024-471 (LM2) 12/31/2016

U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 07-31-2019

MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

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.

READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.

For Official Use Only

1. FILE NUMBER
024-471

2. PERIOD COVERED
From	01/01/2016
Through	12/31/2016

3.	(a) AMENDED - Is this an amended report:	No
	(b) HARDSHIP - Filed under the hardship procedures:	No
	(c) TERMINAL - This is a terminal report:	No

4. AFFILIATION OR ORGANIZATION NAME TEAMSTERS
5. DESIGNATION (Local, Lodge, etc.) LOCAL UNION	6. DESIGNATION NBR 572
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name RICK	Last Name MIDDLETON
P.O Box - Building and Room Number
Number and Street 450 E. CARSON PLAZA DR #A
City CARSON
State CA	ZIP Code + 4 907463227

9. Are your organization's records kept at its mailing address?

Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)

70. SIGNED:

Dennis E Watson

PRESIDENT

71. SIGNED:

Richard E Middleton

TREASURER

Date:

Mar 14, 2017

Telephone Number:

310-515-0601

Date:

Mar 14, 2017

Telephone Number:

310-515-0601

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

ITEMS 10 THROUGH 21

FILE NUMBER: 024-471

10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?	Yes
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?	No
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?	No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?	Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)	No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?	$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?	Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?	No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?	No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?	No
19. What is the date of the labor organization's next regular election of officers?	09/2019

20. How many members did the labor organization have at the end of the reporting period?

11,121

21. What are the labor organization's rates of dues and fees?

Rates of Dues and Fees
Dues/Fees	Amount		Unit	Minimum	Maximum
(a) Regular Dues/Fees	18.41	per	member	18.41	138
(b) Working Dues/Fees	N/A	per
(c) Initiation Fees	Varies	per	New member	200	1846.15
(d) Transfer Fees	N/A	per
(e) Work Permits	N/A	per

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 024-471

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$4,204,955	$4,041,574
23. Accounts Receivable	1	$0	$0
24. Loans Receivable	2	$0
25. U.S. Treasury Securities		$0	$0
26. Investments	5	$210,350	$217,842
27. Fixed Assets	6	$672,584	$675,885
28. Other Assets	7	$2,312	$1,035
29. TOTAL ASSETS		$5,090,201	$4,936,336

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8	$0
31. Loans Payable	9	$0
32. Mortgages Payable		$0	$0
33. Other Liabilities	10	$0	$2,985
34. TOTAL LIABILITIES		$0	$2,985

35. NET ASSETS

$5,090,201

$4,933,351

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 024-471

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$5,843,041
37. Per Capita Tax		$0
38. Fees, Fines, Assessments, Work Permits		$679,302
39. Sale of Supplies		$1,183
40. Interest		$27,587
41. Dividends		$0
42. Rents		$11,280
43. Sale of Investments and Fixed Assets	3	$1,000
44. Loans Obtained	9
45. Repayments of Loans Made	2
46. On Behalf of Affiliates for Transmittal to Them		$13,630
47. From Members for Disbursement on Their Behalf		$94
48. Other Receipts	14	$17,604
49. TOTAL RECEIPTS		$6,594,721

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$1,913,997
51. Political Activities and Lobbying		16	$36,563
52. Contributions, Gifts, and Grants		17	$298,976
53. General Overhead		18	$816,537
54. Union Administration		19	$321,426
55. Benefits		20	$1,154,330
56. Per Capita Tax			$1,635,767
57. Strike Benefits			$167,733
58. Fees, Fines, Assessments, etc.			$0
59. Supplies for Resale			$1,179
60. Purchase of Investments and Fixed Assets		4	$141,741
61. Loans Made		2
62. Repayment of Loans Obtained		9
63. To Affiliates of Funds Collected on Their Behalf			$13,375
64. On Behalf of Individual Members			$72,941
65. Direct Taxes			$186,522

66. Subtotal			$6,761,087
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$819,978
67b. Less Total Disbursed	$816,993
67c. Total Withheld But Not Disbursed			$2,985
68. TOTAL DISBURSEMENTS			$6,758,102

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 024-471

Entity or Individual Name (A)	Total Account Receivable (B)	90-180 Days Past Due (C)	180+ Days Past Due (D)	Liquidated Account Receivable (E)
Total of all itemized accounts receivable	$0	$0	$0	$0
Totals from all other accounts receivable
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B))	$0	$0	$0	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 2 - LOANS RECEIVABLE

FILE NUMBER: 024-471

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)

Loans
Outstanding at
Start of Period
(B)

Loans Made
During Period
(C)

Repayments Received During Period
Cash (D)(1)	Other Than Cash (D)(2)

Loans
Outstanding at
End of Period
(E)

Total of loans not listed above

Total of all lines above

Totals will be automatically entered in...

Item 24
Column (A)

Item 61

Item 45

Item 69
with Explanation

Item 24
Column (B)

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 024-471

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Gross Sales Price (D)	Amount Received (E)
Total of all lines above	$83,356	$0	$1,000	$1,000
Automobile	$65,979	$0	$1,000	$1,000
Building Improvement - abandoned see stmt. 69	$3,989	$0	$0	$0
Furniture & Equipment - abandoned see stmt. 69	$13,388	$0	$0	$0

				Less Reinvestments	$0
(The total from Net Sales Line will be automatically entered in Item 43)				Net Sales	$1,000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 024-471

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Cash Paid (D)
Total of all lines above	$141,741	$141,741	$141,741
Automobile	$118,730	$118,730	$118,730
Building Improvment - New A/C	$7,865	$7,865	$7,865
Furniture & Equipment	$7,654	$7,654	$7,654
Investments	$7,492	$7,492	$7,492

		Less Reinvestments	$0
(The total from Net Purchases Line will be automatically entered in Item 60.)		Net Purchases	$141,741

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 5 - INVESTMENTS

FILE NUMBER: 024-471

Description (A)	Amount (B)
Marketable Securities
A. Total Cost	$217,842
B. Total Book Value	$217,842
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.

Blackrock Energy and Resource	$40,226
Intel	$39,379
Procter & Gamble	$20,139
Pfizer	$18,214
Citigroup	$17,054
Apple Inc.	$15,856
JP Morgan Chase	$11,689
Wal-mart	$11,206
Best Buy	$10,957

Other Investments
D. Total Cost
E. Total Book Value
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E. Also, list each subsidiary for which separate reports are attached.

G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B))

$217,842

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 024-471

Description (A)	Cost or Other Basis (B)	Total Depreciation or Amount Expensed (C)	Book Value (D)	Value (E)
A. Land (give location)
Land 1 : 450 E. Carson Blvd., Carson, CA	$232,000		$232,000	$0

B. Buildings (give location)
Building 1 : 450 E. Carson Blvd., Carson, CA	$1,005,487	$912,103	$93,384	$0

C. Automobiles and Other Vehicles

$611,280

$286,926

$324,354

D. Office Furniture and Equipment

$165,058

$138,911

$26,147

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B))

$2,013,825

$1,337,940

$675,885

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 024-471

Description (A)	Book Value (B)
Total (Total will be automatically entered in Item 28, Column(B))	$1,035
Storage Security Deposit	$1,035

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE

FILE NUMBER: 024-471

Entity or Individual Name (A)	Total Account Payable (B)	90-180 Days Past Due (C)	180+ Days Past Due (D)	Liquidated Account Payable (E)
Total for all itemized accounts payable	$0	$0	$0	$0
Total from all other accounts payable	$0	$0	$0	$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D))	$0	$0	$0	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 9 - LOANS PAYABLE

FILE NUMBER: 024-471

Source of Loans Payable at Any Time During the Reporting Period (A)	Loans Owed at Start of Period (B)	Loans Obtained During Period (C)	Repayment During Period Cash (D)(1)	Repayment During Period Other Than Cash (D)(2)	Loans Owed at End of Period (E)
Total Loans Payable	$0	$0	$0	$0	$0
Totals will be automatically entered in...	Item 31 Column (C)	Item 44	Item 62	Item 69 with Explanation	Item 31 Column (D)

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 10 - OTHER LIABILITIES

FILE NUMBER: 024-471

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$2,985
Payroll withholding taxes payable	$2,985

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 024-471

(A)
Name

(B)
Title

(D)
Gross Salary
Disbursements
(before any
deductions)

(E)
Allowances
Disbursed

(F)
Disbursements for Official Business

(G)
Other
Disbursements not reported in
(D) through (F)

(H)
TOTAL

A
B
C

Middleton , Rick
Secretary Treasurer
C

$190,522

$15,455

$205,977

Schedule 15
Representational Activities

75 %

Schedule 16
Political Activities and Lobbying

7 %

Schedule 17
Contributions

3 %

Schedule 18
General Overhead

5 %

Schedule 19
Administration

10 %

A
B
C

Watson , Dennis
President
C

$199,562

$6,150

$205,712

Schedule 15
Representational Activities

86 %

Schedule 16
Political Activities and Lobbying

2 %

Schedule 17
Contributions

2 %

Schedule 18
General Overhead

Schedule 19
Administration

10 %

A
B
C

Garcia , Lourdes M
Recording Secretary
C

$182,679

$910

$5,119

$188,708

Schedule 15
Representational Activities

95 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

5 %

A
B
C

Ward , Linda
Vice President
P

$4,360

$14

$4,374

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

42 %

Schedule 19
Administration

58 %

A
B
C

Martinez , Frank
Vice President
C

$6,760

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Brewton , Lorraine
Trustee
C

$4,061

$6,610

$43

$10,714

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Gallardo , Gerardo
Trustee
C

$1,409

$6,760

$8,178

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

Flemister , Carolyn
Trustee
N

$2,550

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

Total Officer Disbursements	$578,233	$27,950	$26,790	$0	$632,973
Less Deductions					$244,138
Net Disbursements					$388,835

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 024-471

(A)
Name

(B)
Title

(D)
Gross Salary
Disbursements
(before any
deductions)

(E)
Allowances Disbursed

(F)
Disbursements for Official Business

(G)
Other Disbursements not reported in
(D) through (F)

(H)
TOTAL

A
B
C

Avila , Adrianna S
Business Agent
N/A

$94,240

$300

$11,462

$106,002

Schedule 15
Representational Activities

98 %

Schedule 16
Political Activities and Lobbying

1 %

Schedule 17
Contributions

Schedule 18
General Overhead

1 %

Schedule 19
Administration

A
B
C

Badger , Stephen
Business Agent
N/A

$109,853

$12,511

$122,364

Schedule 15
Representational Activities

85 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

5 %

Schedule 19
Administration

10 %

A
B
C

Beatty , Thomas M
Business Agent
N/A

$98,670

$520

$5,715

$104,905

Schedule 15
Representational Activities

88 %

Schedule 16
Political Activities and Lobbying

10 %

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

2 %

A
B
C

Brown , Douglas J
Business Agent
N/A

$94,802

$520

$9,835

$105,157

Schedule 15
Representational Activities

95 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

5 %

A
B
C

Davidson , Don J
Facility / Maintenance
N/A

$17,130

$268

$17,398

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

100 %

Schedule 19
Administration

A
B
C

Del Castillo , Tish H
Office Staff
N/A

$63,730

$183

$63,913

Schedule 15
Representational Activities

25 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

75 %

Schedule 19
Administration

A
B
C

Delgado , Lorraine E
Titan Operator
N/A

$62,191

$300

$172

$62,663

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

99 %

Schedule 19
Administration

1 %

A
B
C

Flammia , John F
Business Agent
N/A

$102,234

$520

$7,741

$110,495

Schedule 15
Representational Activities

96 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

1 %

Schedule 18
General Overhead

2 %

Schedule 19
Administration

1 %

A
B
C

Guitron , Graciela
Business Agent
N/A

$87,090

$9,034

$96,124

Schedule 15
Representational Activities

90 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

5 %

Schedule 19
Administration

5 %

A
B
C

Gutierrez , Laura B
Office Clerk
N/A

$65,185

$820

$535

$66,540

Schedule 15
Representational Activities

50 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

5 %

Schedule 18
General Overhead

35 %

Schedule 19
Administration

10 %

A
B
C

Holmes , Lonnie L
Business Agent
N/A

$108,362

$14,866

$123,228

Schedule 15
Representational Activities

96 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

2 %

Schedule 19
Administration

2 %

A
B
C

Li , Iris J
Bookkeeper
N/A

$90,613

$183

$90,796

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

2 %

Schedule 18
General Overhead

97 %

Schedule 19
Administration

1 %

A
B
C

Phan , Elizabeth
Titan Operator
N/A

$50,942

$820

$444

$52,206

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

99 %

Schedule 19
Administration

1 %

A
B
C

Roth , Carolina
Office Manager
N/A

$98,638

$820

$1,534

$100,992

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

95 %

Schedule 19
Administration

5 %

A
B
C

Skifstrom , Tait J
Business Agent
N/A

$109,806

$520

$8,238

$118,564

Schedule 15
Representational Activities

96 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

2 %

Schedule 19
Administration

2 %

A
B
C

Smith , Traci D
Business Agent
N/A

$102,190

$520

$7,203

$109,913

Schedule 15
Representational Activities

90 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

5 %

Schedule 19
Administration

5 %

A
B
C

Villanueva , Jaime O
Business Agent
N/A

$105,007

$390

$10,349

$115,746

Schedule 15
Representational Activities

90 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

5 %

Schedule 19
Administration

5 %

A
B
C

Ford , Michael
Business Agent
N/A

$16,246

$1,748

$17,994

Schedule 15
Representational Activities

98 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

1 %

Schedule 19
Administration

1 %

TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS

$82,455

$25,860

$108,315

Schedule 15
Representational Activities

49 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

26 %

Schedule 19
Administration

25 %

Total Employee Disbursements	$1,559,384	$31,910	$102,021	$0	$1,693,315
Less Deductions					$575,840
Net Disbursements					$1,117,475

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 024-471

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	11,121
Agency Fee Payers*	934
Total Members/Fee Payers	12,055
*Agency Fee Payers are not considered members of the labor organization.
Active members	11,121	Yes

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 024-471

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$0
2. Named Payer Non-itemized Receipts	$0
3. All Other Receipts	$17,604
4. Total Receipts	$17,604

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements	$158,366
2. Named Payee Non-itemized Disbursements	$61,664
3. To Officers	$10,293
4. To Employees	$6,248
5. All Other Disbursements	$62,405
6. Total Disbursements	$298,976

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$112,128
2. Named Payee Non-itemized Disbursements	$69,128
3. To Officers	$510,668
4. To Employees	$1,147,862
5. All Other Disbursements	$74,211
6. Total Disbursements	$1,913,997

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$118,027
2. Named Payee Non-itemized Disbursements	$175,465
3. To Officers	$12,136
4. To Employees	$445,011
5. All Other Disbursements	$65,898
6. Total Disbursements	$816,537

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$18,532
4. To Employees	$11,551
5. All Other Disbursements	$6,480
6. Total Disbursements	$36,563

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$85,344
2. Named Payee Non-itemized Disbursements	$42,045
3. To Officers	$81,343
4. To Employees	$82,642
5. All Other Disbursements	$30,052
6. Total Disbursements	$321,426

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 024-471

There was no data found for this schedule.

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 024-471

Name and Address
(A)

Apple Spice

801 W. Victoria St. Suite E
Rancho Dominguez
CA
90220

Type or Classification
(B)

Restaurant

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$8,895
Total of All Transactions with this Payee/Payer for This Schedule		$8,895

Name and Address
(A)

Bush Gottlieb - A Law Corporation

500 N Central Avenue #800
Glendale
CA
91203

Type or Classification
(B)

Attorneys

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$85,563
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$85,563
Legal Fees	08/08/2016	$16,837
Legal Fees	09/13/2016	$21,494
Legal Fees	10/11/2016	$26,990
Legal Fees	11/02/2016	$13,402
Legal Fees	12/15/2016	$6,840

Name and Address
(A)

Edward E. Hales

2726 Wolf Trail
Atlanta
GA
30349

Type or Classification
(B)

Arbitrator

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,253
Total of All Transactions with this Payee/Payer for This Schedule		$5,253

Name and Address
(A)

HGMG, APLC

800 W. 6th St. #950
Los Angeles
CA
90017

Type or Classification
(B)

Attorneys

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$20,302
Total Non-Itemized Transactions with this Payee/Payer		$11,589
Total of All Transactions with this Payee/Payer for This Schedule		$31,891
Legal Fees	10/04/2016	$9,776
Legal Fees	11/01/2016	$10,526

Name and Address
(A)

Panera Bread

20700 Avalon Blvd
Carson
CA
90746

Type or Classification
(B)

Restaurant

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$11,204
Total of All Transactions with this Payee/Payer for This Schedule		$11,204

Name and Address
(A)

Southwest Airlines
36647-1CR

Dallas
TX
75235

Type or Classification
(B)

Airline

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,028
Total of All Transactions with this Payee/Payer for This Schedule		$5,028

Name and Address
(A)

The Harman Press

6840 Vineland Avenue
North Hollywood
CA
91605

Type or Classification
(B)

Publishers

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,263
Total Non-Itemized Transactions with this Payee/Payer		$4,098
Total of All Transactions with this Payee/Payer for This Schedule		$10,361
Printing Services	01/12/2016	$6,263

Name and Address
(A)

Verizon Wireless
660108

Dallas
TX
75266

Type or Classification
(B)

Cellular phone company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$17,169
Total of All Transactions with this Payee/Payer for This Schedule		$17,169

Name and Address
(A)

Xerox Corporation
7405

Pasadena
CA
91109

Type or Classification
(B)

Equipment leasing and maintenance company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,892
Total of All Transactions with this Payee/Payer for This Schedule		$5,892

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 024-471

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS

FILE NUMBER: 024-471

Name and Address
(A)

Breaking Barriers - Hope Is Alive
534

Uniontown
OH
44685

Type or Classification
(B)

501( c )(3) organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$10,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$10,000
Contribution	07/07/2016	$10,000

Name and Address
(A)

Costco - Signal Hill

2200 E Willow St.
Signal Hill
CA
90755

Type or Classification
(B)

Membership wholesale retailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$13,401
Total Non-Itemized Transactions with this Payee/Payer		$2,519
Total of All Transactions with this Payee/Payer for This Schedule		$15,920
Gifts for Membership	01/04/2016	$8,251
Gifts for Membership	01/04/2016	$5,150

Name and Address
(A)

Costco Wholesale

999 Lake Drive
Issaquah
WA
98027

Type or Classification
(B)

Membership wholesale retailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,829
Total Non-Itemized Transactions with this Payee/Payer		$7,863
Total of All Transactions with this Payee/Payer for This Schedule		$16,692
Gifts for Membership	11/25/2016	$8,829

Name and Address
(A)

Impressions Specialty Advertising

1719 S. Grove Ave. Suite C
Ontario
CA
91761

Type or Classification
(B)

Promotional materials retailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$17,855
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$17,855
Gifts for Membership	10/12/2016	$17,855

Name and Address
(A)

JC 42 Women's Conference

981 CorporateCenter Dr #200
Pomona
CA
91768

Type or Classification
(B)

501( c )(3) organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$5,000
Contribution	06/16/2016	$5,000

Name and Address
(A)

LAANE

464 Lucas Ave #202
Los Angeles
CA
90017

Type or Classification
(B)

501( c )(3) organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,200
Total of All Transactions with this Payee/Payer for This Schedule		$5,200

Name and Address
(A)

Pappagalo Fine Jewelry Casting, Inc.

13521 Alondra Blvd.
Santa Fe Springs
CA
90670

Type or Classification
(B)

Jewelry retailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$9,504
Total of All Transactions with this Payee/Payer for This Schedule		$9,504

Name and Address
(A)

Program for Torture Victims

3550 Wilshire Blvd #1906
Los Angeles
CA
90010

Type or Classification
(B)

501( c )(3) organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$10,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$10,000
Contribution	08/01/2016	$10,000

Name and Address
(A)

Superior Ideas & Promotions LLC
4130

West Hills
CA
91308

Type or Classification
(B)

Promotional materials retailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$16,846
Total Non-Itemized Transactions with this Payee/Payer		$34,270
Total of All Transactions with this Payee/Payer for This Schedule		$51,116
Gifts for Membership	04/05/2016	$5,794
Gifts for Membership	10/14/2016	$5,958
Gifts for Membership	10/19/2016	$5,094

Name and Address
(A)

Whittier Ink

3027 McNab Ave
Long Beach
CA
90808

Type or Classification
(B)

Promotional materials retailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$76,435
Total Non-Itemized Transactions with this Payee/Payer		$2,308
Total of All Transactions with this Payee/Payer for This Schedule		$78,743
Gifts for Membership	06/02/2016	$9,923
Gifts for Membership	07/08/2016	$9,957
Gifts for Membership	07/19/2016	$43,316
Gifts for Membership	08/18/2016	$13,239

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 024-471

Name and Address
(A)

A.J. Longo & Associates

253 North Lake Ave
Pasadena
CA
91101

Type or Classification
(B)

Insurance broker

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$9,938
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$9,938
Liability Insurance Premium	03/18/2016	$9,938

Name and Address
(A)

Behar Public Relations

12048 Sulphur Mountain Road
Ojai
CA
93023

Type or Classification
(B)

Public relations

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,500
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$7,500
Newsletter	08/22/2016	$7,500

Name and Address
(A)

Berkshire Hathaway Homestate Co
846693

Los Angeles
CA
90084

Type or Classification
(B)

Insurance broker

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$16,479
Total of All Transactions with this Payee/Payer for This Schedule		$16,479

Name and Address
(A)

Cameric International Developments

454 Carson Plaza Dr. #110
Carson
CA
90746

Type or Classification
(B)

Landlord

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$12,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$12,000
Storage rental	03/31/2016	$6,000
Storage rental	10/12/2016	$6,000

Name and Address
(A)

Costco Business Delivery

6881 8th Street
Buena Park
CA
90620

Type or Classification
(B)

Membership wholesale retailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,053
Total of All Transactions with this Payee/Payer for This Schedule		$5,053

Name and Address
(A)

Duffy Kruspodin, LLP

21600 Oxnard St. #2000
Woodland Hills
CA
91367

Type or Classification
(B)

Certified public accountants

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$12,250
Total Non-Itemized Transactions with this Payee/Payer		$16,840
Total of All Transactions with this Payee/Payer for This Schedule		$29,090
Accounting services	04/25/2016	$6,274
Accounting services	07/29/2016	$5,976

Name and Address
(A)

Harris Stationers Inc.

7100 Valjean Ave
Van Nuys
CA
91406

Type or Classification
(B)

Stationers

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,739
Total of All Transactions with this Payee/Payer for This Schedule		$5,739

Name and Address
(A)

Independent Printers

12834 Victory Blvd
North Hollywood
CA
91606

Type or Classification
(B)

Printer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$15,434
Total of All Transactions with this Payee/Payer for This Schedule		$15,434

Name and Address
(A)

Liberty Mutual Insurance
85834

San Diego
CA
92186

Type or Classification
(B)

Insurance company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,240
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$6,240
Insurance policy	06/02/2016	$6,240

Name and Address
(A)

Loews Hotel

1755 Highland Ave
Los Angeles
CA
90028

Type or Classification
(B)

Hotel

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$14,709
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$14,709
Rooms for membership event	11/01/2016	$14,709

Name and Address
(A)

Netready Systems Inc.

150 N Santa Anita Ave #888
Arcadia
CA
91006

Type or Classification
(B)

Information technology consultants

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$27,512
Total of All Transactions with this Payee/Payer for This Schedule		$27,512

Name and Address
(A)

Pitney Bowes Global Financial Services
371887

Pittsburgh
PA
15250

Type or Classification
(B)

Equipment Leasing Company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$22,718
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$22,718
Mailing system	03/01/2016	$5,703
Mailing system	06/10/2016	$5,703
Mailing system	08/18/2016	$5,703
Mailing system	11/18/2016	$5,609

Name and Address
(A)

Purchase Power
371874

Pittsburgh
PA
15250

Type or Classification
(B)

Metered postage provider

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$20,106
Total of All Transactions with this Payee/Payer for This Schedule		$20,106

Name and Address
(A)

Southern CA Edison Company
300

Rosemead
CA
91771

Type or Classification
(B)

Utilities provider

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$18,000
Total of All Transactions with this Payee/Payer for This Schedule		$18,000

Name and Address
(A)

Staples Corporate

921 N. Milliken Ave
Ontario
CA
91761

Type or Classification
(B)

Office supplies retailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$9,639
Total of All Transactions with this Payee/Payer for This Schedule		$9,639

Name and Address
(A)

TelePacific Communications
509013

San Diego
CA
92150

Type or Classification
(B)

Internet service provider

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$14,172
Total of All Transactions with this Payee/Payer for This Schedule		$14,172

Name and Address
(A)

The Grand Long Beach

4101 E. Willow Street
Long Beach
CA
90815

Type or Classification
(B)

Event venue

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$15,360
Total Non-Itemized Transactions with this Payee/Payer		$500
Total of All Transactions with this Payee/Payer for This Schedule		$15,860
Catering for membership event	01/04/2016	$5,407
Catering for membership event	11/07/2016	$9,953

Name and Address
(A)

The Harman Press

6840 Vineland Ave
North Hollywood
CA
91605

Type or Classification
(B)

Printers

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,765
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$6,765
Newsletter	08/25/2016	$6,765

Name and Address
(A)

The Hartford
660916

Dallas
TX
75266

Type or Classification
(B)

Insurance company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,403
Total Non-Itemized Transactions with this Payee/Payer		$1,628
Total of All Transactions with this Payee/Payer for This Schedule		$7,031
Worker's compensation insurance premium	11/08/2016	$5,403

Name and Address
(A)

United States Postal Service

475 L'Enfant Plaza SW
Washington
DC
20260

Type or Classification
(B)

Postal service

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,144
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$5,144
Postage for newsletter	08/23/2016	$5,144

Name and Address
(A)

Unlimited Services Assoc. of Long Beach

15133 Cabell Ave
Bellflower
CA
90706

Type or Classification
(B)

Cleaning and maintenance services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$8,250
Total of All Transactions with this Payee/Payer for This Schedule		$8,250

Name and Address
(A)

Xerox Corporation
7405

Pasadena
CA
91109

Type or Classification
(B)

Equipment leasing & maintenance company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$16,113
Total of All Transactions with this Payee/Payer for This Schedule		$16,113

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 19 - UNION ADMINISTRATION

FILE NUMBER: 024-471

Name and Address
(A)

American Airlines

619616
DFW Airport
TX
75261

Type or Classification
(B)

Airline

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,382
Total of All Transactions with this Payee/Payer for This Schedule		$5,382

Name and Address
(A)

Paris Las Vegas

3655 Las Vegas Blvd. South
Las Vegas
NV
89109

Type or Classification
(B)

Hotel

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$27,431
Total Non-Itemized Transactions with this Payee/Payer		$64
Total of All Transactions with this Payee/Payer for This Schedule		$27,495
Rooms for membership event	07/01/2016	$27,431

Name and Address
(A)

Precise Mailings

168 Beacon St.
So. San Francisco
CA
94080

Type or Classification
(B)

Mailing service

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$9,377
Total of All Transactions with this Payee/Payer for This Schedule		$9,377

Name and Address
(A)

TrueBallot, Inc.

3 Bethesda MetroCenter #700
Bethesda
MD
20814

Type or Classification
(B)

Election services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$24,596
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$24,596
Ballots for delegate election	04/11/2016	$24,596

Name and Address
(A)

UniLect
3026

Danville
CA
94526

Type or Classification
(B)

Election services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$19,251
Total Non-Itemized Transactions with this Payee/Payer		$3,830
Total of All Transactions with this Payee/Payer for This Schedule		$23,081
Ballots for delegate election	05/20/2016	$9,575
Ballots for delegate election	06/06/2016	$9,676

Name and Address
(A)

USPS

475 L'Enfant Plaza SW
Washington
DC
20260

Type or Classification
(B)

Postal Service

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$12,043
Total of All Transactions with this Payee/Payer for This Schedule		$12,043

Name and Address
(A)

Wohlner, Kaplon, Cutler, Halford & Rosenfeld

16501 Ventura Blvd., #304
Encino
CA
91436

Type or Classification
(B)

Attorneys

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$14,066
Total Non-Itemized Transactions with this Payee/Payer		$11,349
Total of All Transactions with this Payee/Payer for This Schedule		$25,415
Legal Fees	05/10/2016	$14,066

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 20 - BENEFITS

FILE NUMBER: 024-471

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$1,154,330
Pension	Trusts	$658,236
Health and Welfare	Trusts	$390,707
Steward dues	Local	$99,444
Legal Insurance	Trusts	$5,943

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 024-471

Question 10: Teamsters Multi Benefits Trust Health and Welfare FEIN 93-6231741 Plan #501 Teamsters Local 572 Retirement Health Plan Health and Welfare FEIN 95-6983367 Plan #007 The address for the above two trusts is Pac-Fed Benefit Administrators 1000 N. Central Ave, Suite 400 Glendale, CA 91202 Teamsters & Food Employers Security Trust Fund Health and Welfare FEIN 95-6048844 Plan #102 1050 Lake Drive, Suite 225 West Covina, CA 91790 Western Conference of Teamsters Pension Trust Fund Pension FEIN 91-6145047 Plan #501 2323 Eastlake Ave. East Seattle, WA 98102 Teamsters Western Region and New Jersey Health Care Fund Health and Welfare FEIN 86-6052021 Plan #501 2400 W. Dunlap Ave. #250 Phoenix, AZ 85021

Question 12: The audit was performed by an outside accountant, Duffy Kruspodin, LLP CPA's

Question 15: : Furniture and equipment having reached the end of its economic useful life and having no value was disposed of. Cost $13,388 and a net book value of $0 (cost minus accumulated depreciation. Building Improvements having reached the end of its economic useful life and having no value was disposed of. Cost $3,989 and a net book value of $0 (cost minus accumulated depreciation.

Schedule 13, Row1:Active members pay full dues and have voting rights consistent with eligibility requirements set forth in the by-laws.



Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)