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Form Approved Office of Management and Budget No. 1245-0003 Expires: 10-31-2013
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. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT. For Official Use Only 2. PERIOD COVERED 1. FILE NUMBER From 01/01/2010 543-153 Through 12/31/2010 3. (a) AMENDED - Is this an amended report: (b) HARDSHIP - Filed under the hardship procedures: (c) TERMINAL - This is a terminal report: 8. MAILING ADDRESS (Type or print in capital letters) First Name Last Name DIANE JOHNSTON P.O Box - Building and Room Number Number and Street 300 HARDMAN AVENUE SOUTH Yes City SOUTH SAINT PAUL State MN ZIP Code + 4 550752469 No No No
4. AFFILIATION OR ORGANIZATION NAME STATE COUNTY & MUNI EMPLS AFL-CIO 5. DESIGNATION (Local, Lodge, etc.) LEADERSHIP COUNCIL 7. UNIT NAME (if any) MINNESOTA 6. DESIGNATION NBR 5
Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
26. SIGNED: Michael E Buesing Date: Mar 30, 2011 Contact Info:
Form LM-2 (Revised 2010)
PRESIDENT 27. SIGNED: Clifford T Poehler 651-287-0518 Date: Mar 30, 2011 Contact Info:
TREASURER 651-287-0518
ITEMS 10 THROUGH 21
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries? 11(a). During the reporting period did the labor organization have a political action committee (PAC) fund? 11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions? 12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative? 13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.) 14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds? 15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale? 16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period? 17. Did the labor organization have any contingent liabilities at the end of the reporting period? 18. During the reporting period did the labor organization
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Yes
Yes
Yes
FILE NUMBER: 543-153 20. How many members did the labor organization have at 38,963 the end of the reporting period? 21. What ar the labor organization's rates of dues and fees? Rates of Dues and Fees Dues/Fees Amount Unit Minimum Maximum (a) Regular Dues/Fees 0per month 3.48 90.00 (b) Working Dues/Fees noneper month 0 0 (c) Initiation Fees noneper month 0 0 (d) Transfer Fees noneper month 0 0 (e) Work Permits noneper month 0 0
Yes
No
$500,000
No No Yes
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18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions? 19. What is the date of the labor organization's next regular election of officers?
Form LM-2 (Revised 2010)
No 10/2012
ASSETS 22. Cash 23. Accounts Receivable 24. Loans Receivable 25. U.S. Treasury Securities 26. Investments 27. Fixed Assets 28. Other Assets 29. TOTAL ASSETS
ASSETS
End of Reporting Period (B) $3,113,161 $224,073 $58,115 $0 $0 $144,839 $555,748 $4,095,936
LIABILITIES LIABILITIES 30. Accounts Payable 31. Loans Payable 32. Mortgages Payable 33. Other Liabilities 34. TOTAL LIABILITIES
Schedule Number 8 9 10
-$7,373,014
-$7,075,739
FILE NUMBER: 543-153 SCH 15 16 17 18 19 20 AMOUNT $3,321,262 $1,565,262 $30,116 $2,424,096 $2,015,712 $2,001,672 $0 $0 $0 $0 $15,750 $0 $0 $5,642,064 $5,798,701 $472,393 $23,287,028
4 2 9
66. Subtotal 67. Withholding Taxes and Payroll Deductions 67a. Total Withheld $2,001,848 67b. Less Total Disbursed $2,002,940 67c. Total Withheld But Not Disbursed 68. TOTAL DISBURSEMENTS
Form LM-2 (Revised 2010)
-$1,092 $23,288,120
FILE NUMBER: 543-153 90-180 Liquidated Total Account 180+ Days Days Account Receivable Past Due Past Due Receivable (B) (D) (C) (E) $224,073 $0 $0 $0 $224,073 $0 $0 $0
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TOTALS (Column (B) Total will be automatically entered in Item 23, Column (B))
Form LM-2 (Revised 2010)
$224,073
$0
$0
$0
FILE NUMBER: 543-153 Cash (D)(1) Other Than Cash (D)(2) Loans Outstanding at End of Period (E) $0 $58,115
$28,705
$28,705 Item 45
Column (A)
Gross Sales Price Amount Received (D) (E) $0 $0 $1,175 $1,175 $0 $0 $1,175 $1,175 14. Less Reinvestments $0 (Net Sales total will automatically entered in Item 43) 15. Net Sales $1,175
Book Value (C) $15,750 $15,487 $15,750 $15,487 14. Less Reinvestments (Net Purchases total will automatically entered in Item 60) 15. Net Purchases
SCHEDULE 5 - INVESTMENTS
Description (A) Marketable Securities 1. Total Cost 2. Total Book Value 3. List each marketable security which has a book value over $5000 and exceeds 5% of Line 2. Other Investments 4. Total Cost 5. Total Book Value 6. List each other investment which has a book value over $5,000 and exceeds 5% of Line 5. Also, list each subsidiary for which separate reports are attached. 7. Total of Lines 2 and 5 (Total will be automatically entered in Item 26, Column(B))
Form LM-2 (Revised 2010)
$0
FILE NUMBER: 543-153 Cost or Other Basis (B) $0 $0 $851,110 $851,110 Total Depreciation or Amount Expensed (C) $0 $706,271 $706,271 Book Value (D) $0 $0 $144,839 $144,839 Value (E) $0 $0 $160,000 $160,000
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Prepaid expenses Total Other Assets (Total will be automatically entered in Item 28, Column(B))
Form LM-2 (Revised 2010)
$161,852 $555,748
FILE NUMBER: 543-153 90-180 Days Past Due (C) 180+ Days Past Due (D) $0 $0 $0 $0 Liquidated Account (E) $0 $0
FILE NUMBER: 543-153 Loans Owed at Start of Period (B) $0 Item 31 Column (C) Item 44 Loans Obtained During Period (C) $0 Item 62 Repayment During Period Cash (D)(1) Repayment During Period Other Than Cash (D)(1) $0 $0 Item 69 with Explanation Loans Owed at End of Period (E) $0 Item 31 Column (D)
FILE NUMBER: 543-153 Amount at End of Period (B) $9,377,835 $396,290 $255,633 $31,396 $966,299 $11,027,453
(A) Name
(B) Title
(C) Status
A JEFFREY BIRTTNEN B EBOARD C C Schedule 15 I Representational Activities A PAUL BISSEN B EBOARD C C Schedule 15 I Representational Activities A DENNIS BLUMKE B EBOARD C P Schedule 15 I Representational Activities A LEON S BOWMAN B EBOARD C C Schedule 15 I Representational Activities A CARMEN BROWN B EBOARD C C Schedule 15 I Representational Activities A MICHAEL E BUESING B PRES C C Schedule 15 I Representational Activities
$0
$3,825 90 %
$5,094
5%
0% $0 0% $0 0% $0 0%
$11,151
$3,250 0%
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Activities A KEVIN CLARK B EBOARD C N Schedule 15 I Representational 5% Activities A JEAN M DIEDRICH B EBOARD C C Schedule 15 I Representational 5% Activities A JODY A EBERT B EBOARD C C Schedule 15 I Representational 5% Activities A JOHN B EWALDT B EBOARD C C Schedule 15 I Representational 80 % Activities A MELI FALK PEARSON B EBOARD C N Schedule 15 I Representational 5% Activities A MARY L FALK B SECRETARY C C Schedule 15 I Representational Activities A GERALD FIRKUS B EBOARD C N Schedule 15 I Representational Activities A STEPHEN C FITZE B EBOARD C C Schedule 15 I Representational Activities A KAREN L FOREMAN B EBOARD C C Schedule 15 I Representational Activities A DENNIS D FRAZIER B EBOARD C C Schedule 15 I Representational Activities A DUANE R GATZKE B EBOARD C C Schedule 15 I Representational Activities A JIM GAYLORD B EBOARD C N Schedule 15 I Representational Activities A PATRICK GUERNSEY B EBOARD C C Schedule 15 I Representational Activities A JEN L GUERTIN B EBOARD
and Lobbying $427 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions $0 0% $0 0% $0 0% $0 0% $0 0% $885 $0 $1,312 90 % $4,091 90 % $2,209 90 % $54,683 10 % $135 90 %
$45,599 Schedule 16 Schedule 17 Political Activities 10 % Contributions and Lobbying $135 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions
$7,982
$2,600
$969
$0
$11,551
Schedule 16 Schedule 17 5 % Political Activities 10 % Contributions and Lobbying $17,810 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions $0 $0
0%
0%
0% $0 0% $0 0% $0 0% $0 0% $0 0% $0
$2,065 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions $0 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions
$2,287
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C C Schedule 15 I Representational 5% Activities A MARK J HEDLUND B EBOARD C P Schedule 15 I Representational 5% Activities A SABRINA HEGG B EBOARD C N Schedule 15 I Representational 5% Activities A JOHN C HILLYARD B EBOARD C C Schedule 15 I Representational 5% Activities A JOANN D HOLTON B EBOARD C C Schedule 15 I Representational 35 % Activities A ROGER JANZIG B EBOARD C C Schedule 15 I Representational 5% Activities A KIMBERLY JOHNSON B EBOARD C N Schedule 15 I Representational 35 % Activities A MICHAEL LINDHOLDT B EBOARD C N Schedule 15 I Representational 5% Activities A ROBIN A MADSEN B EBOARD C C Schedule 15 I Representational 5% Activities A JOHN R MAGNUSON B EBOARD C C Schedule 15 I Representational 5% Activities A MOLLY A MALECKI B EBOARD C C Schedule 15 I Representational 5% Activities A JOHN D MCGOVERN B EBOARD C P Schedule 15 Representational 5% I Activities
5%
Schedule 17 Contributions $0
0%
90 % $2,891 90 % $643 90 % $4,484 90 % $13,487 60 % $6,775 90 % $18,777 60 % $199 90 % $3,191 90 % $5,392 90 % $2,773 90 % $2,656
0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0
$13,009 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions $0 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions
0%
90 %
$0 0% $0
$410
$0
$2,544 90 % $3,125
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$2,402
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C P Schedule 15 I Representational 5% Activities A NICK NYANKABARIA B EBOARD C N Schedule 15 I Representational 5% Activities A KEVIN R OLSON B EBOARD C C Schedule 15 I Representational 10 % Activities A CLIFFORD T POEHLER B TREAS C C Schedule 15 I Representational 15 % Activities A CLIFFORD ROBINSON B EBOARD C P Schedule 15 I Representational 5% Activities A MICHAEL J RUMPPE B EBOARD C C Schedule 15 I Representational 5% Activities A JUDY SCHULTZ B EBOARD C P Schedule 15 I Representational 5% Activities A MONICA SHOCKENCY B EBOARD C C Schedule 15 I Representational 5% Activities A NORMAN L SNYDER B EBOARD C C Schedule 15 Representational 5% I Activities A JANE J SPAUDE B EBOARD C P Schedule 15 I Representational Activities A DEAN A STEINER B EBOARD C C Schedule 15 I Representational Activities A DEB STROHM B EBOARD C C Schedule 15 I Representational Activities A JAMES L ULLMER JR B EBOARD C P Schedule 15 I Representational Activities A SUE URNESS B EBOARD C C Schedule 15 I Representational
5%
Schedule 17 Contributions $0
0%
0% $0 0%
$2,600 0% $0 0% $0 0% $0 0% $0 0%
Schedule 17 Contributions
$4,270 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions $0 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions
$0
$595
90 %
$0 0% $0 0% $0 0% $0 0% $0 0%
$266
$0
$2,802 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions $0 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions
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I Representational 5% Activities A WES VOLKENANT B EBOARD C N Schedule 15 I Representational 5% Activities A JUDY WAHLBERG B VPRES C C Schedule 15 I Representational 5% Activities A PHYLLIS A WALKER B EBOARD C C Schedule 15 I Representational 5% Activities A TAMERA WELLER B EBOARD C C Schedule 15 I Representational 35 % Activities
5%
Contributions $0
0%
0%
Administration $0
0%
$2,600 0% $0 0% $0 0%
Schedule 17 Contributions
A BRYCE A WICKSTROM B EBOARD C C Schedule 15 Schedule 16 I Representational 5 % Political Activities Activities and Lobbying Total Officer Disbursements Less Deductions Net Disbursements
Form LM-2 (Revised 2010)
$0
$3,249
5%
0% $11,050
$237,525
FILE NUMBER: 543-153 (F) (G) Disbursements Other Disbursements for Official not reported in Business (D) thru (F) $0 0% $4,800 0% $4,800 0% $4,800 0% $0 0% $4,800 0% $1,373 $0 (H) TOTAL
(A) Name
(B) Title
A LISA K ALTENDORFER B IT MANAGER C 0 I A B C I A B C I A B C I A B C I A B C I A Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying BART A ANDERSEN FIELD REP 0 Schedule 16 Schedule 15 60 % Political Activities Representational Activities and Lobbying LAURA M ASKELIN POLITICAL ORGANIZER 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying MARK T BAKER ORGANIZER 0 Schedule 16 Schedule 15 100 % Political Activities Representational Activities and Lobbying MAURINE J BARCUS MEMBERSHIP SPCLST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying JULIE A BLEYHL POLITICAL REP 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying ROBERT L BUCKINGHAM
Schedule 18 Schedule 19 10 % General Overhead Administration $7,259 Schedule 18 General Overhead $11,976 Schedule 18 General Overhead $0 0% 5% $246 Schedule 19 Administration $1,869 Schedule 19 Administration $0
Schedule 18 Schedule 19 100 % General Overhead Administration $13,758 Schedule 18 General Overhead 0% $1,707 Schedule 19 Administration
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A ROBERT L BUCKINGHAM B FIELD REP C 0 Schedule 16 Schedule 15 I Representational Activities 60 % Political Activities and Lobbying A THOMAS J BURKE B FIELD REP C 0 Schedule 16 Schedule 15 I 50 % Political Activities Representational Activities and Lobbying A JOYCE E CARLSON B FIELD REP C 0 Schedule 16 Schedule 15 I 50 % Political Activities Representational Activities and Lobbying A JUDY C CARLSON B EDUCATION SPECIALIST C 0 Schedule 16 Schedule 15 I 35 % Political Activities Representational Activities and Lobbying A DEBRA K CASSIDY B ACCOUNTING SPECIALST C 0 Schedule 16 Schedule 15 I 0 % Political Activities Representational Activities and Lobbying A CHRISTOPHER COWEN B FIELD REP C 0 Schedule 16 Schedule 15 I 80 % Political Activities Representational Activities and Lobbying A SANDRA J CURTIS B FIELD REP C 0 Schedule 16 Schedule 15 I 28 % Political Activities Representational Activities and Lobbying A JEFFREY E DAINS B FIELD REP C 0 Schedule 16 Schedule 15 I 35 % Political Activities Representational Activities and Lobbying A ERIKA S DINKEL-SMITH B ORGANIZER C 0 Schedule 16 Schedule 15 I 99 % Political Activities Representational Activities and Lobbying A CHRISTINA L DOMEIER B SUPPORT SPECIALIST C 0 Schedule 16 Schedule 15 I 0 % Political Activities Representational Activities and Lobbying A RITA I DURING B EDUCATION SPECIALIST C 0 I A B C I A B C I A B C Schedule 15 Schedule 16 90 % Representational Activities Political Activities and Lobbying DIXIE D ENGLUND SUPPORT SPECIALIST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying KURT ERRICKSON FIELD REP 0 Schedule 16 Schedule 15 40 % Political Activities Representational Activities and Lobbying KAREN A FELKNOR SUPPORT SPECIALIST 0
$4,800
$15,167
$1,559 Schedule 19 0 % Administration $281 0% Schedule 19 Administration $1,354 0% Schedule 19 Administration $1,341
$110,149
Schedule 18 0 % General Overhead $0 0% $4,800 0% $4,800 0% $0 0% $4,800 0% $4,800 0% $4,800 0% $4,800 0% $0 0% $1,200 $112 Schedule 18 General Overhead $1,828 Schedule 18 General Overhead $4,014
35 % $21,095 45 % $92,428 35 % $95,508 38 % $52,730 0% $95,472 15 % $107,700 70 % $93,675 45 % $60,905 0% $41,234 100 % $49,908
Schedule 18 Schedule 19 95 % General Overhead Administration $2,379 Schedule 18 General Overhead $18,083 Schedule 18 General Overhead $4,029 Schedule 18 General Overhead $7,970 Schedule 18 General Overhead $183 Schedule 18 General Overhead $574 Schedule 18 General Overhead $292 0% 0% 0% 0% 0% $1,290 Schedule 19 Administration $1,189 Schedule 19 Administration $1,209 Schedule 19 Administration $2,508 Schedule 19 Administration $0 Schedule 19 Administration $29 Schedule 19 Administration $189
0%
0%
0%
10 %
$0 0% $4,800 0% $0
$37,937
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C 0 I A B C I A B C I A B C I A B C I A B C I A B C I Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying DIANE M FIRKUS FIELD REP 0 Schedule 16 Schedule 15 50 % Political Activities Representational Activities and Lobbying JEFFREY S FOWLER FIELD REP 0 Schedule 16 Schedule 15 29 % Political Activities Representational Activities and Lobbying CAROLE J GERST FIELD REP 0 Schedule 16 Schedule 15 85 % Political Activities Representational Activities and Lobbying JONATHAN S GREBNER POLITICAL ORGANIZER 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying SCOTT L GREFE FIELD REP 0 Schedule 16 Schedule 15 35 % Political Activities Representational Activities and Lobbying ANDREW C HAMERLINCK ORGANIZER 0 Schedule 16 Schedule 15 100 % Political Activities Representational Activities and Lobbying 0% Schedule 17 Contributions 0% $4,800 0% $4,800 1% $4,800 0% $4,800 0% $4,800 0% $4,800 0% Schedule 18 Schedule 19 100 % General Overhead Administration $6,456 Schedule 18 General Overhead $2,874 Schedule 18 General Overhead $4,508 Schedule 18 General Overhead $2,512 Schedule 18 General Overhead $5,088 Schedule 18 General Overhead $7,249 Schedule 18 General Overhead 0% 5% 0% 0% 0% 1% $675 Schedule 19 Administration $1,202 Schedule 19 Administration $2,141 Schedule 19 Administration $1,355 Schedule 19 Administration $1,014 Schedule 19 Administration $1,681 Schedule 19 Administration 0% $64,730 45 % $72,089 69 % $73,473 10 % $85,997 0% $72,926 55 % $61,075 0%
A RYAN C HANSON B ORGANIZER C 0 I A B C I A B C I A B C I A B C I A B C I A B C I Schedule 16 Schedule 15 100 % Political Activities Representational Activities and Lobbying AMY L HEITMAN SUPPORT SPECIALIST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying SIDNEY L HELSETH FIELD REP 0 Schedule 16 Schedule 15 70 % Political Activities Representational Activities and Lobbying JULIA L HENDEL ACCOUNTING SPECIALST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying TIMOTHY HENDERSON FIELD REP 0 Schedule 16 Schedule 15 60 % Political Activities Representational Activities and Lobbying ROBERT J HILLIKER FIELD STAFF DIRECTOR 0 Schedule 16 Schedule 15 10 % Political Activities Representational Activities and Lobbying BRUCE A IVERSON FIELD REP 0 Schedule 16 Schedule 15 90 % Political Activities Representational Activities and Lobbying
$62,024
$4,800
$10,187
$1,579
$78,590
0%
Schedule 17 Contributions
0%
Schedule 19 Administration $0
Schedule 18 Schedule 19 100 % General Overhead Administration $1,190 Schedule 18 General Overhead $0 0% $212 Schedule 19 Administration $0
Schedule 18 Schedule 19 10 % General Overhead Administration $5,229 Schedule 18 General Overhead $8,843 Schedule 18 General Overhead 0% 0% $2,004 Schedule 19 Administration $1,851 Schedule 19 Administration
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and Lobbying
Schedule 16 Schedule 15 48 % Political Activities Representational Activities and Lobbying AMY L JOHNSON SUPPORT SPECIALIST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying DIANE K JOHNSTON BUSINESS MGR 0 Schedule 16 Schedule 15 Representational Activities 0 % Political Activities and Lobbying JUETTEN
0%
A MARYBETH B ORGANIZER C 0 I A B C I A B C I A B C I A B C I A B C I A B C I A B C I A B C I A B C I
$61,243
$4,800
$15,463
$1,124
$82,630
Schedule 16 Schedule 15 99 % Political Activities Representational Activities and Lobbying LAUREEN M KARNICK ACCOUNTING SPECIALST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying ALAN E KEARNEY LEAD ORGANIZER 0 Schedule 16 Schedule 15 100 % Political Activities Representational Activities and Lobbying ADRIENNE J KERN ORGANIZER 0 Schedule 16 Schedule 15 99 % Political Activities Representational Activities and Lobbying JILL M KIELBLOCK FIELD REP 0 Schedule 16 Schedule 15 68 % Political Activities Representational Activities and Lobbying ERIC J KITTELSON IT HELP DESK SUPPORT SPC 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying MICHAEL, G KUCHTA COMMUNICATIONS COORD 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying ALLEN A LEHRKE FIELD REP 0 Schedule 16 Schedule 15 90 % Political Activities Representational Activities and Lobbying ERIC N LEHTO ORGANIZING DIRECTOR 0 Schedule 16 Schedule 15 60 % Political Activities Representational Activities and Lobbying KENNETH H LOEFFLER-KEMP FIELD REP 0 Schedule 15 Schedule 16
1%
Schedule 17 Contributions
0%
Schedule 19 Administration $0
Schedule 18 Schedule 19 100 % General Overhead Administration $9,245 Schedule 18 General Overhead $8,992 Schedule 18 General Overhead $1,853 Schedule 18 General Overhead $119 0% 0% 0% $701 Schedule 19 Administration $1,094 Schedule 19 Administration $1,189 Schedule 19 Administration $0
Schedule 18 Schedule 19 98 % General Overhead Administration $3,994 Schedule 18 General Overhead $1,445 Schedule 18 General Overhead $11,513 Schedule 18 General Overhead $12,920 0% 0% 0% $1,799 Schedule 19 Administration $985 Schedule 19 Administration $1,919 Schedule 19 Administration $1,652
$77,327
5 % Schedule 17 Contributions
5 % Schedule 19 Administration
5%
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and Lobbying
Contributions
General Overhead
Administration
A PAMELA J LOFQUIST B POLITICAL ORGANIZER C 0 I A B C I A B C I A B C I A B C I A B C I A B C I A B C I A B C I Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying JENNIFER A LOVAASEN PUBLIC AFFAIRS DIRECTOR 0 Schedule 16 Schedule 15 25 % Political Activities Representational Activities and Lobbying NOLA M LYNCH FIELD REP 0 Schedule 16 Schedule 15 70 % Political Activities Representational Activities and Lobbying STEPHEN F MARINCEL FIELD REP 0 Schedule 16 Schedule 15 60 % Political Activities Representational Activities and Lobbying CHARLES H MARTIN FIELD REP 0 Schedule 16 Schedule 15 10 % Political Activities Representational Activities and Lobbying MARK A MCAFEE POLITICAL REP 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying KATHRYN A MCGINNIS ACCOUNTING SPECIALST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying GLADYS J MCKENZIE FIELD REP 0 Schedule 16 Schedule 15 80 % Political Activities Representational Activities and Lobbying LORETTA E MEINKE FIELD REP 0 Schedule 16 Schedule 15 80 % Political Activities Representational Activities and Lobbying
$135 Schedule 18 General Overhead $606 Schedule 18 General Overhead $929 Schedule 18 General Overhead $2,168 Schedule 18 General Overhead $12,186 Schedule 18 General Overhead $455 Schedule 18 General Overhead $0 0% 5% 0% 0% 0% 0%
$109 Schedule 19 Administration $1,070 Schedule 19 Administration $755 Schedule 19 Administration $2,646 Schedule 19 Administration $1,591 Schedule 19 Administration $84 Schedule 19 Administration $0
$5,813 100 % $85,737 20 % $91,837 20 % $96,602 10 % $100,642 85 % $50,410 0% $32,071 0% $97,578 20 % $88,972 10 %
Schedule 18 Schedule 19 90 % General Overhead Administration $6,518 Schedule 18 General Overhead $5,294 Schedule 18 General Overhead 0% 0% $907 Schedule 19 Administration $1,243 Schedule 19 Administration
A BARBARA B MITCHELL B FIELD REP C 0 I A B C I A B C I A B C I A Schedule 16 Schedule 15 90 % Political Activities Representational Activities and Lobbying CHELSA NELSON POLITICAL ORGANIZER 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying CHRISTI H NELSON FIELD REP 0 Schedule 16 Schedule 15 18 % Political Activities Representational Activities and Lobbying CYNTHIA M NELSON FIELD REP 0 Schedule 16 Schedule 15 39 % Political Activities Representational Activities and Lobbying MATTHEW C NELSON $79,409 $5,200 $7,350 $1,053 $93,012
0%
Schedule 17 Contributions
Schedule 18 General Overhead $4,828 Schedule 18 General Overhead $4,088 Schedule 18 General Overhead $2,587 Schedule 18 General Overhead
0%
0%
0%
0%
Schedule 19 Administration
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A MATTHEW C NELSON B FIELD REP C 0 I A B C I A B C I A B C I A B C I A B C I Schedule 16 Schedule 15 30 % Political Activities Representational Activities and Lobbying JAMES B NILAND POLITICAL DIRECTOR 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying JODI L OCHOCKI ACCOUNTING SPECIALST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying JACKIE L O'SHEA RECEPTIONIST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying JOANNE M PELS ASSOC DIRECTOR 0 Schedule 16 Schedule 15 10 % Political Activities Representational Activities and Lobbying CINDY L PINCE ACCOUNTING SPECIALST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying
Schedule 18 Schedule 19 100 % General Overhead Administration $1,400 Schedule 18 General Overhead $0 0% $1,130 Schedule 19 Administration $170
0%
A LORITA POWELL B FIELD REP C 0 I A B C I A B C I A B C I A B C I A B C I A B C I A B C Schedule 16 Schedule 15 85 % Political Activities Representational Activities and Lobbying AMANDA M PRINCE FIELD REP 0 Schedule 16 Schedule 15 77 % Political Activities Representational Activities and Lobbying JEFFREY C SABIN LEAD ORGANIZER 0 Schedule 16 Schedule 15 98 % Political Activities Representational Activities and Lobbying CLAUDIA J SCHUFMAN COMM SPECIALIST 0 Schedule 16 Schedule 15 10 % Political Activities Representational Activities and Lobbying ELIOT A SEIDE EXECUTIVE DIRECTOR 0 Schedule 16 Schedule 15 10 % Political Activities Representational Activities and Lobbying JERRY D SERFLING FIELD STAFF DIRECTOR 0 Schedule 16 Schedule 15 10 % Political Activities Representational Activities and Lobbying DIANE K SPERL SUPPORT SPECIALIST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying MICHELLE J STEIN ASST TO DIRECTOR 0
Schedule 18 Schedule 19 10 % General Overhead Administration $14,549 Schedule 18 General Overhead $294 0% $1,810 Schedule 19 Administration $0
Schedule 18 Schedule 19 70 % General Overhead Administration $778 Schedule 18 General Overhead $270 Schedule 18 General Overhead $0 0% 5% $1,043 Schedule 19 Administration $75 Schedule 19 Administration $0
$65,803
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Page 13 of 28
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C 0 I A B C I A B C Schedule 16 Schedule 15 10 % Political Activities Representational Activities and Lobbying MARSHALL K STENERSEN FIELD REP 0 Schedule 16 Schedule 15 15 % Political Activities Representational Activities and Lobbying JOHN M THORSON POLITICAL REP 0 0% Schedule 17 Contributions 0% $1,200 0% Schedule 18 Schedule 19 20 % General Overhead Administration $5,701 Schedule 18 General Overhead $8,162 0% $806 Schedule 19 Administration $336 70 % $59,277 15 %
$85,367
$4,800
$98,665
I Schedule 15 0 % Schedule 16 Representational Activities Political Activities and Lobbying A BETH A WALTERS B ORGANIZER C 0 I A B C I A B C I A B C I A B C I A B C I A B C I A B C I A B C Schedule 16 Schedule 15 100 % Political Activities Representational Activities and Lobbying LAURIE J WARNER FIELD REP 0 Schedule 16 Schedule 15 85 % Political Activities Representational Activities and Lobbying CHRISTOPHER R WELLES FIELD REP 0 Schedule 16 Schedule 15 50 % Political Activities Representational Activities and Lobbying JOHN P WESTMORELAND FIELD STAFF DIRECTOR 0 Schedule 16 Schedule 15 5 % Political Activities Representational Activities and Lobbying CRYSTAL L IMRE LOST TIME 10K 0 Schedule 16 Schedule 15 90 % Political Activities Representational Activities and Lobbying ERIC C JACOBSON LOST TIME 10K 0 Schedule 16 Schedule 15 90 % Political Activities Representational Activities and Lobbying PETER A LUNNEY LOST TIME 10K 0 Schedule 16 Schedule 15 40 % Political Activities Representational Activities and Lobbying DIANA MCGEE LOST TIME 10K 0 Schedule 16 Schedule 15 40 % Political Activities Representational Activities and Lobbying ARTHUR R MILLER LOST TIME 10K 0 Schedule 16 Schedule 15 90 % Political Activities Representational Activities and Lobbying
100 %
Schedule 17 Contributions
0%
0%
Schedule 19 Administration
0%
$3,674 Schedule 18 General Overhead $3,134 Schedule 18 General Overhead $8,775 Schedule 18 General Overhead $8,844 Schedule 18 General Overhead $0 5% 1% 0% 0%
$995 Schedule 19 Administration $1,232 Schedule 19 Administration $2,048 Schedule 19 Administration $1,832 Schedule 19 Administration $0 0% Schedule 19 Administration $0 0% Schedule 19 Administration $0 0% Schedule 19 Administration $0 0% Schedule 19 Administration $0 Schedule 19 0 % Administration
10 %
A SABRINA N SEARCH-BECKER B LOST TIME 10K C 0 Schedule 16 Schedule 15 I 90 % Political Activities Representational Activities and Lobbying A DONALD C SRP B LOST TIME 10K
http://kcerds.dol-esa.gov/query/orgReport.do
$0 Schedule 19 Administration $0
$10,631 10 % $15,971
Page 14 of 28
$15,971
4/15/13 10:50 PM
$15,971
$0
Schedule 16 Schedule 15 Schedule 17 Schedule 18 90 % Political Activities 0% 0% 0% Representational Activities Contributions General Overhead and Lobbying A LISA C THOMPSON B LOST TIME 10K $24,000 $0 C 0 Schedule 16 Schedule 15 Schedule 17 Schedule 18 I 90 % Political Activities 0% 0% 0% Representational Activities Contributions General Overhead and Lobbying A KATIE E ZIEGLER B LOST TIME 10K $11,273 $0 $4,725 C 0 Schedule 16 Schedule 15 Schedule 17 Schedule 18 I 90 % Political Activities 0% 0% 0% Representational Activities Contributions General Overhead and Lobbying TOTALS RECEIVED BY EMPLOYEES MAKING LESS THAN $10000 Schedule 15 Schedule 16 Schedule 17 Schedule 18 I Representational Activities Political Activities and Lobbying Contributions General Overhead Total Employee Disbursements $5,336,863 $258,000 $353,791 Less Deductions Net Disbursements
Form LM-2 (Revised 2010)
FILE NUMBER: 543-153 Number (B) 29,979 797 8,187 38,963 0 38,963 Voting Eligibility (C) Yes Yes Yes
SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS 1. Named Payee Itemized Disbursements $5,000 2. Named Payee Non-itemized Disbursements $0 3. To Officers $0 4. To Employees $7,756 5. All Other Disbursements $17,360 6. Total Disbursements $30,116 SCHEDULE 18 GENERAL OVERHEAD 1. Named Payee Itemized Disbursements 2. Named Payee Non-itemized Disbursements 3. To Officers 4. To Employees 5. All Other Disbursements 6. Total Disbursements
SCHEDULE 15 REPRESENTATIONAL ACTIVITIES 1. Named Payee Itemized Disbursements $161,203 2. Named Payee Non-itemized Disbursements $193,196 3. To Officers $81,653 4. To Employees $2,585,760 5. All Other Disbursements $299,450 6. Total Disbursements $3,321,262 SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING 1. Named Payee Itemized Disbursements $610,384 2. Named Payee Non-itemized Disbursements $22,612 3. To Officers $20,638 4. To Employees $884,655 5. All Other Disbursements $26,973 6. Total Disbursement $1,565,262
Form LM-2 (Revised 2010)
SCHEDULE 19 UNION ADMINISTRATION 1. Named Payee Itemized Disbursements $132,015 2. Named Payee Non-itemized Disbursements $30,707 3. To Officers $213,485 4. To Employees $1,584,170 5. All Other Disbursements $55,335 6. Total Disbursements $2,015,712
FILE NUMBER: 543-153 Date (D) 02/26/2010 03/12/2010 04/13/2010 05/07/2010 06/08/2010 07/22/2010 08/27/2010 09/10/2010 Amount (E) $6,333 $6,333 $6,333 $6,333 $6,333 $6,333 $6,333 $6,333
Page 15 of 28
Purpose (C) REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES
4/15/13 10:50 PM
BUILDING CORP
REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions Purpose (C) ORGANIZING POLITICAL ORGANIZING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions Purpose (C) REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES REIMBURSED CHARGES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
$6,333 $6,333 $6,333 $69,663 $0 $69,663 Amount (E) $200,000 $35,000 $200,000 $435,000 $0 $435,000 Amount (E) $10,033 $10,033 $10,033 $10,233 $10,233 $10,233 $10,233 $10,233 $10,233 $10,233 $10,233 $10,233 $10,233 $132,429 $0 $132,429
Name and Address (A) AFSCME INTL 1625 L STREET WASHINGTON DC 20036-0000 Type or Classification (B) GRANTS REIMBURSEMENTS Name and Address (A) DELTA TRUST 300 HARDMAN AVE SO SOUTH ST. PAUL MN 55075 Type or Classification (B) HEALTH AND WELFARE TRUST
Date (D) 01/22/2010 01/22/2010 01/22/2010 03/04/2010 03/31/2010 04/16/2010 05/21/2010 06/28/2010 08/03/2010 09/08/2010 10/07/2010 11/04/2010 12/06/2010
Name and Address (A) PETER BENNER 7650 CAHILL AVE INVER GROVE HEIGHTS MN 55076 Type or Classification (B) CONSULTANT
Form LM-2 (Revised 2010)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
4/15/13 10:50 PM
55403-1326 Type or Classification (B) PARKING Name and Address (A) COMFORT INN FERGUS FAL 425 WESTERN AVE FERGUS FALLS MN 56537-0000 Type or Classification (B) HOTELLODGING Name and Address (A) COUNTRY INN E STES 223 16TH STREET NE LITTLE FALLS MN 56345-0000 Type or Classification (B) HOTELLODGING Name and Address (A) GREGG CORWIN & ASSOCIATES 1660 S HWY100 SUITE 508E MINNEAPOLIS MN 55416-0000 Type or Classification (B) LEGAL
$5,264
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) LEGAL FEES LEGAL FEES LEGAL FEES LEGAL FEES LEGAL FEES LEGAL FEES LEGAL FEES LEGAL FEES LEGAL FEES LEGAL FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D) 01/22/2010 02/26/2010 03/26/2010 05/14/2010 05/21/2010 06/24/2010 07/23/2010 09/24/2010 10/22/2010 11/23/2010
Amount (E) $9,906 $18,935 $22,675 $16,048 $21,170 $17,158 $5,732 $11,196 $7,022 $5,036 $134,878 $7,942 $142,820
Name and Address (A) HAMPTON INN & SUITES 1019 PAUL BUNYAN DRIVE S BEMIDJI MN 56601-0000 Type or Classification (B) HOTELLODGING Name and Address (A) HEALTHPARTNERS PO BOX 9136 MINNEAPOLIS MN 55480-9136 Type or Classification (B) INSURANCE Name and Address (A) HOLIDAY INN WILLMAR 2100 E HWY 12 WILLMAR MN 56201-0000 Type or Classification (B) HOTELLODGING Name and Address (A) JAY C. FOGELBERG 4304 WEST 58TH STREET MINNEAPOLIS
http://kcerds.dol-esa.gov/query/orgReport.do
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Amount (E) $0 $0 $0
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
4/15/13 10:50 PM
MINNEAPOLIS MN 55424-0000 Type or Classification (B) ARBITRATION Name and Address (A) JEFFREY W. JACOBS ONE CORPORATE CENTER III 7300 METRO BLVD STE 300 EDINA MN 55439-0000 Type or Classification (B) ARBITRATION Name and Address (A) PETE BENNER 7650 CAHILL AVENUE INVER GRV HGTS MN 55076-0000 Type or Classification (B) CONSULTANT Name and Address (A) RAMADA MALL OF AMERICA 2300 EAST AMERICAN BLVD BLOOMINGTON MN 55425-0000 Type or Classification (B) HOTELLODGING Name and Address (A) RICHARD JOHN MILLER ARBITRATOR 7919 ORCHID LANE NORTH MAPLE GROVE MN 55311-0000 Type or Classification (B) ARBITRATION Name and Address (A) SABRINA SEARCH-BECKER 1083 LIVINGSTON AVE WEST ST PAUL MN 55118-0000 Type or Classification (B) EXP REIMBURSEMENTNON STAFF Name and Address (A) SHERATON BLOOMINGTON 7803 NORMANDALE BOULEVARD BLOOMINGTON MN 55439-0000 Type or Classification (B) HOTELLODGING Name and Address (A) VERIZON WIRELESS PO BOX 25505 LEHIGH VALLEY PA 18002-5505 Type or Classification
http://kcerds.dol-esa.gov/query/orgReport.do
ARBITRATOR FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
09/02/2010
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) LODGING EXPS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) ARBITRATOR FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
4/15/13 10:50 PM
FILE NUMBER 543-153 Date (D) 01/07/2010 02/17/2010 03/04/2010 04/08/2010 05/07/2010 06/08/2010 07/06/2010 07/19/2010 09/16/2010 09/21/2010 09/30/2010 10/05/2010 Amount (E) $75,000 $30,000 $15,000 $15,000 $15,000 $15,000 $5,200 $75,000 $113,250 $56,250 $56,250 $56,250 $527,200 $527,200
Purpose (C) DOTH EXPENSES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) CONSULTING FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) CONSULTING FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) TSHIRT EXP Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Page 19 of 28
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Name and Address (A) UNIVERSITY OF MN EMPLOYEE BENEFITS 319 15TH AVE SE 100 DONHOW MINNEAPOLIS MN 55455-0103 Type or Classification (B) INSURANCE Name and Address (A) VERIZON WIRELESS PO BOX 25505 LEHIGH VALLEY PA 18002-5505 Type or Classification (B) CELL PHONE Name and Address (A) WORKING AMERICA 4407 EAST LAKE STREET MINNEAPOLIS MN 55406-0000 Type or Classification (B) CONSULTANT
Form LM-2 (Revised 2010)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) CONSULTING FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) SCHOLARSHIP FUND CONTRIBUTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) RENT UTILITIES RENT UTILITIES RENT UTILITIES RENT UTILITIES RENT UTILITIES RENT UTILITIES RENT UTILITIES RENT
Date (D) 01/29/2010 01/29/2010 02/26/2010 02/26/2010 03/30/2010 03/30/2010 04/27/2010 04/27/2010 05/28/2010 05/28/2010 06/29/2010 06/29/2010 07/30/2010 07/30/2010 08/31/2010
Amount (E) $28,976 $18,542 $28,976 $18,542 $28,976 $18,542 $28,976 $18,542 $28,976 $18,542 $28,976 $18,542 $28,976 $18,542 $28,976
Page 20 of 28
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RENT UTILITIES RENT UTILITIES RENT UTILITIES RENT UTILITIES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions Name and Address (A) ARROWHEAD PLACE SUITE 300 306 WEST MICHIGAN STREET DULUTH MN 55802-0000 Type or Classification (B) LANDLORD Name and Address (A) CANON FINANCIAL SERVICES INC 14904 COLLECTIONS CENTER DR CHICAGO IL 60693-0000 Type or Classification (B) FINANCIAL SERVICE Name and Address (A) CBS RADIO 625 SECOND AVE S MINNEAPOLIS MN 55402-0000 Type or Classification (B) MEDIA Name and Address (A) CHARTER MEDIA 16900 CEDAR AVE S ROSEMOUNT MN 55068-0000 Type or Classification (B) MEDIA Name and Address (A) COMCAST SPOTLIGHT 9705 DATA PARK DRIVE MINNETONKA MN 55343-0000 Type or Classification (B) MEDIA Name and Address (A) COOPERATIVE PRINT SOLUTIONS LOCKBOX #2667 POBOX 9438 MINNEAPOLIS MN 55440-9438 Type or Classification (B) PRINTER
$28,976 $18,542 $28,976 $18,542 $28,976 $18,542 $28,976 $18,542 $522,698 $0 $522,698
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) PUBLICATION PUBLICATION PUBLICATION PUBLICATION PUBLICATION PUBLICATION PUBLICATION PUBLICATION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D) 01/08/2010 02/19/2010 04/09/2010 07/02/2010 08/13/2010 10/08/2010 11/05/2010 12/22/2010
Amount (E) $13,011 $12,908 $12,619 $11,854 $11,869 $11,896 $5,562 $11,789 $91,508 $8,290 $99,798
4/15/13 10:50 PM
Name and Address (A) COUNTRY INN E STES 224 16TH STREET NE LITTLE FALLS MN 56346-0000 Type or Classification (B) HOTELLODGING Name and Address (A) GARY W PAULSON CERTIFIED PUBLIC ACCOUNTANT 61 FIRST AVENUE NE LITTLE FALLS MN 56345-0000 Type or Classification (B) AUDITOR Name and Address (A) IMAGIC 2810 N LIMA STREET BURBANK CA 91504-0000 Type or Classification (B) MEDIA Name and Address (A) IMAGING PATH PO BOX 18310 MINNEAPOLIS MN 55418-0000 Type or Classification (B) COPIERS Name and Address (A) MINNEAPOLIS PAPER COMPANY 1005 INTERNATIONALE PKWY WOODRIDGE IL 60517-0000 Type or Classification (B) OFFICE SUPPLIES Name and Address (A) MINNESOTA NEWS NETWORK 100 N SIXTH ST SUITE 476A MINNEAPOLIS MN 55403-0000 Type or Classification (B) MEDIA Name and Address (A) MINNESOTA PUBLIC RADIO CM978 PO BOX 70870 SAINT PAUL MN 55170-9788 Type or Classification (B) MEDIA Name and Address (A) MP INTEGRATED SOLUTIONS
http://kcerds.dol-esa.gov/query/orgReport.do
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) AUDIT FEES AUDIT FEES AUDIT FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) RADIO COMMERCIAL Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MPR SPONSORSHIP Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose
Date
Amount
Page 22 of 28
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MP INTEGRATED SOLUTIONS 500 COUNTY ROAD 37 EAST MAPLE LAKE MN 55358-0000 Type or Classification (B) IT CONSULTANT Name and Address (A) OFFICE EQUIPMENT FINANCE SRVCS PO BOX 790448 SAINT LOUIS MO 63179-0448 Type or Classification (B) FINANCIAL SERVICE Name and Address (A) PAUL HENNINGSON 13395 SHADOW WOOD DRIVE BAXTER MN 56425-0000 Type or Classification (B) LANDLORD Name and Address (A) POSTMASTER PE US POSTAGE SERVICE WINDOW 5 P O BOX 645014 SAINT PAUL MN 55101-0000 Type or Classification (B) POST MASTER Name and Address (A) PUBLIC NEWS SERVICE SUITE 103 BOX 139 3980 BROADWAY BOULDER CO 80304-0000 Type or Classification (B) MEDIA Name and Address (A) QWEST PO BOX 91154 SEATTLE WA 98111-9254 Type or Classification (B) TELEPHONE Name and Address (A) QWEST BUSINESS SERVICES PO BOX 52187 PHOENIX AZ 85072-2187 Type or Classification (B) TELEPHONE Name and Address (A) QWEST PO BOX 91154 SEATTLE
http://kcerds.dol-esa.gov/query/orgReport.do
Purpose (C) IT SUPPORT MS OFFICE SOFTWARE Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) POSTAGESTEPPING UP PUBLICATION POSTAGESTEPPING UP PUBLICATION POSTAGESTEPPING UP PUBLICATION POSTAGESTEPPING UP PUBLICATION POSTAGESTEPPING UP PUBLICATION POSTAGESTEPPING UP PUBLICATION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Amount (E) $5,609 $5,517 $10,000 $5,547 $5,249 $5,424 $37,346 $0 $37,346
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Date (D)
Amount (E) $0
Page 23 of 28
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SEATTLE WA 98111-9254 Type or Classification (B) TELEPHONE Name and Address (A) SEVEN CORNERS PRINTING 1099 SNELLING AVE N SAINT PAUL MN 55108-0000 Type or Classification (B) OFFICE SUPPLIES Name and Address (A) SHERATON BLOOMINGTON 7804 NORMANDALE BOULEVARD BLOOMINGTON MN 55440-0000 Type or Classification (B) HOTELLODGING Name and Address (A) TITAN 3601 MINNESOTA DR SUITE 675 MINNEAPOLIS MN 55435-0000 Type or Classification (B) MEDIA Name and Address (A) TRIANGLE PARK CREATIVE 2600 EAST FRANKLIN AVE MINNEAPOLIS MN 55406-0000 Type or Classification (B) PRINTER Name and Address (A) TWIN CITY OFFICE SUPPLY CO P O BOX 581548 MINNEAPOLIS MN 55458-0000 Type or Classification (B) OFFICE SUPPLIES Name and Address (A) UNION HOUSE INC 26796 FELTON AVENUE WYOMING MN 55092-0000 Type or Classification (B) UNION SUPPLIES Name and Address (A) UNIONWARE INC 561313 BORDER STREET WINNIPEG 00 R3H 0X4 Type or Classification
http://kcerds.dol-esa.gov/query/orgReport.do
$0 $9,052 $9,052
Purpose (C) OFFICE SUPPLIES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) ADVERTISING ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) TSHIRT EXP Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) UNION SUPPLIES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
4/15/13 10:50 PM
Type or Classification (B) IT CONSULTANT Name and Address (A) USPS POSTAL ST66100207 8003447779 SAINT LOUIS MO 63629-0000 Type or Classification (B) POST MASTER Name and Address (A) VERIZON WIRELESS PO BOX 25505 LEHIGH VALLEY PA 18002-5505 Type or Classification (B) CELL PHONE Name and Address (A) WCCOTV 90 S 11TH STREET MINNEAPOLIS MN 55403-0000 Type or Classification (B) MEDIA Name and Address (A) WILLMAR TEN INVESTORS CO DEAN ANDERSON 416 SW SIXTH ST PO BOX 30 WILLMAR MN 56201-0000 Type or Classification (B) LANDLORD
Form LM-2 (Revised 2010)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) CELL PHONE EXPS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) CONVENTION HOTEL ROOM EXPS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) EXECUTIVE BOARD RETREAT HOTEL EXPS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) LODGING EXPS Total Itemized Transactions Total Non-Itemized Transactions
4/15/13 10:50 PM
02115 Type or Classification (B) HOTEL/LODGING Name and Address (A) HOLIDAY INN, DULUTH DOWNTOWN WATERFRONT 200 W 1ST STREET DULUTH MN 55802 Type or Classification (B) HOTEL/LODGING Name and Address (A) RAMADA MALL OF AMERICA 2300 EAST AMERICAN BLVD BLOOMINGTON MN 55425 Type or Classification (B) HOTEL/LODGING Name and Address (A) SHERATON BLMGTN HOTEL MPLS. SO 7800 NORMANDALE BLVD. BLOOMINGTON MN 55439-3147 Type or Classification (B) HOTEL/LODGING Name and Address (A) SHERATON BLOOMINGTON 7805 NORMANDALE BOULEVARD BLOOMINGTON MN 55441 Type or Classification (B) HOTEL/LODGING Name and Address (A) ST LOUIS COUNTY AUDITOR COUNTY AUDITOR 100 N. 5TH AVE W., ROOM 201 DULUTH MN 55802 Type or Classification (B) EXP REIMBURSEMENT-NON STAFF Name and Address (A) TRUE BALLOT, INC SUITE 700 3 BETHESDA METRO CTR BETHESDA MD 20814 Type or Classification (B) IT CONSULTANT Name and Address (A) TST CREATIVE CATERING 1494 DALE ST. N SAINT PAUL MN 55117 Type or Classification (B) FOOD VENDOR
http://kcerds.dol-esa.gov/query/orgReport.do
$0 $13,893
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) LODGING EXPS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) HOTEL EXPS-CONVENTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) ELECTION COSTS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Page 26 of 28
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FOOD VENDOR Name and Address (A) UNION HOUSE INC. 26796 FELTON AVENUE WYOMING MN 55092 Type or Classification (B) UNION SUPPLIES
Form LM-2 (Revised 2010)
Purpose (C) T-SHIRT EXP FOR CONVENTION T-SHIRT EXP FOR CONVENTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
SCHEDULE 20 - BENEFITS
Description (A) RETIREE HEALTH INSURANCE RETIREE HEALTH INSURANCE RETIREE HEALTH INSURANCE RETIREE HEALTH INSURANCE RETIREE DENTAL INSURANCE RETIREE HEALTH INSURANCE RETIREE HEALTH INSURANCE RETIREE HEALTH INSURANCE RETIREE HEALTH INSURANCE RETIREE LIFE INSURANCE PENSION PENSION PENSION PENSION HEALTH INSURANCE HEALTH INSURANCE HEALTH INSURANCE HEALTH INSURANCE HEALTH INSURANCE HEALTH INSURANCE HEALTH INSURANCE HEALTH INSURANCE HEALTH INSURANCE HEALTH INSURANCE HEALTH INSURANCE DENTAL INSURANCE LONG TERM DISABILITY LIFE INSURANCE Total Benefits
Form LM-2 (Revised 2010)
FILE NUMBER: 543-153 To Whom Paid (B) BCBS BLUE PLUS DELTA DENTAL HEALTH PARTNERS MEDICA MN MANAGEMENT & BUDGET PREFERRED ONE T ORMAN UCARE AFSCME AFSCME MSRS PERA SMITH BARNEY HEALTH PARTNERS HEALTH PARTNERS HEALTH PARTNERS HEALTH PARTNERS HEALTH PARTNERS MN MANAGEMENT & BUDGET MN MANAGEMENT & BUDGET MN MANAGEMENT & BUDGET MN MANAGEMENT & BUDGET MN MANAGEMENT & BUDGET MN MANAGEMENT & BUDGET DELTA DENTAL TRUST ASSURANT AFSCME Amount (C) $6,340 $10,864 $14,498 $227,809 $3,836 $51,762 $10,417 $5,011 $15,285 $2,479 $377,709 $60,799 $4,239 $3,420 $2,233 $1,977 $208 $3,187 $1,028,386 $1,439 $1,516 $2,243 $4,495 $6,257 $1,420 $40,691 $32,212 $80,940 $2,001,672
Question 10: "AFSCME Council 5 Member's Health and Welfare Fund Trust" - a 501 (c)(9) VEBA. The fund is used to collect funds from employees of affiliated Locals to pay premiums for dental benefits. A separate audit is done on this entity, a copy of which will be attached to this LM-2. Question 11(a): "Minnesota Counci 5 PAC". The PAC information is not included in or with this LM-2. A separate IRS form 990 is filed annually. Question 11(b): "The AFSCME Building Corporation" is a 501 (c)(2) title holding company. The company's sole purpose for existence is to own real estate property used by Council 5 as office space. The financial information is not included in this LM-2. However, separate audited finacial statements of the Bldg Corp are attached to this LM-2. Question 12: The financial statements of AFSCME Council 5 are audited annually by Gary W Paulson, CPA's; 61 First Avenue NE; Little Falls, MN 56345. Question 17: AFSCME Council 5 has guaranteed the mortgage debt on the loan obligation of The AFSCME Building Corporation, the 501(c)(2) title holding company discussed in question 11(b). The Building Corporation owns the building and leases the space to AFSCME Council 5.
Form LM-2 (Revised 2010)
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