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: 07-31-2019
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
023-943
2. PERIOD COVERED
From01/01/2016
Through12/31/2016
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
38
7. UNIT NAME (if any)

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

Number and Street
2601 EVERETT AVENUE
City
EVERETT
State
WA
ZIP Code + 4
98201


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:SAMANTHA W KANTAKPRESIDENT71. SIGNED:STEVEN C CHANDLERTREASURER
Date:Mar 06, 2017Telephone Number:425-252-3800Date:Mar 06, 2017Telephone Number:425-252-3800
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 023-943
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?No
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?Yes
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?Yes
19. What is the date of the labor organization's next regular election of officers?11/2019
20. How many members did the labor organization have at the end of the reporting period?3,990
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees0perMonth$20.00$95.00
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation Fees0perOne time$35.00$200.00
(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: 023-943

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $1,694,945$1,799,972
23. Accounts Receivable1$99,249$100,239
24. Loans Receivable2
25. U.S. Treasury Securities $0$0
26. Investments5
27. Fixed Assets6$249,293$251,559
28. Other Assets7
29. TOTAL ASSETS $2,043,487$2,151,770

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$39$29
34. TOTAL LIABILITIES $39$29
35. NET ASSETS$2,043,448$2,151,741
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 023-943

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,812,908
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $249,821
39. Sale of Supplies $1,054
40. Interest $5,405
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $2,828
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$19,682
49. TOTAL RECEIPTS $2,091,698
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$468,695
51. Political Activities and Lobbying16$20,524
52. Contributions, Gifts, and Grants17$18,867
53. General Overhead18$308,585
54. Union Administration19$208,842
55. Benefits20$354,461
56. Per Capita Tax $509,263
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$20,370
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $1,601
64. On Behalf of Individual Members $0
65. Direct Taxes $75,453
  
66. Subtotal $1,986,661
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$153,051  
  67b. Less Total Disbursed$153,061  
  67c. Total Withheld But Not Disbursed -$10
68. TOTAL DISBURSEMENTS $1,986,671
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 023-943

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$100,239$15,525$4,586$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $100,239$15,525$4,586$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 023-943

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: 023-943

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: 023-943

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$20,370$20,370$20,370
Computer Tablet (x2)$1,560$1,560$1,560
Gas Furnace$5,922$5,922$5,922
Heat Pump$5,078$5,078$5,078
LED Lighting$7,810$7,810$7,810
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$20,370
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 023-943

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: 023-943

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      2601 Everett Avenue, Everett, WA 98201-3727$39,027 $39,027$375,600
B. Buildings (give location)    
Building  1 :      2601 Everett Avenue, Everett, WA 98201-3727$531,813$330,456$201,357$548,400
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$87,547$76,372$11,175$11,175
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $658,387$406,828$251,559$935,175
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 023-943

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: 023-943

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: 023-943

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: 023-943

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $29
Payroll Tax Withholding$29
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 023-943

(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
Chandler ,  Steven   C
Secretary Treasurer
C
$99,533$8,351$9,838$0$117,722
I
Schedule 15
Representational Activities
34 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
65 %
A
B
C
Kantak ,  Samantha   W
President
N
$88,457$8,351$6,900$0$103,708
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
24 %
A
B
C
Raughter ,  Michael   K
Vice-President
C
$0$6,240$1,904$0$8,144
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
Brady ,  Tammi   L
Recording Secretary
C
$78,607$8,351$5,530$0$92,488
I
Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
6 %
A
B
C
Outlaw ,  Jamie   R
Trustee
N
$0$295$0$0$295
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
Ille ,  Donald   R
Trusteee
C
$0$6,874$1,997$0$8,871
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
Nush ,  Tricia   D
Trustee
C
$0$5,745$1,405$0$7,150
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
Howell Jr. ,  John   W
President
P
$0$3,313$1,195$0$4,508
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
Soper-Roodzant ,  Pattie  
Trustee
P
$0$5,277$1,582$0$6,859
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 %
Total Officer Disbursements$266,597$52,797$30,351$0$349,745
Less Deductions    $79,760
Net Disbursements    $269,985
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 023-943

(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
Gath ,  Deborah   L
Business Agent
None
$77,715$8,171$5,336$0$91,222
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
8 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
8 %
A
B
C
Olson ,  Denise   M
Office Staff
None
$54,740$760$240$0$55,740
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
Saul ,  Barbara   D
Office Manager/Bookkeeper
None
$67,050$607$245$0$67,902
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
Wengren ,  Deana   J
Office Staff
None
$54,878$3,007$122$0$58,007
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
Wilbur ,  Daryn   M
Business Agent
None
$77,520$8,351$8,693$0$94,564
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
2 %
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$331,903$20,896$14,636$0$367,435
Less Deductions    $73,291
Net Disbursements    $294,144
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 023-943

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 3,990 
Agency Fee Payers*0
Total Members/Fee Payers3,990 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members3,224Yes
New Applicants590No
Administrative/Service Fees14No
Hiring Hall161No
Unlisted on Checkoff0No
Financial Core Objector1No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 023-943

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$9,554
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$10,128
4. Total Receipts$19,682
     
     
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$18,867
6. Total Disbursements$18,867
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$44,029
2. Named Payee Non-itemized Disbursements$25,787
3. To Officers$203,820
4. To Employees$165,550
5. All Other Disbursements$29,509
6. Total Disbursements$468,695
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$8,990
2. Named Payee Non-itemized Disbursements$63,735
3. To Officers$0
4. To Employees$184,452
5. All Other Disbursements$51,408
6. Total Disbursements$308,585
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$9,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$3,139
4. To Employees$8,244
5. All Other Disbursements$141
6. Total Disbursements$20,524
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$9,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$142,785
4. To Employees$9,189
5. All Other Disbursements$47,868
6. Total Disbursements$208,842
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 023-943

Name and Address
(A)
Joint Council of Teamsters No 28

14675 Interurban Ave S, 301
Tukwila
WA
98168
Type or Classification
(B)
Joint Council of Local Unions
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,554
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$9,554
IBT Delegate Convention Allocation05/24/2016$9,554
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 023-943

Name and Address
(A)
Lasting Impressions

1423 6th St
Marysville
WA
98270
Type or Classification
(B)
Union Supply Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,835
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,835
Union Branded Products - Binders and T-Shirts03/01/2016$7,835
Name and Address
(A)
Robblee Detwiler & Black P.L.L.P.

12101 Fourth Ave, Suite 10
Seattle
WA
98121
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,832
Total Non-Itemized Transactions with this Payee/Payer$16,004
Total of All Transactions with this Payee/Payer for This Schedule$32,836
Legal Representation01/11/2016$7,720
Legal Representation02/11/2016$9,112
Name and Address
(A)
Streepy Law, PLLC

1728 109th Ave CT East
Edgewood
WA
98372
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,700
Total of All Transactions with this Payee/Payer for This Schedule$5,700
Name and Address
(A)
Trade Printery

12512 1st Ave
Seattle
WA
98121
Type or Classification
(B)
Union Printing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,159
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,159
Printing of Contract Books11/07/2016$6,159
Name and Address
(A)
UFCW 21

5030 First Ave S, Suite 200
Seattle
WA
98134
Type or Classification
(B)
Local Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,203
Total Non-Itemized Transactions with this Payee/Payer$4,083
Total of All Transactions with this Payee/Payer for This Schedule$17,286
Reimbursement of Negotiations Expense07/01/2016$13,203
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 023-943

Name and Address
(A)
Raise Up Washington

603 Stewart St, Suite 819
Seattle
WA
98101
Type or Classification
(B)
Special Interest Initiative
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$9,000
Initiative 1433 Contribution06/17/2016$9,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 023-943

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 023-943

Name and Address
(A)
Comcast

9602 S 300 W. Ste B
Sandy
UT
84070
Type or Classification
(B)
Telecommunications Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,180
Total of All Transactions with this Payee/Payer for This Schedule$5,180
Name and Address
(A)
Huebner, Dooley & McGinness, P.S.

1424 NE 155th St STE 100
Shoreline
WA
98155
Type or Classification
(B)
Certified Public Accountants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,990
Total Non-Itemized Transactions with this Payee/Payer$4,125
Total of All Transactions with this Payee/Payer for This Schedule$13,115
Audit Progress Billing02/03/2016$8,990
Name and Address
(A)
Kelley Imaging Systems
660831

Dallas
TX
75266
Type or Classification
(B)
Equipment Leasing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,541
Total of All Transactions with this Payee/Payer for This Schedule$15,541
Name and Address
(A)
Lasting Impressions

1423 6th St
Marysville
WA
98270
Type or Classification
(B)
Union Supply Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,451
Total of All Transactions with this Payee/Payer for This Schedule$5,451
Name and Address
(A)
Mail Finance
45850

San Francisco
CA
94148
Type or Classification
(B)
Equipment Leasing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,246
Total of All Transactions with this Payee/Payer for This Schedule$6,246
Name and Address
(A)
RHYNO Networks LLC

252 Elise Lane
Pacific
WA
98047
Type or Classification
(B)
Computer Support Service Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,192
Total of All Transactions with this Payee/Payer for This Schedule$10,192
Name and Address
(A)
USPS-Hasler
894757

Los Angeles
CA
90189
Type or Classification
(B)
Postage Supplier
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 19 - UNION ADMINISTRATION FILE NUMBER: 023-943

Name and Address
(A)
Normanna Hall #3

12725 Oakes Ave
Everett
WA
98201
Type or Classification
(B)
Hall Lodge
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$9,000
Christmas Party Hall Rental12/14/2016$9,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 023-943

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$354,461
PensionSound Health & Welfare Trusts$15,904
PensionWestern Conference of Teamsters Pension Trust Fund$140,827
PensionWestern States Teamsters Reps Retirement$11,228
Health and WelfareWashington Teamsters Welfare Trust$140,885
Accidental Death and DismembermentAmalgamated Life Insurance$394
Medical Expense ReimbursementsIndividual Employees$18,280
Death BenefitsTeamsters Life with Dues Trust Fund$26,943
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 023-943


Question 12: The Local Union was audited during the current year by Huebner, Dooley & McGinness, P.S., Certified Public Accountants, 1424 NE 155th Street, Suite 100, Shoreline, WA 98155,www.hdm-cpa.com.

Question 15: The Local Union disposed of furniture and equipment with an original cost of $8,762 and net book value of $0 as of December 31, 2016.

Question 18: The Local is governed by a uniform constitution prescribed by the International Union, and the International Union will file with its annual financial report, the changes to the International Constitution adopted at the 2016 Convention, on the Locals behalf.

Schedule 13, Row4:Hiring hall are non-members who do not pay full dues and/or initiation.

Schedule 13, Row5:Members who are no longer working or paying dues.

Schedule 13, Row5:Unlisted on checkoff do not pay full dues, only pay to be placed on withdrawal cards only.

Schedule 13, Row1:Regular members are full dues paying active members.

Schedule 13, Row2:New applicants have not yet paid their full initiation fees.

Schedule 13, Row2:New applicants do not have voting rights because their initiation fees have not been fully paid.

Schedule 13, Row3:Non-members who pay a reduced administrative or service fee.

Schedule 13, Row3:Non-members do not pay initiation fees, thus non-member status.

Schedule 13, Row4:Hiring hall are non-members who pay hiring hall fee only.

Schedule 13, Row6:Financial core objectors do not pay full dues and/or initiation.

Schedule 13, Row6:Non-members who pay reduced initiation and dues.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)