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
058-417
2.
PERIOD COVERED
From
01/01/2021
Through
12/31/2021
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.)
SYSTEM COUNCIL
6. DESIGNATION NBR
7. UNIT NAME (if any)
SEIU MICHIGAN STRENGTH IN ACTION COUNCIL
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
JEREMY
Last Name
TRIPP
P.O Box - Building and Room Number
P.O. BOX 13082
Number and Street
City
LANSING
State
MI
ZIP Code + 4
48901
9. Are your organization's records kept at its
mailing address?
No
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:
Andrea Acevedo
PRESIDENT
71. SIGNED:
Jeremy O Tripp
TREASURER
Date:
Mar 29, 2022
Telephone
Number:
313-310-9429
Date:
Mar 29, 2022
Telephone
Number:
517-395-8124
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
058-417
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?
$225,000
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
No
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?
12/2023
20. How many members did the labor organization
have at the end of the reporting period?
16,486
21. What are the labor organization's rates of dues
and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
1.00
per
Month
na
na
(b) Working Dues/Fees
na
per
na
na
na
(c) Initiation Fees
na
per
na
na
na
(d) Transfer Fees
na
per
na
na
na
(e) Work Permits
na
per
na
na
na
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
058-417
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$534,424
$388,466
23. Accounts Receivable
1
$0
24. Loans Receivable
2
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
27. Fixed Assets
6
$29,859
$23,465
28. Other Assets
7
29.
TOTAL ASSETS
$564,283
$411,931
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
31. Loans Payable
9
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
34. TOTAL
LIABILITIES
$0
$0
35. NET
ASSETS
$564,283
$411,931
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
058-417
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$0
37. Per Capita Tax
$208,174
38. Fees, Fines,
Assessments, Work Permits
$0
39. Sale of Supplies
$0
40. Interest
$0
41. Dividends
$0
42. Rents
$0
43. Sale of Investments
and Fixed Assets
3
44. Loans Obtained
9
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$420,394
49. TOTAL RECEIPTS
$628,568
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$86,549
51.
Political Activities and Lobbying
16
$489,716
52.
Contributions, Gifts, and Grants
17
$10,352
53. General
Overhead
18
$39,140
54. Union
Administration
19
$50,661
55. Benefits
20
$77,904
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 Assets
4
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$20,204
66. Subtotal
$774,526
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$71,560
67b. Less Total
Disbursed
$71,560
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$774,526
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
058-417
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:
058-417
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 61
Item 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:
058-417
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:
058-417
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$0
$0
$0
Less Reinvestments
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
058-417
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
B. Total Book Value
C. List each
marketable security which has a book value over $5,000
and exceeds 5% of Line B.
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))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
058-417
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
$31,969
$8,504
$23,465
$23,465
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$31,969
$8,504
$23,465
$23,465
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
058-417
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:
058-417
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:
058-417
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 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
058-417
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:
058-417
(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
ACEVEDO
,
ANDREA
PRESIDENT C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
SHOLTZ
,
RAY
VICE PRESIDENT C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
TRIPP
,
JEREMY
O TREASURER C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
MULLEN
,
BRANDICE
SECRETARY C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
Total Officer
Disbursements
$0
$0
$0
$0
$0
Less Deductions
$0
Net
Disbursements
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
058-417
(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
ROOT
,
JENNIFER
EXECUTIVE DIRECTOR NONE
$115,000
$0
$4,527
$0
$119,527
I
Schedule 15
Representational Activities
30
%
Schedule 16
Political Activities and Lobbying
40
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
30
%
A
B
C
OLIVER
,
ISAIAH
J CAMPAIGN COORDINATOR NONE
$83,877
$0
$0
$0
$83,877
I
Schedule 15
Representational Activities
25
%
Schedule 16
Political Activities and Lobbying
70
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
5
%
A
B
C
PACK
,
AKEEM
LEGISLATIVE COORDINATOR NONE
$34,740
$0
$1,748
$0
$36,488
I
Schedule 15
Representational Activities
30
%
Schedule 16
Political Activities and Lobbying
60
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
A
B
C
THOMAS
,
ASHLEY
WORKER IN ACTION DIRECTOR NONE
$46,154
$0
$786
$0
$46,940
I
Schedule 15
Representational Activities
40
%
Schedule 16
Political Activities and Lobbying
50
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$0
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total
Employee Disbursements
$279,771
$0
$7,061
$0
$286,832
Less
Deductions
$71,560
Net Disbursements
$215,272
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
058-417
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
16,486
Agency Fee Payers*
0
Total Members/Fee Payers
16,486
*Agency Fee Payers are
not considered members of the labor organization.
LOCAL UNION MEMBERSHIP
16,486
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
058-417
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$420,394
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
4. Total
Receipts
$420,394
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$6,958
2. Named Payee
Non-itemized Disbursements
$3,071
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$323
6. Total
Disbursements
$10,352
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$86,549
5. All Other
Disbursements
$0
6. Total
Disbursements
$86,549
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$5,895
2. Named Payee
Non-itemized Disbursements
$18,408
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$14,837
6. Total
Disbursements
$39,140
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$309,943
2. Named Payee
Non-itemized Disbursements
$16,147
3. To Officers
$0
4. To Employees
$151,888
5. All Other
Disbursements
$11,738
6. Total
Disbursements
$489,716
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$48,395
5. All Other
Disbursements
$2,266
6. Total
Disbursements
$50,661
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
058-417
Name and Address
(A)
SERVICE EMPLOYEES INTERNATIONAL UNION
1800 MASSACHUSETTS AVE NW WASHINGTON DC 20036
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$420,394
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$420,394
INTERNATIONAL SUBSIDY
02/02/2021
$11,922
INTERNATIONAL SUBSIDY
02/22/2021
$16,667
INTERNATIONAL SUBSIDY
03/05/2021
$8,333
PROGRAM EXPENSE REIMBURSEMENT
03/05/2021
$82,000
INTERNATIONAL SUBSIDY
03/05/2021
$11,922
INTERNATIONAL SUBSIDY
04/02/2021
$20,256
PROGRAM EXPENSE REIMBURSEMENT
04/16/2021
$77,250
INTERNATIONAL SUBSIDY
05/07/2021
$20,256
PROGRAM EXPENSE REIMBURSEMENT
05/21/2021
$15,000
INTERNATIONAL SUBSIDY
06/04/2021
$20,256
INTERNATIONAL SUBSIDY
07/02/2021
$20,256
INTERNATIONAL SUBSIDY
08/08/2021
$20,256
PROGRAM EXPENSE REIMBURSEMENT
08/20/2021
$15,000
INTERNATIONAL SUBSIDY
09/03/2021
$20,255
INTERNATIONAL SUBSIDY
10/08/2021
$20,255
INTERNATIONAL SUBSIDY
11/05/2021
$20,255
INTERNATIONAL SUBSIDY
12/03/2021
$20,255
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
058-417
There was no data
found for this schedule.
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
058-417
Name and Address
(A)
COALITION FOR SECURE RETIREMENT
110 W. MICHIGAN LANSING MI 48933
Type or Classification
(B)
POLITICAL ORGANIZATION
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
SUBSCRIPTION
02/27/2021
$10,000
Name and Address
(A)
DETROIT UNITED
300 RIVER PLACE #2700 DETROIT MI 48207
Type or Classification
(B)
POLITICAL ORGANIZATION
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
CONTRIBUTION
09/30/2021
$30,000
Name and Address
(A)
KIVVIT LLC 22393
NEW YORK NY 10087-2393
Type or Classification
(B)
PUBLIC RELATIONS COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,950
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$7,950
MEMBER MAILING
07/07/2021
$7,950
Name and Address
(A)
MICHIGAN DEMOCRATIC PARTY
606 TOWNSEND LANSING MI 48933
Type or Classification
(B)
POLITICAL ORGANIZATION
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
CONTRIBUTION
05/10/2021
$25,000
Name and Address
(A)
SEIU HEALTHCARE MICHIGAN
3031 W. GRAND BLVD. DETROIT MI 48201
Type or Classification
(B)
LOCAL UNION-EXPENSE REIMBURSEMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$72,150
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$72,150
EXPENSE REIMBURSEMENT
01/19/2021
$37,380
EXPENSE REIMBURSEMENT
02/10/2021
$14,080
EXPENSE REIMBURSEMENT
03/24/2021
$12,800
EXPENSE REIMBURSEMENT
05/18/2021
$7,890
Name and Address
(A)
SEIU LOCAL 1
111 E. WACKER #1700 CHICAGO IL 60601
Type or Classification
(B)
LOCAL UNION-EXPENSE REIMBURSEMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$91,480
Total
Non-Itemized Transactions with this Payee/Payer
$9,141
Total of All Transactions with this
Payee/Payer for This Schedule
$100,621
EXPENSE REIMBURSEMENT
01/04/2021
$25,414
EXPENSE REIMBURSEMENT
02/15/2021
$23,215
EXPENSE REIMBURSEMENT
03/10/2021
$23,439
EXPENSE REIMBURSEMENT
12/08/2021
$19,412
Name and Address
(A)
SEIU LOCAL 517M
839 CENTENNIAL WAY LANSING MI 48917
Type or Classification
(B)
LOCAL UNION-EXPENSE REIMBURSEMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,863
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$10,863
EXPENSE REIMBURSEMENT
01/04/2021
$10,863
Name and Address
(A)
TWO PENINSULAS RESEARCH GROUP
614 SEYMOUR LANSING MI 48933
Type or Classification
(B)
POLITICAL RESEARCH GROUP
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$62,500
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$62,500
RESEARCH SUBSCRIPTION
04/12/2021
$62,500
Name and Address
(A)
VERIZON WIRELESS
ONE VERIZON WAY BASKING RIDGE NJ 07920
Type or Classification
(B)
CELLULAR TELEPHONE COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,006
Total of All Transactions with this
Payee/Payer for This Schedule
$7,006
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
058-417
Name and Address
(A)
PRODUCTION HOUSE DESIGNS LLC
35059 GLENWOOD WAYNE MI 48184
Type or Classification
(B)
PROMOTIONAL ITEM COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,958
Total
Non-Itemized Transactions with this Payee/Payer
$3,071
Total of All Transactions with this
Payee/Payer for This Schedule
$10,029
SWEATSHIRTS AND T-SHIRTS
08/11/2021
$6,958
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
058-417
Name and Address
(A)
ATRIUM OFFICE PARTNERS
201 N. WASHINGTON SQUARE LANSING MI 48933
Type or Classification
(B)
LESSOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$18,408
Total of All Transactions with this
Payee/Payer for This Schedule
$18,408
Name and Address
(A)
KUSHNER, KIPPELMAN & TAUB, PLLC
28580 ORCHARD LAKE RD #250 FARMINGTON HILLS MI 48334
Type or Classification
(B)
ACCOUNTING AND AUDIT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,895
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$5,895
ACCOUNTING AND AUDIT FEES
04/16/2021
$5,895
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
058-417
There was no data
found for this schedule.
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
058-417
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$77,904
PENSION
SEIU AFFILIATES, OFFICERS & EMPLOYEES PENSION FUND
$53,498
HEALTH AND WELFARE
SEIU HEALTH & WELFARE FUND
$24,406
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
058-417
Address of Record: The books and records are kept at 215 S. Washington Square, Lansing, MI 48933.
Question 12: Audit - Shindel Rock & Associates, P.C.
Question 11(a):
Question 11(a): : SEIU Michigan State Council PAC - Reports are filed with the Michigan Department of State, Bureau of Elections.
Schedule 13, Row1:
Schedule 13, Row1:Members of affiliated Local Unions. Each Local Union remits $1.00 per member per month. The Executive Board of the Council has voting privileges.