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
01/01/2019
Through
12/31/2019
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
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 18, 2020
Telephone
Number:
626-974-4212
Date:
Mar 18, 2020
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?
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?
02/2022
20. How many members did the labor organization
have at the end of the reporting period?
174,280
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
1.40
1.70
(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
$883,609
$1,370,416
23. Accounts Receivable
1
$0
24. Loans Receivable
2
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$758,133
$783,556
27. Fixed Assets
6
$159,571
$114,376
28. Other Assets
7
$16,885
$17,670
29.
TOTAL ASSETS
$1,818,198
$2,286,018
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
31. Loans Payable
9
$74,842
$49,445
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$76
$0
34. TOTAL
LIABILITIES
$74,918
$49,445
35. NET
ASSETS
$1,743,280
$2,236,573
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
$3,327,036
38. Fees, Fines,
Assessments, Work Permits
$0
39. Sale of Supplies
$0
40. Interest
$27,868
41. Dividends
$0
42. Rents
$6,000
43. Sale of Investments
and Fixed Assets
3
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$646,351
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$327,260
49. TOTAL RECEIPTS
$4,334,515
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$429,177
51.
Political Activities and Lobbying
16
$35,202
52.
Contributions, Gifts, and Grants
17
$182,097
53. General
Overhead
18
$844,359
54. Union
Administration
19
$629,124
55. Benefits
20
$424,171
56. Per
Capita Tax
$569,421
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$29,712
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
$25,397
63. To
Affiliates of Funds Collected on Their Behalf
$610,000
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$68,187
66. Subtotal
$3,846,847
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$279,967
67b. Less Total
Disbursed
$280,828
67c.
Total Withheld But Not Disbursed
-$861
68.
TOTAL DISBURSEMENTS
$3,847,708
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
$0
$0
$0
$0
Less Reinvestments
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
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
$29,712
$29,712
$29,712
Equipment
$4,289
$4,289
$4,289
Investments
$25,423
$25,423
$25,423
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$29,712
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
$783,556
B. Total Book Value
$783,556
C. List each
marketable security which has a book value over $5,000
and exceeds 5% of Line B.
Eaton Vance Floating Rate ADVNTG
$171,829
Metropolitan West Low Duration Bond Fund
$72,022
Vanguard Treasury Money Market Investor CL
$431,925
First TR SR FL II Sr Float Rate Inc. Fnd
$51,397
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))
$783,556
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
$142,424
$70,784
$0
D. Office
Furniture
and Equipment
$151,431
$132,649
$18,782
$0
E.
Other Fixed Assets
$42,998
$18,188
$24,810
$0
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$407,637
$293,261
$114,376
$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))
$17,670
Lease deposit
$16,885
Refundable payroll withholding taxes
$785
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
$74,842
$0
$25,397
$0
$49,445
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
$24,560
$0
$10,526
$0
$14,034
United Business Bank - Truck loan
$50,282
$0
$14,871
$0
$35,411
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))
$0
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
Cammack
,
Randy
President C
$112,860
$0
$7,903
$0
$120,763
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
Bergen
,
Mike
Secretary-Treasurer C
$8,450
$0
$140
$0
$8,590
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
Lennox
,
Robert
Vice President C
$8,450
$0
$865
$0
$9,315
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
Herrera
,
Ron
Recording Secretary C
$8,450
$0
$611
$0
$9,061
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
Griswold
,
Christopher
Trustee C
$8,450
$0
$1,134
$0
$9,584
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
$555
$0
$9,005
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
Middleton
,
Rick
Trustee C
$8,450
$0
$863
$0
$9,313
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
$163,560
$0
$12,071
$0
$175,631
Less Deductions
$41,102
Net
Disbursements
$134,529
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
Bruno
,
Giordano
N Organizer N/A
$25,481
$0
$0
$0
$25,481
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
Corona
,
Ramon
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
E Driver/Receptionist N/A
$82,014
$0
$641
$0
$82,655
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
Grijalva
,
Rocio
Events Coordinator N/A
$76,425
$0
$2,570
$0
$78,995
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
S Controller N/A
$88,367
$0
$25
$0
$88,392
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
M Communications Director N/A
$94,426
$0
$177
$0
$94,603
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
E Director of Organizing N/A
$1,154
$60,000
$466
$0
$61,620
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
C Part Time Secretary N/A
$40,284
$0
$1,803
$0
$42,087
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
J Assistant to President N/A
$137,278
$0
$10,301
$0
$147,579
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
$16,250
$0
$903
$0
$17,153
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
Employee Disbursements
$618,679
$60,000
$16,886
$0
$695,565
Less
Deductions
$238,865
Net Disbursements
$456,700
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)
174,280
Agency Fee Payers*
0
Total Members/Fee Payers
174,280
*Agency Fee Payers are
not considered members of the labor organization.
Active Members
174,280
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
$259,550
2. Named Payer
Non-itemized Receipts
$39,062
3. All Other Receipts
$28,648
4. Total
Receipts
$327,260
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$100,683
2. Named Payee
Non-itemized Disbursements
$30,000
3. To Officers
$9,619
4. To Employees
$26,246
5. All Other
Disbursements
$15,549
6. Total
Disbursements
$182,097
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$6,925
2. Named Payee
Non-itemized Disbursements
$122,447
3. To Officers
$36,229
4. To Employees
$240,901
5. All Other
Disbursements
$22,675
6. Total
Disbursements
$429,177
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$26,217
2. Named Payee
Non-itemized Disbursements
$409,328
3. To Officers
$12,076
4. To Employees
$341,426
5. All Other
Disbursements
$55,312
6. Total
Disbursements
$844,359
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$10,000
3. To Officers
$6,038
4. To Employees
$7,811
5. All Other
Disbursements
$11,353
6. Total
Disbursements
$35,202
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$227,546
2. Named Payee
Non-itemized Disbursements
$182,318
3. To Officers
$111,669
4. To Employees
$79,181
5. All Other
Disbursements
$28,410
6. Total
Disbursements
$629,124
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
005-568
Name and Address
(A)
Int'l Brotherhood of 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
$148,850
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$148,850
Reimbursed salary and benefits
01/24/2019
$7,998
Reimbursed salary and benefits
03/13/2019
$7,997
Reimbursed salary and benefits
03/19/2019
$10,913
Reimbursed salary and benefits
04/05/2019
$8,008
Reimbursed salary and benefits
05/31/2019
$7,998
Reimbursed salary and benefits
06/14/2019
$8,395
Reimbursed salary and benefits
06/21/2019
$7,998
Reimbursed salary and benefits
07/26/2019
$7,997
Reimbursed salary and benefits
08/23/2019
$13,447
Reimbursed salary and benefits
11/15/2019
$36,772
Reimbursed salary and benefits
12/27/2019
$31,327
Name and Address
(A)
Jacqueline M. Korgan
981 Corporate Center Dr Pomona CA 91768
Type or Classification
(B)
SDI reimbursement
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,016
Total
Non-Itemized Transactions with this Payee/Payer
$1,789
Total of All Transactions with this
Payee/Payer for This Schedule
$11,805
SDI reimbursement
08/23/2019
$5,008
SDI reimbursement
09/30/2019
$5,008
Name and Address
(A)
JC 42 Charity Fund
981 Corporate Center Dr Pomona CA 91768
Type or Classification
(B)
501(c)(3) Nonprofit organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$100,684
Total
Non-Itemized Transactions with this Payee/Payer
$750
Total of All Transactions with this
Payee/Payer for This Schedule
$101,434
Reimbursement for JC42 Charity Fundraiser
08/23/2019
$100,684
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
$24,024
Total of All Transactions with this
Payee/Payer for This Schedule
$24,024
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
$6,000
Total of All Transactions with this
Payee/Payer for This Schedule
$6,000
Name and Address
(A)
Teamsters Local No. 986
1430 E Holt Ave Covina CA 91724
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
$6,499
Total of All Transactions with this
Payee/Payer for This Schedule
$6,499
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 20036
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
$17,221
Total of All Transactions with this
Payee/Payer for This Schedule
$17,221
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
$9,226
Total of All Transactions with this
Payee/Payer for This Schedule
$9,226
Name and Address
(A)
Teamsters Local No. 166 899
Bloomington CA 92316-0899
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,925
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$6,925
Reimbursed negotiation expenses
06/18/2019
$6,925
Name and Address
(A)
Wohlner Kaplon Cutler Halford & Rosenfeld
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
$96,000
Total of All Transactions with this
Payee/Payer for This Schedule
$96,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
005-568
Name and Address
(A)
Joint Council of Teamsters No. 7
250 Executive Park Blvd., S San Francisco CA 94134-3306
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 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
005-568
Name and Address
(A)
JC42 Charity Fund
981 Corporate Center Dr. Pomona CA 91768
Type or Classification
(B)
501(c)(3) Nonprofit organization
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)
Peggy Browning Fund
100 S. Broad St., #1208 Philadelphia PA 19110
Type or Classification
(B)
501(c)(3) Nonprofit 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)
Plaza Community Services
4018 City Terrace Drive Los Angeles CA 90063
Type or Classification
(B)
501(c)(3) Nonprofit organization
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)
SEIU Local No. 721
1545 Wilshire Blvd., #100 Los Angeles CA 90017
Type or Classification
(B)
501(c)(5) Nonprofit 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)
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
$100,683
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$100,683
Joint Council Charity Fundraiser Dinner deposit
06/06/2019
$16,238
Joint Council Charity Fundraiser Dinner deposit
06/06/2019
$13,514
Joint Council Charity Fundraiser Dinner deposit
06/06/2019
$13,543
Joint Council Charity Fundraiser Dinner deposit
08/08/2019
$57,388
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
$14,898
Total
Non-Itemized Transactions with this Payee/Payer
$2,560
Total of All Transactions with this
Payee/Payer for This Schedule
$17,458
Insurance premium
10/11/2019
$14,898
Name and Address
(A)
Amtrust North America 6939
Cleveland OH 44101-1939
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$11,319
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$11,319
Insurance premium
09/04/2019
$11,319
Name and Address
(A)
Copy Solutions, Inc.
919 South Fremont Ave. Alhambra CA 91803
Type or Classification
(B)
Copying and printing services
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,399
Total of All Transactions with this
Payee/Payer for This Schedule
$6,399
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
$14,317
Total of All Transactions with this
Payee/Payer for This Schedule
$14,317
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
$12,847
Total of All Transactions with this
Payee/Payer for This Schedule
$12,847
Name and Address
(A)
Marlin Business Bank
13604 Philadelphia PA 19101-3604
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
$38,095
Total of All Transactions with this
Payee/Payer for This Schedule
$38,095
Name and Address
(A)
NAACP Riverside Branch 55131
Riverside CA 92517-0131
Type or Classification
(B)
501(c)(3) Nonprofit 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)
Northwest Administrators, Inc.
2323 Eastlake Avenue E Seattle WA 98102-3393
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
1801 W. Olympic Blvd. Pasadena CA 91199-2312
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
$197,726
Total of All Transactions with this
Payee/Payer for This Schedule
$197,726
Name and Address
(A)
Ramos & Wilson, CPAs
24260 Martha Street Woodland Hills CA 91367
Type or Classification
(B)
Certified public accountants
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$18,269
Total of All Transactions with this
Payee/Payer for This Schedule
$18,269
Name and Address
(A)
Robert Turner
4408 Presidio Drive View Park CA 90008-4840
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
$70,908
Total of All Transactions with this
Payee/Payer for This Schedule
$70,908
Name and Address
(A)
The Harman Press
6840 Vineland Avenue North Hollywood CA 91605
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
$6,933
Total of All Transactions with this
Payee/Payer for This Schedule
$6,933
Name and Address
(A)
The Hartford 660916
Dallas TX 75266-0916
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
$6,782
Total of All Transactions with this
Payee/Payer for This Schedule
$6,782
Name and Address
(A)
TPx Communications 509013
San Diego CA 92150-9013
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
$15,654
Total of All Transactions with this
Payee/Payer for This Schedule
$15,654
Name and Address
(A)
Walters Truck Repair, Inc.
10400 Banana Avenue Fontana CA 92337
Type or Classification
(B)
Truck repair shop
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,238
Total of All Transactions with this
Payee/Payer for This Schedule
$7,238
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
$8,036
Total of All Transactions with this
Payee/Payer for This Schedule
$8,036
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
$52,329
Total
Non-Itemized Transactions with this Payee/Payer
$24,131
Total of All Transactions with this
Payee/Payer for This Schedule
$76,460
Southern California Teamster Newspaper
11/08/2019
$17,472
Southern California Teamster Newspaper
11/08/2019
$17,432
Southern California Teamster Newspaper
11/26/2019
$17,425
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
$10,684
Total
Non-Itemized Transactions with this Payee/Payer
$1,133
Total of All Transactions with this
Payee/Payer for This Schedule
$11,817
Delegates cruise/luncheon final balance
01/01/2019
$5,342
Delegates cruise/luncheon final balance
01/01/2019
$5,342
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
$88,180
Total
Non-Itemized Transactions with this Payee/Payer
$13,123
Total of All Transactions with this
Payee/Payer for This Schedule
$101,303
Meeting room and lodging for holiday event
01/23/2019
$7,410
Meeting room and lodging for holiday event
01/23/2019
$80,770
Name and Address
(A)
Hyatt Regency Waikiki Resort & Spa 31000
Honolulu HI 96849-5042
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
$5,236
Total of All Transactions with this
Payee/Payer for This Schedule
$5,236
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
$14,304
Total
Non-Itemized Transactions with this Payee/Payer
$3,940
Total of All Transactions with this
Payee/Payer for This Schedule
$18,244
Meeting room/lodging for Eboard/Delegate meetings
07/03/2019
$14,304
Name and Address
(A)
Labor Benefits, LLC
836 Ritchie HWY, Ste 24 Severna Park MD 21146
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
$8,623
Total of All Transactions with this
Payee/Payer for This Schedule
$8,623
Name and Address
(A)
Linda A. Simpson, C.S.R.
1324 E Chapman Ave Orange CA 92866
Type or Classification
(B)
Court reporter
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,355
Total of All Transactions with this
Payee/Payer for This Schedule
$5,355
Name and Address
(A)
Marriott - JW LA Live
900 West Olympic Blvd. Los Angeles CA 90015
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$56,460
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$56,460
Western Region Meetings deposit
08/16/2019
$18,820
Western Region Meetings deposit
11/06/2019
$37,640
Name and Address
(A)
Postmaster, Mailing Requirements
7001 S. Central Los Angeles CA 90052-9531
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
$95,563
Total of All Transactions with this
Payee/Payer for This Schedule
$95,563
Name and Address
(A)
Press Associates, Inc.
4000 Cathedral Ave., NW, #5 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
$8,223
Total of All Transactions with this
Payee/Payer for This Schedule
$8,223
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
$5,589
Total
Non-Itemized Transactions with this Payee/Payer
$8,955
Total of All Transactions with this
Payee/Payer for This Schedule
$14,544
Meeting room and lodging for Delegates meeting
06/06/2019
$5,589
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.)
$424,171
Pensions
Trusts
$166,276
Health and welfare
Trusts
$147,149
Retiree health and welfare
Trust
$102,262
Group life
Trust
$252
Life and disability
Insurance company
$1,491
Prepaid legal
Trust
$1,246
Retiree dental
Insurance company
$5,495
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 Teamsters 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 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 and sick/personal time totaling $141,510 as of December 31, 2019.