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
028-079
2. PERIOD COVERED
From01/01/2020
Through12/31/2020
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
711
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
MICHAEL
Last Name
GITTINGS
P.O Box - Building and Room Number

Number and Street
1201 N DECATUR BLVD #116
City
LAS VEGAS
State
NV
ZIP Code + 4
89108


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:Michael L GittingsPRESIDENT71. SIGNED:DEANNA R LEIVASTREASURER
Date:Mar 26, 2021Telephone Number:702-648-7112Date:Mar 26, 2021Telephone Number:702-648-7112
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 028-079
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?$1,504,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
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?07/2024
20. How many members did the labor organization have at the end of the reporting period?7,223
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesN/AperN/A26.8273.66
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation FeesN/AperN/AN/AN/A
(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: 028-079

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $3,753,800$4,696,949
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $7,601,156$7,402,198
26. Investments5$0$0
27. Fixed Assets6$379,544$329,814
28. Other Assets7$0$0
29. TOTAL ASSETS $11,734,500$12,428,961

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$1,273$3,591
31. Loans Payable9$0$0
32. Mortgages Payable $104,492$31,388
33. Other Liabilities10$10,208$9,885
34. TOTAL LIABILITIES $115,973$44,864
35. NET ASSETS$11,618,527$12,384,097
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 028-079

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $4,022,885
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $2,285
40. Interest $242,254
41. Dividends $0
42. Rents $86,564
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $259
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$138,606
49. TOTAL RECEIPTS $4,492,853
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,148,619
51. Political Activities and Lobbying16$0
52. Contributions, Gifts, and Grants17$141,416
53. General Overhead18$306,034
54. Union Administration19$282,077
55. Benefits20$139,224
56. Per Capita Tax $1,441,935
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $945
60. Purchase of Investments and Fixed Assets4$6,300
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $12,913
64. On Behalf of Individual Members $0
65. Direct Taxes $70,773
  
66. Subtotal $3,550,236
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$228,398  
  67b. Less Total Disbursed$228,463  
  67c. Total Withheld But Not Disbursed -$65
68. TOTAL DISBURSEMENTS $3,550,301
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 028-079

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: 028-079

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: 028-079

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$3,170,505$3,150,000$3,150,000$3,150,000
REDEMPTION OF TREASURY BOND$3,170,505$3,150,000$3,150,000$3,150,000
Less Reinvestments$3,150,000
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 028-079

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$3,020,042$2,926,483$3,020,042
US TREASURY BONDS$3,013,742$2,921,000$3,013,742
COMPUTER EQUIPMENT$6,300$5,483$6,300
 Less Reinvestments$3,013,742
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$6,300
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 028-079

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
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)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 028-079

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      1201 N DECATUR BLVD$173,881 $173,881$173,881
B. Buildings (give location)    
Building  1 :      1201 N DECATUR BLVD$1,341,638$1,191,577$150,061$150,061
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$137,611$131,739$5,872$5,872
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,653,130$1,323,316$329,814$329,814
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 028-079

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 028-079

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$3,591$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)) $3,591$0$0$0
AMERICAN EXPRESS$3,591$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 028-079

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 44Item 62 Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 028-079

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $9,885
ACCRUED PAYROLL LIABILITIES$9,839
FUNDS DUE ABC INTERNATIONAL$46
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 028-079

(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
GITTINGS ,  MICHAEL  
PRESIDENT
C
$143,005$665$143,670
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
13 %
A
B
C
KLUG ,  DIONNE  
VICE PRESIDENT
C
$73,022$234$73,256
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
2 %
A
B
C
LEIVAS ,  DEANNA  
SECRETARY-TREASURER
C
$99,279$779$100,058
I
Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
30 %
A
B
C
PEREZ ,  RUBEN  
VICE PRESIDENT
C
$60,230$1,482$61,712
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
HUFF ,  ALAN  
VICE PRESIDENT
C
$554$554
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
ROSSA ,  TAMMY  
VICE PRESIDENT
C
$414$414
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
WOOD ,  STEVE  
VICE PRESIDENT
C
$145$499$644
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
BAGLEY ,  JACQUELINE  
VICE PRESIDENT
C
$386$386
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
MCBAIN ,  STACEY  
VICE PRESIDENT
C
$456$456
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
HERMAN ,  STEVE  
VICE PRESIDENT
C
$554$554
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
WATSON ,  RICHARD  
VICE PRESIDENT
C
$52,470$750$53,220
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
1 %
A
B
C
MOLINA ,  ALICIA  
VICE PRESIDENT
P
$20,951$52$21,003
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
CARDENAS ,  WENDY  
VICE PRESIDENT
C
$44,739$189$44,928
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
FIGUEROA ,  JUANITA  
VICE PRESIDENT
C
$357$357
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
Total Officer Disbursements$493,841$0$7,371$0$501,212
Less Deductions     
Net Disbursements    $501,212
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 028-079

(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
AVINA ,  LLUVIA  
REPRESENTATIVE
NONE
$46,644$84$46,728
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
DESJARDIN ,  CATHEY  
OFFICE
NONE
$46,588$46,588
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
1 %
A
B
C
ESCOTO ,  EDUARDO  
REPRESENTATIVE
NONE
$16,290$16,290
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
LIRA ,  EVANGELINA  
OFFICE
NONE
$29,067$29,067
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
98 %
A
B
C
NOYA ,  TANYA  
OFFICE
NONE
$82,050$82,050
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
ORTIZ ,  GABRIELA  
OFFICE
NONE
$15,558$15,558
I
Schedule 15
Representational Activities
3 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
97 %
A
B
C
RAMIREZ ,  ALDO  
OFFICE
NONE
$42,637$42,637
I
Schedule 15
Representational Activities
3 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
97 %
A
B
C
VALENCIA ,  JACQUELINE  
OFFICE
NONE
$51,153$51,153
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$27,471$27,471
I Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total Employee Disbursements$357,458$0$84$0$357,542
Less Deductions     
Net Disbursements    $357,542
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 028-079

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 7,223 
Agency Fee Payers*
Total Members/Fee Payers7,223 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS PAY FULL DUES7,223Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 028-079

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$103,253
2. Named Payer Non-itemized Receipts$24,540
3. All Other Receipts$10,813
4. Total Receipts$138,606
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$115,000
2. Named Payee Non-itemized Disbursements$10,066
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$16,350
6. Total Disbursements$141,416
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$268,786
2. Named Payee Non-itemized Disbursements$201,505
3. To Officers$447,156
4. To Employees$190,091
5. All Other Disbursements$41,081
6. Total Disbursements$1,148,619
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$93,738
2. Named Payee Non-itemized Disbursements$169,974
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$42,322
6. Total Disbursements$306,034
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$0
6. Total Disbursements$0
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$5,593
2. Named Payee Non-itemized Disbursements$51,720
3. To Officers$54,056
4. To Employees$167,451
5. All Other Disbursements$3,257
6. Total Disbursements$282,077
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 028-079

Name and Address
(A)
UFCW INTERNATIONAL UNION

1775 K STREET
WASHINGTON
DC
20006
Type or Classification
(B)
PARENT AFFILIATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$24,540
Total of All Transactions with this Payee/Payer for This Schedule$24,540
Name and Address
(A)
UFCW LOCAL 711 AND RETAIL FOOD

5251 GREEN STREET
MURRAY
UT
84123
Type or Classification
(B)
HEALTH & WELFARE BENEFITS FUND
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$103,253
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$103,253
PAYROLL & TRUST FUND EXP REIMB01/31/2020$8,002
PAYROLL & TRUST FUND EXP REIMB02/10/2020$9,240
PAYROLL & TRUST FUND EXP REIMB03/06/2020$8,331
PAYROLL & TRUST FUND EXP REIMB04/13/2020$8,170
PAYROLL & TRUST FUND EXP REIMB05/15/2020$9,855
PAYROLL & TRUST FUND EXP REIMB05/29/2020$7,823
PAYROLL & TRUST FUND EXP REIMB06/23/2020$7,685
PAYROLL & TRUST FUND EXP REIMB08/12/2020$9,706
PAYROLL & TRUST FUND EXP REIMB09/15/2020$7,562
PAYROLL & TRUST FUND EXP REIMB10/19/2020$9,650
PAYROLL & TRUST FUND EXP REIMB11/12/2020$8,251
PAYROLL & TRUST FUND EXP REIMB12/12/2020$8,978
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 028-079

Name and Address
(A)
AD VENTURES OF KANSAS

4015 N. WOODLAWN STE 3
WICHITA
IN
67220
Type or Classification
(B)
SUPPLIER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$154,250
Total Non-Itemized Transactions with this Payee/Payer$2,000
Total of All Transactions with this Payee/Payer for This Schedule$156,250
SUPPLIER04/09/2020$35,450
SUPPLIER05/18/2020$35,450
SUPPLIER07/13/2020$40,000
SUPPLIER08/03/2020$43,350
Name and Address
(A)
ALLIED FORCES
1205

CHANDLER
AZ
85244-1205
Type or Classification
(B)
TEMPORARY LABOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$31,048
Total Non-Itemized Transactions with this Payee/Payer$21,186
Total of All Transactions with this Payee/Payer for This Schedule$52,234
PICKET LINE LABOR FOR MS DEFENSE01/27/2020$8,162
PICKET LINE LABOR FOR MS DEFENSE02/24/2020$8,168
PICKET LINE LABOR FOR MS DEFENSE03/16/2020$6,814
PICKET LINE LABOR FOR MS DEFENSE03/30/2020$7,904
Name and Address
(A)
CATHERINE HARRIS ESQ

5960 S LAND PARK DR
SACRAMENTO
CA
95822
Type or Classification
(B)
LEGAL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,648
Total Non-Itemized Transactions with this Payee/Payer$2,350
Total of All Transactions with this Payee/Payer for This Schedule$8,998
LEGAL SERVICES04/27/2020$6,648
Name and Address
(A)
CROWLEY & FERRATO PUBLIC AFFAIRS

550 PLUMB LN STE B
RENO
NV
89509
Type or Classification
(B)
LEGAL
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)
FORD CREDIT
790093

ST LOUIS
MO
63179
Type or Classification
(B)
AUTOMOBILE LEASING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$33,548
Total of All Transactions with this Payee/Payer for This Schedule$33,548
Name and Address
(A)
MARK BURSTEIN APC
643091

LOS ANGELES
CA
90064
Type or Classification
(B)
LEGAL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$3,515
Total of All Transactions with this Payee/Payer for This Schedule$8,515
LEGAL SERVICES02/17/2020$5,000
Name and Address
(A)
MCCRACKEN STEMERMAN & HOLSBERRY LLP

595 MARKET STREET
SAN FRANCISCO
CA
94105
Type or Classification
(B)
LEGAL COUNSEL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$71,840
Total Non-Itemized Transactions with this Payee/Payer$14,812
Total of All Transactions with this Payee/Payer for This Schedule$86,652
LEGAL SERVICES01/27/2020$8,081
LEGAL SERVICES02/24/2020$14,052
LEGAL SERVICES03/23/2020$8,836
LEGAL SERVICES04/20/2020$5,093
LEGAL SERVICES07/20/2020$9,538
LEGAL SERVICES08/24/2020$10,733
LEGAL SERVICES09/21/2020$10,163
LEGAL SERVICES10/06/2020$5,344
Name and Address
(A)
STATE FARM
53981

PHOENIX
AZ
85072
Type or Classification
(B)
INSURANCE CARRIER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$28,912
Total of All Transactions with this Payee/Payer for This Schedule$28,912
Name and Address
(A)
THE URBAN LAW FIRM

4270 S DECATUR BLVD
LAS VEGAS
NV
89103
Type or Classification
(B)
LEGAL SERVICES
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)
UFCW REGION 8 STATES COUNCIL

8530 STANTON AVE STE 2
BUENA PARK
CA
90620
Type or Classification
(B)
REGIONAL AFFILIATE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$51,545
Total of All Transactions with this Payee/Payer for This Schedule$51,545
Name and Address
(A)
WRIGHT EXPRESS
6293

CAROL STREAM
IL
60197-6293
Type or Classification
(B)
FUEL SUPPLIER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,637
Total of All Transactions with this Payee/Payer for This Schedule$13,637
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 028-079

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 028-079

Name and Address
(A)
CULINARY ARTS OF LAS VEGAS

710 WEST LAKE MEAD BLVD
NORTH LAS VEGAS
NM
89030
Type or Classification
(B)
CONTRIBUTION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$105,000
Total Non-Itemized Transactions with this Payee/Payer$416
Total of All Transactions with this Payee/Payer for This Schedule$105,416
CONTRIBUTION03/23/2020$100,000
CONTRIBUTION09/10/2020$5,000
Name and Address
(A)
THE LEUKEMIA & LYMPHOMA

6280 S VALLEY VIEW
LAS VEGAS
NV
89118
Type or Classification
(B)
CONTRIBUTIONS
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
CONTRIBUTIONS08/31/2020$5,000
Name and Address
(A)
UNITED LABOR AGENCY

1201 N DECATUR BLVD
LAS VEGAS
NV
89108
Type or Classification
(B)
CONTRIBUTIONS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$9,650
Total of All Transactions with this Payee/Payer for This Schedule$14,650
CONTRIBUTIONS03/25/2020$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 028-079

Name and Address
(A)
A & B PRINTING AND MAILING

2908 S HIGHLANDS
LAS VEGAS
NV
89109
Type or Classification
(B)
PRINTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,231
Total of All Transactions with this Payee/Payer for This Schedule$12,231
Name and Address
(A)
ANAX BUSINESS TECHNOLOGY

8920 W TROPICANA STE 103
LAS VEGAS
NV
89147
Type or Classification
(B)
COMPUTER SERVICES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,782
Total of All Transactions with this Payee/Payer for This Schedule$13,782
Name and Address
(A)
CENTURY LINK
2961

PHOENIX
AZ
85062
Type or Classification
(B)
COMMUNICATIONS SUPPLIER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,315
Total of All Transactions with this Payee/Payer for This Schedule$20,315
Name and Address
(A)
CLARK COUNTY TREASURER

500 S. GRAND CENTRAL PKWY
LAS VEGAS
NV
89155-1220
Type or Classification
(B)
COUNTY GOVERNMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,111
Total of All Transactions with this Payee/Payer for This Schedule$12,111
Name and Address
(A)
COX COMMUNICATIONS
53262

PHOENIX
AZ
85072
Type or Classification
(B)
COMMUNICATIONS SUPPLIER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,348
Total of All Transactions with this Payee/Payer for This Schedule$6,348
Name and Address
(A)
HELEN KIHOLM
71590

SALT LAKE CITY
UT
84171
Type or Classification
(B)
RENT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,480
Total of All Transactions with this Payee/Payer for This Schedule$6,480
Name and Address
(A)
LAS VEGAS VALLEY WATER

1001 S VALLEY VIEW BLVD
LAS VEGAS
NV
89153
Type or Classification
(B)
UTILITIES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,002
Total of All Transactions with this Payee/Payer for This Schedule$6,002
Name and Address
(A)
OFFICE PLUS

3201 BUILDER AVE
LAS VEGAS
NV
89101
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$13,070
Total of All Transactions with this Payee/Payer for This Schedule$13,070
Name and Address
(A)
PDQ PRINTING

3820 S VALLEY VIEW BLVD
LAS VEGAS
NV
89102
Type or Classification
(B)
PRINTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,714
Total of All Transactions with this Payee/Payer for This Schedule$6,714
Name and Address
(A)
PHILIP ZHANG CPA LTD

886 S MARYLAND PKWY
LAS VEGAS
NV
89123
Type or Classification
(B)
AUDIT SERVICES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,934
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$17,934
AUDIT SERVICES01/13/2020$5,000
AUDIT SERVICES04/13/2020$12,934
Name and Address
(A)
PITNEY BOWES
856042

LOUISVILLE
KS
40285
Type or Classification
(B)
POSTAL DELIVERY SERVICES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,508
Total of All Transactions with this Payee/Payer for This Schedule$13,508
Name and Address
(A)
REVCO LEASING COMPANY
65598

SALT LAKE CITY
UT
84165-0598
Type or Classification
(B)
LEASING COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,670
Total of All Transactions with this Payee/Payer for This Schedule$11,670
Name and Address
(A)
STATE FARM
53981

PHOENIX
AZ
85072
Type or Classification
(B)
INSURANCE CARRIER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,524
Total of All Transactions with this Payee/Payer for This Schedule$7,524
Name and Address
(A)
STS STAFFING & TEMPORARY SERVICES

7986 UNIVERSITY AVE NE
FRIDLEY
MN
55432
Type or Classification
(B)
TEMPORARY LABOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,997
Total of All Transactions with this Payee/Payer for This Schedule$10,997
Name and Address
(A)
TEG STAFFING INC
512126

LOS ANGELES
CA
Type or Classification
(B)
TEMPORARY LABOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,268
Total of All Transactions with this Payee/Payer for This Schedule$10,268
Name and Address
(A)
US BANK
790401

ST LOUIS
MO
63179
Type or Classification
(B)
MORTGAGE HOLDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$75,804
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$75,804
MORTGAGE01/06/2020$6,317
MORTGAGE02/17/2020$6,317
MORTGAGE03/16/2020$6,317
MORTGAGE04/13/2020$6,317
MORTGAGE05/11/2020$6,317
MORTGAGE06/15/2020$6,317
MORTGAGE07/13/2020$6,317
MORTGAGE08/10/2020$6,317
MORTGAGE09/13/2020$6,317
MORTGAGE10/12/2020$6,317
MORTGAGE11/09/2020$6,317
MORTGAGE12/14/2020$6,317
Name and Address
(A)
YOUR EMPLOYMENT SOLUTIONS

880 W CENTER ST
NORTH SALT LAKE
UT
84054
Type or Classification
(B)
TEMPORARY LABOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,954
Total of All Transactions with this Payee/Payer for This Schedule$18,954
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 028-079

Name and Address
(A)
BLEIWEISS COMMUNICATIONS
8160

CALABASAS
AZ
91372
Type or Classification
(B)
cOMMUNICATIONS CONSULTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,593
Total Non-Itemized Transactions with this Payee/Payer$34,974
Total of All Transactions with this Payee/Payer for This Schedule$40,567
CONSULTING01/06/2020$5,593
Name and Address
(A)
BLITZSTEIN CONSULTING

7439 CHEROKEE LANE
OLNEY
MD
20832
Type or Classification
(B)
MEDIA CONSULTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$0
Name and Address
(A)
RAPID COLOR

6445 KARMS PARK CT
LAS VEGAS
NV
89118
Type or Classification
(B)
PRINTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,746
Total of All Transactions with this Payee/Payer for This Schedule$16,746
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 028-079

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$139,224
401K EMPLOYER MATCHUFCW INTERNATIONAL$1,325
HEALTH & WELFARERETAIL CLERKS HEALTH & WELFARE$102,042
PENSION FUNDRETAIL CLERKS PENSION FUND$35,555
GROUP LIFEA & R INSURANCE$302
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 028-079


Question 10: INTERMOUNTAIN UNITED FOOD AND COMMERCIAL WORKERS AND FOOD INDUSTRY HEALTH PLAN #501 EIN#87-0221322 5251 GREEN STREET MURRAY, UTAH 84123 INTERMOUNTAIN RETAIL FOOD INDUSTRY PENSION TRUST FUND PLAN #001 EIN#94-6288879 5251 GREEN STREET MURRAY, UTAH 84123 UFCW LOCAL 711 AND RETAIL FOOD EMPLOYERS BENEFIT FUNDS PLAN #501 EIN#23-7100610 5251 GREEN STREET MURRAY, UTAH 84123 RETAIL FOOD EMPLOYERS AND UFCW LOCAL 711 PENSION PLAN PLAN#001 5251 GREEN STREET MURRAY, UTAH 84123

Question 11(a):

Question 11(a): : : UNITED FOOD AND COMMERCIAL WORKERS UNION PAC REPORTS FILED WITH THE NEVADA SECRETARY OF STATE ELECTIONS DIVISION

Question 12: AUDIT PERFORMED BY OUTSIDE AUDITING FIRM, PHILIP ZHANG, CPA, LTD.

Question 16: ENCUMBRANCE TO COMMERCIAL REAL ESTATE PROPERTY

Schedule 13, Row1:REGULAR MEMBERS PAY FULL DUES

Schedule 13, Row1:N/A

General Information: PRIZES WERE PURCHASED FOR THE MEMBERSHIP ANNUAL HOLIDAY PARTY TOTAL VALUE $ 2,401 PRIZES WERE PURCHASED FOR THE MEMBERS CHILDREN FOR THE ANNUAL HOLIDAY PARTY TOTAL VALUE $ 2,993 TURKEYS WERE GIVEN TO STAFF AT THANKSGIVING TOTAL VALUE $722 HAMS WERE GIVEN TO STAFF AT CHRISTMAS TOTAL VALUE $413 GIFTS WERE GIVEN TO E-BOARD MEMBERS AT CHRISTMAS TOTAL VALUE $651
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)