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
024-471
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
572
7. UNIT NAME (if any)

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

Number and Street
450 E. CARSON PLAZA DR #A
City
CARSON
State
CA
ZIP Code + 4
907463227


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:Dennis E WatsonPRESIDENT71. SIGNED:Richard E MiddletonTREASURER
Date:Mar 14, 2017Telephone Number:310-515-0601Date:Mar 14, 2017Telephone Number:310-515-0601
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 024-471
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?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?No
19. What is the date of the labor organization's next regular election of officers?09/2019
20. How many members did the labor organization have at the end of the reporting period?11,121
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees18.41permember18.41138
(b) Working Dues/FeesN/Aper
(c) Initiation FeesVariesperNew member2001846.15
(d) Transfer FeesN/Aper
(e) Work PermitsN/Aper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 024-471

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $4,204,955$4,041,574
23. Accounts Receivable1$0$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$210,350$217,842
27. Fixed Assets6$672,584$675,885
28. Other Assets7$2,312$1,035
29. TOTAL ASSETS $5,090,201$4,936,336

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$0
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$0$2,985
34. TOTAL LIABILITIES $0$2,985
35. NET ASSETS$5,090,201$4,933,351
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 024-471

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $5,843,041
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $679,302
39. Sale of Supplies $1,183
40. Interest $27,587
41. Dividends $0
42. Rents $11,280
43. Sale of Investments and Fixed Assets3$1,000
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $13,630
47. From Members for Disbursement on Their Behalf $94
48. Other Receipts14$17,604
49. TOTAL RECEIPTS $6,594,721
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,913,997
51. Political Activities and Lobbying16$36,563
52. Contributions, Gifts, and Grants17$298,976
53. General Overhead18$816,537
54. Union Administration19$321,426
55. Benefits20$1,154,330
56. Per Capita Tax $1,635,767
57. Strike Benefits $167,733
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $1,179
60. Purchase of Investments and Fixed Assets4$141,741
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $13,375
64. On Behalf of Individual Members $72,941
65. Direct Taxes $186,522
  
66. Subtotal $6,761,087
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$819,978  
  67b. Less Total Disbursed$816,993  
  67c. Total Withheld But Not Disbursed $2,985
68. TOTAL DISBURSEMENTS $6,758,102
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 024-471

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: 024-471

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: 024-471

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$83,356$0$1,000$1,000
Automobile$65,979$0$1,000$1,000
Building Improvement - abandoned see stmt. 69$3,989$0$0$0
Furniture & Equipment - abandoned see stmt. 69$13,388$0$0$0
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$1,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 024-471

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$141,741$141,741$141,741
Automobile$118,730$118,730$118,730
Building Improvment - New A/C$7,865$7,865$7,865
Furniture & Equipment$7,654$7,654$7,654
Investments$7,492$7,492$7,492
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$141,741
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 024-471

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$217,842
B. Total Book Value$217,842
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • Blackrock Energy and Resource
$40,226
  • Intel
$39,379
  • Procter & Gamble
$20,139
  • Pfizer
$18,214
  • Citigroup
$17,054
  • Apple Inc.
$15,856
  • JP Morgan Chase
$11,689
  • Wal-mart
$11,206
  • Best Buy
$10,957
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)) $217,842
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 024-471

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      450 E. Carson Blvd., Carson, CA$232,000 $232,000$0
B. Buildings (give location)    
Building  1 :      450 E. Carson Blvd., Carson, CA$1,005,487$912,103$93,384$0
C. Automobiles and Other Vehicles$611,280$286,926$324,354$0
D. Office Furniture and Equipment$165,058$138,911$26,147$0
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $2,013,825$1,337,940$675,885$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 024-471

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $1,035
Storage Security Deposit $1,035
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 024-471

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: 024-471

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: 024-471

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $2,985
Payroll withholding taxes payable$2,985
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 024-471

(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
Middleton ,  Rick  
Secretary Treasurer
C
$190,522$15,455$205,977
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
7 % Schedule 17
Contributions
3 % Schedule 18
General Overhead
5 % Schedule 19
Administration
10 %
A
B
C
Watson ,  Dennis  
President
C
$199,562$6,150$205,712
I
Schedule 15
Representational Activities
86 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
2 % Schedule 18
General Overhead
Schedule 19
Administration
10 %
A
B
C
Garcia ,  Lourdes   M
Recording Secretary
C
$182,679$910$5,119$188,708
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
5 %
A
B
C
Ward ,  Linda  
Vice President
P
$4,360$14$4,374
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
42 % Schedule 19
Administration
58 %
A
B
C
Martinez ,  Frank  
Vice President
C
$6,760$6,760
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
Brewton ,  Lorraine  
Trustee
C
$4,061$6,610$43$10,714
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
Gallardo ,  Gerardo  
Trustee
C
$1,409$6,760$9$8,178
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
A
B
C
Flemister ,  Carolyn  
Trustee
N
$2,550$2,550
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
Total Officer Disbursements$578,233$27,950$26,790$0$632,973
Less Deductions    $244,138
Net Disbursements    $388,835
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 024-471

(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
Avila ,  Adrianna   S
Business Agent
N/A
$94,240$300$11,462$106,002
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
Schedule 18
General Overhead
1 % Schedule 19
Administration
A
B
C
Badger ,  Stephen  
Business Agent
N/A
$109,853$12,511$122,364
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
5 % Schedule 19
Administration
10 %
A
B
C
Beatty ,  Thomas   M
Business Agent
N/A
$98,670$520$5,715$104,905
I
Schedule 15
Representational Activities
88 % Schedule 16
Political Activities and Lobbying
10 % Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
2 %
A
B
C
Brown ,  Douglas   J
Business Agent
N/A
$94,802$520$9,835$105,157
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
5 %
A
B
C
Davidson ,  Don   J
Facility / Maintenance
N/A
$17,130$268$17,398
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
100 % Schedule 19
Administration
A
B
C
Del Castillo ,  Tish   H
Office Staff
N/A
$63,730$183$63,913
I
Schedule 15
Representational Activities
25 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
75 % Schedule 19
Administration
A
B
C
Delgado ,  Lorraine   E
Titan Operator
N/A
$62,191$300$172$62,663
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
99 % Schedule 19
Administration
1 %
A
B
C
Flammia ,  John   F
Business Agent
N/A
$102,234$520$7,741$110,495
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
1 % Schedule 18
General Overhead
2 % Schedule 19
Administration
1 %
A
B
C
Guitron ,  Graciela  
Business Agent
N/A
$87,090$9,034$96,124
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
5 % Schedule 19
Administration
5 %
A
B
C
Gutierrez ,  Laura   B
Office Clerk
N/A
$65,185$820$535$66,540
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
5 % Schedule 18
General Overhead
35 % Schedule 19
Administration
10 %
A
B
C
Holmes ,  Lonnie   L
Business Agent
N/A
$108,362$14,866$123,228
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
2 % Schedule 19
Administration
2 %
A
B
C
Li ,  Iris   J
Bookkeeper
N/A
$90,613$183$90,796
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
2 % Schedule 18
General Overhead
97 % Schedule 19
Administration
1 %
A
B
C
Phan ,  Elizabeth  
Titan Operator
N/A
$50,942$820$444$52,206
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
99 % Schedule 19
Administration
1 %
A
B
C
Roth ,  Carolina  
Office Manager
N/A
$98,638$820$1,534$100,992
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
95 % Schedule 19
Administration
5 %
A
B
C
Skifstrom ,  Tait   J
Business Agent
N/A
$109,806$520$8,238$118,564
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
2 % Schedule 19
Administration
2 %
A
B
C
Smith ,  Traci   D
Business Agent
N/A
$102,190$520$7,203$109,913
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
5 % Schedule 19
Administration
5 %
A
B
C
Villanueva ,  Jaime   O
Business Agent
N/A
$105,007$390$10,349$115,746
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
5 % Schedule 19
Administration
5 %
A
B
C
Ford ,  Michael  
Business Agent
N/A
$16,246$1,748$17,994
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$82,455$25,860$108,315
I Schedule 15
Representational Activities
49 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
26 % Schedule 19
Administration
25 %
Total Employee Disbursements$1,559,384$31,910$102,021$0$1,693,315
Less Deductions    $575,840
Net Disbursements    $1,117,475
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 024-471

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 11,121 
Agency Fee Payers*934
Total Members/Fee Payers12,055 
*Agency Fee Payers are not considered members of the labor organization.
Active members11,121Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 024-471

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$0
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$17,604
4. Total Receipts$17,604
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$158,366
2. Named Payee Non-itemized Disbursements$61,664
3. To Officers$10,293
4. To Employees$6,248
5. All Other Disbursements$62,405
6. Total Disbursements$298,976
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$112,128
2. Named Payee Non-itemized Disbursements$69,128
3. To Officers$510,668
4. To Employees$1,147,862
5. All Other Disbursements$74,211
6. Total Disbursements$1,913,997
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$118,027
2. Named Payee Non-itemized Disbursements$175,465
3. To Officers$12,136
4. To Employees$445,011
5. All Other Disbursements$65,898
6. Total Disbursements$816,537
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$18,532
4. To Employees$11,551
5. All Other Disbursements$6,480
6. Total Disbursements$36,563
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$85,344
2. Named Payee Non-itemized Disbursements$42,045
3. To Officers$81,343
4. To Employees$82,642
5. All Other Disbursements$30,052
6. Total Disbursements$321,426
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 024-471

There was no data found for this schedule.

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 024-471

Name and Address
(A)
Apple Spice

801 W. Victoria St. Suite E
Rancho Dominguez
CA
90220
Type or Classification
(B)
Restaurant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,895
Total of All Transactions with this Payee/Payer for This Schedule$8,895
Name and Address
(A)
Bush Gottlieb - A Law Corporation

500 N Central Avenue #800
Glendale
CA
91203
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$85,563
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$85,563
Legal Fees08/08/2016$16,837
Legal Fees09/13/2016$21,494
Legal Fees10/11/2016$26,990
Legal Fees11/02/2016$13,402
Legal Fees12/15/2016$6,840
Name and Address
(A)
Edward E. Hales

2726 Wolf Trail
Atlanta
GA
30349
Type or Classification
(B)
Arbitrator
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,253
Total of All Transactions with this Payee/Payer for This Schedule$5,253
Name and Address
(A)
HGMG, APLC

800 W. 6th St. #950
Los Angeles
CA
90017
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,302
Total Non-Itemized Transactions with this Payee/Payer$11,589
Total of All Transactions with this Payee/Payer for This Schedule$31,891
Legal Fees10/04/2016$9,776
Legal Fees11/01/2016$10,526
Name and Address
(A)
Panera Bread

20700 Avalon Blvd
Carson
CA
90746
Type or Classification
(B)
Restaurant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,204
Total of All Transactions with this Payee/Payer for This Schedule$11,204
Name and Address
(A)
Southwest Airlines
36647-1CR

Dallas
TX
75235
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,028
Total of All Transactions with this Payee/Payer for This Schedule$5,028
Name and Address
(A)
The Harman Press

6840 Vineland Avenue
North Hollywood
CA
91605
Type or Classification
(B)
Publishers
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,263
Total Non-Itemized Transactions with this Payee/Payer$4,098
Total of All Transactions with this Payee/Payer for This Schedule$10,361
Printing Services 01/12/2016$6,263
Name and Address
(A)
Verizon Wireless
660108

Dallas
TX
75266
Type or Classification
(B)
Cellular phone company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,169
Total of All Transactions with this Payee/Payer for This Schedule$17,169
Name and Address
(A)
Xerox Corporation
7405

Pasadena
CA
91109
Type or Classification
(B)
Equipment leasing and maintenance company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,892
Total of All Transactions with this Payee/Payer for This Schedule$5,892
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 024-471

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 024-471

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

Uniontown
OH
44685
Type or Classification
(B)
501( c )(3) organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution07/07/2016$10,000
Name and Address
(A)
Costco - Signal Hill

2200 E Willow St.
Signal Hill
CA
90755
Type or Classification
(B)
Membership wholesale retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,401
Total Non-Itemized Transactions with this Payee/Payer$2,519
Total of All Transactions with this Payee/Payer for This Schedule$15,920
Gifts for Membership01/04/2016$8,251
Gifts for Membership01/04/2016$5,150
Name and Address
(A)
Costco Wholesale

999 Lake Drive
Issaquah
WA
98027
Type or Classification
(B)
Membership wholesale retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,829
Total Non-Itemized Transactions with this Payee/Payer$7,863
Total of All Transactions with this Payee/Payer for This Schedule$16,692
Gifts for Membership11/25/2016$8,829
Name and Address
(A)
Impressions Specialty Advertising

1719 S. Grove Ave. Suite C
Ontario
CA
91761
Type or Classification
(B)
Promotional materials retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,855
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$17,855
Gifts for Membership10/12/2016$17,855
Name and Address
(A)
JC 42 Women's Conference

981 CorporateCenter Dr #200
Pomona
CA
91768
Type or Classification
(B)
501( c )(3) organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution06/16/2016$5,000
Name and Address
(A)
LAANE

464 Lucas Ave #202
Los Angeles
CA
90017
Type or Classification
(B)
501( c )(3) organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,200
Total of All Transactions with this Payee/Payer for This Schedule$5,200
Name and Address
(A)
Pappagalo Fine Jewelry Casting, Inc.

13521 Alondra Blvd.
Santa Fe Springs
CA
90670
Type or Classification
(B)
Jewelry retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,504
Total of All Transactions with this Payee/Payer for This Schedule$9,504
Name and Address
(A)
Program for Torture Victims

3550 Wilshire Blvd #1906
Los Angeles
CA
90010
Type or Classification
(B)
501( c )(3) organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution08/01/2016$10,000
Name and Address
(A)
Superior Ideas & Promotions LLC
4130

West Hills
CA
91308
Type or Classification
(B)
Promotional materials retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,846
Total Non-Itemized Transactions with this Payee/Payer$34,270
Total of All Transactions with this Payee/Payer for This Schedule$51,116
Gifts for Membership04/05/2016$5,794
Gifts for Membership10/14/2016$5,958
Gifts for Membership10/19/2016$5,094
Name and Address
(A)
Whittier Ink

3027 McNab Ave
Long Beach
CA
90808
Type or Classification
(B)
Promotional materials retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$76,435
Total Non-Itemized Transactions with this Payee/Payer$2,308
Total of All Transactions with this Payee/Payer for This Schedule$78,743
Gifts for Membership06/02/2016$9,923
Gifts for Membership07/08/2016$9,957
Gifts for Membership07/19/2016$43,316
Gifts for Membership08/18/2016$13,239
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 024-471

Name and Address
(A)
A.J. Longo & Associates

253 North Lake Ave
Pasadena
CA
91101
Type or Classification
(B)
Insurance broker
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,938
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$9,938
Liability Insurance Premium03/18/2016$9,938
Name and Address
(A)
Behar Public Relations

12048 Sulphur Mountain Road
Ojai
CA
93023
Type or Classification
(B)
Public relations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,500
Newsletter08/22/2016$7,500
Name and Address
(A)
Berkshire Hathaway Homestate Co
846693

Los Angeles
CA
90084
Type or Classification
(B)
Insurance broker
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,479
Total of All Transactions with this Payee/Payer for This Schedule$16,479
Name and Address
(A)
Cameric International Developments

454 Carson Plaza Dr. #110
Carson
CA
90746
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,000
Storage rental03/31/2016$6,000
Storage rental10/12/2016$6,000
Name and Address
(A)
Costco Business Delivery

6881 8th Street
Buena Park
CA
90620
Type or Classification
(B)
Membership wholesale retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,053
Total of All Transactions with this Payee/Payer for This Schedule$5,053
Name and Address
(A)
Duffy Kruspodin, LLP

21600 Oxnard St. #2000
Woodland Hills
CA
91367
Type or Classification
(B)
Certified public accountants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,250
Total Non-Itemized Transactions with this Payee/Payer$16,840
Total of All Transactions with this Payee/Payer for This Schedule$29,090
Accounting services04/25/2016$6,274
Accounting services07/29/2016$5,976
Name and Address
(A)
Harris Stationers Inc.

7100 Valjean Ave
Van Nuys
CA
91406
Type or Classification
(B)
Stationers
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,739
Total of All Transactions with this Payee/Payer for This Schedule$5,739
Name and Address
(A)
Independent Printers

12834 Victory Blvd
North Hollywood
CA
91606
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,434
Total of All Transactions with this Payee/Payer for This Schedule$15,434
Name and Address
(A)
Liberty Mutual Insurance
85834

San Diego
CA
92186
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,240
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,240
Insurance policy06/02/2016$6,240
Name and Address
(A)
Loews Hotel

1755 Highland Ave
Los Angeles
CA
90028
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,709
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$14,709
Rooms for membership event11/01/2016$14,709
Name and Address
(A)
Netready Systems Inc.

150 N Santa Anita Ave #888
Arcadia
CA
91006
Type or Classification
(B)
Information technology consultants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$27,512
Total of All Transactions with this Payee/Payer for This Schedule$27,512
Name and Address
(A)
Pitney Bowes Global Financial Services
371887

Pittsburgh
PA
15250
Type or Classification
(B)
Equipment Leasing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,718
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$22,718
Mailing system03/01/2016$5,703
Mailing system06/10/2016$5,703
Mailing system08/18/2016$5,703
Mailing system11/18/2016$5,609
Name and Address
(A)
Purchase Power
371874

Pittsburgh
PA
15250
Type or Classification
(B)
Metered postage provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,106
Total of All Transactions with this Payee/Payer for This Schedule$20,106
Name and Address
(A)
Southern CA Edison Company
300

Rosemead
CA
91771
Type or Classification
(B)
Utilities provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,000
Total of All Transactions with this Payee/Payer for This Schedule$18,000
Name and Address
(A)
Staples Corporate

921 N. Milliken Ave
Ontario
CA
91761
Type or Classification
(B)
Office supplies retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,639
Total of All Transactions with this Payee/Payer for This Schedule$9,639
Name and Address
(A)
TelePacific Communications
509013

San Diego
CA
92150
Type or Classification
(B)
Internet service provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,172
Total of All Transactions with this Payee/Payer for This Schedule$14,172
Name and Address
(A)
The Grand Long Beach

4101 E. Willow Street
Long Beach
CA
90815
Type or Classification
(B)
Event venue
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,360
Total Non-Itemized Transactions with this Payee/Payer$500
Total of All Transactions with this Payee/Payer for This Schedule$15,860
Catering for membership event01/04/2016$5,407
Catering for membership event11/07/2016$9,953
Name and Address
(A)
The Harman Press

6840 Vineland Ave
North Hollywood
CA
91605
Type or Classification
(B)
Printers
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,765
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,765
Newsletter08/25/2016$6,765
Name and Address
(A)
The Hartford
660916

Dallas
TX
75266
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,403
Total Non-Itemized Transactions with this Payee/Payer$1,628
Total of All Transactions with this Payee/Payer for This Schedule$7,031
Worker's compensation insurance premium11/08/2016$5,403
Name and Address
(A)
United States Postal Service

475 L'Enfant Plaza SW
Washington
DC
20260
Type or Classification
(B)
Postal service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,144
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,144
Postage for newsletter08/23/2016$5,144
Name and Address
(A)
Unlimited Services Assoc. of Long Beach

15133 Cabell Ave
Bellflower
CA
90706
Type or Classification
(B)
Cleaning and maintenance services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,250
Total of All Transactions with this Payee/Payer for This Schedule$8,250
Name and Address
(A)
Xerox Corporation
7405

Pasadena
CA
91109
Type or Classification
(B)
Equipment leasing & maintenance company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,113
Total of All Transactions with this Payee/Payer for This Schedule$16,113
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 024-471

Name and Address
(A)
American Airlines

619616
DFW Airport
TX
75261
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,382
Total of All Transactions with this Payee/Payer for This Schedule$5,382
Name and Address
(A)
Paris Las Vegas

3655 Las Vegas Blvd. South
Las Vegas
NV
89109
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,431
Total Non-Itemized Transactions with this Payee/Payer$64
Total of All Transactions with this Payee/Payer for This Schedule$27,495
Rooms for membership event07/01/2016$27,431
Name and Address
(A)
Precise Mailings

168 Beacon St.
So. San Francisco
CA
94080
Type or Classification
(B)
Mailing service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,377
Total of All Transactions with this Payee/Payer for This Schedule$9,377
Name and Address
(A)
TrueBallot, Inc.

3 Bethesda MetroCenter #700
Bethesda
MD
20814
Type or Classification
(B)
Election services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,596
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$24,596
Ballots for delegate election04/11/2016$24,596
Name and Address
(A)
UniLect
3026

Danville
CA
94526
Type or Classification
(B)
Election services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,251
Total Non-Itemized Transactions with this Payee/Payer$3,830
Total of All Transactions with this Payee/Payer for This Schedule$23,081
Ballots for delegate election05/20/2016$9,575
Ballots for delegate election06/06/2016$9,676
Name and Address
(A)
USPS

475 L'Enfant Plaza SW
Washington
DC
20260
Type or Classification
(B)
Postal Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,043
Total of All Transactions with this Payee/Payer for This Schedule$12,043
Name and Address
(A)
Wohlner, Kaplon, Cutler, Halford & Rosenfeld

16501 Ventura Blvd., #304
Encino
CA
91436
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,066
Total Non-Itemized Transactions with this Payee/Payer$11,349
Total of All Transactions with this Payee/Payer for This Schedule$25,415
Legal Fees05/10/2016$14,066
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 024-471

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,154,330
PensionTrusts$658,236
Health and WelfareTrusts$390,707
Steward duesLocal$99,444
Legal InsuranceTrusts$5,943
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 024-471


Question 10: Teamsters Multi Benefits Trust Health and Welfare FEIN 93-6231741 Plan #501 Teamsters Local 572 Retirement Health Plan Health and Welfare FEIN 95-6983367 Plan #007 The address for the above two trusts is Pac-Fed Benefit Administrators 1000 N. Central Ave, Suite 400 Glendale, CA 91202 Teamsters & Food Employers Security Trust Fund Health and Welfare FEIN 95-6048844 Plan #102 1050 Lake Drive, Suite 225 West Covina, CA 91790 Western Conference of Teamsters Pension Trust Fund Pension FEIN 91-6145047 Plan #501 2323 Eastlake Ave. East Seattle, WA 98102 Teamsters Western Region and New Jersey Health Care Fund Health and Welfare FEIN 86-6052021 Plan #501 2400 W. Dunlap Ave. #250 Phoenix, AZ 85021

Question 12: The audit was performed by an outside accountant, Duffy Kruspodin, LLP CPA's

Question 15: : Furniture and equipment having reached the end of its economic useful life and having no value was disposed of. Cost $13,388 and a net book value of $0 (cost minus accumulated depreciation. Building Improvements having reached the end of its economic useful life and having no value was disposed of. Cost $3,989 and a net book value of $0 (cost minus accumulated depreciation.

Schedule 13, Row1:Active members pay full dues and have voting rights consistent with eligibility requirements set forth in the by-laws.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)