044-761 (LM2) 12/31/2020

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
044-761

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.) LOCAL UNION	6. DESIGNATION NBR 763
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name SCOTT	Last Name SULLIVAN
P.O Box - Building and Room Number
Number and Street 14675 INTERURBAN AVENUE S.
City TUKWILA
State WA	ZIP Code + 4 98168

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:

Susan D Jaber

PRESIDENT

71. SIGNED:

Scott A Sullivan

TREASURER

Date:

Mar 22, 2021

Telephone Number:

206-817-4636

Date:

Mar 22, 2021

Telephone Number:

206-441-0763

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

ITEMS 10 THROUGH 21

FILE NUMBER: 044-761

10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?	No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?	No
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?	No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?	Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)	No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?	$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?	12/2021

20. How many members did the labor organization have at the end of the reporting period?

4,472

21. What are the labor organization's rates of dues and fees?

Rates of Dues and Fees
Dues/Fees	Amount		Unit	Minimum	Maximum
(a) Regular Dues/Fees	N/A	per	Month	$5.00	$241.00
(b) Working Dues/Fees	N/A	per	Month	$5.00	$50.00
(c) Initiation Fees	N/A	per	One time	$50.00	$150.00
(d) Transfer Fees	N/A	per	N/A	N/A	N/A
(e) Work Permits	N/A	per	N/A	N/A	N/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 044-761

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$1,341,401	$1,566,071
23. Accounts Receivable	1	$141,658	$178,378
24. Loans Receivable	2
25. U.S. Treasury Securities		$0	$0
26. Investments	5	$2,161,773	$2,124,387
27. Fixed Assets	6	$2,412	$2,013
28. Other Assets	7		$13,070
29. TOTAL ASSETS		$3,647,244	$3,883,919

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8
31. Loans Payable	9
32. Mortgages Payable		$0	$0
33. Other Liabilities	10	$125,579	$166,165
34. TOTAL LIABILITIES		$125,579	$166,165

35. NET ASSETS

$3,521,665

$3,717,754

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 044-761

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$2,932,995
37. Per Capita Tax		$0
38. Fees, Fines, Assessments, Work Permits		$3,550
39. Sale of Supplies		$0
40. Interest		$4,633
41. Dividends		$0
42. Rents		$0
43. Sale of Investments and Fixed Assets	3
44. Loans Obtained	9
45. Repayments of Loans Made	2
46. On Behalf of Affiliates for Transmittal to Them		$916
47. From Members for Disbursement on Their Behalf		$0
48. Other Receipts	14	$4,376
49. TOTAL RECEIPTS		$2,946,470

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$955,017
51. Political Activities and Lobbying		16	$12,400
52. Contributions, Gifts, and Grants		17	$46,535
53. General Overhead		18	$207,592
54. Union Administration		19	$179,041
55. Benefits		20	$510,012
56. Per Capita Tax			$713,092
57. Strike Benefits			$0
58. Fees, Fines, Assessments, etc.			$0
59. Supplies for Resale			$0
60. Purchase of Investments and Fixed Assets		4	$849
61. Loans Made		2
62. Repayment of Loans Obtained		9
63. To Affiliates of Funds Collected on Their Behalf			$916
64. On Behalf of Individual Members			$0
65. Direct Taxes			$83,276

66. Subtotal			$2,708,730
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$253,519
67b. Less Total Disbursed	$266,589
67c. Total Withheld But Not Disbursed			-$13,070
68. TOTAL DISBURSEMENTS			$2,721,800

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 044-761

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	$178,378	$22,753	$102,425
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B))	$178,378	$22,753	$102,425	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 2 - LOANS RECEIVABLE

FILE NUMBER: 044-761

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

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: 044-761

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Gross Sales Price (D)	Amount Received (E)
Total of all lines above	$0	$0	$0	$0

				Less Reinvestments
(The total from Net Sales Line will be automatically entered in Item 43)				Net Sales

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 044-761

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Cash Paid (D)
Total of all lines above	$849	$849	$849
Furniture and Equipment - credit card machine	$849	$849	$849

		Less Reinvestments	$0
(The total from Net Purchases Line will be automatically entered in Item 60.)		Net Purchases	$849

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 5 - INVESTMENTS

FILE NUMBER: 044-761

Description (A)	Amount (B)
Marketable Securities
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.

Other Investments
D. Total Cost	$2,124,387
E. Total Book Value	$2,124,387
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.

Interest in Teamsters Building Association-Seattle

$2,124,387

G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B))

$2,124,387

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 044-761

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)

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment

$46,102

$44,089

$2,013

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B))

$46,102

$44,089

$2,013

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 044-761

Description (A)	Book Value (B)
Total (Total will be automatically entered in Item 28, Column(B))	$13,070
Prepaid Payroll Expenses	$13,070

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE

FILE NUMBER: 044-761

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: 044-761

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: 044-761

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$166,165
Vacation Liability	$166,165

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 044-761

(A)
Name

(B)
Title

(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

Sullivan , Scott A
Secretary-Treasurer
C

$117,707

$600

$1,672

$119,979

Schedule 15
Representational Activities

50 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

50 %

A
B
C

Jaber , Susan D
President
C

$7,140

$1,246

$8,386

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

Powell , Jason L
Vice-President/Bus. Agent
C

$101,358

$1,578

$1,225

$104,161

Schedule 15
Representational Activities

98 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

2 %

A
B
C

Baker , Chad L
Record. Secre./Bus. Agent
C

$111,518

$917

$1,892

$114,327

Schedule 15
Representational Activities

95 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

5 %

A
B
C

McCue , John
Trustee
C

$7,140

$1,024

$8,164

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

Leahy , Michael
Trustee
C

$7,140

$927

$8,067

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

Ward , Cathy
Trustee
C

$7,140

$929

$8,069

Schedule 15
Representational Activities

25 %

Schedule 16
Political Activities and Lobbying

1 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

74 %

Total Officer Disbursements	$330,583	$31,655	$8,915	$0	$371,153
Less Deductions					$84,368
Net Disbursements					$286,785

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 044-761

(A)
Name

(B)
Title

(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

Akins , Heather L
Fiscal Support Spec. I
None

$58,274

$490

$58,764

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

Baker , Linda M
Admin. Coordinator
None

$94,379

$1,299

$95,678

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

Brown , Elizabethe A
Business Agent
None

$101,358

$54

$1,762

$103,174

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

Christopher , Deena
Comptroller
None

$72,918

$748

$73,666

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

Humann , Debra L
Business Agent
None

$101,358

$903

$1,126

$103,387

Schedule 15
Representational Activities

99 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

1 %

A
B
C

Keefe , Mary A
Business Agent
None

$103,236

$2,940

$106,176

Schedule 15
Representational Activities

94 %

Schedule 16
Political Activities and Lobbying

5 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

1 %

A
B
C

Silvernale , Patrick C
Business Agent
None

$101,358

$850

$1,922

$104,130

Schedule 15
Representational Activities

99 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

1 %

TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS

$13,655

Schedule 15
Representational Activities

100 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

0 %

Total Employee Disbursements	$632,881	$1,807	$23,942	$0	$658,630
Less Deductions					$169,151
Net Disbursements					$489,479

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 044-761

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	4,472
Agency Fee Payers*	9
Total Members/Fee Payers	4,481
*Agency Fee Payers are not considered members of the labor organization.
Active Members	4,458	Yes
Suspended Members	14	No

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 044-761

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$0
2. Named Payer Non-itemized Receipts	$0
3. All Other Receipts	$4,376
4. Total Receipts	$4,376

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements	$23,710
2. Named Payee Non-itemized Disbursements	$2,134
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements	$20,691
6. Total Disbursements	$46,535

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$32,391
2. Named Payee Non-itemized Disbursements	$36,321
3. To Officers	$272,696
4. To Employees	$576,518
5. All Other Disbursements	$37,091
6. Total Disbursements	$955,017

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$143,760
2. Named Payee Non-itemized Disbursements	$34,430
3. To Officers	$0
4. To Employees	$0
5. All Other Disbursements	$29,402
6. Total Disbursements	$207,592

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$81
4. To Employees	$5,309
5. All Other Disbursements	$7,010
6. Total Disbursements	$12,400

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$98,377
4. To Employees	$76,803
5. All Other Disbursements	$3,861
6. Total Disbursements	$179,041

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 044-761

There was no data found for this schedule.

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 044-761

Name and Address
(A)

Quadient Finance USA, Inc.
6813

Carol Stream
IL
60197-6813

Type or Classification
(B)

Postage Supply Company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$7,447
Total of All Transactions with this Payee/Payer for This Schedule		$7,447

Name and Address
(A)

Reid, McCarthy, Ballew & Leahy, L.L.P.

100 West Harrison St, #300
Seattle
WA
98119

Type or Classification
(B)

Attorney

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$32,391
Total Non-Itemized Transactions with this Payee/Payer		$28,874
Total of All Transactions with this Payee/Payer for This Schedule		$61,265
Legal representation fees	02/19/2020	$5,636
Legal representation fees	05/13/2020	$5,105
Legal representation fees	10/14/2020	$5,517
Legal representation fees	11/10/2020	$9,937
Legal representation fees	12/15/2020	$6,196

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 044-761

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS

FILE NUMBER: 044-761

Name and Address
(A)

MLK, Jr. County Labor Council of WA

2800 First Avenue Suite 206
Seattle
WA
98121

Type or Classification
(B)

Labor Council

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
Donation to Labor Supports Labor	04/29/2020	$5,000

Name and Address
(A)

Safeway Stores

27035 Pacific Hwy S
Des Moines
WA
98198

Type or Classification
(B)

Grocery Store

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,410
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$7,410
Gift cards	12/16/2020	$7,410

Name and Address
(A)

Sasquatch Screen Printing & Embroidery

810 SW 34th St. Suite H
Renton
WA
98057

Type or Classification
(B)

Promotional Supply Company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,300
Total Non-Itemized Transactions with this Payee/Payer		$2,134
Total of All Transactions with this Payee/Payer for This Schedule		$8,434
Purchase of zip-up pullover shirts - deposit	01/14/2020	$6,300

Name and Address
(A)

Snohomish & Island County Hardship Fund

2810 Lombard Ave, Ste 208
Everett
WA
98282

Type or Classification
(B)

Labor Council

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
Donation to Hardship Fund	05/27/2020	$5,000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 044-761

Name and Address
(A)

Huebner, Dooley & McGinness, P.S.

1424 NE 155th Street, #100
Shoreline
WA
98155

Type or Classification
(B)

Certified Public Accountants

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$13,790
Total of All Transactions with this Payee/Payer for This Schedule		$13,790

Name and Address
(A)

Pacific Office Automation
30310

Los Angeles
CA
90051-5343

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		$10,844
Total of All Transactions with this Payee/Payer for This Schedule		$10,844

Name and Address
(A)

Teamsters Building Association

14675 Interurban Ave S #307
Tukwila
WA
98168

Type or Classification
(B)

Union Building Association - Landlord

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$143,760
Total Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this Payee/Payer for This Schedule		$143,760
Monthly rent and utilities	01/07/2020	$11,980
Monthly rent and utilities	02/06/2020	$11,980
Monthly rent and utilities	03/02/2020	$11,980
Monthly rent and utilities	04/15/2020	$11,980
Monthly rent and utilities	05/06/2020	$11,980
Monthly rent and utilities	06/03/2020	$11,980
Monthly rent and utilities	07/08/2020	$11,980
Monthly rent and utilities	08/11/2020	$11,980
Monthly rent and utilities	09/15/2020	$11,980
Monthly rent and utilities	10/07/2020	$11,980
Monthly rent and utilities	11/03/2020	$11,980
Monthly rent and utilities	12/14/2020	$11,980

Name and Address
(A)

Teamsters Local Union No. 117

14675 Interurban Ave S #307
Tukwila
WA
98168

Type or Classification
(B)

Teamsters Local Union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$9,796
Total of All Transactions with this Payee/Payer for This Schedule		$9,796

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 19 - UNION ADMINISTRATION

FILE NUMBER: 044-761

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS

FILE NUMBER: 044-761

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$510,012
Health and Welfare	WA Teamsters Welfare Trust (NW Administrators)	$217,848
Pension	Pacific Coast Benefits Trust	$21,437
Group Life Insurance	Teamsters Life with Dues Trust Fund	$39,119
Pension	Western Conference of Teamsters Pension Trust	$229,532
Group Legal Insurance	WCT Legal Services Trust Fund	$2,076

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 044-761

Question 12: The Local Union was audited by: Huebner, Dooley & McGinness, P.S. Certified Public Accountants 1424 NE 155th Street, Suite 100 Shoreline, WA 98155 (206) 522-8000 www.hdm-cpa.com

Schedule 13, Row1:

Schedule 13, Row1:Active members are regular, dues paying members.

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row2:

Schedule 13, Row2:Suspended members are delinquent in their dues payments and thus do not have voting rights.

Schedule 13, Row2:

Schedule 13, Row2:Suspended members are delinquent in their dues payments and thus do not have voting rights.



Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)