DOL Form Report (Disclosure) ... · ITEMS 10 THROUGH 21 FILE NUMBER: 542-433 10. During the reporting period did the labor organization create or participate in the administration

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U.S. Department of LaborOffice of Labor-Management Standards

Washington, DC 20210

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORTForm Approved

Office of Management and BudgetNo. 1245-0003

Expires: 08-31-2016MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN

TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

This report is manadatory 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. 439or 440.

READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.

For Official UseOnly

1. FILE NUMBER542-433

2. PERIOD COVEREDFrom 01/01/2015Through 12/31/2015

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 NAMESERVICE EMPLOYEES

5. DESIGNATION (Local, Lodge, etc.)LOCAL UNION

6. DESIGNATION NBR775

7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)

First NameDAVID

Last NameROLF

P.O Box - Building and Room Number

Number and Street215 COLUMBIA STREET

CitySEATTLE

StateWA

ZIP Code + 498104

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 ofthe information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best ofthe undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)70. SIGNED: David M Rolf PRESIDENT 71. SIGNED: Adam S Glickman-Flora TREASURERDate: Mar 29, 2016 Telephone Number: 253-815-3702 Date: Mar 29, 2016 Telephone Number: 253-815-3742Form LM-2 (Revised 2010)

DOL Form Report (Disclosure) https://olms.dol-esa.gov/query/orgReport.do

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ITEMS 10 THROUGH 21 FILE NUMBER: 542-43310. During the reporting period did the labor organization createor participate in the administration of a trust or a fund ororganization, as defined in the instructions, which providesbenefits for members or beneficiaries?

Yes

11(a). During the reporting period did the labor organizationhave a political action committee (PAC) fund?

Yes

11(b). During the reporting period did the labor organizationhave a subsidiary organization as defined in Section X of theseInstructions?

No

12. During the reporting period did the labor organization havean audit or review of its books and records by an outsideaccountant or by a parent body auditor/representative?

Yes

13. During the reporting period did the labor organizationdiscover any loss or shortage of funds or other assets? (Answer"Yes" even if there has been repayment or recovery.)

Yes

14. What is the maximum amount recoverable under the labororganization's fidelity bond for a loss caused by any officer,employee or agent of the labor organization who handled unionfunds?

$500,000

15. During the reporting period did the labor organizationacquire or dispose of any assets in a manner other thanpurchase or sale?

Yes

16. Were any of the labor organization's assets pledged assecurity or encumbered in any way at the end of the reportingperiod?

No

17. Did the labor organization have any contingent liabilities atthe end of the reporting period?

No

18. During the reporting period did the labor organization haveany changes in its constitution or bylaws, other than rates of duesand fees, or in practices/procedures listed in the instructions?

No

19. What is the date of the labor organization's next regularelection of officers?

09/2018

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

43,049

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

Dues/Fees Amount Unit Minimum Maximum(a) Regular Dues/Fees 3.2% per MONTH $30 3.2%(b) Working Dues/Fees per(c) Initiation Fees per(d) Transfer Fees per(e) Work Permits per

Form LM-2 (Revised 2010)


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STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 542-433

ASSETS

ASSETSScheduleNumber

Start of Reporting Period(A)

End of Reporting Period(B)

22. Cash $5,524,839 $11,459,37223. Accounts Receivable 1 $024. Loans Receivable 2 $1,665 $2,66525. U.S. Treasury Securities $0 $026. Investments 527. Fixed Assets 6 $3,802,417 $895,68328. Other Assets 7 $114,274 $551,992

29. TOTAL ASSETS $9,443,195 $12,909,712

LIABILITIES

LIABILITIESScheduleNumber

Start of Reporting Period(A)

End of Reporting Period(B)

30. Accounts Payable 8 $031. Loans Payable 9 $032. Mortgages Payable $374,835 $033. Other Liabilities 10 $51,136 $76,70934. TOTAL LIABILITIES $425,971 $76,709

35. NET ASSETS $9,017,224 $12,833,003



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STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 542-433

CASH RECEIPTS SCH AMOUNT36. Dues and Agency Fees $23,747,79537. Per Capita Tax $038. Fees, Fines, Assessments, Work Permits $039. Sale of Supplies $040. Interest $28,57441. Dividends $042. Rents $381,00843. Sale of Investments and Fixed Assets 3 $1,765,74144. Loans Obtained 945. Repayments of Loans Made 2 $6,69746. On Behalf of Affiliates for Transmittal to Them $047. From Members for Disbursement on Their Behalf $048. Other Receipts 14 $6,060,90449. TOTAL RECEIPTS $31,990,719

CASH DISBURSEMENTS SCH AMOUNT50. Representational Activities 15 $7,647,05451. Political Activities and Lobbying 16 $4,450,03852. Contributions, Gifts, and Grants 17 $138,53353. General Overhead 18 $3,186,83854. Union Administration 19 $569,91355. Benefits 20 $3,292,54856. Per Capita Tax $5,899,78657. Strike Benefits $058. Fees, Fines, Assessments, etc. $059. Supplies for Resale $060. Purchase of Investments and Fixed Assets 4 $283,83061. Loans Made 2 $7,69762. Repayment of Loans Obtained 963. To Affiliates of Funds Collected on Their Behalf $064. On Behalf of Individual Members $065. Direct Taxes $605,522

66. Subtotal $26,081,75967. Withholding Taxes and Payroll Deductions 67a. Total Withheld $1,556,922 67b. Less Total Disbursed $1,531,349 67c. Total Withheld But Not Disbursed $25,57368. TOTAL DISBURSEMENTS $26,056,186



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SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 542-433

Entity or Individual Name(A)

Total AccountReceivable

(B)

90-180 DaysPast Due

(C)

180+ DaysPast Due

(D)

LiquidatedAccount

Receivable(E)

Total of all itemized accounts receivable $0 $0 $0 $0Totals from all other accounts receivableTotals(Total of Column (B) will be automatically entered in Item 23, Column(B)) $0 $0 $0 $0Form LM-2 (Revised 2010)


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SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 542-433

List below loans to officers, employees, or members which at anytime during the reporting period exceeded $250 and list all loans to

business enterprises regarless of amount.(A)

LoansOutstanding atStart of Period

(B)

Loans MadeDuring Period

(C)

Repayments Received During Period

Cash(D)(1)

Other Than Cash(D)(2)

LoansOutstanding atEnd of Period

(E)

Total of loans not listed aboveTotal of all lines above $1,665 $7,697 $6,697 $0 $2,665

Totals will be automatically entered in...Item 24

Column (A)Item 61 Item 45 Item 69

with ExplanationItem 24

Column (B)

Name: Ahmed?AliPurpose: PERSONAL?EXPENSESSecurity: PAYROLLTerms of Repayment: 167?PER?MONTH

$1,665 $0 $1,665 $0 $0

Name: Catherine?ByrdPurpose: PERSONAL?EXPENSESSecurity: PAYROLLTerms of Repayment: 142?PER?MONTH

$0 $1,700 $1,700 $0 $0

Name: Mohammed?AbdinsairPurpose: PERSONAL?EXPENSESSecurity: PAYROLLTerms of Repayment: 167?PER?MONTH

$0 $1,999 $1,999 $0 $0

Name: Denver?HendersonPurpose: PERSONAL?EXPENSESSecurity: PAYROLLTerms of Repayment: 167?PER?MONTH

$0 $1,999 $1,166 $0 $833

Name: Ximena?VelazquezPurpose: PERSONAL?EXPENSESSecurity: PAYROLLTerms of Repayment: 167?PER?MONTH

$0 $1,999 $167 $0 $1,832



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SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-433

Description (if land or buildings g ive location)(A)

Cost(B)

Book Value(C)

Gross Sales Price(D)

Amount Received(E)

Total of all lines above $3,989,943 $2,857,956 $1,900,000 $1,765,74133615 1ST WAY S FEDERAL WAY, WA 98003 $3,989,943 $2,857,956 $1,900,000 $1,765,741

Less Reinvestments $0(The total from Net Sales Line will be automatically entered in Item 43) Net Sales $1,765,741



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SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-433

Description (if land or buildings, g ive location)(A)

Cost(B)

Book Value(C)

Cash Paid(D)

Total of all lines above $283,830 $283,830 $283,830

LEASEHOLD IMPROVEMENTS $44,075 $44,075 $44,075FIXTURES, OFFICE EQUIPMENT $239,755 $239,755 $239,755

Less Reinvestments $0(The total from Net Purchases Line will be automatically entered in Item 60.) Net Purchases $283,830



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SCHEDULE 5 - INVESTMENTS FILE NUMBER: 542-433

Description(A)

Amount(B)

Marketable Securities

A. Total CostB. Total Book ValueC. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.

Other Investments

D. Total CostE. Total Book ValueF. List each other investment which has a book value over $5,000 and exceeds 5% of Line E. Also, list each subsidiary for whichseparate reports are attached.

G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0Form LM-2 (Revised 2010)


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SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 542-433

Description(A)

Cost or Other Basis(B)

Total Depreciation orAmount Expensed

(C)

Book Value(D)

Value(E)

A. Land (g ive location) $0 $0 $0B. Buildings (g ive location) $0 $0 $0 $0C. Automobiles and Other VehiclesD. Office Furniture and Equipment $1,045,494 $713,287 $332,207 $330,000

E. Other Fixed Assets $621,599 $58,123 $563,476 $560,000

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

$1,667,093 $771,410 $895,683 $890,000



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SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 542-433

Description(A)

Book Value(B)

Total (Total will be automatically entered in Item 28, Column(B)) $551,992

RENT DEPOSITS $110,742BUILDING OPTION TO PURCHASE DEPOSITS $441,250



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SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 542-433

Entity or Individual Name(A)

Total AccountPayable

(B)

90-180 DaysPast Due

(C)

180+ Days PastDue(D)

Liquidated AccountPayable

(E)Total for all itemized accounts payable $0 $0 $0 $0Total from all other accounts payable $0 $0 $0 $0Totals (Total for Column(B) will be automatically entered in Item 30,Column(D))

$0 $0 $0 $0



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SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 542-433

Source of Loans Payable at AnyTime During the Reporting Period

(A)

Loans Owed atStart of Period

(B)

Loans ObtainedDuring Period

(C)

RepaymentDuring Period

Cash(D)(1)

RepaymentDuring Period

Other Than Cash(D)(2)

Loans Owed atEnd of Period

(E)

Total Loans Payable $0 $0 $0 $0 $0

Totals will be automatically entered in...Item 31

Column (C)Item 44 Item 62 Item 69

with ExplanationItem 31

Column (D)Form LM-2 (Revised 2010)


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SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 542-433

Description(A)

Amount at End of Period(B)

Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $76,709

WITHHELD PAYROLL LIABILITIES $45,709DEPOSITS $31,000



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SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 542-433

(A)Name

(B)Title

(C)Status

(D)Gross Salary

Disbursements(before anydeductions)

(E)AllowancesDisbursed

(F)Disbursements forOfficial Business

(G)Other

Disbursements notreported in

(D) through (F)

(H)TOTAL

ABC

ADEN, TANIKA EXECUTIVE BOARDC

$8,729 $0 $1,723 $0 $10,452

ISchedule 15Representational Activities

56 %Schedule 16Political Activities andLobbying

31 %Schedule 17Contributions

0 %Schedule 18General Overhead

0 %Schedule 19Administration

13 %

ABC

ANDERSON, PHILIP EXECUTIVE BOARDC

$807 $0 $834 $0 $1,641






50 %

ABC

ANDERSON-WEBB, VALERIE EXECUTIVE BOARDC

$1,851 $0 $149 $0 $2,000






52 %

ABC

ANWAR, SHAZIA EXECUTIVE BOARDC

$12,098 $0 $7,908 $0 $20,006






15 %

ABC

BENJAMIN, SUN EXECUTIVE BOARDC

$525 $0 $280 $0 $805






60 %

ABC

BRITO, MANUEL EXECUTIVE BOARDC

$1,250 $0 $1,306 $0 $2,556






65 %

ABC

CARDENAS, AGUSTINA EXECUTIVE BOARDN

$4,307 $0 $2,418 $0 $6,725






16 %

ABC

FIELD, JESSICA EXECUTIVE BOARDN

$1,508 $0 $710 $0 $2,218






56 %

ABC

GLICKMAN, ADAM SECRETARY TREASURERC

$133,461 $5,700 $1,447 $0 $140,608






22 %

ABC

GRAHAM, TABATHA EXECUTIVE BOARDN

$3,521 $0 $1,778 $0 $5,299






38 %

ABC

HANSEN, PAMELA EXECUTIVE BOARDN

$1,046 $0 $173 $0 $1,219






100 %

ABC

HARDERS, STERLING VICE PRESIDENTP

$126,547 $5,700 $1,115 $0 $133,362


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(A)Name

(B)Title

(C)Status

(D)Gross Salary




(G)Other


(D) through (F)

(H)TOTAL






35 %

ABC

HAUFF, JANIE EXECUTIVE BOARDC

$4,527 $0 $2,141 $0 $6,668






37 %

ABC

HUGHES, SHERYLON EXECUTIVE BOARDC

$1,756 $0 $848 $0 $2,604






50 %

ABC

JAGGERS, SUSAN EXECUTIVE BOARDC

$896 $0 $1,633 $0 $2,529






66 %

ABC

JANSSEN, TIMOTHY EXECUTIVE BOARDC

$0 $0 $0 $0 $0






100 %

ABC

JOHNSON, DARRYL EXECUTIVE BOARDC

$5,624 $0 $3,543 $0 $9,167






49 %

ABC

JOHNSON, JACKIE EXECUTIVE BOARDC

$0 $0 $0 $0 $0






100 %

ABC

KANDRASHUK, VERA EXECUTIVE BOARDC

$10,660 $0 $3,038 $0 $13,698






26 %

ABC

KARANJA, VERONICA EXECUTIVE BOARDC

$0 $0 $0 $0 $0






100 %

ABC

LEE, LINDA EXECUTIVE BOARDC

$2,061 $0 $725 $0 $2,786






56 %

ABC

LIANG, SYLVIA EXECUTIVE BOARDC

$257 $0 $131 $0 $388






67 %

ABC

LINDBERG, DAVID EXECUTIVE BOARDC

$1,460 $0 $49 $0 $1,509






42 %


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(A)Name

(B)Title

(C)Status

(D)Gross Salary




(G)Other


(D) through (F)

(H)TOTAL

ABC

LONG, LINDA EXECUTIVE BOARDN

$1,317 $0 $383 $0 $1,700






37 %

ABC

MYERS, PEGGY EXECUTIVE BOARDC

$13,658 $0 $708 $0 $14,366






17 %

ABC

NUNNALLY, HYE EXECUTIVE BOARDC

$0 $0 $0 $0 $0






100 %

ABC

PAUL, RHONDA EXECUTIVE BOARDC

$1,374 $0 $992 $0 $2,366






43 %

ABC

PRIETO, MANUELA EXECUTIVE BOARDC

$2,840 $0 $868 $0 $3,708






38 %

ABC

ROLF, DAVID PRESIDENTC

$180,170 $5,700 $3,176 $0 $189,046






19 %

ABC

ROSS, RICHARD EXECUTIVE BOARDC

$4,319 $0 $580 $0 $4,899






39 %

ABC

RUDOVA, ANNA EXECUTIVE BOARDC

$14,023 $0 $3,425 $0 $17,448






22 %

ABC

SALINAS, CELIA EXECUTIVE BOARDN

$2,187 $0 $413 $0 $2,600






40 %

ABC

SINGH, MARGARET EXECUTIVE BOARDN

$14,257 $0 $458 $0 $14,715






15 %

ABC

TAYLOR SWAN, MONIQUE EXECUTIVE BOARDC

$4,922 $0 $304 $0 $5,226






42 %

ABC

TESSEMA, MESFIN EXECUTIVE BOARDN

$3,528 $0 $601 $0 $4,129


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(A)Name

(B)Title

(C)Status

(D)Gross Salary




(G)Other


(D) through (F)

(H)TOTAL






7 %

ABC

WALLACE, DENESE EXECUTIVE BOARDC

$1,323 $0 $48 $0 $1,371






100 %

ABC

WEBSTER, EARLENE EXECUTIVE BOARDC

$3,120 $0 $753 $0 $3,873






56 %

ABC

YOUNG, SUSAN EXECUTIVE BOARDC

$1,139 $0 $708 $0 $1,847






40 %

Total Officer Disbursements $571,068 $17,100 $45,366 $0 $633,534Less Deductions $170,649Net Disbursements $462,885Form LM-2 (Revised 2010)


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SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 542-433

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary




(G)Other Disbursements

not reported in(D) through (F)

(H)TOTAL

ABC

ABADI, YENISE STAFFNONE

$79,198 $0 $1,788 $0 $80,986






0 %

ABC

ACOSTA, WENDY STAFFNONE

$12,699 $0 $81 $0 $12,780






0 %

ABC

AHMED, FARRHIYA STAFFNONE

$40,457 $0 $46 $0 $40,503






0 %

ABC

AHO, SYLVIA MEMBERNONE

$13,468 $0 $5,383 $0 $18,851






15 %

ABC

ALJALLAD, SAWSAN STAFFNONE

$21,938 $0 $66 $0 $22,004






0 %

ABC

ALI, AHMED STAFFNONE

$52,280 $5,486 $7,179 $0 $64,945






0 %

ABC

ALY, SUSAN STAFFNONE

$23,759 $0 $0 $0 $23,759






0 %

ABC

ARGO, MERGITU STAFFNONE

$13,717 $1,643 $0 $0 $15,360






0 %

ABC

AVILA, PAOLA STAFFNONE

$37,470 $0 $0 $0 $37,470






0 %

ABC

BREAUX, STEVE STAFFNONE

$57,466 $5,247 $3,641 $0 $66,354






0 %

ABC

BUI, HOA STAFFNONE

$42,685 $0 $103 $0 $42,788






0 %

ABC

BUI, TRANG STAFFNONE

$52,484 $0 $46 $0 $52,530


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(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary






(H)TOTAL






0 %

ABC

CASTILLO, JENNEFER MEMBERNONE

$7,969 $0 $6,414 $0 $14,383






0 %

ABC

CASQUEJO, CHRIS STAFFNONE

$18,549 $0 $285 $0 $18,834






0 %

ABC

CHOI, DAYOUNG STAFFNONE

$18,495 $0 $23 $0 $18,518






0 %

ABC

CROOKS, DOUG STAFFNONE

$111,285 $5,700 $3,058 $0 $120,043






0 %

ABC

DAVIS, BEKIE STAFFNONE

$79,344 $0 $3,093 $0 $82,437






0 %

ABC

DOWNHOUR, LORI STAFFNONE

$59,725 $0 $738 $0 $60,463






0 %

ABC

DRISCOLL, DONALD STAFFNONE

$24,413 $1,056 $895 $0 $26,364






0 %

ABC

DWIVEDI, PRINCE STAFFNONE

$28,698 $0 $20 $0 $28,718






0 %

ABC

ELBANDAGJI, CHAD STAFFNONE

$26,815 $3,052 $3,179 $0 $33,046






0 %

ABC

ELLIOTT, HOLLY STAFFNONE

$100,100 $0 $1,491 $0 $101,591






1 %

ABC

ENRIQUEZ, DIANNE STAFFNONE

$60,998 $4,176 $2,910 $0 $68,084






0 %


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(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary






(H)TOTAL

ABC

ESPINOZA, JOHANN STAFFNONE

$20,266 $0 $64 $0 $20,330






0 %

ABC

FLORES PEDRAZA, OSCAR STAFFNONE

$25,090 $0 $70 $0 $25,160






0 %

ABC

FLORES, STEPHANIE STAFFNONE

$61,435 $0 $116 $0 $61,551






0 %

ABC

GALLEGOS, ELSALAURA STAFFNONE

$20,728 $2,397 $1,753 $0 $24,878






0 %

ABC

HA, SUHYEN STAFFNONE

$19,007 $0 $0 $0 $19,007






0 %

ABC

HAGEL, MALLORY STAFFNONE

$18,286 $1,108 $623 $0 $20,017






0 %

ABC

HASSAN, HODAN STAFFNONE

$15,134 $1,900 $435 $0 $17,469






0 %

ABC

HEMOND, SETH STAFFNONE

$113,935 $5,700 $3,117 $0 $122,752






2 %

ABC

HENDERSON, DENVER STAFFNONE

$52,317 $6,600 $7,433 $0 $66,350






0 %

ABC

HENDERSON, TANGIE STAFFNONE

$66,243 $0 $1,631 $0 $67,874






0 %

ABC

JERRA, FARAH STAFFNONE

$49,845 $0 $12 $0 $49,857






0 %

ABC

JIN, TAO STAFFNONE

$35,623 $0 $1,182 $0 $36,805


21 of 65 3/30/2016 3:56 PM

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary






(H)TOTAL






0 %

ABC

KAPP, DAMIAN MEMBERNONE

$11,167 $0 $1,727 $0 $12,894






0 %

ABC

KASHYAP, ANDREW STAFFNONE

$76,877 $0 $3,342 $0 $80,219






0 %

ABC

KEROW, MARIAN STAFFNONE

$17,532 $0 $0 $0 $17,532






0 %

ABC

KIM, JIYOUNG STAFFNONE

$35,117 $0 $0 $0 $35,117






0 %

ABC

KISOKI, NINA STAFFNONE

$42,895 $0 $750 $0 $43,645






0 %

ABC

KLEPPER, KATRINA STAFFNONE

$58,279 $0 $1,142 $0 $59,421






0 %

ABC

KOGA, ELAINE STAFFNONE

$48,001 $0 $1,203 $0 $49,204






1 %

ABC

KREBS, JUDITH STAFFNONE

$130,656 $5,700 $1,661 $0 $138,017






11 %

ABC

KUCINSKI, KE STAFFNONE

$50,788 $0 $159 $0 $50,947






0 %

ABC

KUZMYCH, RUSLANA STAFFNONE

$18,878 $0 $14 $0 $18,892






0 %

ABC

LE, LOC STAFFNONE

$28,537 $0 $0 $0 $28,537






0 %


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(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary






(H)TOTAL

ABC

LEDESMA, MAYRA STAFFNONE

$40,262 $0 $18 $0 $40,280






0 %

ABC

LIN, HSUI CHIN STAFFNONE

$36,702 $0 $75 $0 $36,777






0 %

ABC

LLOYD, SARAH STAFFNONE

$51,992 $0 $1,536 $0 $53,528






0 %

ABC

LYSISTRATA, LILITH STAFFNONE

$51,874 $0 $598 $0 $52,472






0 %

ABC

MAKAAFI, VAIAMOE MEMBERNONE

$20,445 $1,511 $2,811 $0 $24,767






0 %

ABC

MANZANO, JOSE STAFFNONE

$29,293 $2,375 $519 $0 $32,187






0 %

ABC

MAY, CIARA STAFFNONE

$12,258 $1,925 $1,096 $0 $15,279






0 %

ABC

MAZURETS, IGOR STAFFNONE

$33,892 $0 $0 $0 $33,892






0 %

ABC

MOHAMED, ABDINASIR STAFFNONE

$55,366 $5,700 $1,575 $0 $62,641






0 %

ABC

MOODY, MOLLY STAFFNONE

$60,402 $5,700 $12,018 $0 $78,120






0 %

ABC

MOSES, KIM STAFFNONE

$56,280 $8,100 $7,151 $0 $71,531






0 %

ABC

NAIDOO, SALWYN STAFFNONE

$28,653 $0 $2,657 $0 $31,310


23 of 65 3/30/2016 3:56 PM

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary






(H)TOTAL






0 %

ABC

NESTERENKO, DMYTRO STAFFNONE

$56,592 $5,700 $4,567 $0 $66,859






0 %

ABC

NGOUN, CINDY STAFFNONE

$38,186 $0 $200 $0 $38,386






0 %

ABC

NGUYEN, LANANH STAFFNONE

$25,265 $0 $0 $0 $25,265






0 %

ABC

NOSRATI, ARTIE STAFFNONE

$9,771 $713 $432 $0 $10,916






0 %

ABC

ORTIZ, STEPHANIE STAFFNONE

$45,759 $0 $40 $0 $45,799






0 %

ABC

PALMER, BINAH STAFFNONE

$62,940 $0 $2,819 $0 $65,759






0 %

ABC

PARIKH, SEJAL STAFFNONE

$10,297 $691 $194 $0 $11,182






0 %

ABC

PARSONS, KELLY STAFFNONE

$64,155 $0 $3,145 $0 $67,300






9 %

ABC

PAVESOC, CAMMOIE STAFFNONE

$21,711 $2,825 $1,193 $0 $25,729






0 %

ABC

PLUMMER, SVETLANA STAFFNONE

$36,668 $0 $33 $0 $36,701






0 %

ABC

RIVERA GUTIERREZ, GUILLERMO STAFFNONE

$84,299 $5,700 $2,436 $0 $92,435






0 %


24 of 65 3/30/2016 3:56 PM

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary






(H)TOTAL

ABC

ROGERS, JENNIFER STAFFNONE

$101,784 $0 $1,844 $0 $103,628






1 %

ABC

SATYROVA, OLGA STAFFNONE

$39,185 $0 $82 $0 $39,267






0 %

ABC

SEO, JIN-H STAFFNONE

$55,237 $5,700 $4,163 $0 $65,100






0 %

ABC

SHABALINA, YULIYA STAFFNONE

$37,674 $0 $0 $0 $37,674






0 %

ABC

SILVER, STEVE STAFFNONE

$67,417 $0 $0 $0 $67,417






0 %

ABC

STRAUB, JAMES STAFFNONE

$75,730 $5,700 $3,212 $0 $84,642






0 %

ABC

SUBKOVIAK, PETE STAFFNONE

$67,037 $0 $5,743 $0 $72,780






0 %

ABC

TALAMANTES, DAVID STAFFNONE

$44,979 $0 $808 $0 $45,787






0 %

ABC

TAN, SOON HOON STAFFNONE

$35,499 $713 $407 $0 $36,619






0 %

ABC

TINGLE, DARNELL STAFFNONE

$21,766 $1,671 $1,557 $0 $24,994






0 %

ABC

TROTTNER, VINCENT STAFFNONE

$59,989 $5,700 $3,126 $0 $68,815






0 %

ABC

TRUSCOTT, SHAINE STAFFNONE

$87,833 $5,700 $7,875 $0 $101,408


25 of 65 3/30/2016 3:56 PM

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary






(H)TOTAL






0 %

ABC

VALDEZ, BERNADETTE MEMBERNONE

$14,332 $0 $7,161 $0 $21,493






0 %

ABC

VALENCIA, JESUS STAFFNONE

$41,917 $0 $60 $0 $41,977






0 %

ABC

VAZQUEZ-MARTINEZ, LUCIA STAFFNONE

$47,608 $7,500 $9,015 $0 $64,123






0 %

ABC

VELAQUEZ-ARENAS, XIMENA STAFFNONE

$46,114 $6,600 $5,218 $0 $57,932






0 %

ABC

VILA, TONY STAFFNONE

$28,161 $0 $971 $0 $29,132






0 %

ABC

VILLANUEVA, HEATHER STAFFNONE

$56,820 $4,836 $2,940 $0 $64,596






0 %

ABC

VINYARD, JENEL STAFFNONE

$54,504 $0 $974 $0 $55,478






0 %

ABC

VAN WAGENINGEN, WOUTER STAFFNONE

$91,710 $0 $1,510 $0 $93,220






1 %

ABC

WALKER, LORIN STAFFNONE

$113,792 $0 $779 $0 $114,571






9 %

ABC

WATTERSON BRYANT, CORRIE STAFFNONE

$46,893 $0 $1,666 $0 $48,559






0 %

ABC

WERSCHKUL, MISHA STAFFNONE

$67,982 $4,297 $2,929 $0 $75,208






0 %


26 of 65 3/30/2016 3:56 PM

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary






(H)TOTAL

ABC

WILKINSON, JIM STAFFNONE

$74,803 $6,600 $7,469 $0 $88,872






0 %

ABC

WILSON, SAGE STAFFNONE

$13,978 $0 $0 $0 $13,978






0 %

ABC

YI, CHRISTINE STAFFNONE

$73,666 $5,700 $5,240 $0 $84,606






0 %

ABC

YI, MI (JOANNA) STAFFNONE

$43,001 $0 $38 $0 $43,039






0 %

ABC

YOUNG, SUMMER STAFFNONE

$61,964 $6,600 $8,246 $0 $76,810






0 %

ABC

YUN, CHRISTINA STAFFNONE

$33,802 $0 $0 $0 $33,802






0 %

ABC

YU, JOEY STAFFNONE

$34,767 $0 $0 $0 $34,767






0 %

ABC

ZENG, CAI STAFFNONE

$23,890 $0 $79 $0 $23,969






0 %

ABC

ZIADA, AMIRAH STAFFNONE

$48,504 $5,700 $8,386 $0 $62,590






0 %

ABC

AITCHESON, LINDSEY STAFFNONE

$52,442 $0 $1,340 $0 $53,782






0 %

ABC

ALSTON, ALEESHA STAFFNONE

$15,841 $0 $145 $0 $15,986






0 %

ABC

BAESPFLUG, TUCKER STAFFNONE

$9,315 $1,069 $0 $0 $10,384


27 of 65 3/30/2016 3:56 PM

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary






(H)TOTAL






0 %

ABC

BEANE, ANDREW STAFFNONE

$115,623 $5,700 $1,341 $0 $122,664






0 %

ABC

BRIGGS, BECKY STAFFNONE

$36,400 $0 $1,195 $0 $37,595






0 %

ABC

BYRD, CATHERINE STAFFNONE

$56,715 $7,500 $9,105 $0 $73,320






0 %

ABC

DALAKIAN, ALEKSANDR STAFFNONE

$32,341 $4,570 $4,433 $0 $41,344






0 %

ABC

DAVIS, CARY STAFFNONE

$47,956 $5,700 $6,483 $0 $60,139






0 %

ABC

GENDRON, LORI STAFFNONE

$5,828 $626 $4,123 $0 $10,577






0 %

ABC

HARRIS, HELEN MAY STAFFNONE

$20,380 $2,569 $1,806 $0 $24,755






0 %

ABC

HAYES, EDNA STAFFNONE

$60,860 $6,600 $5,827 $0 $73,287






0 %

ABC

HELT, JACQUIE STAFFNONE

$87,286 $5,700 $6,378 $0 $99,364






0 %

TOTALS RECEIVED BY EMPLOYEES MAKING LESSTHAN $10000

$190,100 $2,137 $54,165 $0 $246,402


70 %Schedule 16Political Activities and Lobbying




0 %

Total Employee Disbursements $5,377,135 $205,893 $299,825 $0 $5,882,853Less Deductions $1,386,273

Net Disbursements $4,496,580



28 of 65 3/30/2016 3:56 PM

SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 542-433

Category of Membership(A)

Number(B)

Voting Elig ibility(C)

Members (Total of all lines above) 43,049Agency Fee Payers* 65Total Members/Fee Payers 43,114*Agency Fee Payers are not considered members of the labor organization.

REGULAR MEMBERSHIP 42,977 YesASSOCIATE MEMBERSHIP 72 No



29 of 65 3/30/2016 3:56 PM

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 542-433

SCHEDULE 14 OTHER RECEIPTS1. Named Payer Itemized Receipts $6,009,1312. Named Payer Non-itemized Receipts $47,1783. All Other Receipts $4,5954. Total Receipts $6,060,904

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS1. Named Payee Itemized Disbursements $67,5002. Named Payee Non-itemized Disbursements $1,2503. To Officers $04. To Employees $05. All Other Disbursements $69,7836. Total Disbursements $138,533

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES1. Named Payee Itemized Disbursements $2,498,3372. Named Payee Non-itemized Disbursements $538,9683. To Officers $216,9644. To Employees $4,299,3225. All Other Disbursements $93,4636. Total Disbursements $7,647,054

SCHEDULE 18 GENERAL OVERHEAD1. Named Payee Itemized Disbursements $2,301,9182. Named Payee Non-itemized Disbursements $424,4263. To Officers $4,0014. To Employees $404,1655. All Other Disbursements $52,3286. Total Disbursements $3,186,838

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING1. Named Payee Itemized Disbursements $2,570,0982. Named Payee Non-itemized Disbursements $290,7303. To Officers $247,9264. To Employees $1,139,0605. All Other Disbursements $202,2246. Total Disbursement $4,450,038

SCHEDULE 19 UNION ADMINISTRATION1. Named Payee Itemized Disbursements $185,3122. Named Payee Non-itemized Disbursements $105,5883. To Officers $164,6484. To Employees $40,3095. All Other Disbursements $74,0566. Total Disbursements $569,913



30 of 65 3/30/2016 3:56 PM

SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 542-433

Name and Address(A)

AMALGAMATED BANK

275 Seventh FloorNew YorkNY10001

Type or Classification(B)

BANK

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $13,875Total Non-Itemized Transactions with this Payee/PayerTotal of All Transactions with this Payee/Payer for This Schedule $13,875

Escrow Surplus Received at Closing 03/03/2015 $13,875

Name and Address(A)

Health Trust Partnership6

MukilteoWA98275


HEALTH TRUST

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $214,041Total Non-Itemized Transactions with this Payee/Payer $0Total of All Transactions with this Payee/Payer for This Schedule $214,041

COST REIMBURSEMENT 02/03/2015 $13,030COST REIMBURSEMENT 02/18/2015 $14,950COST REIMBURSEMENT 03/16/2015 $15,233COST REIMBURSEMENT 04/13/2015 $14,459COST REIMBURSEMENT 06/03/2015 $18,118COST REIMBURSEMENT 07/13/2015 $22,301COST REIMBURSEMENT 08/24/2015 $29,390COST REIMBURSEMENT 09/28/2015 $20,674COST REIMBURSEMENT 11/02/2015 $21,114COST REIMBURSEMENT 12/16/2015 $22,032COST REIMBURSEMENT 12/18/2015 $22,740

Name and Address(A)

SEIU Committee on Political Education

1800 Massachusetts Ave NWWashingtonDC20036


INTERNATIONAL UNION

Purpose(C)

Date(D)

Amount(E)


Contribution to Union Political Program Activities 01/23/2015 $253,959Contribution to Union Political Program Activities 03/31/2015 $186,211Contribution to Union Political Program Activities 04/30/2015 $126,657Contribution to Union Political Program Activities 05/31/2015 $133,707Contribution to Union Political Program Activities 06/30/2015 $134,402

Name and Address(A)

SEIU Health Care NW Training Ptsp

635 Andover Park W Ste 200TukwilaWA98188


TRAINING TRUST

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $2,112,321Total Non-Itemized Transactions with this Payee/Payer $6,034Total of All Transactions with this Payee/Payer for This Schedule $2,118,355

COST REIMBURSEMENT 01/16/2015 $184,340COST REIMBURSEMENT 02/26/2015 $173,417COST REIMBURSEMENT 03/18/2015 $160,757COST REIMBURSEMENT 04/16/2015 $167,494COST REIMBURSEMENT 05/19/2015 $176,731COST REIMBURSEMENT 06/19/2015 $162,127COST REIMBURSEMENT 08/03/2015 $176,195COST REIMBURSEMENT 08/18/2015 $173,086COST REIMBURSEMENT 09/17/2015 $177,111COST REIMBURSEMENT 10/19/2015 $174,673COST REIMBURSEMENT 11/24/2015 $199,784COST REIMBURSEMENT 12/15/2015 $186,606

Name and Address(A)

SEIU International Union



INTERNATIONAL UNION

Purpose(C)

Date(D)

Amount(E)


STRUCTURAL RELIEF 01/30/2015 $25,000STRUCTURAL RELIEF AND IEB 03/05/2015 $27,415STRUCTURAL RELIEF 03/27/2015 $25,000STRUCTURAL RELIEF 04/30/2015 $25,000STRUCTURAL RELIEF 05/28/2015 $25,000STRUCTURAL RELIEF AND IEB 07/03/2015 $27,415CAMPAIGN 07/17/2015 $66,374STRUCTURAL RELIEF AND IEB 08/07/2015 $27,415STRUCTURAL RELIEF 08/28/2015 $25,000CAMPAIGN 09/10/2015 $13,685STRUCTURAL RELIEF AND IEB 10/02/2015 $27,415


31 of 65 3/30/2016 3:56 PM

Purpose(C)

Date(D)

Amount(E)


STRUCTURAL RELIEF 10/30/2015 $25,000STRUCTURAL RELIEF 11/25/2015 $25,000SUPPORT FOR ORGANIZING 12/11/2015 $21,656SUPPORT FOR POLITICAL ADVOCACY 12/11/2015 $15,000CAMPAIGN 12/23/2015 $9,499STRUCTURAL RELIEF 12/23/2015 $25,000CONTRIBUTION TO UNION POLITICAL PROGRAM 12/31/2015 $525,000PER CAPITA TAX BUNDLING CREDIT 01/30/2015 $23,125PER CAPITA TAX BUNDLING CREDIT 03/05/2015 $21,539PER CAPITA TAX BUNDLING CREDIT 03/27/2015 $23,377PER CAPITA TAX BUNDLING CREDIT 04/30/2015 $24,064PER CAPITA TAX BUNDLING CREDIT 05/28/2015 $29,720PER CAPITA TAX BUNDLING CREDIT 07/03/2015 $35,278PER CAPITA TAX BUNDLING CREDIT 08/07/2015 $29,361PER CAPITA TAX BUNDLING CREDIT 08/28/2015 $21,689PER CAPITA TAX BUNDLING CREDIT 10/02/2015 $26,800PER CAPITA TAX BUNDLING CREDIT 10/30/2015 $27,353PER CAPITA TAX BUNDLING CREDIT 11/25/2015 $27,628PER CAPITA TAX BUNDLING CREDIT 12/23/2015 $28,452

Name and Address(A)

Washington State DSHS45600

OlympiaWA98502


STATE AGENCY

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $1,425,000Total Non-Itemized Transactions with this Payee/Payer $0Total of All Transactions with this Payee/Payer for This Schedule $1,425,000

SHARED LIVING LAWSUIT SETTLEMENT 02/06/2015 $1,425,000

Name and Address(A)

Working Washington

215 Columbia StreetSeattleWA98104


NONPROFIT ORGANIZATION

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $129,698Total Non-Itemized Transactions with this Payee/Payer $21,823Total of All Transactions with this Payee/Payer for This Schedule $151,521

LWW CAMPAIGN 01/09/2015 $49,427LWW CAMPAIGN 02/18/2015 $41,484LWW CAMPAIGN 03/31/2015 $33,716PARKING AND 2ND FLOOR LABOR REIMB 05/08/2015 $5,071



32 of 65 3/30/2016 3:56 PM

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 542-433

Name and Address(A)

AAA Flag & Banner

8955 National BoulevardLos AngelesCA90034


PROMOTION SUPPLIES

Purpose(C)

Date(D)

Amount(E)


CONVENTION BANNER 08/08/2015 $6,983

Name and Address(A)

Alaska Airlines

835 S 192ND STSEATACWA98148


COMMERCIAL AIRLINE

Purpose(C)

Date(D)

Amount(E)


Convention member bargaining and travel 08/24/2015 $6,128

Name and Address(A)

Alki Bakery

8815 South 190thKentWA98031


RESTAURANT

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $0Total Non-Itemized Transactions with this Payee/Payer $11,440Total of All Transactions with this Payee/Payer for This Schedule $11,440

Name and Address(A)

Altshuler Berzon LLP

177 Post Street Suite 300San FranciscoCA94108


LAW FIRM

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Capital City Press

2975 37th Ave SWTumwaterWA98512


PRINTING COMPANY

Purpose(C)

Date(D)

Amount(E)


MEMBER MAILINGS 01/09/2015 $8,356MEMBER MAILINGS 02/10/2015 $10,770MEMBER MAILINGS 02/13/2015 $7,394MEMBER MAILINGS 04/13/2015 $8,902MEMBER MAILINGS 04/20/2015 $10,034MEMBER MAILINGS 05/22/2015 $11,708MEMBER MAILINGS 06/12/2015 $9,067MEMBER MAILINGS 07/10/2015 $8,911MEMBER MAILINGS 07/31/2015 $7,871MEMBER MAILINGS 08/28/2015 $7,458MEMBER MAILINGS 09/25/2015 $11,495MEMBER MAILINGS 10/16/2015 $7,087MEMBER MAILINGS 11/09/2015 $11,249MEMBER MAILINGS 11/13/2015 $6,423MEMBER MAILINGS 12/04/2015 $5,963MEMBER MAILINGS 12/18/2015 $12,709

Name and Address(A)

Central Protection, Inc

6114 204th ST SWLynnwoodWA

Purpose(C)

Date(D)

Amount(E)


CONVENTION SECURITY SERVICES 09/25/2015 $7,250


33 of 65 3/30/2016 3:56 PM

98036Type or Classification

(B)SECURITY SERVICES

Name and Address(A)

Comfort Inn

22311 84th Ave. SKentWA98032


HOTEL

Purpose(C)

Date(D)

Amount(E)


CAMPAIGN MEETING ROOM 07/18/2015 $6,132

Name and Address(A)

Courtyard by Marriott-Seattle

612 2nd AveSeattleWA98104


HOTEL

Purpose(C)

Date(D)

Amount(E)


INTERNAL ORGANIZING CAMPAIGN 07/10/2015 $5,427

Name and Address(A)

Courtyard Pioneer Square741574

AtlantaGA30374


HOTEL

Purpose(C)

Date(D)

Amount(E)


BARGAINING LODGING 10/02/2015 $6,020

Name and Address(A)

Critical Mention, Inc

521 Fifth Avenue 16th FloorNew YorkNY10175


MEDIA MONITORING

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/PayerTotal Non-Itemized Transactions with this Payee/Payer $6,000Total of All Transactions with this Payee/Payer for This Schedule $6,000

Name and Address(A)

Delta Airlines20706

AtlantaGA30320


COMMERCIAL AIRLINE

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Double Tree Hotel

18740 Pacific Hwy SouthSeattleWA98188


HOTEL

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Purpose(C)

Date(D)

Amount(E)



34 of 65 3/30/2016 3:56 PM

DoubleTree - Seattle94092

SeattleWA98124


HOTELName and Address

(A)DoubleTree - Spokane

322 N Spokane Falls CtSpokaneWA99201


HOTEL

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Egencia Travel

3150 139th Ave SEBellevueWA98005


TRAVEL COMPANY

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Ekman Thulin, P.S.

220 W Mercer St Ste 400SeattleWA98119


LAW FIRM

Purpose(C)

Date(D)

Amount(E)


LEGAL FEES 01/30/2015 $14,980

Name and Address(A)

Frank Freed Subit & Thomas, LLP

705 2nd Ave #1200SeattleWA98104


LAW FIRM

Purpose(C)

Date(D)

Amount(E)


LEGAL FEES 03/06/2015 $14,702LEGAL FEES 03/30/2015 $32,555LEGAL FEES 04/20/2015 $27,749LEGAL FEES 06/12/2015 $7,352LEGAL FEES 07/10/2015 $15,330LEGAL FEES 07/31/2015 $15,671LEGAL FEES 09/25/2015 $26,366LEGAL FEES 11/09/2015 $19,456

Name and Address(A)

Hilton Garden Inn - Seattle

1821 Boren AvenueSeattleWA98101


HOTEL

Purpose(C)

Date(D)

Amount(E)


CONVENTION LODGING 09/11/2015 $34,767

Name and Address(A)

Holiday Inn Express

226 Aurora AveSeattleWA98109

Purpose(C)

Date(D)

Amount(E)



35 of 65 3/30/2016 3:56 PM


HOTELName and Address

(A)Image Pointe657

WaterlooIA50704


PROMOTION SUPPLIES

Purpose(C)

Date(D)

Amount(E)


LABELED ITEM FOR CONVENTION, STAFF &MEMBERS

08/28/2015 $15,442


09/08/2015 $11,546


09/25/2015 $10,250

Name and Address(A)

Imperial Parking (U.S.) LLC

1700 Seventh Ave STE 106SeattleWA98101


PARKING COMPANY

Purpose(C)

Date(D)

Amount(E)


CONVENTION PARKING 09/25/2015 $5,247

Name and Address(A)

Interactive Intelligence660316

IndianapolisIN46266


PROFESSIONAL SERVICES

Purpose(C)

Date(D)

Amount(E)


MRC TECHNOLOGY 01/09/2015 $8,731MRC TECHNOLOGY 02/10/2015 $7,914MRC TECHNOLOGY 03/20/2015 $7,158MRC TECHNOLOGY 04/13/2015 $8,078MRC TECHNOLOGY 05/08/2015 $8,787MRC TECHNOLOGY 06/12/2015 $7,880MRC TECHNOLOGY 07/10/2015 $9,011MRC TECHNOLOGY 08/07/2015 $8,375MRC TECHNOLOGY 09/08/2015 $9,450MRC TECHNOLOGY 10/02/2015 $8,355MRC TECHNOLOGY 11/09/2015 $8,902MRC TECHNOLOGY 12/11/2015 $9,109

Name and Address(A)

Keller Rohrback LLP

1201 Third Ave STE 3200SeattleWA98101


LAW FIRM

Purpose(C)

Date(D)

Amount(E)


LEGAL FEES 03/06/2015 $5,906

Name and Address(A)

Lavish Roots Catering

17837 1st Ave S STE 237SeattleWA98148


CATERER

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

McGuire Trust

2001 Lombard StSan FranciscoCA94123


Purpose(C)

Date(D)

Amount(E)


CA CAMPAIGN LODGING 06/01/2015 $24,414


36 of 65 3/30/2016 3:56 PM

LANDLORDName and Address

(A)Membership Cards Only LLC438

Dunn LoringVA22027


PRINTING COMPANY

Purpose(C)

Date(D)

Amount(E)


MEMBERSHIP CARDS 10/23/2015 $21,185

Name and Address(A)

Northern Pacific Dig ital

110 S 9th St, Suite 200TacomaWA98402


IT SERVICES

Purpose(C)

Date(D)

Amount(E)


WEBSITE DESIGN 08/14/2015 $5,818WEBSITE DESIGN 09/08/2015 $15,260

Name and Address(A)

NW Stage LLC

1002 East F StTacomaWA98421


STAGING AND SOUND CO

Purpose(C)

Date(D)

Amount(E)


AUDIO VISUAL SERVICES 09/03/2015 $15,000AUDIO VISUAL SERVICES 10/12/2015 $111,685

Name and Address(A)

Office Depot70025

Los AngelesCA90074


OFFICE SUPPLY STORE

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Office Team6000

San FranciscoCA94160


TEMPORARY STAFFING

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Oldmixon Hill

1201 1st Avenue South #325SeattleWA98134


IT SERVICES

Purpose(C)

Date(D)

Amount(E)


APP DEVELOPMENT 05/22/2015 $15,900APP DEVELOPMENT 08/28/2015 $6,070

Name and Address(A)

Paul Joseph Brown Photography

2330 Park STBellinghamWA98225

Purpose(C)

Date(D)

Amount(E)


CONVENTION VIDEOS 09/03/2015 $19,718


37 of 65 3/30/2016 3:56 PM


PHOTOGRAPHERName and Address

(A)Pitney Bowes

1 Elmcroft RdStamfordCT06926


MAIL PROCESSING EQUIPMENT

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

PMC, Inc

4333 Davenport RoadFredericksburgVA22408


BULK MAILING COMPANY

Purpose(C)

Date(D)

Amount(E)


MEMBERSHIP CARD MAILING 02/20/2015 $5,799

Name and Address(A)

PromoCo

401 Seventh STPetalumaCA94952


PROMOTION SUPPLIES

Purpose(C)

Date(D)

Amount(E)



11/20/2015 $12,012

Name and Address(A)

Reniassance Hotel

9801 Natural Bridge RoadSt LouisMO63134


HOTEL

Purpose(C)

Date(D)

Amount(E)


IGNITE CONFERENCE LODGING 03/06/2015 $7,150

Name and Address(A)

Resonance Consulting

6564 Lucas AveOaklandCA94611


PROFESSIONAL SERVICES

Purpose(C)

Date(D)

Amount(E)


MANAGEMENT TRAINING 12/11/2015 $8,904

Name and Address(A)

Robert Half International743295

Los AngelesCA90074


EMPLOYMENT RECRUITER

Purpose(C)

Date(D)

Amount(E)


EMPLOYMENT SERVICES 07/10/2015 $24,455

Name and Address(A)

Schwerin Campbell Barnard LLP

18 West Mercer St Ste 400Seattle

Purpose(C)

Date(D)

Amount(E)


LEGAL FEES 03/06/2015 $41,626


38 of 65 3/30/2016 3:56 PM

WA98119


ATTORNEY

Purpose(C)

Date(D)

Amount(E)


LEGAL FEES 04/20/2015 $29,237LEGAL FEES 06/12/2015 $29,263LEGAL FEES 08/07/2015 $22,186LEGAL FEES 10/12/2015 $21,430LEGAL FEES 10/16/2015 $44,066LEGAL FEES 11/09/2015 $8,281LEGAL FEES 12/18/2015 $42,377

Name and Address(A)

SEIU Communications Center, Inc.

330 West 42nd St 7th FlNew YorkNY10036


COMMUNICATIONS COMPANY

Purpose(C)

Date(D)

Amount(E)


CONTRACT PAID PHONE 06/26/2015 $107,207

Name and Address(A)

Starline Luxury Coaches

9801 MLK Jr Way SSeattleWA98118


TRANSPORTATION SERVICE

Purpose(C)

Date(D)

Amount(E)


CONVENTION BUSES FOR MEMBERS 08/28/2015 $30,203

Name and Address(A)

Staybridge Suites

5150 American Blvd WBloomingtonMN55437


HOTEL

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

The Westin Seattle

1900 5th AvenueSeattleWA98101


HOTEL

Purpose(C)

Date(D)

Amount(E)


CONVENTION LODGING/AV/MEALS 10/05/2015 $896,215

Name and Address(A)

Timothy Richard Miller

7025 E Greenway PKWY #450ScottsdaleAZ85254


INSURANCE ADVISORY

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Trade Printery

2512 First AvenueSeattleWA98121

Purpose(C)

Date(D)

Amount(E)


MEMBER FORMS AND FLYERS 02/10/2015 $8,393MEMBER FORMS AND FLYERS 04/13/2015 $13,803MEMBER FORMS AND FLYERS 06/12/2015 $5,687


39 of 65 3/30/2016 3:56 PM


PRINTER

Purpose(C)

Date(D)

Amount(E)


MEMBER FORMS AND FLYERS 07/10/2015 $7,675MEMBER FORMS AND FLYERS 07/31/2015 $5,306MEMBER FORMS AND FLYERS 08/07/2015 $23,191MEMBER FORMS AND FLYERS 08/28/2015 $17,483MEMBER FORMS AND FLYERS 09/25/2015 $8,578MEMBER FORMS AND FLYERS 10/12/2015 $7,065MEMBER FORMS AND FLYERS 11/09/2015 $8,910MEMBER FORMS AND FLYERS 11/13/2015 $12,060MEMBER FORMS AND FLYERS 12/11/2015 $12,628MEMBER FORMS AND FLYERS 12/18/2015 $5,485

Name and Address(A)

United Airlines66100

Elk Grove TshpIL60007


COMMERCIAL AIRLINE

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

United States Postal Service999

SeattleWA98109


POST OFFICE

Purpose(C)

Date(D)

Amount(E)


POSTAGE 03/12/2015 $8,000POSTAGE 07/10/2015 $10,000POSTAGE 11/13/2015 $8,000

Name and Address(A)

VanderHouwen & Associates, Inc.

6342 SW Macadam Ave.PortlandOR97239


TEMPORARY STAFFING SERVICE

Purpose(C)

Date(D)

Amount(E)


TEMPORARY STAFFING 01/09/2015 $8,558TEMPORARY STAFFING 01/16/2015 $5,014TEMPORARY STAFFING 01/23/2015 $5,910TEMPORARY STAFFING 02/10/2015 $9,819TEMPORARY STAFFING 02/13/2015 $5,152TEMPORARY STAFFING 03/06/2015 $12,657TEMPORARY STAFFING 03/20/2015 $9,322TEMPORARY STAFFING 04/13/2015 $23,202TEMPORARY STAFFING 05/08/2015 $25,200TEMPORARY STAFFING 06/12/2015 $29,841TEMPORARY STAFFING 08/28/2015 $5,119TEMPORARY STAFFING 09/08/2015 $9,940TEMPORARY STAFFING 09/25/2015 $11,254TEMPORARY STAFFING 10/12/2015 $5,068TEMPORARY STAFFING 10/23/2015 $7,744TEMPORARY STAFFING 11/09/2015 $6,192TEMPORARY STAFFING 12/04/2015 $7,844TEMPORARY STAFFING 12/11/2015 $6,447

Name and Address(A)

Verizon9622

Mission HillsCA91346


TELEPHONE COMPANY

Purpose(C)

Date(D)

Amount(E)



40 of 65 3/30/2016 3:56 PM

Name and Address(A)

VocalFi

8300 Greensboro DR STE 800McLeanVA22102



Purpose(C)

Date(D)

Amount(E)


TELETOWN HALL 11/09/2015 $7,674

Name and Address(A)

Wheatland Express Inc125

PullmanWA99163


TRANSPORTATION SERVICE

Purpose(C)

Date(D)

Amount(E)


CONVENTION BUSES FOR MEMBERS 08/28/2015 $26,249



41 of 65 3/30/2016 3:56 PM

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 542-433

Name and Address(A)

Adler & Colvin

235 Montgomery ST STE 1220San FranciscoCA94104


LAWFIRM

Purpose(C)

Date(D)

Amount(E)


FEES 07/10/2015 $7,817

Name and Address(A)

Alaska Airlines



COMMERCIAL AIRLINE

Purpose(C)

Date(D)

Amount(E)


AIRFARE 02/10/2015 $6,701

Name and Address(A)

Alliance for A Just Society

3518 S. Edmunds STSeattleWA98118



Purpose(C)

Date(D)

Amount(E)


ORGANIZATION CONTRIBUTION 05/27/2015 $350,000ORGANIZATION CONTRIBUTION 11/13/2015 $100,000

Name and Address(A)

Bend The Arc

395 Hudson ST #4New YorkNY10014



Purpose(C)

Date(D)

Amount(E)


CONTRIBUTION 12/11/2015 $20,000

Name and Address(A)

Best Western - Helena

835 Great Northern BlvdHelenaMT59601


HOTEL

Purpose(C)

Date(D)

Amount(E)


MT LOBBY DAY LODGING/CATERING/MTG ROOM 02/07/2015 $6,796

Name and Address(A)

Bichsel Public Affairs

13120 NW 74th StKirklandWA98033


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


PROFESSIONAL SERVICES 07/24/2015 $5,000

Name and Address(A)

Carmen Rojas

214 Grand Avenue #26OaklandCA

Purpose(C)

Date(D)

Amount(E)


PROFESSIONAL SERVICES 01/16/2015 $10,000PROFESSIONAL SERVICES 02/10/2015 $20,000


42 of 65 3/30/2016 3:56 PM


(B)CONSULTANT

Name and Address(A)

Ceis Bayne East Strateg ic

2226 Eastlake Ave E No 74SeattleWA98102


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Center for Popular Democracy

802 Kent AvenueBrooklynNY11205


ADVOCACY ORGANIZATION

Purpose(C)

Date(D)

Amount(E)


LOCAL PROGRESS CONVENING 2014 07/31/2015 $5,000

Name and Address(A)

Delta Airlines20706

AtlantaGA30320


COMMERCIAL AIRLINE

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Egencia Travel

3150 139th Ave SEBellevueWA98005


TRAVEL COMPANY

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Gabriela Quintana Consulting

4511 S 136th STTukwilaWA98168


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Geoffrey Potter

2607 Western Ave #504SeattleWA98121


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


IP RETIREMENT FUNDING OUTREACH 07/10/2015 $5,000

Name and Address(A)

Purpose(C)

Date(D)

Amount(E)



43 of 65 3/30/2016 3:56 PM

Health Management Associates

120 N. WA Square, Ste 705LansingMI48933


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


PROFESSIONAL SERVICES 06/12/2015 $5,403PROFESSIONAL SERVICES 07/10/2015 $5,490PROFESSIONAL SERVICES 07/24/2015 $5,667PROFESSIONAL SERVICES 10/23/2015 $5,465

Name and Address(A)

Honest Elections Seattle20664

SeattleWA98102


COMMUNITY COALITION

Purpose(C)

Date(D)

Amount(E)


CONTRIBUTION 10/23/2015 $5,000

Name and Address(A)

Image Pointe657

WaterlooIA50704


PROMOTIONAL SUPPLIES

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Laura McClintock

111 1st Ave S NO 608SeattleWA98104


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


CONSULTING 01/09/2015 $19,750CONSULTING 02/20/2015 $19,750CONSULTING 03/13/2015 $19,750CONSULTING 04/13/2015 $19,000CONSULTING 05/08/2015 $14,000CONSULTING 06/12/2015 $14,000CONSULTING 08/14/2015 $14,000CONSULTING 08/21/2015 $14,000CONSULTING 09/08/2015 $16,904

Name and Address(A)

Lauren Craig

311 Cedar St. #710SeattleWA98121


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


CONSULTING 10/27/2015 $6,750CONSULTING 11/20/2015 $6,750

Name and Address(A)

Let's Move Seattle



BALLOT MEASURE

Purpose(C)

Date(D)

Amount(E)


CONTRIBUTION 09/25/2015 $5,000CONTRIBUTION 10/28/2015 $5,000

Name and Address(A)

Luke Esser

404 158th St SEBellevueWA

Purpose(C)

Date(D)

Amount(E)



44 of 65 3/30/2016 3:56 PM


(B)LOBBYIST

Name and Address(A)

Montana Democratic Party802

HelenaMT59624


POLITICAL PARTY

Purpose(C)

Date(D)

Amount(E)


Sponsorship 2015 officers convention 07/17/2015 $5,000

Name and Address(A)

Nick Federici

3834 NE 178th StLake Forest ParkWA98155


LOBBYIST

Purpose(C)

Date(D)

Amount(E)


LOBBYING 04/13/2015 $5,000LOBBYING 05/22/2015 $5,000LOBBYING 12/18/2015 $5,000

Name and Address(A)

Nicole Keenan

321 10th Ave S Apt 716SeattleWA98104


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Northwest Stag ing and Sound Design2021

TacomaWA98401



Purpose(C)

Date(D)

Amount(E)


AUDIO VISUAL SERVICES 01/28/2015 $15,500

Name and Address(A)

Northwestern Stage Lines, Inc

4611 S. Ben Franklin LaneSpokaneWA99224


TRAVEL COMPANY

Purpose(C)

Date(D)

Amount(E)


LOBBY DAY BUSES 02/13/2015 $6,860

Name and Address(A)

NW STAGE LLC




Purpose(C)

Date(D)

Amount(E)


AUDIO VISUAL SERVICES 02/06/2015 $7,327AUDIO VISUAL SERVICES 02/20/2015 $17,225

Name and Address(A)

Purpose(C)

Date(D)

Amount(E)



45 of 65 3/30/2016 3:56 PM

NWP Consulting

1505 Westlake Ave N No 1000SeattleWA98109


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


HOME CARE RETIREMENT MEDIA 06/12/2015 $20,274

Name and Address(A)

Oldmixon Hill

1201 1st Avenue South #325SeattleWA98134


IT SERVICES

Purpose(C)

Date(D)

Amount(E)


APP DEVELOPMENT 05/18/2015 $13,575

Name and Address(A)

Patinkin Research Strateg ies

760 Timberline DRLake OswegoOR97034


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


VOTER SURVEY 02/20/2015 $9,725

Name and Address(A)

Percolator Consulting LLC

220 2nd ve S #204SeattleWA98104


CONSULTANT

Purpose(C)

Date(D)

Amount(E)



Name and Address(A)

Powell Phones LLC

607 NW 22nd AvePortlandOR97210


POLITICAL COMMUNICATION CO

Purpose(C)

Date(D)

Amount(E)


LEGISLATIVE HOTLINE 05/08/2015 $20,100

Name and Address(A)

Progressive Majority Washington

1402 3rd Ave, STE 201SeattleWA98101


POLITICAL ORGANIZATION

Purpose(C)

Date(D)

Amount(E)



Name and Address(A)

Puget Sound Sage

1032 S. Jackson ST, STE 203SeattleWA98104


ADVOCACY ORGANIZATION

Purpose(C)

Date(D)

Amount(E)




46 of 65 3/30/2016 3:56 PM

Name and Address(A)

Pyramid Communications

1932 First Ave #507SeattleWA98101


CONSULTANT

Purpose(C)

Date(D)

Amount(E)



Name and Address(A)

Red Lion - Olympia

2300 Evergreen Park DrOlympiaWA98502


HOTEL

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)


18 West Mercer St Ste 400SeattleWA98119


ATTORNEY

Purpose(C)

Date(D)

Amount(E)


LEGAL FEE 06/12/2015 $11,943LEGAL FEE 10/16/2015 $8,634LEGAL FEE 11/09/2015 $15,328LEGAL FEE 12/18/2015 $14,329

Name and Address(A)

See Forward Fund Inc

150 Main Street Suite 26NorthamptonMA01060



Purpose(C)

Date(D)

Amount(E)


CONTRIBUTION 02/18/2015 $150,000CONTRIBUTION 03/11/2015 $333,783CONTRIBUTION 04/01/2015 $125,000CONTRIBUTION 06/24/2015 $125,000CONTRIBUTION 09/29/2015 $125,000

Name and Address(A)

SEIU Communications Center Inc

330 West 42nd St 7th FloorNew YorkNY10036



Purpose(C)

Date(D)

Amount(E)


Phone Services 03/20/2015 $10,014

Name and Address(A)

SEIU Washington State Council

3161 Elliott Ave Suite 300SeattleWA98121


BALLOT MEASURE MAILING

Purpose(C)

Date(D)

Amount(E)


contribution 11/13/2015 $10,987

Name and Address(A)

Smith & Lowney PLLC

2317 East John StSeattleWA98112

Purpose(C)

Date(D)

Amount(E)


LEGAL FEE 11/09/2015 $21,532


47 of 65 3/30/2016 3:56 PM


LAW FIRMName and Address

(A)Starline Luxury Coaches

9801 MLK Jr Way SSeattleWA98118


TRAVEL COMPANY

Purpose(C)

Date(D)

Amount(E)


ACTION BUSES FOR MEMBERS 05/13/2015 $10,092

Name and Address(A)

Swing Wine Bar

2515 Crestline DR NWOlympiaWA98502


RESTAURANT

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Team Soapbox LLC

234 9th Ave NSeattleWA98109


MEDIA COMPANY

Purpose(C)

Date(D)

Amount(E)


COMMUNICATION SERVICES 11/09/2015 $10,000

Name and Address(A)

The MattMar Group Inc

3030 Ashby Ave # 103BerkeleyCA94705


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


CONSULTING 02/20/2015 $29,488

Name and Address(A)

Tipping Point Partners LLC

439 11th STBrooklynNY11215


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


CONSULTING 05/08/2015 $11,555CONSULTING 05/22/2015 $9,250CONSULTING 06/12/2015 $14,000CONSULTING 08/14/2015 $12,712

Name and Address(A)

Trade Printery

2512 First AvenueSeattleWA98121


PRINTER

Purpose(C)

Date(D)

Amount(E)


MAILINGS 03/13/2015 $16,509MAILINGS 07/17/2015 $8,317MAILINGS 11/09/2015 $8,910MAILINGS 11/13/2015 $12,060

Name and Address(A)

United Airlines66100

Elk Grove Township

Purpose(C)

Date(D)

Amount(E)



48 of 65 3/30/2016 3:56 PM

IL60007


COMMERCIAL AIRLINEName and Address

(A)USPS999

SeattleWA98109


POST OFFICE

Purpose(C)

Date(D)

Amount(E)


POSTAGE 02/24/2015 $5,000

Name and Address(A)

Vocus Inc4172156

BostonMA02241


SOFTWARE COMPANY

Purpose(C)

Date(D)

Amount(E)


MEDIA RELATIONS 12/18/2015 $5,480

Name and Address(A)

Washington Bus20188307 Third Ave S, STE 530SeattleWA98102



Purpose(C)

Date(D)

Amount(E)



Name and Address(A)

Washington CAN

220 S River St Ste 202SeattleWA98103


COMMUNITY COALITION

Purpose(C)

Date(D)

Amount(E)



Name and Address(A)

Waterstreet Cafe & Bar

610 Water St.OlympiaWA98501


RESTAURANT

Purpose(C)

Date(D)

Amount(E)


LEG RECEPTION CATERING 04/02/2015 $5,812

Name and Address(A)

Wheatland Express

7601 SR 270PullmanWA99163


TRAVEL COMPANY

Purpose(C)

Date(D)

Amount(E)


Convention buses for members 05/13/2015 $8,092

Name and Address(A)

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $15,000CONTRIBUTION 02/27/2015 $15,000


49 of 65 3/30/2016 3:56 PM

Win/Win Action

1402 3rd Ave Suite 515SeattleWA98101



Purpose(C)

Date(D)

Amount(E)

Total Non-Itemized Transactions with this Payee/Payer $250Total of All Transactions with this Payee/Payer for This Schedule $15,250

Name and Address(A)

WinPower Strateg ies

111 S Lander St Suite #303SeattleWA98134


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Working Washington

215 Columbia StreetSeattleWA98104



Purpose(C)

Date(D)

Amount(E)


CONTRIBUTION 02/27/2015 $83,334CONTRIBUTION 03/06/2015 $41,667CONTRIBUTION 04/13/2015 $41,667CONTRIBUTION 05/11/2015 $41,667CONTRIBUTION 06/12/2015 $41,667CONTRIBUTION 07/10/2015 $41,667CONTRIBUTION 08/07/2015 $41,667CONTRIBUTION 09/15/2015 $41,667CONTRIBUTION 10/12/2015 $41,667CONTRIBUTION 11/09/2015 $41,667CONTRIBUTION 12/04/2015 $41,667



50 of 65 3/30/2016 3:56 PM

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 542-433

Name and Address(A)

Alliance for Jobs and Clean Energy21852

SeattleWA98111


COMMUNITY COALITION

Purpose(C)

Date(D)

Amount(E)



Name and Address(A)

Citizen University

1122 East Pike St #583SeattleWA98122



Purpose(C)

Date(D)

Amount(E)



Name and Address(A)

Economic Opportunity Institute

603 Stewart ST #715SeattleWA98101



Purpose(C)

Date(D)

Amount(E)



Name and Address(A)

SEIU Intl Local 721 M & F Support Fund



SUPPORT FUND

Purpose(C)

Date(D)

Amount(E)


RELIEF FUND CONTRIBUTION 12/11/2015 $10,000

Name and Address(A)

The Commonwealth Foundation

101 Sherman Ave SPT 4TNew YorkNY10034


INTERGOVERNMENTAL ORGANIZATION

Purpose(C)

Date(D)

Amount(E)



Name and Address(A)

Washington State DSHS45600

OlympiaWA98504


STATE AGENCY

Purpose(C)

Date(D)

Amount(E)


LTSS STUDY CONTRIBUTION 11/13/2015 $25,000

Name and Address(A)

Wilson Strateg ic Communications

3500 188th ST SW STE 590LynnwoodWA

Purpose(C)

Date(D)

Amount(E)




51 of 65 3/30/2016 3:56 PM


(B)CONSULTANTForm LM-2 (Revised 2010)


52 of 65 3/30/2016 3:56 PM

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 542-433

Name and Address(A)

215C Partners LLC

810 3rd AveSeattleWA98104


PROPERTY MANAGEMENT

Purpose(C)

Date(D)

Amount(E)


Rent 01/23/2015 $95,356Rent 02/20/2015 $95,356Rent 03/20/2015 $95,356Rent 04/24/2015 $95,356Rent 05/22/2015 $95,356Rent 06/19/2015 $95,356Rent 07/17/2015 $95,356Rent 08/21/2015 $95,356Rent 09/15/2015 $95,356Rent 10/23/2015 $95,356Rent 11/20/2015 $95,356Rent 12/18/2015 $99,522Option to Purchase Deposit 12/22/2015 $413,750

Name and Address(A)

ADP

18702 NorthCreek Pky No 100BothellWA98011


PAYROLL PROCESSOR

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

AFCO

3400 188TH Street NWLynnwoodWA98037


INSURANCE COMPANY

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Alaska Airlines



COMMERCIAL AIRLINE

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

All Covered39000



IT SERVICES

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Amalgamated Bank

275 Seventh Ave 6th FloorNew YorkNY10001


Purpose(C)

Date(D)

Amount(E)


Loan Payment 01/23/2015 $25,858Loan Payment 02/20/2015 $25,858Loan Payoff 03/03/2015 $338,661Mortgage Good Faith Deposit and Application Fee 12/18/2015 $27,500


53 of 65 3/30/2016 3:56 PM

BANKName and Address

(A)Aramark Refreshment Service

11118 117th Place NEKirklandWA98033


CATERER

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Asure Software

110 Wild Basin Rd Suite 100AustinTX78746


SOFTWARE COMPANY

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Benita R Horn and Associates

18643 109th Ave SERentonWA98055


CONSULTANT

Purpose(C)

Date(D)

Amount(E)


Consulting 09/25/2015 $6,075

Name and Address(A)

Beresford Booth PLLC

145 Third Avenue South #200EdmondsWA98020


LAW FIRM

Purpose(C)

Date(D)

Amount(E)


Legal Services 07/10/2015 $5,079Legal Services 08/14/2015 $11,152

Name and Address(A)

Century Link91155

SeattleWA98111



Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

CliftonLarsonAllen LLP

3000 Northup Way Ste 200BellevueWA98004


ACCOUNTING FIRM

Purpose(C)

Date(D)

Amount(E)


Annual Audit 04/13/2015 $17,700

Name and Address(A)

Comcast34227

SeattleWA98124

Purpose(C)

Date(D)

Amount(E)



54 of 65 3/30/2016 3:56 PM


CABLE COMPANYName and Address

(A)Evergreen Plaza Associates LLC

11225 SE 6th St Suite 220BellevueWA98004


PROPERTY MANAGEMENT

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Experience Learning Community

120 Sixth Ave N Ste 100SeattleWA98109


NON PROFIT ORGANIZATION

Purpose(C)

Date(D)

Amount(E)


2015 Holiday Dinner Venue 02/20/2015 $15,000

Name and Address(A)

Extended Stay

8410 BroadwayEverettWA98208


HOTEL

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Grigg 's Office Building

523 S DateKennewickWA99336


LANDLORD

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Homewood Suites

1011 Pike StreetSeattleWA98101


HOTEL

Purpose(C)

Date(D)

Amount(E)


Lodging 10/02/2015 $8,707

Name and Address(A)

Ikon Financial Services650073

DallasTX75265


COPIER COMPANY

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Johnson HR Consulting Inc790

North Bend

Purpose(C)

Date(D)

Amount(E)



55 of 65 3/30/2016 3:56 PM

WA98045


CONSULTANTName and Address

(A)Keller Rohrback LLP

1201 3rd AveSeattleWA98101


LAW FIRM

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Kibble & Prentice, USI Co.

601 Union St #1000Seattlewa98101


INSURANCE COMPANY

Purpose(C)

Date(D)

Amount(E)


Insurance 02/23/2015 $29,711Insurance 05/06/2015 $8,323

Name and Address(A)

Konica Minolta100706

PasadenaCA91189


EQUIPMENT LEASING COMPANY

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Labor 1992 Corporation

321 16th Ave SSeattleWA98144


LANDLORD

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Office Depot70025

Los AngelesCA90074


OFFICE SUPPLY STORE

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Office Team60000



TEMPORARY STAFFING

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $0Total Non-Itemized Transactions with this Payee/Payer $8,365


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Oregon Avenue Inc2181

TacomaWA98401


LANDLORD

Purpose(C)

Date(D)

Amount(E)

Total of All Transactions with this Payee/Payer for This Schedule $8,365

Name and Address(A)

Paetec1283

BuffaloNY14240



Purpose(C)

Date(D)

Amount(E)


Phone Lines 01/30/2015 $7,171Phone Lines 02/27/2015 $8,650Phone Lines 03/30/2015 $7,011Phone Lines 04/24/2015 $7,620Phone Lines 05/29/2015 $7,026Phone Lines 06/26/2015 $6,496Phone Lines 07/24/2015 $7,391Phone Lines 09/11/2015 $8,986Phone Lines 10/06/2015 $7,652Phone Lines 11/09/2015 $6,774Phone Lines 11/30/2015 $6,947Phone Lines 12/28/2015 $7,160

Name and Address(A)

Puget Sound Energy91269

BellevueWA98009


UTILITY COMPANY

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Residence Inn

16201 West Valley HighwayTukwillaWA98188


HOTEL

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Ronald Gustafson

4223 M StreetWashougalWA98671


LANDLORD

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Safeway29093

PhoenixAZ29093


GROCERY STORE

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $0Total Non-Itemized Transactions with this Payee/Payer $5,506


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18 W MERCER ST #400SeattleWA98119


LAW FIRM

Purpose(C)

Date(D)

Amount(E)

Total of All Transactions with this Payee/Payer for This Schedule $5,506

Name and Address(A)

Scion Staffing Inc

576 Sacramento ST Floor 2San FranciscoCA98411


EMPLOYMENT RECRUITER

Purpose(C)

Date(D)

Amount(E)


Employment Services 09/01/2015 $6,667Employment Services 10/16/2015 $8,240Employment Services 11/09/2015 $10,790Employment Services 12/04/2015 $16,058

Name and Address(A)

Seattle Aquarium

1483 Alaskan WaySeattleWA98101


AQUARIUM

Purpose(C)

Date(D)

Amount(E)


2014 Holiday Dinner Venue 03/10/2015 $33,163

Name and Address(A)

SEIU International Union



INTERNATIONAL UNION

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Terry Burton9505

SpokaneWA99209


LANDLORD

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Todd Best

801 11th StBremertonWA98337


LANDLORD

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

UnionWare Inc

1313 Border St Unit 56Winnipeg00R3H0X4


SOFTWARE COMPANY

Purpose(C)

Date(D)

Amount(E)



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Name and Address(A)

UPS894820

Los AngelesCA90189


DELIVERY COMPANY

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

US Bank Corp Real Estate86

MinneapolisMN55486


PROPERTY MANAGEMENT

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

VanderHowen and Associates Inc

6342 SW Macadam AvePortlandOR97239


TEMPORARY STAFFING

Purpose(C)

Date(D)

Amount(E)


Temporary Staffing 05/08/2015 $15,261Temporary Staffing 08/21/2015 $6,276

Name and Address(A)

Westgate Plaza LLC5840

BremertonWA98312


LANDLORD

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Westway Central, LLC

1721 Hewitt Ave Ste 523EverettWA98201


PROPERTY MANAGEMENT

Purpose(C)

Date(D)

Amount(E)


Rent 09/25/2015 $6,075

Name and Address(A)

Wolfgang Puck Catering

120 6th Ave N STE 100SeattleWA98109


CATERER

Purpose(C)

Date(D)

Amount(E)


Holiday Dinner Catering 11/09/2015 $14,346Holiday Dinner Catering 11/13/2015 $14,346



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SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 542-433

Name and Address(A)

Air Canada

2001 University St Ste 1600MontrealWA99999


COMMERCIAL AIRLINE

Purpose(C)

Date(D)

Amount(E)


Executive Committee Travel 08/13/2015 $5,535

Name and Address(A)

Alaska Air

835 S 192nd StSeatacWA98148


COMMERCIAL AIRLINE

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Alderbrook Resort

10 E Alderbrook DrUnionWA98592


HOTEL

Purpose(C)

Date(D)

Amount(E)


Eboard Retreat 05/01/2015 $5,500Eboard Retreat 10/08/2015 $30,706

Name and Address(A)

Capitol City Press

2975 37th Ave SWTumwaterWA98512


PRINTING COMPANY

Purpose(C)

Date(D)

Amount(E)


Mailings 07/10/2015 $22,421Mailings 08/28/2015 $30,668

Name and Address(A)

Courtyard by Marriott

1515 Commerce StreetTacomaWA98402


HOTEL

Purpose(C)

Date(D)

Amount(E)


Eboard Lodging 11/19/2015 $8,320

Name and Address(A)

Courtyard by Marriott-Seattle

612 2nd AveSeattleWA98104


HOTEL

Purpose(C)

Date(D)

Amount(E)



Name and Address(A)

Delta Airlines20706

AtlantaGA

Purpose(C)

Date(D)

Amount(E)



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(B)COMMERCIAL AIRLINE

Name and Address(A)

Doubletree Hotel - Olympia

415 Capital Way NorthOlympiaWA98501


HOTEL

Purpose(C)

Date(D)

Amount(E)



Name and Address(A)

DoubleTree Seattle94092

SeattleWA98124


HOTEL

Purpose(C)

Date(D)

Amount(E)


Eboard Lodging 01/15/2015 $11,238

Name and Address(A)

Lavish Roots Catering



CATERER

Purpose(C)

Date(D)

Amount(E)


Eboard Meeting Catering 09/08/2015 $5,322

Name and Address(A)

NW Stage LLC




Purpose(C)

Date(D)

Amount(E)


Audio Visual E Board Meeting 04/20/2015 $5,655

Name and Address(A)


18 West Mercer St Ste 400SeattleWA98119


ATTORNEY

Purpose(C)

Date(D)

Amount(E)


Legal Fees 10/16/2015 $10,228

Name and Address(A)

Uber

1455 Market StSan FranciscoCA94103


TRANSPORTATION COMPANY

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Purpose(C)

Date(D)

Amount(E)



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United Airlines

1200 E Algonquin RdElk GroveIL60007


COMMERCIAL AIRLINEName and Address

(A)USPS999

SeattleWA98109


POST OFFICE

Purpose(C)

Date(D)

Amount(E)


Convention Call/Officers Elections 05/22/2015 $20,000Officer Elections 08/24/2015 $11,100

Name and Address(A)

Verizon9622

Mission HillsCA91346


TELEPHONE COMPANY

Purpose(C)

Date(D)

Amount(E)




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SCHEDULE 20 - BENEFITS FILE NUMBER: 542-433

Description(A)

To Whom Paid(B)

Amount(C)

Total of all lines above (Total will be automatically entered in Item 55.) $3,292,548

HEALTH AND WELFARE SEIU 775 MULITEMPLOYER HEALTH $1,819,343PENSION SEIU PENSION TRUST $1,129,092LIFE INSURANCE MET LIFE $76,535PARKING CAPTAINS RAINBOW PARKING $73,516ORCA BUS PASSES KING COUNTY FINANCE $70,900INSURANCE CSEA $7,536PARKING CENTRAL PARKING SYSTEM $63PARKING REPUBLIC PARKING NORTHWEST $95,800PARKING REPUBLIC PARKING 30 WEST $19,688PARKING PORT GARDEN PARKING $75



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69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 542-433

Question 10: LOCAL 775 MULTIEMPLOYER HEALTH BENEFITS TRUST 12121 HARBOR REACH DRIVE SUITE 105 MUKILTEO, WA 98275 EIN 20-1842198HEALTH AND WELFARE PLAN SEIU LOCAL 775 NW TRAINING PARTNERSHIP 215 COLUMBIA ST SEATTLE, WA 98104

Question 11(a):

Question 11(a): : : SEIU HEALTHCARE 775NW QUALITY CARE COMMITTEE, SEIU HEALTHCARE 775NW QUALITY CARE COMMITTEE (MT PAC), SEIUHEALTHCARE 775NW QUALITY CARE COMMITTEE (NY). THE BALANCES AND ACTIVITIES FROM THESE ACCOUNTS ARE NOT REFLECTED INTHIS REPORT. REPORTS ARE FILED WITH THE WASHINGTON STATE PUBLIC DISCLOSURE COMMISSION, MONTANA STATE COMMISSIONER OFPOLITICAL PRACTICES AND NEW YORK STATE BOARD OF ELECTIONS THAT REPORT THE BALANCES AND ACTIVITIES OF THESE ACCOUNTS.

Question 12: AUDIT DONE BY: CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE, WA 98004

Question 13: On October 26, 2015 a Dell Inspiron 11-300 Serial number 6985D32 with a value of $300 was stolen. On December 28, 2015 four Samsung Galaxy Tab2 with a total value of $260 were lost.

Question 15: OBSOLETE OFFICE EQUIPMENT WAS DISCARDED COST $92,594 ACCUMULATED DEPRECIATION $76,908

Schedule 13, Row1:A regular member is any individual who has remitted full payment of monthly dues or their equivalent as well as any assessments or any otherpayments owed prior to the last business day of each month AND is employed in a bargaining unit for which the Union is the recognized bargaining agent formatters relating to wages, hours and other term and conditions of employment, or a health care worker covered by a service agreement between SEIU 775 andanother SEIU Union, or any union officer or employee of SEIU 775 who is not represented for the purposes of collective bargaining by another Union. By action ofthe Executive Board of SEIU 775, the following individuals may be admitted to regular membership: persons employed by the Unions benefit funds and other Union-sponsored organizations, any worker who is actively engaged in an organizing campaign seeking recognition for SEIU 775 as the exclusive bargainingrepresentative, and officers or employees of SEIU International. Only Regular Members enjoy certain rights, such as the right to vote, hold union office and filecharges before a trial body.

Schedule 13, Row2:Associate Membership is membership available to other persons who support the mission, vision and values of SEIU Local 775 but cannot meetthe criteria of Regular Membership. Associate Members must remit full payment of monthly dues or their equivalent as well as any assessments or any otherpayments owed prior to the last business day of each month. Associate members enjoy certain rights but may not hold elected union office, vote, or file chargesbefore a trial body.

Schedule 13, Row2:ASSOCIATE MEMBERS ARE NOT ELIGIBLE TO VOTEForm LM-2 (Revised 2010)


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Documents

DOL Form Report (Disclosure) ... · ITEMS 10 THROUGH 21 FILE NUMBER: 542-433 10. During the reporting period did the labor organization create or participate in the administration