Dignity, October 01, 2009, Image 5

THANK YOU for helping f t a n r
us win victories by giving to
OMi E
We depend on our political action fund, CAPE, to win tough fights. And we depend on you— and your monthly contribution—to
maintain quality services during the economic recession.
Over the years, political action through our union has made tremendous gains for homecare workers and our clients, including:
• Regular pay increases
• Paid time off
• A homecare training program
. Health, dental, vision benefits
w Workers'Compensation coverage
And in 2009, CAPE donors like you made it possible to elect people that worked with us to defeat proposed cuts to the
programs that we fought so hard to win. During this economic recession large cuts were proposed to our clients, our hours,
our training and our health insurance. We were able to defeat the worst of these cuts and retain our jobs and our hours because
of political action.
All of these victories are only possible because we have focused our collective strength in educating and electing legislators
who support homecare and homecare workers. With our collective strength, we continue to be the single most effective voice
in winning needed funding to provide our clients with high quality homecare.
To keep winning real changes, we need CAPE members to step up to protect our client's services, improve our jobs, and
professionalize homecare work. Many homecare workers have signed up on a'cents per hour'model that is outdated and
averages less than $3 dollars a month. We are transitioning to a flat rate per month so that members can count on a simple
and straightforward CAPE contribution process. By changing to a flat monthly CAPE contribution, we can continue to win for
working families and advocate for our clients. Please fill out the form below, tri-fold and mail in, no postage needed.
’CAPE
I Citizen Action
SEIU
I
I 55.00/month
Voluntary SEIU Local 503, OPEU Political Action Check-off
Citizen Action for Political Education (CAPE)
}$10.00/month
. (
[ $15.00/month
|
| $______________ (other)
This contribution qualifies for the Oregon Political Tax Credit.
Single filers are eligible for a credit of up to $50 per year;
joint filers up to $100 per year.
► SIGNATURE;_________________
I hereby authorize my Employer to deduct the designated amount from my monthly
earnings as a contribution to SEIU Local 503, OPEU CAPE. My contribution will be used to
support member-endorsed candidates and for expenditures in connection with elections
for Local, Legislative, Statewide and Federal offices. These elected officials make critical
decisions on salaries, healthcare, retirement and other benefits and laws affecting SEIU
Local 503, OPEU members. A portion of this contribution (as much as 48% for the average
contributor) may be used by SEIU for federal elections. This contribution is not deductible
for federal income tax purposes.
Naftie:
PLEASE PRINT CLEARLY
< £ .
<___________ .
Dues and fees to SEIU Local503, OPEU are not deductible as charitable contributions for federal
income tax purposes. Dues paid to SEIU Local503, OPEU may qualify as business expenses, and
may not be deductible in limited circumstances subject to various restrictions imposed by the
Internal Revenue Code. Changes which may from time to time occur In state and federal law will
not alter these deduction requests, unless so indicated by me.
_______________ __________
Provider # or Social Security
Address:
C ity —
,W *
" \ . ..
“Z
______ ____________ ________________ _
A ;
Home Phone:
The contribution amounts indicated above are only suggestions and I may choose not
to contribute or to vary my contribution amount without reprisal from my Union or my
Employer. As per federal law, only union members and union executive/administrative
staff who are U.S. citizens or lawful permanent residents are eligible to contribute to
SEIU COPE (the Federal Committee on Political Education). This authorization is made
voluntarily and is not a condition of my employment or membership in the union. This
authorization shall remain in effect until revoked in writing by me. This contribution is
in addition to union dues.
■
State:
Zip:
___________
___________________Work Phone:
Cell Phone:______
Email: Work________ ■
„ J
'
Email Home:_____ ______________________
3 1
S E IU
Stronger Together