036-224 (LM2) 09/30/2019

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
036-224

2. PERIOD COVERED
From	10/01/2018
Through	09/30/2019

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 COMMUNICATIONS WORKERS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.) LOCAL UNION	6. DESIGNATION NBR 7777
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name DALE	Last Name FELLER
P.O Box - Building and Room Number
Number and Street 2840 S VALLEJO
City ENGLEWOOD
State CO	ZIP Code + 4 80110

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:

Debra L Medina

PRESIDENT

71. SIGNED:

Dale E Feller

TREASURER

Date:

Dec 20, 2019

Telephone Number:

303-781-8700

Date:

Dec 20, 2019

Telephone Number:

303-781-8700

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

ITEMS 10 THROUGH 21

FILE NUMBER: 036-224

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?	No
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?	$250,000
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?	No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?	No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?	Yes
19. What is the date of the labor organization's next regular election of officers?	10/2020

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

1,302

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	2-2.5%	per	MONTH	N/A	N/A
(b) Working Dues/Fees	N/A	per	N/A	N/A	N/A
(c) Initiation Fees	N/A	per	N/A	N/A	N/A
(d) Transfer Fees	N/A	per	N/A	N/A	N/A
(e) Work Permits	N/A	per	N/A	N/A	N/A

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

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 036-224

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$14,690	$32,474
23. Accounts Receivable	1	$56,077	$48,367
24. Loans Receivable	2	$0	$0
25. U.S. Treasury Securities		$0	$0
26. Investments	5	$49,606	$14,708
27. Fixed Assets	6	$151,801	$140,352
28. Other Assets	7	$364	$364
29. TOTAL ASSETS		$272,538	$236,265

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8	$8,701	$7,597
31. Loans Payable	9	$0	$0
32. Mortgages Payable		$0	$0
33. Other Liabilities	10	$24,674	$23,165
34. TOTAL LIABILITIES		$33,375	$30,762

35. NET ASSETS

$239,163

$205,503

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

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 036-224

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$978,242
37. Per Capita Tax		$0
38. Fees, Fines, Assessments, Work Permits		$0
39. Sale of Supplies		$0
40. Interest		$52
41. Dividends		$1,089
42. Rents		$33,270
43. Sale of Investments and Fixed Assets	3	$41,245
44. Loans Obtained	9	$0
45. Repayments of Loans Made	2	$0
46. On Behalf of Affiliates for Transmittal to Them		$0
47. From Members for Disbursement on Their Behalf		$0
48. Other Receipts	14	$129,325
49. TOTAL RECEIPTS		$1,183,223

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$392,621
51. Political Activities and Lobbying		16	$198
52. Contributions, Gifts, and Grants		17	$4,286
53. General Overhead		18	$160,295
54. Union Administration		19	$47,655
55. Benefits		20	$56,293
56. Per Capita Tax			$463,305
57. Strike Benefits			$0
58. Fees, Fines, Assessments, etc.			$0
59. Supplies for Resale			$0
60. Purchase of Investments and Fixed Assets		4	$6,208
61. Loans Made		2	$0
62. Repayment of Loans Obtained		9	$0
63. To Affiliates of Funds Collected on Their Behalf			$0
64. On Behalf of Individual Members			$0
65. Direct Taxes			$34,578

66. Subtotal			$1,165,439
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$127,296
67b. Less Total Disbursed	$127,296
67c. Total Withheld But Not Disbursed
68. TOTAL DISBURSEMENTS			$1,165,439

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

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 036-224

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	$48,367
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B))	$48,367	$0	$0	$0

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

SCHEDULE 2 - LOANS RECEIVABLE

FILE NUMBER: 036-224

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)

Loans
Outstanding at
Start of Period
(B)

Loans Made
During Period
(C)

Repayments Received During Period
Cash (D)(1)	Other Than Cash (D)(2)

Loans
Outstanding at
End of Period
(E)

Total of loans not listed above

Total of all lines above

Totals will be automatically entered in...

Item 24
Column (A)

Item 61

Item 45

Item 69
with Explanation

Item 24
Column (B)

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

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 036-224

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	$43,940	$43,940	$43,595	$43,595
MUTUAL FUNDS	$43,940	$43,940	$43,595	$43,595

				Less Reinvestments	$2,350
(The total from Net Sales Line will be automatically entered in Item 43)				Net Sales	$41,245

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

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 036-224

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Cash Paid (D)
Total of all lines above	$8,558	$8,558	$8,558
MUTUAL FUNDS	$8,558	$8,558	$8,558

		Less Reinvestments	$2,350
(The total from Net Purchases Line will be automatically entered in Item 60.)		Net Purchases	$6,208

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

SCHEDULE 5 - INVESTMENTS

FILE NUMBER: 036-224

Description (A)	Amount (B)
Marketable Securities
A. Total Cost
B. Total Book Value	$14,708
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.

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))

$14,708

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

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 036-224

Description (A)	Cost or Other Basis (B)	Total Depreciation or Amount Expensed (C)	Book Value (D)	Value (E)
A. Land (give location)
Land 1 : LAND 2840 S VALLEJO STREET, DENVER, CO	$125,000		$125,000	$125,000

B. Buildings (give location)
Building 1 : 2840 S VALLEJO ST, DENVER, CO	$713,320	$699,376	$13,944	$600,000

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment

$260,123

$258,715

$1,408

$1,500

E. Other Fixed Assets

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

$1,098,443

$958,091

$140,352

$726,500

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

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 036-224

Description (A)	Book Value (B)
Total (Total will be automatically entered in Item 28, Column(B))	$364
PREPAID EXPENSES	$364

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

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE

FILE NUMBER: 036-224

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	$7,597	$0	$0	$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D))	$7,597	$0	$0	$0

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

SCHEDULE 9 - LOANS PAYABLE

FILE NUMBER: 036-224

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: 036-224

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$23,165
ACCRUED PAYROLL AND PAYROLL TAXES	$12,861
ACCRUED VACATION	$2,837
PER CAPITA DUES PAYABLE	$7,467

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

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 036-224

(A)
Name

(B)
Title

(D)
Gross Salary
Disbursements
(before any
deductions)

(E)
Allowances
Disbursed

(F)
Disbursements for Official Business

(G)
Other
Disbursements not reported in
(D) through (F)

(H)
TOTAL

A
B
C

MEDINA , DEBRA
PRESIDENT
C

$46,336

$5,720

$52,056

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 %

A
B
C

VILLA , CORINNE
VICE PRESIDENT
C

$26,383

$415

$26,798

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 %

A
B
C

FELLER , DALE
SECRETARY-TREASURER
C

$27,754

$13,410

$41,164

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 %

A
B
C

JIMENEZ , MARLENE
VICE PRESIDENT
C

$63,930

$1,557

$65,487

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 %

A
B
C

GRIFFITH , LORI
EXECUTIVE VICE PRESIDENT
C

$36,660

$3,261

$39,921

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 %

A
B
C

GUERRERO , ANNA
EXECUTIVE BOARD
C

$22,000

$14

$22,014

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

BUYAKI , BRIAN
EXECUTIVE BOARD
C

$300

$57

$357

Schedule 15
Representational Activities

90 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

10 %

A
B
C

GRIFFITH , CHARLES
EXECUTIVE BOARD
C

$11,311

Schedule 15
Representational Activities

90 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

10 %

A
B
C

SISNEROS , JOYCE
EXECUTIVE BOARD
C

$1,975

Schedule 15
Representational Activities

80 %

Schedule 16
Political Activities and Lobbying

10 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

10 %

A
B
C

STOKEY , WILLIAM
EXECUTIVE BOARD
N

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	$236,649	$0	$24,434	$0	$261,083
Less Deductions					$58,907
Net Disbursements					$202,176

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

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 036-224

(A)
Name

(B)
Title

(D)
Gross Salary
Disbursements
(before any
deductions)

(E)
Allowances Disbursed

(F)
Disbursements for Official Business

(G)
Other Disbursements not reported in
(D) through (F)

(H)
TOTAL

A
B
C

SPEARS , JULIE A
ADMIN
OPEIU

$48,863

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 %

A
B
C

SULLIVAN , SHERYL A
ACCOUNTING
OPEIU

$51,523

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 %

TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS

$101,852

$4,596

$106,448

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 Employee Disbursements	$202,238	$0	$4,596	$0	$206,834
Less Deductions					$68,389
Net Disbursements					$138,445

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

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 036-224

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	1,302
Agency Fee Payers*	49
Total Members/Fee Payers	1,351
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS	1,232	Yes
TRANSPORTATION, PRINTING AND CATERING	70	Yes

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

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 036-224

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$25,538
2. Named Payer Non-itemized Receipts	$71,655
3. All Other Receipts	$32,132
4. Total Receipts	$129,325

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
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	$4,286
6. Total Disbursements	$4,286

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$26,807
3. To Officers	$192,422
4. To Employees	$165,466
5. All Other Disbursements	$7,926
6. Total Disbursements	$392,621

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$17,800
2. Named Payee Non-itemized Disbursements	$45,271
3. To Officers	$44,557
4. To Employees	$20,683
5. All Other Disbursements	$31,984
6. Total Disbursements	$160,295

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$198
4. To Employees	$0
5. All Other Disbursements	$0
6. Total Disbursements	$198

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$23,908
4. To Employees	$20,683
5. All Other Disbursements	$3,064
6. Total Disbursements	$47,655

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

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 036-224

Name and Address
(A)

CWA DISTRICT 7

8085 E. PRENTICE AVE
GREENWOOD VILLAGE
CO
80111

Type or Classification
(B)

UNION LOCAL

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$14,000
Total Non-Itemized Transactions with this Payee/Payer		$71,655
Total of All Transactions with this Payee/Payer for This Schedule		$85,655
SIF ADVANCE	07/18/2019	$14,000

Name and Address
(A)

K&K INSURANCE
2338

FORT WAYNE
IN
46801

Type or Classification
(B)

INSURANCE COMPANY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$11,538
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$11,538
SETTLEMENT	06/20/2019	$11,538

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

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 036-224

Name and Address
(A)

CENTURY LINK
52187

PHOENIX
AZ
85072-2187

Type or Classification
(B)

TELEPHONE/INTERNET COMPANY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$13,878
Total of All Transactions with this Payee/Payer for This Schedule		$13,878

Name and Address
(A)

MAIL FINANCE
123682

DALLAS
TX
75312

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		$5,153
Total of All Transactions with this Payee/Payer for This Schedule		$5,153

Name and Address
(A)

XEROX CORP
202882

DALLAS
TX
75320

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		$7,776
Total of All Transactions with this Payee/Payer for This Schedule		$7,776

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

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 036-224

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 17 - CONTRIBUTIONS, GIFTS & GRANTS

FILE NUMBER: 036-224

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 18 - GENERAL OVERHEAD

FILE NUMBER: 036-224

Name and Address
(A)

ARAPAHOE COUNTY TREASURER

5334 PRINCE ST
LITTLETON
CO
80120

Type or Classification
(B)

COUNTY TREASURER

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$17,800
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$17,800
REAL ESTATE TAXES	02/20/2019	$8,899
REAL ESTATE TAXES	06/17/2019	$8,901

Name and Address
(A)

EBERTS & HARRISON

1604 RIDGESIDE DR #203
MT AIRY
MD
21771

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		$7,265
Total of All Transactions with this Payee/Payer for This Schedule		$7,265

Name and Address
(A)

US ENGINEERING COMPANY

1100 W 120TH AVE, SUITE 900
WESTMINSTER
CO
80234

Type or Classification
(B)

REPAIRS AND MAINTENANCE

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,528
Total of All Transactions with this Payee/Payer for This Schedule		$5,528

Name and Address
(A)

XCEL ENERGY
9477

MINNEAPOLIS
MN
55484

Type or Classification
(B)

UTILITY COMPANY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$32,478
Total of All Transactions with this Payee/Payer for This Schedule		$32,478

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

SCHEDULE 19 - UNION ADMINISTRATION

FILE NUMBER: 036-224

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: 036-224

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$56,293
PENSION	WESTERN STATES	$11,137
HEALTH & WELFARE	DALF, CWA, INDIVIDUAL	$35,744
HEALTH & WELFARE - OFFICER	DALF, CWA, INDIVIDUAL	$9,412

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

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 036-224

Question 18: NEW CONSTITUTION/BY-LAWS ARE ATTACHED.

Schedule 13, Row1:

Schedule 13, Row1::REGULAR MEMBERS PAY FULL DUES.

Schedule 13, Row1:

Schedule 13, Row1:::

Schedule 13, Row2:

Schedule 13, Row2::TRANSPORTATION, PRINTING, AND CATERING MEMBERS PAY FULL DUES.

Schedule 13, Row2:

Schedule 13, Row2:::



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