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
516-569
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 NW
 6. DESIGNATION NBR
1199
7. UNIT NAME (if any)
SEIU HEALTH CARE 1199 NORTHWEST
8. MAILING ADDRESS (Type or print in capital letters)
First Name
ROBIN
 Last Name
WYSS
P.O Box - Building and Room Number
SUITE 200
Number and Street
15 S GRADY WAY
City
RENTON
State
WA		 ZIP Code + 4
98057


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:Diane SosnePRESIDENT71. SIGNED:Robin D WyssTREASURER
Date:Mar 29, 2022Telephone Number:425-917-1199Date:Mar 31, 2022Telephone Number:425-917-1199
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 516-569
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?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?05/2022
20. How many members did the labor organization have at the end of the reporting period?28,177
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.8%persalaryNone90.00
(b) Working Dues/FeesNoneperN/AN/AN/A
(c) Initiation Fees30.00permember30.0030.00
(d) Transfer FeesNoneperN/AN/AN/A
(e) Work PermitsNoneperN/AN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 516-569

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $15,723,600$19,452,995
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$227,680$225,555
27. Fixed Assets6$189,094$275,300
28. Other Assets7$42,752$44,552
29. TOTAL ASSETS $16,183,126$19,998,402

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$58,300$23,353
34. TOTAL LIABILITIES $58,300$23,353
35. NET ASSETS$16,124,826$19,975,049
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 516-569

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $22,139,174
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $169,280
39. Sale of Supplies $0
40. Interest $28,158
41. Dividends $2,303
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 $0
48. Other Receipts14$2,542,897
49. TOTAL RECEIPTS $24,881,812
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$9,574,384
51. Political Activities and Lobbying16$392,694
52. Contributions, Gifts, and Grants17$86,950
53. General Overhead18$322,554
54. Union Administration19$2,511,792
55. Benefits20$3,022,304
56. Per Capita Tax $3,864,492
57. Strike Benefits $180,946
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$153,489
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 $224,808
65. Direct Taxes $783,057
  
66. Subtotal $21,117,470
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$2,599,930  
  67b. Less Total Disbursed$2,634,877  
  67c. Total Withheld But Not Disbursed -$34,947
68. TOTAL DISBURSEMENTS $21,152,417
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 516-569

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: 516-569

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: 516-569

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: 516-569

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$1,453,489$149,683$153,489
Computer equipment$31,297$27,491$31,297
Building acquisition earnest money + other prelim$1,418,689$118,689$118,689
Increase in lease security deposits$1,200$1,200$1,200
Investments-reinvested dividends$2,303$2,303$2,303
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$153,489
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 516-569

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost$225,622
B. Total Book Value$225,555
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • Fidelity Adv Short Fixed Income Fund
$225,555
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)) $225,555
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 516-569

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)    
Building  1 :      Earnest money+prelim Kent, WA$118,689$0$118,689$118,689
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$1,259,755$1,103,144$156,611$156,611
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,378,444$1,103,144$275,300$275,300
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 516-569

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $44,552
Lease security deposits$33,952
Employee expense advances$10,600
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 516-569

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: 516-569

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: 516-569

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $23,353
Payroll withholdings$23,353
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 516-569

(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 		Antwi ,  David  
Executive Board
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 		Arciaga ,  Melanie  
Executive Board
C		$2,017$0$0$0$2,017
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 		Arkava ,  Linda  
Executive Board
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 		Armstrong ,  Lauren  
Executive Board
C		$438$0$0$0$438
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 		Bakke-Tull ,  Georgia  
Executive Board
P		$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 		Ballou ,  Kimberly  
Executive Board
P		$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 		Bash Jr ,  Robert  
Executive Board
P		$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 		Belyea ,  Diane  
Member Organizer
P		$701$0$0$0$701
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 		Bethard ,  Sharon  
Executive Board
C		$1,148$0$0$0$1,148
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 		Blue ,  Jameson  
Executive Board
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 		Brissey ,  Maija  
Executive Board
P		$421$0$0$0$421
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 		Cambronero ,  Audrey  
Executive Board
P		$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 		Carner ,  Brandy  
Executive Board
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 		Cassidy ,  Patrick  
Executive Board
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 		Castillo ,  Desiree  
Executive Board
C		$1,253$0$0$0$1,253
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 		Challenger ,  Dorothy  
Executive Board
C		$1,592$0$0$0$1,592
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 		Cohn ,  Leslie  
Executive Board
N		$3,112$0$0$0$3,112
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 		Colyer ,  Alisha  
Executive Board
P		$312$0$0$0$312
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 		DeLeon ,  Maria  
Executive Board
N		$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 		Deschenes ,  Dave  
Executive Board
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 		Diaz-Reddick ,  Carmen  
Executive Board
C		$1,810$0$0$0$1,810
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 		Dumont ,  Michael  
Executive Board
C		$425$0$0$0$425
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 		Ellis ,  Desmond  
Executive Board
C		$809$0$0$0$809
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 		Gaytan ,  Sandra  
Executive Board
C		$3,760$0$0$0$3,760
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 		Gibbs ,  Mary  
Executive Board
C		$960$0$0$0$960
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 		Hawkins ,  Melissa  
Member Organizer
P		$50,596$0$441$0$51,037
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		47 %
A
B
C 		Hinz ,  Lynda  
Executive Board
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 		Hollyfield ,  Jenifer  
Executive Board
C		$981$0$0$0$981
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 		Hopkins ,  Jane  
Executive Vice President
C		$140,505$0$99$0$140,604
I
Schedule 15
Representational Activities 		81 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		19 %
A
B
C 		Howard ,  Valarie  
Executive Board
C		$2,286$0$0$0$2,286
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 		Hufford ,  Joseph  
Executive Board
C		$1,076$0$0$0$1,076
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 		Hursh ,  Stacy  
Executive Board
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 		Jackson ,  Le'Nae  
Executive Board
P		$33,282$0$0$0$33,282
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		15 %
A
B
C 		Jama ,  Zeynab  
Executive Board
C		$2,045$0$0$0$2,045
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 		Jawando-Williams ,  Nike  
Executive Board
P		$2,615$0$0$0$2,615
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 		Jessup ,  Cathleen  
Executive Board
C		$1,848$0$0$0$1,848
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 		Keller ,  Sylvia  
Executive Board
C		$2,646$0$0$0$2,646
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 		Kilberg ,  Laura  
Executive Board
C		$1,536$0$0$0$1,536
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 		Kline ,  Lydia  
Executive Board
C		$60,075$0$0$0$60,075
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 		K Dittmann ,  Susan  
Executive Board
N		$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 		Land ,  Grace  
Vice Pres. - Private
C		$2,151$0$0$0$2,151
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 		Lightle ,  Carol  
Executive Board
C		$1,434$0$0$0$1,434
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 		Lindsay ,  Teri  
Executive Board
C		$755$0$0$0$755
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 		Lojewski ,  Fatima  
CBA Representative
P		$61,264$0$0$0$61,264
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Lombardo ,  Lauren  
Executive Board
N		$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 		Lopez ,  Chris  
Executive Board
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 		Marcelo ,  Frederick  
Executive Board
P		$31,056$0$0$0$31,056
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		8 % Schedule 19
Administration 		8 %
A
B
C 		Marquez ,  Enrique  
Executive Board
P		$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 		Marshall ,  Victoria  
Executive Board
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 		Martin ,  Gloria  
Executive Board
C		$8,031$0$0$0$8,031
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 		Mason ,  Lisa  
Executive Board
C		$1,645$0$0$0$1,645
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 		Matson ,  Terri  
Executive Board
C		$2,020$0$0$0$2,020
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 		McInnis ,  Margie  
Executive Board
C		$1,952$0$0$0$1,952
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 		McKenzie ,  Traci  
Executive Board
P		$312$0$0$0$312
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 		Millsap ,  Julie  
Executive Board
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 		Mingaracal ,  Marlita  
Executive Board
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 		Moon ,  Carleen  
Executive Board
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 		Morford ,  Rolinda  
Executive Board
P		$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 		Morrell ,  Suzanne  
Executive Board
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 		Murray ,  Teri  
Executive Board
C		$3,673$0$0$0$3,673
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 		Myers ,  Carol  
Executive Board
P		$2,235$0$0$0$2,235
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 		Negron ,  Noah  
Executive Board
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 		Neumayer ,  Marie  
Executive Board
C		$3,826$0$0$0$3,826
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 		Oden ,  Jeanne  
Executive Board
C		$1,442$0$0$0$1,442
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 		Peterson ,  Susan  
Executive Board
P		$621$0$0$0$621
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 		Pham ,  Ethel  
Executive Board
C		$3,561$0$133$0$3,694
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 		Pickens ,  Cenetra  
Executive Board
C		$2,576$0$0$0$2,576
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 		Potuzak ,  Chrys  
Executive Board
C		$1,833$0$0$0$1,833
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 		Prescott ,  Delores  
Executive Board
C		$3,049$0$0$0$3,049
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 		Ramirez ,  Olga  
Executive Board
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 		Ray ,  Sheron  
Executive Board
C		$1,172$0$0$0$1,172
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 		Riddle ,  Jessica  
Executive Board
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 		Robinson ,  Mary  
Executive Board
C		$2,280$0$0$0$2,280
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 		Rukeyser ,  Casey  
Executive Vice President
C		$136,559$0$881$0$137,440
I
Schedule 15
Representational Activities 		35 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		64 %
A
B
C 		Sanford ,  Genevieve  
Executive Board
C		$936$0$0$0$936
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 		Scott ,  Elizabeth  
Vice Pres. - Public
P		$36,298$0$99$0$36,397
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		7 %
A
B
C 		Sherburne ,  Angelita  
Executive Board
C		$6,014$0$0$0$6,014
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 		Shoman ,  Becky  
Executive Board
C		$974$0$0$0$974
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 		Silva ,  Felicia  
Member Organizer
P		$60,834$0$779$0$61,613
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Smith ,  Carmencita  
Executive Board
C		$6,535$0$0$0$6,535
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 		Sosne ,  Diane  
President
C		$171,636$0$1,268$0$172,904
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 		Stout ,  Michelle  
Executive Board
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 		Thompson ,  Theresa  
Executive Board
C		$3,046$0$0$0$3,046
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 		Tilahun ,  Saba  
Executive Board
P		$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 		Towers ,  Patricia  
Executive Board
P		$439$0$0$0$439
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 		Troxler ,  Duane  
Executive Board
P		$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 		Turpen ,  Charity  
Executive Board
N		$986$0$0$0$986
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 		Valdez ,  Sheryll  
Executive Board
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 		Vanden Bos ,  Jamie  
Executive Board
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 		Westphal ,  Alice  
Executive Board
C		$1,902$0$0$0$1,902
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 		White ,  Melissa  
Executive Board
P		$644$0$0$0$644
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 		Williams ,  Mala  
Executive Board
C		$2,404$0$0$0$2,404
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 		Williams ,  Kim  
Executive Board
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 		Willis ,  Willie  
Executive Board
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 		Wittman ,  Nancy  
Executive Board
C		$4,981$0$29$0$5,010
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 		Wyss ,  Robin  
Sec/Treas
C		$127,144$0$10,311$0$137,455
I
Schedule 15
Representational Activities 		67 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		30 %
A
B
C 		Yang ,  Grace  
Executive Board
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$1,016,469$0$14,040$0$1,030,509
Less Deductions    $261,156
Net Disbursements    $769,353
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 516-569

(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 		Almamar ,  Mondher  
Organizer
None		$92,411$0$2,165$0$94,576
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Anderson ,  Julie  
Member Organizer
None		$36,023$0$1,877$0$37,900
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		6 % Schedule 19
Administration 		11 %
A
B
C 		Anliker ,  Lane  
CBA Representative
None		$103,218$0$683$0$103,901
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		7 %
A
B
C 		Antonio ,  Malikia  
Organizer
None		$72,029$0$0$0$72,029
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Anundson ,  Blair  
CBA Representative
None		$100,219$0$319$0$100,538
I
Schedule 15
Representational Activities 		77 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		20 %
A
B
C 		Au ,  Tsz  
Production
None		$32,145$0$0$0$32,145
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 		Augspurger ,  Victoria  
CBA Representative
None		$79,649$0$0$0$79,649
I
Schedule 15
Representational Activities 		88 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		10 %
A
B
C 		Austreng ,  Dane  
Political Act. Specialist
None		$70,119$0$0$0$70,119
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		99 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Backus ,  Laura  
Field Admin Assistant
None		$68,367$0$0$0$68,367
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 		Bate ,  Geoff  
CBA Representative
None		$101,671$0$0$0$101,671
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		3 %
A
B
C 		Baxter ,  Janine  
CBA Representative
None		$43,107$0$10$0$43,117
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		6 %
A
B
C 		Beauchene ,  Jason  
CBA Representative
None		$103,846$0$0$0$103,846
I
Schedule 15
Representational Activities 		57 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		41 %
A
B
C 		Bischoff ,  Laurel  
CBA Representative
None		$36,085$0$0$0$36,085
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Brown ,  Paula  
Member Organizer
None		$31,271$0$0$0$31,271
I
Schedule 15
Representational Activities 		36 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		64 %
A
B
C 		Chavarria ,  Olga  
CBA Representative
None		$97,647$0$622$0$98,269
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Clark ,  Amy  
Communications Director
None		$102,425$0$0$0$102,425
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Cole ,  Ronco  
CBA Representative
None		$153,183$0$354$0$153,537
I
Schedule 15
Representational Activities 		64 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		30 %
A
B
C 		Conger ,  Claudia  
CBA Representative
None		$74,308$0$0$0$74,308
I
Schedule 15
Representational Activities 		82 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		11 % Schedule 19
Administration 		6 %
A
B
C 		Cosic ,  Edisa  
CBA Representative
None		$109,288$0$0$0$109,288
I
Schedule 15
Representational Activities 		69 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		31 %
A
B
C 		Criollos-Perez ,  Janelle  
Organizer
None		$64,058$0$69$0$64,127
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Darboe ,  Sankung  
CBA Representative
None		$77,723$0$0$0$77,723
I
Schedule 15
Representational Activities 		53 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		47 %
A
B
C 		Dedrick ,  Elizabeth  
Staff Attorney
None		$113,432$0$0$0$113,432
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		6 %
A
B
C 		Devine ,  Kaleena  
Field Admin Assistant
None		$19,314$0$760$0$20,074
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 		Dibba ,  Adam  
CBA Representative
None		$90,066$0$707$0$90,773
I
Schedule 15
Representational Activities 		63 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		14 % Schedule 19
Administration 		21 %
A
B
C 		Doherty ,  Mary Beth  
CBA Representative
None		$71,995$0$744$0$72,739
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Domingo ,  Ligaya  
Racial Justice Director
None		$122,244$0$205$0$122,449
I
Schedule 15
Representational Activities 		86 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		11 %
A
B
C 		Dougherty ,  Laura  
CBA Representative
None		$100,219$0$0$0$100,219
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		1 %
A
B
C 		Doyon McGovern ,  Danielle  
CBA Representative
None		$102,529$0$82$0$102,611
I
Schedule 15
Representational Activities 		69 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		31 %
A
B
C 		Driscoll ,  Shay  
Organizer
None		$83,652$0$0$0$83,652
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Duma ,  Catherine  
CBA Representative
None		$21,844$0$139$0$21,983
I
Schedule 15
Representational Activities 		82 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		15 %
A
B
C 		Erstad ,  Rachel  
Research
None		$95,470$0$0$0$95,470
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		12 %
A
B
C 		Escobar ,  Kenia  
Asst. Commun. Director
None		$91,749$0$385$0$92,134
I
Schedule 15
Representational Activities 		84 % Schedule 16
Political Activities and Lobbying 		7 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		8 %
A
B
C 		Fagalele ,  Andrea  
Admin. Coordinator
None		$58,879$0$0$0$58,879
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 		Fedorenko ,  Yoko  
Legal Assistant
None		$33,445$0$0$0$33,445
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Fekeshazy ,  Natasha  
CBA Representative
None		$97,589$0$99$0$97,688
I
Schedule 15
Representational Activities 		79 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		18 %
A
B
C 		Fishman ,  Hannah  
CBA Representative
None		$85,317$0$6,732$0$92,049
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Fletcher ,  Emma  
CBA Representative
None		$82,710$0$2,195$0$84,905
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Flora ,  Carson  
General Council - Legal
None		$130,272$0$334$0$130,606
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Franklin ,  Tarabia  
CBA Representative
None		$100,673$0$358$0$101,031
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Galindo ,  Nestor  
Organizer
None		$102,475$0$0$0$102,475
I
Schedule 15
Representational Activities 		78 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		12 % Schedule 19
Administration 		10 %
A
B
C 		Gammal ,  John  
CBA Representative
None		$30,369$0$143$0$30,512
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Glancy ,  Tasha  
CBA Representative
None		$83,967$0$129$0$84,096
I
Schedule 15
Representational Activities 		91 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		7 %
A
B
C 		Gomez ,  Luz  
CBA Representative
None		$103,206$0$1,857$0$105,063
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Goodman ,  Daniel  
CBA Representative
None		$78,290$0$0$0$78,290
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Gottlieb-McHale ,  Alma  
Research
None		$85,273$0$0$0$85,273
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Grad ,  Lindsey  
Legislative Director
None		$117,563$0$0$0$117,563
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		91 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		6 %
A
B
C 		Guizar ,  Mayra  
Organizer
None		$87,969$0$0$0$87,969
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Hinman ,  Nathan  
CBA Representative
None		$100,401$0$12$0$100,413
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Holmes ,  Clarence  
CBA Representative
None		$94,625$0$973$0$95,598
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		2 %
A
B
C 		HoltzingerCruz ,  Jesse  
CBA Representative
None		$97,589$0$0$0$97,589
I
Schedule 15
Representational Activities 		68 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		28 %
A
B
C 		HoltzingerCruz ,  Natalie  
CBA Representative
None		$38,818$0$0$0$38,818
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Horne ,  Michel  
CBA Representative
None		$78,859$0$53$0$78,912
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Horowitz ,  Jacob  
CBA Representative
None		$94,241$0$0$0$94,241
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		5 %
A
B
C 		Inman ,  Jesse  
CBA Representative
None		$74,226$0$80$0$74,306
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Johansen ,  Darlene  
CBA Representative
None		$60,205$0$0$0$60,205
I
Schedule 15
Representational Activities 		38 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		62 % Schedule 19
Administration 		0 %
A
B
C 		Kelly-Gray ,  Heather  
CBA Representative
None		$78,361$0$98$0$78,459
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Kelp ,  Mahalia  
Organizer
None		$88,946$0$5,124$0$94,070
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Kimm ,  Sabrina  
Cent. & East. WA Director
None		$117,563$0$2,329$0$119,892
I
Schedule 15
Representational Activities 		54 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		46 %
A
B
C 		King-Lowe ,  Yolanda  
Asst. Member Progam Dir.
None		$110,395$0$596$0$110,991
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		11 %
A
B
C 		Lampkin ,  Christopher  
Political Director
None		$120,180$0$836$0$121,016
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		53 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		43 %
A
B
C 		Lin ,  Ada  
Organizer
None		$80,007$0$248$0$80,255
I
Schedule 15
Representational Activities 		73 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		27 %
A
B
C 		Livingston ,  Monica  
CBA Representative
None		$21,768$0$0$0$21,768
I
Schedule 15
Representational Activities 		52 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		48 %
A
B
C 		Lopez ,  Raul  
CBA Representative
None		$106,097$0$1,748$0$107,845
I
Schedule 15
Representational Activities 		56 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		44 %
A
B
C 		Lowry ,  Penelope  
Op. & Admin Director
None		$117,563$0$0$0$117,563
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		98 %
A
B
C 		Magdalene ,  Ky  
Member Organizer
None		$64,609$0$60$0$64,669
I
Schedule 15
Representational Activities 		78 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		20 %
A
B
C 		Metroplos ,  Joanne  
CBA Representative
None		$105,025$0$4,632$0$109,657
I
Schedule 15
Representational Activities 		86 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		13 %
A
B
C 		Michel-Schottman ,  Morgan  
CBA Representative
None		$34,800$0$488$0$35,288
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Misgina ,  Eden  
Assistant Org.Director
None		$106,012$0$444$0$106,456
I
Schedule 15
Representational Activities 		66 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		33 %
A
B
C 		Mlynarek ,  Sulan  
Research
None		$98,983$0$294$0$99,277
I
Schedule 15
Representational Activities 		91 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		8 %
A
B
C 		Moallin ,  Sara  
Member Organizer
None		$13,129$0$0$0$13,129
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 		Mounlamai ,  Aksonephet  
Field Admin Assistant
None		$72,660$0$550$0$73,210
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		9 % Schedule 19
Administration 		90 %
A
B
C 		Musse ,  Ayan  
CBA Representative
None		$91,064$0$1,663$0$92,727
I
Schedule 15
Representational Activities 		59 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		27 % Schedule 19
Administration 		14 %
A
B
C 		Nguyen ,  Han  
Finance Manager
None		$117,895$0$0$0$117,895
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 		Njai ,  Baboucarr  
CBA Representative
None		$93,862$0$299$0$94,161
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		6 %
A
B
C 		Novinger ,  Justin  
CBA Representative
None		$106,184$0$1,284$0$107,468
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Olivas ,  Jaclyn  
CBA Representative
None		$73,571$0$21$0$73,592
I
Schedule 15
Representational Activities 		53 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		32 % Schedule 19
Administration 		15 %
A
B
C 		Ortiz ,  Juan  
CBA Representative
None		$96,665$0$589$0$97,254
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Patricelli ,  Vanessa  
CBA Representative
None		$96,624$0$191$0$96,815
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		6 %
A
B
C 		Perez ,  Rosalinda  
Member Organizer
None		$10,055$0$0$0$10,055
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 		Ponce ,  Brenda  
Member Organizer
None		$64,548$0$1,043$0$65,591
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Ragozino ,  Marisa  
CBA Representative
None		$76,904$0$951$0$77,855
I
Schedule 15
Representational Activities 		60 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		39 %
A
B
C 		Redeemer ,  Malando  
CBA Representative
None		$71,503$0$0$0$71,503
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		3 %
A
B
C 		Rendlen ,  Marietta  
Member Program Director
None		$121,836$0$1,112$0$122,948
I
Schedule 15
Representational Activities 		72 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		28 %
A
B
C 		Rios ,  Jessika  
Organizer
None		$65,266$0$0$0$65,266
I
Schedule 15
Representational Activities 		78 % Schedule 16
Political Activities and Lobbying 		12 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		9 %
A
B
C 		Roberson ,  Angel  
CBA Representative
None		$51,050$0$0$0$51,050
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Rodriquez ,  Ronnie  
Organizer
None		$92,840$0$0$0$92,840
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Rounds ,  Phoebe  
Member Program Director
None		$93,885$0$99$0$93,984
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		15 %
A
B
C 		Rubio ,  April  
Production
None		$61,911$0$0$0$61,911
I
Schedule 15
Representational Activities 		79 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		19 %
A
B
C 		Seidman ,  Conor  
Field Admin Assistant
None		$16,382$0$23$0$16,405
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 		Simpson ,  Jacob  
CBA Representative
None		$21,831$0$0$0$21,831
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		23 %
A
B
C 		Sinakhone ,  Joyce  
Research
None		$94,780$0$0$0$94,780
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Smith ,  Amber  
Asst. Member Progam Dir.
None		$105,999$0$618$0$106,617
I
Schedule 15
Representational Activities 		64 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		32 %
A
B
C 		Smith ,  Darius  
CBA Representative
None		$104,465$0$0$0$104,465
I
Schedule 15
Representational Activities 		46 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		50 %
A
B
C 		Staples ,  Melissa  
CBA Representative
None		$140,524$0$0$0$140,524
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Stephenson ,  Shannon  
Compliance Administrator
None		$68,813$0$837$0$69,650
I
Schedule 15
Representational Activities 		8 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		92 %
A
B
C 		Stinson-Smiley ,  Traci  
Legal Assistant
None		$25,278$0$37$0$25,315
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 		Tang ,  Mary  
Accounting Specialist
None		$80,845$0$1,774$0$82,619
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 		Taylor ,  Robert  
Member Field Director
None		$28,358$0$0$0$28,358
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Tobin ,  Teresa  
New Organizing Director
None		$130,159$0$763$0$130,922
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		8 % Schedule 19
Administration 		0 %
A
B
C 		Unger ,  Lisa  
CBA Representative
None		$12,160$0$12$0$12,172
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		20 %
A
B
C 		Van Bronkhorst ,  Emily  
Deputy Chief of Staff
None		$29,780$0$0$0$29,780
I
Schedule 15
Representational Activities 		46 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		51 %
A
B
C 		Vanderven ,  Sandra  
CBA Representative
None		$94,198$0$99$0$94,297
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		13 %
A
B
C 		Vargas ,  William  
Organizer
None		$92,694$0$0$0$92,694
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Vega ,  Amanda  
CBA Representative
None		$69,255$0$0$0$69,255
I
Schedule 15
Representational Activities 		82 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		16 %
A
B
C 		Velasco ,  Efrain  
CBA Representative
None		$109,726$0$108$0$109,834
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Webb ,  Laurel  
Deputy General Counsel
None		$113,432$0$663$0$114,095
I
Schedule 15
Representational Activities 		84 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		15 %
A
B
C 		Williams ,  James  
CBA Representative
None		$26,849$0$0$0$26,849
I
Schedule 15
Representational Activities 		88 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		12 %
A
B
C 		Wright ,  Marguerite  
CBA Representative
None		$21,408$0$0$0$21,408
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$40,539$0$33$0$40,572
I Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
Total Employee Disbursements$8,627,503$0$51,752$0$8,679,255
Less Deductions    $2,338,774
Net Disbursements    $6,340,481
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 516-569

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 28,177 
Agency Fee Payers*5,413
Total Members/Fee Payers33,590 
*Agency Fee Payers are not considered members of the labor organization.
Regular members28,177Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 516-569

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$2,480,412
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$62,485
4. Total Receipts$2,542,897
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$65,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$21,950
6. Total Disbursements$86,950
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$1,434,012
2. Named Payee Non-itemized Disbursements$704,264
3. To Officers$484,573
4. To Employees$6,498,899
5. All Other Disbursements$452,636
6. Total Disbursements$9,574,384
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$37,473
2. Named Payee Non-itemized Disbursements$23,443
3. To Officers$10,738
4. To Employees$203,977
5. All Other Disbursements$46,923
6. Total Disbursements$322,554
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$85,000
2. Named Payee Non-itemized Disbursements$13,256
3. To Officers$1,842
4. To Employees$272,349
5. All Other Disbursements$20,247
6. Total Disbursements$392,694
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$5,062
2. Named Payee Non-itemized Disbursements$221,135
3. To Officers$533,356
4. To Employees$1,704,031
5. All Other Disbursements$48,208
6. Total Disbursements$2,511,792
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 516-569

Name and Address
(A)
1199 SEIU United Healthcare Workers East

498 7th Ave
New York
NY
10018
Type or Classification
(B)
Labor union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,000
Contribution09/24/2021$12,000
Name and Address
(A)
HOSP Professional Technical

1673 Columbia Rd NW Ste 100
Washington
DC
20009
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
Contribution09/27/2021$5,000
Name and Address
(A)
Laborers International Union Local 860

3334 Prospect Ave
Cleveland
OH
44115
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
Contribution09/15/2021$5,000
Name and Address
(A)
Local 2005 United Healthcare Worker West

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$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution09/17/2021$10,000
Name and Address
(A)
New England Healthcare Employee Union Dist 1199

77 Huyshop Ave
Hartford
CT
06106
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
Contribution10/07/2021$5,000
Name and Address
(A)
Service Employees International Union

1800 Massachusetts Ave
Washington
DC
20036
Type or Classification
(B)
Labor union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$160,887
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$160,887
Grant01/15/2021$5,732
Grant10/29/2021$50,000
Grant11/12/2021$39,302
Reimbursement for payroll costs01/08/2021$20,853
Contribution09/17/2021$30,000
Contribution11/05/2021$15,000
Name and Address
(A)
SEIU 1199 Ohio State 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$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution09/23/2021$10,000
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$15,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$15,000
Contribution09/28/2021$15,000
Name and Address
(A)
SEIU Local 503 Oregon Public Employees Union

1730 Commercial St S.E.
Salem
OR
97302
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
Contribution10/01/2021$10,000
Name and Address
(A)
SEIU Local 73

300 South Ashland Ave Ste 4
Chicago
IL
60607
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
Contribution09/27/2021$5,000
Name and Address
(A)
SEIU Local 775

215 Columbia St
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
Contribution09/15/2021$10,000
Name and Address
(A)
U.S. Small Business Administration


Washington
DC
20416
Type or Classification
(B)
Government
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$2,222,525
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$2,222,525
Paycheck Protection Program loan forgiveness11/16/2021$2,222,525
Name and Address
(A)
UFCW Local 21

5030 1st Ave S #200
Seattle
WA
98134
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
Contribution09/10/2021$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 516-569

Name and Address
(A)
617MediaGroup, LLC

282 Moody Street, Suite 314
Waltham
MA
02453
Type or Classification
(B)
Vendor-advertising
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$234,512
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$234,512
Advertising09/19/2021$16,000
Advertising10/01/2021$14,400
Advertising10/01/2021$36,000
Advertising10/01/2021$50,000
Advertising10/21/2021$36,000
Advertising10/28/2021$10,112
Advertising11/11/2021$36,000
Advertising12/16/2021$36,000
Name and Address
(A)
Abila
Dept 2145 PO BOX 122145

Dallas
TX
75312-3303
Type or Classification
(B)
Vendor-accounting software
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,153
Total of All Transactions with this Payee/Payer for This Schedule$5,153
Name and Address
(A)
Abracadabra Printing

11621 E Marginal Way S. Su
Tukwila
WA
98168
Type or Classification
(B)
Vendor-printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$106,221
Total Non-Itemized Transactions with this Payee/Payer$68,108
Total of All Transactions with this Payee/Payer for This Schedule$174,329
Printing01/22/2021$9,343
Printing04/27/2021$10,808
Printing04/27/2021$15,798
Printing05/28/2021$10,101
Printing07/08/2021$5,371
Printing07/26/2021$6,312
Printing07/30/2021$7,925
Printing08/11/2021$6,312
Printing08/25/2021$7,938
Printing12/01/2021$7,007
Printing12/03/2021$6,351
Printing12/03/2021$6,486
Printing12/10/2021$6,469
Name and Address
(A)
Access Information Protected
PO Box 888306

Los Angeles
CA
90088
Type or Classification
(B)
Vendor-storage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,756
Total of All Transactions with this Payee/Payer for This Schedule$19,756
Name and Address
(A)
ADP Payroll Fees

1851 N Resler Drive MS-100
El Paso
TX
79912
Type or Classification
(B)
Payroll processing fees
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,871
Total of All Transactions with this Payee/Payer for This Schedule$14,871
Name and Address
(A)
AIRBNB

888 Brannant St
San Francisco
CA
94103
Type or Classification
(B)
Lodging
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,526
Total Non-Itemized Transactions with this Payee/Payer$2,269
Total of All Transactions with this Payee/Payer for This Schedule$8,795
Lodging10/02/2021$6,526
Name and Address
(A)
AK Consulting LLC

603 Stewart St #819
Seattle
WA
98101
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$6,250
Total of All Transactions with this Payee/Payer for This Schedule$6,250
Name and Address
(A)
Alaska air

17801 International Blvd
Seattle
WA
98158
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$34,214
Total of All Transactions with this Payee/Payer for This Schedule$34,214
Name and Address
(A)
Amazon
PO Box 81226

Seattle
WA
98108
Type or Classification
(B)
Vendor-office supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,131
Total of All Transactions with this Payee/Payer for This Schedule$13,131
Name and Address
(A)
AT & T Mobility
PO Box 6463
41-750 Rancho Las Palmas Dr
Carol Stream
IL
60197-6463
Type or Classification
(B)
Vendor-communication
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$53,935
Total of All Transactions with this Payee/Payer for This Schedule$53,935
Name and Address
(A)
Avis

6 Sylvan Way
Troy Hill
NJ
Type or Classification
(B)
Car rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,295
Total of All Transactions with this Payee/Payer for This Schedule$15,295
Name and Address
(A)
BlackPoint IT Services

20415 72nd Ave S Suite 210
Kent
WA
98032
Type or Classification
(B)
Vendor-IT Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,663
Total Non-Itemized Transactions with this Payee/Payer$77,153
Total of All Transactions with this Payee/Payer for This Schedule$98,816
Computer support services02/05/2021$6,013
Computer support services05/14/2021$5,269
Computer support services11/12/2021$5,182
Computer support services12/16/2021$5,199
Name and Address
(A)
BrainChilds Design

507 Treetop Dr Apt #101
Virginia
VA
23451
Type or Classification
(B)
Consultant-design services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,186
Total of All Transactions with this Payee/Payer for This Schedule$6,186
Name and Address
(A)
Capacity Building Partnerships

5511 S Hood Ave
Portland
OR
97239
Type or Classification
(B)
Consultant-facilitation services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,188
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,188
Facilitation services08/20/2021$12,188
Name and Address
(A)
Comcast
PO Box 60533

City of Industry
CA
91716-0533
Type or Classification
(B)
Internet services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,050
Total of All Transactions with this Payee/Payer for This Schedule$5,050
Name and Address
(A)
Douglas Drachler McKee & Gilbrough LLP

1904 Third Ave Ste 1030
Seattle
WA
98101-1170
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$270,861
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$270,861
Legal services01/01/2021$18,000
Legal services02/01/2021$18,000
Legal services02/05/2021$14,663
Legal services03/01/2021$18,000
Legal services04/01/2021$18,000
Legal services04/02/2021$13,600
Legal services05/03/2021$18,000
Legal services05/21/2021$26,598
Legal services06/01/2021$18,000
Legal services07/01/2021$18,000
Legal services08/02/2021$18,000
Legal services09/01/2021$18,000
Legal services10/01/2021$18,000
Legal services11/01/2021$18,000
Legal services12/01/2021$18,000
Name and Address
(A)
EAN SERVICES, LLC
PO BOX 402383

Atlanta
GA
30384-2383
Type or Classification
(B)
Car rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,409
Total of All Transactions with this Payee/Payer for This Schedule$5,409
Name and Address
(A)
Expedia

1111 Expedia Group Way West
Seattle
WA
98119
Type or Classification
(B)
Airline Tickets
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$27,415
Total of All Transactions with this Payee/Payer for This Schedule$27,415
Name and Address
(A)
EZCATER

101 Arch St 15th Floor
Boston
MA
02110
Type or Classification
(B)
Catering
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$22,004
Total of All Transactions with this Payee/Payer for This Schedule$22,004
Name and Address
(A)
Facebook

1 Hacker Way
Menlo Park
CA
94025
Type or Classification
(B)
Vendor-advertising
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,975
Total of All Transactions with this Payee/Payer for This Schedule$9,975
Name and Address
(A)
FedEx Office

2963 N Airfield Dr
Dallas
TX
75261
Type or Classification
(B)
Vendor-copies and printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,529
Total of All Transactions with this Payee/Payer for This Schedule$16,529
Name and Address
(A)
Five Peaks Consulting LLC

12317 E 20th Ave
Spokane
WA
99216
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$6,153
Total of All Transactions with this Payee/Payer for This Schedule$6,153
Name and Address
(A)
Fleur Larsen

4127 36th Ave SW
Seattle
WA
98126-2620
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$8,531
Total of All Transactions with this Payee/Payer for This Schedule$8,531
Name and Address
(A)
Free Range Productions Inc
PO Box 2727

Vashon
WA
98070
Type or Classification
(B)
Vendor-advertising
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$248,508
Total Non-Itemized Transactions with this Payee/Payer$14,407
Total of All Transactions with this Payee/Payer for This Schedule$262,915
Advertising04/27/2021$15,187
Advertising05/28/2021$17,423
Advertising06/04/2021$32,677
Advertising07/26/2021$24,638
Advertising07/26/2021$53,222
Advertising09/28/2021$41,964
Advertising10/13/2021$12,152
Advertising10/13/2021$28,039
Advertising11/02/2021$6,949
Advertising11/11/2021$16,257
Name and Address
(A)
GBAO Inc.

1701 K Street NW Suite 600
Washington
DC
20006
Type or Classification
(B)
Vendor-survey services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,199
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$26,199
Survey services10/28/2021$16,466
Survey services12/16/2021$9,733
Name and Address
(A)
Great America Financial Services

PO Box 660831
Dalllas
TX
75266-0831
Type or Classification
(B)
Vendor-equipment leases and supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,439
Total of All Transactions with this Payee/Payer for This Schedule$5,439
Name and Address
(A)
H-Cap Inc
PO Box 775

New York
NY
10108
Type or Classification
(B)
Coalition membership
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
Coalition membership10/20/2021$6,000
Name and Address
(A)
Hustle, Inc.
Dept LA 24862

Pasadena
CA
91185-4862
Type or Classification
(B)
Vendor-communication
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$22,816
Total of All Transactions with this Payee/Payer for This Schedule$22,816
Name and Address
(A)
Insty-Prints of Kalispell

131 Main Street
Kalispell
MT
55901
Type or Classification
(B)
Vendor-printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,626
Total of All Transactions with this Payee/Payer for This Schedule$15,626
Name and Address
(A)
J & M Storage

421 N 20th Ave
Yakima
WA
98902
Type or Classification
(B)
Rent/lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,590
Total of All Transactions with this Payee/Payer for This Schedule$10,590
Name and Address
(A)
JZ Investments LLC
PO Box 3653

Kalispell
MT
59903
Type or Classification
(B)
Rent/lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,192
Total of All Transactions with this Payee/Payer for This Schedule$7,192
Name and Address
(A)
Kiemle and Hagood Company

601 West Main Ave, Suite 40
Spokane
WA
99201
Type or Classification
(B)
Rent/lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$23,122
Total of All Transactions with this Payee/Payer for This Schedule$23,122
Name and Address
(A)
Law Office of Kristen Kussmann, PLLC
PO Box 78425
1904 Third Ave Ste 1030
Seattle
WA
98178
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$53,483
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$53,483
Legal services08/06/2021$10,304
Legal services10/15/2021$16,613
Legal services12/22/2021$26,566
Name and Address
(A)
Mandarich Law Group, LLP
PO Box 109032

Chicago
IL
60610
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$5,839
Total of All Transactions with this Payee/Payer for This Schedule$5,839
Name and Address
(A)
MH Design Associates, Inc.

2514 41st Ave East #147
Seattle
WA
98112
Type or Classification
(B)
Consultant-design services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,452
Total of All Transactions with this Payee/Payer for This Schedule$5,452
Name and Address
(A)
Milliman Compensation

1301 Fifth Ave Ste 3800
Seattle
WA
98101
Type or Classification
(B)
Consultant-design services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,573
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,573
Consulting services04/19/2021$6,573
Name and Address
(A)
Mooney, Green, Saindon, Murphy & Welch, P.C.

1920 L Street, NW Suite 400
Washington
DC
20036
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$33,102
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$33,102
Legal services06/11/2021$33,102
Name and Address
(A)
NP Information Systems

8209 S. 222nd St., Suite 10
Kent
WA
98032
Type or Classification
(B)
Vendor-IT Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,735
Total of All Transactions with this Payee/Payer for This Schedule$8,735
Name and Address
(A)
Office Depot
PO Box 29248

Phoenix
AZ
85038-9248
Type or Classification
(B)
Vendor-office supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,191
Total of All Transactions with this Payee/Payer for This Schedule$19,191
Name and Address
(A)
Panera Bread

921 N 10th St Ste E
Renton
WA
98057
Type or Classification
(B)
Vendor-catering
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,629
Total of All Transactions with this Payee/Payer for This Schedule$9,629
Name and Address
(A)
Paul M. Grace

728 North 193rd St.
Shoreline
WA
98133
Type or Classification
(B)
Vendor-hearing service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,250
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,250
Hearing services09/27/2021$5,250
Name and Address
(A)
Pete Martinucci, LLC
PO BOX 7284

Kennewick
WA
99336
Type or Classification
(B)
Rent/lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,601
Total of All Transactions with this Payee/Payer for This Schedule$13,601
Name and Address
(A)
Public Storage

701 Western Ave
Glendale
CA
91201
Type or Classification
(B)
Vendor-storage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,048
Total of All Transactions with this Payee/Payer for This Schedule$6,048
Name and Address
(A)
Radisson Hotel

18118 International Blvd
Seattle
WA
98188
Type or Classification
(B)
Lodging
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$23,106
Total of All Transactions with this Payee/Payer for This Schedule$23,106
Name and Address
(A)
Reliable Translations

121 W. Lexington Dr Ste L10
Glendale
CA
92270
Type or Classification
(B)
Vendor-communication
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,252
Total of All Transactions with this Payee/Payer for This Schedule$11,252
Name and Address
(A)
Richard L. Ahearn

2212 Queen Anne Ave N #509
Seattle
WA
98109
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$5,400
Total of All Transactions with this Payee/Payer for This Schedule$5,400
Name and Address
(A)
Rise Up! Productions

5322 46th Ave S
Seattle
WA
98118
Type or Classification
(B)
Vendor-stage and sound equipment
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$70,731
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$70,731
Stage and sound equipment02/12/2021$23,722
Stage and sound equipment09/03/2021$9,656
Stage and sound equipment11/24/2021$37,353
Name and Address
(A)
RICOH USA INC
P.O.BOX 790448

St Louis
MO
63179-0448
Type or Classification
(B)
Vendor-office equipment
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$93,262
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$93,262
Office equipment01/15/2021$7,772
Office equipment02/19/2021$7,772
Office equipment03/19/2021$7,772
Office equipment04/20/2021$7,771
Office equipment05/14/2021$7,771
Office equipment06/18/2021$7,772
Office equipment07/16/2021$7,772
Office equipment08/20/2021$7,772
Office equipment09/17/2021$7,772
Office equipment10/08/2021$7,772
Office equipment11/19/2021$7,772
Office equipment12/16/2021$7,772
Name and Address
(A)
RL Kalispell

20 N Main St #150
Kalispell
MT
59901
Type or Classification
(B)
Lodging
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,060
Total of All Transactions with this Payee/Payer for This Schedule$11,060
Name and Address
(A)
RVA Office, LLC

Suite 520 15 South Grady W
Renton
WA
98057
Type or Classification
(B)
Rent/lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$163,292
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$163,292
Rent01/01/2021$13,608
Rent02/01/2021$13,608
Rent03/01/2021$13,608
Rent04/01/2021$13,608
Rent05/03/2021$13,608
Rent06/01/2021$13,608
Rent07/01/2021$13,608
Rent08/02/2021$13,608
Rent09/01/2021$13,607
Rent10/01/2021$13,607
Rent11/01/2021$13,607
Rent12/01/2021$13,607
Name and Address
(A)
Service Employees International Union

1800 Massachusetts Ave
Washington
DC
20036
Type or Classification
(B)
Labor organization-union supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,764
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$16,764
Union supplies02/01/2021$6,476
Union supplies12/06/2021$10,288
Name and Address
(A)
Teamsters Local 231
PO Box H

Bellingham
WA
98227-0298
Type or Classification
(B)
Rent/lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,494
Total of All Transactions with this Payee/Payer for This Schedule$9,494
Name and Address
(A)
Time Of Day Media

282 1st St Apt #1
Brooklyn
NY
11215
Type or Classification
(B)
Vendor-advertising
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$43,950
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$43,950
Advertising08/06/2021$7,000
Advertising10/20/2021$17,210
Advertising11/19/2021$11,760
Advertising12/16/2021$7,980
Name and Address
(A)
Twitter San Francisco

1355 Market St #900
San Francisco
CA
94103
Type or Classification
(B)
Vendor-advertising
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,098
Total of All Transactions with this Payee/Payer for This Schedule$11,098
Name and Address
(A)
Union Insurance Group

303 W Erie St Ste 310
Chicago
IL
60654
Type or Classification
(B)
Vendor-insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,927
Total Non-Itemized Transactions with this Payee/Payer$56
Total of All Transactions with this Payee/Payer for This Schedule$14,983
Insurance04/20/2021$9,045
Insurance06/25/2021$5,882
Name and Address
(A)
UnionWare
PO BOX 930473

Atlanta
GA
31193
Type or Classification
(B)
Vendor-database
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$27,928
Total of All Transactions with this Payee/Payer for This Schedule$27,928
Name and Address
(A)
Wooten LLC
PO Box 3265

Kalispell
MT
59901
Type or Classification
(B)
Rent/lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,544
Total of All Transactions with this Payee/Payer for This Schedule$8,544
Name and Address
(A)
Zoom

55 Almaden Blvd 6th Floor
San Jose
CA
95113
Type or Classification
(B)
Vendor-online meetings
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,252
Total of All Transactions with this Payee/Payer for This Schedule$11,252
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 516-569

Name and Address
(A)
Abracadabra Printing

11621 E Marginal Way S. Su
Tukwila
WA
98168
Type or Classification
(B)
Vendor-printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,845
Total of All Transactions with this Payee/Payer for This Schedule$6,845
Name and Address
(A)
RVA Office, LLC

Suite 520 15 South Grady W
Renton
WA
98057
Type or Classification
(B)
Rent/lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,411
Total of All Transactions with this Payee/Payer for This Schedule$6,411
Name and Address
(A)
SEIU 1199NW PAC

15 S Grady Way Ste 200
Renton
WA
98057
Type or Classification
(B)
Nonprofit organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$85,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$85,000
Contribution11/12/2021$85,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 516-569

Name and Address
(A)
MNA - Hardship Fund

340 Turnpike St
Canton
MA
02021
Type or Classification
(B)
Nonprofit organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,500
Contribution07/26/2021$7,500
Name and Address
(A)
Rutgers University Center for Innov

50 Labor Center Way
New Brunswick
NJ
08901
Type or Classification
(B)
Nonprofit organization
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
Contribution09/17/2021$5,000
Name and Address
(A)
SEIU Disaster Relief Fund

1800 Massachusetts Avenue N
Washington
DC
20036
Type or Classification
(B)
Nonprofit 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
Contribution03/02/2021$10,000
Name and Address
(A)
SEIU District 1199 WV/KY/OH

1395 Dublin Road
Columbus
OH
43215
Type or Classification
(B)
Labor 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
Contribution11/29/2021$10,000
Name and Address
(A)
SEIU Local 73 - Strike & Hardship Fund

300 S Ashland Ave Ste 400
Chicago
IL
60607
Type or Classification
(B)
Labor 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
Contribution07/26/2021$10,000
Name and Address
(A)
Washington Center for Nursing

16300 Christensen Road
Tukwila
WA
98188
Type or Classification
(B)
Nonprofit organization
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
Contribution04/08/2021$5,000
Name and Address
(A)
WA Safe and Healthy
PO Box 21961

Seattle
WA
98111
Type or Classification
(B)
Nonprofit organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$17,500
Contribution12/16/2021$17,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 516-569

Name and Address
(A)
Abracadabra Printing

11621 E Marginal Way S. Su
Tukwila
WA
98168
Type or Classification
(B)
Vendor-printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,360
Total of All Transactions with this Payee/Payer for This Schedule$5,360
Name and Address
(A)
Alaska air

17801 International Blvd
Seattle
WA
98158
Type or Classification
(B)
Airline tickets
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,062
Total of All Transactions with this Payee/Payer for This Schedule$6,062
Name and Address
(A)
Bader Martin PS
1000 Second Ave, 34th Floor

Seattle
WA
98104-1022
Type or Classification
(B)
Certified Public Accountant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,473
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$14,473
Auditing services08/06/2021$7,476
Auditing services10/05/2021$6,997
Name and Address
(A)
Minar and Northey LLP
9845

Seattle
WA
98109
Type or Classification
(B)
Certified Public Accountant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,000
Total Non-Itemized Transactions with this Payee/Payer$7,000
Total of All Transactions with this Payee/Payer for This Schedule$30,000
Accounting and Auditing services03/19/2021$9,000
Accounting and Auditing services04/08/2021$14,000
Name and Address
(A)
RVA Office, LLC
15 S Grady Way Ste 520

Renton
WA
98057
Type or Classification
(B)
Rent/lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,021
Total of All Transactions with this Payee/Payer for This Schedule$5,021
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 516-569

Name and Address
(A)
Abracadabra Printing

11621 E Marginal Way S. Su
Tukwila
WA
98168
Type or Classification
(B)
Vendor-printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,062
Total Non-Itemized Transactions with this Payee/Payer$50,790
Total of All Transactions with this Payee/Payer for This Schedule$55,852
Printing04/27/2021$5,062
Name and Address
(A)
Access Information Protected
PO Box 888306

Los Angeles
CA
90088
Type or Classification
(B)
Vendor-storage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,330
Total of All Transactions with this Payee/Payer for This Schedule$6,330
Name and Address
(A)
AT & T Mobility
PO Box 6463

Carol Stream
IL
60197-6463
Type or Classification
(B)
Vendor-communication
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,280
Total of All Transactions with this Payee/Payer for This Schedule$17,280
Name and Address
(A)
BlackPoint IT Services

20415 72nd Ave S Suite 210
Kent
WA
98032
Type or Classification
(B)
Vendor-IT services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$31,659
Total of All Transactions with this Payee/Payer for This Schedule$31,659
Name and Address
(A)
Insty-Prints of Kalispell

131 Main Street
Kalispell
MT
59901
Type or Classification
(B)
Vendor-printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,006
Total of All Transactions with this Payee/Payer for This Schedule$5,006
Name and Address
(A)
Kiemle and Hagood Company

601 West Main Ave, Suite 40
Spokane
WA
99201
Type or Classification
(B)
Rent/lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,408
Total of All Transactions with this Payee/Payer for This Schedule$7,408
Name and Address
(A)
Office Depot
PO Box 29248

Phoenix
AZ
85038-9248
Type or Classification
(B)
Vendor-office supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,148
Total of All Transactions with this Payee/Payer for This Schedule$6,148
Name and Address
(A)
RICOH USA INC
P.O.BOX 790448

St Louis
MO
63179-0448
Type or Classification
(B)
Vendor-office equipment
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$29,879
Total of All Transactions with this Payee/Payer for This Schedule$29,879
Name and Address
(A)
RVA Office, LLC

15 S Grady Way Ste 520
Renton
WA
98057
Type or Classification
(B)
Rent/lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$52,316
Total of All Transactions with this Payee/Payer for This Schedule$52,316
Name and Address
(A)
Service Employees International Union

1800 Massachusetts Ave
Washington
DC
20036
Type or Classification
(B)
Labor organization-union supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,371
Total of All Transactions with this Payee/Payer for This Schedule$5,371
Name and Address
(A)
UnionWare
PO BOX 930473

Atlanta
GA
31193
Type or Classification
(B)
Vendor-database
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,948
Total of All Transactions with this Payee/Payer for This Schedule$8,948
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 516-569

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$3,022,304
Health insuranceKaiser Permanente Health Plan of WA$1,419,068
401(k) contributionsSEIU 401(k) Plan$506,391
Life insuranceMetlife SBC$8,659
Disability insuranceThe Hartford$66,055
Pension contributionsNew England Health & Pension$782,168
Dental insuranceMetlife SBC$200,182
Direct reimbursements to individualsIndividual$39,781
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 516-569


Question 10: The District participated in a training trust during the calendar year ended December 31, 2021.

Question 11(a):

Question 11(a): : : : Service Employees International Union Healthcare 1199NW PAC EIN# 45-5012186 The PAC reports to the Washington State Disclosure Commission. The PAC is not included in this report.

Question 11(b):

Question 11(b): : : : SEIU Healthcare 1199NW Building Fund LLC was formed on September 15, 2021 to purchase, improve, hold and convey real and personal property. The address of the LLC is 15 S. Grady Way, Suite #200, Renton, WA 98057. The assets, liabilities, net assets, revenue and expense of the LLC have been consolidated in this report.

Question 12: The District engaged Minar and Northey LLP to perform an independent audit for the year ended December 31, 2021.

Schedule 13, Row1:

Schedule 13, Row1:All regular members in good standing pay full dues and are eligible to vote.

Schedule 13, Row1:

Schedule 13, Row1:
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)