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SEIU1199 2016 LM 2 .pdf


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5/30/2017

DOL Form

Return

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT
U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210

MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL
RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 07-31-2019

This report is mandatory under P.L. 86-257, as amended. Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.

For Official Use Only

1. FILE NUMBER
513-846

2. PERIOD COVERED
From
07/01/2015
Through
06/30/2016

3. (a) AMENDED - Is this an amended report:
(b) HARDSHIP - Filed under the hardship procedures:
(c) TERMINAL - This is a terminal report:

4. AFFILIATION OR ORGANIZATION NAME
SERVICE EMPLOYEES
5. DESIGNATION (Local, Lodge, etc.)
DISTRICT

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

6. DESIGNATION NBR
1199

Last Name
PICKUS

P.O Box - Building and Room Number

7. UNIT NAME (if any)
NEW ENGLAND HEALTH CARE EMPL UNION

9. Are your organization's records kept at its mailing address?

No
No
No

Number and Street
77 HUYSHOPE AVENUE

Yes

City
HARTFORD
State
CT

ZIP Code + 4
06106

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in
this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true,
correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:
David W Pickus
PRESIDENT
71. SIGNED:
Almena A Thompson
TREASURER
Date:
Sep 21, 2016
Telephone Number:
860-251-6081
Date:
Sep 21, 2016
Telephone Number:
860-251-6081
Form LM-2 (R e vise d 2010)

ITEMS 10 THROUGH 21
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ITEMS 10 THROUGH 21
10. During the reporting period did the labor organization create or participate
in the administration of a trust or a fund or organization, as defined in the
instructions, which provides benefits for members or beneficiaries?
11(a). During the reporting period did the labor organization have a political
action committee (PAC) fund?
11(b). During the reporting period did the labor organization have a subsidiary
organization as defined in Section X of these Instructions?
12. During the reporting period did the labor organization have an audit or
review of its books and records by an outside accountant or by a parent body
auditor/representative?
13. During the reporting period did the labor organization discover any loss or
shortage of funds or other assets? (Answer "Yes" even if there has been
repayment or recovery.)
14. What is the maximum amount recoverable under the labor organization's
fidelity bond for a loss caused by any officer, employee or agent of the labor
organization who handled union funds?
15. During the reporting period did the labor organization acquire or dispose
of any assets in a manner other than purchase or sale?
16. Were any of the labor organization's assets pledged as security or
encumbered in any way at the end of the reporting period?
17. Did the labor organization have any contingent liabilities at the end of the
reporting period?
18. During the reporting period did the labor organization have any changes
in its constitution or bylaws, other than rates of dues and fees, or in
practices/procedures listed in the instructions?
19. What is the date of the labor organization's next regular election of
officers?

Yes
Yes
No
Yes

FILE NUMBER: 513-846
20. How many members did the labor organization have at the end of the reporting
22,900
period?
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
VARIOUS per
MONTH
22.00
72.00
(b) Working Dues/Fees
NONE per
0
0
(c) Initiation Fees
50.00 per
ONCE
(d) Transfer Fees
NONE per
0
0
(e) Work Permits
NONE per
0
0

No
$500,000
Yes
Yes
No
Yes
05/2017

Form LM-2 (R e vise d 2010)

STATEMENT A - ASSETS AND LIABILITIES
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STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 513-846

ASSETS

ASSETS

22.
23.
24.
25.
26.
27.
28.

Cash
Accounts Receivable
Loans Receivable
U.S. Treasury Securities
Investments
Fixed Assets
Other Assets

Schedule
Number
1
2
5
6
7

29. TOTAL ASSETS

LIABILITIES
LIABILITIES

30.
31.
32.
33.
34.

Accounts Payable
Loans Payable
Mortgages Payable
Other Liabilities
TOTAL LIABILITIES

35. NET ASSETS

Schedule
Number
8
9
10

Start of Reporting Period
(A)
$2,244,290
$486,645
$0
$3,651,768
$5,146,007
$2,516,281
$283,965

End of Reporting Period
(B)
$2,568,780
$656,931

$14,328,956

$14,557,239

Start of Reporting Period
(A)
$948,587
$429,387
$2,097,998
$3,475,972

End of Reporting Period
(B)
$613,971
$0
$414,787
$1,604,476
$2,633,234

$10,852,984

$11,924,005

$4,249,303
$4,551,540
$2,308,600
$222,085

Form LM-2 (R e vise d 2010)

STATEMENT B - RECEIPTS AND DISBURSEMENTS
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STATEMENT B - RECEIPTS AND DISBURSEMENTS
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.

CASH RECEIPTS
Dues and Agency Fees
Per Capita Tax
Fees, Fines, Assessments, Work Permits
Sale of Supplies
Interest
Dividends
Rents
Sale of Investments and Fixed Assets
Loans Obtained
Repayments of Loans Made
On Behalf of Affiliates for Transmittal to Them
From Members for Disbursement on Their Behalf
Other Receipts
TOTAL RECEIPTS

FILE NUMBER: 513-846
SCH

3
9
2

14

AMOUNT
$12,998,908 50.
$0 51.
$473,766 52.
$0 53.
$262,764 54.
$0 55.
$221,368 56.
$0 57.
$0 58.
59.
$0 60.
$0 61.
$436,688 62.
$14,393,494 63.
64.
65.

CASH DISBURSEMENTS
Representational Activities
Political Activities and Lobbying
Contributions, Gifts, and Grants
General Overhead
Union Administration
Benefits
Per Capita Tax
Strike Benefits
Fees, Fines, Assessments, etc.
Supplies for Resale
Purchase of Investments and Fixed Assets
Loans Made
Repayment of Loans Obtained
To Affiliates of Funds Collected on Their Behalf
On Behalf of Individual Members
Direct Taxes

66. Subtotal
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld
67b. Less Total Disbursed
67c. Total Withheld But Not Disbursed
68. TOTAL DISBURSEMENTS

SCH
15
16
17
18
19
20

4
2
9

AMOUNT
$5,203,572
$307,518
$30,694
$1,036,022
$1,283,754
$1,224,946
$4,303,110
$0
$0
$0
$134,233
$0
$0
$0
$552,989
$14,076,838

$1,676,279
$1,668,445
$7,834
$14,069,004

Form LM-2 (R e vise d 2010)

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE
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SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE
Entity or Individual Name
(A)
PARADIGM OF NEW HAVEN
PARADIGM OF PROSPECT
PARADIGM OF TORRINGTON
PARADIGM OF WATERBURY
PARADIGM OF WEST HAVEN
BLACKSTONE VALLEY COMMUNITY HC
BLOOMFIELD HEALTH CENTER
Total of all itemized accounts receivable
Totals from all other accounts receivable
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B))

FILE NUMBER: 513-846
Total Account
Receivable
(B)
$5,580
$5,132
$3,100
$4,510
$3,781
$2,713
$4,727
$29,543
$627,388
$656,931

90-180 Days
Past Due
(C)

Liquidated
Account
Receivable
(E)

180+ Days
Past Due
(D)

$5,580
$5,132
$3,100
$4,510
$3,781
$33
$25
$22,161

$0

$0

$22,161

$0

$0

Form LM-2 (R e vise d 2010)

SCHEDULE 2 - LOANS RECEIVABLE
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SCHEDULE 2 - LOANS RECEIVABLE
List below loans to officers, employees, or members which at any time during the
reporting period exceeded $250 and list all loans to business enterprises regarless of
amount.
(A)

FILE NUMBER: 513-846
Loans
Outstanding at
Start of Period
(B)

Total of loans not listed above
Total of all lines above
Totals will be automatically entered in...

Loans Made
During Period
(C)

$0
Item 24
Column (A)

Repayments Received During Period
Cash
(D)(1)

$0
Item 61

Other Than Cash
(D)(2)

$0
Item 45

Loans
Outstanding at
End of Period
(E)

$0
Item 69
with Explanation

$0
Item 24
Column (B)

Form LM-2 (R e vise d 2010)

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS
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SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS
Description (if land or buildings give location)
(A)
BONDS, CD'S, TREASURIES
Total of all lines above

FILE NUMBER: 513-846
Cost
(B)
$6,220,780
$6,220,780

Book Value
(C)
$6,232,681
$6,232,681

Gross Sales Price
(D)
$6,232,681
$6,232,681
Less Reinvestments
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales

Amount Received
(E)
$6,232,681
$6,232,681
$6,232,681
$0

Form LM-2 (R e vise d 2010)

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS
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SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS
Description (if land or buildings, give location)
(A)

FILE NUMBER: 513-846
Cost
(B)

Book Value
(C)
BONDS & US TREASURIES
$6,194,107
$6,194,107
OFFICE EQUIPMENT, FURNITURE & IMPROVEMENTS
$172,807
$172,807
Total of all lines above
$6,366,914
$6,366,914
Less Reinvestments
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases

Cash Paid
(D)
$6,194,107
$172,807
$6,366,914
$6,232,681
$134,233

Form LM-2 (R e vise d 2010)

SCHEDULE 5 - INVESTMENTS
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SCHEDULE 5 - INVESTMENTS

FILE NUMBER: 513-846
Description
(A)

Amount
(B)

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

$4,502,909
$4,551,540

Other Investments
D. Total Cost
E. Total Book Value
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E. Also, list each subsidiary for which separate reports are
attached.
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B))

$4,551,540

Form LM-2 (R e vise d 2010)

SCHEDULE 6 - FIXED ASSETS
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