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
057-419
2. PERIOD COVERED
From01/01/2021
Through12/31/2021
3. (a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This is a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
SERVICE EMPLOYEES
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
 6. DESIGNATION NBR
113
7. UNIT NAME (if any)
HEALTHCARE MINNESOTA
8. MAILING ADDRESS (Type or print in capital letters)
First Name
JAMIE
 Last Name
GULLEY
P.O Box - Building and Room Number

Number and Street
345 RANDOLPH AVE., STE. 100
City
ST. PAUL
State
MN		 ZIP Code + 4
55102


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:Jamie T GulleyPRESIDENT71. SIGNED:Jigme UgenTREASURER
Date:Mar 31, 2022Telephone Number:651-294-8100Date:Mar 31, 2022Telephone Number:651-294-8104
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 057-419
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?Yes
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?Yes
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?10/2023
20. How many members did the labor organization have at the end of the reporting period?23,137
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.25% - 3.00%perGROSS INCOME$5$36
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 057-419

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $2,050,326$2,648,035
23. Accounts Receivable1$0$8,448
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$620,202$618,791
27. Fixed Assets6$123,685$95,030
28. Other Assets7$0$0
29. TOTAL ASSETS $2,794,213$3,370,304

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$16,157$28,263
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$18,325$8,986
34. TOTAL LIABILITIES $34,482$37,249
35. NET ASSETS$2,759,731$3,333,055
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 057-419

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $10,706,519
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $1,529
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $195,107
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$1,879,931
49. TOTAL RECEIPTS $12,783,086
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,675,315
51. Political Activities and Lobbying16$445,743
52. Contributions, Gifts, and Grants17$23,234
53. General Overhead18$811,961
54. Union Administration19$227,021
55. Benefits20$1,453,703
56. Per Capita Tax $3,958,510
57. Strike Benefits $58,105
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$0
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $204,446
64. On Behalf of Individual Members $0
65. Direct Taxes $327,339
  
66. Subtotal $12,185,377
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,062,409  
  67b. Less Total Disbursed$1,062,409  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $12,185,377
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 057-419

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$8,448   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $8,448$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 057-419

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: 057-419

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Gross Sales Price
(D) 		Amount Received
(E)
Total of all lines above$0$0$0$0
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 057-419

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 057-419

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost$618,791
E. Total Book Value$618,791
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.  
  • REAL PROPERTY: 345 RANDOLPH AVE #100, ST PAUL MN
$618,791
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $618,791
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 057-419

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$1,195,026$1,103,962$91,064$91,064
E. Other Fixed Assets$7,437$3,471$3,966$3,966
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,202,463$1,107,433$95,030$95,030
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 057-419

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 057-419

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$28,263$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $28,263$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 057-419

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: 057-419

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $8,986
COPE WITHHOLDING$8,986
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 057-419

(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 		BALE ,  MARY  
DELEGATE
C		$3,922$385$4,307
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		BERNINI ,  BRIANNE  
DELEGATE
C		$1,191$385$1,576
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		BURNFIN ,  DAWN  
DELEGATE
C		$1,206$1,206
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		CARLSON ,  LYNN  
VICE PRESIDENT
C		$1,171$1,171
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		CROMEDY ,  BENNIE  
DELEGATE
C		$40,279$5,304$45,583
I
Schedule 15
Representational Activities 		65 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		30 %
A
B
C 		CRYAN ,  PHILLIP  
EXECUTIVE VICE PRESIDENT
C		$112,844$4,788$291$117,923
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		5 % Schedule 19
Administration 		10 %
A
B
C 		DAHLEN ,  ELIZABETH  
DELEGATE
C		$1,066$385$1,451
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		DONAZAL ,  CLEVELAND  
DELEGATE
C		$1,023$1,023
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		ELRITE ,  KATHRYN  
DELEGATE
C		$479$479
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		FADERA ,  YANKUBA  
DELEGATE
C		$803$385$1,188
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		FREEMAN ,  MARK  
DELEGATE
C		$2,639$385$3,024
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		GIOVANNI ,  ANTONIETTA  
DELEGATE
C		$770$770
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		GULLEY ,  JAMIE  
PRESIDENT
C		$134,296$5,376$4,219$143,891
I
Schedule 15
Representational Activities 		65 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		10 % Schedule 19
Administration 		20 %
A
B
C 		HALL ,  FRANCIS  
DELEGATE
C		$1,802$1,802
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HANSEN ,  PENNY  
DELEGATE
C		$344$60$404
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HANSON ,  CRISSY  
DELEGATE
C		$2,076$385$2,461
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HER ,  YEEG  
DELEGATE
C		$1,689$1,689
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HILBRICH ,  BRENDA  
EXECUTIVE VICE PRESIDENT
C		$119,260$5,009$215$124,484
I
Schedule 15
Representational Activities 		68 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		Schedule 18
General Overhead 		20 % Schedule 19
Administration 		10 %
A
B
C 		HOLT ,  JAMES  
DELEGATE
C		$5,962$385$6,347
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HOWZE ,  DEBRA  
DELEGATE
C		$817$817
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		HUGHES ,  LATANYA  
DELEGATE
C		$788$788
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		KAUP ,  LESLIE  
DELEGATE
C		$1,626$1,626
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		LEMIRE ,  SONJA  
VICE PRESIDENT
C		$191$191
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		LYNCH ,  KATHERINE  
VICE PRESIDENT
C		$4,785$385$5,170
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MATTHEWS ,  RITA  
DELEGATE
C		$3,688$385$4,073
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		MINTEY ,  DAN  
TRUSTEE
C		$4,171$385$4,556
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		NORDBY ,  MELODY  
DELEGATE
C		$521$521
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		PIKALA ,  ROBIN  
DELEGATE
C		$1,098$1,098
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		95 %
A
B
C 		PILLE ,  KIA  
DELEGATE
C		$3,606$385$3,991
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		RAMNAUTH ,  KAMALA  
DELEGATE
C		$3,156$385$3,541
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SANTOS NORGREN ,  JENNIFER  
DELEGATE
C		$298$298
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SARRO ,  JEFF  
DELEGATE
C		$7,380$60$7,440
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SMITH ,  JOHNNIE  
DELEGATE
C		$814$814
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		STRAUMANN ,  VIVIAN  
DELEGATE
C		$4,058$385$4,443
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		UGEN ,  JIGME  
EXECUTIVE VICE PRESIDENT
C		$123,116$5,208$55$128,379
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		15 %
A
B
C 		URMAN ,  ELSIE  
DELEGATE
C		$1,357$1,357
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		VANDENBURGH ,  COREY  
DELEGATE
C		$708$708
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		VO ,  DANH  
DELEGATE
C		$345$345
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		WILCOX ,  KENT  
DELEGATE
C		$728$385$1,113
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		SHARIF, ,  RASHA AHMAD  
EXECUTIVE VICE PRESIDENT
N		$101,845$5,355$107,200
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		5 %
A
B
C 		MEYER ,  KATHLENE  
DELEGATE
C		$1,352$1,352
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
Total Officer Disbursements$699,270$31,040$10,290$0$740,600
Less Deductions    $197,578
Net Disbursements    $543,022
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 057-419

(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 		ABDI ,  FADUMO  
MAC DIRECTOR
N/A		$72,430$4,620$77,050
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		AFRAH ,  MOHAMED   M
ORGANIZER
N/A		$11,600$1,560$13,160
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		BANKER ,  MARJORIE  
SUPPORT STAFF
N/A		$34,593$34,593
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		BOOTS ,  JULIE  
INTERNAL ORGANIZER
N/A		$77,361$5,945$658$83,964
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		CAMARA ,  FATIMA  
OIT
N/A		$37,596$4,910$42,506
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		CHAPDELAINE ,  KAREN  
SUPPORT STAFF
N/A		$57,359$57,359
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		CHILDERS ,  ARABELLA   M
OIT
N/A		$52,284$4,956$116$57,356
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		CHRISTENSON ,  ASHLEY  
COMMUNICATIONS
N/A		$87,678$5,103$92,781
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		DAVIS ,  RUTH  
INTERNAL ORGANIZER
N/A		$30,170$2,277$32,447
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		DEAMUSATEGUI ,  AMARIAH   N
INTERNAL ORGANIZER
N/A		$41,065$3,730$70$44,865
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		FARAH ,  SAHRA   L
INTERNAL ORGANIZER
N/A		$57,673$4,620$62,293
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		FISHER ,  BENJAMIN  
INTERNAL ORGANIZER
N/A		$74,623$4,725$347$79,695
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		FLYNN ,  MACKENZIE   O
EXTERNAL ORGANIZER
N/A		$63,162$4,410$127$67,699
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		FORESTER ,  TIFFANY  
DIRECTOR SUPPORT STAFF
N/A		$92,111$4,830$96,941
I
Schedule 15
Representational Activities 		45 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		45 % Schedule 19
Administration 		5 %
A
B
C 		FRANK ,  TYLER  
INTERNAL ORGANIZER
N/A		$70,427$4,515$323$75,265
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		FRIEDER ,  ELISE   M
EXTERNAL ORGANIZER
N/A		$42,168$3,675$45,843
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		GAKYI ,  TENZIN  
INTERNAL ORGANIZER
N/A		$70,372$4,620$74,992
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		GAMINO ,  JOHN   W
ORGANIZER
N/A		$31,393$1,575$84$33,052
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		HAKALA ,  KRISTINE   L
INTERNAL ORGANIZER
N/A		$60,699$60,699
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		HEWITT ,  GABRIEL   T
SUPPORT STAFF
N/A		$55,401$4,620$47$60,068
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		HOBBS ,  KASSANDRA   E
ORGANIZING DIRECTOR
N/A		$48,174$3,339$51,513
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		HUNT ,  STEVE   G
INTERNAL ORGANIZER
N/A		$77,682$6,050$60$83,792
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		KLEIN ,  KRYSTAL   M
INTERNAL ORGANIZER
N/A		$81,514$4,977$86,491
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		KOHA DEI-ANANG ,  MIKHAIL   F
EXTERNAL ORGANIZER
N/A		$70,033$4,620$74,653
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		KUEHN ,  KEVIN  
INTERNAL ORGANIZER
N/A		$80,001$4,809$84,810
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		LARSON ,  HEATHER  
INTERNAL ORGANIZER
N/A		$70,567$4,620$75,187
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		LUBAHN ,  JACKIE   L
INTERNAL ORGANIZER
N/A		$47,586$3,444$51,030
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		MCCLELLAN ,  LISA   A
INTERNAL ORGANIZER
N/A		$78,514$6,271$245$85,030
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		MOHAMED ,  ABDULMAJID   S
INTERNAL ORGANIZER
N/A		$30,268$2,730$32,998
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		NADAL ,  WILLIAM  
LEGAL DIRECTOR
N/A		$121,791$4,515$126,306
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		5 %
A
B
C 		PERRI ,  JOHN   F
FINANCE DIRECTOR
N/A		$107,795$4,830$2,400$115,025
I
Schedule 15
Representational Activities 		45 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		45 % Schedule 19
Administration 		5 %
A
B
C 		PHAN ,  BUNNARD  
EXTERNAL ORGANIZER
N/A		$56,687$4,883$221$61,791
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		SALMIA ,  CARRIE   A
SUPPORT STAFF
N/A		$58,176$58,176
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		SALMINEN ,  ERIC   L
ORGANIZING DIRECTOR
N/A		$13,042$13,042
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		SCHMITZ ,  TODD  
INTERNAL ORGANIZER
N/A		$53,152$6,448$676$60,276
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		SCHWANKL ,  KAYLA   J
INTERNAL ORGANIZER
N/A		$57,332$7,584$624$65,540
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		SPARKS ,  GENE   T
INTERNAL ORGANIZER
N/A		$20,737$735$21,472
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		SPIKA ,  SUMER  
INTERNAL ORGANIZER
N/A		$73,094$4,620$77,714
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		STEVENS ,  LUCHELLE  
CHIEF OF STAFF
N/A		$130,918$4,620$364$135,902
I
Schedule 15
Representational Activities 		68 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		Schedule 18
General Overhead 		20 % Schedule 19
Administration 		10 %
A
B
C 		TAYTHI ,  SANGAY   T
INTERNAL ORGANIZER
N/A		$70,249$4,620$1,504$76,373
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		VARCO ,  RICHARD  
POLITICAL DIRECTOR
N/A		$83,229$4,851$24$88,104
I
Schedule 15
Representational Activities 		36 % Schedule 16
Political Activities and Lobbying 		64 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		XIONG ,  JUDITH  
SUPPORT STAFF
N/A		$61,415$160$61,575
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
A
B
C 		XIONG-VANG ,  BAO  
SUPPORT STAFF
N/A		$59,159$59,159
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$366,147$47,104$413,251
I Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
Total Employee Disbursements$3,037,427$159,257$55,154$0$3,251,838
Less Deductions     
Net Disbursements    $3,251,838
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 057-419

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 23,137 
Agency Fee Payers*42
Total Members/Fee Payers23,179 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS23,137Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 057-419

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$1,870,896
2. Named Payer Non-itemized Receipts$7,678
3. All Other Receipts$1,357
4. Total Receipts$1,879,931
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$10,000
2. Named Payee Non-itemized Disbursements$6,000
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$7,234
6. Total Disbursements$23,234
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$730,539
2. Named Payee Non-itemized Disbursements$421,688
3. To Officers$501,328
4. To Employees$2,925,511
5. All Other Disbursements$96,249
6. Total Disbursements$4,675,315
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$458,383
2. Named Payee Non-itemized Disbursements$101,926
3. To Officers$45,182
4. To Employees$122,564
5. All Other Disbursements$83,906
6. Total Disbursements$811,961
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$205,411
2. Named Payee Non-itemized Disbursements$30,557
3. To Officers$29,694
4. To Employees$173,260
5. All Other Disbursements$6,821
6. Total Disbursements$445,743
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$11,746
2. Named Payee Non-itemized Disbursements$16,605
3. To Officers$164,395
4. To Employees$30,503
5. All Other Disbursements$3,772
6. Total Disbursements$227,021
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 057-419

Name and Address
(A)
SEIU HEALTHCARE WISCONSIN

33 NOB HILL RD
MADISON
WI
53713
Type or Classification
(B)
LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$126,834
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$126,834
UNIONWARE SETUP AND OPERATING COSTS11/15/2021$126,834
Name and Address
(A)
SEIU LOCAL 199

322 S LINN ST #12
IOWA CITY
IA
52240
Type or Classification
(B)
LABOR UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,659
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,659
SERVICING AGREEMENT11/12/2021$6,288
SERVICING AGREEMENT12/15/2021$6,371
Name and Address
(A)
SERVICE EMPLOYEE INTERNATIONAL UNION

1800 MASSACHUSETTS AVE NW
WASHINGTON
DC
20036
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$715,300
Total Non-Itemized Transactions with this Payee/Payer$7,678
Total of All Transactions with this Payee/Payer for This Schedule$722,978
PER CAPITA REBATES02/05/2021$21,790
PER CAPITA REBATES02/22/2021$24,416
PER CAPITA COVID REBATES04/09/2021$86,172
PER CAPITA COVID REBATES05/07/2021$189,130
PER CAPITA COVID REBATES06/03/2021$126,954
PER CAPITA COVID REBATES06/17/2021$79,404
PER CAPITA REBATES07/23/2021$19,100
OIT SUBSIDY08/13/2021$19,111
OIT SUBSIDY08/20/2021$19,024
OIT SUBSIDY09/03/2021$9,556
PER CAPITA REBATES09/10/2021$21,713
OIT SUBSIDY10/08/2021$10,516
PER CAPITA REBATES10/22/2021$22,021
OIT SUBSIDY11/05/2021$10,516
PER CAPITA REBATES11/19/2021$20,381
OIT SUBSIDY12/03/2021$10,516
PER CAPITA REBATES12/17/2021$24,980
Name and Address
(A)
TAKE ACTION MN

705 RAYMOND AVE #100
ST PAUL
MN
55114
Type or Classification
(B)
NON-PROFIT ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,935
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$11,935
STAFF WAGE REIMBURSEMENT10/20/2021$11,935
Name and Address
(A)
UNION INSURANCE GROUP

303 WEST ERIE ST #310
CHICAGO
IL
60654
Type or Classification
(B)
INSURANCE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,368
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$22,368
INSURANCE REFUND08/31/2021$22,368
Name and Address
(A)
US SMALL BUSINESS ADMINISTRATION

409 3RD ST SW
WASHINGTON
DC
20416
Type or Classification
(B)
GOVERNMENT AGENCY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$981,800
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$981,800
PPP LOAN 05/04/2021$981,800
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 057-419

Name and Address
(A)
ALEJANDRA HEADLEY

3312 PILLSBURY AVE S #301
MINNEAPOLIS
MN
55408
Type or Classification
(B)
CONSULTING - ORGANIZING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,034
Total of All Transactions with this Payee/Payer for This Schedule$6,034
Name and Address
(A)
CENTURYLINK COMMUNICATIONS, LLC
52187

PHOENIX
AZ
85072
Type or Classification
(B)
INTERNET SERVICE PROVIDER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,060
Total of All Transactions with this Payee/Payer for This Schedule$13,060
Name and Address
(A)
CORPORATE TECHNOLOGIES

2000 44TH ST #100
FARGO
ND
58103
Type or Classification
(B)
IT SUPPORT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$43,883
Total of All Transactions with this Payee/Payer for This Schedule$43,883
Name and Address
(A)
CUMMINS & CUMMINS

920 2ND AVENUE SOUTH #1245
MINNEAPOLIS
MN
55402
Type or Classification
(B)
LAW FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$503,761
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$503,761
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION02/05/2021$35,197
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION03/08/2021$31,387
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION04/14/2021$28,494
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION05/10/2021$45,222
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION06/09/2021$49,959
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION07/13/2021$32,419
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION07/13/2021$8,105
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION08/09/2021$40,965
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION08/09/2021$10,241
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION09/02/2021$46,872
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION09/02/2021$11,718
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION10/12/2021$58,550
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION10/12/2021$14,638
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION11/18/2021$34,152
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION11/18/2021$8,538
CONTRACT NEGOTIATION AND REPRESENTATION LITIGATION12/07/2021$37,843
V=CONTRACT NEGOTIATION AND REPRESENTATION LITIGATI12/07/2021$9,461
Name and Address
(A)
DANIEL B POWERS

1325 WEST 27TH STREET #214
MINNEAPOLIS
MN
55408
Type or Classification
(B)
CONSULTING - ORGANIZING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,537
Total of All Transactions with this Payee/Payer for This Schedule$17,537
Name and Address
(A)
DELTA HOTELS MINNEAPOLIS NORTHEAST

1330 INDUSTRIAL BLVD NE
MINNEAPOLIS
MN
55413
Type or Classification
(B)
MEETING SPACE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$32,104
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$32,104
MEMBER CONVENTION ROOMS AND BANQUET10/12/2021$32,104
Name and Address
(A)
EMILY BAIERL

3441 SOUTH 5TH AVENUE APT 2
MINNEAPOLIS
MN
55408
Type or Classification
(B)
CONSULTING - ORGANIZING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,166
Total of All Transactions with this Payee/Payer for This Schedule$7,166
Name and Address
(A)
EXPEDIA

333 108TH AVE NE
BELLEVUE
WA
98004
Type or Classification
(B)
HOTELS FOR MEMBER MEETINGS, BARGAINING & TRAINING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$21,520
Total of All Transactions with this Payee/Payer for This Schedule$21,520
Name and Address
(A)
HONSA-BINDER PRINTING INC

320 SPRUCE STREE
ST PAUL
MN
55101
Type or Classification
(B)
COMMERCIAL PRINTER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,334
Total Non-Itemized Transactions with this Payee/Payer$10,292
Total of All Transactions with this Payee/Payer for This Schedule$17,626
CONTRACT PRINTING11/12/2021$7,334
Name and Address
(A)
HUMBERTO R GONZALEZ

65 WEST 106TH STREET 5D
NEW YORK
NY
10025
Type or Classification
(B)
CONSULTING - ORGANIZING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,317
Total of All Transactions with this Payee/Payer for This Schedule$10,317
Name and Address
(A)
IMAGE POINTE
657

WATERLOO
IA
50704
Type or Classification
(B)
PROMOTIONAL MATERIALS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,637
Total of All Transactions with this Payee/Payer for This Schedule$7,637
Name and Address
(A)
INNOVATIVE OFFICE SOLUTIONS LLC
860627

MINNEAPOLIS
MN
55486
Type or Classification
(B)
OFFICE SUPPLIES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,037
Total of All Transactions with this Payee/Payer for This Schedule$10,037
Name and Address
(A)
ISAAC DALTO

441 EAST 28TH STREET
BALTIMORE
MD
21218
Type or Classification
(B)
CONSULTING - ORGANIZING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,766
Total of All Transactions with this Payee/Payer for This Schedule$11,766
Name and Address
(A)
JACOBS, JEFFREY W.

7300 METRO STREET STE 300
EDINA
MN
55439
Type or Classification
(B)
ARBITRATOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,314
Total of All Transactions with this Payee/Payer for This Schedule$13,314
Name and Address
(A)
JOHN REMINGTON

1109 NORTH LUCAS LANE
GILBERT
AZ
85234
Type or Classification
(B)
ARBITRATOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,138
Total of All Transactions with this Payee/Payer for This Schedule$5,138
Name and Address
(A)
JOSEPH L DALY

4016 24TH AVE SOUTH STE 101
MINNEAPOLIS
MN
55406
Type or Classification
(B)
ARBITRATOR/MEDIATOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,245
Total of All Transactions with this Payee/Payer for This Schedule$9,245
Name and Address
(A)
LABOR MOVEMENT REPRESENTATION SERVICES

1183 MCLEAN AVE
ST PAUL
MN
55106
Type or Classification
(B)
ARBITRATIONS SERVICES PROVIDER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,382
Total Non-Itemized Transactions with this Payee/Payer$32,833
Total of All Transactions with this Payee/Payer for This Schedule$38,215
ARBITRATION SERVICES12/10/2021$5,382
Name and Address
(A)
LOFFLER COMPANIES
660831

DALLAS
TX
75266
Type or Classification
(B)
BUSINESS TECHNOLOGY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,130
Total of All Transactions with this Payee/Payer for This Schedule$5,130
Name and Address
(A)
MARCO TECHNOLOGIES LLC
790448

ST LOUIS
MO
63179
Type or Classification
(B)
COPY MACHINE RENTAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$26,764
Total of All Transactions with this Payee/Payer for This Schedule$26,764
Name and Address
(A)
MILLER, RICHARD

7919 ORCHID LANE NORTH
MAPLE GROVE
MN
55311
Type or Classification
(B)
ARBITRATOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,494
Total Non-Itemized Transactions with this Payee/Payer$8,837
Total of All Transactions with this Payee/Payer for This Schedule$15,331
ARBITRATION SERVICES12/30/2021$6,494
Name and Address
(A)
MYTAS SYSTEM

4460 ERIN DRIVE
EAGLE
MN
55122
Type or Classification
(B)
EDUCATIONAL TRAINING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,000
Total of All Transactions with this Payee/Payer for This Schedule$9,000
Name and Address
(A)
NATASHA D HULTMANN

612 NORTH 4TH STREET #11
MANKATO
MN
56001
Type or Classification
(B)
CONSULTING - ORGANIZING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,780
Total of All Transactions with this Payee/Payer for This Schedule$5,780
Name and Address
(A)
NATHANIEL D KRANTZ

6520 IRVING AVENUE SOUTH
RICHFIELD
MN
55423
Type or Classification
(B)
CONSULTING - ORGANIZING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$21,647
Total of All Transactions with this Payee/Payer for This Schedule$21,647
Name and Address
(A)
NEW BROOKWOOD LABOR COLLEGE

1045 GORMAN AVE
WEST ST PAUL
MN
55118
Type or Classification
(B)
LABOR EDUCATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,467
Total of All Transactions with this Payee/Payer for This Schedule$9,467
Name and Address
(A)
PITNEY BOWES

3001 SUMMER ST
STAMFORD
CT
06926
Type or Classification
(B)
POSTAGE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,897
Total of All Transactions with this Payee/Payer for This Schedule$17,897
Name and Address
(A)
SEVEN CORNERS PRINTING COMPANY

1099 SNELLING AVE NORTH
SAINT PAUL
MN
55108
Type or Classification
(B)
COMMERCIAL PRINTER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$106,011
Total Non-Itemized Transactions with this Payee/Payer$65,702
Total of All Transactions with this Payee/Payer for This Schedule$171,713
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS02/05/2021$22,396
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS03/08/2021$11,959
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS06/24/2021$11,389
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS07/14/2021$5,205
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS07/23/2021$6,481
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS07/23/2021$6,381
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS08/09/2021$5,404
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS08/09/2021$10,082
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS09/17/2021$12,751
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS11/12/2021$8,405
PRINTING - MEMBER CONTRACTS & NEGOTIATIONS12/31/2021$5,558
Name and Address
(A)
SUBWAY

7712 OLSON MEMORIAL HWY
GOLDEN VALLEY
MN
55427
Type or Classification
(B)
RESTAURANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,098
Total of All Transactions with this Payee/Payer for This Schedule$5,098
Name and Address
(A)
THEODORE JOSEF TIEDEMANN

3613 SOUTH 5TH AVENUE
MINNEAPOLIS
MN
55409
Type or Classification
(B)
CONSULTING - ORGANIZING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,556
Total of All Transactions with this Payee/Payer for This Schedule$14,556
Name and Address
(A)
UNIONWARE
930473

ATLANTA
GA
31193
Type or Classification
(B)
DATABASE SOFTWARE PROVIDER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$52,818
Total Non-Itemized Transactions with this Payee/Payer$10,362
Total of All Transactions with this Payee/Payer for This Schedule$63,180
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE01/21/2021$5,924
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE04/06/2021$6,174
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE04/28/2021$6,174
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE05/27/2021$6,174
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE06/17/2021$6,174
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE07/23/2021$5,210
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE09/17/2021$6,568
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE10/12/2021$5,210
UNION MEMBER DATABASE & MANAGEMENT SOFTWARE12/10/2021$5,210
Name and Address
(A)
UNIVERSITY OF MINNESOTA
1450

MINNEAPOLIS
MN
55485
Type or Classification
(B)
UNIVERSITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,383
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,383
TUITION ASSISTANCE02/12/2021$5,156
TUITION ASSISTANCE09/21/2021$5,227
Name and Address
(A)
ZOOM

55 ALMADEN BLVD 6TH FLOOR
SAN JOSE
CA
95113
Type or Classification
(B)
TELECONFERENCE AND ONLINE MEETING ROOMS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,252
Total Non-Itemized Transactions with this Payee/Payer$1,669
Total of All Transactions with this Payee/Payer for This Schedule$7,921
ANNUAL LICENSE PAYMENT02/11/2021$6,252
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 057-419

Name and Address
(A)
FRENNETTE LEGISLATIVE ADVISORS

1734 BLAIR AVE
SAINT PAUL
MN
55104
Type or Classification
(B)
ADVOCACY CONSULTING SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,992
Total Non-Itemized Transactions with this Payee/Payer$21,984
Total of All Transactions with this Payee/Payer for This Schedule$32,976
CONSULTING SERVICES03/15/2021$5,496
CONSULTING SERVICES12/10/2021$5,496
Name and Address
(A)
HILL CAPITOL STRATEGIES, INC.

13570 GROVE DR SUITE 281
MAPLE GROVE
MN
55311
Type or Classification
(B)
ADVOCACY CONSULTING SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,000
POLITICAL CONSULTING02/09/2021$6,000
POLITICAL CONSULTING05/06/2021$6,000
Name and Address
(A)
SEIU HEALTHCARE MINNESOTA PAC

345 RANDOLPH AVE SUITE 100
ST PAUL
MN
55102
Type or Classification
(B)
PAC AFFILIATE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$182,419
Total Non-Itemized Transactions with this Payee/Payer$8,573
Total of All Transactions with this Payee/Payer for This Schedule$190,992
POLITICAL ADVOCACY02/26/2021$5,388
POLITICAL ADVOCACY05/28/2021$5,077
POLITICAL ADVOCACY06/14/2021$57,283
POLITICAL ADVOCACY07/01/2021$22,385
POLITICAL ADVOCACY07/29/2021$22,950
POLITICAL ADVOCACY08/31/2021$23,034
POLITICAL ADVOCACY09/29/2021$11,521
POLITICAL ADVOCACY10/20/2021$11,935
POLITICAL ADVOCACY12/01/2021$11,298
POLITICAL ADVOCACY12/30/2021$11,548
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 057-419

Name and Address
(A)
FAITH IN MINNESOTA

2356 UNIVERSITY AVE WEST
SAINT PAUL
MN
55114
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 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
ORGANIZING CAMPAIGN07/13/2021$5,000
Name and Address
(A)
H-CAP, INC

407 CHAPMAN ST
IRVINGTON
NJ
07111
Type or Classification
(B)
NATIONAL LABOR MANAGEMENT ORGANIZATION
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)
WORKING PARTNERSHIPS

2102 ALMADEN ROAD SUITE 112
SAN JOSE
CA
95125
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 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
CONTRIBUTION02/02/2021$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 057-419

Name and Address
(A)
ADP

ONE ADP BLVD
ROSELAND
NJ
07068
Type or Classification
(B)
PAYROLL SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,441
Total Non-Itemized Transactions with this Payee/Payer$20,259
Total of All Transactions with this Payee/Payer for This Schedule$30,700
PAYROLL PROCESSING FEES08/18/2021$10,441
Name and Address
(A)
BELLOWS ASSOCIATES PA

5401 N UNVIERSITY DR 201
CORAL SPRINGS
FL
33067
Type or Classification
(B)
CPA FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,931
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,931
AUDIT AND ACCOUNTING FEES09/17/2021$25,931
Name and Address
(A)
BLOOMBERG INDUSTRY GROUP

1801 S BELL ST
ARLINGTON
VA
22202
Type or Classification
(B)
LEGAL RESEARCH SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,160
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,160
LEGAL RESEARCH SUBSCRIPTION09/17/2021$7,160
Name and Address
(A)
CLIMATE MAKERS

1700 FREEWAY BLVD #10
BROOKLYN
NY
55430
Type or Classification
(B)
HVAC REPAIR AND MAINTENANCE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,349
Total of All Transactions with this Payee/Payer for This Schedule$7,349
Name and Address
(A)
ROCHESTER TOWN OFFICES

209 WOODLAKE DR SE
ROCHESTER
MN
55904
Type or Classification
(B)
ROCHESTER OFFICE RENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$36,410
Total of All Transactions with this Payee/Payer for This Schedule$36,410
Name and Address
(A)
SEIU LOCAL 113 BUILDING CORPORATION

345 RANDOLPH AVE #100
ST PAUL
MN
55102
Type or Classification
(B)
AFFILIATE OFFICE RENTAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$341,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$341,000
RENT01/25/2021$31,000
RENT02/22/2021$31,000
RENT04/12/2021$31,000
RENT05/03/2021$31,000
RENT06/17/2021$31,000
RENT07/23/2021$31,000
RENT08/16/2021$31,000
RENT09/29/2021$31,000
RENT11/23/2021$31,000
RENT12/28/2021$31,000
RENT12/28/2021$31,000
Name and Address
(A)
UNION INSURANCE GROUP

303 W ERIE ST #310
CHICAGO
IL
60654
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$59,285
Total Non-Itemized Transactions with this Payee/Payer$11,823
Total of All Transactions with this Payee/Payer for This Schedule$71,108
GENERAL INSURANCES11/12/2021$9,626
GENERAL INSURANCES11/12/2021$7,410
GENERAL INSURANCES11/12/2021$37,178
GENERAL INSURANCES12/07/2021$5,071
Name and Address
(A)
VERIZON
1095 AVENUE OF THE AMERICAS

NEW YORK
NY
10036
Type or Classification
(B)
TELECOMMUNICATIONS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,566
Total Non-Itemized Transactions with this Payee/Payer$26,085
Total of All Transactions with this Payee/Payer for This Schedule$40,651
WIRELESS SERVICE PAYMENTS05/19/2021$9,073
WIRELESS SERVICE PAYMENTS06/17/2021$5,493
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 057-419

Name and Address
(A)
DILIGENT CORPORATION

111 W 33RD ST 16TH FLOOR
NEW YORK
NY
10001
Type or Classification
(B)
COMPUTER SOFTWARE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,356
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,356
BOARD OF DIRECTORS ELECTRONIC DOCUMENTS SOFTWARE10/22/2021$5,356
Name and Address
(A)
TELEPHONE TOWN HALL MEETING, INC

958 CONEFLOWER DRIVE
GOLDEN
CO
80401
Type or Classification
(B)
COMMUNICATION SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,390
Total Non-Itemized Transactions with this Payee/Payer$16,605
Total of All Transactions with this Payee/Payer for This Schedule$22,995
TELETOWNHALL MEETING SERVICES08/19/2021$6,390
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 057-419

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,453,703
COBRA ADMIN FEESFLYTE HCM LLC$808
HEALTH INSURANCEHEALTH PARTNERS$710,952
401(K) ADMINISTRATIONSEIU AFFILIATES 401(K) PLAN$1,080
LIFE INSURANCEMUTUAL OF OMAHA$31,889
PENSIONSEIU AFFILIATES & OFFICERS$480,626
PENSIONTWIN CITY WORKERS PENSION FUND$58,570
HSA FUNDINGASSOCIATED BANK$132,520
MEMBERSHIP SCHOLARSHIPSMEMBER AND MEMBERS' BENEFICIARIES$9,000
MEMBER RECOGNITIONMULTIPLE MEMBERS$20,758
MEMBER MEMORIALSMEMBERS' BENEFICIARIES$7,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 057-419


Question 10: FUND NAME: TWIN CITY HOSPITAL WORKERS PENSION PLAN C/O ADDRESS: 2520 PILOT KNOB RD, SUITE 325, MENDOTA, HEIGHTS MN 55120 EIN: 41-1303906 PLAN #: 001 PURPOSE: TO PROVIDE PENSION BENEFITS FOR ELIGIBLE MEMBERS OF PARTICIPATING EMPLOYERS.

Question 11(a):

Question 11(a): : : NAME OF PAC: SEIU HEALTHCARE MINNESOTA POLITICAL ACTION COMMITTEE REPORT FILED: CAMPAIGN FINANCE REPORT OF RECEIPTS AND EXPENDITURES GOVERNMENT AGENCY: FILED WITH THE CAMPAIGN FINANCE AND PUBLIC DISCLOSURE BOARD PURPOSE: THE PAC IS A SEPARATE SEGREGATED FUND ESTABLISHED TO SUPPORT CANDIDATES FOR STATE AND LOCAL OFFICES WHO PROMOTE THE INTERESTS OF ORGANIZED LABOR

Question 11(b):

Question 11(b): : : NAME OF SUBSIDIARY: SERVICE EMPLOYEES INTERNATIONAL UNION LOCAL 113 BUILDING CORPORATION ADDRESS: 345 RANDOLPH AVE., SUITE 100, ST PAUL, MN 55102 FISCAL YEAR END: DECEMBER 31, 2021 RELATIONSHIP: THE UNION IS THE SOLE INVESTOR AND OWNER OF THE BUILDING CORPORATION IN WHICH THE UNION OPERATES AND CONDUCTS BUSINESS OPTION #2 RECOGNITION: THE NET ASSETS OF THE BUILDING CORPORATION ARE REPORTED AS AN INVESTMENT ON LINE 26 AND ON SCHEDULE 5 OF THE LM FILING.

Question 12: AUDIT FIRM: BELLOWS ASSOCIATES, P.A. ADDRESS: 5401 N UNIVERSITY DR, SUITE 201, CORAL SPRINGS, FL 33067

Schedule 13, Row1:

Schedule 13, Row1:::A regular member is one who is active at a facility within the jurisdiction of the Local. Active members pay full dues and have full voting rights.

Schedule 13, Row1:

Schedule 13, Row1:::

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