nemsa 2009 lm2

Return

U.S. Department of LaborOffice of Labor-Management

StandardsWashington, DC 20210

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORTForm Approved

Office of Management and BudgetNo. 1215-0188

Expires: 09-30-2011

MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MOREIN 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 29U.S.C. 439 or 440.

READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.

For Official UseOnly

1. FILE NUMBER542-938

2. PERIOD COVEREDFrom 4/1/2008Through 3/31/2009

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

4. AFFILIATION OR ORGANIZATION NAMENATIONAL EMERGENCY MEDICAL SERVICES

5. DESIGNATION (Local, Lodge, etc.) 6. DESIGNATION NBR

7. UNIT NAME (if any)ASSOCIATION

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

Last NameCOLCORD

P.O Box - Building and Room Number

Number and Street3340 TULLY RD. SUITE D-3

CityMODESTO

StateCA

ZIP Code + 495350

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: Torren Colcord PRESIDENT 71. SIGNED: Eugene D'Astoli TREASURERDate: Aug 05, 2009 Telephone Number: Date: Aug 05, 2009 Telephone Number:Form LM-2 (Revised 2003)

DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do

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ITEMS 10 THROUGH 21 FILE NUMBER: 542-93810. During the reporting period did the labor organizationcreate or participate in the administration of a trust or a fundor organization, as defined in the instructions, whichprovides benefits for members or beneficiaries?

No

11. During the reporting period did the labor organizationhave a Political Action Committee (PAC) fund? No

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

$1,000,000

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 pledged assecurity or encumbered in any way at the end of thereporting period?

No

17. Did the labor organization have any contingent liabilitiesat 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?

Yes

19. What is the date of the labor organization's next regularelection of officers? 6/2010

20. How many members did the labor organization have at theend of the reporting period? 5,069

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

Dues/Fees Amount Unit Minimum Maximum(a) RegularDues/Fees

$27 to$56per month

(b) WorkingDues/Fees per

(c) Initiation Fees $100per First YearOnly

(d) Transfer Fees per(e) Work Permits per

Form LM-2 (Revised 2003)


2 of 37 5/7/13 3:52 PM

STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 542-938

ASSETS

ASSETS ScheduleNumber

Start of Reporting Period(A)

End of Reporting Period(B)

22. Cash $70,545 $175,92023. Accounts Receivable 1 $0 $024. Loans Receivable 2 $0 $025. U.S. Treasury Securities $0 $026. Investments 5 $0 $027. Fixed Assets 6 $18,009 $11,40528. Other Assets 7 $5,626 $7,869

29. TOTAL ASSETS $94,180 $195,194

LIABILITIES

LIABILITIES ScheduleNumber

Start of Reporting Period(A)

End of Reporting Period(B)

30. Accounts Payable 8 $155,707 $169,96431. Loans Payable 9 $14,439 $19,57432. Mortgages Payable $0 $033. Other Liabilities 10 $394,641 $275,31434. TOTAL LIABILITIES $564,787 $464,852

35. NET ASSETS -$470,607 -$269,658



3 of 37 5/7/13 3:52 PM

STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 542-938

CASH RECEIPTS SCH AMOUNT36. Dues and Agency Fees $1,952,97137. Per Capita Tax $038. Fees, Fines, Assessments, Work Permits $039. Sale of Supplies $040. Interest $041. Dividends $042. Rents $043. Sale of Investments and Fixed Assets 3 $044. Loans Obtained 9 $11,44545. Repayments of Loans Made 2 $046. On Behalf of Affiliates for Transmittal to Them $047. From Members for Disbursement on TheirBehalf $0

48. Other Receipts 14 $049. TOTAL RECEIPTS $1,964,416

CASH DISBURSEMENTS SCH AMOUNT50. Representational Activities 15 $1,405,07151. Political Activities and Lobbying 16 $052. Contributions, Gifts, and Grants 17 $6,62153. General Overhead 18 $199,04054. Union Administration 19 $74,31755. Benefits 20 $65,14856. Per Capita Tax $057. Strike Benefits $058. Fees, Fines, Assessments, etc. $36859. Supplies for Resale $060. Purchase of Investments and Fixed Assets 4 $5,42861. Loans Made 2 $062. Repayment of Loans Obtained 9 $7,40263. To Affiliates of Funds Collected on Their Behalf $064. On Behalf of Individual Members $065. Direct Taxes $95,646

66. Subtotal $1,859,04167. Withholding Taxes and Payroll Deductions 67a. Total Withheld $6,252 67b. Less Total Disbursed $6,252 67c. Total Withheld But Not Disbursed $068. TOTAL DISBURSEMENTS $1,859,041



4 of 37 5/7/13 3:52 PM

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 542-938

There was no data found for this schedule.

SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 542-938


SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-938


SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-938

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

Cost(B)

Book Value(C)

Cash Paid(D)

Total of all lines above $15,570 $15,570 $5,428

Backup Hard Drive $250 $250 $250Epson Projector $650 $650 $650In Focus Projector $921 $921 $921Apple X-Serve Computer Server and Laptop $11,445 $11,445 $1,303WD Backup Hard Drive $250 $250 $250Apple MacBook Laptop Computer $1,005 $1,005 $1,005Samsung Projector $599 $599 $599Copy Server Computer Unit $450 $450 $450

Less Reinvestments $0(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases $5,428



5 of 37 5/7/13 3:52 PM

SCHEDULE 5 - INVESTMENTS FILE NUMBER: 542-938

Description(A)

Amount(B)

Marketable Securities

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

Other Investments

D. Total Cost $0E. Total Book Value $0F. List each other investment which has a book value over $5,000, of Line E. Also list each Trust which is an investment. N/A $0G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0Form LM-2 (Revised 2003)


6 of 37 5/7/13 3:52 PM

SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 542-938

Description(A)

Cost or Other Basis(B)

Total Depreciation orAmount Expensed

(C)

Book Value(D)

Value(E)

A. Land (give location) $0 $0 $0B. Buildings (give location) $0 $0 $0 $0C. Automobiles and Other Vehicles $0 $0 $0 $0D. Office Furniture and Equipment $36,242 $5,341 $11,405 $21,378

E. Other Fixed Assets $0 $0 $0 $0

F. Totals of Lines A through E (Column(D) Total will beautomatically entered in Item 27, Column(B)) $36,242 $5,341 $11,405 $21,378



7 of 37 5/7/13 3:52 PM

SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 542-938

Description(A)

Book Value(B)

Total (Total will be automatically entered in Item 28, Column(B)) $7,869Security Deposits $7,869



8 of 37 5/7/13 3:52 PM

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 542-938

Entity or Individual Name(A)

Total AccountPayable

(B)

90-180 DaysPast Due

(C)

180+ Days PastDue(D)

Liquidated AccountPayable

(E)

Total for all itemized accounts payable $169,964 $0 $169,964 $0Total from all other accounts payable $0 $0 $0 $0Totals (Total for Column(B) will be automatically entered inItem 30, Column(D)) $169,964 $0 $169,964 $0

Carrol, Burdick, & McDonough LLP $74,511 $0 $74,511 $0Evers Law Group, LLP $17,035 $0 $17,035 $0Torren Colcord - Start Up Related Costs $78,418 $0 $78,418 $0



9 of 37 5/7/13 3:52 PM

SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 542-938

Source of Loans Payable atAny

Time During the ReportingPeriod

(A)

Loans Owed atStart of Period

(B)

Loans ObtainedDuring Period

(C)

RepaymentDuring Period

Cash(D)(1)

RepaymentDuring Period

Other Than Cash(D)(2)

Loans Owed atEnd of Period

(E)

Total Loans Payable $15,531 $11,445 $7,402 $0 $19,574Totals will be automaticallyentered in...

Item 31Column (C)

Item 44 Item 62 Item 69with Explanation

Item 31Column (D)

Michael Bergman $15,531 $0 $6,099 $0 $9,432Apple Enterprise Services $0 $11,445 $1,303 $0 $10,142



10 of 37 5/7/13 3:52 PM

SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 542-938

Description(A)

Amount at End of Period(B)

Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $275,314

Payroll Liabilities $56,111Accrued Salaries Payable $59,080Accrued Vacation Payable $28,793Strike Fund $59,455EMS Defense Fund $66,989GE Capitol Konica Copy Machine Lease $4,886



11 of 37 5/7/13 3:52 PM

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 542-938

(A)Name

(B)Title

(C)Status

(D)Gross Salary

Disbursements(before anydeductions)

(E)AllowancesDisbursed

(F)Disbursements

for OfficialBusiness

(G)Other

Disbursements notreported in

(D) through (F)

(H)TOTAL

ABC

Colcord, Torren KPresidentC

$120,000 $0 $19,999 $3,600 $143,599

I Schedule 15Representational Activities 80 %

Schedule 16Political Activitiesand Lobbying

0 % Schedule 17Contributions 0 % Schedule 18

General Overhead 10 % Schedule 19Administration 10 %

ABC

Stephens, Eric WVice PresidentC

$205 $0 $0 $0 $205





ABC

Muller, Alis SecretaryC

$12 $0 $0 $0 $12





ABC

Turner, David TreasurerP

$637 $0 $0 $0 $637





ABC

Heyniger, William MTreasurerN

$448 $0 $0 $0 $448





Total Officer Disbursements $121,302 $0 $19,999 $3,600 $144,901Less Deductions $19,999Net Disbursements $124,902Form LM-2 (Revised 2003)


12 of 37 5/7/13 3:52 PM

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 542-938

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary

Disbursements(before anydeductions)

(E)AllowancesDisbursed

(F)Disbursements

for OfficialBusiness

(G)Other Disbursements

not reported in(D) through (F)

(H)TOTAL

ABC

Pelican, Aaron none $73,418 $0 $262 $3,600 $77,280





ABC

Herring, Jason Jnone $72,241 $0 $9,889 $3,600 $85,730





ABC

Osorio, Carlos none $19,072 $0 $4,479 $3,600 $27,151





ABC

Sardad, Daryosch none $65,455 $0 $1,081 $4,600 $71,136





ABC

Gambone, James Pnone $68,792 $0 $27,175 $7,100 $103,067





ABC

Misner, Jeffery none $72,154 $0 $13,268 $3,600 $89,022





ABC

Misercola, Jim Cnone $62,699 $0 $17,375 $3,600 $83,674





ABC

Cuaresma, Kimberly Cnone $20,220 $0 $0 $0 $20,220





ABC

Legg, John none $10,702 $0 $1,175 $0 $11,877





ABC

Sparks, Toby none $4,663 $0 $640 $0 $5,303






13 of 37 5/7/13 3:52 PM

TOTALS RECEIVED BY EMPLOYEES MAKING LESSTHAN $10000 $89,281 $0 $0 $0 $89,281

I Schedule 15Representational Activities

100%

Schedule 16Political Activities and Lobbying 0 % Schedule 17

Contributions 0 % Schedule 18General Overhead 0 % Schedule 19

Administration 0 %

Total Employee Disbursements $558,697 $0 $75,344 $29,700 $663,741Less Deductions $68,577

Net Disbursements $595,164



14 of 37 5/7/13 3:52 PM

SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 542-938

Category of Membership(A)

Number(B)

Voting Eligibility(C)

Members (Total of all lines above) 5,069 Agency Fee Payers* 41Total Members/Fee Payers 5,110 *Agency Fee Payers are not considered members of the labor organization.

Regular 4,449 YesMember, Non Dues Payer 252 YesPending Membership, Non Dues Payer 368 No



15 of 37 5/7/13 3:52 PM

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 542-938

SCHEDULE 14 OTHER RECEIPTS1. Named Payer Itemized Receipts $02. Named Payer Non-itemized Receipts $03. All Other Receipts 4. Total Receipts $0

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS1. Named Payee Itemized Disbursements $02. Named Payee Non-itemized Disbursements $6,6213. To Officers $04. To Employees $05. All Other Disbursements 6. Total Disbursements $6,621

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES1. Named Payee Itemized Disbursements $414,7272. Named Payee Non-itemized Disbursements $306,7423. To Officers $116,1814. To Employees $567,4215. All Other Disbursements 6. Total Disbursements $1,405,071

SCHEDULE 18 GENERAL OVERHEAD1. Named Payee Itemized Disbursements $5,0002. Named Payee Non-itemized Disbursements $142,3453. To Officers $14,3604. To Employees $37,3355. All Other Disbursements 6. Total Disbursements $199,040

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING1. Named Payee Itemized Disbursements $02. Named Payee Non-itemized Disbursements $03. To Officers $04. To Employees $05. All Other Disbursements 6. Total Disbursements $0

SCHEDULE 19 UNION ADMINISTRATION1. Named Payee Itemized Disbursements $02. Named Payee Non-itemized Disbursements $9723. To Officers $14,3604. To Employees $58,9855. All Other Disbursements 6. Total Disbursements $74,317



16 of 37 5/7/13 3:52 PM

SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 542-938


SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 542-938

Name and Address(A)

Talbot Law Group, LLP

105 E Street STE 2EDavisCA95616

Type or Classification(B)

Legal Counsel

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $140,867Total Non-Itemized Transactions with this Payee/Payer $1,129Total of All Transactions with this Payee/Payer for This Schedule $141,996

Legal Services On Retainer 04/14/2008 $10,200Legal Services On Retainer 04/29/2008 $10,200Legal Services On Retainer 05/15/2008 $10,200Legal Services On Retainer 05/27/2008 $10,200Legal Services On Retainer Plus Expenses 06/17/2008 $10,608Legal Services On Retainer 07/07/2008 $10,200Legal Services On Retainer Plus Expenses 07/17/2008 $16,587Legal Services On Retainer 08/06/2008 $10,200Legal Services On Retainer Plus Expenses 08/19/2008 $11,672Legal Services On Retainer 09/05/2008 $10,200Legal Services On Retainer 09/09/2008 $10,200Legal Services On Retainer 09/16/2008 $10,200Legal Services On Retainer 10/08/2008 $10,200

Name and Address(A)

K. Colcord

SalidaCA


Use of Marketing Vehicle (H2 Wrap)

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $0Total Non-Itemized Transactions with this Payee/Payer $13,000Total of All Transactions with this Payee/Payer for This Schedule $13,000

Name and Address(A)

Cygnus Expositions

830 Hillview CtMilpitasCA95035


EMS EXPO Trade Show

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Data Computer, Inc

3430 Tully Rd #21ModestoCA95350


Computer and Network Services

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Argie Reporting Service

22623 West 46th TerraceShawneeKS66266


court reporting service

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $0Total Non-Itemized Transactions with this Payee/Payer $716Total of All Transactions with this Payee/Payer for This Schedule $716


17 of 37 5/7/13 3:52 PM

Name and Address(A)

Gillette Stadium EMS Night

One Patriot PlaceFoxboroughMA02035


EMS Trade Show

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Ipromoteu

321 Commonwealth Road # 103WaylandMA01778


marketing related

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

John B. LaRocco

2001 H StreetSacramentoCA95814


Arbitrator

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Karen Andres

20 Greenbank AvePiedmontCA94611


Aribitrator

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Tools Of The Trade

NatickMA


Meeting Room

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Legallink

File 70206Los AngelesCA90074


Court Reporting

Purpose(C)

Date(D)

Amount(E)



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Name and Address(A)

Magna Legal Services

2 Penn Center, STE 910PhilidelphiaPA19102


Court Reporting

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Phillips Legal Services

350 University Ave STE 270SacramentoCA95825


Court Reporting

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Talbot Law Group, LLP

105 E Street STE 2EDavisCA95616


Legal Counsel

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $174,198Total Non-Itemized Transactions with this Payee/Payer $669Total of All Transactions with this Payee/Payer for This Schedule $174,867

Legal Services On Retainer 10/23/2008 $10,200Legal Services On Retainer 04/04/2008 $10,200Legal Services On Retainer 11/06/2008 $15,029Legal Services On Retainer 03/26/2009 $15,000Legal Services On Retainer 11/24/2008 $10,200Legal Services On Retainer 03/11/2009 $15,000Legal Services On Retainer 12/09/2008 $19,535Legal Services On Retainer 02/24/2009 $23,839Legal Services On Retainer 12/22/2008 $15,000Legal Services On Retainer 02/04/2009 $15,000Legal Services On Retainer 01/05/2009 $14,695Legal Services On Retainer 01/20/2009 $10,500

Name and Address(A)

Verizon WirelessPO Box 9622

Mission HillsCA91346


Cellular Provider

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Eastern BankPO Box 843350

BostonMA02284


Bank

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

New Direction Services (NDS)

8300 Fair Oaks Blvd Ste 100CarmichaelCA

Purpose(C)

Date(D)

Amount(E)


Production, Print, Marketing. Supply, & Fufillment 05/30/2008 $6,879Production, Print, Marketing. Supply, & Fufillment 10/02/2008 $7,048


19 of 37 5/7/13 3:52 PM

95608Type or Classification

(B)Production, Print, Marketing. Supply, &Fufillment

Purpose(C)

Date(D)

Amount(E)


Production, Print, Marketing. Supply, & Fufillment 10/08/2008 $5,630Production, Print, Marketing. Supply, & Fufillment 02/25/2009 $7,727

Name and Address(A)

Workrights Press IncPO Box 391066

CambridgeMA02139


Shop Steward Training Book Provider

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Evers Law Group

641 Fulton Ave Suite 13SacramentoCA95825


Legal Counsel

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Postal Connections

3430 Tully Rd #20ModestoCA95350


Postal and Shipping Services

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Carol, Burdick, and McDonough LLP

1007th St STE 200SacramentoCA95814


Legal Counsel

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $72,378Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $72,378

Legal Services 04/21/2008 $6,378Legal Services 05/27/2008 $6,000Legal Services 06/24/2008 $6,000Legal Services 07/16/2008 $6,000Legal Services 08/19/2008 $6,000Legal Services 09/16/2008 $6,000Legal Services 10/23/2008 $6,000Legal Services 11/24/2008 $6,000Legal Services 12/22/2008 $6,000Legal Services 01/20/2009 $6,000Legal Services 02/24/2009 $6,000Legal Services 03/25/2009 $6,000

Name and Address(A)

Wild Critter Media

204 Church St Ste 4CBoontonNJ07005


Internet Development

Purpose(C)

Date(D)

Amount(E)



20 of 37 5/7/13 3:52 PM

Name and Address(A)

R. Douglas Collins

703 Pier Avenue, Suite B #8Hermosa BeachCA90254


Arbitrator

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

XS Orbit

SparksNV


Internet Message Board Service

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

United AirlinesPO Box 66100

ChcagIL60666


Airline

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Southwest AirlinesPO Box 36647

DallasTX75235


Airline

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Holiday Inn Express

3 Ravinia Dr STE 100AtlantaGA30346


Lodging Provider

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Allegient AirPO Box 401026

Las VegasNV89140


Airline

Purpose(C)

Date(D)

Amount(E)



21 of 37 5/7/13 3:52 PM

Name and Address(A)

We Fix Macs

3159 El Camino RealPalo AltoCA94306


Computer Maintenance and Repair

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Accessline Voice Services

11201 SE 8th St STE 200BellvueWA98004


Conference Call Service Provider

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Amazon.com

1516 2nd AveSeattleWA98101


Computer Software Provider Marketplace

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Avis Rental Car - AvisBudget Group

6 Sylvan WayParsippanyNJ07054


Rental Car Provider

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

CalProd Inc

730 S. Central Ave #209GlendaleCA91204


Printing Services

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Comfort Inn - Choice Hotels Int.

4225 East Windrose DrPhoenixAZ85032


Lodging

Purpose(C)

Date(D)

Amount(E)



22 of 37 5/7/13 3:52 PM

Name and Address(A)

Delta AirlinesPO Box 20706

AtlantaGA30320


Airline

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Free State Reporting

1378 Cape St. Claire RdAnnapolisMD21409


Court Reporting Services

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Freeman Inc

7000 Placid StLas VegasNV89119


Electrical Services For EMS Expo TradeShow

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

American Arbitration Association

1633 Broadway, 10th FloorNew YorkNY10019


Arbitration and Mediation Service

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Apple Computer Store

3401 Dale RdModestoCA95356


Computer Software and Accessories

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Best Buy

7601 Penn Ave S.RichfieldMN55423


Retail Establishment - Camera

Purpose(C)

Date(D)

Amount(E)



23 of 37 5/7/13 3:52 PM

Name and Address(A)

Hilton Garden Inn

345 Park AveNew YorkNY01111


Lodging

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Homewood Suites

345 Park AveNew YorkNY01111


Lodging

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Jet Blue

118-29 Queens BlvdForest HillsNY11375


Airline

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Mozy, Inc

2162 Grove Parkway STE 200Pleasant GroveUT86062


Computer Server Offsite Backup

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Northwest Airlines

2700 Lone Oak PkwySaint PaulMN55121


Airline r

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

The Orleans Hotel & Business Center

4500 W. Tropicana AveLas VegasNV89103


Lodging For EMS Expo Trade Show

Purpose(C)

Date(D)

Amount(E)



24 of 37 5/7/13 3:52 PM

Name and Address(A)

Priceline.com

800 Connecticut AveNorwalkCT06854


Discount Travel Service - Rental Cars

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Sir Speedy Printing

865 E. Washington StNorth AttelboroughMA02760


Printing Services

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Travelocity

3150 Sabre DriveSouthlakeTX76092


Discount Travel Services - Airfare

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Vista Print

95 Hayden AveLexingtonMA02421


Printing Services

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Courtyard By Marriott

10400 Fernwood RoadBethesdaMD20817


Lodging

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Hertz Rental Car

225 Brae BoulevardPark RidgeNC07656


Rental Car Provider

Purpose(C)

Date(D)

Amount(E)



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Name and Address(A)

Thrifty Rental Car

5330 East 31st StTulsaOK74135


Rental Car Provider

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Union 76

600 N. Dairy AshfordHoustoTX77079


Gasoline

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Shell Oil IncPO Box 2463

HoustoTX77252


Gasoline

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Jiffy Lube

700 Milam StHoustoTX77002


Auto Repair/Maintenance

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Go Daddy, Inc

14455 N. Hayden RoadScottsdaleAZ85260


Internet Related Services

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Fed Ex Office (Kinkos)

13155 Noel Rd STE 1600DallasTX75240


Printing Services

Purpose(C)

Date(D)

Amount(E)



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Name and Address(A)

Budget Rental Car

4225 Naperville RoadLisle3IL60532


Rental Car

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Alaska Airlines

19300 International BLVDSeattleWA98188


Airline

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

American AirlinesPO Box 619616

DFW AirportTX75261


Airline

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Us Airways

400 E. Sky Harbor BlvdPhoenixAZ85034


Airline

Purpose(C)

Date(D)

Amount(E)




27 of 37 5/7/13 3:52 PM

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 542-938


SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 542-938

Name and Address(A)

St. Judes Children's Research Hospital

332 N. LauderdaleMemphisTN38105


Charitable Contribution

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Lee Assistance Fund

Citi BankStocktonCA


Fund For Family Assistance of Member

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Bloomfield Ambulance Authority

BloomfieldCT


Charitable Donation

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Scanlon Memorial Fund

FPCC FCU 3303 Clinton stFt WayneIA46805



Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

SESSPA

4519 Finney RdSalidaCA95368



Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Salida Little League

4519 Finney RdSalidaCA95368


Purpose(C)

Date(D)

Amount(E)



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Charitable ContributionName and Address

(A)Hartford Member Assistance Raffle

HartfordCT


charity donation

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

NE Member Charity Raffle

NatickMA


charitable contribution

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Emergency Workers Relief Fund

2373 Circadian WaySata RosaCA95407


charitable contribution

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Boy Scout Troop 464

331 Valleywood DrWoodlandCA95695


Charity Contribution

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Paul Vining

44 Parsons RdEnfieldCT06082


Replace Computer Stolen While DoingNEMSA Business

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Walk For The Cure

350 Church StHartfordCT06103


charity contribution

Purpose(C)

Date(D)

Amount(E)




29 of 37 5/7/13 3:52 PM

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 542-938

Name and Address(A)

The Suites At Apple Hill

NatickMA


Rent for Eastern States Office

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Stamps.com

12959 Coral Tree PlaceLos AngelesCA90066


Postage Provider

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Quill, Inc

515 S. Flower St STE 4400Los AngelesCA90071


Office Supplies

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Office Depot

2020 W. Briggsmore Ave #BModestoAK95350


Office Supplies

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

US Postal Service


Postal Services

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Yolo County SO

WoodlandCA


Legal and Professional Services - Other

Purpose(C)

Date(D)

Amount(E)



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Name and Address(A)

M&M Stone And Associates

5757A Pacific Ave Suite 220StocktonCA95207


Rent for Corporate Office

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Carol, Burdick, and McDonough LLP

1007 7th StSacramentoCA95814


Rent for Sacramento Office

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

At&T

Payment CenterSacramentoCA95887


Office Telephone and Internet

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Kemper CPA Group

3031 W. March Lane STE 133StocktonCA95219


Certified Public Accountant

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Hamilton CPA Group

4285 Sypres WayModestoCA95356


Certified Public Accountant

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Comerce Insurance Company

11 Gore RdWebsterMA01570


Insurance Policy

Purpose(C)

Date(D)

Amount(E)



31 of 37 5/7/13 3:52 PM

Name and Address(A)

General Agents Acceptance CorpPO Box 1177

Lake ForestCA92679


Telephone System

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

ValeroPO Box 300

AmarilloTX79105


Fuel Vendor

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Wright ExpressPO Box 6293

Carol StreamIL60197


Fuel Vendor

Purpose(C)

Date(D)

Amount(E)


initial deposit 05/15/2008 $5,000

Name and Address(A)

1st Security and Sound

1025 Lone Palm Ave 1-AModestoCA95351


Security System For Modesto Office

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Apple Financial ServicesPO Box 31001-0497

PasadenaCA91110


Network Set Up For Server

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Great America Leasing Copier

8742 Innovation WayChicagoIL60682


Copier

Purpose(C)

Date(D)

Amount(E)



32 of 37 5/7/13 3:52 PM

Name and Address(A)

Docuware

269 Technology way, Suite BRocklinCA95765


office copier expenses

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Groesbeck Insurance Agency

1327 K StModestoCA35354


Insurance Bond For Staff

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Office Max

3900 Sisk Rd #BModestoCA95350


office supplies

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Go To My PC.com

6500 Hollister AveGoletaCA93117


remote networking service

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Staples

1657 E. Hatch RdModestoCA95351


Office Supplies

Purpose(C)

Date(D)

Amount(E)




33 of 37 5/7/13 3:52 PM

SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 542-938

Name and Address(A)

New Direction Services

8300 Fair Oaks Blvd STE 100CharmichaelCA95608


Print, Mail, and Fulfilment Center

Purpose(C)

Date(D)

Amount(E)




34 of 37 5/7/13 3:52 PM

SCHEDULE 20 - BENEFITS FILE NUMBER: 542-938

Description(A)

To Whom Paid(B)

Amount(C)

Total of all lines above (Total will be automatically entered in Item 55.) $65,148

Health Insurance (Blue Cross / Blue Shield) Insurance Company $41,506Dental Insurance (Principal) Insurance Company $11,014Vision (VSP) Insurance Company $3,140Workmans Compensation Insurance Insurance Company $9,488



35 of 37 5/7/13 3:52 PM


36 of 37 5/7/13 3:52 PM

69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 542-938

Question 12: Audit by outside body - Kemper CPA Group

Question 18: Bylaws amended in FY 2008 regarding eligibility of members for service as officers on the board of directors and as local work siteleaders. Bylaws amended in FY 2008 for dues assessment of members.

Schedule 13 : Regular members are dues paying members with full voting rights

Schedule 13 : Member, Non Dues Payer - those who have applied for membership in the association but for whom there is an active campaign orcollective bargaining in process. These people are not obligated to pay dues unless or until a CBA becomes effective under a waiver of the payment ofunion dues per the NEMSA Board of Directors. Notwithstanding the above, if these members have submitted a membership application form and optedfor membership, or have elected to manually pay dues, they will have full voting rights.

Schedule 13 : Pending Membership, non dues payer - those who have not yet applied for membership in NEMSA due to various factors including newlyacquired bargaining units, recently won campaigns, etc.. These people do not have voting rights

Schedule 13 : Non Members Do Not Have Voting Rights In The Association

Loans Payable Start Value Discrepancy: An additional loan was obtained for the purchase of technology and computers that changed the loan amountdue.



37 of 37 5/7/13 3:52 PM

nemsa 2009 lm2

Documents

natick ma type

talbot law group

certified public accountant

full voting rights

rental car provider

dol form report

gross salary disbursements

total itemized transactions