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
039-553
2. PERIOD COVERED
From01/01/2019
Through12/31/2019
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
LABORERS
5. DESIGNATION (Local, Lodge, etc.)
DISTRICT COUNCIL
6. DESIGNATION NBR

7. UNIT NAME (if any)
OREGON AND SOUTHERN IDAHO
8. MAILING ADDRESS (Type or print in capital letters)
First Name
Jeffrey
Last Name
Gritz
P.O Box - Building and Room Number
Suite 201
Number and Street
17230 NE Sacramento St.
City
PORTLAND
State
OR
ZIP Code + 4
97230


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:Matthew R JensenPRESIDENT71. SIGNED:Jeffrey D GritzTREASURER
Date:Mar 25, 2020Telephone Number:503-758-9303Date:Mar 27, 2020Telephone Number:503-760-2933
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 039-553
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?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?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?08/2022
20. How many members did the labor organization have at the end of the reporting period?3,944
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesN/AperN/AN/AN/A
(b) Working Dues/Feesdollarsperhour2.022.14
(c) Initiation FeesN/AperN/AN/AN/A
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 039-553

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $2,678,376$3,160,078
23. Accounts Receivable1$850$0
24. Loans Receivable2$113,023$107,090
25. U.S. Treasury Securities $0$0
26. Investments5$99,829$108,594
27. Fixed Assets6$260,002$221,719
28. Other Assets7$5,537$5,537
29. TOTAL ASSETS $3,157,617$3,603,018

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$0$0
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$12,707$7,820
34. TOTAL LIABILITIES $12,707$7,820
35. NET ASSETS$3,144,910$3,595,198
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 039-553

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,774,825
37. Per Capita Tax $195,059
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $9,016
41. Dividends $6,262
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$5,933
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$31,027
49. TOTAL RECEIPTS $2,022,122
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$304,814
51. Political Activities and Lobbying16$83,212
52. Contributions, Gifts, and Grants17$19,381
53. General Overhead18$580,167
54. Union Administration19$104,774
55. Benefits20$329,547
56. Per Capita Tax $0
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$54,656
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $67,459
  
66. Subtotal $1,544,010
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$319,327  
  67b. Less Total Disbursed$315,737  
  67c. Total Withheld But Not Disbursed $3,590
68. TOTAL DISBURSEMENTS $1,540,420
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 039-553

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: 039-553

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$113,023$0$5,933$0$107,090
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 45 Item 69
with Explanation
Item 24
Column (B)
Name: Kim Lynn Vue et al
Purpose: Sale of building
Security: Holgate Property
Terms of Repayment: 10 years 5.5%
$113,023$5,933$0$107,090
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 039-553

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$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 039-553

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$142,456$142,456$54,656
Mutual Funds$5,125$5,125$5,125
Automobiles$134,505$134,505$46,705
Furniture and Equipment$2,826$2,826$2,826
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$54,656
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 039-553

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$108,594
B. Total Book Value$108,594
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • PIMCO Investment Grade Credit Bond Fund Class I-2
$46,121
  • PIMCO Income Fund Class I-2
$62,473
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)) $108,594
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 039-553

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$138,697$27,170$111,527$111,527
D. Office Furniture and Equipment$75,939$59,022$16,917$16,917
E. Other Fixed Assets$164,320$71,045$93,275$93,275
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $378,956$157,237$221,719$221,719
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 039-553

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $5,537
Security deposit for leased office space$4,680
Store credit for returned furniture$857
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 039-553

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: 039-553

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 44Item 62 Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 039-553

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $7,820
Payroll withholdings$3,590
Vacation Accrual$4,230
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 039-553

(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
Held ,  Greg   A
Bus Mgr/Sec-Treasurer
P
$299,939$0$18,523$0$318,462
I
Schedule 15
Representational Activities
35 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
56 % Schedule 19
Administration
6 %
A
B
C
Jensen ,  Matt  
President
C
$1,350$0$0$0$1,350
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
Moore ,  Gary  
Vice President
P
$144,155$0$5,499$0$149,654
I
Schedule 15
Representational Activities
42 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
48 % Schedule 19
Administration
7 %
A
B
C
Jackson ,  Gary  
Exec Board/Rec. Secretary
P
$450$0$0$0$450
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
Culver ,  Zackary  
Executive Board
C
$1,350$0$0$0$1,350
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
Richartz ,  Farrell  
Vice President
C
$1,350$0$0$0$1,350
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
Dillon ,  Dave  
Executive Board
C
$1,350$0$0$0$1,350
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
Welchert ,  Dave  
Auditor
P
$1,350$0$0$0$1,350
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
Tucker ,  Will  
Auditor
P
$1,350$0$0$0$1,350
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
Burrows ,  Jamie  
Executive Board
P
$1,350$0$0$0$1,350
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
Guetzloe-Parker ,  Jodi  
Executive Board
N
$900$0$0$0$900
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
Aranda ,  Dago  
Executive Board
N
$900$0$0$0$900
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
Gritz ,  Jeffrey  
Bus Mgr/Sec-Treasurer
N
$72,810$0$8,428$0$81,238
I
Schedule 15
Representational Activities
60 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
25 % Schedule 19
Administration
10 %
Total Officer Disbursements$528,604$0$32,450$0$561,054
Less Deductions    $218,683
Net Disbursements    $342,371
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 039-553

(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
Leung ,  Mike  
Bookkeeper
None
$76,751$0$3,429$0$80,180
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
96 % Schedule 19
Administration
0 %
A
B
C
Carpenter ,  Chris  
Political Director
None
$58,261$0$5,825$0$64,086
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
90 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
0 %
A
B
C
Ricker ,  Mitch  
Business Representative
None
$55,266$0$13,419$0$68,685
I
Schedule 15
Representational Activities
60 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
25 % Schedule 19
Administration
10 %
A
B
C
Nelson ,  Benjamin  
Director of Organizing
None
$30,962$0$835$0$31,797
I
Schedule 15
Representational Activities
60 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
25 % Schedule 19
Administration
10 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$2,540$0$0$0$2,540
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$223,780$0$23,508$0$247,288
Less Deductions    $100,644
Net Disbursements    $146,644
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 039-553

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 3,944 
Agency Fee Payers*
Total Members/Fee Payers3,944 
*Agency Fee Payers are not considered members of the labor organization.
Construction workers1,722Yes
Public Employees386Yes
Other Members316Yes
Retired Members312Yes
Local 483 public employees1,208Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 039-553

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$14,697
2. Named Payer Non-itemized Receipts$8,235
3. All Other Receipts$8,095
4. Total Receipts$31,027
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$10,820
2. Named Payee Non-itemized Disbursements$4,500
3. To Officers$0
4. To Employees$802
5. All Other Disbursements$3,259
6. Total Disbursements$19,381
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$8,652
2. Named Payee Non-itemized Disbursements$5,040
3. To Officers$223,060
4. To Employees$60,289
5. All Other Disbursements$7,773
6. Total Disbursements$304,814
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$128,365
2. Named Payee Non-itemized Disbursements$41,758
3. To Officers$270,483
4. To Employees$108,502
5. All Other Disbursements$31,059
6. Total Disbursements$580,167
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$18,106
4. To Employees$65,106
5. All Other Disbursements$0
6. Total Disbursements$83,212
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$24,283
3. To Officers$49,408
4. To Employees$12,589
5. All Other Disbursements$18,494
6. Total Disbursements$104,774
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 039-553

Name and Address
(A)
OR/SI Laborers - Employers Training Trust

17230 NE Sacramento St
Portland
OR
97230
Type or Classification
(B)
Training Center
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,510
Total Non-Itemized Transactions with this Payee/Payer$8,235
Total of All Transactions with this Payee/Payer for This Schedule$14,745
Reimbursement of expenses05/29/2019$6,510
Name and Address
(A)
OR/SI Laborers Emp Coop & Ed Trust

17230 NE Sacramento St.
Portland
OR
97230
Type or Classification
(B)
Education Trust
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,187
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$8,187
Reimbursement for work performed by Mike L08/09/2019$8,187
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 039-553

Name and Address
(A)
NetCompliance Environmental Services, LLC

2112 E. 26th St.
Vacouver
WA
98661
Type or Classification
(B)
Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,652
Total Non-Itemized Transactions with this Payee/Payer$5,040
Total of All Transactions with this Payee/Payer for This Schedule$13,692
Work Recovery Disbursement10/17/2019$8,652
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 039-553

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 039-553

Name and Address
(A)
B.U.L.L. Session

14695 SW Millikan Way
Beaverton
OR
97003
Type or Classification
(B)
Charitable Foundation
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,820
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,820
B.U.L.L. Session Charity Sponsorship03/06/2019$5,820
Name and Address
(A)
Northwest Delegate Fund
Suite 140
12201 Tukwila Intl Blvd
Seattle
WA
98168
Type or Classification
(B)
Delegate Fund
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$4,500
Total of All Transactions with this Payee/Payer for This Schedule$9,500
W. Vernie Reed Scholarship Golf Tournament03/28/2019$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 039-553

Name and Address
(A)
Doyle C Jones

12911 NE 101St
Vancouver
WA
98682
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$5,800
Total of All Transactions with this Payee/Payer for This Schedule$5,800
Name and Address
(A)
Fireman's Fund Insurance
7166

Pasadena
CA
91109
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,571
Total Non-Itemized Transactions with this Payee/Payer$2,582
Total of All Transactions with this Payee/Payer for This Schedule$11,153
Policy Renewal Eff Date 1/1/1901/15/2019$8,571
Name and Address
(A)
Hollywood Impress

4717 SE Division Street
Portland
OR
97206
Type or Classification
(B)
Printing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,727
Total of All Transactions with this Payee/Payer for This Schedule$5,727
Name and Address
(A)
Lindquist LLP
Suite 400
5000 Executive Pkwy
San Ramon
CA
94583
Type or Classification
(B)
Certified Public Accountant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,250
Total Non-Itemized Transactions with this Payee/Payer$6,473
Total of All Transactions with this Payee/Payer for This Schedule$14,723
Audit and Tax Returns for FYE201802/19/2019$8,250
Name and Address
(A)
OSI Laborers - Employers Training Trust

17230 NE Sacramento Street
Portland
OR
97230
Type or Classification
(B)
Training Center
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$86,311
Total Non-Itemized Transactions with this Payee/Payer$1,046
Total of All Transactions with this Payee/Payer for This Schedule$87,357
September 2019 Lease09/03/2019$7,210
October 2019 Lease10/01/2019$7,210
November 2019 Lease11/01/2019$7,210
May 2019 Lease05/01/2019$7,210
March 2019 Lease03/01/2019$7,210
Lease and Expense Payment01/04/2019$7,001
June 2019 Lease06/04/2019$7,210
July 2019 Lease07/01/2019$7,210
February 2019 Lease02/06/2019$7,210
December 2019 Lease12/02/2019$7,210
August 2019 Lease08/01/2019$7,210
April 2019 Lease04/01/2019$7,210
Name and Address
(A)
Stephen Horn Insurance Services
Suite 110
37 Graham Street
San Francisco
CA
94129
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,233
Total Non-Itemized Transactions with this Payee/Payer$2,130
Total of All Transactions with this Payee/Payer for This Schedule$10,363
Policy Renewal - Eff 1/1/19 to 1/1/2001/10/2019$8,233
Name and Address
(A)
Weinberg, Roger & Rosenfeld
Suite 200
1001 Marina Village Parkway
Alameda
CA
94501-1091
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,000
Total of All Transactions with this Payee/Payer for This Schedule$18,000
Name and Address
(A)
Woodburn Dragstrip

7730 State Hwy 219 E
Woodburn
OR
97071
Type or Classification
(B)
Dragstrip
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$17,000
Two Year Sponsorship02/07/2019$17,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 039-553

Name and Address
(A)
Alaska Airlines
68900

Seattle
WA
98168
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,606
Total of All Transactions with this Payee/Payer for This Schedule$12,606
Name and Address
(A)
Delta Airlines

1030 Delta Blvd.
Atlanta
GA
30320
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,677
Total of All Transactions with this Payee/Payer for This Schedule$11,677
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 039-553

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$329,547
PensionOregon Laborers Defined Benefit Pension Trust$74,758
PensionLIUNA Staff & Affiliates Pension Fund$140,562
HealthOregon Laborers Health & Welfare Trust$67,014
TrainingOregon Laborers Training Fund$7,722
Life InsurancePrincipal Life Insurance$13,689
PensionLIUNA National 401(k) Retirement Savings Plan$25,802
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 039-553


Question 10: Oregon Laborers Health and Welfare Trust Fund 3140 NE Broadway, Portland, OR 97208 Purpose: Health Benefit Trust ERISA File number: 93-6024141 Plan: 501 Oregon Laborers Defined Benefit Pension Trust Fund 3140 NE Broadway, Portland, OR 97208 Purpose: Retirement Benefit Trust ERISA File number: 93-6075363 Plan: 001 Oregon Laborers-Employers Defined Contribution and 401(k) Plan 3140 NE Broadway, Portland, OR 97208 Purpose: Retirement Benefit Trust ERISA File number: 27-6434385 Plan: 001

Question 11(a):

Question 11(a): : : : : : : : Oregon Laborers Political Action Committee (PAC) Reports are filed with the Oregon Secretary of State, the Department of Treasury - Internal Revenue Service, as required, and the PAC Fund activity is not included in this LM-2 filing. The PAC's employer identification number is 46-3954032 and ID number 16480.

Question 12: Financial statements audited by outside CPA firm Lindquist LLP.

Question 15: Depreciation Expense: $47,582 Amortization Expense: Leasehold improvements: $16,432 The District Council traded in two vehicles with total cost of $97,364, and a net book value of $63,201 at the time of the trade-in. The Council received a trade-in credit of $87,800 for the two vehicles. In addition, a vehicle and two cellphones were included in severance packages for the former Business Manager/Secretary Treasurer and the former Assistant Business Manager. The cost of the vehicle and two cell phones were $64,061 and had a remaining net book value of $49,515 at the time they were provided as part of the severance packages.

Schedule 13, Row1:Construction workers pay full dues.

Schedule 13, Row2:Public employees pay full dues.

Schedule 13, Row3:Other Members pay full dues.

Schedule 13, Row4:Retired members pay full dues.

Schedule 13, Row5:Local 483 public employees pay full dues.

General Information:

Schedule 6: The fair market value for the fixed assets of the Council is not readily available for disclosure. The fair market value was based on the book value of the assets.

Schedule 11: The following officers have been appointed by the Executive Board: Jeffrey Gritz, Dagoberto Aranda, and Jodi Guetzloe-Parker.

Schedules 11 and 12: It is not practical to make precise distributions of automobile operating expenses not paid directly to employees and included in columns (f) and (g). However, an allocation of such expenses has been made in accordance with IRS reporting rules. If Council owned/leased automobiles were used 50% or less for business purposes by IRS reporting standards, the remainder is treated as if it were personal use and is reported in column (g). IRS standards should not necessarily be considered as the actual business use of an automobile.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)