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
042-203
2. PERIOD COVERED
From10/01/2021
Through09/30/2022
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
TEACHERS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
 6. DESIGNATION NBR

7. UNIT NAME (if any)
WASHINGTON STATE NURSES ASSOCIATION
8. MAILING ADDRESS (Type or print in capital letters)
First Name
LYNNETTE
 Last Name
VEHRS
P.O Box - Building and Room Number
SUITE 101
Number and Street
575 ANDOVER PARKWAY WEST
City
SEATTLE
State
WA		 ZIP Code + 4
981883348


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:Lynnette K VehrsPRESIDENT71. SIGNED:Martha GoodallTREASURER
Date:Dec 28, 2022Telephone Number:509-220-0343Date:Dec 29, 2022Telephone Number:509-435-2227
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 042-203
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?05/2023
20. How many members did the labor organization have at the end of the reporting period?14,941
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1150perYear2021150
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 042-203

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $11,133,941$9,823,857
23. Accounts Receivable1$292$424
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0
27. Fixed Assets6$224,543$179,689
28. Other Assets7$224,648$190,016
29. TOTAL ASSETS $11,583,424$10,193,986

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$502,101$659,988
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$1,572,946$1,591,764
34. TOTAL LIABILITIES $2,075,047$2,251,752
35. NET ASSETS$9,508,377$7,942,234
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 042-203

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $10,510,164
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $699
40. Interest $11,272
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $4,022,225
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$160,716
49. TOTAL RECEIPTS $14,705,076
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$5,163,321
51. Political Activities and Lobbying16$559,246
52. Contributions, Gifts, and Grants17$10,300
53. General Overhead18$2,731,740
54. Union Administration19$1,524,788
55. Benefits20$1,274,893
56. Per Capita Tax $162,032
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$60,295
61. Loans Made2$0
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $4,005,069
64. On Behalf of Individual Members $0
65. Direct Taxes $523,476
  
66. Subtotal $16,015,160
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$2,145,967  
  67b. Less Total Disbursed$2,145,967  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $16,015,160
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 042-203

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$424$0$0$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $424$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 042-203

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 042-203

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$37,918$1,160$0$0
Computer Equipment$37,918$1,160$0$0
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 042-203

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$60,295$60,295$60,295
Computer Equipment$58,594$58,594$58,594
Leasehold Improvements$1,701$1,701$1,701
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$60,295
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 042-203

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)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 042-203

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$947,174$778,096$169,078$169,078
E. Other Fixed Assets$249,110$238,499$10,611$10,611
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,196,284$1,016,595$179,689$179,689
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 042-203

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $190,016
Security Deposit$23,941
Prepaid Postage$28,201
Misc. Prepaids$3,642
Prepaid Insurance$61,695
Interfund Receivables$72,537
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 042-203

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$659,988$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $659,988$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 042-203

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: 042-203

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,591,764
Accrued Payroll and Payroll taxes$292,184
Accrued Vacation and Sick Pay$1,046,839
Dues Collected for Districts$104,203
Interfund Payable$109,705
Deferred Rent$26,106
Other Accrued Liabilities$12,727
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 042-203

(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 		Vehrs ,  Lynnette  
President
C		$16,200$0$2,778$0$18,978
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 		Gill ,  Justin  
Vice-President
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Goodall ,  Martha  
Secretary/ Treasurer
C		$0$0$5,792$0$5,792
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 		Barcott ,  Julia  
Director
C		$6,900$0$4,158$0$11,058
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 		Allison ,  Erin  
Director
C		$0$0$349$0$349
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 		Cumiskey ,  Charles  
Director
C		$0$0$1,908$0$1,908
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 		Bergenholtz ,  Sara  
Director
C		$0$0$901$0$901
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 		Dang Lim-Vuong ,  Phoebe  
Director
C		$0$0$1,873$0$1,873
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 		Gustafson ,  John  
Director
C		$0$0$520$0$520
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 		Stephen-Selby ,  Heather  
Director
C		$0$0$10$0$10
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 		Dumas ,  Sean  
Director
N		$0$0$42$0$42
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
Total Officer Disbursements$23,100$0$18,331$0$41,431
Less Deductions     
Net Disbursements    $41,431
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 042-203

(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 		Balogh ,  Brenda  
Nurse Representative
None		$110,375$0$4,313$0$114,688
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 		Barnes ,  Tara  
Nurse Representative
None		$111,876$0$2,406$0$114,282
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 		Brigham ,  Gloria  
Dir. of Nursing Practice
None		$175,149$0$1,293$0$176,442
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 		Burbank ,  Linda  
Nurse Representative
None		$34,462$0$1,929$0$36,391
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 		Carson ,  Jennifer  
Communications Manager
None		$47,631$0$0$0$47,631
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 		Chandran ,  Pamela  
Labor Counsel
None		$143,601$0$10,526$0$154,127
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 		Dick ,  Jayson  
Dir. of Labor Advocacy
None		$152,353$0$572$0$152,925
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 		Doll ,  Crystal  
Nurse Organizer
None		$88,177$0$3,004$0$91,181
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 		Dunlap ,  Susan  
Nurse Representative
None		$116,557$0$4,049$0$120,606
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 		Elmore ,  Travis  
Nurse Representative
None		$134,502$0$835$0$135,337
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 		Frey ,  Sara  
Nurse Representative
None		$142,773$0$242$0$143,015
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 		Friesen ,  Barbara  
Nurse Representative
None		$143,156$0$4,618$0$147,774
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 		Friesz ,  Gerard  
Labor Advisor & Dir. Oper
None		$168,563$0$3,547$0$172,110
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 		Galassi ,  Jenny  
Nurse Organizer
None		$33,378$0$1,789$0$35,167
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 		Gandy ,  Briar  
Membership Associate
None		$53,293$0$0$0$53,293
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Garrison ,  Carmen  
Nurse Representative
None		$153,193$0$2,597$0$155,790
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 		Hauffe ,  Jessica  
Political Advocacy Mgr.
None		$45,016$0$158$0$45,174
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		100 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Harksen ,  Jacob  
Labor Counsel
None		$56,732$0$0$0$56,732
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 		Hsiung ,  Cheng-En  
Office Manager
None		$105,265$0$0$0$105,265
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		James ,  Sydne  
Nurse Representative
None		$106,922$0$81$0$107,003
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 		Keepnews ,  David  
Executive Director
None		$235,000$0$3,331$0$238,331
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Kieval ,  Mara  
Nurse Representative
None		$149,644$0$1,134$0$150,778
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 		Kilpatrick ,  Megan  
Education Director
None		$134,148$0$230$0$134,378
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 		King ,  Kelly  
Membership Assistant
None		$74,427$0$0$0$74,427
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Kueter ,  Kimberly  
Project Organizer
None		$10,288$0$125$0$10,413
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		LaMonte ,  Grace  
Labor Organizer
None		$69,002$0$2,636$0$71,638
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 		Mainville ,  Mary  
Executive Assistant
None		$75,786$0$0$0$75,786
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Mansfield ,  Anne  
Nurse Organizer
None		$48,799$0$1,257$0$50,056
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 		McGraw ,  Patrick  
Finance Program Manager
None		$116,364$0$0$0$116,364
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Mikusko ,  Ian  
Strategic Researcher
None		$89,959$0$4,137$0$94,096
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 		Moore ,  Michelle  
Nurse Representative
None		$110,394$0$5,190$0$115,584
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 		Muhm ,  Jennifer  
Dir. Public Relations
None		$74,417$0$0$0$74,417
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		100 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Nesper ,  William  
Nurse Organizer
None		$110,903$0$14,313$0$125,216
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 		Nguyen ,  Minh  
Director of Organizing
None		$99,765$0$449$0$100,214
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 		Nodell ,  Bobbi  
Market & Comm. Manager
None		$35,586$0$0$0$35,586
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Parker ,  Macy  
Membership Associate
None		$11,193$0$0$0$11,193
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Piazza ,  Anne  
Asst. Exec. Director
None		$219,152$0$1,119$0$220,271
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 		Railey ,  Joline  
Administrative Assistant
None		$65,125$0$0$0$65,125
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 		Raughton ,  Jeremy  
Administrative Assistant
None		$108,162$0$808$0$108,970
I
Schedule 15
Representational Activities 		64 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		36 % Schedule 19
Administration 		0 %
A
B
C 		Reed ,  Mary  
Dir. of Finance
None		$160,915$0$307$0$161,222
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Reed ,  Shawn  
Nurse Representative
None		$101,380$0$3,367$0$104,747
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 		Robinson ,  Laurie  
Nurse Representative
None		$106,243$0$3,209$0$109,452
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 		Rose ,  Michele  
Membership Associate
None		$30,601$0$0$0$30,601
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Rosenkranz ,  Ryan  
Nurse Organizer
None		$112,119$0$2,880$0$114,999
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 		Sanderson ,  Michael  
General Counsel
None		$163,278$0$4,249$0$167,527
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 		Scholl ,  Sam  
Nurse Representative
None		$92,516$0$0$0$92,516
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 		Schubert ,  Ruth  
Communications Director
None		$153,079$0$373$0$153,452
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 		Sears ,  Timothy  
Chief General Counsel
None		$171,752$0$9,729$0$181,481
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 		Seikel ,  Zach  
Organizer
None		$88,090$0$3,000$0$91,090
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 		Smedley ,  Jaclyn  
Nurse Representative
None		$139,827$0$4,773$0$144,600
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 		Smith ,  Phyllis  
Qual. & Safety Prog. Mgr.
None		$63,705$0$39$0$63,744
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 		Steinshouer ,  Shereen  
Membership Processor
None		$72,765$0$0$0$72,765
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Stewart ,  Janet  
Nurse Representative
None		$107,578$0$171$0$107,749
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 		Tilden ,  Ben  
Web Design Specialist
None		$145,264$0$16,270$0$161,534
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 		Tran ,  Hue  
Accounting Specialist
None		$111,117$0$0$0$111,117
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Troftgruben ,  Stephenie  
Nurse Representative
None		$32,978$0$7,047$0$40,025
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 		Vivion ,  Matthew  
Digital Media Specialist
None		$109,964$0$0$0$109,964
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 		Watkins ,  Sally  
Fmr. Executive Director
None		$83,600$0$0$0$83,600
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Watts ,  Christine  
Senior Labor Advisor
None		$204,496$0$0$0$204,496
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 		Weiss ,  Katharine  
Pub. Affairs Assoc. Dir.
None		$147,402$0$3,425$0$150,827
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		100 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Welander ,  Hanna  
Nurse Representative
None		$147,034$0$1,397$0$148,431
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 		Whitman ,  Matty  
Receptionist
None		$60,501$0$0$0$60,501
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Williams ,  Katherine  
Membership Specialist
None		$82,591$0$2,169$0$84,760
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Williams ,  Theresa  
Nurse Representative
None		$86,616$0$92$0$86,708
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 		Yiu ,  Hana  
Paralegal
None		$85,604$0$0$0$85,604
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 		Zappone ,  Annelise  
Administrative Assistant
None		$48,821$0$0$0$48,821
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
A
B
C 		Zercher ,  Edward  
Nurse Representative
None		$145,366$0$0$0$145,366
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 		Percival ,  Bret  
Nurse Representative
None		$104,494$0$0$0$104,494
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$0
I Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
Total Employee Disbursements$7,120,784$0$139,185$0$7,259,969
Less Deductions    $2,145,967
Net Disbursements    $5,114,002
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 042-203

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 14,941 
Agency Fee Payers*175
Total Members/Fee Payers15,116 
*Agency Fee Payers are not considered members of the labor organization.
Bargaining unit members14,292Yes
Non-bargaining unit members568Yes
Life/Honorary members60Yes
Religious objectors21No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 042-203

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$88,305
2. Named Payer Non-itemized Receipts$36,026
3. All Other Receipts$36,385
4. Total Receipts$160,716
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$5,000
2. Named Payee Non-itemized Disbursements$2,500
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$2,800
6. Total Disbursements$10,300
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$413,064
2. Named Payee Non-itemized Disbursements$157,970
3. To Officers$0
4. To Employees$4,454,149
5. All Other Disbursements$138,138
6. Total Disbursements$5,163,321
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$667,233
2. Named Payee Non-itemized Disbursements$314,235
3. To Officers$0
4. To Employees$1,402,861
5. All Other Disbursements$347,411
6. Total Disbursements$2,731,740
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$207,030
2. Named Payee Non-itemized Disbursements$32,790
3. To Officers$0
4. To Employees$270,418
5. All Other Disbursements$49,008
6. Total Disbursements$559,246
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$204,256
2. Named Payee Non-itemized Disbursements$54,872
3. To Officers$41,431
4. To Employees$1,132,541
5. All Other Disbursements$91,688
6. Total Disbursements$1,524,788
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 042-203

Name and Address
(A)
American Federation Teachers

555 New Jersey Avenue
Washington
DC
20001
Type or Classification
(B)
Rebates & Grants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$77,305
Total Non-Itemized Transactions with this Payee/Payer$30,526
Total of All Transactions with this Payee/Payer for This Schedule$107,831
Solidarity Grant01/14/2022$20,842
Solidarity Grant08/02/2022$21,033
Rebate09/30/2022$6,394
Organizing Grant09/30/2022$29,036
Name and Address
(A)
AON Association Services

1420 Fifth Ave, Suite 1200
Seattle
WA
97101
Type or Classification
(B)
Stipend
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,000
Total Non-Itemized Transactions with this Payee/Payer$5,500
Total of All Transactions with this Payee/Payer for This Schedule$16,500
Stipend06/30/2022$11,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 042-203

Name and Address
(A)
Aaron Bradley

14819 132nd Ave NW
Gig Harbor
WA
98329
Type or Classification
(B)
Local Unit - Expense Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$39,647
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$39,647
Local Unit - Expense Reimbursement10/26/2021$32,066
Local Unit - Expense Reimbursement05/27/2022$7,581
Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,125
Total Non-Itemized Transactions with this Payee/Payer$4,632
Total of All Transactions with this Payee/Payer for This Schedule$9,757
Printing11/02/2021$5,125
Name and Address
(A)
American Pride Printing

4444 W. Industrial Loop #E
Coeur d'Alene
ID
83815
Type or Classification
(B)
Promotional Items
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,469
Total Non-Itemized Transactions with this Payee/Payer$1,831
Total of All Transactions with this Payee/Payer for This Schedule$14,300
Promotional Items03/04/2022$12,469
Name and Address
(A)
Barnard, Iglitzin & Lavitt LLP

18 W Mercer Street, #400
Seattle
WA
98119
Type or Classification
(B)
Legal
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$113,757
Total Non-Itemized Transactions with this Payee/Payer$6,532
Total of All Transactions with this Payee/Payer for This Schedule$120,289
Legal11/19/2021$7,177
Legal12/13/2021$11,188
Legal04/21/2022$7,710
Legal04/21/2022$18,349
Legal06/03/2022$9,606
Legal06/03/2022$15,524
Legal06/28/2022$12,938
Legal08/12/2022$23,408
Legal09/27/2022$7,857
Name and Address
(A)
Campbell's Resort

104 W Woodin Ave
Chelan
WA
98816
Type or Classification
(B)
Training Room & Board
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$68,181
Total Non-Itemized Transactions with this Payee/Payer$366
Total of All Transactions with this Payee/Payer for This Schedule$68,547
Room & Board05/13/2022$25,689
Room & Board05/13/2022$42,492
Name and Address
(A)
Dianne Gray

9309 NE 93rd Circle
Vancouver
WA
98662
Type or Classification
(B)
Local Unit - Expense Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,431
Total Non-Itemized Transactions with this Payee/Payer$4,384
Total of All Transactions with this Payee/Payer for This Schedule$9,815
Local Unit - Expense Reimbursement06/14/2022$5,431
Name and Address
(A)
Edna Cortez

710 N 160th Apt B308
Shoreline
WA
98133
Type or Classification
(B)
Contract Negotiations
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,205
Total Non-Itemized Transactions with this Payee/Payer$18,152
Total of All Transactions with this Payee/Payer for This Schedule$24,357
Contract Negotiations08/26/2022$6,205
Name and Address
(A)
Evan Sutton

802 Malcolm Dr
Silver Spring
MD
20901
Type or Classification
(B)
Public Relations
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Public Relations02/07/2022$6,000
Name and Address
(A)
Frank Doolittle Company

1181 NE 1st St., Ste A-209
Bellevue
WA
98005
Type or Classification
(B)
Promotional Items
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$41,064
Total Non-Itemized Transactions with this Payee/Payer$13,918
Total of All Transactions with this Payee/Payer for This Schedule$54,982
Promotional Items10/05/2021$6,198
Promotional Items03/22/2022$13,940
Promotional Items04/12/2022$6,384
Promotional Items08/18/2022$14,542
Name and Address
(A)
GBAO

1701 K St. NW #600
Washington
DC
20006
Type or Classification
(B)
Survey
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,199
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$26,199
Survey10/29/2021$16,466
Survey12/17/2021$9,733
Name and Address
(A)
Jane Hill-Littlejohn

1627 N 180th St.
Shoreline
WA
98133
Type or Classification
(B)
Local Unit - Expense Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,180
Total Non-Itemized Transactions with this Payee/Payer$233
Total of All Transactions with this Payee/Payer for This Schedule$6,413
Local Unit - Event Meal Reimbursement05/27/2022$6,180
Name and Address
(A)
Lakeside Reporting

218 Main St.
Kirkland
WA
98033
Type or Classification
(B)
Court Reporting
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,784
Total of All Transactions with this Payee/Payer for This Schedule$6,784
Name and Address
(A)
Lindsey Kirsch

18413 47th Place NE
Lake Forest Park
WA
98155
Type or Classification
(B)
Local Unit - Expense Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,377
Total Non-Itemized Transactions with this Payee/Payer$2,509
Total of All Transactions with this Payee/Payer for This Schedule$7,886
Local Unit - Event Meal Reimbursement08/26/2022$5,377
Name and Address
(A)
Michael G Merrill

18605 E Spring Lake Dr SE
Renton
WA
98058
Type or Classification
(B)
Mediation/ arbitration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,626
Total Non-Itemized Transactions with this Payee/Payer$2,838
Total of All Transactions with this Payee/Payer for This Schedule$8,464
Mediation/ Arbitration08/23/2022$5,626
Name and Address
(A)
Mutant Printing & Promotions

6652 W Brinkley Rd Ste 110
Kennewick
WA
99338
Type or Classification
(B)
Promotional Items
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,015
Total Non-Itemized Transactions with this Payee/Payer$3,449
Total of All Transactions with this Payee/Payer for This Schedule$11,464
Promotional Items08/23/2022$8,015
Name and Address
(A)
Ray's Catering

6049 Seaview Avenue NW
Seattle
WA
98107
Type or Classification
(B)
Meeting Space & Catering
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$31,499
Total Non-Itemized Transactions with this Payee/Payer$8,450
Total of All Transactions with this Payee/Payer for This Schedule$39,949
Meeting Space & Catering10/01/2021$8,573
Meeting Space & Catering06/14/2022$16,477
Meeting Space & Catering09/22/2022$6,449
Name and Address
(A)
Robin Cully
1247

Burlington
WA
98233
Type or Classification
(B)
Local Unit - Expense Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,423
Total of All Transactions with this Payee/Payer for This Schedule$6,423
Name and Address
(A)
Teresa Wren

4015 Dayton Ave N
Seattle
WA
98103
Type or Classification
(B)
Local Unit - Expense Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,444
Total of All Transactions with this Payee/Payer for This Schedule$9,444
Name and Address
(A)
The Bureau of National Affairs

1801 S Bell St.
Arlington
VA
22202
Type or Classification
(B)
Legal Subscription
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,928
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$19,928
Legal Subscription01/04/2022$19,928
Name and Address
(A)
Theresa Blazer

2402 24th Ct. NE
Issaquah
WA
98029
Type or Classification
(B)
Local Unit - Expense Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,361
Total Non-Itemized Transactions with this Payee/Payer$5,122
Total of All Transactions with this Payee/Payer for This Schedule$17,483
Local Unit - Expense Reimbursement05/03/2022$12,361
Name and Address
(A)
Thomson Reuters

301 Union Square
Seattle
WA
98101
Type or Classification
(B)
Legal Subscription
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$22,203
Total of All Transactions with this Payee/Payer for This Schedule$22,203
Name and Address
(A)
Verizon Wireless

4001
Ingelwood
CA
90313
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$40,700
Total of All Transactions with this Payee/Payer for This Schedule$40,700
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 042-203

Name and Address
(A)
Bogard & Johnson

200 Union Ave SE
Olympia
WA
98501
Type or Classification
(B)
Lobbyist
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer$26,040
Total of All Transactions with this Payee/Payer for This Schedule$46,040
Lobbyist02/07/2022$5,000
Lobbyist03/08/2022$5,000
Lobbyist04/04/2022$5,000
Lobbyist05/13/2022$5,000
Name and Address
(A)
Erica Hallock

1224 E Blackhawk Dr.
Spokane
WA
99208
Type or Classification
(B)
Lobbyist
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,750
Total of All Transactions with this Payee/Payer for This Schedule$6,750
Name and Address
(A)
Phone 2 Action

1500 Wilson Blvd #700
Arlington
VA
22209
Type or Classification
(B)
Voter Outreach
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,372
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,372
Software Subscription10/08/2021$5,372
Name and Address
(A)
Washington Safe and Healthy
21961

Seattle
WA
98111
Type or Classification
(B)
Political Action Committee
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$181,658
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$181,658
Political Action Committee12/17/2021$17,500
Political Action Committee01/14/2022$31,625
Political Action Committee02/25/2022$22,000
Political Action Committee03/29/2022$12,000
Political Action Committee05/27/2022$7,833
Political Action Committee07/06/2022$11,000
Political Action Committee08/05/2022$11,200
Political Action Committee09/30/2022$68,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 042-203

Name and Address
(A)
Washington State Public Health Association

NE 100th Street
Seattle
WA
98125
Type or Classification
(B)
Contribution
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$2,500
Total of All Transactions with this Payee/Payer for This Schedule$7,500
Contribution01/18/2022$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing
159 Yesler Way

Seattle
WA
98104
Type or Classification
(B)
Printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,149
Total of All Transactions with this Payee/Payer for This Schedule$6,149
Name and Address
(A)
Adobe Systems, Inc
29322 Network Place

Chicago
IL
60673
Type or Classification
(B)
Software Subscription
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,202
Total of All Transactions with this Payee/Payer for This Schedule$7,202
Name and Address
(A)
ADP, Inc.
18072 N Creek Pkwy #100

Bothell
WA
98011
Type or Classification
(B)
Payroll Processing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,033
Total of All Transactions with this Payee/Payer for This Schedule$20,033
Name and Address
(A)
Capitol City Press, Inc.
2975 37th Avenue SW

Tumwater
WA
98512
Type or Classification
(B)
Printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,323
Total of All Transactions with this Payee/Payer for This Schedule$9,323
Name and Address
(A)
Comcast Business
34

Seattle
WA
98121
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,779
Total of All Transactions with this Payee/Payer for This Schedule$16,779
Name and Address
(A)
Confiz LLC

3326 160th Ave SE, Ste 160
Bellevue
WA
98008
Type or Classification
(B)
Tech Sypport
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,798
Total Non-Itemized Transactions with this Payee/Payer$9,586
Total of All Transactions with this Payee/Payer for This Schedule$19,384
Tech Support07/06/2022$9,798
Name and Address
(A)
David Garcia

4007 Nitinat Ln
Pasco
WA
99301
Type or Classification
(B)
Meeting Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,292
Total of All Transactions with this Payee/Payer for This Schedule$6,292
Name and Address
(A)
Double Tree Tukwila
16500 Southcenter Pkwy

Seattle
WA
98188
Type or Classification
(B)
Lodging
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,156
Total of All Transactions with this Payee/Payer for This Schedule$14,156
Name and Address
(A)
Eberts & Harrison, Inc
1000 Century Plaza Bldg

Columbia
MD
21044
Type or Classification
(B)
Liability Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$38,731
Total Non-Itemized Transactions with this Payee/Payer$4,500
Total of All Transactions with this Payee/Payer for This Schedule$43,231
Liability Insurance09/09/2022$7,586
Liability Insurance09/09/2022$31,145
Name and Address
(A)
Kalles Group LLC

1420 5th Ave #2200
Seattle
WA
98101
Type or Classification
(B)
Cybersecurity Consulting
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,688
Total Non-Itemized Transactions with this Payee/Payer$9,053
Total of All Transactions with this Payee/Payer for This Schedule$24,741
Cybersecurity Consulting12/17/2021$9,238
Cybersecurity Consulting04/11/2022$6,450
Name and Address
(A)
King County Treasurer
516 Third Avenue

Seattle
WA
98104
Type or Classification
(B)
Property Taxes
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,612
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$17,612
Property taxes04/04/2022$17,612
Name and Address
(A)
Lemonidis Consulting & Law Group
701 5th Ave., Suite 4200

Seattle
WA
98104
Type or Classification
(B)
Legal Consulting
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$81,803
Total Non-Itemized Transactions with this Payee/Payer$10,954
Total of All Transactions with this Payee/Payer for This Schedule$92,757
Legal12/20/2021$8,899
Legal12/20/2021$9,946
Legal03/03/2022$5,901
Legal05/04/2022$5,712
Legal06/07/2022$10,008
Legal07/27/2022$18,207
Legal08/08/2022$12,684
Legal09/08/2022$10,446
Name and Address
(A)
Liberty Mutual Insurance
100 Liberty Way

Dover
NH
03821
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,865
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,865
Insurance04/21/2022$10,865
Name and Address
(A)
Logic 20/20 Inc.
6520 25th Ave NE

Seattle
WA
98115
Type or Classification
(B)
IT Support & Software Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,896
Total Non-Itemized Transactions with this Payee/Payer$54,466
Total of All Transactions with this Payee/Payer for This Schedule$62,362
Software01/25/2022$7,896
Name and Address
(A)
Lusher Corp
615 8th Ave S #108

Seattle
WA
98104
Type or Classification
(B)
IT Support & Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$90,070
Total Non-Itemized Transactions with this Payee/Payer$5,867
Total of All Transactions with this Payee/Payer for This Schedule$95,937
IT Support10/05/2021$8,520
IT Support11/02/2021$8,520
IT Support12/03/2021$7,853
IT Support01/07/2022$7,828
IT Support02/04/2022$7,824
IT Support03/11/2022$8,541
IT Support04/11/2022$8,064
IT Support05/13/2022$8,064
IT Support06/03/2022$8,428
IT Support07/26/2022$8,214
IT Support09/09/2022$8,214
Name and Address
(A)
Mail Chimp

675 Ponce de Leon Ave NE
Atlanta
GA
30308
Type or Classification
(B)
Email Marketing Software
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,709
Total of All Transactions with this Payee/Payer for This Schedule$5,709
Name and Address
(A)
Nintex USA

10800 NE 8th St #400
Bellvue
WA
98004
Type or Classification
(B)
Workflow Software
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
Software Subscription12/07/2021$5,000
Name and Address
(A)
Quadient Leasing USA, Inc
123682

Dallas
TX
75312
Type or Classification
(B)
Equipment Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,602
Total of All Transactions with this Payee/Payer for This Schedule$7,602
Name and Address
(A)
Ricoh USA, Inc
31001-0743

Pasadena
CA
91110
Type or Classification
(B)
Equipment Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,635
Total of All Transactions with this Payee/Payer for This Schedule$5,635
Name and Address
(A)
Schwabe Willamson & Wyatt PC

1420 5th Ave #3400
Seattle
WA
97101
Type or Classification
(B)
Legal
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,390
Total Non-Itemized Transactions with this Payee/Payer$1,366
Total of All Transactions with this Payee/Payer for This Schedule$16,756
Legal01/04/2022$8,448
Legal08/02/2022$6,942
Name and Address
(A)
South Seattle Business Park 2017, LLC
18230 E. Valley Hwy #195

Kent
WA
98032
Type or Classification
(B)
Occupancy- Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$328,380
Total Non-Itemized Transactions with this Payee/Payer$3,111
Total of All Transactions with this Payee/Payer for This Schedule$331,491
Occupancy- Lease10/01/2021$26,768
Occupancy- Lease10/14/2021$26,768
Occupancy- Lease11/19/2021$26,768
Occupancy- Lease12/17/2021$27,564
Occupancy- Lease01/14/2022$27,564
Occupancy- Lease02/18/2022$27,564
Occupancy- Lease03/25/2022$27,564
Occupancy- Lease04/11/2022$27,564
Occupancy- Lease04/21/2022$27,564
Occupancy- Lease06/28/2022$27,564
Occupancy- Lease07/26/2022$27,564
Occupancy- Lease08/18/2022$27,564
Name and Address
(A)
Staples Advantage
83689

Chicago
IL
60695
Type or Classification
(B)
Office Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$30,412
Total of All Transactions with this Payee/Payer for This Schedule$30,412
Name and Address
(A)
Susie Cervantes

22 N "F" Street
Toppenish
WA
98948
Type or Classification
(B)
Meeting Reimbursement
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,703
Total of All Transactions with this Payee/Payer for This Schedule$5,703
Name and Address
(A)
Thinkific Plus
369 Terminal Ave #400

Vancouver
00
V6A 4c4
Type or Classification
(B)
Education Software
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,609
Total of All Transactions with this Payee/Payer for This Schedule$9,609
Name and Address
(A)
USPS
475 L'Efnfant Plaza SW

Washington
DC
20260
Type or Classification
(B)
Postage
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$4,873
Total of All Transactions with this Payee/Payer for This Schedule$14,873
Postage06/09/2022$10,000
Name and Address
(A)
Verity Accountancy PC
4000 SE International Way,

Milwaukie
OR
97222
Type or Classification
(B)
Independent auditor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$36,000
Total Non-Itemized Transactions with this Payee/Payer$650
Total of All Transactions with this Payee/Payer for This Schedule$36,650
Annual Audit12/14/2021$17,000
Annual Audit01/17/2022$5,700
Annual Audit03/25/2022$13,300
Name and Address
(A)
Verizon Wireless
4001

Ingelwood
CA
90313
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,988
Total of All Transactions with this Payee/Payer for This Schedule$10,988
Name and Address
(A)
Wells Fargo
999 Third Ave

Seattle
WA
98104
Type or Classification
(B)
Equipment Lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$54,217
Total of All Transactions with this Payee/Payer for This Schedule$54,217
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 042-203

Name and Address
(A)
Abracadabra Printing

159 Yesler Way
Seattle
WA
98104
Type or Classification
(B)
Printing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,655
Total of All Transactions with this Payee/Payer for This Schedule$11,655
Name and Address
(A)
Avenue M Group

600 Central Avenue #385
Highland Park
IL
60035
Type or Classification
(B)
Marketing Research
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$43,875
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$43,875
Marketing Research09/09/2022$29,250
Marketing Research09/27/2022$14,625
Name and Address
(A)
Capitol City Press, Inc.

2975 37th Avenue SW
Tumwater
WA
98512
Type or Classification
(B)
Printing/ Publications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$89,977
Total Non-Itemized Transactions with this Payee/Payer$8,057
Total of All Transactions with this Payee/Payer for This Schedule$98,034
Printing12/13/2021$31,391
Printing02/14/2022$24,223
Printing06/09/2022$34,363
Name and Address
(A)
Evan Sutton

802 Malcolm Dr
Silver Spring
MD
20901
Type or Classification
(B)
Public Relations Consulting
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,143
Total Non-Itemized Transactions with this Payee/Payer$2,200
Total of All Transactions with this Payee/Payer for This Schedule$25,343
PR Consulting03/04/2022$6,000
PR Consulting04/04/2022$6,000
PR Consulting05/03/2022$5,143
PR Consulting06/09/2022$6,000
Name and Address
(A)
Frank Doolittle Company

1181 NE 1st St., Ste A-209
Bellevue
WA
98005
Type or Classification
(B)
Promotional Items
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$41,266
Total Non-Itemized Transactions with this Payee/Payer$18,057
Total of All Transactions with this Payee/Payer for This Schedule$59,323
Promotional Items11/15/2021$7,927
Promotional Items11/30/2021$7,168
Promotional Items03/25/2022$18,492
Promotional Items05/27/2022$7,679
Name and Address
(A)
Hotel Interurban

223 Andover Park E.
Tukwila
WA
98188
Type or Classification
(B)
Lodging
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,793
Total of All Transactions with this Payee/Payer for This Schedule$7,793
Name and Address
(A)
UnionSoft, LLC

655 15th St NW Suite 650
Washington
DC
20005
Type or Classification
(B)
Union Software
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,995
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,995
Software Subscription10/01/2021$5,995
Name and Address
(A)
Verizon Wireless

4001
Ingelwood
CA
90313
Type or Classification
(B)
Telecommunications
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,110
Total of All Transactions with this Payee/Payer for This Schedule$7,110
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 042-203

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,274,893
Health InsuranceKaiser Foundation Health Plan$884,456
Life InsuranceMutual of Omaha$29,026
Vision InsuranceVision Service Plan - WA$7,883
PensionWestern Conference of Teamsters Pension Trust$344,684
Dental InsuranceWillamette Dental Group$8,844
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 042-203


Question 11(a):

Question 11(a): : Washington State Nurses PAC. The PAC files reports with the Washington Secretary of State - Elections Division. The PAC is exempt from federal 990 and 1120-POL filings.

Question 12: The audit was performed by an outside independent accountant - Verity Accountancy, PC.

Schedule 13, Row1:

Schedule 13, Row1::Full paying members with full voting rights.

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row2:

Schedule 13, Row2::Non-bargaining unit members are eligible to vote only on matters unrelated to collective bargaining.

Schedule 13, Row2:

Schedule 13, Row2::

Schedule 13, Row3:

Schedule 13, Row3::Members with 30 years membership and older than 65 years in age. Members have full voting rights except for issues related to collective bargaining.

Schedule 13, Row3:

Schedule 13, Row3::

Schedule 13, Row4:

Schedule 13, Row4::Members who have objected based on religious opposition. Members pay a reduced membership fee to a non-religious and non-labor organization exempt under IRC 501(c) (3). Members have no voting rights.

Schedule 13, Row4:

Schedule 13, Row4::No voting rights are granted to members who voluntarily waive the membership requirement.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)