005-568 (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
005-568

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.) JOINT COUNCIL	6. DESIGNATION NBR 42
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name RANDY	Last Name CAMMACK
P.O Box - Building and Room Number
Number and Street 981 CORPORATE CTR DR. #200
City POMONA
State CA	ZIP Code + 4 91768

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:

Randolph W Cammack

PRESIDENT

71. SIGNED:

Ernest M Bergen

TREASURER

Date:

Mar 30, 2017

Telephone Number:

626-974-4212

Date:

Mar 29, 2017

Telephone Number:

909-877-8326

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

ITEMS 10 THROUGH 21

FILE NUMBER: 005-568

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?	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?	02/2018

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

169,209

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	Varies	per	Member	1.25	1.70
(b) Working Dues/Fees	N/A	per
(c) Initiation Fees	N/A	per
(d) Transfer Fees	N/A	per
(e) Work Permits	N/A	per

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

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 005-568

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$534,144	$526,914
23. Accounts Receivable	1	$0	$0
24. Loans Receivable	2	$0
25. U.S. Treasury Securities		$0	$0
26. Investments	5	$454,462	$454,462
27. Fixed Assets	6	$190,583	$248,870
28. Other Assets	7	$20,277	$16,885
29. TOTAL ASSETS		$1,199,466	$1,247,131

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8	$0	$0
31. Loans Payable	9	$82,722	$149,079
32. Mortgages Payable		$0	$0
33. Other Liabilities	10	$3,007	$4,108
34. TOTAL LIABILITIES		$85,729	$153,187

35. NET ASSETS

$1,113,737

$1,093,944

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

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 005-568

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$0
37. Per Capita Tax		$3,005,515
38. Fees, Fines, Assessments, Work Permits		$0
39. Sale of Supplies		$2,676
40. Interest		$19,030
41. Dividends		$0
42. Rents		$6,000
43. Sale of Investments and Fixed Assets	3	$15,000
44. Loans Obtained	9	$92,327
45. Repayments of Loans Made	2
46. On Behalf of Affiliates for Transmittal to Them		$0
47. From Members for Disbursement on Their Behalf		$0
48. Other Receipts	14	$959,863
49. TOTAL RECEIPTS		$4,100,411

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$928,509
51. Political Activities and Lobbying		16	$129,704
52. Contributions, Gifts, and Grants		17	$102,774
53. General Overhead		18	$986,909
54. Union Administration		19	$531,347
55. Benefits		20	$719,697
56. Per Capita Tax			$464,485
57. Strike Benefits			$0
58. Fees, Fines, Assessments, etc.			$0
59. Supplies for Resale			$0
60. Purchase of Investments and Fixed Assets		4	$106,280
61. Loans Made		2
62. Repayment of Loans Obtained		9	$25,970
63. To Affiliates of Funds Collected on Their Behalf			$0
64. On Behalf of Individual Members			$0
65. Direct Taxes			$116,074

66. Subtotal			$4,111,749
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$456,816
67b. Less Total Disbursed	$452,708
67c. Total Withheld But Not Disbursed			$4,108
68. TOTAL DISBURSEMENTS			$4,107,641

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

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 005-568

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: 005-568

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: 005-568

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	$150,546	$0	$15,000	$15,000
BBQ Trailer-donated-See stmt. 69	$2,020	$0	$0	$0
Automobiles	$75,580	$0	$12,500	$12,500
Equipment-abandoned-See stmt. 69	$68,520	$0	$0	$0
Equipment	$4,426	$0	$2,500	$2,500

				Less Reinvestments	$0
(The total from Net Sales Line will be automatically entered in Item 43)				Net Sales	$15,000

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

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 005-568

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Cash Paid (D)
Total of all lines above	$106,280	$106,280	$106,280
Automobiles	$101,724	$101,724	$101,724
Equipment	$2,202	$2,202	$2,202
Truck improvements	$2,354	$2,354	$2,354

		Less Reinvestments	$0
(The total from Net Purchases Line will be automatically entered in Item 60.)		Net Purchases	$106,280

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

SCHEDULE 5 - INVESTMENTS

FILE NUMBER: 005-568

Description (A)	Amount (B)
Marketable Securities
A. Total Cost	$454,462
B. Total Book Value	$454,462
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.

ALPS Alerian MLP EFT	$37,580
Eaton Vance Floating Rate ADV	$160,000
First TR SR FL II SR Float Rate Inc. Fund	$47,568
Metro West Low Duration Bond Fund	$120,000
Metropolitan West Total Return Bond Fund	$30,000
Vanguard REIT ETF	$30,194
Vanguard Global EX-US Real Est.	$29,120

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))

$454,462

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

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 005-568

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

$213,208

$33,443

$179,765

D. Office Furniture and Equipment

$144,121

$108,427

$35,694

E. Other Fixed Assets

$42,998

$9,587

$33,411

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

$400,327

$151,457

$248,870

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

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 005-568

Description (A)	Book Value (B)
Total (Total will be automatically entered in Item 28, Column(B))	$16,885
Lease deposit	$16,885

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

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE

FILE NUMBER: 005-568

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: 005-568

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	$82,722	$92,327	$25,970	$0	$149,079
Totals will be automatically entered in...	Item 31 Column (C)	Item 44	Item 62	Item 69 with Explanation	Item 31 Column (D)
Ford Credit-Auto loan	$0	$92,327	$12,310	$0	$80,017
Ascentium-Truck loan	$82,722	$0	$13,660	$0	$69,062

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

SCHEDULE 10 - OTHER LIABILITIES

FILE NUMBER: 005-568

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$4,108
Payroll taxes and withholding payable	$4,108

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

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 005-568

(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

Bergen , Mike
Secretary-Treasurer
C

$8,450

$235

$8,685

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

20 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

80 %

A
B
C

Cammack , Randy
President
C

$96,542

$5,001

$101,543

Schedule 15
Representational Activities

30 %

Schedule 16
Political Activities and Lobbying

5 %

Schedule 17
Contributions

5 %

Schedule 18
General Overhead

10 %

Schedule 19
Administration

50 %

A
B
C

Griswold , Christopher
Trustee
C

$8,450

$299

$8,749

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

Herrera , Ron
Recording Secretary
C

$8,450

$147

$8,597

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

Kelly , Patrick
Trustee
C

$8,450

$502

$8,952

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

Lennox , Robert
Vice President
C

$8,450

$553

$9,003

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

20 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

80 %

A
B
C

Middleton , Rick
Trustee
C

$8,450

$672

$9,122

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	$147,242	$0	$7,409	$0	$154,651
Less Deductions					$73,922
Net Disbursements					$80,729

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

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 005-568

(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

Amaya , Robert
Project Organizer
N/A

$57,200

$6,000

$8,622

$71,822

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

Arevalo , Wilver
Project Organizer
N/A

$45,796

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

Berghoefer , Richard
Project Manager
N/A

$62,400

$6,000

$4,909

$73,309

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

Camacho , Pablo
Project Manager
N/A

$17,078

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

Corona , Ramon
Project Organizer
N/A

$37,400

$4,000

$3,058

$44,458

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

Culwell , Donna
Driver/Staff
N/A

$78,645

$1,773

$80,418

Schedule 15
Representational Activities

35 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

5 %

Schedule 18
General Overhead

60 %

Schedule 19
Administration

0 %

A
B
C

Frothingham , Patricia
Executive Secretary
N/A

$71,700

$1,146

$72,846

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

10 %

Schedule 17
Contributions

5 %

Schedule 18
General Overhead

80 %

Schedule 19
Administration

5 %

A
B
C

Kennedy , Denise
Controller
N/A

$85,635

$1,107

$86,742

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

3 %

Schedule 18
General Overhead

87 %

Schedule 19
Administration

10 %

A
B
C

Korgan , Randy
Organizing Director
N/A

$1,154

$60,000

$994

$62,148

Schedule 15
Representational Activities

75 %

Schedule 16
Political Activities and Lobbying

5 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

20 %

A
B
C

Martinez , Douglas
Project Organizer
N/A

$67,600

$6,500

$3,829

$77,929

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

Mihalow , Alicia
Secretary
N/A

$37,634

$767

$38,401

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

5 %

Schedule 18
General Overhead

80 %

Schedule 19
Administration

15 %

A
B
C

Mihalow , Paul
Assist. to the President
N/A

$126,678

$8,611

$135,289

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

5 %

Schedule 18
General Overhead

75 %

Schedule 19
Administration

20 %

A
B
C

Molina , Rosio
Secretary
N/A

$70,392

$1,875

$72,267

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

10 %

Schedule 18
General Overhead

80 %

Schedule 19
Administration

10 %

A
B
C

Moran , Marc
Project Organizer
N/A

$63,800

$6,500

$9,662

$79,962

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

Palone , Jacqueline
Secretary
N/A

$89,550

$2,950

$92,500

Schedule 15
Representational Activities

80 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

5 %

Schedule 18
General Overhead

10 %

Schedule 19
Administration

5 %

A
B
C

Rendon , Edward
Director of Public Affair
N/A

$107,467

$13,024

$120,491

Schedule 15
Representational Activities

17 %

Schedule 16
Political Activities and Lobbying

68 %

Schedule 17
Contributions

5 %

Schedule 18
General Overhead

5 %

Schedule 19
Administration

5 %

A
B
C

Sierra , Peter
Project Organizer
N/A

$23,709

$2,000

$2,084

$27,793

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

0 %

TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS

$16,900

$1,000

$1,170

$19,070

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 Employee Disbursements	$1,060,738	$92,000	$65,581	$0	$1,218,319
Less Deductions					$382,894
Net Disbursements					$835,425

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

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 005-568

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	169,209
Agency Fee Payers*	0
Total Members/Fee Payers	169,209
*Agency Fee Payers are not considered members of the labor organization.
Active Members	169,209	Yes

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

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 005-568

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$876,444
2. Named Payer Non-itemized Receipts	$32,594
3. All Other Receipts	$50,825
4. Total Receipts	$959,863

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$27,357
3. To Officers	$8,615
4. To Employees	$36,826
5. All Other Disbursements	$29,976
6. Total Disbursements	$102,774

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$238,902
3. To Officers	$30,463
4. To Employees	$607,387
5. All Other Disbursements	$51,757
6. Total Disbursements	$928,509

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$60,368
2. Named Payee Non-itemized Disbursements	$427,781
3. To Officers	$10,154
4. To Employees	$387,271
5. All Other Disbursements	$101,335
6. Total Disbursements	$986,909

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$24,599
3. To Officers	$5,077
4. To Employees	$92,326
5. All Other Disbursements	$7,702
6. Total Disbursements	$129,704

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$43,533
2. Named Payee Non-itemized Disbursements	$257,759
3. To Officers	$100,342
4. To Employees	$94,511
5. All Other Disbursements	$35,202
6. Total Disbursements	$531,347

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

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 005-568

Name and Address
(A)

California Offset Printers, Inc.
4010

Castaic
CA
91310

Type or Classification
(B)

Printing services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$9,064
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$9,064
Refund of unused postage	02/22/2016	$9,064

Name and Address
(A)

International Brotherhood of Teamsters

25 Louisiana Ave. NW
Washington
DC
20001

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$697,210
Total Non-Itemized Transactions with this Payee/Payer		$3,857
Total of All Transactions with this Payee/Payer for This Schedule		$701,067
Reimbursed salary and benefits	02/12/2016	$15,573
Reimbursed salary and benefits	02/22/2016	$15,892
Reimbursed salary and benefits	02/22/2016	$47,527
Reimbursed salary and benefits	03/25/2016	$47,760
Reimbursed salary and benefits	03/25/2016	$16,582
Reimbursed salary and benefits	03/31/2016	$49,563
Reimbursed salary and benefits	03/31/2016	$11,151
Reimbursed salary and benefits	04/29/2016	$9,360
Reimbursed salary and benefits	04/29/2016	$59,753
Reimbursed salary and benefits	05/31/2016	$7,331
Reimbursed salary and benefits	06/09/2016	$51,357
Reimbursed salary and benefits	06/28/2016	$7,729
Reimbursed salary and benefits	07/29/2016	$47,946
Reimbursed salary and benefits	07/29/2016	$7,331
Reimbursed salary and benefits	08/12/2016	$6,118
Reimbursed salary and benefits	08/12/2016	$41,024
Reimbursed salary and benefits	08/22/2016	$7,331
Reimbursed salary and benefits	09/06/2016	$9,830
Reimbursed salary and benefits	09/15/2016	$47,482
Reimbursed salary and benefits	09/30/2016	$7,729
Reimbursed salary and benefits	10/07/2016	$51,261
Reimbursed salary and benefits	11/03/2016	$9,360
Reimbursed salary and benefits	11/08/2016	$61,627
Reimbursed salary and benefits	11/30/2016	$7,331
Reimbursed salary and benefits	12/29/2016	$5,700
Reimbursed salary and benefits	12/29/2016	$47,562

Name and Address
(A)

Local 14

1250 Burnham Ave., 2nd Fl
Las Vegas
NV
89104

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$980
Total of All Transactions with this Payee/Payer for This Schedule		$5,980
Women's conference donation	06/22/2016	$5,000

Name and Address
(A)

Local 166
899

Bloomington
CA
92316

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,893
Total Non-Itemized Transactions with this Payee/Payer		$559
Total of All Transactions with this Payee/Payer for This Schedule		$7,452
Contract duplicating	12/29/2016	$6,893

Name and Address
(A)

Local 186

1534 Eastman Ave. #B
Ventura
CA
93003

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,339
Total of All Transactions with this Payee/Payer for This Schedule		$5,339

Name and Address
(A)

Local 396

880 Oak Park Rd. #200
Covina
CA
91724

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,000
Total Non-Itemized Transactions with this Payee/Payer		$736
Total of All Transactions with this Payee/Payer for This Schedule		$6,736
Women's conference donation	09/01/2016	$6,000

Name and Address
(A)

Local 399
6017

North Hollywood
CA
91603

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$3,530
Total of All Transactions with this Payee/Payer for This Schedule		$8,530
Women's conference donation	06/14/2016	$5,000

Name and Address
(A)

Local 572

450 Carson Plaza Dr. #A
Carson
CA
90746

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$978
Total of All Transactions with this Payee/Payer for This Schedule		$5,978
Women's conference donation	07/08/2016	$5,000

Name and Address
(A)

Local 630

750 S. Stanford Ave.
Los Angeles
CA
90021

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$568
Total of All Transactions with this Payee/Payer for This Schedule		$5,568
Women's conference donation	07/08/2016	$5,000

Name and Address
(A)

Local 848

731 E. Arrow Hwy.
Glendora
CA
91740

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$3,289
Total of All Transactions with this Payee/Payer for This Schedule		$8,289
Women's conference donation	09/08/2016	$5,000

Name and Address
(A)

Local 896

3303 Wilshire Blvd. #300
Los Angeles
CA
90010

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$1,371
Total of All Transactions with this Payee/Payer for This Schedule		$6,371
Women's conference donation	09/08/2016	$5,000

Name and Address
(A)

Local 952

140 South Marks Way
Orange
CA
92868

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$7,452
Total of All Transactions with this Payee/Payer for This Schedule		$12,452
Women's conference donation	09/09/2016	$5,000

Name and Address
(A)

Local 986

1198 Durfee Avenue
So. El Monte
CA
91733

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$3,899
Total of All Transactions with this Payee/Payer for This Schedule		$8,899
Women's conference donation	06/14/2016	$5,000

Name and Address
(A)

Northwest Administrators

2323 Eastlake Ave. E
Seattle
WA
98102

Type or Classification
(B)

Benefits administrator

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,500
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$6,500
Women's conference donation	08/19/2016	$6,500

Name and Address
(A)

SBPEA/Teamsters Local 1932

433 N. Sierra Way
San Bernardino
CA
92410

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$105,777
Total Non-Itemized Transactions with this Payee/Payer		$26
Total of All Transactions with this Payee/Payer for This Schedule		$105,803
Reimbursed salary and benefits	05/31/2016	$9,339
Reimbursed salary and benefits	05/31/2016	$10,885
Reimbursed salary and benefits	07/29/2016	$10,907
Reimbursed professional fees paid	08/29/2016	$10,533
Reimbursed salary and benefits	08/29/2016	$11,305
Reimbursed salary and benefits	10/14/2016	$14,689
Reimbursed salary and benefits	11/08/2016	$10,907
Reimbursed salary and benefits	12/09/2016	$11,305
Women's conference donation	07/28/2016	$5,000
Reimbursed salary and benefits	12/29/2016	$10,907

Name and Address
(A)

Teamsters Local 2010

400 Roland Way #2010
Oakland
CA
94621

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$10
Total of All Transactions with this Payee/Payer for This Schedule		$5,010
Women's conference donation	07/28/2016	$5,000

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

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 005-568

Name and Address
(A)

Baptiste & Wilder, P.C.

1150 Connecticut Ave., NW
Washington
DC
20036

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		$37,490
Total of All Transactions with this Payee/Payer for This Schedule		$37,490

Name and Address
(A)

Beeson, Tayer & Bodine

483 - 9th Street, Suite 200
Oakland
CA
94607

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		$30,932
Total of All Transactions with this Payee/Payer for This Schedule		$30,932

Name and Address
(A)

Hayes & Cunningham, LLP

5925 Kearny Villa Rd. #201
San Diego
CA
92123

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		$19,749
Total of All Transactions with this Payee/Payer for This Schedule		$19,749

Name and Address
(A)

Hayes & Ortega, LLP

3625 Ruffin Road, #300
San Diego
CA
92123

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		$27,461
Total of All Transactions with this Payee/Payer for This Schedule		$27,461

Name and Address
(A)

PDQ Printing of Las Vegas, Inc.

3820 S. Valley View Blvd.
Las Vegas
NV
89103

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		$9,085
Total of All Transactions with this Payee/Payer for This Schedule		$9,085

Name and Address
(A)

Teamsters Local 104

1450 S. 27th Avenue
Phoenix
AZ
85009

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,185
Total of All Transactions with this Payee/Payer for This Schedule		$6,185

Name and Address
(A)

Teamsters Local 2010

400 Roland Way, #2010
Oakland
CA
94621

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$12,000
Total of All Transactions with this Payee/Payer for This Schedule		$12,000

Name and Address
(A)

Wohlner, Kaplon, Cutler, et. al.

16501 Ventura Blvd., #304
Encino
CA
91436

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		$96,000
Total of All Transactions with this Payee/Payer for This Schedule		$96,000

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

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 005-568

Name and Address
(A)

California Offset Printers, Inc.
4010

Castaic
CA
91310-4010

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		$12,129
Total of All Transactions with this Payee/Payer for This Schedule		$12,129

Name and Address
(A)

Postmaster, Mailing Requirements

7001 S. Central
Los Angeles
CA
90052

Type or Classification
(B)

Bulk mailing postage

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$12,470
Total of All Transactions with this Payee/Payer for This Schedule		$12,470

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

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS

FILE NUMBER: 005-568

Name and Address
(A)

Int'l Brotherhood of Teamsters

25 Louisiana Ave. NW
Washington
DC
20001

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$7,357
Total of All Transactions with this Payee/Payer for This Schedule		$7,357

Name and Address
(A)

Jewish Labor Committee

8339 West Third St. #2
Los Angeles
CA
90048

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		$5,000
Total of All Transactions with this Payee/Payer for This Schedule		$5,000

Name and Address
(A)

L.A. County Federation of Labor

2130 W. James M. Wood Blvd.
Los Angeles
CA
90006

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,000
Total of All Transactions with this Payee/Payer for This Schedule		$5,000

Name and Address
(A)

Local 542
600507

San Diego
CA
92160

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,000
Total of All Transactions with this Payee/Payer for This Schedule		$5,000

Name and Address
(A)

State Bldg. & Construction Trades

1231 "I" Street, #302
Sacramento
CA
95814

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,000
Total of All Transactions with this Payee/Payer for This Schedule		$5,000

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

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 005-568

Name and Address
(A)

A J Longo and Associates

253 N. Lake Avenue
Pasadena
CA
91101

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		$21,270
Total of All Transactions with this Payee/Payer for This Schedule		$21,270

Name and Address
(A)

Andree Jette

139 CH Black
Mille-Isles, QC J0R 1A0
00
00000

Type or Classification
(B)

Guest speaker

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,788
Total of All Transactions with this Payee/Payer for This Schedule		$6,788

Name and Address
(A)

Ascentium Capital LLC
301593

Dallas
TX
75303

Type or Classification
(B)

Finance company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$9,176
Total of All Transactions with this Payee/Payer for This Schedule		$9,176

Name and Address
(A)

Computerized Embroidery Company Inc.

673 E Cooley Drive #101
Colton
CA
92324

Type or Classification
(B)

Promotional items retailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,261
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$7,261
Promotional items - Women's Conference	09/29/2016	$7,261

Name and Address
(A)

Despars Embroidery

1040 N Pasadena Avenue
Azusa
CA
91702

Type or Classification
(B)

Promotional items retailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$14,388
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$14,388
Tote Bags - Women's Conference	09/06/2016	$14,388

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
Total Non-Itemized Transactions with this Payee/Payer		$29,144
Total of All Transactions with this Payee/Payer for This Schedule		$29,144

Name and Address
(A)

Khanh Tran - dba K&T Netcom

3406 Bartlett Ave.
Rosemead
CA
91770

Type or Classification
(B)

Information technology consultant

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$27,562
Total of All Transactions with this Payee/Payer for This Schedule		$27,562

Name and Address
(A)

Labor Benefits, LLC

10104 Senate Drive #233
Lanham
MD
20706

Type or Classification
(B)

Insurance company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$13,002
Total of All Transactions with this Payee/Payer for This Schedule		$13,002

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		$12,960
Total Non-Itemized Transactions with this Payee/Payer		$3,209
Total of All Transactions with this Payee/Payer for This Schedule		$16,169
Insurance premium	10/05/2016	$12,960

Name and Address
(A)

Northwest Administrators, Inc.

2323 Eastlake Avenue E
Seattle
WA
98102

Type or Classification
(B)

Benefits administrator

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,505
Total of All Transactions with this Payee/Payer for This Schedule		$6,505

Name and Address
(A)

Ohm Nightclub

6801 Holyywood Bld #433
Los Angeles
CA
90028

Type or Classification
(B)

Event facility

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,322
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$6,322
Women's Conference event	08/26/2016	$6,322

Name and Address
(A)

Paetec
9001013

Louisville
KY
40290

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		$18,547
Total of All Transactions with this Payee/Payer for This Schedule		$18,547

Name and Address
(A)

Pomona Corporate Plaza, LLC
503934

San Diego
CA
92150

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		$197,596
Total of All Transactions with this Payee/Payer for This Schedule		$197,596

Name and Address
(A)

Robert Turner

4408 Presidio Drive
View Park
CA

Type or Classification
(B)

Consultant

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,923
Total of All Transactions with this Payee/Payer for This Schedule		$5,923

Name and Address
(A)

State Compensation Insurance Fund
7441

San Francisco
CA

Type or Classification
(B)

Insurance company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,643
Total of All Transactions with this Payee/Payer for This Schedule		$5,643

Name and Address
(A)

Superior Ideas and Promotions LLC
4130

West Hills
CA
91308

Type or Classification
(B)

Promotional Items Retailer

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,277
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$8,277
Pins - Women's Conference	09/29/2016	$8,277

Name and Address
(A)

Teamsters Local No. 63

379 West Valley Blvd
Rialto
CA
92376

Type or Classification
(B)

Affiliated labor union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$11,160
Total Non-Itemized Transactions with this Payee/Payer		$4,841
Total of All Transactions with this Payee/Payer for This Schedule		$16,001
Reimb. expense - Women's Conference	08/05/2016	$11,160

Name and Address
(A)

The Harman Press

6840 Vineland Avenue
North Hollywood
CA
91605

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		$5,857
Total of All Transactions with this Payee/Payer for This Schedule		$5,857

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
Total Non-Itemized Transactions with this Payee/Payer		$18,518
Total of All Transactions with this Payee/Payer for This Schedule		$18,518

Name and Address
(A)

United Postal Service
894820

Los Angeles
CA
90189

Type or Classification
(B)

Package delivery company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,590
Total of All Transactions with this Payee/Payer for This Schedule		$5,590

Name and Address
(A)

Walters Truck Repair, Inc.

10400 Banana Avenue
Fontana
CA
92337

Type or Classification
(B)

Truck mechanic

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$7,656
Total of All Transactions with this Payee/Payer for This Schedule		$7,656

Name and Address
(A)

Xerox Corp.
7405

Pasadena
CA
91109

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		$40,954
Total of All Transactions with this Payee/Payer for This Schedule		$40,954

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

SCHEDULE 19 - UNION ADMINISTRATION

FILE NUMBER: 005-568

Name and Address
(A)

A to Z Printing

4330 Van Buren Blvd.
Riverside
CA
92502

Type or Classification
(B)

Printing services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$10,922
Total of All Transactions with this Payee/Payer for This Schedule		$10,922

Name and Address
(A)

California Offset Printers, Inc.
4010

Castaic
CA
91310

Type or Classification
(B)

Printing services

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$75,625
Total of All Transactions with this Payee/Payer for This Schedule		$75,625

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
Total Non-Itemized Transactions with this Payee/Payer		$5,797
Total of All Transactions with this Payee/Payer for This Schedule		$5,797

Name and Address
(A)

Hard Rock Hotel

150 South Indian Canyon Dr.
Palm Springs
CA
92262

Type or Classification
(B)

Hotel

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$36,033
Total Non-Itemized Transactions with this Payee/Payer		$17,831
Total of All Transactions with this Payee/Payer for This Schedule		$53,864
Delegates' meeting	02/18/2016	$5,849
Delegates' meeting	02/18/2016	$16,076
Delegates' meeting	02/18/2016	$14,108

Name and Address
(A)

Hyatt Regency Waikiki Resort & Spa
31000

Honolulu
HI
96849

Type or Classification
(B)

Hotel

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,500
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$7,500
Deposit for delegates' meeting	07/21/2016	$7,500

Name and Address
(A)

Josephine J. O'Brien, C.S.R. 6480

15902 Villanova Circle
Westminstef
CA
92683

Type or Classification
(B)

Court reporter

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,801
Total of All Transactions with this Payee/Payer for This Schedule		$6,801

Name and Address
(A)

La Costa Resort

2100 Costa Del Mar Road
Carlsbad
CA
92009

Type or Classification
(B)

Hotel

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$16,125
Total of All Transactions with this Payee/Payer for This Schedule		$16,125

Name and Address
(A)

Postmaster, Mailing Requirements

7001 S. Central
Los Angeles
CA
90052

Type or Classification
(B)

Bulk mail postage

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$107,230
Total of All Transactions with this Payee/Payer for This Schedule		$107,230

Name and Address
(A)

Press Associates, Inc.

2605-A "P" Street, NW
Washington
DC
20007

Type or Classification
(B)

Press clipping service

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,895
Total of All Transactions with this Payee/Payer for This Schedule		$6,895

Name and Address
(A)

Richard Wilson, CPA

1747 Butterfly Court
Thousand Oaks
CA
91320

Type or Classification
(B)

Certified Public Accountant

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$10,533
Total of All Transactions with this Payee/Payer for This Schedule		$10,533

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

SCHEDULE 20 - BENEFITS

FILE NUMBER: 005-568

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$719,697
Pensions	Trusts	$306,372
Health and Welfare	Trust	$265,418
Retiree Health and Welfare	Trust	$118,331
Group Life	Trust	$336
Life and disability	Insurance Company	$1,782
Prepaid legal	Trust	$1,076
Dental	Trust	$20,618
Retiree Dental	Insurance Company	$5,764

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

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 005-568

Question 10: Western Conference of Teamsters Pension Trust Pension Plan #001 FEIN 91-6145047 Teamsters Miscellaneous Security Fund Health and Welfare Plan #508 FEIN 95-6060502 Pacific Coast Benefit Trust Pension Plan #001 FEIN 91-1032878 Western Teamsters Welfare Trust Health and Welfare Plan #101 FEIN 91-6033601 Address for the above four funds is: 2323 East Lake Avenue, East Seattle, WA 98102 Construction Certified Apprentice Training Program Apprenticeship Training FEIN 20-5230351 Construction Teamsters Contract Compliance Fund Contract Compliance FEIN 20-5230409 Construction Teamsters Security Fund Health and Welfare Plan #501 FEIN 95-6059190 Construction Teamsters Vacation and Holiday Fund Vacation and Holiday Pay Administration Plan #501 FEIN 95-6195838 Construction Teamsters Training and Upgrading Fund Training FEIN 95-6507592 Address for the above five funds is: 1325 N. Grand Ave. Covina, CA 91724 Multi-Union Security Trust Fund (M.U.S.T) Health and Welfare Plan #501 FEIN 93-1146155 Teamsters Sanitation Industry Trust Fund Health and Welfare Plan #501 FEIN 46-6785860 Teamsters Multi-Benefit Trust Health and Welfare Plan #501 FEIN 93-6231741 Teamsters Local Union No. 572 Retirement Benefit Plan Health and Welfare Plan #001 FEIN 95-6983367 Address for the above four funds is: 1000 N. Central Ave., Ste. 400 Glendale, CA 91202 Teamsters Health and Welfare Trust of San Diego Health and Welfare Plan #501 FEIN 95-6149459 San Diego County Teamsters Pension Pension Plan #001 FEIN 51-0167327 Address for the above two funds is: 2831 Camino Del Rio South, Suite #207 San Diego, CA 92108 Southern California Dairy Industry Security Trust Fund Health and Welfare Plan #501 FEIN 95-6060456 Address for the above fund is: 1200 Wilshire Blvd., 5th Floor Los Angeles, CA 90017-1906 Teamsters & Food Employers Security Trust Fund Health and Welfare Plan #501 FEIN 95-6048844 Address for the above fund is: 1050 Lakes Drive, Suite 225 West Covina, CA 91790 Teamsters Western Region & New Jersey Healthcare Fund Health and Welfare Plan #501 FEIN 86-6052021 Address for the above fund is: 2400 W. Dunlap Ave., Suite 250 Phoenix, AZ 85021 Teamsters Joint Council 42 Health and Welfare Plan #501 FEIN 95-0884084 Address for the above fund is: 981 Corporate Center Drive, Suite 200 Pomona, CA 91768

Question 12: The audit was performed by an outside accounting firm, Duffy Kruspodin, LLP Certified Public Accountants.

Question 18: The Joint Council is governed by a uniform constitution prescribed by the International Union, and the International Union will file on the Joint Council's behalf.

Question 15: A trailer was donated to the Construction Teamsters Training School. Cost of $2,020 and a net book value of $0 (cost less accumulated depreciation). Office furniture and equipment that reached the end of its useful life was abandoned. Cost of $68,520 and a net book value of $0 (cost less accumulated depreciation).

Question 16: The automobiles and truck are pledged as security for the underlying loans.

General Information:

Schedule 11 & 12: Auto expenses are included in column F. Autos are used more than 50% for business. Vehicles are available for personal use. The Southern California and Southern Nevada Joint Council of Teamsters No. 42 Charities Fund, FEIN 95-4531147 (a 501(c)(3) organization), is comprised of three members of the Organization''''s executive board. None of the board members of the charity fund receive any compensation from the charity fund. The Joint Council had accrued vacation of $125,205 and accrued sick/personal of $30,566, as of December 31, 2016.

Schedule 13, Row1:Delegates have voting rights consistent with eligibility requirements as set forth in the by-laws.



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