U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210
FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 07-31-2019
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

This report is mandatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
018-978
2. PERIOD COVERED
From01/01/2017
Through12/31/2017
3. (a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This is a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
TEAMSTERS
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
436
7. UNIT NAME (if any)

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

Number and Street
6051 CAREY DRIVE
City
VALLEY VIEW
State
OH
ZIP Code + 4
44125


9. Are your organization's records kept at its mailing address?


Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:John M FortesquePRESIDENT71. SIGNED:Dennis M KashiTREASURER
Date:Mar 27, 2018Telephone Number:216-328-1833Date:Mar 27, 2018Telephone Number:216-328-1833
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 018-978
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?Yes
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?No
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?No
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$235,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?Yes
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?12/2020
20. How many members did the labor organization have at the end of the reporting period?2,577
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesN/AperMBR/MBTH10.00106.00
(b) Working Dues/Feesper
(c) Initiation Fees250.00perAPPLCNT
(d) Transfer Fees.50perTRNSFR
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 018-978

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $301,104$268,821
23. Accounts Receivable1$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$73,631$77,349
27. Fixed Assets6$593,569$626,272
28. Other Assets7$153$153
29. TOTAL ASSETS $968,457$972,595

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$0
31. Loans Payable9$0
32. Mortgages Payable $79,862$130,030
33. Other Liabilities10$6,771$6,171
34. TOTAL LIABILITIES $86,633$136,201
35. NET ASSETS$881,824$836,394
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 018-978

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,797,719
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $69,665
39. Sale of Supplies $0
40. Interest $0
41. Dividends $3,054
42. Rents $48,092
43. Sale of Investments and Fixed Assets3$4,618
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $2,209
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$159,152
49. TOTAL RECEIPTS $2,084,509
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$552,892
51. Political Activities and Lobbying16$0
52. Contributions, Gifts, and Grants17$120,277
53. General Overhead18$410,192
54. Union Administration19$132,114
55. Benefits20$281,734
56. Per Capita Tax $462,187
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$75,118
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $2,209
64. On Behalf of Individual Members $0
65. Direct Taxes $80,069
  
66. Subtotal $2,116,792
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$303,121  
  67b. Less Total Disbursed$303,121  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $2,116,792
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 018-978

Entity or Individual Name
(A)
Total Account Receivable
(B)
90-180 Days
Past Due
(C)
180+ Days
Past Due
(D)
Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 018-978

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A)
Item 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: 018-978

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Gross Sales Price
(D)
Amount Received
(E)
Total of all lines above$3,706$3,706$4,618$4,618
INVESTMENTS$3,706$3,706$4,618$4,618
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$4,618
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 018-978

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$75,118$75,118$75,118
BUILDING IMPROVEMENTS$34,355$34,355$34,355
OFFICE EQUIPMENT$3,161$3,161$3,161
LAND IMPROVEMENTS$30,178$30,178$30,178
INVESTMENTS$7,424$7,424$7,424
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$75,118
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 018-978

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$77,349
B. Total Book Value$77,349
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • 346 SHARES, PUTNAM EQUITY INCOME FUND
$6,666
  • 1,714 SHARES, PRUDENTIAL TOTAL RETURN BOND FUND
$24,404
  • 2.066 SHARES, PUTNAM SHORT DURATION INCOME FUND
$20,786
  • 876 SHARES, MFS TOTAL RETURN FUND
$13,102
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)) $77,349
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 018-978

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      6051 CAREY DRIVE, VALLEY VIEW, OHIO$127,636 $127,636$127,000
B. Buildings (give location)    
Building  1 :      6051 CAREY DRIVE, VALLEY VIEW, OHIO$1,047,322$682,939$364,383$500,000
C. Automobiles and Other Vehicles$19,335$19,335$0$2,500
D. Office Furniture and Equipment$104,286$91,022$13,264$13,000
E. Other Fixed Assets$170,584$49,595$120,989$120,000
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,469,163$842,891$626,272$762,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 018-978

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $153
DEPOSIT - WORKERS COMPENSATION$153
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 018-978

Entity or Individual Name
(A)
Total Account
Payable
(B)
90-180 Days
Past Due
(C)
180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$0$0$0$0
Total from all other accounts payable$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 018-978

Source of Loans Payable at Any
Time During the Reporting Period
(A)
Loans Owed at
Start of Period
(B)
Loans Obtained
During Period
(C)
Repayment
During Period
Cash
(D)(1)
Repayment
During Period
Other Than Cash
(D)(2)
Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 018-978

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $6,171
PER CAPITA TAXES$6,171
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 018-978

(A)
Name
(B)
Title
(C)
Status
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances
Disbursed
(F)
Disbursements for Official Business
(G)
Other
Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
TIBONI ,  GARY   M
PRESIDENT
C
$120,689$8,400$2,992$132,081
I
Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
20 %
A
B
C
FORTESQUE ,  JOHN   M
SECRETARY-TREASURER
C
$103,299$9,600$1,681$114,580
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
20 %
A
B
C
PAVONE ,  CHRISTOPHER  
VICE PRESIDENT
C
$101,099$9,600$2,880$113,579
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
20 %
A
B
C
ZART ,  MARY  
RECORDING SECRETARY
C
$94,435$3,600$486$98,521
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
80 % Schedule 19
Administration
15 %
A
B
C
KASHI ,  DENNIS  
TRUSTEE
C
$95,297$9,600$2,323$107,220
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
15 %
A
B
C
CROW ,  FRED  
TRUSTEE
C
$89,281$9,600$2,759$101,640
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
15 %
A
B
C
ALIOTO ,  SAL  
TRUSTEE
C
$21,242$1,200$295$22,737
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
10 %
Total Officer Disbursements$625,342$51,600$13,416$0$690,358
Less Deductions    $250,062
Net Disbursements    $440,296
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 018-978

(A)
Name
(B)
Title
(C)
Other Payer
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances Disbursed
(F)
Disbursements for Official Business
(G)
Other Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
BEDNARSKI ,  PAMELA  
ADMINISTRATIVE
N/A
$60,670$2,100$316$63,086
I
Schedule 15
Representational Activities
10 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
85 % Schedule 19
Administration
5 %
A
B
C
TROXELL ,  DEBRA  
ADMINISTRATIVE
N/A
$28,019$900$682$29,601
I
Schedule 15
Representational Activities
10 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
85 % Schedule 19
Administration
5 %
A
B
C
SCAFARO ,  DONNA  
ADMINISTRATIVE
N/A
$18,508$900$115$19,523
I
Schedule 15
Representational Activities
10 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
85 % Schedule 19
Administration
5 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$15,758$74$15,832
I Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total Employee Disbursements$122,955$3,900$1,187$0$128,042
Less Deductions    $53,059
Net Disbursements    $74,983
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 018-978

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 2,577 
Agency Fee Payers*105
Total Members/Fee Payers2,682 
*Agency Fee Payers are not considered members of the labor organization.
ACTIVE MEMBERS2,577Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 018-978

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$140,000
2. Named Payer Non-itemized Receipts$17,100
3. All Other Receipts$2,052
4. Total Receipts$159,152
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$84,737
2. Named Payee Non-itemized Disbursements$7,194
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$28,346
6. Total Disbursements$120,277
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$19,364
2. Named Payee Non-itemized Disbursements$9,604
3. To Officers$475,631
4. To Employees$27,053
5. All Other Disbursements$21,240
6. Total Disbursements$552,892
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$91,146
2. Named Payee Non-itemized Disbursements$43,242
3. To Officers$94,299
4. To Employees$95,379
5. All Other Disbursements$86,126
6. Total Disbursements$410,192
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements
6. Total Disbursements$0
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$120,429
4. To Employees$5,610
5. All Other Disbursements$6,075
6. Total Disbursements$132,114
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 018-978

Name and Address
(A)
INDEPENDENCE BANK

4401 ROCKSIDE ROAD
INDEPENDENCE
OH
Type or Classification
(B)
FINANCIAL INSTITUTION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$140,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$140,000
PROCEEDS FROM REFINANCE01/31/2017$140,000
Name and Address
(A)
TEAMSTERS LOCAL 436 PENSION

6051 CAREY DRIVE
VALLEY VIEW
OH
44128
Type or Classification
(B)
RELATED PLAN - ADMINISTRTIVE SERVICES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,100
Total of All Transactions with this Payee/Payer for This Schedule$17,100
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 018-978

Name and Address
(A)
MANGANO LAW OFFICES

2245 WARRENSVILLE CENTER
CLEVELAND
OH
44118
Type or Classification
(B)
LAW FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,364
Total Non-Itemized Transactions with this Payee/Payer$9,604
Total of All Transactions with this Payee/Payer for This Schedule$28,968
LEGAL SERVICES11/07/2017$9,238
LEGAL SERVICES12/07/2017$10,126
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 018-978

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 018-978

Name and Address
(A)
IMPRESSIONS

8914 S TELEGRAPH ROAD
TAYLOR
MI
48180
Type or Classification
(B)
MERCHANDISE VENDOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,920
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,920
MEMBERSHIP GIFTS06/26/2017$25,920
Name and Address
(A)
PLEASANT HILLS GOLF COURSE
139

CHARDON
OH
44024
Type or Classification
(B)
GOLF COURSE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,424
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,424
GREEN FEES AND CATERING07/10/2017$6,424
Name and Address
(A)
PROMOGROUP INC

8040 E MORGAN TRAIL #21
SCOTTSDALE
AZ
85258
Type or Classification
(B)
MERCHANT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$52,393
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$52,393
MEMBERSHIP GIFT CARDS10/12/2017$52,393
Name and Address
(A)
REDDIS PIZZA

15523 SNOW ROAD
BROOK PARK
OH
44142
Type or Classification
(B)
CATERING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,194
Total of All Transactions with this Payee/Payer for This Schedule$7,194
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 018-978

Name and Address
(A)
A TASTE OF EXCELLENCE

16888 PEARL ROAD
STRONGSVILLE
OH
44136
Type or Classification
(B)
CATERING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,284
Total Non-Itemized Transactions with this Payee/Payer$2,000
Total of All Transactions with this Payee/Payer for This Schedule$13,284
BUILDING DEDICATION10/11/2017$11,284
Name and Address
(A)
AT&T
5019

CAROL STREAM
IL
60197
Type or Classification
(B)
TELEPHONE AND INTERNET SERVICE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,502
Total of All Transactions with this Payee/Payer for This Schedule$9,502
Name and Address
(A)
INDEPENDENCE BANK

4401 ROCKSIDE ROAD
INDEPENDENCE
OH
44131
Type or Classification
(B)
COMMERCIAL BANK - MORTGAGE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$79,862
Total Non-Itemized Transactions with this Payee/Payer$15,774
Total of All Transactions with this Payee/Payer for This Schedule$95,636
PAY OFF EXISTING LOAN01/24/2017$79,862
Name and Address
(A)
PURCHASE POWER
371874

PITTSBURGH
PA
15250
Type or Classification
(B)
POSTAGE AND MAILING SUPPLIES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,361
Total of All Transactions with this Payee/Payer for This Schedule$8,361
Name and Address
(A)
THE ILLUMINATING COMPANY
3638

AKRON
OH
44309
Type or Classification
(B)
UTILITY PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,605
Total of All Transactions with this Payee/Payer for This Schedule$7,605
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 018-978

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS FILE NUMBER: 018-978

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$281,734
PENSIONTEAMSTERS LOCAL 436 PENSION FUND$168,438
HEALTH AND WELFARETEAMSTERS LOCAL 436 HEALTH AND WELFARE$108,324
LONG TERM LIABILITYTEAMSTERS LOCAL 436 HEALTH AND WELFARE$3,167
LIFE INSURANCEAUTO OWNERS INSURANCE$1,805
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 018-978


Question 10: EXCAVATING BUILDING MATERIAL AND CONSTRUCTION UNION LOCAL 436 HEALTH AND WELFARE FUND, EIN 34-0821253, PN NO. 501, PROVIDES HEALTH AND WELFARE BENEFITS. BUILDING MATERIAL DRIVERS LOCAL 436 PENSION FUND, EIN 34-6665225, PN NO. 501, PROVIDES PENSION BENEFITS. BOTH PLANS ARE LOCATED AT 6051 CAREY DRIVE, VALLEY VIEW, OHIO 44125 AND FILE FORM 5500 WITH THE U.S. DEPARTMENT OF LABOR.

Question 15: FIXED ASSETS PURCHASED AT A COST OF $1,928 HAD ACCUMULATED DEPRECIATION OF $1,391 AND A NET BOOK VALUE OF $537 WERE CONSIDERED OBSOLETE OR COULD NOT BE REPAIRED AND WERE SCRAPPED.

Question 16: MORTGAGE PAYABLE IS SECURED BY THE LAND PURCHASED AND BUILDING CONSTRUCTED WITH LOAN PROCEEDS.

Schedule 13, Row1:MEMBERS WORKING IN THE INDUSTRY AND PAYING FULL DUES.JOHN M. FORTESQUE WAS ELECTED PRESIDENT AND DENNIS KASHI WAS ELECTED SECRETARY-TREASURER FOR THE TERM COMMENCING JANUARY 1, 2018 AND ARE SIGNING THE CURRENT YEAR FILING.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)