NEMSA 2012 LM2

Return

U.S. Department of LaborOffice of Labor-Management

StandardsWashington, DC 20210

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORTForm Approved

Office of Management and BudgetNo. 1245-0003

Expires: 10-31-2013

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

TRUSTEESHIP

This report is manadatory under P.L. 86-257, as amended. Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by29 U.S.C. 439 or 440.

READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.

For Official UseOnly

1. FILE NUMBER542-938

2. PERIOD COVEREDFrom 04/01/2011Through 03/31/2012

3. (a) AMENDED - Is this an amended report: No(b) HARDSHIP - Filed under the hardship procedures: No(c) TERMINAL - This is a terminal report: No

4. AFFILIATION OR ORGANIZATION NAMENATIONAL EMERGENCY MEDICAL SERVICES

5. DESIGNATION (Local, Lodge, etc.) 6. DESIGNATION NBR

7. UNIT NAME (if any)ASSOCIATION

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

Last NameMuller

P.O Box - Building and Room Number

Number and Street4701 Sisk Rd, STE 102

CityMODESTO

StateCA

ZIP Code + 4953569320

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

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties oflaw, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by thesignatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in theinstructions.)70. SIGNED: Eric Stephens PRESIDENT 71. SIGNED: Alis Muller SECRETARYDate: Jul 27, 2012 Telephone Number: 866-544-7398 Date: Jul 27, 2012 Telephone Number: 866-544-7398Form LM-2 (Revised 2010)

DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do

1 of 28 5/7/13 3:49 PM

ITEMS 10 THROUGH 21 FILE NUMBER: 542-93810. During the reporting period did the labor organizationcreate or participate in the administration of a trust or a fundor organization, as defined in the instructions, whichprovides benefits for members or beneficiaries?

No

11(a). During the reporting period did the labor organizationhave a political action committee (PAC) fund? No

11(b). During the reporting period did the labor organizationhave a subsidiary organization as defined in Section X ofthese Instructions?

No

12. During the reporting period did the labor organizationhave an audit or review of its books and records by anoutside accountant or by a parent bodyauditor/representative?

Yes

13. During the reporting period did the labor organizationdiscover any loss or shortage of funds or other assets?(Answer "Yes" even if there has been repayment orrecovery.)

No

14. What is the maximum amount recoverable under thelabor organization's fidelity bond for a loss caused by anyofficer, employee or agent of the labor organization whohandled union funds?

$300,000

15. During the reporting period did the labor organizationacquire or dispose of any assets in a manner other thanpurchase or sale?

No

16. Were any of the labor organization's assets pledged assecurity or encumbered in any way at the end of thereporting period?

No

17. Did the labor organization have any contingent liabilitiesat the end of the reporting period? No

18. During the reporting period did the labor organizationhave any changes in its constitution or bylaws, other thanrates of dues and fees, or in practices/procedures listed inthe instructions?

Yes

19. What is the date of the labor organization's next regularelection of officers? 06/2013

20. How many members did the labor organization have at theend of the reporting period? 5,624

21. What are the labor organization's rates of dues and fees?Rates of Dues and Fees

Dues/Fees Amount Unit Minimum Maximum(a) Regular Dues/Fees $27-$59per Month $27 $59(b) Working Dues/Fees 0per(c) Initiation Fees $12.50per 8 Payments $100 $100(d) Transfer Fees 0per(e) Work Permits 0per

Form LM-2 (Revised 2010)


2 of 28 5/7/13 3:49 PM

STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 542-938

ASSETS

ASSETS ScheduleNumber

Start of Reporting Period(A)

End of Reporting Period(B)

22. Cash $116,214 $12,37223. Accounts Receivable 1 $86,962 $30,63324. Loans Receivable 225. U.S. Treasury Securities $0 $026. Investments 527. Fixed Assets 6 $34,532 $28,62428. Other Assets 7 $37,654 $19,709

29. TOTAL ASSETS $275,362 $91,338

LIABILITIES

LIABILITIES ScheduleNumber

Start of Reporting Period(A)

End of Reporting Period(B)

30. Accounts Payable 8 $202,092 $231,99731. Loans Payable 9 $217,459 $190,18832. Mortgages Payable $0 $033. Other Liabilities 10 $385,324 $273,05134. TOTAL LIABILITIES $804,875 $695,236

35. NET ASSETS -$529,513 -$603,898



3 of 28 5/7/13 3:49 PM

STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 542-938

CASH RECEIPTS SCH AMOUNT36. Dues and Agency Fees $2,278,76937. Per Capita Tax $038. Fees, Fines, Assessments, Work Permits $039. Sale of Supplies $040. Interest $2641. Dividends $042. Rents $043. Sale of Investments and Fixed Assets 344. Loans Obtained 9 $045. Repayments of Loans Made 246. On Behalf of Affiliates for Transmittal to Them $047. From Members for Disbursement on TheirBehalf $0

48. Other Receipts 14 $129,71549. TOTAL RECEIPTS $2,408,510

CASH DISBURSEMENTS SCH AMOUNT50. Representational Activities 15 $1,773,20851. Political Activities and Lobbying 16 $3,49652. Contributions, Gifts, and Grants 17 $6,80053. General Overhead 18 $326,89854. Union Administration 19 $103,06655. Benefits 20 $213,35156. Per Capita Tax $057. Strike Benefits $058. Fees, Fines, Assessments, etc. $059. Supplies for Resale $060. Purchase of Investments and Fixed Assets 4 $7,35661. Loans Made 262. Repayment of Loans Obtained 9 $27,27163. To Affiliates of Funds Collected on Their Behalf $064. On Behalf of Individual Members $065. Direct Taxes $47,736

66. Subtotal $2,509,18267. Withholding Taxes and Payroll Deductions 67a. Total Withheld $196,569 67b. Less Total Disbursed $199,739 67c. Total Withheld But Not Disbursed -$3,17068. TOTAL DISBURSEMENTS $2,512,352



4 of 28 5/7/13 3:49 PM

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 542-938

Entity or Individual Name(A)

Total AccountReceivable

(B)

90-180 DaysPast Due

(C)

180+ DaysPast Due

(D)

LiquidatedAccount

Receivable(E)

Total of all itemized accounts receivable $0 $0 $0 $0Totals from all other accounts receivable $30,633 Totals(Total of Column (B) will be automatically entered in Item 23, Column(B)) $30,633 $0 $0 $0Form LM-2 (Revised 2010)


5 of 28 5/7/13 3:49 PM

SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 542-938

List below loans to officers, employees, or members whichat any time during the reporting period exceeded $250 andlist all loans to business enterprises regarless of amount.

(A)

LoansOutstanding atStart of Period

(B)

Loans MadeDuring Period

(C)

Repayments Received DuringPeriod

Cash(D)(1)

Other Than Cash(D)(2)

LoansOutstanding atEnd of Period

(E)

Total of loans not listed above Total of all lines above $0 $0 $0 $0 $0

Totals will be automatically entered in... Item 24Column (A)

Item 61 Item 45 Item 69with Explanation

Item 24Column (B)



6 of 28 5/7/13 3:49 PM

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-938

Description (if land or buildings give location)(A)

Cost(B)

Book Value(C)

Gross Sales Price(D)

Amount Received(E)

Total of all lines above $0 $0 $0 $0Less Reinvestments

(The total from Net Sales Line will be automatically entered in Item 43)Net Sales Form LM-2 (Revised 2010)


7 of 28 5/7/13 3:49 PM

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-938

Description (if land or buildings, give location)(A)

Cost(B)

Book Value(C)

Cash Paid(D)

Total of all lines above $7,356 $7,356 $7,356Office Equipment $7,356 $7,356 $7,356

Less Reinvestments $0(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases $7,356



8 of 28 5/7/13 3:49 PM

SCHEDULE 5 - INVESTMENTS FILE NUMBER: 542-938

Description(A)

Amount(B)

Marketable Securities

A. Total CostB. Total Book ValueC. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.

Other Investments

D. Total CostE. Total Book ValueF. List each other investment which has a book value over $5,000 and exceeds 5% of Line E. Also, list each subsidiaryfor which separate reports are attached.

G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0Form LM-2 (Revised 2010)


9 of 28 5/7/13 3:49 PM

SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 542-938

Description(A)

Cost or Other Basis(B)

Total Depreciation orAmount Expensed

(C)

Book Value(D)

Value(E)

A. Land (give location) Land 1 : Land (give location) $0 $0 $0B. Buildings (give location) Building 1 : Buildings (give location) $0 $0 $0 $0C. Automobiles and Other VehiclesD. Office Furniture and Equipment $81,833 $53,209 $28,624 $28,624

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will beautomatically entered in Item 27, Column(B)) $81,833 $53,209 $28,624 $28,624



10 of 28 5/7/13 3:49 PM

SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 542-938

Description(A)

Book Value(B)

Total (Total will be automatically entered in Item 28, Column(B)) $19,709Security Deposits $19,709



11 of 28 5/7/13 3:49 PM

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 542-938

Entity or Individual Name(A)

Total AccountPayable

(B)

90-180 DaysPast Due

(C)

180+ Days PastDue(D)

Liquidated AccountPayable

(E)

Total for all itemized accounts payable $124,756 $12,472 $91,869 $0Total from all other accounts payable $107,241 $458 $1,337 $0Totals (Total for Column(B) will be automatically entered inItem 30, Column(D)) $231,997 $12,930 $93,206 $0

Talbot Law Group $117,964 $5,680 $91,869 $0Kenneth Perea, Arbitrator $6,792 $6,792 $0 $0



12 of 28 5/7/13 3:49 PM

SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 542-938

Source of Loans Payable atAny

Time During the ReportingPeriod

(A)

Loans Owed atStart of Period

(B)

Loans ObtainedDuring Period

(C)

RepaymentDuring Period

Cash(D)(1)

RepaymentDuring Period

Other Than Cash(D)(2)

Loans Owed atEnd of Period

(E)

Total Loans Payable $217,459 $0 $27,271 $0 $190,188Totals will be automaticallyentered in...

Item 31Column (C)

Item 44 Item 62 Item 69with Explanation

Item 31Column (D)

Apple Financial Lease $2,724 $0 $2,724 $0 $0Note Payable - Colcord $214,735 $0 $24,547 $0 $190,188



13 of 28 5/7/13 3:49 PM

SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 542-938

Description(A)

Amount at End of Period(B)

Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $273,051

Accrued AFLAC Deposits $10,288Accrued Salaries Payable $14,367Payroll Liabilities $10,365Contract Negotiation Fund $103,220Strike Fund $134,811



14 of 28 5/7/13 3:49 PM

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 542-938

(A)Name

(B)Title

(C)Status

(D)Gross Salary

Disbursements(before anydeductions)

(E)AllowancesDisbursed

(F)Disbursements

for OfficialBusiness

(G)Other

Disbursements notreported in

(D) through (F)

(H)TOTAL

ABC

Stephens, Eric PresidentC

$502 $0 $182 $0 $684

I Schedule 15Representational Activities 80 %

Schedule 16Political Activitiesand Lobbying

0 % Schedule 17Contributions 0 % Schedule 18

General Overhead 10 % Schedule 19Administration 10 %

ABC

Muller, Alis SecretaryC

$1,821 $0 $183 $0 $2,004





ABC

Hunter, Tedd TreasurerC

$0 $0 $0 $0 $0





ABC

Lucey, Steven Regional DirectorC

$5,271 $0 $0 $0 $5,271





ABC

Durrenberger, Joseph Vice PresidentP

$200 $0 $0 $0 $200





ABC

Ayers, Rebecca Regional DirectorC

$250 $0 $0 $0 $250





ABC

Bergen, Richard Regional DirectorC

$391 $0 $5 $0 $396





ABC

Johnson, Mike Regional DirectorC

$3,642 $0 $0 $0 $3,642





ABC

McKee, Paul Regional DirectorC

$447 $0 $180 $0 $627





Total Officer Disbursements $12,524 $0 $550 $0 $13,074Less Deductions $0Net Disbursements $13,074Form LM-2 (Revised 2010)


15 of 28 5/7/13 3:49 PM

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 542-938

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary

Disbursements(before anydeductions)

(E)AllowancesDisbursed

(F)Disbursements

for OfficialBusiness

(G)Other Disbursements

not reported in(D) through (F)

(H)TOTAL

ABC

Byler-Hudelson, Rachelle LLabor Relations Representnone

$61,800 $0 $11,279 $0 $73,079





ABC

Colcord, Torren KExecutive Directornone

$156,596 $0 $9,198 $0 $165,794





ABC

Cuaresma, Kimberley COffice Managernone

$52,490 $0 $13 $0 $52,503





ABC

Herring, Jason JBusiness Managernone

$82,895 $0 $14,423 $0 $97,318





ABC

Pelican, Aaron COperations Mgr/Labor Repnone

$79,825 $0 $4,556 $0 $84,381





ABC

Sardad, Daryosch Labor Relations Representnone

$75,756 $0 $6,278 $0 $82,034





ABC

Sparks, Toby Labor Relations Representnone

$75,220 $0 $14,754 $0 $89,974





ABC

Pasion, Crystal Non Emp-Lost Time CNFnone

$12,640 $0 $0 $0 $12,640





TOTALS RECEIVED BY EMPLOYEES MAKING LESSTHAN $10000 $64,636 $0 $708 $0 $65,344

I Schedule 15Representational Activities 90 % Schedule 16

Political Activities and Lobbying 0 % Schedule 17Contributions 0 % Schedule 18


Total Employee Disbursements $661,858 $0 $61,209 $0 $723,067Less Deductions $196,569

Net Disbursements $526,498



16 of 28 5/7/13 3:49 PM

SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 542-938

Category of Membership(A)

Number(B)

Voting Eligibility(C)

Members (Total of all lines above) 5,624 Agency Fee Payers* 33Total Members/Fee Payers 5,657 *Agency Fee Payers are not considered members of the labor organization.

Regular Members 4,785 YesMember Non Dues Payer 408 YesPending Member Non Dues Payer 431 No



17 of 28 5/7/13 3:49 PM

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 542-938

SCHEDULE 14 OTHER RECEIPTS1. Named Payer Itemized Receipts $02. Named Payer Non-itemized Receipts $03. All Other Receipts $129,7154. Total Receipts $129,715

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS1. Named Payee Itemized Disbursements $02. Named Payee Non-itemized Disbursements $03. To Officers $04. To Employees $4,2895. All Other Disbursements $2,5116. Total Disbursements $6,800

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES1. Named Payee Itemized Disbursements $894,5522. Named Payee Non-itemized Disbursements $208,7693. To Officers $12,9374. To Employees $551,3425. All Other Disbursements $105,6086. Total Disbursements $1,773,208

SCHEDULE 18 GENERAL OVERHEAD1. Named Payee Itemized Disbursements $127,4442. Named Payee Non-itemized Disbursements $75,9703. To Officers $684. To Employees $64,5595. All Other Disbursements $58,8576. Total Disbursements $326,898

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING1. Named Payee Itemized Disbursements $02. Named Payee Non-itemized Disbursements $03. To Officers $04. To Employees $3,3165. All Other Disbursements $1806. Total Disbursement $3,496

SCHEDULE 19 UNION ADMINISTRATION1. Named Payee Itemized Disbursements $02. Named Payee Non-itemized Disbursements $03. To Officers $684. To Employees $99,5625. All Other Disbursements $3,4366. Total Disbursements $103,066



18 of 28 5/7/13 3:49 PM

SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 542-938

There was no data found for this schedule.

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 542-938

Name and Address(A)

American Arbitration Association

6795 N Palm Ave 2nd FloorFresnoCA93704

Type or Classification(B)

Arbitration Service Provider

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $6,776Total of All Transactions with this Payee/Payer for This Schedule $6,776

Name and Address(A)

Courtyard Sacremento Rancho Cordova

10683 White Rock RoadRancho CordovaCA95670


Contract Negotiation Rooms

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Federal Express Corp

3610 Hacks Cross RoadMemphisTN38125


Delivery Service

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $0Total Non-Itemized Transactions with this Payee/Payer $8,390Total of All Transactions with this Payee/Payer for This Schedule $8,390

Name and Address(A)

Goyette and Associates, Inc.

2366 Gold Meadow Wy Ste AGold RiverCA95670


Legal Counsel

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $454,331Total Non-Itemized Transactions with this Payee/Payer $296Total of All Transactions with this Payee/Payer for This Schedule $454,627

Legal Work on Retainer 04/08/2011 $20,000Legal Work on Retainer 04/29/2011 $20,000Legal Work on Retainer 05/02/2011 $23,075Legal Work on Retainer 05/27/2011 $22,500Legal Work on Retainer 06/09/2011 $22,980Legal Work on Retainer 06/24/2011 $22,500Legal Work on Retainer 07/06/2011 $22,500Legal Work on Retainer 08/30/2011 $22,857Legal Work on Retainer 09/19/2011 $22,500Legal Work on Retainer 09/23/2011 $22,714Legal Work on Retainer 10/18/2011 $22,500Legal Work on Retainer 10/25/2011 $22,500Legal Work on Retainer 11/07/2011 $22,799Legal Work on Retainer 11/23/2011 $22,500Legal Work on Retainer 12/09/2011 $26,045Legal Work on Retainer 12/29/2011 $22,500Legal Work on Retainer 01/20/2012 $22,500Legal Work on Retainer 01/20/2012 $22,500Legal Work on Retainer 02/24/2012 $22,500Legal Work on Retainer 03/14/2012 $26,361

Name and Address(A)

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $7,249


19 of 28 5/7/13 3:49 PM

Hilton Hotels Hartford

315 Trumbull StreetHartfordCT06103



Purpose(C)

Date(D)

Amount(E)

Total of All Transactions with this Payee/Payer for This Schedule $7,249

Name and Address(A)

Holiday Inn Mission Valley

3805 Murphy Canyon RoadSan DiegoCA92123



Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Kathy Jo KliewerP O Box 047

DixonCA95620


Court Reporter

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

New Direction ServicesP O Box 31001-1900

PasadenaCA91110-1900


Printing Company

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $19,526Total Non-Itemized Transactions with this Payee/Payer $32,007Total of All Transactions with this Payee/Payer for This Schedule $51,533

Printing/Postage Mailers to Members 12/09/2011 $7,062Printing/Postage Mailers to Members 12/29/2011 $7,065Printing/Postage Mailers to Members 03/14/2012 $5,399

Name and Address(A)

Pridestaff

7535 N Palm Ave Suite 101FresnoCA93711


Staffing Agency

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Ronald Hoh

2222 Watt Ave Suite D-7SacramentoCA95825


Arbitrator

Purpose(C)

Date(D)

Amount(E)


Due Process Arbitration-Member ExpulsionHearings 09/19/2011 $9,895

Name and Address(A)

Purpose(C)

Date(D)

Amount(E)



20 of 28 5/7/13 3:49 PM

Southwest Airlines

2702 Love FieldDallasTX72535


AirlineName and Address

(A)Stamps.com

12959 Coral Tree PlaceLos AngelesCA90066-7020


Postage

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Talbot Law Group

105 E Street Suite 2EDavisCA95616


Legal Counsel

Purpose(C)

Date(D)

Amount(E)


Legal Work on Retainer 04/08/2011 $13,800Legal Work on Retainer 04/08/2011 $12,000Legal Work on Retainer 05/03/2011 $14,000Legal Work on Retainer 05/27/2011 $12,000Legal Work on Retainer 06/08/2011 $12,000Legal Work on Retainer 06/24/2011 $12,000Legal Work on Retainer 07/06/2011 $12,000Legal Work on Retainer 07/25/2011 $12,000Legal Work on Retainer 08/19/2011 $24,000Legal Work on Retainer 09/19/2011 $12,000Legal Work on Retainer 10/01/2011 $12,000Legal Work on Retainer 10/12/2011 $12,000Legal Work on Retainer 10/25/2011 $12,000Legal Work on Retainer 11/07/2011 $12,000Legal Work on Retainer 11/23/2011 $12,000Legal Work on Retainer 12/09/2011 $12,000Legal Work on Retainer 12/29/2011 $12,000Legal Work on Retainer 01/10/2012 $12,000Legal Work on Retainer 01/10/2012 $5,000Legal Work on Retainer 01/20/2012 $12,000Legal Work on Retainer 01/20/2012 $5,000Legal Work on Retainer 01/31/2012 $12,000Legal Work on Retainer 02/07/2012 $5,000Legal Work on Retainer 02/15/2012 $12,000Legal Work on Retainer 02/15/2012 $5,000Legal Work on Retainer 02/24/2012 $12,000Legal Work on Retainer 02/24/2012 $5,000Legal Work on Retainer 03/14/2012 $17,000Legal Work on Retainer 03/14/2012 $12,000Legal Work on Retainer 03/14/2012 $5,000

Name and Address(A)

Torren Colcord

4151 Almsbury DrSalidaCA95368


Legal Indemnification

Purpose(C)

Date(D)

Amount(E)


Indemnification 08/11/2011 $47,000Indemnification 08/15/2011 $25,000


21 of 28 5/7/13 3:49 PM

Name and Address(A)

United AirlinesP O Box 66100

ChicagoIL60666


Airline

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Verizon WirelessP O Box 660108

DallasTX75266-0108


Cellular Service

Purpose(C)

Date(D)

Amount(E)




22 of 28 5/7/13 3:49 PM

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 542-938


SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 542-938


SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 542-938

Name and Address(A)

Adam Cummings

2F Amato DriveSouth WindsorCT06074


Member

Purpose(C)

Date(D)

Amount(E)


Legal Case 03/14/2012 $14,135

Name and Address(A)

ATTPO Box 5025

Carol StreamIL60197-5025


Telecommunications Company

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Crowe Horwath

400 Capitol Mall Ste 1200SacramentoCA95814-4434


Computer Forensic Examiner

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $5,000Total Non-Itemized Transactions with this Payee/Payer Total of All Transactions with this Payee/Payer for This Schedule $5,000

Computer forensics for court case 01/27/2012 $5,000

Name and Address(A)

GE CapitolP O Box 31001-0271

PasadenaCA91110-0271


Office Equipment Lessor

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Hamilton and Company, LLP

4285 Sypres WayModestoCA95356


CPA Firm

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions with this Payee/Payer $0Total Non-Itemized Transactions with this Payee/Payer $5,000


23 of 28 5/7/13 3:49 PM

Kemper CPA Group

3031 W March Ln Ste 133 SStocktonCA95219


CPA Firm

Purpose(C)

Date(D)

Amount(E)

Total of All Transactions with this Payee/Payer for This Schedule $5,000

Name and Address(A)

Postal Connections

3430 Tully Rd Suite 20ModestoCA95350


Postage

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

State Farm InsuranceP O Box 680001

DallasTX75368-0001


Insurance Company

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

The Cranbrook Group

4701 Sisk Rd Suite 101ModestoCA95356


Office Lease

Purpose(C)

Date(D)

Amount(E)


Monthly Office Rent 04/14/2011 $8,113Monthly Office Rent 04/29/2011 $8,088Monthly Office Rent 05/27/2011 $8,088Monthly Office Rent 06/24/2011 $8,088Monthly Office Rent 07/25/2011 $8,088Monthly Office Rent 08/30/2011 $8,088Monthly Office Rent 09/23/2011 $8,088Monthly Office Rent 10/25/2011 $8,088Monthly Office Rent 11/23/2011 $8,824Monthly Office Rent 12/27/2011 $8,824Monthly Office Rent 01/20/2012 $8,824Monthly Office Rent 02/24/2012 $8,824Monthly Office Rent 03/29/2012 $8,284

Name and Address(A)

The Go Daddy Group Inc

14455 N Hayden Rd Ste 219ScottsdaleAZ85260


Internet Services

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Wells FargoP O Box 54349Remittance CenterLos AngelesCA90054-0349

Purpose(C)

Date(D)

Amount(E)



24 of 28 5/7/13 3:49 PM


Financial ServicesForm LM-2 (Revised 2010)


25 of 28 5/7/13 3:49 PM

SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 542-938


SCHEDULE 20 - BENEFITS FILE NUMBER: 542-938

Description(A)

To Whom Paid(B)

Amount(C)

Total of all lines above (Total will be automatically entered in Item 55.) $213,351

AFLAC Insurance Refunds Member AFLAC refund $505Dental Care Choice Builder $11,529Health Care Blue Shield $76,691Member Insurance Program AFLAC $124,626



26 of 28 5/7/13 3:49 PM


27 of 28 5/7/13 3:49 PM

69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 542-938Item 71 Title: Tresurer unavailable at time of filing, signed by Secretary

Question 12: Auditing performed by Kemper CPA Group. Bookkeeping and audit support services provided by Hamilton CPA, LLC.

Question 18: Revised Bylaws are attached.

Statement A,

Loans Payable Begin Total: Beginning balance changed due to auditor adjustment posted after 2011 LM2 was filed.

Schedule 13, Row3:Pending Membership, non-dues payer - those who have not yet applied for membership in NEMSA due to various factors includingnewly acquired bargaining units, recently won campaigns, etc... These people do not have voting rights.

Schedule 13, Row3:Pending Members do not have voting eligibility until they become regular members.

Schedule 13, Row1:Regular Members are dues paying members with full voting rights.

Schedule 13, Row2:Member, Non Dues Payer - those who have applied for membership in the Association with intent to pay dues however nocollective bargaining agreement has been ratified containing a union security and/or dues deduction agreement These people are not obligated to paydues unless or until a CBA becomes effective under a waiver of the payment of union dues per the NEMSA Board of Directors. A completedmembership application with signed intent to pay dues is required to be eligible to vote on CBA ratification. Notwithstanding the above, if thesemembers members have submitted a voluntary membership application form and opted for membership, or have elected to pay dues to the association,they will have limited voting rights.

General Information:

Accounts Receivable includes Allowance for Doubtful accounts in the amount of ($73,574).Form LM-2 (Revised 2010)


28 of 28 5/7/13 3:49 PM

NEMSA 2012 LM2

Documents

Transcript of NEMSA 2012 LM2