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
033-295
2.
PERIOD COVERED
From
01/01/2020
Through
12/31/2020
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
TEAMSTERS
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
14
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
FRED
Last Name
HORVATH
P.O Box - Building and Room Number
Number and Street
8951 W. SAHARA AVE, STE 100
City
LAS VEGAS
State
NV
ZIP Code + 4
891175899
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:
Grant Davis
PRESIDENT
71. SIGNED:
Fred D Horvath
TREASURER
Date:
Mar 30, 2021
Telephone
Number:
702-281-3682
Date:
Mar 30, 2021
Telephone
Number:
702-286-2989
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
033-295
10. During the reporting period did the labor
organization create or participate in the administration of
a trust or a fund or organization, as defined in the
instructions, which provides benefits for members or
beneficiaries?
Yes
11(a). During the reporting period did the
labor organization have a political action committee (PAC)
fund?
No
11(b). During the reporting period did the
labor organization have a subsidiary organization as
defined in Section X of these Instructions?
No
12. During the reporting period did the labor
organization have an audit or review of its books and
records by an outside accountant or by a parent body
auditor/representative?
Yes
13. During the reporting period did the labor
organization discover any loss or shortage of funds or
other assets? (Answer "Yes" even if there has
been repayment or recovery.)
No
14. What is the maximum amount recoverable
under the labor organization's fidelity bond for a
loss caused by any officer, employee or agent of the labor
organization who handled union funds?
$500,000
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
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?
No
17. Did the labor organization have any
contingent liabilities at the end of the reporting period?
No
18. During the reporting period did the labor
organization have any changes in its constitution or
bylaws, other than rates of dues and fees, or in
practices/procedures listed in the instructions?
No
19. What is the date of the labor
organization's next regular election of officers?
11/2021
20. How many members did the labor organization
have at the end of the reporting period?
4,100
21. What are the labor organization's rates of dues
and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
MEMBER
per
MONTH
25.00
175.00
(b) Working Dues/Fees
per
(c) Initiation Fees
150.00
per
NEW MEMBER
(d) Transfer Fees
per
(e) Work Permits
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
033-295
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$471,029
$567,345
23. Accounts Receivable
1
$0
24. Loans Receivable
2
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
27. Fixed Assets
6
$124,578
$110,710
28. Other Assets
7
$50,168
$23,378
29.
TOTAL ASSETS
$645,775
$701,433
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$0
31. Loans Payable
9
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$11,100
$12,600
34. TOTAL
LIABILITIES
$11,100
$12,600
35. NET
ASSETS
$634,675
$688,833
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
033-295
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$2,546,027
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$16,876
39. Sale of Supplies
$40
40. Interest
$1,021
41. Dividends
$0
42. Rents
$0
43. Sale of Investments
and Fixed Assets
3
44. Loans Obtained
9
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$220
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$26,919
49. TOTAL RECEIPTS
$2,591,103
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$1,009,599
51.
Political Activities and Lobbying
16
$29,920
52.
Contributions, Gifts, and Grants
17
$8,646
53. General
Overhead
18
$359,102
54. Union
Administration
19
$57,333
55. Benefits
20
$369,448
56. Per
Capita Tax
$564,235
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$13,741
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$105
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$82,658
66. Subtotal
$2,494,787
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$257,298
67b. Less Total
Disbursed
$257,298
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$2,494,787
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
033-295
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:
033-295
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 61
Item 45
Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF
INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
033-295
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
$0
$0
$0
$0
Less Reinvestments
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
033-295
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$13,741
$13,741
$13,741
FURNITURE AND FIXTURES
$13,741
$13,741
$13,741
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$13,741
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
033-295
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:
033-295
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
D. Office
Furniture
and Equipment
$185,677
$74,967
$110,710
$110,000
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$185,677
$74,967
$110,710
$110,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
033-295
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$23,378
DEPOSIT BUILDING
$23,378
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
033-295
Entity or Individual Name
(A)
Total Account
Payable
(B)
90-180 Days
Past Due
(C)
180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable
$0
$0
$0
$0
Total from all other accounts payable
$0
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
033-295
Source of Loans Payable at Any
Time During the Reporting Period
(A)
Loans Owed at
Start of Period
(B)
Loans Obtained
During Period
(C)
Repayment
During Period
Cash
(D)(1)
Repayment
During Period
Other Than Cash
(D)(2)
Loans Owed at
End of Period
(E)
Total Loans Payable
$0
$0
$0
$0
$0
Totals will be automatically entered in...
Item 31
Column (C)
Item 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
033-295
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$12,600
UNUSED SICK PAY
$12,600
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
033-295
(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
GRIFFITH
,
LARRY
SECRETARY - TREASURER C
$121,874
$5,600
$1,723
$129,197
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
10
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
5
%
A
B
C
HORVATH
,
FRED
SECRETARY - TREASURER C
$143,068
$7,400
$3,702
$154,170
I
Schedule 15
Representational Activities
90
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
5
%
A
B
C
DAVIS
,
GRANT
PRESIDENT C
$104,497
$7,400
$3,140
$115,037
I
Schedule 15
Representational Activities
90
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
5
%
A
B
C
GRIFFITH
,
LYNN
RECORDING SECRETARY C
$103,168
$1,295
$104,463
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
90
%
Schedule 19
Administration
10
%
A
B
C
FREITAS
,
ANTHONY
TRUSTEE C
$3,423
$1,300
$197
$4,920
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
SHERRATT
,
RUSSELL
TRUSTEE C
$3,406
$22
$3,428
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
ORTEGA
,
JOHNNY
TRUSTEE C
$3,423
$1,300
$232
$4,955
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
GATELEY
,
JASON
VICE PRESIDENT N
$114,043
$7,400
$1,513
$122,956
I
Schedule 15
Representational Activities
90
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
5
%
Total Officer
Disbursements
$596,902
$30,400
$11,824
$0
$639,126
Less Deductions
$192,430
Net
Disbursements
$446,696
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
033-295
(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
LEDON
,
DEBRA
ADMINISTRATIVE N/A
$73,378
$245
$73,623
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
RANDAZZO
,
JAY
BUSINESS AGENT N/A
$61,165
$7,400
$1,636
$70,201
I
Schedule 15
Representational Activities
90
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
0
%
A
B
C
GREEN
,
TONY
BUSINESS AGENT N/A
$67,006
$7,400
$2,431
$76,837
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
MCGIFFIN
,
BARRY
BUSINESS AGENT N/A
$5,615
$800
$154
$6,569
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
MCMELLON
,
WESLEY
BUSINESS AGENT N/A
$11,212
$11,212
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
SANTIAGO
,
DANNY
BUSINESS AGENT N/A
$6,722
$800
$391
$7,913
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
SPRINGER
,
CHRISTI
AADMINISTRATIVE N/A
$6,086
$9
$6,095
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
LAMMERS
,
JASON
BUSINESS AGENT N/A
$39,140
$4,250
$922
$44,312
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
DELGADO
,
VINCENT
BUSINESS AGENT N/A
$6,722
$800
$278
$7,800
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
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$14
$14
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
%
Total
Employee Disbursements
$277,046
$21,450
$6,080
$0
$304,576
Less
Deductions
$64,868
Net Disbursements
$239,708
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
033-295
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
4,100
Agency Fee Payers*
Total Members/Fee Payers
4,100
*Agency Fee Payers are
not considered members of the labor organization.
ACTIVE MEMBERS
4,100
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
033-295
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$23,071
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$3,848
4. Total
Receipts
$26,919
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
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
$8,646
6. Total
Disbursements
$8,646
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$16,900
2. Named Payee
Non-itemized Disbursements
$285,455
3. To Officers
$456,304
4. To Employees
$217,838
5. All Other
Disbursements
$33,102
6. Total
Disbursements
$1,009,599
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$79,391
2. Named Payee
Non-itemized Disbursements
$58,266
3. To Officers
$120,086
4. To Employees
$86,738
5. All Other
Disbursements
$14,621
6. Total
Disbursements
$359,102
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$17,000
3. To Officers
$12,920
4. To Employees
$0
5. All Other
Disbursements
$0
6. Total
Disbursements
$29,920
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$6,591
3. To Officers
$49,818
4. To Employees
$0
5. All Other
Disbursements
$924
6. Total
Disbursements
$57,333
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
033-295
Name and Address
(A)
INTERNATIONAL BROTHERHHOOD OF TEAMSTERS
25 LOUISIANA AVE. WASHINGTON DC 20001
Type or Classification
(B)
PARENT AFFILIATE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$17,684
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$17,684
REIMBURSED WAGES, TAXES AND BENEFITS
03/04/2020
$10,385
REIMBURSED WAGES, TAXES AND BENEFITS
03/27/2020
$7,299
Name and Address
(A)
TEAMSTERS JOINT COUNCIL NO.42
981 CORPORATE CENTER DRIVE POMONA CA 91768
Type or Classification
(B)
AFFILIATE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,387
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$5,387
REIMBURSED, WAGES TAXES AND BENEFITS
05/19/2020
$5,387
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
033-295
Name and Address
(A)
AT&T 5019
CAROL STREAM IL 60197
Type or Classification
(B)
TELEPHONE SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,196
Total of All Transactions with this
Payee/Payer for This Schedule
$10,196
Name and Address
(A)
BARRY MCGIFFIN
2425 BELL BUCKLEY DRIVE HENDERSON VA 89002
Type or Classification
(B)
ORGANIZER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$60,510
Total of All Transactions with this
Payee/Payer for This Schedule
$60,510
Name and Address
(A)
CHRISTI SPRINGER
2216 KENWOOD STREET HENDERSON NV 89002
Type or Classification
(B)
ORGANIZER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$48,560
Total of All Transactions with this
Payee/Payer for This Schedule
$48,560
Name and Address
(A)
DANNY SANTIAGO
876 TOLLBROOK WAY HENDERSON NV 89011
Type or Classification
(B)
ORGANIZER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$28,750
Total of All Transactions with this
Payee/Payer for This Schedule
$28,750
Name and Address
(A)
ERNIE IXLIAHUAC
4204 SOLAR SYSTEM STREET N. LAS VEGAS NV 89032
Type or Classification
(B)
ORGANIZER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$36,675
Total of All Transactions with this
Payee/Payer for This Schedule
$36,675
Name and Address
(A)
LAW OFFICE OD DANIEL MARKS
610 SOUTH NINTH STREET LAS VEGAS NV 89101
Type or Classification
(B)
LAW FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$16,900
Total
Non-Itemized Transactions with this Payee/Payer
$13,774
Total of All Transactions with this
Payee/Payer for This Schedule
$30,674
LEGAL SERVICES
03/09/2020
$6,591
LEGAL SERVICES
09/08/2020
$10,309
Name and Address
(A)
MARK ANTHONY MONTOYA
9901 W. SAHARA AVE. LAS VEGAS NV 89117
Type or Classification
(B)
CONSULTANT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$9,000
Total of All Transactions with this
Payee/Payer for This Schedule
$9,000
Name and Address
(A)
VERIZON WIRELESS 660108
DALLAS TX 75266
Type or Classification
(B)
CELLULAR SERVICE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,371
Total of All Transactions with this
Payee/Payer for This Schedule
$10,371
Name and Address
(A)
VINCENT DELGADO
5028 SIGNAL DRIVE LAS VEGAS NV 89130
Type or Classification
(B)
ORGANIZER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$60,000
Total of All Transactions with this
Payee/Payer for This Schedule
$60,000
Name and Address
(A)
WESLEY MCMELLON
2300 ROCK SPRINGS DRIVE LAS VEGAS NV 89128
Type or Classification
(B)
ORGANIZER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,619
Total of All Transactions with this
Payee/Payer for This Schedule
$7,619
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
033-295
Name and Address
(A)
COMMUNITY STRATEGIES INC
9213 PITCHING WEDGE DRIVE LAS VEAS NV 89134
Type or Classification
(B)
CONSULTANT/LOBBYIST
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$17,000
Total of All Transactions with this
Payee/Payer for This Schedule
$17,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
033-295
There was no data
found for this schedule.
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
033-295
Name and Address
(A)
A J LONGO & ASSOCIATES 253 N LAKE AVENUE
PASADENA CA 91101
Type or Classification
(B)
INSURANCE`
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,940
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$6,940
INSURANCE PREMIUM
08/24/2020
$6,940
Name and Address
(A)
AM TRUST NORTH AMERICA 6939
CLEVELAND OH 44101
Type or Classification
(B)
INSURANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,349
Total of All Transactions with this
Payee/Payer for This Schedule
$5,349
Name and Address
(A)
COX CABLE COMMUNICATION 53262
PHOENIX AZ 85072
Type or Classification
(B)
TELEPHONE AND INTERNET SERICE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$18,715
Total of All Transactions with this
Payee/Payer for This Schedule
$18,715
Name and Address
(A)
DESPARS EMBROIDERY
1040 N. PASADENA AVE. AZUSA CA 91702
Type or Classification
(B)
EMBROIDERY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$30,359
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$30,359
FACE MASKS
04/13/2020
$13,934
FACE MASKS
04/17/2020
$8,212
FACE MASKS
06/01/2020
$8,213
Name and Address
(A)
GARY M. TIBONI, CPA 630
COLUMBIA STATION OH 44028
Type or Classification
(B)
CERTIFIED PUBLIC ACCOUNTANT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,800
Total of All Transactions with this
Payee/Payer for This Schedule
$7,800
Name and Address
(A)
LAS VEGAS CLEANING SERVICE
1101 DECLARATIONS DRIVE LAS VEGAS NV 89110
Type or Classification
(B)
JANITORIAL SERVICES
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$17,856
Total of All Transactions with this
Payee/Payer for This Schedule
$17,856
Name and Address
(A)
LINKED UNION
839 W. WINDING CREEK EAGLE ID 83616
Type or Classification
(B)
APP PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,900
Total of All Transactions with this
Payee/Payer for This Schedule
$6,900
Name and Address
(A)
RAM INVESTMENT SERIS LLC
161 N. GIBSON RD HENDERSON NV 89014
Type or Classification
(B)
LANDLORD
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,644
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$10,644
OFFICE AND MEETING HALL RENT
03/05/2020
$10,644
Name and Address
(A)
RAM INVESTMENTS SERIS 2 LLC 161 N. GIBSON RD
HENDERSON NV 89014
Type or Classification
(B)
LANDLORD
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,277
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$10,277
OFFICE AND MEETING HALL RENT
03/05/2020
$10,277
Name and Address
(A)
WINNER PROPERTIES LLC
7955 W. SAHARA AVENUE LAS VEGAS NV 89117
Type or Classification
(B)
LANDLORD
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$21,171
Total
Non-Itemized Transactions with this Payee/Payer
$1,646
Total of All Transactions with this
Payee/Payer for This Schedule
$22,817
RENT AND UTILITIES
01/30/2020
$10,894
RENT AND UTILITIES
01/30/2020
$10,277
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
033-295
Name and Address
(A)
JW MARRIOTT
900 WEST OLYMPIC BLVD. LOS ANGELES CA
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
$6,591
Total of All Transactions with this
Payee/Payer for This Schedule
$6,591
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
033-295
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$369,448
PENSION
TRUST
$217,455
HEALTH AND WELFARE
TRUST
$88,400
GROUP LIFE INSURANCE COMPANY
INSURANCE COMPANY
$56,577
DISABILITY INSURANCE
INSURANCE COMPANY
$7,016
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
033-295
Question 10: TEAMSTERS SECURITY FUND FOR SOUTHERN NEVADA, EIN 88-0087294, PLAN NO. 501 LCATED AT 2250 SOTH RANCH DRIVE, SUITE 295, LAS VEGAS, NV PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDANTS. THE PLAN FILES FORM 5500 WITH THE U.S DEPARTMENT OF LABOR.
Question 12: THE BOOKS AND RECORDS HAVE BEEN AUDITED BY OUTSIDE ACCOUNTANT GARY M. TIBONI, CPA.
Schedule 13, Row1:
Schedule 13, Row1::MEMBERS WORKING IN THE INDUSTRY PAYING FULL DUES.