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
042-242
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
589
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
MARK
Last Name
FULLER
P.O Box - Building and Room Number
Number and Street
PO BOX 4043
City
PORT ANGELES
State
WA
ZIP Code + 4
98363
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:
Larry E Voshall
PRESIDENT
71. SIGNED:
Mark K Fuller
TREASURER
Date:
Mar 27, 2020
Telephone
Number:
360-613-4062
Date:
Mar 27, 2020
Telephone
Number:
360-452-3388
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
042-242
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?
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?
$170,000
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?
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?
No
19. What is the date of the labor
organization's next regular election of officers?
11/2020
20. How many members did the labor organization
have at the end of the reporting period?
1,496
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
Month
$15.00
$116.00
(b) Working Dues/Fees
N/A
per
Month
$15.00
$116.00
(c) Initiation Fees
$100.00
per
One time
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:
042-242
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$765,092
$716,430
23. Accounts Receivable
1
$48,381
$25,743
24. Loans Receivable
2
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
27. Fixed Assets
6
$64,609
$57,957
28. Other Assets
7
$3,701
$6,355
29.
TOTAL ASSETS
$881,783
$806,485
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
31. Loans Payable
9
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$44,190
$51,462
34. TOTAL
LIABILITIES
$44,190
$51,462
35. NET
ASSETS
$837,593
$755,023
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
042-242
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,130,709
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$20,788
39. Sale of Supplies
$0
40. Interest
$4,128
41. Dividends
$0
42. Rents
$0
43. Sale of Investments
and Fixed Assets
3
44. Loans Obtained
9
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$4,148
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$1,808
49. TOTAL RECEIPTS
$1,161,581
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$416,355
51.
Political Activities and Lobbying
16
$0
52.
Contributions, Gifts, and Grants
17
$13,065
53. General
Overhead
18
$202,760
54. Union
Administration
19
$0
55. Benefits
20
$275,148
56. Per
Capita Tax
$257,793
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$1,317
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$41,151
66. Subtotal
$1,207,589
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$91,929
67b. Less Total
Disbursed
$94,583
67c.
Total Withheld But Not Disbursed
-$2,654
68.
TOTAL DISBURSEMENTS
$1,210,243
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
042-242
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
$25,743
$2,001
$6,168
$0
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$25,743
$2,001
$6,168
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
042-242
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:
042-242
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:
042-242
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$0
$0
$0
Less Reinvestments
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
042-242
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
B. Total Book Value
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))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
042-242
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
1305 C Street, Port Angeles, WA 98363
$27,137
$27,137
$55,125
B.
Buildings (give location)
Building
1
:
1305 C Street, Port Angeles, WA 98363
$142,978
$116,069
$26,909
$135,194
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$83,699
$79,788
$3,911
$3,911
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$253,814
$195,857
$57,957
$194,230
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
042-242
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$6,355
Prepaid Payroll Expenses
$6,355
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
042-242
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:
042-242
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:
042-242
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$51,462
Vacation Liability
$26,330
Severance Liability
$25,132
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
042-242
(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
Fuller
,
Mark
Secretary-Treasurer C
$78,977
$12,000
$3,578
$0
$94,555
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
Voshall
,
Larry
E President C
$4,745
$1,204
$0
$5,949
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
Collins
,
Jeffrey
A Vice-President C
$0
$4,745
$826
$0
$5,571
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
Kezer
,
Kimberly
A Recording Secretary C
$66,261
$5,184
$1,521
$0
$72,966
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
Irish
,
Rick
M Trustee C
$0
$4,745
$354
$0
$5,099
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
Driskell
,
Robert
A Trustee C
$65,500
$12,000
$2,192
$79,692
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
Bibler
,
Teresa
D Trustee C
$0
$4,745
$1,114
$0
$5,859
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 Officer
Disbursements
$210,738
$48,164
$10,789
$0
$269,691
Less Deductions
$55,321
Net
Disbursements
$214,370
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
042-242
(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
Draven
,
Bret
A Business Agent None
$66,850
$12,000
$565
$0
$79,415
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
Elliott
,
Carlita
M Office Assistant None
$33,924
$0
$0
$0
$33,924
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
Stone
,
Richard
G Business Agent None
$70,188
$12,000
$1,919
$84,107
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
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$0
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total
Employee Disbursements
$170,962
$24,000
$2,484
$0
$197,446
Less
Deductions
$36,608
Net Disbursements
$160,838
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
042-242
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
1,496
Agency Fee Payers*
14
Total Members/Fee Payers
1,510
*Agency Fee Payers are
not considered members of the labor organization.
Active Members
1,475
Yes
Dues Cash Members
21
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
042-242
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$0
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$1,808
4. Total
Receipts
$1,808
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$5,000
2. Named Payee
Non-itemized Disbursements
$200
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$7,865
6. Total
Disbursements
$13,065
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$17,520
2. Named Payee
Non-itemized Disbursements
$24,649
3. To Officers
$196,725
4. To Employees
$163,522
5. All Other
Disbursements
$13,939
6. Total
Disbursements
$416,355
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$5,376
2. Named Payee
Non-itemized Disbursements
$63,522
3. To Officers
$72,966
4. To Employees
$33,924
5. All Other
Disbursements
$26,972
6. Total
Disbursements
$202,760
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
$0
4. To Employees
$0
5. All Other
Disbursements
$0
6. Total
Disbursements
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
042-242
There was no data
found for this schedule.
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
042-242
Name and Address
(A)
Image Pointe 657
Waterloo IA 50704
Type or Classification
(B)
Apparel and Promotional Supply Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,668
Total of All Transactions with this
Payee/Payer for This Schedule
$8,668
Name and Address
(A)
Reid, McCarthy & Ballew & Leahy, L.L.P.
100 West Harrison Street Seattle WA 98119
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$11,683
Total
Non-Itemized Transactions with this Payee/Payer
$10,088
Total of All Transactions with this
Payee/Payer for This Schedule
$21,771
Legal representation fees
09/09/2019
$5,173
Legal representation fees
10/16/2019
$6,510
Name and Address
(A)
Safeway Stores
5918 Stoneridge Mall Road Pleasanton CA 94588
Type or Classification
(B)
Grocery Store
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,893
Total of All Transactions with this
Payee/Payer for This Schedule
$5,893
Name and Address
(A)
The Westin Seattle
1900 Fifth Avenue Seattle WA 98101
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,837
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$5,837
Joint Council No. 28 Annual Conference
12/02/2019
$5,837
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
042-242
There was no data
found for this schedule.
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
042-242
Name and Address
(A)
Teamsters Local 117
14675 Interurban Ave S. STE Tukwila WA 98168
Type or Classification
(B)
Teamsters Local Union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,000
Total
Non-Itemized Transactions with this Payee/Payer
$200
Total of All Transactions with this
Payee/Payer for This Schedule
$5,200
Donation to UNFI Membership Fund
11/22/2019
$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
042-242
Name and Address
(A)
AT&T 5019
Carol Stream IL 60197
Type or Classification
(B)
Telecommunications Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$12,945
Total of All Transactions with this
Payee/Payer for This Schedule
$12,945
Name and Address
(A)
Centurylink 91155
Seattle WA 98111
Type or Classification
(B)
Telecommunications Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$9,961
Total of All Transactions with this
Payee/Payer for This Schedule
$9,961
Name and Address
(A)
Huebner, Dooley & McGinness, P.S.
1424 NE 155th St, Suite 100 Shoreline WA 98155
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
$12,240
Total of All Transactions with this
Payee/Payer for This Schedule
$12,240
Name and Address
(A)
IBEW Local 46
19802 62nd Ave S Kent WA 98032
Type or Classification
(B)
Local Union - Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$13,662
Total of All Transactions with this
Payee/Payer for This Schedule
$13,662
Name and Address
(A)
Rain Master Roofing
1205 S. O Street Port Angeles WA 98362
Type or Classification
(B)
Commerical Roofer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,376
Total
Non-Itemized Transactions with this Payee/Payer
$706
Total of All Transactions with this
Payee/Payer for This Schedule
$6,082
Roof maintenance and repairs
05/01/2019
$5,376
Name and Address
(A)
Sunset Janitorial Inc.
33 Orvis Street Port Angeles WA 98362
Type or Classification
(B)
Janitorial Service and Supply Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,580
Total of All Transactions with this
Payee/Payer for This Schedule
$5,580
Name and Address
(A)
US Bank 790448
St Louis MO 63179
Type or Classification
(B)
Equipment Financing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,428
Total of All Transactions with this
Payee/Payer for This Schedule
$8,428
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
042-242
There was no data
found for this schedule.
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
042-242
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$275,148
Death Benefit
Teamsters Life With Dues
$10,483
Health and Welfare
Washington Teamsters Welfare Trust
$111,121
Pension
Western Conference Teamsters Pension Trust
$141,668
Health Reimbursements
Employees
$11,565
Legal Defense Fund
Western Conf of Teamsters Legal Services
$311
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
042-242
Question 15: The Local Union gives away gift cards to members for several different reasons and occasions, which get documented in the Board meeting minutes. In addition, a copy of the gift card, along with the recipients' signature, are maintained in the Local Union's record files.
Question 12: The Local Union was audited by: Huebner, Dooley & McGinness, P.S., Certified Public Accountants, 1424 NE 155th St, Suite 100, Shoreline, WA 98155, 206.522.8000, www.hdm-cpa.com
Schedule 13, Row1:
Schedule 13, Row1:Active members are full dues paying members and are in good standing with the union.
Schedule 13, Row1:
Schedule 13, Row1::
Schedule 13, Row2:
Schedule 13, Row2:Dues cash members are cash paying dues payers who are in good standing with the union.