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
540-538
2. PERIOD COVERED
From07/01/2019
Through06/30/2020
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
TEACHERS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
5200
7. UNIT NAME (if any)
ALASKA PUBLIC EMPLOYEES ASSOCIATION
8. MAILING ADDRESS (Type or print in capital letters)
First Name
CHIP
Last Name
VERRELLI
P.O Box - Building and Room Number
SUITE 306
Number and Street
211 FOURTH STREET
City
JUNEAU
State
AK
ZIP Code + 4
99801


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:Brian K PennerBUSINESS MANAGER71. SIGNED:LEONARD D VERRELLI IIFINANCE MANAGER
Date:Sep 23, 2020Telephone Number:907-274-1717Date:Sep 23, 2020Telephone Number:907-586-2334
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 540-538
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?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?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?05/2021
20. How many members did the labor organization have at the end of the reporting period?4,897
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees58.20permonth19.2857.90
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 540-538

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $636,064$1,085,180
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$1,462,747$1,273,784
27. Fixed Assets6$125,519$118,186
28. Other Assets7$18,702$14,271
29. TOTAL ASSETS $2,243,032$2,491,421

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$35,210$28,713
34. TOTAL LIABILITIES $35,210$28,713
35. NET ASSETS$2,207,822$2,462,708
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 540-538

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $3,320,640
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $55,500
39. Sale of Supplies $0
40. Interest $37,979
41. Dividends $0
42. Rents $19,125
43. Sale of Investments and Fixed Assets3$1,106,498
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $70,962
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$297,123
49. TOTAL RECEIPTS $4,907,827
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,192,259
51. Political Activities and Lobbying16$130,022
52. Contributions, Gifts, and Grants17$0
53. General Overhead18$277,133
54. Union Administration19$537,117
55. Benefits20$553,043
56. Per Capita Tax $706,015
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$870,250
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $74,889
64. On Behalf of Individual Members $0
65. Direct Taxes $118,240
  
66. Subtotal $4,458,968
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$381,840  
  67b. Less Total Disbursed$381,583  
  67c. Total Withheld But Not Disbursed $257
68. TOTAL DISBURSEMENTS $4,458,711
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 540-538

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: 540-538

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 61Item 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: 540-538

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$1,051,461$1,051,461$1,129,955$1,129,955
Mutual funds$1,051,461$1,051,461$1,129,955$1,129,955
Less Reinvestments$23,457
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$1,106,498
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 540-538

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$893,707$893,707$893,707
Investment purchases$875,320$875,320$875,320
Equipment purchases$18,387$18,387$18,387
 Less Reinvestments$23,457
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$870,250
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 540-538

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$1,205,462
B. Total Book Value$1,273,784
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • Vanguard Total Stock Mutual Fund
$78,265
  • Vanguard Value ETF Mutual Fund
$123,193
  • Vanguard Growth ETF
$127,317
  • Ishares US Healthcare
$122,915
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)) $1,273,784
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 540-538

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      Fairbanks, AK$37,500 $37,500$69,000
B. Buildings (give location)    
Building  1 :      Fairbanks, AK$282,664$255,340$27,324$176,000
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$465,415$431,208$34,207$34,000
E. Other Fixed Assets$42,606$23,451$19,155$20,000
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $828,185$709,999$118,186$299,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 540-538

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $14,271
Refundable deposits$1,369
Due from affiliates$2,596
Health and legal trust advanced expenses$6,242
Other receivables$1,927
Prepaid expenses$2,137
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 540-538

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: 540-538

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: 540-538

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $28,713
Damage deposits$1,200
Due to related parties$5,714
Capital lease obligations$21,503
Sales tax payable$40
Payroll liabilities$242
Dues withheld, payable$14
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 540-538

(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
Affatato ,  Paul  
Board Member
N
$0$0$0$0$0
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
Bertagnoli ,  Joe  
Board Member
C
$0$0$263$0$263
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
Bowler ,  Bruce  
Board Member
P
$0$0$0$0$0
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
Bult-Ito ,  Abel  
Board Member
C
$0$0$0$0$0
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
Cairns ,  Chris  
Board Member
C
$0$0$0$0$0
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
Carnaham ,  Liam  
Board Member
C
$0$0$1,156$0$1,156
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
Clemons ,  Sara  
Board Member
C
$0$0$56$0$56
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
Cochran ,  Tina  
Board Member
P
$0$0$76$0$76
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
Derifield ,  Cheryl  
Board Member
C
$0$0$0$0$0
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
Edwards ,  Nella  
Board Member
C
$0$0$0$0$0
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
Evans ,  Walter  
Secretary/Treasurer
C
$0$0$756$0$756
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
Groeneveld ,  Ann  
Board Member
P
$0$0$0$0$0
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
Heselton ,  Rita  
Board Member
C
$0$0$422$0$422
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
Hinterberger ,  Tim  
Board Member
C
$0$0$0$0$0
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
Hoffbeck ,  Sharon  
Board Member
C
$0$0$0$0$0
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
Koons ,  Deborah  
Board Member
C
$0$0$0$0$0
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
Manning ,  Cecily  
President
C
$0$0$1,138$0$1,138
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
McCrummen ,  Dan  
Board Member
C
$0$0$0$0$0
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
Miller ,  Mike  
Board Member
C
$0$0$0$0$0
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
Murphy ,  Robert  
Executive VP
C
$0$0$1,322$0$1,322
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
Owens ,  Brad  
Board Member
C
$0$0$0$0$0
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
Pierce ,  Harold  
Board Member
C
$0$0$0$0$0
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
Polumsky ,  Fran  
Board Member
C
$0$0$0$0$0
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
Reeves ,  Joseph  
Board Member
P
$0$0$0$0$0
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
Rickard ,  Anthony  
Board Member
C
$0$0$0$0$0
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
Runion ,  Kent  
Board Member
N
$0$0$0$0$0
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
Showalter ,  Shelly  
Board Member
C
$0$0$0$0$0
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
Silva ,  Charles  
Board Member
C
$0$0$0$0$0
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
Strahm ,  Christia  
Board Member
P
$0$0$0$0$0
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
Sutterfield ,  Dane  
Board Member
C
$0$0$0$0$0
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
Tamagni ,  Amey  
Board Member
C
$0$0$250$0$250
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
Thompson ,  Sandra  
Board Member
C
$0$0$144$0$144
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
Voorhees ,  Stephanie  
Board Member
C
$0$0$0$0$0
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
White ,  John  
Board Member
C
$0$0$3,066$3,066
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
Woods ,  Alicia  
Board Member
C
$0$0$0$0$0
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$0$0$8,649$0$8,649
Less Deductions     
Net Disbursements    $8,649
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 540-538

(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
Agee ,  Adriane  
admin assistant
NONE
$46,347$0$188$0$46,535
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
6 % Schedule 19
Administration
7 %
A
B
C
Bennett ,  Jackie  
admin assistant
NONE
$47,340$0$427$0$47,767
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
8 %
A
B
C
Flenaugh ,  Carrie  
admin assistant
NONE
$56,742$0$39$0$56,781
I
Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
18 %
A
B
C
Gray ,  Carol  
admin assistant
NONE
$68,647$0$0$0$68,647
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
Hill ,  Joel  
Field rep
NONE
$90,359$0$2,068$0$92,427
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
Kasper ,  Jeffrey  
SE Regional Manager
NONE
$104,765$0$2,117$0$106,882
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
0 %
A
B
C
Knight ,  Anne  
Field rep
NONE
$83,221$0$1,418$0$84,639
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
13 %
A
B
C
Koskie ,  Michael  
regional manager
NONE
$122,948$0$3,179$0$126,127
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
Madsen ,  Jennifer  
field associate
NONE
$110,397$0$4,172$0$114,569
I
Schedule 15
Representational Activities
66 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
34 %
A
B
C
Malaby ,  Glendia  
field associate
NONE
$60,927$0$0$0$60,927
I
Schedule 15
Representational Activities
88 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
6 % Schedule 19
Administration
6 %
A
B
C
Penner ,  Brian  
Business manager
NONE
$121,178$0$2,132$0$123,310
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
98 %
A
B
C
Roach ,  Jason  
Field rep
NONE
$71,398$0$4,915$0$76,313
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
Rohrbacher ,  Miguel  
SAPO
NONE
$21,472$0$0$21,472
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Spanyers ,  Cindy  
legislative liason
NONE
$83,136$0$1,547$0$84,683
I
Schedule 15
Representational Activities
13 % Schedule 16
Political Activities and Lobbying
87 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Speciale ,  Michael  
field rep 1
NONE
$65,005$0$4,595$0$69,600
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
Strong ,  Barbara  
admin assistant
NONE
$57,320$0$0$0$57,320
I
Schedule 15
Representational Activities
7 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
88 %
A
B
C
Verrelli ,  Chip  
finance officer
NONE
$147,798$0$1,284$0$149,082
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
87 % Schedule 19
Administration
13 %
A
B
C
Verrelli ,  Kristine  
accounting tech
NONE
$54,325$0$0$0$54,325
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
87 % Schedule 19
Administration
13 %
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$1,413,325$0$28,081$0$1,441,406
Less Deductions    $381,840
Net Disbursements    $1,059,566
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 540-538

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 4,897 
Agency Fee Payers*0
Total Members/Fee Payers4,897 
*Agency Fee Payers are not considered members of the labor organization.
Public Sector4,831Yes
Private Sector66Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 540-538

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$252,917
2. Named Payer Non-itemized Receipts$28,142
3. All Other Receipts$16,064
4. Total Receipts$297,123
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$0
6. Total Disbursements$0
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$72,789
2. Named Payee Non-itemized Disbursements$169,720
3. To Officers$0
4. To Employees$818,168
5. All Other Disbursements$131,582
6. Total Disbursements$1,192,259
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$24,410
2. Named Payee Non-itemized Disbursements$30,387
3. To Officers$0
4. To Employees$190,804
5. All Other Disbursements$31,532
6. Total Disbursements$277,133
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$15,086
2. Named Payee Non-itemized Disbursements$12,383
3. To Officers$0
4. To Employees$95,146
5. All Other Disbursements$7,407
6. Total Disbursements$130,022
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$58,215
2. Named Payee Non-itemized Disbursements$71,900
3. To Officers$8,649
4. To Employees$337,287
5. All Other Disbursements$61,066
6. Total Disbursements$537,117
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 540-538

Name and Address
(A)
AMERICAN FEDERATION OF TEACHERS

555 New Jersey Ave NW
Washington
DC
20001
Type or Classification
(B)
Labor organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$43,075
Total Non-Itemized Transactions with this Payee/Payer$16,283
Total of All Transactions with this Payee/Payer for This Schedule$59,358
AFT DISASTER RELIEF FUND REF:608/20/2019$5,400
Solidarity expenses09/30/2019$9,369
Solidarity expenses12/31/2019$8,998
Solidarity expenses03/31/2020$9,816
Solidarity expenses05/31/2020$9,492
Name and Address
(A)
APEA/AFT LEGAL TRUST

211 4th St. Ste. 306
Juneau
AK
99801
Type or Classification
(B)
Employee benefit plan
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$109,779
Total Non-Itemized Transactions with this Payee/Payer$2,323
Total of All Transactions with this Payee/Payer for This Schedule$112,102
Staff service reimbursement07/12/2019$8,773
Staff service reimbursement08/20/2019$8,625
Staff service reimbursement09/13/2019$8,705
Staff service reimbursement10/25/2019$8,689
Staff service reimbursement11/22/2019$8,722
Staff service reimbursement01/21/2020$9,145
Staff service reimbursement02/14/2020$9,101
Staff service reimbursement03/06/2020$9,093
Staff service reimbursement04/20/2020$8,180
Staff service reimbursement05/15/2020$11,100
Staff service reimbursement06/05/2020$10,937
Staff service reimbursement12/31/2019$8,709
Name and Address
(A)
APEA/AFT SU LOCAL 4900

211 4TH ST. STE. 306
Juneau
AK
99801
Type or Classification
(B)
Labor organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$55,573
Total Non-Itemized Transactions with this Payee/Payer$9,536
Total of All Transactions with this Payee/Payer for This Schedule$65,109
Travel reimbursements01/10/2020$17,487
Travel reimbursements06/05/2020$38,086
Name and Address
(A)
State of AK Labor Management Committee (LMC)

2301 Peger Road
Fairbanks
AK
99709
Type or Classification
(B)
State government
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$44,490
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$44,490
Reimbursable expenses06/30/2020$44,490
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 540-538

Name and Address
(A)
ALASKA AIRLINES
PO Box 68900

Seattle
WA
98168
Type or Classification
(B)
Airline company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,574
Total Non-Itemized Transactions with this Payee/Payer$10,901
Total of All Transactions with this Payee/Payer for This Schedule$23,475
Airfare to meetings04/03/2020$12,574
Name and Address
(A)
ALASKA COMMUNICATIONS SYST.
196666

Anchorage
AK
99519
Type or Classification
(B)
Telephone services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,205
Total of All Transactions with this Payee/Payer for This Schedule$14,205
Name and Address
(A)
ALASKA STATE AFL/CIO

3333 Denali Street
Anchorage
AK
99503
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,215
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$25,215
SOLIDARITY FUND EXPENSES06/05/2020$25,215
Name and Address
(A)
ASSEMBLY PROPERTY, LLC

211 4TH ST STE 305
Juneau
AK
99801
Type or Classification
(B)
Property management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$49,692
Total of All Transactions with this Payee/Payer for This Schedule$49,692
Name and Address
(A)
EHESE INVESTMENTS, LLC

611 W DIMOND BLVD
ANCHORAGE
AK
99515
Type or Classification
(B)
Property management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$56,729
Total of All Transactions with this Payee/Payer for This Schedule$56,729
Name and Address
(A)
HILTON HOTELS

4555 Union Square Dr.
Anchorage
AK
99503
Type or Classification
(B)
Hotel and lodging company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,437
Total of All Transactions with this Payee/Payer for This Schedule$12,437
Name and Address
(A)
JERRY REINWAND

2 Marine Way, Ste 219
Juneau
AK
99801
Type or Classification
(B)
Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$17,500
Lobbying03/19/2020$8,750
Lobbying05/27/2020$8,750
Name and Address
(A)
KIM HUTCHINSON

222 SEWARD ST #20
Juneau
AK
99801
Type or Classification
(B)
Consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$17,500
Lobbying03/20/2020$8,750
Lobbying05/27/2020$8,750
Name and Address
(A)
SNOWCLOUD SERVICES

230 S Franklin St
Juneau
AK
99801
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$13,457
Total of All Transactions with this Payee/Payer for This Schedule$13,457
Name and Address
(A)
WEINBERG, ROGER & ROSENFELD

1001 MARINA VILLAGE PARKWAY
ALAMEDA
CA
94501
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$7,200
Total of All Transactions with this Payee/Payer for This Schedule$7,200
Name and Address
(A)
XEROX FINANCIAL SERVICES
PO BOX 7405

Pasadena
CA
91109
Type or Classification
(B)
Copier company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,099
Total of All Transactions with this Payee/Payer for This Schedule$5,099
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 540-538

Name and Address
(A)
ALASKA STATE AFL/CIO

3333 Denali Street
Anchorage
AK
99503
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,086
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,086
COPE SPECIAL ASSESSMENT01/10/2020$10,086
Name and Address
(A)
ASSEMBLY PROPERTY, LLC

211 4TH ST STE 305
Juneau
AK
99801
Type or Classification
(B)
Property management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,782
Total of All Transactions with this Payee/Payer for This Schedule$5,782
Name and Address
(A)
EHESE INVESTMENTS, LLC

611 W DIMOND BLVD
Anchorage
AK
99515
Type or Classification
(B)
Property management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,601
Total of All Transactions with this Payee/Payer for This Schedule$6,601
Name and Address
(A)
VOTE YES FOR ALASKA'S FAIR SHARE

921 W 6TH AVE
Anchorage
AK
99501
Type or Classification
(B)
Political organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Travel06/05/2020$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 540-538

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 540-538

Name and Address
(A)
ASSEMBLY PROPERTY, LLC

211 4TH ST STE 305
Juneau
AK
99801
Type or Classification
(B)
Property management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,520
Total of All Transactions with this Payee/Payer for This Schedule$11,520
Name and Address
(A)
CLIFTONLARSONALLEN LLP.

10700 Northup Way
Bellevue
WA
98004
Type or Classification
(B)
Audit and tax services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,519
Total Non-Itemized Transactions with this Payee/Payer$5,540
Total of All Transactions with this Payee/Payer for This Schedule$22,059
Audit and tax services10/04/2019$11,400
Audit and tax services03/20/2020$5,119
Name and Address
(A)
EHESE INVESTMENTS, LLC

611 W DIMOND BLVD
ANCHORAGE
AK
99515
Type or Classification
(B)
Property management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,151
Total of All Transactions with this Payee/Payer for This Schedule$13,151
Name and Address
(A)
SHATTUCK AND GRUMMETT

301 SEWARD ST
Juneau
AK
99801
Type or Classification
(B)
Insurance agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,891
Total Non-Itemized Transactions with this Payee/Payer$176
Total of All Transactions with this Payee/Payer for This Schedule$8,067
Insurance12/10/2019$7,891
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 540-538

Name and Address
(A)
ALASKA AIRLINES
68900

Seattle
WA
98168
Type or Classification
(B)
Airline company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,215
Total Non-Itemized Transactions with this Payee/Payer$16,648
Total of All Transactions with this Payee/Payer for This Schedule$32,863
Airfare to meetings02/01/2020$16,215
Name and Address
(A)
ALASKA COMMUNICATIONS SYST.
196666

Anchorage
AK
99519
Type or Classification
(B)
Telephone
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,853
Total of All Transactions with this Payee/Payer for This Schedule$5,853
Name and Address
(A)
ASSEMBLY PROPERTY, LLC

211 4TH ST STE 305
Juneau
AK
99801
Type or Classification
(B)
Property management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,477
Total of All Transactions with this Payee/Payer for This Schedule$20,477
Name and Address
(A)
BTS USA INC.
PO BOX 358132

Pittsburgh
PA
15251
Type or Classification
(B)
Training company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$15,000
Training for LMC training06/05/2020$15,000
Name and Address
(A)
EHESE INVESTMENTS, LLC

611 W DIMOND BLVD
Anchorage
AK
99515
Type or Classification
(B)
Property management
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$23,377
Total of All Transactions with this Payee/Payer for This Schedule$23,377
Name and Address
(A)
SKILLPATH
PO BOX 803839

Kansas City
MO
64108
Type or Classification
(B)
Training company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$27,000
Training for LMC meetings05/15/2020$27,000
Name and Address
(A)
SNOWCLOUD SERVICES

230 S FRANKLIN ST 325
Juneau
AK
99801
Type or Classification
(B)
Computer services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,545
Total of All Transactions with this Payee/Payer for This Schedule$5,545
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 540-538

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$553,043
WORKERS COMPENSATION INSURANCEAlaska Dept. of Labor$3,455
LEGAL SERVICES BENEFIT (Legal Trust)APEA-AFT Legal Trust$2,400
LIFE INSURANCEUSAble Life$7,270
HEALTH INSURANCEAPEA/AFT Health & Welfare Trust$344,095
RETIREMENTAlaska Electrical Pension Plan$28,340
RETIREMENTAPEA/AFT Defined Contribution Plan$167,483
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 540-538
Item 70 Title: The president is out of the country and unable to sign.Item 71 Title: The treasurer is out of town and unable to sign.

Question 11(a):

Question 11(a): : : : Employers political information committee, reports are filed with the Alaska Public Office Commission.

Question 12: Financial

Statements are audited by Clifton Larsen Allen, LLP.

Statement A,Fixed Assets Value Begin Total: Preparer inadvertently changed the beginning fixed asset number and the corrected.

Schedule 13, Row1:

Schedule 13, Row1:::::

Schedule 13, Row1:

Schedule 13, Row1::::

Schedule 13, Row2:

Schedule 13, Row2:::Public Sector: Members working in the public sector pay dues. Private Sector: Members working in the private sector also pay dues.

Schedule 13, Row2:

Schedule 13, Row2::::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)