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
022-620
2. PERIOD COVERED
From01/01/2016
Through12/31/2016
3. (a) AMENDED - Is this an amended report:
Yes
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This is a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
FOOD AND COMMERCIAL WKRS
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
324
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
GREG
Last Name
CONGER
P.O Box - Building and Room Number
5004
Number and Street
8530 STANTON AVE
City
BUENA PARK
State
CA
ZIP Code + 4
90620


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:Greg M CongerPRESIDENT71. SIGNED:Andrea ZinderTREASURER
Date:May 05, 2017Telephone Number:714-995-4601Date:May 05, 2017Telephone Number:714-995-4601
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 022-620
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?Yes
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?$2,364,000
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?No
19. What is the date of the labor organization's next regular election of officers?08/2019
20. How many members did the labor organization have at the end of the reporting period?21,138
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees58.00perMonth25.0080.00
(b) Working Dues/Fees0per000
(c) Initiation FeesN/AperN/A0450
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 022-620

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $2,311,209$576,980
23. Accounts Receivable1$1,084,692$1,377,495
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $97,680$76,066
26. Investments5$8,181,720$7,337,702
27. Fixed Assets6$3,419,751$9,015,871
28. Other Assets7$552,970$83,615
29. TOTAL ASSETS $15,648,022$18,467,729

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$453,728$1,200,744
31. Loans Payable9$0$2,343,147
32. Mortgages Payable $0$0
33. Other Liabilities10$56,922$64,473
34. TOTAL LIABILITIES $510,650$3,608,364
35. NET ASSETS$15,137,372$14,859,365
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 022-620

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $11,885,373
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $588,176
39. Sale of Supplies $0
40. Interest $248,350
41. Dividends $0
42. Rents $194,352
43. Sale of Investments and Fixed Assets3$580,000
44. Loans Obtained9$2,343,147
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $520,967
48. Other Receipts14$2,027,516
49. TOTAL RECEIPTS $18,387,881
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$4,812,553
51. Political Activities and Lobbying16$416,200
52. Contributions, Gifts, and Grants17$250,963
53. General Overhead18$3,485,893
54. Union Administration19$67,047
55. Benefits20$1,199,888
56. Per Capita Tax $4,386,947
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $109,270
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$4,423,373
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $520,967
65. Direct Taxes $473,198
  
66. Subtotal $20,146,299
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$2,005,404  
  67b. Less Total Disbursed$1,981,215  
  67c. Total Withheld But Not Disbursed $24,189
68. TOTAL DISBURSEMENTS $20,122,110
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 022-620

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$1,316,013$0$0$0
Totals from all other accounts receivable$61,482   
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $1,377,495$0$0$0
UFCW Region 8 Western States Council$133,364
UFCW Food & Employers Trust Fund$125,609
UFCW Drug & Employers Trust Fund$14,163
Vons Grocery-Member Dues$136,544
Ralphs Grocery-Member Dues$239,703
Albertsons Grocery-Member Dues$168,559
Disneyland-Member Dues$91,376
Stater Bros-Member Dues$175,418
Gelsons-Member Dues$29,650
CVS Drug-Member Dues$49,100
Brandywine Homes$25,000
UFCW International Union Subsidy $127,527
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 022-620

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 45 Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 022-620

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$1,667,223$1,849,368$1,849,368$1,849,368
Sale of Investments (Marketable Securities) $1,645,609$1,827,754$1,827,754$1,827,754
Sale of Investments (U.S Tres) $21,614$21,614$21,614$21,614
Less Reinvestments$1,269,368
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$580,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 022-620

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$5,692,741$5,692,741$5,692,741
Cherry Lectern for Auditormium$2,000$2,000$2,000
Computers and Software$27,232$27,232$27,232
Desk & Chairs$14,365$14,365$14,365
Audio Visual Equipment for Auditorium$155,751$155,751$155,751
Dell Computer$6,012$6,012$6,012
Building improvements located at 8530 Stanton Ave.$4,143,723$4,143,723$4,143,723
Cubical Design located at 8530 Stanton Ave. $45,035$45,035$45,035
Data Cables at location 8530 Stanton Ave.$34,113$34,113$34,113
Desks, credenza, tables and chairs$12,612$12,612$12,612
Carpet cleaner for Auditorium $4,142$4,142$4,142
Vacuum for Auditorium$2,252$2,252$2,252
Misc. Office Furniture$1,753$1,753$1,753
Purchase of investments Marketable Securities$1,243,751$1,243,751$1,243,751
 Less Reinvestments$1,269,368
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$4,423,373
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 022-620

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$7,337,702
B. Total Book Value$7,337,702
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • Delaware limited Term income
$821,517
  • J.P. Morgan Strategic income
$1,072,332
  • Pimco Investment Grade Bond
$823,986
  • Pimco Total Return
$717,205
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)) $7,337,702
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 022-620

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      8530 Stanton Ave., Buena Park, CA$45,062 $45,062$8,500,000
Land  2 :      8572 Stanton Ave., Buena Park, CA$1,000,000 $1,000,000$2,410,000
Land  3 :      8112 Crescent Ave., Buena Park, CA$240,240 $240,240$350,000
Land  4 :      309 N. Rampart Ave., Orange, CA$671,000 $671,000$671,000
B. Buildings (give location)    
Building  1 :      8530 Stanton Ave, Buena Park, CA$7,674,710$2,569,322$6,487,532$6,487,532
Building  2 :      309 N. Rampart Ave., Orange$337,950$73,929$264,021$264,021
C. Automobiles and Other Vehicles$25,437$25,437$0$2,500
D. Office Furniture and Equipment$1,210,647$902,631$308,016$308,016
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $11,205,046$3,571,319$9,015,871$18,993,069
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 022-620

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $83,615
Security Deposit$2,000
Prepaid Tickets$81,615
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 022-620

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$1,190,188$0$0$0
Total from all other accounts payable$10,556$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $1,200,744$0$0$0
UFCW International$348,174$0$0$0
Wright Express$3,911$0$0$0
Gilbert & Sackman$12,846$0$0$0
So California UFCW Joint Trust Fund$101,207$0$0$0
Kaufman LegalGroup$21,066$0$0$0
Olsen Construction$702,984$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 022-620

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$2,343,147$0$0$2,343,147
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
Bank of the West$0$2,343,147$0$0$2,343,147
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 022-620

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $64,473
Prepaid Member Dues$40,284
Payroll Withholding Deductions$24,189
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 022-620

(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
CONGER ,  GREG   M
PRESIDENT
C
$270,300$3,217$273,517
I
Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
12 % Schedule 19
Administration
2 %
A
B
C
ZINDER ,  ANDREA  
SECRETARY-TREASURER
C
$230,300$2,146$232,446
I
Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
12 % Schedule 19
Administration
2 %
A
B
C
EIDEN ,  RICHARD   P
EXECUTIVE VICE PRESIDENT
C
$166,725$4,209$170,934
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
34 % Schedule 17
Contributions
3 % Schedule 18
General Overhead
10 % Schedule 19
Administration
3 %
A
B
C
BOLAM ,  SHARI   A
RECORDER
C
$135,801$4,873$140,674
I
Schedule 15
Representational Activities
72 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
23 % Schedule 19
Administration
3 %
A
B
C
HALIBOZEK ,  GREGORY   R
VICE PRES./COMPTROLLER
C
$110,310$1,560$111,870
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
91 % Schedule 19
Administration
3 %
A
B
C
ADINOLFI ,  CHARLES   V
VICE PRES./DIRECTOR
C
$141,520$5,656$147,176
I
Schedule 15
Representational Activities
86 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
11 % Schedule 19
Administration
2 %
A
B
C
DAVILA ,  GILBERT  
VICE PRES./DIRECTOR
C
$141,664$3,998$145,662
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
7 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
2 %
A
B
C
BARLOW ,  DORIS   A
VICE PRESIDENT
C
$1,400$1,400
I
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
SWAIN ,  CHARLES   A
VICE PRESIDENT
C
$1,400$1,400
I
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
OZENBAUGH ,  GRAHAM   S
VICE PRESIDENT
C
$1,300$1,300
I
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
YBARRA ,  JAVIER  
VICE PRES./ORGANIZER
C
$44,213$6,165$50,378
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
FIDDLER ,  LAURINDA   L
VICE PRESIDENT
C
$1,551$1,551
I
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
WOODS ,  MARTY   W
VICE PRESIDENT
P
$1,079$1,079
I
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
CAMPANELLO ,  ANTHONY   J
VICE PRESIDENT
C
$1,400$1,400
I
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
CRUZ ,  JOLINE   E
VICE PRESIDENT
N
$1,100$1,100
I
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$1,240,833$0$41,054$0$1,281,887
Less Deductions    $492,621
Net Disbursements    $789,266
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 022-620

(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
ADINOLFI ,  BRIDGET   J
UNION REPRESENTATIVE
None
$101,075$3,360$104,435
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
ASHE ,  KRISTEN   L
UNION REPRESENTATIVE
None
$100,705$3,346$104,051
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
1 %
A
B
C
ASHE ,  SAWN   J
IT ANALYST
None
$99,125$100$99,225
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
BARRION ,  GILBERTO   T
MAINTENANCE
None
$50,205$100$50,305
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
BARUCH ,  SYLVIA  
ORGANIZER
None
$82,880$2,662$85,542
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
49 % Schedule 19
Administration
0 %
A
B
C
BELL ,  MATTHEW   R
UNION REPRESENTATIVE
None
$101,445$3,504$104,949
I
Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
3 %
A
B
C
CAREY ,  CYNTHIA   K
EXECUTIVE SECRETARY
None
$70,430$100$70,530
I
Schedule 15
Representational Activities
72 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
27 % Schedule 19
Administration
0 %
A
B
C
CHAPMAN ,  TARA   L
HEALTH BENEFITS REP
None
$36,531$500$37,031
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
CLARKE ,  MERCEDES   C
COMMUNICATIONS
None
$71,873$527$72,400
I
Schedule 15
Representational Activities
62 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
36 % Schedule 19
Administration
0 %
A
B
C
CONGER ,  TODD   A
COMMUNICATIONS
None
$95,795$4,395$100,190
I
Schedule 15
Representational Activities
62 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
36 % Schedule 19
Administration
0 %
A
B
C
DOBIAS ,  MICHELLE   D
BENEFITS SUPERVISOR
None
$80,700$300$81,000
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
DUNNE ,  KAREN   E
GENERAL OFFICE CLERK
None
$42,580$300$42,880
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
98 % Schedule 19
Administration
0 %
A
B
C
ESCOBAR ,  MARLENE  
GENERAL OFFICE CLERK
None
$42,923$416$43,339
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
98 % Schedule 19
Administration
0 %
A
B
C
HANDER ,  JERI  
UNION REPRESENTATIVE
None
$101,445$4,034$105,479
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
1 %
A
B
C
HART ,  MATTHEW   A
UNION REPRESENTATIVE
None
$101,445$3,448$104,893
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
HUFFMAN ,  DIANA  
UNION REPRESENTATIVE
None
$89,890$2,333$92,223
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
10 % Schedule 18
General Overhead
10 % Schedule 19
Administration
0 %
A
B
C
IBARRA-LOPEZ ,  MARIA   R
ORGANIZER
None
$101,237$3,967$105,204
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
14 % Schedule 19
Administration
1 %
A
B
C
JOHN ,  JOANNE   S
EXECUTIVE SECRETARY
None
$53,544$100$53,644
I
Schedule 15
Representational Activities
25 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
75 % Schedule 19
Administration
0 %
A
B
C
KARIM ,  SYED   A
GENERAL OFFICE CLERK
None
$42,613$765$43,378
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
98 % Schedule 19
Administration
0 %
A
B
C
KITTREDGE ,  DANIEL   E
UNION REPRESENTATIVE
None
$101,410$1,918$103,328
I
Schedule 15
Representational Activities
84 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
KLEIN ,  MICHELLE   P
HEALTH BENEFITS REP
None
$45,057$300$45,357
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
KURVITS ,  SOLVEIG  
EXECUTIVE SECRETARY
None
$65,790$100$65,890
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
13 % Schedule 19
Administration
3 %
A
B
C
LAND ,  MARGARET  
UNION REPRESENTATIVE
None
$101,445$3,597$105,042
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
14 % Schedule 19
Administration
0 %
A
B
C
LEE ,  PATRICK   J
UNION REPRESENTATIVE
None
$101,445$4,083$105,528
I
Schedule 15
Representational Activities
84 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
16 % Schedule 19
Administration
0 %
A
B
C
MANDELLA ,  TWILA   J
HEALTH BENEFITS REP
None
$42,194$300$42,494
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
MARTINEZ ,  HERLINDA  
UNION REPRESENTATIVE
None
$101,445$3,667$105,112
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
14 % Schedule 19
Administration
1 %
A
B
C
MIDKIFF ,  BRETT   A
UNION REPRESENTATIVE
None
$101,445$3,570$105,015
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
14 % Schedule 19
Administration
1 %
A
B
C
MORALES ,  VICTOR   M
MAINTENANCE
None
$62,097$100$62,197
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
NELSON ,  LYNN   A
EXECUTIVE SECRETARY
None
$67,915$100$68,015
I
Schedule 15
Representational Activities
25 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
75 % Schedule 19
Administration
0 %
A
B
C
O'BRIEN ,  DANIEL   P
UNION REPRESENTATIVE
None
$33,792$200$33,992
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
1 %
A
B
C
PAQUETTE ,  MICHELLE   L
GENERAL OFFICE CLERK
None
$41,948$365$42,313
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
98 % Schedule 19
Administration
0 %
A
B
C
PEBLEY ,  STEVEN   C
UNION REPRESENTATIVE
None
$99,225$3,365$102,590
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
14 % Schedule 19
Administration
1 %
A
B
C
PEREZ-MORENO ,  JOSE   L
UNION REPRESENTATIVE
None
$101,445$3,897$105,342
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
1 %
A
B
C
PRADO ,  ANGEL   R
MAINTENANCE
None
$57,220$200$57,420
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
PUNSALANG ,  LOUANNE   M
ASSISTANT TO COMPTROLLER
None
$73,920$100$74,020
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
5 % Schedule 18
General Overhead
92 % Schedule 19
Administration
0 %
A
B
C
RAMIREZ ,  MICHAEL   J
ORGANIZER
None
$100,436$6,662$107,098
I
Schedule 15
Representational Activities
86 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
0 %
A
B
C
RATTAN ,  MICHELLE   L
HEALTH BENEFITS REP
None
$43,333$300$43,633
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
RODRIGUEZ ,  DARIO   R
UNION REPRESENTATIVE
None
$99,445$5,470$104,915
I
Schedule 15
Representational Activities
86 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
12 % Schedule 19
Administration
1 %
A
B
C
ROSE ,  DEBRA   A
EXECUTIVE SECRETARY
None
$60,370$100$60,470
I
Schedule 15
Representational Activities
78 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
22 % Schedule 19
Administration
0 %
A
B
C
SESSIONS ,  JAMIE   D
UNION REPRESENTATIVE
None
$101,445$2,357$103,802
I
Schedule 15
Representational Activities
84 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
14 % Schedule 19
Administration
0 %
A
B
C
SHIMADA ,  ALEJANDRINA   G
GENERAL OFFICE CLERK
None
$43,469$300$43,769
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
98 % Schedule 19
Administration
0 %
A
B
C
SILVA ,  STACY   A
GENERAL OFFICE DEPT. HEAD
None
$50,845$372$51,217
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
98 % Schedule 19
Administration
0 %
A
B
C
SOTELO ,  DENNIS   P
HEALTH BENEFITS REP
None
$41,332$100$41,432
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
SOTELO ,  THONOTHIU  
UNION REPRESENTATIVE
None
$100,075$4,764$104,839
I
Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
17 % Schedule 19
Administration
1 %
A
B
C
THOMAS ,  CORRINE   A
SCHEDULE AUDITOR
None
$57,992$7,816$65,808
I
Schedule 15
Representational Activities
51 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
48 % Schedule 19
Administration
0 %
A
B
C
TOSCANO ,  OLIVIA  
HEALTH BENEFITS DEPT HEAD
None
$46,314$300$46,614
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
VELAZQUEZ ,  ANNETTE   A
GENERAL OFFICE SUPERVISOR
None
$81,808$342$82,150
I
Schedule 15
Representational Activities
73 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
27 % Schedule 19
Administration
0 %
A
B
C
VILLEGAS ,  LETICIA  
EXECUTIVE SECRETARY
None
$60,370$100$60,470
I
Schedule 15
Representational Activities
73 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
27 % Schedule 19
Administration
0 %
A
B
C
WALLAUCH ,  DAVE   C
IT ANALYST
None
$101,445$100$101,545
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
WATTS ,  DEBRA   S
UNION REPRESENTATIVE
None
$92,786$11,721$104,507
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
12 % Schedule 19
Administration
1 %
A
B
C
Luviano ,  Priscilla  
Organizer
None
$71,529$5,387$76,916
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$15,318$65$15,383
I Schedule 15
Representational Activities
25 % Schedule 16
Political Activities and Lobbying
75 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
Total Employee Disbursements$3,832,546$0$106,375$0$3,938,921
Less Deductions    $1,512,783
Net Disbursements    $2,426,138
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 022-620

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 21,138 
Agency Fee Payers*
Total Members/Fee Payers21,138 
*Agency Fee Payers are not considered members of the labor organization.
Active members21,074Yes
Affiliated members62No
Beck Objecting members2No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 022-620

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$1,633,457
2. Named Payer Non-itemized Receipts$320,435
3. All Other Receipts$73,624
4. Total Receipts$2,027,516
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$127,022
2. Named Payee Non-itemized Disbursements$36,617
3. To Officers$12,713
4. To Employees$18,084
5. All Other Disbursements$56,527
6. Total Disbursements$250,963
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$1,406,188
2. Named Payee Non-itemized Disbursements$149,375
3. To Officers$890,976
4. To Employees$2,233,425
5. All Other Disbursements$132,589
6. Total Disbursements$4,812,553
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$1,033,395
2. Named Payee Non-itemized Disbursements$464,457
3. To Officers$242,721
4. To Employees$1,633,096
5. All Other Disbursements$112,224
6. Total Disbursements$3,485,893
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$182,424
2. Named Payee Non-itemized Disbursements$57,146
3. To Officers$87,491
4. To Employees$35,257
5. All Other Disbursements$53,882
6. Total Disbursements$416,200
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$47,986
4. To Employees$19,061
5. All Other Disbursements
6. Total Disbursements$67,047
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 022-620

Name and Address
(A)
AMC Movie Tickets

13547 Ventura Blvd
Chicago
IA
60963
Type or Classification
(B)
Movie Theater
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,685
Total of All Transactions with this Payee/Payer for This Schedule$17,685
Name and Address
(A)
Brandywine Homes

16580 Aston
Irvine
CA
92606
Type or Classification
(B)
Developer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$75,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$75,000
Escrow pmt for prop at 8572 Stanton Ave. 09/16/2016$75,000
Name and Address
(A)
Coalition of Kaiser Permanente Unions

8484 Georgia Avenue, Ste. 6
Silver Spring
MD
20910
Type or Classification
(B)
Hospital
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,717
Total of All Transactions with this Payee/Payer for This Schedule$8,717
Name and Address
(A)
Disneyland
61061

Anaheim
CA
92803
Type or Classification
(B)
Amusement Park
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$73,274
Total Non-Itemized Transactions with this Payee/Payer$71,922
Total of All Transactions with this Payee/Payer for This Schedule$145,196
Refund of stale tickets01/11/2016$38,192
Refund of stale tickets05/18/2016$6,428
Refund of stale tickets09/19/2016$28,654
Name and Address
(A)
Krikorian Tickets

131 Palos Verdes Blvd.
Redondo Beach
CA
Type or Classification
(B)
Movie Theater
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$38,395
Total of All Transactions with this Payee/Payer for This Schedule$38,395
Name and Address
(A)
Legoland

One Legoland Dr
Carlsbad
CA
92028
Type or Classification
(B)
Amusement Park
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$25,529
Total of All Transactions with this Payee/Payer for This Schedule$25,529
Name and Address
(A)
Regal Theaters

7132 Regal Ln.
Knoxville
TN
37918
Type or Classification
(B)
Movie Theater
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$61,577
Total of All Transactions with this Payee/Payer for This Schedule$61,577
Name and Address
(A)
Sea World

500 Sea World Dr.
San Diego
CA
92109
Type or Classification
(B)
Amusement Park
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,198
Total of All Transactions with this Payee/Payer for This Schedule$19,198
Name and Address
(A)
Six Flags Magic Mountain
550

Valencia
CA
91385
Type or Classification
(B)
Amusement Park
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$23,375
Total of All Transactions with this Payee/Payer for This Schedule$23,375
Name and Address
(A)
Sylvia Baruch

1441 S. Highland Ave Apt. M
Fullerton
CA
92832
Type or Classification
(B)
Employee
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,707
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$17,707
Reimbursement of disability payments12/14/2016$17,707
Name and Address
(A)
UFCW & Food employers Joint Trust Fund
6010

Cypress
CA
Type or Classification
(B)
Affiliated Employee Benefit Plan
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$417,836
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$417,836
Reimbursement of industry vacation pay02/09/2016$9,284
Reimbursement of salaries & expenses01/11/2016$36,491
Reimbursement of salaries & expenses04/22/2016$104,962
Reimbursement of salaries & expenses06/14/2016$36,625
Reimbursement of salaries & expenses09/29/2016$150,157
Reimbursement of salaries & expenses10/24/2016$43,994
Reimbursement of salaries & expenses11/29/2016$36,323
Name and Address
(A)
UFCW Drug Trust Fund

27920 Los Feliz Station
Los Angeles
CA
90027
Type or Classification
(B)
Affiliated Employee Benefit Plan
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$39,192
Total Non-Itemized Transactions with this Payee/Payer$13,837
Total of All Transactions with this Payee/Payer for This Schedule$53,029
Reimbursement of salaries & expenses01/11/2016$4,893
Reimbursement of salaries & expenses05/06/2016$14,303
Reimbursement of salaries & expenses08/08/2016$14,593
Reimbursement of salaries & expenses10/24/2016$5,403
Name and Address
(A)
UFCW International Union

1775 K Street N.W.
Washington
DC
20006
Type or Classification
(B)
Parent Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$40,200
Total of All Transactions with this Payee/Payer for This Schedule$45,200
Reimbursement of salaries for org campaign04/29/2016$5,000
Name and Address
(A)
UFCW Region 8 State Council
5158

Buena Park
CA
90622
Type or Classification
(B)
Affiliated Employee Benefit Plan
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$1,005,448
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$1,005,448
Reimbursement of El Super org. campaign12/15/2016$55,118
Reimbursement of El Super org. campaign11/02/2016$32,687
Reimbursement of El Super org. campaign11/02/2016$35,685
Reimbursement of El Super org. campaign10/07/2016$71,474
Reimbursement of El Super org. campaign09/26/2016$41,133
Reimbursement of El Super org. campaign09/14/2016$45,046
Reimbursement of El Super org. campaign09/07/2016$40,418
Reimbursement of El Super org. campaign08/01/2016$40,000
Reimbursement of El Super org. campaign07/18/2016$81,605
Reimbursement of El Super org. campaign07/01/2016$51,207
Reimbursement of El Super org. campaign06/21/2016$44,633
Reimbursement of El Super org. campaign06/01/2016$91,934
Reimbursement of El Super org. campaign05/12/2016$48,070
Reimbursement of El Super org. campaign04/22/2016$12,374
Reimbursement of El Super org. campaign04/11/2016$115,221
Reimbursement of El Super org. campaign03/01/2016$117,865
Reimbursement of El Super org. campaign01/04/2016$80,978
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 022-620

Name and Address
(A)
Anthony Miller

24255 Pacific Coat highway
Malibu
CA
90263
Type or Classification
(B)
Arbitrator
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,125
Total Non-Itemized Transactions with this Payee/Payer$3,500
Total of All Transactions with this Payee/Payer for This Schedule$9,625
Vons Barcelos, Calderon, and Borges Term.08/02/2016$6,125
Name and Address
(A)
AT&T Mobility
6463

Carol Stream
IL
Type or Classification
(B)
Telephone Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$42,592
Total of All Transactions with this Payee/Payer for This Schedule$42,592
Name and Address
(A)
Costco
5219

Carol Stream
IL
60197
Type or Classification
(B)
Warehouse retail store
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,059
Total of All Transactions with this Payee/Payer for This Schedule$7,059
Name and Address
(A)
Gilbert & Sackman

3699 Wilshire Blvd. Ste 120
Los Angeles
CA
90010
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$283,400
Total Non-Itemized Transactions with this Payee/Payer$852
Total of All Transactions with this Payee/Payer for This Schedule$284,252
Vons, Food4Less Arb.; El Super Neg; Misc Legal01/12/2016$20,931
Barcelos, Rite Aid Arb; El Super Neg; Misc Legal02/17/2016$23,885
Services for 2015 Albertsons Class Action 02/28/2016$6,844
Barcelos Arb.; El Super Neg.; Clarton v 324, Misc.03/16/2016$34,769
CVS, Food4Less Arb.; El Super Neg.; Misc. Legal08/16/2016$16,787
Services for 2015 Albertsons Class Action 03/16/2016$5,642
Albert. Arb.; El super Neg.; Americold Org.; Misc04/15/2016$34,343
Food4Less, Ralphs Arb.; El Super Neg.; Misc Legal05/20/2016$16,767
CVS, Food4Less, Ralphs Arb.; El Super Neg. Misc06/14/2016$29,673
CVS Arb.; El Super, Americold Neg.; Misc. Legal 08/31/2016$16,050
CVS, Ralphs Arb.; El Super, Food4Less Neg.; Misc09/13/2016$17,395
CVS Arb.; El Super , Misc. Legal10/25/2016$21,521
Food4Less, Ralphs Arb.; El Super Neg.; Misc Legal11/30/2016$15,003
Albertsons, Ralphs Arb.; Misc Legal12/20/2016$23,790
Name and Address
(A)
Hilton

7930 Jones Branch Drive
McLean
VA
22102
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$12,481
Total of All Transactions with this Payee/Payer for This Schedule$12,481
Name and Address
(A)
Jason's Catering Events, Inc.

172 N Tustin St., #304
Orange
CA
92867
Type or Classification
(B)
Catering Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,733
Total of All Transactions with this Payee/Payer for This Schedule$12,733
Name and Address
(A)
Kenneth A Perea
2788

Del Mar
CA
92014
Type or Classification
(B)
Arbitrator
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,354
Total of All Transactions with this Payee/Payer for This Schedule$10,354
Name and Address
(A)
LATTC - The Labor Center LA-117

400 West Washington Blvd
Los Angeles
CA
90015
Type or Classification
(B)
Labor School
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,716
Total of All Transactions with this Payee/Payer for This Schedule$5,716
Name and Address
(A)
Mailing Pros Inc.

5261 Business Dr.
Huntington Beach
CA
92649
Type or Classification
(B)
Postal Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,915
Total of All Transactions with this Payee/Payer for This Schedule$13,915
Name and Address
(A)
Michael Prihar
3242

Granada Hills
CA
91394
Type or Classification
(B)
Arbitrator
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,435
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,435
Thrifty Paylesss dba Rite Aid min. Wage Grievance 03/21/2016$6,435
Name and Address
(A)
Orange County Voter Info Project

309 N. Rampart
Orange
CA
92868
Type or Classification
(B)
Affiliated Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$468,006
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$468,006
El Super informational handbill lines payroll01/08/2016$50,178
El Super informational handbill lines payroll01/22/2016$37,865
El Super informational handbill lines payroll02/04/2016$59,760
El Super informational handbill lines payroll02/23/2016$45,283
El Super informational handbill lines payroll03/07/2016$48,070
El Super informational handbill lines payroll03/31/2016$47,928
El Super informational handbill lines payroll04/08/2016$44,006
El Super informational handbill lines payroll04/11/2016$49,583
El Super informational handbill lines payroll04/22/2016$44,633
El Super informational handbill lines payroll05/12/2016$40,700
Name and Address
(A)
P.E Duhn & Assoc.

8081 Stanton Ave.
Buena Park
CA
90620
Type or Classification
(B)
Payroll Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$558,466
Total Non-Itemized Transactions with this Payee/Payer$404
Total of All Transactions with this Payee/Payer for This Schedule$558,870
El Super informational handbill lines payroll07/13/2016$42,896
El Super informational handbill lines payroll07/20/2016$40,418
El Super informational handbill lines payroll07/29/2016$41,133
El Super informational handbill lines payroll08/17/2016$38,823
El Super informational handbill lines payroll09/06/2016$34,825
El Super informational handbill lines payroll09/16/2016$32,150
El Super informational handbill lines payroll09/28/2016$32,687
El Super informational handbill lines payroll10/13/2016$28,991
El Super informational handbill lines payroll10/21/2016$28,302
El Super informational handbill lines payroll11/17/2016$22,124
El Super informational handbill lines payroll11/18/2016$22,612
El Super informational handbill lines payroll12/14/2016$29,183
El Super informational handbill lines payroll12/19/2016$29,420
El Super informational handbill lines payroll06/21/2016$41,624
El Super informational handbill lines payroll04/19/2016$12,374
El Super informational handbill lines payroll06/14/2016$40,000
El Super informational handbill lines payroll06/02/2016$40,904
Name and Address
(A)
Segal Consulting

100 Montgomery St. Ste 500
San Francisco
CA
94104-4308
Type or Classification
(B)
Consulting Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,204
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$17,204
2016 CBA Negotiations11/04/2016$17,204
Name and Address
(A)
Southwest Airlines

2702 Love Field Dr.
Dallas
TX
75235
Type or Classification
(B)
Airline Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,637
Total of All Transactions with this Payee/Payer for This Schedule$8,637
Name and Address
(A)
Spinelli Graphics, Inc.

10631 Bloomfield St.
Los Alamitos
CA
90720
Type or Classification
(B)
Printing Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$33,455
Total Non-Itemized Transactions with this Payee/Payer$11,925
Total of All Transactions with this Payee/Payer for This Schedule$45,380
Ralphs, Albert., Vons Flyers; Rite Aid agreements06/30/2016$15,110
El Super flyers, Business Cards01/11/2016$4,159
El Super flyers, Business Cards02/28/2016$4,581
El Super flyers03/29/2016$3,290
El Super flyers05/31/2016$1,103
El Super flyers08/02/2016$2,606
El Super flyers, Business Cards10/25/2016$2,606
Name and Address
(A)
UFCW Union Local 770
770

Hollywood
CA
90078
Type or Classification
(B)
Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,104
Total of All Transactions with this Payee/Payer for This Schedule$15,104
Name and Address
(A)
Union T'z

3080 Crestline Drive
Corona
CA
92881
Type or Classification
(B)
Promotional Product Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$33,097
Total Non-Itemized Transactions with this Payee/Payer$4,103
Total of All Transactions with this Payee/Payer for This Schedule$37,200
Gold T-shirts for events05/05/2016$6,210
Jackets for shop steward conference05/31/2016$26,887
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 022-620

Name and Address
(A)
Committee for Working Families

555 Capitol Mall, # 1425
Sacramento
CA
95814
Type or Classification
(B)
Non-Profit Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution to Committee for Working Families11/05/2016$5,000
Name and Address
(A)
Committee to elect Kim Nguyen 2016

777 S. Figueroa St. #4050
Los Angeles
CA
90017
Type or Classification
(B)
Political Committee 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)
Eloise for Assembly 2016

11900 Howey Hill Dr.
Grand Terrace
CA
92313
Type or Classification
(B)
Political Committee Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,400
Total of All Transactions with this Payee/Payer for This Schedule$8,400
Name and Address
(A)
Fairbank, Maslin, Maullin, Metz & Assoc., Inc.

1099 Harrison St. Ste 2020
Oakland
CA
94612-3598
Type or Classification
(B)
Political Consulting Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$18,000
Surveying for Measure MM10/06/2016$18,000
Name and Address
(A)
Janice Hahn for Supervisor 2016

4225 Myrtle Ave.
Long Beach
CA
90807
Type or Classification
(B)
Political Committee Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,000
Total Non-Itemized Transactions with this Payee/Payer$3,000
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution to Janice Hahn for Supervisor 201605/31/2016$7,000
Name and Address
(A)
Kaufman LegalGroup

777 S. Figueroa St. #4050
Los Angeles
CA
90017
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$42,024
Total Non-Itemized Transactions with this Payee/Payer$12,326
Total of All Transactions with this Payee/Payer for This Schedule$54,350
Legal expense related to Neighborhood 1st 02/02/2016$5,836
Legal expense related to Neighborhood 1st 05/12/2016$9,175
Legal expense related to Neighborhood 1st 06/14/2016$5,336
Legal expense related to Neighborhood 1st 08/31/2016$12,449
Legal expense related to Neighborhood 1st 09/13/2016$9,228
Name and Address
(A)
Kylor Punsalang

8790 Hewitt Place
Garden Grove
CA
92844
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$420
Total of All Transactions with this Payee/Payer for This Schedule$420
Name and Address
(A)
Long Beach Neighborhoods 1st

777 S. Figueroa St. #4050
Los Angeles
CA
90017
Type or Classification
(B)
Advocacy Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$65,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$65,000
Sponsorship for 5th Annual Jazz Festival05/12/2016$25,000
Sponsorship for Yes on MM10/07/2016$40,000
Name and Address
(A)
Neighbors United for a Stronger Middle Class to Su

855 W. San Bernadino Ave.
Bloomington
CA
92316
Type or Classification
(B)
Political Committee Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,000
Contribution for Eloise Reyes for Assembly 201605/27/2016$25,000
Name and Address
(A)
O'Donnell for Assembly 2016
90744

Long Beach
CA
90809
Type or Classification
(B)
Political Committee Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,400
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,400
Contributions for O'Donnel for Assembly 201603/08/2016$4,200
Contributions for O'Donnel for Assembly 201610/19/2016$4,200
Name and Address
(A)
Orange County Voter Info Project

309 N. Rampart
Orange
CA
92868
Type or Classification
(B)
Voter Initiative Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$28,000
Total of All Transactions with this Payee/Payer for This Schedule$28,000
Name and Address
(A)
Weems Law Office

769 Center Blvd. #38
Fairfax
CA
94930
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Legal expense related to Long Beach Initiative03/15/2016$5,000
Name and Address
(A)
Working People Supporting Hahn for Supervisor 2016

777 S. Figueroa St. #4050
Los Angeles
CA
90807
Type or Classification
(B)
Political Committee Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,000
Contribution for Hahn for Supervisor 201610/04/2016$7,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 022-620

Name and Address
(A)
Clergy and Laity United for Economic Justice

464 Lucas Ave #202
Los Angeles
CA
90622
Type or Classification
(B)
Non-Profit Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$23,000
Total of All Transactions with this Payee/Payer for This Schedule$23,000
Name and Address
(A)
Heroes Hall Veterans Foundation

88 Fair Dr
Costa Mesa
CA
92626
Type or Classification
(B)
Non-Profit Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Veterans Museum-O.C. Fairgrounds06/02/2016$5,000
Name and Address
(A)
Hilton

7930 Jones Branch Drive
McLean
VA
22102
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$662
Total of All Transactions with this Payee/Payer for This Schedule$662
Name and Address
(A)
Kylor Punsalang

8790 Hewitt Place
Garden Grove
CA
92844
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$1,053
Total of All Transactions with this Payee/Payer for This Schedule$1,053
Name and Address
(A)
LAANE

464 Lucas Ave #202
Los Angeles
CA
90622
Type or Classification
(B)
Non-Profit Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Dec. 8 honoring Rick Icaza11/01/2016$10,000
Name and Address
(A)
NGC

300 Millennium Drive
Crystal lake
IL
60012
Type or Classification
(B)
Online Retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,010
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,010
Toys R Us Gift Cards for member families08/25/2016$25,010
Name and Address
(A)
Occord
6596

Santa Ana
CA
92706
Type or Classification
(B)
Non-Profit Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
11th Annual Dinner & Celebration12/09/2016$10,000
Name and Address
(A)
Orange County Labor Federation

309 N. Rampart
Orange
CA
92868
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,000
Total Non-Itemized Transactions with this Payee/Payer$1,000
Total of All Transactions with this Payee/Payer for This Schedule$16,000
Donation for May 2016 awards dinner04/05/2016$15,000
Name and Address
(A)
Pavilions

5918 Stoneridge Mall Road
Pleasanton
CA
94588
Type or Classification
(B)
Retail Grocery Store
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,402
Total of All Transactions with this Payee/Payer for This Schedule$10,402
Name and Address
(A)
Pools of Hope

6801 Long Beach Blvd
Long Beach
CA
90805
Type or Classification
(B)
Non-Profit Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Presenters package - Uptown Jazz Fes05/12/2016$5,000
Name and Address
(A)
Southwest Airlines

2702 Love Field Dr.
Dallas
TX
75235
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$500
Total of All Transactions with this Payee/Payer for This Schedule$500
Name and Address
(A)
Stater Bros Markets
150

San Bernadino
CA
92408
Type or Classification
(B)
Retail Grocery Store
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$47,012
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$47,012
Gift Cards for members in need08/25/2016$47,012
Name and Address
(A)
The UCLA Foundation

10920 Wilshire Blvd #900
Los Angeles
CA
90024
Type or Classification
(B)
Non-Profit Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
May 19 Banquet03/04/2016$5,000
Name and Address
(A)
United Labor Agency of Orange County

13252 Garden Grove Blvd
Garden grove
CA
92843
Type or Classification
(B)
Committee Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Donation for members in need01/06/2016$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 022-620

Name and Address
(A)
ADP

5355 Orangethorpe Ave.
La Palma
CA
91110
Type or Classification
(B)
Payroll Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$24,999
Total of All Transactions with this Payee/Payer for This Schedule$24,999
Name and Address
(A)
All Covered
39000

San Francisco
CA
94139-3163
Type or Classification
(B)
IT Network Security Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,606
Total Non-Itemized Transactions with this Payee/Payer$19,487
Total of All Transactions with this Payee/Payer for This Schedule$28,093
IT Services08/31/2016$8,606
Name and Address
(A)
Amazon

410 Terry Ave.
Seattle
WA
98109
Type or Classification
(B)
Online Retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,405
Total of All Transactions with this Payee/Payer for This Schedule$16,405
Name and Address
(A)
Amtrust North America
6939

Cleveland
OH
44101
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$66,639
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$66,639
Workers Comp premium02/28/2016$7,356
Workers Comp premium04/12/2016$5,660
Workers Comp premium05/12/2016$5,660
Workers Comp premium06/07/2016$5,660
Workers Comp premium07/05/2016$5,660
Workers Comp premium08/16/2016$5,660
Workers Comp premium08/31/2016$8,343
Workers Comp premium09/12/2016$5,660
Workers Comp premium10/11/2016$5,660
Workers Comp premium11/04/2016$5,660
Workers Comp premium12/13/2016$5,660
Name and Address
(A)
AMC Movie Tickets

11500 Ash St.
Leawood
KS
66211
Type or Classification
(B)
Movie Theater
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,020
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$18,020
Purchase of movie tickets for sale to members01/31/2016$9,020
Purchase of movie tickets for sale to members04/15/2016$9,000
Name and Address
(A)
Anthony Electric, Inc.

10207 Freeman Avenue
Santa Fe Springs
CA
90670
Type or Classification
(B)
Electrician
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,730
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,730
General electrical repairs on site09/13/2016$5,730
Name and Address
(A)
Aramark Refreshment Services

17044 Montanero Ave. Unit 4
Carson
CA
90746
Type or Classification
(B)
Office Supplier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,164
Total of All Transactions with this Payee/Payer for This Schedule$5,164
Name and Address
(A)
Aramark Uniform Services
101179

Pasadena
CA
91189
Type or Classification
(B)
Office Supplier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,289
Total of All Transactions with this Payee/Payer for This Schedule$5,289
Name and Address
(A)
AT&T
5025

Carol Stream
IL
90197
Type or Classification
(B)
Telephone Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$71,089
Total of All Transactions with this Payee/Payer for This Schedule$71,089
Name and Address
(A)
Bank of the West

4400 MacArther Blvd #600
Newport Beach
CA
92660
Type or Classification
(B)
Mortgage Lender
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$52,216
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$52,216
Interest due on line of Credit03/29/2016$2,055
Interest due on line of Credit04/29/2016$6,209
Interest due on line of Credit05/31/2016$5,295
Interest due on line of Credit06/28/2016$5,478
Interest due on line of Credit08/02/2016$5,843
Interest due on line of Credit08/31/2016$5,478
Interest due on line of Credit10/06/2016$5,478
Interest due on line of Credit10/28/2016$5,660
Interest due on line of Credit11/30/2016$5,060
Interest due on line of Credit10/28/2016$5,660
Name and Address
(A)
Brian R. Bloom

350 S. Miliken Ave. Ste G
Ontario
CA
91761
Type or Classification
(B)
Architect
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$137,716
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$137,716
Architect fees for construction remodel of office02/03/2016$31,543
Architect fees for construction remodel of office03/21/2016$9,988
Architect fees for construction remodel of office04/19/2016$8,677
Architect fees for construction remodel of office04/29/2016$20,324
Architect fees for construction remodel of office07/15/2016$15,015
Architect fees for construction remodel of office08/12/2016$37,835
Architect fees for construction remodel of office08/31/2016$14,334
Name and Address
(A)
BSC Properties LLC

23651 Birtcher Dr
Lake Forest
CA
92630
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$14,950
Total of All Transactions with this Payee/Payer for This Schedule$14,950
Name and Address
(A)
Buena Park Postmaster

7377 La Palma
Buena Park
CA
90622
Type or Classification
(B)
Postage Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,000
Total Non-Itemized Transactions with this Payee/Payer$2,609
Total of All Transactions with this Payee/Payer for This Schedule$14,609
Replenish postage for U Magazine05/31/2016$12,000
Name and Address
(A)
Century Business Leasing
41602

Philadelphia
PA
19101
Type or Classification
(B)
Office Supplier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,591
Total Non-Itemized Transactions with this Payee/Payer$48,910
Total of All Transactions with this Payee/Payer for This Schedule$62,501
Copier and Printer leasing & Maintenance 11/30/2016$6,590
Copier and Printer leasing & Maintenance 12/20/2016$7,001
Name and Address
(A)
Century Business Services, Inc.

1675 Scenic Ave Ste#250
Costa Mesa
CA
92626
Type or Classification
(B)
Office Supplier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,630
Total of All Transactions with this Payee/Payer for This Schedule$5,630
Name and Address
(A)
CIT
100706

Pasadena
CA
91189-0706
Type or Classification
(B)
IT Equipment & Network Lease
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$72,458
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$72,458
IT Equipment & Network Lease01/27/2016$5,988
IT Equipment & Network Lease02/28/2016$6,594
IT Equipment & Network Lease03/29/2016$5,988
IT Equipment & Network Lease04/27/2016$5,988
IT Equipment & Network Lease05/26/2016$5,988
IT Equipment & Network Lease06/21/2016$5,988
IT Equipment & Network Lease07/19/2016$5,988
IT Equipment & Network Lease08/23/2016$5,988
IT Equipment & Network Lease09/20/2016$5,987
IT Equipment & Network Lease10/25/2016$5,987
IT Equipment & Network Lease11/30/2016$5,987
IT Equipment & Network Lease12/31/2016$5,987
Name and Address
(A)
Costco - Capital One
5219

Carol Steam
IL
60197
Type or Classification
(B)
Warehouse retail store
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$21,804
Total of All Transactions with this Payee/Payer for This Schedule$21,804
Name and Address
(A)
DC Action Lab

2034 First St. NW
Washington
DC
20001
Type or Classification
(B)
Website Development
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,300
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,300
Website Development12/20/2016$6,300
Name and Address
(A)
Disneyland

1313 Disneyland Dr.
Anaheim
CA
92802
Type or Classification
(B)
Amusement Park
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$55,872
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$55,872
Purchase of tickets for sale to members01/31/2016$55,872
Name and Address
(A)
East Side Mario's

4771 Candlewood Street
Lakewould
CA
90712
Type or Classification
(B)
Catering Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,190
Total of All Transactions with this Payee/Payer for This Schedule$6,190
Name and Address
(A)
General Data Co
640558

Cincinnati
OH
45264
Type or Classification
(B)
Office Supplier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,720
Total of All Transactions with this Payee/Payer for This Schedule$10,720
Name and Address
(A)
Jason's Catering Events, Inc.

172 N Tustin St.
Orange
CA
Type or Classification
(B)
Catering Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,227
Total of All Transactions with this Payee/Payer for This Schedule$8,227
Name and Address
(A)
Konica Minolta
550599

Jacksonville
FL
32255
Type or Classification
(B)
IT Equipment & Network Lease
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$44,130
Total of All Transactions with this Payee/Payer for This Schedule$44,130
Name and Address
(A)
Krikorian Movie tickets

131 Redondo Beach Palos
Torrance
CA
92501
Type or Classification
(B)
Movie Theater
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$37,590
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$37,590
Purchase of movie tickets for sale to members01/31/2016$7,518
Purchase of movie tickets for sale to members04/15/2016$7,518
Purchase of movie tickets for sale to members07/29/2016$7,518
Purchase of movie tickets for sale to members08/31/2016$7,518
Purchase of movie tickets for sale to members10/21/2016$7,518
Name and Address
(A)
Kylor Punsalang

8790 Hewitt Place
Garden Grove
CA
92844
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$3,677
Total of All Transactions with this Payee/Payer for This Schedule$3,677
Name and Address
(A)
Legoland

One Legoland Dr
Carlsbad
CA
92028
Type or Classification
(B)
Amusement Park
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,415
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$16,415
Purchase of Amusement Park tickets04/15/2016$16,415
Name and Address
(A)
Lindy Office Products

1247 W. Grove
Orange
CA
92865
Type or Classification
(B)
Office Supplier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,791
Total Non-Itemized Transactions with this Payee/Payer$23,917
Total of All Transactions with this Payee/Payer for This Schedule$34,708
Copier paper and misc office supplies08/02/2016$5,167
Copier paper and misc office supplies05/26/2016$5,624
Name and Address
(A)
Mailing Pros Inc.

5261 Business Dr.
Huntington Beach
CA
92649
Type or Classification
(B)
Postage Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,075
Total of All Transactions with this Payee/Payer for This Schedule$5,075
Name and Address
(A)
Marsh & Mclennan Agency LLC
85638

San Diego
CA
92186-5638
Type or Classification
(B)
Insurance Broker
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,685
Total Non-Itemized Transactions with this Payee/Payer$3,548
Total of All Transactions with this Payee/Payer for This Schedule$27,233
Union liability insurance09/26/2016$23,685
Name and Address
(A)
Netcom Technologies, Inc.

313 n. Berry Street
Brea
CA
92821
Type or Classification
(B)
IT Servicer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,439
Total Non-Itemized Transactions with this Payee/Payer$7,430
Total of All Transactions with this Payee/Payer for This Schedule$17,869
Data Cabling office network08/31/2016$10,439
Name and Address
(A)
Park Disposal
5395

Buena Park
CA
90622
Type or Classification
(B)
Trash Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,916
Total of All Transactions with this Payee/Payer for This Schedule$10,916
Name and Address
(A)
Rampart Business Community
15305

Santa Ana
CA
92735-0305
Type or Classification
(B)
Building Association
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,798
Total of All Transactions with this Payee/Payer for This Schedule$8,798
Name and Address
(A)
Regal Movie Theaters

7132 Regal Ln.
Knoxville
TN
37918
Type or Classification
(B)
Movie Theater
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$68,080
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$68,080
Purchase of movie tickets for sale to members01/31/2016$17,020
Purchase of movie tickets for sale to members04/15/2016$17,020
Purchase of movie tickets for sale to members08/31/2016$17,020
Purchase of movie tickets for sale to members12/31/2016$17,020
Name and Address
(A)
Reliable Landscape

8121 Commonwealth Ave.
Buena Park
CA
90621
Type or Classification
(B)
Landscaping Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,564
Total of All Transactions with this Payee/Payer for This Schedule$6,564
Name and Address
(A)
Sea World

500 Sea World Dr.
San Diego
CA
92109
Type or Classification
(B)
Amusement Park
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$41,475
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$41,475
Purchase of Amusement Park tickets04/15/2016$22,200
Purchase of Amusement Park tickets12/31/2016$19,275
Name and Address
(A)
Seneca Insurance Company

160 Water St. 16th Floor
New York
NY
10038
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,318
Total Non-Itemized Transactions with this Payee/Payer$108
Total of All Transactions with this Payee/Payer for This Schedule$21,426
Commercial Insurance Premium05/26/2016$21,318
Name and Address
(A)
Six Flags magic Mountain
550

Valencia
CA
91385
Type or Classification
(B)
Amusement Park
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,193
Total Non-Itemized Transactions with this Payee/Payer$6,947
Total of All Transactions with this Payee/Payer for This Schedule$21,140
Purchase of Amusement Park tickets06/07/2016$8,062
Purchase of Amusement Park tickets08/16/2016$6,131
Name and Address
(A)
South Coast Mechanical

2283 East Via Burton
Anaheim
CA
92806
Type or Classification
(B)
HVAC Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,288
Total of All Transactions with this Payee/Payer for This Schedule$5,288
Name and Address
(A)
Southern California Edison
300

Rosemead
CA
91772
Type or Classification
(B)
Utility Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$52,073
Total Non-Itemized Transactions with this Payee/Payer$22,220
Total of All Transactions with this Payee/Payer for This Schedule$74,293
Utility Services01/12/2016$5,096
Utility Services07/13/2016$5,997
Utility Services08/10/2016$9,585
Utility Services09/07/2016$9,461
Utility Services10/07/2016$9,175
Utility Services10/31/2016$7,412
Utility Services12/07/2016$5,347
Name and Address
(A)
Specialty Project Management

1556 West Domingo Rd
Fullerton
CA
92833
Type or Classification
(B)
Consulting for Property Management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$42,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$42,000
Consulting for Property Management06/22/2016$6,000
Consulting for Property Management07/13/2016$6,000
Consulting for Property Management08/10/2016$6,000
Consulting for Property Management09/07/2016$6,000
Consulting for Property Management10/07/2016$6,000
Consulting for Property Management10/31/2016$6,000
Consulting for Property Management12/07/2016$6,000
Name and Address
(A)
Spinelli Graphics, Inc.

10631 Bloomfield St.
Los Alamitos
CA
90720
Type or Classification
(B)
Printing Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$142,321
Total Non-Itemized Transactions with this Payee/Payer$9,828
Total of All Transactions with this Payee/Payer for This Schedule$152,149
U Magazine01/11/2016$15,085
U Magazine & Palm cards02/28/2016$14,914
Letterhead and envelopes03/29/2016$4,025
U Magazine04/12/2016$18,646
U Magazine05/31/2016$20,718
Envelopes06/30/2016$2,618
U Magazine and Envelopes08/02/2016$25,043
U Magazine10/25/2016$22,891
U Magazine12/16/2016$18,381
Name and Address
(A)
Thyssenkrupp Elevator Corp
933004

Atlanta
GA
31193-3004
Type or Classification
(B)
Elevator Repair Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,050
Total of All Transactions with this Payee/Payer for This Schedule$5,050
Name and Address
(A)
Total Funds By Hasler
30193

Tampa
FL
33630
Type or Classification
(B)
Postage Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$34,000
Total of All Transactions with this Payee/Payer for This Schedule$34,000
Name and Address
(A)
UFCW International Union

1775 K Street N.W.
Washington
DC
20006
Type or Classification
(B)
Parent Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,410
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,410
Bond02/02/2016$8,410
Name and Address
(A)
Union T'z

3080 Crestline Drive
Corona
CA
92881
Type or Classification
(B)
Promotional Product Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$48,884
Total Non-Itemized Transactions with this Payee/Payer$5,188
Total of All Transactions with this Payee/Payer for This Schedule$54,072
Pens for handout to membership01/04/2016$24,118
Hand sanitizers to handout to membership09/09/2016$24,766
Name and Address
(A)
US Assure, Inc.
935597

Atlanta
GA
31193-5597
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,073
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,073
Insurance02/10/2016$8,073
Name and Address
(A)
Vierregger Accountancy Corp

8081 Stanton Ave.
Buena Park
CA
90620
Type or Classification
(B)
CPA Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$38,500
Total Non-Itemized Transactions with this Payee/Payer$300
Total of All Transactions with this Payee/Payer for This Schedule$38,800
Audit of Union Records08/31/2016$38,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 022-620

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 022-620

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,199,888
Health & Welfare & Pension for employeesUFCW & Food Employers Joint Trust Fund$782,557
Retiree Health & WelfareUFCW International Union$148,859
401k matching contribution & sponsor chargeUFCW International Union$167,040
Death Benefit ChecksMembers$99,000
Cobra payments for membersMembers$2,432
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 022-620


Question 12: UFCW Union Local 324 has a yearly audit performed by an outside independent CPA firm. The CPA firm is Vierregger Accountancy Corporation. The firms address is 8081 Stanton Ave., Buena Park, CA 90620.

Question 10: Southern California UFCW Unions and Drug Employers Pension Fund EIN 51-6029925 2220 Hyperian Ave., Los Angeles CA 90028 P.N. 001 Trust Fund plan providing pension benefits to eligible members and beneficiaries. Southern California UFCW Unions and Drug Employers Benefit Fund EIN 95-6474516 2220 Hyperian Ave., Los Angeles, CA 90028 P.N. 501 Trust Fund plan providing medical, dental, prescriptions, vision benefits to eligible members and beneficiaries.

General Sales & UFCW Unions Pension Plan EIN 51-602991 2220 Hyperian Ave., Los Angeles, CA 90028 P.N. 001 Trust Fund plan providing pension benefits to eligible members and beneficiaries. Southern California UFCW Unions & Food Employers Ancillary Fund EIN 33-0605485 6425 Katella Ave., Cypress, CA 90630 P.N. 501 Trust Fund plan providing housing and education benefits to eligible members and beneficiaries. Southern California Unions & Food Employers Benefit Plan EIN 95-2301788 6425 Katella Ave., Cypress, CA 90630 P.N. 501 Trust Fund plan providing medical, vision, prescription benefits to eligible members and beneficiaries. Southern California Unions & Food Employers Pension Plan EIN 95-1939092 6425 Katella Ave., Cypress CA 90630 P.N. 001 Trust Fund providing pension benefits to eligible members and beneficiaries. Southern California UFCW Unions & Food Employers IAP EIN 33-0548757 6425 Katella Ave., Cypress CA 90630 P.N. 001 Trust Fund providing pension benefits to eligible members and beneficiaries. Universal trust Fund EIN 95-6047046 220 Professional Dr. Roseville CA 95661 P.N. 501 Trust Fund providing medical, dental, prescription benefits to eligible members and beneficiaries. NEBA Inc. 2010 N.W. 150th Ave. Pembroke Pines, FL 33028 Trust Fund providing medical, dental, prescription benefits to eligible members and beneficiaries.

Question 11(a): : UFCW Union Local 324 has a Political Action Committee (PAC) Fund. The PAC Fund is registered with the state of California. The address is 8081 Stanton Ave., Buena Park, CA 90620.

Question 15: The following items were disposed of due to the remodel at 8530 Stanton Ave., Buena Park, CA 90622. Parking Lot Lights $ 9,490.00 Podium W/ Sound Equipment $ 1,974.00 Auditorium Stage Drapes $ 5,739.00 Remodel of Bathrooms $ 3,904.00 Doors $12,340.00 Ceiling $24,993.00 Lighting $10,800.00 Remodel Auditorium $37,605.00 Refinish Flooring $12,451.00 Total disposal of assets located at 8530 Stanton Ave., Buena Park is $119,296 One automobile was disposed of which was fully depreciated at $19,033.00 but carried no value. The following items were disposed of due to the closure of the branch office located at 23681 Birtcher Drive, Lake Forest, CA 92630. Mini Blinds $ 637.00 Modular Furniture $17,633.00 Safe $ 1,146.00 Furniture $ 3,283.00 Remodel $23,600.00 Phone Equipment $ 4,244.00 Total disposal of assets located at 23681 Birtcher Drive is $50,543.00 Total disposal of depreciated assets is $188,872.00

Question 16: UFCW Union Local 324 entered into an agreement with Bank of the West for a line of credit up to $4,000,000.00 secured by the property located at 8530 Stanton Ave., Buena Park CA 90620. As of December 31, 2016 the amount owed to Bank of the West is $2,343,147.00. The address of Bank of the West is 4400 MacArther Blvd, Suite 600 New Port Beach, CA 92660.

Statement A,

Cash Begin Total: The amount has not been changed from the 2015 LM2 report, therefore no additional comment required.

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Schedule 1, Row10:

Schedule 1, Row10::

Schedule 1, Row11:

Schedule 1, Row11::

Schedule 8, Row1:

Schedule 8, Row1::

Schedule 8, Row2:

Schedule 8, Row2::

Schedule 8, Row3:

Schedule 8, Row3::

Schedule 8, Row4:

Schedule 8, Row4::

Schedule 8, Row6:

Schedule 8, Row6::

Schedule 8, Row5:

Schedule 8, Row5::

Schedule 9, Row1:

Schedule 9, Row1::::

Schedule 13, Row1:

Schedule 13, Row1::An active member is a full paying member who is employed within a collective bargaining unit represented by the international union of the Local union. An active member has full rights as a member of the Union.

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row3:

Schedule 13, Row3::Beck objecting members do not have full rights as members. They pay dues based on the percentage of chargeable expenses related to the Union. They may not vote in the election of officers of the Union.

Schedule 13, Row3:

Schedule 13, Row3::Beck objectors are not full paying members and are not eligible to vote in the election of officers of the Union.

Schedule 13, Row2:

Schedule 13, Row2::Affiliated members are retired members. Affiliated members pay partial dues. They may not vote in the election of officers of the Local Union.

Schedule 13, Row2:

Schedule 13, Row2::Affiliated members are not full dues paying members and are not eligible to vote in the election of officers for the Union.

General Information:

Schedule 10 Line 2: Total payroll withholding deductions of $24,189.00 are caused by the fiscal year of the Flexible Spending Account (FSA) account being June 1 through May 31, where as the LM2 report is based on a calendar year. The difference of $24,189.00 is the residual FSA amount withheld for employees in 2016 to be used from January 1, 2017 through May 31, 2017.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)