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
005-568
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.)
JOINT COUNCIL
6. DESIGNATION NBR
42
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
RANDY
Last Name
CAMMACK
P.O Box - Building and Room Number
Number and Street
981 CORPORATE CTR DR. #200
City
POMONA
State
CA
ZIP Code + 4
91768
9. Are your organization's records kept at its
mailing address?
Yes
Each of the undersigned, duly authorized
officers of the above labor organization, declares,
under penalty of perjury and other applicable penalties
of law, that all of the information submitted in this
report (including information contained in any
accompanying documents) has been examined by the
signatory and is, to the best of the undersigned
individual's knowledge and belief, true, correct
and complete (See Section V on penalties in the
instructions.)
70. SIGNED:
Randolph W Cammack
PRESIDENT
71. SIGNED:
Ernest M Bergen
TREASURER
Date:
Mar 26, 2019
Telephone
Number:
626-974-4212
Date:
Mar 26, 2019
Telephone
Number:
909-877-8326
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
005-568
10. During the reporting period did the labor
organization create or participate in the administration of
a trust or a fund or organization, as defined in the
instructions, which provides benefits for members or
beneficiaries?
Yes
11(a). During the reporting period did the
labor organization have a political action committee (PAC)
fund?
No
11(b). During the reporting period did the
labor organization have a subsidiary organization as
defined in Section X of these Instructions?
No
12. During the reporting period did the labor
organization have an audit or review of its books and
records by an outside accountant or by a parent body
auditor/representative?
Yes
13. During the reporting period did the labor
organization discover any loss or shortage of funds or
other assets? (Answer "Yes" even if there has
been repayment or recovery.)
No
14. What is the maximum amount recoverable
under the labor organization's fidelity bond for a
loss caused by any officer, employee or agent of the labor
organization who handled union funds?
$500,000
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
Yes
16. Were any of the labor organization's
assets pledged as security or encumbered in any way at the
end of the reporting period?
Yes
17. Did the labor organization have any
contingent liabilities at the end of the reporting period?
No
18. During the reporting period did the labor
organization have any changes in its constitution or
bylaws, other than rates of dues and fees, or in
practices/procedures listed in the instructions?
No
19. What is the date of the labor
organization's next regular election of officers?
02/2022
20. How many members did the labor organization
have at the end of the reporting period?
167,408
21. What are the labor organization's rates of dues
and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
Varies
per
Month
1.25
1.7
(b) Working Dues/Fees
N/A
per
(c) Initiation Fees
N/A
per
(d) Transfer Fees
N/A
per
(e) Work Permits
N/A
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
005-568
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$746,756
$883,609
23. Accounts Receivable
1
$0
24. Loans Receivable
2
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$431,364
$758,133
27. Fixed Assets
6
$203,822
$159,571
28. Other Assets
7
$16,885
$16,885
29.
TOTAL ASSETS
$1,398,827
$1,818,198
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
31. Loans Payable
9
$99,448
$74,842
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$4,172
$76
34. TOTAL
LIABILITIES
$103,620
$74,918
35. NET
ASSETS
$1,295,207
$1,743,280
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
005-568
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$0
37. Per Capita Tax
$3,253,383
38. Fees, Fines,
Assessments, Work Permits
$0
39. Sale of Supplies
$1,800
40. Interest
$19,960
41. Dividends
$0
42. Rents
$6,500
43. Sale of Investments
and Fixed Assets
3
$99,426
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$179,882
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$201,840
49. TOTAL RECEIPTS
$3,762,791
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$514,743
51.
Political Activities and Lobbying
16
$49,399
52.
Contributions, Gifts, and Grants
17
$88,517
53. General
Overhead
18
$899,093
54. Union
Administration
19
$469,820
55. Benefits
20
$453,318
56. Per
Capita Tax
$609,122
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$1,800
60. Purchase
of Investments and Fixed Assets
4
$436,500
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
$24,606
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$74,924
66. Subtotal
$3,621,842
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$318,865
67b. Less Total
Disbursed
$322,961
67c.
Total Withheld But Not Disbursed
-$4,096
68.
TOTAL DISBURSEMENTS
$3,625,938
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
005-568
Entity or Individual Name
(A)
Total Account Receivable
(B)
90-180 Days
Past Due
(C)
180+ Days
Past Due
(D)
Liquidated Account
Receivable
(E)
Total of all itemized
accounts receivable
$0
$0
$0
$0
Totals from all other
accounts receivable
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
005-568
List below loans to officers, employees, or members which
at any time during the reporting period exceeded $250 and
list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not
listed above
Total of all lines
above
$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:
005-568
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Gross Sales Price
(D)
Amount Received
(E)
Total of all
lines above
$114,530
$102,342
$99,426
$99,426
Furniture & equipment abandoned - See stmt 69
$12,487
$299
$0
$0
Investments
$102,043
$102,043
$99,426
$99,426
Less Reinvestments
$0
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$99,426
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
005-568
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$436,500
$436,500
$436,500
Equipment
$7,689
$7,689
$7,689
Investments
$428,811
$428,811
$428,811
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$436,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
005-568
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
$758,133
B. Total Book Value
$758,133
C. List each
marketable security which has a book value over $5,000
and exceeds 5% of Line B.
Eaton Vance Floating Rate ADV
$162,792
First TR SR FL II Sr Float Rate Inc. Fnd
$48,552
Metro West Low Duration Bond Fund
$70,151
Vanguard Treasury Money Market Investor CL
$422,659
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))
$758,133
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
005-568
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give
location)
$0
$0
$0
B. Buildings
(give location)
$0
$0
$0
$0
C. Automobiles
and
Other Vehicles
$213,208
$106,097
$107,111
$0
D. Office
Furniture
and Equipment
$147,141
$122,358
$24,783
$0
E.
Other Fixed Assets
$42,998
$15,321
$27,677
$0
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$403,347
$243,776
$159,571
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
005-568
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$16,885
Lease deposit
$16,885
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
005-568
Entity or Individual Name
(A)
Total Account
Payable
(B)
90-180 Days
Past Due
(C)
180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable
$0
$0
$0
$0
Total from all other accounts payable
$0
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
005-568
Source of Loans Payable at Any
Time During the Reporting Period
(A)
Loans Owed at
Start of Period
(B)
Loans Obtained
During Period
(C)
Repayment
During Period
Cash
(D)(1)
Repayment
During Period
Other Than Cash
(D)(2)
Loans Owed at
End of Period
(E)
Total Loans Payable
$99,448
$0
$24,606
$0
$74,842
Totals will be automatically entered in...
Item 31
Column (C)
Item 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Ford Motor Credit - Auto loan
$35,086
$0
$10,526
$0
$24,560
United Business Bank - Truck loan
$64,362
$0
$14,080
$0
$50,282
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
005-568
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$76
Payroll taxes and withholdings payable
$76
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
005-568
(A) Name
(B) Title
(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
Bergen
,
Mike
Secretary Treasurer C
$8,450
$0
$205
$0
$8,655
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
20
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
80
%
A
B
C
Cammack
,
Randy
President C
$92,023
$0
$4,642
$0
$96,665
I
Schedule 15
Representational Activities
30
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
50
%
A
B
C
Griswold
,
Christopher
Trustee C
$8,450
$0
$536
$0
$8,986
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
Herrera
,
Ron
Recording Secretary C
$8,450
$0
$232
$0
$8,682
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
Kelly
,
Patrick
Trustee C
$8,450
$0
$482
$0
$8,932
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
Lennox
,
Robert
Trustee C
$8,450
$0
$489
$0
$8,939
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
20
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
80
%
A
B
C
Middleton
,
Rick
Trustee C
$8,450
$0
$766
$0
$9,216
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
$142,723
$0
$7,352
$0
$150,075
Less Deductions
$62,750
Net
Disbursements
$87,325
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
005-568
(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
Corona
,
Ramon
Project Organizer N/A
$57,000
$0
$0
$0
$57,000
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
%
A
B
C
Culwell
,
Donna
Driver/Exec. Staff N/A
$86,247
$0
$1,680
$0
$87,927
I
Schedule 15
Representational Activities
35
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
60
%
Schedule 19
Administration
0
%
A
B
C
Frothingham
,
Patricia
Executive Secretary N/A
$76,564
$0
$836
$0
$77,400
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
85
%
Schedule 19
Administration
5
%
A
B
C
Grijalva
,
Rocio
Executive Staff N/A
$80,401
$0
$2,002
$0
$82,403
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
10
%
Schedule 18
General Overhead
80
%
Schedule 19
Administration
10
%
A
B
C
Kennedy
,
Denise
Controller N/A
$89,087
$0
$394
$0
$89,481
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
90
%
Schedule 19
Administration
10
%
A
B
C
Korgan
,
Jacqueline
Communications Director N/A
$115,748
$0
$115
$0
$115,863
I
Schedule 15
Representational Activities
75
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
10
%
A
B
C
Korgan
,
Randy
Project Director N/A
$1,154
$60,000
$231
$0
$61,385
I
Schedule 15
Representational Activities
95
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
Mihalow
,
Alicia
Secretary N/A
$40,284
$0
$635
$0
$40,919
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
80
%
Schedule 19
Administration
15
%
A
B
C
Mihalow
,
Paul
Assistant to President N/A
$137,078
$0
$9,005
$0
$146,083
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
75
%
Schedule 19
Administration
20
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$26,621
$0
$804
$0
$27,425
I
Schedule 15
Representational Activities
37
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
63
%
Total
Employee Disbursements
$710,184
$60,000
$15,702
$0
$785,886
Less
Deductions
$256,115
Net Disbursements
$529,771
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
005-568
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
167,408
Agency Fee Payers*
0
Total Members/Fee Payers
167,408
*Agency Fee Payers are
not considered members of the labor organization.
Active members
167,408
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
005-568
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$131,127
2. Named Payer
Non-itemized Receipts
$45,216
3. All Other Receipts
$25,497
4. Total
Receipts
$201,840
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$28,500
3. To Officers
$8,352
4. To Employees
$31,649
5. All Other
Disbursements
$20,016
6. Total
Disbursements
$88,517
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$17,240
2. Named Payee
Non-itemized Disbursements
$203,851
3. To Officers
$29,000
4. To Employees
$243,134
5. All Other
Disbursements
$21,518
6. Total
Disbursements
$514,743
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$28,497
2. Named Payee
Non-itemized Disbursements
$366,376
3. To Officers
$9,667
4. To Employees
$413,091
5. All Other
Disbursements
$81,462
6. Total
Disbursements
$899,093
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$24,111
3. To Officers
$4,833
4. To Employees
$12,732
5. All Other
Disbursements
$7,723
6. Total
Disbursements
$49,399
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$44,296
2. Named Payee
Non-itemized Disbursements
$220,836
3. To Officers
$98,224
4. To Employees
$85,277
5. All Other
Disbursements
$21,187
6. Total
Disbursements
$469,820
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
005-568
Name and Address
(A)
Int'l Brotherhood Affiliated labor union Teamsters
25 Louisiana Ave., NW Washington DC 20001
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$116,387
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$116,387
Reimb. salary & benefits
01/22/2018
$7,994
Reimb. salary & benefits
02/09/2018
$7,994
Reimb. salary & benefits
02/28/2018
$8,519
Reimb. salary & benefits
04/20/2018
$6,963
Reimb. salary & benefits
04/20/2018
$6,963
Reimb. salary & benefits
04/20/2018
$8,070
Reimb. salary & benefits
05/25/2018
$10,354
Reimb. salary & benefits
06/22/2018
$8,391
Reimb. salary & benefits
08/10/2018
$7,997
Reimb. salary & benefits
09/28/2018
$7,997
Reimb. salary & benefits
09/28/2018
$8,395
Reimb. salary & benefits
10/25/2018
$10,358
Reimb. salary & benefits
12/04/2018
$7,997
Reimb. salary & benefits
12/21/2018
$8,395
Name and Address
(A)
SBPEA/Teamsters Local No. 1932
433 N. Sierra Way San Bernardino CA 92410
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$30,203
Total of All Transactions with this
Payee/Payer for This Schedule
$30,203
Name and Address
(A)
Teamster Local No. 63
379 W Valley Blvd Rialto CA 92376
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,693
Total
Non-Itemized Transactions with this Payee/Payer
$2,176
Total of All Transactions with this
Payee/Payer for This Schedule
$9,869
Reimbursement of The Queen Mary hotel rooms
02/28/2018
$7,693
Name and Address
(A)
Teamster Local No. 848
731 E. Arrow Hwy. Glendora CA 91740
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,047
Total
Non-Itemized Transactions with this Payee/Payer
$6,129
Total of All Transactions with this
Payee/Payer for This Schedule
$13,176
Contract duplicating
03/26/2018
$7,047
Name and Address
(A)
Teamsters Local No. 952
140 South Marks Way Orange CA 92868
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,708
Total of All Transactions with this
Payee/Payer for This Schedule
$6,708
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
005-568
Name and Address
(A)
Baptiste & Wilder, P.C.
1150 Connecticut Ave., NW Washington DC
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$33,822
Total of All Transactions with this
Payee/Payer for This Schedule
$33,822
Name and Address
(A)
Joint Council of Teamsters No. 7
250 Executive Park Blvd. San Francisco CA 94134
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,433
Total of All Transactions with this
Payee/Payer for This Schedule
$5,433
Name and Address
(A)
Reich, Adell & Cvitan
3550 Wilshire Blvd., #2000 Los Angeles CA 90010
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$11,752
Total of All Transactions with this
Payee/Payer for This Schedule
$11,752
Name and Address
(A)
Sheraton - Pomona
601 W. McKinley Avenue Pomona CA 91768
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$17,240
Total
Non-Itemized Transactions with this Payee/Payer
$28
Total of All Transactions with this
Payee/Payer for This Schedule
$17,268
Meeting room rental/catering for organizing summit
07/10/2018
$17,240
Name and Address
(A)
Teamsters Local No. 2010
400 Roland Way, Suite 2010 Oakland CA 94621
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$21,000
Total of All Transactions with this
Payee/Payer for This Schedule
$21,000
Name and Address
(A)
Teamsters Local No. 911
9900 Flower Street Bellflower CA 90706
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$12,000
Total of All Transactions with this
Payee/Payer for This Schedule
$12,000
Name and Address
(A)
Teamsters Local No. 952
140 South Marks Way Orange CA 92868
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,436
Total of All Transactions with this
Payee/Payer for This Schedule
$6,436
Name and Address
(A)
Ulisses Sanchez
333 S. Grand Avenue, #3310 Los Angeles CA 90071
Type or Classification
(B)
Contract related social media campaign
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,000
Total of All Transactions with this
Payee/Payer for This Schedule
$10,000
Name and Address
(A)
Wohlner, Kaplon, Cutler, et. al.
16501 Ventura Blvd., #304 Encino CA 91436
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$103,380
Total of All Transactions with this
Payee/Payer for This Schedule
$103,380
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
005-568
Name and Address
(A)
California Offset Printers, Inc. 4010
Castaic CA 91310
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$9,542
Total of All Transactions with this
Payee/Payer for This Schedule
$9,542
Name and Address
(A)
Postmaster, Mailing Requirements
7001 S. Central, #210 Los Angeles CA 90052
Type or Classification
(B)
Bulk mail postage
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$14,569
Total of All Transactions with this
Payee/Payer for This Schedule
$14,569
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
005-568
Name and Address
(A)
JC 42 Charity Fund
981 Corporate Center Dr 200 Pomona CA 91768
Type or Classification
(B)
501(c)(3) Non profit organization
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)
L.A. County Federation of Labor
2130 W. James M. Wood Blvd. Los Angeles CA 90006
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,000
Total of All Transactions with this
Payee/Payer for This Schedule
$5,000
Name and Address
(A)
Labor Community Services
2130 W. James M. Wood Blvd. Los Angeles CA
Type or Classification
(B)
501(c)(3) Non profit 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)
Teamsters Local No. 431
1140 W. Olive Avenue Fresno CA 93728
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,000
Total of All Transactions with this
Payee/Payer for This Schedule
$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
005-568
Name and Address
(A)
A J Longo and Associates
253 N. Lake Avenue Pasadena CA 91101
Type or Classification
(B)
Insurance broker
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$17,110
Total of All Transactions with this
Payee/Payer for This Schedule
$17,110
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
$10,441
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$10,441
Insurance premium
09/18/2018
$10,441
Name and Address
(A)
D.T. Pro Network, Inc.
3406 Bartlett Rosemead CA 91770
Type or Classification
(B)
Information technology consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,250
Total of All Transactions with this
Payee/Payer for This Schedule
$10,250
Name and Address
(A)
Everything2go.com
250 E. Wisconsin Ave. #925 Milwaukee WI 53202
Type or Classification
(B)
Furniture retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,056
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$7,056
Office furniture
11/14/2018
$7,056
Name and Address
(A)
Khanh Tran - dba K&T Netcom
3406 Bartlett Rosemead CA 91770
Type or Classification
(B)
Information technology consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$19,318
Total of All Transactions with this
Payee/Payer for This Schedule
$19,318
Name and Address
(A)
Marlin Business Bank 13604
Philadelphia PA 19101
Type or Classification
(B)
Equipment leasing company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$15,435
Total of All Transactions with this
Payee/Payer for This Schedule
$15,435
Name and Address
(A)
Northwest Administrators, Inc.
2323 Eastlake Avenue E Seattle WA 98102
Type or Classification
(B)
Benefits administrators
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,600
Total of All Transactions with this
Payee/Payer for This Schedule
$6,600
Name and Address
(A)
Pomona Corporate Plaza, LLC
2279 Eagle Glen Pkwy Corona CA 92883
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
$199,943
Total of All Transactions with this
Payee/Payer for This Schedule
$199,943
Name and Address
(A)
Richard Wilson, CPA
1747 Butterfly Court Thousand Oaks CA 91320
Type or Classification
(B)
Certified public accountant
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$18,008
Total of All Transactions with this
Payee/Payer for This Schedule
$18,008
Name and Address
(A)
Robert Turner
4408 Presidio Drive View Park CA 90008
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
$25,985
Total of All Transactions with this
Payee/Payer for This Schedule
$25,985
Name and Address
(A)
The Hartford 660916
Dallas TX 75266
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,012
Total of All Transactions with this
Payee/Payer for This Schedule
$7,012
Name and Address
(A)
TPx Communications 509013
San Diego CA 92150
Type or Classification
(B)
Telephone/Internet service provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,865
Total of All Transactions with this
Payee/Payer for This Schedule
$10,865
Name and Address
(A)
US BANK
633 West Fifth St, 24th Fl Los Angeles CA 90071
Type or Classification
(B)
Bank
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$6,000
Escrow account fee
12/31/2018
$6,000
Name and Address
(A)
Walters Truck Repair, Inc.
10400 Banana Avenue Fontana CA
Type or Classification
(B)
Truck repair shop
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,000
Total
Non-Itemized Transactions with this Payee/Payer
$4,183
Total of All Transactions with this
Payee/Payer for This Schedule
$9,183
Repair of tractor
05/21/2018
$5,000
Name and Address
(A)
Xerox Corp. 7405
Pasadena CA 91109
Type or Classification
(B)
Equipment leasing company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$31,667
Total of All Transactions with this
Payee/Payer for This Schedule
$31,667
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
005-568
Name and Address
(A)
A to Z Printing
4330 Van Buren Blvd. Riverside CA 92502
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,880
Total of All Transactions with this
Payee/Payer for This Schedule
$6,880
Name and Address
(A)
California Offset Printers, Inc. 4010
Castaic CA 91310
Type or Classification
(B)
Commercial printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$47,458
Total of All Transactions with this
Payee/Payer for This Schedule
$47,458
Name and Address
(A)
Hornblower Yachts, LLC
Pier 3, Hornblower Landing San Francisco CA 94111
Type or Classification
(B)
Charter yacht company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$10,000
Delegates cruise/luncheon deposit
09/24/2018
$5,000
Delegates cruise/luncheon deposit
09/24/2018
$5,000
Name and Address
(A)
Hotel Del Coronado
1500 Orange Avenue Coronado CA 92118
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$25,000
Total
Non-Itemized Transactions with this Payee/Payer
$20,000
Total of All Transactions with this
Payee/Payer for This Schedule
$45,000
Deposit - Executive board and delegates meetings
06/27/2018
$5,000
Deposit - Executive board and delegates meetings
12/01/2018
$20,000
Name and Address
(A)
La Costa Resort
2100 Costa Del Mar Road Carlsbad CA 92009
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$20,520
Total of All Transactions with this
Payee/Payer for This Schedule
$20,520
Name and Address
(A)
Labor Benefits, LLC
10104 Senate Drive, #233 Lanham MD 20706
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$12,234
Total of All Transactions with this
Payee/Payer for This Schedule
$12,234
Name and Address
(A)
Postmaster, Mailing Requirements
7001 S. Central, #210 Los Angeles CA 90052
Type or Classification
(B)
Bulk mailing postage
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$84,931
Total of All Transactions with this
Payee/Payer for This Schedule
$84,931
Name and Address
(A)
Press Associates, Inc.
4000 Cathedral Ave., NW Washington DC 20016
Type or Classification
(B)
Press clipping service
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,368
Total of All Transactions with this
Payee/Payer for This Schedule
$7,368
Name and Address
(A)
Teamsters Local No. 952
140 South Marks Way Orange CA 92868
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$11,211
Total of All Transactions with this
Payee/Payer for This Schedule
$11,211
Name and Address
(A)
The Queen Mary
1126 Queens Highway Long Beach CA 90802
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$9,296
Total
Non-Itemized Transactions with this Payee/Payer
$2,534
Total of All Transactions with this
Payee/Payer for This Schedule
$11,830
Lodging for delegates meeting
02/09/2018
$9,296
Name and Address
(A)
Tropicana Las Vegas
3801 Las Vegas Blvd. South Las Vegas NV 89109
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
$7,700
Total of All Transactions with this
Payee/Payer for This Schedule
$7,700
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
005-568
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$453,318
Pensions
Trusts
$180,182
Health and welfare
Trusts
$155,087
Retiree health and welfare
Trust
$108,517
Group life
Trust
$280
Life and disability
Insurance company
$1,762
Prepaid legal
Trust
$1,869
Retiree dental
Insurance company
$5,621
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
005-568
Question 10: Western Conference of Teamsters Pension Trust
Pension
Plan #001
FEIN 91-6145047
Teamsters Miscellaneous Security Fund
Health and Welfare
Plan #508
FEIN 95-6060502
Pacific Coast Benefit Trust
Pension
Plan #001
FEIN 91-1032878
Western Teamsters Welfare Trust
Health and Welfare
Plan #101
FEIN 91-6033601
Address for the four funds above is:
2323 East Lake Avenue, East
Seattle, WA 98102
Construction Certified Apprentice Training Program
Apprentice Training
FEIN 20-5230351
Construction Teamsters Contract Compliance Fund
Contract Compliance
FEIN 20-5230409
Construction Teamster Security Fund
Health and Welfare
Plan #501
FEIN 95-6059190
Construction Teamsters Vacation and Holiday Fund
Vacation and Holiday Pay Administration
Plan #501
FEIN 95-6195838
Construction Teamsters Training and Upgrading Fund
Training
FEIN 95-6507592
Address for the above five funds is:
1325 N. Grand Ave.
Covina, CA 91724
Multi-Union Security Trust Fund
Health and Welfare
Plan #501
FEIN 93-1146155
Teamsters Sanitation Industry Trust Fund
Health and Welfare
Plan #501
FEIN 46-6785860
Teamster Multi-Benefit Trust
Health and Welfare
Plan #501
FEIN 93-6231741
Teamster Local Union No. 572 Retirement Benefit Plan
Health and Welfare
Plan #001
FEIN 95-6983367
Address for the above four funds is:
1000 N. Central Ave., Suite 400
Glendale, CA 91202
Teamsters Health and Welfare Trust of San Diego
Health and Welfare
Plan #501
FEIN 95-6149459
San Diego County Teamsters Pension
Pension
Plan #001
FEIN 51-0167327
Address for the above two funds is:
2831 Camino Del Rio South, Suite 207
San Diego, CA 92108
Southern California Dairy Industry Security Trust Fund
Health and Welfare
Plan #501
FEIN 95-6060456
Address for the above fund is:
1200 Wilshire Blvd., 5th Floor
Los Angeles, CA 90017-1906
Teamsters & Food Employers Security Fund Trust
Health and Welfare
Plan #501
FEIN 95-6048844
Address for the above fund is:
1050 Lakes Drive, Suite 225
West Covina, CA 91790
Teamsters Joint Council 42
Health and Welfare
Plan #501
FEIN 95-0884084
Address for the above fund is:
981 Corporate Center Drive, Suite 200
Pomona, CA 91768
Race Track Supplemental Health Plan
Health and Welfare
Plan #501
FEIN 95-6115963
Address for the above fund is:
225 S. Lake Street, Suite 100
Pasadena, CA 91101
Question 12: The audit was performed by an outside accounting firm, Ramos & Wilson, Certified Public Accountants.
Question 15: Assets having reached the end of there economic useful life and having no value were abandoned. Cost $12,487 and a net book value of $299 (cost minus accumulated depreciation).
Question 16: The automobiles and truck are pledged as security for the underlying loans.
Schedule 9, Row1:
Schedule 9, Row1:
Schedule 9, Row2:
Schedule 9, Row2:
Schedule 13, Row1:
Schedule 13, Row1::Delegates have voting rights consistent with eligibility requirements as set forth in the by-laws.
Schedule 13, Row1:
Schedule 13, Row1::
General Information:
Schedule 11 & 12: Auto expenses are included in column F. Autos are used more than 50% for business. Vehicles are available for personal use.
The Southern California and Southern Nevada Joint Council of Teamsters No. 42 Charities Fund, FEIN 95-4531147 (a 501(c)(3) organization), is comprised of three members of the Organization''s executive board. None of the board members of the charity fund receive any compensation from the charity fund.
The Organization had accrued vacation of $118,396 and accrued sick/personal time of $34,407 as of December 31, 2018.