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
543-857
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

7. UNIT NAME (if any)
SEIU HEALTHCARE MICHIGAN
8. MAILING ADDRESS (Type or print in capital letters)
First Name
ANDREA
Last Name
ACEVEDO
P.O Box - Building and Room Number

Number and Street
3031 WEST GRAND BLVD #555
City
DETROIT
State
MI
ZIP Code + 4
48202


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:Andrea AcevedoPRESIDENT71. SIGNED:Ken HaneyVice President
Date:Mar 30, 2022Telephone Number:313-310-9429Date:Mar 30, 2022Telephone Number:313-408-8272
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 543-857
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?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?07/2022
20. How many members did the labor organization have at the end of the reporting period?5,917
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees$55.00perMonth27.5055.00
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation FeesN/AperN/AN/AN/A
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 543-857

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $512,222$480,422
23. Accounts Receivable1$83,828$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$162,129$129,530
28. Other Assets7$56,237$112,300
29. TOTAL ASSETS $814,416$722,252

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$0$36,849
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$205,941$120,111
34. TOTAL LIABILITIES $205,941$156,960
35. NET ASSETS$608,475$565,292
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 543-857

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $3,442,243
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $1
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $35,080
48. Other Receipts14$369,588
49. TOTAL RECEIPTS $3,846,912
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,326,364
51. Political Activities and Lobbying16$227,584
52. Contributions, Gifts, and Grants17$28,202
53. General Overhead18$489,916
54. Union Administration19$225,051
55. Benefits20$568,241
56. Per Capita Tax $910,057
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$0
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $18,735
65. Direct Taxes $106,722
  
66. Subtotal $3,900,872
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$291,171  
  67b. Less Total Disbursed$269,011  
  67c. Total Withheld But Not Disbursed $22,160
68. TOTAL DISBURSEMENTS $3,878,712
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 543-857

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: 543-857

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 45 Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 543-857

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$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 543-857

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$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 543-857

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: 543-857

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$711,484$593,759$117,725$117,725
E. Other Fixed Assets$46,869$35,064$11,805$11,805
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $758,353$628,823$129,530$129,530
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 543-857

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $112,300
Prepaid Expenses$17,945
Security Deposit$25,743
Due From SEIU International$68,612
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 543-857

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$36,849$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $36,849$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 543-857

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: 543-857

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $120,111
Accrued Paid Time Off (PTO)$106,385
Accrued Payroll Deductions$13,726
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 543-857

(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
$114,231$7,300$8,183$0$129,714
I
Schedule 15
Representational Activities
10 % Schedule 16
Political Activities and Lobbying
30 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
54 % Schedule 19
Administration
5 %
A
B
C
Haney ,  Kenneth  
Vice President
C
$108,000$7,300$476$0$115,776
I
Schedule 15
Representational Activities
30 % Schedule 16
Political Activities and Lobbying
15 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
54 % Schedule 19
Administration
0 %
Total Officer Disbursements$222,231$14,600$8,659$0$245,490
Less Deductions    $68,617
Net Disbursements    $176,873
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 543-857

(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
Holiday ,  Scott  
Executive
N/A
$93,462$7,400$0$0$100,862
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
20 % Schedule 17
Contributions
5 % Schedule 18
General Overhead
45 % Schedule 19
Administration
10 %
A
B
C
Holly ,  Christopher  
Administration
N/A
$60,712$250$0$0$60,962
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
93 % Schedule 19
Administration
0 %
A
B
C
Matvchuk ,  Alexandra   K
Administration
N/A
$34,192$300$0$0$34,492
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
93 % Schedule 19
Administration
0 %
A
B
C
Lignell ,  Kevin   M
Communications
N/A
$62,788$7,300$429$0$70,517
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
95 %
A
B
C
King ,  Cynthia  
Finance
N/A
$49,038$200$819$0$50,057
I
Schedule 15
Representational Activities
30 % Schedule 16
Political Activities and Lobbying
15 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
54 % Schedule 19
Administration
0 %
A
B
C
Andrews ,  Trece   Y
Internal Organizing
N/A
$33,846$7,100$0$0$40,946
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Barber ,  Robert   D
Internal Organizing
N/A
$35,115$7,375$1,181$0$43,671
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Barngrover ,  Matthew   A
Internal Organizing
N/A
$17,731$3,650$194$0$21,575
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Carter ,  Jarel  
Internal Organizing
N/A
$37,269$7,750$145$0$45,164
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Comb ,  Latoyla  
Internal Organizing
N/A
$16,346$650$0$0$16,996
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Connolly ,  Christopher   R
Internal Organizing
N/A
$38,288$5,675$423$0$44,386
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Everett ,  Serena  
Internal Organizing
N/A
$74,873$7,400$139$0$82,412
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
5 % Schedule 19
Administration
10 %
A
B
C
Flores ,  Michael  
Internal Organizing
N/A
$39,731$6,062$215$0$46,008
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Kirchen ,  William  
Internal Organizing
N/A
$36,269$7,750$1,136$0$45,155
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Mettle-Nunoo ,  Jonathan  
Internal Organizing
N/A
$38,500$7,500$0$0$46,000
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Nelson ,  Mary  
Internal Organizing
N/A
$50,362$7,300$0$0$57,662
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Simon ,  Holly   A
Internal Organizing
N/A
$20,462$2,100$1,147$0$23,709
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Strickland ,  Benjamin  
Internal Organizing
N/A
$19,025$929$0$0$19,954
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Walker ,  Saran  
Internal Organizing
N/A
$53,300$7,400$159$0$60,859
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Cowan ,  Anthony  
Midwest Intiatives
N/A
$36,173$7,450$1,019$0$44,642
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$21,762$0$0$0$21,762
I Schedule 15
Representational Activities
59 % Schedule 16
Political Activities and Lobbying
9 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
21 % Schedule 19
Administration
10 %
Total Employee Disbursements$869,244$101,541$7,006$0$977,791
Less Deductions    $233,004
Net Disbursements    $744,787
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 543-857

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 5,917 
Agency Fee Payers*
Total Members/Fee Payers5,917 
*Agency Fee Payers are not considered members of the labor organization.
Regular Full Time4,179Yes
Regular Part Time1,735Yes
Retirees3No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 543-857

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$335,884
2. Named Payer Non-itemized Receipts$7,890
3. All Other Receipts$25,814
4. Total Receipts$369,588
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$2,455
4. To Employees$13,110
5. All Other Disbursements$12,637
6. Total Disbursements$28,202
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$272,392
2. Named Payee Non-itemized Disbursements$170,422
3. To Officers$47,704
4. To Employees$644,759
5. All Other Disbursements$191,087
6. Total Disbursements$1,326,364
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$43,250
2. Named Payee Non-itemized Disbursements$96,385
3. To Officers$132,565
4. To Employees$169,883
5. All Other Disbursements$47,833
6. Total Disbursements$489,916
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$11,700
2. Named Payee Non-itemized Disbursements$58,968
3. To Officers$56,280
4. To Employees$62,548
5. All Other Disbursements$38,088
6. Total Disbursements$227,584
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$13,000
2. Named Payee Non-itemized Disbursements$34,407
3. To Officers$6,486
4. To Employees$87,494
5. All Other Disbursements$83,664
6. Total Disbursements$225,051
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 543-857

Name and Address
(A)
Michigan State Council

124 Allegan Rd
Lansing
MI
48933
Type or Classification
(B)
Labor Council
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$64,260
Total Non-Itemized Transactions with this Payee/Payer$7,890
Total of All Transactions with this Payee/Payer for This Schedule$72,150
Reimbursement for MPO Wages01/27/2021$37,380
Reimbursement for MPO Wages02/23/2021$14,080
Reimbursement for MPO Wages04/07/2021$12,800
Name and Address
(A)
SEIU International

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$271,624
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$271,624
Rebate03/02/2021$19,776
Rebate04/23/2021$19,199
Rebate12/10/2021$17,322
Rebate02/22/2021$19,287
Rebate04/02/2021$16,184
Rebate06/11/2021$18,221
Reimbursement for Wages02/22/2021$20,050
Reimbursement for Legal Fees11/05/2021$131,585
Reimbursement for Settlement05/03/2021$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 543-857

Name and Address
(A)
A T &T
6463

Carol Stream
IL
60197-9004
Type or Classification
(B)
Phone Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,035
Total of All Transactions with this Payee/Payer for This Schedule$5,035
Name and Address
(A)
Amanda Kwit

3345 Capital Way
Highland
MI
48356
Type or Classification
(B)
Organizer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,021
Total of All Transactions with this Payee/Payer for This Schedule$12,021
Name and Address
(A)
Carney-Correll, PLC

26261 Evergreen Rd Ste 270
Southfield
MI
48076
Type or Classification
(B)
Accountants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,240
Total Non-Itemized Transactions with this Payee/Payer$3,415
Total of All Transactions with this Payee/Payer for This Schedule$8,655
Consulting10/07/2021$5,240
Name and Address
(A)
Enertron, LLC

38251 S Groesbeck Hwy
Clinton Twp
MI
48036
Type or Classification
(B)
Leasing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,593
Total of All Transactions with this Payee/Payer for This Schedule$20,593
Name and Address
(A)
Frank Durante

14837 Pine Ridge
Grand Haven
MI
49417
Type or Classification
(B)
Organizer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,435
Total of All Transactions with this Payee/Payer for This Schedule$5,435
Name and Address
(A)
Jonathan Kinloch

29 Winder
Detroit
MI
48201
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$18,585
Total of All Transactions with this Payee/Payer for This Schedule$18,585
Name and Address
(A)
L. Morrast & Sam Bernstein

31731 Northwestern Hwy Ste
Farmington Hills
MI
48334
Type or Classification
(B)
Law Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,900
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,900
Settlement04/16/2021$5,900
Name and Address
(A)
Laura Krzykwa

8589 South 72nd Ave
Montague
MI
49437
Type or Classification
(B)
Organizer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,230
Total of All Transactions with this Payee/Payer for This Schedule$6,230
Name and Address
(A)
Lori Davis
2977

Southfield
MI
48037
Type or Classification
(B)
Organizer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,190
Total of All Transactions with this Payee/Payer for This Schedule$18,190
Name and Address
(A)
Millennium Business Systems
660831

Dallas
TX
75266-0831
Type or Classification
(B)
Leasing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,019
Total Non-Itemized Transactions with this Payee/Payer$25,359
Total of All Transactions with this Payee/Payer for This Schedule$33,378
3 Month Lease Payments12/03/2021$8,019
Name and Address
(A)
Miller Cohen, PLC

7700 Second Avenue Ste 335
Detroit
MI
48202
Type or Classification
(B)
Attorney's
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$141,155
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$141,155
Legal Services - December 202004/07/2021$19,461
Legal Services - 1/2 of January 202105/17/2021$17,634
Legal Services - March 202109/30/2021$19,093
Legal Services - June 202110/03/2021$8,267
Legal Services - Casework11/11/2021$76,700
Name and Address
(A)
New Center LLC
780044

Phildelphia
PA
19178-0044
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$97,918
Total Non-Itemized Transactions with this Payee/Payer$7,257
Total of All Transactions with this Payee/Payer for This Schedule$105,175
January 2021 Rent01/01/2021$9,313
February 2021 Rent02/01/2021$9,313
March 2021 Rent03/02/2021$9,313
April 2021 Rent03/31/2021$9,313
May 2021 Rent04/28/2021$9,313
June 2021 Rent06/02/2021$9,313
August 2021 Rent08/05/2021$8,890
October 2021 Rent10/05/2021$8,340
November 2021 Rent12/01/2021$8,270
December 2021 Rent12/07/2021$8,270
January 2022 Rent12/20/2021$8,270
Name and Address
(A)
State Auto Insurance Insurance Company Company
182738
518 East Broad Street
Columbus
OH
43218-2738
Type or Classification
(B)
Insurance Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,725
Total of All Transactions with this Payee/Payer for This Schedule$11,725
Name and Address
(A)
The Kinloch Group, Inc.

29 Winder
Detroit
MI
48201
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$7,965
Total of All Transactions with this Payee/Payer for This Schedule$7,965
Name and Address
(A)
Union Ware
930473

Atlanta
GA
31193-0473
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$23,892
Total of All Transactions with this Payee/Payer for This Schedule$23,892
Name and Address
(A)
UnionSector
2415

Woodland Park
NJ
07424
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,160
Total Non-Itemized Transactions with this Payee/Payer$4,720
Total of All Transactions with this Payee/Payer for This Schedule$18,880
Union Ware Repair07/15/2021$14,160
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 543-857

Name and Address
(A)
Charise Martin

3351 S Greyfriars
Detroit
MI
48217
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$7,200
Total of All Transactions with this Payee/Payer for This Schedule$7,200
Name and Address
(A)
Loraine Davis

14685 Rutland
Detroit
MI
48227
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$7,200
Total of All Transactions with this Payee/Payer for This Schedule$7,200
Name and Address
(A)
Millennium Business Systems
660831

Dallas
TX
75266-0831
Type or Classification
(B)
Leasing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,092
Total of All Transactions with this Payee/Payer for This Schedule$5,092
Name and Address
(A)
Miller Cohen, PLC

7700 Second Avenue Ste 335
Detroit
MI
48226
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,700
Total Non-Itemized Transactions with this Payee/Payer$9,832
Total of All Transactions with this Payee/Payer for This Schedule$21,532
Legal Services - Casework11/11/2021$11,700
Name and Address
(A)
New Center LLC
780044

Phildelphia
PA
19178-0044
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$16,044
Total of All Transactions with this Payee/Payer for This Schedule$16,044
Name and Address
(A)
Trece Andrews

14860 Forrer Apt 1
Detroit
MI
48227
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$7,200
Total of All Transactions with this Payee/Payer for This Schedule$7,200
Name and Address
(A)
Vernette Mahone

27000 Evergreen
Lathrup Village
MI
48076
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$6,400
Total of All Transactions with this Payee/Payer for This Schedule$6,400
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 543-857

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 543-857

Name and Address
(A)
Clarence H Johnson, PC, CPA's
26076 WOODWARD AVE

ROYAL OAK
MI
48067
Type or Classification
(B)
Accountant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,910
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,910
LM-2 Preparation06/09/2021$10,910
Name and Address
(A)
Enertron, LLC
38251 Groesbeck Hwy
38251
Clinton Twp
MI
48036
Type or Classification
(B)
Leasing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,330
Total of All Transactions with this Payee/Payer for This Schedule$7,330
Name and Address
(A)
Jonathan Kinloch
29 Winder

Detroit
MI
48201
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$6,615
Total of All Transactions with this Payee/Payer for This Schedule$6,615
Name and Address
(A)
Millennium Business Systems
660831

Dallas`
TX
75266-0831
Type or Classification
(B)
Leasing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,880
Total of All Transactions with this Payee/Payer for This Schedule$11,880
Name and Address
(A)
Miller Cohen PLC
7700 Second Avenue Ste 335

Detroit
MI
48226
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,300
Total Non-Itemized Transactions with this Payee/Payer$22,941
Total of All Transactions with this Payee/Payer for This Schedule$50,241
Legal Services - Casework11/11/2021$27,300
Name and Address
(A)
New Center LLC
780044

Phildelphia
PA
19178-0044
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$37,435
Total of All Transactions with this Payee/Payer for This Schedule$37,435
Name and Address
(A)
Union Sector, LLC
2415

Woodland park
NJ
07424
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,040
Total Non-Itemized Transactions with this Payee/Payer$1,680
Total of All Transactions with this Payee/Payer for This Schedule$6,720
Union Ware - Repair07/15/2021$5,040
Name and Address
(A)
Union Ware
930473

Atlanta
GA
31193-0473
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,504
Total of All Transactions with this Payee/Payer for This Schedule$8,504
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 543-857

Name and Address
(A)
Millennium Business System
660831

Dallas
TX
75266-0831
Type or Classification
(B)
Leasing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,657
Total of All Transactions with this Payee/Payer for This Schedule$5,657
Name and Address
(A)
Miller Cohen PLC

7700 Second Avenue Ste 335
Detroit
MI
48226
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,000
Total Non-Itemized Transactions with this Payee/Payer$10,924
Total of All Transactions with this Payee/Payer for This Schedule$23,924
Legal Services - Casework11/11/2021$13,000
Name and Address
(A)
New Center LLC
780044

Phildelphia
PA
19178-0044
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$17,826
Total of All Transactions with this Payee/Payer for This Schedule$17,826
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 543-857

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$568,241
401(k) Employer ContributionsAEGON - 401K Plan$31,251
Health InsuranceInsurance Company BC/BS$189,657
Retiree Health InsuranceInsurance Company$15,318
ParkingParking Lots$10,007
SettlementRetiree$68,000
Retiree BenefitsRetirees$13,850
Pension PlanSEIU Pension Fund$167,387
Dental & Vision InsuranceSEIU Health Fund$56,798
Medical RetireesSEIU Mich Health and Welfare Fund$450
Medical RetireesRetirees$3,702
Life InsuranceInsurance company$8,402
Wokers Compensation InsuranceInsurance company$3,419
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 543-857
Item 71 Title: Chief Financial Officer is Vice President.

Question 11(a):

Question 11(a): : SEIU Healthcare Michigan PAC reports are filed with Michigan Department of State Elections Commission.

Question 12: Audit in progress for December 31, 2021 by Clarence H. Johnson, P.C., C.P.A.'s.

Schedule 13, Row1:

Schedule 13, Row1::Regular full time members are eligible to vote.

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row2:

Schedule 13, Row2::Regular part time members are eligible to vote

Schedule 13, Row2:

Schedule 13, Row2::

Schedule 13, Row3:

Schedule 13, Row3::Retirees are not eligible to vote.

Schedule 13, Row3:

Schedule 13, Row3::Retirees are not eligible to vote.Item 47 and 64: From and on Behalf of Members: SEIU Healthcare Michigan receives amounts from members for COPE donations, SEIU Healthcare Michigan then forwards the amount to SEIU COPE, there is a timing difference between receipt and forwarding. Funds are held in separate account. The amount due at December 31, 2021 was $17,818.97 which is reported on Line 33 Other Liabilities. Item 67b: Dues withheld from payroll are not forwarded, but are recorded as dues income on line 36.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)