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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 01/01/2011 543-153 Through 12/31/2011 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 Yes 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 29, 2012 Contact Info:
Form LM-2 (Revised 2010)
PRESIDENT 27. SIGNED: Clifford T Poehler 651-287-0518 Date: Mar 29, 2012 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 38,164 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 -per month 3.55 93.52 (b) Working Dues/Fees -per (c) Initiation Fees -per (d) Transfer Fees -per (e) Work Permits -per -
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) $3,335,589 $152,355 $28,315 $0 $74,113 $576,112 $4,166,484
LIABILITIES LIABILITIES 30. Accounts Payable 31. Loans Payable 32. Mortgages Payable 33. Other Liabilities 34. TOTAL LIABILITIES
Schedule Number 8 9 10
-$7,075,739
-$7,074,991
FILE NUMBER: 543-153 SCH 15 16 17 18 19 20 AMOUNT $3,275,535 $1,144,828 $83,017 $2,799,090 $1,897,117 $2,054,291 $0 $0 $0 $0 $0 $5,689,383 $5,670,078 $431,531 $23,044,870
4 2 9
66. Subtotal 67. Withholding Taxes and Payroll Deductions 67a. Total Withheld $1,928,088 67b. Less Total Disbursed $1,927,335 67c. Total Withheld But Not Disbursed 68. TOTAL DISBURSEMENTS
Form LM-2 (Revised 2010)
$753 $23,044,117
FILE NUMBER: 543-153 90-180 Liquidated Total Account 180+ Days Days Account Receivable Past Due Past Due Receivable (B) (D) (C) (E) $152,355 $152,355 $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)
$152,355
$0
$0
$0
FILE NUMBER: 543-153 Cash (D)(1) Other Than Cash (D)(2) Loans Outstanding at End of Period (E) $0 $28,315
$29,800
$29,800 Item 45
Column (A)
Amount Received (E) $0 $0 $0 $0 14. Less Reinvestments (Net Sales total will automatically entered in Item 43) 15. Net Sales
$0 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 $776,997 $776,997 Book Value (D) $0 $0 $74,113 $74,113 Value (E) $0 $0 $75,000 $75,000
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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) $9,592,553 $379,766 $248,394 $134,957 $698,672 $11,054,342
(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 LEON S BOWMAN B EBOARD C P 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 A KEVIN CLARK B EBOARD C C Schedule 15 I Representational Activities A JEAN M DIEDRICH
$0
$1,528 90 % $4,672
90 %
$0 0% $0 0%
$2,947
$0
$4,591
$3,000 0% $0 0%
Schedule 16 Schedule 17 20 % Political Activities 15 % Contributions and Lobbying $2,228 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions
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A JEAN M DIEDRICH B EBOARD C C Schedule 15 I Representational Activities A JODY A EBERT B EBOARD C C Schedule 15 I Representational Activities A JOHN B EWALDT B EBOARD C P Schedule 15 I Representational Activities A MARY L FALK B SECRETARY C C Schedule 15 I Representational Activities A GERALD FIRKUS B EBOARD C C Schedule 15 I Representational Activities A STEPHEN C FITZE B EBOARD C P 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 C Schedule 15 I Representational Activities A PATRICK GUERNSEY B EBOARD C C Schedule 15 I Representational Activities A JEN L GUERTIN B EBOARD C C Schedule 15 I Representational Activities A SABRINA HEGG B EBOARD C C Schedule 15 I Representational Activities A JOHN C HILLYARD B EBOARD C C Schedule 15
$0 0% $0 0% $0 0%
$856
$0
$1,442 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions $0 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions
$8,983
$2,400 0% $0 0%
Schedule 16 Schedule 17 5 % Political Activities 10 % Contributions and Lobbying $3,048 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions $0
$215
5%
0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0
$3,555 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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Schedule 15 I Representational Activities A JOANN D HOLTON B EBOARD C C Schedule 15 I Representational Activities A ROGER JANZIG B EBOARD C C
5%
Schedule 17 Contributions $0
0%
90 % $7,748 85 %
0%
$0
$597
$0
$5,208
Schedule 15 I Representational 5% Activities A KIMBERLY JOHNSON B EBOARD C C Schedule 15 I Representational 10 % Activities A W J KNOBBE B EBOARD C N Schedule 15 I Representational 5% Activities A TRAVIS B LENANDER B EBOARD C N Schedule 15 I Representational 5% Activities A MICHAEL LINDHOLDT B EBOARD C C 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 CHRISTINE M MAIN B EBOARD C N Schedule 15 I Representational 5% Activities A MOLLY A MALECKI B EBOARD C C Schedule 15 I Representational 5% Activities A MICHAEL S NELSON B EBOARD C C Schedule 15 I Representational 5% Activities A NICK NYANKABARIA B EBOARD C C Schedule 15 I Representational Activities A KEVIN R OLSON B EBOARD C C Schedule 15 I Representational Activities
5%
Schedule 17 Contributions $0
0%
0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0
90 %
$0 0% $0 0%
$808
$0
$2,886 90 % $6,195 90 %
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Activities A MELI PEARSON B EBOARD C C Schedule 15 I Representational 5% Activities A CLIFFORD T POEHLER B TREAS C C Schedule 15 I Representational 15 % Activities A MICHAEL J RUMPPE B EBOARD C C 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 I Representational 5% Activities A DEAN A STEINER B EBOARD C C Schedule 15 I Representational 5% Activities A DEB STROHM B EBOARD C C Schedule 15 I Representational 5% Activities A SUE URNESS B EBOARD C C Schedule 15 Representational 5% I Activities A WES VOLKENANT B EBOARD C C Schedule 15 I Representational 5% Activities A JUDY WAHLBERG B VPRES C C Schedule 15 I Representational 10 % 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 A BRYCE A WICKSTROM B EBOARD C C Schedule 15 I Representational 5% Activities Total Officer Disbursements Less Deductions
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and Lobbying $3,826 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions $2,400 0% $0 0% $0 0% $0 0% $0 0% $0 0% $0 $0 0% $562 $0 $4,388 90 % $13,476 80 % $5,081 90 % $3,093 90 % $172 90 % $4,936 90 % $1,634 90 % $220
Schedule 17 Contributions
$2,835 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions $0 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions
$1,479 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions $0 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions $0 Schedule 16 Political Activities and Lobbying Schedule 17 5 % Contributions
90 %
$3,040 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions $0 Schedule 16 Political Activities and Lobbying 5%
$0 0%
$788
$0
$2,400 0% $0 0% $0 0% $0 0% $10,200
Schedule 17 Contributions
$137,160
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$55,193 $154,990
FILE NUMBER: 543-153 (F) (G) Disbursements Other Disbursements for Official not reported in Business (D) thru (F) $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 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 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 FIELD REP 0 Schedule 16 Schedule 15 60 % Political Activities Representational Activities and Lobbying THOMAS J BURKE FIELD REP 0 Schedule 16 Schedule 15 50 % Political Activities Representational Activities and Lobbying JOYCE E CARLSON FIELD REP 0 Schedule 16 Schedule 15 50 % Political Activities Representational Activities and Lobbying JUDY C CARLSON EDUCATION SPECIALIST 0 Schedule 16 Schedule 15 35 % Political Activities Representational Activities and Lobbying DEBRA K CASSIDY ACCOUNTING SPECIALST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying CHRISTOPHER COWEN FIELD REP 0 Schedule 16 Schedule 15
$80,294 0% $66,932 10 %
Schedule 18 Schedule 19 10 % General Overhead Administration $7,259 Schedule 18 General Overhead $11,976 Schedule 18 General Overhead $0 0% $246 Schedule 19 Administration $1,869 Schedule 19 Administration $0
$4,800
$74,137
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 90 % 0% $4,800 0% $0 0% $4,800 0% $4,800 0% $0 0% $4,800 0% $4,800 0% $0 0% $4,800 5% 5% $71,672 0% $48,223 0% $110,344 0% $110,149 35 % $21,095 45 % $92,428 35 % $95,508 38 % $52,730 0% $95,472
Schedule 18 Schedule 19 100 % General Overhead Administration $13,758 Schedule 18 General Overhead $15,167 Schedule 18 General Overhead $112 Schedule 18 General Overhead $1,828 Schedule 18 General Overhead $4,014 0% 0% 0% 0% $1,707 Schedule 19 Administration $1,559 Schedule 19 Administration $281 Schedule 19 Administration $1,354 Schedule 19 Administration $1,341
$87,003 Schedule 17
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5%
Schedule 17 Contributions
0%
0%
Schedule 19 Administration
15 %
A SANDRA J CURTIS 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 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 28 % Political Activities Representational Activities and Lobbying JEFFREY E DAINS FIELD REP 0 Schedule 16 Schedule 15 35 % Political Activities Representational Activities and Lobbying ERIKA S DINKEL-SMITH ORGANIZER 0 Schedule 16 Schedule 15 99 % Political Activities Representational Activities and Lobbying CHRISTINA L DOMEIER SUPPORT SPECIALIST 0 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying RITA I DURING EDUCATION SPECIALIST 0 Schedule 16 Schedule 15 90 % Political Activities Representational 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 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 $83,628 $4,800 $18,083 $1,189 $107,700
2%
Schedule 17 Contributions
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%
70 % $93,675 45 % $60,905 0% $41,234 100 % $49,908 10 % $61,568 5% $93,477 40 % $39,217 0% $64,730 45 % $72,089 69 %
0%
0%
Schedule 19 Administration $0
0%
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 5% 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
$4,800
$73,473
5%
0% $4,800 0% $4,800 0%
0%
10 % $85,997 0% $72,926 55 %
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and Lobbying A ANDREW C HAMERLINCK 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 RYAN C HANSON ORGANIZER 0 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 15 Schedule 16 $47,345 0% Schedule 17 Contributions $4,800 0% $4,800 0% $0 0% $1,200 0% $0 0% $4,400 0% $4,000 $7,249 Schedule 18 General Overhead $10,187 Schedule 18 General Overhead $60 0% 0% $1,681 Schedule 19 Administration $1,579 Schedule 19 Administration $0 $61,075 0% $78,590 0% $42,908 0% $49,007 30 % $41,148 0% $50,400 20 % $118,488
Schedule 18 Schedule 19 100 % General Overhead Administration $1,190 Schedule 18 General Overhead $0 0% $212 Schedule 19 Administration $0
$107,255
Representational Activities 10 % Political Activities and Lobbying A BRUCE A IVERSON 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 90 % Political Activities Representational Activities and Lobbying LINDA A JACKSON FIELD REP 0 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 0 % Political Activities Representational Activities and Lobbying MARYBETH JUETTEN ORGANIZER 0 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
Schedule 17 0 % Contributions
0 % Schedule 19 Administration
90 %
Schedule 18 Schedule 19 100 % General Overhead Administration $15,463 Schedule 18 General Overhead $155 0% $1,124 Schedule 19 Administration $0
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and Lobbying A ALAN E KEARNEY B LEAD ORGANIZER C 0 I A B C I A B C I 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 $65,883 0% Schedule 17 Contributions $4,800 0% $4,800 0% $4,800 0% $9,245 Schedule 18 General Overhead $8,992 Schedule 18 General Overhead $1,853 Schedule 18 General Overhead 0% 0% 0% $701 Schedule 19 Administration $1,094 Schedule 19 Administration $1,189 Schedule 19 Administration $80,629 0% $72,198 0% $93,849 29 %
A ERIC J KITTELSON B IT HELP DESK SUPPORT SPC 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 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 16 Schedule 15 85 % Political Activities Representational Activities and Lobbying PAMELA J LOFQUIST POLITICAL ORGANIZER 0 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 A MARK A MCAFEE
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$35,679
$0
$119
$0
$35,798
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 Schedule 18 General Overhead $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 0% 0% 0% 0% 5% 0% 0% 0% $1,799 Schedule 19 Administration $985 Schedule 19 Administration $1,919 Schedule 19 Administration $1,652 Schedule 19 Administration $109 Schedule 19 Administration $1,070 Schedule 19 Administration $755 Schedule 19 Administration $2,646 Schedule 19 Administration $1,591 Schedule 19 Administration
2% $72,217 76 % $88,207 10 % $104,966 25 % $96,699 5% $5,813 100 % $85,737 20 % $91,837 20 % $96,602 10 % $100,642
0%
0%
5%
85 %
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A MARK A MCAFEE B POLITICAL 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 I A B C I A B C 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 BARBARA B MITCHELL FIELD REP 0 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 FIELD REP 0 Schedule 16 Schedule 15 30 % Political Activities Representational Activities and Lobbying JAMES B NILAND POLITICAL DIRECTOR 0
$50,410 0% $32,071 0% $97,578 20 % $88,972 10 % $93,012 10 % $41,282 0% $89,182 80 % $94,412 60 % $96,021 60 % $97,713
Schedule 18 Schedule 19 90 % General Overhead Administration $6,518 Schedule 18 General Overhead $5,294 Schedule 18 General Overhead $7,350 Schedule 18 General Overhead $4,828 Schedule 18 General Overhead $4,088 Schedule 18 General Overhead $2,587 Schedule 18 General Overhead $3,343 Schedule 18 General Overhead $3,096 0% 0% 0% 0% 0% 0% 0% $907 Schedule 19 Administration $1,243 Schedule 19 Administration $1,053 Schedule 19 Administration $718 Schedule 19 Administration $1,096 Schedule 19 Administration $1,658 Schedule 19 Administration $890 Schedule 19 Administration $1,931
$87,886
Schedule 16 I Schedule 15 0 % Political Activities Representational Activities and Lobbying A JODI L OCHOCKI B ACCOUNTING SPECIALST C 0 I A B C I A B C I A B 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 19 Administration
0%
$0 0% $0 0% $4,800 0% $0
$0
$0
Schedule 18 Schedule 19 100 % General Overhead Administration $1,400 Schedule 18 General Overhead $0 0% $1,130 Schedule 19 Administration $170
$55,938
http://kcerds.dol-esa.gov/query/orgReport.do
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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 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 LORITA POWELL FIELD REP 0 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 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 Schedule 16 Schedule 15 0 % Political Activities Representational Activities and Lobbying BETH A WALTERS ORGANIZER 0 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 0% Schedule 17 Contributions 0% $4,800 0% $4,800 0% $5,200 0% $0 0% $4,800 5% $0 Schedule 18 Schedule 19 100 % General Overhead Administration $4,033 Schedule 18 General Overhead $8,810 0% $141 Schedule 19 Administration $2,898 0% $70,806 15 % $76,180 10 % $93,966 0% $68,643 10 % $122,275 75 % $40,530
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 5% $1,043 Schedule 19 Administration $75
$40,185
0%
Schedule 17 Contributions
0%
Schedule 19 Administration $0
Schedule 18 Schedule 19 20 % General Overhead Administration $5,701 Schedule 18 General Overhead $8,162 Schedule 18 General Overhead $3,674 Schedule 18 General Overhead $3,134 Schedule 18 General Overhead $8,775 Schedule 18 General Overhead 1% 0% 0% 0% 0% $806 Schedule 19 Administration $336 Schedule 19 Administration $995 Schedule 19 Administration $1,232 Schedule 19 Administration $2,048 Schedule 19 Administration
http://kcerds.dol-esa.gov/query/orgReport.do
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and Lobbying
Schedule 16 Schedule 15 5 % Political Activities Representational Activities and Lobbying DONALD C SRP LOST TIME > 10K 0 Schedule 16 Schedule 15 90 % Political Activities Representational Activities and Lobbying
0%
10 %
$21,840
$0
$2,900
$0
$24,740
Schedule 16 Schedule 15 Schedule 17 Schedule 18 Schedule 19 90 % Political Activities 0% 0% 0% 10 % Representational Activities Contributions General Overhead Administration and Lobbying TOTALS RECEIVED BY EMPLOYEES MAKING $0 LESS THAN $10000 Schedule 15 Schedule 16 Schedule 17 Schedule 18 Schedule 19 I Representational Activities Political Activities and Lobbying Contributions General Overhead Administration Total Employee Disbursements $5,234,955 $258,000 $361,642 $74,558 $5,929,155 Less Deductions $1,872,895 Net Disbursements
Form LM-2 (Revised 2010)
$4,056,260
FILE NUMBER: 543-153 Number (B) 29,313 689 8,162 38,164 0 38,164 Voting Eligibility (C) Yes Yes No
SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS 1. Named Payee Itemized Disbursements $60,000 2. Named Payee Non-itemized Disbursements $0 3. To Officers $0 4. To Employees $7,756 5. All Other Disbursements $15,261 6. Total Disbursements $83,017 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 19 UNION ADMINISTRATION 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 $225,241 2. Named Payee Non-itemized Disbursements $150,499 3. To Officers $18,250 4. To Employees $2,519,232 5. All Other Disbursements $362,313 6. Total Disbursements $3,275,535 SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING 1. Named Payee Itemized Disbursements $207,887 2. Named Payee Non-itemized Disbursements $20,631 3. To Officers $12,077 4. To Employees $866,531 5. All Other Disbursements $37,702 6. Total Disbursement $1,144,828
Form LM-2 (Revised 2010)
$1,081,526 $295,006 $0 $960,872 $461,686 $2,799,090 $62,543 $35,123 $179,863 $1,574,764 $44,824 $1,897,117
FILE NUMBER: 543-153 Date (D) 01/16/2011 02/15/2011 03/11/2011 04/08/2011 05/06/2011 Amount (E) $6,333 $8,458 $8,458 $8,458 $8,458
Page 14 of 27
Purpose (C) REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS
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REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions Purpose (C) ORGANIZING ORGANIZING ORGANIZING ORGANIZING STATE SHUT DOWN Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions Purpose (C) REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS REIMBURSED CHGS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
$8,458 $8,458 $8,458 $8,458 $8,458 $8,458 $8,458 $8,458 $99,371 $0 $99,371 Amount (E) $50,000 $50,000 $50,000 $50,000 $100,000 $300,000 $0 $300,000 Amount (E) $10,233 $10,233 $13,733 $13,733 $13,733 $13,733 $13,733 $13,733 $13,733 $13,733 $13,733 $13,733 $13,733 $171,529 $0 $171,529
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 SOUTH SOUTH SAINT PAUL MN 55075 Type or Classification (B) HEALTH AND WELFARE TRUST
Date (D) 01/06/2011 02/01/2011 02/24/2011 03/17/2011 04/08/2011 05/31/2011 06/30/2011 07/29/2011 08/25/2011 09/30/2011 10/31/2011 12/09/2011 12/09/2011
Name and Address (A) IFO 125 490 CONCORDIA AAVE SAINT PAUL MN 55103 Type or Classification (B) MEDIA REIMBURSEMENT Name and Address (A) INT'L BROTHERHOOD TEAMSTERS JOINT COUNCIL 32 SUITE 510 3001 UNIVERSITY AVE SE MINNEAPOLIS MN 55414 Type or Classification (B) REIMBURSEMENT Name and Address (A) LOCAL 151 160 KELLOGG BLVD #9200 SAINT PAUL MN 55101 Type or Classification (B) REIMBURSEMENT Name and Address (A) LOCAL 221 4026 RUSSELL AVE N MINNEAPOLIS
http://kcerds.dol-esa.gov/query/orgReport.do
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
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MINNEAPOLIS MN 55412 Type or Classification (B) REIMBURSEMENT Name and Address (A) LOCAL 2829 3301 45TH AVE SOUTH MINNEAPOLIS MN 55406 Type or Classification (B) REIMBURSEMENT Name and Address (A) LOCAL 34 15222 COMMERCE STATION MINNEAPOLIS MN 55415 Type or Classification (B) REIMBURSEMENT Name and Address (A) LOCAL 3887 44935 DEERFIELD RD STURGEON LAKE MN 55783 Type or Classification (B) REIMBURSEMENT Name and Address (A) LOCAL 4001 26585 285TH ST FERGUS FALLS MN 56537 Type or Classification (B) REIMBURSEMENT Name and Address (A) LOCAL 404 91 NICOLLET MN 56074 Type or Classification (B) REIMBURSEMENT Name and Address (A) LOCAL 600 386 NEW RICHMOND WI 54017 Type or Classification (B) REIMBURSEMENT Name and Address (A) LOCAL 66 211 WEST 2ND STREET DULUTH MN 55802 Type or Classification (B)
http://kcerds.dol-esa.gov/query/orgReport.do
$10,221 $10,221
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA ADS MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) LEGISLATIVE Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
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(B) DONATION Name and Address (A) LOCAL 66 211 WEST 2ND STREET DULUTH MN 55802 Type or Classification (B) REIMBURSEMENT Name and Address (A) MAPE 3460 LEXINGTON AVE N SHOREVIEW MN 55126 Type or Classification (B) MEDIA REIMBURSEMENT Name and Address (A) MGEC 5874 BLACKSHIRE PATH INVER GROVE HEIGHTS MN 55076 Type or Classification (B) MEDIA REIMBURSEMENT Name and Address (A) MMA 333 525 PARK ST SAINT PAUL MN 55103 Type or Classification (B) MEDIA REIMBURSEMENT Name and Address (A) MN LAW 77380 US HWY 71 JACKSON MN 56143 Type or Classification (B) MEDIA REIMBURSEMENT Name and Address (A) RAMSEY COUNTY DHS 160 EAST KELLOGG BLVD SAINT PAUL MN 55101 Type or Classification (B) ORGANIZING REIMBURSEMENT Name and Address (A) SRSEA 706 EAST CHANNING AVE FERGUS FALLS MN 56537 Type or Classification (B) MEDIA REIMBURSEMENT Name and Address (A)
http://kcerds.dol-esa.gov/query/orgReport.do
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA ADS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) ORGANIZING 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
Date
Amount
Page 17 of 27
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(A) US DEPT OF HEALTH 200 INDEPENDENCE AVE SW WASHINGTON DC 20201 Type or Classification (B) REIMBURSEMENTS
Form LM-2 (Revised 2010)
Purpose (C) REIMBURSEMENT REIMBURSEMENT REIMBURSEMENT 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) ADVERTISING EXP Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) LEGAL FEES 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) 01/21/2011 02/25/2011 03/25/2011 04/22/2011 05/27/2011 06/23/2011 08/12/2011 08/26/2011 10/28/2011 11/23/2011 12/22/2011
Amount (E) $14,883 $21,121 $13,150 $16,316 $8,523 $30,270 $16,279 $8,129 $17,484 $14,515 $15,250 $175,920 $3,043 $178,963
Name and Address (A) GROVE INSIGHT 10 SE 10TH AVE. PORTLAND OR 97214-0000 Type or Classification (B) SURVEY Name and Address (A) JAMES A. LUNDBERG 2925 DEAN PARKWAY - SUITE 3 MINNEAPOLIS
http://kcerds.dol-esa.gov/query/orgReport.do
Purpose (C) SURVEY EXP Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
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MINNEAPOLIS MN 55416-0000 Type or Classification (B) ARBITRATION Name and Address (A) JOHN REMINGTON 1109 NORTH LUCAS LANE GILBERT AZ 85234-0000 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) UNION HOUSE INC. 26796 FELTON AVENUE WYOMING MN 55092-0000 Type or Classification (B) UNION SUPPLIER Name and Address (A) VERIZON WIRELESS PO BOX 25505 LEHIGH VALLEY PA 18002-5505 Type or Classification (B) CELL PHONE
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) LODGING EXP Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) UNION SUPPLIES UNION SUPPLIES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) CELL PHONES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
FILE NUMBER 543-153 Amount (E) $18,500 $18,500 $18,500 $18,500 $16,200 $15,687 $10,000 $25,000 $18,500 $18,500 $177,887 $2,324 $180,211
Page 19 of 27
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Name and Address (A) AMEREGIS 4019 SHERIDAN AVE S MINNEAPOLIS MN 55401-0000 Type or Classification (B) MAPS 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) VERIZON WIRELESS PO BOX 25505 LEHIGH VALLEY PA 18002-5505 Type or Classification (B) CELL PHONE
Form LM-2 (Revised 2010)
Purpose (C) MAPS Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) DOTH LODGING 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) DONATION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) CONTRIBUTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) CONTRIBUTION CONTRIBUTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) CONTRIBUTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Page 20 of 27
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(B) GOOD AND WELFARE Name and Address (A) WORKING AMERICA 4407 EAST LAKE STREET MINNEAPOLIS MN 55406-0000 Type or Classification (B) GOOD AND WELFARE
Form LM-2 (Revised 2010)
Purpose (C) CONTRIBUTION CONTRIBUTION 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) RENT UTILITIES/MAINTENANCE RENT UTILITIES/MAINTENANCE RENT UTILITIES/MAINTENANCE RENT UTILITIES/MAINTENANCE RENT UTILITIES/MAINTENANCE RENT UTILITIES/MAINTENANCE RENT UTILITIES/MAINTENANCE RENT UTILITIES/MAINTENANCE RENT UTILITIES/MAINTENANCE RENT UTILITIES/MAINTENANCE RENT UTILITIES/MAINTENANCE Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D) 06/30/2011 06/30/2011 01/31/2011 01/31/2011 02/28/2011 02/28/2011 03/29/2011 03/29/2011 04/29/2011 04/29/2011 05/31/2011 05/31/2011 07/29/2011 07/29/2011 08/30/2011 08/30/2011 09/30/2011 09/30/2011 10/28/2011 10/28/2011 12/02/2011 12/02/2011
Amount (E) $24,538 $25,065 $24,538 $25,065 $24,538 $25,065 $24,538 $25,065 $24,538 $25,065 $24,538 $25,065 $24,538 $25,065 $24,538 $25,065 $24,538 $25,065 $24,538 $25,065 $24,538 $25,065 $545,633 $0 $545,633
Name and Address (A) AFSCME INTERNATIONAL 1625 L STREET N W WASHINGTON DC 20036-0000 Type or Classification (B) INTERNATIONAL UNION Name and Address (A) ALLIANCE FOR A BETTER MN SUITE 309B 1600 UNIVERSITY AVE SAINT PAUL MN 55104-0000 Type or Classification (B) ADVERTISING Name and Address (A) ARROWHEAD PLACE
http://kcerds.dol-esa.gov/query/orgReport.do
Purpose (C) SURETY BOND Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) ADVERTISING EXP Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Page 21 of 27
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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) COOPERATIVE PRINT SOLUTIONS LOCKBOX #2667, P.O.BOX 9438 MINNEAPOLIS MN 55440-9438 Type or Classification (B) PRINTER Name and Address (A) GARY W. PAULSON CERTIFIED PUBLIC ACCOUNTANT 61 FIRST AVENUE N.E. LITTLE FALLS MN 56345-0000 Type or Classification (B) AUDITOR Name and Address (A) GLEN FLADEBOE, FLAHERTY & HOOD 525 PARK STREET, SUITE 470 SAINT PAUL MN 55103 Type or Classification (B) ADVERTISEMENT Name and Address (A) GUM SPIRITS PRODUCTIONS 147 BRACKETT ST PORTLAND ME 04102 Type or Classification (B) ADVERTISING 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
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)
Purpose (C) PRINTING PRINTING PRINTING PRINTING PRINTING PRINTING Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions Purpose (C) AUDITING EXP AUDITING EXP AUDITING EXP Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Amount (E) $12,314 $11,779 $11,657 $11,715 $12,059 $11,797 $71,321 $12,923 $84,244 Amount (E) $6,000 $16,000 $12,035 $34,035 $3,655 $37,690
Purpose (C) MEDIA BUY Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) MEDIA BUY MEDIA BUY MEDIA BUY 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)
Date (D)
Amount (E)
Page 22 of 27
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1005 INTERNATIONALE PKWY WOODRIDGE IL 60517-0000 Type or Classification (B) MEDIA Name and Address (A) MINNESOTA PUBLIC RADIO CM-978 PO BOX 70870 SAINT PAUL MN 55170-9788 Type or Classification (B) MEDIA Name and Address (A) MP INTEGRATED SOLUTIONS 500 COUNTY ROAD 37 EAST MAPLE LAKE MN 55358-0000 Type or Classification (B) IT CONSULTANT Name and Address (A) PAUL HENNINGSON 13395 SHADOW WOOD DRIVE BAXTER MN 56425-0000 Type or Classification (B) LANDLORD Name and Address (A) PITNEY BOWES PO BOX 371896 PITTSBURGH PA 15250-7896 Type or Classification (B) MAIL MACHINE Name and Address (A) POSTMASTER - PE US POSTAGE SERVICE WINDOW 5 P O BOX 645014 SAINT PAUL MN 55101-0000 Type or Classification (B) POSTMASTER Name and Address (A) QWEST PO BOX 91154 SEATTLE WA 98111-9254 Type or Classification (B) TELEPHONE Name and Address (A) QWEST PO BOX 91154 SEATTLE WA 98111-9254
http://kcerds.dol-esa.gov/query/orgReport.do
$18,417 $18,417
Purpose (C) ADVERTISING EXP 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)
Purpose (C) POSTAGE FOR MAGAZINE POSTAGE FOR MAGAZINE POSTAGE FOR MAGAZINE POSTAGE FOR MAGAZINE POSTAGE FOR MAGAZINE POSTAGE FOR MAGAZINE Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Amount (E) $5,433 $5,438 $5,612 $5,787 $5,863 $5,725 $33,858 $0 $33,858
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)
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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) REGENTS OF THE UNIV OF MN NW 5960 PO BOX 1450 MINNEAPOLIS MN 55485-5960 Type or Classification (B) VIDEO PRODUCTION Name and Address (A) SEVEN CORNERS PRINTING 1099 SNELLING AVE N SAINT PAUL MN 55108-0000 Type or Classification (B) PRINTER Name and Address (A) THE UPTAKE 213 EAST 4TH ST, SUITE 417 SAINT PAUL MN 55101-0000 Type or Classification (B) VIDEO PRODUCTION 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 131795 SAINT PAUL MN 55113-0000 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 SUPPLIER
http://kcerds.dol-esa.gov/query/orgReport.do
$7,318
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) VIDEO SPONSORSHIP 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) UNION SUPPLIES Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Page 24 of 27
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Name and Address (A) US BANCORP EQUIPMENT FINANCE P O BOX 790448 SAINT LOUIS MO 63179-0448 Type or Classification (B) FINANCIAL SERVICE Name and Address (A) USPS POSTAL ST66100207 1106 WALNUT STREET SAINT LOUIS MO 63199 Type or Classification (B) POSTAGE Name and Address (A) VERIZON WIRELESS PO BOX 25505 LEHIGH VALLEY PA 18002-5505 Type or Classification (B) CELL PHONE Name and Address (A) WILLMAR TEN INVESTORS C/O DEAN ANDERSON 416 SW SIXTH ST - PO BOX 3 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) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Date (D)
Purpose (C) CELL PHONES 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) EXECUTIVE BOARD RETREAT Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) COUNCIL 5 CONVENTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Purpose (C) COUNCIL 5 CONVENTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions
Page 25 of 27
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(B) HOTELLODGING Name and Address (A) ST LOUIS COUNTY AUDITOR COUNTY AUDITOR 100 N. 5TH AVE W., ROOM 201 DULUTH MN 55802-0000 Type or Classification (B) REIMBURSEMENT NON STAFF Name and Address (A) TST CREATIVE CATERING 1494 DALE ST. N SAINT PAUL MN 55117-0000 Type or Classification (B) CATERER FOR MEETINGS Name and Address (A) TWIN CITY OFFICE SUPPLY CO. P O BOX 131795 SAINT PAUL MN 55113-0000 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 SUPPLIER
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) UNION SUPPLIES 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 HEALTH INSURANCE RETIREE HEALTH INSURANCE RETIREE DENTAL INSURANCE RETIREE DENTAL INSURANCE RETIREE HEALTH INSURANCE RETIREE DENTAL INSURANCE RETIREE LIFE INSURANCE PENSION (EMPLYR) PENSION (EMPLYR) PENSION (EMPLYR) 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 MN MANAGEMENT & BUDGET PREFERRED ONE T.ORMAN UCARE DELTA DENTAL DELTA DENTAL HEALTH PARTNERS MEDICA AFSCME AFSCME MSRS PERA HEALTH PARTNERS HEALTH PARTNERS HEALTH PARTNERS MN MANAGEMENT & BUDGET MN MANAGEMENT & BUDGET MN MANAGEMENT & BUDGET MN MANAGEMENT & BUDGET MN MANAGEMENT & BUDGET DELTA DENTAL TRUST ASSURANT AFSCME Amount (C) $7,248 $10,417 $35,595 $10,005 $5,136 $14,505 $15,014 $1,583 $318,920 $3,747 $11,816 $341,900 $55,433 $2,155 $1,684 $4,916 $1,048,657 $3,468 $977 $8,996 $883 $704 $47,002 $29,252 $74,278 $2,054,291
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Question 10: "AFSCME Council 5 Member's Health and Welfare Trust" - a 501 (c)(9) VEBA. The fund is used to collect funds from employees of affiliated Locals to pay premiums for dental benefits. The financial information is not included on this LM-2. However, a separate audit is done on this entity, a copy of which is attached to this LM-2. Question 11(a): "Minnesota Council 5 PAC". The PAC information is not included in 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 on this LM-2. However, a separate audit is done on this entity, a copy of which is attached to this LM-2. Question 12: The financial statements of AFSCME Council 5 are audited annually by the independent audit firm of 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. Schedule 13, Row1:Regular dues paying members working full time. 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 state statute. Schedule 13, Row3:Fair share employees do not have voting rights.
Form LM-2 (Revised 2010)
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