069-941 (LM2) 09/30/2022

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
069-941

2. PERIOD COVERED
From	10/01/2021
Through	09/30/2022

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 UNION OF AMERICAN PHYSICIANS
5. DESIGNATION (Local, Lodge, etc.) STATE FEDERATION	6. DESIGNATION NBR
7. UNIT NAME (if any) CALIFORNIA FEDERATION OF THE UNION OF AMERICAN

8. MAILING ADDRESS (Type or print in capital letters)
First Name STUART	Last Name BUSSEY
P.O Box - Building and Room Number
Number and Street 520 CAPITOL MALL, SUITE 220
City SACRAMENTO
State CA	ZIP Code + 4 95814

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:

stuart A Bussey

PRESIDENT

71. SIGNED:

Ronald H Lewis, M.D.

TREASURER

Date:

Dec 27, 2022

Telephone Number:

510-839-0193

Date:

Dec 27, 2022

Telephone Number:

619-889-7500

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

ITEMS 10 THROUGH 21

FILE NUMBER: 069-941

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?	No
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?	No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?	No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?	No
19. What is the date of the labor organization's next regular election of officers?	10/2024

20. How many members did the labor organization have at the end of the reporting period?

2,777

21. What are the labor organization's rates of dues and fees?

Rates of Dues and Fees
Dues/Fees	Amount		Unit	Minimum	Maximum
(a) Regular Dues/Fees	477	per	year	72	3600
(b) Working Dues/Fees	NA	per	N/A	N/A	N/A
(c) Initiation Fees	N/A	per	N/A	N/A	N/A
(d) Transfer Fees	N/A	per	N/A	N/A	N/A
(e) Work Permits	N/A	per	N/A	N/A	N/A

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

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 069-941

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$11,863,880	$12,578,207
23. Accounts Receivable	1		$0
24. Loans Receivable	2
25. U.S. Treasury Securities		$0	$0
26. Investments	5
27. Fixed Assets	6
28. Other Assets	7
29. TOTAL ASSETS		$11,863,880	$12,578,207

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8
31. Loans Payable	9
32. Mortgages Payable		$0	$0
33. Other Liabilities	10
34. TOTAL LIABILITIES		$0	$0

35. NET ASSETS

$11,863,880

$12,578,207

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

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 069-941

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$6,537,735
37. Per Capita Tax		$0
38. Fees, Fines, Assessments, Work Permits		$0
39. Sale of Supplies		$0
40. Interest		$262,686
41. Dividends		$0
42. Rents		$0
43. Sale of Investments and Fixed Assets	3
44. Loans Obtained	9
45. Repayments of Loans Made	2
46. On Behalf of Affiliates for Transmittal to Them		$0
47. From Members for Disbursement on Their Behalf		$0
48. Other Receipts	14	$0
49. TOTAL RECEIPTS		$6,800,421

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$1,824,874
51. Political Activities and Lobbying		16	$545,071
52. Contributions, Gifts, and Grants		17	$0
53. General Overhead		18	$2,523,957
54. Union Administration		19	$432,104
55. Benefits		20	$245,124
56. Per Capita Tax			$514,964
57. Strike Benefits			$0
58. Fees, Fines, Assessments, etc.			$0
59. Supplies for Resale			$0
60. Purchase of Investments and Fixed Assets		4
61. Loans Made		2
62. Repayment of Loans Obtained		9
63. To Affiliates of Funds Collected on Their Behalf			$0
64. On Behalf of Individual Members			$0
65. Direct Taxes			$0

66. Subtotal			$6,086,094
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$200,568
67b. Less Total Disbursed	$200,568
67c. Total Withheld But Not Disbursed
68. TOTAL DISBURSEMENTS			$6,086,094

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

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 069-941

Entity or Individual Name (A)	Total Account Receivable (B)	90-180 Days Past Due (C)	180+ Days Past Due (D)	Liquidated Account Receivable (E)
Total of all itemized accounts receivable	$0	$0	$0	$0
Totals from all other accounts receivable
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B))	$0	$0	$0	$0

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

SCHEDULE 2 - LOANS RECEIVABLE

FILE NUMBER: 069-941

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)

Loans
Outstanding at
Start of Period
(B)

Loans Made
During Period
(C)

Repayments Received During Period
Cash (D)(1)	Other Than Cash (D)(2)

Loans
Outstanding at
End of Period
(E)

Total of loans not listed above

Total of all lines above

Totals will be automatically entered in...

Item 24
Column (A)

Item 61

Item 45

Item 69
with Explanation

Item 24
Column (B)

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

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 069-941

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Gross Sales Price (D)	Amount Received (E)
Total of all lines above	$0	$0	$0	$0

				Less Reinvestments
(The total from Net Sales Line will be automatically entered in Item 43)				Net Sales

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

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 069-941

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Cash Paid (D)
Total of all lines above	$0	$0	$0

		Less Reinvestments
(The total from Net Purchases Line will be automatically entered in Item 60.)		Net Purchases

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

SCHEDULE 5 - INVESTMENTS

FILE NUMBER: 069-941

Description (A)	Amount (B)
Marketable Securities
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.

Other Investments
D. Total Cost
E. Total Book Value
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E. Also, list each subsidiary for which separate reports are attached.

G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B))

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

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 069-941

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)

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B))

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

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 069-941

Description (A)	Book Value (B)
Total (Total will be automatically entered in Item 28, Column(B))	$0

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

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE

FILE NUMBER: 069-941

Entity or Individual Name (A)	Total Account Payable (B)	90-180 Days Past Due (C)	180+ Days Past Due (D)	Liquidated Account Payable (E)
Total for all itemized accounts payable	$0	$0	$0	$0
Total from all other accounts payable	$0	$0	$0	$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D))	$0	$0	$0	$0

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

SCHEDULE 9 - LOANS PAYABLE

FILE NUMBER: 069-941

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 44	Item 62	Item 69 with Explanation	Item 31 Column (D)

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

SCHEDULE 10 - OTHER LIABILITIES

FILE NUMBER: 069-941

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$0

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

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 069-941

(A)
Name

(B)
Title

(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

Lewis , Ronald
Treasurer
C

$2,818

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Lorig , Milton
Board Member
C

$3,144

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Bussey , Stuart
President
C

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Behrman , Victoria
Board Member
C

$2,500

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Bitonte , Robert
Board Member
C

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Cheng , Rex
Board Member
C

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Farooqui , Mubashir
Board Member
C

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Kim , Ryan
Vice President
C

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Pednault , Gary
Board Member
C

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Pendakur , Shakalpi
Board Member
C

$181

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Sabo , Steven
Board Member
C

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Sarka , George
Board Member
C

$500

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Uddhandi , Nagaraj
Board Member
C

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

Total Officer Disbursements	$0	$0	$9,143	$0	$9,143
Less Deductions
Net Disbursements					$9,143

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

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 069-941

(A)
Name

(B)
Title

(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

Adams , Indya
Representative/Organizer
C

$96,899

$4,616

$101,515

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Alexander , Cheryl
Finance and Benefits Mgr
C

$125,861

$2,367

$235

$128,463

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

80 %

Schedule 19
Administration

20 %

A
B
C

Baldovinos , Nancy
Office Manager
C

$73,542

$18,327

$91,869

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

100 %

Schedule 19
Administration

A
B
C

Bussey , Stuart
President
C

$202,980

$3,331

$206,311

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Castillo , Patricia
Deputy Reg Administrator
C

$129,783

$1,030

$6,505

$137,318

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Chiappetta , R. Douglas
Executive Director
C

$191,926

$7,096

$45,271

$244,293

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

47 %

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

53 %

A
B
C

Cordova , Christine
Program Specialist
C

$84,047

$1,024

$85,071

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

100 %

Schedule 19
Administration

A
B
C

Davison , Spencer
Representative/Organizer
C

$90,658

$664

$1,202

$92,524

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Duarte , Gloria
Office Manager
C

$114,398

$2,347

$152,529

$269,274

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

80 %

Schedule 19
Administration

20 %

A
B
C

Dunn , Laurel
Communications Specialist
C

$83,851

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

80 %

Schedule 19
Administration

20 %

A
B
C

Flores , Rachel
Organizing Director
C

$140,760

$35,391

$176,151

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Golden-Ortiz , Glynnis
Representative/Organizer
C

$119,032

$1,195

$6,268

$126,495

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Gonzalez , Jose
Representative/Organizer
C

$94,300

$376

$94,676

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Hernandez , Patricia
Chief Negotiator
C

$154,578

$448

$155,026

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Hull , Schuyler
Representative/Organizer
C

$52,290

$3,680

$55,970

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Ige , Christopher
Regional Administrator
C

$155,783

$834

$4,433

$161,050

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Jacobs , John
Systems Analyst
C

$60,300

$10

$60,310

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

100 %

Schedule 19
Administration

A
B
C

Jenkins , Timothy
Rep/Org/Media Relations
C

$146,310

$5,405

$151,715

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

King , Pierre
Rep/Org/Digital Organizer
C

$78,112

$2,391

$80,503

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Leonard , Robert
Representative/Organizer
P

$15,261

$73

$4,996

$20,330

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Quintanilla , Raymond
Regional Administrator
C

$30,993

$11,239

$42,232

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Razo , Carmen
Representative/Organizer
C

$25,000

$1,418

$26,418

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Rivera , Nereyda
Representative/Organizer
C

$148,661

$6,151

$154,812

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Robinson , Gary
Consultant
C

$54,024

$1,242

$55,266

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Toledano , Bryan
Represenative/Organizer
C

$77,611

$5,095

$82,706

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Williams , Zegory
Consultant
C

$18,184

$1,049

$19,233

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

Yount , Amy
Representative/Organizer
C

$81,599

$192

$81,791

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

Total Employee Disbursements	$2,646,743	$0	$52,428	$286,002	$2,985,173
Less Deductions
Net Disbursements					$2,985,173

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

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 069-941

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	2,777
Agency Fee Payers*
Total Members/Fee Payers	2,777
*Agency Fee Payers are not considered members of the labor organization.
State Members	898	Yes
County Members	1,840	Yes
Private Practice	39	Yes

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

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 069-941

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$0
2. Named Payer Non-itemized Receipts	$0
3. All Other Receipts
4. Total Receipts	$0

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements
6. Total Disbursements	$0

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$9,143
4. To Employees	$1,815,731
5. All Other Disbursements
6. Total Disbursements	$1,824,874

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$485,604
2. Named Payee Non-itemized Disbursements	$402,901
3. To Officers	$0
4. To Employees	$622,520
5. All Other Disbursements	$1,012,932
6. Total Disbursements	$2,523,957

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$395,392
2. Named Payee Non-itemized Disbursements	$34,861
3. To Officers	$0
4. To Employees	$114,818
5. All Other Disbursements
6. Total Disbursements	$545,071

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$0
4. To Employees	$432,104
5. All Other Disbursements
6. Total Disbursements	$432,104

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

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 069-941

Name and Address
(A)

AFSCME CA PEOPLE Small Contributor Comm

1121 L Street, Suite 904
Sacramento
CA
95814

Type or Classification
(B)

Per Capita

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$22,126
Total of All Transactions with this Payee/Payer for This Schedule		$22,126

Name and Address
(A)

AFSCME PEOPLE Qualified Committee

1625 L Street, N.W.
Washington
DC
20036

Type or Classification
(B)

Per Capita

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$3,855
Total of All Transactions with this Payee/Payer for This Schedule		$3,855

Name and Address
(A)

UAPD

555 Capital Mall, Ste. 1425
Sacramento
CA
95814

Type or Classification
(B)

UAPD PAC

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$291,841
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$291,841
PAC	10/31/2021	$25,460
PAC	11/30/2021	$25,535
PAC	12/31/2021	$16,938
PAC	01/31/2022	$25,329
PAC	02/28/2022	$25,247
PAC	03/31/2022	$25,180
PAC	04/30/2022	$24,976
PAC	05/31/2022	$24,036
PAC	06/30/2022	$24,722
PAC	07/31/2022	$24,738
PAC	08/31/2022	$24,661
PAC	09/30/2022	$25,019

Name and Address
(A)

UAPD I.E. PAC

555 Capital Mall, Ste. 1425
Sacramento
CA
95814

Type or Classification
(B)

IE PAC

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$103,551
Total Non-Itemized Transactions with this Payee/Payer		$8,880
Total of All Transactions with this Payee/Payer for This Schedule		$112,431
IE PAC	10/31/2021	$8,570
IE PAC	11/30/2021	$8,670
IE PAC	12/31/2021	$8,695
IE PAC	12/31/2021	$8,506
IE PAC	01/31/2022	$8,690
IE PAC	02/28/2022	$8,695
IE PAC	03/31/2022	$8,675
IE PAC	04/30/2022	$8,645
PAC	05/31/2022	$8,635
IE PAC	06/30/2022	$8,565
IE PAC	07/31/2022	$8,605
IE PAC	08/31/2022	$8,600

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

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS

FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 069-941

Name and Address
(A)

AmTrust North America
P.O. Box 6939

Cleveland
OH
44101

Type or Classification
(B)

Insurance

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$26,221
Total Non-Itemized Transactions with this Payee/Payer		$26,263
Total of All Transactions with this Payee/Payer for This Schedule		$52,484
Insurance	01/14/2022	$6,597
Insurance	06/10/2022	$10,629
Insurance	06/10/2022	$8,995

Name and Address
(A)

BCT Consulting, Inc

7910 N. Ingram Ave #101
Fresno
CA
93711

Type or Classification
(B)

Telephone Lease for Northern California Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$8,450
Total of All Transactions with this Payee/Payer for This Schedule		$8,450

Name and Address
(A)

Broadway Civic Center, LP

205 South Broadway, #510
Los Angeles
CA
90012

Type or Classification
(B)

Lease payments for the El Segundo Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$87,593
Total Non-Itemized Transactions with this Payee/Payer		$17,659
Total of All Transactions with this Payee/Payer for This Schedule		$105,252
Lease	10/01/2021	$10,250
Lease	11/01/2021	$8,500
Lease	12/01/2021	$8,560
Lease	01/01/2022	$8,500
Lease	02/01/2022	$8,699
Lease	03/01/2022	$8,589
Lease	04/01/2022	$8,594
Lease	05/01/2022	$8,605
Lease	06/01/2022	$8,594
Lease	07/01/2022	$8,702

Name and Address
(A)

Coalition of County Unions

2 Cupania Circle
Monterey Park
CA
91750

Type or Classification
(B)

Arbitration/legal services for unions

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,605
Total of All Transactions with this Payee/Payer for This Schedule		$6,605

Name and Address
(A)

Comcast
P.O. Box 60533

City of Industry
CA
91716

Type or Classification
(B)

Cable and Internet Services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$12,495
Total of All Transactions with this Payee/Payer for This Schedule		$12,495

Name and Address
(A)

Cousins Holdings, LLC

40400 Harts Lake Valley Rd
Roy
WA
98580

Type or Classification
(B)

Lease Payments for Washington Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$22,000
Total of All Transactions with this Payee/Payer for This Schedule		$22,000

Name and Address
(A)

DM Ventures FW Center, LLC

6725 - 116th Ave NE, Ste. 1
Kirkland
CA
98033

Type or Classification
(B)

Lease Payments for Washington Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,354
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$8,354
Lease	09/16/2022	$8,354

Name and Address
(A)

Docusign
P.O. Box 123428

Dallas
TX
75312

Type or Classification
(B)

Online Signatures

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,006
Total Non-Itemized Transactions with this Payee/Payer		$3,129
Total of All Transactions with this Payee/Payer for This Schedule		$10,135
Online Document Signing	08/12/2022	$7,006

Name and Address
(A)

Easy Permit
P.O. Box 371874

Pittsburgh
PA
15250

Type or Classification
(B)

Postage Machine Leases

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$10,005
Total of All Transactions with this Payee/Payer for This Schedule		$10,005

Name and Address
(A)

Hub International

2300 Clayton Road, Ste. 300
Concord
CA
94520

Type or Classification
(B)

Insurance

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$10,255
Total Non-Itemized Transactions with this Payee/Payer		$4,396
Total of All Transactions with this Payee/Payer for This Schedule		$14,651
Insurance	09/16/2022	$10,255

Name and Address
(A)

Hyatt Regency

5 Embarcadero
San Francisco
CA
94111

Type or Classification
(B)

Triennial Conference

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$111,923
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$111,923
Conference	03/11/2022	$9,000
Conference	04/29/2022	$102,923

Name and Address
(A)

James R. Mount

3967 Mead Street
Antioch
CA
94531

Type or Classification
(B)

IT Consultant

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$10,450
Total of All Transactions with this Payee/Payer for This Schedule		$10,450

Name and Address
(A)

Jaystar Group, Inc.

200 Connecticut Ave, 5th Fl
Norwalk
CT
06854

Type or Classification
(B)

Database for Membership

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$15,237
Total of All Transactions with this Payee/Payer for This Schedule		$15,237

Name and Address
(A)

Kaiser Foundation Health Plan
P.O. Box 745899

Los Angeles
CA
90074

Type or Classification
(B)

HMO

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$19,615
Total of All Transactions with this Payee/Payer for This Schedule		$19,615

Name and Address
(A)

Law Offices of Lawrence Rosezweig

1900 S. Bundy Drive, #777
Los Angeles
CA
90025

Type or Classification
(B)

Legal Services for SoCal Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$13,744
Total Non-Itemized Transactions with this Payee/Payer		$4,631
Total of All Transactions with this Payee/Payer for This Schedule		$18,375
Legal	10/15/2021	$13,744

Name and Address
(A)

Olga Perez

3227 Renwick Avenue #172
Elk Grove
CA
95758

Type or Classification
(B)

Extra Help

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,880
Total of All Transactions with this Payee/Payer for This Schedule		$5,880

Name and Address
(A)

Osborne Strategies

4840 Finlandia Way
Carmichael
CA
95608

Type or Classification
(B)

Lobbyist Assistance

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$51,373
Total Non-Itemized Transactions with this Payee/Payer		$15,828
Total of All Transactions with this Payee/Payer for This Schedule		$67,201
Lobbying	10/01/2021	$5,000
Lobbying	11/01/2021	$5,078
Lobbying	12/01/2021	$5,000
Lobbying	01/01/2022	$6,101
Lobbying	02/01/2022	$5,000
Lobbying	03/01/2022	$5,010
Lobbying	04/01/2022	$5,003
Lobbying	05/01/2022	$5,039
Lobbying	06/01/2022	$5,128
Lobbying	07/01/2022	$5,014

Name and Address
(A)

Pelote Strategic Advisors

351 Ross Way
Sacramento
CA
95864

Type or Classification
(B)

Lobbyist Assistance

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$20,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$20,000
Lobbying	09/23/2022	$10,000
Lobbying	09/23/2022	$10,000

Name and Address
(A)

Perfect Image Printing

3223 Monier Circle
Rancho Cordova
CA
95742

Type or Classification
(B)

Printing Company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$26,683
Total of All Transactions with this Payee/Payer for This Schedule		$26,683

Name and Address
(A)

R. T. Capital Mall LP
2870 Gateway Oaks
2870
Sacramento
CA
95833

Type or Classification
(B)

Lease payments for the Sacramento Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$56,508
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$56,508
Lease	10/01/2021	$8,972
Lease	11/01/2021	$9,161
LP	12/01/2021	$9,161
Lease	01/01/2022	$10,003
Lease	02/01/2022	$9,232
Lease	03/01/2022	$9,979

Name and Address
(A)

R. T. Capital Mall LP
2870 Gateway Oaks
2870 Gate
Sacramento
CA
95833

Type or Classification
(B)

Lease payments for the Sacramento Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$56,713
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$56,713
Lease	04/01/2022	$8,822
Lease	05/01/2022	$9,467
LP	06/01/2022	$9,467
Lease	07/01/2022	$9,467
Lease	08/01/2022	$9,817
Lease	09/01/2022	$9,673

Name and Address
(A)

Suzanne Wilson Consulting

6111 Burlingame
Richmond
CA
94804

Type or Classification
(B)

Consultant - Website and Communications

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$21,670
Total Non-Itemized Transactions with this Payee/Payer		$18,236
Total of All Transactions with this Payee/Payer for This Schedule		$39,906
Consulting	10/08/2021	$7,508
Consulting	11/12/2021	$8,896
Consulting	04/15/2022	$5,266

Name and Address
(A)

UAPD I.E. PAC

555 Capitol Mall, Ste. 400
Sacramento
CA
95814

Type or Classification
(B)

PAC Preparation and Maintenance Attorney

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,394
Total Non-Itemized Transactions with this Payee/Payer		$27,690
Total of All Transactions with this Payee/Payer for This Schedule		$33,084
PAC Services	02/11/2022	$5,394

Name and Address
(A)

Unionware
P.O. Box 930473

Atlanta
GA
31193

Type or Classification
(B)

New Database to be launched 2022

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$28,974
Total of All Transactions with this Payee/Payer for This Schedule		$28,974

Name and Address
(A)

US Bancorp
P.O. Box 790448

St. Louis
MO
63179

Type or Classification
(B)

Copier payments in Sacramento office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$18,214
Total of All Transactions with this Payee/Payer for This Schedule		$18,214

Name and Address
(A)

Van Sloten & Laranang, CPAs PC

39572 Stevenson Place #226
Fremont
CA
94539

Type or Classification
(B)

CPAs for Annual Audit

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,850
Total Non-Itemized Transactions with this Payee/Payer		$10,304
Total of All Transactions with this Payee/Payer for This Schedule		$19,154
Annual Audit	03/11/2022	$8,850

Name and Address
(A)

Weinberg, Roger & Rosenfeld

1375 - 55th Street
Emeryville
CA
94608

Type or Classification
(B)

Legal Services for Sacramento area

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$75,640
Total of All Transactions with this Payee/Payer for This Schedule		$75,640

Name and Address
(A)

Xerox Financial Center
P.O. Box 202882

Dallas
TX
75320

Type or Classification
(B)

Copier payments in Sacramento office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$14,517
Total of All Transactions with this Payee/Payer for This Schedule		$14,517

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

SCHEDULE 19 - UNION ADMINISTRATION

FILE NUMBER: 069-941

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS

FILE NUMBER: 069-941

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$245,124
Dental	Delta Dental	$41,884
Medical - California	Western Alliance	$180,339
Medical - Washington	Kaiser	$19,615
Life Insurance	Standard Insurance	$3,286

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

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 069-941

Question 11(a):

Question 11(a): : : : : : : Issues Committee. Independent Expenditures Fund. Small Committee Fund.

Question 12: Van Sloten and Laranang, CPAs

Statement A,

Accounts Receivable Begin Total: Hit $0 by accident.

Statement A,

Accounts Payable Begin Total: Hit $0 by accident.

Schedule 13, Row1:

Schedule 13, Row1:State of California Employees

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row2:

Schedule 13, Row2:Counties in California

Schedule 13, Row2:

Schedule 13, Row2:

Schedule 13, Row3:

Schedule 13, Row3:Private Practice Members

Schedule 13, Row3:

Schedule 13, Row3:



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