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
545-360
2. PERIOD COVERED
From07/01/2020
Through06/30/2021
3. (a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This is a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
STATE COUNTY AND MUNI EMPLS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
COUNCIL
 6. DESIGNATION NBR
962
7. UNIT NAME (if any)
AFSCME COUNCIL 962
8. MAILING ADDRESS (Type or print in capital letters)
First Name
ERIN
 Last Name
YOUNG
P.O Box - Building and Room Number

Number and Street
1424 NORTH PENNSYLVANIA STREET
City
INDIANAPOLIS
State
IN		 ZIP Code + 4
46202


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:Lee A SaundersPRESIDENT71. SIGNED:Elissa M McBrideSECRETARY - TREASURER
Date:Oct 07, 2021Telephone Number:202-429-1000Date:Oct 07, 2021Telephone Number:202-429-1000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 545-360
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?Yes
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?11/2022
20. How many members did the labor organization have at the end of the reporting period?3,000
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees40.82perMonth24.8551.80
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 545-360

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $257,178$630,470
23. Accounts Receivable1$0
24. Loans Receivable2
25. U.S. Treasury Securities $0$0
26. Investments5
27. Fixed Assets6$167,636$154,991
28. Other Assets7$105,133$74,199
29. TOTAL ASSETS $529,947$859,660

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$179,248$13,947
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$658,287$257,480
34. TOTAL LIABILITIES $837,535$271,427
35. NET ASSETS-$307,588$588,233
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 545-360

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $2,666,944
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $145
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $400,951
47. From Members for Disbursement on Their Behalf $24,096
48. Other Receipts14$213,874
49. TOTAL RECEIPTS $3,306,010
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$478,306
51. Political Activities and Lobbying16$56,966
52. Contributions, Gifts, and Grants17$3,450
53. General Overhead18$273,083
54. Union Administration19$89,033
55. Benefits20$554,029
56. Per Capita Tax $1,065,813
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $400,951
64. On Behalf of Individual Members $24,096
65. Direct Taxes $46,020
  
66. Subtotal $2,991,747
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$186,266  
  67b. Less Total Disbursed$127,237  
  67c. Total Withheld But Not Disbursed $59,029
68. TOTAL DISBURSEMENTS $2,932,718
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 545-360

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    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 545-360

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: 545-360

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Gross Sales Price
(D) 		Amount Received
(E)
Total of all lines above$0$0$0$0
Less Reinvestments 
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 545-360

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments 
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 545-360

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost
E. Total Book Value
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.  
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 545-360

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      Land 1 : Land 1 : 1424 N Pennsylvania Street$17,142 $17,142$50,000
Land  2 :      Land 2 : Land 2 : 2222 W Ridge Road, Gary, I$7,000 $7,000$7,000
B. Buildings (give location)    
Building  1 :      Building 1 : Building 1 : 1424 N Pennsylvani$151,070$36,925$114,145$700,000
Building  2 :      Building 2 : 2222 W Ridge Road, Gary, IN 464$20,398$6,025$14,373$25,000
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$34,798$32,467$2,331$0
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $230,408$75,417$154,991$782,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 545-360

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $74,199
Dues Receivable$70,469
Security Deposits$3,730
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 545-360

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$13,947$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $13,947$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 545-360

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: 545-360

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $257,480
Accrued Payroll/Expns Payable$6,679
Vacation Accrual$34,552
LU Rebates Payable$53,295
PCT Payable$144,931
Local Payable - Other$18,023
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 545-360

(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 		Robertson ,  David   A
Executive Director
C		$65,827$810$1,029$67,666
I
Schedule 15
Representational Activities 		57 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		42 %
A
B
C 		Garcia ,  Debra   L
Executive Director
P		$750$750
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
Total Officer Disbursements$65,827$810$1,029$750$68,416
Less Deductions    $7,142
Net Disbursements    $61,274
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 545-360

(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 		Anderson ,  Charal  
Office Assistant
N/A		$9$9
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		Burcham ,  Andrew  
Staff Representative
N/A		$65,320$1,500$721$67,541
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		1 %
A
B
C 		Dillard ,  Tina  
Staff Representative
N/A		$56,100$750$2,004$58,854
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		1 %
A
B
C 		Hawes-Wilson ,  rebecca  
Staff Representative
N/A		$5,480$120$327$5,927
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		1 %
A
B
C 		Hollingsworth ,  Elesha  
Staff Representative
N/A		$14,781$207$14,988
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		1 %
A
B
C 		Jackson ,  Donna  
Staff Representative
N/A		$50,538$750$3,660$54,948
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		1 %
A
B
C 		Kerce ,  Clifford  
Director of Organizing
N/A		$7,872$480$1,531$9,883
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		2 %
A
B
C 		Kersling ,  Norma  
Field Staff Cordinator
N/A		$17$17
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		4 % Schedule 19
Administration 		1 %
A
B
C 		Lagorio ,  Benjamin  
Staff Representative
N/A		$17,654$180$178$18,012
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		1 %
A
B
C 		Nuckles ,  Crystal  
Office Assistant
N/A		$36,492$139$36,631
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		Perla ,  Samantha  
Staff Representative
N/A		$7,269$7,269
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		1 %
A
B
C 		Prophet ,  Julie  
Controller
N/A		$7,047$135$7,182
I
Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		100 %
A
B
C 		Richmond ,  Ronald  
Director Pol. Actv & Comm
N/A		$77,285$810$3,692$81,787
I
Schedule 15
Representational Activities 		70 % Schedule 16
Political Activities and Lobbying 		25 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		5 %
A
B
C 		Riggs ,  Jay  
Staff Representative
N/A		$16$16
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		1 %
A
B
C 		Stigger ,  Cassandra  
Staff Representative
N/A		$56,903$990$1,764$59,657
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		1 %
A
B
C 		Wallace ,  Jay  
Staff Representative
N/A		$65,741$3,902$69,643
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration 		1 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$0
I Schedule 15
Representational Activities 		Schedule 16
Political Activities and Lobbying 		Schedule 17
Contributions 		Schedule 18
General Overhead 		Schedule 19
Administration
Total Employee Disbursements$468,524$5,580$18,260$0$492,364
Less Deductions    $49,142
Net Disbursements    $443,222
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 545-360

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 3,000 
Agency Fee Payers*
Total Members/Fee Payers3,000 
*Agency Fee Payers are not considered members of the labor organization.
FULL TIME MEMBERS2,977Yes
PART - TIME MEMBERS22Yes
HALF-TIME MEMBERS1Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 545-360

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$200,000
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$13,874
4. Total Receipts$213,874
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$3,450
6. Total Disbursements$3,450
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$5,569
2. Named Payee Non-itemized Disbursements$18,873
3. To Officers$38,570
4. To Employees$402,396
5. All Other Disbursements$12,898
6. Total Disbursements$478,306
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$48,467
2. Named Payee Non-itemized Disbursements$167,461
3. To Officers$0
4. To Employees$1
5. All Other Disbursements$57,154
6. Total Disbursements$273,083
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$18,000
3. To Officers$677
4. To Employees$38,289
5. All Other Disbursements
6. Total Disbursements$56,966
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$29,170
4. To Employees$51,677
5. All Other Disbursements$8,186
6. Total Disbursements$89,033
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 545-360

Name and Address
(A)
AFSCME International International Labor Union

1625 L STREET, NW
WASHINGTON
DC
20036
Type or Classification
(B)
International Labor Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$200,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$200,000
Grant for Organizing Assistance09/18/2020$50,000
Grant for Organizing Assistance12/16/2020$50,000
Grant for Organizing Assistance03/15/2021$50,000
Grant for Organizing Assistance06/22/2021$50,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 545-360

Name and Address
(A)
Branstetter Stranch & Jennings Legal & Arbitration

223 Rosa L Parks Avenue
Nashville
TN
37203
Type or Classification
(B)
Legal & Arbitration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,021
Total of All Transactions with this Payee/Payer for This Schedule$5,021
Name and Address
(A)
Holingsworth & Washington, LLC

6494 Centerville Busn Pkwy
centerville
OH
45459
Type or Classification
(B)
Legal & Arbitration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,569
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,569
Legal & Arbitration Srvs06/17/2021$5,569
Name and Address
(A)
Vlink Law Firm, LLC
Suite 425
445 N Pennsylvania St
Indianapolis
IN
46202
Type or Classification
(B)
Legal & Arbitration
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,852
Total of All Transactions with this Payee/Payer for This Schedule$13,852
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 545-360

Name and Address
(A)
Working Strategies

219 Blueridge Drive
Frankfort
KY
40601
Type or Classification
(B)
Political Consulting
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$18,000
Total of All Transactions with this Payee/Payer for This Schedule$18,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 545-360

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 545-360

Name and Address
(A)
AFSCME International International Labor Union

1625 L STREET, NW
WASHINGTON
DC
20036
Type or Classification
(B)
Member T- Shirts & Surety Bond Fees
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,495
Total of All Transactions with this Payee/Payer for This Schedule$5,495
Name and Address
(A)
Bit & Bit Networking

5351 E Thompson Rd
Inidianpolis
IN
46237
Type or Classification
(B)
Monthly IT Services
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,940
Total Non-Itemized Transactions with this Payee/Payer$27,598
Total of All Transactions with this Payee/Payer for This Schedule$38,538
Computer Purchase11/09/2020$5,222
Laptops and Desktops05/13/2021$5,718
Name and Address
(A)
CHASE Bank
P.O Box 182051

Columbus
OH
Type or Classification
(B)
Bank Service Charges
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,458
Total of All Transactions with this Payee/Payer for This Schedule$8,458
Name and Address
(A)
Clawson Communications Inc.

474 Park 800 Dr
Greenwood
IN
46143
Type or Classification
(B)
Communication System
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,673
Total Non-Itemized Transactions with this Payee/Payer$900
Total of All Transactions with this Payee/Payer for This Schedule$8,573
Telecommunication Services09/16/2020$7,673
Name and Address
(A)
Donovan CPAs

5151 East US Highway 36
Avon
IN
46123
Type or Classification
(B)
ACCOUNTING SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,130
Total Non-Itemized Transactions with this Payee/Payer$10,450
Total of All Transactions with this Payee/Payer for This Schedule$28,580
Audit of FY 202004/22/2021$8,000
Final payment for Audit of FY 202005/24/2021$10,130
Name and Address
(A)
Hometown Insurance

191 N Green St
Brownsburg
IN
46112
Type or Classification
(B)
Business Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,683
Total of All Transactions with this Payee/Payer for This Schedule$13,683
Name and Address
(A)
IBEW Local 369

4315 Preston Hgwy, Ste 100
lOUISVILLE
KY
40213
Type or Classification
(B)
Rent
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,724
Total Non-Itemized Transactions with this Payee/Payer$39,080
Total of All Transactions with this Payee/Payer for This Schedule$50,804
Rent08/28/2020$11,724
Name and Address
(A)
Mckinley Town & Country Shopping Centre

P.O Box 902
Warsaw
IN
46581
Type or Classification
(B)
Rent
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,500
Total of All Transactions with this Payee/Payer for This Schedule$13,500
Name and Address
(A)
Office Team

12400 Collections Center Dr
Chicago
IL
60693
Type or Classification
(B)
Temp Staff
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,388
Total of All Transactions with this Payee/Payer for This Schedule$14,388
Name and Address
(A)
RICOH USA

P.O BOX 802815
CHICAGO
IL
60680
Type or Classification
(B)
Copier lease
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,690
Total of All Transactions with this Payee/Payer for This Schedule$16,690
Name and Address
(A)
Spectrum Business

P.O BOX 7195
Pasadena
CA
91109
Type or Classification
(B)
Phone and Internet
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,518
Total of All Transactions with this Payee/Payer for This Schedule$11,518
Name and Address
(A)
Verizon Wireless

P.O. Box 9688
Mission Hills
CA
91346
Type or Classification
(B)
Communication System
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,701
Total of All Transactions with this Payee/Payer for This Schedule$5,701
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 545-360

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS FILE NUMBER: 545-360

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$554,029
Debra Garcia - Health Insurance ReimbursementsDebra Garcia$15,951
401k & Pension PlanAFSCME International$159,483
Crystal Nuckles - Health InsuranceWashington National Insurance$716
STD/LTD InsuranceCompanion Life Insurance$7,561
Linda C Ard - Life InsuranceUnited of Omaha$3,596
Retiree Health InsuranceDavid J. Warwick$2,910
Stephan Fantauzzo Dental CIGNA$1,248
Linda Ard - Health insuranceHumana Insurance Company$775
Life and Health InsuranceAFSCME International$361,789
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SIGNATURE PAGE FILE NUMBER: 545-360

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.)


SIGNED:Erin Young
DATE:Oct 07, 2021
CONTACT INFO:317-844-2631
TITLE:Administrator
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 545-360
Item 71 Title: The Council was placed under administratorship on 12/9/2019. The President and Secretary-Treasurer of the International Union and the appointed Administrators and are the designated signors for affiliates placed under administratorship

Question 11(a):

Question 11(a): AFSCME Council 962 PAC Kentucky Registry of Election Finance File Number 326360 Indiana Election Commission File Number 99-5202

Question 12: Donovan CPA's (Outside Accounting Firm)

Statement A,

Cash Begin Total: Adjusting entries were entered to correct uncleared Deposits in the Fair Share Escrow account by the CPA dated 7/1/2019.

Schedule 13, Row2:

Schedule 13, Row2::

Schedule 13, Row3:

Schedule 13, Row3::Half-Time members have work schedules that consist of less than twelve hours per week. These members pay at the half time rate.

Schedule 13, Row3:

Schedule 13, Row3::

Schedule 13, Row1:

Schedule 13, Row1::Full-time members have regular work schedules that consist of twenty of more hours per week. These members pay at the full time rate.

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row2:

Schedule 13, Row2::Part-time members have regular work schedules that consist of twenty hours but more than 12 hours per week. These members pay at the part time rate.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)