FORM
LM-20 - AGREEMENT
& ACTIVITIES REPORT
OMB No. 1245-0003 . Expires 01-31-2025 .
IMPORTANT: 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. Required of persons, including Labor Relations Consultants and Other Individuals and Organizations, under Section 203(b) of the Labor-Management Reporting and Disclosure Act of 1959, as amended (LMRDA).
Office of Labor-Management Standards
U.S. Department of Labor
For Official Use Only
E
OLMS
Read the instructions carefully before completing this report.
1.a. File Number: C-68054
Amended:
2.
Name and mailing address (including Zip Code):
Name:BENJAMIN JOHNSON
Title:President
Organization:PROGRESSIVE LABOR SOLUTIONS
P.O. Box., Bldg., Room No., if any:
Street:55 BIGGS STREET
City:BARREState:VT
ZIP code:05641
3.
Other address where records necessary to verify this report are kept:
Name:
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP code:
4.
Date fiscal year ends:Dec /31
5.
Type of person
a. Individual       b. Partnership
c. Corporation C d. X Other
Specify:LLC

  Nature of Agreement or Arrangement
6.
Full name and address of employer with whom made (include ZIP Code):
Name:Scott Rauch
Organization:McLean Hospital
Trade Name, if any:
P.O. Box., Bldg., Room No., if any:
Street:115 Mill Street
City:BelmontState:MA
ZIP code:02478
7.
Date entered into09/29/2021

8.
Name of person(s) through whom made:
Name:Scott Rauch
Signature and Verification
Each of the undersigned declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including the information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned's knowledge and belief, true, correct, and complete. (See Section VII on penalties in the instructions.)
13.
SIGNED: Ben Johnson
Title: PRESIDENT
Date: Apr 28, 2022
Telephone Number: 802-825-5864
14.
SIGNED: Ben Johnson
Title: TREASURER
Date: Apr 28, 2022
Telephone Number: 802-825-5864
Form LM-20 (2003)
9.
Check the appropriate box(es) to indicate whether an object of the activities undertaken is directly or indirectly:
a.
X
To persuade employees to exercise or not to exercise, or persuade employees as to the manner of exercising, the right to organize and bargain collectively through representatives of their own choosing.
b.
To supply an employer with information concerning the activities of employees or a labor organization in connection with a labor dispute involving such employer, except information for use solely in conjunction with an administrative or arbitral proceeding or a criminal or civil judicial proceeding.
10.
Terms and conditions. (Explain in detail; see instructions. Written agreements must be attached.):
XWritten Agreement/Arrangement
See written agreement
Specific Activities to be performed
Activity1
11. For each activity, separately list in detail the information required. (See instructions.)
a. Nature of activity:To communicate with employees of their section 7 rights, inform them regarding collective bargaining and third party representation
11.b.Period during which activities performed:
9/29/2021 - 3/31/2022
11.c. Extent of performance:
Concluded
11.d.
Name and address of person(s) through whom activities were performed or will be performed:
  Name:Ben Johnson         Organization:
  P.O. Box, Bldg., Room No., If any:Street:55 Biggs StreetCity:BarreState:VTZip:05641
12.a. Identify subject groups of employees:
Full time, Part time and Per diem MHS,CRC and RNs
12.b. Identify subject labor organizations:
STATE COUNTY AND MUNI EMPLS AFL-CIO( LEADERSHIP COUNCIL 93 AFSCME) - 511964
Form LM-20 (2003)