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
005-568
2.
PERIOD COVERED
From
01/01/2020
Through
12/31/2020
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
TEAMSTERS
5. DESIGNATION (Local, Lodge, etc.)
JOINT COUNCIL
6. DESIGNATION NBR
42
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
RANDY
Last Name
CAMMACK
P.O Box - Building and Room Number
Number and Street
981 CORPORATE CTR DR. #200
City
POMONA
State
CA
ZIP Code + 4
91768
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:
Randolph W Cammack
PRESIDENT
71. SIGNED:
Ernest M Bergen
TREASURER
Date:
Mar 18, 2021
Telephone
Number:
626-974-4212
Date:
Mar 18, 2021
Telephone
Number:
909-877-8326
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
005-568
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?
Yes
17. Did the labor organization have any
contingent liabilities at the end of the reporting period?
No
18. During the reporting period did the labor
organization have any changes in its constitution or
bylaws, other than rates of dues and fees, or in
practices/procedures listed in the instructions?
No
19. What is the date of the labor
organization's next regular election of officers?
02/2022
20. How many members did the labor organization
have at the end of the reporting period?
167,200
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
Varies
per
Month
1.40
1.70
(b) Working Dues/Fees
N/A
per
(c) Initiation Fees
N/A
per
(d) Transfer Fees
N/A
per
(e) Work Permits
N/A
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
005-568
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$1,370,416
$1,674,764
23. Accounts Receivable
1
$0
24. Loans Receivable
2
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$783,556
$530,223
27. Fixed Assets
6
$114,376
$89,450
28. Other Assets
7
$17,670
$16,885
29.
TOTAL ASSETS
$2,286,018
$2,311,322
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$0
31. Loans Payable
9
$49,445
$19,571
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$0
$83
34. TOTAL
LIABILITIES
$49,445
$19,654
35. NET
ASSETS
$2,236,573
$2,291,668
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
005-568
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$3,167,634
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$0
39. Sale of Supplies
$0
40. Interest
$8,820
41. Dividends
$0
42. Rents
$6,500
43. Sale of Investments
and Fixed Assets
3
$226,564
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$125,361
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$194,265
49. TOTAL RECEIPTS
$3,729,144
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$392,191
51.
Political Activities and Lobbying
16
$139,069
52.
Contributions, Gifts, and Grants
17
$57,706
53. General
Overhead
18
$937,056
54. Union
Administration
19
$545,151
55. Benefits
20
$418,678
56. Per
Capita Tax
$537,810
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$32,685
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
$29,874
63. To
Affiliates of Funds Collected on Their Behalf
$265,937
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$69,507
66. Subtotal
$3,425,664
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$259,433
67b. Less Total
Disbursed
$258,565
67c.
Total Withheld But Not Disbursed
$868
68.
TOTAL DISBURSEMENTS
$3,424,796
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
005-568
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:
005-568
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:
005-568
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
$226,564
$260,828
$226,564
$226,564
Investments
$226,564
$260,828
$226,564
$226,564
Less Reinvestments
$0
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$226,564
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
005-568
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$32,685
$32,685
$32,685
Equipment
$25,190
$25,190
$25,190
Investments
$7,495
$7,495
$7,495
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$32,685
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
005-568
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
$530,223
B. Total Book Value
$530,223
C. List each
marketable security which has a book value over $5,000
and exceeds 5% of Line B.
Metropolitan West Low Duration Bond Fund
$73,260
Vanguard Treasury Money Market Investor CL
$434,522
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))
$530,223
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
005-568
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
$213,208
$178,752
$34,456
$0
D. Office
Furniture
and Equipment
$163,644
$130,594
$33,050
$0
E.
Other Fixed Assets
$42,998
$21,054
$21,944
$0
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$419,850
$330,400
$89,450
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
005-568
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$16,885
Lease deposit
$16,885
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
005-568
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:
005-568
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
$49,445
$0
$29,874
$0
$19,571
Totals will be automatically entered in...
Item 31
Column (C)
Item 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Ford Motor Credit - Auto Loan
$14,034
$0
$14,034
$0
$0
United Business Bank - Truck Loan
$35,411
$0
$15,840
$0
$19,571
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
005-568
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$83
Payroll tax liabilities
$83
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
005-568
(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
Cammack
,
Randy
President C
$100,097
$0
$5,356
$0
$105,453
I
Schedule 15
Representational Activities
30
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
50
%
A
B
C
Bergen
,
Mike
Secretary-Treasurer C
$8,450
$0
$0
$0
$8,450
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
20
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
80
%
A
B
C
Lennox
,
Robert
Vice President C
$8,450
$0
$301
$0
$8,751
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
20
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
80
%
A
B
C
Herrera
,
Ron
Recording Secretary C
$8,450
$0
$126
$0
$8,576
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
Griswold
,
Christopher
Trustee C
$8,450
$0
$158
$0
$8,608
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
Middleton
,
Rick
Trustee C
$8,450
$0
$76
$0
$8,526
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
Vasquez
,
Jaime
Trustee N
$5,525
$0
$0
$0
$5,525
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
Kelly
,
Patrick
Trustee 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
%
Total Officer
Disbursements
$147,872
$0
$6,017
$0
$153,889
Less Deductions
$29,002
Net
Disbursements
$124,887
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
005-568
(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
Bruno
,
Giordano
Organizer N/A
$13,081
$0
$0
$0
$13,081
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
Corona
,
Ramon
Organizer N/A
$59,193
$0
$0
$0
$59,193
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
Garcia
,
Jessica
Controller N/A
$73,848
$0
$29
$0
$73,877
I
Schedule 15
Representational Activities
40
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
50
%
Schedule 19
Administration
10
%
A
B
C
Culwell
,
Donna
Driver/Receptionist N/A
$83,381
$0
$853
$0
$84,234
I
Schedule 15
Representational Activities
35
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
60
%
Schedule 19
Administration
0
%
A
B
C
Grijalva
,
Rocio
Events Coordinator N/A
$85,424
$0
$838
$0
$86,262
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
10
%
Schedule 18
General Overhead
80
%
Schedule 19
Administration
10
%
A
B
C
Kennedy
,
Denise
Controller N/A
$94,791
$0
$55
$0
$94,846
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
90
%
Schedule 19
Administration
10
%
A
B
C
Korgan
,
Jacqueline
Communications Director N/A
$24,681
$0
$464
$0
$25,145
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
Korgan
,
Randy
Director of Organizing N/A
$1,154
$60,000
$306
$0
$61,460
I
Schedule 15
Representational Activities
95
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
Mihalow
,
Alicia
Part Time Secretary N/A
$42,298
$0
$117
$0
$42,415
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
80
%
Schedule 19
Administration
15
%
A
B
C
Mihalow
,
Paul
Assistant to President N/A
$149,322
$0
$7,321
$0
$156,643
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
75
%
Schedule 19
Administration
20
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$13,975
$0
$253
$0
$14,228
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
$641,148
$60,000
$10,236
$0
$711,384
Less
Deductions
$230,430
Net Disbursements
$480,954
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
005-568
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
167,200
Agency Fee Payers*
0
Total Members/Fee Payers
167,200
*Agency Fee Payers are
not considered members of the labor organization.
Active Members
167,200
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
005-568
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$127,841
2. Named Payer
Non-itemized Receipts
$29,537
3. All Other Receipts
$36,887
4. Total
Receipts
$194,265
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$11,000
3. To Officers
$8,713
4. To Employees
$22,791
5. All Other
Disbursements
$15,202
6. Total
Disbursements
$57,706
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$154,365
3. To Officers
$31,636
4. To Employees
$189,694
5. All Other
Disbursements
$16,496
6. Total
Disbursements
$392,191
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$42,820
2. Named Payee
Non-itemized Disbursements
$400,324
3. To Officers
$10,545
4. To Employees
$418,409
5. All Other
Disbursements
$64,958
6. Total
Disbursements
$937,056
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$106,000
2. Named Payee
Non-itemized Disbursements
$20,562
3. To Officers
$5,273
4. To Employees
$3,073
5. All Other
Disbursements
$4,161
6. Total
Disbursements
$139,069
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$157,639
2. Named Payee
Non-itemized Disbursements
$198,005
3. To Officers
$97,723
4. To Employees
$77,418
5. All Other
Disbursements
$14,366
6. Total
Disbursements
$545,151
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
005-568
Name and Address
(A)
Int'l Brotherhood of Teamsters
25 Louisiana Avenue, NW Washington DC 20001
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$127,841
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$127,841
Reimbursed salary and benefits
02/12/2020
$16,459
Reimbursed salary and benefits
03/11/2020
$20,814
Reimbursed salary and benefits
04/06/2020
$15,935
Reimbursed salary and benefits
05/22/2020
$14,620
Reimbursed salary and benefits
06/12/2020
$8,872
Reimbursed salary and benefits
07/17/2020
$7,998
Reimbursed salary and benefits
07/24/2020
$8,395
Reimbursed salary and benefits
08/21/2020
$10,358
Reimbursed salary and benefits
10/30/2020
$7,998
Reimbursed salary and benefits
10/30/2020
$8,395
Reimbursed salary and benefits
12/31/2020
$7,997
Name and Address
(A)
Paul Mihalow
981 Corporate Center Dr. Pomona CA 91768
Type or Classification
(B)
SDI reimbursement
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$11,094
Total of All Transactions with this
Payee/Payer for This Schedule
$11,094
Name and Address
(A)
Teamsters Local 63
379 W Valley Blvd Rialto CA 92376
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,723
Total of All Transactions with this
Payee/Payer for This Schedule
$5,723
Name and Address
(A)
Teamsters Local 848
731 E Arrow Hwy Glendora CA 91740
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,022
Total of All Transactions with this
Payee/Payer for This Schedule
$7,022
Name and Address
(A)
Teamsters Local 986
1430 E Holt Ave Covina CA 91724
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,698
Total of All Transactions with this
Payee/Payer for This Schedule
$5,698
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
005-568
Name and Address
(A)
AT&T Teleconference Services 5002
Carol Stream IL 60197-5002
Type or Classification
(B)
Network service provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,991
Total of All Transactions with this
Payee/Payer for This Schedule
$6,991
Name and Address
(A)
Baptiste & Wilder, P.C.
1730 Rhode Island Ave., N.W Washington DC 20036
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$31,497
Total of All Transactions with this
Payee/Payer for This Schedule
$31,497
Name and Address
(A)
Reich, Adell & Cvitan
3550 Wilshire Blvd, #2000 Los Angeles CA 90010
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$9,877
Total of All Transactions with this
Payee/Payer for This Schedule
$9,877
Name and Address
(A)
Teamsters Local 542 600507
San Diego CA 92160
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,000
Total of All Transactions with this
Payee/Payer for This Schedule
$5,000
Name and Address
(A)
Teamsters Local 630
750 S Stanford Ave Los Angeles CA 90021-1468
Type or Classification
(B)
Affiliated labor union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,000
Total of All Transactions with this
Payee/Payer for This Schedule
$5,000
Name and Address
(A)
Wohlner Kaplon Cutler Halford & Rosenfeld
16501 Ventura Blvd, #304 Encino CA 91436
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$96,000
Total of All Transactions with this
Payee/Payer for This Schedule
$96,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
005-568
Name and Address
(A)
California Offset Printers, Inc 4010
Castaic CA 91310
Type or Classification
(B)
Commercial printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,685
Total of All Transactions with this
Payee/Payer for This Schedule
$7,685
Name and Address
(A)
No on Prop. 22, Sponsored by Labor Orgs
555 Capitol Mall, #400 Sacramento CA 95814
Type or Classification
(B)
Political committee
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$50,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$50,000
Political contribution
09/30/2020
$50,000
Name and Address
(A)
Postmaster, Mailing Requirements
7001 S Central, Rm 210 Los Angeles CA 90052-9531
Type or Classification
(B)
Bulk mail postage
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$12,877
Total of All Transactions with this
Payee/Payer for This Schedule
$12,877
Name and Address
(A)
US Elastic Mfg LLC
8701 Mettler Street Los Angeles CA 90003
Type or Classification
(B)
Promotional items retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$56,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$56,000
"No on Prop.22" masks
09/14/2020
$28,000
"No on Prop.22" masks
10/15/2020
$28,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
005-568
Name and Address
(A)
Joint Council 42 Charity
981 Corporate Ctr Dr, #200 Pomona CA 91768
Type or Classification
(B)
501(c)(3) Nonprofit organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$11,000
Total of All Transactions with this
Payee/Payer for This Schedule
$11,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
005-568
Name and Address
(A)
A J Longo and Associates
253 N Lake Ave Pasadena CA 91101
Type or Classification
(B)
Insurance broker
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$16,058
Total of All Transactions with this
Payee/Payer for This Schedule
$16,058
Name and Address
(A)
Amtrust North America 6939
Cleveland OH 44101-1939
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$12,172
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$12,172
Insurance premium
09/14/2020
$12,172
Name and Address
(A)
Copy Solutions, Inc
919 S Fremont Ave, #39 Alhambra CA 91803
Type or Classification
(B)
Copying and printing services
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,528
Total of All Transactions with this
Payee/Payer for This Schedule
$6,528
Name and Address
(A)
Despars Embroidery
1040 N Pasadena Ave Azusa CA 91702
Type or Classification
(B)
Promotional items retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,213
Total of All Transactions with this
Payee/Payer for This Schedule
$8,213
Name and Address
(A)
Gio Mayen Toys for Trucks
18651 Valley Blvd, #B Bloomington CA 92316
Type or Classification
(B)
Automotive service and parts retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,419
Total of All Transactions with this
Payee/Payer for This Schedule
$7,419
Name and Address
(A)
Khanh Tran - dba K&T Netcom
3406 Bartlett Rosemead CA 91770
Type or Classification
(B)
Information technology consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$30,168
Total of All Transactions with this
Payee/Payer for This Schedule
$30,168
Name and Address
(A)
Labor Benefits, LLC
836 Ritchie HWY, Ste 24 Severna Park MD 21146
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,772
Total of All Transactions with this
Payee/Payer for This Schedule
$8,772
Name and Address
(A)
Marlin Business Bank 13604
Philadelphia PA 19101-3604
Type or Classification
(B)
Equipment leasing company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$39,416
Total of All Transactions with this
Payee/Payer for This Schedule
$39,416
Name and Address
(A)
Northwest Administrators, Inc
2323 Eastlake Avenue E Seattle WA 98102-3393
Type or Classification
(B)
Benefits administrators
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,600
Total of All Transactions with this
Payee/Payer for This Schedule
$6,600
Name and Address
(A)
Pomona Corporate Plaza, LLC
1801 W Olympic Blvd Pasadena CA 91199-2312
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$172,290
Total of All Transactions with this
Payee/Payer for This Schedule
$172,290
Name and Address
(A)
Ramos & Wilson, CPAs
24260 Martha Street Woodland Hills CA 91367
Type or Classification
(B)
Certified public accountants
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$25,648
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$25,648
Accounting fees
11/02/2020
$25,648
Name and Address
(A)
Robert Turner
4408 Presidio Drive View Park CA 90008-4840
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
$81,558
Total of All Transactions with this
Payee/Payer for This Schedule
$81,558
Name and Address
(A)
The Harman Press
6840 Vineland Avenue North Hollywood CA 91605
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,777
Total of All Transactions with this
Payee/Payer for This Schedule
$6,777
Name and Address
(A)
The Hartford 660916
Dallas TX 75266-0916
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,390
Total of All Transactions with this
Payee/Payer for This Schedule
$8,390
Name and Address
(A)
TPx Communications 509013
San Diego CA 92150-9013
Type or Classification
(B)
Network service provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,135
Total of All Transactions with this
Payee/Payer for This Schedule
$8,135
Name and Address
(A)
US Bank
633 West 5th St, 24th Fl Los Angeles CA 90071
Type or Classification
(B)
Bank
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,000
Escrow agent fee
04/13/2020
$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
005-568
Name and Address
(A)
A to Z Printing
4330 Van Buren Blvd Riverside CA 92502
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,824
Total of All Transactions with this
Payee/Payer for This Schedule
$7,824
Name and Address
(A)
Caesars Palace
3570 Las Vegas Blvd S Las Vegas NV 89109
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$30,000
Total
Non-Itemized Transactions with this Payee/Payer
$78
Total of All Transactions with this
Payee/Payer for This Schedule
$30,078
Executive Board/Delegates' meetings deposit
01/06/2020
$10,000
Executive Board/Delegates' meetings deposit
04/01/2020
$20,000
Name and Address
(A)
California Offset Printers, Inc 4010
Castaic CA 91310
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$64,214
Total of All Transactions with this
Payee/Payer for This Schedule
$64,214
Name and Address
(A)
La Costa Resort
2100 Costa Del Mar Rd Carlsbad CA 92009
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$20,375
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$20,375
Executive Board/Delegates' meetings deposit
03/04/2020
$5,094
Executive Board/Delegates' meetings deposit
03/04/2020
$15,281
Name and Address
(A)
Marriott - JW LA Live
900 W Olympic Blvd Los Angeles CA 90015
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$44,887
Total
Non-Itemized Transactions with this Payee/Payer
$3,264
Total of All Transactions with this
Payee/Payer for This Schedule
$48,151
Meeting room for Western Region Meetings
02/03/2020
$26,349
Meeting room for Western Region Meetings
02/03/2020
$11,090
Meeting room for Western Region Meetings
02/03/2020
$7,448
Name and Address
(A)
Postmaster, Mailing Requirements
7001 S Central, Rm 210 Los Angeles CA 90052-9531
Type or Classification
(B)
Bulk mail postage
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$84,753
Total of All Transactions with this
Payee/Payer for This Schedule
$84,753
Name and Address
(A)
Press Associates, Inc
4000 Cathedral Ave, NW Washington DC 20016
Type or Classification
(B)
Press clipping service
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,183
Total of All Transactions with this
Payee/Payer for This Schedule
$7,183
Name and Address
(A)
US Postmaster
7001 S Central, Rm 210 Los Angeles CA 90052-9531
Type or Classification
(B)
Bulk mail postage
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$62,377
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$62,377
First class postage for Notice of Nominations
12/04/2020
$62,377
Name and Address
(A)
Veritext, LLC 71303
Chicago IL 60694-1303
Type or Classification
(B)
Court reporter
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,839
Total of All Transactions with this
Payee/Payer for This Schedule
$5,839
Name and Address
(A)
Wohlner Kaplon Cutler Halford & Rosenfeld
16501 Ventura Blvd, #304 Encino CA 91436
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$24,850
Total of All Transactions with this
Payee/Payer for This Schedule
$24,850
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
005-568
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$418,678
Pensions
Trusts
$165,308
Health and welfare
Trusts
$150,706
Retiree health and welfare
Trust
$94,077
Group life
Trust
$252
Life and disability
Insurance company
$1,921
Prepaid legal
Trust
$1,245
Retiree dental
Insurance company
$5,169
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
005-568
Question 10: Western Conference of Teamsters Pension Trust
Pension
Plan #001
FEIN 91-6145047
Teamsters Miscellaneous Security Fund
Health and Welfare
Plan #508
FEIN 95-6060502
Pacific Coast Benefit Trust
Pension
Plan #001
FEIN 91-1032878
Address for the three funds above is:
2323 East Lake Avenue, East
Seattle, WA 98102
Construction Certified Apprentice Training Program
Apprentice Training
FEIN 20-5230351
Construction Teamsters Contract Compliance Fund
Contract Compliance
FEIN 20-5230409
Construction Teamsters Security Fund
Health and Welfare
Plan #501
FEIN 95-6059190
Construction Teamsters Vacation and Holiday Fund
Vacation and Holiday Pay Administration
Plan #501
FEIN 95-6195838
Construction Teamsters Training and Upgrading Fund
Training
FEIN 95-6507592
Address for the above five funds is:
1325 N. Grand Ave.
Covina, CA 91724
Multi-Union Security Trust Fund
Health and Welfare
Plan #501
FEIN 93-1146155
Teamsters Sanitation Industry Trust Fund
Health and Welfare
Plan #501
FEIN 46-6785860
Teamster Multi-Benefit Trust
Health and Welfare
Plan #501
FEIN 93-6231741
Teamster Local Union No. 572 Retirement Benefit Plan
Health and Welfare
Plan #001
FEIN 95-6983367
Address for the above four funds is:
1000 N. Central Ave., Suite 400
Glendale, CA 91202
Teamsters Health and Welfare Trust of San Diego
Health and Welfare
Plan #501
FEIN 95-6149459
San Diego County Teamsters Pension
Pension
Plan #001
FEIN 51-0167327
Address for the above two funds is:
2831 Camino Del Rio South, Suite 207
San Diego, CA 92108
Southern California Dairy Industry Security Trust Fund
Health and Welfare
Plan #501
FEIN 95-6060456
Address for the above fund is:
1200 Wilshire Blvd., 5th Floor
Los Angeles, CA 90017-1906
Teamsters & Food Employers Security Fund Trust
Health and Welfare
Plan #501
FEIN 95-6048844
Address for the above fund is:
1050 Lakes Drive, Suite 120
West Covina, CA 91790
Teamsters Joint Council 42
Health and Welfare
Plan #501
FEIN 95-0884084
Address for the above fund is:
981 Corporate Center Drive, Suite 200
Pomona, CA 91768
Race Track Supplemental Health Plan
Health and Welfare
Plan #501
FEIN 95-6115963
Address for the above fund is:
225 S. Lake Street, Suite 100
Pasadena, CA 91101
San Diego County Teamsters Employer's Insurance Trust
Health and Welfare
Plan #501
FEIN 23-7243412
Address for the above fund is:
3737 Camino Del Rio South, Suite 300
San Diego, CA 92108
Question 11(a):
Question 11(a): : Teamsters Joint Council No. 42-No On Prop. 22 (Nonprofit 501(c)(5))
981 Corporate Center Dr. Ste 200
Pomona, CA 91768
ID# 1432490
Committee filed reports with the California Secretary of State. The financial activities are included in this report.
Question 12: The audit was performed by an outside accounting firm, Ramos & Wilson, Certified Public Accountants.
Question 15: Equipment having reached the end of its economic useful life and having no value was abandoned. Cost $12,976 and a net book value of $94 (cost minus
accumulated depreciation).
Question 16: The truck is pledged as security for the underlying loan.
Schedule 9, Row1:
Schedule 9, Row1::
Schedule 9, Row2:
Schedule 9, Row2::
Schedule 13, Row1:
Schedule 13, Row1::Delegates have voting rights consistent with eligibility requirements as set forth in the by-laws.
Schedule 13, Row1:
Schedule 13, Row1::
General Information:
Schedule 11 & 12: Auto expenses are included in column F. Autos are used more than 50% for business. Vehicles are available for personal use.
The Southern California and Southern Nevada Joint Council of Teamsters No. 42 Charities Fund, FEIN 95-4531147 (a 501(c)(3) organization), is comprised of three members of the Organization''s executive board. None of the board members of the charity fund receive any compensation from the charity fund.
The Organization had accrued vacation and sick/personal time totaling $187,119 as of December 31, 2020.