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
022-620
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
FOOD AND COMMERCIAL WKRS
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
324
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
ANDREA
Last Name
ZINDER
P.O Box - Building and Room Number
5004
Number and Street
8530 STANTON AVE
City
BUENA PARK
State
CA
ZIP Code + 4
90620


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:Andrea ZinderPRESIDENT71. SIGNED:Matthew R BellTREASURER
Date:Mar 30, 2021Telephone Number:714-995-4601Date:Mar 30, 2021Telephone Number:714-920-0266
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 022-620
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?$2,500,000
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?08/2022
20. How many members did the labor organization have at the end of the reporting period?20,019
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees27.00-82.00perMONTH27.0082.00
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation Fees0.00-450.00perONE TIME0.00450.00
(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: 022-620

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $1,255,992$1,488,643
23. Accounts Receivable1$1,053,523$765,623
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $25,397$29,958
26. Investments5$7,815,515$8,200,906
27. Fixed Assets6$7,602,688$7,364,771
28. Other Assets7$112,718$95,031
29. TOTAL ASSETS $17,865,833$17,944,932

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$705,686$670,742
31. Loans Payable9$0$150,000
32. Mortgages Payable $0$0
33. Other Liabilities10$306,518$90,501
34. TOTAL LIABILITIES $1,012,204$911,243
35. NET ASSETS$16,853,629$17,033,689
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 022-620

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $11,823,527
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $659,836
39. Sale of Supplies $0
40. Interest $5,477
41. Dividends $293,834
42. Rents $159,128
43. Sale of Investments and Fixed Assets3$919,700
44. Loans Obtained9$150,000
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $533,941
48. Other Receipts14$472,537
49. TOTAL RECEIPTS $15,017,980
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$3,884,119
51. Political Activities and Lobbying16$562,159
52. Contributions, Gifts, and Grants17$171,159
53. General Overhead18$2,919,611
54. Union Administration19$124,459
55. Benefits20$1,332,406
56. Per Capita Tax $4,271,591
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$664,882
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $533,591
65. Direct Taxes $328,797
  
66. Subtotal $14,792,774
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$2,196,091  
  67b. Less Total Disbursed$2,188,646  
  67c. Total Withheld But Not Disbursed $7,445
68. TOTAL DISBURSEMENTS $14,785,329
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 022-620

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$765,623$0$0$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $765,623$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 022-620

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$0$0$0$0$0
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 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: 022-620

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$670,953$919,700$919,700$919,700
STOCKS, CORP. & GOV'T DEBT SEC., MUTUAL FUNDS$670,953$919,700$919,700$919,700
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$919,700
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 022-620

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$836,426$836,426$836,426
OFFICE FURNITURE AND EQUIPMENT$43,853$43,853$43,853
BUILDING IMPROVEMENT - 8530 STANTON AVE.$4,800$4,800$4,800
STOCKS, CORP. & GOV'T DEBT SEC., MUTUAL FUNDS$787,773$787,773$787,773
 Less Reinvestments$171,544
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$664,882
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 022-620

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$7,543,979
B. Total Book Value$8,200,906
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • DELAWARE LIMITED-TERM DIVERSIFIED INCOME FUND CL A
$415,611
  • JP MORGAN STRATEGIC INCOME OPPORTUNITIES FUND CL A
$1,166,377
  • PIMCO INVESTMENT GRADE CREDIT BOND FUND A
$1,058,520
  • PIMCO TOTAL RETURN FUND CL A
$635,580
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)) $8,200,906
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 022-620

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      8530 STANTON AVE, BUENA PARK, CA$45,062 $45,062$8,500,000
Land  2 :      8112 CRESCENT AVE, BUENA PARK, CA$240,240 $240,240$2,410,000
Land  3 :      309 N RAMPART AVE, ORANGE, CA$671,000 $671,000$671,000
B. Buildings (give location)    
Building  1 :      8530 STANTON AVE, BUENA PARK, CA$9,361,709$3,438,301$5,923,408$5,923,408
Building  2 :      309 N RAMPART AVE, ORANGE, CA$337,950$107,724$230,226$230,226
C. Automobiles and Other Vehicles$25,437$25,437$0$2,500
D. Office Furniture and Equipment$1,370,883$1,116,048$254,835$254,835
E. Other Fixed Assets$0$0$0$0
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $12,052,281$4,687,510$7,364,771$17,991,969
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 022-620

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $95,031
PREPAID TICKETS$95,031
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 022-620

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$670,742$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $670,742$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 022-620

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$150,000$0$0$150,000
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
U.S. SMALL BUSINESS ADMINISTRATION$0$150,000$0$0$150,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 022-620

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $90,501
AUDITORIUM DEFERRED INCOME$41,323
PREPAID MEMBERSHIP DUES$49,178
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 022-620

(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
BOLAM ,  SHARI   A
RECORDER/UNION REP.
C
$147,590$1,200$0$0$148,790
I
Schedule 15
Representational Activities
72 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
23 % Schedule 19
Administration
3 %
A
B
C
CRUZ ,  JOLINE  
VICE PRESIDENT/UNION REP.
P
$91,843$200$0$0$92,043
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
DAVILA ,  GILBERT  
VICE PRESIDENT/DIRECTOR
C
$145,987$1,300$0$0$147,287
I
Schedule 15
Representational Activities
86 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
7 % Schedule 19
Administration
2 %
A
B
C
IBARRA-LOPEZ ,  MARIA ROSA  
VICE PRESIDENT/ORGANIZER
C
$114,721$1,300$0$0$116,021
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
15 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
1 %
A
B
C
LOCKHART ,  JASON   M
VICE PRES./COMPTROLLER
C
$136,916$1,300$0$0$138,216
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
95 % Schedule 19
Administration
5 %
A
B
C
MIDKIFF ,  BRETT   A
VICE PRESIDENT/DIRECTOR
C
$151,584$1,300$0$0$152,884
I
Schedule 15
Representational Activities
76 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
11 % Schedule 19
Administration
10 %
A
B
C
MORENO PEREZ ,  JOSE  
VICE PRESIDENT/UNION REP.
P
$116,019$200$0$0$116,219
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
CAMACHO ,  CARLOS  
VICE PRESIDENT
C
$0$1,300$0$0$1,300
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
CAMPANELLO ,  ANTHONY   J
VICE PRESIDENT
C
$0$1,200$0$0$1,200
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
FIDDLER ,  LAURINDA   L
VICE PRESIDENT
C
$0$2,146$385$0$2,531
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
ORTIZ ,  JOSE  
VICE PRESIDENT
C
$0$1,100$0$0$1,100
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
PALMER ,  DANA  
VICE PRESIDENT
C
$0$1,300$0$0$1,300
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
PEREIDA ,  HECTOR  
VICE PRESIDENT
C
$0$1,300$0$0$1,300
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
ROSEN ,  RACHEL  
VICE PRESIDENT
C
$0$1,200$0$0$1,200
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
WALTERS ,  RICHARD   M
VICE PRESIDENT
C
$27,838$1,300$0$0$29,138
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
HUFFMAN ,  DIANA  
SGT AT ARMS/UNION REP.
N
$116,863$1,300$16$0$118,179
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
CONGER ,  GREGORY   M
PRESIDENT
P
$152,640$0$0$0$152,640
I
Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
12 % Schedule 19
Administration
2 %
A
B
C
BELL ,  MATTHEW   R
SECRETARY-TREASURER
C
$208,252$200$0$0$208,452
I
Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
12 % Schedule 19
Administration
2 %
A
B
C
ZINDER ,  ANDREA  
PRESIDENT
C
$240,628$200$0$0$240,828
I
Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
12 % Schedule 19
Administration
2 %
Total Officer Disbursements$1,650,881$19,346$401$0$1,670,628
Less Deductions    $644,237
Net Disbursements    $1,026,391
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 022-620

(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
ASHE ,  KRISTEN   L
UNION REPRESENTATIVE
N/A
$110,660$200$0$0$110,860
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
ASHE ,  SHAWN  
IT ANALYST
N/A
$112,512$200$0$0$112,712
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
BARRION ,  GILBERTO  
MAINTENANCE
N/A
$42,403$200$200$0$42,803
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
BARUCH ,  SYLVIA  
UNION REPRESENTATIVE
N/A
$112,837$200$220$0$113,257
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
BAXLEY ,  BRIAN   J
SPUR
N/A
$10,864$0$585$0$11,449
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
20 % Schedule 19
Administration
0 %
A
B
C
CHAPMAN ,  TARA  
RECORDS
N/A
$58,001$200$0$0$58,201
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
95 % Schedule 19
Administration
0 %
A
B
C
CLARKE ,  MERCEDES  
ORGANIZING SECRETARY
N/A
$78,042$200$0$0$78,242
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
75 % Schedule 19
Administration
5 %
A
B
C
CONGER ,  TODD   A
COMMUNICATIONS
N/A
$119,458$200$0$0$119,658
I
Schedule 15
Representational Activities
62 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
36 % Schedule 19
Administration
0 %
A
B
C
DOBIAS ,  MICHELLE   D
BENEFITS SUPERVISOR
N/A
$92,117$200$0$0$92,317
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
ENRIQUEZ ,  BERNARDO  
UNION REPRESENTATIVE
N/A
$117,157$200$0$0$117,357
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
ESCATEL ,  VERONICA  
HEALTH BENEFITS REP
N/A
$47,844$200$0$0$48,044
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
ESCOBAR ,  MARLENE  
GENERAL OFFICE CLERK
N/A
$24,192$200$0$0$24,392
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
FEINBERG ,  JOSEPH   P
IT ANALYST
N/A
$114,915$200$0$0$115,115
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
FLOYD ,  JASON  
UNION REPRESENTATIVE
N/A
$114,442$200$0$0$114,642
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
HAN ,  TIFFANY  
ASSISTANT TO COMPTROLLER
N/A
$80,262$200$0$0$80,462
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
5 % Schedule 18
General Overhead
90 % Schedule 19
Administration
5 %
A
B
C
HANDER ,  JERI  
UNION REPRESENTATIVE
N/A
$41,304$0$0$0$41,304
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
1 %
A
B
C
HARMON ,  DOMENIQUE  
SPUR/ORGANIZING
N/A
$12,320$0$25$0$12,345
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
HARO ,  IZELA  
HEALTH BENEFITS REP
N/A
$46,938$200$0$0$47,138
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
HART ,  MATTHEW   A
UNION REPRESENTATIVE
N/A
$113,649$200$0$0$113,849
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
HAUSERMANN ,  ANDREW   R
ORGANIZER
N/A
$90,756$200$0$0$90,956
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
15 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
1 %
A
B
C
HERNANDEZ ,  JOE   L
ORGANIZER
N/A
$123,425$200$0$0$123,625
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
15 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
1 %
A
B
C
JEMISON ,  CHARITY   A
UNION REPRESENTATIVE
N/A
$91,276$200$0$0$91,476
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
JOHN ,  JOANNE  
EXECUTIVE SECRETARY
N/A
$88,208$200$0$0$88,408
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
KARIM ,  SYED  
UNION REPRESENTATIVE
N/A
$107,208$200$0$0$107,408
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
KITTREDGE ,  DANIEL  
UNION REPRESENTATIVE
N/A
$66,798$0$0$0$66,798
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
1 %
A
B
C
KLEIN ,  MICHELLE   P
HEALTH BENEFITS REP
N/A
$61,016$200$0$0$61,216
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
KURVITS ,  SOLVEIG  
EXECUTIVE SECRETARY
N/A
$50,229$0$0$0$50,229
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
13 % Schedule 19
Administration
3 %
A
B
C
LAND ,  MARGARET  
UNION REPRESENTATIVE
N/A
$99,540$0$0$0$99,540
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
1 %
A
B
C
MANDELLA ,  TWILA  
HEALTH BENEFITS REP
N/A
$13,183$0$0$0$13,183
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
15 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
85 % Schedule 19
Administration
0 %
A
B
C
MCDERMOTT ,  PRISCILLA  
ORGANIZER
N/A
$115,373$200$0$0$115,573
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
15 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
1 %
A
B
C
MORALES ,  VICTOR   M
MAINTENANCE
N/A
$59,081$200$200$0$59,481
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
NELSON ,  LYNN   A
EXECUTIVE SECRETARY
N/A
$89,305$200$0$0$89,505
I
Schedule 15
Representational Activities
25 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
75 % Schedule 19
Administration
0 %
A
B
C
PAQUETTE ,  MICHELLE  
GENERAL OFFICE CLERK
N/A
$47,467$200$0$0$47,667
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
PEREZ ,  HERLINDA  
UNION REPRESENTATIVE
N/A
$113,962$200$0$0$114,162
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
PRADO ,  ANGEL  
MAINTEANCE
N/A
$25,045$0$0$0$25,045
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
PUNSALANG ,  LOUANNE  
ASSISTANT TO COMPTROLLER
N/A
$30,030$0$0$0$30,030
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
5 % Schedule 18
General Overhead
92 % Schedule 19
Administration
0 %
A
B
C
RAMIREZ ,  MICHAEL  
UNION REPRESENTATIVE
N/A
$120,186$200$0$0$120,386
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
RATTAN ,  MICHELLE  
HEALTH BENEFITS REP
N/A
$51,337$200$0$0$51,537
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
ROCHA HERNANDEZ ,  JOSE   C
MAINTENANCE
N/A
$51,679$200$1,140$0$53,019
I
Schedule 15
Representational Activities
60 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
35 % Schedule 19
Administration
0 %
A
B
C
RODRIGUEZ ,  DARIO   R
UNION REPRESENTATIVE
N/A
$169,243$200$0$0$169,443
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
5 %
A
B
C
SHIMADA ,  ALEJANDRINA  
REPS SECRETARY
N/A
$66,976$200$0$0$67,176
I
Schedule 15
Representational Activities
78 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
22 % Schedule 19
Administration
0 %
A
B
C
SILVA ,  STACY   A
GENERAL OFFICE DEPT. HEAD
N/A
$60,509$200$428$0$61,137
I
Schedule 15
Representational Activities
25 % Schedule 16
Political Activities and Lobbying
15 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
60 % Schedule 19
Administration
0 %
A
B
C
SMITH ,  DEREK   A
POLITICAL DIRECTOR
N/A
$119,047$200$208$0$119,455
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
SOTELO ,  DENNIS   P
ORGANIZER
N/A
$97,448$200$0$0$97,648
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
43 % Schedule 19
Administration
2 %
A
B
C
SOTELO ,  THONOTHIU  
UNION REPRESENTATIVE
N/A
$116,735$200$0$0$116,935
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
SWAIN ,  CHARLES  
GENERAL OFFICE CLERK
N/A
$35,314$200$215$0$35,729
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
THOMAS ,  CORINNE  
UNION REPRESENTATIVE
N/A
$110,020$200$0$0$110,220
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
TOSCANO ,  OLIVIA  
REPS SECRETARY
N/A
$67,215$200$0$0$67,415
I
Schedule 15
Representational Activities
78 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
22 % Schedule 19
Administration
0 %
A
B
C
VALENTI-FLORES ,  VIVIAN   J
UNION REPRESENTATIVE
N/A
$88,144$200$0$0$88,344
I
Schedule 15
Representational Activities
81 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
1 %
A
B
C
VELAZQUEZ ,  ANNETTE  
GENERAL OFFICE SUPERVISOR
N/A
$92,529$200$0$0$92,729
I
Schedule 15
Representational Activities
73 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
27 % Schedule 19
Administration
0 %
A
B
C
VILLEGAS ,  LETICIA  
REPS SECRETARY
N/A
$68,890$200$0$0$69,090
I
Schedule 15
Representational Activities
73 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
27 % Schedule 19
Administration
0 %
A
B
C
WHITTINGTON ,  NORA  
GENERAL OFFICE CLERK
N/A
$18,287$0$0$0$18,287
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
ZEA ,  MARIA   A
GENERAL OFFICE CLERK
N/A
$26,336$0$0$0$26,336
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$19,878$400$0$0$20,278
I Schedule 15
Representational Activities
33 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
67 % Schedule 19
Administration
0 %
Total Employee Disbursements$4,101,592$8,800$3,221$0$4,113,613
Less Deductions    $1,551,858
Net Disbursements    $2,561,755
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 022-620

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 20,019 
Agency Fee Payers*0
Total Members/Fee Payers20,019 
*Agency Fee Payers are not considered members of the labor organization.
ACTIVE MEMBERS19,967Yes
AFFILIATED MEMBERS52No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 022-620

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$390,971
2. Named Payer Non-itemized Receipts$11,553
3. All Other Receipts$70,013
4. Total Receipts$472,537
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$121,197
2. Named Payee Non-itemized Disbursements$0
3. To Officers$7,507
4. To Employees$7,224
5. All Other Disbursements$35,231
6. Total Disbursements$171,159
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$317,514
2. Named Payee Non-itemized Disbursements$29,111
3. To Officers$1,194,996
4. To Employees$2,198,249
5. All Other Disbursements$144,249
6. Total Disbursements$3,884,119
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$315,020
2. Named Payee Non-itemized Disbursements$452,072
3. To Officers$317,763
4. To Employees$1,607,189
5. All Other Disbursements$227,567
6. Total Disbursements$2,919,611
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$218,871
2. Named Payee Non-itemized Disbursements$7,235
3. To Officers$65,222
4. To Employees$261,634
5. All Other Disbursements$9,197
6. Total Disbursements$562,159
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$85,141
4. To Employees$39,318
5. All Other Disbursements$0
6. Total Disbursements$124,459
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 022-620

Name and Address
(A)
DISABILITY REIMBURSEMENT
5004
8530 STANTON AVE
BUENA PARK
CA
90620
Type or Classification
(B)
EMPLOYEE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$36,029
Total Non-Itemized Transactions with this Payee/Payer$2,785
Total of All Transactions with this Payee/Payer for This Schedule$38,814
DISABILITY REIMBURSEMENTS04/17/2020$7,800
DISABILITY REIMBURSEMENTS05/19/2020$5,200
DISABILITY REIMBURSEMENTS07/29/2020$12,629
DISABILITY REIMBURSEMENTS08/20/2020$5,200
DISABILITY REIMBURSEMENTS10/28/2020$5,200
Name and Address
(A)
SO. CAL. UFCW UNION DRUG EMPLOYERS

2220 HYPERION AVE.
LOS ANGELES
CA
90027
Type or Classification
(B)
TRUST FUND
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,029
Total Non-Itemized Transactions with this Payee/Payer$8,768
Total of All Transactions with this Payee/Payer for This Schedule$34,797
SALARY AND EXPENSE REIMBURSEMENTS08/20/2020$17,659
SALARY AND EXPENSE REIMBURSEMENTS09/15/2020$8,370
Name and Address
(A)
U.S. SMALL BUSINESS ADMINISTRATION

14925 KINGSPORT RD
FORT WORTH
TX
76155
Type or Classification
(B)
GORVERNMENT AGENCY
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
BUSINESS GRANT05/04/2020$10,000
Name and Address
(A)
UFCW JOINT TRUST FUNDS
514250

LOS ANGELES
CA
90051-4250
Type or Classification
(B)
TRUST FUND
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$318,913
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$318,913
SALARY AND EXPENSE REIMBURSEMENTS02/12/2020$103,869
SALARY AND EXPENSE REIMBURSEMENTS04/17/2020$36,411
SALARY AND EXPENSE REIMBURSEMENTS05/31/2020$32,448
SALARY AND EXPENSE REIMBURSEMENTS09/23/2020$146,185
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 022-620

Name and Address
(A)
CALIFORNIA LABOR FEDERATION, AFL-CIO
STE 410
600 GRAND AVENUE
OAKLAND
CA
94610-3561
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,446
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$11,446
SALARY REIMBURSEMENTS05/07/2020$11,446
Name and Address
(A)
GILBERT & SACKMAN
STE 1200
3699 WILSHIRE BLVD
LOS ANGELES
CA
90010
Type or Classification
(B)
LAW FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$224,158
Total Non-Itemized Transactions with this Payee/Payer$9,024
Total of All Transactions with this Payee/Payer for This Schedule$233,182
MEMBER REPRESENTATION LEGAL SERVICES02/25/2020$10,702
MEMBER REPRESENTATION LEGAL SERVICES04/15/2020$6,236
MEMBER REPRESENTATION LEGAL SERVICES05/22/2020$13,628
MEMBER REPRESENTATION LEGAL SERVICES07/06/2020$20,032
MEMBER REPRESENTATION LEGAL SERVICES07/20/2020$39,769
MEMBER REPRESENTATION LEGAL SERVICES08/25/2020$39,574
MEMBER REPRESENTATION LEGAL SERVICES09/25/2020$29,061
MEMBER REPRESENTATION LEGAL SERVICES11/02/2020$27,004
MEMBER REPRESENTATION LEGAL SERVICES11/20/2020$19,058
MEMBER REPRESENTATION LEGAL SERVICES12/29/2020$19,094
Name and Address
(A)
SPINELLI GRAPHICS, INC.
STE 2
10631 BLOOMFIELD ST
LOS ALAMITOS
CA
90720
Type or Classification
(B)
PRINTING COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$35,649
Total Non-Itemized Transactions with this Payee/Payer$13,792
Total of All Transactions with this Payee/Payer for This Schedule$49,441
UFCW MAGAZINE & MEMBER INFORMATION PRINTING03/03/2020$23,752
MEMBER INFORMATION PRINTING03/16/2020$6,281
MEMBER INFORMATION PRINTING08/25/2020$5,616
Name and Address
(A)
UFCW INTERNATIONAL UNION

1775 K STREET, NW
WASHINGTON
DC
20006
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$36,998
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$36,998
EXPENSE REIMBURSEMENTS02/12/2020$12,374
EXPENSE REIMBURSEMENTS03/10/2020$12,211
EXPENSE REIMBURSEMENTS04/14/2020$12,413
Name and Address
(A)
UFCW LOCAL 770

630 SHATTO PLACE
LOS ANGELES
CA
90005
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,263
Total Non-Itemized Transactions with this Payee/Payer$6,295
Total of All Transactions with this Payee/Payer for This Schedule$15,558
MEMBER DUES REIMBURSEMENTS02/14/2020$9,263
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 022-620

Name and Address
(A)
KAUFMAN LEGAL GROUP
STE 4050
777 S FIGUEROA ST
LOS ANGELES
CA
90017
Type or Classification
(B)
LAW FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,618
Total Non-Itemized Transactions with this Payee/Payer$7,235
Total of All Transactions with this Payee/Payer for This Schedule$15,853
LEGISLATIVE REPORTING SERVICES07/01/2020$8,618
Name and Address
(A)
SLAM THE BRAKES
STE 400
555 CAPITOL MALL
SACRAMENTO
CA
95814
Type or Classification
(B)
NONPROFIT ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$100,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$100,000
CONTRIBUTIONS09/11/2020$100,000
Name and Address
(A)
UFCW UNION LOCAL 324 PAC
5004
8530 STANTON AVE
BUENA PARK
CA
90620
Type or Classification
(B)
NONPROFIT ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$110,253
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$110,253
CONTRIBUTIONS02/07/2020$10,395
CONTRIBUTIONS03/04/2020$10,521
CONTRIBUTIONS04/02/2020$10,480
CONTRIBUTIONS05/01/2020$9,237
CONTRIBUTIONS05/29/2020$9,662
CONTRIBUTIONS07/01/2020$9,809
CONTRIBUTIONS08/03/2020$10,075
CONTRIBUTIONS09/01/2020$10,045
CONTRIBUTIONS10/01/2020$9,987
CONTRIBUTIONS11/02/2020$10,100
CONTRIBUTIONS12/01/2020$9,942
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 022-620

Name and Address
(A)
BARNES & NOBLE

122 5TH AVENUE
NEW YORK
NY
10011
Type or Classification
(B)
BOOKSELLER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,375
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$21,375
MEMBERS' HOLIDAY GIFT CARDS11/24/2020$21,375
Name and Address
(A)
OC LABOR FEDERATION
STE A
309 N RAMPART ST
ORANGE
CA
92868
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$15,000
SPONSORSHIP07/13/2020$15,000
Name and Address
(A)
SPINELLI GRAPHICS, INC.
STE 2
10631 BLOOMFIELD ST
LOS ALAMITOS
CA
90720
Type or Classification
(B)
PRINTING COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,967
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$17,967
MASKS FOR MEMBERS04/02/2020$8,808
MASKS FOR MEMBERS04/17/2020$9,159
Name and Address
(A)
STATER BROS

301 S TIPPECANOE AVE
SAN BERNARDINO
CA
92408
Type or Classification
(B)
FOOD RETAILER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$47,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$47,000
MEMBERS' HOLIDAY GIFT CARDS10/14/2020$47,000
Name and Address
(A)
THE UCLA FOUNDATION, UCLA LABOR CENTER

675 S PARK VIEW ST
LOS ANGELES
CA
90057
Type or Classification
(B)
EDUCATIONAL INSTITUTION
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
SPONSORSHIP03/10/2020$5,000
SPONSORSHIP11/06/2020$5,000
Name and Address
(A)
UFCW LOCAL 770

630 SHATTO PLACE
LOS ANGELES
CA
90005
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,855
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,855
MASKS FOR MEMBERS REIMBURSEMENTS07/01/2020$9,855
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 022-620

Name and Address
(A)
ABILA
STE 400
10800 PECAN PARK BLVD
AUSTIN
TX
78750
Type or Classification
(B)
SOFTWARE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,266
Total Non-Itemized Transactions with this Payee/Payer$2,798
Total of All Transactions with this Payee/Payer for This Schedule$21,064
ACCOUNTING SOFTWARE03/16/2020$18,266
Name and Address
(A)
AMAZON.COM, INC

410 TERRY AVE N
SEATTLE
WA
98109-5210
Type or Classification
(B)
MARKETPLACE DISTRIBUTORS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,897
Total of All Transactions with this Payee/Payer for This Schedule$7,897
Name and Address
(A)
AMC MOVIES

11500 ASH ST
LEAWOOD
KS
66211
Type or Classification
(B)
MOVIE THEATRE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,270
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,270
MOVIE TICKETS FOR RESALE01/29/2020$10,270
Name and Address
(A)
AT&T
5025

CAROL STREAM
IL
60197-5025
Type or Classification
(B)
TELECOM PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$36,825
Total of All Transactions with this Payee/Payer for This Schedule$36,825
Name and Address
(A)
AT&T MOBILITY
6463

CAROL STREAM
IL
60197-6463
Type or Classification
(B)
TELECOM PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$39,171
Total of All Transactions with this Payee/Payer for This Schedule$39,171
Name and Address
(A)
BANK OF THE WEST

4400 MACARTHUR BLVD
NEWPORT BEACH
CA
92660
Type or Classification
(B)
FINANCIAL INSTITUTION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$23,260
Total of All Transactions with this Payee/Payer for This Schedule$23,260
Name and Address
(A)
BEST BUY

7601 PENN AVE S
RICHFIELD
MN
55423
Type or Classification
(B)
ELECTRONICS RETAILER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,530
Total of All Transactions with this Payee/Payer for This Schedule$12,530
Name and Address
(A)
BLUE VIOLET NETWORKS
STE M
17815 NEWHOPE STREET
FOUNTIAN VALLEY
CA
90620
Type or Classification
(B)
TELECOM PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,425
Total of All Transactions with this Payee/Payer for This Schedule$5,425
Name and Address
(A)
BUENA PARK POSTMASTER

6650 BEACH BLVD
BUENA PARK
CA
90622-5009
Type or Classification
(B)
POSTAL SERVICES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$2,630
Total of All Transactions with this Payee/Payer for This Schedule$7,630
POSTAGE06/10/2020$5,000
Name and Address
(A)
CENTURY BUSINESS LEASING A PROGRAM OF DE LAGE
41602

PHILADELPHIA
PA
19101-1602
Type or Classification
(B)
OFFICE EQUIPMENT LEASING CO.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,166
Total Non-Itemized Transactions with this Payee/Payer$74,334
Total of All Transactions with this Payee/Payer for This Schedule$82,500
LEASED EQUIPMENT02/18/2020$8,166
Name and Address
(A)
CHARLES ADINOLFI
5004
8530 STANTON AVE
BUENA PARK
CA
90620
Type or Classification
(B)
SEVERANCE PACKAGE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$30,000
FINAL SEVERANCE PAYMENT01/03/2020$30,000
Name and Address
(A)
COMPLETE OFFICE OF CALIFORNIA INC.
4318

CERRITOS
CA
90703
Type or Classification
(B)
OFFICE SUPPLIES CO.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,757
Total Non-Itemized Transactions with this Payee/Payer$30,563
Total of All Transactions with this Payee/Payer for This Schedule$48,320
OFFICE SUPPLIES02/07/2020$9,111
OFFICE SUPPLIES04/22/2020$8,646
Name and Address
(A)
COSTCO

999 LAKE DRIVE
ISSAQUAH
WA
98027
Type or Classification
(B)
SUPPLIER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,770
Total of All Transactions with this Payee/Payer for This Schedule$7,770
Name and Address
(A)
EDISON
300

ROSEMEAD
CA
91772-0001
Type or Classification
(B)
UTILITIES COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$53,460
Total Non-Itemized Transactions with this Payee/Payer$17,210
Total of All Transactions with this Payee/Payer for This Schedule$70,670
UTILITIES05/21/2020$5,436
UTILITIES06/18/2020$6,591
UTILITIES07/23/2020$9,166
UTILITIES08/25/2020$9,533
UTILITIES09/25/2020$9,376
UTILITIES10/23/2020$7,911
UTILITIES11/20/2020$5,447
Name and Address
(A)
KONICA MINOLTA BUSINESS SOLUTIONS
DEPT. LA 22988

PASADENA
CA
91185-2988
Type or Classification
(B)
OFFICE EQUIPMENT LEASING CO.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$55,436
Total Non-Itemized Transactions with this Payee/Payer$15,284
Total of All Transactions with this Payee/Payer for This Schedule$70,720
LEASED EQUIPMENT03/25/2020$14,149
LEASED EQUIPMENT06/24/2020$9,700
LEASED EQUIPMENT10/01/2020$5,827
LEASED EQUIPMENT11/20/2020$25,760
Name and Address
(A)
MAILING PROS INC

5261 BUSINESS DR
HUNTINGTON BEACH
CA
92649
Type or Classification
(B)
MAILING SERVICES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,608
Total of All Transactions with this Payee/Payer for This Schedule$6,608
Name and Address
(A)
MARSH & MCLENNAN AGENCY LLC
STE 300
1 POLARIS WAY
ALISO VIEJO
CA
92656
Type or Classification
(B)
INSURANCE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,222
Total Non-Itemized Transactions with this Payee/Payer$250
Total of All Transactions with this Payee/Payer for This Schedule$26,472
UNION LIABILITY INSURANCE10/23/2020$26,222
Name and Address
(A)
MICROSOFT CORPORATION

1 MICROSOFT WAY
REDMOND
WA
98052-8300
Type or Classification
(B)
SOFTWARE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,862
Total of All Transactions with this Payee/Payer for This Schedule$5,862
Name and Address
(A)
MILLER KAPLAN ARASE LLP

4123 LANKERSHIM BLVD
NORTH HOLLYWOOD
CA
91602
Type or Classification
(B)
CPA FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,224
Total Non-Itemized Transactions with this Payee/Payer$2,000
Total of All Transactions with this Payee/Payer for This Schedule$25,224
LM-2 RETURN PREPARATION SERVICES06/10/2020$23,224
Name and Address
(A)
MORGAN STANLEY
STE 600
9665 WILSHIRE BLVD
BEVERLY HILLS
CA
90212
Type or Classification
(B)
INVESTMENT ADVISOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$54,480
Total of All Transactions with this Payee/Payer for This Schedule$54,480
Name and Address
(A)
PANTHEON
LEVEL 3
717 CALIFORNIA ST
SAN FRANCISCO
CA
94108
Type or Classification
(B)
WEBHOSTING SERVICES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,975
Total Non-Itemized Transactions with this Payee/Payer$2,475
Total of All Transactions with this Payee/Payer for This Schedule$10,450
INTERNET ANNUAL SUBSCRIPTION04/21/2020$7,975
Name and Address
(A)
PAYLOCITY
1100W
11845 W OLYMPIC BLVD
LOS ANGELES
CA
90064
Type or Classification
(B)
PAYROLL SERVICE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,371
Total of All Transactions with this Payee/Payer for This Schedule$12,371
Name and Address
(A)
QUADIENT FINANCE USA, INC.
6813

CAROL STREAM
IL
60197-6813
Type or Classification
(B)
MAILING EQUIPMENT PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$21,816
Total of All Transactions with this Payee/Payer for This Schedule$21,816
Name and Address
(A)
RAMPART BUSINESS COMMUNITY ASSOCIATION
513380

LOS ANGELES
CA
90051-3380
Type or Classification
(B)
BUILDING ASSOCIATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,598
Total of All Transactions with this Payee/Payer for This Schedule$6,598
Name and Address
(A)
RELIABLE LANDSCAPE AND MAINTENANCE

8121 COMMONWEALTH AVE
BUENA PARK
CA
90621
Type or Classification
(B)
LANDSCAPE SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,797
Total of All Transactions with this Payee/Payer for This Schedule$8,797
Name and Address
(A)
SENECA INSURANCE COMPANY, INC.
16TH FLOOR
160 WATER STREET
NEW YORK
NY
10038-3526
Type or Classification
(B)
INSURANCE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,009
Total Non-Itemized Transactions with this Payee/Payer$2,293
Total of All Transactions with this Payee/Payer for This Schedule$22,302
COMMERCIAL PACKAGE & AUTO INSURANCE05/21/2020$20,009
Name and Address
(A)
SOUTH COAST MECHANICAL

800 E ORANGETHORPE AVE
ANAHEIM
CA
92801
Type or Classification
(B)
MECHANICAL CONTRACTOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,256
Total of All Transactions with this Payee/Payer for This Schedule$6,256
Name and Address
(A)
SPINELLI GRAPHICS, INC.
STE 2
10631 BLOOMFIELD ST
LOS ALAMITOS
CA
90720
Type or Classification
(B)
PRINTING COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,408
Total Non-Itemized Transactions with this Payee/Payer$30,425
Total of All Transactions with this Payee/Payer for This Schedule$48,833
PRINTING MATERIALS03/03/2020$5,639
PRINTING MATERIALS09/25/2020$7,542
PRINTING MATERIALS12/09/2020$5,227
Name and Address
(A)
STONES' PHONES
STE E-3
41750 RANCHO LAS PALMAS DR
RANCHO MIRAGE
CA
92270
Type or Classification
(B)
COMMUNICATIONS TECHNOLOGY PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,566
Total Non-Itemized Transactions with this Payee/Payer$3,742
Total of All Transactions with this Payee/Payer for This Schedule$10,308
VIDEO CONFERENCING SERVICE FEES04/28/2020$6,566
Name and Address
(A)
TOUCHTONE COMMUNICATIONS
780593

PHILADELPHIA
PA
19178-0593
Type or Classification
(B)
TELECOM PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,577
Total of All Transactions with this Payee/Payer for This Schedule$6,577
Name and Address
(A)
UFCW INTERNATIONAL UNION

1775 K STREET, NW
WASHINGTON
DC
20006
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,866
Total Non-Itemized Transactions with this Payee/Payer$204
Total of All Transactions with this Payee/Payer for This Schedule$7,070
BONDING INSURANCE02/12/2020$6,866
Name and Address
(A)
WAGE WORKS, INC.
45772

SAN FRANCISCO
CA
94145-0772
Type or Classification
(B)
BENEFITS ADMINISTRATORS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,606
Total of All Transactions with this Payee/Payer for This Schedule$5,606
Name and Address
(A)
ZOOM.US
STE 400
55 ALMADEN BLVD
SAN JOSE
CA
95113
Type or Classification
(B)
COMMUNICATIONS TECHNOLOGY PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,395
Total Non-Itemized Transactions with this Payee/Payer$15
Total of All Transactions with this Payee/Payer for This Schedule$7,410
VIDEO CONFERENCING SERVICE FEES10/28/2020$7,395
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 022-620

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS FILE NUMBER: 022-620

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,332,406
WORKERS COMPENSATIONBERKSHIRE HATHAWAY HOMESTATE$55,342
DEATH BENEFIT CHECKSMEMBERS$123,000
HEALTH & WELFARE FOR EMPLOYEESSO CAL UFCW JOINT TRUST FUNDS$533,769
PENSION FOR EMPLOYEESSO CAL UFCW JOINT TRUST FUNDS$304,603
RETIREE HEALTH CARE PREMIUMUFCW INTERNATIONAL UNION$135,992
INTERNATIONAL 401K SPONSOR CHARGEUFCW INTERNATIONAL UNION$2,255
401K MATCHING CONTRIBUTIONSUFCW SAVINGS & RETIREMENT PLAN$177,445
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 022-620


Question 10: SOUTHERN CALIFORNIA UFCW UNIONS AND DRUG EMPLOYERS PENSION FUND: EIN 51-6029925. 2220 HYPERIAN AVE, LOS ANGELES CA 90028. PLAN NUMBER 001. TRUST FUND PLAN PROVIDING PENSION BENEFITS TO ELIGIBLE MEMBERS AND BENEFICIARIES. SOUTHERN CALIFORNIA UFCW UNIONS AND DRUG EMPLOYERS BENEFIT FUND: EIN 95-6474516. 2220 HYPERIAN AVE, LOS ANGELES, CA 90028. PLAN NUMBER 501. TRUST FUND PLAN PROVIDING MEDICAL, DENTAL, PRESCRIPTIONS, VISION BENEFITS TO ELIGIBLE MEMBERS AND BENEFICIARIES. GENERAL SALES & UFCW UNIONS PENSION PLAN: EIN 51-602991. 2220 HYPERIAN AVE, LOS ANGELES, CA 90028. PLAN NUMBER 001. TRUST FUND PLAN PROVIDING PENSION BENEFITS TO ELIGIBLE MEMBERS AND BENEFICIARIES. SOUTHERN CALIFORNIA UFCW UNIONS & FOOD EMPLOYERS ANCILLARY FUND: EIN 33-0605485. 6425 KATELLA AVE, CYPRESS, CA 90630. PLAN NUMBER 501. TRUST FUND PLAN PROVIDING HOUSING AND EDUCATION BENEFITS TO ELIGIBLE MEMBERS AND BENEFICIARIES. SOUTHERN CALIFORNIA UNIONS & FOOD EMPLOYERS BENEFIT PLAN EIN 95-2301788 6425 KATELLA AVE, CYPRESS, CA 90630. PLAN NUMBER 501. TRUST FUND PLAN PROVIDING MEDICAL, VISION, PRESCRIPTION BENEFITS TO ELIGIBLE MEMBERS AND BENEFICIARIES. SOUTHERN CALIFORNIA UNIONS & FOOD EMPLOYERS PENSION PLAN: EIN 95-1939092. 6425 KATELLA AVE, CYPRESS CA 90630. PLAN NUMBER 001. TRUST FUND PROVIDING PENSION BENEFITS TO ELIGIBLE MEMBERS AND BENEFICIARIES. SOUTHERN CALIFORNIA UFCW UNIONS & FOOD EMPLOYERS IAP: EIN 33-0548757. 6425 KATELLA AVE, CYPRESS CA 90630. PLAN NUMBER 001. TRUST FUND PROVIDING PENSION BENEFITS TO ELIGIBLE MEMBERS AND BENEFICIARIES. UNIVERSAL TRUST FUND: EIN 95-6047046. 220 PROFESSIONAL DR, ROSEVILLE, CA 95661. PLAN NUMBER 501. TRUST FUND PROVIDING MEDICAL, DENTAL, PRESCRIPTION BENEFITS TO ELIGIBLE MEMBERS AND BENEFICIARIES. NEBA INC.: 2010 N.W. 150TH AVE, PEMBROKE PINES, FL 33028. TRUST FUND PROVIDING MEDICAL, DENTAL, PRESCRIPTION BENEFITS TO ELIGIBLE MEMBERS AND BENEFICIARIES.

Question 11(a):

Question 11(a): : : UFCW UNION LOCAL 324 POLITICAL ACTION COMMITTEE (COMMITTEE ID 1306048) FILES THE REQUIRED REPORTS WITH THE SECRETARY OF STATE POLITICAL REFORM DIVISION. THE DISTRICT COUNCIL HAS ELECTED TO NOT INCLUDE THE POLITICAL ACTION COMMITTEE ACTIVITIES FROM THE FORM LM-2.

Question 12: UFCW UNION LOCAL 324 HAS AN ANNUAL AUDIT PERFORMED BY AN OUTSIDE INDEPENDENT CPA FIRM. THE CPA FIRM IS MILLER KAPLAN ARASE LLP. THE FIRMS ADDRESS IS 4123 LANKERSHIM BLVD. NORTH HOLLYWOOD, CA 91602.

Question 15: DURING THE YEAR, THE LOCAL UNION GAVE AWAY FACE MASKS TOTALING $27,823 TO MEMBERS.

Schedule 13, Row1:AN ACTIVE MEMBER IS A FULL PAYING MEMBER WHO IS EMPLOYED WITHIN A COLLECTIVE BARGAINING UNIT REPRESENTED BY THE INTERNATIONAL UNION OF THE LOCAL UNION. AN ACTIVE MEMBER HAS FULL RIGHTS AS A MEMBER OF THE UNION AND HAVE VOTING RIGHTS.

Schedule 13, Row2:AFFILIATED MEMBERS ARE RETIRED MEMBERS. AFFILIATED MEMBERS PAY PARTIAL DUES. THEY MAY NOT VOTE IN THE ELECTION OF OFFICERS OF THE LOCAL UNION.

Schedule 13, Row2:AFFILIATED MEMBERS DO NOT HAVE VOTING RIGHTS.

General Information:

General Information: ITEM 14: THE UNION IS COVERED BY A LABOR ORGANIZATION BOND IN THE AMOUNT OF $500,000 WITH NO DEDUCTIBLE. IT ALSO HAS AN EXCESS COVERAGE POLICY OF $2,000,000 WITH A $500,000 DEDUCTIBLE.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)