U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210 		FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 09-30-2021
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

This report is mandatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
039-553
2. PERIOD COVERED
From01/01/2020
Through12/31/2020
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
LABORERS
5. DESIGNATION (Local, Lodge, etc.)
DISTRICT COUNCIL
 6. DESIGNATION NBR

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


9. Are your organization's records kept at its mailing address?


Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:Matthew R JensenPRESIDENT71. SIGNED:Jeffrey D GritzTREASURER
Date:Mar 24, 2021Telephone Number:503-758-9303Date:Mar 24, 2021Telephone Number:503-760-2933
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 039-553
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?Yes
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?08/2021
20. How many members did the labor organization have at the end of the reporting period?3,895
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesN/AperN/AN/AN/A
(b) Working Dues/Fees2.14perhour2.142.14
(c) Initiation FeesN/AperN/AN/AN/A
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

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

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $3,160,078$3,209,858
23. Accounts Receivable1$0$0
24. Loans Receivable2$107,090$100,824
25. U.S. Treasury Securities $0$0
26. Investments5$108,594$113,567
27. Fixed Assets6$221,719$177,412
28. Other Assets7$5,537$8,145
29. TOTAL ASSETS $3,603,018$3,609,806

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$0$636
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$7,820$8,573
34. TOTAL LIABILITIES $7,820$9,209
35. NET ASSETS$3,595,198$3,600,597
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 039-553

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,366,190
37. Per Capita Tax $48,308
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $6,662
41. Dividends $6,320
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9
45. Repayments of Loans Made2$6,266
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$19,606
49. TOTAL RECEIPTS $1,453,352
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$240,706
51. Political Activities and Lobbying16$234,971
52. Contributions, Gifts, and Grants17$38,696
53. General Overhead18$371,200
54. Union Administration19$105,629
55. Benefits20$338,072
56. Per Capita Tax $0
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$18,308
61. Loans Made2$0
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $55,990
  
66. Subtotal $1,403,572
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$250,548  
  67b. Less Total Disbursed$250,548  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $1,403,572
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 039-553

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable$0$0$0$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 039-553

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$107,090$0$6,266$0$100,824
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Name: Kim Lynn Vue et al
Purpose: Sale of building
Security: Holgate Property
Terms of Repayment: 10 years 5.5%
$107,090$0$6,266$0$100,824
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 039-553

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Gross Sales Price
(D) 		Amount Received
(E)
Total of all lines above$0$0$0$0
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 039-553

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$19,158$19,158$18,308
Mutual Funds$5,034$5,034$5,034
Furniture and Equipment$14,124$14,124$13,274
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$18,308
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 039-553

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost$113,567
B. Total Book Value$113,567
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • PIMCO Investment Grade Credit Bond Fund Class I-2
$47,833
  • PIMCO Income Fund Class I-2
$65,734
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)) $113,567
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 039-553

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles$138,697$54,910$83,787$83,787
D. Office Furniture and Equipment$90,064$73,282$16,782$16,782
E. Other Fixed Assets$164,320$87,477$76,843$76,843
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $393,081$215,669$177,412$177,412
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 039-553

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $8,145
Security deposit for leased office space$4,680
Prepaid expenses$3,465
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 039-553

Entity or Individual Name
(A) 		Total Account
Payable
(B) 		90-180 Days
Past Due
(C) 		180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$0$0$0$0
Total from all other accounts payable$636$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $636$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 039-553

Source of Loans Payable at Any
Time During the Reporting Period
(A) 		Loans Owed at
Start of Period
(B) 		Loans Obtained
During Period
(C) 		Repayment
During Period
Cash
(D)(1) 		Repayment
During Period
Other Than Cash
(D)(2) 		Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 039-553

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $8,573
Vacation Accrual$8,573
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 039-553

(A)
Name		(B)
Title		(C)
Status		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances
Disbursed 		(F)
Disbursements for Official Business 		(G)
Other
Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		Gritz ,  Jeff  
Bus Mgr/Sec-Treasurer
C		$166,368$0$16,058$0$182,426
I
Schedule 15
Representational Activities 		60 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		25 % Schedule 19
Administration 		10 %
A
B
C 		Jensen ,  Matt  
President
C		$1,650$0$0$0$1,650
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Richartz ,  Farrell  
Vice President
C		$1,800$0$0$0$1,800
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Culver ,  Zackary  
Executive Board
C		$1,800$0$0$0$1,800
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Dillon ,  Dave  
Executive Board
C		$1,800$0$0$0$1,800
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Aranda ,  Dago  
Executive Board
C		$1,800$0$0$0$1,800
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 		Doscher ,  Jamie  
Executive Board
N		$1,800$0$0$0$1,800
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 		Nelson ,  Ben  
Sergeant-at-Arms
N		$135,512$0$1,070$0$136,582
I
Schedule 15
Representational Activities 		60 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		25 % Schedule 19
Administration 		10 %
A
B
C 		Wormley ,  Sheldon  
Auditor
N		$900$0$0$0$900
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Sotomayor ,  Ryan  
Auditor
N		$900$0$0$0$900
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Welchert ,  Dave  
Auditor
N		$1,800$0$0$0$1,800
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Guetzloe-Parker ,  Jodi  
Executive Board
P		$900$0$0$0$900
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		Tucker ,  Will  
Auditor
P		$900$0$0$0$900
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
Total Officer Disbursements$317,930$0$17,128$0$335,058
Less Deductions    $124,406
Net Disbursements    $210,652
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 039-553

(A)
Name		(B)
Title		(C)
Other Payer		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances Disbursed 		(F)
Disbursements for Official Business 		(G)
Other Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		Leung ,  Mike  
Bookkeeper
None		$83,073$0$920$0$83,993
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		96 % Schedule 19
Administration 		0 %
A
B
C 		Hewitt ,  Christopher  
Political Director
None		$121,542$0$1,163$0$122,705
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		90 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		0 %
A
B
C 		Nielsen ,  Ryan  
Strategic Researcher
None		$73,035$0$741$0$73,776
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		25 % Schedule 19
Administration 		60 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$0
I Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
Total Employee Disbursements$277,650$0$2,824$0$280,474
Less Deductions    $126,142
Net Disbursements    $154,332
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 039-553

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 3,895 
Agency Fee Payers*
Total Members/Fee Payers3,895 
*Agency Fee Payers are not considered members of the labor organization.
Construction workers1,824Yes
Public employees370Yes
Other Members367Yes
Retired Members292Yes
Local 483 public employees1,042Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 039-553

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$14,363
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$5,243
4. Total Receipts$19,606
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$26,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$840
5. All Other Disbursements$11,856
6. Total Disbursements$38,696
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$29,375
2. Named Payee Non-itemized Disbursements$19,926
3. To Officers$191,405
4. To Employees$0
5. All Other Disbursements$0
6. Total Disbursements$240,706
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$119,780
2. Named Payee Non-itemized Disbursements$27,508
3. To Officers$79,753
4. To Employees$111,348
5. All Other Disbursements$32,811
6. Total Disbursements$371,200
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$95,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$15,950
4. To Employees$124,021
5. All Other Disbursements$0
6. Total Disbursements$234,971
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$5,862
3. To Officers$47,951
4. To Employees$44,266
5. All Other Disbursements$7,550
6. Total Disbursements$105,629
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 039-553

Name and Address
(A)
OR/SI Laborers Emp Coop & Ed Trust

17230 NE Sacramento St.
Portland
OR
97230
Type or Classification
(B)
Education Trust
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,363
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$14,363
Reimbursement for Face Masks and Neck Gaiters07/31/2020$14,363
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 039-553

Name and Address
(A)
Riverview Restaurant

29311 SE Stark St
Troutdale
OR
97060
Type or Classification
(B)
Restaurant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,194
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,194
12/18/19 DC Christmas Party Balance 01/21/2020$5,194
Name and Address
(A)
San FranSitchCo Inc.

624 Portal Street
Cotati
CA
94931
Type or Classification
(B)
Embroidery Designs
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,181
Total Non-Itemized Transactions with this Payee/Payer$4,926
Total of All Transactions with this Payee/Payer for This Schedule$29,107
Promotional items for membership03/19/2020$9,818
Face Masks and Neck Gaiters06/08/2020$14,363
Name and Address
(A)
Whitaker Ellis

7180 SW Sandburg St.
Tigard
OR
97223
Type or Classification
(B)
Contractor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,000
Total of All Transactions with this Payee/Payer for This Schedule$15,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 039-553

Name and Address
(A)
District Council Political Action

17230 NE Sacramento St
Portland
OR
97230
Type or Classification
(B)
Political Action Fund
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$95,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$95,000
PAC contribution08/26/2020$75,000
PAC contribution10/21/2020$20,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 039-553

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

14695 SW Millikan Way
Beaverton
OR
97003
Type or Classification
(B)
Charitable Foundation
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,000
2020 BULL Session Charity Event08/25/2020$6,000
Name and Address
(A)
Fork Knife Spoon

3348 SE Belmont St
Portland
OR
97214
Type or Classification
(B)
Catering
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Children's Cancer Association Title Sponsorship01/21/2020$10,000
Name and Address
(A)
Vernie Reed Scholarship Fund
P.O. Box 12917

Mill Creek
WA
98082-0917
Type or Classification
(B)
Scholarship Fund
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution to the Vernie Reed Scholarship Fund03/16/2020$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 039-553

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
Name and Address
(A)
Allianz Global Corporate & Specialty
PO Box 3782

Carol Stream
IL
60132-3782
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,438
Total Non-Itemized Transactions with this Payee/Payer$2,522
Total of All Transactions with this Payee/Payer for This Schedule$9,960
Commercial Auto Insurance01/21/2020$7,438
Name and Address
(A)
Lindquist LLP
Suite 400
5000 Executive Parkway
San Ramon
CA
94583-4346
Type or Classification
(B)
Certified Public Accountant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$4,200
Total of All Transactions with this Payee/Payer for This Schedule$14,200
Audit and Tax Returns FYE 201903/19/2020$10,000
Name and Address
(A)
OSI Laborers - Employers Training Trust

17242 NE Sacramento Street
Portland
OR
97230
Type or Classification
(B)
Training Center
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$94,020
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$94,020
Feb 2020 Lease and Jan retro02/03/2020$8,460
Nov 2020 Lease11/02/2020$7,835
Jan 2020 Lease01/01/2020$7,210
Mar 2020 Lease03/02/2020$7,835
Apr 2020 Lease04/07/2020$7,835
May 2020 Lease05/04/2020$7,835
Jun 2020 Lease06/01/2020$7,835
Jul 2020 Lease07/03/2020$7,835
Aug 2020 Lease08/05/2020$7,835
Sep 2020 Lease09/01/2020$7,835
Oct 2020 Lease10/06/2020$7,835
Dec 2020 Lease12/01/2020$7,835
Name and Address
(A)
Stephen Horn Insurance Services

1470 Aura Way
Los Altos
CA
94024
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,322
Total Non-Itemized Transactions with this Payee/Payer$2,786
Total of All Transactions with this Payee/Payer for This Schedule$11,108
Union Liability Policy Renewal01/21/2020$8,322
Name and Address
(A)
Weinberg, Roger & Rosenfeld

1375 55th Street
Emeryville
CA
94608
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,000
Total of All Transactions with this Payee/Payer for This Schedule$18,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 039-553

Name and Address
(A)
Four Points Hotel

1919 NE 181st Avenue
Portland
OR
97230
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,862
Total of All Transactions with this Payee/Payer for This Schedule$5,862
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 039-553

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$338,072
PensionOregon Laborers Defined Benefit Pension Trust$77,883
PensionLIUNA Staff & Affiliates Pension Fund$146,421
HealthOregon Laborers Health & Welfare Trust$75,636
TrainingOregon Laborers Training Fund$2,788
Life InsurancePrincipal Life Insurance$12,708
PensionLIUNA National 401(k) Retirement Savings Plan$22,636
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 039-553


Question 10: Oregon Laborers Health and Welfare Trust Fund 12029 NE Glenn Widing Dr., Portland, OR 97220 Purpose: Health Benefit Trust ERISA File number: 93-6024141 Plan: 501 Oregon Laborers Defined Benefit Pension Trust Fund 12029 NE Glenn Widing Dr., Portland, OR 97220 Purpose: Retirement Benefit Trust ERISA File number: 93-6075363 Plan: 001 Oregon Laborers-Employers Defined Contribution and 401(k) Plan 12029 NE Glenn Widing Dr., Portland, OR 97220 Purpose: Retirement Benefit Trust ERISA File number: 27-6434385 Plan: 001

Question 11(a):

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

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

Question 15: Depreciation Expense: $42,000 Amortization Expense: Leasehold improvements: $16,432

Schedule 13, Row1:Construction workers pay full dues.

Schedule 13, Row2:Public employees pay full dues.

Schedule 13, Row3:Other Members pay full dues.

Schedule 13, Row4:Retired members pay full dues.

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

General Information:

Schedule 4: The difference between the cost and cash paid for the furniture and equipment was due to a store credit that was applied towards the purchase office equipment at NW Office Liquidators.

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

Schedule 11: The following officers have been appointed by the Executive Board: Ben Nelson, Sheldon Wormley, Dave Welchert and Ryan Sotomayor.

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