U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210
FORM LM-3 LABOR ORGANIZATION ANNUAL REPORT
Form Approved
Office of Management and Budget
No.
1245-0003
Expires:
09-30-2021
FOR USE ONLY BY LABOR ORGANIZATIONS WITH LESS THAN $250,000 IN TOTAL ANNUAL RECEIPTS
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
036-328
2. PERIOD COVERED
From
10/01/2020
Through
09/30/2021
3.
(a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed
under the hardship procedures:
No
(c) TERMINAL - Is this a terminal report:
No
4. AFFILIATION OR ORGANIZATION NAME
COMMUNICATIONS WORKERS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
37082
7. UNIT NAME (if any)
PACIFIC NORTHWEST NEWSPAPER GUILD
8. MAILING ADDRESS (Type or print in capital letters)
First Name
CWA
Last Name
LU 37082
P.O Box - Building and Room Number
17893
Number and Street
City
SEATTLE
State
WA
ZIP Code + 4
98127
9. Are your organization's records kept at its mailing address?
No
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 VI on penalties in the instructions.)
57. SIGNED:
Evan P Bush
PRESIDENT
58. SIGNED:
Daniel E Beekman
TREASURER
Date:
Dec 08, 2021
Contact Info:
817-371-3328
Date:
Dec 09, 2021
Contact Info:
206-681-6585
Form LM-3 (Revised 2016)
FILE NUMBER:
036-328
During the Reporting Period Did Your Organization:
10. Have a "subsidiary organization" as defined in Section X of the instructions?
No
11. Create or participate in the administration of a trust or other fund or organization which provides benefits for members or their beneficiaries?
Yes
12. Have a Political Action Committee (PAC) fund?
No
13. Acquire or dispose of any goods or property in any manner other than purchase or sale?
Yes
14. Have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?
Yes
15. Discover any loss or shortage of funds or other property? (Answer "Yes" even if there has been repayment or recovery.)
No
16.Have any officer who was paid $10,000 or more by your organization and also received $10,000 or more as an officer or employee of another labor organization or of an employee benefit plan?
No
17. Pay any employee salary, allowances, and other expenses which, together with any payments from affiliates, totaled more than $10,000?
Yes
18. Have loans totaling more than $250 to any officer, employee, or member, or make any loans to a business enterprise?
No
19. How many members did your organization have at the end of the reporting period?
180
20. What is the maximum amount recoverable under your organization's fidelity bond for a loss caused by any officer or employee of your organization?
$80,000
21. During the reporting period, did your 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
22. What is the date of the labor organization's next regular election of officers?
01/2022
23. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
1.5%
per
gross wages
na
na
(b) Initiation Fees
na
per
na
na
na
(c) Transfer Fees
na
per
na
na
na
(d) Work Permits
na
per
na
na
na
Form LM-3 (Revised 2016)
24. ALL OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
036-328
(A) Name (List all persons who held office during the reporting period even if they received no salary or other disbursements)
Gross Salary (before taxes and other deductions)
(D)
Allowances and Other Disbursements
(E)
TOTAL
(F)
(B) Title (Enter title of officer, such as PRESIDENT or TREASURER)
(C) Status *
Total Disbursements to Officers
$454
$0
$454
Less Deductions
$0
The Total from Net Disbursements will be entered in Item 45
Net Disbursements
$454
** Code (C) Status: past officer - P; continuing officer - C; new officer during the reporting period - N.
(If any officer was not elected at a regular election in accordance with your organzation's constitution and bylaws, explain in Item 56.)
Doughton
Sandi
$0
$0
$0
Pres
C
Bush
Evan
$182
$0
$182
Pres
P
Beekman
Daniel
$0
$0
$0
Treasurer
C
Groover
Heidi
$0
$0
$0
Secretary
C
Fields
Asia
$272
$0
$272
EBd
C
Bazzaz
Dahlia
$0
$0
$0
EBd
C
Norimine
Hayat
$0
$0
$0
EBd
N
Form LM-3 (Revised 2016)
STATEMENT A - ASSETS AND LIABILITIES
FILE NUMBER:
036-328
ASSETS
Start of Reporting Period
(A)
End of Reporting Period
(B)
25. Cash
$179,902
$105,337
26. Loans Receivable
$0
$0
27. U.S. Treasury Securities
$0
$0
28. Investments
$380,417
$403,212
29. Fixed Assets
$0
$0
30. Other Assets
$100
$100
31. TOTAL ASSETS
$560,419
$508,649
LIABILITIES
Start of Reporting Period
(C)
End of Reporting Period
(D)
32. Accounts Payable
$0
$0
33. Loans Payable
$0
$0
34. Mortgages Payable
$0
$0
35. Other Liabilities
$2,809
$1,308
36. TOTAL LIABILITIES
$2,809
$1,308
37. NET ASSETS
$557,610
$507,341
STATEMENT B - RECEIPTS AND DISBURSEMENTS
CASH RECEIPTS
AMOUNT
38. Dues
$125,909
39. Per Capita Tax
$0
40. Fees, Fines, Assessments, Work Permits
$0
41. Interest and Dividends
$18,790
42. Sale of Investments and Fixed Assets
$0
43. Other Receipts
$52,221
44. TOTAL RECEIPTS
$196,920
If total receipts reported in Item 44 are $250,000 or more, your organization must file Form LM-2 instead of this form.
CASH DISBURSEMENTS
AMOUNT
45. To Officers (from item 24)
$454
46. To Employees (less deductions)
$100,318
47. Per Capita Tax
$44,115
48. Office and Administrative Expense
$11,510
49. Professional Fees
$84,393
50. Benefits
$6,235
51. Contributions, Gifts, and Grants
$0
52. Purchase of Investments and Fixed Assets
$18,790
53. Loans Made
$0
54. Other Disbursements
$5,670
55. TOTAL DISBURSEMENTS
$271,485
Form LM-3 (Revised 2016)
56. ADDITIONAL INFORMATION SUMMARY
FILE NUMBER:
036-328
Address of Record: Records are kept in storage at 1515 NW Leary Way, Unit 3137, Seattle, WA 98107.
Question 11: The Seattle Times Pension Plan, 1000 Denny Way, Seattle, WA 98109. Fiscal year ended September 30. EIN 91-0403890. Annual report filed with Employee Benefit Security Administration.
Question 13: Disposed of office furniture and equipment during move out of office space.
Question 14: Audit by Ted McElderry, CPA.
Question 17: Kaitlin Gillespie, Administrative Officer, salary $82,865, reimbursed expenses and allowances $4,783.
Brad Sherman, Administrative Officer, salary $11,561, reimbursed expenses $848.Statement A,Cash Begin Total: Amount did not change. Amount for a different field began to enter in this field.