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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 01/01/2011 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

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 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
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 38,164 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

STATEMENT A - ASSETS AND LIABILITIES


Schedule Number 1 2 5 6 7 Start of Reporting Period (A) $3,113,161 $224,073 $58,115 $0 $0 $144,839 $555,748 $4,095,936

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) $3,335,589 $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

Start of Reporting Period (A) $144,222 $0 $0 $11,027,453 $11,171,675

End of Reporting Period (B) $187,133 $0 $11,054,342 $11,241,475

35. NET ASSETS


Form LM-2 (Revised 2010)

-$7,075,739

-$7,074,991

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 $10,565,553 51. Political Activities and Lobbying $0 52. Contributions, Gifts, and Grants 53. General Overhead $0 54. Union Administration $86,799 55. Benefits $0 56. Per Capita Tax $0 57. Strike Benefits 58. Fees, Fines, Assessments, etc. 59. Supplies for Resale $29,800 60. Purchase of Investments and Fixed Assets $5,957,010 61. Loans Made $5,670,078 62. Repayment of Loans Obtained 63. To Affiliates of Funds Collected on Their $957,305 Behalf $23,266,545 64. On Behalf of Individual Members 65. Direct Taxes

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

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))
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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

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 Building Corp Purpose: Building improvement $58,115 $0 Security: none Terms: $2,623 per month Total of loans not listed above Total of all lines $58,115 $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 $28,315

$29,800

$29,800 Item 45

$0 Item 69 with Explanation

$28,315 Item 24 Column (B)

Column (A)

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS


Description (if land or buildings give location) (A) Total of all lines Cost (B) Book Value (C) Gross Sales Price (D)

FILE NUMBER: 543-153

Amount Received (E) $0 $0 $0 $0 14. Less Reinvestments (Net Sales total will automatically entered in Item 43) 15. Net Sales

Form LM-2 (Revised 2010)

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS


Description (if land or buildings, give location) (A) Total of all lines Cost (B) $0 Book Value (C)

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

$0 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 $776,997 $776,997 Book Value (D) $0 $0 $74,113 $74,113 Value (E) $0 $0 $75,000 $75,000

SCHEDULE 7 - OTHER ASSETS


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

FILE NUMBER: 543-153 Book Value (B) $377,598 $198,514 $576,112

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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) $187,133 $187,133

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 affiliated locals 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) $9,592,553 $379,766 $248,394 $134,957 $698,672 $11,054,342

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS


(D) Gross Salary Disbursements (before any deductions) $984 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions $0 (E) Allowances Disbursed (F) Disbursements for Official Business $0 0% $544 (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 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

Schedule 18 Schedule 19 0% General Overhead Administration $1,655 $0

$3,017 Schedule 16 5 % Political Activities and Lobbying Schedule 17 5 % Contributions

0 % Schedule 18 0 % Schedule 19 General Overhead Administration

90 %

$1,747 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

$0 0% $0 0%

$2,947

$0

$4,694 90 % $1,802 90 % $9,135 65 % $5,346 90 %

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

$1,532 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $1,544 $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

Schedule 18 Schedule 19 0% General Overhead Administration $3,118 $0

Schedule 18 Schedule 19 0% General Overhead Administration

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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

$3,048 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

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

$856

$0

$3,904 90 % $1,842 90 % $0 90 % $13,025 85 % $4,393 90 %

Schedule 18 Schedule 19 0% General Overhead Administration $400 $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

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

Schedule 18 Schedule 19 0% General Overhead Administration $1,642 $0

$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

Schedule 18 Schedule 19 0% General Overhead Administration $1,345 $0

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

$215 Schedule 16 5 % Political Activities and Lobbying Schedule 17 Contributions

$215

5%

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

Schedule 18 Schedule 19 0% General Overhead Administration $1,816 $0

90 % $2,948 90 % $9,293 75 % $4,497 90 % $1,461 90 % $5,300 90 % $2,396 90 % $4,039 90 % $11,010

$1,132 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $3,708 $0

$5,585 Schedule 16 20 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $942 $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

Schedule 18 Schedule 19 0% General Overhead Administration $1,461 $0

Schedule 18 Schedule 19 0% General Overhead Administration $646 $0

$4,654 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $196 $0

$2,200 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $2,329 $0

$1,710 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $2,261 Schedule 18 $0 Schedule 19

$8,749 Schedule 16 Schedule 17

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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

Schedule 16 5 % Political Activities and Lobbying

5%

Schedule 17 Contributions $0

0%

Schedule 18 Schedule 19 0% General Overhead Administration $1,067 $0

90 % $7,748 85 %

$6,681 Schedule 16 10 % Political Activities and Lobbying 5% Schedule 17 Contributions

0%

Schedule 18 Schedule 19 0% General Overhead Administration

$4,611 Schedule 16 Political Activities and Lobbying

$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%

Schedule 18 Schedule 19 0% General Overhead Administration $6,143 $0

90 % $10,152 85 % $3,253 90 % $1,213 90 % $5,681 90 % $3,687 90 % $7,271 90 % $462 90 % $2,991 90 % $2,262

$4,009 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

Schedule 18 Schedule 19 0% General Overhead Administration $868 $0

$2,385 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $278 $0

$935 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $788 $0

$4,893 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $564 $0

$3,123 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $3,777 $0

$3,494 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $22 $0

$440 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $488 $0

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

Schedule 18 Schedule 19 0% General Overhead Administration $715 $0

$1,547 Schedule 16 Political Activities and Lobbying Schedule 17 5 % Contributions

Schedule 18 Schedule 19 0 % General Overhead 0 % Administration

90 %

$2,078 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

$0 0% $0 0%

$808

$0

$2,886 90 % $6,195 90 %

Schedule 18 Schedule 19 0% General Overhead Administration $2,701 $0

$3,494 Schedule 16 5 % Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration

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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 18 Schedule 19 0% General Overhead Administration $517 $0

$10,559 Schedule 16 Political Activities and Lobbying 5%

Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $591 $0

$4,490 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $258 $0

$2,835 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 $172 $0

Schedule 18 Schedule 19 0% General Overhead Administration $3,457 $0

$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

Schedule 18 Schedule 19 0% General Overhead Administration $1,634 $0

Schedule 18 Schedule 19 0% General Overhead Administration $220 $0

Schedule 18 Schedule 19 0 % General Overhead 0 % Administration

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

$3,828 90 % $5,962 85 % $2,191 90 % $8,115 60 % $6,578 90 % $210,183 $55,193


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Schedule 18 Schedule 19 0% General Overhead Administration $3,562 $0

$2,400 0% $0 0% $0 0% $0 0% $10,200

Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $719 $0

$1,472 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $3,106 $0

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

Schedule 18 Schedule 19 0% General Overhead Administration $741 $0

$5,837 Schedule 16 Political Activities and Lobbying 5% Schedule 17 Contributions

Schedule 18 Schedule 19 0% General Overhead Administration $62,823 $0

$137,160

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Less Deductions Net Disbursements


Form LM-2 (Revised 2010)

$55,193 $154,990

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% $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 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 19 100 % 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% $246 Schedule 19 Administration $1,869 Schedule 19 Administration $0

$61,832 Schedule 17 Contributions

$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

$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 $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

$90,079 100 % Schedule 17 Contributions

$88,623 5% Schedule 17 Contributions

$20,702 5% Schedule 17 Contributions

$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 $1,290 Schedule 19

$87,003 Schedule 17

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Schedule 16 Schedule 15 80 % Political Activities Representational Activities and Lobbying

5%

Schedule 17 Contributions

0%

Schedule 18 General Overhead

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

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

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%

Schedule 19 Administration $1,209

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 %

$83,637 20 % Schedule 17 Contributions

0%

Schedule 19 Administration $2,508

$45,627 1% Schedule 17 Contributions

0%

Schedule 19 Administration $0

$41,051 0% Schedule 17 Contributions

0%

Schedule 19 Administration $29

$48,105 0% Schedule 17 Contributions

0%

Schedule 19 Administration $189

$61,087 5% Schedule 17 Contributions

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 0% Schedule 17 Contributions

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

$52,799 4% Schedule 17 Contributions

$63,213 1% Schedule 17 Contributions

$62,024 Schedule 17 Contributions

$4,800

$73,473

5%

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

0%

10 % $85,997 0% $72,926 55 %

$77,330 100 % Schedule 17 Contributions

$62,024 5% Schedule 17 Contributions

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

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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

$62,024 0% Schedule 17 Contributions

$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 $2,004

$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 18 General Overhead

0 % Schedule 19 Administration

90 %

$83,637 0% Schedule 17 Contributions

$4,800 0% $4,800 1% $0 0% $0 0% $4,800 0% $0 0%

$8,843 Schedule 18 General Overhead $2,514 Schedule 18 General Overhead $0 0% 0%

$1,851 Schedule 19 Administration $1,157 Schedule 19 Administration $198

$99,131 10 % $92,108 50 % $47,479 0% $90,161 0% $82,630 0% $61,582 0%

$83,637 1% Schedule 17 Contributions

$47,281 0% Schedule 17 Contributions

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

$90,058 0% Schedule 17 Contributions

Schedule 18 Schedule 19 100 % General Overhead Administration $15,463 Schedule 18 General Overhead $155 0% $1,124 Schedule 19 Administration $0

$61,243 1% Schedule 17 Contributions

$61,427 0% Schedule 17 Contributions

Schedule 18 Schedule 19 100 % General Overhead Administration

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

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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 %

$57,312 1% Schedule 17 Contributions

$86,007 3% Schedule 17 Contributions

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
http://kcerds.dol-esa.gov/query/orgReport.do Page 11 of 27

$35,679

$0

$119

$0

$35,798

0%

Schedule 17 Contributions

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

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

$62,024 24 % Schedule 17 Contributions

$80,977 0% Schedule 17 Contributions

$86,734 15 % Schedule 17 Contributions

$77,327 5% Schedule 17 Contributions

$5,169 0% Schedule 17 Contributions

$79,261 55 % Schedule 17 Contributions

$85,353 10 % Schedule 17 Contributions

$86,988 30 % Schedule 17 Contributions

$82,065 Schedule 17 Contributions

0%

0%

5%

85 %

HTML Report (Disclosure)

4/15/13 10:49 PM

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

$48,271 100 % Schedule 17 Contributions

$1,600 0% $0 0% $4,800 0% $4,800 0% $5,200 0% $3,600 0% $4,800 0% $4,800 0% $4,800 0% $4,800

$455 Schedule 18 General Overhead $0 0%

$84 Schedule 19 Administration $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

$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 $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

$85,353 0% Schedule 17 Contributions

$77,635 10 % Schedule 17 Contributions

$79,409 0% Schedule 17 Contributions

$32,136 100 % Schedule 17 Contributions

$79,198 2% Schedule 17 Contributions

$85,367 1% Schedule 17 Contributions

$86,988 10 % Schedule 17 Contributions

$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

100 % Schedule 17 Contributions

0 % Schedule 18 General Overhead

0 % Schedule 19 Administration

0%

$52,940 0% Schedule 17 Contributions

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

$0

$0

$52,940 0% $38,839 0% $105,642 90 % $56,108


Page 12 of 27

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

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

HTML Report (Disclosure)

4/15/13 10:49 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 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

$61,832 0% Schedule 17 Contributions

$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 5% $1,043 Schedule 19 Administration $75

$115,654 5% Schedule 17 Contributions

$40,185

0%

Schedule 17 Contributions

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

Schedule 18 General Overhead $0

0%

Schedule 19 Administration $0

90 % $42,155 0% $66,262 70 % $59,277 15 % $98,665 0% $67,879 0% $86,496 10 % $68,762 45 %


Page 13 of 27

$42,155 0% Schedule 17 Contributions

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

$65,803 0% Schedule 17 Contributions

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

$51,570 70 % Schedule 17 Contributions

$85,367 100 % Schedule 17 Contributions

$58,410 0% Schedule 17 Contributions

$77,330 5% Schedule 17 Contributions

$53,139 4% Schedule 17 Contributions

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

HTML Report (Disclosure)

4/15/13 10:49 PM

Representational Activities A JOHN P WESTMORELAND B FIELD STAFF DIRECTOR C 0 I A B C I

and Lobbying

Contributions $90,058 10 % Schedule 17 Contributions $4,800 0% $0

General Overhead $8,844 Schedule 18 General Overhead $9,676 5%

Administration $1,832 Schedule 19 Administration $0 Schedule 19 0 % Administration $105,534 80 % $27,019

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

$17,343 Schedule 17 Contributions

0%

Schedule 18 0 % General Overhead

10 %

A LISA C THOMPSON B LOST TIME > 10K C 0 I

$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

SCHEDULE 13 - MEMBERSHIP STATUS


Category of Membership (A) Regular Full Time Regular Part Time Fair Share Full (7,540) and Part (622) 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) 29,313 689 8,162 38,164 0 38,164 Voting Eligibility (C) Yes Yes No

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 $890,265 $15,085 $51,955 $957,305

FILE NUMBER: 543-153

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

SCHEDULE 14 - OTHER RECEIPTS


Name and Address (A) AFSCME BLDG CORP 300 HARDMAN AVE SOUTH SOUTH SAINT PAUL MN
http://kcerds.dol-esa.gov/query/orgReport.do

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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MN 55075 Type or Classification (B) BLDG CORP

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

05/06/2011 06/13/2011 07/07/2011 08/04/2011 09/09/2011 10/12/2011 11/18/2011 12/09/2011

$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) 02/15/2011 04/15/2011 07/12/2011 10/19/2011 06/08/2011

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

Date (D) 06/03/2011

Amount (E) $12,000 $12,000 $0 $12,000

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

Date (D) 11/18/2011

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

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

Date (D) 05/31/2011

Amount (E) $15,000 $15,000 $15,000

Purpose (C) MEDIA ADS

Date (D) 05/02/2011

Amount (E) $10,221


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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

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

$10,221 $10,221

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

Date (D) 03/15/2011

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

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

Date (D) 01/26/2011 02/10/2011

Amount (E) $5,000 $5,000 $10,000 $10,000

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

Date (D) 05/02/2011

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

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

Date (D) 03/16/2011

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

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

Date (D) 03/29/2011

Amount (E) $6,000 $6,000 $6,000

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

Date (D) 03/29/2011

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

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

Date (D) 10/27/2011

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

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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

Date (D) 04/28/2011

Amount (E) $9,000 $9,000 $1,000 $10,000

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

Date (D) 06/02/2011

Amount (E) $134,000 $134,000 $0 $134,000

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

Date (D) 07/12/2011

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

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

Date (D) 06/02/2011

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

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

Date (D) 06/17/2011

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

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

Date (D) 03/28/2011

Amount (E) $6,800 $6,800 $13,085 $19,885

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

Date (D)

Amount (E) $1,000 $1,000

Purpose

Date

Amount
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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

Date (D) 03/23/2011 10/14/2011 10/14/2011

Amount (E) $17,831 $7,391 $11,122 $36,344 $0 $36,344

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) CITY OF MINNEAPOLIS GOVERNMENT CENTER RAMP 33 NORTH 9TH ST., SUITE B-5 MINNEAPOLIS MN 55403-1326 Type or Classification (B) PARKING Name and Address (A) DIGITAL TURF 27 CLEAR BOOK CROSSING KENNEBUNK ME 04043-0000 Type or Classification (B) ADVERTISING Name and Address (A) GREGG CORWIN & ASSOCIATES 1660 S HWY.100 SUITE 508E MINNEAPOLIS MN 55416-0000 Type or Classification (B) LEGAL

FILE NUMBER: 543-153

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

Date (D)

Amount (E) $5,720 $5,720

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

Date (D)

Amount (E) $5,742 $5,742

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

Date (D) 12/15/2011

Amount (E) $6,000 $6,000 $0 $6,000

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

Date (D) 11/16/2011

Amount (E) $9,795 $9,795 $0 $9,795

Purpose (C) ARBITRATOR FEES Total Itemized Transactions

Date (D) 12/02/2011

Amount (E) $7,200 $7,200


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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)

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

$7,200 $500 $7,700

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

Date (D)

Amount (E) $6,274 $6,274

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

Date (D)

Amount (E) $48,769 $48,769

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

Date (D) 04/15/2011

Amount (E) $6,099 $6,099 $33,447 $39,546

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

Date (D) 05/13/2011 09/09/2011

Amount (E) $6,304 $8,135 $14,439 $277 $14,716

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

Date (D) 07/29/2011

Amount (E) $5,788 $5,788 $46,727 $52,515

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING


Name and Address (A) AFSCME COUNCIL 5 PAC 300 HARDMAN AVE. SO. SOUTH ST. PAUL MN 55075-0000 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 Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions Date (D) 04/06/2011 05/11/2011 06/03/2011 07/06/2011 08/10/2011 09/09/2011 10/27/2011 01/03/2011 02/08/2011 03/04/2011

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

Name and Address


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

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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

Date (D) 02/18/2011

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

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

Date (D) 04/22/2011

Amount (E) $25,000 $25,000 $148 $25,148

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

Date (D)

Amount (E) $18,159 $18,159

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS


Name and Address (A) AFSCME COUNCIL 11 8033 EXCELSIOR DRIVE, SUITE MADISON WI 53717-0000 Type or Classification (B) GOOD AND WELFARE Name and Address (A) MINNESOTA 2020 SUITE 204 2324 UNIVERSITY AVE. W SAINT PAUL MN 55114-0000 Type or Classification (B) GOOD AND WELFARE Name and Address (A) MINNESOTA AFL-CIO 175 AURORA AVENUE SAINT PAUL MN 55103-0000 Type or Classification (B) GOOD AND WELFARE Name and Address (A) WE ARE OHIO PO BOX 2712 COLUMBUS OH 43216-2712 Type or Classification (B)
http://kcerds.dol-esa.gov/query/orgReport.do

FILE NUMBER: 543-153

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

Date (D) 03/11/2011

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

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

Date (D) 02/25/2011

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

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

Date (D) 11/23/2011 08/26/2011

Amount (E) $10,000 $5,000 $15,000 $0 $15,000

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

Date (D) 10/07/2011

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

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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

Date (D) 11/23/2011 12/21/2011

Amount (E) $5,000 $10,000 $15,000 $0 $15,000

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. SOUTH ST. PAUL MN 55075-2470 Type or Classification (B) LANDLORD

FILE NUMBER: 543-153

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

Date (D)

Amount (E) $7,091 $7,091

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

Date (D) 09/16/2011

Amount (E) $7,134 $7,134 $0 $7,134

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

Date (D) 05/23/2011

Amount (E) $25,000 $25,000 $0 $25,000

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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)

Amount (E) $31,312 $31,312

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

Date (D)

Amount (E) $18,095 $18,095

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

Date (D) 09/16/2011 02/18/2011 05/06/2011 07/22/2011 11/23/2011 12/15/2011

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

Date (D) 03/17/2011 04/22/2011 08/26/2011

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

Date (D) 03/25/2011

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

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

Date (D) 06/06/2011 06/17/2011 06/24/2011

Amount (E) $290,000 $5,000 $10,000 $305,000 $0 $305,000

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

Date (D)

Amount (E) $32,856 $32,856

Purpose (C) Total Itemized Transactions

Date (D)

Amount (E)
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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

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

$18,417 $18,417

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

Date (D) 01/28/2011

Amount (E) $19,950 $19,950 $0 $19,950

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

Date (D)

Amount (E) $39,192 $39,192

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

Date (D)

Amount (E) $9,735 $9,735

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

Date (D)

Amount (E) $5,097 $5,097

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

Date (D) 02/04/2011 04/22/2011 07/08/2011 09/09/2011 11/18/2011 12/09/2011

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)

Amount (E) $7,276 $7,276

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

Date (D)

Amount (E) $7,318 $7,318


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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

Total of All Transactions

$7,318

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

Date (D)

Amount (E) $18,053 $18,053

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

Date (D)

Amount (E) $5,054 $5,054

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

Date (D)

Amount (E) $6,881 $6,881

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

Date (D) 04/08/2011

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) $10,284 $10,284

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

Date (D)

Amount (E) $9,366 $9,366

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

Date (D) 06/10/2011

Amount (E) $7,529 $7,529 $3,496 $11,025

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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)

Amount (E) $11,167 $11,167

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

Date (D)

Amount (E) $11,054 $11,054

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

Date (D) 08/26/2011

Amount (E) $7,066 $7,066 $14,483 $21,549

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

Date (D)

Amount (E) $12,201 $12,201

SCHEDULE 19 - UNION ADMINISTRATION


Name and Address (A) GRAND SUPERIOR LODGE 2826 HIWAY 61 TWO HARBORS MN 55616-0000 Type or Classification (B) HOTELLODGING Name and Address (A) HOLIDAY INN, DULUTH DOWNTOWN WATERFRONT 200 W 1ST STREET DULUTH MN 55802-0000 Type or Classification (B) HOTELLODGING Name and Address (A) RADISSON HOTEL DULUTH 505 WEST SUPERIOR STREET DULUTH MN 55802-0000 Type or Classification (B)
http://kcerds.dol-esa.gov/query/orgReport.do

FILE NUMBER: 543-153

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

Date (D) 03/11/2011

Amount (E) $11,683 $11,683 $0 $11,683

Purpose (C) COUNCIL 5 CONVENTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 11/03/2011

Amount (E) $26,694 $26,694 $8,684 $35,378

Purpose (C) COUNCIL 5 CONVENTION Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 11/03/2011

Amount (E) $5,850 $5,850 $0 $5,850

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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)

Amount (E) $7,784 $7,784

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

Date (D)

Amount (E) $9,928 $9,928

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

Date (D)

Amount (E) $7,972 $7,972

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

Date (D) 10/07/2011

Amount (E) $18,316 $18,316 $755 $19,071

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

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

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HTML Report (Disclosure)

4/15/13 10:49 PM

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 543-153

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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