2011-11-15T16:18:28-06:00 2010-12-31 HOOD & STRONG LLP 100 FIRST STREET 14TH FLOOR SAN FRANCISCO CA 94105 990 2010-01-01 201973983 SEIU UNITED HEALTH CARE WORKERS - WEST LOCAL 2005 SERV 5102511250 560 THOMAS L BERKLEY WAY OAKLAND CA 946121602 DAVE REGAN 5102511250 2011-11-15 1 LYNN A HENLEY 4157810793 2010 2016-02-24 21:20:13Z SEIU UHW LOCAL 2005 DAVE REGAN 560 THOMAS L BERKLEY WAY OAKLAND CA 94612 97105763 0 X N/A X 2005 CA REPRESENTATION OF MEMBERS EMPLOYED IN THE HEALTH CARE INDUSTRY REGARDING EMPLOYMENT MATTERS. 6 0 2366 0 0 0 0 0 90067969 93175794 140541 29447 1047003 3306176 91255513 96511417 0 0 0 0 29520299 40538164 0 0 0 67308243 56728639 96828542 97266803 -5573029 -755386 21642779 21480853 19922771 20524191 1720008 956662 SEE SCHEDULE O 0 0 98505837 2800338 96481970 THE ORGANIZATION PROVIDES SUPPORT FOR ITS MEMBERS THROUGH COLLECTIVE BARGAINING AND GRIEVANCE ASSISTANCE. 98505837 0 0 1 0 0 0 0 0 0 1 1 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 0 0 0 1 188 0 1 2366 1 0 0 0 0 1 1 0 X 6 0 0 0 1 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X SHERLINA GRIMALDO 5102511250 560 THOMAS L BERKLEY OAKLAND CA 946121602 DAVE REGAN 40.00 X 0 290459 23497 DEBORAH SCHNEIDER 40.00 X 0 143549 34552 HAROLD RUDDICK 40.00 X 135152 0 27217 LISA GUDE 40.00 X 114679 0 23441 KEISHA STEWART 40.00 X 110533 0 37327 REBECCA MALBERG 40.00 X 135251 13755 27563 STEVE TROSSMAN 40.00 X 144200 0 37664 JOSE SIMOES 40.00 X 136051 0 26909 GLORIA FAUSS 40.00 X 124130 0 33326 SANDRA LIZA LEYVA 40.00 X 112992 0 37978 MYRIAM ESCAMILLA 40.00 X 114551 0 23569 ELISEO MEDINA 40.00 X 0 206707 38118 1127539 654470 371161 9 1 1 0 WEINBERG ROGER & ROSENFELD LAW OFFICES 1001 MARINA VILLAGE PARKWAY 200 ALAMEDA CA 94501 LEGAL 1163934 CORNERSTONE PRINTING INC 423 WASHINGTON ST 5TH FLOOR SAN FRANCISCO CA 94111 PRINTER 961619 BREDHOFF & KAISER PLLC 805 FIFTEENTH ST NW WASHINGTON DC 20005 LEGAL 858260 SOUTHWEST AIRLINES PO BOX 36611 DALLAS TX 75235 AIR TRANSAPORTATION 823715 ALLIANCE GRAPHICS 1101 8TH STREET SUITE 100 BERKELEY CA 94710 PRINTER 665690 46 MEMBER DUES & FEES 561000 93175794 93175794 93175794 117387 117387 506406 518276 76070 -11870 -76070 -87940 -87940 REBATES/REIMBURSEMENTS 561000 1737275 1737275 OTHER REVENUE 900099 936775 936775 RESERVE FUND 900099 561000 561000 71126 71126 3306176 96511417 96481970 0 29447 471317 26700029 3062971 7710533 2593314 668769 231183 1014087 3628680 511738 2040336 5002950 2987611 235683 27204683 341365 88627 NEGOTIATION, CAMPAIGN & 10847120 SOLIDARITY EXPENSE 1561304 SPECIAL ASSESSMENT 364503 97266803 4948561 2708549 45265 10728 406112 1306965 302150 201793 7484985 2194011 5581516 5290974 2491599 4359859 7867576 7601985 21642779 21480853 12515564 9293904 3606842 3524339 3800365 7705948 19922771 20524191 X 1720008 956662 1720008 956662 21642779 21480853 X -755386 -7960 X X 0 1 1 X 0 713502 645279 645279 1 SEIU UHW-WEST PAC 555 CAPITAL MALL SACRAMENTO CA 958144602 680444433 1250431 781701 1955492 1955492 1314652 361529 953123 2606746 615912 1990834 1608095 1216570 391525 5290974 MARKETABLE DEBT SECURITIES 4359859 C 4359859 MORTGAGE NOTES RECEIVABLE 553924 DUES RECEIVABLE FROM MEMBERS 3154899 INVESTMENT IN UNITY HEALTH CARE WORKERS CORPORATION 3877212 DEFERRED LOAN FEE, NET 15950 7601985 PER CAPITA TAXES PAYABLE TO INTERNATIONAL UNION 3705948 SEIU INTERNATIONAL LOAN PAYABLE 4000000 7705948 96511417 97266803 -755386 -7960 -7960 -763346 97349833 -7960 770306 762346 96587487 -76070 -76070 96511417 98593302 1326499 1326499 97266803 0 97266803 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: UHW 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. UHW FOLLOWS THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH FASB ASC TOPIC 740. AS OF DECEMBER 31, 2010, MANAGEMENT EVALUATED UHW'S UNCERTAIN TAX POSITIONS AND CONCLUDED THAT UHW HAS MAINTAINED TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED ADJUSTMENT TO THE FINANCIAL STATEMENTS. PART XII, LINE 2D - OTHER ADJUSTMENTS: PAC ACTIVITY REPORTED ON FORM 990 FOR THE PAC 770,306. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON THE SALE OF ASSETS -76,070. PART XIII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON THE SALE OF ASSETS 76,070. PAC EXPENSES REPORTED ON FORM 990 FOR THE PAC 1,250,429. X X 0 0 0 DAVE REGAN 0 278632 0 3727 0 8100 0 5445 0 18052 0 313956 0 0 DEBORAH SCHNEIDER 0 137897 0 5652 0 0 0 16500 0 18052 0 178101 0 0 HAROLD RUDDICK 129759 0 720 0 4673 0 17427 0 9790 0 162369 0 0 0 REBECCA MALBERG 130324 13126 0 0 4927 629 16316 668 9719 860 161286 15283 0 0 STEVE TROSSMAN 144200 0 0 0 0 0 20188 0 17476 0 181864 0 0 0 JOSE SIMOES 128754 0 0 0 7297 0 17186 0 9723 0 162960 0 0 0 GLORIA FAUSS 106148 0 13407 0 4575 0 15952 0 17374 0 157456 0 0 0 SANDRA LIZA LEYVA 110403 0 720 0 1869 0 14516 0 23462 0 150970 0 0 0 ELISEO MEDINA 0 201809 0 4258 0 640 0 20066 0 18052 0 244825 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE MEMBERSHIP ADOPTED A NEW CONSTITUTION AND BYLAWS. THESE DOCUMENTS HAVE BEEN PROVIDED TO THE INTERNATIONAL UNION AND THE DOL. 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 B, LINE 11 THE ACCOUNTING FIRM WILL FORWARD THE FORM 990 TO THE CONTROLLER. THE CONTROLLER WILL OBTAIN LEGAL REVIEW AND PROVIDE THE FORM 990 TO THE BOARD MEMBERS. THE FORM 990 IS SIGNED BY THE ORGANIZATION'S PRESIDENT. 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. ACCOUNTING WOULD REPORT TO THE UHW CHIEF OF STAFF OR/AND TRUSTEE 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. ANY MEMBER MAY FILE A WRITTEN COMPLAINT ALLEGING VIOLATIONS OF THE POLICY AND CODE, AND THE ETHICS OMBUDSMAN PERSON IS CHARGED WITH REVIEWING TO DETERMINE IF A REFERRAL SHOULD BE MADE TO THE OUTSIDE ETHICS OFFICER. THE POLICY PROVIDES PROTECTION AGAINST RETALIATION AND ENSURE CONFIDENTIALITY OF THE REPORTS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DETERMINES AND APPROVES COMPENSATION TO OFFICERS, DIRECTORS AND KEY EMPLOYEES BY COMPARING WITH OTHER ORGANIZATION FOR SIMILAR POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -7,960. FORM 990, PART XI, LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ROLE OF THE AUDIT/FINANCIAL OFFICER'S COMMITTEE HAS NOT CHANGED FROM THE PRIOR YEAR; HOWEVER, THE COMMITTEE HAS BEEN SUSPENDED DUE TO THE TRUSTEESHIP. FORM 990, PART III, LINE 1 SEIU UNITED HEALTHCARE WORKERS WEST (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 ORGANIZATION THE UNORGANIZED, COLLECTIVE BARGAINING, LEGISLATIVE AND POLITICAL ACTION AND THE UTILIZATION OF OTHER LAWFUL MEANS. OUR MISSION IS TO BUILD A WORKERS' ORGANIZATION DEDICATED TO BEING A POWERFUL FORCE TO CHANGE WORKERS' LIVES AND FIGHT FOR SOCIAL AND ECONOMIC JUSTICE. OUR VISION OF A WORKERS' 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 LABOR MOVEMENT BY ORGANIZING UNORGANIZED WORKERS, BUILDING AN 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. UNITY HEALTH CARE WORKERS CORPORATION 560 THOMAS L BERKLEY WAY OAKLAND CA 94612 943136667 REAL ESTATE HOLDINGS CA 501(C)(2) 0 SERVICE EMPLOYEES INTERNATIONAL UNTION LOCAL 399 560 THOMAS L BERKLEY WAY OAKLAND CA 94612 951498052 LABOR UNION CA 501(C)(5) 0 HEALTHCARE WORKERS UNION LOCAL 250 560 THOMAS L BERKLEY WAY OAKLAND CA 94612 940562683 LABOR UNION CA 501(C)(5) 0 SERVICE EMPLOYEES INTERNATIONAL UNION (SEIU) 1800 MASSACHUSETTS AVE NW WASHINGTON DC 20036 360852885 LABOR UNION DC 501(C)(5) 0 SEIU UNITED HEALTHCARE WORKERS WEST-POLITICAL ACTION COMMITTEE 555 CAPITAL MALL SUITE 125 SACRAMENTO CA 95814 680444433 POLITICAL CA 527 0 SONOMA COUNTY PROGRESSIVE LABOR COALITION 555 CAPITAL MALL SUITE 1425 SACRAMENTO CA 95814 262639397 POLITICAL CA 527 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 1 0 0 0 UNITY HEALTH CARE WORKERS CORPORATION D 553925 UNITY HEALTH CARE WORKERS CORPORATION D 1682564 UNITY HEALTH CARE WORKERS CORPORATION A 70000 SERVICE EMPLOYEES INTERNATIONAL UNION (SEIU) O 5062366 SERVICE EMPLOYEES INTERNATIONAL UNION (SEIU) P 762698