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002/002 F-B04
Apr-01-2011 From-AFT LEGAL DEPT
12: 09Pm r6 iwCACPArl V041j" ft U 0.1.- J;174
POHM NLRS oI UNITED STATL_ iF AMERICA
(2-00) NATIONAL LABOR RRATIONS BOARD [ _.IOT WRITE IN THIS SPACE
AMENDED CHARGE AGAINST EMPLOYER Case Date Filed
34-CA-12916 I I / April 1, 2011
INSTRUCTIONS:
F4c an original with NLRS Regional Director f0fthll region In which the fillepd tint3ir labor PractU occurmd oris wxurring.
1. EMPLOYER AGAINST WHOM CHARGE IS BROUGHT
a. Name of EmploVer b. Tel. No.
William W. l3acktis Hospital (860)889-9331
c. Cog No.

f. Fax No.
d. Address (Stra94 W state, and ZIP code) a. Employer Representative ( ) -
326 Washington Streci 01tvid 9. e-mail
Whitehead
Not-wich c1l. 06360- Presidcril h. Number of workers employed
INUO
i Type of Establishment(fectory mine, wholossiller, elm) 1. ldentiN principal Product or service
acuic care hospital ticafth cam survicus
k. The above-named aniployer his engaged In and is engaging In unfair labor practices within the meaning of section 8(a), subsections (1) and (list
subsections) (1) of the National Labor RelationS Act, and these unfair labor
practices are practices affecting commerce wIthin the meaning of the Act, or these um*alr labor practices are unfair practices affecting commerce
within the meaninq of the Act anti the Postal ReorganIzatlan Act,

2. Basis of the Charge (Set forth a door end condsD Statement Of the facts constifuNng Me alleged unfairlaboi, practices)
Since on or about January 201 T, die Employer by its officers, agents. and representatives has created the impression of surveillance of
union activities, solicited grievances. unlawfully disparaged the un[on. enforced its solicitation policy in a discrim instory manner which
rcsrricts Section 7 activity, interoggated employees about their union sympathies, made threats of unspecified reprisal for engaging in
protected concerted activity, and threatened employees with discharge for engaging in protected concertcd activities,

The Union requests effective remedies as specified in GC memo I 1-0 1.

3. Full name of party filing charge (if labororganization,give tuffnamp, including local name and number)
AFTConnucth;ul. AFT. AFL-CIO

4c, Address (Street and number, W state. and ZIP code) 4a.Tel. No.
35 Manthull Road (860)257-9782
4b. Cell No.
(860)290-8045
4d. Fax No.
Rocky I lilt cl, 06067- (860)257-9214
4e. e-Mail

5. Full name of national or international labor organizatlon of wh16 It ir in affiliate or constituent unift (to be filled in when Charge is filied by a labor
organizatlbfl) Amcrierin FCdCrU60ti ul-Tcuchers. AFL-CIO

6. DECLARATION Tel. No.


I declare that I hav e above e and that the sialementsare true to the best of my knowledge and bellef. (20A393-7472
Office, ofanyi Cell No.
Sarnucl 3- Licbcrman, Attorney (202)368-4596
(signao of (FWrr&1y;;e name erid title or afflea, IFIny) Fax No.
Sarraucte5po!"" (202)193-6385
J. L.icbLnnan
555 New Jerscy Avenue. NW e-mail
3V 1/2011 sailn.lickrmunri allimirg
Acaress Washington IX. 20001-- (dare)
WILLFUL FALSE STATEMENTS ON THIS CHARGE CAN BE PUNISHED BY FINE AND IMPRISONMENT (US. CODE. TITLE 1H, SECTION 1001)
PRIVACY ACT STATEMENT 34-2011-0250
Solicitation of the information on this form is authorized by the National Labor Relations Act (NLRA), 29 U.S.C. § 151 er seq, The principal use of the information is to assist
the National Labor Relations Board (NLRB) in processing unfair labor practice and related proceedings or 11119OUDn. The routine uses for the informallon are fully set forin in
the Federal Register, 71 Fed. Reg. 74942-43 (Dec. 13, 2005). The NLRB will further explain those uses upon request, DIsclosure of this Information to the NLR8 is
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