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COMMONWEALTH OF MASSACHUSETTS DO NOT WRITE IN THIS SPACE
DIVISION OF LABOR RELATIONS Case No. Date Filed
REPRESENTATION PETITION MCR-23-9904 3/1/2023
The petitioner hereby requests that the Division proceed under the authority of M.G.L. ¢.150E, Section 4 or
M.G.L. c.150A, Section 5(c).
1. Type of petition (Check One)
Petition by or on behalf of Municipal Employees seeking certification of decertification pt an Employee Organization (MCR).
a Petition by or on behalf of Employees of the Commonwealth seeking certification or(d
of an Employee
Organization (SCR)
O Petition on behalf of a Municipal Employer seeking to resolve a claim of representation by one or more Employee
Organizations (MCRE).
7 Petition on behalf of the Commonwealth seeking to resoive a claim of representation by one or more Employee
Organizations (SCRE).
C] Petition by or on behalf of Private Employees seeking certification or decertification of an Labor Organization (CR).
OJ Petition on behalf of a Private Employer seeking to resolve a claim of representation by one or more Labor
Organizations (CRE).
2. Name of Employer 3. Representative to contact 4. Telephone Number
Windheag Psee_Schoals Lisa Lhutacd ON1-F4 b- STOO
5. Address (street and No., city/town, state, and ZIP code) 6. Fax Number
| Makes) Sor Winthoar MA aise. 611-539-0841
7. Unit involved (attached additional sheets if necdssdry) 8a. No. of employees in Unii
included { haigersan Ass stant Crrergals, Hahladic. 19
Deer , Ce any Corcdinodoe 8b. Are any of the
N employees included in the
Excluded 0) AQ unit currently represented?
Yes ca No C
°** If you checked “yes” in question 8b, answer questions 9-16 and skip question 17 * * *
** * tf you checked "no" in question 8b, skip questions 9-16 and answer question 17 ***
9. Name of incumbent Employee Organization 10. Telephone Number 11. ls the petition supported
by at least 50% of the
Windiroe Paden astcon(: s fysov Carton \1-FUU-S SOD _ employees in the Unit?
12. Address (streat and no., city/town, state, and ZIP code) 13. Fax Number Xl a
. Yes No
\ Nakcolt 59, Wate e, N\t; WASP 01-539 -084' fre thine ncumbent
i Date on which the incumbent Embioyee Expiration date of most recent Employee Organization was
Organization was first Recognized or Certified collective bargaining agreement _|certified, Case No.
4 72 By Arg 3) ang | Nee 3713
J T
17. \s the petition supported by at least 30% of the employees in the Unit?
Yes K] No CJ
DLR FORM-003 (page *
Revised 14/C
18. List any Employee Organization(s) (other than the Petitioner and the Employee Organization listed in question 9, if any)
known to have an interest in representing the employees in the Unit
Name Address (street and no., city/town, state, and ZIP code) | Telephone Number
19. Name of Petitioner 20. Representative to contact 21. Telephone Number
Mark Oelaeragcy» Julie Fohades 6(]-4ua -0O3((
22. Address (street and nd, city/town, state, and ZIP code) 23. Fax Number
(01 Kennedy Oe Withee MA 9 959 11-534 - Onl
{ +
* ** Questions 24 and 24a relate only to Petitions filed pursuant to M.G.L. c.150E * * *
24. If the Petitioner is an Employee organization, has the Petitioner complied with the 24a. Last Rate of Filing
filing requirements of M.G.L. c.150E, §§13 and 14?
Yes No L] UF
DECLARATION
| have read the above petition and swear under the pains and penaities of perjury that the information contained in it is
true and complete to the best of my knowledge and belie
Name (print) Signature Title (if any)
Mane Trbrtqno Cp) e= Choicpesso
Address (street and no., ¢ily/town, state, and ZIP cod@Y Telephone Number
0 RooySen DY. Wiathcog , Mr 6 aso [8 - 686-3933
CERTIFICATE OF SERVICE
| hereby certify that | have served a copy of this Petition on the following representative(s) of the opposing partie(s).
Employer
Name Address (street and no., city/town, state, and ZIP code) {Telephone Number
Lisa Pow acd | Mabel Se Wiudivog WP OSAlGI7-64L-SS00
Method of Service 7
In hand
C First Class Mail (od Other (specify): 2mnar)
Incumbent Employee Organization (if any)
Name Address (street and no., city/town, state, and ZIP code) [Telephone Number
Sule Cohaches {o\ Kennedy 0- Wrathveng MP oa ISAGITA Hed -031
Method of Servicg In hand CJ First Class Mail | Other (specify): 2a moa \
Signature of Person makipg Certification Telephone Number
i 18-6 56 393.
The Division does not Lenina on the basis of disabitity in access to its services. Inquiries, complaints or requests,
Including requests for auxiliary aids and information regarding access features should be directed to the LRC FORM-003 (page
ADA Coordinator (617) 626-7132. This document is available in altemative formats. Revised 11/07