U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210 		FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 01-31-2025
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

This report is mandatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
057-419
2. PERIOD COVERED
From01/01/2022
Through12/31/2022
3. (a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This is a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
SERVICE EMPLOYEES
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
 6. DESIGNATION NBR
113
7. UNIT NAME (if any)
HEALTHCARE MINNESOTA
8. MAILING ADDRESS (Type or print in capital letters)
First Name
JAMIE
 Last Name
GULLEY
P.O Box - Building and Room Number

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


9. Are your organization's records kept at its mailing address?


Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:Jamie T GulleyPRESIDENT71. SIGNED:Jigme UgenEXECUTIVE VP
Date:Mar 15, 2023Telephone Number:651-294-8100Date:Mar 15, 2023Telephone Number:651-294-8104
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 057-419
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?Yes
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?Yes
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?10/2025
20. How many members did the labor organization have at the end of the reporting period?21,142
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.1%-3% Gross IncomeperMonth$10$72
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

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

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $2,648,035$1,668,892
23. Accounts Receivable1$8,448$113,502
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$618,791$557,793
27. Fixed Assets6$95,030$81,289
28. Other Assets7$0
29. TOTAL ASSETS $3,370,304$2,421,476

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$28,263$1,928
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$8,986$101,267
34. TOTAL LIABILITIES $37,249$103,195
35. NET ASSETS$3,333,055$2,318,281
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 057-419

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $11,473,876
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $25,013
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $145,429
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$1,496,082
49. TOTAL RECEIPTS $13,140,400
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$6,024,261
51. Political Activities and Lobbying16$556,227
52. Contributions, Gifts, and Grants17$33,179
53. General Overhead18$866,315
54. Union Administration19$237,371
55. Benefits20$1,614,866
56. Per Capita Tax $4,150,487
57. Strike Benefits $63,277
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$15,496
61. Loans Made2$0
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $153,327
64. On Behalf of Individual Members $0
65. Direct Taxes $404,737
  
66. Subtotal $14,119,543
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,220,987  
  67b. Less Total Disbursed$1,220,987  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $14,119,543
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 057-419

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable$113,502$0$0$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $113,502$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 057-419

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above$0$0$0$0$0
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 057-419

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Gross Sales Price
(D) 		Amount Received
(E)
Total of all lines above$0$0$0$0
Less Reinvestments 
(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: 057-419

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$15,496$15,496$15,496
Office Furniture and Equipment$6,977$6,977$6,977
Office Furniture and Equipment$8,519$8,519$8,519
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$15,496
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 057-419

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost$557,793
E. Total Book Value$557,793
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.  
  • Real Property: 345 Randolph Ave Ste. 100, St. Paul
$557,793
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $557,793
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 057-419

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$1,217,959$113,670$81,289$81,289
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,217,959$113,670$81,289$81,289
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 057-419

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

Entity or Individual Name
(A) 		Total Account
Payable
(B) 		90-180 Days
Past Due
(C) 		180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$0$0$0$0
Total from all other accounts payable$1,928$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $1,928$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 057-419

Source of Loans Payable at Any
Time During the Reporting Period
(A) 		Loans Owed at
Start of Period
(B) 		Loans Obtained
During Period
(C) 		Repayment
During Period
Cash
(D)(1) 		Repayment
During Period
Other Than Cash
(D)(2) 		Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 057-419

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $101,267
COPE Withholding$1,088
Prior Year Dues Overpayment Refund Owed$100,179
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 057-419

(A)
Name		(B)
Title		(C)
Status		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances
Disbursed 		(F)
Disbursements for Official Business 		(G)
Other
Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		Bale ,  Mary  
Delegate
C		$1,906$0$385$0$2,291
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 		Bernini ,  Brianne  
Former Delegate/Ext. Orga
P		$26,123$100$240$0$26,463
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Burnfin ,  Dawn  
Delegate
C		$6,187$0$0$0$6,187
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 		Carlson ,  Lynn  
Vice President
C		$550$0$0$0$550
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 		Cromedy ,  Bennie  
Delegate
C		$100$0$0$0$100
I
Schedule 15
Representational Activities 		65 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		30 %
A
B
C 		Cryan ,  Phillip  
Executive Vice President
C		$124,959$75$1,261$0$126,295
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		10 %
A
B
C 		Dahlen ,  Elizabeth  
Delegate
C		$3,696$0$360$0$4,056
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 		Donazal ,  Cleveland  
Delegate
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 		Elrite ,  Kathryn  
Delegate
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 		Fadera ,  Yankuba  
Former Delegate/Inter. Or
P		$45,050$2,335$180$0$47,565
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Freeman ,  Mark  
Delegate
C		$1,133$0$385$0$1,518
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 		Giovanni ,  Antonietta  
Delegate
C		$1,418$0$0$0$1,418
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 		Gulley ,  Jamie  
President
C		$140,882$100$1,807$0$142,789
I
Schedule 15
Representational Activities 		65 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		20 %
A
B
C 		Hall ,  Francis  
Delegate
C		$0$0$25,306$0$25,306
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 		Hansen ,  Penny  
Delegate
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 		Hanson ,  Crissy  
Delegate
C		$4,536$0$385$0$4,921
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 		Her ,  Yeeg  
Delegate
C		$4,769$0$0$0$4,769
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 		Hilbrich ,  Brenda  
Executive Vice President
C		$128,546$0$0$0$128,546
I
Schedule 15
Representational Activities 		68 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		10 %
A
B
C 		Holt ,  James  
Delegate
C		$3,296$0$385$0$3,681
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 		Howze ,  Debra  
Delegate
C		$8,380$0$0$0$8,380
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		60 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		40 %
A
B
C 		Hughes ,  Latanya  
Delegate
C		$548$0$0$0$548
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 		Kaup ,  Leslie  
Delegate
C		$3,731$0$0$0$3,731
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 		Lemire ,  Sonja  
Vice President
C		$50$0$0$0$50
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 		Lynch ,  Katherine  
Vice President
C		$7,917$0$385$0$8,302
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 		Matthews ,  Rita  
Delegate
C		$3,225$0$385$0$3,610
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 		Meyer ,  Kathlene  
Delegate
C		$3,194$0$0$0$3,194
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 		Mintey ,  Dan  
Trustee
C		$2,861$0$385$0$3,246
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 		Nordby ,  Melody  
Delegate
C		$658$0$0$0$658
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Pikala ,  Robin  
Delegate
C		$20,566$0$0$0$20,566
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		60 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		40 %
A
B
C 		Pille ,  Kia  
Delegate
C		$3,668$0$385$0$4,053
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 		Ramnauth ,  Kamala  
Delegate
C		$1,838$0$385$0$2,223
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 		Santos Norgren ,  Jennifer  
Delegate
C		$1,638$0$0$0$1,638
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 		Sarro ,  Jeff  
Delegate
C		$2,824$0$60$0$2,884
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 		Sharif, Rasha ,  Ahmad  
Executive Vice President
C		$120,191$0$5,893$0$126,084
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		Smith ,  Johnnie  
Delegate
C		$244$0$0$0$244
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 		Straumann ,  Vivian  
Delegate
C		$343$0$0$0$343
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Ugen ,  Jigme  
Executive Vice President
C		$126,207$0$6,726$0$132,933
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		15 %
A
B
C 		Urman ,  Elsie  
Delegate
C		$1,230$0$0$0$1,230
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 		Vandenburgh ,  Corey  
Delegate
C		$4,086$0$0$0$4,086
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 		Vo ,  Danh  
Delegate
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 		Wilcox ,  Kent  
Delegate
C		$1,781$0$385$0$2,166
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$808,331$2,610$45,683$0$856,624
Less Deductions    $213,103
Net Disbursements    $643,521
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 057-419

(A)
Name		(B)
Title		(C)
Other Payer		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances Disbursed 		(F)
Disbursements for Official Business 		(G)
Other Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		ABDI ,  FADUMO  
MAC DIRECTOR
-		$66,496$0$0$0$66,496
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		AHMED ,  NAZRA H  
MPO
-		$17,708$0$0$0$17,708
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 		BAIERL ,  EMILY  
ORGANIZER
-		$0$0$18,626$0$18,626
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 		BOOTS ,  JULIE  
INTERNAL ORGANIZER
-		$84,415$1,325$645$0$86,385
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		BORGMAN ,  AMY  
OIT
-		$34,053$333$0$0$34,386
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CHAPDELAINE ,  KAREN  
SUPPORT STAFF
-		$60,324$0$0$0$60,324
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CHILDERS ,  ARABELLA M  
OIT
-		$74,292$275$0$0$74,567
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CHRISTENSON ,  ASHLEY  
COMMUNICATIONS
-		$93,815$0$1,201$0$95,016
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		DALTO ,  ISAAC  
ORGANIZER
-		$0$0$19,016$0$19,016
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FARAH ,  SAHRA L  
INTERNAL ORGANIZER
-		$70,017$0$0$0$70,017
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FISHER ,  BENJAMIN  
INTERNAL ORGANIZER
-		$80,888$0$533$0$81,421
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FLYNN ,  MACKENZIE O  
EXTERNAL ORGANIZER
-		$51,919$0$631$0$52,550
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FORESTER ,  TIFFANY  
DIRECTOR SUPPORT STAFF
-		$98,778$0$120$0$98,898
I
Schedule 15
Representational Activities 		45 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		45 % Schedule 19
Administration 		5 %
A
B
C 		FRANK ,  TYLER  
INTERNAL ORGANIZER
-		$78,695$0$0$0$78,695
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FRIEDER ,  ELISE M  
EXTERNAL ORGANIZER
-		$47,987$633$236$0$48,856
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		GAKYI ,  TENZIN  
INTERNAL ORGANIZER
-		$79,707$0$0$0$79,707
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		GAMINO ,  JOHN W  
ORGANIZER
-		$76,834$175$0$0$77,009
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		GULED ,  ABDULAHI  
OIT
-		$35,645$517$0$0$36,162
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HAKALA ,  KRISTINE L  
INTERNAL ORGANIZER
-		$66,265$0$77$0$66,342
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HEWITT ,  GABRIEL T  
SUPPORT STAFF
-		$70,438$0$0$0$70,438
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HODGES ,  LE'VENIUS  
INTERNAL ORGANIZER
-		$49,536$0$0$0$49,536
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HUNT ,  STEVE G  
INTERNAL ORGANIZER
-		$89,158$1,395$996$0$91,549
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		JOHNSON ,  TAKIYAH  
ORGANIZER
-		$0$0$12,500$0$12,500
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 		JOHNSON ,  TAVONA L  
MPO
-		$12,557$0$0$0$12,557
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 		KALIF ,  RAKIB A  
INTERNAL ORGANIZER
-		$13,761$0$0$0$13,761
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KARACHUNSKI ,  ELIZAVETA P  
ORGANIZER
-		$0$0$13,000$0$13,000
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 		KITTLESON ,  KATHRYN M  
OIT
-		$11,862$111$147$0$12,120
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KLEIN ,  KRYSTAL M  
INTERNAL ORGANIZER
-		$82,762$0$0$0$82,762
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KOHA DEI-ANANG ,  MIKHAIL F  
EXTERNAL ORGANIZER
-		$79,261$175$80$0$79,516
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KUEHN ,  KEVIN  
INTERNAL ORGANIZER
-		$84,864$0$0$0$84,864
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KRANTZ ,  NATHANIEL  
OIT
-		$26,250$427$14,702$0$41,379
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		LACKEY ,  SHARI J  
MPO
-		$17,070$0$0$0$17,070
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 		LACOSTE ,  MICHAEL  
EXTERNAL ORGANIZER
-		$14,686$0$0$0$14,686
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		LARSON ,  GAIL  
HOMECARE ORGANIZER
-		$31,641$0$0$0$31,641
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		LARSON ,  HEATHER  
INTERNAL ORGANIZER
-		$77,797$0$0$0$77,797
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MCCLELLAN ,  LISA A  
INTERNAL ORGANIZER
-		$98,779$1,385$406$0$100,570
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MOHAMMED ,  MAIMOUNA S  
INTERNAL ORGANIZER
-		$47,304$0$0$0$47,304
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MOA ,  LYNDA  
INTERNAL ORGANIZER
-		$26,892$0$0$0$26,892
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		NADAL ,  WILLIAM  
LEGAL DIRECTOR
-		$131,293$0$1,647$0$132,940
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		5 %
A
B
C 		PERRI ,  JOHN F  
FINANCE DIRECTOR
-		$108,168$0$3,686$0$111,854
I
Schedule 15
Representational Activities 		45 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		45 % Schedule 19
Administration 		5 %
A
B
C 		PHAN ,  BUNNARD  
EXTERNAL ORGANIZER
-		$74,110$150$350$0$74,610
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		POWERS ,  DANIEL B  
ORGANIZER
-		$0$0$17,526$0$17,526
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 		QUIROZ ,  MIGUEL  
INTERNAL ORGANIZER
-		$28,947$0$0$0$28,947
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SALMIA ,  CARRIE A  
SUPPORT STAFF
-		$66,077$0$0$0$66,077
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SALMINEN ,  ERIC L  
ORGANIZING DIRECTOR
-		$88,911$175$0$0$89,086
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SCHMITZ ,  TODD  
INTERNAL ORGANIZER
-		$17,000$0$0$0$17,000
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 		SCHWANKL ,  KAYLA J  
INTERNAL ORGANIZER
-		$71,640$3,021$1,732$0$76,393
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SPARKS ,  GENE T  
INTERNAL ORGANIZER
-		$70,469$125$2,748$0$73,342
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SPIKA ,  SUMER  
INTERNAL ORGANIZER
-		$67,301$0$0$0$67,301
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		STEVENS ,  LUCHELLE  
CHIEF OF STAFF
-		$178,252$25$1,749$0$180,026
I
Schedule 15
Representational Activities 		68 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		20 % Schedule 19
Administration 		10 %
A
B
C 		TAYTHI ,  SANGAY T  
INTERNAL ORGANIZER
-		$78,666$0$1,177$0$79,843
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		VANDERWERF ,  MIAH S  
ORGANIZER
-		$0$0$12,648$0$12,648
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 		VARCO ,  RICHARD  
POLITICAL DIRECTOR
-		$92,678$0$0$0$92,678
I
Schedule 15
Representational Activities 		36 % Schedule 16
Political Activities and Lobbying 		64 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		WALLACE ,  HALLIE  
INTERNAL ORGANIZER
-		$40,178$250$100$0$40,528
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		WARREN ,  SIMON  
INTERNAL ORGANIZER
-		$36,143$0$0$0$36,143
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		WRIGHT ,  JASON  
INTERNAL ORGANIZER
-		$19,495$25$0$0$19,520
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		XIONG ,  JUDITH  
SUPPORT STAFF
-		$65,080$0$0$0$65,080
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 		XIONG-VANG ,  BAO  
SUPPORT STAFF
-		$64,673$0$0$0$64,673
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$573,327$0$115,334$0$688,661
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 %
Total Employee Disbursements$3,824,864$10,522$241,613$0$4,076,999
Less Deductions    $1,007,884
Net Disbursements    $3,069,115
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 057-419

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 21,142 
Agency Fee Payers*47
Total Members/Fee Payers21,189 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members21,136Yes
Retired Members6Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 057-419

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$1,450,060
2. Named Payer Non-itemized Receipts$22,553
3. All Other Receipts$23,469
4. Total Receipts$1,496,082
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$21,020
2. Named Payee Non-itemized Disbursements$6,900
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$5,259
6. Total Disbursements$33,179
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$1,192,353
2. Named Payee Non-itemized Disbursements$308,811
3. To Officers$572,268
4. To Employees$3,667,019
5. All Other Disbursements$283,810
6. Total Disbursements$6,024,261
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$489,500
2. Named Payee Non-itemized Disbursements$164,499
3. To Officers$46,303
4. To Employees$130,843
5. All Other Disbursements$35,170
6. Total Disbursements$866,315
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$253,368
2. Named Payee Non-itemized Disbursements$2,831
3. To Officers$49,256
4. To Employees$243,953
5. All Other Disbursements$6,819
6. Total Disbursements$556,227
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$5,624
2. Named Payee Non-itemized Disbursements$0
3. To Officers$188,798
4. To Employees$35,188
5. All Other Disbursements$7,761
6. Total Disbursements$237,371
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 057-419

Name and Address
(A)
Columbia University
-
615 West 131st St,3rd Floor
New York
NY
10027
Type or Classification
(B)
University
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$47,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$47,500
Research Fee02/17/2022$7,500
Research Fee09/19/2022$40,000
Name and Address
(A)
SEIU
-
1800 Mass Avenue
Washington
DC
20036
Type or Classification
(B)
International Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$1,192,638
Total Non-Itemized Transactions with this Payee/Payer$9,852
Total of All Transactions with this Payee/Payer for This Schedule$1,202,490
Per Capita Rebate01/28/2022$20,909
Subsidy for Iowa Merger02/16/2022$50,000
Per Capita Rebate03/11/2022$21,909
Subsidy for Iowa Merger03/25/2022$50,000
Training Reimbursements04/08/2022$300,000
Per Capita Rebate04/22/2022$26,200
Per Capita Rebate05/06/2022$25,924
Per Capita Rebate05/27/2022$26,133
Subsidy06/17/2022$8,333
Subsidy07/08/2022$8,333
Subsidy08/05/2022$9,293
Subsidy09/02/2022$9,293
Per Capita Rebate09/16/2022$25,078
Per Capita Rebate09/30/2022$30,532
Subsidy10/07/2022$9,293
Subsidy11/04/2022$9,293
Per Capita Rebate11/14/2022$77,726
Training Reimbursements12/02/2022$400,000
Subsidy12/06/2022$9,293
Per Capita Rebate12/16/2022$75,096
Name and Address
(A)
SEIU Healthcare Minnesota PAC
-
345 Randolph Ave., Suite 10
St. Paul
MN
55102
Type or Classification
(B)
Affiliate PAC
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$50,780
Total Non-Itemized Transactions with this Payee/Payer$12,701
Total of All Transactions with this Payee/Payer for This Schedule$63,481
Staff Labor Reimbursements09/20/2022$26,977
Staff Labor Reimbursements10/26/2022$15,075
Staff Labor Reimbursements12/30/2022$8,728
Name and Address
(A)
SEIU Local 113 Building Corporation
-
345 Randolph Ave., Suite 10
St. Paul
MN
55102
Type or Classification
(B)
Affiliate Holding Corporation
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$52,818
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$52,818
Reimbursement of operating expenses paid by Local02/09/2022$17,166
Reimbursement of operating expenses paid by Local05/20/2022$25,652
Reimbursement of operating expenses paid by Local08/31/2022$10,000
Name and Address
(A)
SEIU MN State Council
-
2233 University Avenue West
St. Paul
MN
55114
Type or Classification
(B)
Joint Council
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$106,324
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$106,324
MPO Reimbursements09/15/2022$24,570
MPO Reimbursements10/06/2022$61,706
MPO Reimbursements11/22/2022$20,048
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 057-419

Name and Address
(A)
Allina Health
-
2925 Chicago Avenue
Minneapolis
MN
55407
Type or Classification
(B)
Bargained Employer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$93,793
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$93,793
Return of Excess Dues Remittances01/24/2022$93,793
Name and Address
(A)
Amazon, Inc.
-
410 Terry Ave. N
Seattle
WA
98109
Type or Classification
(B)
Member Material and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,199
Total of All Transactions with this Payee/Payer for This Schedule$7,199
Name and Address
(A)
Bloomberg Industry Group
-
1801 S Bell St
Arlington
VA
22202
Type or Classification
(B)
Business News Subscription Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,660
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,660
Annual Subscription12/29/2022$7,660
Name and Address
(A)
CenturyLink Communications, LLC
52187
-
Phoenix
AZ
85072
Type or Classification
(B)
Internet service provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,826
Total of All Transactions with this Payee/Payer for This Schedule$9,826
Name and Address
(A)
Como Town
-
1301 Midway Pkwy
St. Paul
MN
55103
Type or Classification
(B)
Venue for Member Event
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,955
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$17,955
Member Picnic Venue08/02/2022$17,955
Name and Address
(A)
Corporate Technologies
9022
-
Fargo
ND
58106
Type or Classification
(B)
IT Management
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$45,936
Total Non-Itemized Transactions with this Payee/Payer$40,301
Total of All Transactions with this Payee/Payer for This Schedule$86,237
Licenses02/17/2022$5,569
Monthly IT Management & Licenses07/01/2022$15,269
Backup licenses10/03/2022$25,098
Name and Address
(A)
Costco
34783
-
Seattle
WA
98124
Type or Classification
(B)
Member Events Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,462
Total of All Transactions with this Payee/Payer for This Schedule$10,462
Name and Address
(A)
Cummins & Cummins
-
920 Second Avenue South #12
Minneapolis
MN
55402
Type or Classification
(B)
Law Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$586,563
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$586,563
Contract Negotiation and Representation Litigation01/21/2022$13,759
Contract Negotiation and Representation Litigation02/10/2022$51,402
Contract Negotiation and Representation Litigation03/17/2022$57,953
Contract Negotiation and Representation Litigation04/11/2022$43,841
Contract Negotiation and Representation Litigation05/13/2022$45,939
Contract Negotiation and Representation Litigation07/01/2022$65,392
Contract Negotiation and Representation Litigation07/13/2022$49,457
Contract Negotiation and Representation Litigation08/17/2022$37,020
Contract Negotiation and Representation Litigation09/16/2022$61,035
Contract Negotiation and Representation Litigation11/02/2022$56,409
Contract Negotiation and Representation Litigation11/28/2022$52,688
Contract Negotiation and Representation Litigation12/29/2022$51,668
Name and Address
(A)
Delta Airlines
-
4300 Glumack Drive
St. Paul
NM
55111
Type or Classification
(B)
Airline
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,577
Total of All Transactions with this Payee/Payer for This Schedule$13,577
Name and Address
(A)
Delta Hotels Minneapolis Northeast
-
1330 Industrial Blvd NEjava
Minneapolis
MN
55413
Type or Classification
(B)
Member Convention Venue
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$71,152
Total Non-Itemized Transactions with this Payee/Payer$680
Total of All Transactions with this Payee/Payer for This Schedule$71,832
Member Convention Catering & Meeting Rental10/20/2022$71,152
Name and Address
(A)
Expedia
-
333 108th Avenue NE
Bellevue
WA
98004
Type or Classification
(B)
Hotels for Member Meetings, Bargaining & Training
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$38,456
Total of All Transactions with this Payee/Payer for This Schedule$38,456
Name and Address
(A)
Goddard College
-
123 Pitkin Road
Plainfield
VT
05667
Type or Classification
(B)
College
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Tuition02/04/2022$6,000
Name and Address
(A)
Honsa-Binder Printing Inc
-
320 Spruce Street
St. Paul
MN
55101
Type or Classification
(B)
Printing of Member Materials for Bargain. & Events
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$38,713
Total Non-Itemized Transactions with this Payee/Payer$3,666
Total of All Transactions with this Payee/Payer for This Schedule$42,379
Allina Master CBA04/26/2022$38,713
Name and Address
(A)
Image Pointe
-
1224 LaPorte Rd.
Waterloo
IA
50702
Type or Classification
(B)
Printing of Member Materials - Bargaining & Events
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,749
Total Non-Itemized Transactions with this Payee/Payer$7,147
Total of All Transactions with this Payee/Payer for This Schedule$19,896
Printing of Member Materials - Bargaining & Events07/01/2022$12,749
Name and Address
(A)
Innovative Office Solutions
-
151 Cliff Rd E
Burnsville
MN
55337
Type or Classification
(B)
Office Supplies Vendor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,530
Total of All Transactions with this Payee/Payer for This Schedule$9,530
Name and Address
(A)
James Lundberg
-
9300 Hyland Creek Circle
Bloomington
MN
55437
Type or Classification
(B)
Arbitrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,675
Total of All Transactions with this Payee/Payer for This Schedule$5,675
Name and Address
(A)
Jeffrey Jacobs
-
1041 Loon Dr
Lake Shore
MN
56468
Type or Classification
(B)
Arbitrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$21,827
Total of All Transactions with this Payee/Payer for This Schedule$21,827
Name and Address
(A)
Joseph L Daly
-
4016 24th Avenue S, Ste 101
Minneapolis
MN
55406
Type or Classification
(B)
Arbitrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,397
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,397
Arbitration Fees - Allina06/14/2022$5,397
Name and Address
(A)
Labor Movement Representation Services
-
1183 McLean Ave
St Paul
MN
55106
Type or Classification
(B)
Attorney - Member Arbitration & Pension Matters
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$41,604
Total Non-Itemized Transactions with this Payee/Payer$14,059
Total of All Transactions with this Payee/Payer for This Schedule$55,663
Arbitration01/21/2022$6,991
Arbitration02/10/2022$7,155
Arbitration04/11/2022$5,850
Arbitration06/14/2022$5,064
Arbitration07/13/2022$5,511
Arbitration08/17/2022$5,086
Arbitration09/12/2022$5,947
Name and Address
(A)
Lumen
52187
-
Phoenix
AZ
85072
Type or Classification
(B)
Network and Connectivity
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,328
Total of All Transactions with this Payee/Payer for This Schedule$17,328
Name and Address
(A)
Marco Technologies LLC
-
4510 Heatherwood Road
Saint Cloud
MN
56301
Type or Classification
(B)
Copy Machine Rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$26,558
Total of All Transactions with this Payee/Payer for This Schedule$26,558
Name and Address
(A)
Pitney Bowes
-
3001 Summer St
Stamford
CT
06905
Type or Classification
(B)
Postage for Member Bargaining Materials & Member C
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$44,157
Total of All Transactions with this Payee/Payer for This Schedule$44,157
Name and Address
(A)
Raygun
-
505 E Grand Ave, Ste 103
Des Moines
IA
50309
Type or Classification
(B)
Member Material and Supplies
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,499
Total of All Transactions with this Payee/Payer for This Schedule$7,499
Name and Address
(A)
Regents of the University of Minnesota
1450
-
Minneapolis
MN
55485
Type or Classification
(B)
Education
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Hospital Education09/28/2022$5,000
Name and Address
(A)
Seven Corners Printing Company
-
1099 Snelling Ave N
St. Paul
MN
55108
Type or Classification
(B)
Printing of Member Materials for Bargain. & Events
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$168,745
Total Non-Itemized Transactions with this Payee/Payer$16,914
Total of All Transactions with this Payee/Payer for This Schedule$185,659
Printing - Member Contracts & Negotiations01/24/2022$30,893
Printing - Member Contracts & Negotiations02/08/2022$13,599
Printing - Member Contracts & Negotiations03/10/2022$18,819
Printing - Member Contracts & Negotiations05/05/2022$12,529
Printing - Member Contracts & Negotiations07/01/2022$5,310
Printing - Member Contracts & Negotiations07/29/2022$22,285
Printing - Member Contracts & Negotiations08/17/2022$5,690
Printing - Member Contracts & Negotiations10/20/2022$19,929
Printing - Member Contracts & Negotiations11/02/2022$23,623
Printing - Member Contracts & Negotiations11/08/2022$16,068
Name and Address
(A)
Souna' Smith
-
1120 Englewood Ave
St. Paul
MN
55104
Type or Classification
(B)
Child Care at member barg. & negotiation sessions
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,150
Total of All Transactions with this Payee/Payer for This Schedule$6,150
Name and Address
(A)
St. Paul Saints
-
1771 Energy Park Drive
St. Paul
MN
55108
Type or Classification
(B)
Baseball Team - Member Events
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,772
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,772
Tickets for Member Event12/20/2022$5,772
Name and Address
(A)
Steven Hoffmeyer
-
14020 42nd Ave North
Plymouth
MN
55446
Type or Classification
(B)
Arbitrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,800
Total of All Transactions with this Payee/Payer for This Schedule$7,800
Name and Address
(A)
UnionWare
-
260 Saulteaux Crescent
Winnipeg
00
R3J3T2
Type or Classification
(B)
Union Member Database & Management Software
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$79,314
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$79,314
Union Member Database & Management Software01/21/2022$6,512
Union Member Database & Management Software02/10/2022$6,512
Union Member Database & Management Software03/17/2022$6,512
Union Member Database & Management Software04/11/2022$6,512
Union Member Database & Management Software05/05/2022$6,512
Union Member Database & Management Software06/14/2022$6,512
Union Member Database & Management Software07/13/2022$6,707
Union Member Database & Management Software08/17/2022$6,707
Union Member Database & Management Software09/12/2022$6,707
Union Member Database & Management Software10/20/2022$6,707
Union Member Database & Management Software11/08/2022$6,707
Union Member Database & Management Software12/29/2022$6,707
Name and Address
(A)
ZixCorp
650823
-
Dallas
TX
75265
Type or Classification
(B)
IT Security
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,000
IT Security06/14/2022$6,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 057-419

Name and Address
(A)
Frenette Legislative Advisors
-
1734 Blair Avenue
St. Paul
MN
55104
Type or Classification
(B)
Consulting Firm - Political Issues Advocacy
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$31,136
Total Non-Itemized Transactions with this Payee/Payer$2,831
Total of All Transactions with this Payee/Payer for This Schedule$33,967
Political Advocacy03/17/2022$5,661
Political Advocacy06/01/2022$5,661
Political Advocacy07/19/2022$5,661
Political Advocacy09/28/2022$5,661
Political Advocacy12/29/2022$8,492
Name and Address
(A)
Hill Capitol Strategies, Inc.
-
13570 Grove Drive #281
Maple Grove
MN
55311
Type or Classification
(B)
Consulting Firm - Political Issues Advocacy
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$37,080
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$37,080
Political Advocacy01/24/2022$12,360
Political Advocacy03/08/2022$6,180
Political Advocacy03/24/2022$6,180
Political Advocacy04/26/2022$6,180
Political Advocacy12/29/2022$6,180
Name and Address
(A)
One Minnesota Inaugural Committee
-
555 Park St. #317
St. Paul
MN
55103
Type or Classification
(B)
Inauguration Committee
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
General Support12/06/2022$10,000
Name and Address
(A)
SEIU Healthcare Minnesota PAC
-
345 Randolph Ave Ste. 100
St. Paul
MN
55102
Type or Classification
(B)
PAC Affiliate
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$175,152
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$175,152
Political Advocacy01/31/2022$11,538
Political Advocacy04/28/2022$22,871
Political Advocacy05/05/2022$12,024
Political Advocacy09/15/2022$44,662
Political Advocacy11/02/2022$42,052
Political Advocacy12/20/2022$42,005
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 057-419

Name and Address
(A)
H-CAP, Inc.
-
407 Chapman St
Irvington
NJ
07111
Type or Classification
(B)
Healthcare Advancement Program
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,000
General Donation06/14/2022$6,000
Name and Address
(A)
Minnesota Consortium for Citizens with Disabilitie
-
1600 Broadway St NE
Minneapolis
MN
55413
Type or Classification
(B)
Non-profit Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,900
Total of All Transactions with this Payee/Payer for This Schedule$6,900
Name and Address
(A)
New Brookwood Labor College
-
1045 Gorman Ave
West St. Paul
MN
55118
Type or Classification
(B)
College - Working Partnership
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
General Support12/20/2022$5,000
Name and Address
(A)
Working Partnerships
-
312 Central Ave SE Ste 524
Minneapolis
MN
55414
Type or Classification
(B)
Union and Economic Justice Advocate
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,020
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,020
Minneapolis Federation of Teachers and Education S03/24/2022$5,020
Emergency Relief Support06/14/2022$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 057-419

Name and Address
(A)
Access Corp
-
500 Unicorn Park Dr Ste 503
Woburn
MA
01801
Type or Classification
(B)
Records and Information Management
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,056
Total of All Transactions with this Payee/Payer for This Schedule$5,056
Name and Address
(A)
Adobe, Inc.
-
345 Park Avenue
San Jose
CA
95110
Type or Classification
(B)
Software Co.
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,344
Total of All Transactions with this Payee/Payer for This Schedule$7,344
Name and Address
(A)
ADP, LLC
842875
-
Boston
MA
02284-2875
Type or Classification
(B)
Payroll Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$27,034
Total of All Transactions with this Payee/Payer for This Schedule$27,034
Name and Address
(A)
Bellows Associates P.A.
-
5401 N University Dr Ste201
Coral Springs
FL
33067
Type or Classification
(B)
CPA Firm
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,610
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$26,610
Audit and accounting services10/03/2022$26,610
Name and Address
(A)
Bill.com
-
6220 America Dr, Ste. 100
San Jose
CA
95002
Type or Classification
(B)
Bill Processing Software
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,755
Total of All Transactions with this Payee/Payer for This Schedule$7,755
Name and Address
(A)
HP, Inc.
-
1501 Page Mill Rd
Palo Alto
CA
94304
Type or Classification
(B)
Laptops Organizers & Staff
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,787
Total of All Transactions with this Payee/Payer for This Schedule$6,787
Name and Address
(A)
Lenovo, Inc.
-
1009 Think Place
Morrisville
NC
27560
Type or Classification
(B)
Laptops Organizers & Staff
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,240
Total Non-Itemized Transactions with this Payee/Payer$10,946
Total of All Transactions with this Payee/Payer for This Schedule$18,186
4 Laptops with Backup05/08/2022$7,240
Name and Address
(A)
Mohanliah Raghubir
-
3434 26th Ave S
Minneapolis
MN
55406
Type or Classification
(B)
Cleaning Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$29,300
Total of All Transactions with this Payee/Payer for This Schedule$29,300
Name and Address
(A)
Ramsey County
64097
-
St. Paul
MN
55164
Type or Classification
(B)
County Tax Collector
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$47,738
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$47,738
Property Taxes05/04/2022$47,738
Name and Address
(A)
Riverbend Commercial Condo Association
-
1625 Energy Park Dr Ste100
St. Paul
MN
55108
Type or Classification
(B)
Association for Building Corp.
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$67,631
Total Non-Itemized Transactions with this Payee/Payer$648
Total of All Transactions with this Payee/Payer for This Schedule$68,279
Association Fees02/08/2022$6,319
Association Fees03/10/2022$6,096
Association Fees03/24/2022$6,096
Association Fees05/13/2022$6,096
Association Fees06/01/2022$6,096
Association Fees08/17/2022$6,096
Association Fees09/29/2022$12,545
Association Fees11/02/2022$6,602
Association Fees11/28/2022$11,685
Name and Address
(A)
SEIU Local 113 Building Corporation
-
345 Randolph Ave. Ste 100
St. Paul
MN
55102
Type or Classification
(B)
Affiliate Building Corporation
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$304,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$304,000
Rent02/02/2022$31,000
Rent03/29/2022$31,000
Rent04/28/2022$31,000
Rent06/01/2022$10,000
Rent07/05/2022$15,000
Rent07/28/2022$31,000
Rent09/01/2022$31,000
Rent09/30/2022$26,000
Rent10/11/2022$5,000
Rent11/16/2022$62,000
Rent12/01/2022$31,000
Name and Address
(A)
Union Insurance Group
-
303 W Erie St. #310
Chicago
IL
60654
Type or Classification
(B)
Insurance Co.
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,647
Total Non-Itemized Transactions with this Payee/Payer$7,388
Total of All Transactions with this Payee/Payer for This Schedule$33,035
Umbrella, Flood, Auto and Property Insurance10/20/2022$13,031
Cyber and Flood Insurance12/02/2022$12,616
Name and Address
(A)
Verizon, Inc.
291089
-
Columbia
SC
29229
Type or Classification
(B)
Telecommunications Co.
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,196
Total Non-Itemized Transactions with this Payee/Payer$40,528
Total of All Transactions with this Payee/Payer for This Schedule$45,724
Monthly Wireless Services06/17/2022$5,196
Name and Address
(A)
Xcel
9477
-
Minneapolis
MN
55484
Type or Classification
(B)
Utilities Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,438
Total Non-Itemized Transactions with this Payee/Payer$16,645
Total of All Transactions with this Payee/Payer for This Schedule$22,083
Utilities for Building03/24/2022$5,438
Name and Address
(A)
Zoom, Inc.
-
55 Almaden Blvd, 6th Floor
San Jose
CA
95113
Type or Classification
(B)
Teleconferencing Co.
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,068
Total of All Transactions with this Payee/Payer for This Schedule$5,068
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 057-419

Name and Address
(A)
Diligent Corporation
-
1111 19th Street NW, 9th FL
Washington
DC
20036
Type or Classification
(B)
Software Company for Board and Governance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,624
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,624
Governance Software11/02/2022$5,624
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 057-419

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,614,866
Cobra Admin FeesFlyte HCM LLC$128
Health InsuranceHealth Partners$653,247
Health InsuranceMorrison at Mayo Clinic$10,631
401(K) AdministrationSEIU Affiliates 401(K) Plan$1,170
Life InsuranceMutual of Omaha$34,996
PensionSEIU Affiliates & Officers$651,558
PensionTwin City Workers Pension Fund$58,015
HSA FundingAssociated Bank$118,800
Workmens Compensation InsuranceUnion Insurance Group$34,204
Membership ScholarshipsMember and Members' Beneficiaries$15,000
Member RecognitionMultiple Members$12,974
Member MemorialsMembers' Beneficiaries$12,500
Member GiftsMembers' Beneficiaries$11,643
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 057-419
Item 71 Title: Per the Union's constitution and bylaws, the President assigns one of the Executive VPs to perform the duties of principal financial officer. Jigme Ugen has been assigned such duties.

Question 10: Fund Name: Twin City Hospital Workers Pension Plan C/O Address: 2520 Pilot Knob Rd., Suite 325, Mendota Heights, MN 55120 EIN: 41-1303906 Plan #: 001 Purpose: To provide pension benefits for eligible members of participating employers.

Question 11(a):

Question 11(a): : : : Name of PAC: SEIU Healthcare Minnesota Political Action Committee. Report filed: Campaign finance report of receipts and expenditures. Government Agency: Filed with the Campaign Finance and Public Disclosure Board. Purpose: The PAC is a separate segregated fund established to support candidates for state and local offices who promote the interests of organized labor.

Question 11(b):

Question 11(b): : : : Name of Subsidiary: Service Employees International Union Local 113 Building Corporation. Address: 345 Randolph Ave., Suite 100, St. Paul, MN 55102 Fiscal Year End: December 31, 2022. Relationship: The Union is the sole investor and owner of the Building Corporation in which the Union operates and conducts union business. Option #2 Recognition: The net assets of the Building Corporation are reported as an investment on Line 26 and on

Schedule 5 of the LM filing.

Question 12: Audit Firm: Bellows Associates, P.A. Address: 5401 N University Drive, Suite 201. Coral Springs, FL 33067.

Schedule 13, Row1:

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

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row2:

Schedule 13, Row2:A member who no longer works within the jurisdiction of the Local union or in the industry but is still a member of the union. A retired member pays reduced dues and has full voting privileges.

Schedule 13, Row2:

Schedule 13, Row2::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)