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
018-978
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
436
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
GARY
Last Name
TIBONI
P.O Box - Building and Room Number
Number and Street
6051 CAREY DRIVE
City
VALLEY VIEW
State
OH
ZIP Code + 4
44125
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:
Gary M Tiboni
PRESIDENT
71. SIGNED:
John M Fortesque
TREASURER
Date:
Mar 29, 2017
Telephone
Number:
216-328-1833
Date:
Mar 29, 2017
Telephone
Number:
216-328-1833
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
018-978
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?
$235,000
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?
Yes
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?
2,660
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
N/A
per
MBR/MNTH
10.00
101.00
(b) Working Dues/Fees
per
(c) Initiation Fees
250.00
per
APPLCNT
(d) Transfer Fees
.50
per
TRNSFR
(e) Work Permits
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
018-978
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$311,790
$301,104
23. Accounts Receivable
1
$0
24. Loans Receivable
2
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$71,212
$73,631
27. Fixed Assets
6
$611,177
$593,569
28. Other Assets
7
$153
$153
29.
TOTAL ASSETS
$994,332
$968,457
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
$114,128
$79,862
33. Other Liabilities
10
$7,371
$6,771
34. TOTAL
LIABILITIES
$121,499
$86,633
35. NET
ASSETS
$872,833
$881,824
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
018-978
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,755,075
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$90,032
39. Sale of Supplies
$0
40. Interest
$2,140
41. Dividends
$0
42. Rents
$47,535
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
$3,003
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$20,064
49. TOTAL RECEIPTS
$1,917,849
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$508,202
51.
Political Activities and Lobbying
16
$0
52.
Contributions, Gifts, and Grants
17
$135,246
53. General
Overhead
18
$333,183
54. Union
Administration
19
$120,425
55. Benefits
20
$272,963
56. Per
Capita Tax
$466,963
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$16,708
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$3,003
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$71,842
66. Subtotal
$1,928,535
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$273,969
67b. Less Total
Disbursed
$273,969
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$1,928,535
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
018-978
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:
018-978
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:
018-978
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:
018-978
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$16,708
$16,708
$16,708
BUILDING IMPROVEMENTS
$10,040
$10,040
$10,040
OFFICE FURNITURE AND EQUIPMENT
$4,536
$4,536
$4,536
INVESTMENTS
$2,132
$2,132
$2,132
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$16,708
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
018-978
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
$73,631
B. Total Book Value
$73,631
C. List each
marketable security which has a book value over $5,000
and exceeds 5% of Line B.
150.505 SHARES, AMER FUNDS AMCAP FUND CLASS F2
$3,845
82.607 SHARES, AMER FUNDS EUROPACIFIC GROWTH FUND
$3,676
396.078 SHARES, PUTNAM EQUITY INCOME FUND Y SHARES
$7,550
122.469 SHARES, WELLS FARGO SPECIAL MID CAP VALUE
$3,719
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))
$73,631
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
018-978
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
6051 CAREY DRIVE, VALLEY VIEW OHIO
$127,636
$127,636
$127,000
B.
Buildings (give location)
Building
1
:
6051 CAEY DRIVE, VALLEY VIEW, OHIO
$1,047,322
$656,838
$390,484
$500,000
C. Automobiles
and
Other Vehicles
$19,335
$19,335
$0
$2,500
D. Office
Furniture
and Equipment
$102,821
$88,568
$14,253
$14,000
E.
Other Fixed Assets
$106,283
$45,087
$61,196
$60,000
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$1,403,397
$809,828
$593,569
$703,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
018-978
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$153
DEPOSIT - WORKERS COMPENSATION
$153
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
018-978
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:
018-978
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:
018-978
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$6,771
BACK PER CAPITA TAXES
$6,771
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
018-978
(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
TIBONI
,
GARY
PRESIDENT C
$116,300
$8,400
$2,052
$126,752
I
Schedule 15
Representational Activities
70
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
20
%
A
B
C
FORTESQUE
,
JOHN
SECRETARY-TREASURER C
$97,902
$9,600
$2,296
$109,798
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
20
%
A
B
C
PAVONE
,
CHRISTOPHER
VICE PRESIDENT C
$92,702
$9,600
$2,791
$105,093
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
20
%
A
B
C
ZART
,
MARY
RECORDING SECRETARY C
$84,256
$3,600
$644
$88,500
I
Schedule 15
Representational Activities
5
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
80
%
Schedule 19
Administration
15
%
A
B
C
KASHI
,
DENNIS
TRUSTEE C
$81,087
$9,600
$2,963
$93,650
I
Schedule 15
Representational Activities
85
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
15
%
A
B
C
CROW
,
FRED
TRUSTEE C
$61,023
$9,600
$3,447
$74,070
I
Schedule 15
Representational Activities
85
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
15
%
A
B
C
ALIOTO
,
SAL
TRUSTEE C
$4,047
$0
$573
$4,620
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
10
%
Total Officer
Disbursements
$537,317
$50,400
$14,766
$0
$602,483
Less Deductions
$222,224
Net
Disbursements
$380,259
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
018-978
(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
BEDNARSKI
,
PAMELA
ADMINISTRATIVE N/A
$53,675
$2,100
$399
$56,174
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
85
%
Schedule 19
Administration
5
%
A
B
C
GARDELLA
,
WILLIAM
MAINTENANCE N/A
$14,370
$0
$83
$14,453
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
TROXELL
,
DEBRA
ADMINISTRATIVE N/A
$26,393
$900
$344
$27,637
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
85
%
Schedule 19
Administration
5
%
A
B
C
SCAFARO
,
DONNA
ADMINISTRATIVE N/A
$17,600
$900
$119
$18,619
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
85
%
Schedule 19
Administration
5
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$13,184
$13,184
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
%
Total
Employee Disbursements
$125,222
$3,900
$945
$0
$130,067
Less
Deductions
$51,745
Net Disbursements
$78,322
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
018-978
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
2,660
Agency Fee Payers*
112
Total Members/Fee Payers
2,772
*Agency Fee Payers are
not considered members of the labor organization.
ACTIVE MEMBERS
2,660
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
018-978
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$0
2. Named Payer
Non-itemized Receipts
$17,817
3. All Other Receipts
$2,247
4. Total
Receipts
$20,064
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$101,949
2. Named Payee
Non-itemized Disbursements
$5,961
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$27,336
6. Total
Disbursements
$135,246
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$30,881
2. Named Payee
Non-itemized Disbursements
$30,734
3. To Officers
$411,322
4. To Employees
$23,427
5. All Other
Disbursements
$11,838
6. Total
Disbursements
$508,202
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$78,955
3. To Officers
$83,937
4. To Employees
$101,518
5. All Other
Disbursements
$68,773
6. Total
Disbursements
$333,183
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
6. Total
Disbursements
$0
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$107,225
4. To Employees
$5,122
5. All Other
Disbursements
$8,078
6. Total
Disbursements
$120,425
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
018-978
Name and Address
(A)
TEAMSTES LOCAL 436 PENSION
6051 CAREY DRIVE VALLEY VIEW OH 44128
Type or Classification
(B)
RELATED PLAN - ADMINISTRATIVE REIMBURSEMENTS
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$17,817
Total of All Transactions with this
Payee/Payer for This Schedule
$17,817
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
018-978
Name and Address
(A)
FAULKNER HOFFMAN & PHILLIPS
20445 EMERALD PARKWAY CLEVELAND OH 44135
Type or Classification
(B)
LAW FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,652
Total
Non-Itemized Transactions with this Payee/Payer
$14,868
Total of All Transactions with this
Payee/Payer for This Schedule
$20,520
LEGAL SERVICES
05/06/2016
$5,652
Name and Address
(A)
JERRY A FULLMER
1831 WEST 30TH STREET CLEVELAND OH
Type or Classification
(B)
ARBITRATOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,035
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$8,035
ARBITRATION
06/02/2016
$8,035
Name and Address
(A)
MANGANO LAW OFFICE
2245 WARRENSVILLE CENTER CLEVELAND OH 44118
Type or Classification
(B)
LAW FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$17,194
Total
Non-Itemized Transactions with this Payee/Payer
$10,839
Total of All Transactions with this
Payee/Payer for This Schedule
$28,033
LEGAL SERVICES
01/11/2016
$5,778
LEGAL SERVICES
09/07/2016
$5,377
LEGAL SERVICES
10/04/2016
$6,039
Name and Address
(A)
VERIZON WIRLESS 25506
LEHIGH VALLEY PA 18002
Type or Classification
(B)
CELLULAR PHONE SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,027
Total of All Transactions with this
Payee/Payer for This Schedule
$5,027
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
018-978
There was no data
found for this schedule.
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
018-978
Name and Address
(A)
AMERICAN SEAWAY FOODS
5300 RICHMOND ROAD BEDFORD HEIGHTS OH 44146
Type or Classification
(B)
VENDOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$35,086
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$35,086
MEMBERSHIP TURKEY PASSOUT
01/13/2016
$5,000
MEMBERSHIP TURKEY PASSOUT
02/17/2016
$5,000
MEMBERSHIP TURKEY PASSOUT
03/22/2016
$5,000
MEMBERSHIP TURKEY PASSOUT
04/13/2016
$5,000
MEMBERSHIP TURKEY PASSOUT
05/19/2016
$5,000
MEMBERSHIP TURKEY PASSOUT
06/15/2016
$5,000
MEMBERSHIP TURKEY PASSOUT
07/13/2016
$5,086
Name and Address
(A)
FOLEY ASSOCIATES 450647
WESTLAKE OH 44145
Type or Classification
(B)
MERCHANDISE VENDOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,322
Total
Non-Itemized Transactions with this Payee/Payer
$2,961
Total of All Transactions with this
Payee/Payer for This Schedule
$9,283
MEMBERSHIP GIFTS
04/21/2016
$6,322
Name and Address
(A)
GIANT EAGLE 951676
CLEVELAND OH 44193
Type or Classification
(B)
VENDOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,086
Total
Non-Itemized Transactions with this Payee/Payer
$3,000
Total of All Transactions with this
Payee/Payer for This Schedule
$8,086
MEMBERSHIP GIFTS
01/07/2016
$5,086
Name and Address
(A)
INDEPENDENCE BANK
4401 ROCKSIDE ROAD INDEPENDENCE OH
Type or Classification
(B)
COMMERCIAL BANK
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$11,288
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$11,288
MEMBERSHIP GIFTS
10/18/2016
$11,288
Name and Address
(A)
PLEASANT HILLS GOLF COURSE 139
CHARDON OH 44024
Type or Classification
(B)
GOLF COURSE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,328
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$6,328
GREEN FEES AND LUNCH CATERING
07/25/2016
$6,328
Name and Address
(A)
SYSCO FOODS 94570
CLEVELAND OH 44101
Type or Classification
(B)
VENDOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$37,839
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$37,839
MEMBERSHIP TURKEY PASSOUT
11/23/2016
$37,839
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
018-978
Name and Address
(A)
AT&T 5019
CAROL STREAM IL 60197
Type or Classification
(B)
TELECOMMUNICATIONS AND INTERNET SERVICE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$9,197
Total of All Transactions with this
Payee/Payer for This Schedule
$9,197
Name and Address
(A)
ENGINEERED MECHANICAL GROUP
448 PARK PLACE BEREA OH 44017
Type or Classification
(B)
HVAC MAINTENANCE CONTRACTOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,565
Total of All Transactions with this
Payee/Payer for This Schedule
$5,565
Name and Address
(A)
INDEPENDENCE BANK
4401 ROCKSIDE ROAD INDEPENDENCE OH 44131
Type or Classification
(B)
COMMERCIAL BANK - MORTGAGE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$40,979
Total of All Transactions with this
Payee/Payer for This Schedule
$40,979
Name and Address
(A)
PATRICIA GARDELLA
9425 LEDGE ACRE MACEDONIA OH 44058
Type or Classification
(B)
CLEANING SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,115
Total of All Transactions with this
Payee/Payer for This Schedule
$8,115
Name and Address
(A)
PURCHASE POWER 371874
PITTSBURGH PA 15250
Type or Classification
(B)
POSTAGE AND MAILING SUPPLIES
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,402
Total of All Transactions with this
Payee/Payer for This Schedule
$7,402
Name and Address
(A)
THE ILLUMINATING COMPANY 3638
AKRON OH 44309
Type or Classification
(B)
UTILITY PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,697
Total of All Transactions with this
Payee/Payer for This Schedule
$7,697
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
018-978
There was no data
found for this schedule.
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
018-978
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$272,963
PENSION
TEAMSTERS LOCAL 436 PENSION FUND
$168,428
HEALTH AND WELFARE
TEAMSTERS LOCAL 436 HEALTH AND WELFARE
$98,824
LONG TERM LIABILITY
TEAMSTERS LOCAL 436 HEALTH AND WELFARE
$2,817
LIFE INSURANCE
AUTO OWNERS INSURANCE
$2,894
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
018-978
Question 10: EXCAVATING BUILDING MATERIAL AND CONSTRUCTION UNION LOCAL 436 HEALTH AND WELFARE FUND EIN 34-0821253, PN 501, PROVIDES HEALTH AND WELFARE BENEFITS. BUILDING MATERIAL DRIVERS LOCAL 436 PENSION FUND 34-6665225, PN 501, PROVIDES PENSION BENEFITS. BOTH PLANS ARE LOCATED AT 6051 CAREY DRIVE, VALLEY VIEW, OHIO 44125 AND FILE FORM 5500 WITH THE U.S. DEPARTMENT OF LABOR.
Question 15: OBSOLETE OFFICE EQUIPMENT PURCHASED AT A COST OF $4,653, HAD ACCUMULATED DEPRECIATION OF $4,458 AND A NET BOOK VALUE OF $195 WAS SCRAPPED.
Question 12: THE BOOKS AND RECORDS HAVE BEEN AUDITED BY OUTSIDE ACCOUNTANT MAYOR CPA GROUP, LLC.
Question 16: MORTGAGE PAYABLE IS SECURED BY THE LAND PURCHASED AND BUILDING CONSTRUCTED WITH LOAN PROCEEDS.
Question 18: THE LOCAL IS GOVERNED BY A UNIFORM CONSTITUTION PRESCRIBED BY THE INTERNATIONAL UNION AND THE INTERNATIONAL UNION WILL FILE ON THE LOCAL'S BEHALF.
Schedule 13, Row1:MEMBERS WORKING IN THE INDUSTRY PAYING FULL DUES.