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
509-111
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
SERVICE EMPLOYEES
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
 6. DESIGNATION NBR
1199
7. UNIT NAME (if any)
NUHHCE, WV/KY/OH
8. MAILING ADDRESS (Type or print in capital letters)
First Name
BECKY
 Last Name
WILLIAMS
P.O Box - Building and Room Number

Number and Street
1395 DUBLIN ROAD
City
COLUMBUS
State
OH		 ZIP Code + 4
432151086


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:Becky WilliamsPRESIDENT71. SIGNED:Joyce GibsonTREASURER
Date:Mar 29, 2022Telephone Number:614-461-1199Date:Mar 29, 2022Telephone Number:614-397-9538
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 509-111
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?Yes
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?Yes
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?08/2023
20. How many members did the labor organization have at the end of the reporting period?21,557
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.75%perMONTH8.00N/A
(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: 509-111

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $4,535,661$3,200,727
23. Accounts Receivable1$0$0
24. Loans Receivable2$4,176,539$4,176,539
25. U.S. Treasury Securities $0$0
26. Investments5$14,501,082$18,092,442
27. Fixed Assets6$168,383$124,353
28. Other Assets7$99$99
29. TOTAL ASSETS $23,381,764$25,594,160

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$0$0
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$0$0
34. TOTAL LIABILITIES $0$0
35. NET ASSETS$23,381,764$25,594,160
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 509-111

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $13,322,172
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $100,272
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$68,418
44. Loans Obtained9$0
45. Repayments of Loans Made2$2,000
46. On Behalf of Affiliates for Transmittal to Them $295,419
47. From Members for Disbursement on Their Behalf $10,465
48. Other Receipts14$651,171
49. TOTAL RECEIPTS $14,449,917
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$2,999,557
51. Political Activities and Lobbying16$678,926
52. Contributions, Gifts, and Grants17$29,050
53. General Overhead18$1,613,976
54. Union Administration19$822,849
55. Benefits20$1,858,451
56. Per Capita Tax $2,883,278
57. Strike Benefits $1,114,707
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$3,192,313
61. Loans Made2$2,000
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $295,419
64. On Behalf of Individual Members $10,465
65. Direct Taxes $283,860
  
66. Subtotal $15,784,851
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,131,314  
  67b. Less Total Disbursed$1,131,314  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $15,784,851
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 509-111

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: 509-111

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$4,176,539$2,000$2,000$0$4,176,539
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Name: HCW BUILDING CORP
Purpose: PURCHASE BUILDINGS
Security: BUILDING AND EQUIP
Terms of Repayment: DEMAND
$4,176,539$4,176,539
Name: ZACHARY GIBBS
Purpose: CASH ADVANCE
Security: NONE
Terms of Repayment: PAYROLL DEDUCTION
$0$2,000$2,000$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 509-111

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$4,429,738$4,429,738$4,498,156$68,418
STOCK SALES$4,429,738$4,429,738$4,498,156$68,418
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$68,418
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 509-111

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$3,192,313$3,191,569$3,192,313
FURNITURE & FIXTURES$9,528$8,784$9,528
SECURITIES HELD BY BROKER$3,182,785$3,182,785$3,182,785
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$3,192,313
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 509-111

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost$18,092,442
B. Total Book Value$18,092,442
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • CASH & CASH EQUIVALENTS HELD BY BROKER
$1,076,659
  • MARKETABLE SECURITIES HELD BY BROKER
$17,015,783
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)) $18,092,442
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 509-111

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$661,600$585,583$76,017$76,017
E. Other Fixed Assets$90,249$41,913$48,336$48,336
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $751,849$627,496$124,353$124,353
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 509-111

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $99
SECURITY DEPOSITS$99
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 509-111

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: 509-111

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: 509-111

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: 509-111

(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 		WILLIAMS ,  BECKY  
PRESIDENT
C		$144,478$0$5,010$0$149,488
I
Schedule 15
Representational Activities 		30 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		70 %
A
B
C 		GIBSON ,  JOYCE  
SECRETARY TREASURER
C		$121,795$0$0$0$121,795
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		40 %
A
B
C 		KNIGHT ,  SAMARA  
EXECUTIVE VICE PRESIDENT
C		$109,495$0$1,950$0$111,445
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		40 %
A
B
C 		NORRIS ,  JOSH  
EXECUTIVE VICE PRESIDENT
C		$104,175$0$10,321$0$114,496
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		10 %
A
B
C 		CALDWELL ,  ANTHONY  
EXECUTIVE VICE PRESIDENT
P		$101,233$0$2,490$0$103,723
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		60 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		20 %
A
B
C 		ALLARD ,  ANGELA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		ANDRIST ,  JEFFERY  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		AYERS ,  JULIA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		BAILEY ,  KRINDA  
EXECUTIVE BOARD MEMBER
C		$0$0$146$0$146
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		BARBOUR ,  SCOTT  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		BISHOP ,  KAY  
EXECUTIVE BOARD MEMBER
C		$0$0$120$0$120
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		BRADLEY ,  DEREK  
EXECUTIVE BOARD MEMBER
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		BROOKS ,  YVONNE  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		CAFFEY ,  ANTOINE  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		CAMPBELL ,  KIMBERLY  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		COLEMAN ,  REVONNE  
EXECUTIVE BOARD MEMBER
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		COOPER ,  CASSANDRA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		COOPER ,  NANCY  
EXECUTIVE BOARD MEMBER
C		$0$0$2,399$0$2,399
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		CORE ,  DAMON  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		DALE ,  KAREN  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		DAVIS ,  RUTH  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		DILLON ,  BETTY  
EXECUTIVE BOARD MEMBER
N		$0$0$1,596$0$1,596
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		DIVEN ,  ATHENA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		FERGUSON ,  SHELLY  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		FOLEY ,  MELISSA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		FOWLER ,  RUBY  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		GEIGER ,  ADRIENE  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		GIBBS ,  ABIGAIL  
EXECUTIVE BOARD MEMBER
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		GIBSON-PATTON ,  KATELYNN  
EXECUTIVE BOARD MEMBER
C		$0$0$207$0$207
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		GILLIAND ,  MELISSA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		GLADDING ,  SANDRA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		GRAHAM ,  NANCY  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		GRALEY ,  CAMILLE  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		GREELY ,  VIRGINIA  
EXECUTIVE BOARD MEMBER
N		$0$0$289$0$289
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HAJZAK ,  DEBORAH  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HALPIN ,  ANN  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HAWKINS ,  ROBERT  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HEMPHILL ,  JENNIFER  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HOOD ,  ROYA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HUNDLEY ,  SHONNA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HYMBAUGH ,  MARJORIE  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		JENKINS ,  ANNA  
EXECUTIVE BOARD MEMBER
C		$0$0$120$0$120
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		JOHNSON ,  LESLIE  
EXECUTIVE BOARD MEMBER
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		JONES ,  CHARLENE  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		JONES ,  DELORIS  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		JONES ,  JOHN  
EXECUTIVE BOARD MEMBER
C		$0$0$700$0$700
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		LEDERER ,  DEBORAH  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		LEE ,  CHAD  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		LEMMINGS ,  DOROTHY  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		LEONARD ,  JAMES  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MALARCHICK ,  DJ  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MALDONADO ,  JUDY  
EXECUTIVE BOARD MEMBER
C		$0$0$620$0$620
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MALONE ,  LISA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MARLING ,  RAYMOND  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MARTELL ,  JEANINE  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MCCORMICK ,  KATHY  
EXECUTIVE BOARD MEMBER
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MCDUFFIE ,  KAREN  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MCGREAL ,  KATHERINE  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MCMICHAEL ,  VALERIE  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MICKLES ,  KIMBERLY  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MIDKIFF ,  CLINTON  
EXECUTIVE BOARD MEMBER
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MONCRIEF ,  JOYCE  
EXECUTIVE BOARD MEMBER
C		$0$0$204$0$204
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MOORE ,  JACQUELINE  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MOORE ,  PAMELA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MORANO ,  SUSAN  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		NOVAKOVIC ,  KERRI  
EXECUTIVE BOARD MEMBER
C		$0$0$42$0$42
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		OLEE ,  ALEEN  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		OWENS ,  BEVERLY  
EXECUTIVE BOARD MEMBER
C		$0$0$240$0$240
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		PELTON ,  MARY  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		PHILLIPS ,  TAMMY  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		RADCLIFFE ,  LYNN  
EXECUTIVE BOARD MEMBER
C		$0$0$985$0$985
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		RAMSEY ,  KATHRYN  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		RISNER ,  TERESA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		ROBINSON ,  BRANDI  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		ROSSI ,  LORETTA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SCOTT ,  MELISSA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SEARFOSS ,  HEATHER  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SEIBERT ,  AMELIA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SELVAGE ,  CAROL  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SHANK ,  PATRICIA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SHAVERS ,  CHERYL  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SHEARER ,  SCHERHERA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SIMS ,  LISA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		STONE ,  STEVEN  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		TUCKER ,  SANDRA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		TULLY ,  VICTORIA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		WALKER ,  ERICK  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		WARREN ,  LATASHA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		WATKEYS ,  MARY BETH  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		WELLS ,  BRENDA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		WHITFIELD ,  MARTHA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		WHITMAN ,  HEATHER  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		WISEMAN ,  RHONDA  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		YEAGER ,  DELAINE  
EXECUTIVE BOARD MEMBER
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
Total Officer Disbursements$581,176$0$27,439$0$608,615
Less Deductions    $202,904
Net Disbursements    $405,711
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 509-111

(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 		BARNETT ,  DONALD  
ADMINISTRATIVE ORGANIZER
NONE		$68,148$0$15,721$0$83,869
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		BRADBURN ,  KIMBERLY  
LOGISTICS COORDINATOR
NONE		$90,606$0$0$0$90,606
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		BRANCH ,  KRISTIE  
DIRECTOR-STATE TEAM
NONE		$100,996$0$419$0$101,415
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		10 %
A
B
C 		BRONSON ,  ANITA  
DIRECTOR OF FINANCE
NONE		$107,218$0$965$0$108,183
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		90 % Schedule 19
Administration
A
B
C 		BROWN ,  CAITLIN  
MRC REPRESENTATIVE
NON		$45,586$0$5,574$0$51,160
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 		COOPER ,  MARYUM  
MEMBER & STAFF DEVEL COOR
NONE		$59,739$0$169$0$59,908
I
Schedule 15
Representational Activities 		40 % Schedule 16
Political Activities and Lobbying 		20 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		40 %
A
B
C 		DALESANDRO ,  VANESSA  
COORDINATOR
NONE		$74,543$0$11,796$0$86,339
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		DAVIES ,  GEOFFREY  
COORDINATOR-STATE TEAM
NONE		$89,939$0$5,023$0$94,962
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		10 %
A
B
C 		DAY ,  LEIGH   A
ADMINISTRATIVE ORGANIZER
NONE		$38,997$0$4,008$0$43,005
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		10 %
A
B
C 		FRAVEL ,  ANGELA  
MEMBERSHIP SPECIALIST
NONE		$53,597$0$0$0$53,597
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		GADISON ,  CHE  
ADMINISTRATIVE ORGANIZER
NONE		$11,140$0$99$0$11,239
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		GIBBS ,  ZACHARY  
ADMINISTRATIVE ORGANIZER
NONE		$52,714$0$14,307$0$67,021
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		10 %
A
B
C 		HANLON ,  PETER  
DIRECTOR OF MRC
NONE		$94,423$0$10,647$0$105,070
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 		HAZELETT ,  AMY  
ADMINISTRATIVE ORGANIZER
NONE		$56,483$0$3,434$0$59,917
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		HETRICK ,  LISA  
DIRECTOR-HUMAN RESOURCES
NONE		$112,370$4,140$116,510
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		50 % Schedule 19
Administration
A
B
C 		HUFF ,  KYLE  
ADMINISTRATIVE ORGANIZER
NONE		$108,986$0$0$0$108,986
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		IVAN ,  MARY   J
SPECIAL ASST TO PRESIDENT
NONE		$102,296$0$224$0$102,520
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		20 % Schedule 19
Administration 		80 %
A
B
C 		JOLLY ,  GEORGE  
ADMINISTRATIVE ORGANIZER
NONE		$28,247$0$1,515$0$29,762
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		KAUFMANN ,  CATHERINE  
COORDINATOR
NONE		$96,475$0$917$0$97,392
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		LANDIS ,  DONNA  
MRC REPRESENTATIVE
NONE		$13,057$0$0$0$13,057
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 		LEWIS ,  CHRISSY  
COORDINATOR
NONE		$86,977$0$10,076$0$97,053
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		LUCIANO ,  MICHAEL  
ADMINISTRATIVE ORGANIZER
NONE		$47,940$0$3,192$0$51,132
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		MACK ,  MARISA  
MRC REPRESENTATIVE
NONE		$37,907$0$0$0$37,907
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 		MCKINNEY ,  SHERRI  
DIRECTOR
NONE		$105,431$0$4,473$0$109,904
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		10 %
A
B
C 		PARKE ,  NICOLE  
ADMINISTRATIVE ORGANIZER
NONE		$28,048$0$5,599$0$33,647
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		PIRIGYI ,  MICHELLE  
ADMINISTRATIVE ORGANIZER
NONE		$53,708$0$12,420$0$66,128
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		POMERANZ ,  JORDAN  
RESEARCH ANALYST
NONE		$37,059$0$0$0$37,059
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		20 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		REASONER ,  STACY  
ACCOUNTING SPECIALIST
NONE		$57,613$0$0$0$57,613
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		90 % Schedule 19
Administration
A
B
C 		SCHAFER ,  JOSHUA  
DIRECTOR-MEMBERSHIP & IT
NONE		$100,996$0$0$0$100,996
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 		SCHULTE ,  AMANDA  
COORDINATOR OF MRC
NONE		$89,909$0$0$0$89,909
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 		SCOTT ,  DAVID  
ADMINISTRATIVE ORGANIZER
NONE		$52,714$0$20,124$0$72,838
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		10 %
A
B
C 		SHIRILLA ,  COURTNEY  
ADMINISTRATIVE ORGANIZER
NON		$33,816$0$1,445$0$35,261
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		SIMPKINS ,  KEVIN  
ADMINISTRATIVE ORGANIZER
NONE		$27,849$0$7,143$0$34,992
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		SPEELMAN ,  NICHOLAS  
DATA ANALYST
NONE		$96,791$0$0$0$96,791
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		90 % Schedule 19
Administration
A
B
C 		SPIEGEL ,  ALISSA  
ACCOUNTING SPECIALIST
NONE		$62,848$0$0$0$62,848
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		90 % Schedule 19
Administration
A
B
C 		TOLLIVER ,  ALYSSA  
MEMBERSHIP ASSISTANT
NONE		$35,964$0$0$0$35,964
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		90 %
A
B
C 		TWAROG ,  DIANE  
ADMINISTRATIVE ORGANIZER
NONE		$95,101$0$15,104$110,205
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		UNDERWOOD-BACON ,  MARTHA  
ADMINISTRATIVE ORGANIZER
NONE		$11,338$0$0$0$11,338
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		10 %
A
B
C 		WALTERS ,  CAROL  
DIRECTOR
NONE		$101,018$0$20,722$0$121,740
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		10 %
A
B
C 		WARREN ,  NICOLE  
ADMINISTRATIVE ORGANIZER
NONE		$14,919$0$2,167$0$17,086
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		WEBB ,  MICHELE  
ADMINISTRATIVE ORGANIZER
NONE		$14,633$0$668$0$15,301
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		WOJDACZ ,  COLE  
RESEARCH ANALYST
NONE		$15,914$0$343$0$16,257
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		20 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		WOOD ,  ASHLEY  
ADMINISTRATIVE ORGANIZER
NONE		$52,714$0$10,584$0$63,298
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		WOOD ,  MICHAEL  
ADMINISTRATIVE ORGANIZER
NONE		$39,038$0$2,396$0$41,434
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$52,618$0$954$0$53,572
I Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
Total Employee Disbursements$2,758,423$0$196,368$0$2,954,791
Less Deductions    $928,410
Net Disbursements    $2,026,381
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 509-111

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 21,557 
Agency Fee Payers*21
Total Members/Fee Payers21,578 
*Agency Fee Payers are not considered members of the labor organization.
MEMBERS18,924Yes
IS NOT PAYING2,633No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 509-111

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$592,081
2. Named Payer Non-itemized Receipts$24,582
3. All Other Receipts$34,508
4. Total Receipts$651,171
     
     
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$29,050
6. Total Disbursements$29,050
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$466,290
2. Named Payee Non-itemized Disbursements$150,241
3. To Officers$273,809
4. To Employees$1,953,636
5. All Other Disbursements$155,581
6. Total Disbursements$2,999,557
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$627,336
2. Named Payee Non-itemized Disbursements$440,220
3. To Officers$0
4. To Employees$472,647
5. All Other Disbursements$73,773
6. Total Disbursements$1,613,976
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$390,004
2. Named Payee Non-itemized Disbursements$2,200
3. To Officers$97,009
4. To Employees$183,737
5. All Other Disbursements$5,976
6. Total Disbursements$678,926
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$17,623
2. Named Payee Non-itemized Disbursements$164,441
3. To Officers$237,801
4. To Employees$344,773
5. All Other Disbursements$58,211
6. Total Disbursements$822,849
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 509-111

Name and Address
(A)
SEIU DISTRICT 1199 PCE

1395 DUBLIN RD
COLUMBUS
OH
43215
Type or Classification
(B)
POLITICAL CONTRIBUTING ENTITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$100,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$100,000
REIMBURSEMENT FOR MEDIA EXPENSE10/12/2021$100,000
Name and Address
(A)
SEIU HEALTHCARE MINNESOTA

345 RANDOLPH AVE STE 100
SAINT PAUL
MN
55102
Type or Classification
(B)
LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
CHH SOLIDARITY STRIKE FUND CONTRIBUTION11/19/2021$10,000
Name and Address
(A)
SEIU HEALTHCARE PENNSYLVANIA

1500 NORTH 2ND ST STE 12
HARRISBURG
PA
17102
Type or Classification
(B)
LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
CHH SOLIDARITY STRIKE FUND11/22/2021$10,000
Name and Address
(A)
SEIU HEALTHCARE UNITED FOR QUALITY CARE

15 S GRADY WAY SUITE 200
RENTON
WA
98057
Type or Classification
(B)
LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
CHH SOLIDARITY STRIKE FUND CONTRIBUTION12/03/2021$10,000
Name and Address
(A)
SEIU LOCAL 1991

1601 NW 8TH AVE
MIAMI
FL
33136
Type or Classification
(B)
LABOR UNION
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
CHH SOLIDARITY STRIKE FUND CONTRIBUTION12/28/2021$5,000
Name and Address
(A)
SEIU LOCAL 2015

2910 BEVERLY BLVD
LOS ANGELES
CA
90057
Type or Classification
(B)
LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,000
CHH SOLIDARITY STRIKE FUND12/13/2021$25,000
Name and Address
(A)
SEIU LOCAL 775

215 COLUMBIA STREET
SEATTLE
WA
98104
Type or Classification
(B)
LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
CHH SOLIDARITY STRIKE FUND CONTRIBUTION11/22/2021$10,000
Name and Address
(A)
SEIU OHIO STATE JOINT COUNCIL

1395 DUBLIN RD
COLUMBUS
OH
43215
Type or Classification
(B)
LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$85,859
Total Non-Itemized Transactions with this Payee/Payer$2,509
Total of All Transactions with this Payee/Payer for This Schedule$88,368
2020 EXPENSE REIMBURSEMENT01/25/2021$40,792
CAMPAIGN EXPENSE REIMBURSEMENT10/15/2021$37,508
ADMINISTRATIVE LIAISON 10/15/2021$7,559
Name and Address
(A)
SEIU UHW, LOCAL 2005

560 THOMAS L BERKLEY WAY
OAKLAND
CA
94612
Type or Classification
(B)
LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,000
CHH SOLIDARITY STRIKE FUND CONTRIBUTION11/17/2021$25,000
Name and Address
(A)
SERIVICE EMPLOYEE INT'L UNION

1800 MASSACHUSETTS AVE
WASHINGTON
DC
20005
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$135,380
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$135,380
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT01/08/2021$7,115
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT02/05/2021$7,115
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT03/05/2021$7,115
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT04/02/2021$7,115
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT05/07/2021$7,115
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT06/04/2021$7,115
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT07/02/2021$7,115
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT08/06/2021$7,115
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT09/03/2021$7,115
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT10/08/2021$7,115
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT11/03/2021$7,115
INFRASTRUCTURE SUBSIDY & IEB REIMBURSEMENT12/03/2021$7,115
CHH SOLIDARITY STRIKE FUND CONTRIBUTION11/26/2021$50,000
Name and Address
(A)
SERVICE EMPLOYEE INT'L UNION IPEA

1313 L STREET
WASHINGTON
DC
20005
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$175,842
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$175,842
COPE OVERPAYMENT 202006/18/2021$175,842
Name and Address
(A)
UHC BENEFIT SERVICES CORPORATION
740221

ATLANTA
GA
30374
Type or Classification
(B)
COBRA REIMBURSEMENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$22,073
Total of All Transactions with this Payee/Payer for This Schedule$22,073
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 509-111

Name and Address
(A)
A TO Z RENTALS HUNTINGTON

826 7TH AVENUE
HUNTINGTON
WV
25701
Type or Classification
(B)
EQUIPMENT RENTAL COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,219
Total of All Transactions with this Payee/Payer for This Schedule$6,219
Name and Address
(A)
AMAZON

2121 7TH AVENUE
SEATTLE
WA
98121
Type or Classification
(B)
ONLINE SHOPPING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$1,569
Total of All Transactions with this Payee/Payer for This Schedule$1,569
Name and Address
(A)
AT & T MOBILITY
9004

CAROL STREAM
IL
60197
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,917
Total Non-Itemized Transactions with this Payee/Payer$17,531
Total of All Transactions with this Payee/Payer for This Schedule$24,448
EQUIPMENT08/24/2021$6,917
Name and Address
(A)
BUDGET CONFERENCING

3202 MOMENTUM PLACE
CHICAGO
IL
60689
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$2,444
Total of All Transactions with this Payee/Payer for This Schedule$2,444
Name and Address
(A)
CERDANT, INC.
3204

DUBLIN
OH
43017
Type or Classification
(B)
WHOLESALE/COMPUTER SOFTWARE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$2,880
Total of All Transactions with this Payee/Payer for This Schedule$2,880
Name and Address
(A)
FAIRFIELD INN HUNTINGTON

536 KINETIC DRIVE
HUNTINGTON
WV
25701
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$25,104
Total of All Transactions with this Payee/Payer for This Schedule$25,104
Name and Address
(A)
HAMPTON INN

177 KINETIC DRIVE
HUNTINGTON
WV
25701
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$852
Total of All Transactions with this Payee/Payer for This Schedule$852
Name and Address
(A)
HARLAN ARBITRATION SERVICES
420

MONTGOMERY
WV
25136
Type or Classification
(B)
ATTORNEY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,600
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,600
ARBITRATION SERVICES12/13/2021$5,600
Name and Address
(A)
HARSHMAN & WANNEMACHER

3360 TREMONT RD., STE 230
COLUMBUS
OH
43221
Type or Classification
(B)
ATTORNEY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$44,245
Total Non-Itemized Transactions with this Payee/Payer$9,972
Total of All Transactions with this Payee/Payer for This Schedule$54,217
ARBITRATION COSTS07/20/2021$5,498
ARBITRATION COSTS09/14/2021$19,936
ARBITRATION COSTS10/11/2021$13,701
ARBITRATION COSTS11/15/2021$5,110
Name and Address
(A)
HEALTHCARE WORKERS BUILDING CORP

1395 DUBLIN ROAD
COLUMBUS
OH
43215
Type or Classification
(B)
LANDLORD
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$33,800
Total of All Transactions with this Payee/Payer for This Schedule$33,800
Name and Address
(A)
HOLIDAY INN

114 DRY HILL ROAD
BECKLEY
WV
25801
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$2,834
Total of All Transactions with this Payee/Payer for This Schedule$2,834
Name and Address
(A)
HOLIDAY INN - INDEPENDENCE

6001 ROCKSIDE ROAD
INDEPENDENCE
OH
44131
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$3,463
Total of All Transactions with this Payee/Payer for This Schedule$3,463
Name and Address
(A)
JONATHAN KLEIN

22899 BYRON ROAD
SHAKER HEIGHTS
OH
44122
Type or Classification
(B)
ATTORNEY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,600
Total of All Transactions with this Payee/Payer for This Schedule$5,600
Name and Address
(A)
PRECISION MEDIA & PUBLIC RELATIONS

456 S. FRONT STREET
COLUMBUS
OH
43215
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$163,680
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$163,680
DIGITAL/RADIO/MOBILE AD09/07/2021$25,430
DIGITAL/RADIO/MOBILE AD09/23/2021$42,895
DIGITAL/RADIO/MOBILE AD10/21/2021$29,855
DIGITAL/RADIO/MOBILE AD11/10/2021$25,500
DIGITAL/RADIO/MOBILE AD12/07/2021$40,000
Name and Address
(A)
ROBERT G. STEIN

1675 E. MAIN ST., STE 270
KENT
OH
44240
Type or Classification
(B)
ATTORNEY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,781
Total Non-Itemized Transactions with this Payee/Payer$2,400
Total of All Transactions with this Payee/Payer for This Schedule$8,181
NEGOTIATION COSTS08/09/2021$5,781
Name and Address
(A)
STAPLES BUSINESS ADVANTAGE
660409

DALLAS
TX
75266
Type or Classification
(B)
STATIONARY/OFFICE SUPPLIES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$2,396
Total of All Transactions with this Payee/Payer for This Schedule$2,396
Name and Address
(A)
THE HUNTINGTON NATIONAL BANK
77077

MINNEAPOLIS
MN
55480
Type or Classification
(B)
BANK
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$22,320
Total of All Transactions with this Payee/Payer for This Schedule$22,320
Name and Address
(A)
THE NEW MEDIA FIRM

1730 RHODE ISLAND AVE NW
WASHINGTON
DC
20036
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$240,067
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$240,067
RADIO/DIGITAL MEDIA NEGOTIATIONS10/13/2021$69,972
BROADCAST TV/DIGITAL MEDIA NEGOTIATIONS11/19/2021$110,095
RADIO MEDIA NEGOTIATIONS11/08/2021$60,000
Name and Address
(A)
TRACTOR SUPPLY

367 CO RD 406 STE A
SOUTH POINT
OH
45680
Type or Classification
(B)
RURAL STORE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,395
Total of All Transactions with this Payee/Payer for This Schedule$6,395
Name and Address
(A)
VANTELL MEDIA GROUP, LLC

35 KROECK AVENUE
YOUNGSTOWN
OH
44515
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$4,462
Total of All Transactions with this Payee/Payer for This Schedule$4,462
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 509-111

Name and Address
(A)
CITIZENS FOR SAFER CLEVELAND

545 E TOWN STREET
COLUMBUS
OH
43215
Type or Classification
(B)
COALITION
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
CONTRIBUTION10/14/2021$30,000
Name and Address
(A)
SEIU DISTRICT 1199 PCE

1395 DUBLIN RD
COLUMBUS
OH
43215
Type or Classification
(B)
POLITICAL CONTRIBUTING ENTITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$255,004
Total Non-Itemized Transactions with this Payee/Payer$2,200
Total of All Transactions with this Payee/Payer for This Schedule$257,204
CONTRIBUTION PER RESOLUTION07/21/2021$8,400
CONTRIBUTION PER RESOLUTION09/07/2021$50,000
CONTRIBUTION PER RESOLUTION09/22/2021$10,500
CONTRIBUTION PER RESOLUTION08/31/2021$40,000
CONTRIBUTION PER RESOLUTION10/12/2021$100,000
CONTRIBUTION PER RESOLUTION10/26/2021$8,700
CONTRIBUTION PER RESOLUTION07/16/2021$37,404
Name and Address
(A)
THE NEW MEDIA FIRM

1730 RHODE ISLAND AVE NW
WASHINGTON
DC
20036
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$100,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$100,000
CLEVELAND IE RADIO/DIGITAL MEDIA10/04/2021$100,000
Name and Address
(A)
WV CENTER ON BUDGET & POLICY

8 CAPITOL ST., 4TH FLOOR
CHARLESTON
WV
25301
Type or Classification
(B)
COALITION
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
CONTRIBUTION-INITIATIVE10/14/2021$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 509-111

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 509-111

Name and Address
(A)
44 CORPORATION

435 SOUTH HAWLEY STREET
TOLEDO
OH
43609
Type or Classification
(B)
RENTAL CORPORATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,000
Total of All Transactions with this Payee/Payer for This Schedule$13,000
Name and Address
(A)
ADP FEES

100 NORTHWEST POINT BLVD
ELK GROVE VILLAGE
IL
60007
Type or Classification
(B)
PAYROLL PROCESSING SERVICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,847
Total of All Transactions with this Payee/Payer for This Schedule$18,847
Name and Address
(A)
AMAZON

2121 7TH AVENUE
SEATTLE
WA
98121
Type or Classification
(B)
ONLINE SHOPPING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,941
Total of All Transactions with this Payee/Payer for This Schedule$5,941
Name and Address
(A)
AMERICAN ELECTRIC POWER
371496

PITTSBURGH
PA
15250
Type or Classification
(B)
ELECTRIC COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,635
Total of All Transactions with this Payee/Payer for This Schedule$13,635
Name and Address
(A)
AT & T
5080

CAROL STREAM
IL
60197
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,875
Total of All Transactions with this Payee/Payer for This Schedule$6,875
Name and Address
(A)
AT & T MOBILITY
9004

CAROL STREAM
IL
60197
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$37,013
Total of All Transactions with this Payee/Payer for This Schedule$37,013
Name and Address
(A)
BUDGET CONFERENCING

3202 MOMENTUM PLACE
CHICAGO
IL
60689
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,676
Total of All Transactions with this Payee/Payer for This Schedule$9,676
Name and Address
(A)
CDW DIRECT, LLC
75723

CHICAGO
IL
60675
Type or Classification
(B)
EQUIPMENT LEASING COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,122
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,122
CLEVELAND OFFICE EQUIPMENT06/14/2021$5,122
Name and Address
(A)
CERDANT, INC.
3204

DUBLIN
OH
43017
Type or Classification
(B)
WHOLESALE/COMPUTER SOFTWARE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,312
Total Non-Itemized Transactions with this Payee/Payer$11,768
Total of All Transactions with this Payee/Payer for This Schedule$18,080
COLUMBUS OFFICE-WIRELESS ACCESS02/17/2021$6,312
Name and Address
(A)
CHARTER COMMUNICATIONS
6030

CAROL STREAM
IL
60197
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$27,459
Total of All Transactions with this Payee/Payer for This Schedule$27,459
Name and Address
(A)
CITYWIDE FACILITY SOLUTIONS
1039

MIDDLETOWN
OH
45042
Type or Classification
(B)
CLEANING COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$40,439
Total of All Transactions with this Payee/Payer for This Schedule$40,439
Name and Address
(A)
ERIC WILLIAMS

3975 ST. RT. 61
MT. GILEAD
OH
43338
Type or Classification
(B)
CONTRACTOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,371
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,371
COLUMBUS OFFICE - PAINTING02/18/2021$8,371
Name and Address
(A)
FACEBOOK

1 HACKER WAY
MENLO PARK
CA
94025
Type or Classification
(B)
ONLINE SOCIAL MEDIA
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$2,649
Total of All Transactions with this Payee/Payer for This Schedule$2,649
Name and Address
(A)
FIFTH THIRD BANK

5050 KINGSLEY DRIVE
CINCINNATI
OH
45263
Type or Classification
(B)
FINANCIAL INSTITUTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,610
Total of All Transactions with this Payee/Payer for This Schedule$15,610
Name and Address
(A)
GORDON FLESCH COMPANY INC.
88236

MILWAUKEE
WI
53288
Type or Classification
(B)
EQUIPMENT LEASING COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,299
Total of All Transactions with this Payee/Payer for This Schedule$10,299
Name and Address
(A)
HARSHMAN & WANNEMACHER

3360 TREMONT ROAD, STE 230
COLUMBUS
OH
43221
Type or Classification
(B)
ATTORNEY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,564
Total Non-Itemized Transactions with this Payee/Payer$29,288
Total of All Transactions with this Payee/Payer for This Schedule$41,852
LEGAL/PROFESSIONAL FEES04/22/2021$6,455
LEGAL/PROFESSIONAL FEES11/15/2021$6,109
Name and Address
(A)
HEALTHCARE WORKERS BUILDING CORP

1395 DUBLIN ROAD
COLUMBUS
OH
43215
Type or Classification
(B)
LANDLORD
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$214,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$214,500
OFFICE RENT01/01/2021$16,500
OFFICE RENT02/01/2021$16,500
OFFICE RENT03/01/2021$16,500
OFFICE RENT04/01/2021$16,500
OFFICE RENT05/01/2021$16,500
OFFICE RENT06/01/2021$16,500
OFFICE RENT07/01/2021$16,500
OFFICE RENT08/01/2021$16,500
OFFICE RENT09/01/2021$16,500
OFFICE RENT10/01/2021$16,500
OFFICE RENT11/01/2021$16,500
OFFICE RENT12/01/2021$16,500
OFFICE RENT12/31/2021$16,500
Name and Address
(A)
HEALTHCARE WORKERS BUILDING CORP

1395 DUBLIN ROAD
COLUMBUS
OH
43215
Type or Classification
(B)
LANDLORD
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$221,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$221,000
OFFICE RENT01/01/2021$17,000
OFFICE RENT02/01/2021$17,000
OFFICE RENT03/01/2021$17,000
OFFICE RENT04/01/2021$17,000
OFFICE RENT05/01/2021$17,000
OFFICE RENT06/01/2021$17,000
OFFICE RENT07/01/2021$17,000
OFFICE RENT08/01/2021$17,000
OFFICE RENT09/01/2021$17,000
OFFICE RENT10/01/2021$17,000
OFFICE RENT11/01/2021$17,000
OFFICE RENT12/01/2021$17,000
OFFICE RENT12/31/2021$17,000
Name and Address
(A)
KATHY MCCORMICK

3660 STATE HIGHWAY 474
OLIVE HILL
KY
41164
Type or Classification
(B)
CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$22,862
Total of All Transactions with this Payee/Payer for This Schedule$22,862
Name and Address
(A)
LEE EVANS

1654 E BRIGHTON ROAD
COLUMBUS
OH
43224
Type or Classification
(B)
CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,625
Total Non-Itemized Transactions with this Payee/Payer$1,163
Total of All Transactions with this Payee/Payer for This Schedule$6,788
CONSULTING FEE12/06/2021$5,625
Name and Address
(A)
MARTIN CARPET CLEANING COMPANY

795 S WALL STREET
COLUMBUS
OH
43206
Type or Classification
(B)
CARPET CLEANING COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,860
Total of All Transactions with this Payee/Payer for This Schedule$6,860
Name and Address
(A)
MICRO CENTER
848

HILLIARD
OH
43026
Type or Classification
(B)
COMPUTER/SOFTWARE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,448
Total of All Transactions with this Payee/Payer for This Schedule$6,448
Name and Address
(A)
PERKS PUSATERI & COMPANY CPA'S

137-B COMMERCE PARK DRIVE
WESTERVILLE
OH
43082
Type or Classification
(B)
CERTIFIED PUBLIC ACCOUNTANTS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$35,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$35,000
AUDIT SERVICES02/08/2021$17,500
AUDIT SERVICES05/06/2021$17,500
Name and Address
(A)
PERMANENT FLOORS CARPET ONE

5620 RIDGE ROAD
PARMA
OH
44129
Type or Classification
(B)
FLOORING COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,300
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$18,300
COLUMBUS OFFICE-FLOOR INSTALLATION01/13/2021$18,300
Name and Address
(A)
QUADIENT FINANCE USA, INC.
123682

DALLAS
TX
75312
Type or Classification
(B)
POSTAL SERVICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,463
Total of All Transactions with this Payee/Payer for This Schedule$14,463
Name and Address
(A)
QUIQ, INC.
11062

BOZEMAN
AZ
59719
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,000
TEXT MESSAGING SERVICE11/01/2021$6,000
Name and Address
(A)
SERVICE EMPLOYEE INTERNATION UNION

1800 MASSACHUSETTS AVE., NW
WASHINGTON
DC
20036
Type or Classification
(B)
LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$49,267
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$49,267
MICROSOFT SOFTWARE LICENSES08/26/2021$49,267
Name and Address
(A)
SOMERVILLE BUILDING INC.
2096

HUNTINGTON
WV
25721
Type or Classification
(B)
RENTAL OFFICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$40,300
Total of All Transactions with this Payee/Payer for This Schedule$40,300
Name and Address
(A)
STAPLES BUSINESS ADVANTAGE
600409

DALLAS
TX
75266
Type or Classification
(B)
STATIONARY/OFFICE SUPPLIES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$38,247
Total of All Transactions with this Payee/Payer for This Schedule$38,247
Name and Address
(A)
UNION INSURANCE GROUP

303 W. ERIE ST., STE 310
CHICAGO
IL
60654
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,775
Total Non-Itemized Transactions with this Payee/Payer$18,128
Total of All Transactions with this Payee/Payer for This Schedule$45,903
UNION LIABILITY INSURANCE06/15/2021$27,775
Name and Address
(A)
UNITED PARCEL SERVICE
809488

CHICAGO
IL
60680
Type or Classification
(B)
POSTAL SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,936
Total of All Transactions with this Payee/Payer for This Schedule$6,936
Name and Address
(A)
US LASER LLC

720 GRANDVIEW AVENUE
COLUMBUS
OH
43215
Type or Classification
(B)
COMPUTER SUPPLIES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,479
Total of All Transactions with this Payee/Payer for This Schedule$15,479
Name and Address
(A)
VANTELL MEDIA GROUP LLC

35 KROECK AVENUE
YOUNGSTOWN
OH
44515
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$2,335
Total of All Transactions with this Payee/Payer for This Schedule$2,335
Name and Address
(A)
VELARIUM, INC.

5750 BLUE FEATHER PLACE
LONGMONT
CO
80503
Type or Classification
(B)
LABOR UNION MANAGEMENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,500
Total Non-Itemized Transactions with this Payee/Payer$24,500
Total of All Transactions with this Payee/Payer for This Schedule$42,000
MEMBERSHIP DATABASE01/05/2021$7,000
MEMBERSHIP DATABASE09/27/2021$10,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 509-111

Name and Address
(A)
ACCESS VG, LLC
27563

SALT LAKE CITY
UT
84127
Type or Classification
(B)
ONLINE RESEARCH
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,198
Total of All Transactions with this Payee/Payer for This Schedule$12,198
Name and Address
(A)
AL BACON

#1 LAKEVIEW TERRACE
BARBOURSVILLE
WV
25504
Type or Classification
(B)
CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,085
Total of All Transactions with this Payee/Payer for This Schedule$6,085
Name and Address
(A)
AT & T TELECONFERNCE SERVICES
5002

CAROL STREAM
IL
60197
Type or Classification
(B)
COMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,487
Total of All Transactions with this Payee/Payer for This Schedule$14,487
Name and Address
(A)
ERIC WILLIAMS

3975 ST. RT. 61
MT. GILEAD
OH
43338
Type or Classification
(B)
CONTRACTOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$1,607
Total of All Transactions with this Payee/Payer for This Schedule$1,607
Name and Address
(A)
FACEBOOK

1 HACKER WAY
MENLO PARK
CA
64025
Type or Classification
(B)
ONLINE SOCIAL MEDIA
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$2,700
Total of All Transactions with this Payee/Payer for This Schedule$2,700
Name and Address
(A)
GRANDVIEW APARTMENTS BY ALBION

1717 CANVASBACK LANE
COLUMBUS
OH
43215
Type or Classification
(B)
APARTMENT LEASING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$34,328
Total of All Transactions with this Payee/Payer for This Schedule$34,328
Name and Address
(A)
HAMPTON INN

177 KINETIC DRIVE
HUNTINGTON
WV
25701
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$4,191
Total of All Transactions with this Payee/Payer for This Schedule$4,191
Name and Address
(A)
HOLIDAY INN

114 DRY HILL RD
BECKLEY
WV
25801
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$2,449
Total of All Transactions with this Payee/Payer for This Schedule$2,449
Name and Address
(A)
HOLIDAY INN - INDEPENDENCE

6001 ROCKSIDE ROAD
INDEPENDENCE
OH
44131
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$21,236
Total of All Transactions with this Payee/Payer for This Schedule$21,236
Name and Address
(A)
SONEST - COLUMBUS DOWNTOWN

33 E. NATIONWIDE BLVD.
COLUMBUS
OH
43215
Type or Classification
(B)
HOTEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,623
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$17,623
MEETINGS/LODGING08/09/2021$17,623
Name and Address
(A)
STAPLES BUSINESS ADVANTAGE
660409

DALLAS
TX
75266
Type or Classification
(B)
STATIONARY/OFFICE SUPPLIES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$1,651
Total of All Transactions with this Payee/Payer for This Schedule$1,651
Name and Address
(A)
THE QUARRY

2550 QUARRY LAKE
COLUMBUS
OH
43204
Type or Classification
(B)
APARTMENT LEASING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,889
Total of All Transactions with this Payee/Payer for This Schedule$19,889
Name and Address
(A)
TRILLIUM
641513

DETROIT
MI
48264
Type or Classification
(B)
TEMPORARY HELP SERVICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$43,620
Total of All Transactions with this Payee/Payer for This Schedule$43,620
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 509-111

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,858,451
EMPLOYEE PENSION1199 SEIU HEALTH CARE EMPLOYEE PENSION FUND$405,535
LIFE,DENTAL,VISION,STD/LTD,EMP CONTRIB ($21,598)THE GUARDIAN$125,383
MEDICALUNITED HEALTH CARE$1,250,995
HEALTH FELX SPENDING-EMPLOYEE CONTRIB ($36,358)AMERIFLEX$71,948
401K PLAN PARTICIPATE FEESEIU AFFILIATES' 401(K) PLAN$4,590
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 509-111


Question 10: THE UNION BENEFITS TRUST 390 WORTHINGTON RD SUITE B WESTERVILLE, OHIO 43082. THIS TRUST WAS CREATED BY THE STATE OF OHIO, DISTRICT 1199 AND FOUR OTHER UNIONS THAT REPRESENT STATE WORKERS. IT WAS CREATED TO PROVIDE VISION, DENTAL AND SUPPLEMENTAL LIFE INSURANCE TO THE STATE WORKERS. A COPY OF THE TRUST'S AUDITED FINANCIAL STATEMENT IS ATTACHED. DISTRICT 1199 DID NOT CONTRIBUTE TO THIS TRUST AND THE AMOUNT OF THE CONTRIBUTION MADE BY THE STATE ON THE DISTRICT'S BEHALF IS NOT DETERMINED DUE TO THE OTHER UNIONS INVOLVEMENT.

Question 11(a): SEIU DISTRICT 1199 WV PAC REPORTS TO THE SECRETARY OF STATE OF WEST VIRGINIA, SEIU DISTRICT 1199 KY PAC RREPORTS TO THE SECRETARY OF STATE FO STATE OF KENTUCKY, SEIU DISTRICT 1199 PAC REPORTS TO THE SECRETARY OF STATE OF OHIO.

Question 11(b): THE DISTRICT HAS THE HEALTH CARE WORKERS BUILDING CORPORATION.THIS CORPORATION OWNS THE BUILDINGS AT 1395 DUBLIN RD COLUMBUS, OHIO 43215 & 13000 SHAKER BLVD CLEVELAND, OHIO 44120. A COPY OF ITS AUDITED FINANCIAL STATEMENT IS ATTACHED.

Question 12: AN OUTSIDE AUDIT OF THE FINANCIAL STATEMENT IS PERFORMED BY PERKS, PUSATERI & COMPANY 137-B COMMERCE PARK DRIVE WESTERVILLE, OHIO 43082

Question 15: THE DISTRICT WROTE-OFF VARIOUS PIECES OF EQUIPMENT IT HAD PURCHASED IN PRIOR YEARS THAT COULD NOT BE REPAIRED OR WERE SCRAPPED DUE TO ITS AGE OR DETERIORATION

Schedule 2, Row1:

Schedule 2, Row1::

Schedule 2, Row2:

Schedule 2, Row2::

Schedule 13, Row1:

Schedule 13, Row1:THE NUMBER REPRESENTS INDIVIDUALS WHO PAY FULL DUES AND RECEIVE THE RIGHTS AND BENEFITS OF MEMBERSHIP

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row2:

Schedule 13, Row2:THESE INDIVIDUALS ARE NOT DEEMED MEMBERS IN GOOD STANDING WITH THE DISTRICT AND ARE NOT AFFORDED THE RIGHT TO VOTE

Schedule 13, Row2:

Schedule 13, Row2:THESE INDIVIDUALS ARE NOT DEEMED MEMBERS IN GOOD STANDING WITH THE DISTRICT AND ARE NOT AFFORDED THE RIGHT TO VOTE
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)