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
044-761
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
763
7. UNIT NAME (if any)

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

Number and Street
14675 Interurban Avenue S.
City
Tukwila
State
WA		 ZIP Code + 4
98168


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:Anthony J MurriettaPRESIDENT71. SIGNED:Scott A SullivanTREASURER
Date:Mar 13, 2017Telephone Number:206-579-4134Date:Mar 13, 2017Telephone Number:206-441-0763
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 044-761
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?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?Yes
19. What is the date of the labor organization's next regular election of officers?12/2018
20. How many members did the labor organization have at the end of the reporting period?4,749
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees0perMonth$5.00$218.00
(b) Working Dues/Fees0perMonth$5.00$50.00
(c) Initiation Fees0perOne time$50.00$150.00
(d) Transfer Fees0perTransfer$0.50$100.00
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 044-761

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $795,623$890,825
23. Accounts Receivable1$88,767$81,746
24. Loans Receivable2
25. U.S. Treasury Securities $0$0
26. Investments5$2,124,151$2,058,079
27. Fixed Assets6$10,023$7,750
28. Other Assets7
29. TOTAL ASSETS $3,018,564$3,038,400

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
34. TOTAL LIABILITIES $0$0
35. NET ASSETS$3,018,564$3,038,400
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 044-761

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $2,819,598
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $234
40. Interest $3,292
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 $2,767
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$22,433
49. TOTAL RECEIPTS $2,848,324
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,071,809
51. Political Activities and Lobbying16$13,282
52. Contributions, Gifts, and Grants17$26,242
53. General Overhead18$237,468
54. Union Administration19$124,466
55. Benefits20$519,592
56. Per Capita Tax $673,250
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $2,064
64. On Behalf of Individual Members $0
65. Direct Taxes $84,949
  
66. Subtotal $2,753,122
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$277,788  
  67b. Less Total Disbursed$277,788  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $2,753,122
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 044-761

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$81,746$2,269$35,014 
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $81,746$2,269$35,014$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 044-761

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: 044-761

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: 044-761

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments 
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 044-761

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$2,058,079
E. Total Book Value$2,058,079
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.  
  • Interest in Teamsters Building Association-Seattle
$2,058,079
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $2,058,079
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 044-761

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$57,385$49,635$7,750$7,750
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $57,385$49,635$7,750$7,750
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 044-761

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: 044-761

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: 044-761

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: 044-761

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: 044-761

(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 		Sullivan ,  Scott   A
Secretary-Treasurer
C		$109,646$1,200$2,916$0$113,762
I
Schedule 15
Representational Activities 		48 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		52 %
A
B
C 		Murrietta ,  Anthony   J
President
C		$104,244$1,660$1,840$0$107,744
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		7 %
A
B
C 		Jaber ,  Susan   D
Vice-President
C		$0$6,840$1,402$0$8,242
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 		Powell ,  Jason   L
Recording Secretary
C		$96,741$1,960$1,488$0$100,189
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		McCue ,  John  
Trustee
C		$0$7,590$902$0$8,492
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 		Leahy ,  Michael  
Trustee
C		$0$6,840$809$0$7,649
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 		Ward ,  Cathy  
Trustee
N		$0$3,250$646$0$3,896
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		90 %
A
B
C 		Earl ,  Hubert   V
Trustee
P		$0$4,190$1,221$0$5,411
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$310,631$33,530$11,224$0$355,385
Less Deductions    $88,071
Net Disbursements    $267,314
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 044-761

(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 		Akins ,  Heather   L
Fiscal Support Spec. I
None		$52,998$0$31$0$53,029
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 		Baker ,  Chad   L
Business Agent
None		$84,687$0$206$0$84,893
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Baker ,  Linda   M
Admin. Coordinator
None		$84,824$0$147$0$84,971
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 		Brown ,  Elizabethe   A
Business Agent
None		$96,741$2,110$1,702$0$100,553
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 		Christopher ,  Deena  
Fiscal Support Spec. II
None		$61,121$0$38$0$61,159
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 		Henderson ,  Douglas   N
Business Agent
None		$37,144$0$162$0$37,306
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 		Humann ,  Debra   L
Fiscal Support Spec. I
None		$96,741$0$758$0$97,499
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Keefe ,  Mary   A
Business Agent
None		$78,693$600$2,669$0$81,962
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 		Wilson ,  Paul   M
Business Agent
None		$96,741$150$1,687$0$98,578
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$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$689,690$2,860$7,400$0$699,950
Less Deductions    $189,717
Net Disbursements    $510,233
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 044-761

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 4,749 
Agency Fee Payers*58
Total Members/Fee Payers4,807 
*Agency Fee Payers are not considered members of the labor organization.
Active Members4,745Yes
Suspended Members4No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 044-761

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$11,943
2. Named Payer Non-itemized Receipts$7,795
3. All Other Receipts$2,695
4. Total Receipts$22,433
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$5,000
2. Named Payee Non-itemized Disbursements$1,218
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$20,024
6. Total Disbursements$26,242
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$111,447
2. Named Payee Non-itemized Disbursements$19,122
3. To Officers$251,379
4. To Employees$636,967
5. All Other Disbursements$52,894
6. Total Disbursements$1,071,809
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$126,175
2. Named Payee Non-itemized Disbursements$31,831
3. To Officers$0
4. To Employees$61,159
5. All Other Disbursements$18,303
6. Total Disbursements$237,468
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$13,282
6. Total Disbursements$13,282
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$12,084
3. To Officers$104,006
4. To Employees$1,824
5. All Other Disbursements$6,552
6. Total Disbursements$124,466
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 044-761

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

14675 Interurban Ave S. Ste
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$11,943
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$11,943
IBT Convention delegate allocation05/20/2016$11,943
Name and Address
(A)
Western Conf of Teamsters Pension Trust
C34080

Seattle
WA
98124-1080
Type or Classification
(B)
Pension Trust (Travel Reimbursement)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,795
Total of All Transactions with this Payee/Payer for This Schedule$7,795
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 044-761

Name and Address
(A)
Michael E. Cavanaugh, J.D.

1004 Commercial Ave.
Anacortes
WA
98221
Type or Classification
(B)
Arbitrator
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,063
Total Non-Itemized Transactions with this Payee/Payer$1,587
Total of All Transactions with this Payee/Payer for This Schedule$6,650
Arbitration fees01/19/2016$5,063
Name and Address
(A)
Reid,McCarthy, Ballew & Leahy, L.L.P

100 West Harrison St.
Seattle
WA
98119
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$98,676
Total Non-Itemized Transactions with this Payee/Payer$16,535
Total of All Transactions with this Payee/Payer for This Schedule$115,211
Legal representation01/12/2016$16,455
Legal representation05/04/2016$9,109
Legal representation06/13/2016$21,656
Legal representation07/07/2016$10,249
Legal representation08/05/2016$12,055
Legal representation09/07/2016$12,549
Legal representation10/06/2016$6,943
Legal representation11/09/2016$9,660
Name and Address
(A)
Teamsters Local Union No. 117

14675 Interurban Ave S.
Seattle
WA
98168
Type or Classification
(B)
Teamsters Local Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,708
Total Non-Itemized Transactions with this Payee/Payer$1,000
Total of All Transactions with this Payee/Payer for This Schedule$8,708
Server billing for 201611/09/2016$7,708
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 044-761

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 044-761

Name and Address
(A)
Breaking Barriers - Hope is Alive
534

Uniontown
OH
44685
Type or Classification
(B)
Special Interest Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$1,218
Total of All Transactions with this Payee/Payer for This Schedule$6,218
Contribution07/06/2016$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 044-761

Name and Address
(A)
Hasler

19 Forest Parkway
Shelton
CT
06484
Type or Classification
(B)
Electronic Postage Service Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,650
Total of All Transactions with this Payee/Payer for This Schedule$9,650
Name and Address
(A)
Huebner, Dooley & McGinness, PS

1424 NE 155th Street, #100
Shoreline
WA
98155
Type or Classification
(B)
Certified Public Accountants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,250
Total of All Transactions with this Payee/Payer for This Schedule$11,250
Name and Address
(A)
Pacific Office Automation
31001-0271

Pasadena
CA
91110
Type or Classification
(B)
Equipment Lessor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,931
Total of All Transactions with this Payee/Payer for This Schedule$10,931
Name and Address
(A)
Teamsters Building Association

14675 Interurban Ave South
Tukwila
WA
98168
Type or Classification
(B)
Union Building Association - Landlord
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$126,175
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$126,175
Monthly rent and utilities01/22/2016$10,515
Monthly rent and utilities02/18/2016$10,515
Monthly rent and utilities03/22/2016$10,515
Monthly rent and utilities04/19/2016$10,515
Monthly rent and utilities05/16/2016$10,516
Monthly rent and utilities06/14/2016$10,515
Monthly rent and utilities07/20/2016$10,514
Monthly rent and utilities08/24/2016$10,514
Monthly rent and utilities09/19/2016$10,514
Monthly rent and utilities10/25/2016$10,514
Monthly rent and utilities11/10/2016$10,514
Monthly rent and utilities12/12/2016$10,514
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 044-761

Name and Address
(A)
Alaska Airlines
15019

Wilmington
DE
19886
Type or Classification
(B)
Airlines
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,633
Total of All Transactions with this Payee/Payer for This Schedule$6,633
Name and Address
(A)
Bally's Hotel & Casino

3645 Las Vegas Blvd. S.
Las Vegas
NV
89109
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$5,451
Total of All Transactions with this Payee/Payer for This Schedule$5,451
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 044-761

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$519,592
Health InsuranceWA Teamsters Welfare Trust (NW Administrators)$227,624
PensionPacific Coast Benefits Trust$23,486
Life InsuranceTeamsters Life with Dues Trust Fund$41,414
PensionWestern Conference of Teamsters Pension Trust$213,169
PensionWST Representative Retirement Plan$13,899
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 044-761


Question 12: The Local Union was audited by CPA firm Huebner, Dooley & McGinness, P.S., 1424 NE 155th Street, Suite 100, Shoreline, WA 98155. www.hdm-cpa.com.

Question 18: The Local Union 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 Local Unions behalf.

Schedule 13, Row1:Active members are regular, dues paying members.

Schedule 13, Row2:Suspended members are delinquent in their dues payments and thus do not have voting rights.

Schedule 13, Row2:Suspended members are delinquent in their dues payments and thus do not have voting rights.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)