or Classification
(B)
Legal Subscription
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,867
Total of All Transactions with this Payee/Payer for This Schedule$16,867
Name and Address
(A)
USA Promotional Items LLC

1160 Dewey Way, Suite D
Upland
CA
91786
Type or Classification
(B)
Promotional Items
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,925
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$17,925
Promotional Items02/12/2021$5,156
Promotional Items04/13/2021$7,612
Promotional Items05/13/2021$5,157
Name and Address
(A)
Verizon Wireless
4001

Ingelwood
CA
90313
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$41,014
Total of All Transactions with this Payee/Payer for This Schedule$41,014
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 042-203

Name and Address
(A)
Barnard, Iglitzin & Lavitt LLP

18 W Mercer Street, #400
Seattle
WA
98119
Type or Classification
(B)
Legal
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,305
Total Non-Itemized Transactions with this Payee/Payer$358
Total of All Transactions with this Payee/Payer for This Schedule$5,663
Legal12/18/2020$5,305
Name and Address
(A)
Bogard &Johnson

200 Union Ave SE
Olympia
WA
98501
Type or Classification
(B)
Lobbyist
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$41,832
Total of All Transactions with this Payee/Payer for This Schedule$41,832
Name and Address
(A)
Wilson Strategic/ State of Reform

19101 36th Ave W, #203
Lynwood
WA
98037
Type or Classification
(B)
Event Sponsorship
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$1,433
Total of All Transactions with this Payee/Payer for This Schedule$6,433
Sponsorship11/17/2020$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 042-203

Name and Address
(A)
Washington Center for Nursing

1101 Andover Park W #105
Tukwila
WA
Type or Classification
(B)
Contribution
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
Contribution10/06/2020$5,000
Name and Address
(A)
Washington State Public Health Association

NE 100th Street
Seattle
WA
98125
Type or Classification
(B)
Contribution
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
Contribution11/17/2020$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 042-203

Name and Address
(A)
501 Commons

1200 12th Ave S #1101
Seattle
WA
98144
Type or Classification
(B)
Non Profit Consulting
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,208
Total of All Transactions with this Payee/Payer for This Schedule$8,208
Name and Address
(A)
Adobe Systems, Inc

29322 Network Place
Chicago
IL
60673
Type or Classification
(B)
Software Subscription
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,396
Total of All Transactions with this Payee/Payer for This Schedule$8,396
Name and Address
(A)
ADP, Inc.

18072 N Creek Pkwy #100
Bothell
WA
98011
Type or Classification
(B)
Payroll Processing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,589
Total of All Transactions with this Payee/Payer for This Schedule$19,589
Name and Address
(A)
Amazon.com

1516 2nd Ave
Seattle
WA
98101
Type or Classification
(B)
Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,136
Total of All Transactions with this Payee/Payer for This Schedule$5,136
Name and Address
(A)
Capitol City Press, Inc.

2975 37th Avenue SW
Tumwater
WA
98512
Type or Classification
(B)
Printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,351
Total of All Transactions with this Payee/Payer for This Schedule$12,351
Name and Address
(A)
Comcast Business

34
Seattle
WA
98121
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,428
Total of All Transactions with this Payee/Payer for This Schedule$16,428
Name and Address
(A)
Eberts & Harrison, Inc

1604 Ridgeside Dr #203
Mt. Airy
MD
21771
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$33,638
Total Non-Itemized Transactions with this Payee/Payer$3,600
Total of All Transactions with this Payee/Payer for This Schedule$37,238
Insurance08/31/2021$27,760
Insurance09/30/2021$5,878
Name and Address
(A)
King County Treasurer

516 Third Avenue
Seattle
WA
98104
Type or Classification
(B)
Property Taxes
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,012
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$15,012
Property taxes03/02/2021$15,012
Name and Address
(A)
Lemonidis Consulting & Law Group

701 5th Ave., Suite 4200
Seattle
WA
98104
Type or Classification
(B)
Legal Fees
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,032
Total Non-Itemized Transactions with this Payee/Payer$2,772
Total of All Transactions with this Payee/Payer for This Schedule$15,804
Legal08/02/2021$13,032
Name and Address
(A)
Liberty Mutual Insurance

100 Liberty Way
Dover
NH
03821
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,303
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,303
Insurance05/13/2021$10,303
Name and Address
(A)
Linda J. Shinn

3852 Paradise Bay Drive
Gulf Breeze
FL
32563
Type or Classification
(B)
Executive Director Search
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,000
Total Non-Itemized Transactions with this Payee/Payer$1,223
Total of All Transactions with this Payee/Payer for This Schedule$16,223
Executive Director Search06/15/2021$15,000
Name and Address
(A)
Logic 20/20 Inc.

6520 25th Ave NE
Seattle
WA
98115
Type or Classification
(B)
IT Support & Software Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$33,456
Total Non-Itemized Transactions with this Payee/Payer$27,775
Total of All Transactions with this Payee/Payer for This Schedule$61,231
IT Support12/04/2020$9,173
IT Support03/02/2021$19,058
IT Support06/09/2021$5,225
Name and Address
(A)
Lusher Corp

615 8th Ave S #108
Seattle
WA
98104
Type or Classification
(B)
IT Support
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,023
Total Non-Itemized Transactions with this Payee/Payer$77,618
Total of All Transactions with this Payee/Payer for This Schedule$82,641
IT Support09/03/2021$5,023
Name and Address
(A)
Quadient Leasing USA, Inc
123682

Dallas
TX
75312
Type or Classification
(B)
Equipment Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,269
Total of All Transactions with this Payee/Payer for This Schedule$6,269
Name and Address
(A)
Red Vector

4890 W Kennedy Blvd
Tampa
FL
33609
Type or Classification
(B)
Software Subscription
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
Education Software02/03/2021$5,000
Name and Address
(A)
Ricoh USA, Inc
31001-0743

Pasadena
CA
91110
Type or Classification
(B)
Equipment Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$29,628
Total of All Transactions with this Payee/Payer for This Schedule$29,628
Name and Address
(A)
South Seattle Business Park 2017, LLC

18230 E. Valley Hwy #195
Kent
WA
98032
Type or Classification
(B)
Occupancy- Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$318,921
Total Non-Itemized Transactions with this Payee/Payer$100
Total of All Transactions with this Payee/Payer for This Schedule$319,021
Occupancy- Lease10/06/2020$26,003
Occupancy- Lease10/20/2020$26,003
Occupancy- Lease11/10/2020$26,003
Occupancy- Lease12/15/2020$26,768
Occupancy- Lease01/08/2021$26,768
Occupancy- Lease02/16/2021$26,768
Occupancy- Lease03/23/2021$26,768
Occupancy- Lease04/13/2021$26,768
Occupancy- Lease05/13/2021$26,768
Occupancy- Lease06/15/2021$26,768
Occupancy- Lease07/20/2021$26,768
Occupancy- Lease08/24/2021$26,768
Name and Address
(A)
Staples Advantage

83689
Chicago
IL
60695
Type or Classification
(B)
Office Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$34,137
Total of All Transactions with this Payee/Payer for This Schedule$34,137
Name and Address
(A)
Synergy Building Services

2559 152nd Ave NE
Redmond
WA
98052
Type or Classification
(B)
Cleaning Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,560
Total Non-Itemized Transactions with this Payee/Payer$5,417
Total of All Transactions with this Payee/Payer for This Schedule$11,977
Cleaning Services08/31/2021$6,560
Name and Address
(A)
Thinkific Plus

369 Terminal Ave #400
Vancouver
00
V6A 4c4
Type or Classification
(B)
Education Software
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,000
Total of All Transactions with this Payee/Payer for This Schedule$12,000
Name and Address
(A)
Tukwila Self Storage

5950 Southcenter Blvd
Tukkila
WA
98188
Type or Classification
(B)
Storage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,916
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,916
Storage08/27/2021$8,916
Name and Address
(A)
USPS

475 L'Efnfant Plaza SW
Washington
DC
20260
Type or Classification
(B)
Prepaid Postage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$30,000
Postage10/23/2020$10,000
Postage04/20/2021$10,000
Postage09/16/2021$10,000
Name and Address
(A)
Verity Accountancy

4000 SE International Way,
Milwaukie
OR
97222
Type or Classification
(B)
Independent auditor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$33,515
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$33,515
Annual Audit12/11/2020$17,000
Annual Audit01/12/2021$5,000
Annual Audit03/02/2021$11,515
Name and Address
(A)
Verizon Wireless

4001
Ingelwood
CA
90313
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,662
Total of All Transactions with this Payee/Payer for This Schedule$10,662
Name and Address
(A)
Wells Fargo

999 Third Ave
Seattle
WA
98104
Type or Classification
(B)
Equipment Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$40,228
Total of All Transactions with this Payee/Payer for This Schedule$40,228
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,466
Total of All Transactions with this Payee/Payer for This Schedule$16,466
Name and Address
(A)
Blue Danube Productions, LLC

151 S Lander St.
Seattle
WA
98134
Type or Classification
(B)
Convention Audio/Visual Production
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,140
Total Non-Itemized Transactions with this Payee/Payer$260
Total of All Transactions with this Payee/Payer for This Schedule$20,400
Convention Audio Visual03/24/2021$6,725
Convention Audio Visual04/07/2021$8,754
Convention Audio Visual04/26/2021$4,661
Name and Address
(A)
Capitol City Press, Inc.

2975 37th Avenue SW
Tumwater
WA
98512
Type or Classification
(B)
Printing/ Publications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$80,602
Total Non-Itemized Transactions with this Payee/Payer$11,569
Total of All Transactions with this Payee/Payer for This Schedule$92,171
Printing11/03/2020$29,483
Printing01/29/2021$23,738
Printing04/26/2021$27,381
Name and Address
(A)
Double Tree Tukwila

16500 Southcenter Pkwy
Seattle
WA
98188
Type or Classification
(B)
Lodging
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,902
Total Non-Itemized Transactions with this Payee/Payer$485
Total of All Transactions with this Payee/Payer for This Schedule$16,387
Lodging09/30/2021$15,902
Name and Address
(A)
Frank Doolittle Company

1181 NE 1st St., Ste A-209
Bellevue
WA
98005
Type or Classification
(B)
Promotional Items
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$50,106
Total Non-Itemized Transactions with this Payee/Payer$8,173
Total of All Transactions with this Payee/Payer for This Schedule$58,279
Promotional Items06/03/2021$18,471
Promotional Items06/07/2021$11,227
Promotional Items07/22/2021$6,252
Promotional Items09/13/2021$6,335
Promotional Items09/30/2021$7,821
Name and Address
(A)
Integrity Voting Systems

7720 Hardeson Rd
Everett
WA
98203
Type or Classification
(B)
Election Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$37,678
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$37,678
Election Services04/26/2021$25,100
Election Services06/09/2021$12,578
Name and Address
(A)
Linda Cohen Consulting

6280 SW Chestnut Lane
Beaverton
OR
97005
Type or Classification
(B)
Convention Speaker
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,500
Total of All Transactions with this Payee/Payer for This Schedule$5,500
Name and Address
(A)
Pathable Inc.

9620 Executive Center Dr
St. Petersburg
FL
33702
Type or Classification
(B)
Convention Software
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,540
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$18,540
Convention Software01/12/2021$18,540
Name and Address
(A)
Suzanne Gordon

747 Lobos Avenue
Richmond
CA
94801
Type or Classification
(B)
Convention Presenter
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,500
Convention Presenter04/13/2021$5,500
Name and Address
(A)
Terra Staffing Group

16400 Southcenter pkwy #200
Tukwila
WA
98188
Type or Classification
(B)
Staffing Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,020
Total Non-Itemized Transactions with this Payee/Payer$1,000
Total of All Transactions with this Payee/Payer for This Schedule$11,020
Staffing Service12/18/2020$10,020
Name and Address
(A)
Verizon Wireless

4001
Ingelwood
CA
90313
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,653
Total of All Transactions with this Payee/Payer for This Schedule$5,653
Name and Address
(A)
Wilkinson Events

5500 Olympic Dr. Ste. 105
Gig Harbor
WA
98335
Type or Classification
(B)
Event Planning
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,750
Total Non-Itemized Transactions with this Payee/Payer$1,225
Total of All Transactions with this Payee/Payer for This Schedule$12,975
Event Planning10/16/2020$5,875
Event Planning04/13/2021$5,875
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 042-203

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,121,562
Health InsuranceKaiser Foundation Health Plan$797,798
Life InsuranceMutual of Omaha$27,189
Vision InsuranceVision Service Plan - WA$7,659
PensionWestern Conference of Teamsters Pension Trust$282,748
Dental InsuranceWillamette Dental Group$6,168
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 042-203


Question 12: The audit was performed by an outside independent accountant - Verity Accountancy, PC.

Question 11(a):

Question 11(a): Washington State Nurses PAC. The PAC files reports with the Washington Secretary of State - Elections Division. The PAC is exempt from federal 990 and 1120-POL filings.

Schedule 13, Row1:

Schedule 13, Row1:::Full paying members with full voting rights.

Schedule 13, Row1:

Schedule 13, Row1:::

Schedule 13, Row2:

Schedule 13, Row2:Non-bargaining unit members are eligible to vote only on matters unrelated to collective bargaining.

Schedule 13, Row2:

Schedule 13, Row2:::

Schedule 13, Row3:

Schedule 13, Row3:::Members with 30 years membership and older than 65 years in age. Members have full voting rights except for issues related to collective bargaining.

Schedule 13, Row3:

Schedule 13, Row3:::

Schedule 13, Row4:

Schedule 13, Row4:::Members who have objected based on religious opposition. Members pay a reduced membership fee to a non-religious and non-labor organization exempt under IRC 501(c)(3). Members have no voting rights.

Schedule 13, Row4:

Schedule 13, Row4::: No voting rights are granted to members who voluntarily waive the membership requirement.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)