059-961 (LM2) 12/31/2021

U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 01-31-2025

MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

This report is mandatory under P.L. 86-257, as amended. Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.

READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.

For Official Use Only

1. FILE NUMBER
059-961

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.) STATE COUNCIL	6. DESIGNATION NBR 14
7. UNIT NAME (if any) WASHINGTON STATE COUNCIL NORTHWESTERN STATES

8. MAILING ADDRESS (Type or print in capital letters)
First Name PATRICIA	Last Name SCHROEDER
P.O Box - Building and Room Number SUITE 300
Number and Street 3161 ELLIOTT AVENUE
City SEATTLE
State WA	ZIP Code + 4 98121

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:

Patricia Schroeder

PRESIDENT

71. SIGNED:

Joan Jones

TREASURER

Date:

Mar 30, 2022

Telephone Number:

206-441-0202

Date:

Mar 30, 2022

Telephone Number:

206-441-0202

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

ITEMS 10 THROUGH 21

FILE NUMBER: 059-961

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?	$390,000
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?	12/2022

20. How many members did the labor organization have at the end of the reporting period?

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	0	per	0	0	0
(b) Working Dues/Fees	0	per	0	0	0
(c) Initiation Fees	0	per	0	0	0
(d) Transfer Fees	0	per	0	0	0
(e) Work Permits	0	per	0	0	0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 059-961

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$220,409	$210,926
23. Accounts Receivable	1	$188,525	$132,455
24. Loans Receivable	2	$0	$0
25. U.S. Treasury Securities		$0	$0
26. Investments	5
27. Fixed Assets	6	$632	$0
28. Other Assets	7
29. TOTAL ASSETS		$409,566	$343,381

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8	$622	$3,418
31. Loans Payable	9
32. Mortgages Payable		$0	$0
33. Other Liabilities	10	$118,253	$13,191
34. TOTAL LIABILITIES		$118,875	$16,609

35. NET ASSETS

$290,691

$326,772

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 059-961

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$0
37. Per Capita Tax		$869,367
38. Fees, Fines, Assessments, Work Permits		$0
39. Sale of Supplies		$0
40. Interest		$20
41. Dividends		$0
42. Rents		$0
43. Sale of Investments and Fixed Assets	3
44. Loans Obtained	9
45. Repayments of Loans Made	2	$0
46. On Behalf of Affiliates for Transmittal to Them		$0
47. From Members for Disbursement on Their Behalf		$0
48. Other Receipts	14	$106,309
49. TOTAL RECEIPTS		$975,696

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$0
51. Political Activities and Lobbying		16	$654,013
52. Contributions, Gifts, and Grants		17	$34,500
53. General Overhead		18	$112,782
54. Union Administration		19	$105,435
55. Benefits		20	$60,930
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	$0
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			$17,374

66. Subtotal			$985,034
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$49,944
67b. Less Total Disbursed	$50,089
67c. Total Withheld But Not Disbursed			-$145
68. TOTAL DISBURSEMENTS			$985,179

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 059-961

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	$132,455
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B))	$132,455	$0	$0	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 2 - LOANS RECEIVABLE

FILE NUMBER: 059-961

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

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: 059-961

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Gross Sales Price (D)	Amount Received (E)
Total of all lines above	$0	$0	$0	$0

				Less Reinvestments
(The total from Net Sales Line will be automatically entered in Item 43)				Net Sales

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 059-961

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: 059-961

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))

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 059-961

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)

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment

$9,936

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B))

$9,936

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 059-961

Description (A)	Book Value (B)
Total (Total will be automatically entered in Item 28, Column(B))	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE

FILE NUMBER: 059-961

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	$3,418	$0	$0	$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D))	$3,418	$0	$0	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 9 - LOANS PAYABLE

FILE NUMBER: 059-961

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: 059-961

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$13,191
Payroll Liabilities	$8,158
Accrued Vacation Leave	$5,033

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 059-961

(A)
Name

(B)
Title

(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

Sonse , Diane
Vice President
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Niemi , Meg
Vice President
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Shindler , Charlotte
Vice President
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Harders , Sterling
Vice President
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Schroeder , Patricia
President
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Javalera , Zenia
Vice President
C

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

Total Officer Disbursements	$0	$0	$0	$0	$0
Less Deductions
Net Disbursements					$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 059-961

(A)
Name

(B)
Title

(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

Uyehara , Torii K
Finance Director
None

$76,840

$2,001

$78,841

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

Jones , Joan
Executive Director
None

$104,650

$1,726

$106,376

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

75 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

25 %

TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

Total Employee Disbursements	$181,490	$0	$3,727	$0	$185,217
Less Deductions
Net Disbursements					$185,217

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 059-961

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	0
Agency Fee Payers*
Total Members/Fee Payers	0
*Agency Fee Payers are not considered members of the labor organization.

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 059-961

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$99,999
2. Named Payer Non-itemized Receipts	$6,310
3. All Other Receipts
4. Total Receipts	$106,309

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements	$30,000
2. Named Payee Non-itemized Disbursements	$4,500
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements
6. Total Disbursements	$34,500

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
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
6. Total Disbursements	$0

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$14,196
2. Named Payee Non-itemized Disbursements	$74,567
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements	$24,019
6. Total Disbursements	$112,782

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$557,405
2. Named Payee Non-itemized Disbursements	$13,714
3. To Officers	$0
4. To Employees	$79,782
5. All Other Disbursements	$3,112
6. Total Disbursements	$654,013

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$0
4. To Employees	$105,435
5. All Other Disbursements
6. Total Disbursements	$105,435

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 059-961

Name and Address
(A)

Local 925

1914 N 34th St.
Seattle
WA
98103

Type or Classification
(B)

International Union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$500
Total of All Transactions with this Payee/Payer for This Schedule		$500

Name and Address
(A)

Service Employee Cncl PAC

3161 Elliot Avenue #300
Seattle
WA
98121

Type or Classification
(B)

International Union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$2,929
Total of All Transactions with this Payee/Payer for This Schedule		$2,929

Name and Address
(A)

SEIU Initiative Fund

3161 Elliot Avenue #300
Seattle
WA
98121

Type or Classification
(B)

International Union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$2,381
Total of All Transactions with this Payee/Payer for This Schedule		$2,381

Name and Address
(A)

SEIU International

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		$99,999
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$99,999
January- August Infrastructure Subsidy	08/13/2021	$66,667
January- August Infrastructure Subsidy	09/03/2021	$8,333
October Infrastructure Subsidy	10/08/2021	$8,333
November Infrastructure Subsidy	11/05/2021	$8,333
December Infrastructure Subsidy	12/03/2021	$8,333

Name and Address
(A)

SEIU Local 6

3720 Airport Way S
Se
WA
98134

Type or Classification
(B)

International Union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$500
Total of All Transactions with this Payee/Payer for This Schedule		$500

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 059-961

There was no data found for this schedule.

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 059-961

Name and Address
(A)

Free Range Productions
PO Box 2727

Vashon
WA
98070

Type or Classification
(B)

Primary Member Mailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$14,501
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$14,501
Primary Member Mailer	08/11/2021	$14,501

Name and Address
(A)

Fuse Washington
PO Box 4897

Seattle
WA
98194

Type or Classification
(B)

Allied Organizations

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
Contribution 501 (c) 4 Org	04/01/2021	$5,000
Contribution 501 (c) 4 Org	06/14/2021	$5,000

Name and Address
(A)

Invest in Washington Now Campaign

603 Stewart Street Suite 81
Seattle
WA
98101

Type or Classification
(B)

Allied Organizations

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$300,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$300,000
Contribution to 501 (c) 4 Org	01/05/2021	$50,000
Contribution to 501 (c) 4 Org	07/15/2021	$100,000
Contribution to 501 (c) 4 Org	08/02/2021	$100,000
Contribution to 501 (c) 4 Org	09/01/2021	$50,000

Name and Address
(A)

MLK County Labor Council AFL-CIO

2800 1st Ave #206
Seattle
WA
98121

Type or Classification
(B)

Contrib to 501 (c) 5 org

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
Contrib to 501 (c) 5 org	09/16/2021	$25,000

Name and Address
(A)

Moxie Media

2800 1st Ave S
Seattle
WA
98121

Type or Classification
(B)

Member Mailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$16,033
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$16,033
Mailing	10/14/2021	$16,033

Name and Address
(A)

Northwest Accountability Project

2010 Massachusetts Ave NW S
Washington
DC
20036

Type or Classification
(B)

Contribution to 501 (c) 4 Org

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$83,500
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$83,500
Contribution to 501 (c) 4 Org	01/05/2021	$50,000
Contribution to 501 (c) 4 Org	11/16/2021	$33,500

Name and Address
(A)

Pacifica Law Group
PO Box 509017

San Diego
CA
98150

Type or Classification
(B)

Legal Services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$18,701
Total Non-Itemized Transactions with this Payee/Payer		$9,305
Total of All Transactions with this Payee/Payer for This Schedule		$28,006
Capital Gains Litigation	08/11/2021	$18,701

Name and Address
(A)

Patinkin Research Strategies
PO Box 1310

Gig Harbor
WA
98335

Type or Classification
(B)

Research

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$19,666
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$19,666
Polling: Seattle Mayor's Race	04/01/2021	$19,666

Name and Address
(A)

Public News Service

3980 Broadway Street
Boulder
CO
80304

Type or Classification
(B)

Memberships

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
PNS Membership 5/1/21-4/30/22	04/01/2021	$5,000

Name and Address
(A)

USPS

415 1st Ave N
Seattle
WA
98109

Type or Classification
(B)

Mailing

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$10,004
Total Non-Itemized Transactions with this Payee/Payer		$2,909
Total of All Transactions with this Payee/Payer for This Schedule		$12,913
Mailing	10/14/2021	$10,004

Name and Address
(A)

Washington State Labor Council, AFL-CIO

321 16th Avenue South
Seattle
WA
98144

Type or Classification
(B)

Allied Organizations

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$40,000
Total Non-Itemized Transactions with this Payee/Payer		$1,500
Total of All Transactions with this Payee/Payer for This Schedule		$41,500
Contribution for WPA Research	01/04/2021	$5,000
Equity Consultant	05/06/2021	$5,000
Racial & Gender Justice Position	10/04/2021	$30,000

Name and Address
(A)

Win/Win Action

1402 3rd Ave, Suite 201
Seattle
WA
98101

Type or Classification
(B)

Allied Organizations

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$15,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$15,000
Contribution 501 (c) 4 Org	10/14/2021	$15,000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS

FILE NUMBER: 059-961

Name and Address
(A)

Children's Alliance

100 S King Street, Ste 100-
Seattle
WA
98104

Type or Classification
(B)

Allied Organizations

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$500
Total of All Transactions with this Payee/Payer for This Schedule		$500

Name and Address
(A)

Somali Health Board

545 Andover Park W Suite 10
Tukwila
WA

Type or Classification
(B)

Allied Organizations

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$4,000
Total of All Transactions with this Payee/Payer for This Schedule		$4,000

Name and Address
(A)

Washington Low Income Housing Alliance

100 W Harrison St, Suite N2
Seattle
WA
98119

Type or Classification
(B)

Allied Organizations

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 501 (c) 3 Org	02/01/2021	$5,000

Name and Address
(A)

Washington State Budget & Policy Center

1402 Third Ave, Suite 1215
Seattle
WA
98101

Type or Classification
(B)

Allied Organizations

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 501 (c) 3 Org	08/02/2021	$25,000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 059-961

Name and Address
(A)

-1

Type or Classification
(B)

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$0

Name and Address
(A)

Barnard Iglitzin Lavitt LLP

18 W Mercer St, Ste 400
Seattle
WA
98119

Type or Classification
(B)

Legal Services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$7,156
Total of All Transactions with this Payee/Payer for This Schedule		$7,156

Name and Address
(A)

Brantley Janson Yost & Ellison

909 S. 336th St, Suite 201
Federal Way
WA
98003

Type or Classification
(B)

Accounting

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,545
Total Non-Itemized Transactions with this Payee/Payer		$3,717
Total of All Transactions with this Payee/Payer for This Schedule		$9,262
Audit and Tax Return (990)	05/18/2021	$5,545

Name and Address
(A)

Century Link Seattle
PO Box 91155

Seattle
WA
98111

Type or Classification
(B)

Telephone

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$8,780
Total of All Transactions with this Payee/Payer for This Schedule		$8,780

Name and Address
(A)

Diamond Building

85 S. Washington St. #211
Seattle
WA
98104

Type or Classification
(B)

Office Rent

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$31,768
Total of All Transactions with this Payee/Payer for This Schedule		$31,768

Name and Address
(A)

Labor 1992 Corporation

321 16th Ave S
Seattle
WA
98144

Type or Classification
(B)

rent

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$23,146
Total of All Transactions with this Payee/Payer for This Schedule		$23,146

Name and Address
(A)

Redmond General Insurance Agency

15809 Bear Creek Parkway
Redmond
WA
98052

Type or Classification
(B)

Insurance

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,651
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$8,651
Directors and Officers Liability	12/07/2021	$8,651

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 19 - UNION ADMINISTRATION

FILE NUMBER: 059-961

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS

FILE NUMBER: 059-961

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$60,930
Pension	SEIU Affiliates Pension Fund	$34,119
Health Insurance	Service Employees Health & Welfare Trust	$23,333
Life & Disability Insurance	Standard Insurance Company	$3,057
Vision Insurance	Vision Service Plan	$421

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 059-961

Question 11(a):

Question 11(a): : : : Service Employees International Union WA State Council PAC, reports filed with WA State Public Disclosure Commission SEIU Initiative Funds.

Question 12: : : Brantley Janson

Statement A,

Cash Begin Total: : : Input error, no change to 2020 cash balance.



Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)