028-079 (LM2) 12/31/2021

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: 01-31-2025

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
From	01/01/2021
Through	12/31/2021

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 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 Gittings

PRESIDENT

71. SIGNED:

DEANNA R LEIVAS

TREASURER

Date:

Mar 29, 2022

Telephone Number:

702-648-7112

Date:

Mar 29, 2022

Telephone 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?	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?	07/2024

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

6,782

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	N/A	per	N/A	26.82	73.66
(b) Working Dues/Fees	N/A	per	N/A	N/A	N/A
(c) Initiation Fees	N/A	per	N/A	N/A	N/A
(d) Transfer Fees	N/A	per	N/A	N/A	N/A
(e) Work Permits	N/A	per	N/A	N/A	N/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		$4,696,949	$5,906,270
23. Accounts Receivable	1	$0	$0
24. Loans Receivable	2	$0	$0
25. U.S. Treasury Securities		$7,402,198	$7,367,792
26. Investments	5	$0	$0
27. Fixed Assets	6	$329,814	$290,150
28. Other Assets	7	$0	$0
29. TOTAL ASSETS		$12,428,961	$13,564,212

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8	$3,591	$5,123
31. Loans Payable	9	$0	$0
32. Mortgages Payable		$31,388	$0
33. Other Liabilities	10	$9,885	$14,122
34. TOTAL LIABILITIES		$44,864	$19,245

35. NET ASSETS

$12,384,097

$13,544,967

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

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 028-079

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$4,177,965
37. Per Capita Tax		$0
38. Fees, Fines, Assessments, Work Permits		$0
39. Sale of Supplies		$2,775
40. Interest		$112,981
41. Dividends		$0
42. Rents		$87,417
43. Sale of Investments and Fixed Assets	3	$0
44. Loans Obtained	9	$0
45. Repayments of Loans Made	2	$0
46. On Behalf of Affiliates for Transmittal to Them		$632
47. From Members for Disbursement on Their Behalf		$0
48. Other Receipts	14	$157,231
49. TOTAL RECEIPTS		$4,539,001

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$979,283
51. Political Activities and Lobbying		16	$2,341
52. Contributions, Gifts, and Grants		17	$33,940
53. General Overhead		18	$312,046
54. Union Administration		19	$284,075
55. Benefits		20	$148,004
56. Per Capita Tax			$1,462,316
57. Strike Benefits			$0
58. Fees, Fines, Assessments, etc.			$0
59. Supplies for Resale			$2,354
60. Purchase of Investments and Fixed Assets		4	$12,806
61. Loans Made		2	$0
62. Repayment of Loans Obtained		9	$0
63. To Affiliates of Funds Collected on Their Behalf			$12,409
64. On Behalf of Individual Members			$0
65. Direct Taxes			$79,761

66. Subtotal			$3,329,335
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$250,155
67b. Less Total Disbursed	$250,155
67c. Total Withheld But Not Disbursed
68. TOTAL DISBURSEMENTS			$3,329,335

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

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: 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	$6,480,901	$6,348,000	$6,348,000	$6,348,000
REDEMPTION OF TREASURY BOND	$6,480,901	$6,348,000	$6,348,000	$6,348,000

				Less Reinvestments	$6,348,000
(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	$6,394,033	$6,362,837	$6,394,033
US TREASURY BONDS	$6,381,227	$6,351,000	$6,381,227
EQUIPMENT	$12,806	$11,837	$12,806

		Less Reinvestments	$6,381,227
(The total from Net Purchases Line will be automatically entered in Item 60.)		Net Purchases	$12,806

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))

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	$1,354,443	$1,242,398	$112,045	$112,405

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment

$137,611

$133,387

$4,224

E. Other Fixed Assets

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

$1,665,935

$1,375,785

$290,150

$290,510

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	$5,123	$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))	$5,123	$0	$0	$0
AMERICAN EXPRESS	$5,123	$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 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: 028-079

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$14,122
ACCRUED PAYROLL LIABILITIES	$12,534
FUNDS DUE ABC INTERNATIONAL	$1,588

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

(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

$145,285

$560

$145,845

Schedule 15
Representational Activities

91 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

9 %

A
B
C

KLUG , DIONNE
VIVE PRESIDENT
C

$77,539

$500

$78,039

Schedule 15
Representational Activities

97 %

Schedule 16
Political Activities and Lobbying

3 %

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

LEIVAS , DEANNA
SECRETARY-TREASURER
C

$103,647

$1,136

$104,783

Schedule 15
Representational Activities

73 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

27 %

A
B
C

PEREZ , RUBEN
VICE PRESIDENT
C

$62,666

$1,455

$64,121

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

$619

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

$482

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

$399

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

$689

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

$667

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

$53,801

$1,044

$54,845

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

WOOD , STEVE
VICE PRESIDENT
C

$238

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

A
B
C

CARDENAS , WENDY
VICE PRESIDENT
C

$46,074

$32

$46,106

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

$348

Schedule 15
Representational Activities

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

100 %

Total Officer Disbursements	$489,012	$0	$8,169	$0	$497,181
Less Deductions
Net Disbursements					$497,181

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

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 028-079

(A)
Name

(B)
Title

(D)
Gross Salary
Disbursements
(before any
deductions)

(E)
Allowances Disbursed

(F)
Disbursements for Official Business

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

(H)
TOTAL

A
B
C

GRANT , LLUVIA
REPRESENTATIVE
NONE

$50,436

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

$28,488

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

ESCOTO , EDUARDO
REPRESENTATIVE
NONE

$41,300

$700

$42,000

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

$41,069

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

$93,754

$1,610

$95,364

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

$40,203

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

RAMIREZ , ALDO
OFFICE
NONE

$43,551

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

VALENCIA , JACQUELINE
OFFICE
NONE

$52,000

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

A
B
C

AMBRIZ , ISELA
OFFICE
NONE

$28,111

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

$16,900

Schedule 15
Representational Activities

3 %

Schedule 16
Political Activities and Lobbying

Schedule 17
Contributions

Schedule 18
General Overhead

Schedule 19
Administration

97 %

Total Employee Disbursements	$435,812	$0	$2,310	$0	$438,122
Less Deductions
Net Disbursements					$438,122

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)	6,782
Agency Fee Payers*
Total Members/Fee Payers	6,782
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS PAY FULL DUES	6,782	Yes

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	$119,776
2. Named Payer Non-itemized Receipts	$24,540
3. All Other Receipts	$12,915
4. Total Receipts	$157,231

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements	$6,000
2. Named Payee Non-itemized Disbursements	$9,100
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements	$18,840
6. Total Disbursements	$33,940

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$16,221
2. Named Payee Non-itemized Disbursements	$191,415
3. To Officers	$449,981
4. To Employees	$245,847
5. All Other Disbursements	$75,819
6. Total Disbursements	$979,283

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$49,598
2. Named Payee Non-itemized Disbursements	$193,316
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements	$69,132
6. Total Disbursements	$312,046

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$2,341
4. To Employees	$0
5. All Other Disbursements
6. Total Disbursements	$2,341

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$38,122
3. To Officers	$44,859
4. To Employees	$192,275
5. All Other Disbursements	$8,819
6. Total Disbursements	$284,075

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		$119,776
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$119,776
PAYROLL & TRUST FUND EXP REIMB	01/28/2021	$10,315
PAYROLL & TRUST FUND EXP REIMB	02/18/2021	$8,621
PAYROLL & TRUST FUND EXP REIMB	03/30/2021	$8,601
PAYROLL & TRUST FUND EXP REIMB	05/13/2021	$8,229
PAYROLL & TRUST FUND EXP REIMB	05/13/2021	$11,162
PAYROLL & TRUST FUND EXP REIMB	07/15/2021	$18,579
PAYROLL & TRUST FUND EXP REIMB	08/31/2021	$8,563
PAYROLL & TRUST FUND EXP REIMB	09/30/2021	$7,464
PAYROLL & TRUST FUND EXP REIMB	10/27/2021	$11,569
PAYROLL & TRUST FUND EXP REIMB	11/30/2021	$8,034
PAYROLL & TRUST FUND EXP REIMB	11/30/2021	$8,299
PAYROLL & TRUST FUND EXP REIMB	12/29/2021	$10,340

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

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 028-079

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		$31,500
Total of All Transactions with this Payee/Payer for This Schedule		$31,500

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		$19,990
Total of All Transactions with this Payee/Payer for This Schedule		$19,990

Name and Address
(A)

GM FINANCIAL

75 REMITTANCE DRIVE
CHICAGO
IL
60675

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		$10,484
Total of All Transactions with this Payee/Payer for This Schedule		$10,484

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		$16,221
Total Non-Itemized Transactions with this Payee/Payer		$23,440
Total of All Transactions with this Payee/Payer for This Schedule		$39,661
LEGAL SERVICES	02/22/2021	$7,392
LEGAL SERVICES	03/02/2021	$8,829

Name and Address
(A)

NOVARA TESJA CATENACCI PLLC

888 W. BIG BEAVER RD 600
TROY
MI
48084

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		$15,098
Total of All Transactions with this Payee/Payer for This Schedule		$15,098

Name and Address
(A)

SOUTHWEST AIR

2702 LOVE FIELD DR
DALLAS
TX
75235

Type or Classification
(B)

TRAVEL

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,617
Total of All Transactions with this Payee/Payer for This Schedule		$5,617

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		$25,702
Total of All Transactions with this Payee/Payer for This Schedule		$25,702

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		$43,615
Total of All Transactions with this Payee/Payer for This Schedule		$43,615

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		$15,969
Total of All Transactions with this Payee/Payer for This Schedule		$15,969

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)

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
Total Non-Itemized Transactions with this Payee/Payer		$9,100
Total of All Transactions with this Payee/Payer for This Schedule		$9,100

Name and Address
(A)

WESTERN STATES ISSUE EDUCATION FUND INC

8251 LA PALMA AVENUE 392
BUENA PARK
CA
90620

Type or Classification
(B)

CONTRIBUTIONS

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,000
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$6,000
CONTRIBUTIONS	10/11/2021	$6,000

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

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 028-079

Name and Address
(A)

AMERICAN DIRECT MAIL

908 N HOLLYWOOD WAY
BURBANK
CA
91505

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		$9,763
Total of All Transactions with this Payee/Payer for This Schedule		$9,763

Name and Address
(A)

ANAX BUSINESS TECHNOLOGY

8920 W TROPICANA STE 1
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		$5,638
Total of All Transactions with this Payee/Payer for This Schedule		$5,638

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		$17,116
Total of All Transactions with this Payee/Payer for This Schedule		$17,116

Name and Address
(A)

CITY OF LAS VEGASANNUAL SEWER
748022

LOS ANGELES
CA
90074

Type or Classification
(B)

UTILITY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,204
Total of All Transactions with this Payee/Payer for This Schedule		$5,204

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		$12,211
Total of All Transactions with this Payee/Payer for This Schedule		$12,211

Name and Address
(A)

CLEAN COMMERCIAL CLEANING

1104 SALEM ROSE CT
LAS VEGAS
NV
89144

Type or Classification
(B)

MAINTENANCE

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,490
Total of All Transactions with this Payee/Payer for This Schedule		$5,490

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		$9,325
Total of All Transactions with this Payee/Payer for This Schedule		$9,325

Name and Address
(A)

KIM KOZLOWSKI INC

724 VANTAGE LANE
LAS VEGAS
NV
89145

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		$11,000
Total of All Transactions with this Payee/Payer for This Schedule		$11,000

Name and Address
(A)

LAS VEGAS VALLEY WATER

1001 S VALLEY VIEW BLVD
LAS VEGAS
NV
89153

Type or Classification
(B)

UTILITY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,153
Total of All Transactions with this Payee/Payer for This Schedule		$6,153

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		$15,882
Total of All Transactions with this Payee/Payer for This Schedule		$15,882

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		$7,678
Total of All Transactions with this Payee/Payer for This Schedule		$7,678

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		$17,924
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$17,924
AUDIT SERVICES	02/08/2021	$5,000
AUDIT SERVICES	05/03/2021	$12,924

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		$16,488
Total of All Transactions with this Payee/Payer for This Schedule		$16,488

Name and Address
(A)

REPUBLIC SERVICES
78829

PHOENIX
AZ
85062

Type or Classification
(B)

UTILITY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,028
Total of All Transactions with this Payee/Payer for This Schedule		$6,028

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		$11,937
Total of All Transactions with this Payee/Payer for This Schedule		$11,937

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		$9,852
Total of All Transactions with this Payee/Payer for This Schedule		$9,852

Name and Address
(A)

STS STAFFING & TEMPORARY

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		$8,444
Total of All Transactions with this Payee/Payer for This Schedule		$8,444

Name and Address
(A)

TEG STAFFING INC
512126

LOS ANGELES
CA
93065

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		$13,206
Total of All Transactions with this Payee/Payer for This Schedule		$13,206

Name and Address
(A)

UNION GRAPHICS LLC
802796

SANTA CLARITA
CA
91380

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		$7,966
Total of All Transactions with this Payee/Payer for This Schedule		$7,966

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		$31,674
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$31,674
MORTGAGE	01/11/2021	$6,317
MORTGAGE	02/15/2021	$6,317
MORTGAGE	03/08/2021	$6,317
MORTGAGE	04/12/2021	$6,317
MORTGAGE	05/17/2021	$6,406

Name and Address
(A)

VERGITH CONTRACTING

810 DUSAN WAY
HENDERSON
NV
89011

Type or Classification
(B)

MAINTENANCE

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,375
Total of All Transactions with this Payee/Payer for This Schedule		$6,375

Name and Address
(A)

WRD PROPERTIES
71590

SALT LAKE CITY
UT
84094

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		$7,560
Total of All Transactions with this Payee/Payer for This Schedule		$7,560

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
CA
91372

Type or Classification
(B)

COMMUNICATIONS CONSULTING

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$38,122
Total of All Transactions with this Payee/Payer for This Schedule		$38,122

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.)		$148,004
401K EMPLOYER MATCH	UFCW INTERNATIONAL	$1,500
HEALTH & WELFARE	RETAIL CLERKS HEALTH & WELFARE	$107,957
PENSION FUND	RETAIL CLERKS PENSION FUND	$38,135
GROUP LIFE	A & R INSURANCE	$412

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 BENEFITS 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.

Schedule 8, Row1:

Schedule 8, Row1:

Schedule 13, Row1:

Schedule 13, Row1:REGULAR MEMBERS PAY FULL DUES

Schedule 13, Row1:

Schedule 13, Row1:

General Information: NO PRIZES WERE PURCHASED FOR THE MEMBERSHIP ANNUAL HOLIDAY PARTY THAT WAS CANCELLED DUE TO THE COVID MANDATES. NO PRIZES WERE PURCHASED FOR THE MEMBERS CHILDREN PARTY THAT WAS CANCELLED DUE TO THE COVID MANDATES. TURKEYS WERE GIVEN TO STAFF AT THANKSGIVING TOTAL VALUE $477 HAMS WERE GIVEN TO STAFF AT CHRISTMAS TOTAL VALUE $228 GIFTS WERE GIVEN TO E-BOARD MEMBERS AT CHRISTAMS TOTAL VALUE $808



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