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: 01-31-2025
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
059-814
2. PERIOD COVERED
From01/01/2021
Through12/31/2021
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
STATE COUNTY AND MUNI EMPLS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LEADERSHIP COUNCIL
 6. DESIGNATION NBR
65
7. UNIT NAME (if any)
MINNESOTA
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Shannon
 Last Name
Douvier
P.O Box - Building and Room Number
3335 W St Germain St
Number and Street
Ste 107
City
St Cloud
State
MN		 ZIP Code + 4
56301


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:Mark RegerPRESIDENT71. SIGNED:Kristine HammTREASURER
Date:Mar 11, 2022Telephone Number:218-262-4750Date:Mar 11, 2022Telephone Number:612-916-8247
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 059-814
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?Yes
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?10/2023
20. How many members did the labor organization have at the end of the reporting period?11,241
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees-per-Prgrsv %age$57.70
(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: 059-814

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $4,418,650$4,299,208
23. Accounts Receivable1$0$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$3,127,195$3,517,573
27. Fixed Assets6$0
28. Other Assets7$0
29. TOTAL ASSETS $7,545,845$7,816,781

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$0
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$0
34. TOTAL LIABILITIES $0$0
35. NET ASSETS$7,545,845$7,816,781
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 059-814

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $0
37. Per Capita Tax $4,314,382
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $264,950
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $2,183,138
47. From Members for Disbursement on Their Behalf $593,613
48. Other Receipts14$127,267
49. TOTAL RECEIPTS $7,483,350
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,881,831
51. Political Activities and Lobbying16$37,451
52. Contributions, Gifts, and Grants17$7,347
53. General Overhead18$674,164
54. Union Administration19$74,822
55. Benefits20$1,297,419
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 Assets4$416,051
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $2,394,635
64. On Behalf of Individual Members $654,656
65. Direct Taxes $164,416
  
66. Subtotal $7,602,792
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$715,807  
  67b. Less Total Disbursed$715,807  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $7,602,792
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 059-814

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: 059-814

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: 059-814

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 
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 059-814

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$416,051$416,051$416,051
Mutual Funds$416,051$416,051$416,051
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$416,051
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 059-814

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost
B. Total Book Value$3,517,573
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • Preferreds - General
$73,140
  • Mutual Funds - General
$535,958
  • Mutual Funds - post retirement
$2,908,475
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)) $3,517,573
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 059-814

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
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 059-814

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: 059-814

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: 059-814

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: 059-814

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: 059-814

(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 		Anderson ,  Eric  
Board Member
C		$900$46$946
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Corbin ,  Tanner  
Board Member
N		$13,608$1,384$14,992
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Cullifer ,  Dawn  
Board Member
N		$450$170$620
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Due ,  Amanda  
Board Member
C		$2,100$162$2,262
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Hamm ,  Kristine  
Treasurer
C		$1,350$228$1,578
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Johnson ,  Michelle  
Board Member
P		$1,350$261$1,611
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Kinzler ,  Peggy  
Vice President
C		$1,950$297$2,247
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Larson ,  Todd  
Board Member
C		$1,200$301$1,501
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		O'Laughlin ,  Kevin  
Board Member
N		$450$173$623
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Reger ,  Mark  
President
C		$1,350$535$1,885
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Simota ,  Jennifer  
Secretary
C		$600$128$728
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Tauer ,  Debra  
Board Member
C		$1,050$382$1,432
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
Total Officer Disbursements$26,358$0$4,067$0$30,425
Less Deductions     
Net Disbursements    $30,425
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 059-814

(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 		Anderson ,  Cheryl  
Office
N/A		$49,074$840$257$50,171
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Austin ,  Eric  
Staff
N/A		$85,778$4,440$11,890$102,108
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Backus ,  Thor  
Organizer
N/A		$77,832$4,160$4,525$86,517
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Bauch ,  Troy  
Staff
N/A		$95,700$4,140$11,058$110,898
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Datta ,  Pujarini  
Staff
N/A		$63,908$4,140$9,788$77,836
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Douvier ,  Shannon  
Executive Director
N/A		$123,768$4,500$3,736$132,004
I
Schedule 15
Representational Activities 		15 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		Schedule 18
General Overhead 		63 % Schedule 19
Administration 		20 %
A
B
C 		Espinosa ,  Rafael  
Staff
N/A		$40,881$1,520$289$42,690
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Forrester ,  Max  
Staff
N/A		$63,434$4,440$9,060$76,934
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Hauge ,  LeiLanie  
Staff
N/A		$15,369$1,035$2,035$18,439
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Hinders ,  Bonnie  
Office
N/A		$7,777$175$7,952
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Joppa ,  Teresa  
Attorney
N/A		$103,116$4,140$6,507$113,763
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Kapella ,  Christopher  
Staff
N/A		$95,700$4,140$6,928$106,768
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Kresal ,  Linda  
Finance
N/A		$28,440$280$181$28,901
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Kunkel ,  Susan  
Office
N/A		$50,783$840$260$51,883
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Langner ,  Luke  
Staff
N/A		$84,826$4,440$9,811$99,077
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Lien ,  Angela  
Staff
N/A		$70,090$4,140$2,959$77,189
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Maciej ,  Becca  
Office
N/A		$40,620$840$263$41,723
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		McMahon ,  Joseph  
Staff
N/A		$72,187$4,140$5,831$82,158
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Metsa ,  Amanda  
Staff
N/A		$91,679$4,140$3,771$99,590
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Musel-Parr ,  Jo  
Organizing Director
N/A		$115,104$4,200$2,925$122,229
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		7 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		18 %
A
B
C 		Norman ,  Chae  
Office
N/A		$37,471$840$185$38,496
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Pekarna ,  Beverly  
Finance & Benefits Admin
N/A		$68,364$840$637$69,841
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		100 % Schedule 19
Administration
A
B
C 		Pokorny ,  Sheila  
Staff
N/A		$95,700$4,440$4,637$104,777
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Richter ,  Samuel  
Staff
N/A		$18,666$3,060$1,381$23,107
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Rostad ,  John  
Staff
N/A		$71,208$4,140$9,056$84,404
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Schulte ,  Joseph  
Political/Org/Staff
N/A		$77,631$4,140$2,411$84,182
I
Schedule 15
Representational Activities 		70 % Schedule 16
Political Activities and Lobbying 		30 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Stoll ,  Leann  
Staff
N/A		$91,678$4,140$9,012$104,830
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Thrasher ,  Ginger  
Staff
N/A		$95,700$4,440$6,927$107,067
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Waylett ,  Audra  
Staff
N/A		$21,123$1,450$1,873$24,446
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Whiteside ,  Thomas  
Staff
N/A		$71,208$4,140$6,578$81,926
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		Two other ,  employees  
lost time
N/A		$950$0$805$0$1,755
I
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$0$0$0$0$0
I Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
Total Employee Disbursements$2,025,765$92,320$135,576$0$2,253,661
Less Deductions     
Net Disbursements    $2,253,661
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 059-814

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 11,241 
Agency Fee Payers*313
Total Members/Fee Payers11,554 
*Agency Fee Payers are not considered members of the labor organization.
Regular - full time10,187Yes
Regular - part time1,054Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 059-814

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$112,934
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$14,333
4. Total Receipts$127,267
     
     
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$7,347
6. Total Disbursements$7,347
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$37,859
2. Named Payee Non-itemized Disbursements$11,301
3. To Officers$0
4. To Employees$1,825,580
5. All Other Disbursements$7,091
6. Total Disbursements$1,881,831
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$88,361
2. Named Payee Non-itemized Disbursements$194,028
3. To Officers$30,425
4. To Employees$343,229
5. All Other Disbursements$18,121
6. Total Disbursements$674,164
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$36,451
5. All Other Disbursements$1,000
6. Total Disbursements$37,451
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$15,283
2. Named Payee Non-itemized Disbursements$9,673
3. To Officers$0
4. To Employees$48,402
5. All Other Disbursements$1,464
6. Total Disbursements$74,822
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 059-814

Name and Address
(A)
AFSCME International

1625 L Street NW
Washington
DC
20036-5687
Type or Classification
(B)
Grant income
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$112,934
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$112,934
Organizing03/12/2021$25,000
Organizing06/21/2021$25,000
Organizing09/08/2021$25,000
Organizing12/03/2021$25,000
SD Corbin05/15/2021$4,088
SD Corbin11/15/2021$8,846
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 059-814

Name and Address
(A)
Andrew Bransky & Poole
Ste 300
302 West Superior Street
Duluth
MN
55802-5125
Type or Classification
(B)
Arbitration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,426
Total Non-Itemized Transactions with this Payee/Payer$8,489
Total of All Transactions with this Payee/Payer for This Schedule$17,915
Arbitration02/26/2021$9,426
Name and Address
(A)
Arthur Ray McCoy

1798 Hewitt Ave
St Paul
MN
55104-1129
Type or Classification
(B)
Arbitration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,370
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$14,370
Arbitration02/17/2021$7,402
Arbitration09/20/2021$6,968
Name and Address
(A)
Jeffrey W Jacobs
Ste 300
7300 Metro Blvd
Edina
MN
55439
Type or Classification
(B)
Arbitration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,063
Total Non-Itemized Transactions with this Payee/Payer$2,812
Total of All Transactions with this Payee/Payer for This Schedule$16,875
Arbitration04/16/2021$14,063
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 059-814

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 059-814

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 059-814

Name and Address
(A)
Acuity
718
2800 S Taylor Dr
Sheboygan
WI
23082-0718
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,115
Total of All Transactions with this Payee/Payer for This Schedule$10,115
Name and Address
(A)
Arvig

150 2ns Street SW
Perham
MN
56573
Type or Classification
(B)
Internet
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,213
Total of All Transactions with this Payee/Payer for This Schedule$5,213
Name and Address
(A)
Gary W Paulson, CPA

4962 Black Spruce Tr NW
Hackensack
MN
56452
Type or Classification
(B)
Professional services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,075
Total Non-Itemized Transactions with this Payee/Payer$1,170
Total of All Transactions with this Payee/Payer for This Schedule$23,245
Year end audit and tax04/09/2021$22,075
Name and Address
(A)
Gerald Douvier

41663 Cty Rd 2
Rice
MN
56367
Type or Classification
(B)
Building maintainance
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
Name and Address
(A)
Gunderson Palmer Nelson Ashmore
8045

Rapid City
SD
57709
Type or Classification
(B)
Professional services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$2,966
Total of All Transactions with this Payee/Payer for This Schedule$7,966
Legal retainer04/14/2021$5,000
Name and Address
(A)
HP Home Store, Inc

1501 Page Mill Road
Palo Alto
CA
94304
Type or Classification
(B)
Office computers
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,176
Total of All Transactions with this Payee/Payer for This Schedule$7,176
Name and Address
(A)
Iron Range Plumbing & Heating

2205 1st Ave
Hibbing
MN
55746
Type or Classification
(B)
Building maintainence
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,325
Total Non-Itemized Transactions with this Payee/Payer$3,775
Total of All Transactions with this Payee/Payer for This Schedule$15,100
Nashwauk Furnace08/20/2021$11,325
Name and Address
(A)
Jon Krog Insurance

710 9th St N
Virginia
MN
55792
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,196
Total Non-Itemized Transactions with this Payee/Payer$4,180
Total of All Transactions with this Payee/Payer for This Schedule$23,376
E & O policy04/01/2021$19,196
Name and Address
(A)
Marco
1450

Minneapolis
MN
55485-7128
Type or Classification
(B)
Office expense
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,765
Total Non-Itemized Transactions with this Payee/Payer$71,960
Total of All Transactions with this Payee/Payer for This Schedule$102,725
Managed IT05/10/2021$10,505
Managed IT06/21/2021$12,960
Managed IT08/23/2021$7,300
Name and Address
(A)
Miller Properties
1228

St Cloud
MN
56302
Type or Classification
(B)
Office rent
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$54,171
Total of All Transactions with this Payee/Payer for This Schedule$54,171
Name and Address
(A)
Office Max / Office Depot

6600 N Miltary Tr
Boca Rotan
FL
33496
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$7,408
Total of All Transactions with this Payee/Payer for This Schedule$7,408
Name and Address
(A)
Pitney Bowes
371874

Pittsburg
PA
15250-7874
Type or Classification
(B)
Postage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,515
Total of All Transactions with this Payee/Payer for This Schedule$6,515
Name and Address
(A)
Pitney Bowes
371887

Pittsburg
PA
15250-7887
Type or Classification
(B)
Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,142
Total of All Transactions with this Payee/Payer for This Schedule$7,142
Name and Address
(A)
Thompson Reuters / West
6292

Carol Stream
IL
60197-6292
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$6,237
Total of All Transactions with this Payee/Payer for This Schedule$6,237
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 059-814

Name and Address
(A)
Holiday Inn & Suites

200 West First Street
Duluth
MN
55802
Type or Classification
(B)
Convention
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,283
Total Non-Itemized Transactions with this Payee/Payer$3,430
Total of All Transactions with this Payee/Payer for This Schedule$18,713
Council 65 convention11/19/2021$15,283
Name and Address
(A)
Union House, Inc

26796 Felton Ave
Wyoming
MN
55092
Type or Classification
(B)
Promotional items
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,243
Total of All Transactions with this Payee/Payer for This Schedule$6,243
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 059-814

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,297,419
RetirementAFSCME International$258,554
Medical InsuranceNortheast Service Coop$729,945
Long Term DisabilityGuardian$10,151
Group Term Life InsuranceAFSCME International$26,615
Dental InsuranceDelta Dental$33,443
Medicare CoverageBlueCross BlueShield of Minnesota$132,120
Retiree Life InsuranceFormer Employees$5,289
Employee & retiree DeductiblesFurther$97,349
Medical SubsidiesVarious employees & former employees$3,953
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 059-814


Question 11(a):

Question 11(a): : : - The Council maintains a Political Fund. The beginning balance was $3,782. Receipts for the year totaled $15,453 and disbursement were $1,000 thus leaving a balance at 12-31-21 of $18,235.

Question 12: - The 2021 statement of receipts, disbursements and changes in cash and investments was audited by an independent CPA --> Gary W Paulson, CPA, Hackensack, MN 56452.

Question 15: - The Council maintains an inventory of sundry union apparel that it gives away to members at various functions. During 2021 the Council purchased $1,420 of promotional items. The Council maintains a list of items purchased, items given away, and of inventory on hand.

Schedule 13, Row1:

Schedule 13, Row1::- Full time members pay regular progressive dues.

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row2:

Schedule 13, Row2::- Part time members pay regular progressive dues.

Schedule 13, Row2:

Schedule 13, Row2::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)