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
018-395
2.
PERIOD COVERED
From
01/01/2016
Through
12/31/2016
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
231
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
RICHARD
Last Name
EWING
P.O Box - Building and Room Number
Number and Street
PO BOX H
City
BELLINGHAM
State
WA
ZIP Code + 4
982270298
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:
Rachel J Mc Kibbin
PRESIDENT
71. SIGNED:
Richard J Ewing
TREASURER
Date:
Mar 13, 2017
Telephone
Number:
360-734-7780
Date:
Mar 13, 2017
Telephone
Number:
360-734-7780
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
018-395
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?
$200,000
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?
2,418
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
0
per
Month
$15.00
$110.00
(b) Working Dues/Fees
$15.00
per
Month
0
0
(c) Initiation Fees
0
per
One time
$85.00
$575.00
(d) Transfer Fees
$0.50
per
Transfer
0
0
(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:
018-395
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$700,356
$865,695
23. Accounts Receivable
1
$70,287
$86,974
24. Loans Receivable
2
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
27. Fixed Assets
6
$92,760
$90,445
28. Other Assets
7
29.
TOTAL ASSETS
$863,403
$1,043,114
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
31. Loans Payable
9
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
34. TOTAL
LIABILITIES
$0
$0
35. NET
ASSETS
$863,403
$1,043,114
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
018-395
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,578,148
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$4,333
39. Sale of Supplies
$300
40. Interest
$974
41. Dividends
$0
42. Rents
$50,625
43. Sale of Investments
and Fixed Assets
3
44. Loans Obtained
9
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$1,153
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$7,814
49. TOTAL RECEIPTS
$1,643,347
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$469,151
51.
Political Activities and Lobbying
16
$11,499
52.
Contributions, Gifts, and Grants
17
$9,274
53. General
Overhead
18
$190,923
54. Union
Administration
19
$82,124
55. Benefits
20
$293,715
56. Per
Capita Tax
$363,368
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$419
60. Purchase
of Investments and Fixed Assets
4
$6,975
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$2,017
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$48,543
66. Subtotal
$1,478,008
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$122,002
67b. Less Total
Disbursed
$122,002
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$1,478,008
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
018-395
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
$86,974
$378
$38,220
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$86,974
$378
$38,220
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
018-395
List below loans to officers, employees, or members which
at any time during the reporting period exceeded $250 and
list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not
listed above
Total of all lines
above
$0
$0
$0
$0
$0
Totals will be
automatically entered in...
Item 24
Column (A)
Item 61
Item 45
Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF
INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
018-395
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:
018-395
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$6,975
$6,975
$6,975
Building Blinds
$619
$619
$619
Office Table and Chairs
$4,574
$4,574
$4,574
Laptop Computer (x2)
$1,782
$1,782
$1,782
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$6,975
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
018-395
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:
018-395
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
1700 N. State Street, Bellingham, WA 98227
$8,000
$8,000
$181,174
B.
Buildings (give location)
Building
1
:
1700 N. State Street, Bellingham, WA 98227
$75,160
$8,755
$66,405
$319,114
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$60,904
$44,864
$16,040
$16,040
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$144,064
$53,619
$90,445
$516,328
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
018-395
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:
018-395
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:
018-395
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:
018-395
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:
018-395
(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
Ewing
,
Richard
J Secretary-Treasurer C
$81,045
$10,273
$8,047
$0
$99,365
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
McKibbin
,
Rachel
J President C
$66,743
$10,193
$4,599
$0
$81,535
I
Schedule 15
Representational Activities
86
%
Schedule 16
Political Activities and Lobbying
2
%
Schedule 17
Contributions
2
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
A
B
C
Thompson
,
Jennifer
A Recording Secretary C
$66,743
$10,193
$6,101
$0
$83,037
I
Schedule 15
Representational Activities
95
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
4
%
A
B
C
Rose-Banks
,
Flo
Vice President C
$0
$2,400
$729
$0
$3,129
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
9
%
Schedule 17
Contributions
6
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
85
%
A
B
C
Schols
,
Brian
E Trustee C
$0
$2,400
$777
$0
$3,177
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
8
%
Schedule 17
Contributions
6
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
86
%
A
B
C
Birkeland
,
Gunnar
Trustee C
$0
$2,400
$1,580
$0
$3,980
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
8
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
87
%
A
B
C
Holst
,
Mark
Trustee N
$0
$942
$12
$0
$954
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
14
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
81
%
A
B
C
Ostrom
,
William
C Trustee P
$0
$871
$23
$0
$894
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
2
%
Schedule 17
Contributions
9
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
89
%
Total Officer
Disbursements
$214,531
$39,672
$21,868
$0
$276,071
Less Deductions
$61,725
Net
Disbursements
$214,346
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
018-395
(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
Bennett
,
Paula
G Office Manager/Bookkeeper None
$57,249
$0
$1,140
$0
$58,389
I
Schedule 15
Representational Activities
4
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
92
%
Schedule 19
Administration
4
%
A
B
C
Ewing
,
Heather
T Business Agent None
$66,743
$10,225
$3,960
$0
$80,928
I
Schedule 15
Representational Activities
92
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
4
%
A
B
C
Smith
,
Daron
L Business Agent None
$68,925
$10,217
$4,285
$0
$83,427
I
Schedule 15
Representational Activities
94
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
1
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
5
%
A
B
C
Ward
,
Daisy
Office Assistant None
$42,736
$0
$741
$0
$43,477
I
Schedule 15
Representational Activities
3
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
95
%
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
$235,653
$20,442
$10,126
$0
$266,221
Less
Deductions
$60,277
Net Disbursements
$205,944
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
018-395
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
2,418
Agency Fee Payers*
6
Total Members/Fee Payers
2,424
*Agency Fee Payers are
not considered members of the labor organization.
Active Member
2,342
Yes
Dues Cash Member
70
Yes
Casual Dues Member
6
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
018-395
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$0
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$7,814
4. Total
Receipts
$7,814
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$2,423
4. To Employees
$834
5. All Other
Disbursements
$6,017
6. Total
Disbursements
$9,274
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$18,638
3. To Officers
$241,414
4. To Employees
$156,515
5. All Other
Disbursements
$52,584
6. Total
Disbursements
$469,151
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$34,323
3. To Officers
$0
4. To Employees
$95,021
5. All Other
Disbursements
$61,579
6. Total
Disbursements
$190,923
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$4,375
4. To Employees
$3,237
5. All Other
Disbursements
$3,887
6. Total
Disbursements
$11,499
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$7,488
2. Named Payee
Non-itemized Disbursements
$6,312
3. To Officers
$27,861
4. To Employees
$10,614
5. All Other
Disbursements
$29,849
6. Total
Disbursements
$82,124
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
018-395
There was no data
found for this schedule.
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
018-395
Name and Address
(A)
Reid, McCarthy, Ballew & Leahy L.L.P.
100 W Harrison St Seattle WA 98119
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
$18,638
Total of All Transactions with this
Payee/Payer for This Schedule
$18,638
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
018-395
There was no data
found for this schedule.
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
018-395
There was no data
found for this schedule.
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
018-395
Name and Address
(A)
Aramark Uniform Services 101179
Pasadena CA 91189
Type or Classification
(B)
Uniform Services Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,988
Total of All Transactions with this
Payee/Payer for This Schedule
$10,988
Name and Address
(A)
Huebner, Dooley & McGinness P.S.
1424 NE 155th PL SE 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
$10,015
Total of All Transactions with this
Payee/Payer for This Schedule
$10,015
Name and Address
(A)
Puget Sound Energy 91269
Bellevue WA 98009
Type or Classification
(B)
Utilities Service Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,110
Total of All Transactions with this
Payee/Payer for This Schedule
$5,110
Name and Address
(A)
Xerox Corporation 7405
Pasadena CA 91109
Type or Classification
(B)
Copier Leasing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,210
Total of All Transactions with this
Payee/Payer for This Schedule
$8,210
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
018-395
Name and Address
(A)
Adventures in Advertising Corporation 31001-1900
Pasadena CA 91110-1900
Type or Classification
(B)
Promotional Supply Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,312
Total of All Transactions with this
Payee/Payer for This Schedule
$6,312
Name and Address
(A)
Marcus Whitman Hotel
6 West Rose St Walla Walla WA 99362
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,488
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$7,488
Joint Council 28 Annual Meeting
09/30/2016
$7,488
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
018-395
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$293,715
Pension
Western Conference of Teamsters Pension Trust
$113,859
Pension
Pacific Coast Benefits Trust
$24,267
Pension
Western States Teamster Rep Retirement Plan
$6,670
Health and Welfare
Washington Teamsters Welfare Trust
$137,042
Team Legal Defense Fund
American Legal Services
$3,924
Health Insurance Deductibles Covered
Individuals
$756
Life Insurance
Teamsters Life with Dues Trust Fund
$7,197
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
018-395
Question 12: The Local Union's books were audited 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 $2,878 and net book value of $0 as of December 31, 2016.
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 Union's behalf.
Schedule 13, Row2:Dues
Cash Members are active members paying dues cash.
Schedule 13, Row3:Casual Dues Members are members who work part time in the freight industry.
Schedule 13, Row1:Active Members are members with voting rights on dues checkoff.