IMPORTANT: 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.
Required of persons, including Labor Relations Consultants and
Other Individuals and Organizations, under Section 203(b) of
the
Labor-Management Reporting and Disclosure Act of 1959, as
amended (LMRDA).
Office of Labor-Management Standards
U.S. Department of Labor
For Official Use Only
E
OLMS
Read the instructions carefully before completing this report.
1.a. File Number: C-69865
Amended:
2.
Name and mailing address (including Zip Code):
Name:Chuck Ahern
Title:Consultant
Organization:Chuck Ahern
EIN:
P.O. Box., Bldg., Room No., if any:
Street:6139 Sard Street
City:ALTA LOMAState:CA
ZIP code:91701
3.
Other address where records necessary to
verify this report are kept:
Name:
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP code:
4.
Date fiscal year ends:Dec /25
5.
Type of person
a.
X
Individual b.
Partnership
c.
Corporation C d.
Other
Specify:
Nature of Agreement or Arrangement
6.
Full name and address of employer with whom made (include ZIP Code):
Name:Rachel Evans
Organization:Heritage Environmental Services
EIN:
Trade Name, if any:
P.O. Box., Bldg., Room No., if any:Suite 400
Street:6510 Telecom Drive
City:IndianapolisState:IN
ZIP code:46278
7.
Date entered into01/02/2025
8.
Name of person(s) through whom made:
(a) Employer Representative (to be completed by the Primary Consultant):
Name and Title:Rachel Evans, Chief HR Officer
OR
(b) Primary Consultant (to be completed by the Sub-consultant):
Name and Title:
Organization:
EIN:
Signature and Verification
Each
of the undersigned 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:
Chuck Ahern
Title:
PRESIDENT
Date:
Mar 21, 2025
Telephone Number:
310-589-5225
14.
SIGNED:
Title:
TREASURER
Date:
Telephone Number:
Form LM-20 (2025)
9.
Check the appropriate box(es) to indicate
whether an object
of the activities undertaken is directly
or
indirectly:
a.
X
To persuade employees to exercise or not to
exercise, or persuade employees as to the manner of
exercising, the right to organize and bargain collectively
through representatives of their own choosing.
b.
To supply an employer with information
concerning the activities of employees or a labor
organization in connection with a labor dispute involving
such employer, except information for use solely in
conjunction with an administrative or arbitral proceeding
or
a criminal or civil judicial proceeding.
10.
Terms and conditions.
(Explain in detail;
see
instructions.
Written agreements must
be attached.):
Written Agreement/Arrangement
I have a verbal agreement with Labor Information Services to represent Heritage Environmental Services at their facility/facilities in Joplin, MO in a Card Mitigation with the IAM Union from organizing their employees for purposed of collective bargaining. My hourly rate is $350 plus reasonable travel expenses. The agreement has never been reduced to writing, is for no specific time, and may be terminated by either party at any time.
Specific Activities to be performed
Activity1
11. For each activity, separately list in detail the information required.
(See instructions.)
a. Nature of activity:NLRA Training classes, preparing written materials for distribution, and holding/conducting meetings with management and employees to answer questions on rights afforded by the National Labor Relation Act (NLRA).
11.b.Period during which activities
performed:
01/02/2025 - to present
11.c. Extent of performance:
On-going
11.d.
Name and address of person(s) through
whom
activities were performed or will be performed:
Name:David Burke Organization:Labor Information Services, Inc. Title:OwnerEIN:95-4397301
P.O. Box, Bldg., Room No., If any:Suite 611Street:5737 Kanan RoadCity:AgouraState:CAZip:91301