2017-11-14T18:49:51-06:00 2016-12-31 941254756 HOOD & STRONG LLP 275 BATTERY ST STE 900 SAN FRANCISCO CA 94111 990 2016-01-01 201973983 SEIU UNITED HEALTH CARE WORKERS - WEST LOCAL 2005 SERV 5102511250 560 THOMAS L BERKLEY WAY OAKLAND CA 946121602 STANLEY LYLES VICE PRESIDENT 5102511250 2017-11-08 1 MAGA E KISRIEV P01008919 4157810793 50.247.123.181 2017-11-08 15:03:04 PS P E001E1F7BE6D8F89CFA5F182C87A9F5E53B2AD9E 3C93BB4AD903C85FCE8B6D48A6B5B4C7B9989CB6 2016 2017-02-10 21:41:12Z SEIU UHW LOCAL 2005 DAVE REGAN 560 THOMAS L BERKLEY WAY OAKLAND CA 946121602 91713614 0 X WWW.SEIU-UHW.ORG X 2005 CA REPRESENTATION OF MEMBERS EMPLOYED IN THE HEALTH CARE INDUSTRY REGARDING EMPLOYMENT MATTERS. 178 170 1095 300 0 0 500 0 99655794 88963237 26150 21921 7706569 2707263 107389013 91692421 0 115400 0 0 42443516 41897007 0 0 0 48621894 49015056 91065410 91027463 16323603 664958 61317610 63512256 12057613 13422244 49259997 50090012 X SEE SCHEDULE O.SEIU UNITED HEALTHCARE WORKERS - WEST LOCAL 2005 (UHW) IS A LABOR UNION REPRESENTING MEMBERS EMPLOYED IN THE HEALTH CARE INDUSTRY IN CALIFORNIA. UHW PROMOTES AND DEVELOPS THE SECURING OF ECONOMIC ADVANTAGES, INCLUDING BETTER WAGES, HOURS AND WORKING CONDITIONS, THROUGH ORGANIZING THE UNORGANIZED, COLLECTIVE BARGAINING, LEGISLATIVE AND POLITICAL ACTION AND THE UTILIZATION OF OTHER LAWFUL MEANS.OUR MISSION IS TO BUILD A WORKER'S ORGANIZATION DEDICATED TO BEING A POWERFUL FORCE TO CHANGE WORKERS' LIVES AND FIGHT FOR SOCIAL AND ECONOMIC JUSTICE. OUR VISION OF A WORKER'S ORGANIZATION IS ONE IN WHICH THERE IS AN EXPECTATION THAT MEMBERS LEAD AND DECIDE TOGETHER; ONE IN WHICH CONFLICT IS EMBRACED AS HEALTHY, NECESSARY, AND AN INEVITABLE PART OF MAKING POSITIVE CHANGE; AND ONE IN WHICH THE UNION'S INTEGRITYIS BEYOND REPROACH.OUR PURPOSE IS TO PROMOTE BETTER WORKING CONDITIONS AND A BETTER FUTURE FOR OUR MEMBERS AND ALL WORKING PEOPLE. IT IS OUR OBJECTIVE TO BUILD A STRONG AND MO 0 0 THE ORGANIZATION REPRESENTS MORE THAN 90,000 MEMBERS IN CALIFORNIA. IT PROVIDES REPRESENTATION FOR ITS MEMBERS THROUGH COLLECTIVE BARGAINING AND GRIEVANCE ASSISTANCE TO SECURE BETTER WORKING CONDITIONS AND IMPROVED WAGES AND BENEFITS. IN ADDITION, THE ORGANIZATION ENCOURAGES AND SUPPORTS ITS MEMBERS VOLUNTEER PARTICIPATION AS HEALTHCARE WORKERS ON ACTIVITIES RELATED TO IMPROVING HEALTH CONDITIONS OF THE GENERAL POPULATION. 0 0 1 1 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 120 0 1 1095 1 0 0 0 0 0 0 X 178 170 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X EDGARD CAJINA 5102511250 560 THOMAS L BERKLEY WAY OAKLAND CA 946121602 X DAVE REGAN PRESIDENT 40.00 3.00 X X 219725 0 75644 STANLEY LYLES VICE PRESIDENT 40.00 3.00 X X 166375 0 43782 ISIS A ACEVEDO EXECUTIVE BOARD 2.00 0.00 X X 2492 0 0 ALEXANDRA IVANOVSKY EXECUTIVE BOARD 2.00 0.00 X 0 0 0 MARIA DE LA ROSA-BROOKS EXECUTIVE BOARD 2.00 0.00 X 0 0 0 TREENA MARIE SIMMONS EXECUTIVE BOARD 2.00 0.00 X 0 0 0 VALENTE JAVIER EXECUTIVE BOARD 2.00 0.00 X 0 0 0 CONNIE TAYLOR-SMITH EXECUTIVE BOARD 2.00 0.00 X 0 0 0 DANIELLE D HILL EXECUTIVE BOARD (THRU 02/26/2016) 2.00 0.00 X 0 0 0 DENISE MORANDO EXECUTIVE BOARD (THRU 03/15/2016) 2.00 0.00 X 0 0 0 DORIAN P LAWRENCE EXECUTIVE BOARD (THRU 02/08/2016) 2.00 0.00 X 0 0 0 LILIANA MURATALLA EXECUTIVE BOARD (THRU 02/25/2016) 2.00 0.00 X 0 0 0 MARIA G GARIBAY EXECUTIVE BOARD (THRU 03/11/2016) 2.00 0.00 X 0 0 0 MONIQUE B AGUILAR EXECUTIVE BOARD (THRU 02/25/2016) 2.00 0.00 X 0 0 0 NANCIE RIVERA EXECUTIVE BOARD (THRU 05/13/2016) 2.00 0.00 X 0 0 0 SONIA RAMIREZ EXECUTIVE BOARD (THRU 02/25/2016) 2.00 0.00 X 0 0 0 ADOLFO MORALES EXECUTIVE COMMITTEE 4.00 0.00 X 9742 0 0 ARIANNA JIMENEZ EXECUTIVE COMMITTEE 40.00 0.00 X 146711 0 34090 BENJAMEN TRACEY EXECUTIVE COMMITTEE 40.00 2.00 X 148022 0 57524 CASS GUALVEZ EXECUTIVE COMMITTEE 40.00 0.00 X 147097 0 45266 CHOKRI BENSAID EXECUTIVE COMMITTEE 40.00 2.00 X 147102 0 45260 DIANE NEWTON-BLAIR EXECUTIVE COMMITTEE 4.00 0.00 X 8351 0 0 DORA E ALVAREZ EXECUTIVE COMMITTEE 4.00 0.00 X 6962 0 0 EARLENE PERSON EXECUTIVE COMMITTEE 4.00 0.00 X 7774 0 0 JAY J FERMIN EXECUTIVE COMMITTEE 4.00 0.00 X 14221 0 0 JUAN SANCHEZ EXECUTIVE COMMITTEE 4.00 0.00 X 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OFFICER 2.00 0.00 X 1347 0 0 JAMES O DADE JR FINANCE OFFICER 2.00 0.00 X 14705 0 0 STEPHANIE D ALLEN FINANCE OFFICER 2.00 0.00 X 11953 0 0 DAVID W KIEFFER DIRECTOR 40.00 0.00 X 208079 0 50785 KATHLEEN L OCHOA DIRECTOR 40.00 0.00 X 179572 0 46749 DAVID B MILLER DIRECTOR 40.00 0.00 X 163711 0 66805 STEVE E TROSSMAN DIRECTOR 40.00 0.00 X 167253 0 45158 GREGORY PULLMAN CHIEF OF STAFF 40.00 0.00 X 144271 0 64267 FLANNERY HAUCK DIRECTOR 40.00 0.00 X 138673 0 32693 HIEU PHAN ASSISTANT DIRECTOR 40.00 0.00 X 133194 0 38926 MARY SACRAMENTO DIRECTOR 40.00 0.00 X 121364 0 53433 EDGARD CAJINA DIRECTOR 40.00 0.00 X 131834 0 55434 3923139 0 874268 54 0 1 0 KIMBALL PETITION MANAGEMENT 1850 E THOUSAND OAKS BLVD THOUSAND OAKS CA 91362 SIGNATURES COLLECTION 3094090 WEINBERG ROGER & ROSENFELD 1001 MARINA VILLAGE PKWY STE 200 ALAMEDA CA 94501 LEGAL COUNSEL 1146740 FEINBERG JACKSON WORTHMAN & WASOW LLP 383 4TH ST STE 201 OAKLAND CA 94607 LEGAL COUNSEL 881752 PROMETHEUS PARTNERS LLP 220 MONTGOMERY ST STE 1094 SAN FRANCISCO CA 94104 LEGAL COUNSEL 672047 C3 PRESENTS LLC 300 WEST 6TH ST STE 2100 AUSTIN TX 78701 EVENTS PRODUCTION 335012 13 MEMBER DUES & FEES 900099 88963237 88963237 88963237 21921 21921 21193 21193 0 REBATES/REIMBURSEMENTS 561000 2656035 2656035 OTHER REVENUE 900099 51228 51228 2707263 91692421 91670500 0 21921 115400 4401726 23820828 4380301 7110473 2183679 1021928 213271 40000 430291 1886111 1164480 2184025 4053897 2802817 142949 17491739 407974 191184 SOLIDARITY CONTRIBUTION 10954129 NEGOTIATION, CAMPAIGN & 6024261 SPECIAL ASSESSMENTS 6000 91027463 3865472 6498 44082038 49457298 19254 83719 772240 1197944 9067483 4127852 5012822 4939631 7565784 7827166 61317610 63512256 6557299 7584749 0 49669 3052510 2932017 2447804 2855809 12057613 13422244 X 40816444 44007550 8443553 6082462 49259997 50090012 61317610 63512256 664958 165057 0 X 0 1 X 1 0 0 0 SEIU UHW-WEST PAC 555 CAPITAL MALL SACRAMENTO CA 958144602 680444433 0 1049432 1 0 0 0 6246 50720 1033 55933 1 X 1955492 1955492 1314652 624460 690192 2754861 1153810 1601051 3042478 2349582 692896 4939631 DUES RECEIVABLE FROM MEMBERS 3150767 INVESTMENT IN UNITY HEALTH CARE WORKERS CORPORATION 3884489 CREDIT CARD RESERVE 1234 RECEIVABLE FROM INTERNATIONAL UNION 424775 DUE FROM PIC 365901 7827166 PER CAPITA TAXES PAYABLE TO INTERNATIONAL UNION 2855809 2855809 X PART IV, LINE 2B: THE ORGANIZATION HAS ONE ESCROW ACCOUNT FOR BECK HUDSON MEMBERS. THIS FUND WAS CREATED FOR DEALING WITH POTENTIAL DUES RATE CHALLENGES. PART X, LINE 2: THE LOCAL IS EXEMPT FROM INCOME TAXES ON RELATED BUSINESS INCOME PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(5) AND THE APPLICABLE STATE OF CALIFORNIA CODE SECTION. THE LOCAL HAS ADOPTED ASC 740 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PROVIDES GUIDANCE ON THE RECOGNITION, DE-RECOGNITION AND MEASUREMENT OF BENEFITS RELATED TO AN ENTITY'S UNCERTAIN TAX POSITIONS. MANAGEMENT EVALUATED THE LOCAL'S TAX POSITIONS AND CONCLUDED THAT THE LOCAL HAD MAINTAINED ITS TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE LOCAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL AND STATE, OR LOCAL TAX AUTHORITIES FOR TAX YEARS BEFORE 2012. 1 ST JOHN'S WELL CHILD AND FAMILY CENTER 808 WEST 58 STREET LOS ANGELES CA 90037 954067758 501(C)(3) 115400 DEVELOP A NEW MODEL OF TIMELY, LOW COST, HIGH QUALITY CARE FOR MEDI-CAL RECIPIENTS 1 0 PART I, LINE 2: THE PARTIES WORK TOGETHER TO DETERMINE GOALS AND HOW THEY WILL BE MEASURED, AND TO DOCUMENT OUTCOMES. THE GRANTEE MUST REPORT IN A MONTHLY BASIS TO THE GRANTOR'S TWO REPRESENTATIVES. BOTH PARTIES MEET MONTHLY TO REVIEW GOALS AND MEASUREMENTS. THESE MEETINGS CAN BE DONE IN PERSON OR VIDEO CONFERENCES. X X X X 0 0 0 DAVE REGAN PRESIDENT 212798 0 0 0 6927 0 43060 0 32584 0 295369 0 0 0 STANLEY LYLES VICE PRESIDENT 159781 0 0 0 6594 0 31956 0 11826 0 210157 0 0 0 ARIANNA JIMENEZ EXECUTIVE COMMITTEE 140622 0 0 0 6089 0 28124 0 5966 0 180801 0 0 0 BENJAMEN TRACEY EXECUTIVE COMMITTEE 141950 0 0 0 6072 0 28390 0 29134 0 205546 0 0 0 CASS GUALVEZ EXECUTIVE COMMITTEE 140381 0 0 0 6716 0 28576 0 16690 0 192363 0 0 0 CHOKRI BENSAID EXECUTIVE COMMITTEE 140301 0 0 0 6801 0 28570 0 16690 0 192362 0 0 0 MARCUS D HATCHER EXECUTIVE COMMITTEE 109634 0 0 0 6078 0 23027 0 16690 0 155429 0 0 0 MYRIAM ESCAMILLA EXECUTIVE COMMITTEE (THRU 12/3/16) 151877 0 0 0 6135 0 30575 0 11741 0 200328 0 0 0 NORMA GUTIERREZ EXECUTIVE COMMITTEE 129654 0 0 0 6068 0 25931 0 10488 0 172141 0 0 0 DAVID W KIEFFER DIRECTOR 201485 0 0 0 6594 0 40297 0 10488 0 258864 0 0 0 KATHLEEN L OCHOA DIRECTOR 174616 0 0 0 4956 0 34923 0 11826 0 226321 0 0 0 DAVID B MILLER DIRECTOR 152606 0 0 0 11105 0 31521 0 35284 0 230516 0 0 0 STEVE E TROSSMAN DIRECTOR 166659 0 0 0 594 0 33332 0 11826 0 212411 0 0 0 GREGORY PULLMAN CHIEF OF STAFF 137416 0 0 0 6855 0 28983 0 35284 0 208538 0 0 0 FLANNERY HAUCK DIRECTOR 133635 0 0 0 5038 0 26727 0 5966 0 171366 0 0 0 HIEU PHAN ASSISTANT DIRECTOR 133081 0 0 0 113 0 26616 0 12310 0 172120 0 0 0 MARY SACRAMENTO DIRECTOR 121280 0 0 0 84 0 24256 0 29177 0 174797 0 0 0 EDGARD CAJINA DIRECTOR 131283 0 0 0 551 0 26257 0 29177 0 187268 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS WHO MAY VOTE TO ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A THE EXECUTIVE BOARD, WHICH IS THE GOVERNING BOARD OF THE UNION, MUST BE ELECTED BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING FIRM FORWARDED THE FORM 990 TO THE DIRECTOR OF FINANCE/CONTROLLER. THE DIRECTOR OF FINANCE/CONTROLLER RECEIVED LEGAL REVIEW AND PROVIDED THE FORM 990 TO UNION OFFICERS FOR REVIEW. THE FORM 990 WAS SIGNED BY EITHER THE PRESIDENT OR VICE PRESIDENT. THE EXECUTIVE BOARD WAS INFORMED AFTER FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL STAFF MUST DISCLOSE ANY CONFLICT OF INTEREST AS PER CURRENT UHW POLICY THAT ALSO APPLIES TO UNITY HEALTHCARE WORKERS CORPORATION. ACCOUNTING WOULD REPORT TO THE UHW CHIEF OF STAFF, PRESIDENT AND/OR VICE PRESIDENT ANY APPARENT CONFLICT OF INTEREST FOUND. IN A CONFIDENTIAL MANNER, THE OUTSIDE ETHICS OFFICERS AND THE IN-HOUSE OMBUDSPERSON INVESTIGATE/PROCESS ANY COMPLAINT ABOUT CONFLICTS OF INTEREST SUBMITTED BY ANY MEMBERS OR STAFF. THE POLICY PROVIDES PROTECTION AGAINST RETALIATION AND ENSURE CONFIDENTIALITY OF THE REPORTS. FORM 990, PART VI, SECTION B, LINE 15 AS PART OF THE ANNUAL BUDGET PROCESS, COMPENSATION FOR OFFICERS, DIRECTORS/TRUSTEES, AND KEY EMPLOYEE IS EVALUATED BY THE BUDGET COMMITTEE. THIS IS DONE BASED ON A SURVEY OF COMPENSATION OF SIMILAR ENTITIES (TYPE, ASSETS, NUMBER OF EMPLOYEES, ETC) AND FROM INFORMATION AVAILABLE FROM FILED 990 FORMS AND LM2'S FORMS FOR THOSE ENTITIES. ANY CHANGE ON SALARIES OF OFFICERS, DIRECTORS/TRUSTEES, AND KEY EMPLOYEES IS APPROVED BY THE BOARD BASED ON THE RECOMMENDATION OF THE BUDGET COMMITTEE, ETHICS AND FINANCIAL OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE WITH TRANSLATIONS TO SPANISH, CHINESE, HMONG AND RUSSIAN. COPIES OF FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST TO THE VICE-PRESIDENT OF THE ORGANIZATION; REQUESTS ARE QUICKLY RESPONDED. ALL DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF TIME SET FORTH IN SEC. 6104(D). FORM 990, PART VII, LINE 1A: CERTAIN BOARD MEMBERS RECEIVED COMPENSATION FOR THEIR SERVICES IN ADDITION TO SERVING AS BOARD MEMBERS. UNITY HEALTH CARE WORKERS CORPORATION 560 THOMAS L BERKLEY WAY OAKLAND CA 94612 943136667 REAL ESTATE HOLDINGS CA 501(C)(2) SEIU UHW WEST - LOCAL 2005 1 SERVICE EMPLOYEES INTERNATIONAL UNION LOCAL 399 560 THOMAS L BERKLEY WAY OAKLAND CA 94612 951498052 LABOR UNION CA 501(C)(5) SEIU UHW WEST - LOCAL 2005 1 SEIU UNITED HEALTHCARE WORKERS WEST-POLITICAL ACTION COMMITTEE 555 CAPITAL MALL SUITE 125 SACRAMENTO CA 95814 680444433 POLITICAL ORGANIZATION CA 527 SEIU UHW WEST - LOCAL 2005 1 WE CARE ENOUGH TO ACT 5480 FERGUSON DRIVE LOS ANGELES CA 90022 453737367 EDUCATIONAL CA 501(C)(3) LINE 7 SEIU UHW WEST - LOCAL 2005 1 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 UNITY HEALTHCARE WORKERS CORP A 75247 CASH UNITY HEALTHCARE WORKERS CORP D 1459588 CASH UNITY HEALTHCARE WORKERS CORP K 730524 CASH UNITY HEALTHCARE WORKERS CORP R 108000 CASH SEIU UHW PAC R 1039432 CASH