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-68581
Amended:
2.
Name and mailing address (including Zip Code):
Name:ANDRIA Danine Clay
Title:President
Organization:ADS CONSULTING LLC
P.O. Box., Bldg., Room No., if any:
Street:1011 Sonata Ln
City:Apollo BeachState:FL
ZIP code:33572
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 /31
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:Chad Patrick
Organization:MH Mission Hospital, LLP
Trade Name, if any:Mission Hospital
P.O. Box., Bldg., Room No., if any:509 Biltmore Avenue
Street:
City:AshevilleState:NC
ZIP code:28801
7.
Date entered into04/17/2020

8.
Name of person(s) through whom made:
Name:Andria Danine Clay
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: Andria D Clay
Title: PRESIDENT
Date: Mar 10, 2022
Telephone Number: 314-724-3589
14.
SIGNED: Andria D Clay
Title: TREASURER
Date: Mar 10, 2022
Telephone Number: 314-724-3589
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
Written Agreement Attached. Engaged by Mission Hospital to educate employees on all aspects of unions so that they could make an informed decision on whether or not to support a union and an election.
Specific Activities to be performed
Activity1
11. For each activity, separately list in detail the information required. (See instructions.)
a. Nature of activity:Hold meeting informing employees on all aspects of unions so that they could make an informed decision on whether or not to support a union.
11.b.Period during which activities performed:
04/17/2020 to 05/23/2020
11.c. Extent of performance:
Completed
11.d.
Name and address of person(s) through whom activities were performed or will be performed:
  Name:Andria Danine Clay         Organization:ADS Consulting, LLC
  P.O. Box, Bldg., Room No., If any:Street:1011 Sonata LnCity:Apollo BeachState:FLZip:33572
12.a. Identify subject groups of employees:
Nurses
12.b. Identify subject labor organizations:
NATIONAL NURSES UNITED( STATE ASSOCIATION MASSACHUSETTS NURSES ASSOCIATION) - 57925
Form LM-20 (2003)