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:
09-30-2021
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR
MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN
TRUSTEESHIP
This report is
mandatory under P.L. 86-257, as amended. Failure to comply
may result in criminal prosecution, fines, or civil penalties as
provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS
REPORT.
For Official Use Only
1. FILE NUMBER
018-978
2.
PERIOD COVERED
From
01/01/2018
Through
12/31/2018
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 Fortesque
PRESIDENT
71. SIGNED:
Dennis M Kashi
TREASURER
Date:
Mar 13, 2019
Telephone
Number:
216-328-1833
Date:
Mar 13, 2019
Telephone
Number:
216-328-1833
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
018-978
10. During the reporting period did the labor
organization create or participate in the administration of
a trust or a fund or organization, as defined in the
instructions, which provides benefits for members or
beneficiaries?
Yes
11(a). During the reporting period did the
labor organization have a political action committee (PAC)
fund?
No
11(b). During the reporting period did the
labor organization have a subsidiary organization as
defined in Section X of these Instructions?
No
12. During the reporting period did the labor
organization have an audit or review of its books and
records by an outside accountant or by a parent body
auditor/representative?
Yes
13. During the reporting period did the labor
organization discover any loss or shortage of funds or
other assets? (Answer "Yes" even if there has
been repayment or recovery.)
No
14. What is the maximum amount recoverable
under the labor organization's fidelity bond for a
loss caused by any officer, employee or agent of the labor
organization who handled union funds?
$235,000
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
No
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?
2,511
21. What are the labor organization's rates of dues
and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
N/A
per
MBR/MNTH
10.00
112.00
(b) Working Dues/Fees
per
(c) Initiation Fees
250.00
per
APPLCNT
(d) Transfer Fees
.50
per
TRNSFR
(e) Work Permits
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
018-978
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$268,821
$147,205
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$77,349
$78,762
27. Fixed Assets
6
$626,272
$596,926
28. Other Assets
7
$153
$153
29.
TOTAL ASSETS
$972,595
$823,046
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$0
31. Loans Payable
9
$0
32. Mortgages Payable
$130,030
$118,182
33. Other Liabilities
10
$6,171
$73,549
34. TOTAL
LIABILITIES
$136,201
$191,731
35. NET
ASSETS
$836,394
$631,315
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
018-978
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,811,438
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$68,290
39. Sale of Supplies
$0
40. Interest
$0
41. Dividends
$5,482
42. Rents
$47,976
43. Sale of Investments
and Fixed Assets
3
$25,097
44. Loans Obtained
9
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$3,213
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$10,400
49. TOTAL RECEIPTS
$1,971,896
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$655,008
51.
Political Activities and Lobbying
16
$0
52.
Contributions, Gifts, and Grants
17
$75,068
53. General
Overhead
18
$340,719
54. Union
Administration
19
$145,869
55. Benefits
20
$288,354
56. Per
Capita Tax
$463,714
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$38,935
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$3,213
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$82,629
66. Subtotal
$2,093,509
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$324,249
67b. Less Total
Disbursed
$324,249
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$2,093,509
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
018-978
Entity or Individual Name
(A)
Total Account Receivable
(B)
90-180 Days
Past Due
(C)
180+ Days
Past Due
(D)
Liquidated Account
Receivable
(E)
Total of all itemized
accounts receivable
$0
$0
$0
$0
Totals from all other
accounts receivable
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
018-978
List below loans to officers, employees, or members which
at any time during the reporting period exceeded $250 and
list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not
listed above
Total of all lines
above
$0
$0
$0
$0
$0
Totals will be
automatically entered in...
Item 24
Column (A)
Item 61
Item 45
Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF
INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
018-978
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Gross Sales Price
(D)
Amount Received
(E)
Total of all
lines above
$25,393
$25,097
$25,097
$25,097
INVESTMENTS
$25,393
$25,097
$25,097
$25,097
Less Reinvestments
$0
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$25,097
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
$38,935
$38,935
$38,935
BUILDING IMPROVEMENTS
$1,754
$1,754
$1,754
COMPUTER EQUIPMENT
$1,697
$1,697
$1,697
OFFICE FURNITURE AND FIXTURES
$6,456
$6,456
$6,456
INVESTMENTS
$29,028
$29,028
$29,028
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$38,935
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
$80,984
B. Total Book Value
$78,762
C. List each
marketable security which has a book value over $5,000
and exceeds 5% of Line B.
545 SHARES, AMER FUNDS AMCAP
$15,308
360 SHARES, PUTNAM EQUITY INCOME
$6,987
2,070 SHARES, PUTNAM SHORT DURATION INCOME FUND
$20,763
1,624 SHARES, MFS TOTAL RETURN FUND
$27,904
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))
$78,762
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, OH 44125
$127,636
$127,636
$127,000
B.
Buildings (give location)
Building
1
:
6051 CAREY DRIVE, VALLEY VIEW, OH 44125
$1,056,591
$710,045
$346,546
$500,000
C. Automobiles
and
Other Vehicles
$19,335
$19,335
$0
$2,500
D. Office
Furniture
and Equipment
$114,885
$97,656
$17,229
$17,000
E.
Other Fixed Assets
$165,294
$59,779
$105,515
$105,000
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$1,483,741
$886,815
$596,926
$751,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
018-978
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$153
DEPOSIT - WORKERS COMPENSATION
$153
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
018-978
Entity or Individual Name
(A)
Total Account
Payable
(B)
90-180 Days
Past Due
(C)
180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable
$0
$0
$0
$0
Total from all other accounts payable
$0
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
018-978
Source of Loans Payable at Any
Time During the Reporting Period
(A)
Loans Owed at
Start of Period
(B)
Loans Obtained
During Period
(C)
Repayment
During Period
Cash
(D)(1)
Repayment
During Period
Other Than Cash
(D)(2)
Loans Owed at
End of Period
(E)
Total Loans Payable
$0
$0
$0
$0
$0
Totals will be automatically entered in...
Item 31
Column (C)
Item 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
018-978
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$73,549
PER CAPITA TAXES
$5,571
VACATION PAY
$67,978
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
FORTESQUE
,
JOHN
PRESIDENT C
$127,600
$9,600
$2,334
$139,534
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
KASHI
,
DENNIS
M SECRETARY-TREASURER C
$111,600
$10,700
$1,933
$124,233
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
PAVONE
,
CHRISTOPHER
VICE PRESIDENT C
$117,900
$9,600
$2,569
$130,069
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
L RECORDING SECRETARY C
$101,000
$4,700
$246
$105,946
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
CROW
,
FRED
W TRUSTEE C
$101,000
$11,200
$2,936
$115,136
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
$97,400
$10,200
$2,251
$109,851
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
MUNGER
,
DEBBIE
TRUSTEE N
$4,839
$63
$4,902
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
,
-1
$0
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total Officer
Disbursements
$661,339
$56,000
$12,332
$0
$729,671
Less Deductions
$268,831
Net
Disbursements
$460,840
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
$65,100
$2,100
$222
$67,422
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
$27,956
$900
$320
$29,176
I
Schedule 15
Representational Activities
5
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
85
%
Schedule 19
Administration
10
%
A
B
C
SCAFARO
,
DONNA
ADMINISTRATIVE N/A
$18,156
$900
$31
$19,087
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
VANDERGRIFF
,
CHARLES
MAINTENANCE N/A
$24,975
$24,975
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
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$844
$844
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
Total
Employee Disbursements
$137,031
$3,900
$573
$0
$141,504
Less
Deductions
$55,418
Net Disbursements
$86,086
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)
2,511
Agency Fee Payers*
1
Total Members/Fee Payers
2,512
*Agency Fee Payers are
not considered members of the labor organization.
ACTIVE MEMBERS
2,511
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
018-978
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$6,964
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$3,436
4. Total
Receipts
$10,400
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$49,530
2. Named Payee
Non-itemized Disbursements
$5,427
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$20,111
6. Total
Disbursements
$75,068
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$115,364
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$517,816
4. To Employees
$10,954
5. All Other
Disbursements
$10,874
6. Total
Disbursements
$655,008
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$6,500
2. Named Payee
Non-itemized Disbursements
$61,219
3. To Officers
$84,757
4. To Employees
$123,308
5. All Other
Disbursements
$64,935
6. Total
Disbursements
$340,719
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
$0
6. Total
Disbursements
$0
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$127,098
4. To Employees
$7,243
5. All Other
Disbursements
$11,528
6. Total
Disbursements
$145,869
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
018-978
Name and Address
(A)
AUTO OWNERS INSURANCE 740058
CINCINNATI OH 45274-0058
Type or Classification
(B)
INSURANCE AGENCY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,964
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$6,964
CASH SURRENDER VALUE
03/16/2018
$6,964
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
018-978
Name and Address
(A)
JEFFREY A. BELKIN, ESQ.
2519 LAFAYETTE DRIVE UNIVERSITY HEIGHTS OH 44118
Type or Classification
(B)
ARBITRATOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,340
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$8,340
ARBITRATION
02/28/2018
$8,340
Name and Address
(A)
MANGANO LAW OFFICE
2460 FAIRMOUNT BLVD. SUITE CLEVELAND OH 44106
Type or Classification
(B)
LAW FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$107,024
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$107,024
LEGAL SERVICES
01/08/2018
$15,538
LEGAL SERVICES
02/05/2018
$7,500
LEGAL SERVICES
03/07/2018
$7,560
LEGAL SERVICES
04/04/2018
$8,784
LEGAL SERVICES
05/02/2018
$8,274
LEGAL SERVICES
06/05/2018
$7,785
LEGAL SERVICES
07/05/2018
$8,131
LEGAL SERVICES
08/07/2018
$7,600
LEGAL SERVICES
09/24/2018
$8,172
LEGAL SERVICES
10/03/2018
$12,307
LEGAL SERVICES
11/01/2018
$7,873
LEGAL SERVICES
12/03/2018
$7,500
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)
GIANT EAGLE 534
UNIONTOWN OH 44685
Type or Classification
(B)
GROCERY STORE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,427
Total of All Transactions with this
Payee/Payer for This Schedule
$5,427
Name and Address
(A)
PENTECOSTAL CHURCH OF CHRIST
10515 CHESTER AVENUE CLEVELAND OH 44106
Type or Classification
(B)
SCHOLARSHIP FUND
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$49,530
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$49,530
MEMBERSHIP HOLIDAY GIFT CARDS
10/15/2018
$49,530
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
018-978
Name and Address
(A)
AT&T 5019
CAROL STREAM IL 60197-5019
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
$13,751
Total of All Transactions with this
Payee/Payer for This Schedule
$13,751
Name and Address
(A)
C.E.V. HANDYMAN SERVICES
4478 W. 12TH STREET CLEVELAND OH 44109
Type or Classification
(B)
MAINTENANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,068
Total of All Transactions with this
Payee/Payer for This Schedule
$6,068
Name and Address
(A)
CIUNI & PANICHI
25201 CHAGRIN BLVD. CLEVELAND OH 44122-5683
Type or Classification
(B)
AUDIT FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,500
Total of All Transactions with this
Payee/Payer for This Schedule
$8,500
Name and Address
(A)
INDEPENDENCE BANK
4401 ROCKSIDE ROAD INDEPENDENCE OH 44131-8048
Type or Classification
(B)
COMMERCIAL BANK MORTGAGE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$17,209
Total of All Transactions with this
Payee/Payer for This Schedule
$17,209
Name and Address
(A)
PURCHASE POWER 371874
PITTSBURGH PA 15250-7874
Type or Classification
(B)
POSTAGE AND MAILING SUPPLIES
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,771
Total of All Transactions with this
Payee/Payer for This Schedule
$7,771
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
$7,920
Total of All Transactions with this
Payee/Payer for This Schedule
$7,920
Name and Address
(A)
THE PUN GROUP, LLP
200 EAST SANDPOINT AVENUE SANTA ANA CA 92707
Type or Classification
(B)
AUDIT FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,500
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$6,500
AUDIT SERVICES
07/24/2018
$6,500
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.)
$288,354
PENSION
TEAMSTERS LOCAL 436 PENSION FUND
$170,086
HEALTH AND WELFARE
TEAMSTERS LOCAL 436 HEALTH AND WELFARE
$112,945
LONG TERM LIABILITY
TEAMSTERS LOCAL 436 HEALTH AND WELFARE
$3,259
LIFE INSURANCE
INSURANCE COMPANY
$2,064
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, PLAN NO. 501, PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS. BUILDING MATERIAL DRIVERS LOCAL 436 PENSION FUND, EIN 34-6665225, PLAN NO. 001, PROVIDES PENSION BENEFITS. BOTH PLANS ARE ADMINISTERED AT 6051 CARY DRIVE, VALLEY VIEW, OH 44125 AND FILE FORM 5500 WITH THE U.S. DEPARTMENT OF LABOR.
Question 12: THE BOOKS AND RECORDS HAVE BEEN AUDITED BY OUTSIDE ACCOUNTANT GARY M. TIBONI, CPA.
Question 16: MORTGAGE PAYABLE IS SECURED BY THE LAND PURCHASED AND BUILDING CONSTRUCTED WITH LOAN PROCEEDS.
Schedule 13, Row1:
Schedule 13, Row1::MEMBERS WORKING IN THE INDUSTRY AND PAYING FULL DUES.