pdc complaint - seiu peaf - appendix€¦ · mary kay henry, 1800 massachusetts ave., nw,...

PDC Complaint - SEIU PEAF - Appendix

Appendix Page - 001

1 Name of organization Employer identification number

SERVICE EMPLOYEES INTERNATIONAL UNION POLITICAL ED & ACTION FUND 52 - 2263644

2 Mailing address (P.O. box or number, street, and room or suite number)

1800 Massachusetts Avenue, NW

City or town, state, and ZIP code

Washington, DC 20036 -

3 Check applicable box: Initial notice ✔ Amended notice Final notice

4a Date established 4b Date of material change

01/01/1921 01/29/2019

5 E-mail address of organization

[email protected]

6a Name of custodian of records 6b Custodian's address

Arun Ivatury 1800 Massachusetts Avenue, NW


7a Name of contact person 7b Contact person's address

Arun Ivatury 1800 Massachusetts Avenue, NW


8 Business address of organization (if different from mailing address shown above). Number, street, and room or suite number

1800 Massachusetts Avenue, NW

City or town, state, and ZIP code


9a Election authority 9b Election authority identification number

OH 7512CA 782200NV N/ANY A18886CO 20065631049

10a Is this organization claiming exemption from filing Form 8872, Political Organization Report of Contributions and Expenditures, as a

qualified state or local political organization? Yes No ✔

10b If 'Yes,' list the state where the organization files reports:

Form 8871 Rev. July 2003)

Department of the Treasury lnta-nal Revenue Service

General Information

Political Organization Notice of Section 527 Status

1@1i1 Notification of Claim of Exemption From Filing Certain Forms (see instructions)

0MB No. 1545-1 693

Appendix Page - 002

11 Is this organization claiming exemption from filing Form 990 (or 990-EZ), Return of Organization Exempt from Income Tax, as a caucus or

associations of state or local officials? Yes No ✔

12 Describe the purpose of the organization

Address political issues of public importance

•iffiijj• Purpose

Appendix Page - 003

13 Check if the organization has no related entities

.......................................................................................................................................................................

Service Employees International Union Connected 1800 Massachusetts Avenue, NW Washington, DC 20036 -

SEIU OH PAC Affiliated 1800 Massachusetts Avenue, NW Washington, DC 20036 -

Mary Kay Henry Chairperson 1800 Massachusetts Avenue, NW Washington, DC 20036 -

Gerald Hudson Treasurer 1800 Massachusetts Avenue, NW Washington, DC 20036 -

Gerald Hudson 01/29/2019

UffiU1 List of All Related Entities (see instructions)

14a Name of related entity 14b Relationship 14c Address

15a Name

Sign Here

List of All Officers Directors and Hi lo ees see instructions 15b Title

Under penalties of perjury, I declare that the organization named in Part I is to be treated as a tax-exempt organization described in section 527 of the Internal Revenue Code, and that I have examined this notice, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that I am the official authorized to sign this report , and I am signing by entering my name below.

• Name of authorized official • Date

Appendix Page - 004

~OSURECOMMISSION Form This space for office use

711 CAPITOL WAY RM 206 p M POBOX40908 0 A OLYMPIA WA 98504-0908 s R C5 (360) 753-1111 T

'bATE FILED PDC TOLL FREE 1-877-601-2828 {2/16) R

E C MAR O 7 2018 E

Out-of-State Political Committee Campaign Finance Report I V E D

1. Name and full address of committee making the contribution 2. Check appropriate box Name SEIU Political Education and Action Fund El This is the first report submitted during 20.1_8

Street address 1800 Massachusetts Ave., NW D This _shows new expenditures, contributions or information changed from reports submitted

City I State I Zip Washington, DC 20036 previously this calendar year.

3. Provide the purpose of the committee and the Identity of any business, union, association or person with which the committee Is affiliated (e.g., a State Committee of the Oregon Republican Party, Idaho committee of United Workers Union or federal PAC of XYZ Trade Assn.)

SEIU Political Education and Action Fund is the IRS Section 527 account connected to the Service Employees International Union.

4. Officers or responsible leaders of committee: Name and full address

Mary Kay Henry, 1800 Massachusetts Ave., NW, Washington, DC 20036

Gerald Hudson, 1800 Massachusetts Ave., NW, Washington, DC 20036

Title

Chairperson Treasurer

5. States where this political committee Is registered and has been actively reporting campaign finance Information for the preceding two years:

Name of state(s) & administrative agency(s) Agency(s) website address California - Secretary of State www.ca.sos.gov/prd; Nevada - Secretary of Statewww.nvsos.gov; New York- New York State Board of Elections www.elections.ny.gov, Ohio - Secretary of State www.sos.state.oh.us

6. Candidate contributions: List each Washington candidate for state, local or Judicial office to whom you have made a contribution of more than $50.00.

Candidate name Office sought Political party Date Amount

' '

7. Ballot measure committee contributions: List each Washington committee supporting or opposing a ballot measure to whom you have made a contribution of more than $50.00. ·

Committee name & full address Ballot

number For or Against? Date Amount

8. other contributions and expenditures: List each other contribution or expenditure of more than $50.00 made to or on behalf of any Washington state, local or Judicial candidate, ballot measure or political committee.

Reclplen~ name & full address

SEIU 775 Quality Care Committee 33615 1st Way South Federal Way, WA 98003

Check here D if continued on an attached sheet

Purpose

Contribution

9. Total contributions and expenditures (Add parts 6, 7, 8)

PDC Form C-5 (1/14)

Date

02/01/2018

Amount

$139,849.02

$139,849.02

CONTINUE ON NEXT PAGE

Appendix Page - 005

1 O. Aggregate contributions and expenditures made during this calendar year in Washington State. $ 132,849.02 Include amounts shown on this report and C5 reports previously submitted this calendar year ....................

Does this aggregate total represent 20% or more of the committee's nationwide campaign activity to date for this calendar year? ~ ND

11. Contributions received from Washington residents. List all contributions of more than $25.00 in the aggregate to this out-of-state committee during the current calendar year from Washington residents or corporations with their headquarters or a primary place of business in Washington.

Name and full address Date Amount Aggregate Total

N/A

•-•r ~' ' - ~- - -- -·--·-· . - - - -- -,•,;- ~-


12. Contributions received from persons residing outside of Washington. List the name, address, and employer of each person or corporation residing outside the state of Washington who has made contributions of more than $2,680.00 in the aggregate to this out-of-state c_ommittee during the current calendar year.

Name and full address Employer name, city and state Date Amount Aggregate Total

Service Employees International Union N/A 1/9/2018 $ 5,000.00 $ 5,000.00

1800 Massachusetts Ave., NW 1/29/2018 $139,849.02 $139,854.02 Washington, DC 200036 2/26/2018 $102,466.16 $242,320.18

--- ------~c:.. ·------.,· _"',,,__. --- - - ~ --- ------............ < -- - ~- - ---· - --~- --- ----~ ~·, - ~ -~ .... - - ~ ~ e,_..._ - "· " -


13. Eligibility to Give to Political Committees and State Office Candidates: A committee must receive $10 or more each from ten Washington State registered voters before contributing to a Washington State political committee. Additionally, during the six months prior to making a contribution to a state office candidate your committee must have received contributions of $10 or more each from at least ten Washington State registered voters.

I&! A check here indicates your awareness of and pledge to comply with these provisions. Absence of a check mark means your committee does not qualify to give to Washington State political committees and/or state office candidates.

14. Certification: I certify the information contained in this report is true, complete and correct to the best of my knowledge.

Signature of Committee Official Name - Typed or Printed

~}:,,~ ~.,µMA- Gerald Hudson

Title Daytime Telephone No. ( 202 ) 730:7000 Treasurer

E-Mail Address [email protected]

Appendix Page - 006

711 CAPITOLWAYRM206 PO BOX40908

Form

C5 This space for office use

p M

OLYMPIA WA 98504-0908 (360) 753-1111

~ ~ DATE FILED POC T K

TOLL FREE 1-877-601-2828 2/16 R

E C E I V E D

JUN 18 2018

Out-of-State Political Committee Campaign Finance Report

1. Name and full address of committee making the contribution Name SEIU Political Education and Action Fund Street address 1800 Massachusetts Ave., NW City/ State I Zip Washington, DC 20036

2. Check appropriate box D. This is the first report submitted during 201_8 P3I This shows new expenditures, contributions or

information changed from reports submitted previously this calendar year.

3. Provide the purpose of the committee and the Identity of any business, union, association or person with which the committee Is affiliated (e.g., a State Committee of the Oregon Republican Party, Idaho committee of United Workers Union or federal PAC of XYZ Trade Assn.)


4. Officers or responsible leaders of committee: Name and full address - · -

Mary Kay Henry, 1800 Massachusetts Ave., NW, Washington, DC 20036 Gerald Hudson, 1800 Massachusetts Ave., NW, Washington, DC 20036

Tltle

Chairperson Treasurer

5. States where this political committee is registered and has been actively reporting campaign finance information for the preceding two years:

Name of state(s) & administrative agency(s) Agency(s) website address California - Secretary of State www.ca.sos.gov/prd; Nevada - Secretary of State www. nvsos.gov; New York - New York State Board of Elections www.elections.ny.gov, Ohio - Secretary of State www.sos.state.oh.us

6. Candidate contributions: List each Washington candidate for state, local or Judicial office to whom you have made a contribution of more than $50.00.


_______ 7. Ballot measure committee contributions: List each Washington committee supporting or opposing a ballot measure to whom you have made a contribution of ·more than $50.00. - ·


number For or Against? Date Amount

8. Other contributions and expenditures: List each other contribution or expenditure of more than $50.00 made to or on behalf of any Washington state, local or Judicial candidate, ballot measure or political committee.

Recipient name & full address

SEIU 775 Quality Care Committee 33615 1st Way South Federal Way, WA 98003

Check here O if continued on an attached sheet

Purpose

Contribution


PDC Form C-5 (1/14)

Date

05/13/2018

Amount

$206,562.19

$206,562.19


Appendix Page - 007

10. Aggregate contributions and expenditures made during this calendar year in Washington State. $ 339,411.21 Include amounts shown on this report and C5 reports previously submitted this calendar year ....................

Does this aggregate total represent 20% or more of the committee's nationwide campaign activity to date for this calendar year? VO N~



N/A

--- ~ - '

-.


12. Contributions received from persons residing outside of Washington. List the name, address, and employer of each person or corporation residing outside the state of Washington who has made contributions of more than $2,680.00 in the aggregate to this out-of-state committee during the current calendar year.


Service Employees International Union N/A 03/22/2018 $179,097.92 $1,661,620.30 1800 Massachusetts Ave., NW 03/29/2018 $ 14,069.17 $1,675,689.47 Washington, DC 200036 04/26/2018 $ 92,155.75 $1,767,845.22

Service Employees International Union N/A 05/01/2018 $ 1,291,047.40 $3,058,892.62 1800 Massachusetts Ave., NW 05/10/2018 $ 206,562.19 $3,265,454.81 Washington, DC 200036 05/17/2018 $ 1,000.00 $3,266,454.81

Service Employees International Union N/A 05/22/2018 $ 100,000.00 $3,366,554.81

1800 Massachusetts Ave., NW 05/31/2018 $ 160,000.00 $3,526,454.81

Washington, DC 200036

-~ :,; -..~---,-~ '~,--.-;;-'..:>- -... -., . ------ -· ~ ----~----.:--- --- ~- -. ----- "' '" --" -- •> ·--"-..-_,.,,,,-.--...,_~" ' ..... ~ ...,_,



~ A check here indicates your awareness of and pledge to comply with these provisions. Absence of a check mark means your committee does not qualify to give to Washington State political committees and/or state office candidates.

14. Certification: I certifythe information contained in this report is true, complete and correct to the best of my knowledge.


~/~ Gerald Hudson

Title Daytime Telephone No. ( 202 ) 730-7000 Treasurer


Appendix Page - 008

Appendix Page - 009

Appendix Page - 010

PUBLIC DISCLOSURE COMMISSION Form ,,.,...,. .. J, .. p M 711 CAPITOLWAYRM206

POBOX40908 OLYMPIA WA 98504-0906 (360) 753-1111 C5 tl!PIU!D C

T K TOLL FREE 1-877-601-2828

----------=-211"'"""5-----: AUG 13 2018

C

Out-of-State Political Committee Campaign Finance Report E I V

· 1. Name and full address of committee making tho contribution Name S3U Fblitical 8:fucation and Action Fund Street address 1800MasxichusettsAve., NW City I State I Zip Washington. DC20036

E D

2. Chock appropriate box 0 This Is the first report submitted during 201.8 3 This shows new e,cpenclitures, contributions or

infonnation changed from reports submitted previously this calendar year.

3. Provide tho purpose of the committee and the Identity of any business, union, association or person with which the committee Is affiliated (e.g., a State Committee of the Oregon Republican Party, Idaho committee of United_ Workers Union or federal PAC of XYZ Trade Assn.)

S3U R>litical 6:lucation and Ad:ion Fund is the IFS~ion SZ'/ aro::>unt connected to the ~rvice Employees International Union.

4. Officers or responsible loaders of committee: Name and full address

Mary~ H9nry, 1800 M~urettsAve., NW, Washington, DC20036 ~raid H.Jds:m, 1800 M~urettsAve., t-m, Washington, DC20036

Title

Otairpers:m TrecSJrer

6. States where this political committee Is registered and has been actively reporting campaign finance Information for the procoding two oars:

Name of stato(s) & administrative agency(s) Agency(s) website address Ollifomia- 83aetaryof Sate www.ca.ros.g>v/prd; Nevada-~etaryof Sate www. nV&)SgJV: New York- New York Sate Ebard of Sections www.electionsny.g>v, O,io - 83aetary of Bate www.ros.state.oh.us

I 6. Candidate contributions: List each Washington candidate for state, local or judicial office to whom you have made a contribution of more than

$60.00.

Candidate name Office sought Political party Date Amo11nt

7. Ballot measure committee contributions: List each Washington committee supporting or opposing a ballot measure to whom you have ~ado a contribution of more than $60.00.


number For or Against? Date Amal.Int

8. Other contributions and expenditures: List each other contribution or expenditure of more than $60.00 made to or on behalf of any Wasrington state, local or judicial candidate, ballot measure or political committee.

Recipient name & full address Purpose Date Amo nt

S3U Lccal 925 Qmtribution 07/2612018 $203,4l~.75 A.ablic S!rvice PAC 14900 Interurban Ave. S#150 ~tie, WA98168

Check here C If continued on an attached sheet

9. Total contributions and expenditures (Add parts 6, 7, 8) •••...••••.•...••.••...•••.......•.•••.•

PDC Fonn C-5 (1/14)

I $203,4$8.75

CONTINUE ON

iEXTPAGE

Appendix Page - 011

10. Aggregate contributions and expenditures made during this calendar year In Washington State. .~ lndude amounts shown on this report and C5 reports previously submitted this calendar year. • • • • • • • . • • • . • • . • • • • $ , 69

I Does this aggregate total represent 20% or more of the committee's nationwide campaign activity to date for this calendar year? YO Nl)a

11. Contributions received from Washington residents. List all contributions of more than $25.00 in the aggregate to this out-of-state co nmittee during the current calendar year from Washington residents or corporations wilh their headquarters or a primary place of business in Washington.


NIA

, ·--

Check here LI if continued on an attached sheet

12. Contributions received from persons residing outside of Washington. List the name, address, and employer of each person or corporation residing outside the state of Washington who has made contributions of more than $2,680.00 in the aggregate to this out-of-state committee during t1e current calendar year.


8:lrvire Bnployees International Union NIA 07/26/2018 $203,498.75 I

$4,058 026.29 1800 Massachusetts Ave., f'm Was,ington, OC200036


13. Ellglblllty to Give to Political Committees and State Office candidates: A committee must receive $10 or more each from ten :J:hlngton State registered voters before contributing to a Washington State political committee. Additionally, during the six months prior to making a con · lion to a state office candidate your committee must have received contributions of $10 or more each from at least ten Washington State registered voters'

l8J Adu,,k h"'6 md"""8 you, ... ,...,. d ,nd pledge lo'°""" wfth U.,se "'°"'ion,. A .. -. of e ""''" ma,1< meeno you,commMee does r q,,i,y to give to Washington State political committees and/or state office candidates.


~ of Committee Official Name - Typed or Printed

"~~ ~rald~~n

TiUe Daytime Telephone No. ( 202) 730-7000 I Treasurer I E-Mail Address treas®seiu.org

Appendix Page - 012

' -LOSURE COMMISSION Form This space for office use

711 CAPITOLWAYRM206 cs p M PO BOX40908 0 A OLYMPIA WA 98504-0908 ~ qA'rE FILEO P'bC (360) 753-1111 TOLL FREE 1-877-601-2828

(2/16) R E OCT 1 0 2018 C E -

Out-of-State Political Committee Campaign Finance Report I V E D

1. Name and full address of committee making the contribution 2. Check appropriate box Name SEIU Political Education and Action Fund ~ This is the first report submitted during 20.1_8

Street address 1800 Massachusetts Ave., NW This shows new expenditures, contributions or information changed from reports submitted

City I State I Zip Washington, DC 20036 previously this calendar year.

3. Provide the purpose of the committee and the Identity of any business, union, association or person with which the committee is affiliated (e.g., a State Committee of the Oregon Republican Party, Idaho committee of United Workers Union or federal PAC of XYZ Trade Assn.)


4. Officers or responsible leaders of committee: Name and full address

. Mary Kay Henry, 1800 Massachusetts Ave., NW, Washington, DC 20036 Gerald Hudson, 1800 Massachusetts Ave., NW, Washington, DC 20036

Title

Chairperson

Treasurer

5. States where this political committee is registered and has been actively reporting campaign finance Information for the preceding two years:

Name of state(s) & administrative agency(s) Agency(s) website address California - Secretary of State www.ca.sos.gov/prd; Nevada - Secretary of State www. nvsos.gov; New York - New York State

Board of Elections www.elections.ny.gov, Ohio - Secretary of State www.sos.state.oh.us

6. Candidate contributions: List each Washington candidate for state, local or judicial office to whom you have made a contribution of more than $50.00.


7. Ballot measure committee contributions: List each Washington committee supporting or opposing a ballot measure to whom you have made a contribution of more than $50.00.

Ballot Committee name & full address number For or Against? Date Amount

8. Other contributions and expenditures: List each other contribution or expenditure of more than $50.00 made to or on behalf of any Washington state, local or judicial candidate, ballot measure or political committee. _

Recipient name & full address New Direction PAC

119 1st. Ave. S. #320 Seattle, WA 98104


Purpose

Contribution


PDC Form C-5 (1/14)

Date

09/25/2018

Amount

$50,000.00

$50,000.00


Appendix Page - 013

-" 10. Aggregate contributions and expenditures made during this calendar year in Washington State. $ 747,982.69 Include amounts shown on this report and CS reports previously submitted this calendar year ..•.••.••••.•..•••••

Does this aggregate total represent 20% or more of the committee's nationwide campaign activity to date for this calendar year? YD N~



N/A


12. Contributions received from persons residing outside of Washington. List the name, address, and employer of each person or corporation residing outside the state of Washington who has made contributions of more than $2,680.00 in the aggregate to this out-of-state committee during the current calendar year.


Service Employees International Union N/A 08/01/2018 $ 1,000.00 $4,059,026.29 1800 Massachusetts Ave., NW 08/28/2018 $ 150,000.00 $4,209,026.29 Washington, DC 20036 09/11/2018 $ 354,962.94 $4,563,989.23

Service Employees International Union N/A 09/17/2018 $ 105,000.00 $4,668,989.23 1800 Massachusetts Ave., NW 09/18/2018 $1,192,300.00 $5,861,289.23 Washington, DC 20036 09/20/2018 $ 295,800.00 $6,157,089.23

Service Employees International Union N/A 09/25/2018 $ 398,052.00 $6,555,141.23 1800 Massachusetts Ave., NW

09/26/2018 $ 1,608.08 $6,556,749.31 Washington, DC 20036

09/27/2018 $ 36,526.00 $6,593,275.31



ig:J A check here indicates your awareness of and pledge to comply with these provisions. Absence of a check mark means your committee does not qualify to give to Washington State political committees and/or state office candidates.



~~ ~ Gerald Hudson

Title Daytime Telephone No. ( 202 ) 730-7000 Treasurer


Appendix Page - 014

A For the period beginning 01/01/2018 and ending 03/31/2018

B Check applicable box: ✔ Initial report Change of address Amended report Final report

1 Name of organization Employer identification numberSERVICE EMPLOYEES INTERNATIONAL UNION POLITICAL ED & ACTION FUND 52 - 2263644

2 Mailing address (P.O. box or number, street, and room or suite number)1800 Massachusetts Avenue, NW

City or town, state, and ZIP codeWashington, DC 20036

3 E-mail address of organization: 4 Date organization was formed:[email protected] 01/01/1921

5a Name of custodian of records 5b Custodian's addressLaurie Singer 1800 Massachusetts Avenue, NW


6a Name of contact person 6b Contact person's addressLaurie Singer 1800 Massachusetts Avenue, NW


7 Business address of organization (if different from mailing address shown above). Number, street, and room or suite number1800 Massachusetts Avenue, NW


8 Type of report (check only one box) ✔ First quarterly report Monthly report for the month of: (due by April 15) (due by the 20th day following the month shown above, except the

Second quarterly report December report, which is due by January 31) (due by July 15) Pre-election report (due by the 12th or 15th day before the election)

Third quarterly report (1) Type of election: (due by October 15) (2) Date of election:

Year-end report (3) For the state of: (due by January 31) Post-general election report (due by the 30th day after general election)

Mid-year report (Non-election (1) Date of election: year only-due by July 31) (2) For the state of:

9 Total amount of reported contributions (total from all attached Schedules A) ........................................................................... 9. $ 1675759

10 Total amount of reported expenditures (total from all attached Schedules B)..........................................................................10. $ 1675689


Form 8872 (November 2002}

Department of the Treasury Interna l Revenue Service

Political Organization Report of Contributions and Expenditures 0MB No. 1545-1696

• See separate instructions.

Under penalties of perjury, I declare that I have examined this report, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.

Sign • Here Signature of authorized official •

Appendix Page - 015

Contributor's name, mailing address and ZIP code Name of contributor's employerAggregate below Threshold NA1800 Massachusetts Avenue, NW Contributor's occupation Amount of contributionWashington, DC 20036 NA $ 70

Aggregate contributions year-to-date Date of contribution$ 70 03/31/2018

Contributor's name, mailing address and ZIP code Name of contributor's employerSEIU General Fund N/A1800 Massachusetts Ave NW Contributor's occupation Amount of contributionWashington, DC 20036 N/A $ 1235207












Form 8872 (11 -2002)

~iflttfflm@j Itemized Contributions Schedule A

Appendix Page - 016

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of Expenditure1199/SEIU NEW YORK STATE POLITICAL ACTION FUND N/A $ 1235207330 W 42nd St., 7th Floor Recipients's occupation Date of expenditureNew York, NY 10036 - 6407 N/A 01/11/2018

Purpose of expenditure Contribution

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU Healthcare 775 NW Quality Care Comm N/A $ 13984933615 1st Way S Suite A Recipients's occupation Date of expenditureFederal Way, WA 98003 N/A 02/01/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU Local 1107 COPE N/A $ 1790982250 S. Rancho Drive #165 Recipients's occupation Date of expenditureLas Vegas, NV 89102 N/A 03/08/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU Healthcare Minnesota Political Committee N/A $ 102466345 Randolph Ave Ste 100 Recipients's occupation Date of expenditureSaint Paul, MN 55102 N/A 03/01/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSuburban School Emp. Local 284 PAC Fund N/A $ 14069450 Southview Blvd Recipients's occupation Date of expenditureSouth Saint Paul, MN 55075 N/A 03/19/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureBreakthrough Fund N/A $ 50002425 17th St, NW #324 Recipients's occupation Date of expenditureWashington, DC 20009 N/A 01/11/2018


Form 8872 (11 -2002)

1--f§ttfflmrj:1 Itemized Expenditures Schedule B

Appendix Page - 017













8 Type of report (check only one box)

First quarterly report Monthly report for the month of: (due by April 15) (due by the 20th day following the month shown above, except the✔ Second quarterly report December report, which is due by January 31) (due by July 15) Pre-election report (due by the 12th or 15th day before the election)













Appendix Page - 018















Contributor's name, mailing address and ZIP code Name of contributor's employerAggregate below Threshold NA1800 Massachusetts Avenue, NW Contributor's occupation Amount of contributionWashington, DC 20036 NA $ 50






Form 8872 (11 -2002)


Appendix Page - 019

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureStrategies 360 Inc. N/A $ 1800001505 Westlake Ave N Suite 100 Recipients's occupation Date of expenditureSeattle, WA 98109 N/A 06/08/2018

Purpose of expenditure Electioneering Communications for C



Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureMississippi Onward PAC N/A $ 1000P.O. Box 733 Recipients's occupation Date of expenditureJackson, MS 39205 N/A 05/17/2018










Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU Colorado Small Donor Fund N/A $ 1800001800 Massachusetts Ave., NW Recipients's occupation Date of expenditureWashington, DC 20036 N/A 06/08/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureStrong Public Schools N/A $ 1000003511 East Harmon Ave Recipients's occupation Date of expenditureLas Vegas, NV 89121 N/A 05/22/2018


Form 8872 (11 -2002)


Appendix Page - 020

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureCIR/SEIU Local 1957 Health Care Advocacy Fund N/A $ 92156520 Eighth Ave, Suite 1200 Recipients's occupation Date of expenditureNew York, NY 10018 N/A 04/26/2018


Appendix Page - 021














First quarterly report Monthly report for the month of: (due by April 15) (due by the 20th day following the month shown above, except the

Second quarterly report December report, which is due by January 31) (due by July 15) Pre-election report (due by the 12th or 15th day before the election)✔ Third quarterly report (1) Type of election: (due by October 15) (2) Date of election:












Appendix Page - 022























Form 8872 (11 -2002)


Appendix Page - 023

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureBase Builder LLC N/A $ 1500002104 Stevens Ave. Recipients's occupation Date of expenditureMinneapolis, MN 55404 N/A 08/28/2018

Purpose of expenditure Canvassing Services

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU Local 925 PAC N/A $ 20349914900 Interurban Ave South Recipients's occupation Date of expenditureSeattle, WA 98168 N/A 07/26/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureResonance Campaigns LLC N/A $ 73007612 14th St NW Recipients's occupation Date of expenditureWashington, DC 20012 N/A 09/18/2018

Purpose of expenditure Voter Canvass Literature

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureGroundworks Campaign LLC N/A $ 365261787 Tribute Rd Suite K Recipients's occupation Date of expenditureSacramento, CA 95815 N/A 09/27/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureDem. Assoc. of Secretaries of State N/A $ 100000777 S. FIGUEROA STREET, SUITE 4050 Recipients's occupation Date of expenditureLos Angeles, CA 90017 N/A 09/11/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureEngage America N/A $ 5000111 Pine St #1500 Recipients's occupation Date of expenditureSan Francisco, CA 94111 N/A 09/18/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureOhio State Joint Council 25 N/A $ 4350001395 Dublin Rd Recipients's occupation Date of expenditureColumbus, OH 43215 N/A 09/18/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditurePDQ Printing of Las Vegas Inc. N/A $ 4773820 S. Valley View Blvd. Recipients's occupation Date of expenditureLas Vegas, NV 89103 N/A 09/27/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditurePDQ Printing of Las Vegas Inc. N/A $ 11313820 S. Valley View Blvd. Recipients's occupation Date of expenditureLas Vegas, NV 89103 N/A 09/27/2018


Form 8872 (11 -2002)


Appendix Page - 024

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureAMERICA VOTES ACTION FUND N/A $ 2350001155 CONNECTICUT AVENUE, NW Ste 600 Recipients's occupation Date of expenditureWashington, DC 20036 N/A 09/25/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureBLACK PAC N/A $ 2000002090 ADAM CLAYTON POWELL JR. BLVD. SUITE 201A Recipients's occupation Date of expenditureNew York, NY 10027 N/A 09/20/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureNevada Families First N/A $ 100000284-C E Lake Mead Blvd. #311 Recipients's occupation Date of expenditureHenderson, NV 89015 N/A 09/18/2018




Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureNew Direction PAC N/A $ 50000119 1st Ave S #320 Recipients's occupation Date of expenditureSeattle, WA 98104 N/A 09/25/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureOhio State Joint Council 25 N/A $ 5500001395 Dublin Rd Recipients's occupation Date of expenditureColumbus, OH 43215 N/A 09/18/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureGroundworks Campaign LLC N/A $ 730521787 Tribute Rd Suite K Recipients's occupation Date of expenditureSacramento, CA 95815 N/A 09/25/2018






Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureDemocratic Governor's Association N/A $ 2000001225 Eye St., NW #1100 Recipients's occupation Date of expenditureWashington, DC 20005 N/A 09/11/2018


Appendix Page - 025















Second quarterly report December report, which is due by January 31) (due by July 15) ✔ Pre-election report (due by the 12th or 15th day before the election)

Third quarterly report (1) Type of election: general (due by October 15) (2) Date of election: 11/06/2018

Year-end report (3) For the state of: DC (due by January 31) Post-general election report (due by the 30th day after general election)











Appendix Page - 026











Form 8872 (11 -2002)


Appendix Page - 027



Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureBerlin Rosen N/A $ 426515 Maiden Lane #1600 Recipients's occupation Date of expenditureNew York, NY 10038 N/A 10/04/2018

Purpose of expenditure T-shirts

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureMaine House Democratic Campaign Committee N/A $ 15000PO Box 2021 Recipients's occupation Date of expenditureAugusta, ME 04338 N/A 10/04/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureThe Pivot Group N/A $ 11501720 I Street, NW Suite 550 Recipients's occupation Date of expenditureWashington, DC 20006 N/A 10/11/2018

Purpose of expenditure Canvass Literature for NV Non-Fed E

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureBLACK PAC N/A $ 1000002090 ADAM CLAYTON POWELL JR. BLVD. SUITE 201A Recipients's occupation Date of expenditureNew York, NY 10027 N/A 10/16/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSwayable N/A $ 179730 Cooper Square, 4th Floor Recipients's occupation Date of expenditureNew York, NY 10003 N/A 10/13/2018

Purpose of expenditure Digital Advertising Opposing Dean H

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureNevada Families First N/A $ 150000284-C E Lake Mead Blvd. #311 Recipients's occupation Date of expenditureHenderson, NV 89015 N/A 10/11/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of Expenditure76 Words LLC N/A $ 15001121 5th St NW Fl 1 Recipients's occupation Date of expenditureWashington, DC 20001 N/A 10/13/2018

Purpose of expenditure Digital Advertising Opposing Dean H

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU Oregon State Council N/A $ 4000006401 SE Foster Road Recipients's occupation Date of expenditurePortland, OR 97206 N/A 10/02/2018


Form 8872 (11 -2002)


Appendix Page - 028

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureJennifer L. Smith N/A $ 17313191 Warrenton Ave. Recipients's occupation Date of expenditureWest Hartford, CT 06119 N/A 10/04/2018

Purpose of expenditure Campaign Consulting Services

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureRebuild Maine N/A $ 18000035 Community Drive Recipients's occupation Date of expenditureAugusta, ME 04330 N/A 10/09/2018



Purpose of expenditure Digital Advertising Supporting Jack


Purpose of expenditure Canvass Literature Supporting Jacky



Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureA Better Maine N/A $ 10000499 Broadway #179 Recipients's occupation Date of expenditureBangor, ME 04401 N/A 10/04/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU MN State Council Political Fund N/A $ 8730002233 University Ave W Suite 422 Recipients's occupation Date of expenditureSaint Paul, MN 55114 N/A 10/02/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSenate Democratic Campaign Committee N/A $ 15000PO Box 2207 Recipients's occupation Date of expenditureAugusta, ME 04338 N/A 10/09/2018




Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureCalifornia State Council SEIU N/A $ 75001130 K St Ste 300 Recipients's occupation Date of expenditureSacramento, CA 95814 N/A 10/04/2018


Appendix Page - 029

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU General Fund N/A $ 13631800 Massachusetts Ave NW Recipients's occupation Date of expenditureWashington, DC 20036 N/A 10/09/2018

Purpose of expenditure Staff Salaries and Benefits Support

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureKansas Values Institute N/A $ 100000PO Box 97 Recipients's occupation Date of expenditureLawrence, KS 66044 N/A 10/16/2018




Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureWorking Maine N/A $ 2500035 Community Drive Recipients's occupation Date of expenditureAugusta, ME 04330 N/A 10/09/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureCalifornia State Council SEIU N/A $ 375001130 K St Ste 300 Recipients's occupation Date of expenditureSacramento, CA 95814 N/A 10/04/2018


Appendix Page - 030

















Year-end report (3) For the state of: (due by January 31) ✔ Post-general election report (due by the 30th day after general election)

Mid-year report (Non-election (1) Date of election: 11/06/2018 year only-due by July 31) (2) For the state of: DC










Appendix Page - 031





















Form 8872 (11 -2002)


Appendix Page - 032


Purpose of expenditure Digital Advertising Supporting CT N

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU United Healthcare Workers West N/A $ 322560 Thomas L Berkley Way Recipients's occupation Date of expenditureOakland, CA 94612 N/A 11/21/2018

Purpose of expenditure Travel Meals for NV Gubernatorial


Purpose of expenditure Travel Meals for Canvass Supporti


Purpose of expenditure Reimbursement for Copying CT Non-Fe


Purpose of expenditure Staff Salaries Benefits In-Kind C

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureResonance Campaigns LLC N/A $ 168431020 16th St., NW #701 Recipients's occupation Date of expenditureWashington, DC 20036 N/A 10/18/2018

Purpose of expenditure Voter Canvass Literature for CT Non

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureCoalition for a Safe Secure America N/A $ 250001032 15th Street, NW Suite 179 Recipients's occupation Date of expenditureWashington, DC 20005 N/A 11/07/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureNP Strategy Group N/A $ 19191250 I St., NW, Suite 1003 Recipients's occupation Date of expenditureWashington, DC 20005 N/A 10/24/2018

Purpose of expenditure Texting Services for NV Non-Federal


Purpose of expenditure Staff Salaries Benefits for NV Gu

Form 8872 (11 -2002)


Appendix Page - 033

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU Local 105 N/A $ 778582525 W Alameda Ave 2nd Fl Recipients's occupation Date of expenditureDenver, CO 80219 N/A 11/01/2018



Purpose of expenditure Texting Services for CT Non-Federal


Purpose of expenditure Digital Advertising Supporting CT N


Purpose of expenditure Staff Salaries Benefits for CT Gu


Purpose of expenditure Direct Mail Supporting Jacky Rosen




Purpose of expenditure Travel Costs, Hotels Meals for NV


Purpose of expenditure Canvass Literature Supporting Jacky


Purpose of expenditure Canvass Literature for CT Non-Feder


Purpose of expenditure GOTV Texting Services

Appendix Page - 034

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU Connecticut State Council N/A $ 13277577 Huyshope Avenue Recipients's occupation Date of expenditureHartford, CT 06106 N/A 11/01/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureFlorida Democratic Legislative Campaign Committee N/A $ 100000743 Gold Nugget Trl Recipients's occupation Date of expenditureTallahassee, FL 32304 N/A 10/25/2018



Purpose of expenditure Staff Salaries Benefits for CT St


Purpose of expenditure Non-Federal CT Canvassing Services


Purpose of expenditure Staff Salaries Benefits for CT Gu

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureMake the Road Action N/A $ 12000449 Troutman St Recipients's occupation Date of expenditureBrooklyn, NY 11237 N/A 10/30/2018

Purpose of expenditure Canvassing Services for CT Non-Fede

Appendix Page - 035







5a Name of custodian of records 5b Custodian's addressArun Ivatury 1800 Massachusetts Avenue, NW


6a Name of contact person 6b Contact person's addressArun Ivatury 1800 Massachusetts Avenue, NW







Third quarterly report (1) Type of election: (due by October 15) (2) Date of election: ✔ Year-end report (3) For the state of: (due by January 31) Post-general election report (due by the 30th day after general election)











Appendix Page - 036

















Form 8872 (11 -2002)


Appendix Page - 037


Purpose of expenditure Digital Advertising Consulting Serv

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU Connecticut State Council N/A $ 4322577 Huyshope Avenue Recipients's occupation Date of expenditureHartford, CT 06106 N/A 12/06/2018


Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureNew Georgia Project Action Fund N/A $ 75000165 Courtland St NE Suite A231 Recipients's occupation Date of expenditureAtlanta, GA 30303 N/A 11/29/2018



Purpose of expenditure Campaign Consulting Services


Purpose of expenditure Communications Consulting Services






Purpose of expenditure Staff Salaries and Benefits for Pho

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureMake the Road Action N/A $ 3600449 Troutman St Recipients's occupation Date of expenditureBrooklyn, NY 11237 N/A 12/13/2018


Form 8872 (11 -2002)


Appendix Page - 038


Purpose of expenditure Door Hangers

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureSEIU IPEA Nevada N/A $ 15001800 Massachusetts Ave., NW Recipients's occupation Date of expenditureWashington, DC 20036 N/A 12/18/2018



Purpose of expenditure Phone Bank Dialer



Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureTuesday Strategies LLC N/A $ 10001540 W Lincoln St Recipients's occupation Date of expenditureBirmingham, MI 48009 N/A 12/13/2018

Purpose of expenditure Digital Consulting Services


Purpose of expenditure Video Production Services

Recipient's name, mailing address and ZIP code Name of recipient's employer Amount of ExpenditureRed Horse Strategies LLC N/A $ 120055 Washington St Suite 702 Recipients's occupation Date of expenditureBrooklyn, NY 11201 N/A 12/13/2018

Purpose of expenditure Palm Card Design Services

Appendix Page - 039

Contributor Amount Date of Contribution YTD Aggregate

SEIU $5,000 1/9/2018 $5,000

SEIU $1,235,207 1/10/2018 $1,240,207

SEIU $139,849 1/29/2018 $1,380,056

SEIU $102,466 2/12/2018 $1,482,522

SEIU $179,098 3/22/2018 $1,661,620

SEIU $14,069 3/29/2018 $1,675,689

SEIU $92,156 4/26/2018 $1,767,845

SEIU $1,291,037 5/1/2018 $3,058,882

SEIU $206,562 5/10/2018 $3,265,444

SEIU $1,000 5/17/2018 $3,266,444

SEIU $100,000 5/22/2018 $3,366,444

SEIU $160,000 5/31/2018 $3,526,444

SEIU $180,000 6/5/2018 $3,706,444

SEIU $180,000 6/8/2018 $3,886,444

SEIU $148,073 6/11/2018 $4,034,517

SEIU $203,499 7/26/2018 $4,238,016

SEIU $1,000 8/1/2018 $4,239,016

SEIU $1,355,256 8/21/2018 $5,594,272

SEIU $150,000 8/28/2018 $5,744,272

SEIU $354,963 9/11/2018 $6,099,235

SEIU $105,000 9/17/2018 $6,204,235

SEIU $1,192,000 9/18/2018 $7,396,235

SEIU $295,800 9/20/2018 $7,692,035

SEIU $398,052 9/25/2018 $8,090,087

SEIU $1,608 9/26/2018 $8,091,695

SEIU $36,526 9/27/2018 $8,128,221

SEIU $1,273,000 10/2/2018 $9,401,221

SEIU $91,398 10/4/2018 $9,492,619

SEIU $220,000 10/9/2018 $9,712,619

SEIU $324,421 10/11/2018 $10,037,040

SEIU $100,000 10/16/2018 $10,137,040

SEIU $19,143 10/18/2018 $10,156,183

SEIU $39,419 10/24/2018 $10,195,602

SEIU $104,471 10/25/2018 $10,300,073

SEIU $45,000 10/26/2018 $10,345,073

SEIU $23,377 10/29/2018 $10,368,450

SEIU $470,107 11/1/2018 $10,838,557

SEIU $25,000 11/7/2018 $10,863,557

SEIU $128,076 11/8/2018 $10,991,633

SEIU $3,277 11/15/2018 $10,994,910

SEIU $322 11/21/2018 $10,995,232

SEIU $32,375 11/27/2018 $11,027,607

SEIU PEAF Contributions Received in 2018 - IRS Forms 8872

Appendix Page - 040

SEIU $75,000 11/28/2018 $11,102,607

SEIU $46,449 12/6/2018 $11,149,056

SEIU $47,663 12/13/2018 $11,196,719

SEIU $11,251 12/18/2018 $11,207,970

SEIU $1,667 12/20/2018 $11,209,637

SEIU $56,492 12/27/2018 $11,266,129

SEIU $1,000,000 12/28/2018 $12,266,129

Appendix Page - 041

pdc complaint - seiu peaf - appendix€¦ · mary kay henry, 1800 massachusetts ave., nw,...

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