U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210
FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT
Form Approved
Office of Management and Budget
No.
1245-0003
Expires:
09-30-2021
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR
MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN
TRUSTEESHIP
This report is
mandatory under P.L. 86-257, as amended. Failure to comply
may result in criminal prosecution, fines, or civil penalties as
provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS
REPORT.
For Official Use Only
1. FILE NUMBER
018-978
2.
PERIOD COVERED
From
01/01/2019
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.)
LOCAL UNION
6. DESIGNATION NBR
436
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
JOHN
Last Name
FORTESQUE
P.O Box - Building and Room Number
Number and Street
6051 CAREY DRIVE
City
VALLEY VIEW
State
OH
ZIP Code + 4
44125
9. Are your organization's records kept at its
mailing address?
Yes
Each of the undersigned, duly authorized
officers of the above labor organization, declares,
under penalty of perjury and other applicable penalties
of law, that all of the information submitted in this
report (including information contained in any
accompanying documents) has been examined by the
signatory and is, to the best of the undersigned
individual's knowledge and belief, true, correct
and complete (See Section V on penalties in the
instructions.)
70. SIGNED:
John M Fortesque
PRESIDENT
71. SIGNED:
Dennis M Kashi
TREASURER
Date:
Mar 19, 2020
Telephone
Number:
216-328-1833
Date:
Mar 19, 2020
Telephone
Number:
216-328-1833
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
018-978
10. During the reporting period did the labor
organization create or participate in the administration of
a trust or a fund or organization, as defined in the
instructions, which provides benefits for members or
beneficiaries?
Yes
11(a). During the reporting period did the
labor organization have a political action committee (PAC)
fund?
No
11(b). During the reporting period did the
labor organization have a subsidiary organization as
defined in Section X of these Instructions?
No
12. During the reporting period did the labor
organization have an audit or review of its books and
records by an outside accountant or by a parent body
auditor/representative?
Yes
13. During the reporting period did the labor
organization discover any loss or shortage of funds or
other assets? (Answer "Yes" even if there has
been repayment or recovery.)
No
14. What is the maximum amount recoverable
under the labor organization's fidelity bond for a
loss caused by any officer, employee or agent of the labor
organization who handled union funds?
$235,000
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
Yes
16. Were any of the labor organization's
assets pledged as security or encumbered in any way at the
end of the reporting period?
Yes
17. Did the labor organization have any
contingent liabilities at the end of the reporting period?
No
18. During the reporting period did the labor
organization have any changes in its constitution or
bylaws, other than rates of dues and fees, or in
practices/procedures listed in the instructions?
No
19. What is the date of the labor
organization's next regular election of officers?
12/2020
20. How many members did the labor organization
have at the end of the reporting period?
2,388
21. What are the labor organization's rates of dues
and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
N/A
per
MBR/MNTH
10.00
116.00
(b) Working Dues/Fees
per
(c) Initiation Fees
250.00
per
APPLCNT
(d) Transfer Fees
.50
per
TRNSFR
(e) Work Permits
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
018-978
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$147,205
$175,407
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$78,762
$83,076
27. Fixed Assets
6
$596,926
$558,174
28. Other Assets
7
$153
$153
29.
TOTAL ASSETS
$823,046
$816,810
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$0
31. Loans Payable
9
32. Mortgages Payable
$118,182
$105,811
33. Other Liabilities
10
$73,549
$74,931
34. TOTAL
LIABILITIES
$191,731
$180,742
35. NET
ASSETS
$631,315
$636,068
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
018-978
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,796,406
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$64,964
39. Sale of Supplies
$0
40. Interest
$0
41. Dividends
$4,662
42. Rents
$48,098
43. Sale of Investments
and Fixed Assets
3
$1,233
44. Loans Obtained
9
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$3,833
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$6,636
49. TOTAL RECEIPTS
$1,925,832
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$559,383
51.
Political Activities and Lobbying
16
$0
52.
Contributions, Gifts, and Grants
17
$82,930
53. General
Overhead
18
$332,148
54. Union
Administration
19
$125,010
55. Benefits
20
$258,916
56. Per
Capita Tax
$454,603
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$4,870
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$3,833
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$75,937
66. Subtotal
$1,897,630
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$303,136
67b. Less Total
Disbursed
$303,136
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$1,897,630
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
018-978
Entity or Individual Name
(A)
Total Account Receivable
(B)
90-180 Days
Past Due
(C)
180+ Days
Past Due
(D)
Liquidated Account
Receivable
(E)
Total of all itemized
accounts receivable
$0
$0
$0
$0
Totals from all other
accounts receivable
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
018-978
List below loans to officers, employees, or members which
at any time during the reporting period exceeded $250 and
list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not
listed above
Total of all lines
above
$0
$0
$0
$0
$0
Totals will be
automatically entered in...
Item 24
Column (A)
Item 61
Item 45
Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF
INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
018-978
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Gross Sales Price
(D)
Amount Received
(E)
Total of all
lines above
$1,234
$1,234
$1,233
$1,233
INVESTMENTS
$1,234
$1,234
$1,233
$1,233
Less Reinvestments
$0
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$1,233
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
018-978
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$4,870
$4,870
$4,870
OFFICE EQUIPMENT
$1,551
$1,551
$1,551
INVESTMENTS
$3,319
$3,319
$3,319
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$4,870
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
018-978
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
$83,076
B. Total Book Value
$83,076
C. List each
marketable security which has a book value over $5,000
and exceeds 5% of Line B.
573 SHARES, AMER FUNDS AMCAP
$17,999
376 SHARES, PUTNAM EQUITY INCOME
$7,375
1,999 SHARES, PUTNAM ULTRA SHORT DURATION INCOME
$20,114
1,684 SHARES, MFS TOTAL RETURN FUND
$30,231
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))
$83,076
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
018-978
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
6051 CAREY DRIVE, VALLEY VIEW, OH 44125
$127,636
$127,636
$127,000
B.
Buildings (give location)
Building
1
:
6051 CAREY DRIVE, VALLEY VIEW, OH 44125
$1,056,591
$737,073
$319,518
$500,000
C. Automobiles
and
Other Vehicles
$19,335
$19,335
$0
$2,500
D. Office
Furniture
and Equipment
$115,075
$100,676
$14,399
$14,000
E.
Other Fixed Assets
$165,294
$68,673
$96,621
$95,000
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$1,483,931
$925,757
$558,174
$738,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
018-978
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$153
DEPOSIT - WORKERS COMPENSATION
$153
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
018-978
Entity or Individual Name
(A)
Total Account
Payable
(B)
90-180 Days
Past Due
(C)
180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable
$0
$0
$0
$0
Total from all other accounts payable
$0
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
018-978
Source of Loans Payable at Any
Time During the Reporting Period
(A)
Loans Owed at
Start of Period
(B)
Loans Obtained
During Period
(C)
Repayment
During Period
Cash
(D)(1)
Repayment
During Period
Other Than Cash
(D)(2)
Loans Owed at
End of Period
(E)
Total Loans Payable
$0
$0
$0
$0
$0
Totals will be automatically entered in...
Item 31
Column (C)
Item 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
018-978
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$74,931
BACK PER CAPITA TAXES
$4,971
UNUSED VACATION PAY
$69,960
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
018-978
(A) Name
(B) Title
(C) Status
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances
Disbursed
(F)
Disbursements
for Official Business
(G)
Other
Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
FORTESQUE
,
JOHN
PRESIDENT C
$128,800
$9,600
$2,400
$140,800
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
20
%
A
B
C
KASHI
,
DENNIS
SECRETARY-TREASURER C
$112,900
$9,600
$2,097
$124,597
I
Schedule 15
Representational Activities
85
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
15
%
A
B
C
CROW
,
FRED
VICE PRESIDENT C
$102,200
$9,600
$3,027
$114,827
I
Schedule 15
Representational Activities
85
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
15
%
A
B
C
ZART
,
MARY
RECORDING SECRETARY C
$101,000
$4,800
$210
$106,010
I
Schedule 15
Representational Activities
5
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
80
%
Schedule 19
Administration
15
%
A
B
C
ALIOTO
,
SAL
TRUSTEE C
$101,900
$9,600
$2,803
$114,303
I
Schedule 15
Representational Activities
85
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
15
%
A
B
C
MUNGER
,
DEBBIE
TRUSTEE C
$13,484
$253
$13,737
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
MAGISTRELLI
,
NICK
TRUSTEE N
$2,300
$92
$2,392
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
$562,584
$43,200
$10,882
$0
$616,666
Less Deductions
$244,932
Net
Disbursements
$371,734
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
018-978
(A) Name
(B) Title
(C) Other Payer
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances Disbursed
(F)
Disbursements for Official Business
(G)
Other Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
BEDNARSKI
,
PAMELA
ADMINISTRATIVE N/A
$65,100
$2,100
$211
$67,411
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
85
%
Schedule 19
Administration
5
%
A
B
C
SCAFARO
,
DONNA
ADMINISTRATIVE N/A
$33,492
$900
$49
$34,441
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
85
%
Schedule 19
Administration
5
%
A
B
C
VANDERGRIFF
,
CHARLES
MAINTENANCE N/A
$29,850
$29,850
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
100
%
Schedule 19
Administration
0
%
A
B
C
TROXELL
,
DEBRA
ADMINISTRATIVE N/A
$17,035
$600
$152
$17,787
I
Schedule 15
Representational Activities
5
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
85
%
Schedule 19
Administration
10
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$14,821
$14,821
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
Total
Employee Disbursements
$160,298
$3,600
$412
$0
$164,310
Less
Deductions
$58,204
Net Disbursements
$106,106
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
018-978
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
2,388
Agency Fee Payers*
Total Members/Fee Payers
2,388
*Agency Fee Payers are
not considered members of the labor organization.
ACTIVE MEMBERS
2,388
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
018-978
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$0
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$6,636
4. Total
Receipts
$6,636
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$53,650
2. Named Payee
Non-itemized Disbursements
$1,990
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$27,290
6. Total
Disbursements
$82,930
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$97,827
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$418,609
4. To Employees
$25,895
5. All Other
Disbursements
$17,052
6. Total
Disbursements
$559,383
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$58,975
3. To Officers
$84,808
4. To Employees
$131,543
5. All Other
Disbursements
$56,822
6. Total
Disbursements
$332,148
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$0
6. Total
Disbursements
$0
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$113,250
4. To Employees
$6,872
5. All Other
Disbursements
$4,888
6. Total
Disbursements
$125,010
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
018-978
There was no data
found for this schedule.
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
018-978
Name and Address
(A)
MANGANO LAW OFFICES
2460 FAIRMOUNT BLVD. CLEVELAND HTS. OH 44106
Type or Classification
(B)
LAW FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$97,827
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$97,827
LEGAL SERVICES
01/03/2019
$7,500
LEGAL SERVICES
02/05/2019
$8,367
LEGAL SERVICES
03/05/2019
$8,231
LEGAL SERVICES
04/02/2019
$8,450
LEGAL SERVICES
05/06/2019
$8,952
LEGAL SERVICES
06/04/2019
$10,931
LEGAL SERVICES
07/02/2019
$7,543
LEGAL SERVICES
08/05/2019
$7,629
LEGAL SERVICES
09/04/2019
$7,622
LEGAL SERVICES
10/03/2019
$7,535
LEGAL SERVICES
11/06/2019
$7,567
LEGAL SERVICES
12/02/2019
$7,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
018-978
There was no data
found for this schedule.
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
018-978
Name and Address
(A)
FOLEY ASSOCIATES 450647
WESTLAKE OH 44145
Type or Classification
(B)
VENDOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$13,750
Total
Non-Itemized Transactions with this Payee/Payer
$1,733
Total of All Transactions with this
Payee/Payer for This Schedule
$15,483
MEMBERSHIP GIFTS
07/30/2019
$13,750
Name and Address
(A)
GIANT EAGLE 951676
CLEVELAND OH 44193
Type or Classification
(B)
GROCERY STORE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$39,900
Total
Non-Itemized Transactions with this Payee/Payer
$257
Total of All Transactions with this
Payee/Payer for This Schedule
$40,157
MEMBERSHIP EXPENSE
11/01/2019
$39,900
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
018-978
Name and Address
(A)
AT&T 5019
CAROL STREAM IL 60197
Type or Classification
(B)
TELEPHONE AND INTERNET SERVICE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$9,998
Total of All Transactions with this
Payee/Payer for This Schedule
$9,998
Name and Address
(A)
C.E.V. HANDYMAN SERVICES
4478 W. 12TH STREET CLEVELAND OH 44109
Type or Classification
(B)
MAINTENANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,139
Total of All Transactions with this
Payee/Payer for This Schedule
$7,139
Name and Address
(A)
GARY M. TIBONI, CPA 630
COLUMBIA STATION OH 44028-0630
Type or Classification
(B)
AUDIT AND TAX FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,800
Total of All Transactions with this
Payee/Payer for This Schedule
$10,800
Name and Address
(A)
INDEPENDENCE BANK
4401 ROCKSIDE ROAD INDEPENDENCE OH 44131-8048
Type or Classification
(B)
COMMERCIAL BANK MORTGAGE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$17,208
Total of All Transactions with this
Payee/Payer for This Schedule
$17,208
Name and Address
(A)
PURCHASE POWER 371874
PITTSBURGH PA 15250-7874
Type or Classification
(B)
POSTAGE AND MAILING SUPPLIES
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,035
Total of All Transactions with this
Payee/Payer for This Schedule
$6,035
Name and Address
(A)
THE ILLUMINATING COMPANY 3638
AKRON OH 44309
Type or Classification
(B)
UTILITY PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,795
Total of All Transactions with this
Payee/Payer for This Schedule
$7,795
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
018-978
There was no data
found for this schedule.
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
018-978
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$258,916
PENSION
TEAMSTERS LOCAL 436 PENSION FUND
$151,474
HEALTH AND WELFARE
TEAMSTERS LOCAL 436 HEALTH AND WELFARE
$102,779
LONG TERM LIABILITY
TEAMSTERS LOCAL 436 HEALTH AND WELFARE
$2,827
LIFE INSURANCE
INSURANCE COMPANY
$1,836
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
018-978
Question 10: EXCAVATING BUILDING MATERIAL AND CONSTRUCTION DRIVERS UNION LOCAL 436 HEALTH AND WELFARE FUND, EIN 34-0821253, PLAN NO. 501, PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDANTS. BUILDING MATERIAL DRIVERS LOCAL 436 PENSION FUND, EIN 34-6665225, PLAN NO. 001, PROVIDES PENSION BENEFITS. BOTH PLANS ARE ADMINISTERED AT 6051 CAREY DRIVE, VALLEY VIEW, OH 444125 AND FILE FORM 5500 WITH THE U.S. DEPARTMENT OF LABOR.
Question 12: THE BOOKS AND RECORDS HAVE BEEN AUDITED BY OUTSIDE ACCOUNTANT GARY M. TIBONI, CPA.
Question 15: AN OBSOLETE COMPUTER PURCHASED AT A COST OF $1,361 AND A NET BOOK VALUE OF $385, WAS SCRAPPED.
Question 16: MORTGAGE PAYABLE IS SECURED BY THE LAND PURCHASED AND BUILDING CONSTRUCTED WITH LOAN PROCEEDS.
Schedule 13, Row1:
Schedule 13, Row1:MEMBERS WORKING IN THE INDUSTRY AND PAYING FULL DUES.