Sunteți pe pagina 1din 28

HTML Report (Disclosure)

4/15/13 10:50 PM

A to Z Index | Site Map | FAQs | DOL Forms | About DOL | Contact Us

April 15, 2013

DOL Home > OLMS > Public Disclosure Home > Search Criteria > Select Report > Report Printable View

U.S. Department of Labor Office of Labor-Management Standards Washington, DC 20210

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT


MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

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

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

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
http://kcerds.dol-esa.gov/query/orgReport.do

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

Page 1 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

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

STATEMENT A - ASSETS AND LIABILITIES


Schedule Number 1 2 5 6 7 Start of Reporting Period (A) $3,437,423 $183,854 $86,820 $0 $0 $219,255 $656,817 $4,584,169

FILE NUMBER: 543-153

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

Start of Reporting Period (A) $225,856 $0 $0 $11,731,327 $11,957,183

End of Reporting Period (B) $144,222 $0 $0 $11,027,453 $11,171,675

35. NET ASSETS


Form LM-2 (Revised 2010)

-$7,373,014

-$7,075,739

STATEMENT B - RECEIPTS AND DISBURSEMENTS


CASH RECEIPTS SCH 36. Dues and Agency Fees 37. Per Capita Tax 38. Fees, Fines, Assessments, Work Permits 39. Sale of Supplies 40. Interest 41. Dividends 42. Rents 43. Sale of Investments and Fixed Assets 3 44. Loans Obtained 9 45. Repayments of Loans Made 2 46. On Behalf of Affiliates for Transmittal to Them 47. From Members for Disbursement on Their Behalf 48. Other Receipts 14 49. TOTAL RECEIPTS AMOUNT CASH DISBURSEMENTS $0 50. Representational Activities $10,870,630 51. Political Activities and Lobbying $0 52. Contributions, Gifts, and Grants 53. General Overhead $0 54. Union Administration $84,415 55. Benefits $1,178 56. Per Capita Tax $0 57. Strike Benefits $1,175 58. Fees, Fines, Assessments, etc. $0 59. Supplies for Resale $28,705 60. Purchase of Investments and Fixed Assets $5,535,511 61. Loans Made $5,798,701 62. Repayment of Loans Obtained 63. To Affiliates of Funds Collected on Their $643,543 Behalf $22,963,858 64. On Behalf of Individual Members 65. Direct Taxes

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

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE


Entity or Individual Name (A) Totals from all other accounts receivable TOTALS (Column (B) Total will be automatically entered in Item 23, Column (B))
http://kcerds.dol-esa.gov/query/orgReport.do

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
Page 2 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

TOTALS (Column (B) Total will be automatically entered in Item 23, Column (B))
Form LM-2 (Revised 2010)

$224,073

$0

$0

$0

SCHEDULE 2 - LOANS RECEIVABLE


List below loans to officers, employees, or members which Loans Loans Made at any time during the reporting period exceeded $250 and Outstanding at During list all loans to business enterprises regarless of amount. Start of Period Period (A) (B) (C) Name: AFSCME Bldg Corp Purpose: Bulding improvements $86,820 $0 Security: none Terms: $2,623 per month Total of loans not listed above Total of all lines $86,820 $0 Item 24 Item 61 Totals will be automatically entered in...
Form LM-2 (Revised 2010)

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

$0 Item 69 with Explanation

$58,115 Item 24 Column (B)

Column (A)

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS


Description (if land or buildings give location) (A) Sale of old computers Total of all lines Cost (B) Book Value (C)

FILE NUMBER: 543-153

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

Form LM-2 (Revised 2010)

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS


Description (if land or buildings, give location) (A) Member database portal Total of all lines Cost (B)

FILE NUMBER: 543-153 Cash Paid (D) $15,750 $15,750 $0 $15,750

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

Form LM-2 (Revised 2010)

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)

FILE NUMBER: 543-153 Amount (B)

$0

SCHEDULE 6 - FIXED ASSETS


Description (A) 1. Land (give location) 3. Buildings (give location) 5. Automobiles and Other Vehicles 6. Office Furniture and Equipment 7. Other Fixed Assets 8. Totals of Lines 1 through 7 (Column(D) Total will be automatically entered in Item 27, Column(B))
Form LM-2 (Revised 2010)

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

SCHEDULE 7 - OTHER ASSETS


Description (A) Per capita receivables Prepaid expenses
http://kcerds.dol-esa.gov/query/orgReport.do

FILE NUMBER: 543-153 Book Value (B) $393,896 $161,852


Page 3 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

Prepaid expenses Total Other Assets (Total will be automatically entered in Item 28, Column(B))
Form LM-2 (Revised 2010)

$161,852 $555,748

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE


Entity or Individual Name (A) Total from all other accounts payable Total Accounts Payable (Column(B) Total will be automatically entered in Item 30, Column(D))
Form LM-2 (Revised 2010)

FILE NUMBER: 543-153 90-180 Days Past Due (C) 180+ Days Past Due (D) $0 $0 $0 $0 Liquidated Account (E) $0 $0

Total Account Payable (B) $144,222 $144,222

SCHEDULE 9 - LOANS PAYABLE


Source of Loans Payable at Any Time During the Reporting Period (A) Total Loans Payable Totals will be automatically entered in...
Form LM-2 (Revised 2010)

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)

SCHEDULE 10 - OTHER LIABILITIES


Description (A) Accrued post-retirement benefits Accrued vacations Accrued severence Deferred revenue Dues collected and payable to affiliates Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))
Form LM-2 (Revised 2010)

FILE NUMBER: 543-153 Amount at End of Period (B) $9,377,835 $396,290 $255,633 $31,396 $966,299 $11,027,453

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS


(D) Gross Salary Disbursements (before any deductions) $3,150 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions $0 (E) Allowances Disbursed (F) Disbursements for Official Business $0 0% $675 (G) Other Disbursements not reported in (D) thru (F)

FILE NUMBER: 543-153 (H) TOTAL

(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 %

Schedule 18 Schedule 19 0% General Overhead Administration $1,907 $0

$3,187 Schedule 16 5 % Political Activities and Lobbying Schedule 17 Contributions

$5,094

5%

0% $0 0% $0 0% $0 0%

Schedule 18 Schedule 19 0% General Overhead Administration $2,061 $0

90 % $4,974 90 % $6,974 90 % $2,593 90 % $15,388 70 %

$2,913 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $2,928 $0

$4,046 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $218 $0

$2,375 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $987 $0

$11,151

$3,250 0%

Schedule 16 Schedule 17 15 % Political Activities 15 % Contributions and Lobbying

Schedule 18 Schedule 19 0% General Overhead Administration

http://kcerds.dol-esa.gov/query/orgReport.do

Page 4 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

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 %

Schedule 18 Schedule 19 0% General Overhead Administration $634 $0

$3,457 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $168 $0

$2,041 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $9,084 $0

$45,599 Schedule 16 Schedule 17 Political Activities 10 % Contributions and Lobbying $135 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $0 $0

Schedule 18 Schedule 19 0% General Overhead Administration

$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%

Schedule 18 Schedule 19 0% General Overhead Administration $293 $0

85 % $18,103 90 % $744 90 % $4,282 90 % $9,163 60 % $2,545 90 % $325 90 % $4,432 90 % $2,926


Page 5 of 28

0%

Schedule 18 Schedule 19 0% General Overhead Administration $152 $0

$592 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

0% $0 0% $0 0% $0 0% $0 0% $0 0% $0

Schedule 18 Schedule 19 0% General Overhead Administration $1,688 $0

$2,594 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $3,958 $0

$5,205 Schedule 16 35 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $480 $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

Schedule 18 Schedule 19 0% General Overhead Administration $325 $0

Schedule 18 Schedule 19 0% General Overhead Administration $393 $0

$4,039 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $639 $0

$2,287

http://kcerds.dol-esa.gov/query/orgReport.do

HTML Report (Disclosure)

4/15/13 10:50 PM

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

Schedule 16 Political Activities and Lobbying

5%

Schedule 17 Contributions $0

0%

Schedule 18 Schedule 19 0% General Overhead Administration $991 $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

$1,900 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0

Schedule 18 Schedule 19 0% General Overhead Administration $420 $0

$223 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $1,066 $0

$3,418 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $2,931 $0

$10,556 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $1,046 $0

$5,729 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $5,768 $0

$13,009 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions $0 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $199 $0

Schedule 18 Schedule 19 0% General Overhead Administration $263 $0

$2,928 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $2,081 $0

$3,311 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $270 $0

$2,503 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $875 $0

$1,781 Schedule 16 Political Activities and Lobbying Schedule 17 5 % Contributions

0%

Schedule 18 Schedule 19 General Overhead 0 % Administration

90 %

A MICHAEL S NELSON B EBOARD C C Schedule 15 I Representational Activities A ALAN D NETLAND B EBOARD C P

$2,134 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

$0 0% $0

$410

$0

$2,544 90 % $3,125
Page 6 of 28

Schedule 18 Schedule 19 0% General Overhead Administration $723 $0

$2,402

http://kcerds.dol-esa.gov/query/orgReport.do

HTML Report (Disclosure)

4/15/13 10:50 PM

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

Schedule 16 Political Activities and Lobbying

5%

Schedule 17 Contributions $0

0%

Schedule 18 Schedule 19 0% General Overhead Administration $199 $0

90 % $566 90 % $7,536 85 % $18,128 80 % $2,937 90 % $4,967 90 % $104 90 % $3,065 90 %

$367 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

0% $0 0%

Schedule 18 Schedule 19 0% General Overhead Administration $3,054 $0

$4,482 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $600 $0

$14,928 Schedule 16 Political Activities and Lobbying 5%

$2,600 0% $0 0% $0 0% $0 0% $0 0%

Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $652 $0

$2,285 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $697 $0

$4,270 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions $0 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $104 $0

Schedule 18 Schedule 19 0% General Overhead Administration $357 $0

$2,708 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $162 $0

$433 Schedule 16 Political Activities and Lobbying Schedule 17 5 % Contributions

$0

$595

Schedule 18 Schedule 19 0 % General Overhead 0 % Administration

90 %

$1,514 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

$0 0% $0 0% $0 0% $0 0% $0 0%

$266

$0

$1,780 90 % $5,747 90 % $1,559 90 % $2,823 90 % $817 90 %


Page 7 of 28

Schedule 18 Schedule 19 0% General Overhead Administration $2,945 $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

Schedule 18 Schedule 19 0% General Overhead Administration $1,559 $0

Schedule 18 Schedule 19 0% General Overhead Administration $609 $0

$2,214 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $179 $0

$638 Schedule 16 5 % Political Activities 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration

http://kcerds.dol-esa.gov/query/orgReport.do

HTML Report (Disclosure)

4/15/13 10:50 PM

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

Political Activities and Lobbying

5%

Contributions $0

0%

General Overhead $212

0%

Administration $0

90 % $863 90 % $8,247 90 % $1,515 90 % $28,986 60 %

$651 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

0%

Schedule 18 Schedule 19 0% General Overhead Administration $3,047 $0

$2,600 Schedule 16 Political Activities and Lobbying 5%

$2,600 0% $0 0% $0 0%

Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $229 $0

$1,286 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $6,424 $0

$22,562 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $413 $0

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)

$2,836 Schedule 17 Contributions

$0

$3,249

5%

0% $11,050

Schedule 18 Schedule 19 0% General Overhead Administration $67,195 $0

90 % $315,770 $69,338 $246,432

$237,525

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES


(D) Gross Salary Disbursements (before any deductions) $78,921 0% Schedule 17 Contributions (E) Allowances Disbursed

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

(C) Other Payer

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

$80,294 0% $66,932 10 % $74,137 5% $71,672 0% $48,223 0% $110,344 0%

Schedule 18 Schedule 19 100 % General Overhead Administration $7,644 $167

$54,321 20 % Schedule 17 Contributions

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

$61,832 90 % Schedule 17 Contributions

$53,027 0% Schedule 17 Contributions

$48,223 0% Schedule 17 Contributions

Schedule 18 Schedule 19 100 % General Overhead Administration $13,758 Schedule 18 General Overhead 0% $1,707 Schedule 19 Administration

$90,079 100 % Schedule 17 Contributions

http://kcerds.dol-esa.gov/query/orgReport.do

Page 8 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

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

$88,623 Schedule 17 5 % Contributions $20,702 5% Schedule 17 Contributions

$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

$84,446 15 % Schedule 17 Contributions

$85,353 2% Schedule 17 Contributions

Schedule 18 Schedule 19 25 % General Overhead Administration $100 $199

$52,431 5% Schedule 17 Contributions

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

$87,003 5% Schedule 17 Contributions

$83,628 2% Schedule 17 Contributions

$83,637 20 % Schedule 17 Contributions

$45,627 1% Schedule 17 Contributions

$41,051 0% Schedule 17 Contributions

$48,105 Schedule 17 Contributions

0%

0%

0%

10 %

$61,087 5% Schedule 17 Contributions

$0 0% $4,800 0% $0

$61,568 5% $93,477 40 % $39,217

Schedule 18 Schedule 19 90 % General Overhead Administration $2,391 $1,077

$85,209 3% Schedule 17 Contributions

Schedule 18 Schedule 19 17 % General Overhead Administration $1,280 $0

$37,937

http://kcerds.dol-esa.gov/query/orgReport.do

Page 9 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

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%

$52,799 4% Schedule 17 Contributions

$63,213 1% Schedule 17 Contributions

$62,024 5% Schedule 17 Contributions

$77,330 100 % Schedule 17 Contributions

$62,024 5% Schedule 17 Contributions

$47,345 0% Schedule 17 Contributions

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% $0 0% $1,200 0% $0 0% $4,400 0% $4,000 0% $4,800 0%

Schedule 18 General Overhead $60

0%

Schedule 19 Administration $0

0% $42,908 0% $49,007 30 % $41,148 0% $50,400 20 % $118,488 90 % $99,131 10 %


Page 10 of 28

$42,848 0% Schedule 17 Contributions

Schedule 18 Schedule 19 100 % General Overhead Administration $1,190 Schedule 18 General Overhead $0 0% $212 Schedule 19 Administration $0

$46,405 0% Schedule 17 Contributions

$41,148 0% Schedule 17 Contributions

Schedule 18 Schedule 19 100 % General Overhead Administration $3,647 $2,345

$40,008 10 % Schedule 17 Contributions

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

$107,255 0% Schedule 17 Contributions

$83,637 0% Schedule 17 Contributions

http://kcerds.dol-esa.gov/query/orgReport.do

HTML Report (Disclosure)

4/15/13 10:50 PM

Representational Activities A LINDA A JACKSON B FIELD REP C 0 I A B C I A B C I

and Lobbying

Contributions $83,637 1% Schedule 17 Contributions $4,800 1% $0 0% $0

General Overhead $2,514 Schedule 18 General Overhead $0 0%

Administration $1,157 Schedule 19 Administration $198 $92,108 50 % $47,479 0% $90,161

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

$47,281 0% Schedule 17 Contributions

Schedule 18 Schedule 19 100 % General Overhead Administration $103 $0

$90,058 Schedule 17 0 % Contributions

Schedule 18 Schedule 19 0 % General Overhead 100 % Administration

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% $0 0% $4,800 0% $4,800 0% $4,800 0% $0 0% $4,400 0% $4,800 0% $4,800 0% $4,800

Schedule 18 General Overhead $155

0%

Schedule 19 Administration $0

0% $61,582 0% $80,629 0% $72,198 0% $93,849 29 % $35,798 2% $72,217 76 % $88,207 10 % $104,966 25 % $96,699

$61,427 0% Schedule 17 Contributions

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

$65,883 0% Schedule 17 Contributions

$57,312 1% Schedule 17 Contributions

$86,007 3% Schedule 17 Contributions

$35,679 0% Schedule 17 Contributions

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

$62,024 24 % Schedule 17 Contributions

$80,977 0% Schedule 17 Contributions

$86,734 15 % Schedule 17 Contributions

$77,327

Representational Activities 85 % Political Activities and Lobbying


http://kcerds.dol-esa.gov/query/orgReport.do

5 % Schedule 17 Contributions

0 % Schedule 18 General Overhead

5 % Schedule 19 Administration

5%

Page 11 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

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

$5,169 0% Schedule 17 Contributions

$400 0% $4,800 0% $4,800 0% $4,800 0% $4,800 0% $1,600 0% $0 0% $4,800 0% $4,800 0%

$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 %

$79,261 55 % Schedule 17 Contributions

$85,353 10 % Schedule 17 Contributions

$86,988 30 % Schedule 17 Contributions

$82,065 0% Schedule 17 Contributions

$48,271 100 % Schedule 17 Contributions

$32,071 10 % Schedule 17 Contributions

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

$85,353 0% Schedule 17 Contributions

$77,635 10 % Schedule 17 Contributions

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

0% $3,600 0% $4,800 0% $4,800 0%

Schedule 18 General Overhead $4,828 Schedule 18 General Overhead $4,088 Schedule 18 General Overhead $2,587 Schedule 18 General Overhead

0%

Schedule 19 Administration $718

10 % $41,282 0% $89,182 80 % $94,412 60 %

$32,136 100 % Schedule 17 Contributions

0%

Schedule 19 Administration $1,096

$79,198 2% Schedule 17 Contributions

0%

Schedule 19 Administration $1,658

$85,367 1% Schedule 17 Contributions

0%

Schedule 19 Administration

http://kcerds.dol-esa.gov/query/orgReport.do

Page 12 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

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

$86,988 10 % Schedule 17 Contributions

$4,800 0% $4,800 0% $0 0% $0 0% $4,800 0% $0

$3,343 Schedule 18 General Overhead $3,096 Schedule 18 General Overhead $0 0% 0%

$890 Schedule 19 Administration $1,931 Schedule 19 Administration $0

$96,021 60 % $97,713 0% $52,940 0% $38,839 0% $105,642 90 % $56,108

$87,886 100 % Schedule 17 Contributions

$52,940 0% Schedule 17 Contributions

Schedule 18 Schedule 19 100 % General Overhead Administration $229 $0

$38,610 0% Schedule 17 Contributions

Schedule 18 Schedule 19 100 % General Overhead Administration $1,400 Schedule 18 General Overhead $0 0% $1,130 Schedule 19 Administration $170

$98,312 0% Schedule 17 Contributions

$55,938 0 % Schedule 17 Contributions

0 % Schedule 18 100 % Schedule 19 General Overhead Administration

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

$61,832 0% Schedule 17 Contributions

$4,800 0% $4,800 0% $5,200 0% $0 0% $4,800 5% $0 0% $0 0% $0

$4,033 Schedule 18 General Overhead $8,810 0%

$141 Schedule 19 Administration $2,898

$70,806 15 % $76,180 10 % $93,966 0% $68,643 10 % $122,275 75 % $40,530 90 % $42,155 0% $66,262

$59,672 3% Schedule 17 Contributions

Schedule 18 Schedule 19 10 % General Overhead Administration $14,549 Schedule 18 General Overhead $294 0% $1,810 Schedule 19 Administration $0

$72,407 2% Schedule 17 Contributions

$68,349 10 % Schedule 17 Contributions

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

$115,654 5% Schedule 17 Contributions

$40,185 0% Schedule 17 Contributions

$42,155 0% Schedule 17 Contributions

Schedule 18 Schedule 19 100 % General Overhead Administration $259 $200

$65,803

http://kcerds.dol-esa.gov/query/orgReport.do

Page 13 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

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 %

$51,570 70 % Schedule 17 Contributions

$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%

Schedule 18 General Overhead

0%

Schedule 19 Administration

0%

$58,410 0% Schedule 17 Contributions

$4,800 0% $4,800 0% $4,800 0% $4,800 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

$67,879 0% $86,496 10 % $68,762 45 % $105,534 80 % $12,310 10 % $16,068 10 % $20,532 10 % $15,715 10 % $14,591

$77,330 5% Schedule 17 Contributions

$53,139 4% Schedule 17 Contributions

$90,058 10 % Schedule 17 Contributions

$12,310 0% Schedule 17 Contributions 0%

Schedule 18 General Overhead $0

$16,068 0% Schedule 17 Contributions 0%

Schedule 18 General Overhead $0

$20,532 50 % Schedule 17 Contributions 0%

Schedule 18 General Overhead $0

$15,715 50 % Schedule 17 Contributions 0%

Schedule 18 General Overhead $0

$14,591 Schedule 17 0 % Contributions

Schedule 18 0 % General Overhead

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

$10,631 0% Schedule 17 Contributions 0%

$0 Schedule 18 General Overhead $0 0%

$0 Schedule 19 Administration $0

$10,631 10 % $15,971
Page 14 of 28

$15,971

HTML Report (Disclosure)

4/15/13 10:50 PM

B LOST TIME 10K C 0 I

$15,971

$0

$0 Schedule 19 Administration $0 Schedule 19 Administration $0 Schedule 19 Administration

$15,971 10 % $24,000 10 % $15,998 10 % $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)

Schedule 19 Administration $74,558 $6,023,212 $1,932,510 $4,090,702

SCHEDULE 13 - MEMBERSHIP STATUS


Category of Membership (A) Regular Full Time Regular Part Time Fair Share Full (7510) and Part (677) Time Members Agency Fee Payers* Total Members/Fee Payers *Agency Fee Payers are not considered members of the labor organization.
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

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19


SCHEDULE 14 OTHER RECEIPTS 1. Named Payer Itemized Receipts 2. Named Payer Non-itemized Receipts 3. All Other Receipts 4. Total Receipts $637,092 $6,451 $0 $643,543

FILE NUMBER: 543-153

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)

$851,764 $305,675 $0 $960,872 $305,785 $2,424,096

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

SCHEDULE 14 - OTHER RECEIPTS


Name and Address (A) AFSCME BUILDING CORP 300 HARDMAN AVE SO SOUTH ST. PAUL MN 55075 Type or Classification (B) BUILDING CORP
http://kcerds.dol-esa.gov/query/orgReport.do

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

HTML Report (Disclosure)

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

10/11/2010 11/12/2010 12/10/2010

$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) 05/20/2010 05/20/2010 12/16/2010

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)

Amount (E) $6,451 $6,451

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES


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) ARTHUR MILLER 914 WHITE AVE CLOQUET MN 55720-2318 Type or Classification (B) EXP REIMBURSEMENTNON STAFF Name and Address (A) CITY OF MINNEAPOLIS GOVERNMENT CENTER RAMP 33 NORTH 9TH ST SUITE B5 MINNEAPOLIS MN 55403-1326
http://kcerds.dol-esa.gov/query/orgReport.do

FILE NUMBER: 543-153

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $6,240 $6,240

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $10,036 $10,036

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $5,264 $5,264


Page 16 of 28

HTML Report (Disclosure)

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

Total of All Transactions

$5,264

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $6,514 $6,514

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $4,472 $4,472

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)

Amount (E) $0 $5,905 $5,905

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)

Amount (E) $0 $7,878 $7,878

Purpose (C) ARBITRATOR FEES

Date (D) 09/02/2010

Amount (E) $5,944


Page 17 of 28

HTML Report (Disclosure)

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

$5,944 $5,944 $0 $5,944

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $9,628 $9,628

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $44,705 $44,705

Purpose (C) LODGING EXPS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 03/05/2010

Amount (E) $13,933 $13,933 $33,964 $47,897

Purpose (C) ARBITRATOR FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 08/20/2010

Amount (E) $6,448 $6,448 $7,443 $13,891

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $5,114 $5,114

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $477 $477

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $37,614 $37,614


Page 18 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

Type or Classification (B) CELL PHONE


Form LM-2 (Revised 2010)

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING


Name and Address (A) AFSCME Council 5 PAC 300 Hardman Avenue South South St Paul MN 55075 Type or Classification (B) Contributions Purpose (C) PAC Donation PAC Donation PAC Donation PAC Donation PAC Donation PAC Donation PAC Donation PAC Donation PAC Donation PAC Donation PAC Donation PAC Donation Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions Name and Address (A) CROWNE PLAZA RIVERFRONT 11 EAST KELLOGG BLVD SAINT PAUL MN 55101-0000 Type or Classification (B) HOTELLODGING Name and Address (A) ED GROSS SUITE 900-131 3505 VICKSBURG LANE NO MINNEAPOLIS MN 55447-0000 Type or Classification (B) CONSULTANT Name and Address (A) JEFF VAN WYCHEN 140 MELBOURNE AVE SE MINNEAPOLIS MN 55414-0000 Type or Classification (B) CONSULTANT Name and Address (A) MINNESOTA MANAGEMENT BUDGET PO BOX 64835 SAINT PAUL MN 55164-0835 Type or Classification (B) INSURANCE Name and Address (A) UNION HOUSE INC 26796 FELTON AVENUE WYOMING MN 55092-0000 Type or Classification (B) UNION SUPPLIES Name and Address
http://kcerds.dol-esa.gov/query/orgReport.do

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

Date (D) 03/25/2010

Amount (E) $54,552 $54,552 $0 $54,552

Purpose (C) CONSULTING FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 07/01/2010

Amount (E) $5,000 $5,000 $0 $5,000

Purpose (C) CONSULTING FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 03/31/2010

Amount (E) $5,000 $5,000 $0 $5,000

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $6,257 $6,257

Purpose (C) TSHIRT EXP Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 10/15/2010

Amount (E) $6,132 $6,132 $0 $6,132

Page 19 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

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)

Amount (E) $0 $5,391 $5,391

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $10,964 $10,964

Purpose (C) CONSULTING FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 01/29/2010

Amount (E) $12,500 $12,500 $0 $12,500

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS


Name and Address (A) AFLCIO EDUCATION FUND MAPL STEVE HUNTER MN AFLCIO 175 AURORA AVENUE SAINT PAUL MN 55103-0000 Type or Classification (B) GOOD AND WELFARE
Form LM-2 (Revised 2010)

FILE NUMBER: 543-153

Purpose (C) SCHOLARSHIP FUND CONTRIBUTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 05/28/2010

Amount (E) $5,000 $5,000 $0 $5,000

SCHEDULE 18 - GENERAL OVERHEAD


Name and Address (A) ACCURATE MAILING INC 1928 W COUNTY ROAD C ROSEVILLE MN 55113-0000 Type or Classification (B) MAIL HOUSE Name and Address (A) AFSCME BUILDING CORP 300 HARDMAN AVE SO #3 SOUTH ST PAUL MN 55075-2470 Type or Classification (B) LANDLORD Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions Date (D)

FILE NUMBER: 543-153

Amount (E) $10,437 $10,437

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

http://kcerds.dol-esa.gov/query/orgReport.do

HTML Report (Disclosure)

4/15/13 10:50 PM

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

08/31/2010 08/31/2010 09/28/2010 09/28/2010 10/29/2010 10/29/2010 11/30/2010 11/30/2010

$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)

Amount (E) $0 $33,959 $33,959

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $22,965 $22,965

Purpose (C) ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 04/08/2010

Amount (E) $10,025 $10,025 $3,000 $13,025

Purpose (C) ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 04/06/2010

Amount (E) $10,000 $10,000 $0 $10,000

Purpose (C) ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 04/06/2010

Amount (E) $20,000 $20,000 $0 $20,000

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

Name and Address


http://kcerds.dol-esa.gov/query/orgReport.do Page 21 of 28

HTML Report (Disclosure)

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)

Amount (E) $0 $3,955 $3,955

Purpose (C) AUDIT FEES AUDIT FEES AUDIT FEES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 03/19/2010 04/23/2010 05/21/2010

Amount (E) $12,000 $13,000 $7,085 $32,085 $4,125 $36,210

Purpose (C) ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 02/24/2010

Amount (E) $5,922 $5,922 $0 $5,922

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $28,484 $28,484

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $13,950 $13,950

Purpose (C) RADIO COMMERCIAL Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 04/05/2010

Amount (E) $10,000 $10,000 $0 $10,000

Purpose (C) MPR SPONSORSHIP Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 02/03/2010

Amount (E) $20,000 $20,000 $0 $20,000

Purpose

Date

Amount
Page 22 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

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

Date (D) 10/08/2010 11/23/2010

Amount (E) $6,160 $13,564 $19,724 $23,143 $42,867

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $11,206 $11,206

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $10,355 $10,355

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

Date (D) 02/12/2010 06/11/2010 09/02/2010 09/24/2010 10/29/2010 12/17/2010

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)

Amount (E) $0 $5,750 $5,750

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $7,478 $7,478

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $17,050 $17,050

Purpose (C) Total Itemized Transactions

Date (D)

Amount (E) $0
Page 23 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

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

Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

$0 $9,052 $9,052

Purpose (C) OFFICE SUPPLIES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 10/29/2010

Amount (E) $12,849 $12,849 $19,083 $31,932

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $1,709 $1,709

Purpose (C) ADVERTISING ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 02/16/2010 03/26/2010

Amount (E) $24,078 $8,026 $32,104 $0 $32,104

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $11,998 $11,998

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $17,164 $17,164

Purpose (C) TSHIRT EXP Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 04/29/2010

Amount (E) $5,270 $5,270 $3,899 $9,169

Purpose (C) UNION SUPPLIES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 09/16/2010

Amount (E) $6,775 $6,775 $6,675 $13,450


Page 24 of 28

HTML Report (Disclosure)

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)

Amount (E) $0 $9,304 $9,304

Purpose (C) CELL PHONE EXPS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 01/15/2010

Amount (E) $5,458 $5,458 $10,120 $15,578

Purpose (C) ADVERTISING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 04/08/2010

Amount (E) $10,000 $10,000 $0 $10,000

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $12,524 $12,524

SCHEDULE 19 - UNION ADMINISTRATION


Name and Address (A) AFSCME COUNCIL 28 SUITE 300 1212 JEFFERSON ST. SE OLYMPIA WA 98501-2332 Type or Classification (B) RETREAT Name and Address (A) BREEZY POINT RESORT 9252 BREEZY POINT DRIVE BREEZY POINT MN 56472 Type or Classification (B) HOTEL/LODGING Name and Address (A) HILTON BOSTON BACK BAY 40 DALTON STREET BOSTON MA 02115
http://kcerds.dol-esa.gov/query/orgReport.do

FILE NUMBER: 543-153

Purpose (C) CONVENTION HOTEL ROOM EXPS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 08/26/2010

Amount (E) $11,304 $11,304 $0 $11,304

Purpose (C) EXECUTIVE BOARD RETREAT HOTEL EXPS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 02/19/2010

Amount (E) $9,563 $9,563 $0 $9,563

Purpose (C) LODGING EXPS Total Itemized Transactions Total Non-Itemized Transactions

Date (D) 07/30/2010

Amount (E) $13,893 $13,893 $0


Page 25 of 28

HTML Report (Disclosure)

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

Total Non-Itemized Transactions Total of All Transactions

$0 $13,893

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $8,819 $8,819

Purpose (C) LODGING EXPS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 03/05/2010

Amount (E) $6,547 $6,547 $2,905 $9,452

Purpose (C) HOTEL EXPS-CONVENTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 10/29/2010

Amount (E) $56,041 $56,041 $0 $56,041

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $4,281 $4,281

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $6,912 $6,912

Purpose (C) ELECTION COSTS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 11/19/2010

Amount (E) $14,242 $14,242 $0 $14,242

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $6,743 $6,743

Page 26 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

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

Date (D) 07/02/2010 10/01/2010

Amount (E) $5,977 $14,448 $20,425 $1,047 $21,472

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

69. ADDITIONAL INFORMATION SUMMARY


Schedule 13, Row2:Regular Dues Paying Members Working Part Time. Schedule 13, Row3:Fair Share Employees Choosing Not to Pay Full Dues in Accordance with the Statute. Schedule 13, Row1:Regular Dues Paying Members Working Full Time.

FILE NUMBER: 543-153

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)

http://kcerds.dol-esa.gov/query/orgReport.do

Page 27 of 28

HTML Report (Disclosure)

4/15/13 10:50 PM

Frequently Asked Questions | Freedom of Information Act | Privacy & Security Statement | Disclaimers | Customer Survey | Important Web Site Notices U.S. Department of Labor | Frances Perkins Building, 200 Constitution Ave., NW, Washington, DC 20210 www.dol.gov | Telephone: 1-866-4-USA-DOL (1-866-487-2365) | TTY: 1-877-4-889-5627 | Contact Us

http://kcerds.dol-esa.gov/query/orgReport.do

Page 28 of 28

S-ar putea să vă placă și