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
545-290
2.
PERIOD COVERED
From
10/01/2020
Through
12/31/2020
3.
(a) AMENDED - Is this an amended report:
Yes
(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.)
LOCAL UNION
6. DESIGNATION NBR
737
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
ZACKARY
Last Name
CULVER
P.O Box - Building and Room Number
STE. 202
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 Jensen
PRESIDENT
71. SIGNED:
Zackary G Culver
TREASURER
Date:
Mar 16, 2021
Telephone
Number:
503-758-9303
Date:
Mar 17, 2021
Telephone
Number:
541-801-2211
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
545-290
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?
06/2023
20. How many members did the labor organization
have at the end of the reporting period?
2,815
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
See Min/Max
per
Month
$8.00
$56.00
(b) Working Dues/Fees
See Min/Max
per
Hour
$0.55
$2.14
(c) Initiation Fees
See Min/Max
per
One Time
$150
$300
(d) Transfer Fees
N/A
per
(e) Work Permits
See Min/Max
per
Month
$38
$38
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
545-290
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$3,125,065
$3,340,921
23. Accounts Receivable
1
$750,565
$637,771
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$2,286,052
$2,390,767
27. Fixed Assets
6
$484,872
$456,405
28. Other Assets
7
$10,163
$26,630
29.
TOTAL ASSETS
$6,656,717
$6,852,494
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$6,214
$17,631
31. Loans Payable
9
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$79,716
$35,536
34. TOTAL
LIABILITIES
$85,930
$53,167
35. NET
ASSETS
$6,570,787
$6,799,327
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
545-290
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,403,372
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$55,186
39. Sale of Supplies
$0
40. Interest
$46,099
41. Dividends
$0
42. Rents
$0
43. Sale of Investments
and Fixed Assets
3
$1,034,072
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
$0
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$2,515
49. TOTAL RECEIPTS
$2,541,244
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$345,969
51.
Political Activities and Lobbying
16
$52,132
52.
Contributions, Gifts, and Grants
17
$7,597
53. General
Overhead
18
$269,752
54. Union
Administration
19
$40,323
55. Benefits
20
$273,853
56. Per
Capita Tax
$227,923
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$1,069,719
61. Loans
Made
2
$0
62.
Repayment of Loans Obtained
9
$0
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$49,458
66. Subtotal
$2,336,726
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$164,815
67b. Less Total
Disbursed
$153,477
67c.
Total Withheld But Not Disbursed
$11,338
68.
TOTAL DISBURSEMENTS
$2,325,388
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
545-290
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
$637,771
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$637,771
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
545-290
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:
545-290
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
$989,063
$989,063
$1,069,681
$1,069,681
Mutual Funds
$989,063
$989,063
$1,069,681
$1,069,681
Less Reinvestments
$35,609
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$1,034,072
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
545-290
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$1,105,328
$1,105,328
$1,105,328
Mutual Funds
$1,093,778
$1,093,778
$1,093,778
Furniture and Equipment
$11,550
$11,550
$11,550
Less Reinvestments
$35,609
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$1,069,719
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
545-290
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
$2,390,767
B. Total Book Value
$2,390,767
C. List each
marketable security which has a book value over $5,000
and exceeds 5% of Line B.
Invesco Developing Markets Fund
$124,584
American Bond Fund of America CL F2
$200,264
Columbia Strategic Income Fund CL I2
$138,557
Dodge & Cox Income
$161,872
Metropolitan West Total Return Class I
$187,615
PGIM High Yield Cl Z
$127,248
PGIM Short-Term Corp Bond Cl Z
$157,137
Western Asset Core Plus Bond Fund Instl
$197,660
Vanguard Index Funds S&P 500 ETF USD
$209,434
Vanguard Mid-Cap Index Fund
$137,784
Vanguard Small-Cap Index Fund
$142,573
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))
$2,390,767
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
545-290
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
$483,514
$195,284
$288,230
$288,230
D. Office
Furniture
and Equipment
$68,305
$49,150
$19,155
$19,155
E.
Other Fixed Assets
$316,050
$167,030
$149,020
$149,020
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$867,869
$411,464
$456,405
$456,405
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
545-290
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$26,630
Security Deposits
$10,163
Prepaid Rent
$16,467
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
545-290
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
$17,631
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$17,631
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
545-290
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:
545-290
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$35,536
Payroll Withholdings
$11,337
Vacation Accrual
$24,199
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
545-290
(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
BROWNING
,
EARL
AUDITOR C
$500
$0
$0
$0
$500
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
G BUSINESS MANAGER C
$40,570
$0
$1,122
$0
$41,692
I
Schedule 15
Representational Activities
70
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
20
%
A
B
C
HANNER
,
JOHN
AUDITOR C
$26,832
$0
$1,696
$0
$28,528
I
Schedule 15
Representational Activities
90
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
5
%
A
B
C
JENSEN
,
MATTHEW
R PRESIDENT C
$26,782
$0
$805
$0
$27,587
I
Schedule 15
Representational Activities
90
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
5
%
A
B
C
OHMIE
,
RICHARD
A SGT AT ARMS C
$26,708
$0
$324
$0
$27,032
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
10
%
A
B
C
ARANDA
,
DAGOBERTO
ASST. BUS. MANAG/V. PRES. C
$35,022
$0
$1,186
$0
$36,208
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
10
%
A
B
C
GUETZLOE-PARKER
,
JODI
L RECORDING SECRETARY C
$29,475
$0
$257
$0
$29,732
I
Schedule 15
Representational Activities
30
%
Schedule 16
Political Activities and Lobbying
70
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
CORTEZ
,
SALVADOR
EXECUTIVE BOARD C
$26,708
$0
$1,239
$0
$27,947
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
10
%
A
B
C
TURNER
,
JANI
L AUDITOR C
$500
$0
$0
$0
$500
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
SUTHERLAND
,
JOHN
T EXECUTIVE BOARD C
$26,782
$0
$421
$0
$27,203
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
10
%
A
B
C
WORMLEY
,
SHELDON
L EXECUTIVE BOARD C
$26,782
$0
$1,444
$0
$28,226
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
10
%
Total Officer
Disbursements
$266,661
$0
$8,494
$0
$275,155
Less Deductions
$87,766
Net
Disbursements
$187,389
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
545-290
(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
CALDERON
,
MARIO
FIELD REPRESENTATIVE NONE
$26,332
$0
$1,199
$0
$27,531
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
10
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
A
B
C
CHAMBERLIN
,
LARRY
FIELD REPRESENTATIVE NONE
$26,332
$0
$591
$0
$26,923
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
10
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
A
B
C
DAVIDSON
,
BRIAN
FIELD REPRESENTATIVE NONE
$26,332
$0
$1,372
$0
$27,704
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
10
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
A
B
C
GONZALEZ
,
GLORIA
E DISPATCHER NONE
$20,074
$0
$0
$0
$20,074
I
Schedule 15
Representational Activities
75
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
25
%
Schedule 19
Administration
0
%
A
B
C
WING
,
LYRIC
I EXECUTIVE ASSISTANT NONE
$22,739
$0
$0
$0
$22,739
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
LANE
,
MICHELLE
M MEMBER SERVICE NONE
$11,882
$0
$0
$0
$11,882
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
PONCE MOTANO
,
DIANA
MEMBER SERVICE NONE
$16,929
$0
$0
$0
$16,929
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
BANUELOS BOLANES
,
ANJANET
M FIELD REPRESENTATIVE NONE
$26,332
$0
$204
$0
$26,536
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
10
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
A
B
C
COE
,
DAVID
FIELD REPRESENTATIVE NONE
$26,332
$0
$158
$0
$26,490
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
10
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
A
B
C
GARZA
,
DANIELLE
M LEGISLATIVE ASSISTANT NONE
$24,936
$0
$59
$0
$24,995
I
Schedule 15
Representational Activities
40
%
Schedule 16
Political Activities and Lobbying
60
%
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
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
Total
Employee Disbursements
$228,220
$0
$3,583
$0
$231,803
Less
Deductions
$77,048
Net Disbursements
$154,755
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
545-290
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
2,815
Agency Fee Payers*
0
Total Members/Fee Payers
2,815
*Agency Fee Payers are
not considered members of the labor organization.
Construction workers
1,993
Yes
Public works
364
Yes
Shipyard
166
Yes
Retirees / Gold Members
292
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
545-290
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$0
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$2,515
4. Total
Receipts
$2,515
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
$7,597
6. Total
Disbursements
$7,597
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$205,900
4. To Employees
$133,201
5. All Other
Disbursements
$6,868
6. Total
Disbursements
$345,969
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$132,856
2. Named Payee
Non-itemized Disbursements
$26,993
3. To Officers
$18,831
4. To Employees
$56,569
5. All Other
Disbursements
$34,503
6. Total
Disbursements
$269,752
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$23,617
4. To Employees
$28,515
5. All Other
Disbursements
$0
6. Total
Disbursements
$52,132
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$26,805
4. To Employees
$13,518
5. All Other
Disbursements
$0
6. Total
Disbursements
$40,323
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
545-290
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 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
545-290
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 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
545-290
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 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
545-290
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:
545-290
Name and Address
(A)
Hollywood Impress Printing
4717 SE Division St Portland OR 97206
Type or Classification
(B)
Printing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,725
Total
Non-Itemized Transactions with this Payee/Payer
$1,745
Total of All Transactions with this
Payee/Payer for This Schedule
$7,470
Printing and copying
12/17/2020
$5,725
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
$12,500
Total
Non-Itemized Transactions with this Payee/Payer
$4,000
Total of All Transactions with this
Payee/Payer for This Schedule
$16,500
Audit and accounting services
12/07/2020
$12,500
Name and Address
(A)
Northwest Labor Press 13150
Portland OR 97213
Type or Classification
(B)
Union Newspaper
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,229
Total of All Transactions with this
Payee/Payer for This Schedule
$6,229
Name and Address
(A)
OSI Laborers-Emply Training Trust
17242 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
$49,401
Total
Non-Itemized Transactions with this Payee/Payer
$5,140
Total of All Transactions with this
Payee/Payer for This Schedule
$54,541
November 2020 Rent
10/26/2020
$16,467
December 2020 Rent
11/30/2020
$16,467
January 2021 Rent
12/28/2020
$16,467
Name and Address
(A)
The Hartford 660916
Dallas TX 75266-0916
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$9,219
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$9,219
Insurance
10/08/2020
$9,219
Name and Address
(A)
Union Insurance Group Suite 310 303 W Erie St Chicago IL 60654
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$56,011
Total
Non-Itemized Transactions with this Payee/Payer
$9,879
Total of All Transactions with this
Payee/Payer for This Schedule
$65,890
Union Liability Insurance
10/19/2020
$56,011
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
545-290
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 20 -
BENEFITS
FILE NUMBER:
545-290
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$273,853
Pension
Oregon Laborers Defined Benefit Pension Trust
$77,740
Pension
LiUNA Staff & Affiliates Pension Fund
$117,366
Health
Oregon Laborers Health & Welfare Trust
$68,100
Training
Oregon Laborers Training Trust Fund
$10,647
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
545-290
Prefill Date Explanation:The Local was released from Trusteeship effective September 30, 2020 and has previously filed an LM-2 for the period January 1, 2020 through September 30, 2020. The Local has a fiscal year end of December 31, 2020. The LM-2 covers a period of October 1, 2020 through December 31, 2020.
Question 10: Oregon Laborers Health and Welfare Trust Fund
12029 NE Glenn Widing, Drive, Portland, OR 97208
Purpose: Health Benefit Trust
ERISA file number: 93-6024141 Plan:501
Oregon Laborers Defined Benefit Pension Trust Fund
12029 NE Glenn Widing, Drive, Portland, OR 97208
Purpose: Retirement Benefit Trust
ERISA file number: 93-6075363 Plan:001
Oregon Laborers-Employers Defined Contribution and 401(k) Plan
12029 NE Glenn Widing, Drive, Portland, OR 97208
Purpose: Retirement Benefit Trust
ERISA file number: 27-6434385 Plan:001
Question 11(a):
Question 11(a): : LiUNA Local 737 Political Action reports are filed with the Oregon Secretary of State, the Department of Treasury - Internal Revenue Service, as required, and the PAC activity is not included in this LM-2 filing. The PAC's employer identification number is 84-3599153 and ID number is 20502.
Question 12: An audit was performed for the calendar year 2020 by outside CPA firm Lindquist LLP. The reporting period of the LM-2 is from October 1, 2020 through December 31, 2020. An LM-2 was previously filed for the period of January 1, 2020 through September 30, 2020, when the local was released from trusteeship.
Cash Begin Total: The Local was released from Trusteeship effective September 30, 2020. The Local has previously filed an LM-2 for the period of January 1, 2020 through September 30, 2020. The ending cash balance at September 30, 2020 agrees with the beginning cash balance on October 1, 2020 shown on this Form LM-2.
Statement A,
Accounts Receivable Begin Total: The Local was released from Trusteeship effective September 30, 2020. The Local has previously filed an LM-2 for the period of January 1, 2020 through September 30, 2020. The ending accounts receivable at September 30, 2020 agrees with the beginning accounts receivable balance on October 1, 2020 shown on this Form LM-2.
Statement A,Investments Begin Total: The Local was released from Trusteeship effective September 30, 2020. The Local has previously filed an LM-2 for the period of January 1, 2020 through September 30, 2020. The ending investment balance at September 30, 2020 agrees with the beginning investment balance on October 1, 2020 shown on this Form LM-2.
Statement A,Fixed Assets Value Begin Total: The Local was released from Trusteeship effective September 30, 2020. The Local has previously filed an LM-2 for the period of January 1, 2020 through September 30, 2020. The ending fixed assets account balance at September 30, 2020 agrees with the beginning fixed assets account balance on October 1, 2020 shown on this Form LM-2.
Statement A,
Accounts Payable Begin Total: The Local was released from Trusteeship effective September 30, 2020. The Local has previously filed an LM-2 for the period of January 1, 2020 through September 30, 2020. The ending accounts payable balance at September 30, 2020 agrees with the beginning accounts payable balance on October 1, 2020 shown on this Form LM-2.
Statement A,Other Liabilities Amount Begin Total: The Local was released from Trusteeship effective September 30, 2020. The Local has previously filed an LM-2 for the period of January 1, 2020 through September 30, 2020. The ending other liabilities balance at September 30, 2020 agrees with the beginning other liabilities balancce on October 1, 2020 shown on this Form LM-2.
Schedule 13, Row3:Shipyard employees pay full dues.
Schedule 13, Row3:::
Schedule 13, Row1:Construction workers pay full dues.
Schedule 13, Row1:::
Schedule 13, Row2:Public employees pay full dues.
Schedule 13, Row2:::
Schedule 13, Row4:Retired and Gold members do not pay dues.
Schedule 13, Row4:::
General Information:
Schedule 6: THE FAIR MARKET VALUE FOR THE FIXED ASSETS OF THE LOCAL IS NOT READILY AVAILABLE FOR DISCLOSURE AT SCHEDULE 6. THE FAIR MARKET VALUE WAS ESTIMATED BASED ON THE BOOK VALUE OF THE ASSETS.
Schedule 11: John Hanner was appointed as Auditor by the Executive Board.
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 UNION 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 REPORTED IN COLUMN (G). IRS STANDARDS SHOULD NOT NECESSARILY BE CONSIDERED AS THE ACTUAL BUSINESS USE OF AN AUTOMOBILE.