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
019-903
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
170
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
SHANNON
Last Name
GEORGE
P.O Box - Building and Room Number
Number and Street
330 SOUTHWEST CUTOFF #201
City
WORCESTER
State
MA
ZIP Code + 4
016042714
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:
John P Reardon
PRESIDENT
71. SIGNED:
shannon r George
TREASURER
Date:
Mar 26, 2021
Telephone
Number:
508-612-8448
Date:
Mar 24, 2021
Telephone
Number:
508-799-0551
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
019-903
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?
11/2021
20. How many members did the labor organization
have at the end of the reporting period?
4,347
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
20-98
per
month
20
98
(b) Working Dues/Fees
n/a
per
n/a
n/a
n/a
(c) Initiation Fees
60-500
per
initiation
60
500
(d) Transfer Fees
.5
per
transfer
.5
.5
(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:
019-903
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$353,385
$428,546
23. Accounts Receivable
1
$68,313
$109,895
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$2,810,935
$3,046,083
27. Fixed Assets
6
$170,689
$134,866
28. Other Assets
7
$3,743
$913
29.
TOTAL ASSETS
$3,407,065
$3,720,303
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$120,524
$108,215
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$0
34. TOTAL
LIABILITIES
$120,524
$108,215
35. NET
ASSETS
$3,286,541
$3,612,088
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
019-903
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$2,635,852
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$211,019
39. Sale of Supplies
$24,434
40. Interest
$91,387
41. Dividends
$250
42. Rents
$6,000
43. Sale of Investments
and Fixed Assets
3
$869,737
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
$0
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$9,748
49. TOTAL RECEIPTS
$3,848,427
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$581,410
51.
Political Activities and Lobbying
16
$28,871
52.
Contributions, Gifts, and Grants
17
$44,340
53. General
Overhead
18
$270,396
54. Union
Administration
19
$278,934
55. Benefits
20
$826,807
56. Per
Capita Tax
$701,042
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$974,014
61. Loans
Made
2
$0
62.
Repayment of Loans Obtained
9
$0
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$171
65. Direct
Taxes
$67,281
66. Subtotal
$3,773,266
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$133,885
67b. Less Total
Disbursed
$133,885
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$3,773,266
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
019-903
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
$109,895
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$109,895
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
019-903
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:
019-903
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
$751,338
$869,737
$869,737
$869,737
Sale of Investments
$751,338
$869,737
$869,737
$869,737
Less Reinvestments
$0
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$869,737
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
019-903
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$974,014
$974,014
$974,014
Investments
$966,149
$966,149
$966,149
Furniture & Equipment
$7,865
$7,865
$7,865
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$974,014
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
019-903
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
$2,725,815
B. Total Book Value
$3,046,083
C. List each
marketable security which has a book value over $5,000
and exceeds 5% of Line B.
Congress Mid Cap Growth Instl
$535,269
United States Treas NTS Note Maturity Date 2/15/22
$153,147
United States Treas NTS Note Mat Date 11/15/23
$161,133
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))
$3,046,083
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
019-903
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
$240,708
$122,154
$118,554
$118,554
D. Office
Furniture
and Equipment
$184,402
$168,090
$16,312
$16,312
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$425,110
$290,244
$134,866
$134,866
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
019-903
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$913
Prepaid expenses
$913
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
019-903
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
$102,035
$0
$0
$0
Total from all other accounts payable
$6,180
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$108,215
$0
$0
$0
International Brotherhood of Teamsters
$48,512
$0
$0
$0
Joint Council 10
$11,172
$0
$0
$0
New England Teamsters Pension Fund
$18,513
$0
$0
$0
Teamsters Local 170 Health & Welfare Fund
$17,370
$0
$0
$0
Manzi & Associates L.L.C
$6,468
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
019-903
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:
019-903
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
019-903
(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
Colonna
,
Brian
Trustee C
$7,345
$7,345
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
D'armagnac
,
Robert
Trustee C
$7,345
$7,345
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
Davis
,
Michael
Vice President C
$7,345
$7,345
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
George
,
Shannon
Secretary/Treasurer C
$109,217
$4,409
$113,626
I
Schedule 15
Representational Activities
60
%
Schedule 16
Political Activities and Lobbying
3
%
Schedule 17
Contributions
3
%
Schedule 18
General Overhead
4
%
Schedule 19
Administration
30
%
A
B
C
O'Keefe
,
Laura
Trustee C
$7,345
$7,345
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
Reardon
,
John
Trustee C
$7,670
$7,670
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
Rucci
,
Jacqueline
Recording Secretary C
$74,718
$119
$74,837
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
Bergen
,
Kenneth
Business Agent C
$108,538
$3,985
$112,523
I
Schedule 15
Representational Activities
85
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
A
B
C
Foley
,
Sean
Business Agent C
$109,128
$4,809
$113,937
I
Schedule 15
Representational Activities
85
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
A
B
C
Gillen
,
Elias
Business Agent C
$109,484
$4,713
$114,197
I
Schedule 15
Representational Activities
85
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
A
B
C
Marks
,
Jim
Business Agent C
$108,532
$4,697
$113,229
I
Schedule 15
Representational Activities
85
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
Total Officer
Disbursements
$656,667
$0
$22,732
$0
$679,399
Less Deductions
$104,091
Net
Disbursements
$575,308
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
019-903
(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
Lamothe
,
Thomas
Bookkeeper N/A
$56,181
$56,181
I
Schedule 15
Representational Activities
5
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
40
%
Schedule 19
Administration
50
%
A
B
C
Massaro
,
Lindsey
Secretary N/A
$41,935
$41,935
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
Stevens
,
Shawn
Organizer N/A
$55,017
$4,424
$59,441
I
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
Leonard
,
Sharon
Former Bookkeeper N/A
$25,493
$25,493
I
Schedule 15
Representational Activities
5
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
40
%
Schedule 19
Administration
50
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$9,330
$9,330
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
%
Total
Employee Disbursements
$187,956
$0
$4,424
$0
$192,380
Less
Deductions
$29,794
Net Disbursements
$162,586
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
019-903
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
4,347
Agency Fee Payers*
38
Total Members/Fee Payers
4,385
*Agency Fee Payers are
not considered members of the labor organization.
Active Members
4,347
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
019-903
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$0
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$9,748
4. Total
Receipts
$9,748
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$15,000
2. Named Payee
Non-itemized Disbursements
$5,710
3. To Officers
$3,409
4. To Employees
$4,084
5. All Other
Disbursements
$16,137
6. Total
Disbursements
$44,340
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$17,207
2. Named Payee
Non-itemized Disbursements
$5,993
3. To Officers
$453,979
4. To Employees
$43,135
5. All Other
Disbursements
$61,096
6. Total
Disbursements
$581,410
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$95,092
2. Named Payee
Non-itemized Disbursements
$45,832
3. To Officers
$4,545
4. To Employees
$74,604
5. All Other
Disbursements
$50,323
6. Total
Disbursements
$270,396
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$26,103
4. To Employees
$0
5. All Other
Disbursements
$2,768
6. Total
Disbursements
$28,871
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$11,626
3. To Officers
$191,364
4. To Employees
$70,559
5. All Other
Disbursements
$5,385
6. Total
Disbursements
$278,934
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
019-903
Name and Address
(A)
-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
019-903
Name and Address
(A)
Bowditch & Dewey
311 Main Street Worcester MA 01615
Type or Classification
(B)
Legal Counsel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$17,207
Total
Non-Itemized Transactions with this Payee/Payer
$5,993
Total of All Transactions with this
Payee/Payer for This Schedule
$23,200
Legal Fees
11/17/2020
$11,382
Legal Fees
12/21/2020
$5,825
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
019-903
Name and Address
(A)
-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
019-903
Name and Address
(A)
Joint Council 10
544 Main Street Boston MA 02129
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$10,000
Nathan Burk Fund
12/30/2020
$10,000
Name and Address
(A)
Promotional Solutions, LLC 366
East Berlin CT 06023
Type or Classification
(B)
Promotional items
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,710
Total of All Transactions with this
Payee/Payer for This Schedule
$5,710
Name and Address
(A)
Teamsters Joint Council 10 Scholarship
544 Main Street Boston MA 02129
Type or Classification
(B)
Scholarship Fund
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
05/01/2020
$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
019-903
Name and Address
(A)
Charter Communications 7173
Pasadena CA 91109
Type or Classification
(B)
Telephone provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,399
Total of All Transactions with this
Payee/Payer for This Schedule
$6,399
Name and Address
(A)
Congress Wealth Management
155 Seaport Blvd 3rd Floor Boston MA 02210
Type or Classification
(B)
Investment Management
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,739
Total of All Transactions with this
Payee/Payer for This Schedule
$7,739
Name and Address
(A)
Connolly Printing
17B Gill Street Woburn MA 01801
Type or Classification
(B)
Printing Services Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,000
Total of All Transactions with this
Payee/Payer for This Schedule
$6,000
Name and Address
(A)
Data Source
3 15 East Mountain Street Worcester MA 01606
Type or Classification
(B)
IT Services Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,965
Total of All Transactions with this
Payee/Payer for This Schedule
$5,965
Name and Address
(A)
Manzi & Associates L.L.C.
855 Turnpike Street North Andover MA 01845
Type or Classification
(B)
Accounting Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$19,402
Total
Non-Itemized Transactions with this Payee/Payer
$895
Total of All Transactions with this
Payee/Payer for This Schedule
$20,297
Accounting Fees
06/23/2020
$6,467
Accounting Fees
09/22/2020
$6,467
Accounting Fees
12/18/2020
$6,468
Name and Address
(A)
Pitney Bowes Purchase Power 371874
Pittsburg PA 15250
Type or Classification
(B)
Postage Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,058
Total of All Transactions with this
Payee/Payer for This Schedule
$8,058
Name and Address
(A)
Teamsters Local 170 H&W Fund
330 Southwest Cutoff Worcester MA 01604
Type or Classification
(B)
Trust Fund
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$75,690
Total
Non-Itemized Transactions with this Payee/Payer
$4,800
Total of All Transactions with this
Payee/Payer for This Schedule
$80,490
Rent
01/02/2020
$6,594
Rent
02/03/2020
$6,594
Rent
03/03/2020
$6,594
Rent
04/03/2020
$6,212
Rent
05/01/2020
$6,212
Rent
06/02/2020
$6,212
Rent
07/06/2020
$6,212
Rent
08/01/2020
$6,212
Rent
09/01/2020
$6,212
Rent
10/02/2020
$6,212
Rent
11/02/2020
$6,212
Rent
12/02/2020
$6,212
Name and Address
(A)
Verizon Wireless 15062
Albany NY 12212
Type or Classification
(B)
Telephone provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,976
Total of All Transactions with this
Payee/Payer for This Schedule
$5,976
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
019-903
Name and Address
(A)
Connolly Printing
17B Gill Street Woburn MA 01801
Type or Classification
(B)
Printing Services Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$11,626
Total of All Transactions with this
Payee/Payer for This Schedule
$11,626
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
019-903
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$826,807
Pension, Health Insurance, Annuity
New England Teamsters and Trucking Pension Fund
$239,941
Health & Welfare
Teamsters Local 170 H&W Fund
$243,256
Group Life Insurance
Lincoln National Life Insurance Company
$323,860
Scholarship Awards
Member beneficiaries
$19,750
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
019-903
Question 10: Teamsters Local 170 Health & Welfare Fund
330 Southwest Cutoff
Worcester, MA 01607
EIN: 04-2219623
The Fund provides healthcare benefits for eligible participants.
Question 11(a):
Question 11(a): Truck Drivers and Helpers Local No. 170 Political Action Committee. The PAC files with the Commonwealth of Massachusetts Campaign Political Finance.
Question 12: An audit was performed by:
Manzi & Associates LLC
855 Turnpike Street
North Andover, MA 01845
Question 15: Gave out jackets to members at monthly meetings. Also retired many full depreciated assets.
Schedule 8, Row1:
Schedule 8, Row1:
Schedule 8, Row2:
Schedule 8, Row2:
Schedule 8, Row3:
Schedule 8, Row3:
Schedule 8, Row4:
Schedule 8, Row4:
Schedule 8, Row5:
Schedule 8, Row5:
Schedule 13, Row1:
Schedule 13, Row1:Active members pay full dues.
Schedule 13, Row1:
Schedule 13, Row1:
General Information: The Business Agents use union automobiles for personal use, but the usage is over 50% for business. The personal usage is taxed accordingly and appears on the W-2 for each Business Agent.