2014-11-14T13:20:02-06:00 2013-12-31 941254756 HOOD & STRONG LLP 100 FIRST STREET 14TH FLOOR SAN FRANCISCO CA 94105 990 2013-01-01 201973983 SEIU UNITED HEALTH CARE WORKERS - WEST LOCAL 2005 SERV 5102511250 560 THOMAS L BERKLEY WAY OAKLAND CA 946121602 STANLEY LYLES VICE PRESIDENT 5102511250 2014-11-14 1 MAGA E KISRIEV P01008919 4157810793 2013 2015-11-30 17:44:51Z SEIU UHW LOCAL 2005 DAVE REGAN 560 THOMAS L BERKLEY WAY OAKLAND CA 946121602 104387717 0 X WWW.SEIU-UHW.ORG X 2005 CA REPRESENTATION OF MEMBERS EMPLOYED IN THE HEALTH CARE INDUSTRY REGARDING EMPLOYMENT MATTERS. 304 257 1824 23 0 0 0 7848 100965707 103293453 43093 39970 2217391 1025068 103226191 104366339 0 270000 135545 0 40859937 44469628 0 0 0 53427599 51673814 94423081 96413442 8803110 7952897 43605517 51417086 14696315 14613300 28909202 36803786 X SEE SCHEDULE O. 0 0 THE ORGANIZATION REPRESENTS MORE THAN 147,000 MEMBERS IN CALIFORNIA. IT PROVIDES REPRESENTATION FOR ITS MEMBERS THROUGH COLLECTIVE BARGAINING AND GRIEVANCE ASSISTANCE TO SECURE BETTER WORKING CONDITIONS AND IMPROVED WAGES AND BENEFITS. IN ADDITION, THE ORGANIZATION ENCOURAGES AND SUPPORTS ITS MEMBERS VOLUNTEER PARTICIPATION AS HEALTHCARE WORKERS ON ACTIVITIES RELATED TO IMPROVING HEALTH CONDITIONS OF THE GENERAL POPULATION. 0 0 1 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 155 0 1824 1 0 0 0 0 0 0 X 304 257 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X EDGARD CAJINA SHERLINA GRIMALDO 5102511250 560 THOMAS L BERKLEY WAY OAKLAND CA 946121602 X ABRAM RENITA EXECUTIVE BOARD 2.00 X 973 0 0 ACEVEDO ISIS A EXECUTIVE BOARD 2.00 X 2234 0 0 ADAMS JUDIE F EXECUTIVE BOARD 2.00 X 400 0 0 ALARID MARIA DEL ROSARIO EXECUTIVE BOARD 2.00 X 2033 0 0 ALDACO ANTONIA EXECUTIVE COMMITTEE 5.00 X 10181 0 0 ALLEN OLLIE J EXECUTIVE BOARD 2.00 X 25464 0 0 ALLEN STEPHANIE D EXECUTIVE BOARD 2.00 X 12262 0 0 ALVAREZ MARTHA EXECUTIVE COMMITTEE 5.00 X 9801 0 0 AMITAN LEONORA S EXECUTIVE BOARD 2.00 X 686 0 0 ANDERSON-PATERSON NANCY C EXECUTIVE BOARD 2.00 X 308 0 0 ANDRITCAIA GALINA EXECUTIVE BOARD 2.00 X 1444 0 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REVENUE 900099 913 913 1025068 104366339 104318521 0 39970 206000 64000 3486805 25646158 3889326 8743811 2703528 793797 183219 1176702 2315236 689097 2096111 4185096 3568513 218590 27235267 493535 168427 NEGOTIATION, CAMPAIGN & 7815833 SOLIDARITY EXPENSE 533569 SOLIDARITY CONTRIBUTION 200822 96413442 19001 26865 28359054 36407034 545350 683322 703188 733053 8969269 3426866 5599597 5542403 8379327 8024409 43605517 51417086 6991355 7346173 3342210 3248695 4362750 4018432 14696315 14613300 X 28909202 36803786 28909202 36803786 43605517 51417086 7952897 209675 -267988 0 X 0 1 X 1 0 0 0 SEIU UHW-WEST PAC 555 CAPITAL MALL SACRAMENTO CA 958144602 680444433 0 522831 1 0 0 1955492 1955492 1314652 492994 821658 2713157 879525 1833632 2985968 2054347 931621 5542403 MORTGAGE NOTES RECEIVABLE 266305 DUES RECEIVABLE FROM MEMBERS 3243698 INVESTMENT IN UNITY HEALTH CARE WORKERS CORPORATION 4499006 DEFERRED LOAN FEE, NET 13750 CREDIT CARD RESERVE 1650 8024409 PER CAPITA TAXES PAYABLE TO INTERNATIONAL UNION 3718313 CAPITAL LEASE OBLIGATIONS 300119 4018432 X 118095755 209675 13499435 13709110 104386645 -20306 -20306 104366339 109885592 267988 13204162 13472150 96413442 0 96413442 PART X, LINE 2: THE LOCAL IS EXEMPT FROM INCOME TAXES ON RELATED BUSINESS INCOME PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(5) AND THE APPLICABLE STATE OF CALIFORNIA CODE SECTION. THE LOCAL HAS ADOPTED ASC 740 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PROVIDES GUIDANCE ON THE RECOGNITION, DE-RECOGNITION AND MEASUREMENT OF BENEFITS RELATED TO AN ENTITY'S UNCERTAIN TAX POSITIONS. MANAGEMENT EVALUATED THE LOCAL'S TAX POSITIONS AND CONCLUDED THAT THE LOCAL HAD MAINTAINED ITS TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRED RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE LOCAL IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL AND STATE, OR LOCAL TAX AUTHORITIES BEFORE YEAR 2009. PART XI, LINE 2D - OTHER ADJUSTMENTS: PAC REVENUE REPORTED ON FORM 990 FOR THE PAC 564,127. INTERFUND TRANSFERS 12,063,923. MEMBER POLITICAL CONTRIBUTIONS PASSED THROUGH TO PIC 871,385. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -21,378. PAC REIMB 1,072. PART XII, LINE 2D - OTHER ADJUSTMENTS: PAC EXPENSES REPORTED ON FORM 990 FOR THE PAC 248,548. INTERFUND TRANSFERS 12,062,851. COST OF GOODS SOLD 21,378. MEMBER POLITICAL CONTRIBUTIONS PASSED THROUGH TO PIC 871,385. 1 EAST ASIA AND THE PACIFIC 0 0 TYPHOONE RELIEF PROGRAM 64000 0 0 0 0 0 0 64000 0 64000 EAST ASIA AND THE PACIFIC FILIPINO DISASTER RELIEF DONATION, PHILIPPINE RELIEF DONATION 41000 EAST ASIA AND THE PACIFIC DISASTER RELIEF DONATION 10000 EAST ASIA AND THE PACIFIC PHILIPPINES RELIEF FUND DONATION 7000 6 0 0 0 0 0 0 PART I, LINE 2: ALL THE APPLICANTS SUBMITTED ONE APPLICATION FORM THAT WAS REVIEW BY A GROUPS OF STAFF AND MEMBERS. FEEDBACK WAS REQUESTED FROM A TEAM OF SEIU INTERNATIONAL DEPLOYED ON SITE ABOUT THE APPLICANTS. ONE TEAM OF SEIU MEMBERS AND STAFF FROM SEIU INTERNATIONAL, SEIU UHW AND SEIU UHE WAS ON SITE AND REVIEW EXECUTION OF THE GRANTS. EACH GRANTEE SUBMITTED A REPORT OF USE OF THE FUNDS AFTER THE PROJECTED ACTIVITY WAS EXECUTED. 1 WE CARE ENOUGH TO ACT 5480 FERGUSON DRIVE SUITE 301 LOS ANGELES CA 90022 453737367 501(C)(3) 206000 HEALTHCARE ENROLLMENT AND OUTREACH. 1 0 PART I, LINE 2: THE GRANT WAS OVERSEEN BY SENIOR MANAGER OF UHW TO ENSURE ENROLLMENT GOALS MET IN AREA AND PROVIDED A FINAL REPORT TO UHW. X X X 0 0 0 ESCAMILLA MYRIAM EXECUTIVE COMMITTEE 131733 0 0 0 6000 0 21077 0 11328 0 170138 0 0 0 GUALVEZ CASS EXECUTIVE COMMITTEE 129699 0 0 0 6000 0 20752 0 11328 0 167779 0 0 0 LYLES STANLEY VICE PRESIDENT 132641 0 0 0 6000 0 21223 0 11162 0 171026 0 0 0 MALBERG REBECCA EXECUTIVE COMMITTEE 131208 0 0 0 6000 0 20993 0 11328 0 169529 0 0 0 REGAN DAVE PRESIDENT 193396 0 0 0 6720 0 31845 0 34044 0 266005 0 0 0 RUDDICK HAROLD EXECUTIVE COMMITTEE 136917 0 0 0 5907 0 18635 0 0 0 161459 0 0 0 STEWART KEISHA M EXECUTIVE COMMITTEE 112299 0 0 0 5954 0 17968 0 34043 0 170264 0 0 0 KIEFFER DAVID W DIRECTOR 162360 0 0 0 5215 0 25978 0 9036 0 202589 0 0 0 TROSSMAN STEVE DIRECTOR PUBLIC AFFAIRS 154455 0 0 0 0 0 24713 0 11162 0 190330 0 0 0 PULLMAN GREGORY CHIEF OF STAFF 129074 0 0 0 6720 0 20652 0 34044 0 190490 0 0 0 FORM 990, PART III, LINE 1 SEIU UNITED HEALTHCARE WORKERS - WEST LOCAL 2005 (UHW) IS A LABOR UNION REPRESENTING MEMBERS EMPLOYED IN THE HEALTH CARE INDUSTRY IN CALIFORNIA. UHW PROMOTES AND DEVELOPS THE SECURING OF ECONOMIC ADVANTAGES, INCLUDING BETTER WAGES, HOURS AND WORKING CONDITIONS, THROUGH ORGANIZING THE UNORGANIZED, COLLECTIVE BARGAINING, LEGISLATIVE AND POLITICAL ACTION AND THE UTILIZATION OF OTHER LAWFUL MEANS. OUR MISSION IS TO BUILD A WORKER'S ORGANIZATION DEDICATED TO BEING A POWERFUL FORCE TO CHANGE WORKERS' LIVES AND FIGHT FOR SOCIAL AND ECONOMIC JUSTICE. OUR VISION OF A WORKER'S ORGANIZATION IS ONE IN WHICH THERE IS AN EXPECTATION THAT MEMBERS LEAD AND DECIDE TOGETHER; ONE IN WHICH CONFLICT IS EMBRACED AS HEALTHY, NECESSARY, AND AN INEVITABLE PART OF MAKING POSITIVE CHANGE; AND ONE IN WHICH THE UNION'S INTEGRITY IS BEYOND REPROACH. OUR PURPOSE IS TO PROMOTE BETTER WORKING CONDITIONS AND A BETTER FUTURE FOR OUR MEMBERS AND ALL WORKING PEOPLE. IT IS OUR OBJECTIVE TO BUILD A STRONG AND MORE EFFECTIVE POLITICAL VOICE FOR WORKING PEOPLE, AND PROTECTING ALL WORKERS FROM UNACCEPTABLE OR UNJUST ACTIONS BY EMPLOYERS. WE ARE COMMITTED TO IMPROVING OUR WORKING LIVES; SUPPORTING OUR FAMILIES; ENSURING THAT WE ARE ABLE TO PROVIDE THE BEST QUALITY CARE TO OUR PATIENTS, CONSUMERS, AND RESIDENTS; AND PROMOTING QUALITY, AFFORDABLE HEALTH CARE FOR ALL. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS WHO MAY VOTE TO ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A THE EXECUTIVE BOARD, WHICH IS THE GOVERNING BOARD OF THE UNION, MUST BE ELECTED BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE ACCOUNTING FIRM FORWARDED THE FORM 990 TO THE DIRECTOR OF FINANCE/CONTROLLER. THE DIRECTOR OF FINANCE/CONTROLLER RECEIVED LEGAL REVIEW AND PROVIDED THE FORM 990 TO UNION OFFICERS FOR REVIEW. THE FORM 990 WAS SIGNED BY EITHER THE PRESIDENT OR VICE PRESIDENT. THE EXECUTIVE BOARD WAS INFORMED AFTER FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL STAFF MUST DISCLOSE ANY CONFLICT OF INTEREST AS PER CURRENT UHW POLICY THAT ALSO APPLIES TO UNITY HEALTHCARE WORKERS CORPORATION. ACCOUNTING WOULD REPORT TO THE UHW CHIEF OF STAFF, PRESIDENT AND/OR VICE PRESIDENT ANY APPARENT CONFLICT OF INTEREST FOUND. IN A CONFIDENTIAL MANNER, THE OUTSIDE ETHICS OFFICERS AND THE IN-HOUSE OMBUDSPERSON INVESTIGATE/PROCESS ANY COMPLAINT ABOUT CONFLICTS OF INTEREST SUBMITTED BY ANY MEMBERS OR STAFF. THE POLICY PROVIDES PROTECTION AGAINST RETALIATION AND ENSURE CONFIDENTIALITY OF THE REPORTS. FORM 990, PART VI, SECTION B, LINE 15 AS PART OF THE ANNUAL BUDGET PROCESS, COMPENSATION FOR OFFICERS, DIRECTORS/TRUSTEES, AND KEY EMPLOYEE IS EVALUATED BY THE BUDGET COMMITTEE. THIS IS DONE BASED ON A SURVEY OF COMPENSATION OF SIMILAR ENTITIES (TYPE, ASSETS, NUMBER OF EMPLOYEES, ETC) AND FROM INFORMATION AVAILABLE FROM FILED 990 FORMS AND LM2'S FORMS FOR THOSE ENTITIES. ANY CHANGE ON SALARIES OF OFFICERS, DIRECTORS/TRUSTEES, AND KEY EMPLOYEES IS APPROVED BY THE BOARD BASED ON THE RECOMMENDATION OF THE BUDGET COMMITTEE, ETHICS AND FINANCIAL OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE WITH TRANSLATIONS TO SPANISH, CHINESE, HMONG AND RUSSIAN. COPIES OF FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST TO THE VICE-PRESIDENT OF THE ORGANIZATION; REQUESTS ARE QUICKLY RESPONDED. FORM 990, PART VII, LINE 1A LATRENA FAVORS, SANJANETTE FOWLER, ANNABELLE TORIO, AND LARJENEUA N WASHINGTON RECEIVED COMPENSATION FOR THEIR SERVICES AS EMPLOYEES AFTER SERVING AS BOARD MEMBERS. THEY RECEIVED SMALL STIPENDS FOR THEIR CAPACITY AS BOARD MEMBERS. UNITY HEALTH CARE WORKERS CORPORATION 560 THOMAS L BERKLEY WAY OAKLAND CA 94612 943136667 REAL ESTATE HOLDINGS CA 501(C)(2) SEIU UHW WEST - LOCAL 2005 1 SERVICE EMPLOYEES INTERNATIONAL UNION LOCAL 399 560 THOMAS L BERKLEY WAY OAKLAND CA 94612 951498052 LABOR UNION CA 501(C)(5) SEIU UHW WEST - LOCAL 2005 1 SEIU LOCAL 250 560 THOMAS L BERKLEY WAY OAKLAND CA 94612 940562683 LABOR UNION CA 501(C)(5) SEIU UHW WEST - LOCAL 2005 1 SEIU UNITED HEALTHCARE WORKERS WEST-POLITICAL ACTION COMMITTEE 555 CAPITAL MALL SUITE 125 SACRAMENTO CA 95814 680444433 POLITICAL ORGANIZATION CA 527 SEIU UHW WEST - LOCAL 2005 1 WE CARE ENOUGH TO ACT 5480 FERGUSON DRIVE LOS ANGELES CA 90022 453737367 EDUCATIONAL CA 501(C)(3) LINE 7 SEIU UHW WEST - LOCAL 2005 1 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 UNITY HEALTHCARE WORKERS CORP A 62943 CASH UNITY HEALTHCARE WORKERS CORP D 1857952 CASH UNITY HEALTHCARE WORKERS CORP K 1166279 CASH UNITY HEALTHCARE WORKERS CORP R 120000 CASH WE CARE ENOUGH TO ACT B 206000 CASH WE CARE ENOUGH TO ACT B 267988 FAIR MARKET VALUE WE CARE ENOUGH TO ACT N 54423 FAIR MARKET VALUE WE CARE ENOUGH TO ACT O 213564 FAIR MARKET VALUE WE CARE ENOUGH TO ACT Q 76656 CASH WE CARE ENOUGH TO ACT J 267988 FAIR MARKET VALUE SEIU UHW PAC R 522831 CASH