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
004-070
2.
PERIOD COVERED
From
07/01/2020
Through
06/30/2021
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
ELECTRICAL WORKERS IBEW AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
508
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
ALTON
Last Name
MOSLEY
P.O Box - Building and Room Number
Number and Street
1526 DEAN FOREST ROAD
City
SAVANNAH
State
GA
ZIP Code + 4
314089557
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:
Jeffrey Autry
PRESIDENT
71. SIGNED:
GENE DRIGGERS
TREASURER
Date:
Oct 02, 2021
Telephone
Number:
912-964-5080
Date:
Oct 02, 2021
Telephone
Number:
912-964-5080
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
004-070
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?
$250,000
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?
06/2023
20. How many members did the labor organization
have at the end of the reporting period?
550
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
40.25
per
MO
0-
0
(b) Working Dues/Fees
4%
per
N/A
0
0
(c) Initiation Fees
100
per
N/A
0
0
(d) Transfer Fees
0
per
N/A
0
0
(e) Work Permits
0
per
N/A
0
0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
004-070
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$816,940
$894,367
23. Accounts Receivable
1
$65,146
$56,340
24. Loans Receivable
2
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
27. Fixed Assets
6
$587,573
$596,180
28. Other Assets
7
$2,515
29.
TOTAL ASSETS
$1,472,174
$1,546,887
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$40,906
$35,210
31. Loans Payable
9
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
34. TOTAL
LIABILITIES
$40,906
$35,210
35. NET
ASSETS
$1,431,268
$1,511,677
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
004-070
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$281,476
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$857,184
39. Sale of Supplies
$13,411
40. Interest
$506
41. Dividends
$0
42. Rents
$1,800
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
$0
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$84,392
49. TOTAL RECEIPTS
$1,238,769
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$257,361
51.
Political Activities and Lobbying
16
$0
52.
Contributions, Gifts, and Grants
17
$21,355
53. General
Overhead
18
$233,501
54. Union
Administration
19
$109,467
55. Benefits
20
$163,549
56. Per
Capita Tax
$271,825
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$5,853
60. Purchase
of Investments and Fixed Assets
4
$57,282
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$41,149
66. Subtotal
$1,161,342
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$108,394
67b. Less Total
Disbursed
$108,394
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$1,161,342
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
004-070
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
$56,340
$0
$0
$0
Totals from all other
accounts receivable
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$56,340
$0
$0
$0
EMPLOYER CONTRIBUTIONS
$56,340
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
004-070
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:
004-070
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:
004-070
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$57,282
$54,418
$57,282
NEW FLOORS - BRUNSWICK. GA HALL
$15,610
$14,830
$15,610
NEW FLOORS - SAVANNAH, HA HALL
$41,672
$39,588
$41,672
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$57,282
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
004-070
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:
004-070
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
6167/6169 NEW JESSUP HIWAY, BRUNSWICK, GA
$147,000
$147,000
$0
B.
Buildings (give location)
Building
1
:
6167/6169 NEW JESSUP HIWAY, BRUNSWICK, GA
$317,882
$62,829
$255,053
$0
C. Automobiles
and
Other Vehicles
$103,345
$56,186
$47,159
$0
D. Office
Furniture
and Equipment
$42,507
$29,683
$12,824
$0
E.
Other Fixed Assets
$199,943
$65,799
$134,144
$0
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$810,677
$214,497
$596,180
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
004-070
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:
004-070
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
$35,210
$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))
$35,210
$0
$0
$0
PER CAPITA TAXES - IBEW INT'L FUND
$25,034
$0
$0
$0
LOCAL 508 FRINGE BENEFIT FUNDS
$10,176
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
004-070
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:
004-070
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
004-070
(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
AUTRY
,
JEFFREY
PRESIDENT N
$4,637
$0
$0
$0
$4,637
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
POOLE
,
TOMMY
PRESDENT P
$159
$0
$0
$0
$159
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
KNOWLTON
,
JEFFREY
VICE PRES / ASST BUS. MGR N
$72,999
$0
$0
$0
$72,999
I
Schedule 15
Representational Activities
45
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
45
%
A
B
C
MOSLEY
,
ALTON
FIN SECTY/BUS MGR C
$97,065
$0
$1,435
$0
$98,500
I
Schedule 15
Representational Activities
50
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
45
%
A
B
C
DIGGERS
,
EARL
TREASURER/DISPATCHER C
$73,318
$0
$0
$0
$73,318
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
15
%
A
B
C
LEE
,
WILLIAM
RECORDING SECTY C
$587
$0
$0
$0
$587
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
WATSON
,
CALVIN
EXEC BOARD C
$107
$0
$0
$0
$107
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
DEYHLE
,
CHRIS
EXEC BOARD C
$640
$0
$0
$0
$640
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
USERY
,
DANA
EXEC BOARD C
$587
$0
$0
$0
$587
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
MCCRAVY
,
HUNTER
EXEC BOARD C
$54
$0
$0
$0
$54
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
HOMRICH
,
ROBERT
EXEC BOARD C
$107
$0
$0
$0
$107
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
%
Total Officer
Disbursements
$250,260
$0
$1,435
$0
$251,695
Less Deductions
$67,881
Net
Disbursements
$183,814
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
004-070
(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
O' ROURK
,
CAITIN
SECRETARY NONE
$19,559
$0
$0
$0
$19,559
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
FLOYD
,
DENIKA
OFFICE MGR NONE
$57,428
$0
$0
$0
$57,428
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
85
%
Schedule 19
Administration
5
%
A
B
C
RAWLINSON
,
GLENDA
SECRETARY NONE
$38,838
$0
$0
$0
$38,838
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
CONNOLLY
,
TOMMY
ORGANIZER NONE
$72,678
$0
$810
$0
$73,488
I
Schedule 15
Representational Activities
85
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
15
%
Schedule 19
Administration
0
%
A
B
C
HARRISON
,
RAYMOND
ORGANIZER NONE
$532
$0
$0
$0
$532
I
Schedule 15
Representational Activities
95
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
0
%
A
B
C
BEASLEY
,
RUSTY
ORGANIZER NONE
$319
$0
$0
$0
$319
I
Schedule 15
Representational Activities
95
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
0
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$0
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total
Employee Disbursements
$189,354
$0
$810
$0
$190,164
Less
Deductions
$40,513
Net Disbursements
$149,651
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
004-070
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
550
Agency Fee Payers*
Total Members/Fee Payers
550
*Agency Fee Payers are
not considered members of the labor organization.
ACTIVE & RETIRED MEMBERS
550
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
004-070
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$75,000
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$9,392
4. Total
Receipts
$84,392
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
$21,355
6. Total
Disbursements
$21,355
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$140,754
4. To Employees
$69,016
5. All Other
Disbursements
$47,591
6. Total
Disbursements
$257,361
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$39,637
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$22,769
4. To Employees
$118,277
5. All Other
Disbursements
$52,818
6. Total
Disbursements
$233,501
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
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$88,173
4. To Employees
$2,871
5. All Other
Disbursements
$18,423
6. Total
Disbursements
$109,467
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
004-070
Name and Address
(A)
PAYROLL PROTECTION PROGRAM - U S GOV'T
SAVANNAH GA 31408
Type or Classification
(B)
PAYROLL PROTECTION PROGRAM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$75,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$75,000
PAYROLL PROTECTION PROGRAM
06/08/2021
$75,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
004-070
There was no data
found for this schedule.
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
004-070
There was no data
found for this schedule.
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
004-070
There was no data
found for this schedule.
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
004-070
Name and Address
(A)
AUTO OWNERS INSURANCE P. O. BOX 740312
CINCINNATI OH 45274
Type or Classification
(B)
INSURANCE COVERAGE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,637
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$6,637
INSURANCE COVERAGE
08/13/2020
$6,637
Name and Address
(A)
DENNIS G. JENKINS, CPA,LLC
1690 STONE VILLAGE LN KENNESAW GA 30152
Type or Classification
(B)
ANNUAL AUDIT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$8,000
ANNUAL AUDIT FEE
01/25/2021
$8,000
Name and Address
(A)
ELECT. WORKERS HOME ASSOC
1526 DEAN FOREST RD SAVANNAG GA 31408
Type or Classification
(B)
RENT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$25,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$25,000
RENT
07/28/2020
$2,500
RENT
09/10/2020
$2,500
RENT
10/01/2020
$2,500
RENT
10/27/2020
$2,500
RENT
11/30/2020
$2,500
RENT
01/04/2021
$2,500
RENT
02/01/2021
$2,500
RENT
03/11/2021
$2,500
RENT
04/05/2021
$2,500
RENT
04/26/2021
$2,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
004-070
There was no data
found for this schedule.
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
004-070
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$163,549
LIFE INSURANCE
AMERICAN INCOME LIFE - SPOUSES
$13,015
IBEW LOCAL 508 FRINGE BENEFITS - PENSION, & HEALTH
LOCAL 508 FRINGES FOR COVERAGE
$150,534
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
004-070
Question 10: IBEW LOCAL 508 HEALTH FUND EIN:23-7030261 PN"501. IBEW LOCAL 508 PENSION FUND EIN:58-6117431 PN:002. SAVANNAH ELECTRICAL JOINT APPRENTICESHIP & TRAINING COMMITTEE EIN:237036255
Question 11(a): THE P.A.C. FUND IS REGISTERED WITH THE STATE OF GEORGIA DICISION OF ELECTIONS
Question 12: ANNUAL AUDIT PERFORMED BY THE FIRM OF DENNIS G. JENKIONS, CPA,LLC EIN:20-5886120