FORM
LM-20 - AGREEMENT
& ACTIVITIES REPORT
OMB No. 1245-0003 . Expires 01-31-2025 .
IMPORTANT: 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. Required of persons, including Labor Relations Consultants and Other Individuals and Organizations, under Section 203(b) of the Labor-Management Reporting and Disclosure Act of 1959, as amended (LMRDA).
Office of Labor-Management Standards
U.S. Department of Labor
For Official Use Only
E
OLMS
Read the instructions carefully before completing this report.
1.a. File Number: C-68629
Amended:
2.
Name and mailing address (including Zip Code):
Name:David Burke
Title:President
Organization:Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:PO Box 6063
Street:
City:MalibuState:CA
ZIP code:90264
3.
Other address where records necessary to verify this report are kept:
Name:
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP code:
4.
Date fiscal year ends:Dec /21
5.
Type of person
a. Individual       b. Partnership
c. X Corporation C d. Other
Specify:

  Nature of Agreement or Arrangement
6.
Full name and address of employer with whom made (include ZIP Code):
Name:Chris Donigan
Organization:B Braun USA
Trade Name, if any:
P.O. Box., Bldg., Room No., if any:
Street:824 121th Ave
City:BethlehemState:PA
ZIP code:18018
7.
Date entered into12/01/2021

8.
Name of person(s) through whom made:
Name:Chris Donigan
Signature and Verification
Each of the undersigned declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including the information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned's knowledge and belief, true, correct, and complete. (See Section VII on penalties in the instructions.)
13.
SIGNED: David Burke
Title: PRESIDENT
Date: Jan 25, 2022
Telephone Number: 310-589-5225
14.
SIGNED: Marta De los Rios
Title: TREASURER
Date: Jan 25, 2022
Telephone Number: 310-589-5225
Form LM-20 (2003)
9.
Check the appropriate box(es) to indicate whether an object of the activities undertaken is directly or indirectly:
a.
X
To persuade employees to exercise or not to exercise, or persuade employees as to the manner of exercising, the right to organize and bargain collectively through representatives of their own choosing.
b.
To supply an employer with information concerning the activities of employees or a labor organization in connection with a labor dispute involving such employer, except information for use solely in conjunction with an administrative or arbitral proceeding or a criminal or civil judicial proceeding.
10.
Terms and conditions. (Explain in detail; see instructions. Written agreements must be attached.):
Written Agreement/Arrangement
Starting 12/1/21 until the assignment ends (no end date has been determined), our firm will be conducting meetings with employees in the voting bargaining unit to discuss the realities of signing authorization cards and voting in the upcoming election. There is no maximum number of hours allocated to this work assignment. Billing of time and expenses will be done monthly. There is no written agreement as to a maximum billing amount.
Specific Activities to be performed
Activity1
11. For each activity, separately list in detail the information required. (See instructions.)
a. Nature of activity:To inform employees in the voting bargaining unit to exercise their right to choose whether or not they wish to be represented for the purposes of collective bargaining.
11.b.Period during which activities performed:
12/01/21 until end of assignment
11.c. Extent of performance:
On-going
11.d.
Name and address of person(s) through whom activities were performed or will be performed:
  Name:David Acosta         Organization:Labor Information Services, Inc.
  P.O. Box, Bldg., Room No., If any:PO Box 6063Street:City:MalibuState:CAZip:90264
12.a. Identify subject groups of employees:
All voting employees in the bargaining unit.
12.b. Identify subject labor organizations:
Teamsters
Form LM-20 (2003)