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:
X
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 /20
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:Josh Frank
Organization:Amazon
Trade Name, if any:
P.O. Box., Bldg., Room No., if any:
Street:410 Terry Ave N
City:SeattleState:WA
ZIP code:96109
7.
Date entered into01/03/2021
8.
Name of person(s) through whom made:
Name:Josh Frank
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:
Mar 02, 2022
Telephone Number:
310-589-5225
14.
SIGNED:
Marta De los Rios
Title:
TREASURER
Date:
Mar 02, 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.):
XWritten Agreement/Arrangement
Starting on 1/3/21 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:
01/03/21 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:Chuck Ahern Organization:Labor Information Services, Inc.
P.O. Box, Bldg., Room No., If any:PO Box 6063Street:City:MalibuState:CAZip:90264
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
Name:Mark Lema Organization:Labor Information Services, Inc.
P.O. Box, Bldg., Room No., If any:PO Box 6063Street:City:MalibuState:CAZip:90264
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
Name:Bradley Moss Organization:Labor Information Services, Inc.
P.O. Box, Bldg., Room No., If any:PO Box 6063Street:City:MalibuState:CAZip:90264