001-682 (LM2) 12/31/2016

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
001-682

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 252
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name DARREN	Last Name O'NEIL
P.O Box - Building and Room Number
Number and Street 217 E. MAIN ST.
City CENTRALIA
State WA	ZIP Code + 4 98531

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:

John S Felts

PRESIDENT

71. SIGNED:

Darren L O'Neil

TREASURER

Date:

Mar 27, 2017

Telephone Number:

360-580-6141

Date:

Mar 27, 2017

Telephone Number:

360-736-9979

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

ITEMS 10 THROUGH 21

FILE NUMBER: 001-682

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?	$242,000
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?	12/2017

20. How many members did the labor organization have at the end of the reporting period?

2,070

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	$19.00	$94.00
(b) Working Dues/Fees	0	per	Month	$19.00	$94.00
(c) Initiation Fees	0	per	One time	$40.00	$250.00
(d) Transfer Fees	n/a	per	n/a	n/a	n/a
(e) Work Permits	$25.00	per	Month	0	0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 001-682

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$1,373,029	$1,510,713
23. Accounts Receivable	1	$84,131	$81,490
24. Loans Receivable	2
25. U.S. Treasury Securities		$0	$0
26. Investments	5
27. Fixed Assets	6	$8,367	$5,337
28. Other Assets	7	$3,211
29. TOTAL ASSETS		$1,468,738	$1,597,540

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

$1,468,738

$1,597,540

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 001-682

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$1,242,814
37. Per Capita Tax		$0
38. Fees, Fines, Assessments, Work Permits		$28,283
39. Sale of Supplies		$15
40. Interest		$7,546
41. Dividends		$0
42. Rents		$360
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		$4,358
47. From Members for Disbursement on Their Behalf		$0
48. Other Receipts	14	$17,558
49. TOTAL RECEIPTS		$1,300,934

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$391,326
51. Political Activities and Lobbying		16	$3,919
52. Contributions, Gifts, and Grants		17	$9,960
53. General Overhead		18	$167,735
54. Union Administration		19	$34,095
55. Benefits		20	$214,193
56. Per Capita Tax			$305,490
57. Strike Benefits			$0
58. Fees, Fines, Assessments, etc.			$0
59. Supplies for Resale			$1,272
60. Purchase of Investments and Fixed Assets		4
61. Loans Made		2
62. Repayment of Loans Obtained		9
63. To Affiliates of Funds Collected on Their Behalf			$4,487
64. On Behalf of Individual Members			$0
65. Direct Taxes			$33,984

66. Subtotal			$1,166,461
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$107,215
67b. Less Total Disbursed	$104,004
67c. Total Withheld But Not Disbursed			$3,211
68. TOTAL DISBURSEMENTS			$1,163,250

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 001-682

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	$81,490	$897	$8,533
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B))	$81,490	$897	$8,533	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 2 - LOANS RECEIVABLE

FILE NUMBER: 001-682

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

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: 001-682

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: 001-682

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: 001-682

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))

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 001-682

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)

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment

$38,115

$32,778

$5,337

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B))

$38,115

$32,778

$5,337

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 001-682

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: 001-682

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: 001-682

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: 001-682

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: 001-682

(A)
Name

(B)
Title

(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

O'Neil , Darren L
Secretary-Treasurer
C

$86,393

$7,200

$3,252

$96,845

Schedule 15
Representational Activities

82 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

8 %

Schedule 19
Administration

10 %

A
B
C

Felts , John S
President
C

$3,700

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

Barr , Michael A
Vice-President
C

$4,351

$143

$4,494

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

Keller , Lynne T
Recording Secretary
C

$63,172

$600

$107

$63,879

Schedule 15
Representational Activities

2 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

95 %

Schedule 19
Administration

3 %

A
B
C

Miller , Daniel H
Trustee
C

$3,700

$125

$3,825

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

Aselton , Kevin T
Trustee
C

$4,351

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

Chase , Leigh
Trustee
C

$3,700

$90

$3,790

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	$149,565	$27,602	$3,717	$0	$180,884
Less Deductions					$40,152
Net Disbursements					$140,732

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 001-682

(A)
Name

(B)
Title

(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

Engelhart , Richard A
Business Agent
None

$71,917

$7,200

$2,241

$81,358

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

Pea , James C
Business Agent
None

$62,380

$7,200

$2,388

$71,968

Schedule 15
Representational Activities

95 %

Schedule 16
Political Activities and Lobbying

4 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

1 %

A
B
C

Walpole , Russell L
Business Agent
None

$75,191

$7,200

$3,008

$85,399

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 %

TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS

$9,147

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 %

Total Employee Disbursements	$218,635	$21,600	$7,637	$0	$247,872
Less Deductions					$67,063
Net Disbursements					$180,809

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 001-682

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	2,070
Agency Fee Payers*	14
Total Members/Fee Payers	2,084
*Agency Fee Payers are not considered members of the labor organization.
Active Members	1,950	Yes
New Applicant - Cash Pay	17	No
New Applicant - Check-Off	103	No

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 001-682

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$0
2. Named Payer Non-itemized Receipts	$17,542
3. All Other Receipts	$16
4. Total Receipts	$17,558

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	$9,960
6. Total Disbursements	$9,960

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$23,349
2. Named Payee Non-itemized Disbursements	$21,332
3. To Officers	$80,691
4. To Employees	$234,273
5. All Other Disbursements	$31,681
6. Total Disbursements	$391,326

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$12,363
2. Named Payee Non-itemized Disbursements	$51,818
3. To Officers	$68,433
4. To Employees	$9,147
5. All Other Disbursements	$25,974
6. Total Disbursements	$167,735

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	$2,879
5. All Other Disbursements	$1,040
6. Total Disbursements	$3,919

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$31,761
4. To Employees	$1,574
5. All Other Disbursements	$760
6. Total Disbursements	$34,095

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 001-682

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
Total Non-Itemized Transactions with this Payee/Payer		$5,230
Total of All Transactions with this Payee/Payer for This Schedule		$5,230

Name and Address
(A)

Teamsters-UPS NW Grievance Panel

217 East Main Street
Centralia
WA
98531

Type or Classification
(B)

Labor Organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$12,312
Total of All Transactions with this Payee/Payer for This Schedule		$12,312

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 001-682

Name and Address
(A)

Reid, McCarthy, Ballew & Leahy, LLP

100 West Harrison Street
Seattle
WA
98119

Type or Classification
(B)

Attorney

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$23,349
Total Non-Itemized Transactions with this Payee/Payer		$21,332
Total of All Transactions with this Payee/Payer for This Schedule		$44,681
Grievance and arbitration fees	03/14/2016	$5,425
Grievance and arbitration fees	04/11/2016	$9,340
Grievance and arbitration fees	11/21/2016	$8,584

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 001-682

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS

FILE NUMBER: 001-682

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 001-682

Name and Address
(A)

Barney & Barney
85638

Sand Diego
CA
92186

Type or Classification
(B)

Insurance Provider

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,323
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$6,323
Union liability insurance renewal	11/30/2016	$6,323

Name and Address
(A)

Century Link

213 E Main St
Centrailia
WA
98531

Type or Classification
(B)

Telecommunications Service Provider

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$7,541
Total of All Transactions with this Payee/Payer for This Schedule		$7,541

Name and Address
(A)

D.L.L. Financial Services, Inc.
41602

Philadelphia
PA
19101

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		$5,890
Total of All Transactions with this Payee/Payer for This Schedule		$5,890

Name and Address
(A)

Huebner, Dooley & McGinness, P.S.

1424 NE 155th St, Suite 100
Shoreline
WA
98155

Type or Classification
(B)

Certified Public Accountants

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,040
Total Non-Itemized Transactions with this Payee/Payer		$6,305
Total of All Transactions with this Payee/Payer for This Schedule		$12,345
2015 audit progress billing	03/08/2016	$6,040

Name and Address
(A)

Labor Building, LLC
8940

Tacoma
WA
98411

Type or Classification
(B)

Landlord

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,165
Total of All Transactions with this Payee/Payer for This Schedule		$6,165

Name and Address
(A)

Nelsmith Properties

213 East Main Street
Centrailia
WA
98531

Type or Classification
(B)

Landlord

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$20,400
Total of All Transactions with this Payee/Payer for This Schedule		$20,400

Name and Address
(A)

Pitney Bowes Purchase Power
371874

Phittsburgh
PA
15250

Type or Classification
(B)

Postage Supply Company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,517
Total of All Transactions with this Payee/Payer for This Schedule		$5,517

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 19 - UNION ADMINISTRATION

FILE NUMBER: 001-682

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS

FILE NUMBER: 001-682

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$214,193
Group Life Insurance	Teamsters Life With Dues Trust Fund	$21,504
Pension	Western States Teamsters Rep. Retirement Plan	$5,973
Health and Welfare	Washington Teamsters Welfare Trust	$97,659
Pension	Western Conference of Teamsters Pension Plan	$89,057

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 001-682

Question 12: The Local Union was audited by: Huebner, Dooley & McGinness, P.S. Certified Public Accountants 1424 NE 155th Street, Suite 100 Shoreline, WA 98155 www.hdm-cpa.com 206.522.8000

Question 15: The Local Union disposed of equipment during the current year with an original cost of $550 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 Unions behalf. In addition, the Local Union amended its Bylaws during the current year (see attached to this report).

Schedule 13, Row2:Initiation is not satisfied and can not vote.

Schedule 13, Row3:Members who have completed dues check-off authorization.

Schedule 13, Row1:Members who have satisfied their initiation fee.

Schedule 13, Row2:New applicants who choose to self pay or work for employee that does not participate in dues check-off.

Schedule 13, Row3:Initiation is not satisfied and can not vote.



Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)