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
542-684
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
STATE COUNTY AND MUNI EMPLS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
1644
7. UNIT NAME (if any)
ATLANTA GA PUBLIC EMPLOYEES
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
Humeta
Last Name
Embry
P.O Box - Building and Room Number
Suite 2200
Number and Street
260 Peachtree Street, NW
City
ATLANTA
State
GA
ZIP Code + 4
30303
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:
Tracey Thornhill
PRESIDENT
71. SIGNED:
Crystal Jeffery
TREASURER
Date:
Mar 29, 2021
Telephone
Number:
404-472-0028
Date:
Mar 29, 2021
Telephone
Number:
404-472-0028
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
542-684
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?
No
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?
$100,000
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?
06/2022
20. How many members did the labor organization
have at the end of the reporting period?
921
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
Monthly
20
38
(b) Working Dues/Fees
per
(c) Initiation Fees
per
(d) Transfer Fees
per
(e) Work Permits
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
542-684
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$322,064
$270,749
23. Accounts Receivable
1
$19,826
24. Loans Receivable
2
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
27. Fixed Assets
6
$2,268
$2,086
28. Other Assets
7
$0
29.
TOTAL ASSETS
$324,332
$292,661
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$60,359
$26,992
31. Loans Payable
9
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$9,147
$6,048
34. TOTAL
LIABILITIES
$69,506
$33,040
35. NET
ASSETS
$254,826
$259,621
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
542-684
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$421,507
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$0
39. Sale of Supplies
$0
40. Interest
$1,146
41. Dividends
$0
42. Rents
$0
43. Sale of Investments
and Fixed Assets
3
$0
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
$5,000
49. TOTAL RECEIPTS
$427,653
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$8,057
51.
Political Activities and Lobbying
16
$0
52.
Contributions, Gifts, and Grants
17
$2,000
53. General
Overhead
18
$138,619
54. Union
Administration
19
$85,404
55. Benefits
20
$37,491
56. Per
Capita Tax
$196,659
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$0
61. Loans
Made
2
$0
62.
Repayment of Loans Obtained
9
$0
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$10,738
66. Subtotal
$478,968
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$18,523
67b. Less Total
Disbursed
$18,523
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$478,968
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
542-684
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
$19,826
$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))
$19,826
$0
$0
$0
PCT Rebates
$19,826
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
542-684
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:
542-684
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:
542-684
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$0
$0
$0
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
542-684
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
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))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
542-684
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
D. Office
Furniture
and Equipment
E.
Other Fixed Assets
$7,909
$5,823
$2,086
$2,086
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$7,909
$5,823
$2,086
$2,086
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
542-684
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
542-684
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
$26,992
$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))
$26,992
$0
$0
$0
AFSCME International - PCT
$23,956
$0
$0
$0
AFSCME International - PEOPLE
$3,036
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
542-684
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:
542-684
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$6,048
Payroll
$6,048
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
542-684
(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
Embry
,
Humeta
J Executive Director C
$47,954
$4,500
$47
$52,501
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
20
%
Schedule 19
Administration
80
%
A
B
C
Jeffery
,
Crystal
L Secretary-Treasurer C
$34,754
$4,500
$39,254
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
20
%
Schedule 19
Administration
80
%
A
B
C
Thornhill
,
Tracey
President C
$12,000
$12,000
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100
%
Total Officer
Disbursements
$94,708
$9,000
$47
$0
$103,755
Less Deductions
Net
Disbursements
$103,755
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
542-684
(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
Tatum
,
Caleb
Intern None
$432
$432
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
100
%
Schedule 19
Administration
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
$432
$0
$0
$0
$432
Less
Deductions
Net Disbursements
$432
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
542-684
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
921
Agency Fee Payers*
Total Members/Fee Payers
921
*Agency Fee Payers are
not considered members of the labor organization.
Full-Time Members
897
Yes
Part-Time Members
24
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
542-684
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$5,000
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
4. Total
Receipts
$5,000
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$2,000
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
6. Total
Disbursements
$2,000
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$7,382
2. Named Payee
Non-itemized Disbursements
$675
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
6. Total
Disbursements
$8,057
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$3,675
2. Named Payee
Non-itemized Disbursements
$85,159
3. To Officers
$18,351
4. To Employees
$432
5. All Other
Disbursements
$31,002
6. Total
Disbursements
$138,619
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
6. Total
Disbursements
$0
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$85,404
4. To Employees
$0
5. All Other
Disbursements
6. Total
Disbursements
$85,404
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
542-684
Name and Address
(A)
Southwest Foodservice Excellence, Inc
9366 E. Raintree Drive Scottsdale AZ 85260
Type or Classification
(B)
Other Income
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
Southwest Food Service Settlement
03/20/2020
$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
542-684
Name and Address
(A)
Harry Mason
2117 Stone Hallow CT Marietta GA 30062
Type or Classification
(B)
Arbitration
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$2,500
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$2,500
Jackie Jordan Discharge
03/07/2020
$2,500
Name and Address
(A)
Kathryn Durham
1074 Reeder Circle NE Atlanta GA 30306
Type or Classification
(B)
Arbitration
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$2,362
Total
Non-Itemized Transactions with this Payee/Payer
$675
Total of All Transactions with this
Payee/Payer for This Schedule
$3,037
Member: Bernard Brown
12/04/2020
$1,181
Member: Bernard Brown
12/04/2020
$1,181
Name and Address
(A)
Pecolia Jennings
7505 Spoleto Loop Fairburn GA 30213
Type or Classification
(B)
Arbitration
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$2,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$2,000
Members: Mr. Farley & Christopher Brooks
11/10/2020
$1,000
Member: James Scott
12/14/2020
$500
Member: Carlesto Norwood
12/16/2020
$500
Name and Address
(A)
Quinn, Conner, Weaver, Davies & Ruoco
2-20th Street Birmingham AL 35223
Type or Classification
(B)
Legal
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$520
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$520
Arnetta Favors
01/27/2020
$280
Arnetta Favors
02/10/2020
$240
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
542-684
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:
542-684
Name and Address
(A)
United Way of Greater Atlanta P.O. Box 2692
Atlanta GA 30301
Type or Classification
(B)
Contribution
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$2,000
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$2,000
Labor Emergency Relief
12/02/2020
$2,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
542-684
Name and Address
(A)
Comcast Business P.O. box 71211
Charlotte NC 28272
Type or Classification
(B)
Telephone
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$2,202
Total of All Transactions with this
Payee/Payer for This Schedule
$2,202
Name and Address
(A)
GreatAmerica Financial Services P.O. Box 660831
Dallas TX 75266
Type or Classification
(B)
Equipment Leasing - Copier
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,020
Total of All Transactions with this
Payee/Payer for This Schedule
$6,020
Name and Address
(A)
IWG, PLC
3000 Kellway Drive Carrollton TX 75006
Type or Classification
(B)
Rent
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$34,190
Total of All Transactions with this
Payee/Payer for This Schedule
$34,190
Name and Address
(A)
LCS
879 West 190th Street Gardena CA 90248
Type or Classification
(B)
Professional Fees - Consulting
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$12,000
Total of All Transactions with this
Payee/Payer for This Schedule
$12,000
Name and Address
(A)
Pitney Bowes P.O. Box 371874
Pittsburg PA 15250
Type or Classification
(B)
Equipment Leasing & Postage
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$3,675
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$3,675
Equipment rental
12/31/2020
$2,812
Postage
12/31/2020
$863
Name and Address
(A)
Quill P.O. Box 37600
Philadelphia PA 19101
Type or Classification
(B)
Office Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$4,927
Total of All Transactions with this
Payee/Payer for This Schedule
$4,927
Name and Address
(A)
SpringWell Financial Solutions
950 Eagles Landing Pkwy Stockbridge GA 30281
Type or Classification
(B)
Profession Fees - Accounting Services
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$25,820
Total of All Transactions with this
Payee/Payer for This Schedule
$25,820
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
542-684
There was no data
found for this schedule.
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
542-684
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$37,491
401K Contribution
John Hancock
$7,748
Dental & Vision Insurance
Renaissance Life & Health
$2,777
Life Insurance
Chubb Benefits
$2,891
Medical Insurance
Kaiser Permanente
$20,475
Parking
AAA Parking
$3,600
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
542-684
Schedule 1, Row1:
Schedule 1, Row1:
Schedule 8, Row1:
Schedule 8, Row1::
Schedule 8, Row2:
Schedule 8, Row2::
Schedule 13, Row1:
Schedule 13, Row1:Full-time members have regular work schedules that consist of working over twenty hours a week and pay dues at the full time rate.
Schedule 13, Row1:
Schedule 13, Row1::
Schedule 13, Row2:
Schedule 13, Row2:Part-time members have regular work schedules that consist of working over twenty or fewer hours a week, but more than twelve. These members pay dues at the part time rate.