U.S Department of Labor
Office of Labor-Management Standards
Washington, DC 20210
LM-10
EMPLOYER REPORT
This report is mandatory under P.L. 86-257, as amended. Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
Form Approved
Office of Management and Budget
OMB No. 1245-0003 .
Expires 01-31-2025 .
 For Official Use Only


 E
READ THE INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS REPORT.
PART A
 1. File Number: E-5178
 2. Fiscal Year CoveredFrom:01/01/2022Through:12/31/2022
                                                    Month/Day/Year               Month/Day/Year
3. Name and address of Reporting Employer (inc. trade name, if any).
Employer:BLUE CROSS & BLUE SHIELD OF KANSAS CITY
Trade Name:
Attention To:Scott  McAdams
Title:SrVP, Audit Compliance Risk
Mailing Address
P.O. Box., Bldg., Room No., if any:
Street:2301 MAIN STREET
City:KANSAS CITYState:MO
ZIP Code + 4:64108
4. Name and address of President or corresponding principal officer, if different from address in Item 3.
Name:Erin Stucky
P.O. Box., Bldg., Room No., if any:
Street:2301 Main St
City:Kansas CityState:MO
ZIP Code + 4:64108
5.
Any other address where records necessary to verify this report will be available for examination.
Name:
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP Code + 4:
6.
Indicate by checking the appropriate box or boxes where records necessary to verify this report will be available for examination.

X Address in Item 3
 Address in Item 4
 Address in Item 5
  7. Type of organization.
  X Corporation       Partnership       Individual       Other (specify)
Signatures
Each of the undersigned, duly authorized officers of the above employer declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including the information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned's knowledge and belief, true, correct, and complete. (See Section VIII on penalties in the instructions.)
13.
SIGNED: Erin E Stucky
Title: PRESIDENT
On Date: Mar 30, 2023
Telephone Number: 816-360-1068
14.
SIGNED: Philip Bowling
Title: Chief Financial Officer
On Date: Mar 30, 2023
Telephone Number: 816-395-3885
Form LM-10 (2003)
8.
Type of Reportable Activity Engaged In By Employer

Read the following questions and the accompanying instructions carefully, taking into consideration the exclusions listed in the instructions for these items, and check either ''Yes" or ''No'' for each item. For each item that is answered ''Yes'', you must attach a Part B which appears on Page 3. Complete a separate Part B for each ''Yes'' answer to any of Items 8.a. through 8.f. Also, if the answer is ''Yes'' for more than one person or organization, complete a separate Part B for each person or organization. If you answer ''Yes'', enter the number of Part Bs that are submitted for that item in the line indicated.
DURING THE FISCAL YEAR COVERED BY THIS REPORT:
    If "Yes",     number of     Part Bs     attached

8.a
Did you make or promise or agree to make, directly or indirectly, any payment or loan of money or other thing of value (including reimbursed expenses) to any labor organization or to any officer, agent, shop steward, or other representative or employee of any labor organization?
 YESX   NO
17

8.b
Did you make, directly or indirectly, any payment (including reimbursed expenses) to any of your employees, or to any group or committee of your employees, for the purpose of causing them to persuade other employees to exercise or not to exercise, or as to the manner of exercising, the right to organize and bargain collectively through representatives of their own choosing without previously or at the same time disclosing such payment to all such other employees?
  YES   NOX
0

8.c
Did you make any expenditure where an object thereof, directly or indirectly, was to interfere with, restrain, or coerce employees in the right to organize and bargain collectively through representatives of their own choosing?
  YES  NOX
0

8.d
Did you make any expenditure where an object thereof, directly or indirectly, was to obtain information concerning the activities of employees or of a labor organization in connection with a labor dispute in which you were involved?
  YES  NOX
0

8.e
Did you make any agreement or arrangement with a labor relations consultant or other independent contractor or organization pursuant to which such person undertook activities where an object thereof, directly or indirectly, was to persuade employees to exercise or not to exercise, or as to the manner of exercising, the right to organize and bargain collectively through representatives of their own choosing; or did you make any payment (including reimbursed expenses) pursuant to such an agreement or arrangement?
 YES  NOX
0

8.f
Did you make any agreement or arrangement with a labor relations consultant or other independent contractor or organization pursuant to which such person undertook activities where an object thereof, directly or indirectly, was to furnish you with information concerning activities of employees or of a labor organization in connection with a labor dispute in which you were involved; or did you make any payment pursuant to such agreement or arrangement?
  YES  NOX
0


TOTAL NUMBER OF PART Bs FOR THIS REPORT IS:17

Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP Code + 4:
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: SHEET METAL, AIR, RAIL AND TRANSPORTATION WORKERS
P.O. Box., Bldg., Room No., if any:P O BOX 300378
Street:2902 BLUE RIDGE BLVD
City:KANSAS CITYState:MO
ZIP Code + 4:64130
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
09/02/2022
  $1,000
  Gift, Cash
12/09/2022
  $500
  Gift, Cash
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Cash donation, Sponsorship of 2022 Golf Tournament 11.a.2 Cash donation, Sponsorship of 2022 Holiday Luncheon
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP Code + 4:
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: IRON WORKERS AFL-CIO
P.O. Box., Bldg., Room No., if any:
Street:1000 EAST 10TH STREET
City:KANSAS CITYState:MO
ZIP Code + 4:64106
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
07/29/2022
  $1,200
  Gift, cash
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Cash donation, Sponsorship of 2022 Golf Tournament
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP Code + 4:
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: PLUMBERS AFL-CIO
P.O. Box., Bldg., Room No., if any:
Street:8600 HILLCREST ROAD
City:KANSAS CITYState:MO
ZIP Code + 4:64138
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
10/07/2022
  $1,000
  Gift, Cash
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Gift donation, Sponsorship of Larry Mitchell Golf Tournament.
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP Code + 4:
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: TEAMSTERS
P.O. Box., Bldg., Room No., if any:
Street:4501 EMANUEL CLEAVER II BLV
City:KANSAS CITYState:MO
ZIP Code + 4:64130 - 2368
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
09/16/2022
  $500
  Gift, cash
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Cash donation, Sponsorship of 2022 Golf Tournament
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP Code + 4:
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: BRICKLAYERS AFL-CIO
P.O. Box., Bldg., Room No., if any:
Street:632 W 39TH STREET
City:KANSAS CITYState:MO
ZIP Code + 4:64111 - 2910
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
07/01/2022
  $650
  Gift, Cash
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Cash donation, 2022 Golf Tournament Sponsorship
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP Code + 4:
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: ELECTRICAL WORKERS IBEW AFL-CIO
P.O. Box., Bldg., Room No., if any:
Street:301 E 103RD TERR
City:KANSAS CITYState:MO
ZIP Code + 4:64114 - 4700
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
05/06/2022
  $2,000
  Gift, Cash
09/30/2022
  $2,000
  Gift Cash
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Cash gift, Donation to quarterly lunch sponsorship 11.a.2 Cash Gift, Donation to quarterly lunch sponsorship
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP Code + 4:
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: LABORERS
P.O. Box., Bldg., Room No., if any:
Street:2600 MERRIAM LANE
City:KANSAS CITYState:KS
ZIP Code + 4:66106 - 4606
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
10/07/2022
  $500
  Gift, Cash
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Cash donation, Sponsorship of 2022 Clay Shoot
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).Business Manager
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:Bob Moreno
P.O. Box., Bldg., Room No., if any:
Street:301 E 103RD TERR
City:Kansas CityState:MO
ZIP Code + 4:64114 - 4700
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: ELECTRICAL WORKERS IBEW AFL-CIO
P.O. Box., Bldg., Room No., if any:
Street:301 E 103RD TERR
City:KANSAS CITYState:MO
ZIP Code + 4:64114 - 4700
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
05/16/2022
  $190
  Gift, Property
10/10/2022
  $1,044
  Gift, Property
07/11/2022
  $47
  Gift, Property
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Proportional expenditure for tickets, gifts, meals, and entertainment in box at Kauffman Stadium, KC Royals v. White Sox (5/16/2022) 11.a.2 Proportional expenditure for tickets, gifts, meals, and entertainment in suite at Arrowhead Stadium, KC Chiefs v. Oakland Raiders (10/10/2022) 11.a.3 Proportional expenditure for business meal at Lil Rizzos
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).Vice President
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:Dustin Himes
P.O. Box., Bldg., Room No., if any:
Street:632 W 39th Street
City:Kansas CityState:MO
ZIP Code + 4:64111
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: BRICKLAYERS AFL-CIO
P.O. Box., Bldg., Room No., if any:
Street:632 W 39TH STREET
City:KANSAS CITYState:MO
ZIP Code + 4:64111 - 2910
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
05/16/2022
  $190
  Gift, Property
10/10/2022
  $1,044
  Gift, Property
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Proportional expenditure for tickets, gifts, meals, and entertainment in box at Kauffman Stadium, KC Royals v. White Sox (5/16/2022) 11.a.2 Proportional expenditure for tickets, gifts, meals, and entertainment in suite at Arrowhead Stadium, KC Chiefs v. Oakland Raiders (10/10/2022)
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).Business Manager
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:Frank Carpenter
P.O. Box., Bldg., Room No., if any:
Street:9902 E. 62nd St.
City:RaytownState:MO
ZIP Code + 4:64133
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: PAINTERS AFL-CIO
P.O. Box., Bldg., Room No., if any:
Street:9902 E 62ND ST
City:RAYTOWNState:MO
ZIP Code + 4:64133
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
05/16/2022
  $190
  Gift, Property
10/10/2022
  $1,044
  Gift, Property
08/08/2022
  $245
  Gift, Property
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Proportional expenditure for tickets, gifts, meals, and entertainment in box at Kauffman Stadium, KC Royals v. White Sox (5/16/2022) 11.a.2 Proportional expenditure for tickets, gifts, meals, and entertainment in suite at Arrowhead Stadium, KC Chiefs v. Oakland Raiders (10/10/2022) 11.a.3 Proportional expenditure for food and beverage, green fees, cart rentals, incidentals, and prizes and the Blue Cross and Blue Shield of Kansas City's 2022 Annual Labor Golf Tournament
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).President and Business Manager
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:Jason P Mendenhall
P.O. Box., Bldg., Room No., if any:
Street:7820 Prospect Avenue
City:Kansas CityState:MO
ZIP Code + 4:64132
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: LABORERS
P.O. Box., Bldg., Room No., if any:
Street:7820 PROSPECT
City:KANSAS CITYState:MO
ZIP Code + 4:64132
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
10/10/2022
  $1,044
  Gift, Property
03/19/2022
  $214
  Gift, Property
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Proportional expenditure for tickets, gifts, meals, and entertainment in suite at Arrowhead Stadium, KC Chiefs v. Oakland Raiders (10/10/2022) 11.b.2 Proportional expenditure for tickets, meals, and entertainment for PBR: Unleash the Beast at T-Mobile Center
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).Financial Secretary Treasurer
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:ALLEN J LIND
P.O. Box., Bldg., Room No., if any:
Street:3900 SW SCHERER RD
City:LEES SUMMITState:MO
ZIP Code + 4:64082
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: SHEET METAL, AIR, RAIL AND TRANSPORTATION WORKERS
P.O. Box., Bldg., Room No., if any:P O BOX 300378
Street:2902 BLUE RIDGE BLVD
City:KANSAS CITYState:MO
ZIP Code + 4:64130
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
10/10/2022
  $1,044
  Gift, Property
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Proportional expenditure for tickets, gifts, meals, and entertainment in suite at Arrowhead Stadium, KC Chiefs v. Oakland Raiders (10/10/2022)
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).Business Manager, JAC Trustee Chair, HW Trustee
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:Kevin Hendrickson
P.O. Box., Bldg., Room No., if any:
Street:8600 HILLCREST ROAD
City:KANSAS CITYState:MO
ZIP Code + 4:64138
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: PLUMBERS AFL-CIO
P.O. Box., Bldg., Room No., if any:
Street:8600 HILLCREST ROAD
City:KANSAS CITYState:MO
ZIP Code + 4:64138
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
05/16/2022
  $190
  Gift, Property
10/10/2022
  $1,044
  Gift, Property
08/08/2022
  $245
  Gift, Property
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Proportional expenditure for tickets, gifts, meals, and entertainment in box at Kauffman Stadium, KC Royals v. White Sox (5/16/2022) 11.a.2 Proportional expenditure for tickets, gifts, meals, and entertainment in suite at Arrowhead Stadium, KC Chiefs v. Oakland Raiders (10/10/2022) 11.a.3 Proportional expenditure for food and beverage, green fees, cart rentals, incidentals, and prizes and the Blue Cross and Blue Shield of Kansas City's 2022 Annual Labor Golf Tournament
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).business manager
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:kevin l gard
P.O. Box., Bldg., Room No., if any:
Street:301 south Main
City:IndependenceState:MO
ZIP Code + 4:64050
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: PLASTERERS AND CEMENT MASONS AFL-CIO
P.O. Box., Bldg., Room No., if any:
Street:301 S MAIN
City:INDEPENDENCEState:MO
ZIP Code + 4:64050
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
10/10/2022
  $1,044
  Gift, Property
08/08/2022
  $245
  Gift, Property
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Proportional expenditure for tickets, gifts, meals, and entertainment in suite at Arrowhead Stadium, KC Chiefs v. Oakland Raiders (10/10/2022) 11.a.2 Proportional expenditure for food and beverage, green fees, cart rentals, incidentals, and prizes and the Blue Cross and Blue Shield of Kansas City's 2022 Annual Labor Golf Tournament
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).President
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:Mike Keeran
P.O. Box., Bldg., Room No., if any:
Street:4501 Emanuel Cleaver II Blvd.
City:Kansas CityState:MO
ZIP Code + 4:64130
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: TEAMSTERS
P.O. Box., Bldg., Room No., if any:
Street:4501 EMANUEL CLEAVER BLVD
City:KANSAS CITYState:MO
ZIP Code + 4:64130
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
10/10/2022
  $1,044
  Gift, property
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Proportional expenditure for tickets, gifts, meals, and entertainment in suite at Arrowhead Stadium, KC Chiefs v. Oakland Raiders (10/10/2022)
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).Business Manager
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:Paul Post
P.O. Box., Bldg., Room No., if any:
Street:6321 BLUE RIDGE BOULEVARD #202
City:RAYTOWNState:MO
ZIP Code + 4:64133
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: ROOFERS AFL-CIO
P.O. Box., Bldg., Room No., if any:
Street:6321 BLUE RIDGE BOULEVARD #202
City:RAYTOWNState:MO
ZIP Code + 4:64133 - 4809
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
10/10/2022
  $1,044
  Gift, Property
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Proportional expenditure for tickets, gifts, meals, and entertainment in suite at Arrowhead Stadium, KC Chiefs v. Oakland Raiders (10/10/2022)
Form LM-10 (2003)
Check Item Number(from Page 2) to which this Part B applies
ITEM 8.a. X
ITEM 8.b.
ITEM 8.c.
ITEM 8.d.
ITEM 8.e.
ITEM 8.f.

 9.a. Agreement       X Payment       Both
 9.c. Position In labor organization or with employer (if an independent labor consultant, so state).Business Manager of union, Board member of BCBSKC
9.b. Name and address of person with whom or through whom a separate agreement was made or to whom payments were made.
Name:Alise Martiny
P.O. Box., Bldg., Room No., if any:
Street:400 S MAIN
City:INDEPENDENCEState:MO
ZIP Code + 4:64050
9.d. Name and address of firm or labor organization with whom employed or affiliated.
Organization: BLDG AND CONSTRN TRADES DEPT AFL-CIO
P.O. Box., Bldg., Room No., if any:
Street:400 S MAIN
City:INDEPENDENCEState:MO
ZIP Code + 4:64050 - 3813
10.a.
    Date of the promise, agreement, or arrangement pursuant to which payments or expenditures were agreed to or made.
NONE
10.b.
    The promise, agreement, or arrangement was:

Oral       Written*       Both

(*Written agreements entered into during the fiscal year must be attached.)
11.a. Date of each payment or expenditure (mm/dd/yyyy). 11.b. Amount of each payment or expenditure 11.c. Kind of each payment or expenditure (Specify whether payment or loan, and whether in cash or property)
05/16/2022
  $190
  Gift, Property
10/10/2022
  $1,044
  Gift, Property
08/08/2022
  $245
  Gift, Property
12/31/2022
  $11,000
  Payment, Cash
12/31/2022
  $62,333
  Payment, property
12.
Explain fully the circumstances of all payments, including the terms of any oral agreement or understanding pursuant to which they were made : 11.a.1 Proportional expenditure for tickets, gifts, meals, and entertainment in box at Kauffman Stadium, KC Royals v. White Sox (5/16/2022) 11.a.2 Proportional expenditure for tickets, gifts, meals, and entertainment in suite at Arrowhead Stadium, KC Chiefs v. Oakland Raiders (10/10/2022) 11.a.3 Proportional expenditure for food and beverage, green fees, cart rentals, incidentals, and prizes and the Blue Cross and Blue Shield of Kansas City's 2022 Annual Labor Golf Tournament 11.a.4 Year's worth of cash compensation as a director on Blue KC's Board of Directors 11.a.5 Year's worth of deferred compensation to a Non-qualified Deferred Compensation Plan
Form LM-10 (2003)