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
506-906
2. PERIOD COVERED
From07/01/2021
Through06/30/2022
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

7. UNIT NAME (if any)
COMMITTEE OF INTERNS AND RESIDENTS
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Susan
 Last Name
Naranjo
P.O Box - Building and Room Number

Number and Street
10-27 46th Ave, Suite 300-2
City
Long Island City
State
NY		 ZIP Code + 4
11101


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:Lorenzo A GonzalezPRESIDENT71. SIGNED:Michael ZingmanTREASURER
Date:Sep 29, 2022Telephone Number:212-356-8100Date:Sep 29, 2022Telephone Number:212-356-8100
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 506-906
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?$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?Yes
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?06/2023
20. How many members did the labor organization have at the end of the reporting period?16,305
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.6% SalariesperYear853.082,317.58
(b) Working Dues/Fees0per000
(c) Initiation Fees0per000
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 506-906

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $9,800,478$9,746,640
23. Accounts Receivable1$969,597$1,092,279
24. Loans Receivable2$159$610
25. U.S. Treasury Securities $2,666,914$2,745,050
26. Investments5$0$0
27. Fixed Assets6$475,851$372,035
28. Other Assets7$1,911,779$1,969,181
29. TOTAL ASSETS $15,824,778$15,925,795

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$1,824,214$1,112,844
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$1,085,908$1,608,904
34. TOTAL LIABILITIES $2,910,122$2,721,748
35. NET ASSETS$12,914,656$13,204,047
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 506-906

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $15,825,592
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $44,901
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$616,565
44. Loans Obtained9
45. Repayments of Loans Made2$629
46. On Behalf of Affiliates for Transmittal to Them $277,740
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$2,235,556
49. TOTAL RECEIPTS $19,000,983
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$6,528,299
51. Political Activities and Lobbying16$204,167
52. Contributions, Gifts, and Grants17$247,644
53. General Overhead18$3,237,845
54. Union Administration19$1,634,299
55. Benefits20$3,190,798
56. Per Capita Tax $2,267,382
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$859,739
61. Loans Made2$1,080
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $283,410
64. On Behalf of Individual Members $0
65. Direct Taxes $718,808
  
66. Subtotal $19,173,471
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$2,433,471  
  67b. Less Total Disbursed$2,314,821  
  67c. Total Withheld But Not Disbursed $118,650
68. TOTAL DISBURSEMENTS $19,054,821
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 506-906

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$1,092,279   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $1,092,279$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 506-906

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$159$470$629 $0
Total of all lines above$159$1,080$629$0$610
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Name: Sara Holden (E)
Purpose: Personal charge
Security: Expense Reimbursemen
Terms of Repayment: 1 pay period
$0$499$499
Name: Sabrina Struth (E)
Purpose: Personal charge
Security: Expense Reimbursemen
Terms of Repayment: 1 pay period
$0$111$111
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

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$612,094$611,688$616,565$616,565
Computer Equipment reimb$1,432$1,026$1,026$1,026
Leasehold reimb - landlord$1,769$1,769$1,769$1,769
US Treasury & Agency Securities $608,893$608,893$613,770$613,770
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$616,565
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 506-906

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$859,739$859,739$859,739
Computer Equipment$20,136$20,136$20,136
Leasehold Improvements$866$866$866
US Treasury & Agency Securities $838,737$838,737$838,737
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$859,739
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 506-906

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost$0
B. Total Book Value$0
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost$0
E. Total Book Value$0
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)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 506-906

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$0$0$0$0
D. Office Furniture and Equipment$460,551$288,679$171,872$171,872
E. Other Fixed Assets$396,685$196,522$200,163$200,163
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $857,236$485,201$372,035$372,035
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 506-906

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $1,969,181
Prepaid Expenses$149,969
Accrued Income Receivable$11,010
Rebates Receivables$133,383
Security Deposits$83,480
Other Receivables$321,725
Due from Related Entities$1,269,614
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 506-906

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$1,112,844$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $1,112,844$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 506-906

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: 506-906

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,608,904
Accrued Salaries Payable$331,453
Accrued Vacation & Sick Pay Payable$437,042
Withheld Payable$24,482
Other Ppayables$815,927
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 506-906

(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 		Gonzalez ,  Lorenzo  
President
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		70 % Schedule 19
Administration 		20 %
A
B
C 		Zingman ,  Michael  
Secretary-Treasurer
N		$0$1,500$0$0$1,500
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		70 % Schedule 19
Administration 		20 %
A
B
C 		Rodriguez Ortiz ,  Yariana  
Executive Vice President
C		$0$4,500$123$0$4,623
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		70 % Schedule 19
Administration 		20 %
A
B
C 		Achong ,  Colleen  
Regional VP - NY Private
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Attenasio ,  Andrea  
Regional VP - NJ/DC
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Beagen ,  Patrick  
Regional VP - Nor Cal
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Blocker ,  Ja'Nelle  
Regional VP - NJ/DC
N		$0$0$1,236$0$1,236
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Goldberg ,  Stephen  
Regional VP - So CA-UC
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Hedmann ,  Monique  
Regional VP - So CA
N		$0$0$465$0$465
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Hickman ,  DaShawn  
Regional VP - Nor Cal
N		$0$6,000$0$0$6,000
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Isaacs ,  Dayna  
Regional VP - So CA-UC
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Ivanova ,  Anna  
Regional VP - NY Private
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Iyengar ,  Mahima  
Regional VP - So CA
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Jaber ,  Dina  
Regional VP - NY Public
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Khambhati ,  Kaushal  
Regional VP - NY Public
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Miller ,  Steven  
Regional VP - NY Private
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Nayak ,  Subhashree  
Regional VP - FL
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Neff ,  Joshua  
Regional VP - Nor Cal
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Ninneman ,  Alexandra  
Regional VP - NM
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Siow ,  Matthew  
Regional VP - So CA-UC
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Thipphavong ,  Christopher  
Regional VP - NY Private
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Walker ,  Taylor  
Regional VP - MA
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Yang ,  Fan Jim  
Regional VP - NY Public
N		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Shalvoy ,  Keriann  
President
P		$0$20,089$0$0$20,089
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		80 %
A
B
C 		Patel ,  Darshan   N
Executive Vice President
P		$0$47,559$2,759$0$50,318
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		80 %
A
B
C 		Gabrellas ,  Greg  
Secretary-Treasurer
P		$0$19,059$0$0$19,059
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		70 % Schedule 19
Administration 		20 %
A
B
C 		Abu-Arja ,  Mohammad   H
Regional VP - NY Private
P		$0$1,500$0$0$1,500
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Arroyo ,  Clare  
Regional VP - NM
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Benn ,  Gregory  
Regional VP - NJ/DC
P		$0$0$466$0$466
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Berland ,  Noah  
Regional VP - NY Public
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Borkowski ,  Suzanne  
Regional VP - NJ/DC
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Brittain ,  Ashley  
Regional VP - NY Private
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Campbell ,  Linelle  
Regional VP - NY Public
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Hirschbaum ,  Julian  
Regional VP - So CA
P		$0$4,500$0$0$4,500
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Hyatt ,  Andrew  
Regional VP - MA
P		$0$6,000$0$0$6,000
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Kelly ,  Mark  
Regional VP - So CA-UC
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Mitchell ,  Andreas  
Regional VP - Nor Cal
P		$0$9,000$0$0$9,000
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Mitra ,  Souparno  
Regional VP - NY Private
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Nandam ,  Aneesh  
Regional VP - Nor Cal
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Omotoso ,  Oluyemi  
Regional VP - NY Public
P		$0$13,785$0$0$13,785
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Ostrer ,  Lily  
Regional VP - FL
P		$0$6,000$700$0$6,700
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Patel ,  Tulsi  
Regional VP - NJ/DC
P		$0$6,000$0$0$6,000
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Smith ,  Jared  
Regional VP - NY Private
P		$0$6,000$0$0$6,000
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Thorp ,  Marguerite  
Regional VP - So CA-UC
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Vo ,  Chris  
Regional VP - So CA
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Weze ,  Kelechi  
Regional VP - NJ/DC
P		$0$0$0$0$0
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Del Valle ,  Michael  
Regional VP
P		$0$4,500$0$0$4,500
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Eugenio ,  Felisha  
Regional VP
P		$0$1,500$0$0$1,500
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Korotkin ,  Scott  
Regional VP
P		$0$4,500$0$0$4,500
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
A
B
C 		Li ,  Sean  
Regional VP
P		$0$4,500$0$0$4,500
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		70 %
Total Officer Disbursements$0$166,492$5,749$0$172,241
Less Deductions    $0
Net Disbursements    $172,241
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 506-906

(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 		Altenor ,  Jennifer   J
Media Coordinator
None		$112,246$0$675$50$112,971
I
Schedule 15
Representational Activities 		84 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		10 %
A
B
C 		Babaria ,  Sejal   A
No CA Area Director
None		$101,889$0$8,013$50$109,952
I
Schedule 15
Representational Activities 		26 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		72 %
A
B
C 		Bailey ,  Theresa  
New Organizer
None		$72,073$0$977$50$73,100
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 		Bharat ,  Anand  
Senior Accountant
None		$49,615$0$783$50$50,448
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		25 % Schedule 19
Administration 		75 %
A
B
C 		Blado ,  Christopher   M
Research-Negotiations Mgr
None		$90,061$0$900$50$91,011
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 		Bradshaw ,  Khaleah  
Improv/Patient Care Coord
None		$35,479$0$0$50$35,529
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 		Bush ,  Alexandra   H
No. CA Contract Organizer
None		$81,553$5,500$4,115$50$91,218
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		0 %
A
B
C 		Cardenas ,  Andrea  
Communication Coordinator
None		$83,936$430$1,840$50$86,256
I
Schedule 15
Representational Activities 		68 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		17 % Schedule 19
Administration 		0 %
A
B
C 		Cardona ,  Karen  
New Organizer
None		$75,911$3,200$4,933$50$84,094
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 		Carrube ,  Linda  
Office Manager
None		$101,514$0$2,779$50$104,343
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 		Cerdina ,  Nina   A
Organizing Director
None		$139,661$1,255$3,284$50$144,250
I
Schedule 15
Representational Activities 		88 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		12 % Schedule 19
Administration 		0 %
A
B
C 		Chow ,  Timothy  
Dir Spec Projects-Systems
None		$121,548$490$1,149$50$123,237
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 		Clarkson ,  Lalit  
Lead Contract OrganizerNY
None		$102,714$0$657$50$103,421
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 		Cundari Roelans ,  Alyssa   G
Florida Area Director
None		$46,627$0$4,863$0$51,490
I
Schedule 15
Representational Activities 		65 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		30 %
A
B
C 		Currier ,  Morgan   R
Organizer
None		$84,896$6,050$11,306$50$102,302
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 		Daniel-Hill ,  Cheryle  
Executive Assistant
None		$93,274$0$1,607$50$94,931
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		97 % Schedule 19
Administration 		3 %
A
B
C 		Dashefsky ,  David   J
Dir Strategic Campaigns
None		$122,597$250$2,796$50$125,693
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 		Della Fera ,  Angeline  
Lead Communications Coord
None		$13,338$0$0$0$13,338
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		8 % Schedule 19
Administration 		0 %
A
B
C 		DeRosa ,  Ralph  
General Counsel
None		$170,022$176$3,672$50$173,920
I
Schedule 15
Representational Activities 		69 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		27 % Schedule 19
Administration 		1 %
A
B
C 		Desmond ,  Dominic  
Organizer
None		$71,761$0$221$50$72,032
I
Schedule 15
Representational Activities 		85 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		14 % Schedule 19
Administration 		1 %
A
B
C 		Devoe ,  Dwane  
So. CA Contract Organizer
None		$86,883$6,050$574$50$93,557
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		10 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		5 %
A
B
C 		Dozal ,  Abril  
Organizer
None		$69,078$325$4,471$50$73,924
I
Schedule 15
Representational Activities 		76 % Schedule 16
Political Activities and Lobbying 		13 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		8 % Schedule 19
Administration 		3 %
A
B
C 		Duffee ,  Ian  
Dues and Data Coordinator
None		$78,647$0$1,540$50$80,237
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 		Dunham ,  Carol   G
Senior Counsel
None		$102,137$0$0$50$102,187
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 		Edery ,  Maya  
New Organizer
None		$31,200$735$5,248$0$37,183
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 		Eliot ,  Anita  
Director Legal Services
None		$160,108$0$1,240$50$161,398
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 		Ergasheva ,  Zaynab   S
FL Contract Organizer
None		$79,989$0$5,817$50$85,856
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 		Feldberg ,  Eve  
NY Contract Organizer
None		$86,612$1,567$5,697$50$93,926
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 		Fernandez ,  Vivian   M
QI Director
None		$111,514$0$0$50$111,564
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 		Foldes ,  Lila   S
NY Contract Organizer
None		$89,881$0$0$50$89,931
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 		Fonseca ,  Brett  
New Organizer
None		$22,277$0$0$0$22,277
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		3 %
A
B
C 		Gamboa ,  Jonathan   A
Senior Accountant
None		$89,860$0$2,570$50$92,480
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 		Gellman ,  Benjamin  
New Organizing Data Coord
None		$23,170$0$185$0$23,355
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 		Gerardo Valdez ,  Ercilia   O
Organizer
None		$55,849$0$399$50$56,298
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		0 %
A
B
C 		Gil Nicolas ,  Lilien  
Organizer
None		$44,461$225$250$50$44,986
I
Schedule 15
Representational Activities 		88 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		7 %
A
B
C 		Gin ,  Casey  
Organizer
None		$65,497$675$913$50$67,135
I
Schedule 15
Representational Activities 		91 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		3 %
A
B
C 		Godinez ,  Robert  
Organizer
None		$58,688$0$0$50$58,738
I
Schedule 15
Representational Activities 		78 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		15 % Schedule 19
Administration 		5 %
A
B
C 		Granado ,  Andreina  
Organizer
None		$69,717$0$99$50$69,866
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 		Gutmann-McKenzie ,  Liliana  
Organizer
None		$79,561$1,043$839$50$81,493
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 		Holden ,  Sara   A
NY Contract Organizer
None		$97,694$7,800$0$50$105,544
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 		Hom ,  Stephen   J
Accountant
None		$91,892$0$2,056$50$93,998
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 		Hull ,  Christopher  
Director of Legal Affairs
None		$161,972$153$2,303$50$164,478
I
Schedule 15
Representational Activities 		88 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		12 % Schedule 19
Administration 		0 %
A
B
C 		Kang ,  Joon  
New Organizer
None		$85,031$148$3,958$50$89,187
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 		Lindsey ,  Marley-Vince  
NJ Contract Organizer
None		$78,520$0$1,985$50$80,555
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 		Lopez ,  Blanca  
Project Staff Organizer
None		$49,242$0$2,683$50$51,975
I
Schedule 15
Representational Activities 		70 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		29 %
A
B
C 		Mahabir ,  Rebecca   L
Sr. Legal Assistant
None		$27,792$0$234$0$28,026
I
Schedule 15
Representational Activities 		7 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		89 %
A
B
C 		Maingrette ,  Wiener  
Controller
None		$143,114$0$2,784$50$145,948
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		2 % Schedule 18
General Overhead 		66 % Schedule 19
Administration 		31 %
A
B
C 		Manglani ,  Rhea  
New Organizer
None		$71,698$1,414$10,515$50$83,677
I
Schedule 15
Representational Activities 		69 % Schedule 16
Political Activities and Lobbying 		25 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		3 %
A
B
C 		Martin ,  Sophie   S
Organizer
None		$70,045$338$0$50$70,433
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 		Master ,  Karen  
Lead Contract OrganizerNY
None		$102,419$8,166$52$50$110,687
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 		Mathurin ,  Earl  
Associate Director
None		$104,620$0$1,254$0$105,874
I
Schedule 15
Representational Activities 		30 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		61 % Schedule 19
Administration 		7 %
A
B
C 		Mayne ,  Gene   A
Negotiator
None		$54,519$0$322$50$54,891
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 		McKenzie ,  Kerian  
Senior Legal Assistant
None		$32,070$0$563$0$32,633
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 		Menon ,  Mohan  
Organizer
None		$68,768$0$959$50$69,777
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		13 % Schedule 19
Administration 		10 %
A
B
C 		Morse ,  George   M
So. CA Contract Organizer
None		$81,779$550$178$50$82,557
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 		Naranjo ,  Susan  
Executive Director
None		$178,274$80$2,347$50$180,751
I
Schedule 15
Representational Activities 		28 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		70 % Schedule 19
Administration 		0 %
A
B
C 		Nass ,  Rachel  
Lead Communications Coord
None		$69,655$120$408$50$70,233
I
Schedule 15
Representational Activities 		39 % Schedule 16
Political Activities and Lobbying 		16 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		35 % Schedule 19
Administration 		10 %
A
B
C 		Nazzaro ,  Suzette   I
Human Resources Director
None		$113,477$0$1,387$50$114,914
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 		Nyenuh ,  Alphonso  
NY Contract Organizer
None		$86,693$0$100$50$86,843
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		0 %
A
B
C 		Peterson ,  Eric  
Organizer
None		$79,093$0$2,278$50$81,421
I
Schedule 15
Representational Activities 		79 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		8 % Schedule 19
Administration 		5 %
A
B
C 		Phillip ,  Sandra  
Dues and Data Associate
None		$75,303$0$812$50$76,165
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 		Pinsonneault ,  David  
Organizer
None		$82,368$121$1,073$50$83,612
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 		Porter ,  Andrew   R
Organizer
None		$78,157$0$0$50$78,207
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Potts ,  Daniel  
Lead New Organizer
None		$61,912$1,531$2,190$50$65,683
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 		Pye ,  Gordon  
Area Director
None		$40,385$675$1,097$0$42,157
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		70 % Schedule 19
Administration 		10 %
A
B
C 		Ragnauth ,  Amanda   A
Researcher
None		$78,157$0$702$50$78,909
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 		Ramirez ,  Marah  
HE Coordinator
None		$96,459$0$1,753$50$98,262
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 		Ramirez ,  Sarah   M
Paralegal
None		$76,474$0$452$50$76,976
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Robinson ,  Carmen  
Lead Dues and Data Assoc
None		$90,252$0$1,257$50$91,559
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 		Rosas ,  Maria   G
Organizer
None		$31,715$325$652$8,402$41,094
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 		Rothfelder ,  Alexander  
New Organizer
None		$69,795$0$6,763$50$76,608
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 		Rudich ,  Micaela  
New Organizer
None		$82,521$754$4,423$50$87,748
I
Schedule 15
Representational Activities 		74 % Schedule 16
Political Activities and Lobbying 		26 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Ruiz ,  Alyssa  
Health Equity Director
None		$108,394$0$967$50$109,411
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		7 %
A
B
C 		Schubert ,  Coralie   A
NY Contract Organizer
None		$88,280$0$3,266$50$91,596
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 		Shatabdy ,  Shaila   S
NY Contract Organizer
None		$18,348$0$0$0$18,348
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 		Shea ,  Bridget   N
Regional Director
None		$53,846$0$0$50$53,896
I
Schedule 15
Representational Activities 		78 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		15 % Schedule 19
Administration 		5 %
A
B
C 		Snow ,  Anya  
Socal Lead Organizer
None		$93,896$78$2,650$50$96,674
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 		Struth ,  Sabrina  
No. CA Contract Organizer
None		$67,751$5,698$898$50$74,397
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		0 %
A
B
C 		Szeps ,  Marisa   M
Political Coordinator
None		$106,154$6,203$16,147$50$128,554
I
Schedule 15
Representational Activities 		86 % Schedule 16
Political Activities and Lobbying 		14 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Tyrpak ,  Jed   D
NY/NJ Regional Director
None		$122,654$6,600$1,415$50$130,719
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 		Valentina ,  Susan   T
Organizer
None		$78,157$0$0$50$78,207
I
Schedule 15
Representational Activities 		88 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		4 %
A
B
C 		Warburton ,  Harry   R
Lead Contract OrganizerDC
None		$95,084$7,150$23,397$50$125,681
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 		Warner ,  Rosemary  
Dues and Data Associate
None		$81,600$0$1,707$50$83,357
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 		Washburn ,  Ira   B
Deputy Organizing Direct.
None		$96,904$2,672$6,265$50$105,891
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 		Weinstein ,  Zachary  
Organizer
None		$78,157$2,121$9,437$50$89,765
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Wiggins ,  Sharome   R
NJ Contract Organizer
None		$89,220$6,600$0$50$95,870
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		0 %
A
B
C 		Williams ,  Arthur   J
Dues and Data Associate
None		$69,423$0$0$50$69,473
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		95 %
A
B
C 		Winkler ,  Joy   I
NY Public Area Director
None		$111,252$154$1,194$50$112,650
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		0 %
A
B
C 		Wolffe ,  Mary   P
New Organizer
None		$49,195$0$1,312$50$50,557
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 		Young ,  Rashina   D
So CA Area Director
None		$111,252$7,412$2,753$50$121,467
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$9,224$0$0$0$9,224
I Schedule 15
Representational Activities 		66 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		33 % Schedule 19
Administration 		0 %
Total Employee Disbursements$7,416,500$94,834$213,360$12,352$7,737,046
Less Deductions    $2,433,471
Net Disbursements    $5,303,575
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 506-906

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 16,305 
Agency Fee Payers*82
Total Members/Fee Payers16,387 
*Agency Fee Payers are not considered members of the labor organization.
Members16,305Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 506-906

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$2,167,903
2. Named Payer Non-itemized Receipts$38,615
3. All Other Receipts$29,038
4. Total Receipts$2,235,556
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$185,059
2. Named Payee Non-itemized Disbursements$34,885
3. To Officers$0
4. To Employees$12,946
5. All Other Disbursements$14,754
6. Total Disbursements$247,644
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$458,958
2. Named Payee Non-itemized Disbursements$286,523
3. To Officers$17,226
4. To Employees$5,614,145
5. All Other Disbursements$151,447
6. Total Disbursements$6,528,299
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$1,510,249
2. Named Payee Non-itemized Disbursements$454,940
3. To Officers$39,998
4. To Employees$645,063
5. All Other Disbursements$587,595
6. Total Disbursements$3,237,845
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$28,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$166,218
5. All Other Disbursements$9,949
6. Total Disbursements$204,167
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$153,264
2. Named Payee Non-itemized Disbursements$10,481
3. To Officers$115,019
4. To Employees$1,298,675
5. All Other Disbursements$56,860
6. Total Disbursements$1,634,299
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 506-906

Name and Address
(A)
ADP, Inc.
P.O. Box 842875

Boston
MA
02284-2875
Type or Classification
(B)
Payroll Processor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,551
Total Non-Itemized Transactions with this Payee/Payer$8,990
Total of All Transactions with this Payee/Payer for This Schedule$14,541
Payroll Refund01/05/2022$5,551
Name and Address
(A)
Despres Schwartz and Geoghegan

77 W Washington St Ste 711
Chicago
IL
60602
Type or Classification
(B)
Law Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Refund of Retainer08/18/2021$10,000
Name and Address
(A)
Housestaff Benefit Plan

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$37,214
Total Non-Itemized Transactions with this Payee/Payer$1,788
Total of All Transactions with this Payee/Payer for This Schedule$39,002
Reimbursement of Expenses09/02/2021$28,800
Reimbursement of Expenses01/27/2022$8,414
Name and Address
(A)
Jackson Health System

1611 NW 12th Ave
Miami
FL
33136
Type or Classification
(B)
Hospital
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$175,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$175,000
Public Health Trust Fund10/13/2021$175,000
Name and Address
(A)
Joint Quality Improvement Assoc.

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Association
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,172
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,172
Reimbursement of Expenses08/12/2021$25,172
Name and Address
(A)
Patient Care Trust Fund

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Association
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$402,860
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$402,860
Reimbursement of Expenses12/22/2021$224,878
Reimbursement of Expenses12/23/2021$89,042
Reimbursement of Expenses03/17/2022$5,000
Reimbursement of Expenses03/17/2022$5,000
Reimbursement of Expenses05/27/2022$28,241
Reimbursement of Expenses05/27/2022$50,699
Name and Address
(A)
Professional Educational Plan

1375 Broadway 6th Floor
New York
NY
10018
Type or Classification
(B)
Affiliate Association
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$35,683
Total Non-Itemized Transactions with this Payee/Payer$12,621
Total of All Transactions with this Payee/Payer for This Schedule$48,304
Reimbursement of Expenses03/25/2022$35,683
Name and Address
(A)
Segal Select Insurance Services, Inc.

333 West 34th Street
New York
NY
10001
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,885
Total of All Transactions with this Payee/Payer for This Schedule$7,885
Name and Address
(A)
Service Employees International Union

1800 Massachusetts Ave NW
Washington
DC
20038
Type or Classification
(B)
Affiliate Labor Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$979,062
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$979,062
Per Capita Rebate08/06/2021$67,070
Per Capita Rebate08/27/2021$21,227
New Member Engagement Grant10/29/2021$50,000
Per Capita Rebate11/18/2021$39,304
Per Capita Rebate12/23/2021$47,298
Per Capita Rebate02/11/2022$58,392
Organizing Support02/23/2022$500,000
Per Capita Rebate03/11/2022$7,527
Per Capita Rebate03/18/2022$64,781
Organizing Support03/30/2022$44,272
Per Capita Rebate05/13/2022$66,691
Organizing Support06/17/2022$12,500
Name and Address
(A)
Standard Security Life Insurance Co

485 Madison Ave Suite 14
New York
NY
10022
Type or Classification
(B)
Benefits Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,223
Total of All Transactions with this Payee/Payer for This Schedule$7,223
Name and Address
(A)
Voluntary Hospitals HSBP

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$497,361
Total Non-Itemized Transactions with this Payee/Payer$108
Total of All Transactions with this Payee/Payer for This Schedule$497,469
Reimbursement of Expenses01/27/2022$8,414
Reimbursement of Expenses03/28/2022$488,947
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 506-906

Name and Address
(A)
American Airlines
P.O. Box 619616
DFW Intl Apirport
Dallas
TX
75261
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,319
Total of All Transactions with this Payee/Payer for This Schedule$14,319
Name and Address
(A)
Cohen Weiss and Simon LLP

900 Third Avenuue
New York
NY
10022-4869
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$58,978
Total Non-Itemized Transactions with this Payee/Payer$9,460
Total of All Transactions with this Payee/Payer for This Schedule$68,438
Legal Fees Labor Issues09/06/2021$5,665
Legal Fees Labor Issues09/22/2021$5,191
Legal Fees Labor Issues12/20/2021$16,240
Legal Fees Labor Issues04/24/2022$9,970
Legal Fees Labor Issues04/25/2022$14,077
Legal Fees Labor Issues06/27/2022$7,835
Name and Address
(A)
Cornell University ILR School

570 Lexington Ave 12th Flr
New York
NY
10022
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,095
Total of All Transactions with this Payee/Payer for This Schedule$7,095
Name and Address
(A)
Delta Air Lines
P.O. Box 20706

Atlanta
GA
30320
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,078
Total of All Transactions with this Payee/Payer for This Schedule$13,078
Name and Address
(A)
Dowd,Block,Bennett,Cervone,Auerbach,Yokic

8 South Michigan Avenue
Chicago
IL
60608
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,398
Total of All Transactions with this Payee/Payer for This Schedule$6,398
Name and Address
(A)
FedEx Office Print Ship Center

975 The Alameda #40
San Jose
CA
95126
Type or Classification
(B)
Delivery Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,508
Total of All Transactions with this Payee/Payer for This Schedule$9,508
Name and Address
(A)
Hilton Burlington Lake Champlain

60 Battery Street
Burlington
VT
05401
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,119
Total of All Transactions with this Payee/Payer for This Schedule$6,119
Name and Address
(A)
Hilton Garden Inn Burlington Downtown

101 Main Street
Burlington
VT
05401
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,599
Total of All Transactions with this Payee/Payer for This Schedule$6,599
Name and Address
(A)
Homewood Suites by Hilton Palo Alto

4329 El Camino Real
Palo Alto
CA
94306
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,096
Total of All Transactions with this Payee/Payer for This Schedule$15,096
Name and Address
(A)
Jessica Bell-Masterson

203 Chestnut Avenue #2
Jamaica Plain
MA
02130
Type or Classification
(B)
Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,519
Total Non-Itemized Transactions with this Payee/Payer$1,050
Total of All Transactions with this Payee/Payer for This Schedule$7,569
Consulting Services08/25/2021$6,519
Name and Address
(A)
JetBlue Airways

118-29 Queens Blvd
Forest Hills
NY
11375
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,027
Total of All Transactions with this Payee/Payer for This Schedule$5,027
Name and Address
(A)
Joy Products, Inc.

14 Vanderventer Avenue
Port Washington
NY
11050
Type or Classification
(B)
Promotional Products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,377
Total Non-Itemized Transactions with this Payee/Payer$16,966
Total of All Transactions with this Payee/Payer for This Schedule$31,343
Buttons Pens and Lanyards04/25/2022$14,377
Name and Address
(A)
Kauff, McGuire and Margolis LLP

950 Third Avenue 14th Floor
New York
NY
10022
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$42,975
Total Non-Itemized Transactions with this Payee/Payer$6,979
Total of All Transactions with this Payee/Payer for This Schedule$49,954
Legal Fees Labor Issues07/02/2021$24,136
Legal Fees Labor Issues09/08/2021$18,839
Name and Address
(A)
Kaufman Legal Group

777 S Figueroa St Ste 4050
Los Angeles
CA
90015
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,515
Total of All Transactions with this Payee/Payer for This Schedule$9,515
Name and Address
(A)
Margolies, Potterton and Associates

461 Hillsdale Drive
Santa Rosa
CA
95409
Type or Classification
(B)
Staffing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$15,000
Consulting Services09/08/2021$15,000
Name and Address
(A)
Mirowski and Associates

8030 La Mesa Blvd # 501
La Mesa
CA
91942
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,082
Total Non-Itemized Transactions with this Payee/Payer$2,444
Total of All Transactions with this Payee/Payer for This Schedule$9,526
Legal Fees Labor Issues07/16/2021$7,082
Name and Address
(A)
Office Team-CA
P.O. Box 743295

Los Angeles
CA
90074-3295
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,038
Total of All Transactions with this Payee/Payer for This Schedule$11,038
Name and Address
(A)
Pacific Printing

1445 Monterey Hwy
San Jose
CA
95110
Type or Classification
(B)
Printing Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,561
Total of All Transactions with this Payee/Payer for This Schedule$8,561
Name and Address
(A)
Phillips, Richard and Rind, P.A.

9360 SW 72 Street Suite 283
Miami
FL
33173
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,019
Total Non-Itemized Transactions with this Payee/Payer$2,958
Total of All Transactions with this Payee/Payer for This Schedule$7,977
Legal Fees Labor Issues11/09/2021$5,019
Name and Address
(A)
Residence Inn by Marriott Mountain View

1854 El Camino Real
Mountain View
CA
94040
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,133
Total of All Transactions with this Payee/Payer for This Schedule$7,133
Name and Address
(A)
Residence Inn by Marriott Palo Alto Los Altos

4460 El Camino Real
Los Altos
CA
94022
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,934
Total of All Transactions with this Payee/Payer for This Schedule$11,934
Name and Address
(A)
Robert Half

1 Liberty Plaza
New York
NY
10006
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,218
Total Non-Itemized Transactions with this Payee/Payer$27,522
Total of All Transactions with this Payee/Payer for This Schedule$39,740
Temporary Organizing Staff04/07/2022$6,871
Temporary Organizing Staff06/27/2022$5,347
Name and Address
(A)
Schwartz, Steinsapir, Dohrman and Sommers

6300 Wilshire Blvd Ste 2000
Los Angeles
CA
90048-5202
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$154,645
Total Non-Itemized Transactions with this Payee/Payer$3,664
Total of All Transactions with this Payee/Payer for This Schedule$158,309
Legal Fees Labor Issues07/02/2021$31,664
Legal Fees Labor Issues08/03/2021$13,616
Legal Fees Labor Issues08/25/2021$8,502
Legal Fees Labor Issues11/09/2021$8,785
Legal Fees Labor Issues12/20/2021$6,518
Legal Fees Labor Issues03/01/2022$29,468
Legal Fees Labor Issues05/31/2022$12,393
Legal Fees Labor Issues06/27/2022$43,699
Name and Address
(A)
Segal Roitman, LLP

33 Harrison Ave 7th Flr
Boston
MA
02111
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,224
Total of All Transactions with this Payee/Payer for This Schedule$11,224
Name and Address
(A)
Southwest Airlines
P.O. Box 36647

Dallas
TX
75235
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,128
Total of All Transactions with this Payee/Payer for This Schedule$11,128
Name and Address
(A)
StepVisual Communications

519 8th Ave 3rd Flr
New York
NY
10018
Type or Classification
(B)
Printing Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,028
Total of All Transactions with this Payee/Payer for This Schedule$12,028
Name and Address
(A)
Telegraph

1611 Telegraph Ave Ste 725
Oakland
CA
94612
Type or Classification
(B)
Media Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$128,485
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$128,485
Media Consulting for CA Labor Negotiations08/03/2021$12,585
Media Consulting for CA Labor Negotiations08/25/2021$10,000
Media Consulting for CA Labor Negotiations09/08/2021$11,650
Media Consulting for CA Labor Negotiations11/09/2021$22,500
Media Consulting for CA Labor Negotiations12/20/2021$10,000
Media Consulting for CA Labor Negotiations01/19/2022$10,000
Media Consulting for CA Labor Negotiations03/01/2022$10,000
Media Consulting for CA Labor Negotiations04/25/2022$20,000
Media Consulting for CA Labor Negotiations06/27/2022$10,000
Media Consulting for CA Labor Negotiations06/27/2022$11,750
Name and Address
(A)
United Airlines

77 W Wacker Dr
Chicago
IL
60601
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$20,197
Total of All Transactions with this Payee/Payer for This Schedule$20,197
Name and Address
(A)
Weinberg, Roger and Rosenfeld

1001 Marina Village Pky 200
Alameda
CA
94501-6430
Type or Classification
(B)
Legal Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,660
Total Non-Itemized Transactions with this Payee/Payer$24,083
Total of All Transactions with this Payee/Payer for This Schedule$37,743
Legal Fees Labor Issues12/14/2021$7,660
Legal Fees Labor Issues05/06/2022$6,000
Name and Address
(A)
WorcLab

44 Portland St 4th Flr
Worcester
MA
01608
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,400
Total of All Transactions with this Payee/Payer for This Schedule$5,400
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 506-906

Name and Address
(A)
Labor Campaign for Single Payer Healthcare
P.O Box 34262

Washington
DC
20043
Type or Classification
(B)
Political Campaign
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
Contribution03/10/2022$5,000
Name and Address
(A)
Working Families Party

77 Sands Street #6
Brooklyn
NY
11201
Type or Classification
(B)
Political Party
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$23,000
Contribution12/10/2021$15,000
Contribution03/01/2022$8,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 506-906

Name and Address
(A)
American Express Prepaid Card

4315 S 2700 West
Salt Lake City
UT
84184
Type or Classification
(B)
Credit Card
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,380
Total of All Transactions with this Payee/Payer for This Schedule$11,380
Name and Address
(A)
Grubhub

111 W Washington St# 2100
Chicago
IL
60602
Type or Classification
(B)
Food Delivery Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$17,940
Total of All Transactions with this Payee/Payer for This Schedule$17,940
Name and Address
(A)
Idealist.org

389 5th Avenue 9th Floor
New York
NY
10016
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,565
Total of All Transactions with this Payee/Payer for This Schedule$5,565
Name and Address
(A)
One Small House
P.O. Box 292385

Los Angeles
CA
90027
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,059
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$22,059
Contribution06/03/2022$22,059
Name and Address
(A)
San Diego House Staff Association

8030 La Mesa Blvd #501
La Mesa
CA
91942
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$150,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$150,000
Membership Fund Program01/20/2022$75,000
Membership Fund Program04/25/2022$37,500
Membership Fund Program06/27/2022$37,500
Name and Address
(A)
The Redeemed Christian Church of God

360 Granfield Avenue
Bridgeport
CT
06610
Type or Classification
(B)
Church
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$13,000
Contribution06/03/2022$13,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 506-906

Name and Address
(A)
10-27 46th Avenue, LLC
c/o GFP Real Estate LLC
125 Park Avenue
New York
NY
10017
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$323,861
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$323,861
Rent for National Office07/06/2021$27,421
Rent for National Office08/03/2021$27,690
Rent for National Office09/08/2021$27,837
Rent for National Office11/19/2021$27,737
Rent for National Office12/20/2021$54,506
Rent for National Office03/01/2022$52,065
Rent for National Office04/25/2022$27,427
Rent for National Office04/25/2022$51,779
Rent for National Office06/27/2022$27,399
Name and Address
(A)
1541-1545 Wilshire SEIU 721 Holding, LLC

1545 Wilshire Blvd Ste 100
Los Angeles
CA
90017
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,154
Total Non-Itemized Transactions with this Payee/Payer$10,359
Total of All Transactions with this Payee/Payer for This Schedule$20,513
Rent for California Office01/10/2022$5,077
Rent for California Office04/07/2022$5,077
Name and Address
(A)
Accountemps

12400 Collections Center Dr
Chicago
IL
60693
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,390
Total Non-Itemized Transactions with this Payee/Payer$6,814
Total of All Transactions with this Payee/Payer for This Schedule$37,204
Temporary Office Staff09/10/2021$8,030
Temporary Office Staff09/23/2021$8,538
Temporary Office Staff10/20/2021$8,279
Temporary Office Staff12/10/2021$5,543
Name and Address
(A)
Aditya Jones

3183 Wilshire Blvd. #196C33
Los Angeles
CA
90010
Type or Classification
(B)
Grant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,098
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$14,098
Quality Improvement Fund09/08/2021$7,049
Quality Improvement Fund09/09/2021$7,049
Name and Address
(A)
Adobe Systems Incorporated

345 Park Avenue
San Jose
CA
95110-2704
Type or Classification
(B)
Software Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$28,337
Total Non-Itemized Transactions with this Payee/Payer$11,116
Total of All Transactions with this Payee/Payer for This Schedule$39,453
Annual Contract-Software10/21/2021$8,325
Annual Contract-Software10/21/2021$7,012
Annual Contract-Software10/22/2021$5,500
Annual Contract-Software10/22/2021$7,500
Name and Address
(A)
ADP, Inc.
P.O. Box 842875

Boston
MA
02284-2875
Type or Classification
(B)
Payroll Processor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$21,524
Total of All Transactions with this Payee/Payer for This Schedule$21,524
Name and Address
(A)
Amalgamated Bank

10 East 14th Street
New York
NY
10003
Type or Classification
(B)
Financial Institution
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,128
Total of All Transactions with this Payee/Payer for This Schedule$5,128
Name and Address
(A)
Amazon.com

440 Terry Ave N
Seattle
WA
98109
Type or Classification
(B)
Online Retailer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,867
Total of All Transactions with this Payee/Payer for This Schedule$9,867
Name and Address
(A)
AmTrust North America
P.O. Box 6939

Cleveland
OH
44101-1939
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$111,596
Total Non-Itemized Transactions with this Payee/Payer$5,582
Total of All Transactions with this Payee/Payer for This Schedule$117,178
Workers Compensation Insurance07/16/2021$15,219
Workers Compensation Insurance02/13/2022$15,000
Workers Compensation Insurance02/13/2022$15,000
Workers Compensation Insurance02/13/2022$15,000
Workers Compensation Insurance02/13/2022$15,000
Workers Compensation Insurance02/13/2022$15,000
Workers Compensation Insurance06/29/2022$21,377
Name and Address
(A)
Certify Inc.

20 York Street Suite 201
Portland
ME
04101
Type or Classification
(B)
Accounting Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,476
Total of All Transactions with this Payee/Payer for This Schedule$10,476
Name and Address
(A)
Chase Cardmember Service
P.O. Box 6294

Carol Stream
IL
60197-6294
Type or Classification
(B)
Credit Card
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,254
Total of All Transactions with this Payee/Payer for This Schedule$8,254
Name and Address
(A)
Chiaro Technology Ltd

66 63 Hatton Garden
London, UK EC1N 8LE
00
Type or Classification
(B)
Computer Consultant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$152
Total of All Transactions with this Payee/Payer for This Schedule$5,152
Quality Improvement Fund03/01/2022$5,000
Name and Address
(A)
Christine Tung

1625 242nd Place Unit F
Harbor City
CA
90710
Type or Classification
(B)
Grant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,800
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$21,800
Quality Improvement Fund08/25/2021$7,800
Quality Improvement Fund11/19/2021$14,000
Name and Address
(A)
Cleaning Service Industries, Inc.

1384 Broadway Suite 407
New York
NY
10018
Type or Classification
(B)
Office Maintenance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,507
Total of All Transactions with this Payee/Payer for This Schedule$10,507
Name and Address
(A)
Cool Breeze Air Conditioning, Inc.

505 8th Avenue #702
New York
NY
10018
Type or Classification
(B)
Air Conditioning Contractor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,375
Total of All Transactions with this Payee/Payer for This Schedule$7,375
Name and Address
(A)
Cornell University ILR School

570 Lexington Ave 12th Flr
New York
NY
10022
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
PCTF Expense03/17/2022$5,000
PCTF Expense03/17/2022$5,000
Name and Address
(A)
Dermapen

3216 S Highland Dr Ste 302
Salt Lake City
UT
84106
Type or Classification
(B)
Medical Equipment Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,050
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,050
Public Health Trust Fund05/14/2022$6,050
Name and Address
(A)
Dominion Tower

1400 NW 10th Ave Suite 101
Miami
FL
33136
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,240
Total Non-Itemized Transactions with this Payee/Payer$18,863
Total of All Transactions with this Payee/Payer for This Schedule$26,103
Rent Florida Office04/07/2022$7,240
Name and Address
(A)
Edward Burke

1714 21st Street Apt 371
Saceamento
CA
95811
Type or Classification
(B)
Grant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,745
Total of All Transactions with this Payee/Payer for This Schedule$8,745
Name and Address
(A)
Fujifilm Sonosite

22011 30th Drive SE
Bothell
WA
98201
Type or Classification
(B)
Medical Equipment Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$57,685
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$57,685
Quality Improvement Fund06/25/2022$57,685
Name and Address
(A)
G-I IX Marina Village Portfolio LP

1050 Marina Village Parkway
Los Angeles
CA
90084
Type or Classification
(B)
Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,392
Total of All Transactions with this Payee/Payer for This Schedule$13,392
Name and Address
(A)
GTSimulators

10388 W State Rd 84 Ste 111
Davie
FL
33324
Type or Classification
(B)
Medical Equipment Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,410
Total Non-Itemized Transactions with this Payee/Payer$553
Total of All Transactions with this Payee/Payer for This Schedule$12,963
Public Health Trust Fund04/14/2022$12,410
Name and Address
(A)
Harbor Emergency Medical Education Foundation

9382 Hazel Circle
Villa Prk
CA
92861-2807
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$37,822
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$37,822
Quality Improvement Fund03/01/2022$37,822
Name and Address
(A)
Health Plan Systems Inc.
2025 Lincoln Highway
State Route 27 Suite 340
Edison
NJ
08817
Type or Classification
(B)
Software Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$73,783
Total Non-Itemized Transactions with this Payee/Payer$28,068
Total of All Transactions with this Payee/Payer for This Schedule$101,851
Website and Computer Support07/02/2021$5,270
Website and Computer Support08/03/2021$5,270
Website and Computer Support08/25/2021$5,270
Website and Computer Support11/09/2021$15,811
Website and Computer Support02/11/2022$21,082
Website and Computer Support03/01/2022$5,270
Website and Computer Support04/25/2022$5,270
Website and Computer Support05/31/2022$5,270
Website and Computer Support06/27/2022$5,270
Name and Address
(A)
Indeed

177 Broad Street
Stamford
CT
06901
Type or Classification
(B)
Employment Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,289
Total of All Transactions with this Payee/Payer for This Schedule$8,289
Name and Address
(A)
Intuit

2632 Marine Way
Mountain View
CA
94043
Type or Classification
(B)
Software Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,480
Total of All Transactions with this Payee/Payer for This Schedule$7,480
Name and Address
(A)
Jay Star Group, Inc.

200 Connecticut Ave 5th Flr
Norwalk
CT
06854
Type or Classification
(B)
LM2 Preparers
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,140
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,140
NA06/30/2022$7,140
Name and Address
(A)
Jonathan Warren
Box 21
1000 West Carson Stewwt
Torrance
CA
90502
Type or Classification
(B)
Grant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$52,712
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$52,712
Quality Improvement Fund11/03/2021$52,712
Name and Address
(A)
Joseph Friedrich
c/o Dr Bradely Chappell
5053 Rockvalley Road
Rancho Polos Verdes
CA
90275
Type or Classification
(B)
Grant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,762
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,762
Quality Improvement Fund09/15/2021$12,762
Name and Address
(A)
Joy Products, Inc.

14 Vanderventer Avenue
Port Washington
NY
11050
Type or Classification
(B)
Promotional Products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,172
Total Non-Itemized Transactions with this Payee/Payer$751
Total of All Transactions with this Payee/Payer for This Schedule$25,923
JQIA Backpacks08/03/2021$25,172
Name and Address
(A)
Kevin Yu

12360 Primrose Avenue
Whittier
CA
90602
Type or Classification
(B)
Grant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,500
Quality Improvement Fund06/27/2022$7,500
Name and Address
(A)
Locktight Solutions, Inc.

11 Ridge Road
Creeskill
NJ
07626-1028
Type or Classification
(B)
Computer Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$112,308
Total Non-Itemized Transactions with this Payee/Payer$20,578
Total of All Transactions with this Payee/Payer for This Schedule$132,886
IT Consulting and Licenses09/10/2021$5,403
IT Consulting and Licenses09/23/2021$7,034
IT Consulting and Licenses11/04/2021$5,471
IT Consulting and Licenses12/14/2021$5,205
IT Consulting and Licenses01/10/2022$6,381
IT Consulting and Licenses01/19/2022$5,211
IT Consulting and Licenses03/01/2022$5,515
IT Consulting and Licenses04/07/2022$5,228
IT Consulting and Licenses06/09/2022$56,590
IT Consulting and Licenses06/24/2022$5,024
IT Consulting and Licenses06/24/2022$5,246
Name and Address
(A)
Meltwater News US Inc

Dept LA 23721
Pasadena
CA
91185-3721
Type or Classification
(B)
Software Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,174
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$13,174
Media Software Services06/27/2022$13,174
Name and Address
(A)
Nathan Jasperse

5101 E Anaheim Street #107
Long Beach
CA
90804
Type or Classification
(B)
Grant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$42,559
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$42,559
Quality Improvement Fund11/13/2021$42,559
Name and Address
(A)
Palo Alto Networks Inc

3000 Tannery Way
Santa Clara
CA
95054
Type or Classification
(B)
Computer Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,240
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$16,240
Consulting Services03/01/2022$16,240
Name and Address
(A)
PointPolish

1293 Prospect Ave
Brooklyn
NY
11238
Type or Classification
(B)
Communications Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,020
Total of All Transactions with this Payee/Payer for This Schedule$5,020
Name and Address
(A)
Quadient Finance USA, Inc
P.O. Box 6813

Carol Stream
IL
60197-6813
Type or Classification
(B)
Equipment Rental Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$13,608
Total of All Transactions with this Payee/Payer for This Schedule$18,608
NA08/10/2021$5,000
Name and Address
(A)
Quest Diagnostics

130 W Main Street Suite 142
Trappe
PA
19426
Type or Classification
(B)
Medical Laboratory
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,414
Total of All Transactions with this Payee/Payer for This Schedule$11,414
Name and Address
(A)
Regents of the Univ of CA Berkeley

2150 Shattuck Ave Suite 300
Berkeley
CA
94704
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$29,375
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$29,375
Payroll Setup05/31/2022$29,375
Name and Address
(A)
Robert Half

1 Liberty Plaza
New York
NY
10006
Type or Classification
(B)
Temporary Staffing Agency
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,622
Total Non-Itemized Transactions with this Payee/Payer$7,269
Total of All Transactions with this Payee/Payer for This Schedule$18,891
Temporary Office Staff12/10/2021$5,745
Temporary Office Staff12/14/2021$5,877
Name and Address
(A)
Rogoff and Company, PC

355 Lexington Ave 6th Flr
New York
NY
10017
Type or Classification
(B)
Accounting Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$46,500
Total Non-Itemized Transactions with this Payee/Payer$4,625
Total of All Transactions with this Payee/Payer for This Schedule$51,125
Accounting and Auditing Fees08/03/2021$15,500
Accounting and Auditing Fees11/09/2021$15,500
Accounting and Auditing Fees03/31/2022$15,500
Name and Address
(A)
Ross Resources, Inc.

441 Division Avenue
Hicksville
NY
11801
Type or Classification
(B)
Consultants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$130,902
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$130,902
Consulting HR08/03/2021$10,912
Consulting HR08/03/2021$10,001
Consulting HR09/16/2021$10,350
Consulting HR11/09/2021$10,688
Consulting HR11/09/2021$10,125
Consulting HR12/20/2021$22,612
Consulting HR01/19/2022$7,575
Consulting HR03/01/2022$9,788
Consulting HR04/25/2022$7,538
Consulting HR05/31/2022$19,838
Consulting HR06/27/2022$11,475
Name and Address
(A)
Ryan DeVivo

1035 Elkgrove Avenue #2
Venice
CA
90291
Type or Classification
(B)
Grant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,436
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$15,436
Quality Improvement Fund03/01/2022$15,436
Name and Address
(A)
Segal Select Insurance Services, Inc.

333 West 34th Street
New York
NY
10001
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,067
Total Non-Itemized Transactions with this Payee/Payer$11,402
Total of All Transactions with this Payee/Payer for This Schedule$18,469
Liability Insurance03/18/2022$7,067
Name and Address
(A)
Seneca Insurance Company, Inc.

160 Water Street
New York
NY
10038-4922
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,387
Total Non-Itemized Transactions with this Payee/Payer$3,767
Total of All Transactions with this Payee/Payer for This Schedule$13,154
Commercial Package Insurance01/19/2022$9,387
Name and Address
(A)
SEIU Local 73

300 S Ashland Ave #400
Chicago
IL
60607
Type or Classification
(B)
Labor Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,440
Total of All Transactions with this Payee/Payer for This Schedule$10,440
Name and Address
(A)
SEIU Massachusetts State Council

145 Tremont St Suite 202
Boston
MA
02111
Type or Classification
(B)
Affiliate Labor Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,000
Total of All Transactions with this Payee/Payer for This Schedule$18,000
Name and Address
(A)
Slack

500 Howard Street
San Francisco
CA
94105
Type or Classification
(B)
Software Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,162
Total of All Transactions with this Payee/Payer for This Schedule$5,162
Name and Address
(A)
Spectrun
Charter Communications
400 Washington Blvd
Stamford
CT
06902
Type or Classification
(B)
Internet/Web Service Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,664
Total of All Transactions with this Payee/Payer for This Schedule$15,664
Name and Address
(A)
Stacy Braun Associates, Inc.

377 Broadway
New York
NY
10013-3934
Type or Classification
(B)
Investment Advisors
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,706
Total Non-Itemized Transactions with this Payee/Payer$2,127
Total of All Transactions with this Payee/Payer for This Schedule$7,833
Investment Fees02/11/2022$5,706
Name and Address
(A)
Staples

15 Ridge Road
Putnam
CT
06260
Type or Classification
(B)
Office Supply Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,444
Total of All Transactions with this Payee/Payer for This Schedule$5,444
Name and Address
(A)
Stephanie Davis

4826 Edgewood Place
Los Angeles
CA
90019
Type or Classification
(B)
Grant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,400
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,400
Quality Improvement Fund09/29/2021$5,400
Name and Address
(A)
Submittable

111 N Higgins Ave Suite 300
Missoula
MT
59802
Type or Classification
(B)
Online Forms Submission Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,806
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,806
Software Subscription12/13/2021$8,806
Name and Address
(A)
SurveyMonkey.com

One Curiosity Way
San Mateo
CA
94403
Type or Classification
(B)
Software Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,533
Total Non-Itemized Transactions with this Payee/Payer$1,003
Total of All Transactions with this Payee/Payer for This Schedule$7,536
Internet/Web Services02/13/2022$6,533
Name and Address
(A)
Telco Experts
P.O. Box 945

Oakland
NJ
07436-0945
Type or Classification
(B)
Internet/Web Service Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,584
Total of All Transactions with this Payee/Payer for This Schedule$12,584
Name and Address
(A)
The Lundquist Institute

1124 W Carson Street
Torrance
CA
90502
Type or Classification
(B)
Non-Profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,065
Total of All Transactions with this Payee/Payer for This Schedule$7,065
Name and Address
(A)
The University of California Regents

1111 Franklin St Suite 12
Oakland
CA
94607
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,875
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$16,875
Payroll Setup07/13/2021$7,500
Payroll Setup12/22/2021$9,375
Name and Address
(A)
TIAA Commercial Finance, Inc.
P.O. Box 911608

Denver
CO
80291-1608
Type or Classification
(B)
Equipment Rental Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$19,582
Total of All Transactions with this Payee/Payer for This Schedule$19,582
Name and Address
(A)
Union Jobs Clearinghouse LLC

122 Calostoga Rd Suite 181
Santa Rosa
CA
95409
Type or Classification
(B)
Employment Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,400
Total of All Transactions with this Payee/Payer for This Schedule$11,400
Name and Address
(A)
Union Services Agency

119 Pere Marquette Suite 1A
Lansing
MI
48912
Type or Classification
(B)
Insurance Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$67,706
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$67,706
Union Liability Insurance02/17/2022$67,706
Name and Address
(A)
University of Miami

1320 S Dixie Hwy Suite 650
Coral Gables
FL
33146
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$28,515
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$28,515
Public Health Trust Fund08/03/2021$28,515
Name and Address
(A)
University of Miami-Dept of Psychiatry
P.O. Box 405516

Atlanta
GA
30384-5516
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$9,000
Total of All Transactions with this Payee/Payer for This Schedule$14,000
Public Health Trust Fund02/20/2022$5,000
Name and Address
(A)
University of Southern California.

16200 Amber Valley Dr
Whittier
CA
90604
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$40,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$40,000
Quality Improvement Fund08/25/2021$40,000
Name and Address
(A)
Verizon-NJ
P.O. Box 408

Newark
NJ
07101-0408
Type or Classification
(B)
Telecommunications Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$45,309
Total of All Transactions with this Payee/Payer for This Schedule$45,309
Name and Address
(A)
Voluntary Hospitals HSBP

520 Eighth Ave Suite 1200
New York
NY
10018
Type or Classification
(B)
Affiliate Benefit Plan
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,626
Total Non-Itemized Transactions with this Payee/Payer$483
Total of All Transactions with this Payee/Payer for This Schedule$31,109
St Barnabas Deposit Error of 4/12/202007/02/2021$30,626
Name and Address
(A)
Zoom

55 Almaden Blvd Suite 600
San Jose
CA
95113
Type or Classification
(B)
Online Meeting Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$20,699
Total of All Transactions with this Payee/Payer for This Schedule$20,699
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 506-906

Name and Address
(A)
Crystal Springs Resort

1 Wild Turkey Way
Hamburg
NJ
07419
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,086
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$30,086
Executive Committee Meeting06/09/2022$30,086
Name and Address
(A)
Hilton Millennium

One Un Plaza
New York
NY
10017
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,932
Total Non-Itemized Transactions with this Payee/Payer$1,613
Total of All Transactions with this Payee/Payer for This Schedule$16,545
Executive Committee Meeting03/15/2022$14,932
Name and Address
(A)
Hotel Maya - a Doubletree by Hilton Hotel

700 Queensway Dr
Long Beach
CA
90802
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,257
Total Non-Itemized Transactions with this Payee/Payer$3,741
Total of All Transactions with this Payee/Payer for This Schedule$15,998
CIR Annual Convention05/14/2022$6,277
CIR Annual Convention06/14/2022$5,980
Name and Address
(A)
Hyatt Regency Los Angeles Airport

6225 W Century Blvd
Los Angeles
CA
90045
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,910
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$17,910
Executive Committee Meeting03/15/2022$17,910
Name and Address
(A)
Joy Products, Inc.

14 Vanderventer Avenue
Port Washington
NY
11050
Type or Classification
(B)
Promotional Products
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$78,079
Total Non-Itemized Transactions with this Payee/Payer$5,127
Total of All Transactions with this Payee/Payer for This Schedule$83,206
Convention Jackets08/03/2021$13,292
Convention Jackets08/03/2021$16,145
Convention Jackets05/31/2022$48,642
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 506-906

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$3,190,798
Disability InsuranceStandard Security Life Insurance Co$26,750
Medical InsuranceEmployees$6,059
Medical InsuranceHousestaff Benefit Plan$554,066
Medical InsuranceRetirees$8,750
Medical InsuranceVoluntary Hospitals HSBP$996,925
Pension BenefitsSEIU Benefit Funds$1,598,248
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 506-906


Question 10: HOUSE STAFF BENEFIT PLAN ID # 13-6203291 A TAX EXEMPT 501-C-9 MULTI-EMPLOYER/EMPLOYEE BENEFIT PLAN. VOLUNTARY HOSPITAL HOUSE STAFF BENEFIT PLAN ID # 13-3029280 A TAX EXEMPT 501-C-9 MULTI-EMPLOYER/EMPLOYEE BNTF PLAN. PATIENT CARE TRUST FUND ID# 13- 3045148 A TAX EXEMPT 501-C3. PROFESSIONAL EDUCATION PLAN ID# 13-4071468 A TAX EXEMPT 501-C9 MULTI EMPLOYER/EMPLOYEE BENEFIT PLAN.

Question 11(a):

Question 11(a): PAC FUND (CIR-SEIU LOCAL 1957 HEALTH CARE ADVOCACY FUND) FILES FORM A17520 WITH THE NEW YORK STATE BOARD OF ELECTIONS.

Question 12: AUDIT IS BEING PERFORMED BY ROGOFF & COMPANY, P.C. CPA'S, 355 LEXINGTON AVENUE 6TH FLOOR, NEW YORK, NY 10017 212-557-5666

Question 16: CIR MAINTAINED A SECURITY DEPOSIT IN THE AMOUNT OF $80,438 WITH GFP REAL ESTATE LLC(LANDLORD) FOR THE NATIONAL OFFICE LEASE.

Schedule 13, Row1:MEMBERS PAY FULL DUES AND HAVE FULL VOTING RIGHTS.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)