Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
UNION OF CALIFORNIA STATE WORKERS SEIU LOCAL 1000
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1808 14TH STREET
 
Room/suite
City or town, state or country, and ZIP + 4
SACRAMENTO, CA958117131
D Employer identification number

68-0475305
E Telephone number

G Gross receipts $ 56,666,104
F Name and address of principal officer:
YVONNE WALKER
1808 14TH STREET
SACRAMENTO,CA958117131
I
Tax-exempt status: ( 5 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SEIU1000.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 2001
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO REPRESENT CERTAIN CIVIL SERVICE EMPLOYEES OF THE STATE OF CALIFORNIA IN THE FOLLOWING MATTERS: SALARY, BENEFITS AND WORKING CONDITIONS;ASSISTANCE IN FILING AND PURSUING EMPLOYEE GRIEVANCES; LEGAL REPRESENTATION ON BOTH AN INDIVIDUAL AND CLASS BASIS; TECHNICAL ASSISTANCE IN JOB CLASSIFICATION; AND LEGISLATIVE ADVOCACY IN SUPPORT OF PROGRAMS BENEFICIAL TO STATE EMPLOYEES AND RETIREES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 64
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 64
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 61,059,787 56,239,485
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 89,842 149,105
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 291,292 277,514
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 61,440,921 56,666,104
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 158,753 193,145
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 23,128,182 29,140,868
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 37,268,717 44,630,213
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 60,555,652 73,964,226
19 Revenue less expenses. Subtract line 18 from line 12....... 885,269 -17,298,122
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 28,423,392 21,201,792
21 Total liabilities (Part X, line 26)............. 8,900,503 18,977,025
22 Net assets or fund balances. Subtract line 21 from line 20..... 19,522,889 2,224,767
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: TO PROVIDE ASSISTANCE IN MATTERS OF JOB CLASSIFICATION; AND LEGISLATIVE ADVOCACY IN SUPPORT OF PROGRAMS BENEFICIAL TO STATE EMPLOYEES AND RETIREES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
EXPENSES INCURRED FOR THE LOCAL FOR ITS TAX EXEMPT PURPOSES OF REPRESENTING AND MAINTAINING DESIRABLE WORKING CONDITIONS FOR CIVIL SERVICE EMPLOYEES OF THE STATE OF CALIFORNIA.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet  
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A........................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
Yes
 
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part IIIClick to see attachment............................
5
Yes
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
 
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
 
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
114
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
Yes
 
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
Yes
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
64
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
64
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
 
No
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletCORA OKUMURA1808 14TH STREETSACRAMENTOCA95811 (866) 471-7348
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) CAROL JEFFRIES........................................................................
BOARD MEMBER
 7.00
.......................   		X           0 0 0
(2) JENNIFER HORTON........................................................................
BOARD MEMBER
 10.00
.......................   		X           0 0 0
(3) JAYSON SANDOVAL........................................................................
BOARD MEMBER
 3.00
.......................   		X           0 0 0
(4) CHRISTINA VILLARREAL........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(5) MARIE STORTZ........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(6) SANDRA GARCIA........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(7) CATHERINE RAZO........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(8) ROSE HAAKMA........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(9) VERONICA RAMIREZ........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(10) JOYCE MINZEY........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(11) DAVID MATANGA........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(12) VIRGINIA FOWLER........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(13) DELEON SECREST........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(14) CHARLENE GONZALEZ........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(15) BEVERLY BROCKINGTON........................................................................
BOARD MEMBER
 8.00
.......................   		X           0 0 0
(16) SANDRA ROMINE........................................................................
BOARD MEMBER
 18.00
.......................   		X           0 0 0
(17) MANUEL RODRIGUEZ........................................................................
BOARD MEMBER
 8.00
.......................   		X           0 0 0
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) EDWARD FUNK........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(19) LARRY ROBERTS........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(20) REGINA WHITNEY........................................................................
BOARD MEMBER
 40.00
.......................   		X           0 0 0
(21) WILLIAM HALL........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(22) JOYCELYN ODOM........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(23) TERESA HUBBARD........................................................................
BOARD MEMBER
 11.00
.......................   		X           0 0 0
(24) RAYMOND ALTMAN........................................................................
BOARD MEMBER
 6.00
.......................   		X           0 0 0
(25) YUSUF HANAN........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(26) CHRISTINA EVITT........................................................................
BOARD MEMBER
 6.00
.......................   		X           0 0 0
(27) VICTORIA JONES........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(28) DANA MEZA........................................................................
BOARD MEMBER
 3.00
.......................   		X           0 0 0
(29) HAROLD FONG........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(30) DONALD KILLMER........................................................................
BOARD MEMBER
 3.00
.......................   		X           0 0 0
(31) LEONARD SEITZ........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(32) KWAJHALIEN DORN-DAVIS........................................................................
BOARD MEMBER
 5.00
.......................   		X           0 0 0
(33) MICHAEL ROSKEY........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(34) PAUL SMILANICK........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(35) JACQUELINE MCCOLLUM........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(36) MICHELLE NEBBIO........................................................................
BOARD MEMBER
 3.00
.......................   		X           0 0 0
(37) GARY PANNETT........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(38) JEFFREY FOWLER........................................................................
BOARD MEMBER
 6.00
.......................   		X           0 0 0
(39) JOHN PACE........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(40) STEVEN ALARI........................................................................
BOARD MEMBER
 3.00
.......................   		X           0 0 0
(41) EMMANUEL CHANG........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(42) THERESA TAYLOR........................................................................
BOARD MEMBER
 7.00
.......................   		X           0 0 0
(43) GABRIEL LEDESMA........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(44) IBYANG RIVERA........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(45) CYNTHIA BERRY........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(46) THOMAS PERINE........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(47) DIANA KING........................................................................
BOARD MEMBER
 4.00
.......................   		X           0 0 0
(48) RICHARD GUERRERO........................................................................
BOARD MEMBER
 22.00
.......................   		X           0 0 0
(49) DANIEL SILVA........................................................................
BOARD MEMBER
 40.00
.......................   		X           0 0 0
(50) INNA LITKE........................................................................
BOARD MEMBER
 2.00
.......................   		X           0 0 0
(51) BRENDA MODKINS........................................................................
BUNC CHAIR OF BARGAINING UNIT 01
 33.00
.......................   		X           0 0 0
(52) JOHN KERN........................................................................
BUNC CHAIR OF BARGAINING UNIT 03
 34.00
.......................   		X           0 0 0
(53) SOPHIA PERKINS........................................................................
BUNC CHAIR OF BARGAINING UNIT 04
 38.00
.......................   		X           0 0 0
(54) JAMES WILLIS........................................................................
BUNC CHAIR OF BARGAINING UNIT 11
 10.00
.......................   		X           0 0 0
(55) LAVERNE ARCHIE........................................................................
BUNC CHAIR OF BARGAINING UNIT 14
 11.00
.......................   		X           0 0 0
(56) ROBYN SHERLES........................................................................
BUNC CHAIR OF BARGAINING UNIT 15
 12.00
.......................   		X           0 0 0
(57) KIMBERLY COWART........................................................................
BUNC CHAIR OF BARGAINING UNIT 17
 40.00
.......................   		X           0 0 0
(58) RIONNA JONES........................................................................
BUNC CHAIR OF BARGAINING UNIT 20
 40.00
.......................   		X           0 0 0
(59) MIGUEL CORDOVA........................................................................
BUNC CHAIR OF BARGAINING UNIT 21
 40.00
.......................   		X           0 0 0
(60) YVONNE WALKER........................................................................
PRESIDENT
 40.00
.......................   		X   X       0 0 0
(61) MARIA OKUMURA........................................................................
VP/SECRETARY-TREASURER
 40.00
.......................   		X   X       0 0 0
(62) MARGARITA MALDONADO........................................................................
VICE PRESIDENT FOR BARGAINING
 40.00
.......................   		X   X       0 0 0
(63) TAMEKIA ROBINSON........................................................................
VP FOR ORGANIZING
 40.00
.......................   		X   X       0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 0 0 0
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
 
No
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CALIFORNIA STATE EMPLOYEES ASSOCIATION1108 O STREETSACRAMENTOCA95816 ADMINISTRATIVE SERVICES 6,523,118
WEBFORTIS1966 TICE VALLEY BLVD SUITE 422WALNUT CREEKCA94595 IT CONSULTING 992,184
INSTITUTE FOR CHANGE1800 MASS AVENUE NWWASHINGTONDC20036 MANAGEMENT COACHING & DEVELOPMENT 343,613
EAGLE PRESS8111 37TH AVENUESACRAMENTOCA95824 PRINTING 268,431
ROBERT HALF TECHNOLOGIES2180 HARVARD STREET SUITE 250SACRAMENTOCA95815 TECHNOLOGY CONSULTING 246,109
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet15
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet  
Program Service Revenue Business Code
2a MEMBER DUES AND ASSESS 900099 56,239,485 56,239,485    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 56,239,485
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 149,105     149,105
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a STATE BAR SERVICING FEES 900099 236,249 236,249    
b INT. UNION SUBSIDIES 900099 40,900 40,900    
c OTHER 900099 365 365    
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 277,514
12 Total revenue. See Instructions......MediumBullet 56,666,104 56,516,999 0 149,105
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21    
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members 193,145  
5 Compensation of current officers, directors, trustees, and key employees ....        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 15,834,148      
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 8,030,503      
9 Other employee benefits ....... 3,589,521      
10 Payroll taxes ........... 1,686,696      
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 204,379      
c Accounting ........... 93,266      
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 1,921,110      
12 Advertising and promotion ....        
13 Office expenses ....... 2,556,016      
14 Information technology ...... 698,541      
15 Royalties ..        
16 Occupancy ........... 1,496,114      
17 Travel ............ 5,219,869      
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ........... 306,441      
21 Payments to affiliates ....... 15,013,392      
22 Depreciation, depletion, and amortization ..... 862,877      
23 Insurance .............. 76,835      
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a REIMBURSEMENTS TO CSEA 6,523,118      
b ISSUES PAC 5,057,655      
c REIMBURSEMENTS TO CA FO 1,302,086      
d LEGAL SETTLEMENTS 1,224,983      
e All other expenses 2,073,531      
25 Total functional expenses. Add lines 1 through 24e 73,964,226      
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 2,339,546 1 -454,485
2 Savings and temporary cash investments ......... 15,612,708 2 11,651,552
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 6,875,556 4 4,867,574
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7 1,616,880
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 96,157 9 611,836
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 5,946,662
b Less: accumulated depreciation ..... 10b 3,212,285 3,266,730 10c 2,734,377
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 232,695 15 174,058
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 28,423,392 16 21,201,792
Liabilities 17 Accounts payable and accrued expenses ......... 5,538,774 17 9,493,695
18 Grants payable .................   18  
19 Deferred revenue ................ 511,388 19 462,488
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 292,157 23 6,675,308
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 2,558,184 25 2,345,534
26 Total liabilities. Add lines 17 through 25......... 8,900,503 26 18,977,025
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 17,728,212 27 1,802,479
28 Temporarily restricted net assets ........... 1,794,677 28 422,288
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 19,522,889 33 2,224,767
34 Total liabilities and net assets/fund balances ........ 28,423,392 34 21,201,792
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
56,666,104
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
73,964,226
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-17,298,122
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
19,522,889
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
2,224,767
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
UNION OF CALIFORNIA STATE WORKERS SEIU LOCAL 1000
 
Employer identification number

68-0475305
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
(1) SEIU LOCAL 1000 CANDIDATE PAC
  		555 CAPITAL MALL SUITE 1425
SACRAMENTO,CA958144602 		30-2032142   1,264,270










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
Yes
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
No
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
No
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: PART I-A, LINE 1: THE LOCAL'S DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES INCLUDE MAKING EXPENDITURES IN CONNECTION WITH STATE AND/OR LOCAL CANDIDATE ELECTIONS.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
UNION OF CALIFORNIA STATE WORKERS SEIU LOCAL 1000
 
Employer identification number

68-0475305
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................   1,424,268 719,526 704,742
c Leasehold improvements ............        
d Equipment ................   2,752,690 2,152,217 600,473
e Other .................   1,769,704 340,542 1,429,162
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 2,734,377
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
ACCRUED VACATION 1,032,680
CAPITAL LEASES 104,619
PER CAPITA TAX PAYABLE 1,208,235






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 2,345,534
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 57,108,027
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 441,923
e Add lines 2a through 2d ..................... 2e 441,923
3 Subtract line 2e from line 1..................... 3 56,666,104
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 56,666,104
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 74,703,141
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 1,561,262
e Add lines 2a through 2d...................... 2e 1,561,262
3 Subtract line 2e from line 1..................... 3 73,141,879
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 822,347
c Add lines 4a and 4b....................... 4c 822,347
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 73,964,226
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
PART XI, LINE 2D - OTHER ADJUSTMENTS:   DLC EXPENSES -822,347. PAC DUES 1,264,270.
PART XII, LINE 2D - OTHER ADJUSTMENTS:   PAC EXPENSES 1,561,262.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   DLC EXPENSES 822,347.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
UNION OF CALIFORNIA STATE WORKERS SEIU LOCAL 1000
 
Employer identification number

68-0475305
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
 
b
Any related organization? .........................
5b
 
 
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
 
b
Any related organization? .........................
6b
 
 
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
 
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART I, LINE 3. THE TOP MANAGEMENT OFFICIAL'S COMPENSATION IS ESTABLISHED BY WRITTEN EMPLOYMENT CONTRACT WHICH IS APPROVED BY THE PRESIDENT OF THE UNION PURSUANT TO A COMPENSATION POLICY APPROVED BY THE COUNCIL. SCHEDULE J, PART III. IN RESPONSE TO FORM 990, PART VII, SECTION A, LINE 5: THE LOCAL'S OFFICERS ARE COMPENSATED THROUGH THE STATE OF CALIFORNIA, WHICH IS BASED ON THE LOCAL 1000 MASTER CONTRACT. THE LOCAL REIMBURSES THE STATE OF CALIFORNIA FOR THE OFFICER'S TIME AT THEIR CURRENT STATE PAY RATE PLUS 35%. THE ADDITIONAL AMOUNT IS PAID TO OFFSET THE STATE'S PORTION OF THE BENEFIT LOAD ATTRIBUTABLE TO THEIR EMPLOYEES. NAME :CAROL JEFFRIES TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 7 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:11,890 NAME :JENNIFER HORTON TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 10 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:23,282 NAME :JAYSON SANDOVAL TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 3 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:3,594 NAME :CHRISTINA VILLARREAL TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:4,593 NAME :MARIE STORTZ TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:5,185 NAME :SANDRA GARCIA TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:1,283 NAME :CATHERINE RAZO TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:822 NAME :ROSE HAAKMA TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:679 NAME :VERONICA RAMIREZ TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:253 NAME :JOYCE MINZEY TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:774 NAME :DAVID MATANGA TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:1,335 NAME :VIRGINIA FOWLER TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:2,909 NAME :DELEON SECREST TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:1,240 NAME :CHARLENE GONZALEZ TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:407 NAME :BEVERLY BROCKINGTON TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 8 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:10,388 NAME :SANDRA ROMINE TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 18 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:21,110 NAME :MANUEL RODRIGUEZ TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 8 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:10,475 NAME :EDWARD FUNK TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:831 NAME :LARRY ROBERTS TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:834 NAME :REGINA WHITNEY TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 40 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:68,054 NAME :WILLIAM HALL TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:1,641 NAME :JOYCELYN ODOM TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:630 NAME :TERESA HUBBARD TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 11 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:13,509 NAME :RAYMOND ALTMAN TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 6 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:7,760 NAME :YUSUF HANAN TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:875 NAME :CHRISTINA EVITT TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 6 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:7,177 NAME :VICTORIA JONES TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:4,330 NAME :DANA MEZA TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 3 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:3,361 NAME :HAROLD FONG TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:953 NAME :DONALD KILLMER TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 3 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:7,026 NAME :LEONARD SEITZ TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:982 NAME :KWAJHALIEN DORN-DAVIS TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 5 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:7,620 NAME :MICHAEL ROSKEY TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:355 NAME :PAUL SMILANICK TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:1,685 NAME :JACQUELINE MCCOLLUM TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:1,110 NAME :MICHELLE NEBBIO TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 3 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:3,742 NAME :GARY PANNETT TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:5,885 NAME :JEFFREY FOWLER TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 6 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:12,502 NAME :JOHN PACE TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:5,651 NAME :STEVEN ALARI TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 3
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
UNION OF CALIFORNIA STATE WORKERS SEIU LOCAL 1000
 
Employer identification number

68-0475305
Identifier Return Reference Explanation
  FORM 990, PART VI, SECTION A, LINE 6 THE LOCAL REPRESENTS EMPLOYEES OF THE STATE OF CALIFORNIA WHO PAY MONTHLY DUES
  FORM 990, PART VI, SECTION A, LINE 7A THE LOCAL'S MEMBERS ELECT THE MEMBERS OF THE GOVERNING BOARD
  FORM 990, PART VI, SECTION A, LINE 7B THE OPERATING DECISIONS OF THE LOCAL ARE SUBJECT TO APPROVAL BY THE LOCAL'S MEMBERS.
  FORM 990, PART VI, SECTION A, LINE 8B MINUTES OF MEETINGS HELD BY OTHER COMMITTEES ARE NOT DOCUMENTED AS THESE COMMITTEES DO NOT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. ALL DECISIONS AND RECOMMENDATIONS MUST BE APPROVED BY THE GOVERNING BODY.
  FORM 990, PART VI, SECTION B, LINE 11 COPIES OF THE LOCAL'S FORM 990, INCLUDING REQUIRED SCHEUDLES, WERE PROVIDED TO EACH MEMBER OF THE LOCAL'S EXECUTIVE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS. THE EXECUTIVE OFFICERS AND MANAGEMENT REVIEWED THE FORM 990, INCLUDING REQUIRED SCHEDULES, PRIOR TO FILING WITH THE IRS.
  FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND THE COUNCIL'S STAFF ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. ANNUALLY, DISCLOSURE OF RELATIONSHIPS OR INTERESTS THAT BCOULD GIVE RISE TO A CONFLICT IS PROVIDED TO THE EXECUTIVE BOARD. THE EXECUTIVE BOARD(OFFICERS AND TRUSTEES) REVIEW THE D EXISTS AND DISCLOSURES PROVIDED ON AN ANNUAL BASIS TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER TO IMPOSE CERTAIN RESTRICTIONS ON A PERSON WITH A CONFLICT OF INTEREST.
  FORM 990, PART VI, SECTION B, LINE 15 THE LOCAL'S TOP MANAGEMENT OFFICIAL(PRESIDENT)AND OFFICERS ARE COMPENSATED THROUGH THE STATE OF CALIFORNIA, WHICH IS BASED ON THE LOCAL 1000 MASTER CONTRACT. THE LOCAL REIMBURSES THE STATE OF CALIFORNIA FOR THE OFFICER'S TIME SPENT PLUS 35% FOR ALL TIME SPENT ON UNION RELATED BUSINESS(UNION LEAVE).
  FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES IT'S FORM 1023 AND 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
  FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
  FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.
UNION RELATED BUSINESS (UNION LEAVE) REIMBURSEMENTS: FORM 990, SCHEDULE J, PART III SUPPLEMENTAL INFORMATION CONT. NAME :DIANA KING TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 4 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:5,351 NAME :RICHARD GUERRERO TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 22 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:28,704 NAME :DANIEL SILVA TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 40 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:62,941 NAME :INNA LITKE TITLE: DLC PRESIDENT/SEIU LOCAL 1000 BOARD OF DIRECTORS HOURS PER WEEK DEVOTED TO POSITIONS: 2 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:2,935 NAME :BRENDA MODKINS TITLE: BUNC CHAIR OF BARGAINING UNIT 01 HOURS PER WEEK DEVOTED TO POSITIONS: 33 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:60,017 NAME :JOHN KERN TITLE: BUNC CHAIR OF BARGAINING UNIT 03 HOURS PER WEEK DEVOTED TO POSITIONS: 34 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:70,368 NAME :SOPHIA PERKINS TITLE: BUNC CHAIR OF BARGAINING UNIT 04 HOURS PER WEEK DEVOTED TO POSITIONS: 38 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:43,117 NAME :JAMES WILLIS TITLE: BUNC CHAIR OF BARGAINING UNIT 11 HOURS PER WEEK DEVOTED TO POSITIONS: 10 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:13,517 NAME :LAVERNE ARCHIE TITLE: BUNC CHAIR OF BARGAINING UNIT 14 HOURS PER WEEK DEVOTED TO POSITIONS: 11 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:15,152 NAME :ROBYN SHERLES TITLE: BUNC CHAIR OF BARGAINING UNIT 15 HOURS PER WEEK DEVOTED TO POSITIONS: 12 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:16,604 NAME :KIMBERLY COWART TITLE: BUNC CHAIR OF BARGAINING UNIT 17 HOURS PER WEEK DEVOTED TO POSITIONS: 40 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:123,718 NAME :RIONNA JONES TITLE: BUNC CHAIR OF BARGAINING UNIT 20 HOURS PER WEEK DEVOTED TO POSITIONS: 40 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:57,817 NAME :MIGUEL CORDOVA TITLE: BUNC CHAIR OF BARGAINING UNIT 21 HOURS PER WEEK DEVOTED TO POSITIONS: 40 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:107,244 NAME :YVONNE WALKER TITLE: SEIU LOCAL 1000 PRESIDENT HOURS PER WEEK DEVOTED TO POSITIONS: 40 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:61,614 NAME :MARIA OKUMURA TITLE: SEIU LOCAL 1000 VICE PRESIDENT AND SECRETARY-TREASURER HOURS PER WEEK DEVOTED TO POSITIONS: 40 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:106,178 NAME :MARGARITA MALDONADO TITLE: SEIU LOCAL 1000 VICE PRESIDENT FOR BARGAINING HOURS PER WEEK DEVOTED TO POSITIONS: 40 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:93,692 NAME :TAMEKIA ROBINSON TITLE: SEIU LOCAL 1000 VICE PRESIDENT FOR ORGANIZING/REPRESENTATION HOURS PER WEEK DEVOTED TO POSITIONS: 40 PAYMENTS TO STATE OF CA FOR OFFICIAL UNION BUSINESS:52,605
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
UNION OF CALIFORNIA STATE WORKERS SEIU LOCAL 1000
 
Employer identification number

68-0475305
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) SERVICE EMPLOYEE INTERNATIONAL UNION LOCAL 1000 CANDIDATE

555 CAPITAL MALL SUITE 1425

SACRAMENTO,CA958144602
30-2032142 		TO SUPPORT OR OPPOSE STATE AND/OR LOCAL CANDIDATE ELECTIONS CA 527   UNION OF CALIFORNIA STATE WORKERS SEIU LOCAL 1000
 
 
No
(2) SEIU LOCAL 1000 KEEPING CALIF HEALTHY AND SAFE AND STRONG

555 CAPITAL MALL SUITE 1425

SACRAMENTO,CA958144602
26-3463027 		TO SUPPORT OR OPPOSE STATE AND/OR LOCAL CANDIDATE ELECTIONS CA 527   UNION OF CALIFORNIA STATE WORKERS SEIU LOCAL 1000
 
 
No










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


Software ID:  
Software Version: