U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210
FORM LM-3 LABOR ORGANIZATION ANNUAL REPORT
Form Approved
Office of Management and Budget
No.
1245-0003
Expires:
09-30-2021
FOR USE ONLY BY LABOR ORGANIZATIONS WITH LESS THAN $250,000 IN TOTAL ANNUAL RECEIPTS
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
088-320
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 - Is this a terminal report:
No
4. AFFILIATION OR ORGANIZATION NAME
LETTER CARRIERS, RURAL, IND
5. DESIGNATION (Local, Lodge, etc.)
STATE ASSOCIATION
6. DESIGNATION NBR
7. UNIT NAME (if any)
KANSAS
8. MAILING ADDRESS (Type or print in capital letters)
First Name
SANDRA
Last Name
BORNE
P.O Box - Building and Room Number
P.O. BOX 586
Number and Street
City
El Dorado
State
KS
ZIP Code + 4
67042
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 VI on penalties in the instructions.)
57. SIGNED:
JAMES K HORNBOSTEL
PRESIDENT
58. SIGNED:
Sandra Borne
TREASURER
Date:
Aug 31, 2021
Contact Info:
785-692-4288
Date:
Aug 31, 2021
Contact Info:
620-752-3148
Form LM-3 (Revised 2016)
FILE NUMBER:
088-320
During the Reporting Period Did Your Organization:
10. Have a "subsidiary organization" as defined in Section X of the instructions?
No
11. Create or participate in the administration of a trust or other fund or organization which provides benefits for members or their beneficiaries?
No
12. Have a Political Action Committee (PAC) fund?
No
13. Acquire or dispose of any goods or property in any manner other than purchase or sale?
No
14. Have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?
No
15. Discover any loss or shortage of funds or other property? (Answer "Yes" even if there has been repayment or recovery.)
No
16.Have any officer who was paid $10,000 or more by your organization and also received $10,000 or more as an officer or employee of another labor organization or of an employee benefit plan?
No
17. Pay any employee salary, allowances, and other expenses which, together with any payments from affiliates, totaled more than $10,000?
No
18. Have loans totaling more than $250 to any officer, employee, or member, or make any loans to a business enterprise?
No
19. How many members did your organization have at the end of the reporting period?
1,651
20. What is the maximum amount recoverable under your organization's fidelity bond for a loss caused by any officer or employee of your organization?
$43,364
21. During the reporting period, did your 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
22. What is the date of the labor organization's next regular election of officers?
06/2022
23. 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
781.00
per
year
90.00
781.00
(b) Initiation Fees
per
(c) Transfer Fees
per
(d) Work Permits
per
Form LM-3 (Revised 2016)
24. ALL OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
088-320
(A) Name (List all persons who held office during the reporting period even if they received no salary or other disbursements)
Gross Salary (before taxes and other deductions)
(D)
Allowances and Other Disbursements
(E)
TOTAL
(F)
(B) Title (Enter title of officer, such as PRESIDENT or TREASURER)
(C) Status *
Total Disbursements to Officers
$4,403
$311
$4,714
Less Deductions
$0
The Total from Net Disbursements will be entered in Item 45
Net Disbursements
$4,714
** Code (C) Status: past officer - P; continuing officer - C; new officer during the reporting period - N.
(If any officer was not elected at a regular election in accordance with your organzation's constitution and bylaws, explain in Item 56.)
Borne
Sandra
$4,403
$209
$4,612
Secretary/Treasurer
C
Hornbostel
Jim
$0
President
C
Troutman
David
$102
$102
Vice President
C
Kinnier
Shannon
$0
Board Chair
C
Manche
Nancy
$0
Board Secretary
C
Watkins
Nate
$0
Jr Board Member
C
Form LM-3 (Revised 2016)
STATEMENT A - ASSETS AND LIABILITIES
FILE NUMBER:
088-320
ASSETS
Start of Reporting Period
(A)
End of Reporting Period
(B)
25. Cash
$224,250
$400,388
26. Loans Receivable
$0
$0
27. U.S. Treasury Securities
$0
$0
28. Investments
$0
$0
29. Fixed Assets
$0
$0
30. Other Assets
$0
$0
31. TOTAL ASSETS
$224,250
$400,388
LIABILITIES
Start of Reporting Period
(C)
End of Reporting Period
(D)
32. Accounts Payable
$461
$183
33. Loans Payable
$0
$0
34. Mortgages Payable
$0
$0
35. Other Liabilities
$0
$0
36. TOTAL LIABILITIES
$461
$183
37. NET ASSETS
$223,789
$400,205
STATEMENT B - RECEIPTS AND DISBURSEMENTS
CASH RECEIPTS
AMOUNT
38. Dues
$209,903
39. Per Capita Tax
$0
40. Fees, Fines, Assessments, Work Permits
$0
41. Interest and Dividends
$845
42. Sale of Investments and Fixed Assets
$0
43. Other Receipts
$79
44. TOTAL RECEIPTS
$210,827
If total receipts reported in Item 44 are $250,000 or more, your organization must file Form LM-2 instead of this form.