NEMSA 2011 LM2

Return

U.S. Department of LaborOffice of Labor-Management

StandardsWashington, DC 20210

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORTForm Approved

Office of Management and BudgetNo. 1245-0003

Expires: 10-31-2013

MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MOREIN 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 by29 U.S.C. 439 or 440.

READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.

For Official UseOnly

1. FILE NUMBER542-938

2. PERIOD COVEREDFrom 04/01/2010Through 03/31/2011

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 NAMENATIONAL EMERGENCY MEDICAL SERVICES

5. DESIGNATION (Local, Lodge, etc.) 6. DESIGNATION NBR

7. UNIT NAME (if any)ASSOCIATION

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

Last NameHUNTER

P.O Box - Building and Room Number

Number and Street4701 Sisk Rd, STE 102

CityMODESTO

StateCA

ZIP Code + 4953569320

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 oflaw, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by thesignatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in theinstructions.)70. SIGNED: Eric Stephens PRESIDENT 71. SIGNED: Tedd Hunter TREASURERDate: Jun 29, 2011 Telephone Number: 866-544-7398 Date: Jun 29, 2011 Telephone Number: 866-544-7398Form LM-2 (Revised 2010)

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

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ITEMS 10 THROUGH 21 FILE NUMBER: 542-93810. During the reporting period did the labor organizationcreate or participate in the administration of a trust or a fundor organization, as defined in the instructions, whichprovides benefits for members or beneficiaries?

No

11(a). During the reporting period did the labor organizationhave a political action committee (PAC) fund? No

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

No

12. During the reporting period did the labor organizationhave an audit or review of its books and records by anoutside accountant or by a parent bodyauditor/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 orrecovery.)

No

14. What is the maximum amount recoverable under thelabor organization's fidelity bond for a loss caused by anyofficer, employee or agent of the labor organization whohandled union funds?

$300,000

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

No

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

No

17. Did the labor organization have any contingent liabilitiesat the end of the reporting period? No

18. During the reporting period did the labor organizationhave any changes in its constitution or bylaws, other thanrates of dues and fees, or in practices/procedures listed inthe instructions?

No

19. What is the date of the labor organization's next regularelection of officers? 05/2011

20. How many members did the labor organization have at theend of the reporting period? 5,534

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 $27-$59per Month $27 $59(b) Working Dues/Fees 0per(c) Initiation Fees $12.50per 8 Payments $100 $100(d) Transfer Fees 0per(e) Work Permits 0per

Form LM-2 (Revised 2010)


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STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 542-938

ASSETS

ASSETS ScheduleNumber

Start of Reporting Period(A)

End of Reporting Period(B)

22. Cash $63,772 $116,21423. Accounts Receivable 1 $30,688 $86,96224. Loans Receivable 225. U.S. Treasury Securities $0 $026. Investments 527. Fixed Assets 6 $45,692 $34,53228. Other Assets 7 $9,556 $37,654

29. TOTAL ASSETS $149,708 $275,362

LIABILITIES

LIABILITIES ScheduleNumber

Start of Reporting Period(A)

End of Reporting Period(B)

30. Accounts Payable 8 $124,808 $202,09231. Loans Payable 9 $202,009 $209,36832. Mortgages Payable $0 $033. Other Liabilities 10 $99,108 $385,32434. TOTAL LIABILITIES $425,925 $796,784

35. NET ASSETS -$276,217 -$521,422



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STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 542-938

CASH RECEIPTS SCH AMOUNT36. Dues and Agency Fees $2,335,70737. Per Capita Tax $038. Fees, Fines, Assessments, Work Permits $039. Sale of Supplies $040. Interest $941. Dividends $042. Rents $043. Sale of Investments and Fixed Assets 344. Loans Obtained 9 $15,78845. Repayments of Loans Made 246. On Behalf of Affiliates for Transmittal to Them $047. From Members for Disbursement on TheirBehalf $0

48. Other Receipts 14 $166,75049. TOTAL RECEIPTS $2,518,254

CASH DISBURSEMENTS SCH AMOUNT50. Representational Activities 15 $1,715,97351. Political Activities and Lobbying 16 $23,53452. Contributions, Gifts, and Grants 17 $9,48753. General Overhead 18 $357,37654. Union Administration 19 $103,68855. Benefits 20 $200,30756. Per Capita Tax $057. Strike Benefits $058. Fees, Fines, Assessments, etc. $059. Supplies for Resale $060. Purchase of Investments and Fixed Assets 4 $2,50861. Loans Made 262. Repayment of Loans Obtained 9 $8,42863. To Affiliates of Funds Collected on Their Behalf $064. On Behalf of Individual Members $065. Direct Taxes $57,697

66. Subtotal $2,478,99867. Withholding Taxes and Payroll Deductions 67a. Total Withheld $187,783 67b. Less Total Disbursed $174,597 67c. Total Withheld But Not Disbursed $13,18668. TOTAL DISBURSEMENTS $2,465,812



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SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 542-938

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 receivable $86,962 $23,472 $8,396 Totals(Total of Column (B) will be automatically entered in Item 23, Column(B)) $86,962 $23,472 $8,396 $0Form LM-2 (Revised 2010)


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SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 542-938

List below loans to officers, employees, or members whichat any time during the reporting period exceeded $250 andlist all loans to business enterprises regarless of amount.

(A)

LoansOutstanding atStart of Period

(B)

Loans MadeDuring Period

(C)

Repayments Received DuringPeriod

Cash(D)(1)

Other Than Cash(D)(2)

LoansOutstanding atEnd of Period

(E)

Total of loans not listed above Total of all lines above $0 $0 $0 $0 $0

Totals will be automatically entered in... Item 24Column (A)

Item 61 Item 45 Item 69with Explanation

Item 24Column (B)



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SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-938

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 $0Less Reinvestments

(The total from Net Sales Line will be automatically entered in Item 43)Net Sales Form LM-2 (Revised 2010)


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SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-938

Description (if land or buildings, give location)(A)

Cost(B)

Book Value(C)

Cash Paid(D)

Total of all lines above $2,508 $2,508 $2,508Office Equipment & Software $2,508 $2,508 $2,508

Less Reinvestments $0(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases $2,508



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SCHEDULE 5 - INVESTMENTS FILE NUMBER: 542-938

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 subsidiaryfor which separate 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: 542-938

Description(A)

Cost or Other Basis(B)

Total Depreciation orAmount Expensed

(C)

Book Value(D)

Value(E)

A. Land (give location) $0 $0 $0B. Buildings (give location) $0 $0 $0 $0C. Automobiles and Other VehiclesD. Office Furniture and Equipment $74,477 $39,945 $34,532 $34,532

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will beautomatically entered in Item 27, Column(B)) $74,477 $39,945 $34,532 $34,532



10 of 33 5/7/13 3:50 PM

SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 542-938

Description(A)

Book Value(B)

Total (Total will be automatically entered in Item 28, Column(B)) $37,654

Employee Receivables $342Prepaid Expenses $9,603Prepaid Legal Fees $8,000Security Deposits $19,709



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SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 542-938

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 $90,599 $68,722 $21,794 $0Total from all other accounts payable $111,493 $0 $0 $0Totals (Total for Column(B) will be automatically entered inItem 30, Column(D)) $202,092 $68,722 $21,794 $0

Jerilou H. Cossack, Arbitrator $8,423 $8,340 $0 $0Talbot Law Group $82,176 $60,382 $21,794 $0



12 of 33 5/7/13 3:50 PM

SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 542-938

Source of Loans Payable atAny

Time During the ReportingPeriod

(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 $202,008 $15,788 $8,428 $0 $209,368Totals will be automaticallyentered in...

Item 31Column (C)

Item 44 Item 62 Item 69with Explanation

Item 31Column (D)

Apple Financial Lease $6,914 $0 $4,190 $0 $2,724Note Payable-Colcord $195,094 $15,788 $4,238 $0 $206,644



13 of 33 5/7/13 3:50 PM

SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 542-938

Description(A)

Amount at End of Period(B)

Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $385,324

Accrued AFLAC Deposits $10,787Accrued Expenses $12,144Accrued Salaries Payable $10,888Accrued Vacation Payable $61,058Payroll Liabilities $12,298Contract Negotiation Fund $101,066EMS Defense Fund $88,495Strike Fund $88,588



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SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 542-938

(A)Name

(B)Title

(C)Status

(D)Gross Salary

Disbursements(before anydeductions)

(E)AllowancesDisbursed

(F)Disbursements

for OfficialBusiness

(G)Other

Disbursements notreported in

(D) through (F)

(H)TOTAL

ABC

Colcord, Torren KPresidentC

$0 $0 $0 $0 $0

I Schedule 15Representational Activities 80 %

Schedule 16Political Activitiesand Lobbying

0 % Schedule 17Contributions 0 % Schedule 18

General Overhead 10 % Schedule 19Administration 10 %

ABC

Stephens, Eric Vice PresidentC

$5,568 $0 $1,635 $0 $7,203





ABC

Muller, Alis SecretaryC

$0 $0 $627 $0 $627





ABC

Hunter, Tedd TreasurerC

$0 $0 $0 $0 $0





ABC

Lucey, Steven DirectorC

$3,174 $0 $0 $0 $3,174





Total Officer Disbursements $8,742 $0 $2,262 $0 $11,004Less Deductions Net Disbursements $11,004Form LM-2 (Revised 2010)


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SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 542-938

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary



(F)Disbursements

for OfficialBusiness

(G)Other Disbursements

not reported in(D) through (F)

(H)TOTAL

ABC

Byler-Hudelson, Rachelle LLabor Relations Representnone

$60,000 $0 $11,172 $0 $71,172





ABC

Colcord, Torren KExecutive Directornone

$158,402 $0 $13,279 $0 $171,681





ABC

Cuaresma, Kimberley COffice Managernone

$53,846 $0 $184 $0 $54,030





ABC

Gambone, James PLabor Relations Representnone

$14,699 $0 $3,503 $0 $18,202





ABC

Herring, Jason JBusiness Managernone

$81,971 $0 $10,279 $0 $92,250





ABC

Misner, Jeffery Labor Relations Representnone

$23,901 $0 $3,733 $0 $27,634





ABC

Osorio, Carlos ELabor Relations Representnone

$54,785 $0 $14,113 $0 $68,898





ABC

Pelican, Aaron COperations Mgr/Labor Repnone

$76,327 $0 $6,041 $0 $82,368





ABC

Sardad, Daryosch Labor Relations Representnone

$73,731 $0 $6,359 $0 $80,090





ABC

Sparks, Toby Labor Relations Representnone

$72,115 $0 $13,395 $0 $85,510






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(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary



(F)Disbursements forOfficial Business

(G)Other Disbursements

not reported in(D) through (F)

(H)TOTAL

ABC

Zaragoza, Conception Labor Relations Representnone

$27,520 $0 $0 $0 $27,520





TOTALS RECEIVED BY EMPLOYEES MAKING LESSTHAN $10000 $32,549 $0 $1,224 $0 $33,773

I Schedule 15Representational Activities 90 % Schedule 16

Political Activities and Lobbying 0 % Schedule 17Contributions 0 % Schedule 18


Total Employee Disbursements $729,846 $0 $83,282 $0 $813,128Less Deductions $187,783

Net Disbursements $625,345



17 of 33 5/7/13 3:50 PM

SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 542-938

Category of Membership(A)

Number(B)

Voting Eligibility(C)

Members (Total of all lines above) 5,534 Agency Fee Payers* 36Total Members/Fee Payers 5,570 *Agency Fee Payers are not considered members of the labor organization.

Regular Members 4,738 YesMember: Non Dues Payer 441 YesPending Member: Non Dues Payer 355 No



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DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 542-938

SCHEDULE 14 OTHER RECEIPTS1. Named Payer Itemized Receipts $02. Named Payer Non-itemized Receipts $5,5003. All Other Receipts $161,2504. Total Receipts $166,750

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS1. Named Payee Itemized Disbursements $02. Named Payee Non-itemized Disbursements $5,1303. To Officers $04. To Employees $4,3575. All Other Disbursements $06. Total Disbursements $9,487

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES1. Named Payee Itemized Disbursements $720,3572. Named Payee Non-itemized Disbursements $221,9123. To Officers $11,0044. To Employees $657,9735. All Other Disbursements $104,7276. Total Disbursements $1,715,973

SCHEDULE 18 GENERAL OVERHEAD1. Named Payee Itemized Disbursements $161,1722. Named Payee Non-itemized Disbursements $87,5713. To Officers $04. To Employees $43,6795. All Other Disbursements $64,9546. Total Disbursements $357,376

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING1. Named Payee Itemized Disbursements $10,0502. Named Payee Non-itemized Disbursements $10,0503. To Officers $04. To Employees $3,4345. All Other Disbursements $06. Total Disbursement $23,534

SCHEDULE 19 UNION ADMINISTRATION1. Named Payee Itemized Disbursements $02. Named Payee Non-itemized Disbursements $03. To Officers $04. To Employees $103,6885. All Other Disbursements $06. Total Disbursements $103,688



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SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 542-938

Name and Address(A)

American Medical Response

8808 Balboa Ave # 150San DiegoCA92123-1592

Type or Classification(B)

Share Negotiaton Room Rental Cost

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,500Total of All Transactions with this Payee/Payer for This Schedule $5,500



20 of 33 5/7/13 3:50 PM

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 542-938

Name and Address(A)

American Medical Response ofMassachusetts

233 Shrewsbury StreetWorcesterMA01604


Medical Transportation-Employer Group

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $10,866Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $10,866

Arbitration Costs 07/29/2010 $10,866

Name and Address(A)

Carrol, Burdick & McDonough LLP

1007 7th St, Suite 200SacramentoCA95814


Legal Counsel

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $10,274Total Non-Itemized Transactions with this Payee/Payer $4,747Total of All Transactions with this Payee/Payer for This Schedule $15,021

SEIU Litigation 07/07/2010 $5,000SEIU Litigation 08/18/2010 $5,274

Name and Address(A)

Courtyard by Marriott

63 Grand StreetWaterburyCT06702


Hotel

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Craig E. OvertonPO Box 828

North KingstownRI02852


Labor Arbitrator

Purpose(C)

Date(D)

Amount(E)


AMR Arbitration services 07/07/2010 $8,273AMR Arbitration services 08/12/2010 $8,273

Name and Address(A)

Evers Law Group

641 Fulton Ave, Suite 130SacramentoCA95825


Legal Counsel

Purpose(C)

Date(D)

Amount(E)


Legal Work 09/20/2010 $9,638

Name and Address(A)

Goyette and Associates, Inc.

11344 Coloma Rd Suite 145Gold RiverCA95670


Legal Counsel

Purpose(C)

Date(D)

Amount(E)


Legal Work on Retainer 05/11/2010 $5,000Legal Work on Retainer 07/07/2010 $7,758Legal Work on Retainer 08/09/2010 $6,120Legal Work on Retainer 09/20/2010 $30,000Legal Work on Retainer 09/21/2010 $11,000


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Purpose(C)

Date(D)

Amount(E)


Legal Work on Retainer 10/13/2010 $20,000Legal Work on Retainer 10/18/2010 $20,000Legal Work on Retainer 11/15/2010 $20,000Legal Work on Retainer 11/29/2010 $20,000Legal Work on Retainer 12/14/2010 $20,000Legal Work on Retainer 12/27/2010 $20,000Legal Work on Retainer 01/12/2011 $20,000Legal Work on Retainer 01/26/2011 $20,000Legal Work on Retainer 02/09/2011 $20,000Legal Work on Retainer 02/24/2011 $22,007Legal Work on Retainer 03/11/2011 $20,929Legal Work on Retainer 03/28/2011 $20,929

Name and Address(A)

Holiday Inn Mission Valley

3805 Murphy Canyon RoadSan DiegoCA92123


Hotel

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

New Direction Services

8300 Fair Oaks Blvd Ste 100CarmichaelCA95608


Printing Company

Purpose(C)

Date(D)

Amount(E)


Printing/Postage Mailers to Members 05/19/2010 $10,024Printing/Postage Mailers to Members 07/20/2010 $9,116Printing/Postage Mailers to Members 03/11/2011 $5,041

Name and Address(A)

Residence Inn

400 Staples DriveFraminghamMA01702


Hotel

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Ronald Hoh, Arbitrator

2222 Watt Ave Suite D-7SacramentoCA95825


Labor Arbitrator

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $7,107Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $7,107

NEMSA Expulsions 02/24/2011 $7,107

Name and Address(A)

Southwest Airlines

2702 Love FieldDallasTX

Purpose(C)

Date(D)

Amount(E)



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72535Type or Classification

(B)Airline

Name and Address(A)

Stamps.com

12959 Coral Tree PlLos AngelesCA90066


Postage

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Talbot Law Group

105 E Street, Suite 2EDavisCA95616


Legal Counsel

Purpose(C)

Date(D)

Amount(E)


Legal Work on Retainer 04/13/2010 $15,500Legal Work on Retainer 05/03/2010 $15,500Legal Work on Retainer 05/12/2010 $15,500Legal Work on Retainer 05/26/2010 $15,500Legal Work on Retainer 06/08/2010 $15,500Legal Work on Retainer 06/30/2010 $15,500Legal Work on Retainer 07/15/2010 $17,000Legal Work on Retainer 07/20/2010 $15,500Legal Work on Retainer 08/09/2010 $17,000Legal Work on Retainer 08/18/2010 $16,500Legal Work on Retainer 09/22/2010 $15,500Legal Work on Retainer 10/15/2010 $10,000Legal Work on Retainer 10/18/2010 $7,521Legal Work on Retainer 10/29/2010 $10,000Legal Work on Retainer 11/11/2010 $10,000Legal Work on Retainer 11/30/2010 $10,000Legal Work on Retainer 12/14/2010 $12,000Legal Work on Retainer 12/27/2010 $15,000Legal Work on Retainer 01/12/2011 $12,000Legal Work on Retainer 01/12/2011 $5,500Legal Work on Retainer 01/26/2011 $14,000Legal Work on Retainer 02/09/2011 $13,481Legal Work on Retainer 02/24/2011 $12,000Legal Work on Retainer 03/11/2011 $12,000Legal Work on Retainer 03/28/2011 $12,000Legal Work on Retainer 03/28/2011 $8,000

Name and Address(A)

Torren Colcord

4701 Sisk Rd Suite 102ModestoCA95356-9320


Legal Indemnification

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

United AirlinesP O Box 66100

ChicagoIL60666


Purpose(C)

Date(D)

Amount(E)



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AirlineName and Address

(A)Verizon WirelessPO Box 9622

Mission HillsCA91346-9622


Telecommunications

Purpose(C)

Date(D)

Amount(E)




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SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 542-938

Name and Address(A)

Cline & Duplissea

1127 Eleventh St. Ste 544SacramentoCA95814


Lobbyist and Advocacy Representative SanMateoCBA

Purpose(C)

Date(D)

Amount(E)


Lobbying Services 04/12/2010 $10,050



25 of 33 5/7/13 3:50 PM

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 542-938

Name and Address(A)

American Cancer Society

250 William St Suite 600DallasTX30303


Charitable Contribution

Purpose(C)

Date(D)

Amount(E)

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

Name and Address(A)

American Heart AssociationNational Center7272 Greenville AveDallasTX75231



Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Camp Taylor

5454 Pirrone RoadSalidaCA95368


Charitable Contribution - Pediatric HeartCamp

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Salida Middle School

5041 Toomes RoadSalidaCA95368



Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Santa Rosa American Little LeagueP O Box 5003

Santa RosaCA95402



Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

SESSPA

4519 Finney RoadSalidaCA95368



Purpose(C)

Date(D)

Amount(E)



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Name and Address(A)

The Thoughtful Flower

502 McHenry Ave Suite 103ModestoCA95354


Florist for Various Member Funerals

Purpose(C)

Date(D)

Amount(E)




27 of 33 5/7/13 3:50 PM

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 542-938

Name and Address(A)

American Medical Response

6200 S. Syracuse Way #200Greenwood VillageCO80111


Medical Transportation-Employer Group

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $20,915Total Non-Itemized Transactions with this Payee/Payer $227Total of All Transactions with this Payee/Payer for This Schedule $21,142

Refund of overdeducted dues 07/29/2010 $8,387Refund of overdeducted dues 09/21/2010 $12,528

Name and Address(A)

Califorensics

1013 Galleria Blvd Ste 210RosevilleCA95678


Investigative Services

Purpose(C)

Date(D)

Amount(E)


Computer Investigation Services 12/27/2010 $5,352

Name and Address(A)

GE CapitolPO Box 31001-0271

PasadenaCA91110-0271


Office Equipment Lessor

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Hamilton and Company, LLP

4285 Sypres WayModestoCA95356


Accounting and Audit Service

Purpose(C)

Date(D)

Amount(E)


General Accounting Services 10/04/2010 $5,730General Accounting Services 11/30/2010 $5,000General Accounting Services 12/27/2010 $5,000

Name and Address(A)

Kemper CPA Group

3031 W. March Ln Ste 133 S.StocktonCA95219


CPA Firm

Purpose(C)

Date(D)

Amount(E)


Audit Services and Tax Forms 04/13/2010 $5,345Audit Services and Tax Forms 07/20/2010 $6,708Audit Services and Tax Forms 10/18/2010 $8,483Audit Services and Tax Forms 12/27/2010 $5,026Audit Services and Tax Forms 01/26/2011 $7,793

Name and Address(A)

Postal Connections

3430 Tully Rd, Suite 20ModestoCA95350


Postage

Purpose(C)

Date(D)

Amount(E)



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Name and Address(A)

State Farm InsuranceP.O. Box 7854

San FranciscoCA94120-7854


Insurance Company

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

The Cranbrook Group

4701 Sisk Rd Ste 101ModestoCA95356


Office Lease

Purpose(C)

Date(D)

Amount(E)


Monthly Rent and Utilities 04/29/2010 $7,650Monthly Rent and Utilities 05/26/2010 $7,638Monthly Rent and Utilities 06/30/2010 $7,696Monthly Rent and Utilities 07/20/2010 $7,353Monthly Rent and Utilities 08/18/2010 $7,353Monthly Rent and Utilities 09/30/2010 $9,160Monthly Rent and Utilities 10/26/2010 $7,353Monthly Rent and Utilities 11/29/2010 $7,353Monthly Rent and Utilities 12/27/2010 $8,088Monthly Rent and Utilities 01/26/2011 $8,088Monthly Rent and Utilities 02/24/2011 $8,088

Name and Address(A)

The Suites at 550Tucker Enterprises, Inc550 Cochituate Rd 4thFl #25FraminghamMA01760


Office Lease

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Torren Colcord

4701 Sisk Rd Suite 102ModestoCA95356-9320


Interest Payment of Startup Cost Loan

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Wardens Office Supply

1415 J StreetModestoCA95350


Office Supply Company

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Wells FargoPO Box 54349Payment Remittance CenterLos AngelesCA90054-0349

Purpose(C)

Date(D)

Amount(E)



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Financial ServicesForm LM-2 (Revised 2010)


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SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 542-938

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS FILE NUMBER: 542-938

Description(A)

To Whom Paid(B)

Amount(C)

Total of all lines above (Total will be automatically entered in Item 55.) $200,307

AFLAC Insurance Refunds Members $1,212Dental Plan Choice Builder $14,941Dental Plan Principal Dental $1,331Healthcare Savings Account Patelco $1,400Medical Insurance Blue Shield $59,670Member Insurance Program AFLAC $121,753



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69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 542-938

Statement A,Fixed Assets Value Begin Total: Balance as of 3/31/10 amended to reflect audit adjustments posted after the LM2 was filed for FYE3/31/10.

Statement A,Other Asset Book Value Begin Total: Balance as of 3/31/10 amended to reflect audit adjustments posted after the LM2 was filed for FYE3/31/10.

Statement A,

Accounts Payable Begin Total: Balance as of 3/31/10 amended to reflect audit adjustments posted after the LM2 was filed for FYE 3/31/10.

Statement A,

Loans Payable Begin Total: Balance as of 3/31/10 amended to reflect audit adjustments posted after the LM2 was filed for FYE 3/31/10.

Statement A,Other Liabilities Amount Begin Total: Balance as of 3/31/10 amended to reflect audit adjustments posted after the LM2 was filed for FYE3/31/10.

Statement A,

Cash Begin Total: Balance as of 3/31/10 amended to reflect audit adjustments posted after the LM2 was filed for FYE 3/31/10.

Statement A,

Accounts Receivable Begin Total: Balance as of 3/31/10 amended to reflect audit adjustments posted after the LM2 was filed for FYE 3/31/10.

Schedule 13, Row1:Regular Members are dues paying members with full voting rights

Schedule 13, Row2:Member, Non Dues Payer - those who have applied for membership in the Association with intent to pay dues however nocollective bargaining agreement has been ratified containing a union security and/or dues deduction agreement These people are not obligated to paydues unless or until a CBA becomes effective under a waiver of the payment of union dues per the NEMSA Board of Directors. A completedmembership application with signed intent to pay dues is required to be eligible to vote on CBA ratification. Notwithstanding the above, if thesemembers members have submitted a voluntary membership application form and opted for membership, or have elected to pay dues to the association,they will have limited voting rights.

Schedule 13, Row3:Pending Membership, non-dues payer - those who have not yet applied for membership in NEMSA due to various factors includingnewly acquired bargaining units, recently won campaigns, etc... These people do not have voting rights

Schedule 13, Row3:Pending Members do not have voting eligibility until they become regular members.

Schedule 1

Accounts Receivable includes Allowance for Doubtful accounts in the amount of ($31,868). Reconciliation of Fixed Assets

Schedule 6: Cost as of 3/31/10 $71,969 Accum Deprec as of 3/31/10 ($26,277) Book Value as of 3/31/10 $45,692 Sch 4 Purchases $2,508 DeprecExpense Non-

Cash ($13,668) Book Value as of 3/31/11 $34,532

Schedule 12 Salary amounts paid per law related to pay period frequency in the reporting period resulting in inflated salary amounts for the reportingperiod.

Schedule 9,Start Value Discrepancy:Balance as of 3/31/10 amended to reflect audit adjustments posted after the LM2 was filed for FYE 3/31/10.

Question 12: Auditing performed by Kemper CPA Group. Bookkeeping and audit support services provided by Hamilton CPA, LLC.Form LM-2 (Revised 2010)


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Documents

NEMSA 2011 LM2