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A to Z Index | Site Map | FAQs | DOL Forms | About DOL | Contact Us July 9, 2014 DOL Home > OLMS > Public Disclosure Home > Search Criteria > Select Report > Report Printable View U.S. Department of Labor Office of Labor-Management Standards Washington, DC 20210 FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved Office of Management and Budget No. 1245-0003 Expires: 08-31-2016 MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP 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. For Official Use Only 1. FILE NUMBER 513-272 2. PERIOD COVERED From 01/01/2013 Through 12/31/2013 3. (a) AMENDED - Is this an amended report: Yes (b) HARDSHIP - Filed under the hardship procedures: No (c) TERMINAL - This is a terminal report: No 4. AFFILIATION OR ORGANIZATION NAME STATE COUNTY & MUNI EMPLS AFL-CIO 5. DESIGNATION (Local, Lodge, etc.) LEADERSHIP COUNCIL 6. DESIGNATION NBR 61 7. UNIT NAME (if any) 8. MAILING ADDRESS (Type or print in capital letters) First Name DAN Last Name HOMAN P.O Box - Building and Room Number Number and Street 4320 NW 2ND AVENUE City DES MOINES State IA ZIP Code + 4 50313 9. Are your organization's records kept at its mailing address? Yes 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: Danny J Homan PRESIDENT 71. SIGNED: Jerry Jones TREASURER Date: Apr 01, 2014 Telephone Number: 515-246-1517 Date: Apr 01, 2014 Telephone Number: 641-521-3021 Form LM-2 (Revised 2010) ITEMS 10 THROUGH 21 FILE NUMBER: 513-272 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? No 11(a). During the reporting period did the labor organization have a political action committee (PAC) fund? Yes 11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions? No 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? Yes 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.) No 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? $500,000 15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale? No 16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period? No 17. Did the labor organization have any contingent liabilities at the end of the reporting period? No 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? No 19. What is the date of the labor organization's next regular election of officers? 07/2015 20. How many members did the labor organization have at the end of the reporting period? 13,806 21. What are the labor organization's rates of dues and fees? Rates of Dues and Fees Dues/Fees Amount Unit Minimum Maximum (a) Regular Dues/Fees 18.90per month 9.50 18.90 (b) Working Dues/Fees per (c) Initiation Fees per (d) Transfer Fees per (e) Work Permits per

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

    July 9, 2014 DOL Home > OLMS > Public Disclosure Home > Search Criteria > Select Report > Report

    Printable View

    U.S. Department of Labor Office of Labor-Management

    Standards Washington, DC 20210

    FORM LM-2 LABOR ORGANIZATION ANNUALREPORT Form Approved

    Office of Management and Budget No. 1245-0003

    Expires: 08-31-2016MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE INTOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

    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 by29 U.S.C. 439 or 440.

    READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.

    For Official UseOnly

    1. FILE NUMBER 513-272

    2. PERIOD COVEREDFrom 01/01/2013Through 12/31/2013

    3. (a) AMENDED - Is this an amended report: Yes(b) HARDSHIP - Filed under the hardship procedures: No(c) TERMINAL - This is a terminal report: No

    4. AFFILIATION OR ORGANIZATION NAME STATE COUNTY & MUNI EMPLS AFL-CIO

    5. DESIGNATION (Local, Lodge, etc.) LEADERSHIP COUNCIL

    6. DESIGNATION NBR 61

    7. UNIT NAME (if any)

    8. MAILING ADDRESS (Type or print in capital letters)First Name DAN

    Last Name HOMAN

    P.O Box - Building and Room Number

    Number and Street 4320 NW 2ND AVENUE

    City DES MOINES

    State IA

    ZIP Code + 4 50313

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

    Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties oflaw, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by thesignatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in theinstructions.)70. SIGNED: Danny J Homan PRESIDENT 71. SIGNED: Jerry Jones TREASURERDate: Apr 01, 2014 Telephone Number: 515-246-1517 Date: Apr 01, 2014 Telephone Number: 641-521-3021Form LM-2 (Revised 2010)

    ITEMS 10 THROUGH 21 FILE NUMBER: 513-27210. During the reporting period did the labor organizationcreate or participate in the administration of a trust or afund or organization, as defined in the instructions, whichprovides benefits for members or beneficiaries?

    No

    11(a). During the reporting period did the labororganization have a political action committee (PAC)fund?

    Yes

    11(b). During the reporting period did the labororganization have a subsidiary organization as defined inSection X of these Instructions?

    No

    12. During the reporting period did the labor organizationhave an audit or review of its books and records by an

    outside accountant or by a parent bodyauditor/representative?

    Yes

    13. During the reporting period did the labor organizationdiscover any loss or shortage of funds or other assets?(Answer "Yes" even if there has been repayment orrecovery.)

    No

    14. What is the maximum amount recoverable under thelabor organization's fidelity bond for a loss caused by anyofficer, employee or agent of the labor organization whohandled union funds?

    $500,000

    15. During the reporting period did the labor organizationacquire or dispose of any assets in a manner other thanpurchase or sale?

    No

    16. Were any of the labor organization's assets pledgedas security or encumbered in any way at the end of thereporting period?

    No

    17. Did the labor organization have any contingentliabilities at the end of the reporting period? No

    18. During the reporting period did the labor organizationhave any changes in its constitution or bylaws, other thanrates of dues and fees, or in practices/procedures listed inthe instructions?

    No

    19. What is the date of the labor organization's nextregular election of officers? 07/2015

    20. How many members did the labor organization have atthe end of the reporting period? 13,806

    21. What are the labor organization's rates of dues and fees? Rates of Dues and Fees

    Dues/Fees Amount Unit Minimum Maximum(a) Regular Dues/Fees 18.90per month 9.50 18.90(b) Working Dues/Fees per(c) Initiation Fees per(d) Transfer Fees per(e) Work Permits per

  • regular election of officers? 07/2015

    Form LM-2 (Revised 2010)

    STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 513-272

    ASSETS

    ASSETS Schedule NumberStart of Reporting Period

    (A)End of Reporting Period

    (B)22. Cash $1,213,324 $797,94123. Accounts Receivable 1 $237,619 $349,99624. Loans Receivable 2 $0 $025. U.S. Treasury Securities $0 $026. Investments 5 $1,471,465 $1,323,77027. Fixed Assets 6 $586,994 $532,45428. Other Assets 7 $95,658 $86,89029. TOTAL ASSETS $3,605,060 $3,091,051

    LIABILITIES

    LIABILITIES Schedule NumberStart of Reporting Period

    (A)End of Reporting Period

    (B)30. Accounts Payable 8 $302,040 $276,20631. Loans Payable 9 $0 $032. Mortgages Payable $0 $033. Other Liabilities 10 $396,999 $398,17934. TOTAL LIABILITIES $699,039 $674,385

    35. NET ASSETS $2,906,021 $2,416,666

    Form LM-2 (Revised 2010)

    STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 513-272

    CASH RECEIPTS SCH AMOUNT

    36. Dues and Agency Fees $037. Per Capita Tax $3,233,07638. Fees, Fines, Assessments, Work Permits $039. Sale of Supplies $040. Interest $4,45141. Dividends $042. Rents $62,40043. Sale of Investments and Fixed Assets 3 $1,430,00044. Loans Obtained 9 $045. Repayments of Loans Made 2 $046. On Behalf of Affiliates for Transmittal to Them $2,861,89547. From Members for Disbursement on TheirBehalf $0

    48. Other Receipts 14 $686,26849. TOTAL RECEIPTS $8,278,090

    CASH DISBURSEMENTS SCH AMOUNT

    50. Representational Activities 15 $1,787,52751. Political Activities and Lobbying 16 $347,88252. Contributions, Gifts, and Grants 17 $147,64553. General Overhead 18 $731,30754. Union Administration 19 $596,61255. Benefits 20 $722,67756. Per Capita Tax $057. Strike Benefits $058. Fees, Fines, Assessments, etc. $059. Supplies for Resale $060. Purchase of Investments and Fixed Assets 4 $1,333,71661. Loans Made 2 $062. Repayment of Loans Obtained 9 $063. To Affiliates of Funds Collected on TheirBehalf $3,026,107

    64. On Behalf of Individual Members $065. Direct Taxes $0

    66. Subtotal $8,693,47367. Withholding Taxes and Payroll Deductions 67a. Total Withheld $421,127 67b. Less Total Disbursed $421,127 67c. Total Withheld But Not Disbursed 68. TOTAL DISBURSEMENTS $8,693,473

    Form LM-2 (Revised 2010)

    SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 513-272

    Entity or Individual Name (A)

    Total AccountReceivable

    (B)

    90-180Days

    Past Due (C)

    180+ Days Past Due

    (D)

    LiquidatedAccount

    Receivable (E)

    Total of all itemized accounts receivable $349,996 $0 $0 $0Totals from all other accounts receivable Totals(Total of Column (B) will be automatically entered in Item 23, Column(B)) $349,996 $0 $0 $0

    AFSCME International receivables $2,422Per Capita Taxes Receivable $329,875Dues in arrears $4,609Accounts receivable - locals $13,090

    Form LM-2 (Revised 2010)

    SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 513-272

  • List below loans to officers, employees, or members whichat any time during the reporting period exceeded $250and list all loans to business enterprises regarless of

    amount. (A)

    Loans Outstanding at Start of Period

    (B)

    Loans Made During Period

    (C)

    Repayments Received DuringPeriod

    Cash (D)(1)

    Other Than Cash (D)(2)

    Loans Outstanding at End of Period

    (E)

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

    Totals will be automatically entered in... Item 24 Column (A)Item 61 Item 45 Item 69

    with ExplanationItem 24

    Column (B)Form LM-2 (Revised 2010)

    SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 513-272

    Description (if land or buildings give location) (A)

    Cost (B)

    Book Value (C)

    Gross Sales Price (D)

    Amount Received (E)

    Total of all lines above $1,430,000 $1,430,000 $1,430,000 $1,430,000

    Sovereign Bank CD $95,000 $95,000 $95,000 $95,000

    Discover Bank CD $95,000 $95,000 $95,000 $95,000GE Capital Retail Bank $95,000 $95,000 $95,000 $95,000Medallion Bank CD $95,000 $95,000 $95,000 $95,000Discover Bank CD $95,000 $95,000 $95,000 $95,000Bank of Chinca CD $95,000 $95,000 $95,000 $95,000Goldman Sachs Bk CD $95,000 $95,000 $95,000 $95,000Bank of Baroda CD $95,000 $95,000 $95,000 $95,000Bank of Hapoalim CD $95,000 $95,000 $95,000 $95,000Safra National Bank CD $95,000 $95,000 $95,000 $95,000Mizuho Corp Bank USA CD $95,000 $95,000 $95,000 $95,000Mizuho Corp Bank USA CD $95,000 $95,000 $95,000 $95,000Bank of Baroda $95,000 $95,000 $95,000 $95,000Discover Bank CD $50,000 $50,000 $50,000 $50,000Bank of Baroda CD $95,000 $95,000 $95,000 $95,000Safra National Bank CD $50,000 $50,000 $50,000 $50,000

    Less Reinvestments $0(The total from Net Sales Line will be automatically entered in Item 43)Net Sales $1,430,000

    Form LM-2 (Revised 2010)

    SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 513-272

    Description (if land or buildings, give location) (A)

    Cost (B)

    Book Value (C)

    Cash Paid (D)

    Total of all lines above $1,333,716 $1,333,716 $1,333,716

    Bank of China CD $95,000 $95,000 $95,000Safra National Bank CD $95,000 $95,000 $95,000WEX Bank CD $95,000 $95,000 $95,000Beal Bank CD $95,000 $95,000 $95,000Bank of India CD $95,000 $95,000 $95,000Merrick Bank CD $95,000 $95,000 $95,000Townebank CD $95,000 $95,000 $95,000Bank of China CD $95,000 $95,000 $95,000Bank of India CD $95,000 $95,000 $95,000Bank of Baroda CD $95,000 $95,000 $95,000Bank of Hapoalim B M CD $95,000 $95,000 $95,000Bank of India CD $95,000 $95,000 $95,000Mizuho Bank CD $95,000 $95,000 $95,000Bank of India CD $50,000 $50,000 $50,000Fixed Assets - LAN Stack $19,649 $19,649 $19,649Fixed Assets - Tablets $1,052 $1,052 $1,052Fixed Assets - Dell Computers $2,030 $2,030 $2,030Fixed Assets - Phone System $23,170 $23,170 $23,170Fixed Assets - (3) Desktop Computers $2,815 $2,815 $2,815

    Less Reinvestments $0(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases $1,333,716

    Form LM-2 (Revised 2010)

    SCHEDULE 5 - INVESTMENTS FILE NUMBER: 513-272

    Description (A)

    Amount (B)

    Marketable Securities A. Total CostB. Total Book ValueC. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.

    Other Investments D. Total Cost $1,328,308

    E. Total Book Value $1,323,770F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E. Also, list eachsubsidiary for which separate reports are attached.

    Bank of China CD $94,983Safra National Bank CD $94,975WEX Bank CD $94,974

  • WEX Bank CD $94,974Beal Bank CD $94,964Bank of India CD $94,980Merrick Bank CD $94,976Townebank CD $94,917Bank of China CD $95,011Bank of India CD $95,097Bank of Baroda CD $94,987Bank of Hapoalim B M CD $95,029Bank of India CD $95,000Mizuho Bank CD $95,000Gabelli Dividend & Income Fund $38,882Bank of India CD $49,995

    G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $1,323,770Form LM-2 (Revised 2010)

    SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 513-272

    Description (A)

    Cost or Other Basis (B)

    Total Depreciation or Amount Expensed

    (C)

    Book Value (D)

    Value (E)

    A. Land (give location) Land 1 : 4320 NW 2nd Avenue, Des Moines, IA50313 $130,038 $103,608 $130,000

    B. Buildings (give location) Building 1 : 4320 NW 2nd Avenue, Des Moines, IA50313 $494,213 $247,607 $246,606 $225,000

    C. Automobiles and Other VehiclesD. Office Furniture and Equipment $479,174 $296,934 $182,240 $200,000E. Other Fixed AssetsF. Totals of Lines A through E (Column(D) Total will beautomatically entered in Item 27, Column(B)) $1,103,425 $544,541 $532,454 $555,000

    Form LM-2 (Revised 2003)

    SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 513-272

    Description (A)

    Book Value (B)

    Total (Total will be automatically entered in Item 28, Column(B)) $86,890Prepaid Expenses $86,890

    Form LM-2 (Revised 2010)

    SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 513-272

    Entity or Individual Name (A)

    Total Account Payable

    (B)

    90-180 Days Past Due

    (C)

    180+ Days Past Due (D)

    LiquidatedAccount Payable

    (E)

    Total for all itemized accounts payable $276,206 $0 $0 $0Total from all other accounts payable $0 $0 $0 $0Totals (Total for Column(B) will be automatically entered in Item 30,Column(D)) $276,206 $0 $0 $0

    Custodial funds payable $6,116 $0 $0 $0Dues owed to affiliates $251,618 $0 $0 $0

    General organizational expenses payable $18,472 $0 $0 $0

    Form LM-2 (Revised 2010)

    SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 513-272

    Source of Loans Payable at Any Time During the Reporting Period

    (A)

    Loans Owed at Start of Period

    (B)

    Loans Obtained During Period

    (C)

    Repayment During Period

    Cash (D)(1)

    Repayment During Period

    Other Than Cash (D)(2)

    Loans Owed at End of Period

    (E)

    Total Loans Payable $0 $0 $0 $0 $0

    Totals will be automatically entered in... Item 31Column (C)Item 44 Item 62 Item 69

    with ExplanationItem 31

    Column (D)Form LM-2 (Revised 2010)

    SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 513-272

    Description (A)

    Amount at End of Period (B)

    Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $398,179

    Accrued vacation $128,328Accrued payroll taxes & withholdings $32,896Accrued pension expense $14,040Accrued property taxes $7,915Accrued health insurance $215,000

    Form LM-2 (Revised 2010)

  • Form LM-2 (Revised 2010)

    SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 513-272

    (A) Name

    (B) Title

    (C) Status

    (D) Gross Salary

    Disbursements (before any deductions)

    (E) Allowances Disbursed

    (F) Disbursements

    for OfficialBusiness

    (G) Other

    Disbursements notreported in

    (D) through (F)

    (H) TOTAL

    A B C

    HOMAN, DANNY PRESIDENTC

    $131,052 $131,052

    I Schedule 15 Representational Activities 5 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 95 %

    A B C

    BAKER, SUSAN EXECUTIVE VICE PRESIDENTC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    JONES, JERRY SECRETARY - TREASURERC

    $4,266 $4,266

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    MCELDERRY, STAN DISTRICT VPC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    BARNES, STEVE DISTRICT VPC

    $490 $490

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    KNUDTSON, SCOTT DISTRICT VPC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    RILEY, DAN DISTRICT VPN

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    WALTON, BECKY DISTRICT VPC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    ROBERTS, DEANNA DISTRICT VPC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    PFEIFFER, RUSSELL DISTRICT VPC

    $397 $397

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    DUNCAN, DEB DISTRICT VPC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    ERICKSON, DARYL DISTRICT VPC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    HANSEN, JANET DISTRICT VPC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A MCTEER, DIANNE

  • A B C

    MCTEER, DIANNE DISTRICT VPC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    SALOW, CURT DISTRICT VPC

    $0 $0

    I

    Schedule 15

    Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17

    Contributions

    Schedule 18

    General Overhead

    Schedule 19

    Administration 100 %

    A B C

    SIMATOVICH, SHERYL DISTRICT VPC

    $492 $492

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    BUTTIKOFER, DOUG DISTRICT VPN

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    DECKER, GARY DISTRICT VPN

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    FRAISE, MIKE DISTRICT VPC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    WICK, KAREN DISTRICT VPC

    $180 $180

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    MARRON, JOE DISTRICT VPC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    HATHAWAY, MARTY DISTRICT VPC

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    MILLER, STEVE DISTRICT VPC

    $571 $571

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    CLYMER, WAYNE DISTRICT VPC

    $425 $425

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    POST-ALTHAUS, BARBARA DISTRICT VPP

    $475 $475

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A

    B C

    GANSEN, LEO

    DISTRICT VPN

    $0 $0

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    Total Officer Disbursements $138,348 $0 $0 $0 $138,348Less Deductions $0Net Disbursements $138,348Form LM-2 (Revised 2010)

    SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 513-272

  • (A) Name

    (B) Title

    (C) Other Payer

    (D) Gross Salary

    Disbursements (before any deductions)

    (E) AllowancesDisbursed

    (F) Disbursements

    for OfficialBusiness

    (G) Other Disbursements

    not reported in (D) through (F)

    (H) TOTAL

    A B C

    ANDERSON, EARLENE STAFF REPNo other payor

    $71,303 $71,303

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    BAIRD-RIGHTSELL, RAELA STAFF ORGANIZERNo other payor

    $70,645 $70,645

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    BUTLER, MATTHEW STAFF REPNo other payor

    $74,635 $74,635

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    CARNAHAN, SHERI POLITICAL EDUCATION REPNo other payor

    $47,918 $47,918

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    100 % Schedule 17 ContributionsSchedule 18 General Overhead

    Schedule 19 Administration

    A B C

    COLE, KENTON STAFF ORGANIZERNo other payor

    $68,364 $68,364

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    CUTKOMP, TYRONE STAFF REPNo other payor

    $71,797 $71,797

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    DE BOER, PRESTON STAFF REPNo other payor

    $76,130 $76,130

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    DRZYCIMSKI, ALEX POLITICAL FIELD REPNo other payor

    $26,453 $26,453

    I Schedule 15 Representational ActivitiesSchedule 16 Political Activitiesand Lobbying

    100 % Schedule 17 ContributionsSchedule 18 General Overhead

    Schedule 19 Administration

    A B C

    RICKEY, EILANDER STAFF REPNo other payor

    $71,015 $71,015

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    FRYMOYER, MARK ASST. TO THE PRESIDENTNo other payor

    $81,184 $81,184

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    GLOVER, SUSAN CLERICALNo other payor

    $20,699 $20,699

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    GROENEWALD, OTTO STAFF REPNo other payor

    $68,793 $68,793

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    GUILLAUME, BRIAN POLITICAL FIELD REPNo other payor

    $51,387 $51,387

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    HOMAN, COLLEEN BOOKKEEPINGNo other payor

    $58,108 $58,108

    Schedule 16

  • I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    JENNINGS, BRIAN COMMUNICATIONS SPECIALISTNo other payor

    $60,676 $60,676

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    LEWIS, GREG STAFF REPNo other payor

    $53,415 $53,415

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    MILLER, MORGAN POLITICAL FIELD REPNo other payor

    $43,292 $43,292

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    100 % Schedule 17 ContributionsSchedule 18 General Overhead

    Schedule 19 Administration

    A B C

    NEHRING, JOE DEPUTY POLITICAL DIRECTORNo other payor

    $27,753 $27,753

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    100 % Schedule 17 ContributionsSchedule 18 General Overhead

    Schedule 19 Administration

    A B C

    RAYMOND, DENISE RECEPTIONISTNo other payor

    $31,523 $31,523

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    ROTH, STEVEN DIRECTOR OF ORGANIZINGNo other payor

    $71,595 $71,595

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    SIEGEL, STEVEN STAFF REPNo other payor

    $56,195 $56,195

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    SIEPKER, ALBERT IT DIRECTORNo other payor

    $62,708 $62,708

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    SMITH, CONSTANCE ACCOUNTINGNo other payor

    $58,937 $58,937

    I Schedule 15 Representational Activities

    Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration 100 %

    A B C

    SWIHART, ADAM STAFF REPNo other payor

    $74,929 $74,929

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    TODD, TAYLOR STAFF REPNo other payor

    $49,911 $49,911

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    WHITE, ROBIN STAFF REPNo other payor

    $74,037 $74,037

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    WHITLOW, LORETTA STAFF REPNo other payor

    $34,250 $34,250

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    A B C

    WILLIAMS, ANDREW STAFF ORGANIZERNo other payor

    $65,657 $65,657

    I Schedule 15 Representational Activities 100 %Schedule 16 Political Activitiesand Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

  • and LobbyingTOTALS RECEIVED BY EMPLOYEES MAKINGLESS THAN $10000 $39,289 $39,289

    I Schedule 15 Representational Activities

    Schedule 16 Political Activities and Lobbying

    Schedule 17 Contributions

    Schedule 18 General Overhead

    Schedule 19 Administration

    100%

    Total Employee Disbursements $1,662,598 $0 $0 $0 $1,662,598Less Deductions Net Disbursements $1,662,598Form LM-2 (Revised 2010)

    SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 513-272

    Category of Membership (A)

    Number (B)

    Voting Eligibility (C)

    Members (Total of all lines above) 13,806 Agency Fee Payers* 0Total Members/Fee Payers 13,806 *Agency Fee Payers are not considered members of the labor organization.

    State Negotiated Members 9,016 YesOther Members 4,790 Yes

    Form LM-2 (Revised 2010)

    DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 513-272

    SCHEDULE 14 OTHER RECEIPTS1. Named Payer Itemized Receipts $517,9362. Named Payer Non-itemized Receipts $03. All Other Receipts $168,3324. Total Receipts $686,268

    SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS1. Named Payee Itemized Disbursements $130,0002. Named Payee Non-itemized Disbursements $03. To Officers $04. To Employees $05. All Other Disbursements $17,6456. Total Disbursements $147,645

    SCHEDULE 15 REPRESENTATIONAL ACTIVITIES1. Named Payee Itemized Disbursements $75,2352. Named Payee Non-itemized Disbursements $122,0443. To Officers $6,5534. To Employees $1,185,2425. All Other Disbursements $398,4536. Total Disbursements $1,787,527

    SCHEDULE 18 GENERAL OVERHEAD1. Named Payee Itemized Disbursements $317,1482. Named Payee Non-itemized Disbursements $218,7793. To Officers $04. To Employees $05. All Other Disbursements $195,3806. Total Disbursements $731,307

    SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING1. Named Payee Itemized Disbursements $25,0572. Named Payee Non-itemized Disbursements $95,0873. To Officers $04. To Employees $145,4165. All Other Disbursements $82,3226. Total Disbursement $347,882

    SCHEDULE 19 UNION ADMINISTRATION1. Named Payee Itemized Disbursements $53,5652. Named Payee Non-itemized Disbursements $15,3523. To Officers $131,7954. To Employees $331,9405. All Other Disbursements $63,9606. Total Disbursements $596,612

    Form LM-2 (Revised 2010)

    SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 513-272

    Name and Address (A)

    AFSCME - P.E.O.P.L.E.

    1625 L Street, NWWashingtonDC20036-5687

    Type or Classification (B)

    AFSCME - P.E.O.P.L.E.

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $160,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $160,000

    P.E.O.P.L.E. - Campaign 07/09/2013 $35,000P.E.O.P.L.E. - Campaign 10/31/2013 $125,000

    Name and Address (A)

    AFSCME, International

    1625 L Street, NWWashingtonDC20036-5687

    Type or Classification (B)

    AFSCME International Union

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $357,936Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $357,936

    2013 Organizing 04/30/2013 $70,0002013 Organizing 12/13/2013 $70,0002013 Political Education 07/17/2013 $200,0002013 Organizing 08/31/2013 $17,936

    Form LM-2 (Revised 2010)

    SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 513-272

    Name and Address (A)

    Anamosa State Penitentiary

    406 North High StreetAnamosaIA

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $8,655

  • IA52205-1199

    Type or Classification (B)

    Organizing lost time wages

    Total Non-Itemized Transactions with this Payee/Payer $8,655Total of All Transactions with this Payee/Payer for This Schedule $8,655

    Name and Address (A)

    Clarinda Treatment Complex

    1800 North 16th StreetClarindaIA51632

    Type or Classification (B)

    Organizing lost time wages

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6,769Total of All Transactions with this Payee/Payer for This Schedule $6,769

    Name and Address (A)

    Dan Homan

    4324 125th StreetUrbandaleIA50323

    Type or Classification (B)

    Lodging reimbursements from organizingactivities

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6,329Total of All Transactions with this Payee/Payer for This Schedule $6,329

    Name and Address (A)

    Harvey A. Nathan

    1350 East 49th StreetChicagoIL60615

    Type or Classification (B)

    Arbitrator

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $11,177Total of All Transactions with this Payee/Payer for This Schedule $11,177

    Name and Address (A)

    Holiday Inn - Downtown

    1050 6th AvenueDes MoinesIA50314

    Type or Classification (B)

    Meeting space rental

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $54,384Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $54,384

    Meeting room rental 01/24/2013 $25,155Meeting room rental 01/30/2013 $24,002Meeting room rental 02/20/2013 $5,227

    Name and Address (A)

    Iowa Medical & Classification

    2700 Coral Ridge AvenueCoralvilleIA52241

    Type or Classification (B)

    Organizing lost time wages

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $27,615Total of All Transactions with this Payee/Payer for This Schedule $27,615

    Name and Address (A)

    Josh Tilsen

    1124 Fairmount AveSt. PaulMN55105

    Type or Classification (B)

    Arbitrator

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $7,451Total of All Transactions with this Payee/Payer for This Schedule $7,451

    Name and Address (A)

    Kenton Cole

    304 South AshDanvilleIA52623

    Type or Classification (B)

    Mileage reimbursement from organizingactivities

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6,501Total of All Transactions with this Payee/Payer for This Schedule $6,501

    Name and Address (A)

    Marvin F. Hill Purpose Date Amount

  • 330 North Second StreetDekalbIA60115

    Type or Classification (B)

    Arbitrator

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $7,398Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $7,398

    Arbitration 03/14/2013 $7,398

    Name and Address (A)

    Mt. Pleasant Correctional

    1200 East WashingtonMt. PleasantIA52641

    Type or Classification (B)

    Organizing lost time wages

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,557Total of All Transactions with this Payee/Payer for This Schedule $5,557

    Name and Address (A)

    Preston De Boer

    2585 Vine AvenueHartleyIA50323

    Type or Classification (B)

    Mileage reimbursement from organizingactivites

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $8,689Total of All Transactions with this Payee/Payer for This Schedule $8,689

    Name and Address (A)

    Ramada Northwest

    5000 Merle Hay RoadDes MoinesIA50320

    Type or Classification (B)

    Meeting Space

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $13,453Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $13,453

    Meeting Space 03/28/2013 $13,453

    Name and Address (A)

    Robin White

    1633 265th AvenueEarlvilleIA52041-8669

    Type or Classification (B)

    Mileage reimbursement for organizingactivities

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,388Total of All Transactions with this Payee/Payer for This Schedule $5,388

    Name and Address (A)

    Ruth M. Weatherly

    7067 Oakbrook DrUrbandaleIA50322

    Type or Classification (B)

    Arbitrator

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6,541Total of All Transactions with this Payee/Payer for This Schedule $6,541

    Name and Address (A)

    Sandy Law Firm445

    Spirit LakeIA51360

    Type or Classification (B)

    Arbitrator

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $7,163Total of All Transactions with this Payee/Payer for This Schedule $7,163

    Name and Address (A)

    Steven Roth

    9145 Greenspire Drive#15West Des MoinesIA50266

    Type or Classification (B)

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,968

    Total of All Transactions with this Payee/Payer for This Schedule $5,968

  • (B)Reimbursement for organizing activities

    Name and Address (A)

    University of Iowa

    202 PCOIowa CityIA52242-2500

    Type or Classification (B)

    Organizing lost time wages

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $8,241Total of All Transactions with this Payee/Payer for This Schedule $8,241

    Form LM-2 (Revised 2010)

    SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 513-272

    Name and Address (A)

    Garner Printing

    1697 NE 53rd StreetDes MoinesIA50313

    Type or Classification (B)

    Political education supplies

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,388Total of All Transactions with this Payee/Payer for This Schedule $5,388

    Name and Address (A)

    Independent Voices6160

    Des MoinesIA50309

    Type or Classification (B)

    Polling services

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $15,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $15,000

    Polling services 01/03/2013 $15,000

    Name and Address (A)

    Lucas Oglesbee

    808 E. 11th Street #12Des MoinesIA50316

    Type or Classification (B)

    Political education consulting

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $10,604Total of All Transactions with this Payee/Payer for This Schedule $10,604

    Name and Address (A)

    Marcia Nichols

    5917 Greendale Place #20JohnstonIA50131

    Type or Classification (B)

    Political education expense reimbursement

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $21,692Total of All Transactions with this Payee/Payer for This Schedule $21,692

    Name and Address (A)

    Prairie Meadows Racetrack & Casino1000

    AltoonaIA50009

    Type or Classification (B)

    Meeting Space

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $10,057Total Non-Itemized Transactions with this Payee/Payer $9,127Total of All Transactions with this Payee/Payer for This Schedule $19,184

    Meeting Space 04/04/2013 $10,057

    Name and Address (A)

    Sherri Carnahan

    2007 Emerald DriverDavenportIA52804

    Type or Classification (B)

    Political education consulting

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6,641Total of All Transactions with this Payee/Payer for This Schedule $6,641

    Name and Address (A)

    Tigereye Promotions, LLCPurpose Date Amount

  • 1000 Progress StreetGreenvilleOH45331

    Type or Classification (B)

    Political education promotional expenses

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6,056Total of All Transactions with this Payee/Payer for This Schedule $6,056

    Name and Address (A)

    Wellmark Blue Cross Blue ShieldPO Box 9232626 Grand AvenueDes MoinesIA50309

    Type or Classification (B)

    Political education personnel health carecoverage

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $35,579Total of All Transactions with this Payee/Payer for This Schedule $35,579

    Form LM-2 (Revised 2010)

    SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 513-272

    Name and Address (A)

    Brad Anderson for Secretary of State973

    Des MoinesIA50304

    Type or Classification (B)

    Political contribution

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $5,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $5,000

    Political contribution 10/31/2013 $5,000

    Name and Address (A)

    House Truman Fund

    5661 Fleur DriveDes MoinesIA50321

    Type or Classification (B)

    Political contribution

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $10,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $10,000

    Political contribution 07/17/2013 $10,000

    Name and Address (A)

    Olson for Governor2389

    Cedar RapidsIA52406

    Type or Classification (B)

    Political contribution

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $100,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $100,000

    Political contribution 10/31/2013 $100,000

    Name and Address (A)

    Senate Majority Fund

    5661 Fleur DriveDes MoinesIA50321

    Type or Classification (B)

    Political contribution

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $10,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $10,000

    Political contribution 09/23/2013 $10,000

    Name and Address (A)

    Steve Siegel for Senate

    411 CourtOttumwaIA52501

    Type or Classification (B)

    Political contribution

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $5,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $5,000

    Political contribution 11/08/2013 $5,000

    Form LM-2 (Revised 2010)

    SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 513-272

    Name and Address (A)

    ADP, Inc.Purpose Date Amount

  • 12200 Webber Hill RoadSt. LouisMO63127-1690

    Type or Classification (B)

    Payroll processing services

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $9,898Total of All Transactions with this Payee/Payer for This Schedule $9,898

    Name and Address (A)

    Carter Printing

    1729 E. Grand AvenueDes MoinesIA50316

    Type or Classification (B)

    Printing services

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $8,980Total of All Transactions with this Payee/Payer for This Schedule $8,980

    Name and Address (A)

    Century Link

    925 High StreetDes MoinesIA50309

    Type or Classification (B)

    Telecommunication services

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $16,686Total of All Transactions with this Payee/Payer for This Schedule $16,686

    Name and Address (A)

    De Lage Landen

    8001 Birchwood CourtJohnstonIA50131

    Type or Classification (B)

    Equipment leasing services

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $50,740Total of All Transactions with this Payee/Payer for This Schedule $50,740

    Name and Address (A)

    Denman & Company, LLP

    1601 22nd Street, Ste 400West Des MoinesIA50266

    Type or Classification (B)

    Accounting services

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $24,475Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $24,475

    Professional fees 04/30/2013 $14,500Professional fees 08/07/2013 $9,975

    Name and Address (A)

    EmbarkIT, Inc.

    1854 Fuller RoadDes MoinesIA50265

    Type or Classification (B)

    Equipment maintenance

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $19,509Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $19,509

    IT Systems maintenance 12/18/2013 $19,509

    Name and Address (A)

    Garner Printing

    169 NE 53rd StreetDes MoinesIA50313

    Type or Classification (B)

    Printing services

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $10,703Total of All Transactions with this Payee/Payer for This Schedule $10,703

    Name and Address (A)

    Hasler30193

    Tampa BayFL33630-3193

    Type or Classification (B)

    Postage

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $65,234

    Postage 05/22/2013 $5,010Postage 07/25/2013 $5,010Postage 11/07/2013 $5,000Postage 11/21/2013 $11,324Postage 04/24/2013 $10,725Postage 09/26/2013 $10,060Postage 03/21/2013 $8,045Postage 12/26/2013 $5,050Postage 02/28/2013 $5,010

  • Total Itemized Transactions with this Payee/Payer $65,234Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $65,234

    Name and Address (A)

    Hedberg Law Firm

    840 5th AvenueDes MoinesIA50309

    Type or Classification (B)

    General legal services

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $17,920Total Non-Itemized Transactions with this Payee/Payer $33,330Total of All Transactions with this Payee/Payer for This Schedule $51,250

    General legal services 02/20/2013 $7,980General legal services 06/20/2013 $9,940

    Name and Address (A)

    Holiday Inn - Airport

    6111 Fleur DriveDes MoinesIA50321

    Type or Classification (B)

    Food & supplies for meeting

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $12,083Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $12,083

    Food & supplies for meeting 12/18/2013 $12,083

    Name and Address (A)

    Iowa Cubs of Greater Des Moines

    One Line DriveDes MoinesIA50309

    Type or Classification (B)

    Advertising

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $9,890Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $9,890

    Advertising 11/30/2013 $9,890

    Name and Address (A)

    IP Pathways

    2550 73rd StreetUrbandaleIA50322

    Type or Classification (B)

    Computer system upgrades & servicing

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $29,859Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $29,859

    system upgrades & servicing 09/18/2013 $9,859Computer system upgrades & servicing 12/19/2013 $20,000

    Name and Address (A)

    KCCI

    888 9th StreetDes MoinesIA50309

    Type or Classification (B)

    Advertising

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $25,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $25,000

    Advertising 11/25/2013 $25,000

    Name and Address (A)

    Mail Finance

    2588 1 Network PlaceChicagoIL60673-1258

    Type or Classification (B)

    Equipment lease

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $38,772Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $38,772

    Equipment lease 01/17/2013 $9,693Equipment lease 02/28/2013 $9,693Equipment lease 09/05/2013 $9,693Equipment lease 11/30/2013 $9,693

    Name and Address (A)

    Mid American Energy

    500 East CourtDes MoinesIA50309

    Type or Classification (B)

    Office utilities

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $8,490Total of All Transactions with this Payee/Payer for This Schedule $8,490

    Name and Address (A)

    Noel Insurance Company

    219 West 1st StreetOttumwaIA52501

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $20,080Total Non-Itemized Transactions with this Payee/Payer

    Insurance 05/16/2013 $20,080

  • 52501Type or Classification

    (B)General business insurance coverage

    Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $20,080

    Name and Address (A)

    Payless Office Products

    800 S. 19th StreetWest Des MoinesIA50265

    Type or Classification (B)

    Office supplies

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $18,028Total of All Transactions with this Payee/Payer for This Schedule $18,028

    Name and Address (A)

    Polk County Treasurer

    111 Court Avenue #154Des MoinesIA50309

    Type or Classification (B)

    Property tax expense

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6,940Total of All Transactions with this Payee/Payer for This Schedule $6,940

    Name and Address (A)

    Prairie Meadows Racetrack & Casino1000

    AltoonaIA50009

    Type or Classification (B)

    Meeting food & supplies

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $5,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $5,000

    Meeting food & supplies 04/04/2013 $5,000

    Name and Address (A)

    Rachel Homan

    4324 125th StreetUrbandaleIA50323

    Type or Classification (B)

    Janitorial services

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,190Total of All Transactions with this Payee/Payer for This Schedule $5,190

    Name and Address (A)

    Tigereye Promotions, LLC

    1000 Progress StreetGreenvilleOH45331

    Type or Classification (B)

    Promotional apparel

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,160Total of All Transactions with this Payee/Payer for This Schedule $5,160

    Name and Address (A)

    US Cellular

    8475 Hickman RoadUrbandaleIA50322-4305

    Type or Classification (B)

    Telecommunication services

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $11,397Total Non-Itemized Transactions with this Payee/Payer $22,013Total of All Transactions with this Payee/Payer for This Schedule $33,410

    Telecommunication services 10/17/2013 $5,299Telecommunication services 12/05/2013 $6,098

    Name and Address (A)

    US Postal Service

    1165 2nd AvenueDes MoinesIA50318-9998

    Type or Classification (B)

    Postage

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $5,000Total Non-Itemized Transactions with this Payee/Payer $7,235Total of All Transactions with this Payee/Payer for This Schedule $12,235

    Postage 11/07/2013 $5,000

    Name and Address (A)

    Waste Management9001054 Purpose

    (C)Date (D)

    Amount (E)

  • LouisvilleKY40290-1054

    Type or Classification (B)

    Waste services

    (C) (D) (E)Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,889Total of All Transactions with this Payee/Payer for This Schedule $5,889

    Name and Address (A)

    Wells Fargo Bank, N.A

    666 Walnut StreetDes MoinesIA50309

    Type or Classification (B)

    bank service charges

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $9,497Total of All Transactions with this Payee/Payer for This Schedule $9,497

    Name and Address (A)

    West Bend Mutual Insurance Company

    1900 S 18th AvenueWest BendWI

    Type or Classification (B)

    Insurance

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $24,312Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $24,312

    Insurance 08/22/2013 $17,358Insurance 08/22/2013 $6,954

    Name and Address (A)

    Wolin & Associates

    1720 Fuller RoadWest Des MoinesIA50265

    Type or Classification (B)

    Building maintenance

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $8,617Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $8,617

    Building maintenance 01/30/2013 $8,617

    Form LM-2 (Revised 2010)

    SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 513-272

    Name and Address (A)

    Holiday Inn - Airport

    6111 Fleur DriveDes MoinesIA50321

    Type or Classification (B)

    Conference

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $48,258Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $48,258

    Conference 07/25/2013 $48,258

    Name and Address (A)

    Holiday Inn - Downtown

    1050 6th AvenueDes MoinesIA50314

    Type or Classification (B)

    Conference

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer $5,307Total Non-Itemized Transactions with this Payee/Payer $5,106Total of All Transactions with this Payee/Payer for This Schedule $10,413

    Conference 02/20/2013 $5,307

    Name and Address (A)

    Western Union Pacific

    520 Walnut StreetDes MoinesIA50309

    Type or Classification (B)

    Conference supplies

    Purpose (C)

    Date (D)

    Amount (E)

    Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $10,246Total of All Transactions with this Payee/Payer for This Schedule $10,246

    Form LM-2 (Revised 2010)

    SCHEDULE 20 - BENEFITS FILE NUMBER: 513-272

    Description (A)

    To Whom Paid (B)

    Amount (C)

    Pension AFSCME International $120,467Payroll taxes Various governmental agencies $170,651Car Insurance AFSCME field staff $12,665Dental insurance Wellmark Blue Cross Blue Shield $23,298

  • Frequently Asked Questions | Freedom of Information Act | Privacy & Security Statement | Disclaimers | Customer Survey | Important Web Site Notices

    U.S. Department of Labor | Frances Perkins Building, 200 Constitution Ave., NW, Washington, DC 20210www.dol.gov | Telephone: 1-866-4-USA-DOL (1-866-487-2365) | TTY: 1-877-4-889-5627 | Contact Us

    Total of all lines above (Total will be automatically entered in Item 55.) $722,677

    Health insurance Wellmark Blue Cross Blue Shield $360,777Staff life insurance AFSCME International $23,337Vision insurance Vision Service Plan $4,985Long-term disability Dearborn National $6,497

    Form LM-2 (Revised 2010)

    69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 513-272

    Question 11(a): P.E.O.P.L.E. Fund (Public Employees Organized to Promote Legislative Equaility)

    Question 12: Denman & Company, LLP, Certified Public Accountants

    Schedule 13, Row1:State negotiated members pay up to full dues

    Schedule 13, Row2:Other members, which are not covered by the state negotiated contract, pay up to full duesForm LM-2 (Revised 2010)