FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

Form Approved
U.S. Department of Labor
Office of Management and Budget
Office of Labor-Management Standards
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN No. 1245-0003
Washington, DC 20210
TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP Expires: 07-31-2019

This report is mandatory 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.

2. PERIOD COVERED 3. (a) AMENDED - Is this an amended report: No

1. FILE NUMBER
For Official Use Only From 01/01/2017 (b) HARDSHIP - Filed under the hardship procedures: No
512-155
Through 12/31/2017 (c) TERMINAL - This is a terminal report: No

4. AFFILIATION OR ORGANIZATION NAME 8. MAILING ADDRESS (Type or print in capital letters)

GOVERNMENT EMPLOYEES AFGE AFL-CIO
First Name Last Name
Deborah Fredericksen
5. DESIGNATION (Local, Lodge, etc.) 6. DESIGNATION NBR
LEADERSHIP COUNCIL 220
P.O Box - Building and Room Number
P O Box 29186
7. UNIT NAME (if any)
NATIONAL SSA FIELD OPERATIONS LOCAL
Number and Street

City
9. Are your organization's records kept at its mailing address? Yes Brooklyn Center

State ZIP Code + 4

MN 55429

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.)
70. SIGNED: Wit6old R Skwierczynski PRESIDENT 71. SIGNED: Deborah C Fredericksen TREASURER
Date: Mar 15, 2018 Telephone Number: 410-965-8863 Date: Mar 14, 2018 Telephone Number: 612-703-3181

Form LM-2 (Revised 2010)

ITEMS 10 THROUGH 21 FILE NUMBER: 512-155
10. During the reporting period did the labor organization create 20. How many members did the labor organization have at the end
15,309
or participate in the administration of a trust or a fund or of the reporting period?
No
organization, as defined in the instructions, which provides 21. What are the labor organization's rates of dues and fees?
benefits for members or beneficiaries? Rates of Dues and Fees
11(a). During the reporting period did the labor organization have Dues/Fees Amount Unit Minimum Maximum
No
a political action committee (PAC) fund? (a) Regular Dues/Fees 1.50per month 1.50 1.50
11(b). During the reporting period did the labor organization have (b) Working Dues/Fees per
a subsidiary organization as defined in Section X of these No
(c) Initiation Fees per
Instructions?
(d) Transfer Fees per
12. During the reporting period did the labor organization have
an audit or review of its books and records by an outside No (e) Work Permits per
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 No
"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,
$150,000
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 No
sale?
16. Were any of the labor organization's assets pledged as
security or encumbered in any way at the end of the reporting No
period?
17. Did the labor organization have any contingent liabilities at
No
the end of the reporting period?
18. During the reporting period did the labor organization have
any changes in its constitution or bylaws, other than rates of
No
dues and fees, or in practices/procedures listed in the
instructions?
19. What is the date of the labor organization's next regular
08/2018
election of officers?

Form LM-2 (Revised 2010)

STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 512-155

Schedule Start of Reporting Period End of Reporting Period

ASSETS
Number (A) (B)
22. Cash $401,266 $344,099
23. Accounts Receivable 1 $0 $0
24. Loans Receivable 2 $0 $0
ASSETS 25. U.S. Treasury Securities $0 $0
26. Investments 5 $0 $0
27. Fixed Assets 6 $0 $0
28. Other Assets 7 $5,254 $1,410
29. TOTAL ASSETS $406,520 $345,509

Schedule Start of Reporting Period End of Reporting Period

LIABILITIES
Number (A) (B)
30. Accounts Payable 8 $0 $0
LIABILITIES 31. Loans Payable 9 $0 $0
32. Mortgages Payable $0 $0
33. Other Liabilities 10 $883 $2,263
34. TOTAL LIABILITIES $883 $2,263

35. NET ASSETS $405,637 $343,246

Form LM-2 (Revised 2010)

STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 512-155

CASH RECEIPTS SCH AMOUNT CASH DISBURSEMENTS SCH AMOUNT

36. Dues and Agency Fees $347,216 50. Representational Activities 15 $394,132
37. Per Capita Tax $0 51. Political Activities and Lobbying 16 $112,553
38. Fees, Fines, Assessments, Work Permits $0 52. Contributions, Gifts, and Grants 17 $0
39. Sale of Supplies $0 53. General Overhead 18 $89,089
40. Interest $0 54. Union Administration 19 $134,780
41. Dividends $0 55. Benefits 20 $9,606
42. Rents $0 56. Per Capita Tax $0
43. Sale of Investments and Fixed Assets 3 $0 57. Strike Benefits $0
44. Loans Obtained 9 $0 58. Fees, Fines, Assessments, etc. $1,681
45. Repayments of Loans Made 2 $0 59. Supplies for Resale $0
46. On Behalf of Affiliates for Transmittal to Them $0 60. Purchase of Investments and Fixed Assets 4 $0
47. From Members for Disbursement on Their Behalf $0 61. Loans Made 2 $0
48. Other Receipts 14 $293,291 62. Repayment of Loans Obtained 9 $0
49. TOTAL RECEIPTS $640,507 63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $19,570

66. Subtotal $761,411

67. Withholding Taxes and Payroll Deductions
67a. Total Withheld $85,486
67b. Less Total Disbursed $21,749
67c. Total Withheld But Not Disbursed $63,737
68. TOTAL DISBURSEMENTS $697,674

Form LM-2 (Revised 2010)

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 512-155

Liquidated
Total Account 90-180 Days 180+ Days
Entity or Individual Name Account
Receivable Past Due Past Due
(A) Receivable
(B) (C) (D)
(E)
Total of all itemized accounts receivable $0 $0 $0 $0
Totals from all other accounts receivable $0 $0 $0 $0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0 $0 $0 $0

Form LM-2 (Revised 2010)

SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 512-155

List below loans to officers, employees, or members which at any Loans Loans Made Repayments Received During Period Loans
time during the reporting period exceeded $250 and list all loans Outstanding at During Period Outstanding at
to business enterprises regarless of amount. Start of Period (C) Cash Other Than Cash End of Period
(A) (B) (D)(1) (D)(2) (E)

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

Total of all lines above $0 $0 $0 $0 $0
Item 24 Item 61 Item 45 Item 69 Item 24
Totals will be automatically entered in...
Column (A) with Explanation Column (B)

Form LM-2 (Revised 2010)

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 512-155

Description (if land or buildings give location) Cost Book Value Gross Sales Price Amount Received
(A) (B) (C) (D) (E)
Total of all lines above $0 $0 $0 $0
Less Reinvestments $0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales $0

Form LM-2 (Revised 2010)

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 512-155

Description (if land or buildings, give location) Cost Book Value Cash Paid
(A) (B) (C) (D)
Total of all lines above $0 $0 $0
Less Reinvestments $0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases $0

Form LM-2 (Revised 2010)

SCHEDULE 5 - INVESTMENTS FILE NUMBER: 512-155

Description Amount
(A) (B)

Marketable Securities

A. Total Cost $0
B. Total Book Value $0
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.

Other Investments

D. Total Cost $0
E. Total Book Value $0
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E. Also, list each subsidiary for which
separate reports are attached.
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0

Form LM-2 (Revised 2010)

SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 512-155

Total Depreciation or
Description Cost or Other Basis Book Value Value
Amount Expensed
(A) (B) (D) (E)
(C)
A. Land (give location) $0 $0 $0
B. Buildings (give location) $0 $0 $0 $0
C. Automobiles and Other Vehicles $0
D. Office Furniture and Equipment $0
E. Other Fixed Assets $0
F. Totals of Lines A through E (Column(D) Total will be
$0 $0 $0 $0
automatically entered in Item 27, Column(B))

Form LM-2 (Revised 2010)

SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 512-155

Description Book Value

(A) (B)
TRAVEL ADVANCE - PAMELA ESPINOSA $966
TRAVEL ADVANCE - CYNTHIA RIEGEL $444
Total (Total will be automatically entered in Item 28, Column(B)) $1,410

Form LM-2 (Revised 2010)

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 512-155

Total Account 90-180 Days 180+ Days Past Liquidated Account

Entity or Individual Name
Payable Past Due Due Payable
(A)
(B) (C) (D) (E)
Total for all itemized accounts payable $0 $0 $0 $0
Total from all other accounts payable $0 $0 $0 $0
Totals (Total for Column(B) will be automatically entered in Item 30,
$0 $0 $0 $0
Column(D))

Form LM-2 (Revised 2010)

SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 512-155

Repayment Repayment
Source of Loans Payable at Any Loans Owed at Loans Obtained Loans Owed at
During Period During Period
Time During the Reporting Period Start of Period During Period End of Period
Cash Other Than Cash
(A) (B) (C) (E)
(D)(1) (D)(2)
Total Loans Payable $0 $0 $0 $0 $0
Item 31 Item 44 Item 62 Item 69 Item 31
Totals will be automatically entered in...
Column (C) with Explanation Column (D)

Form LM-2 (Revised 2010)

SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 512-155

Description Amount at End of Period

(A) (B)
CA SUI/ETT $39
FEDERAL UNEMPLOYMENT (940) $467
MD INCOME TAX $759
IL UNEMPLOYMENT $29
MD UNEMPLOYMENT TAX $3
MN INCOME TAX $46
MN UNEMPLOYMENT TAX $32
OH INCOME TAX $192
OH LOCAL TAX $454
OH UNEMPLOYMENT TAX $242
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $2,263

Form LM-2 (Revised 2010)

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 512-155

(D) (E) (F) (G) (H)

Gross Salary Allowances Disbursements for Other TOTAL
(A) (B) (C)
Disbursements Disbursed Official Business Disbursements not
Name Title Status
(before any reported in
deductions) (D) through (F)
A SKWIERCZYNSKI , WITOLD R
B PRESIDENT $11,822 $0 $4,141 $0 $15,963
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 85 % Political Activities and 10 % 0% 0% 5%
Representational Activities Contributions General Overhead Administration
Lobbying
A DUGGINS , DANA
B EXECUTIVE VICE PRESIDENT $7,147 $0 $4,623 $0 $11,770
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 90 % Political Activities and 5% 0% 0% 5%
Representational Activities Contributions General Overhead Administration
Lobbying
A LOPEZ , KATRINA
B FIRST VICE PRESIDENT $0 $0 $5,396 $0 $5,396
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 95 % Political Activities and 5% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A MASKE , JEREMY
B SECOND VICE PRESIDENT $0 $0 $0 $0 $0
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 95 % Political Activities and 5% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A ESPINOSA , PAMELA
B THIRD VICE PRESIDENT $0 $0 $4,675 $0 $4,675
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 95 % Political Activities and 5% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A WILLIAMS , MICHAEL
B FOURTH VICE PRESIDENT $0 $0 $1,887 $0 $1,887
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 95 % Political Activities and 5% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A HORNICK , JILL
B SECRETARY $4,529 $0 $1,327 $0 $5,856
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 100 % Political Activities and 0% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A FREDERICKSEN , DEBORAH C
B TREASURER $6,861 $0 $3,694 $0 $10,555
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 95 % Political Activities and 5% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A KIRCHNER , RICHARD
B REGIONAL VICE PRES- NY $0 $0 $782 $0 $782
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 98 % Political Activities and 2% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A KEENE , LOUETTA
B REGIONAL VICE PRES-BOSTON $0 $0 $586 $0 $586
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 98 % Political Activities and 2% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A KRAMER , KRISTINE
B REGIONAL VICE PRES-PHILAD $0 $0 $2,769 $0 $2,769
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 98 % Political Activities and 2% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A HARRIS , PETER
B REGIONAL VICE PRES-ATLANT $0 $0 $0 $0 $0
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 98 % Political Activities and 2% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A SCHULTZ , LONI
B REGIONAL VICE PRES-CHI $1,200 $0 $4,993 $0 $6,193
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 98 % Political Activities and 2% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A deJULIIS , RALPH
B REGIONAL VICE PRES-DALLAS $0 $0 $1,061 $0 $1,061
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 98 % Political Activities and 2% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A HARRIS , PATRICIA
B REGIONAL VICE PRES-KCITY $0 $0 $806 $0 $806
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 98 % Political Activities and 2% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A RIVERS , ANA
B REGIONAL VICE PRES-SEATTL $0 $0 $680 $0 $680
C P
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 98 % Political Activities and 2% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A WILSON , LAURA
B REGIONAL VICE PRES-SAN FR $0 $0 $977 $0 $977
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 98 % Political Activities and 2% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A COLLINS , PATRICK
B REGIONAL VICE PRES-DENVER $0 $0 $1,481 $0 $1,481
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 98 % Political Activities and 2% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
Total Officer Disbursements $31,559 $0 $39,878 $0 $71,437
Less Deductions
Net Disbursements $71,437

Form LM-2 (Revised 2010)

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 512-155

(D) (E) (F) (G) (H)

Gross Salary Allowances Disbursements for Other Disbursements TOTAL
(A) (B) (C)
Disbursements Disbursed Official Business not reported in
Name Title Other Payer
(before any (D) through (F)
deductions)
A MCGOWAN , PATRICIA
B ATTORNEY $183,534 $0 $1,985 $0 $185,519
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 100 % Political Activities and 0% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A DEMLER , PAUL
B PARALEGAL $9,071 $0 $359 $0 $9,430
C P
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 100 % Political Activities and 0% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A GAGE , SOPHE
B LEGAL ASSISTANT $8,841 $0 $0 $0 $8,841
C P
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 100 % Political Activities and 0% 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
A RIEGEL , CYNTHIA
B LEGAL ASSISTANT $14,775 $0 $1,964 $0 $16,739
C C
Schedule 16
Schedule 15 Schedule 17 Schedule 18 Schedule 19
I 100 % Political Activities and 0 % 0% 0% 0%
Representational Activities Contributions General Overhead Administration
Lobbying
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000
$0
OR LESS
Schedule 15 Schedule 16 Schedule 17 Schedule 18 Schedule 19
I
Representational Activities Political Activities and Lobbying Contributions General Overhead Administration
Total Employee Disbursements $216,221 $0 $4,308 $0 $220,529
Less Deductions
Net Disbursements $220,529

Form LM-2 (Revised 2010)

SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 512-155

Category of Membership Number Voting Eligibility

(A) (B) (C)
FULL MEMBER 15,309 Yes
Members (Total of all lines above) 15,309
Agency Fee Payers* 0
Total Members/Fee Payers 15,309
*Agency Fee Payers are not considered members of the labor organization.

Form LM-2 (Revised 2010)

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 512-155

SCHEDULE 14 OTHER RECEIPTS SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS

1. Named Payer Itemized Receipts $293,291 1. Named Payee Itemized Disbursements $0
2. Named Payer Non-itemized Receipts $0 2. Named Payee Non-itemized Disbursements $0
3. All Other Receipts $0 3. To Officers $0
4. Total Receipts $293,291 4. To Employees $0
5. All Other Disbursements $0
6. Total Disbursements $0

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES SCHEDULE 18 GENERAL OVERHEAD

1. Named Payee Itemized Disbursements $16,064 1. Named Payee Itemized Disbursements $8,582
2. Named Payee Non-itemized Disbursements $56,985 2. Named Payee Non-itemized Disbursements $80,507
3. To Officers $66,432 3. To Officers $0
4. To Employees $220,529 4. To Employees $0
5. All Other Disbursements $34,122 5. All Other Disbursements $0
6. Total Disbursements $394,132 6. Total Disbursements $89,089
SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements $94,000 1. Named Payee Itemized Disbursements $23,775
2. Named Payee Non-itemized Disbursements $14,934 2. Named Payee Non-itemized Disbursements $109,618
3. To Officers $3,619 3. To Officers $1,387
4. To Employees $0 4. To Employees $0
5. All Other Disbursements $0 5. All Other Disbursements $0
6. Total Disbursement $112,553 6. Total Disbursements $134,780

Form LM-2 (Revised 2010)

SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 512-155

Name and Address Purpose Date Amount

(A) (C) (D) (E)
AMERICAN FEDERATION OF GOVERNMENT COUNCIL REBATE DUES 01/18/2017 $6,872
EMPLOYEES COUNCIL REBATE DUES 02/14/2017 $6,835
COUNCIL REBATE DUES 02/23/2017 $6,835
80 F ST NW COUNCIL REBATE DUES 03/24/2017 $6,784
WASHINGTON COUNCIL REBATE DUES 04/25/2017 $6,776
DC COUNCIL REBATE DUES 05/26/2017 $6,778
20001
COUNCIL REBATE DUES 06/23/2017 $6,782
Type or Classification
COUNCIL REBATE DUES 07/26/2017 $6,782
(B)
COUNCIL REBATE DUES 08/24/2017 $6,782
LABOR UNION
COUNCIL REBATE DUES 09/27/2017 $6,797
COUNCIL REBATE DUES 10/25/2017 $6,832
COUNCIL REBATE DUES 11/22/2017 $6,889
Total Itemized Transactions with this Payee/Payer $81,744
Total Non-Itemized Transactions with this Payee/Payer $0
Total of All Transactions with this Payee/Payer for This Schedule $81,744
Name and Address Purpose Date Amount
(A) (C) (D) (E)
US TREASURY REPRESENTATION/RECOVERIES 02/06/2017 $250
ELECTRONIC FUNDS TRANSFER REPRESENTATION/RECOVERIES 02/14/2017 $2,150
REPRESENTATION/RECOVERIES 03/23/2017 $35,260
WASHINGTON REPRESENTATION/RECOVERIES 04/10/2017 $81,275
DC REPRESENTATION/RECOVERIES 05/19/2017 $58,995
20001 REPRESENTATION/RECOVERIES 05/21/2017 $2,000
Type or Classification REPRESENTATION/RECOVERIES 05/26/2017 $2,200
(B)
REPRESENTATION/RECOVERIES 07/13/2017 $1,250
RECOVERIES/CONTRACT ENFORCEMENT
REPRESENTATION/RECOVERIES 08/08/2017 $25,040
REPRESENTATION/RECOVERIES 11/27/2017 $3,127
Total Itemized Transactions with this Payee/Payer $211,547
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule $211,547

Form LM-2 (Revised 2010)

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 512-155

Name and Address

(A) Purpose Date Amount
P J GREEN (C) (D) (E)
4026 PUBLICATIONS - Mailing Cost 05/11/2017 $3,030
100 WHITESBORO ST
PUBLICATIONS - Mailing Cost 06/14/2017 $736
UTICA
PUBLICATIONS - Mailing Cost 11/02/2017 $2,790
NY
13504 Total Itemized Transactions with this Payee/Payer $6,556
Type or Classification Total Non-Itemized Transactions with this Payee/Payer $6,556
(B) Total of All Transactions with this Payee/Payer for This Schedule $13,112
PUBLICATIONS
 Name and Address
(A) Purpose Date Amount
T C PETERS (C) (D) (E)
4026 PUBLICATIONS - Printing Cost 05/11/2017 $2,905
100 WHITESBORO ST PUBLICATIONS - Printing Cost 05/29/2017 $478
UTICA PUBLICATIONS - Printing Cost 07/24/2017 $3,050
NY PUBLICATIONS - Printing Cost 11/24/2017 $3,075
13504 Total Itemized Transactions with this Payee/Payer $9,508
Type or Classification Total Non-Itemized Transactions with this Payee/Payer $50,429
(B) Total of All Transactions with this Payee/Payer for This Schedule $59,937
PUBLICATIONS
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 512-155

Name and Address

(A)
AMERICAN FEDERATION OF GOVERNMENT
EMPLOYEES Purpose Date Amount
(C) (D) (E)
80 F ST NW LEGISLATIVE ACTION FUND 11/20/2017 $28,000
WASHINGTON Total Itemized Transactions with this Payee/Payer $28,000
DC Total Non-Itemized Transactions with this Payee/Payer $14,934
20001 Total of All Transactions with this Payee/Payer for This Schedule $42,934
Type or Classification
(B)
UNION
Name and Address Purpose Date Amount
(A) (C) (D) (E)
ERIC SCHULMAN LOBBYIST 01/26/2017 $5,500
LOBBYIST 03/01/2017 $5,500
5316 EDGEWOOD DR LOBBYIST 03/31/2017 $5,500
ALEXANDRIA LOBBYIST 04/28/2017 $5,500
VA LOBBYIST 05/25/2017 $5,500
22310 LOBBYIST 06/23/2017 $5,500
Type or Classification LOBBYIST 07/28/2017 $5,500
(B)
LOBBYIST 08/25/2017 $5,500
LOBBYIST
LOBBYIST 09/27/2017 $5,500
LOBBYIST 10/26/2017 $5,500
LOBBYIST 11/27/2017 $5,500
LOBBYIST 12/14/2017 $5,500
Total Itemized Transactions with this Payee/Payer $66,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule $66,000

Form LM-2 (Revised 2010)

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 512-155

Name and Address

(A)
Purpose Date Amount
(C) (D) (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer
-1 Total of All Transactions with this Payee/Payer for This Schedule $0
Type or Classification
(B)

Form LM-2 (Revised 2010)

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 512-155

Name and Address Purpose Date Amount

(A) (C) (D) (E)
AT&T INTERNET 02/10/2017 $895
537104 INTERNET 03/06/2017 $505
INTERNET 05/04/2017 $507
ATLANTA INTERNET 06/05/2017 $509
GA INTERNET 07/05/2017 $683
30353 INTERNET 08/07/2017 $572
Type or Classification INTERNET 09/05/2017 $572
(B)
INTERNET 10/04/2017 $572
IWIRELESS NTERNET
INTERNET 11/06/2017 $572
INTERNET 12/05/2017 $572
Total Itemized Transactions with this Payee/Payer $5,959
Total Non-Itemized Transactions with this Payee/Payer $68,496
Total of All Transactions with this Payee/Payer for This Schedule $74,455
Name and Address
(A)
AT&T Purpose Date Amount
537104 (C) (D) (E)
INTERNET 01/04/2017 $730
ATLANTA INTERNET 04/04/2017 $507
GA Total Itemized Transactions with this Payee/Payer $1,237
30353 Total Non-Itemized Transactions with this Payee/Payer $6,052
Type or Classification Total of All Transactions with this Payee/Payer for This Schedule $7,289
(B)
INTERNET
Name and Address Purpose Date Amount
(A) (C) (D) (E)
COMCAST CABLE INTERNET 01/23/2017 $126
21428 CABLE INTERNET 02/21/2017 $126
CABLE INTERNET 03/21/2017 $126
EAGAN CABLE INTERNET 04/21/2017 $126
MN CABLE INTERNET 05/22/2017 $126
55121 CABLE INTERNET 06/22/2017 $126
Type or Classification CABLE INTERNET 07/24/2017 $126
(B)
CABLE INTERNET 08/22/2017 $126
CABLE INTERNET
CABLE INTERNET 09/22/2017 $126
CABLE INTERNET 10/23/2017 $126
Total Itemized Transactions with this Payee/Payer $1,260
Total Non-Itemized Transactions with this Payee/Payer $5,959
Total of All Transactions with this Payee/Payer for This Schedule $7,219
Name and Address
(A)
COMCAST Purpose Date Amount
21428 (C) (D) (E)
CABLE INTERNET 12/26/2017 $126
EAGAN
Total Itemized Transactions with this Payee/Payer $126
MN
55121 Total Non-Itemized Transactions with this Payee/Payer
Type or Classification Total of All Transactions with this Payee/Payer for This Schedule $126
(B)
CABLE INTERNET

Form LM-2 (Revised 2010)

SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 512-155

Name and Address

(A)
Hyatt Regency Colorado Convention Center Purpose Date Amount
(C) (D) (E)
650 15 St
TRAVEL - Business Meeting 03/09/2017 $23,775
Denver
Total Itemized Transactions with this Payee/Payer $23,775
CO
80202 Total Non-Itemized Transactions with this Payee/Payer $109,618
Type or Classification Total of All Transactions with this Payee/Payer for This Schedule $133,393
(B)
TRAVEL - BUSINESS MEETING

Form LM-2 (Revised 2010)

SCHEDULE 20 - BENEFITS FILE NUMBER: 512-155

Description To Whom Paid Amount

(A) (B) (C)
IRA CONTRIBUTIION M&T BANK $2,000
WORKER'S COMPENSATION INSURANCE TRAVELERS INSURANCE CO $3,616
LIABILITY INSURANCE TRAVELERS INSURANCE CO $3,990
Total of all lines above (Total will be automatically entered in Item 55.) $9,606

Form LM-2 (Revised 2010)

69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 512-155

Statement A,

Cash Begin Total: : This was the balance on hand at the end of the reporting period for 2016.

Schedule 13, Row1:

Schedule 13, Row1::::FULL MEMBER

Schedule 13, Row1:

Schedule 13, Row1:::::

General Information:
Form LM-2 (Revised 2010)