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: 09-30-2021
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
005-511
2. PERIOD COVERED
From01/01/2019
Through12/31/2019
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
FOOD AND COMMERCIAL WKRS
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
400
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
MARK
Last Name
FEDERICI
P.O Box - Building and Room Number
SUITE 200
Number and Street
8400 CORPORATE DRIVE
City
LANDOVER
State
MD
ZIP Code + 4
20785


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:Mark P FedericiPRESIDENT71. SIGNED:Christopher D HoffmannTREASURER
Date:Mar 30, 2020Telephone Number:301-459-3400Date:Mar 30, 2020Telephone Number:301-459-3400
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 005-511
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?Yes
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?$2,035,000
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?Yes
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?12/2021
20. How many members did the labor organization have at the end of the reporting period?25,863
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Feesvariesperweek9.1713.07
(b) Working Dues/Feesn/apern/an/an/a
(c) Initiation Feesvariesperinitiation4575
(d) Transfer Feesn/apern/an/an/a
(e) Work Permitsn/apern/an/an/a

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 005-511

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $1,415,424$1,950,013
23. Accounts Receivable1$542,677$778,481
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$1,998$1,998
27. Fixed Assets6$462,722$514,718
28. Other Assets7$69,129$79,730
29. TOTAL ASSETS $2,491,950$3,324,940

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$647,166$670,717
31. Loans Payable9$244,732$240,461
32. Mortgages Payable $0$0
33. Other Liabilities10$1,775,031$1,713,087
34. TOTAL LIABILITIES $2,666,929$2,624,265
35. NET ASSETS-$174,979$700,675
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 005-511

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $16,018,474
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $281,169
39. Sale of Supplies $0
40. Interest $1,546
41. Dividends $130
42. Rents $0
43. Sale of Investments and Fixed Assets3$30,000
44. Loans Obtained9$100,528
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $389,208
48. Other Receipts14$445,703
49. TOTAL RECEIPTS $17,266,758
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$5,834,609
51. Political Activities and Lobbying16$315,831
52. Contributions, Gifts, and Grants17$131,125
53. General Overhead18$1,843,553
54. Union Administration19$672,406
55. Benefits20$1,785,204
56. Per Capita Tax $5,208,555
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$89,256
61. Loans Made2$0
62. Repayment of Loans Obtained9$104,799
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $362,883
65. Direct Taxes $388,823
  
66. Subtotal $16,737,044
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$1,554,990  
  67b. Less Total Disbursed$1,550,115  
  67c. Total Withheld But Not Disbursed $4,875
68. TOTAL DISBURSEMENTS $16,732,169
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 005-511

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$778,481$0$0$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $778,481$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 005-511

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$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 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: 005-511

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$84,082$52,049$30,000$30,000
Automobiles$84,082$52,049$30,000$30,000
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$30,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 005-511

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$89,256$89,256$89,256
Automobiles$89,256$89,256$89,256
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$89,256
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 005-511

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost$1,998
E. Total Book Value$1,998
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)) $1,998
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 005-511

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles$371,932$87,961$283,971$283,971
D. Office Furniture and Equipment$1,880,319$1,744,349$135,971$135,971
E. Other Fixed Assets$154,161$59,385$94,776$94,776
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $2,406,412$1,891,695$514,718$514,718
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 005-511

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $79,730
Prepaid Rent$40,311
Prepaid Insurance$14,162
Prepaid Property Taxes$12,291
Prepaid Postage$6,987
Deposits on Leased Properties$3,129
Prepaid Conference Expense$2,850
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 005-511

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$670,717$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $670,717$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 005-511

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$244,732$100,528$104,799$0$240,461
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
Ford Credit$504$0$504$0$0
Ford Credit$2,446$0$2,446$0$0
Ford Credit$14,379$0$5,478$0$8,901
Ally Bank$10,930$0$10,930$0$0
Ford Credit$28,183$0$6,916$0$21,267
Ford Credit$22,941$0$5,783$0$17,158
Ally Bank$38,118$0$38,118$0$0
Ford Credit$26,806$0$6,532$0$20,274
Ford Credit$21,299$0$5,103$0$16,196
Ford Credit$30,337$0$6,447$0$23,890
Ally Bank$27,419$0$5,149$0$22,270
Ford Credit$21,370$0$4,204$0$17,166
Ally Bank$0$35,877$5,336$0$30,541
Chysler$0$64,651$1,853$0$62,798
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 005-511

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,713,087
Employer withdrawal liability$1,101,813
Accrued vacation$297,027
Deferred rent$197,248
Passthrough due to affiliated PAC fund$92,809
Employee withholdings payable$21,708
Death benefits payable$2,482
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 005-511

(A)
Name
(B)
Title
(C)
Status
(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
Federici ,  Mark   P
President
C
$213,213$0$17,031$1,149$231,393
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
2 % Schedule 18
General Overhead
10 % Schedule 19
Administration
5 %
A
B
C
Hoffmann ,  Christopher   D
Secretary-Treasurer
N
$147,481$0$16,346$978$164,805
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Anwar ,  Yolanda   M
Vice President
C
$113,370$0$19,411$1,183$133,964
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Belle ,  Kevin   A
Vice President
C
$34,309$0$8,517$0$42,826
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
96 %
A
B
C
Bond ,  James   B
Vice President
N
$107,374$0$2,211$0$109,585
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Brown Jr. ,  Robert   C
Vice President
C
$114,788$0$6,595$0$121,383
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Faulknier ,  Tami  
Vice President
C
$2,370$0$0$0$2,370
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Flowers ,  TIFFANY  
Vice President
P
$85,199$0$18,372$0$103,571
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Freeman ,  Kevin   R
Vice President
C
$12,677$0$1,601$0$14,278
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Gillespie ,  Lisa   M
Vice President
C
$5,689$0$0$0$5,689
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
96 %
A
B
C
Hanson ,  Alan   W
Vice President
C
$125,496$0$19,087$909$145,492
I
Schedule 15
Representational Activities
88 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
2 % Schedule 18
General Overhead
5 % Schedule 19
Administration
2 %
A
B
C
Harris ,  Lavoris   V
Secretary-Treasurer
P
$156,028$0$0$0$156,028
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Jackson ,  Phyllis   A
Vice President
C
$5,689$0$0$0$5,689
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
96 %
A
B
C
Jacobs ,  Neil   L
Vice President
C
$117,060$0$14,928$1,029$133,017
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Jarboe ,  James  
Vice President
P
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
McFarland ,  Beverly  
Vice President
C
$11,665$0$950$0$12,615
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
96 %
A
B
C
Mitchell ,  Kimberly  
Vice President
C
$6,283$0$0$0$6,283
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Payne ,  David   P
Vice President
C
$11,737$0$2,235$0$13,972
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Pinkard ,  Kenneth   M
Vice President
C
$7,489$0$433$0$7,922
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Rexroad ,  Wilford   G
Vice President
C
$5,825$0$0$0$5,825
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
Rickey ,  Paul  
Vice President
C
$5,689$0$0$0$5,689
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
96 %
A
B
C
Rogers ,  Thomas   D
Vice President
C
$96,147$0$14,266$0$110,413
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
96 %
A
B
C
Sigouin ,  Vivian   L
Vice President
C
$11,553$0$1,960$0$13,513
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
96 %
A
B
C
St. Louis ,  Jane   V
Vice President
N
$10,895$0$815$0$11,710
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
96 %
A
B
C
Sykes ,  Linda   L
Vice President
C
$45,288$0$8,237$0$53,525
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Vines ,  Mary   A
Vice President
C
$6,409$0$0$0$6,409
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
96 %
A
B
C
Waddell ,  Donna  
Vice President
C
$116,632$0$9,959$0$126,591
I
Schedule 15
Representational Activities
40 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
58 %
A
B
C
Wilson ,  Michael   A
Vice President
C
$132,345$0$20,728$1,080$154,153
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
10 %
Total Officer Disbursements$1,708,700$0$183,682$6,328$1,898,710
Less Deductions    $575,212
Net Disbursements    $1,323,498
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 005-511

(A)
Name
(B)
Title
(C)
Other Payer
(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
Aurich ,  Lisa   L
Administrative Assistant
N/A
$82,881$0$1,456$0$84,337
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
2 % Schedule 18
General Overhead
5 % Schedule 19
Administration
5 %
A
B
C
Bailer ,  Timi  
Administrative Assistant
N/A
$61,039$0$58$0$61,097
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Berglund ,  Robert  
Information Technology
N/A
$110,304$0$550$0$110,854
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Byrd ,  Jannie  
Member Mobilization Rep
N/A
$8,851$0$2,032$0$10,883
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Carpenter ,  Anita   D
Representative
N/A
$54,479$0$5,993$0$60,472
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Collins ,  Mark   W
Representative
N/A
$99,321$0$8,031$0$107,352
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Engert ,  Melissa   F
Admin Ast-Member Services
N/A
$56,848$0$442$0$57,290
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Fenner ,  Heith   J
Representative
N/A
$94,722$0$12,411$0$107,133
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Fenner ,  Christine  
Representative
N/A
$26,189$0$3,055$0$29,244
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Floyd ,  Linnette  
Representative
N/A
$102,880$0$14,604$0$117,484
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Fontana ,  Joseph   N
Mailroom/Fleet Manager
N/A
$53,116$0$148$0$53,264
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Forester ,  Dyana   N
Pol and Community Dir
N/A
$109,747$0$18,018$617$128,382
I
Schedule 15
Representational Activities
3 % Schedule 16
Political Activities and Lobbying
97 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Frisina ,  Philip   S
Representative
N/A
$46,785$0$7,296$0$54,081
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Gallardo ,  Ricardo   J
Representative
N/A
$19,910$0$0$0$19,910
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Garner ,  Latoya   A
Accts Payable Coordinator
N/A
$56,150$0$0$0$56,150
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Gough ,  Kawanna   M
Member Mobilization Rep
N/A
$24,175$0$11,412$0$35,587
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Green ,  Aretha   A
Member Mobilization Rep
N/A
$56,714$0$9,351$0$66,065
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Jimenez ,  Scarlet   G
Comptroller
N/A
$119,190$0$96$0$119,286
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
94 % Schedule 19
Administration
5 %
A
B
C
Keeney ,  Andrew   P
Representative
N/A
$54,656$0$6,687$0$61,343
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Lee ,  John   R
Representative
N/A
$85,663$0$13,735$0$99,398
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Lee ,  Michelle  
Member Mobilization Rep
N/A
$30,471$0$11,711$0$42,182
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Mayo ,  Edward  
Representative
N/A
$61,211$0$12,163$0$73,374
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
McKiver ,  Bertha  
Representative
N/A
$79,187$0$14,579$0$93,766
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
McLeod ,  Joanne  
Payroll Manager
N/A
$50,807$0$250$0$51,057
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Meador ,  Stephen  
Representative
N/A
$75,614$0$6,053$0$81,667
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Miller ,  Felicia  
Political Organizer
N/A
$12,622$0$3,354$0$15,976
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Miller ,  Heather  
Admin Ast-Member Services
N/A
$46,545$0$0$0$46,545
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
2 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Mock ,  Kayla  
Organizing Representative
N/A
$93,834$0$11,526$806$106,166
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Pate ,  Arlinda   D
Admn Ast-Strategic Growth
N/A
$53,786$0$0$0$53,786
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
25 % Schedule 17
Contributions
25 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Payton Jr ,  Freddie  
Representative
N/A
$86,160$0$14,762$0$100,922
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Perry ,  Johnie   W
Representative
N/A
$81,980$0$14,217$0$96,197
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Phares ,  Renee  
Posting & Billing Spec
N/A
$64,189$0$0$0$64,189
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Portillo ,  Jose   M
Representative
N/A
$70,439$0$10,239$0$80,678
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Robison ,  Paula   S
Admin Ast-Member Services
N/A
$56,482$0$0$0$56,482
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Rosario ,  Kathy   L
Receptionist
N/A
$42,018$0$0$0$42,018
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Sealy ,  Tanya   E
Member Mobilization Rep
N/A
$9,056$0$2,600$0$11,656
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Smith ,  Indiara  
Member Mobilization Rep
N/A
$22,800$0$3,534$0$26,334
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Southall ,  Gary  
Representative
N/A
$85,266$0$7,600$0$92,866
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Stevens ,  Amber   K
Member Mobilization Rep
N/A
$21,797$0$5,002$0$26,799
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Thomas ,  Heather  
Representative
N/A
$88,550$0$13,571$0$102,121
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Thomas ,  Kimberley   C
Payroll Manager
N/A
$38,923$0$0$0$38,923
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Underwood ,  Mark  
Representative
N/A
$85,420$0$11,226$0$96,646
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Vance ,  Kristy  
Political Organizer
N/A
$6,442$0$3,903$0$10,345
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Walker ,  Ade  
Member Mobilization Rep
N/A
$13,216$0$3,180$0$16,396
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Walter ,  Tara   M
Posting & Billing Spec
N/A
$53,530$0$0$0$53,530
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Williams ,  Jonathan   C
Comm/Social Media Coord
N/A
$88,744$0$13,764$497$103,005
I
Schedule 15
Representational Activities
65 % Schedule 16
Political Activities and Lobbying
25 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
5 %
A
B
C
Wrenn ,  LaVerne  
Representative
N/A
$67,352$0$6,316$0$73,668
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Zelaya ,  Guillermo   A
Organizing Representative
N/A
$55,373$0$1,850$0$57,223
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$216,323$0$80,264$0$296,587
I Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
Total Employee Disbursements$3,081,757$0$367,039$1,920$3,450,716
Less Deductions    $979,778
Net Disbursements    $2,470,938
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 005-511

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 25,863 
Agency Fee Payers*125
Total Members/Fee Payers25,988 
*Agency Fee Payers are not considered members of the labor organization.
Active Members25,863Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 005-511

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$330,662
2. Named Payer Non-itemized Receipts$46,777
3. All Other Receipts$68,264
4. Total Receipts$445,703
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$45,700
2. Named Payee Non-itemized Disbursements$7,503
3. To Officers$7,538
4. To Employees$16,065
5. All Other Disbursements$54,319
6. Total Disbursements$131,125
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$1,207,116
2. Named Payee Non-itemized Disbursements$294,629
3. To Officers$1,476,669
4. To Employees$2,573,867
5. All Other Disbursements$282,328
6. Total Disbursements$5,834,609
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$707,939
2. Named Payee Non-itemized Disbursements$430,514
3. To Officers$30,414
4. To Employees$591,481
5. All Other Disbursements$83,205
6. Total Disbursements$1,843,553
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$6,234
3. To Officers$44,203
4. To Employees$253,973
5. All Other Disbursements$11,421
6. Total Disbursements$315,831
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$187,230
2. Named Payee Non-itemized Disbursements$62,764
3. To Officers$339,890
4. To Employees$15,331
5. All Other Disbursements$67,191
6. Total Disbursements$672,406
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 005-511

Name and Address
(A)
Kroger

1014 Vine Street
Cincinnati
OH
45202
Type or Classification
(B)
Employer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$113,499
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$113,499
Payment of an award of an arbitrator 09/26/2019$113,499
Name and Address
(A)
PDC Metro East LLC
Suite 1000
5530 Wisconsin Ave
Chevy Chase
MD
20815
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,468
Total Non-Itemized Transactions with this Payee/Payer$4,237
Total of All Transactions with this Payee/Payer for This Schedule$9,705
Reimbursed Expenses07/28/2019$5,468
Name and Address
(A)
The Alliance of Health Care Unions
Suite 150
955 Overland Court
San Dimas
CA
91773
Type or Classification
(B)
Labor Management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$34,177
Total Non-Itemized Transactions with this Payee/Payer$3,085
Total of All Transactions with this Payee/Payer for This Schedule$37,262
Reimbursement Kaiser LMP04/12/2019$22,029
Reimbursed Expenses11/22/2019$12,148
Name and Address
(A)
UFCW International Union

1775 K Street
Washington
DC
20006
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$159,303
Total Non-Itemized Transactions with this Payee/Payer$1,529
Total of All Transactions with this Payee/Payer for This Schedule$160,832
Organizing Subsidy01/07/2019$14,546
Organizing Subsidy01/07/2019$9,463
Organizing Subsidy02/01/2019$14,546
Organizing Subsidy02/01/2019$9,463
Organizing Subsidy03/05/2019$14,546
Organizing Subsidy03/05/2019$9,463
Organizing Subsidy03/29/2019$14,546
Organizing Subsidy05/15/2019$14,546
Organizing Subsidy06/04/2019$14,546
Organizing Subsidy07/01/2019$7,273
Organizing Subsidy08/05/2019$14,546
Organizing Subsidy11/05/2019$7,273
Organizing Subsidy11/05/2019$7,273
Organizing Subsidy11/29/2019$7,273
Name and Address
(A)
UFCW Local 2013

9235 4th Ave
Brooklyn
NY
11209
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$31,977
Total of All Transactions with this Payee/Payer for This Schedule$31,977
Name and Address
(A)
UFCW Region 2 Council
Suite 200
8400 Corporate Dr
Landover
MD
20785
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,458
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$11,458
Reimbursed Expenses10/25/2019$11,458
Name and Address
(A)
United Business Technologies

9218 Gaither Road
Gaithersburg
MD
20877
Type or Classification
(B)
Technology Vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,757
Total Non-Itemized Transactions with this Payee/Payer$5,949
Total of All Transactions with this Payee/Payer for This Schedule$12,706
Refund07/01/2019$6,757
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 005-511

Name and Address
(A)
AT&T PREMIER EBIL


WWW.ATT.COM
GA
75202
Type or Classification
(B)
Information Technology
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$27,757
Total of All Transactions with this Payee/Payer for This Schedule$27,757
Name and Address
(A)
AT&T W139 6613


800-331-0500
GA
30004
Type or Classification
(B)
Information Technology
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,820
Total of All Transactions with this Payee/Payer for This Schedule$9,820
Name and Address
(A)
BELTWAY TRANSPORTATION S

8016 Marlboro Pike
District Heights
MD
20747
Type or Classification
(B)
Transportation Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,825
Total Non-Itemized Transactions with this Payee/Payer$3,750
Total of All Transactions with this Payee/Payer for This Schedule$9,575
Bus Transportation- FELRA09/30/2019$5,825
Name and Address
(A)
Blitzstein Consulting LLC

143 Winsome Circle
BETHESDA
MD
20814
Type or Classification
(B)
Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$24,750
Total of All Transactions with this Payee/Payer for This Schedule$24,750
Name and Address
(A)
Bruce Kozarsky

7321 Willow Ave
Takoma Park,
MD
20912
Type or Classification
(B)
Media/Production Coordination
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$48,355
Total of All Transactions with this Payee/Payer for This Schedule$48,355
Name and Address
(A)
Butsavage & Durkalski,P.C.
Suite 301
1920 L Street, N.W
Washington,
DC
20036
Type or Classification
(B)
Law Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$931,899
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$931,899
Legal Fees - Representational 01/02/2019$78,464
Legal Fees - Representational 02/01/2019$74,687
Legal Fees - Representational 03/01/2019$72,923
Legal Fees - Representational 04/01/2019$70,851
Legal Fees - Representational 05/01/2019$72,864
Legal Fees - Representational 06/03/2019$82,676
Legal Fees - Representational 07/01/2019$79,380
Legal Fees - Representational 08/01/2019$79,917
Legal Fees - Representational 08/29/2019$79,490
Legal Fees - Representational 10/01/2019$82,571
Legal Fees - Representational 11/01/2019$79,216
Legal Fees - Representational 11/25/2019$78,860
Name and Address
(A)
Cheiron
Suite 1100
1750 Tysons Boulevard
McLean
VA
22102
Type or Classification
(B)
Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,079
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,079
FELRA Expenses11/01/2019$6,079
Name and Address
(A)
DELTA AIR LINES Inc

4501 Singer Ct
Chantilly
VA
20151
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$5,479
Total of All Transactions with this Payee/Payer for This Schedule$5,479
Name and Address
(A)
Enterprise FM Trust
P.O. Box 800089
Customer Billing
Kansas City,
MO
64180-0089
Type or Classification
(B)
Finance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,913
Total of All Transactions with this Payee/Payer for This Schedule$9,913
Name and Address
(A)
Financial Services Stakeholder

2513 N Central Park Ave
Chicago
IL
60647
Type or Classification
(B)
Nonprofit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,260
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,260
FELRA Expenses11/01/2019$10,260
Name and Address
(A)
Ford Credit

P.O. Box 220564
Pittsburg,
PA
15257-2564
Type or Classification
(B)
Finance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,446
Total of All Transactions with this Payee/Payer for This Schedule$9,446
Name and Address
(A)
GREAT AMERICAN GRILL


MYRTLE BEACH
SC
29577
Type or Classification
(B)
Restaurant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$16,657
Total of All Transactions with this Payee/Payer for This Schedule$16,657
Name and Address
(A)
Hampton Inn Downtown

1 Virginia St. West
Charleston,
WV
25302
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,596
Total Non-Itemized Transactions with this Payee/Payer$1,414
Total of All Transactions with this Payee/Payer for This Schedule$7,010
Lodging for representational activities 06/01/2019$5,596
Name and Address
(A)
HILTON HOTELS


LINTHICUM
MD
21090
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$26,963
Total of All Transactions with this Payee/Payer for This Schedule$26,963
Name and Address
(A)
HILTON SPRINGFIELD


701-971-8900
VA
22150
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,499
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,499
Mtg Room Expense FELRA06/30/2019$12,499
Name and Address
(A)
HOLIDAY INN


ROANOKE
VA
24017
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,679
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$8,679
Roanoke Shop Steward Mtg07/30/2019$8,679
Name and Address
(A)
Impact Office
P.O. Box 79222

Baltimore
MD
21279-0222
Type or Classification
(B)
Office Supply Vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,890
Total of All Transactions with this Payee/Payer for This Schedule$6,890
Name and Address
(A)
Jim Slivosky

5953 Irishtown Rd
Bethel Park,
PA
15102
Type or Classification
(B)
Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,475
Total of All Transactions with this Payee/Payer for This Schedule$10,475
Name and Address
(A)
K& R Branding Solutions

P.O. Box 220690
Chantilly,
VA
20153
Type or Classification
(B)
Promotional item supplier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,654
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$22,654
UFCW Logo Shirts04/29/2019$9,429
Promotional Items 10/01/2019$13,225
Name and Address
(A)
Kelly Press

1701 Cabin Branch Drive
Cheverly,
MD
20785
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$104,673
Total Non-Itemized Transactions with this Payee/Payer$23,364
Total of All Transactions with this Payee/Payer for This Schedule$128,037
Printing Expense02/25/2019$11,317
Contract Booklet03/11/2019$17,759
Safeway Contract Booklets05/01/2019$7,971
Contract Booklet05/06/2019$13,380
Change of Address Cards06/01/2019$11,020
Kroger Contract Booklets11/01/2019$11,361
Fall 2019 Union Leader12/01/2019$31,865
Name and Address
(A)
Kristi Matthews
#23
235 Harry S Truman Drive
Largo,
MD
20774
Type or Classification
(B)
Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,500
Total of All Transactions with this Payee/Payer for This Schedule$5,500
Name and Address
(A)
LA PRIMA FOOD GROUP
101
5105 Berwyn Rd
College Park
MD
20740
Type or Classification
(B)
Caterer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,433
Total of All Transactions with this Payee/Payer for This Schedule$6,433
Name and Address
(A)
MARRIOTT 337M5 F&B


CHARLESTON
WV
25301
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,814
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$15,814
WV Steward Semimars04/30/2019$15,814
Name and Address
(A)
Richard Adelman

1175 Tork Avenue, 10D
New York,
NY
10065
Type or Classification
(B)
Labor Arbitrator
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,021
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,021
Legal Expenses-Safeway09/01/2019$9,021
Name and Address
(A)
Semo Law Group
Suite 400
1307 New Hampshire Avenue
Washington,
DC
20036
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,832
Total Non-Itemized Transactions with this Payee/Payer$16,228
Total of All Transactions with this Payee/Payer for This Schedule$22,060
Legal Expenses- Bargaining04/08/2019$5,832
Name and Address
(A)
Slevin & Hart, P.C.
Suite 450
1625 Massachusetts Ave.
Washington,
DC
20036
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$49,969
Total Non-Itemized Transactions with this Payee/Payer$16,314
Total of All Transactions with this Payee/Payer for This Schedule$66,283
Legal Fees- Bargaining09/01/2019$7,240
Legal Fees- Bargaining10/01/2019$5,434
Legal Fees - FELRA11/01/2019$37,295
Name and Address
(A)
Sterling Ball

P.O. Box 1566
Parkersburg,
WV
26102
Type or Classification
(B)
Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$21,921
Total of All Transactions with this Payee/Payer for This Schedule$21,921
Name and Address
(A)
Vergara & Associates

100 Main St Plaza
Hopewell,
VA
23860
Type or Classification
(B)
Law Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,797
Total Non-Itemized Transactions with this Payee/Payer$3,200
Total of All Transactions with this Payee/Payer for This Schedule$11,997
Legal Fees - Arbitration05/06/2019$8,797
Name and Address
(A)
WESTIN HOTEL HERNDON


HERNDON
VA
20171
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,519
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,519
FELRA Shop Steward Seminar05/30/2019$9,519
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 005-511

Name and Address
(A)
Kelly Press

1701 Cabin Branch Drive
Cheverly,
MD
20785
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,234
Total of All Transactions with this Payee/Payer for This Schedule$6,234
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 005-511

Name and Address
(A)
Community Services Agency

815 16th Street NW
Washington,
DC
20006
Type or Classification
(B)
Nonprofit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$503
Total of All Transactions with this Payee/Payer for This Schedule$5,503
Contribution04/29/2019$5,000
Name and Address
(A)
DC Jobs with Justice
10th Floor
1875 Connecticut Ave NW
Washington,
DC
20009
Type or Classification
(B)
Nonprofit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution04/23/2019$5,000
Name and Address
(A)
EPW Breast Cancer Foundation, Inc

145 Fleet Street, #421
National Harbor,
MD
20745
Type or Classification
(B)
Nonprofit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Sponsorship10/01/2019$5,000
Name and Address
(A)
Good Works Corporation
21 West Road Suite 200

Towson,
MD
21204
Type or Classification
(B)
Nonprofit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Sponsorship07/01/2019$5,000
Name and Address
(A)
Shoot for a Cure
21 West Road

Baltimore,
MD
21204
Type or Classification
(B)
Nonprofit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,700
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,700
Sponsorship05/01/2019$5,700
Name and Address
(A)
UFCW Hardship Fund
1775 K Street, NW
Attn: President's Office
Washington,
DC
20006
Type or Classification
(B)
Nonprofit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution04/01/2019$5,000
Name and Address
(A)
UFCW Local 881 Charitable Foundation

1350 E Touhy Ave
Des Plaines
IL
60018
Type or Classification
(B)
Nonprofit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Sponsorship01/15/2019$5,000
Name and Address
(A)
UFCW Minority Coalition
Suite 200
8400 Corporate Drive
Landover,
MD
20785
Type or Classification
(B)
Nonprofit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$2,000
Total of All Transactions with this Payee/Payer for This Schedule$7,000
Sponsorship09/01/2019$5,000
Name and Address
(A)
United Latinos of UFCW
630 Shatto Place

Los Angeles,
CA
90005
Type or Classification
(B)
Nonprofit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,000
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Name and Address
(A)
Virginia State Conference NAACP
P.O. Box 27212

Richmond,
VA
23261
Type or Classification
(B)
Nonprofit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Sponsorship05/14/2019$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 005-511

Name and Address
(A)
ADP INC

8094 Sandpiper Circle
Baltimore
MD
21236
Type or Classification
(B)
Payroll Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,279
Total of All Transactions with this Payee/Payer for This Schedule$9,279
Name and Address
(A)
AT&T
P.O. Box 5019

Carol Stream,
IL
60197-5019
Type or Classification
(B)
Information Technology
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,622
Total of All Transactions with this Payee/Payer for This Schedule$9,622
Name and Address
(A)
AT&T
P.O. Box 5019

Carol Stream,
IL
60197-5019
Type or Classification
(B)
Information Technology
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,571
Total of All Transactions with this Payee/Payer for This Schedule$18,571
Name and Address
(A)
BCTGM Local 203-T

231 E Belt Blvd
Richmond,
VA
23224
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,000
Total of All Transactions with this Payee/Payer for This Schedule$15,000
Name and Address
(A)
City of Danville
P.O. Box 3308

Danville,
VA
24543
Type or Classification
(B)
Municipality
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,833
Total of All Transactions with this Payee/Payer for This Schedule$7,833
Name and Address
(A)
CIT

21146 Network Place
Chicago,
IL
60673-1211
Type or Classification
(B)
Equipment leasing agent
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$53,891
Total of All Transactions with this Payee/Payer for This Schedule$53,891
Name and Address
(A)
Complete Software Solution,LLC
P.O. Box 190

West Friendship,
MD
21794-0190
Type or Classification
(B)
Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$29,041
Total of All Transactions with this Payee/Payer for This Schedule$29,041
Name and Address
(A)
EasyPermit Postage
P.O. Box 371874

Pittsburgh
PA
15250
Type or Classification
(B)
Postage Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,098
Total Non-Itemized Transactions with this Payee/Payer$396
Total of All Transactions with this Payee/Payer for This Schedule$10,494
Postage Refill04/23/2019$5,056
Postage Refill11/01/2019$5,042
Name and Address
(A)
Faces of Our Children
P.O. Box 2946

Landover Hills
MD
20784-0946
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$20,400
Total of All Transactions with this Payee/Payer for This Schedule$20,400
Name and Address
(A)
Imagex, Inc

1985 Isaac Newton Square
Reston,
VA
20190
Type or Classification
(B)
Information Technology
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,028
Total Non-Itemized Transactions with this Payee/Payer$7,300
Total of All Transactions with this Payee/Payer for This Schedule$14,328
Doc Maintenance04/29/2019$7,028
Name and Address
(A)
Impact Office
P.O. Box 79222

Baltimore,
MD
21279-0222
Type or Classification
(B)
Office supply vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$53,383
Total of All Transactions with this Payee/Payer for This Schedule$53,383
Name and Address
(A)
JPC Services Inc.

3200 13th Street, S
Arlington
VA
22204
Type or Classification
(B)
Building Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$17,400
Total of All Transactions with this Payee/Payer for This Schedule$17,400
Name and Address
(A)
MKB Realtors

3801 Electric Road
ROANOKE
VA
24018
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,670
Total of All Transactions with this Payee/Payer for This Schedule$10,670
Name and Address
(A)
Paylocity

1400 American LN
Schaumburg
IL
60173
Type or Classification
(B)
Payroll Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$37,172
Total of All Transactions with this Payee/Payer for This Schedule$37,172
Name and Address
(A)
PDC Metro East LLC
Suite 1000
5530 Wisconsin Avenue
Chevy Chase
MD
20815
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$363,196
Total Non-Itemized Transactions with this Payee/Payer$4,459
Total of All Transactions with this Payee/Payer for This Schedule$367,655
Office Rent - Landover01/28/2019$32,888
Office Rent - Landover02/25/2019$32,561
Office Rent - Landover03/25/2019$32,561
Office Rent - Landover04/23/2019$32,561
Office Rent - Landover06/28/2019$32,561
Office Rent - Landover07/28/2019$33,344
Office Rent - Landover08/28/2019$33,344
Office Rent - Landover09/28/2019$33,344
Office Rent - Landover10/28/2019$33,344
Office Rent - Landover11/28/2019$33,344
Office Rent - Landover12/28/2019$33,344
Name and Address
(A)
Pitney Bowes
P.O. Box 371887

Pittsburgh,
PA
15250-7887
Type or Classification
(B)
Printing Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,990
Total of All Transactions with this Payee/Payer for This Schedule$6,990
Name and Address
(A)
Power Net
P.O.Box 740146

Cincinnati,
OH
45274-0146
Type or Classification
(B)
Telephone Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,007
Total of All Transactions with this Payee/Payer for This Schedule$6,007
Name and Address
(A)
Riggs Commercial Realty,LLC

106 Capitol Street
Charleston,
WV
25301
Type or Classification
(B)
Realty Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$41,748
Total of All Transactions with this Payee/Payer for This Schedule$41,748
Name and Address
(A)
Riggs, Counselman, Michaels & Downes, Inc
P.O. Box 826365

Philadelphia,
PA
19182-6365
Type or Classification
(B)
Insurance broker
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$62,265
Total Non-Itemized Transactions with this Payee/Payer$30,606
Total of All Transactions with this Payee/Payer for This Schedule$92,871
Insurance02/04/2019$62,265
Name and Address
(A)
Service Employees International Union
Attn: Accounts Receivable
1800 Massachusetts AveNW
Washington,
DC
20036
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,342
Total of All Transactions with this Payee/Payer for This Schedule$9,342
Name and Address
(A)
Shred-It USA
P.O. Box 13574

New York,
NY
10087-3574
Type or Classification
(B)
Document Management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,761
Total of All Transactions with this Payee/Payer for This Schedule$6,761
Name and Address
(A)
TD Bank

2035 Limestone Road
Wilmington
DE
19801
Type or Classification
(B)
Financial Institution
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,143
Total of All Transactions with this Payee/Payer for This Schedule$18,143
Name and Address
(A)
UFCW International
1775 K Street NW
UFCW Benefits Office
Washington,
DC
20006-1598
Type or Classification
(B)
Labor organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,621
Total Non-Itemized Transactions with this Payee/Payer$5,027
Total of All Transactions with this Payee/Payer for This Schedule$12,648
Bond Insurance02/10/2019$7,621
Name and Address
(A)
United Business Technologies

9218 Gaither Road
Gaithersburg,
MD
20877
Type or Classification
(B)
Technology Vendor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$141,524
Total Non-Itemized Transactions with this Payee/Payer$11,473
Total of All Transactions with this Payee/Payer for This Schedule$152,997
Mailroom Copier Rental01/28/2019$29,621
Mailroom Copier Rental04/29/2019$42,560
Mailroom Copier Rental07/01/2019$32,669
Mailroom Copier Rental10/01/2019$36,674
Name and Address
(A)
United States Postal Service
Rm 1199
9201 Edgeworth Dr
Capitol Heights,
MD
20790
Type or Classification
(B)
Postage Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$20,000
Postage03/18/2019$10,000
Postage10/01/2019$10,000
Name and Address
(A)
Withum
P.O. Box 5340
Accounts Receivable
Princeton,
NJ
08543
Type or Classification
(B)
Accounting Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$96,207
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$96,207
Audit Expenses01/15/2019$23,000
Audit Expenses04/08/2019$20,600
Audit Expenses05/01/2019$10,300
Audit Expenses05/06/2019$25,750
Professional Services09/01/2019$9,347
Audit Expenses11/01/2019$7,210
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 005-511

Name and Address
(A)
HILTON BALTIMORE BWI AIRP


LINTHICUM
MD
21090
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,660
Total of All Transactions with this Payee/Payer for This Schedule$14,660
Name and Address
(A)
Jim Slivosky

5953 Irishtown Rd
Bethel Park,
PA
15102
Type or Classification
(B)
Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$29,173
Total of All Transactions with this Payee/Payer for This Schedule$29,173
Name and Address
(A)
KIAWAH ISLAND GOLF RESORT


KIAWAH ISLAND
SC
29455
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,931
Total of All Transactions with this Payee/Payer for This Schedule$18,931
Name and Address
(A)
Law Office of G.Macy Nelson
Suite 803
401 Washington Avenue
Towson
MD
21204
Type or Classification
(B)
Law Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$187,230
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$187,230
Retainer and related expenses01/07/2019$15,464
Retainer and related expenses02/04/2019$15,588
Retainer and related expenses03/04/2019$15,447
Retainer and related expenses04/08/2019$15,388
Retainer and related expenses05/06/2019$16,636
Retainer and related expenses06/01/2019$32,082
Retainer and related expenses07/01/2019$15,259
Retainer and related expenses08/30/2019$16,057
Retainer and related expenses10/01/2019$30,101
Retainer and related expenses11/01/2019$15,208
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 005-511

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,785,204
Health & WelfareUFCW International$943,072
Retiree BenefitsUFCW International$99,786
Pension-UFCW InternationalUFCW Unions & Participating Employers Pension Fund$103,743
Employer Withdrawal LiabilityFELRA & UFCW Pension$74,804
401(k) Employer MatchUFCW International$96,294
Short Term Disability InsuranceThe Hartford-Priority Accounts$7,163
Health & Welfare InsuranceFELRA Health & Welfare$18,164
Life InsuranceLincoln National Life Insurance Company$2,706
Health & Welfare InsuranceUFCW Local 400 & Employers H&W$6,828
Pension-UFCW InternationalUFCW National Pension Fund$13,082
Dental InsuranceDenex Dental$12,668
Legal Benefit FundUFCW Local 400 & Contributing Employers$13,822
Severance FundUFCW & FELRA Severance Plan$11,019
Health & Welfare InsuranceWashington Wholesalers H&W Fund$8,775
Severance FundUFCW Local 400 Severance Fund$3,458
Pension-FELRAUFCW Unions & Participating Employers Pension Fund$77,939
Health & Welfare InsuranceUFCW Unions & Participating Employers H&W$116,479
Legal Benefit FundFELRA & UFCW Legal$343
Sick BenefitsUFCW International$480
Life InsuranceBenefitMall$33,740
Short Term DisabilityBenefitMall$3,628
FELRA Pension Principal FELRA$137,211
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 005-511


Question 10: The following funds are administered at 911 Ridgebrook Road, Sparks, Maryland 21152-9451 to provide benefits to covered participants: FE

LRA and UFCW Health and Welfare Fund Plan #501 EIN 52-1036978, FE

LRA and UFCW Pension Fund Plan #001 EIN 52-6128473, UFCW and Participating Employers Health and Welfare Fund #502 EIN 52-0644428, UFCW and Participating Employers Pension Fund #002 EIN 52-6117495, UFCW and Participating Employers Legal Benefit Fund #501 EIN 52-1228768. The following fund is administered at 7130 Columbia Gateway Dr. Suite A, Columbia, Maryland 21046 to provide benefits to covered participants: Washington Wholesalers Health and Welfare Fund Plan #501 EIN 52-6057761. These funds all file annual reports with the EBSA.

Question 11(a):

Question 11(a): : United Food & Commercial Workers Local 400 ABC PAC, EIN 45-5298655, files directly with the IRS and is not included in this filing.

Question 12: An audit of the Local's financial statements for the year ended December 31, 2019, will be performed by WithumSmith+Brown, a Professional Corporation

Question 15: The Local purchases various promotional items that are distributed to membership without charge to maintain market share visibility.

Question 16: The Local has 12 automobiles with an original cost of $416,284 and a combined book value of $256,709 that are pledged against loans with a combined outstanding balance as of December 31, 2019, of $240,461.

Statement A,

Cash Begin Total: Begin Balance changed due to audit adjustments in July 2019 posted for FYE 2018 after LM2 was filed.

Schedule 9, Row1:

Schedule 9, Row1:

Schedule 9, Row2:

Schedule 9, Row2:

Schedule 9, Row3:

Schedule 9, Row3:

Schedule 9, Row4:

Schedule 9, Row4:

Schedule 9, Row5:

Schedule 9, Row5:

Schedule 9, Row6:

Schedule 9, Row6:

Schedule 9, Row7:

Schedule 9, Row7:

Schedule 9, Row8:

Schedule 9, Row8:

Schedule 9, Row9:

Schedule 9, Row9:

Schedule 9, Row10:

Schedule 9, Row10:

Schedule 9, Row11:

Schedule 9, Row11:

Schedule 9, Row12:

Schedule 9, Row12:

Schedule 9, Row13:

Schedule 9, Row13:

Schedule 9, Row14:

Schedule 9, Row14:

Schedule 13, Row1:

Schedule 13, Row1:Active members pay dues and have voting rights.

Schedule 13, Row1:

Schedule 13, Row1:James B Bond became an Executive Board Member January of 2019 as a result of the regular officer election. Christopher Hoffmann became Secretary Treasurer January of 2019 as a result of the regular officer election.

Schedule 11 & 12 - The local provides certain officers and employees automobiles that may be available for business and personal use. The costs related to these vehicles are included in Column F and Column G of

Schedules 11 and 12.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)