2015-11-16T13:16:41-06:00 2014-12-31 941254756 HOOD & STRONG LLP 100 FIRST STREET 14TH FLOOR SAN FRANCISCO CA 94105 990 2014-01-01 201973983 SEIU UNITED HEALTH CARE WORKERS - WEST LOCAL 2005 SERV 5102511250 560 THOMAS L BERKLEY WAY OAKLAND CA 946121602 STANLEY LYLES VICE PRESIDENT 5102511250 2015-11-13 1 MAGA E KISRIEV P01008919 4157810793 2014 2016-04-25 22:37:26Z SEIU UHW LOCAL 2005 DAVE REGAN 560 THOMAS L BERKLEY WAY OAKLAND CA 946121602 105094975 0 X WWW.SEIU-UHW.ORG X 2005 CA REPRESENTATION OF MEMBERS EMPLOYED IN THE HEALTH CARE INDUSTRY REGARDING EMPLOYMENT MATTERS. 343 331 1634 116 0 0 7848 4620 103293453 101624075 39970 37761 1025068 3405885 104366339 105072341 270000 0 0 0 44469628 43352974 0 0 0 51673814 64479428 96413442 107832402 7952897 -2760061 51417086 48881885 14613300 14821018 36803786 34060867 X SEE SCHEDULE O. 0 0 THE ORGANIZATION REPRESENTS MORE THAN 140,886 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 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 128 0 1 1634 1 0 0 0 0 0 0 X 343 331 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X EDGARD CAJINA SHERLINA GRIMALDO 5102511250 560 THOMAS L BERKLEY WAY OAKLAND CA 946121602 X ABBOTT ERIC EXECUTIVE BOARD 2.00 0.00 X 2584 0 0 ABRAHAM YITSKHAQ EXECUTIVE BOARD 2.00 0.00 X 5644 0 0 ABRAM RENITA L EXECUTIVE BOARD 2.00 0.00 X 3494 0 0 ACEVEDO ISIS A EXECUTIVE BOARD 2.00 0.00 X 718 0 0 ADAMS LISA EXECUTIVE BOARD 2.00 0.00 X 846 0 0 ADAMS ZACHARY N EXECUTIVE BOARD 2.00 0.00 X 4012 0 0 AGUILAR JULISSA EXECUTIVE BOARD 2.00 0.00 X 630 0 0 AGUILAR MONIQUE B EXECUTIVE BOARD 2.00 0.00 X 3603 0 0 ALARID MARIA DEL ROSAR EXECUTIVE BOARD (THRU 3/21/14) 2.00 0.00 X 3007 0 0 ALDACO ANTONIA EXECUTIVE COMMITTEE 4.00 0.00 X 11850 0 0 ALLEN CASSANDRA EXECUTIVE BOARD 2.00 0.00 X 2407 0 0 ALLEN OLLIE J EXECUTIVE COMMITTEE 4.00 0.00 X 3029 0 0 ALVAREZ DORA E EXECUTIVE COMMITTEE 4.00 0.00 X 14724 0 0 ALVAREZ MARTHA EXECUTIVE COMMITTEE 4.00 0.00 X 8930 0 0 AMITAN LEONORA S EXECUTIVE BOARD 2.00 0.00 X 570 0 0 ANDERSON ESSIE EXECUTIVE BOARD 2.00 0.00 X 1378 0 0 ANDERSON SHERYL EXECUTIVE BOARD 2.00 0.00 X 912 0 0 ANDRADA MARIA LOURDES D EXECUTIVE BOARD 2.00 0.00 X 1382 0 0 ANDRITCAIA GALINA EXECUTIVE BOARD 2.00 0.00 X 1706 0 0 ANGEL MARY EXECUTIVE BOARD 2.00 0.00 X 17852 0 0 ANTONIO GLORIA D EXECUTIVE BOARD 2.00 0.00 X 534 0 0 ARRIAGA MARICELA EXECUTIVE COMMITTEE 4.00 0.00 X 8724 0 0 ARZADON DEBIR N EXECUTIVE BOARD 2.00 0.00 X 5596 0 0 AULD TYSHA L EXECUTIVE BOARD 2.00 0.00 X 3037 0 0 AVILA GERARDO M EXECUTIVE BOARD (THRU 6/9/14) 2.00 0.00 X 0 0 0 AWAD ABDALLAH EXECUTIVE BOARD 2.00 0.00 X 11501 0 0 AYALA HERMINA M EXECUTIVE BOARD 2.00 0.00 X 3872 0 0 BAC-SIERRA EDITH EXECUTIVE BOARD 2.00 0.00 X 1687 0 0 BALLESTEROS BEATRIZ 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CONTRACT REVENUE 900099 125000 125000 OTHER REVENUE 900099 6654 6654 3405885 105072341 105029960 0 37761 3273948 24702171 4205449 8617504 2553902 847801 186258 62000 717003 2319786 960331 2191624 3368911 2562068 184428 26172769 506745 198117 SOLIDARITY CONTRIBUTION 18841005 NEGOTIATION, CAMPAIGN & 5305411 SPECIAL ASSESSMENTS 55171 107832402 26865 1636039 36407034 31661587 683322 1072630 733053 660288 9291026 3930337 5542403 5360689 8024409 8490652 51417086 48881885 7346173 7926657 3248695 3159093 4018432 3735268 14613300 14821018 X 36803786 34060867 36803786 34060867 51417086 48881885 -2760061 303835 -286693 0 X 0 1 X 1 0 0 0 1 SEIU UHW-WEST PAC 555 CAPITAL MALL SACRAMENTO CA 958144602 680444433 0 3174575 CARING FOR CALIFORNIANS PAC 1215 K STREET SUITE 2050 SAN FRANCISCO CA 94104 472065737 2500000 0 1 0 0 1955492 1955492 1314652 536816 777836 2754861 970152 1784709 3266021 2423369 842652 5360689 MORTGAGE NOTES RECEIVABLE 220554 DUES RECEIVABLE FROM MEMBERS 3454210 INVESTMENT IN UNITY HEALTH CARE WORKERS CORPORATION 4801600 DEFERRED LOAN FEE, NET 13017 CREDIT CARD RESERVE 1271 8490652 PER CAPITA TAXES PAYABLE TO INTERNATIONAL UNION 3575207 CAPITAL LEASE OBLIGATIONS 160061 3735268 X 122772438 303835 17373628 17677463 105094975 -22634 -22634 105072341 125688631 286693 17569536 17856229 107832402 0 107832402 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 BEFORE YEAR 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: PAC REVENUE REPORTED ON FORM 990 FOR THE PAC 683,853. INTERFUND TRANSFERS 6,444,840. MEMBER POLITICAL CONTRIBUTIONS PASSED THROUGH TO PIC 10,244,935. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -22,634. PART XII, LINE 2D - OTHER ADJUSTMENTS: PAC EXPENSES REPORTED ON FORM 990 FOR THE PAC 857,127. INTERFUND TRANSFERS 5,988,003. COST OF GOODS SOLD 22,634. MEMBER POLITICAL CONTRIBUTIONS PASSED THROUGH TO PIC 10,701,772. X X X X 0 0 0 BENSAID CHOKRI EXECUTIVE COMMITTEE 158355 0 0 0 6720 0 25673 0 16647 0 207395 0 0 0 ESCAMILLA MYRIAM EXECUTIVE COMMITTEE 148606 0 0 0 6000 0 24574 0 12851 0 192031 0 0 0 GUALVEZ CASS EXECUTIVE COMMITTEE 133091 0 0 0 6000 0 24386 0 7601 0 171078 0 0 0 HATCHER MARCUS D EXECUTIVE COMMITTEE 110561 0 0 0 6720 0 20404 0 16647 0 154332 0 0 0 STEWART KEISHA M EXECUTIVE COMMITTEE 111723 0 0 0 6000 0 20091 0 38640 0 176454 0 0 0 TRACEY BENJAMEN EXECUTIVE COMMITTEE 126128 0 0 0 6000 0 22691 0 12851 0 167670 0 0 0 LYLES STANLEY VICE PRESIDENT 144324 0 0 0 6000 0 25909 0 11796 0 188029 0 0 0 REGAN DAVE PRESIDENT 201854 0 0 0 6720 0 36759 0 38640 0 283973 0 0 0 KIEFFER DAVID W DIRECTOR 191476 0 0 0 6000 0 34396 0 10364 0 242236 0 0 0 MILLER DAVID B DIRECTOR 144609 0 0 0 10970 0 26005 0 38640 0 220224 0 0 0 TROSSMAN STEVE E DIRECTOR 158447 0 0 0 0 0 28451 0 30463 0 217361 0 0 0 FORM 990, PART III, LINE 1 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 INTEGRITY IS 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 MORE EFFECTIVE POLITICAL VOICE FOR WORKING PEOPLE, AND PROTECTING ALL WORKERS FROM UNACCEPTABLE OR UNJUST ACTIONS BY EMPLOYERS. WE ARE COMMITTED TO IMPROVING OUR WORKING LIVES; SUPPORTING OUR FAMILIES; ENSURING THAT WE ARE ABLE TO PROVIDE THE BEST QUALITY CARE TO OUR PATIENTS, CONSUMERS, AND RESIDENTS; AND PROMOTING QUALITY, AFFORDABLE HEALTH CARE FOR ALL. 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 11 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. THEY RECEIVED SMALL STIPENDS FOR THEIR CAPACITY 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 LOCAL 250 560 THOMAS L BERKLEY WAY OAKLAND CA 94612 940562683 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 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 UNITY HEALTHCARE WORKERS CORP A 64943 CASH UNITY HEALTHCARE WORKERS CORP D 1777857 CASH UNITY HEALTHCARE WORKERS CORP K 1156567 CASH UNITY HEALTHCARE WORKERS CORP R 120000 CASH WE CARE ENOUGH TO ACT B 286693 FAIR MARKET VALUE WE CARE ENOUGH TO ACT N 73238 FAIR MARKET VALUE WE CARE ENOUGH TO ACT O 213455 FAIR MARKET VALUE WE CARE ENOUGH TO ACT J 286693 FAIR MARKET VALUE SEIU UHW PAC Q 108797 CASH SEIU UHW PAC S 674575 CASH