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
041-697
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
1167
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
JOSEPH
 Last Name
DUFFLE
P.O Box - Building and Room Number

Number and Street
855 W. SAN BERNARDINO AVE.
City
BLOOMINGTON
State
CA		 ZIP Code + 4
923160030


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:Joe DufflePRESIDENT71. SIGNED:Matt BrunoTREASURER
Date:Mar 30, 2021Telephone Number:909-877-5000Date:Mar 30, 2021Telephone Number:909-877-5000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 041-697
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?$2,694,000
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?Yes
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?09/2021
20. How many members did the labor organization have at the end of the reporting period?18,282
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees$2.11-$13.58perWEEK$2.11$13.58
(b) Working Dues/FeesNONEperN/AN/AN/A
(c) Initiation Fees$15.60-$569.40perN/A$15.60$569.40
(d) Transfer FeesNONEperN/AN/AN/A
(e) Work PermitsNONEperN/AN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 041-697

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $16,890,533$16,642,423
23. Accounts Receivable1$128,697$89,660
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$800$800
27. Fixed Assets6$1,028,825$928,126
28. Other Assets7$39,876$47,974
29. TOTAL ASSETS $18,088,731$17,708,983

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$433,640$425,310
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$104,806$138,659
34. TOTAL LIABILITIES $538,446$563,969
35. NET ASSETS$17,550,285$17,145,014
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 041-697

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $9,208,317
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $763,817
39. Sale of Supplies $72,768
40. Interest $22,095
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$14,536
44. Loans Obtained9
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $282,769
48. Other Receipts14$561,662
49. TOTAL RECEIPTS $10,925,964
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$2,660,264
51. Political Activities and Lobbying16$654,175
52. Contributions, Gifts, and Grants17$61,347
53. General Overhead18$1,882,421
54. Union Administration19$48,802
55. Benefits20$1,228,540
56. Per Capita Tax $3,889,506
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $43,545
60. Purchase of Investments and Fixed Assets4$150,498
61. Loans Made2$0
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $283,231
65. Direct Taxes $270,169
  
66. Subtotal $11,172,498
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$989,948  
  67b. Less Total Disbursed$991,524  
  67c. Total Withheld But Not Disbursed -$1,576
68. TOTAL DISBURSEMENTS $11,174,074
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 041-697

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$89,660$0$0$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $89,660$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 041-697

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 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: 041-697

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$95,251$11,749$14,536$14,536
AUTOMOBILES$95,251$11,749$14,536$14,536
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$14,536
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 041-697

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$150,498$150,498$150,498
AUTOMOBILES$131,981$131,981$131,981
OFFICE FURNITURE AND EQUIPMENT$13,128$13,128$13,128
855 SAN BERNARDINO AVE., BLOOMINTON, CA - BLG. IMP$5,389$5,389$5,389
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$150,498
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 041-697

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$800
E. Total Book Value$800
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)) $800
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 041-697

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      855 SAN BERNARDINO AVE., BLOOMINGTON, CA 92316$38,365 $38,365$38,365
B. Buildings (give location)    
Building  1 :      855 SAN BERNARDINO AVE., BLOOMINGTON, CA 92316$2,548,565$1,973,766$574,799$574,799
C. Automobiles and Other Vehicles$427,025$217,449$209,576$209,576
D. Office Furniture and Equipment$551,291$445,905$105,386$105,386
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)) $3,565,246$2,637,120$928,126$928,126
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 041-697

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $47,974
PREPAID EXPENSES$47,974
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 041-697

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$425,310$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $425,310$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 041-697

Source of Loans Payable at Any
Time During the Reporting Period
(A) 		Loans Owed at
Start of Period
(B) 		Loans Obtained
During Period
(C) 		Repayment
During Period
Cash
(D)(1) 		Repayment
During Period
Other Than Cash
(D)(2) 		Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 041-697

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $138,659
DUE TO U.F.C.W. INTERNATIONAL UNION ABC$23,380
EXCHANGES - PAYROLL$19,173
DUE TO U.F.C.W. REGION 8 STATES COUNCIL$11,040
ACCRUED VACATION AND SICK TIME$85,066
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 041-697

(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 		DUFFLE ,  JOSEPH  
PRESIDENT
C		$163,116$0$12,223$0$175,339
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		BRUNO ,  MATTHEW  
SECRETARY/TREASURER/VP
C		$127,338$405$7,156$0$134,899
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		FRANKS ,  KATHLEEN  
OFFICE MANAGER/RECORDER
C		$97,768$600$404$0$98,772
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		2 %
A
B
C 		CASTILLO ,  DANNY  
VICE PRESIDENT
C		$0$540$0$0$540
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 		GONZALEZ ,  YESENIA  
DIRECTOR OF ORGANIZING
C		$97,011$450$4,474$0$101,935
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		HARRIS ,  GERALD  
VICE PRESIDENT
C		$0$495$0$0$495
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 		JIMENEZ ,  TERECITA  
VICE PRESIDENT
C		$0$540$0$0$540
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 		KONTRA ,  ALAN  
DIRECTOR OF GRIEVANCE/VP
N		$106,467$495$8,191$0$115,153
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		ORTEGA ,  HERMAN  
VICE PRESIDENT
C		$0$540$0$0$540
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 		PAZ ,  CARMEN  
UNION REPRESENTATIVE/VP
C		$95,640$540$6,672$0$102,852
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		PUGSLEY ,  CHRISTINA  
UNION REPRESENTATIVE/VP
N		$95,640$540$6,271$0$102,451
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		SANCHEZ ,  DAVID  
VICE PRESIDENT
C		$0$540$0$0$540
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 		SHAMBLIN ,  JEFFREY  
VICE PRESIDENT
C		$0$450$0$0$450
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
Total Officer Disbursements$782,980$6,135$45,391$0$834,506
Less Deductions    $291,081
Net Disbursements    $543,425
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 041-697

(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 		ADAME ,  REBECCA   M
CLERK
N/A		$17,216$0$0$0$17,216
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 		ARREOLA ,  ALMA   B
INSURANCE CLERK
N/A		$15,052$0$0$0$15,052
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 		AURE ,  ANTONIETA  
INSURANCE CLERK
N/A		$46,198$0$0$0$46,198
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 		CABRAL ,  ANA  
ORGANIZER
N/A		$95,588$0$4,861$0$100,449
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		COLLARD ,  BILLY  
UNION REPRESENTATIVE
N/A		$95,588$0$4,089$0$99,677
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		CORREA ,  JOSE  
UNION REPRESENTATIVE
N/A		$95,640$0$4,816$0$100,456
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ESPINOZA ,  JERRY   P
UNION REPRESENTATIVE
N/A		$95,640$0$9,317$0$104,957
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FERNANDEZ ,  JOSHUA   R
CLERK
N/A		$47,823$0$870$0$48,693
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 		FRANZ ,  SHANNON   D
INSURANCE CLERK
N/A		$46,703$0$0$0$46,703
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 		GALLEGOS ,  LISSET   B
UNION REPRESENTATIVE
N/A		$75,657$0$4,869$0$80,526
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		GANTNER ,  MELINDA  
CLERK
N/A		$17,689$0$0$0$17,689
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 		JACKSON-ELIAS ,  NANCY   G
CLERK
N/A		$50,605$0$19$0$50,624
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 		JONES ,  DIANE  
BOOKEEPING SUPERVISOR
N/A		$72,950$0$326$0$73,276
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 		LARA ,  ARIANA  
CLERK
N/A		$43,333$0$0$0$43,333
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 		LERNIHAN ,  JAMES  
CLERK
N/A		$49,125$0$525$0$49,650
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 		MAGANA ,  FRANCISCO   E
CLERK
N/A		$47,898$0$106$0$48,004
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 		MARENTES ,  CHRISTOPHER   A
UNION REPRESENTATIVE
N/A		$95,589$0$4,905$0$100,494
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 		MEJIA ,  ANA   D
INSURANCE CLERK
N/A		$45,818$0$0$0$45,818
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 		MOLINA ,  MARIA  
CLERK
N/A		$47,134$0$2$0$47,136
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 		MULCAHY ,  JEFF  
INSURANCE SUPERVISOR
N/A		$72,951$0$109$0$73,060
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 		PADILLA ,  JENNIFER  
CLERK
N/A		$45,867$0$0$0$45,867
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 		PARADA ,  KENNY   B
ORGANIZER
N/A		$95,589$0$6,416$0$102,005
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		PARHAM ,  JOSEPH  
UNION REPRESENTATIVE
N/A		$93,501$0$5,412$0$98,913
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		PEREZ ,  MARIA  
UNION REPRESENTATIVE
N/A		$103,052$0$4,005$0$107,057
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 		QUINTANILLA ,  CHRISTY  
CLERK
N/A		$47,051$0$61$0$47,112
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 		ROBLES ,  CHRISTINA   M
INSURANCE CLERK
N/A		$43,725$0$0$0$43,725
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 		ROMERO ,  NICOLAS  
UNION REPRESENTATIVE
N/A		$95,589$0$4,482$0$100,071
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SANCHEZ ,  JULIENNE  
INSURANCE CLERK
N/A		$46,251$0$0$0$46,251
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 		SIMMERING ,  DAVID   P
UNION REPRESENTATIVE
N/A		$93,832$0$4,787$0$98,619
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		SUAREZ ,  GABRIEL  
UNION REPRESENTATIVE
N/A		$95,640$0$5,642$0$101,282
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		URIBE ,  SHANTHAL   G
INSURANCE CLERK
N/A		$28,829$0$0$0$28,829
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 		VELARDE ,  ARON JAVIER  
ORGANIZER
N/A		$95,588$0$8,759$0$104,347
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		VILLASENOR ,  BETTY   A
MEMBERSHIP SUPERVISOR
N/A		$72,989$0$262$0$73,251
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$9,138$0$0$9,138
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 %
Total Employee Disbursements$2,140,838$0$74,640$0$2,215,478
Less Deductions    $698,867
Net Disbursements    $1,516,611
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 041-697

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 18,282 
Agency Fee Payers*
Total Members/Fee Payers18,282 
*Agency Fee Payers are not considered members of the labor organization.
ACTIVE MEMBERS16,697Yes
RETIRED MEMBERS1,585No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 041-697

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$490,009
2. Named Payer Non-itemized Receipts$49,521
3. All Other Receipts$22,132
4. Total Receipts$561,662
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$10,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$51,347
6. Total Disbursements$61,347
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$470,022
2. Named Payee Non-itemized Disbursements$42,046
3. To Officers$811,059
4. To Employees$1,279,844
5. All Other Disbursements$57,293
6. Total Disbursements$2,660,264
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$572,715
2. Named Payee Non-itemized Disbursements$250,341
3. To Officers$4,939
4. To Employees$916,625
5. All Other Disbursements$137,801
6. Total Disbursements$1,882,421
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$564,300
2. Named Payee Non-itemized Disbursements$16,496
3. To Officers$6,100
4. To Employees$19,009
5. All Other Disbursements$48,270
6. Total Disbursements$654,175
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$7,645
2. Named Payee Non-itemized Disbursements$9,800
3. To Officers$12,407
4. To Employees$0
5. All Other Disbursements$18,950
6. Total Disbursements$48,802
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 041-697

Name and Address
(A)
SO CAL UFCW & FOOD EIBFA
6010

CYPRESS
CA
Type or Classification
(B)
AFFILIATED EMPLOYEE BENEFIT PLAN
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$463,809
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$463,809
ADMIN EXPENSES REIMBURSED01/31/2020$34,827
ADMIN EXPENSES REIMBURSED02/29/2020$47,275
ADMIN EXPENSES REIMBURSED03/31/2020$39,792
ADMIN EXPENSES REIMBURSED05/31/2020$84,620
ADMIN EXPENSES REIMBURSED07/31/2020$60,991
ADMIN EXPENSES REIMBURSED09/30/2020$81,019
ADMIN EXPENSES REIMBURSED11/30/2020$41,272
ADMIN EXPENSES REIMBURSED12/31/2020$74,013
Name and Address
(A)
SOUTHERN CALIFORNIA DRUG BENEF

2220 HYPERION AVE
LOS ANGELES
CA
90027
Type or Classification
(B)
AFFILIATED EMPLOYEE BENEFIT PLAN
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,537
Total Non-Itemized Transactions with this Payee/Payer$32,227
Total of All Transactions with this Payee/Payer for This Schedule$46,764
ADMIN EXPENSES REIMBURSED05/31/2020$5,059
ADMIN EXPENSES REIMBURSED09/30/2020$9,478
Name and Address
(A)
STATE COMPENSATION INSURANCE FUND

5880 OWENS DRIVE
PLEASANTON
CA
94588
Type or Classification
(B)
SATE COMPENSATION INSURANCE FUND
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,815
Total of All Transactions with this Payee/Payer for This Schedule$6,815
Name and Address
(A)
STATE OF CALIFORNIA DISABILITY INSURANCE

371 W 3RD. STREET
SAN BERNARDINO
CA
92401
Type or Classification
(B)
GOVERNMENT AGENCY - STATE DISABILITY INS.
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,479
Total of All Transactions with this Payee/Payer for This Schedule$10,479
Name and Address
(A)
UFCW LOCAL 1428

705 WEST ARROW HIGHWAY
CLAREMONT
CA
91711
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,663
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$11,663
CHARITABLE CONTRIBUTION10/31/2020$11,663
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 041-697

Name and Address
(A)
BLEIWEISS COMMUNICATIONS, INC.
8160

CALABASAS
CA
91372
Type or Classification
(B)
COMMUNICATIONS FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$151,526
Total Non-Itemized Transactions with this Payee/Payer$10,377
Total of All Transactions with this Payee/Payer for This Schedule$161,903
CONSULTING01/02/2020$6,288
CONSULTING03/02/2020$6,340
CONSULTING04/04/2020$6,415
CONSULTING04/14/2020$7,258
CONSULTING05/05/2020$33,000
CONSULTING06/01/2020$6,288
CONSULTING06/15/2020$6,288
CONSULTING07/01/2020$33,000
CONSULTING08/03/2020$7,394
CONSULTING09/01/2020$7,394
CONSULTING10/01/2020$7,394
CONSULTING10/01/2020$8,994
CONSULTING12/01/2020$8,079
CONSULTING12/10/2020$7,394
Name and Address
(A)
MAILING PROS, INC.

5261 BUSINESS DR.
HUNTINGTON BEACH
CA
92649
Type or Classification
(B)
SHIPPING CENTER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,599
Total of All Transactions with this Payee/Payer for This Schedule$7,599
Name and Address
(A)
PETER P. WAASDORP

855 W. SAN BERNARDINO AVE.
BLOOMINGTON
CA
92316
Type or Classification
(B)
CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$24,070
Total of All Transactions with this Payee/Payer for This Schedule$24,070
Name and Address
(A)
THE HARMAN PRESS INC

6840 VINELAND AVE.
NORTH HOLLYWOOD
CA
91605
Type or Classification
(B)
PRINTING COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$48,846
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$48,846
PRINTING03/26/2020$11,240
PRINTING06/11/2020$11,295
PRINTING09/24/2020$13,135
PRINTING12/28/2020$13,176
Name and Address
(A)
UFCW INTERNATIONAL UNION

1775 K STREET NW
WASHINGTON
DC
20006
Type or Classification
(B)
AFFILIATED INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$129,250
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$129,250
ORGANIZING EXPENSE01/02/2020$10,379
ORGANIZING EXPENSE02/03/2020$10,537
ORGANIZING EXPENSE03/02/2020$10,283
ORGANIZING EXPENSE04/01/2020$10,281
ORGANIZING EXPENSE05/01/2020$10,299
ORGANIZING EXPENSE06/01/2020$10,972
ORGANIZING EXPENSE07/01/2020$10,761
ORGANIZING EXPENSE08/03/2020$10,425
ORGANIZING EXPENSE09/01/2020$10,338
ORGANIZING EXPENSE10/01/2020$11,152
ORGANIZING EXPENSE12/01/2020$11,819
ORGANIZING EXPENSE12/02/2020$12,004
Name and Address
(A)
WOHLNER KAPLON CUTLER HALFORD
304
16501 VENTURA BLVD.
ENCINO
CA
91436
Type or Classification
(B)
LEGAL COUNSEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$140,400
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$140,400
MONTHLY RETAINER FEE01/13/2020$11,700
MONTHLY RETAINER FEE02/12/2020$11,700
MONTHLY RETAINER FEE03/12/2020$11,700
MONTHLY RETAINER FEE04/14/2020$11,700
MONTHLY RETAINER FEE05/05/2020$11,700
MONTHLY RETAINER FEE06/08/2020$11,700
MONTHLY RETAINER FEE07/09/2020$11,700
MONTHLY RETAINER FEE08/10/2020$11,700
MONTHLY RETAINER FEE09/04/2020$11,700
MONTHLY RETAINER FEE10/07/2020$11,700
MONTHLY RETAINER FEE11/12/2020$11,700
MONTHLY RETAINER FEE12/10/2020$11,700
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 041-697

Name and Address
(A)
BEATRIZ GONZALEZ FOR DESERT COMMUNITY

777 S. FIGUEROA ST .
LOS ANGELES
CA
90017
Type or Classification
(B)
POLITICAL CANDIDATE
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
POLITICAL CONTRIBUTION09/01/2020$5,000
Name and Address
(A)
CALIFORNIA LATINO PAC

777 S. FIGUEROA ST .
LOS ANGELES
CA
90017
Type or Classification
(B)
POLITICAL ACTION COMMITTEE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$40,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$40,000
POLITICAL CONTRIBUTION01/23/2020$25,000
POLITICAL CONTRIBUTION03/09/2020$15,000
Name and Address
(A)
ELIZABETH ROMERO FOR 28TH SEN. DISTRI.

777 S. FIGUEROA ST .
LOS ANGELES
CA
90017
Type or Classification
(B)
POLITICAL CANDIDATE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,300
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,300
POLITICAL CONTRIBUTION01/21/2020$9,300
Name and Address
(A)
INLAND EMPIRE LABOR COUNCIL COPE

1074 E LA CADENA DR. STE. 1
RIVERSIDE
CA
92507
Type or Classification
(B)
LABOR COUNCIL COPE
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
POLITICAL CONTRIBUTION03/09/2020$10,000
Name and Address
(A)
KAUFMAN LEGAL GROUP

777 S. FIGUEROA ST .
LOS ANGELES
CA
90017
Type or Classification
(B)
LEGAL COUNSEL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,296
Total of All Transactions with this Payee/Payer for This Schedule$9,296
Name and Address
(A)
MEDINA FOR STATE SENATE 2020

456 MONTGOMERY ST. #1350
SAN FRANCISCO
CA
94104
Type or Classification
(B)
STATE SENATE CANDIDATE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,200
Total of All Transactions with this Payee/Payer for This Schedule$7,200
Name and Address
(A)
UFCW INTERNATION UNION

1775 K ST. NW
WASHINGTON
DC
20006
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$500,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$500,000
POLITICAL CONTRIBUTION09/04/2020$250,000
POLITICAL CONTRIBUTION10/01/2020$250,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 041-697

Name and Address
(A)
LEUKEMIA & LYMPHOMA SOCIETY

4200 WOODLAND DRIVE
LA MESA
CA
91941
Type or Classification
(B)
CHARITABLE ORGANIZATION
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
CHARITABLE CONTRIBUTION09/04/2020$10,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 041-697

Name and Address
(A)
A TO Z PRINTING
666

RIVERSIDE
CA
92502
Type or Classification
(B)
STATIONERY AND SUPPLIES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,748
Total Non-Itemized Transactions with this Payee/Payer$9,073
Total of All Transactions with this Payee/Payer for This Schedule$15,821
STATIONERY AND SUPPLIES12/02/2020$6,748
Name and Address
(A)
AIR TECH SERVICES, INC.
401235

HESPERIA
CA
92340
Type or Classification
(B)
AIR CONDITIONER SERVICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,627
Total of All Transactions with this Payee/Payer for This Schedule$7,627
Name and Address
(A)
ALFONSO'S TREE SERVICE

4565 MUSTANG ROAD
CHINO
CA
91710
Type or Classification
(B)
TREE SERVICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,000
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Name and Address
(A)
AMERICAN SERVCO IMAGING SYSTEMS, INC.

12523 LIMONITE AVE.
MIRA LOMA
CA
91752
Type or Classification
(B)
EQUIPMENT MAINTENANCE SERVICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,175
Total of All Transactions with this Payee/Payer for This Schedule$5,175
Name and Address
(A)
AMERICAN UNONS EMBROIDERY

123 SWIGGUM ROAD
WESTBY
WI
54667
Type or Classification
(B)
PRINTING AND EMBROIDERY COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,964
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$24,964
UNION LOGO PRODUCTS07/09/2020$5,753
UNION LOGO PRODUCTS12/28/2020$19,211
Name and Address
(A)
AT&T

3625 VERMONT AVENUE
LOS ANGELES
CA
90007
Type or Classification
(B)
TELEPHONE AND INTERNET COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,823
Total of All Transactions with this Payee/Payer for This Schedule$5,823
Name and Address
(A)
BURRTEC WASTE INDUSTRIES, INC.

111 E. MILL ST.
SAN BERNARDINO
CA
92408
Type or Classification
(B)
WASTE MANAGEMENT COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,361
Total of All Transactions with this Payee/Payer for This Schedule$5,361
Name and Address
(A)
CIT
550599

JACKSONVILLE
FL
32255
Type or Classification
(B)
OFFICE EQUIPMENT SERVICE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,749
Total of All Transactions with this Payee/Payer for This Schedule$11,749
Name and Address
(A)
COMPLETE OFFICE, INC


CERRITOS
CA
90703
Type or Classification
(B)
OFFICE SUPPLIES COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,963
Total of All Transactions with this Payee/Payer for This Schedule$15,963
Name and Address
(A)
CROWN POINT PRINTING SERVICES
2467

PLACERVILLE
CA
95667
Type or Classification
(B)
PRINTING COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,950
Total of All Transactions with this Payee/Payer for This Schedule$14,950
Name and Address
(A)
DELANEY INSURANCE AGENCY

8231 WHITE OAK AVE.
RANCHO CUCAMONGA
CA
91730
Type or Classification
(B)
INSURANCE AGENCY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,778
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$19,778
INSURANCE PREMIUM04/14/2020$10,960
INSURANCE PREMIUM12/28/2020$8,818
Name and Address
(A)
ELITE LAWN & LANDSCAPING INC.

231 E ALESSANDRO BLVD
RIVERSIDE
CA
92508
Type or Classification
(B)
LANDSCAPE MAINTENANCE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,027
Total of All Transactions with this Payee/Payer for This Schedule$15,027
Name and Address
(A)
IMAGE POINTE

1224 LaPORTE RD.
WATERLOO
IA
50702
Type or Classification
(B)
UNION SHOP
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,510
Total Non-Itemized Transactions with this Payee/Payer$9,962
Total of All Transactions with this Payee/Payer for This Schedule$18,472
PUBLIC RELATIONS - EMBROIDERED HATS05/28/2020$8,510
Name and Address
(A)
LIBERTY MUTUAL INSURANCE

175 BERKELEY STREET
BOSTON
MA
02116
Type or Classification
(B)
INSURANCE AGENCY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,536
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$17,536
INSURANCE PREMIUM04/08/2020$11,919
INSURANCE PREMIUM04/08/2020$5,617
Name and Address
(A)
MILLER KAPLAN ARASE LLP

4123 LANKERSHIM BLVD
NORTH HOLLYWOOD
CA
91602
Type or Classification
(B)
PUBLIC ACCOUNTING FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$314,850
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$314,850
ACCOUNTING AND AUDITING SERVICES01/07/2020$18,700
ACCOUNTING AND AUDITING SERVICES01/29/2020$21,680
ACCOUNTING AND AUDITING SERVICES03/12/2020$28,500
ACCOUNTING AND AUDITING SERVICES03/26/2020$5,900
ACCOUNTING AND AUDITING SERVICES04/28/2020$48,400
ACCOUNTING AND AUDITING SERVICES05/28/2020$46,800
ACCOUNTING AND AUDITING SERVICES06/25/2020$37,800
ACCOUNTING AND AUDITING SERVICES08/10/2020$18,400
ACCOUNTING AND AUDITING SERVICES09/04/2020$22,300
ACCOUNTING AND AUDITING SERVICES10/07/2020$12,800
ACCOUNTING AND AUDITING SERVICES11/02/2020$24,800
ACCOUNTING AND AUDITING SERVICES12/01/2020$18,970
ACCOUNTING AND AUDITING SERVICES12/28/2020$9,800
Name and Address
(A)
PEGASUS RESEARCH IN.

5713 AVENIDA SILLA
LAS VEGAS
NV
89108
Type or Classification
(B)
INFORMATION TECHNOLOGY CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,880
Total Non-Itemized Transactions with this Payee/Payer$4,095
Total of All Transactions with this Payee/Payer for This Schedule$12,975
NETWORK MAINTENANCE01/27/2020$8,880
Name and Address
(A)
PITNEY BOWES

2225 AMERICAN DR
NEENAH
WI
54956
Type or Classification
(B)
MAILING SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$80,050
Total Non-Itemized Transactions with this Payee/Payer$7,911
Total of All Transactions with this Payee/Payer for This Schedule$87,961
POSTAGE EXPENSES03/12/2020$20,000
POSTAGE EXPENSES06/25/2020$20,000
POSTAGE EXPENSES09/17/2020$20,000
POSTAGE EXPENSES12/28/2020$20,050
Name and Address
(A)
RAMIRO NAVARRO

3303 S ARCHIBALD AVE
ONTARIO
CA
91761
Type or Classification
(B)
BUILDING MAINTENANCE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$25,082
Total of All Transactions with this Payee/Payer for This Schedule$25,082
Name and Address
(A)
SHOP POP DISPLAYS INC.

220 BROWERTOWN ROAD.
WOODLAND PARK
NJ
07424
Type or Classification
(B)
ACRYLIC DISPLAYS SHOP
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,933
Total of All Transactions with this Payee/Payer for This Schedule$7,933
Name and Address
(A)
SOUTHERN CAL EDISON
300

ROSEMEAD
CA
91772
Type or Classification
(B)
PUBLIC UTILITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,273
Total Non-Itemized Transactions with this Payee/Payer$22,170
Total of All Transactions with this Payee/Payer for This Schedule$35,443
UTILITIES10/14/2020$13,273
Name and Address
(A)
THE HARMAN PRESS INC.

6840 VINELAND AVE.
NORTH HOLLYWWOD
CA
91605
Type or Classification
(B)
PRINTING COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,387
Total of All Transactions with this Payee/Payer for This Schedule$6,387
Name and Address
(A)
THOM MASTERS CONSTRUCTION

17697 WOODCREST DR.
DEVORE
CA
92407
Type or Classification
(B)
CONSTRUCTION COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,763
Total Non-Itemized Transactions with this Payee/Payer$4,872
Total of All Transactions with this Payee/Payer for This Schedule$23,635
BUILDING MAINTENANCE AND REPAIRS01/29/2020$5,389
BUILDING MAINTENANCE AND REPAIRS09/01/2020$13,374
Name and Address
(A)
U.S. POSTAL SERVICE

10191 LINDEN AVE
BLOOMINGTON
CA
92316
Type or Classification
(B)
POST OFFICE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer$2,749
Total of All Transactions with this Payee/Payer for This Schedule$22,749
POSTAGE EXPENSES07/16/2020$5,000
POSTAGE EXPENSES07/31/2020$15,000
Name and Address
(A)
UFCW INTERNATIONAL UNION

1775 K ST., NW
WASHINGTON
DC
20006
Type or Classification
(B)
AFFILIATED INTERNATIONAL UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,960
Total Non-Itemized Transactions with this Payee/Payer$522
Total of All Transactions with this Payee/Payer for This Schedule$6,482
INSURANCE - BONDING02/03/2020$5,960
Name and Address
(A)
UFCW LOCAL 135

8530 STANTON AVE.
BUENA PARK
CA
90620
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$33,403
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$33,403
FACE MASKS05/13/2020$33,403
Name and Address
(A)
WELLS FARGO BANK

190 W FOOTHILL BLVD.
RIALTO
CA
92376
Type or Classification
(B)
FINANCIAL SERVICES/EQUIPMENT LEASE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,326
Total of All Transactions with this Payee/Payer for This Schedule$10,326
Name and Address
(A)
WEST VALLEY WATER DISTRICT
920

RIALTO
CA
92377
Type or Classification
(B)
PUBLIC UTILITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,614
Total of All Transactions with this Payee/Payer for This Schedule$10,614
Name and Address
(A)
WESTERN EXTERMINATORS

15157 SIERRA BONITA LN
CHINO
CA
91710
Type or Classification
(B)
PEST CONTROL COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,066
Total of All Transactions with this Payee/Payer for This Schedule$6,066
Name and Address
(A)
WINDSTREAM INC
3177

CEDAR RAPIDS
IA
52406
Type or Classification
(B)
TELEPHONE COMPANY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$35,904
Total of All Transactions with this Payee/Payer for This Schedule$35,904
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 041-697

Name and Address
(A)
IFEBP

18700 W. BLUEMOUND ROAD
BROOKFIELD
WI
53045
Type or Classification
(B)
COMMUNITY SERVICE/NON-PROFIT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,800
Total of All Transactions with this Payee/Payer for This Schedule$9,800
Name and Address
(A)
THE RX CONSULTANT
1516

MARTINEZ
CA
94553
Type or Classification
(B)
CONSULTANT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,645
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,645
MEMBER - TRAINING/MEETING04/14/2020$7,645
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 041-697

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,228,540
LIFE INSURANCEMETLIFE$459,282
DEATH BENEFITSBENEFICIARIES OF MEMBERS$6,000
HEALTH AND WELFARE BENEFITSTRUST FUND$397,126
PENSION BENEFITSTRUST FUND$205,556
HEALTH AND WELFARE BENEFITS - RETIRED MEMBERSUFCW INTERNATIONAL UNION$83,087
WORKERS COMPENSATION INSURANCESTATE FUND$59,875
PENSION BENEFITSUFCW INTERNATIONAL UNION$17,614
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 041-697


Question 10: UNITED FOOD AND COMMERCIAL WORKERS UNION AND FOOD EMPLOYERS BENEFIT FUND 6425 KATELLA AVENUE, CYPRESS, CALIFORNIA 90630 E.I.N. 95-2301788; PLAN NO. 501 EMPLOYEE WELFARE PLAN PROVIDING CERTAIN MEDICAL, DENTAL, PRESCRIPTION, ETC. BENEFITS TO ELIGIBLE MEMBERS AND BENEFICIARIES. SOUTHERN CALIFORNIA UNITED FOOD AND COMMERCIAL WORKERS UNION AND FOOD EMPLOYERS JOINT PENSION TRUST FUND 6425 KATELLA AVENUE, CYPRESS, CALIFORNIA 90630 E.I.N. 95-1939092; PLAN NO. 001 DEFINED BENEFITS PENSION PLAN PROVIDING PENSION BENEFITS TO MEMBERS AND BENEFICIARIES. SOUTHERN CALIFORNIA UNITED FOOD AND COMMERCIAL WORKERS UNION AND FOOD EMPLOYERS SUPPLEMENTARY DISABILITY BENEFIT FUND 6425 KATELLA AVENUE, CYPRESS, CALIFORNIA 90630 E.I.N. 95-6095499; PLAN NO. 501 EMPLOYEE WELFARE PLAN PROVIDING SUPPLEMENTAL UNEMPLOYMENT AND DISABILITY PAYMENTS TO ELIGIBLE MEMBERS AND BENEFICIARIES. SOUTHERN CALIFORNIA DRUG BENEFIT 2200 HYPERION AVENUE, LOS ANGELES, CALIFORNIA 90027 E.I.N. 95-6474516; PLAN NO.501 EMPLOYEE WELFARE PLAN PROVIDING MEDICAL, DENTAL, PRESCRIPTION, ETC. BENEFITS TO ELIGIBLE MEMBERS AND BENEFICIARIES. SOUTHERN CALIFORNIA UNITED FOOD AND COMMERCIAL WORKERS UNION AND DRUG EMPLOYERS PENSION FUND 2200 HYPERION AVENUE, LOS ANGELES, CALIFORNIA 90027 E.I.N. 95-6029925; PLAN NO. 001 DEFINED BENEFITS PENSION PLAN PROVIDING PENSION BENEFITS TO MEMBERS AND BENEFICIARIES. SOUTHERN CALIFORNIA GENERAL SALES EMPLOYERS AND UNITED FOOD AND COMMERCIAL WORKERS UNION PENSION FUND 2200 HYPERION AVENUE, LOS ANGELES, CALIFORNIA 90027 E.I.N. 95-6029991; PLAN NO.001 DEFINED BENEFITS PENSION PLAN PROVIDING PENSION BENEFITS TO MEMBERS AND BENEFICIARIES.

Question 11(a):

Question 11(a): : : : UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 1167 PAC (COMMITTEE ID 1254111). FILES RECIPIENT COMMITTEE CAMPAIGN STATEMENTS WITH THE SECRETARY OF STATE - POLITICAL REFORM DIVISION. THE ORGANIZATION HAS ELECTED TO INCLUDE THE POLITICAL ACTIVITY IN THE REPORT.

Question 15: THE LOCAL UNION PURCHASED VARIOUS LOGO ITEMS TOTALING APPROXIMATELY $77,000 TO MAKE AVAILABLE TO ITS MEMBERS. THE UNION RECEIVED A TRADE-IN ALLOWANCE OF $5,000 ON THE TRADE-IN OF THE 2016 CHEVROLET MALIBU WHICH HAD A COST OF $16,723, ACCUMULATED DEPRECIATION OF $15,887 AND A BOOK VALUE OF $836. $4,164 WAS APPLIED TO THE PURCHASE OF A NEW AUTOMOBILE. THE UNION GIFTED ITS 2017 CHEVY IMPALA WHICH HAD A COST OF $24,428, ACCUMULATED DEPRECIATION OF $17,710 AND A BOOK VALUE OF $6,718 TO PETER P. WAASDORP, FORMER DIRECTOR OF COMMUNICATION/VP WHO RETIRED DURING 2019.

Question 17: ONE OF THE FORMER EMPLOYEES OF THE LOCAL UNION WAS INVOLVED IN A CAR ACCIDENT DURING 2019. THE DRIVER OF THE OTHER CAR HAS FILED A LAWSUIT AGAINST THE LOCAL UNION EVEN THOUGH THE LOCAL UNION HAS A

LREADY PAID FOR ALL KNOWN DAMAGES. AT THIS POINT, THE LOCAL UNION CAN NOT DETERMINE THE AMOUNT OF ANY ADDITIONAL DAMAGES, IF ANY, THAT IT MIGHT BE LIABLE TO THE OTHER DRIVER.

Question 12: MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BOULEVARD NORTH HOLLYWOOD, CALIFORNIA, 91602-2828

Schedule 13, Row1:MEMBERS WHO ARE WORKING.

Schedule 13, Row2:MEMBERS WHO ARE RETIRED AND NOT WORKING.

Schedule 13, Row2:RETIRED MEMBERS DO NOT HAVE VOTING RIGHTS.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)