U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210 		FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 01-31-2025
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

This report is mandatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
543-341
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
FOOD AND COMMERCIAL WKRS
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
 6. DESIGNATION NBR
21
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
FAYE
 Last Name
GUENTHER
P.O Box - Building and Room Number
SUITE 200
Number and Street
5030 FIRST AVENUE SOUTH
City
SEATTLE
State
WA		 ZIP Code + 4
98134


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:Faye I GuentherPRESIDENT71. SIGNED:Joseph E MizrahiTREASURER
Date:Mar 31, 2022Telephone Number:206-436-6806Date:Mar 31, 2022Telephone Number:206-436-6803
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 543-341
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?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$4,616,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?10/2023
20. How many members did the labor organization have at the end of the reporting period?43,117
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees16.00 - 75.00perMonth16.0075.00
(b) Working Dues/FeesNoneperNoneNoneNone
(c) Initiation Fees25.00 - 250.00perOnce25.00250.00
(d) Transfer FeesNoneperNoneNoneNone
(e) Work PermitsNoneperNoneNoneNone

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 543-341

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $11,962,990$14,293,611
23. Accounts Receivable1$0
24. Loans Receivable2
25. U.S. Treasury Securities $0$0
26. Investments5$16,274,017$21,530,691
27. Fixed Assets6$7,756,407$5,442,361
28. Other Assets7$3,200$3,200
29. TOTAL ASSETS $35,996,614$41,269,863

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$36,290$35,637
34. TOTAL LIABILITIES $36,290$35,637
35. NET ASSETS$35,960,324$41,234,226
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 543-341

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $24,165,736
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $1,172,947
39. Sale of Supplies $0
40. Interest $47,705
41. Dividends $751,695
42. Rents $47,872
43. Sale of Investments and Fixed Assets3$11,382,725
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$524,101
49. TOTAL RECEIPTS $38,092,781
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$12,133,642
51. Political Activities and Lobbying16$1,165,567
52. Contributions, Gifts, and Grants17$637,088
53. General Overhead18$421,479
54. Union Administration19$1,246,320
55. Benefits20$1,914,755
56. Per Capita Tax $8,463,561
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$8,823,738
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $961,810
  
66. Subtotal $35,767,960
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$2,454,279  
  67b. Less Total Disbursed$2,448,479  
  67c. Total Withheld But Not Disbursed $5,800
68. TOTAL DISBURSEMENTS $35,762,160
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 543-341

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 543-341

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 543-341

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$11,382,725$5,575,237$12,300,000$11,382,725
Land and Building - Seattle, WA$11,382,725$5,575,237$12,300,000$11,382,725
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$11,382,725
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 543-341

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$8,823,738$8,808,505$8,823,738
Mutual Funds$5,256,674$5,256,674$5,256,674
Land and Building - Des Moines, WA$3,434,328$3,428,748$3,434,328
Microsoft Surface Pros$103,106$96,232$103,106
Computer Equipment$25,949$23,354$25,949
Security System$3,681$3,497$3,681
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$8,823,738
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 543-341

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost$21,505,691
B. Total Book Value$21,505,691
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • Mutual Funds
$21,505,691
Other Investments 
D. Total Cost$25,000
E. Total Book Value$25,000
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)) $21,530,691
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 543-341

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      Des Moines, WA$755,552 $755,552$745,600
Land  2 :      Mount Vernon, WA$91,167 $91,167$356,800
Land  3 :      Spokane, WA$172,130 $172,130$172,130
B. Buildings (give location)    
Building  1 :      Des Moines, WA$2,678,776$5,581$2,673,195$1,937,900
Building  2 :      Mount Vernon, WA$398,364$168,615$229,749$565,200
Building  3 :      Spokane, WA$953,774$97,887$855,887$578,800
C. Automobiles and Other Vehicles$4,200$1,050$3,150$3,150
D. Office Furniture and Equipment$1,467,301$805,770$661,531$661,531
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $6,521,264$1,078,903$5,442,361$5,021,111
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 543-341

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $3,200
Deposits$3,200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 543-341

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: 543-341

Source of Loans Payable at Any
Time During the Reporting Period
(A) 		Loans Owed at
Start of Period
(B) 		Loans Obtained
During Period
(C) 		Repayment
During Period
Cash
(D)(1) 		Repayment
During Period
Other Than Cash
(D)(2) 		Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 543-341

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $35,637
Payroll Taxes, Benefits and Misc Withholdings$32,590
Tenant Rental Deposits$3,047
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 543-341

(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 		Cardenas ,  Emilia  
Recorder
P		$109,111$0$0$0$109,111
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 		Milliron ,  Maria   A
Recorder
N		$122,580$0$1,885$0$124,465
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		99 %
A
B
C 		Guenther ,  Faye   I
President
C		$163,722$0$2,725$0$166,447
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		7 %
A
B
C 		Harris ,  Christina   D
Executive Board/Union Rep
P		$50,956$0$0$0$50,956
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Hillistad ,  Robin   J
Executive Board/MRC Rep
P		$46,687$0$91$0$46,778
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		6 %
A
B
C 		Mizrahi ,  Joseph   E
Secretary/Treasurer
C		$148,170$0$231$0$148,401
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Randall ,  Jeannette   E
Executive Board/MRC Rep
P		$41,825$0$0$0$41,825
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 		Wilmot ,  Susan   A
Executive Board/MRC Rep
P		$49,486$0$116$0$49,602
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Albritton ,  Fredel   D
Executive Board
C		$2,852$0$0$0$2,852
I
Schedule 15
Representational Activities 		37 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		63 %
A
B
C 		Balk ,  Marsha   K
Executive Board
C		$2,455$0$0$0$2,455
I
Schedule 15
Representational Activities 		27 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		73 %
A
B
C 		Barney ,  Gregg   A
Executive Board
C		$11,708$0$0$0$11,708
I
Schedule 15
Representational Activities 		82 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		18 %
A
B
C 		Barry ,  Kyong   N
Executive Board
C		$2,922$0$0$0$2,922
I
Schedule 15
Representational Activities 		32 % Schedule 16
Political Activities and Lobbying 		12 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		56 %
A
B
C 		Breshears ,  Margaret   M
Executive Board
C		$3,179$0$0$0$3,179
I
Schedule 15
Representational Activities 		6 % Schedule 16
Political Activities and Lobbying 		28 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		66 %
A
B
C 		Brooks ,  Greg   R
Executive Board
C		$6,405$0$0$0$6,405
I
Schedule 15
Representational Activities 		67 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		33 %
A
B
C 		Brown ,  Patricia   A
Executive Board
C		$8,892$0$0$0$8,892
I
Schedule 15
Representational Activities 		78 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		22 %
A
B
C 		Clark ,  Stephanie   L
Executive Board
C		$1,712$0$30$0$1,742
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 		Dancy ,  Samuel  
Executive Board
C		$2,429$0$0$0$2,429
I
Schedule 15
Representational Activities 		32 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		68 %
A
B
C 		Dayley Angell ,  Amy  
Executive Board
C		$3,902$0$0$0$3,902
I
Schedule 15
Representational Activities 		43 % Schedule 16
Political Activities and Lobbying 		11 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		46 %
A
B
C 		DeLancey ,  J'Nee   A
Executive Board
C		$588$0$0$0$588
I
Schedule 15
Representational Activities 		12 % Schedule 16
Political Activities and Lobbying 		37 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		51 %
A
B
C 		Franck ,  Cindy   L
Executive Board
C		$1,350$0$0$0$1,350
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 		Garcia ,  Irene   B
Executive Board
C		$450$0$0$0$450
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 		Gonzalez ,  Cristina  
Executive Board
C		$600$0$0$0$600
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 		Hunter ,  Emily   S
Executive Board
C		$4,501$0$0$0$4,501
I
Schedule 15
Representational Activities 		54 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		43 %
A
B
C 		Kennedy ,  Carolyn   A
Executive Board
C		$1,880$0$0$0$1,880
I
Schedule 15
Representational Activities 		28 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		72 %
A
B
C 		Cockett ,  Cynthia  
Executive Board
C		$3,035$0$0$0$3,035
I
Schedule 15
Representational Activities 		65 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		35 %
A
B
C 		Koseki ,  Atsuko  
Executive Board
C		$4,567$0$0$0$4,567
I
Schedule 15
Representational Activities 		64 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		36 %
A
B
C 		Muhidin ,  Mohamed   N
Executive Board
C		$2,220$0$0$0$2,220
I
Schedule 15
Representational Activities 		9 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		88 %
A
B
C 		Nanakul ,  Maroot  
Executive Board
C		$2,565$0$0$0$2,565
I
Schedule 15
Representational Activities 		28 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		64 %
A
B
C 		Nord ,  Michael   D
Executive Board
C		$2,174$0$0$0$2,174
I
Schedule 15
Representational Activities 		38 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		62 %
A
B
C 		Odom ,  Heidi   M
Executive Board
N		$11,029$0$58$0$11,087
I
Schedule 15
Representational Activities 		91 % Schedule 16
Political Activities and Lobbying 		9 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Oligario ,  Naomi   L
Executive Board
C		$9,730$0$0$0$9,730
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		15 %
A
B
C 		Ottenbreit ,  Tamara   L
Executive Board
N		$4,483$0$0$0$4,483
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 		Peterson ,  William   A
Executive Board
C		$4,997$0$0$0$4,997
I
Schedule 15
Representational Activities 		55 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		42 %
A
B
C 		Powers Jr ,  Clifford  
Executive Board
C		$2,465$0$0$0$2,465
I
Schedule 15
Representational Activities 		8 % Schedule 16
Political Activities and Lobbying 		7 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		85 %
A
B
C 		Price ,  Ashley   M
Executive Board
C		$2,112$0$0$0$2,112
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 		Reinhold ,  Paul   A
Executive Board
N		$2,838$0$0$0$2,838
I
Schedule 15
Representational Activities 		8 % Schedule 16
Political Activities and Lobbying 		18 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		74 %
A
B
C 		Roybal ,  Derek   G
Executive Board
N		$4,124$0$0$0$4,124
I
Schedule 15
Representational Activities 		60 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		40 %
A
B
C 		Shauger ,  Robert   A
Executive Board
C		$2,844$0$0$0$2,844
I
Schedule 15
Representational Activities 		42 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		58 %
A
B
C 		Shiflett ,  Charles   S
Executive Board
C		$3,200$0$0$0$3,200
I
Schedule 15
Representational Activities 		58 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		42 %
A
B
C 		Skews ,  Matthew   G
Executive Board
C		$1,050$0$0$0$1,050
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 		Smith ,  Jeffery   L
Executive Board
C		$2,410$0$0$0$2,410
I
Schedule 15
Representational Activities 		38 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		56 %
A
B
C 		Steele ,  Christiano   L
Executive Board
C		$600$0$0$0$600
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 		Tinoisamoa ,  Siaganuu  
Executive Board
N		$1,200$0$0$0$1,200
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 		Waits ,  Richard   W
Executive Board
C		$29,142$0$4,485$0$33,627
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 		Wong ,  Lucas   M
Executive Board
C		$1,200$0$0$0$1,200
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 		Hedman ,  Susan  
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 		Knight ,  Eleanor  
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 		Merrell ,  Scott  
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 		Yanez ,  Rogelio   A
Executive Board
N		$1,850$0$0$0$1,850
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$888,197$0$9,621$0$897,818
Less Deductions    $208,075
Net Disbursements    $689,743
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 543-341

(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 		Abraham ,  Bayate   D
Union Rep
None		$78,679$0$1,107$0$79,786
I
Schedule 15
Representational Activities 		86 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		8 % Schedule 19
Administration 		5 %
A
B
C 		Auerbach ,  Marc   A
Education Director
None		$114,698$0$344$0$115,042
I
Schedule 15
Representational Activities 		81 % Schedule 16
Political Activities and Lobbying 		14 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Barnes ,  David   A
Negotiator
None		$90,354$0$411$0$90,765
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 		Beifus ,  Kristen   A
Community Org. Director
None		$114,698$0$77$0$114,775
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Benoit ,  Madeline   M
Strategic Researcher
None		$30,784$0$195$0$30,979
I
Schedule 15
Representational Activities 		89 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		8 %
A
B
C 		Bowers ,  Diana   S
Office Staff
None		$69,631$0$174$0$69,805
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 		Briscoe ,  Pamela   G
MRC Rep
None		$65,016$0$0$0$65,016
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 		Bryant ,  Monica   R
Office Staff
None		$79,313$0$0$0$79,313
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Buckhanan ,  Julie   M
Office Staff
None		$66,883$0$14$0$66,897
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 		Burley ,  Dacia   L
Union Rep
None		$70,676$0$0$0$70,676
I
Schedule 15
Representational Activities 		89 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		7 %
A
B
C 		Cantu ,  Anthony   J
Union Rep
None		$80,470$0$90$0$80,560
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		6 %
A
B
C 		Cary Garfinkel ,  Maya  
Strategic Researcher
None		$39,516$0$608$0$40,124
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Cherin ,  Sarah   I
Exec Vice President
None		$120,174$0$0$0$120,174
I
Schedule 15
Representational Activities 		17 % Schedule 16
Political Activities and Lobbying 		34 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		49 %
A
B
C 		Chitwood ,  Tammy   A
Office Staff
None		$71,933$0$0$0$71,933
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 		Cobb ,  Daniel   J
MRC Rep
None		$72,458$0$0$0$72,458
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Crawford ,  Christopher   A
Union Rep
None		$50,505$0$0$0$50,505
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 		Cropper ,  Carol   L
Office Staff
None		$62,477$0$78$0$62,555
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 		Crowe ,  James   J
Benefits & Op. Director
None		$115,898$0$0$0$115,898
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		88 %
A
B
C 		Curtis ,  Brenda   J
Office Staff
None		$70,854$0$0$0$70,854
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 		Curtis ,  Stetson   V
Office Staff
None		$74,752$0$0$0$74,752
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 		Davis ,  Ariana   M
Organizer
None		$83,760$0$30$0$83,790
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Degouveia ,  Ryan   J
Union Rep
None		$71,207$0$208$0$71,415
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Doan ,  Enrico   J
Digital Comm.Organizer
None		$40,549$0$20$0$40,569
I
Schedule 15
Representational Activities 		37 % Schedule 16
Political Activities and Lobbying 		21 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		42 %
A
B
C 		Edens ,  Derrick   D
Union Rep
None		$88,370$0$4,159$0$92,529
I
Schedule 15
Representational Activities 		77 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		22 %
A
B
C 		Edgerton ,  Matthew   J
Organizing Director
None		$114,698$0$877$0$115,575
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 		Elliott ,  Heather   C
Union Rep
None		$25,588$0$78$0$25,666
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		7 %
A
B
C 		Embly ,  Sean   M
Memb. Act. Director
None		$114,698$0$627$0$115,325
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Farrar ,  Kasi   M
Assist to the President
None		$119,624$0$0$0$119,624
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Filippi ,  Michelle   L
Union Rep
None		$35,686$0$91$0$35,777
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		8 %
A
B
C 		Fisher-Ivie ,  Rhonda  
Union Rep
None		$44,897$0$93$0$44,990
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Forte ,  Antonio  
Office Staff
None		$71,363$0$50$0$71,413
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 		Gallo-Brown ,  Alexander  
Organizer
None		$67,550$0$191$0$67,741
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 		Geiger ,  Thomas   S
Special Projects Director
None		$113,498$0$0$0$113,498
I
Schedule 15
Representational Activities 		70 % Schedule 16
Political Activities and Lobbying 		12 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		13 %
A
B
C 		Gonzalez ,  Odalys   A
Community Organizer
None		$44,168$0$125$0$44,293
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 		Goslin ,  Melissa   D
Office Staff
None		$32,077$0$0$0$32,077
I
Schedule 15
Representational Activities 		71 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		14 %
A
B
C 		Grad ,  Samantha   R
Political Director
None		$118,880$0$0$0$118,880
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		98 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Hatton ,  Maureen   L
Union Rep
None		$72,411$0$378$0$72,789
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Haverkamp ,  Andrea   E
Union Rep
None		$55,724$0$610$0$56,334
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Hefling ,  Nicholas   A
Union Rep
None		$60,735$0$0$0$60,735
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 		Hein ,  Virginia   A
Office Staff
None		$51,161$0$0$0$51,161
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 		Hernandez ,  Jose   J
Office Staff
None		$49,772$0$47$0$49,819
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 		Heyman ,  Andrew   M
Negotiator
None		$108,390$0$0$0$108,390
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 		Jacobson ,  Ian   V
Union Rep
None		$52,886$0$373$0$53,259
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Johnson ,  Marquita   D
Memb. Svr. Director
None		$115,519$0$115$0$115,634
I
Schedule 15
Representational Activities 		12 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		87 %
A
B
C 		Johnson ,  Joshua   G
Community Organizer
None		$55,648$0$590$0$56,238
I
Schedule 15
Representational Activities 		49 % Schedule 16
Political Activities and Lobbying 		49 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Karell ,  Teasha   M
Organizer
None		$77,081$0$0$0$77,081
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Kelly ,  Gaelan   R
Communications Director
None		$114,698$0$0$0$114,698
I
Schedule 15
Representational Activities 		78 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		17 %
A
B
C 		King ,  Alyssa   D
Political & Leg Organizer
None		$64,127$0$0$0$64,127
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		7 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Kongchunji ,  Emily   K
Union Rep
None		$14,999$0$0$0$14,999
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 		Lakhman ,  Valeriya  
Bookkeeper
None		$96,826$0$0$0$96,826
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		99 % Schedule 19
Administration 		1 %
A
B
C 		Larson ,  Tawnee   C
Office Staff
None		$40,545$0$0$0$40,545
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 		Le ,  Bruce   G
Union Rep
None		$82,310$0$385$0$82,695
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		7 %
A
B
C 		Lopez ,  Faviola   M
Community Organizer
None		$93,080$0$183$0$93,263
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Louden ,  Austen   D
MRC Rep
None		$68,720$0$336$0$69,056
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Loveday ,  Matthew   R
Organizing Director
None		$114,698$0$255$0$114,953
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 		MacPhail ,  Catherine   A
Negotiator
None		$108,850$0$398$0$109,248
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		McBride ,  Regan   E
Negotiator
None		$90,357$0$221$0$90,578
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 		McCoy ,  Erin   K
Union Rep
None		$73,772$0$0$0$73,772
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Micheau ,  Kimberly   J
Financial Manager
None		$118,798$0$192$0$118,990
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		96 % Schedule 19
Administration 		3 %
A
B
C 		Golz Hill ,  Cynthia  
Union Rep
None		$10,265$0$1,686$0$11,951
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Minard ,  Anna   B
Communications Director
None		$114,467$0$20$0$114,487
I
Schedule 15
Representational Activities 		52 % Schedule 16
Political Activities and Lobbying 		11 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		37 %
A
B
C 		Moisio ,  Timothy   R
Organizer
None		$86,380$0$881$0$87,261
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Ngo ,  Quoc   N
Office Staff
None		$26,568$0$0$0$26,568
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 		Noel ,  Adrian   D
Union Rep
None		$72,579$0$279$0$72,858
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		8 %
A
B
C 		Oakland ,  Lisa   R
MRC Rep
None		$109,278$0$0$0$109,278
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Obras ,  Marisol   A
Office Staff
None		$64,830$0$0$0$64,830
I
Schedule 15
Representational Activities 		33 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		67 %
A
B
C 		Oien ,  Aimee   D
Union Rep
None		$78,169$0$0$0$78,169
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Oizumi ,  Koki   C
Communications Specialist
None		$62,424$0$20$0$62,444
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Opiopio ,  Stacey   H
Memb. Act. Director
None		$114,698$0$577$0$115,275
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 		Orantes-Fogel ,  Evelyn  
Negotiator
None		$98,275$0$448$0$98,723
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		0 %
A
B
C 		Sanchez ,  Celia  
Union Rep
None		$32,872$0$1,280$0$34,152
I
Schedule 15
Representational Activities 		82 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		12 %
A
B
C 		Reynoso ,  Aide  
Office Staff
None		$17,082$0$92$0$17,174
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 		Rivera ,  Pia   K
Organizer
None		$85,910$0$264$0$86,174
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Rojas ,  David   M
Office Staff
None		$48,989$0$80$0$49,069
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 		Serifsoy ,  Anthony   F
MRC Rep
None		$74,868$0$0$0$74,868
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Shannon ,  Vicky   L
Office Staff
None		$70,382$0$0$0$70,382
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 		Shoesmith ,  Judith   E
Union Rep
None		$47,669$0$427$0$48,096
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Smith ,  Monica   L
Union Rep
None		$92,377$0$0$0$92,377
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Solorio ,  Jose   R
Union Rep
None		$107,731$0$0$0$107,731
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Solorio ,  Joshua  
Political Rep
None		$46,243$0$173$0$46,416
I
Schedule 15
Representational Activities 		6 % Schedule 16
Political Activities and Lobbying 		94 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Steendahl ,  Kevin   J
Office Staff
None		$51,592$0$0$0$51,592
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 		Storm ,  Kristina  
Union Rep
None		$95,130$0$1,161$0$96,291
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Jr ,  Leroy  
Union Rep
None		$105,050$0$0$0$105,050
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 		Trejo ,  Indira  
Organizer
None		$111,330$0$4,737$0$116,067
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 		Tribble ,  Michelle   D
Office Staff
None		$72,624$0$0$0$72,624
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 		Trujillo ,  David   A
Union Rep
None		$69,830$0$660$0$70,490
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Tse ,  Hei  
Union Rep
None		$106,650$0$0$0$106,650
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Valdez ,  Kendra   R
Memb. Act. Director
None		$114,698$0$445$0$115,143
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 		VanWormer ,  Lauren   W
Union Rep
None		$67,006$0$398$0$67,404
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		8 %
A
B
C 		Veliz ,  Jose   R
Organizer
None		$83,922$0$2,869$0$86,791
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 		Whelan ,  Robert   L
Executive Assistant
None		$70,650$0$4,727$0$75,377
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		98 %
A
B
C 		Wilhelm ,  Lenaya   A
Union Rep
None		$70,816$0$89$0$70,905
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Williams ,  Jackie   J
Negotiator
None		$109,728$0$1,396$0$111,124
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		6 % Schedule 19
Administration 		6 %
A
B
C 		Wise ,  Karsten   D
Political Rep
None		$79,563$0$140$0$79,703
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 		Wolle ,  Cassandra   L
Office Staff
None		$52,723$0$0$0$52,723
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 		Wood ,  Matthew   J
Organizer
None		$110,177$0$1,081$0$111,258
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		7 %
A
B
C 		Ziada-Mirziteh ,  Amirah  
Organizing Coordinator
None		$106,970$0$0$0$106,970
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Zinsli ,  Dominic   B
Union Rep
None		$51,143$0$20$0$51,163
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Arellano ,  Christopher   D
Temp - Organizing
None		$38,257$0$0$0$38,257
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Deitz ,  Emma   C
Temp - Organizing
None		$19,175$0$0$0$19,175
I
Schedule 15
Representational Activities 		58 % Schedule 16
Political Activities and Lobbying 		20 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		20 %
A
B
C 		Feldman ,  Rachel   G
Temp - Organizing
None		$33,581$0$0$0$33,581
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Harris ,  Amirah   G
Temp - Organizing
None		$13,939$0$0$0$13,939
I
Schedule 15
Representational Activities 		18 % Schedule 16
Political Activities and Lobbying 		76 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		6 %
A
B
C 		Lloyd ,  Flora   R
Temp - Organizing
None		$40,918$0$0$0$40,918
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Montanero ,  Nichole   H
Temp - Organizing
None		$52,152$0$0$0$52,152
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Shook ,  Ryan   T
Temp - Organizing
None		$14,977$0$0$0$14,977
I
Schedule 15
Representational Activities 		60 % Schedule 16
Political Activities and Lobbying 		35 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Claiborne ,  Sharelle   A
MTL - Organizing
None		$24,024$0$0$0$24,024
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		7 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Griggs ,  Dumaka   J
MTL - Grocery
None		$31,616$0$0$0$31,616
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		McKean ,  Raymond   L
MTL - Grocery
None		$27,614$0$0$0$27,614
I
Schedule 15
Representational Activities 		87 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		Dassel ,  Quinn   H
MTL - Grocery Org
None		$19,161$0$0$0$19,161
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 		Pisane ,  Jessica   E
MTL - Organizing
None		$27,956$0$0$0$27,956
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Steele ,  Glen   E
MTL - HCAB - Rep
None		$11,073$0$0$0$11,073
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 		Boyd ,  Ryan   L
MTL - Negotiations
None		$12,817$0$0$0$12,817
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 		Strub ,  Heidi   M
MTL - Negotiations
None		$14,533$0$0$0$14,533
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 		Van Enk ,  Julianna  
MTL - Negotiations
None		$13,379$0$0$0$13,379
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 		Gannon ,  Jenney   J
MTL - Negotiations
None		$10,519$0$0$0$10,519
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 		Korpi ,  Rae   L
MTL - Negotiations
None		$11,696$0$0$0$11,696
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$360,632$34$360,666
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 %
Total Employee Disbursements$8,277,166$0$37,714$0$8,314,880
Less Deductions    $2,246,204
Net Disbursements    $6,068,676
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 543-341

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 43,117 
Agency Fee Payers*71
Total Members/Fee Payers43,188 
*Agency Fee Payers are not considered members of the labor organization.
Active Members43,117Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 543-341

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$511,024
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$13,077
4. Total Receipts$524,101
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$458,000
2. Named Payee Non-itemized Disbursements$277
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$178,811
6. Total Disbursements$637,088
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$3,592,701
2. Named Payee Non-itemized Disbursements$775,895
3. To Officers$672,284
4. To Employees$6,898,956
5. All Other Disbursements$193,806
6. Total Disbursements$12,133,642
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$70,296
2. Named Payee Non-itemized Disbursements$86,724
3. To Officers$336
4. To Employees$234,658
5. All Other Disbursements$29,465
6. Total Disbursements$421,479
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$449,451
2. Named Payee Non-itemized Disbursements$145,154
3. To Officers$22,078
4. To Employees$504,037
5. All Other Disbursements$44,847
6. Total Disbursements$1,165,567
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$12,976
2. Named Payee Non-itemized Disbursements$230,701
3. To Officers$203,125
4. To Employees$677,237
5. All Other Disbursements$122,281
6. Total Disbursements$1,246,320
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 543-341

Name and Address
(A)
Liberty Mutual Insurance Company

25761 Network PL
Chicago
IL
01202
Type or Classification
(B)
Vendor - Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,278
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,278
Insurance Proceeds09/23/2021$6,278
Name and Address
(A)
UFCW 324
PO Box 5004

Buena Park
CA
90622-5004
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,769
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,769
Bargaining Cost Sharing07/20/2021$9,769
Name and Address
(A)
UFCW 7

7760 W 38th Ave, Suite 400
Wheat Ridge
CO
80033
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,023
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$25,023
Bargaining Cost Sharing08/09/2021$25,023
Name and Address
(A)
UFCW 770

630 Shatto Place
Los Angeles
CA
90005
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,259
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$20,259
Bargaining Cost Sharing09/23/2021$20,259
Name and Address
(A)
UFCW International Union

1775 K Street NW
Washington
DC
20006
Type or Classification
(B)
International Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$314,400
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$314,400
UFCW Subsidy01/06/2021$19,200
UFCW Subsidy01/11/2021$7,000
UFCW Subsidy02/03/2021$7,000
UFCW Subsidy02/25/2021$19,200
UFCW Subsidy03/03/2021$7,000
UFCW Subsidy03/03/2021$19,200
UFCW Subsidy04/07/2021$19,200
UFCW Subsidy04/07/2021$7,000
UFCW Subsidy05/03/2021$7,000
UFCW Subsidy05/18/2021$19,200
UFCW Subsidy05/28/2021$19,200
UFCW Subsidy05/28/2021$7,000
UFCW Subsidy06/30/2021$7,000
UFCW Subsidy06/30/2021$19,200
UFCW Subsidy08/02/2021$7,000
UFCW Subsidy08/31/2021$7,000
UFCW Subsidy09/30/2021$19,200
UFCW Subsidy09/30/2021$19,200
UFCW Subsidy09/30/2021$19,200
UFCW Subsidy11/08/2021$7,000
UFCW Subsidy11/08/2021$7,000
UFCW Subsidy12/03/2021$7,000
UFCW Subsidy12/22/2021$19,200
UFCW Subsidy12/22/2021$19,200
Name and Address
(A)
Washington State Labor Council

321 16th Ave S
Seattle
WA
98144
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$135,295
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$135,295
Reimbursed Expenses03/08/2021$17,030
Reimbursed Expenses03/08/2021$11,353
Reimbursed Expenses03/26/2021$11,599
Reimbursed Expenses03/26/2021$11,353
Reimbursed Expenses03/26/2021$11,431
Reimbursed Expenses04/19/2021$11,431
Reimbursed Expenses07/14/2021$6,431
Reimbursed Expenses07/14/2021$17,146
Reimbursed Expenses07/14/2021$6,431
Reimbursed Expenses09/20/2021$6,353
Reimbursed Expenses09/20/2021$6,353
Reimbursed Expenses11/15/2021$18,384
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 543-341

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Name and Address
(A)
Abracadabra Printing

11621 E Marginal Way S
Tukwila
WA
98168
Type or Classification
(B)
Vendor - Member Merchandise and Logo
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,326
Total of All Transactions with this Payee/Payer for This Schedule$9,326
Name and Address
(A)
AK Consulting LLC

603 Stewart Street
Seattle
WA
98101
Type or Classification
(B)
Vendor - Consultants
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
PO Box 68900

Seattle
WA
98168
Type or Classification
(B)
Vendor - Airlines
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,258
Total of All Transactions with this Payee/Payer for This Schedule$9,258
Name and Address
(A)
Allyson Skikas

203 Zsbriskie St
Jersey City
NJ
07307
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,300
Total of All Transactions with this Payee/Payer for This Schedule$11,300
Name and Address
(A)
Avista

1411 E Mission Ave
Spokane
WA
99252-0001
Type or Classification
(B)
Vendor - Utilities
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,019
Total of All Transactions with this Payee/Payer for This Schedule$6,019
Name and Address
(A)
Barnard Iglitzin & Lavitt LLP

18 West Mercer Street
Seattle
WA
98119
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,005
Total Non-Itemized Transactions with this Payee/Payer$3,484
Total of All Transactions with this Payee/Payer for This Schedule$12,489
Legal Services04/15/2021$9,005
Name and Address
(A)
Best Buy

7601 Penn Ave S
Minneapolis
MN
55423
Type or Classification
(B)
Vendor - Office Supplies and Expense
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,649
Total of All Transactions with this Payee/Payer for This Schedule$11,649
Name and Address
(A)
Blitzstein Consulting LLC

142 Winsome Circle
Bethesda
MD
20814
Type or Classification
(B)
Trust Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$60,000
Total Non-Itemized Transactions with this Payee/Payer$6,000
Total of All Transactions with this Payee/Payer for This Schedule$66,000
Consulting Services01/06/2021$5,000
Consulting Services02/02/2021$5,000
Consulting Services03/03/2021$5,000
Consulting Services04/05/2021$5,000
Consulting Services05/13/2021$5,000
Consulting Services06/03/2021$5,000
Consulting Services07/15/2021$5,000
Consulting Services08/05/2021$5,000
Consulting Services09/02/2021$5,000
Consulting Services10/07/2021$5,000
Consulting Services11/04/2021$5,000
Consulting Services12/03/2021$5,000
Name and Address
(A)
Blue Compass Strategies, Inc.

2010 Massachusetts Ave NW
Washington
DC
20036
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,000
Consulting Services12/15/2021$12,000
Name and Address
(A)
Century Link

PO Box 52187
Phoenix
WA
98111-9255
Type or Classification
(B)
Vendor - Telephone
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,383
Total of All Transactions with this Payee/Payer for This Schedule$9,383
Name and Address
(A)
Cheiron, Inc.
PO Box 37117

Baltimore
MD
21297-3117
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,913
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$24,913
Consulting Services07/29/2021$24,913
Name and Address
(A)
City of Seattle
PO Box 34017

Seattle
WA
98124-1017
Type or Classification
(B)
Vendor - Utilities
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,669
Total of All Transactions with this Payee/Payer for This Schedule$12,669
Name and Address
(A)
Claudio's Landscaping
PO Box 512

Burlington
WA
98233
Type or Classification
(B)
Vendor - Landscaping Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,901
Total of All Transactions with this Payee/Payer for This Schedule$5,901
Name and Address
(A)
Comcast
PO Box 34744
600 Fourth Ave
Seattle
WA
98124-1744
Type or Classification
(B)
Vendor - Utilities
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,202
Total of All Transactions with this Payee/Payer for This Schedule$13,202
Name and Address
(A)
Communities Attributes Inc.

500 Union Street
Seattle
WA
98101
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,450
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,450
Consulting Services03/24/2021$12,450
Name and Address
(A)
Complete Office
PO Box 88379

Seattle
WA
98138-2379
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$11,836
Total of All Transactions with this Payee/Payer for This Schedule$11,836
Name and Address
(A)
Economic Roundtable

244 S San Pedro Street
Los Angeles
CA
90012
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$160,148
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$160,148
Consulting Services06/16/2021$80,074
Consulting Services10/20/2021$80,074
Name and Address
(A)
FaceBook

1 Hacker Way
Menio Park
CA
94025
Type or Classification
(B)
Vendor - Media Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,710
Total of All Transactions with this Payee/Payer for This Schedule$10,710
Name and Address
(A)
Georgetown Ballroom

5623 Airport West S
Seattle
WA
98108
Type or Classification
(B)
Vendor - Meeting Space
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,114
Total of All Transactions with this Payee/Payer for This Schedule$9,114
Name and Address
(A)
Glenn Scott Davis

1227 NE 105th Street
Seattle
WA
98125
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,100
Total Non-Itemized Transactions with this Payee/Payer$18,200
Total of All Transactions with this Payee/Payer for This Schedule$43,300
Consulting Services03/10/2021$6,500
Consulting Services04/09/2021$6,000
Consulting Services06/03/2021$5,400
Consulting Services09/22/2021$7,200
Name and Address
(A)
Granite Telecommunications
PO Box 983119

Boston
MA
02298-3119
Type or Classification
(B)
Vendor - Telephone
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,947
Total of All Transactions with this Payee/Payer for This Schedule$6,947
Name and Address
(A)
Great American Financial Service

704 228th Ave NE
Dallas
TX
75266-0831
Type or Classification
(B)
Vendor - Equipment Rentals and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$724,835
Total Non-Itemized Transactions with this Payee/Payer$46,048
Total of All Transactions with this Payee/Payer for This Schedule$770,883
Equipment Rentals and Supplies01/14/2021$41,883
Equipment Rentals and Supplies01/14/2021$19,527
Equipment Rentals and Supplies02/10/2021$19,527
Equipment Rentals and Supplies02/17/2021$41,883
Equipment Rentals and Supplies03/17/2021$23,034
Equipment Rentals and Supplies03/17/2021$41,883
Equipment Rentals and Supplies04/15/2021$41,937
Equipment Rentals and Supplies04/21/2021$19,554
Equipment Rentals and Supplies05/19/2021$43,591
Equipment Rentals and Supplies05/19/2021$20,713
Equipment Rentals and Supplies06/10/2021$23,156
Equipment Rentals and Supplies07/01/2021$42,478
Equipment Rentals and Supplies07/22/2021$19,554
Equipment Rentals and Supplies08/05/2021$42,479
Equipment Rentals and Supplies08/12/2021$19,554
Equipment Rentals and Supplies09/09/2021$42,478
Equipment Rentals and Supplies09/19/2021$24,572
Equipment Rentals and Supplies10/01/2021$42,478
Equipment Rentals and Supplies10/20/2021$20,531
Equipment Rentals and Supplies11/12/2021$44,031
Equipment Rentals and Supplies11/18/2021$20,531
Equipment Rentals and Supplies12/03/2021$44,031
Equipment Rentals and Supplies12/15/2021$25,430
Name and Address
(A)
GreenPro Spray and Lawn Maintenance

7911 E Bigelow Gulch Road
Spokane
WA
99217
Type or Classification
(B)
Vendor - Landscaping Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,128
Total of All Transactions with this Payee/Payer for This Schedule$15,128
Name and Address
(A)
Hampton Inn

700 Fifth Avenue N
Seattle
WA
98109
Type or Classification
(B)
Vendor - Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,154
Total of All Transactions with this Payee/Payer for This Schedule$5,154
Name and Address
(A)
Heather L. Weiner

1741 S Snoqualmie St
Seattle
WA
98108
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$42,925
Total Non-Itemized Transactions with this Payee/Payer$2,692
Total of All Transactions with this Payee/Payer for This Schedule$45,617
Consulting Services03/04/2021$7,375
Consulting Services04/09/2021$5,250
Consulting Services05/07/2021$30,300
Name and Address
(A)
Image Pointe
PO Box 657

Waterloo
IA
50704-0657
Type or Classification
(B)
Vendor - Membership Merchandise and Logo
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,047
Total Non-Itemized Transactions with this Payee/Payer$11,280
Total of All Transactions with this Payee/Payer for This Schedule$38,327
T-Shirts07/01/2021$19,520
T-Shirts and Hoodies11/18/2021$7,527
Name and Address
(A)
Jack Sorensen

12317 E 20th Ave
Spokane
WA
99216
Type or Classification
(B)
Vendor - Consultants
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)
Joseph W. Duffy
PO Box 12217

Seattle
WA
98102-0217
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,325
Total of All Transactions with this Payee/Payer for This Schedule$8,325
Name and Address
(A)
Labor Education and Research Project

7435 Michigan Ave
Detroit
MI
48210
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Consulting Services11/23/2021$10,000
Name and Address
(A)
Legend Data Systems, Inc.

18024 72nd Ave S
Kent
WA
98032
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$7,956
Total of All Transactions with this Payee/Payer for This Schedule$7,956
Name and Address
(A)
Lemonidis Consulting & Law Group, PLLC

300 Lenora Street
Seattle
WA
98121
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$39,713
Total Non-Itemized Transactions with this Payee/Payer$820
Total of All Transactions with this Payee/Payer for This Schedule$40,533
Legal Services08/19/2021$5,459
Legal Services09/19/2021$21,988
Legal Services12/08/2021$12,266
Name and Address
(A)
Maketa Wilborn Consulting LLC

5241 23rd Ave SW
Seattle
WA
98106
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,800
Total Non-Itemized Transactions with this Payee/Payer$4,800
Total of All Transactions with this Payee/Payer for This Schedule$10,600
Consulting Services12/08/2021$5,800
Name and Address
(A)
McKinstry Co.

21706 66th Ave W
Seattle
WA
98124
Type or Classification
(B)
Vendor - Building Maintenance and Supply
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,780
Total of All Transactions with this Payee/Payer for This Schedule$7,780
Name and Address
(A)
Melco Space Solutions, Inc.

3429 S 261st Place
Kent
WA
98032
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$174,367
Total Non-Itemized Transactions with this Payee/Payer$1,083
Total of All Transactions with this Payee/Payer for This Schedule$175,450
Consulting Services03/31/2021$24,828
Consulting Services05/13/2021$29,793
Consulting Services07/01/2021$23,022
Consulting Services07/01/2021$6,771
Consulting Services08/19/2021$54,243
Consulting Services09/02/2021$35,710
Name and Address
(A)
NexVortex

510 Spring Street
Herndon
VA
20170
Type or Classification
(B)
Vendor - Utilities
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$25,124
Total of All Transactions with this Payee/Payer for This Schedule$25,124
Name and Address
(A)
NGP Van

48 Grove Street
Somerville
MA
02144
Type or Classification
(B)
Vendor - Technology Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,443
Total of All Transactions with this Payee/Payer for This Schedule$13,443
Name and Address
(A)
Nicole Keenan

2601 50th Ave SW
Seattle
WA
98116
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$86,700
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$86,700
Consulting Services01/13/2021$8,500
Consulting Services03/03/2021$6,800
Consulting Services03/03/2021$6,800
Consulting Services04/09/2021$6,800
Consulting Services05/20/2021$8,500
Consulting Services06/18/2021$8,500
Consulting Services07/22/2021$8,500
Consulting Services09/19/2021$6,800
Consulting Services09/19/2021$8,500
Consulting Services11/04/2021$8,500
Consulting Services12/03/2021$8,500
Name and Address
(A)
Northwest Passage Consulting, LLC

105 S Main Street
Seattle
WA
98104
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$22,173
Total of All Transactions with this Payee/Payer for This Schedule$22,173
Name and Address
(A)
Ohio Mobile Billboard

8490 Shorthorn Dr
Northfield
OH
44067
Type or Classification
(B)
Vendor - Advertising Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,250
Total of All Transactions with this Payee/Payer for This Schedule$13,250
Name and Address
(A)
Olympic Analytics, LTD

5222 35th Ave S
Seattle
WA
98118
Type or Classification
(B)
Vendor - Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$143,653
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$143,653
Consulting Services02/17/2021$17,613
Consulting Services03/10/2021$7,828
Consulting Services03/10/2021$9,600
Consulting Services05/07/2021$22,014
Consulting Services05/07/2021$10,800
Consulting Services07/01/2021$28,014
Consulting Services08/04/2021$14,584
Consulting Services09/16/2021$11,186
Consulting Services09/30/2021$9,784
Consulting Services10/01/2021$12,230
Name and Address
(A)
Patinkin Research Strategies
PO Box 1310

Gig Harbor
WA
98335
Type or Classification
(B)
Vendor - Research Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$119,800
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$119,800
Survey02/24/2021$30,400
Survey03/31/2021$20,000
Survey10/07/2021$30,900
Survey12/06/2021$38,500
Name and Address
(A)
Postmaster

620 S Orcas Street
Seattle
WA
98108
Type or Classification
(B)
Vendor - Postage Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,447
Total Non-Itemized Transactions with this Payee/Payer$34,033
Total of All Transactions with this Payee/Payer for This Schedule$43,480
Postage Services07/29/2021$9,447
Name and Address
(A)
PODS

13535 Feather Sound Dr
Clearwater
FL
33762
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$18,422
Total of All Transactions with this Payee/Payer for This Schedule$18,422
Name and Address
(A)
Publishers Mailing Service

9126 E Marginal Way S
Seattle
WA
98108
Type or Classification
(B)
Vendor - Postage Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,689
Total of All Transactions with this Payee/Payer for This Schedule$11,689
Name and Address
(A)
Quadient Finance USA, Inc.

704 228th Ave NE
Carol Stream
IL
60197-6813
Type or Classification
(B)
Vendor - Equipment Rentals and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,300
Total Non-Itemized Transactions with this Payee/Payer$43,910
Total of All Transactions with this Payee/Payer for This Schedule$56,210
Equipment Rentals and Supplies06/10/2021$12,300
Name and Address
(A)
Quadient, Inc.
PO Box 123689

Dallas
TX
75312-3689
Type or Classification
(B)
Vendor - Equipment Rentals and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,187
Total of All Transactions with this Payee/Payer for This Schedule$8,187
Name and Address
(A)
Radical Candor LLC

1022 Grand Teton Dr
Pacifica
CA
94044
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,457
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,457
Consulting Services12/06/2021$10,457
Name and Address
(A)
Richard L. Ahearn

2212 Queen Anne Ave N
Seattle
WA
98109
Type or Classification
(B)
Vendor - Arbitration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,344
Total of All Transactions with this Payee/Payer for This Schedule$7,344
Name and Address
(A)
Riley A. Sessions

1530 146th St
Shoreline
WA
98155
Type or Classification
(B)
Vendor - Settlement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$20,000
Settlement01/08/2021$20,000
Name and Address
(A)
Rockwood Leadership Institute

1212 Broadway
Oakland
CA
94612
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,225
Total of All Transactions with this Payee/Payer for This Schedule$9,225
Name and Address
(A)
Seattle Labor Temple Association

1425 Fourth Ave
Seattle
WA
98101
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$55,203
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$55,203
Rent and CAM04/30/2021$5,466
Rent and CAM05/26/2021$5,466
Rent and CAM05/26/2021$6,085
Rent and CAM05/26/2021$5,385
Rent and CAM06/22/2021$5,466
Rent and CAM08/05/2021$5,467
Rent and CAM09/10/2021$5,467
Rent and CAM10/01/2021$5,467
Rent and CAM11/04/2021$5,467
Rent and CAM12/03/2021$5,467
Name and Address
(A)
Service Printing Co., Inc.

3837 13th Avenue W
Seattle
WA
98119
Type or Classification
(B)
Vendor - Printing Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,398
Total Non-Itemized Transactions with this Payee/Payer$30,839
Total of All Transactions with this Payee/Payer for This Schedule$50,237
Printing Services05/20/2021$5,803
Printing Services08/05/2021$5,846
Printing Services10/13/2021$7,749
Name and Address
(A)
Slevin & Hart, P.C.

1625 Massachusetts Ave
Washington
DC
20036
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,268
Total Non-Itemized Transactions with this Payee/Payer$4,086
Total of All Transactions with this Payee/Payer for This Schedule$26,354
Legal Services06/10/2021$6,816
Legal Services07/15/2021$15,452
Name and Address
(A)
Smith & Lowney, P.L.L.C.

2317 E John St
Seattle
WA
98112
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,648
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,648
Legal Services05/20/2021$10,648
Name and Address
(A)
Social Movement Technologies, Inc.

12 Beacon Hill Drive
Bloomfield
CT
06002
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,707
Total of All Transactions with this Payee/Payer for This Schedule$5,707
Name and Address
(A)
Sonitrol Pacific

2221 California Street
Everett
WA
98201
Type or Classification
(B)
Vendor - Security
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,071
Total of All Transactions with this Payee/Payer for This Schedule$8,071
Name and Address
(A)
Steven R. Williamson

10250 37th Avenue SW
Seattle
WA
98146
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$63,438
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$63,438
Consulting Services01/08/2021$8,438
Consulting Services02/10/2021$5,000
Consulting Services03/10/2021$5,000
Consulting Services04/09/2021$5,000
Consulting Services05/07/2021$5,000
Consulting Services06/10/2021$5,000
Consulting Services07/15/2021$5,000
Consulting Services08/19/2021$5,000
Consulting Services09/09/2021$5,000
Consulting Services10/20/2021$5,000
Consulting Services11/12/2021$5,000
Consulting Services12/06/2021$5,000
Name and Address
(A)
Stones' Phones

1440 G Street
Washington
DC
20005
Type or Classification
(B)
Vendor - Telephone Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$46,919
Total Non-Itemized Transactions with this Payee/Payer$32,667
Total of All Transactions with this Payee/Payer for This Schedule$79,586
Telephone Services01/13/2021$9,267
Telephone Services02/24/2021$5,120
Telephone Services03/03/2021$11,905
Telephone Services04/30/2021$8,160
Telephone Services06/16/2021$6,991
Telephone Services11/04/2021$5,476
Name and Address
(A)
Streepy Law, PLLC

4218 227th Avenue Court E
Buckley
WA
98321
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$448,637
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$448,637
Legal Services01/27/2021$48,300
Legal Services02/02/2021$29,979
Legal Services03/10/2021$47,126
Legal Services04/15/2021$42,494
Legal Services05/20/2021$42,016
Legal Services06/16/2021$39,601
Legal Services07/15/2021$42,044
Legal Services08/19/2021$35,629
Legal Services09/22/2021$47,499
Legal Services10/27/2021$38,770
Legal Services11/17/2021$35,179
Name and Address
(A)
Stuart Advertising, LLC

2919 E Mission Ave
Spokane
WA
99202
Type or Classification
(B)
Vendor - Advertising Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$39,695
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$39,695
Advertising Services05/20/2021$12,461
Advertising Services05/26/2021$9,049
Advertising Services06/22/2021$9,152
Advertising Services07/23/2021$9,033
Name and Address
(A)
Summit Business Solutions, Inc.

704 228th Avenue NE
Sammamish
WA
98074
Type or Classification
(B)
Vendor - Equipment Rentals and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$726,212
Total Non-Itemized Transactions with this Payee/Payer$135,101
Total of All Transactions with this Payee/Payer for This Schedule$861,313
Equipment Rentals and Supplies05/20/2021$12,290
Equipment Rentals and Supplies05/20/2021$8,191
Equipment Rentals and Supplies08/19/2021$63,980
Equipment Rentals and Supplies01/14/2021$9,477
Equipment Rentals and Supplies01/14/2021$37,929
Equipment Rentals and Supplies02/04/2021$9,477
Equipment Rentals and Supplies02/17/2021$37,929
Equipment Rentals and Supplies03/10/2021$9,477
Equipment Rentals and Supplies03/17/2021$37,929
Equipment Rentals and Supplies04/15/2021$9,477
Equipment Rentals and Supplies04/21/2021$37,929
Equipment Rentals and Supplies05/07/2021$9,477
Equipment Rentals and Supplies05/20/2021$37,929
Equipment Rentals and Supplies06/16/2021$38,878
Equipment Rentals and Supplies06/16/2021$9,477
Equipment Rentals and Supplies06/16/2021$37,929
Equipment Rentals and Supplies07/15/2021$13,356
Equipment Rentals and Supplies07/15/2021$40,765
Equipment Rentals and Supplies08/12/2021$9,477
Equipment Rentals and Supplies08/19/2021$37,929
Equipment Rentals and Supplies09/09/2021$9,477
Equipment Rentals and Supplies09/22/2021$37,929
Equipment Rentals and Supplies10/07/2021$9,477
Equipment Rentals and Supplies10/20/2021$37,930
Equipment Rentals and Supplies10/20/2021$6,690
Equipment Rentals and Supplies11/12/2021$9,490
Equipment Rentals and Supplies11/18/2021$37,930
Equipment Rentals and Supplies11/23/2021$20,567
Equipment Rentals and Supplies12/08/2021$9,490
Equipment Rentals and Supplies12/16/2021$37,930
Name and Address
(A)
Timothy C. Phelan

19429 200th St Ct E
Orting
WA
98360
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,200
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$19,200
Consulting Services02/02/2021$19,200
Name and Address
(A)
UFCW Local 1439

507 S 3rd Street
Yakima
WA
98901
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$91,992
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$91,992
Consulting Services01/06/2021$7,666
Consulting Services02/02/2021$7,666
Consulting Services03/17/2021$7,666
Consulting Services04/05/2021$7,666
Consulting Services05/26/2021$7,666
Consulting Services06/03/2021$7,666
Consulting Services07/01/2021$7,666
Consulting Services08/05/2021$7,666
Consulting Services09/09/2021$7,666
Consulting Services10/14/2021$7,666
Consulting Services11/04/2021$7,666
Consulting Services12/03/2021$7,666
Name and Address
(A)
Union Insurance Group

303 W Erie Street
Chicago
IL
60654
Type or Classification
(B)
Vendor - Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$55,146
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$55,146
Insurance02/10/2021$5,527
Insurance07/29/2021$18,403
Insurance10/01/2021$31,216
Name and Address
(A)
UnionWare
PO Box 930473
1227 NE 105th Street
Atlanta
GA
31193-0473
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$77,966
Total Non-Itemized Transactions with this Payee/Payer$16,158
Total of All Transactions with this Payee/Payer for This Schedule$94,124
Consulting Services01/06/2021$5,574
Consulting Services02/02/2021$5,774
Consulting Services03/03/2021$5,774
Consulting Services04/05/2021$5,774
Consulting Services04/29/2021$5,774
Consulting Services06/16/2021$5,774
Consulting Services07/01/2021$5,774
Consulting Services08/05/2021$6,216
Consulting Services09/09/2021$6,284
Consulting Services10/07/2021$6,284
Consulting Services11/04/2021$6,284
Consulting Services12/03/2021$6,284
Consulting Services12/16/2021$6,396
Name and Address
(A)
Unite Here 8
PO Box 84271
507 S 3rd Street
Seattle
WA
98124-5571
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$64,417
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$64,417
Consulting Services05/20/2021$29,690
Consulting Services08/19/2021$34,727
Name and Address
(A)
Vertical Response

111 20nd Ave NE
Peterburg
FL
33701
Type or Classification
(B)
Vendor - Marketing Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,890
Total of All Transactions with this Payee/Payer for This Schedule$8,890
Name and Address
(A)
Washington CAN!

1806 E Yesler Way
Seattle
WA
98122
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$45,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$45,500
Consulting Services01/28/2021$26,250
Consulting Services04/09/2021$19,250
Name and Address
(A)
Wave
PO Box 31001-2714
PO Box 52187
Pasadena
CA
91110-2714
Type or Classification
(B)
Vendor - Telephone
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,273
Total of All Transactions with this Payee/Payer for This Schedule$6,273
Name and Address
(A)
WG Investments LLC

9351 Bayshore NW
Silverdale
WA
98383
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$29,618
Total of All Transactions with this Payee/Payer for This Schedule$29,618
Name and Address
(A)
William Gerald Fletcher, Jr.

2106 Crepe Court
Bowie
MD
20721-2258
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$53,750
Total Non-Itemized Transactions with this Payee/Payer$3,750
Total of All Transactions with this Payee/Payer for This Schedule$57,500
Consulting Services01/06/2021$5,000
Consulting Services02/02/2021$5,000
Consulting Services03/03/2021$5,000
Consulting Services04/08/2021$5,000
Consulting Services05/07/2021$5,000
Consulting Services06/03/2021$5,000
Consulting Services08/05/2021$8,750
Consulting Services10/07/2021$5,000
Consulting Services11/04/2021$5,000
Consulting Services12/03/2021$5,000
Name and Address
(A)
Xoa Oaks

15651 NE 93rd Way
Redmond
WA
98052
Type or Classification
(B)
Vendor - Settlement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,652
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$21,652
Settlement09/08/2021$21,652
Name and Address
(A)
Zoom.USA

55 Almaden Blvd
San Jose
CA
95113
Type or Classification
(B)
Vendor - Media Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,468
Total of All Transactions with this Payee/Payer for This Schedule$9,468
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 543-341

Name and Address
(A)
Argo Strategies
PO Box 9100

Seattle
WA
98109
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,000
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Name and Address
(A)
GBAO

1701 K Street NW
Seattle
WA
98125
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,466
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$16,466
Consulting Services12/06/2021$16,466
Name and Address
(A)
Great American Financial Service

704 228th Ave NE
Dallas
TX
75266-0831
Type or Classification
(B)
Vendor - Equipment Rentals and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$56,406
Total of All Transactions with this Payee/Payer for This Schedule$56,406
Name and Address
(A)
Melco Space Solutions, Inc.

3429 S 261st Place
Kent
WA
98032
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,838
Total of All Transactions with this Payee/Payer for This Schedule$12,838
Name and Address
(A)
Patinkin Research Strategies
PO Box 1310

Gig Harbor
WA
98332
Type or Classification
(B)
Vendor - Research Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,735
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,735
Survey03/10/2021$9,735
Name and Address
(A)
Rebecca N. Johnson Strategies Inc.

800 Seneca
Seattle
WA
98101
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$123,250
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$123,250
Consulting Services01/06/2021$9,500
Consulting Services01/13/2021$9,250
Consulting Services02/02/2021$9,500
Consulting Services03/03/2021$9,500
Consulting Services04/02/2021$9,500
Consulting Services06/03/2021$9,500
Consulting Services07/15/2021$9,500
Consulting Services08/05/2021$9,500
Consulting Services09/02/2021$9,500
Consulting Services10/01/2021$9,500
Consulting Services11/04/2021$9,500
Consulting Services12/03/2021$19,000
Name and Address
(A)
Summit Business Solutions, Inc.

704 228th Avenue NE
Sammamish
WA
98074
Type or Classification
(B)
Vendor - Equipment Rentals and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$63,023
Total of All Transactions with this Payee/Payer for This Schedule$63,023
Name and Address
(A)
UFCW 21 PAC

5030 1st Ave S #200
Seattle
WA
98134-2438
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$300,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$300,000
Contribution06/10/2021$150,000
Contribution09/01/2021$150,000
Name and Address
(A)
UnionWare
PO Box 930473

Atlanta
GA
31193-0473
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,887
Total of All Transactions with this Payee/Payer for This Schedule$6,887
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 543-341

Name and Address
(A)
Best Starts For Kids

603 Stewart Street
Seattle
WA
98101
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution06/18/2021$10,000
Name and Address
(A)
Church Council of Greater Seattle

4820 S Morgan Street
Seattle
WA
98118
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution03/24/2021$5,000
Name and Address
(A)
Community Alliance for Global Justice

1322 S Bayview Street
Seattle
WA
98144
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution03/24/2021$5,000
Name and Address
(A)
NW Youth Services

108 Prospect Street
Bellingham
WA
98225
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution12/06/2021$5,000
Name and Address
(A)
OneAmerica

1225 S Weller Street
Seattle
WA
98144
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution03/24/2021$5,000
Name and Address
(A)
PSARA

321 16th Ave S
Seattle
WA
98144
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Contribution03/24/2021$6,000
Name and Address
(A)
Puget Sound Sage

414 Maynard Ave S
Seattle
WA
98104
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$35,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$35,000
Contribution01/06/2021$8,750
Contribution04/05/2021$8,750
Contribution07/15/2021$8,750
Contribution10/07/2021$8,750
Name and Address
(A)
UFCW Charity Foundation

1775 South K Street
Washington
DC
20002
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,000
Contribution03/25/2021$12,000
Name and Address
(A)
Washington CAN!

1806 E Yesler Way
Seattle
WA
98122
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution03/25/2021$5,000
Name and Address
(A)
WA Immigrant Solidarity Network
PO Box 48159

Burien
WA
98148
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution03/25/2021$5,000
Name and Address
(A)
WA State Coalition Against Domestic Violence

500 Union Street
Seattle
WA
98101
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$277
Total of All Transactions with this Payee/Payer for This Schedule$5,277
Contribution03/25/2021$5,000
Name and Address
(A)
We Train Washington

5030 1st Ave S
Seattle
WA
98134
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$360,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$360,000
Contribution09/02/2021$170,000
Contribution10/01/2021$190,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 543-341

Name and Address
(A)
Great American Financial Service
704 228th Ave NE

Dallas
TX
75266-0831
Type or Classification
(B)
Vendor - Equipment Rentals and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$28,203
Total of All Transactions with this Payee/Payer for This Schedule$28,203
Name and Address
(A)
Melco Space Solutions, Inc.
3429 S 261st Place

Kent
WA
98032
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,419
Total of All Transactions with this Payee/Payer for This Schedule$6,419
Name and Address
(A)
Minar and Northey LLP
PO Box 9845

Seattle
WA
98109
Type or Classification
(B)
Certified Public Accountants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,050
Total Non-Itemized Transactions with this Payee/Payer$16,650
Total of All Transactions with this Payee/Payer for This Schedule$34,700
Accounting and Auditing Services04/09/2021$18,050
Name and Address
(A)
Shari S. Davis

8471 Union Road
Sedro Woolley
WA
98284
Type or Classification
(B)
Vendor - Moving Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$52,246
Total Non-Itemized Transactions with this Payee/Payer$3,941
Total of All Transactions with this Payee/Payer for This Schedule$56,187
Consulting Services02/04/2021$9,537
Consulting Services03/03/2021$7,909
Consulting Services04/08/2021$10,155
Consulting Services05/07/2021$12,142
Consulting Services07/15/2021$12,503
Name and Address
(A)
Summit Business Solutions, Inc.
704 228th Avenue NE

Sammamish
WA
98074
Type or Classification
(B)
Vendor - Equipment Rentals and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$31,511
Total of All Transactions with this Payee/Payer for This Schedule$31,511
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 543-341

Name and Address
(A)
Great American Financial Service

704 228th Ave NE
Dallas
TX
75266-0831
Type or Classification
(B)
Vendor - Equipment Rentals and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$84,609
Total of All Transactions with this Payee/Payer for This Schedule$84,609
Name and Address
(A)
Melco Space Solutions, Inc.

3429 S 261st Place
Kent
WA
98032
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,954
Total Non-Itemized Transactions with this Payee/Payer$13,302
Total of All Transactions with this Payee/Payer for This Schedule$19,256
Consulting Services08/19/2021$5,954
Name and Address
(A)
Quadient Finance USA, Inc.
PO Box 6713

Carol Stream
IL
60197-6813
Type or Classification
(B)
Vendor - Equipment Rentals and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,169
Total of All Transactions with this Payee/Payer for This Schedule$6,169
Name and Address
(A)
Seattle Labor Temple Association

2800 First Avenue
Seattle
WA
98121
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,059
Total of All Transactions with this Payee/Payer for This Schedule$6,059
Name and Address
(A)
Service Printing Co., Inc.

3837 13th Avenue W
Seattle
WA
98119
Type or Classification
(B)
Vendor - Printing Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,514
Total of All Transactions with this Payee/Payer for This Schedule$5,514
Name and Address
(A)
Streepy Law, PLLC

4218 227th Avenue Court E
Buckley
WA
98321
Type or Classification
(B)
Attorneys
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,152
Total of All Transactions with this Payee/Payer for This Schedule$11,152
Name and Address
(A)
Summit Business Solutions, Inc.

704 228th Avenue NE
Sammamish
WA
98074
Type or Classification
(B)
Vendor - Equipment Rentals and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,022
Total Non-Itemized Transactions with this Payee/Payer$87,512
Total of All Transactions with this Payee/Payer for This Schedule$94,534
Equipment Rentals and Supplies08/19/2021$7,022
Name and Address
(A)
Union Insurance Group

303 W Erie Street
Chicago
IL
60654
Type or Classification
(B)
Vendor - Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,053
Total of All Transactions with this Payee/Payer for This Schedule$6,053
Name and Address
(A)
UnionWare
PO Box 930473

Atlanta
GA
31193-0473
Type or Classification
(B)
Vendor - Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,331
Total of All Transactions with this Payee/Payer for This Schedule$10,331
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 543-341

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,914,755
Heath and WelfareSound Health & Wellness Trust$1,004,499
Heath and Welfare (COBRA)Various Organizations$2,624
PensionSound Health & Wellness Trust$474,951
Health and Welfare - RetireesUFCW International$172,847
Life InsuranceNUFIC$3,350
Group DisabilityStandard Insurance Company$61,351
Health and Welfare - MembersSound Health & Wellness Trust$73,498
Death Benefits - MembersVarious Beneficiaries$83,635
ScholarshipsCollege or University$38,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 543-341


Question 10: Sound Retirement Trust 201 Queen Anne Ave N Ste 100 Seattle, WA 98109 EIN 91-6069306 Plan 001 Form 5500 filed with Department of Labor Sound Health & Wellness Trust 201 Queen Anne Ave N Ste 100 Seattle, WA 98109 EIN 91-6058475 Plan 501 Form 5500 filed with Department of Labor

Question 11(a):

Question 11(a): : : UFCW 21 PAC 5030 First Ave S Ste 200 Seattle, WA 98134 The activity for this fund is reported to the state of Washington and is not included in this report.

Question 12: The Local engaged Minar and Northey LLP to perform an independent audit of the financial statements for the year ending December 31, 2021.

Question 15: The Local scrapped furniture and equipment of $549,837 with no book value.

Schedule 13, Row1:

Schedule 13, Row1:Active members pay full dues based on their work classification.

Schedule 13, Row1:

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