nemsa 2010 lm2
DESCRIPTION
NEMSA National EMS Association National Emergency Medical Services Association Torren Colcord Labor Union Department of Labor LM2 LM-2 LM3 LM-3TRANSCRIPT
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. 1245-0003
Expires: 10-31-2013
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MOREIN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN
TRUSTEESHIP
This report is manadatory under P.L. 86-257, as amended. Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official UseOnly
1. FILE NUMBER542-938
2. PERIOD COVEREDFrom 04/01/2009Through 03/31/2010
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 NameTEDD
Last NameHUNTER
P.O Box - Building and Room Number
Number and Street4701 Sisk Rd, STE 102
CityMODESTO
StateCA
ZIP Code + 4953569320
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: Eric Stephens VICEPRESIDENT 71. SIGNED: Tedd Hunter TREASURER
Date: Jan 10, 2011 Telephone Number: 707-486-6276 Date: Jan 10, 2011 Telephone Number: 209-740-7398Form LM-2 (Revised 2010)
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(a). During the reporting period did the labor organizationhave a political action committee (PAC) fund? No
11(b). During the reporting period did the labor organizationhave a subsidiary organization as defined in Section X ofthese Instructions?
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?
$300,000
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? 05/2011
20. How many members did the labor organization have at theend of the reporting period? 5,339
21. What are the labor organization's rates of dues and fees?Rates of Dues and Fees
Dues/Fees Amount Unit Minimum Maximum(a) Regular Dues/Fees $27-$59per Month $27 $59(b) Working Dues/Fees per(c) Initiation Fees $12.50per 8 payments $100 $100(d) Transfer Fees per(e) Work Permits per
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 542-938
ASSETS
ASSETS ScheduleNumber
Start of Reporting Period(A)
End of Reporting Period(B)
22. Cash $175,920 $73,69923. Accounts Receivable 1 $0 $024. Loans Receivable 2 $025. U.S. Treasury Securities $0 $026. Investments 5 $027. Fixed Assets 6 $11,405 $33,08528. Other Assets 7 $7,869 $20,090
29. TOTAL ASSETS $195,194 $126,874
LIABILITIES
LIABILITIES ScheduleNumber
Start of Reporting Period(A)
End of Reporting Period(B)
30. Accounts Payable 8 $169,964 $130,16731. Loans Payable 9 $19,574 $5,11132. Mortgages Payable $0 $033. Other Liabilities 10 $275,314 $292,08534. TOTAL LIABILITIES $464,852 $427,363
35. NET ASSETS -$269,658 -$300,489
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 542-938
CASH RECEIPTS SCH AMOUNT36. Dues and Agency Fees $2,207,58937. 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 344. Loans Obtained 9 $045. Repayments of Loans Made 246. On Behalf of Affiliates for Transmittal to Them $047. From Members for Disbursement on TheirBehalf $0
48. Other Receipts 14 $049. TOTAL RECEIPTS $2,207,589
CASH DISBURSEMENTS SCH AMOUNT50. Representational Activities 15 $1,740,48751. Political Activities and Lobbying 16 $16,96652. Contributions, Gifts, and Grants 17 $24,14553. General Overhead 18 $246,10654. Union Administration 19 $99,12555. Benefits 20 $105,19256. Per Capita Tax $057. Strike Benefits $058. Fees, Fines, Assessments, etc. $059. Supplies for Resale $060. Purchase of Investments and Fixed Assets 461. Loans Made 262. Repayment of Loans Obtained 9 $14,43863. To Affiliates of Funds Collected on Their Behalf $064. On Behalf of Individual Members $065. Direct Taxes $63,351
66. Subtotal $2,309,81067. Withholding Taxes and Payroll Deductions 67a. Total Withheld $0 67b. Less Total Disbursed $0 67c. Total Withheld But Not Disbursed 68. TOTAL DISBURSEMENTS $2,309,810
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 542-938
Entity or Individual Name(A)
Total AccountReceivable
(B)
90-180 DaysPast Due
(C)
180+ DaysPast Due
(D)
LiquidatedAccount
Receivable(E)
Total of all itemized accounts receivable $0 $0 $0 $0Totals from all other accounts receivable Totals(Total of Column (B) will be automatically entered in Item 23, Column(B)) $0 $0 $0 $0Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 542-938
List below loans to officers, employees, or members whichat any time during the reporting period exceeded $250 andlist all loans to business enterprises regarless of amount.
(A)
LoansOutstanding atStart of Period
(B)
Loans MadeDuring Period
(C)
Repayments Received DuringPeriod
Cash(D)(1)
Other Than Cash(D)(2)
LoansOutstanding atEnd of Period
(E)
Total of loans not listed above Total of all lines above $0 $0 $0 $0 $0
Totals will be automatically entered in... Item 24Column (A)
Item 61 Item 45 Item 69with Explanation
Item 24Column (B)
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-938
Description (if land or buildings give location)(A)
Cost(B)
Book Value(C)
Gross Sales Price(D)
Amount Received(E)
Total of all lines above $0 $0 $0 $0Less Reinvestments
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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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 $0 $0 $0 Less Reinvestments
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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SCHEDULE 5 - INVESTMENTS FILE NUMBER: 542-938
Description(A)
Amount(B)
Marketable Securities
A. Total CostB. Total Book ValueC. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.
Other Investments
D. Total CostE. Total Book ValueF. List each other investment which has a book value over $5,000 and exceeds 5% of Line E. Also, list each subsidiaryfor which separate reports are attached.
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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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 $54,530 $21,445 $33,085 $0D. Office Furniture and Equipment
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will beautomatically entered in Item 27, Column(B)) $54,530 $21,445 $33,085 $0
Form LM-2 (Revised 2003)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 542-938
Description(A)
Book Value(B)
Total (Total will be automatically entered in Item 28, Column(B)) $20,090
Utility Deposits $381Security Deposits $19,709
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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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 $75,600 $11,530 $15,021 $0Total from all other accounts payable $54,567 $0 $49,651 $0Totals (Total for Column(B) will be automatically entered inItem 30, Column(D)) $130,167 $11,530 $64,672 $0
Talbot Law Group $35,944 $11,530 $0 $0Carrol, Burdick, and McDonough $15,021 $0 $15,021 $0Aquas Water and Ice $27 $0 $0 $0Cline and Duplissea $10,500 $0 $0 $0GE Capitol $724 $0 $0 $0Kemper CPA $8,845 $0 $0 $0New Direction Services $2,422 $0 $0 $0Pacific Gas and Electric $58 $0 $0 $0Postal Connections $728 $0 $0 $0Principal $1,331 $0 $0 $0
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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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 $19,574 $0 $14,438 $25 $5,111Totals will be automaticallyentered in...
Item 31Column (C)
Item 44 Item 62 Item 69with Explanation
Item 31Column (D)
Bergman Loan Note $9,432 $0 $9,407 $25 $0Apple Enterprise Services $10,142 $0 $5,031 $0 $5,111
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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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)) $292,085
Contract Negotiation Fund $40,868EMS Defense Fund $92,967Strike Fund $85,662Accrued Vacation Payable $36,294Accrued Salaries Payable $36,294
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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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
$3,124 $0 $48 $500 $3,672
I Schedule 15Representational Activities 80 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 10 % Schedule 19Administration 10 %
ABC
Stephens, Eric Vice PresidentC
$1,996 $0 $0 $0 $1,996
I Schedule 15Representational Activities 100 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19Administration 0 %
ABC
Muller, Alis SecretaryC
$771 $0 $0 $0 $771
I Schedule 15Representational Activities 100 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19Administration 0 %
ABC
D'Astoli, Eugene TreasurerP
$2,568 $0 $0 $0 $2,568
I Schedule 15Representational Activities 100 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19Administration 0 %
ABC
Hunter, Tedd TreasurerN
$0 $0 $0 $0 $0
I Schedule 15Representational Activities 100 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19Administration 0 %
ABC
Lucey, Steven DirectorC
$3,724 $0 $0 $0 $3,724
I Schedule 15Representational Activities 100 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19Administration 0 %
Total Officer Disbursements $12,183 $0 $48 $500 $12,731Less Deductions $781Net Disbursements $11,950Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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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 Operations Mgr/Labor Repnone
$73,967 $0 $4,811 $157 $78,935
I Schedule 15Representational Activities 91 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 1 % Schedule 19Administration 8 %
ABC
Herring, Jason JBusiness Managernone
$77,673 $0 $4,255 $0 $81,928
I Schedule 15Representational Activities 39 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 1 % Schedule 18
General Overhead 20 % Schedule 19Administration 40 %
ABC
Cuaresma, Kim Office Managernone
$45,654 $0 $0 $0 $45,654
I Schedule 15Representational Activities 5 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 20 % Schedule 19Administration 75 %
ABC
Osorio, Carlos Labor Relations Representnone
$57,337 $0 $2,497 $480 $60,314
I Schedule 15Representational Activities 90 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 5 % Schedule 19Administration 5 %
ABC
Colcord, Torren KExecutive Directornone
$123,576 $9,629 $33,000 $166,205
I Schedule 15Representational Activities 80 %
Schedule 16Political Activitiesand Lobbying
2 % Schedule 17Contributions 2 % Schedule 18
General Overhead 6 % Schedule 19Administration 10 %
ABC
Sparks, Toby Labor Relations Representnone
$48,461 $3,879 $13,011 $65,351
I Schedule 15Representational Activities 98 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 1 % Schedule 18
General Overhead 1 % Schedule 19Administration 0 %
ABC
Sardad, Daryosch Labor Relations Representnone
$65,230 $0 $2,874 $11,808 $79,912
I Schedule 15Representational Activities 92 %
Schedule 16Political Activitiesand Lobbying
1 % Schedule 17Contributions 1 % Schedule 18
General Overhead 5 % Schedule 19Administration 1 %
ABC
Legg, John Labor Relations Representnone
$25,638 $0 $12,667 $4,654 $42,959
I Schedule 15Representational Activities 95 %
Schedule 16Political Activitiesand Lobbying
1 % Schedule 17Contributions 0 % Schedule 18
General Overhead 3 % Schedule 19Administration 1 %
ABC
Misercola, James Labor Relations Representnone
$45,415 $0 $13,084 $100 $58,599
I Schedule 15Representational Activities 98 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 2 % Schedule 19Administration 0 %
ABC
Misner, Jeffery Labor Relations Representnone
$74,913 $0 $16,588 $0 $91,501
I Schedule 15Representational Activities 99 %
Schedule 16Political Activitiesand Lobbying
0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19Administration 1 %
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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(A)Name
(B)Title
(C)Other Payer
(D)Gross Salary
Disbursements(before anydeductions)
(E)AllowancesDisbursed
(F)Disbursements forOfficial Business
(G)Other Disbursements
not reported in(D) through (F)
(H)TOTAL
ABC
Gambone, James PLabor Relations Representnone
$79,246 $0 $10,349 $6,038 $95,633
I Schedule 15Representational Activities 88 %
Schedule 16Political Activitiesand Lobbying
2 % Schedule 17Contributions 1 % Schedule 18
General Overhead 8 % Schedule 19Administration 1 %
TOTALS RECEIVED BY EMPLOYEES MAKING LESSTHAN $10000 $44,439 $0 $459 $0 $44,898
I Schedule 15Representational Activities 90 % Schedule 16
Political Activities and Lobbying 0 % Schedule 17Contributions 0 % Schedule 18
General Overhead 4 % Schedule 19Administration 6 %
Total Employee Disbursements $761,549 $0 $81,092 $69,248 $911,889Less Deductions $105,587
Net Disbursements $806,302
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 542-938
Category of Membership(A)
Number(B)
Voting Eligibility(C)
Members (Total of all lines above) 5,339 Agency Fee Payers* 28Total Members/Fee Payers 5,367 *Agency Fee Payers are not considered members of the labor organization.
Regular Members 4,751 YesMember: Non Dues Payer 307 YesPending Member: Non Dues Payer 281 No
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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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 $04. Total Receipts $0
SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS1. Named Payee Itemized Disbursements $12,6302. Named Payee Non-itemized Disbursements $4,9633. To Officers $04. To Employees $6,5525. All Other Disbursements $06. Total Disbursements $24,145
SCHEDULE 15 REPRESENTATIONAL ACTIVITIES1. Named Payee Itemized Disbursements $541,3512. Named Payee Non-itemized Disbursements $442,8743. To Officers $11,9974. To Employees $744,2655. All Other Disbursements $06. Total Disbursements $1,740,487
SCHEDULE 18 GENERAL OVERHEAD1. Named Payee Itemized Disbursements $48,0182. Named Payee Non-itemized Disbursements $141,8693. To Officers $3674. To Employees $55,8525. All Other Disbursements $06. Total Disbursements $246,106
SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING1. Named Payee Itemized Disbursements $10,5002. Named Payee Non-itemized Disbursements $03. To Officers $04. To Employees $6,4665. All Other Disbursements6. Total Disbursement $16,966
SCHEDULE 19 UNION ADMINISTRATION1. Named Payee Itemized Disbursements $02. Named Payee Non-itemized Disbursements $03. To Officers $3674. To Employees $98,7585. All Other Disbursements $06. Total Disbursements $99,125
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 542-938
There was no data found for this schedule.
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 542-938
Name and Address(A)
75 State Street Parking
BostonMA
Type or Classification(B)
Parking Related
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $32Total of All Transactions with this Payee/Payer for This Schedule $32
Name and Address(A)
AAL Investigations
GreensboroNC
Type or Classification(B)
Private Investigator For Arbitration
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $700Total of All Transactions with this Payee/Payer for This Schedule $700
Name and Address(A)
Accessline Phone Service
San FranciscoCA
Type or Classification(B)
Conference Call Service
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $472Total of All Transactions with this Payee/Payer for This Schedule $472
Name and Address(A)
Alaska Airlines
SeaTacWA
Type or Classification(B)
Airline Transportation Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $4,377Total of All Transactions with this Payee/Payer for This Schedule $4,377
Name and Address(A)
Alexander Cohn, Esq. Arbitrator
NapaCA
Type or Classification(B)
Labor Arbitrator
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $2,955Total of All Transactions with this Payee/Payer for This Schedule $2,955
Name and Address(A)
American Airlines
Fort WorthTX
Type or Classification(B)
Airline Transportation Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $4,844Total of All Transactions with this Payee/Payer for This Schedule $4,844
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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Name and Address(A)
American Arbitration Association
FresnoCA
Type or Classification(B)
Arbitration Service Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $10,209Total of All Transactions with this Payee/Payer for This Schedule $10,209
Name and Address(A)
American Chevrolet
ModestoCA
Type or Classification(B)
Automobile Service Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6,881Total of All Transactions with this Payee/Payer for This Schedule $6,881
Name and Address(A)
American Medical Response / EMSC
Greenwood VillageCO
Type or Classification(B)
Shared Conference Room Costs For VariousNegotiati
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $2,283Total of All Transactions with this Payee/Payer for This Schedule $2,283
Name and Address(A)
Andrews Reporting Service
CheshireCT
Type or Classification(B)
Court Reporting Service For Arbitration
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $10,795Total of All Transactions with this Payee/Payer for This Schedule $10,795
Name and Address(A)
Assurion
SterlingVA
Type or Classification(B)
Phone Repair/Replacement
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $150Total of All Transactions with this Payee/Payer for This Schedule $150
Name and Address(A)
Avira Antivirus
Tettnang00
Type or Classification(B)
Software Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $63Total of All Transactions with this Payee/Payer for This Schedule $63
Name and Address(A)
Avis-Budget Rental Group
ParsippanyNJ
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,800Total of All Transactions with this Payee/Payer for This Schedule $1,800
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
21 of 53 5/7/13 3:51 PM
Type or Classification(B)
Rental Car ProviderName and Address
(A)Avon Old Farms Hotel
AvonCT
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $799Total of All Transactions with this Payee/Payer for This Schedule $799
Name and Address(A)
Best Western
PhoenixAZ
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $308Total of All Transactions with this Payee/Payer for This Schedule $308
Name and Address(A)
Best Buy
ModestoCA
Type or Classification(B)
Networking Routers, Cables, computersupplies
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,996Total of All Transactions with this Payee/Payer for This Schedule $1,996
Name and Address(A)
Bookendz
OlympicWA
Type or Classification(B)
Computer Related
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,098Total of All Transactions with this Payee/Payer for This Schedule $1,098
Name and Address(A)
Boyett Petroleum
ModestoCA
Type or Classification(B)
Gasoline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $112Total of All Transactions with this Payee/Payer for This Schedule $112
Name and Address(A)
Caretek
DenverCO
Type or Classification(B)
Health Safety
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $418Total of All Transactions with this Payee/Payer for This Schedule $418
Name and Address(A)
Purpose(C)
Date(D)
Amount(E)
Legal Services 04/27/2009 $6,000Legal Services 05/26/2009 $6,000
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
22 of 53 5/7/13 3:51 PM
Carol, Burdick, and McDonough, LLP
SacramentoCA
Type or Classification(B)
Legal Counsel
Purpose(C)
Date(D)
Amount(E)
Legal Services 06/23/2009 $7,000Legal Services 07/22/2009 $7,000Legal Services 08/28/2009 $7,000Legal Services 09/23/2009 $7,000Legal Services 10/21/2009 $7,000Total Itemized Transactions with this Payee/Payer $47,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $47,000
Name and Address(A)
Chang, Rutherfvord, and Long PC
FolsomCA
Type or Classification(B)
Legal Counsel
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,837Total of All Transactions with this Payee/Payer for This Schedule $1,837
Name and Address(A)
Charles River Parking
BostonMA
Type or Classification(B)
Parking Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $82Total of All Transactions with this Payee/Payer for This Schedule $82
Name and Address(A)
Chevron Corporation
San RamonCA
Type or Classification(B)
Gasoline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $114Total of All Transactions with this Payee/Payer for This Schedule $114
Name and Address(A)
City Center W Garage # Q71
OaklandCA
Type or Classification(B)
Parking Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6Total of All Transactions with this Payee/Payer for This Schedule $6
Name and Address(A)
Courtyard by Marriott
BethesdaMD
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $15,667Total of All Transactions with this Payee/Payer for This Schedule $15,667
Name and Address(A)
Craig E. Overton, Arbitrator
North KingstownRI
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $3,063Total of All Transactions with this Payee/Payer for This Schedule $3,063
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
23 of 53 5/7/13 3:51 PM
Type or Classification(B)
Labor ArbitratorName and Address
(A)Crowne Plaza Hotels
DunwoodyGA
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $8,910Total of All Transactions with this Payee/Payer for This Schedule $8,910
Name and Address(A)
CTO Go To My PC
Santa BarbaraCA
Type or Classification(B)
Computer Services Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $853Total of All Transactions with this Payee/Payer for This Schedule $853
Name and Address(A)
Davis Airporter
DavisCA
Type or Classification(B)
Taxi Service
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $184Total of All Transactions with this Payee/Payer for This Schedule $184
Name and Address(A)
Davis Airporter
DavisCA
Type or Classification(B)
Taxi Service
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $184Total of All Transactions with this Payee/Payer for This Schedule $184
Name and Address(A)
Day Deal Inc
unknown00
Type or Classification(B)
Conference Room Multi DirectionalTelephone
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $282Total of All Transactions with this Payee/Payer for This Schedule $282
Name and Address(A)
Days Inn
AberdeenSD
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $212Total of All Transactions with this Payee/Payer for This Schedule $212
Name and Address(A)
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,511
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
24 of 53 5/7/13 3:51 PM
Delta Airlines
AtlantaGA
Type or Classification(B)
Airline Transportation Provider
Purpose(C)
Date(D)
Amount(E)
Total of All Transactions with this Payee/Payer for This Schedule $1,511
Name and Address(A)
Dennis Brown, Attorney
869 Concord StFraminghamMA01701
Type or Classification(B)
Legal Counsel
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer $11,525Total Non-Itemized Transactions with this Payee/Payer $835Total of All Transactions with this Payee/Payer for This Schedule $12,360
Legal Work 08/19/2009 $11,525
Name and Address(A)
DRI Telestream
Nevada CityCA
Type or Classification(B)
Software Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $161Total of All Transactions with this Payee/Payer for This Schedule $161
Name and Address(A)
Eastern Bank
BostonMA
Type or Classification(B)
Financial Service Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $9,531Total of All Transactions with this Payee/Payer for This Schedule $9,531
Name and Address(A)
Ed Johnson and Associates
MethuenMA
Type or Classification(B)
Private Investigator for Arbitration
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,628Total of All Transactions with this Payee/Payer for This Schedule $1,628
Name and Address(A)
Equinox
NorcrossGA
Type or Classification(B)
Network and VPN/Server Setup andSoftware
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,247Total of All Transactions with this Payee/Payer for This Schedule $1,247
Name and Address(A)
Evers Law Group
SacramentoCA
Type or Classification(B)
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer $5,035Total Non-Itemized Transactions with this Payee/Payer $21,747Total of All Transactions with this Payee/Payer for This Schedule $26,782
Legal Work 07/23/2009 $5,035
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
25 of 53 5/7/13 3:51 PM
Legal CounselName and Address
(A)Exxon Mobil
HoustonTX
Type or Classification(B)
Gasoline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $273Total of All Transactions with this Payee/Payer for This Schedule $273
Name and Address(A)
Fairield Inn
FlintMI
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $204Total of All Transactions with this Payee/Payer for This Schedule $204
Name and Address(A)
Fast Trak
San FranciscoCA
Type or Classification(B)
CA Bay Area Tolls
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $803Total of All Transactions with this Payee/Payer for This Schedule $803
Name and Address(A)
Fed Ex Inc
MemphisTN
Type or Classification(B)
Printing and Shipping Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,838Total of All Transactions with this Payee/Payer for This Schedule $1,838
Name and Address(A)
FMCS Arbitration Service
WashingtonDC
Type or Classification(B)
Arbitration Service Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $90Total of All Transactions with this Payee/Payer for This Schedule $90
Name and Address(A)
Fry's Electronics
SacramentoCA
Type or Classification(B)
Computer and Electronics Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $792Total of All Transactions with this Payee/Payer for This Schedule $792
Name and Address(A)
Gates Au Sable Lodge Inc
Kansas CityKS
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $65Total of All Transactions with this Payee/Payer for This Schedule $65
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
26 of 53 5/7/13 3:51 PM
Type or Classification(B)
Meeting Room RentalName and Address
(A)Go Daddy
ScottsdaleAZ
Type or Classification(B)
Internet Services Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $2,384Total of All Transactions with this Payee/Payer for This Schedule $2,384
Name and Address(A)
Green Desert Oil Group
AntelopeCA
Type or Classification(B)
Gasoline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $134Total of All Transactions with this Payee/Payer for This Schedule $134
Name and Address(A)
Guidestar USA Inc
WilliamsburgVA
Type or Classification(B)
Research and Resources
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $500Total of All Transactions with this Payee/Payer for This Schedule $500
Name and Address(A)
hotels.com
DallasTX
Type or Classification(B)
Discount Travel Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,090Total of All Transactions with this Payee/Payer for This Schedule $1,090
Name and Address(A)
Hallmark Inn
DavisCA
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,433Total of All Transactions with this Payee/Payer for This Schedule $1,433
Name and Address(A)
Hamtpon Inns By Hilton Hotels
McleanVA
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $470Total of All Transactions with this Payee/Payer for This Schedule $470
Name and Address(A)
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $549Total of All Transactions with this Payee/Payer for This Schedule $549
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
27 of 53 5/7/13 3:51 PM
Hertz Corporation
Park RidgeNJ
Type or Classification(B)
Rental Car ProviderName and Address
(A)Hilton Hotel Group
McleanVA
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,149Total of All Transactions with this Payee/Payer for This Schedule $1,149
Name and Address(A)
Holiday Inn Hotel Group
AtlantaGA
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $15,957Total of All Transactions with this Payee/Payer for This Schedule $15,957
Name and Address(A)
Homewood Suites By Hilton
McleanVA
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $3,040Total of All Transactions with this Payee/Payer for This Schedule $3,040
Name and Address(A)
I Stock Photo International
Alberta00
Type or Classification(B)
Web Services
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $140Total of All Transactions with this Payee/Payer for This Schedule $140
Name and Address(A)
Identrust
San FranciscoCA
Type or Classification(B)
Secure Digital Signature Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $238Total of All Transactions with this Payee/Payer for This Schedule $238
Name and Address(A)
Intego, Inc
MiamiFL
Type or Classification(B)
Software Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $229Total of All Transactions with this Payee/Payer for This Schedule $229
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
28 of 53 5/7/13 3:51 PM
Name and Address(A)
Intelius.com
BellvueWA
Type or Classification(B)
Research Software
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $156Total of All Transactions with this Payee/Payer for This Schedule $156
Name and Address(A)
Intuit Corporation
Mountain ViewCA
Type or Classification(B)
Software Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $495Total of All Transactions with this Payee/Payer for This Schedule $495
Name and Address(A)
J. Larry Foy, Arbitrator
SimsburyCT
Type or Classification(B)
Arbitrator
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $3,670Total of All Transactions with this Payee/Payer for This Schedule $3,670
Name and Address(A)
Jet Blue
Forrest HillsNY
Type or Classification(B)
Airline Transportation Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,218Total of All Transactions with this Payee/Payer for This Schedule $1,218
Name and Address(A)
Kagi
AlamedaCA
Type or Classification(B)
Software Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $40Total of All Transactions with this Payee/Payer for This Schedule $40
Name and Address(A)
Kansas Association For Justice
TopekaKS
Type or Classification(B)
Meeting Room Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $180Total of All Transactions with this Payee/Payer for This Schedule $180
Name and Address(A)
Kathy Jo KliewerPO Box 47
DixonCA95620
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $4,231Total of All Transactions with this Payee/Payer for This Schedule $4,231
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
29 of 53 5/7/13 3:51 PM
Type or Classification(B)
Court Reporter For ArbitrationName and Address
(A)KTA Tolls
WitchitaKS
Type or Classification(B)
Auto Tolls
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5Total of All Transactions with this Payee/Payer for This Schedule $5
Name and Address(A)
KTLA Foundation
WitchitaKS
Type or Classification(B)
Meeting Room Rental Fee
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $125Total of All Transactions with this Payee/Payer for This Schedule $125
Name and Address(A)
Law Offices of John F. Dow
Wellesley HillsMA
Type or Classification(B)
Legal Counsel
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,000Total of All Transactions with this Payee/Payer for This Schedule $5,000
Name and Address(A)
Lawrence Katz, Esq Aribtrator
NewtonMA
Type or Classification(B)
Labor Arbitrator
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,973Total of All Transactions with this Payee/Payer for This Schedule $1,973
Name and Address(A)
Lowe's Home Improvement Stores
ModestoCA
Type or Classification(B)
hardware and supplies for new office
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $273Total of All Transactions with this Payee/Payer for This Schedule $273
Name and Address(A)
Macs Lock and Key
BountifulNV
Type or Classification(B)
Locksmith
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $16Total of All Transactions with this Payee/Payer for This Schedule $16
Name and Address(A)
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,379Total of All Transactions with this Payee/Payer for This Schedule $1,379
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
30 of 53 5/7/13 3:51 PM
MacService
Santa ClaraCA
Type or Classification(B)
Computer RepairName and Address
(A)Mirror Imaging
unk00
Type or Classification(B)
Software Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $66Total of All Transactions with this Payee/Payer for This Schedule $66
Name and Address(A)
Mission Inn
RiversideCA
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $328Total of All Transactions with this Payee/Payer for This Schedule $328
Name and Address(A)
MSN Network
RedmondWA
Type or Classification(B)
Software Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $100Total of All Transactions with this Payee/Payer for This Schedule $100
Name and Address(A)
newslibrary.com
SacramentoCA
Type or Classification(B)
Research Related
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $3Total of All Transactions with this Payee/Payer for This Schedule $3
Name and Address(A)
New Direction Services
8300 Fair Oaks BlvdCarmichaelCA
Type or Classification(B)
Printing, Fufilment, Production, Mailhouse
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer $55,576Total Non-Itemized Transactions with this Payee/Payer $52,120Total of All Transactions with this Payee/Payer for This Schedule $107,696
Printing, Fufilment, Production, Mailhouse 04/27/2009 $9,650Printing, Fufilment, Production, Mailhouse 05/11/2009 $10,005Printing, Fufilment, Production, Mailhouse 06/09/2009 $9,615Printing, Fufilment, Production, Mailhouse 07/09/2009 $9,516Printing, Fufilment, Production, Mailhouse 10/12/2009 $10,166Printing, Fufilment, Production, Mailhouse 03/24/2010 $6,624
Name and Address(A)
North Hampton Square Parking
BostonMA
Type or Classification(B)
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $16Total of All Transactions with this Payee/Payer for This Schedule $16
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
31 of 53 5/7/13 3:51 PM
Parking ProviderName and Address
(A)Northwest Airlines
EagenMN
Type or Classification(B)
Airline Transportation Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $386Total of All Transactions with this Payee/Payer for This Schedule $386
Name and Address(A)
Office Max Inc
NapervilleIL
Type or Classification(B)
Office Supply and Furniture Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $4,271Total of All Transactions with this Payee/Payer for This Schedule $4,271
Name and Address(A)
Orbitz Travel Service
ChicagoIL
Type or Classification(B)
Discount Travel Service Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $168Total of All Transactions with this Payee/Payer for This Schedule $168
Name and Address(A)
Pacific Ave Bowl
StocktonCA
Type or Classification(B)
Meeting Room Rental
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $175Total of All Transactions with this Payee/Payer for This Schedule $175
Name and Address(A)
Parker House
BostonMA
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $2,717Total of All Transactions with this Payee/Payer for This Schedule $2,717
Name and Address(A)
Paypal Artenscience
San FranciscoCA
Type or Classification(B)
Software Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $27Total of All Transactions with this Payee/Payer for This Schedule $27
Name and Address(A)
Phillip R. Levine, Esq Arbitrator
Santa MonicaCA
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,500Total of All Transactions with this Payee/Payer for This Schedule $1,500
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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Type or Classification(B)
Labor ArbitratorName and Address
(A)Phillip Tamoush, Arbitrator
TorrenceCA
Type or Classification(B)
Labor Arbitrator
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $600Total of All Transactions with this Payee/Payer for This Schedule $600
Name and Address(A)
Postal Connections
ModestoCA
Type or Classification(B)
Postal, Fufillment, Shipping, Mailing,Production
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $12,217Total of All Transactions with this Payee/Payer for This Schedule $12,217
Name and Address(A)
Powermax
Lake OswegoOR
Type or Classification(B)
Computer and Network Related
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $2,604Total of All Transactions with this Payee/Payer for This Schedule $2,604
Name and Address(A)
Precision Detailing
ModestoCA
Type or Classification(B)
Campaign Related
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $75Total of All Transactions with this Payee/Payer for This Schedule $75
Name and Address(A)
Quik Stop Fuel
SparksNV
Type or Classification(B)
Gasoline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $75Total of All Transactions with this Payee/Payer for This Schedule $75
Name and Address(A)
Quill Corporation
FresnoCA
Type or Classification(B)
Office Supply Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,320Total of All Transactions with this Payee/Payer for This Schedule $1,320
Name and Address(A)
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $51
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
33 of 53 5/7/13 3:51 PM
Radio Shack
CotatiCA
Type or Classification(B)
Cellular telephone related
Purpose(C)
Date(D)
Amount(E)
Total of All Transactions with this Payee/Payer for This Schedule $51
Name and Address(A)
Red Lion Hotels
SpokaneWA
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $397Total of All Transactions with this Payee/Payer for This Schedule $397
Name and Address(A)
Residence Inn
WashingtonDC
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $3,253Total of All Transactions with this Payee/Payer for This Schedule $3,253
Name and Address(A)
Robert M. Hirsch, Esq. Arbitrator
San FranciscoCA
Type or Classification(B)
Labor Arbitrator
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6,722Total of All Transactions with this Payee/Payer for This Schedule $6,722
Name and Address(A)
Sacramento County Airport
SacramentoCA
Type or Classification(B)
Parking charges
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $266Total of All Transactions with this Payee/Payer for This Schedule $266
Name and Address(A)
Save Mart Fuel
ModestoCA
Type or Classification(B)
Gasoline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $88Total of All Transactions with this Payee/Payer for This Schedule $88
Name and Address(A)
SFO Airport Parking
San FranciscoCA
Type or Classification(B)
Parking
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $82Total of All Transactions with this Payee/Payer for This Schedule $82
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
34 of 53 5/7/13 3:51 PM
Name and Address(A)
Shell Oil
OaklandCA
Type or Classification(B)
Gasoline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $88Total of All Transactions with this Payee/Payer for This Schedule $88
Name and Address(A)
Sir Speedy Printing
NatickMA
Type or Classification(B)
Printing, Fulfilment, Mailing
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $4,164Total of All Transactions with this Payee/Payer for This Schedule $4,164
Name and Address(A)
Smart Phone Experts
InvernessFL
Type or Classification(B)
Cellular Phone Equipment
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $333Total of All Transactions with this Payee/Payer for This Schedule $333
Name and Address(A)
Smiths Fuel
BountifulUT
Type or Classification(B)
Gasoline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $47Total of All Transactions with this Payee/Payer for This Schedule $47
Name and Address(A)
Southwest Airlines
Dallas Love FieldTX
Type or Classification(B)
Airline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $2,637Total of All Transactions with this Payee/Payer for This Schedule $2,637
Name and Address(A)
Springhill Suites
Terre HauteIN
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $3,910Total of All Transactions with this Payee/Payer for This Schedule $3,910
Name and Address(A)
Sprint Wireless
Carol StreamIL
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,619Total of All Transactions with this Payee/Payer for This Schedule $5,619
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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Type or Classification(B)
Cellular Service ProviderName and Address
(A)Stamps.com
Los AngelesCA
Type or Classification(B)
Postage Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $3,171Total of All Transactions with this Payee/Payer for This Schedule $3,171
Name and Address(A)
Staples Office Supplies, Inc
FraminghamMA
Type or Classification(B)
Office Supply Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $541Total of All Transactions with this Payee/Payer for This Schedule $541
Name and Address(A)
Staybridge Suites
Windsor00
Type or Classification(B)
Lodging Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $300Total of All Transactions with this Payee/Payer for This Schedule $300
Name and Address(A)
Talbot Law Group
DavisCA
Type or Classification(B)
Legal Counsel
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer $412,215Total Non-Itemized Transactions with this Payee/Payer $3,976Total of All Transactions with this Payee/Payer for This Schedule $416,191
Legal Work On Retainer 04/10/2009 $15,000Legal Work On Retainer 04/27/2009 $15,000Legal Work On Retainer Plus Expenses 05/11/2009 $20,507Legal Work On Retainer 05/26/2009 $15,000Legal Work On Retainer 06/08/2009 $15,000Legal Work On Retainer 06/23/2009 $10,000Legal Work On Retainer 07/09/2009 $30,000Legal Work On Retainer Plus Expenses 07/22/2009 $14,736Legal Work On Retainer 08/12/2009 $15,000Legal Work On Retainer 08/27/2009 $15,000Legal Work On Retainer 09/16/2009 $15,000Legal Work On Retainer Plus Expenses 09/23/2009 $17,252Legal Work On Retainer 10/08/2009 $15,000Legal Work On Retainer 10/21/2009 $15,000Legal Work On Retainer 11/16/2009 $15,000Legal Work On Retainer 11/30/2009 $15,000Legal Work On Retainer 12/10/2009 $15,000Legal Work On Retainer 12/28/2009 $20,000Legal Work On Retainer Plus Expenses 01/11/2010 $21,101Legal Work On Retainer 01/21/2010 $15,500Legal Work On Retainer 02/10/2010 $21,000Legal Work On Retainer 02/24/2010 $20,000Legal Work On Retainer 03/09/2010 $21,000Legal Work On Retainer Plus Expenses 03/24/2010 $21,119
Name and Address(A)
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $171Total of All Transactions with this Payee/Payer for This Schedule $171
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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Target Stores Inc
ModestoCA
Type or Classification(B)
Office SuppliesName and Address
(A)Taxi
Los AngelesCA
Type or Classification(B)
Taxi related charges
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $341Total of All Transactions with this Payee/Payer for This Schedule $341
Name and Address(A)
The Apple Store Online
CupertinoCA
Type or Classification(B)
Computer/Server Repair, Replacement,Purchase
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $16,435Total of All Transactions with this Payee/Payer for This Schedule $16,435
Name and Address(A)
Tim Bornstein, Esq. Arbitrator
LincolnMA
Type or Classification(B)
Labor Arbitrator
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $2,590Total of All Transactions with this Payee/Payer for This Schedule $2,590
Name and Address(A)
Town Pump
HelenaMT
Type or Classification(B)
Gasoline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5Total of All Transactions with this Payee/Payer for This Schedule $5
Name and Address(A)
Traveller Connection
SacramentoCA
Type or Classification(B)
Airport Travel Fees
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $8Total of All Transactions with this Payee/Payer for This Schedule $8
Name and Address(A)
Travelocity
SouthlakeTX
Type or Classification(B)
Discount Travel Service Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $330Total of All Transactions with this Payee/Payer for This Schedule $330
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
37 of 53 5/7/13 3:51 PM
Name and Address(A)
U. S. Airways
PhoenixAZ
Type or Classification(B)
Airline Transportation Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $2,186Total of All Transactions with this Payee/Payer for This Schedule $2,186
Name and Address(A)
United Airlines
ChicagoIL
Type or Classification(B)
Airline Transportation Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $16,605Total of All Transactions with this Payee/Payer for This Schedule $16,605
Name and Address(A)
United Airlines Travel Reservations
San FranciscoCA
Type or Classification(B)
Discount Travel Related
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $178Total of All Transactions with this Payee/Payer for This Schedule $178
Name and Address(A)
United States Postal Service
ModestoCA
Type or Classification(B)
Postal Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $243Total of All Transactions with this Payee/Payer for This Schedule $243
Name and Address(A)
Unterberger and Unterberger
San FranciscoCA
Type or Classification(B)
Court Reporter For Arbitration
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,283Total of All Transactions with this Payee/Payer for This Schedule $5,283
Name and Address(A)
Valarie Rasmussen Court Reporting
Trabuco CanyonCA
Type or Classification(B)
Court Reporter For Arbitration
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $4,406Total of All Transactions with this Payee/Payer for This Schedule $4,406
Name and Address(A)
Valarie Rasmussen Court Reporting
Trabuco CanyonCA
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $4,406Total of All Transactions with this Payee/Payer for This Schedule $4,406
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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Type or Classification(B)
Court Reporter For ArbitrationName and Address
(A)Valero
AmarilloTX
Type or Classification(B)
Gasoline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,211Total of All Transactions with this Payee/Payer for This Schedule $1,211
Name and Address(A)
Verizon Wireless
Mission HillsCA
Type or Classification(B)
Cellular Service Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $39,630Total of All Transactions with this Payee/Payer for This Schedule $39,630
Name and Address(A)
Virtual Graffiti Computervine
IrvineCA
Type or Classification(B)
computer software related
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $593Total of All Transactions with this Payee/Payer for This Schedule $593
Name and Address(A)
Vista Print
LexingtonMA
Type or Classification(B)
Discount Printing Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $182Total of All Transactions with this Payee/Payer for This Schedule $182
Name and Address(A)
Wardens Office Supply
ModestoCA
Type or Classification(B)
Office Supply and Furniture Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $3,119Total of All Transactions with this Payee/Payer for This Schedule $3,119
Name and Address(A)
Wells Fargo Bank, N.A.
ModestoCA
Type or Classification(B)
Bank Fees and Charges
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,693Total of All Transactions with this Payee/Payer for This Schedule $1,693
Name and Address(A)
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer $10,000Total Non-Itemized Transactions with this Payee/Payer $5,665Total of All Transactions with this Payee/Payer for This Schedule $15,665
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
39 of 53 5/7/13 3:51 PM
Wild Critter Media
DenverCO
Type or Classification(B)
Internet and Software Development Services
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer $10,000Total Non-Itemized Transactions with this Payee/Payer $5,665Total of All Transactions with this Payee/Payer for This Schedule $15,665
Internet Development 07/09/2009 $5,000Internet Development 10/21/2009 $5,000
Name and Address(A)
Work Rights Press
CambridgeMA
Type or Classification(B)
Book Publisher For Shop Steward Training
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $3,481Total of All Transactions with this Payee/Payer for This Schedule $3,481
Name and Address(A)
Wright Express
Carol StreamIL
Type or Classification(B)
Gasoline Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $29,513Total of All Transactions with this Payee/Payer for This Schedule $29,513
Name and Address(A)
YCSO
WoodlandCA
Type or Classification(B)
Legal and Professional Services
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $21,702Total of All Transactions with this Payee/Payer for This Schedule $21,702
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
40 of 53 5/7/13 3:51 PM
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 542-938
Name and Address(A)
Cline and Duplissea, LLC
1127 E;evemtj St. STE 544SacramentoCA95814
Type or Classification(B)
Lobbysit and Advocacy Representative
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer $10,500Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $10,500
San Mateo CA Member Advocacy 03/31/2010 $10,500
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
41 of 53 5/7/13 3:51 PM
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 542-938
Name and Address(A)
American Cancer Society
AtlantaGA
Type or Classification(B)
Charitable Donation
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $250Total of All Transactions with this Payee/Payer for This Schedule $250
Name and Address(A)
Bloomfield Ambulance CorrdinatingCommittee
785 Park AveBloomfieldCT06002
Type or Classification(B)
Charitable Contribution
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $200Total of All Transactions with this Payee/Payer for This Schedule $200
Name and Address(A)
Camp Taylor, Inc
5454 Pirrone RdSalidaCA95368
Type or Classification(B)
Charitable Contribution
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer $7,630Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $7,630
Charity Auction For Kids Heart Camp 03/09/2010 $7,630
Name and Address(A)
Christopher Biziji Charity Golf Tournament
EnfieldCT
Type or Classification(B)
Charitable Contribution
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $500Total of All Transactions with this Payee/Payer for This Schedule $500
Name and Address(A)
Emergency Workers Relief Fund
SonomaCA
Type or Classification(B)
Charitable Contribution
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $500Total of All Transactions with this Payee/Payer for This Schedule $500
Name and Address(A)
Mike Denman Memorial Fund
WoodlandCA
Type or Classification(B)
Charitable Contribution
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $500Total of All Transactions with this Payee/Payer for This Schedule $500
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
42 of 53 5/7/13 3:51 PM
Name and Address(A)
Richard's Children Memorial Trust
HartfordCT
Type or Classification(B)
Charitable Contribution
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $500Total of All Transactions with this Payee/Payer for This Schedule $500
Name and Address(A)
Santa Rosa American Little LeaguePO Box 5003
Santa RosaCA95402
Type or Classification(B)
Charitable Contribution
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $375Total of All Transactions with this Payee/Payer for This Schedule $375
Name and Address(A)
SESSPA
SalidaCA
Type or Classification(B)
Charitable Contribution
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $500Total of All Transactions with this Payee/Payer for This Schedule $500
Name and Address(A)
SMS Cat's Tale
SalidaCA
Type or Classification(B)
Charitable Contribution
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $300Total of All Transactions with this Payee/Payer for This Schedule $300
Name and Address(A)
St Judes Children's Research Hospital
501 St. Jude PlaceMemphisTN38105
Type or Classification(B)
Charitable Contribution
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $250Total of All Transactions with this Payee/Payer for This Schedule $250
Name and Address(A)
Stubhub, Inc
BostonMA
Type or Classification(B)
Tickets For Charity Raffle For Sick Member
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $687Total of All Transactions with this Payee/Payer for This Schedule $687
Name and Address(A)
The Leukemia and Lymphoma Society
Waterbury
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer $5,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $5,000
Waterbury CT Team In Training Fundraiser 07/17/2009 $5,000
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
43 of 53 5/7/13 3:51 PM
CTType or Classification
(B)Charitable Contribution
Name and Address(A)
The Thoughtfull Flower
ModestoCA
Type or Classification(B)
Flowers for various member funerals
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $401Total of All Transactions with this Payee/Payer for This Schedule $401
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
44 of 53 5/7/13 3:51 PM
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 542-938
Name and Address(A)
1st Security and Sound
ModestoCA95350
Type or Classification(B)
Alarm and Security Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,300Total of All Transactions with this Payee/Payer for This Schedule $1,300
Name and Address(A)
1st Security and Sound
ModestoCA95350
Type or Classification(B)
Alarm and Security Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,300Total of All Transactions with this Payee/Payer for This Schedule $1,300
Name and Address(A)
Apple Enterprise Services
Palo AltoCA
Type or Classification(B)
Computer and Server Service Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,035Total of All Transactions with this Payee/Payer for This Schedule $5,035
Name and Address(A)
Aquas Premium Water and Ice
ModestoCA
Type or Classification(B)
Water Service Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $204Total of All Transactions with this Payee/Payer for This Schedule $204
Name and Address(A)
At&T Business Services
SacramentoCA
Type or Classification(B)
Telephone Business Service Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $35Total of All Transactions with this Payee/Payer for This Schedule $35
Name and Address(A)
At&T Long Distance
SacramentoCA
Type or Classification(B)
Long Distance Telephone Service
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $298Total of All Transactions with this Payee/Payer for This Schedule $298
Name and Address(A)
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,352
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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AT&T Managed Internet Service
SacramentoCA
Type or Classification(B)
Internet Service Provider
Purpose(C)
Date(D)
Amount(E)
Total of All Transactions with this Payee/Payer for This Schedule $5,352
Name and Address(A)
AT&T Office Phones
SacramentoCA
Type or Classification(B)
Corporate Office Telephone Service
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6,558Total of All Transactions with this Payee/Payer for This Schedule $6,558
Name and Address(A)
Blind Pros
WaterfordCA
Type or Classification(B)
Window Coverings For New Office
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,734Total of All Transactions with this Payee/Payer for This Schedule $1,734
Name and Address(A)
California Office Furniture
SacramentoCA
Type or Classification(B)
Office Furniture Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $2,788Total of All Transactions with this Payee/Payer for This Schedule $2,788
Name and Address(A)
Caltronics Business Systems
SacramentoCA
Type or Classification(B)
Office Copier Service
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $249Total of All Transactions with this Payee/Payer for This Schedule $249
Name and Address(A)
Commerce Insurance Company
WebsterMA01570
Type or Classification(B)
Insurance Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $62Total of All Transactions with this Payee/Payer for This Schedule $62
Name and Address(A)
Comtel Telephone Systems
ModestoCA
Type or Classification(B)
Telephone System Installation and Service
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $3,767Total of All Transactions with this Payee/Payer for This Schedule $3,767
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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Name and Address(A)
Costco
RichmondWA
Type or Classification(B)
Membership Fees
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $180Total of All Transactions with this Payee/Payer for This Schedule $180
Name and Address(A)
Data Computer, Inc
ModestoCA
Type or Classification(B)
Computer and Network Repair/Install
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,386Total of All Transactions with this Payee/Payer for This Schedule $1,386
Name and Address(A)
Del Morris Insurance
RiponCA
Type or Classification(B)
Insurance Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $125Total of All Transactions with this Payee/Payer for This Schedule $125
Name and Address(A)
Docuware
SacramentoCA
Type or Classification(B)
Office Copier Service and Charges
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $217Total of All Transactions with this Payee/Payer for This Schedule $217
Name and Address(A)
GE Capitol Financial
PasadenaCA
Type or Classification(B)
Office and Print Center Related
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $3,023Total of All Transactions with this Payee/Payer for This Schedule $3,023
Name and Address(A)
Grace Moving Company
ModestoCA
Type or Classification(B)
Moving Service For Office Move
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $965Total of All Transactions with this Payee/Payer for This Schedule $965
Name and Address(A)
Hamilton and Company, LLC
ModestoCA
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer $6,350Total Non-Itemized Transactions with this Payee/Payer $13,875Total of All Transactions with this Payee/Payer for This Schedule $20,225
General Accounting Services 08/31/2009 $6,350
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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Type or Classification(B)
Accounting and Audit ServiceName and Address
(A)Hewlett Packard
Palo AltoCA
Type or Classification(B)
Office Equipment Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $352Total of All Transactions with this Payee/Payer for This Schedule $352
Name and Address(A)
Kemper CPA Group
StocktonCA
Type or Classification(B)
Accounting, Auditing and Tax Services
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $30,450Total of All Transactions with this Payee/Payer for This Schedule $30,450
Name and Address(A)
MLS/NBS Freit; Max D Stone-TIC
ModestoCA
Type or Classification(B)
Office Lease Tully Rd
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $18,358Total of All Transactions with this Payee/Payer for This Schedule $18,358
Name and Address(A)
Modesto Irrigation District
ModestoCA
Type or Classification(B)
Electricity Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $300Total of All Transactions with this Payee/Payer for This Schedule $300
Name and Address(A)
Morris Insurance Agency
RiponCA
Type or Classification(B)
Insurance Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,304Total of All Transactions with this Payee/Payer for This Schedule $1,304
Name and Address(A)
Neal Groesbeck Insurance Agency
ModestoCA
Type or Classification(B)
Surety Bond Agent
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $1,592Total of All Transactions with this Payee/Payer for This Schedule $1,592
Name and Address(A)
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $379Total of All Transactions with this Payee/Payer for This Schedule $379
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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Orchard Supply # 90 Modesto
ModestoCA
Type or Classification(B)
Gorilla Storage RacksName and Address
(A)Pacific Gas and Electric
SacramentoCA
Type or Classification(B)
Utility Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $139Total of All Transactions with this Payee/Payer for This Schedule $139
Name and Address(A)
Postal Connections
ModestoCA
Type or Classification(B)
Postage, Shipping, Fulfillment
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $12,217Total of All Transactions with this Payee/Payer for This Schedule $12,217
Name and Address(A)
Samuel Mann Consulting
ModestoCA
Type or Classification(B)
Network Consultant
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $286Total of All Transactions with this Payee/Payer for This Schedule $286
Name and Address(A)
Stanislaus County Sherrifs Office
ModestoCA
Type or Classification(B)
Alarm Permit
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $20Total of All Transactions with this Payee/Payer for This Schedule $20
Name and Address(A)
Sunpentwon Intl Inc
City of IndustryCA
Type or Classification(B)
Air Conditioing Unit For Server Room
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $551Total of All Transactions with this Payee/Payer for This Schedule $551
Name and Address(A)
The Cranbrook Group
4701 Sisk Rd, STE 101ModestoCA95356
Type or Classification(B)
Lease For Office - Sisk Rd
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer $41,668Total Non-Itemized Transactions with this Payee/Payer $3,795Total of All Transactions with this Payee/Payer for This Schedule $45,463
Initial Rent and Deposit 11/16/2009 $19,287Monthly Rent and Utilities 12/28/2009 $7,353Monthly Rent and Utilities 01/21/2010 $7,353Monthly Rent and Utilities 02/24/2010 $7,675
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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Name and Address(A)
The Suites At Apple Hill
1 Apple Hill Dr, STE 316NatickMA
Type or Classification(B)
Rent for Natick Office
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $18,148Total of All Transactions with this Payee/Payer for This Schedule $18,148
Name and Address(A)
V2 Consulting
San FranciscoCA
Type or Classification(B)
Computer and Network Consulting
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $4,500Total of All Transactions with this Payee/Payer for This Schedule $4,500
Name and Address(A)
www.NEWEGG.com
WhittierCA
Type or Classification(B)
computer related
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $222Total of All Transactions with this Payee/Payer for This Schedule $222
Name and Address(A)
www.safecart.com
Victoria00
Type or Classification(B)
Software Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $99Total of All Transactions with this Payee/Payer for This Schedule $99
Name and Address(A)
Ward Bros Office Furnishings
ModestoCA
Type or Classification(B)
Office Furniture Provider
Purpose(C)
Date(D)
Amount(E)
Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $704Total of All Transactions with this Payee/Payer for This Schedule $704
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 542-938
There was no data found for this schedule.
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.) $105,192
Blue Shield Medical Insurance Insurance Provider $69,346Principal Dental Insurance Provider $14,443CoPower Vision Insurance Provider $4,260State Farm Insurance Provider $8,143Patelco Healthcare Savings Accounts Provider $9,000
Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 542-938
Statement A,
Cash Begin Total: This field was clicked in error, there are no changes to this fieldItem 70 Title: Vice President Eric Stephens signing on behalf ofNEMSA as President is unavailable.
Schedule 13, Row1:Regular Members: Regular members are dues paying members with full voting rights
Schedule 13, Row2:Member Non-Dues Payer: those who have applied for membership in the association but for whom there is a active representationor collective bargaining in process. These persons are not obligated under certain circumstances to pay dues, unless or until a CBA becomes effectiveunder a waiver of the payment of union dues per the NEMSA Board of Directors. Notwithstanding the above, if these members have submitted amembership application form and opted for membership, or have elected to manually pay dues, they will have full voting rights.
Schedule 13, Row3:Pending Member, Non-Dues Payer: those who have not yet applied for membership in NEMSA due to various factors includingnewly acquired bargaining units, recently won campaigns, etc... These people do not have voting rights
Schedule 13, Row3:Pending Members do not have voting eligibility until they become regular members.
Question 12: Auditing performed by Kemper CPA Group. Bookkeeping and audit support services provided by Hamilton CPA, LLC
Question 18: Constitution and Bylaws as of 3-31-2010 attached to this reportThe Association changed it''s principal business address during thereporting year.
Schedule 9, Row1:The Associiation performed an audit of the Bergman account and found itnerest calculation errors that were currected, resulting in adifferent amount due. As such, this amount was written off.Form LM-2 (Revised 2010)
DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do
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