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
529-253
2. PERIOD COVERED
From10/01/2020
Through09/30/2021
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
88612
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
DEBRA
 Last Name
OSTROM
P.O Box - Building and Room Number
PO BOX 6
Number and Street
City
COUDERSPORT
State
PA		 ZIP Code + 4
16915


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:Stephen F Kelly JRPRESIDENT58. SIGNED:Debra OstromTREASURER
Date:Dec 25, 2021Contact Info:814-203-0610Date:Dec 25, 2021Contact Info:814-203-7977
Form LM-3 (Revised 2016)
FILE NUMBER: 529-253

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?No
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?No
14. Have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?No
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?No
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?228
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?$15,000
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?10/2022
23. What are the labor organization's rates of dues and fees?

Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesN/AperMONTH20.5271.51
(b) Initiation Fees5perPERSONN/AN/A
(c) Transfer FeesN/AperN/AN/AN/A
(d) Work PermitsN/AperN/AN/AN/A

Form LM-3 (Revised 2016)
24. ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 529-253

(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 $0$12,462$12,462
Less Deductions $0
The Total from Net Disbursements will be entered in Item 45 Net Disbursements $12,462
** 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.)
KELLY, JRSTEVE
$0$3,608$3,608
 PRESIDENT C
BELLJAMES
$0$0$0
 VICE PRESIDENT N
BARSHINGERDAVE
$0$53$53
 VICE PRESIDENT P
BUTLERMARIAN
$0$1,100$1,100
 CHIEF STEWARD N
GOSSLESTER
$0$975$975
 CHEF STEWARD N
VOLLMERAARON
$0$0$0
 CHIEF STEWARD P
AHEARNDAVE
$0$593$593
 CHIEF STEWARD N
GOSSALICIA
$0$2,000$2,000
 RECORDING SECRETARY N
BOUCHERSHERI
$0$150$150
 RECORDING SECRETARY P
OSTROMDEBRA
$0$1,815$1,815
 FINANCIAL SECRETARY N
KELLYJENNIFER
$0$300$300
 FINANCIAL SECRETARY P
NELLISKENNETH
$0$666$666
 TRUSTEE N
LAWRENCESTEVE
$0$1,114$1,114
 TRUSTEE C
ANDREANOAMANDA
$0$88$88
 TRUSTEE N
Form LM-3 (Revised 2016)

STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 529-253

ASSETS Start of Reporting Period
(A) 		End of Reporting Period
(B)
25. Cash$61,629$89,241
26. Loans Receivable$0$0
27. U.S. Treasury Securities$0$0
28. Investments$75,389$75,398
29. Fixed Assets$0$0
30. Other Assets$0$0
31. TOTAL ASSETS$137,018$164,639
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$0$0
36. TOTAL LIABILITIES$0$0
   
37. NET ASSETS$137,018$164,639

STATEMENT B - RECEIPTS AND DISBURSEMENTS
CASH RECEIPTSAMOUNT
38. Dues$77,699
39. Per Capita Tax$0
40. Fees, Fines, Assessments, Work Permits$0
41. Interest and Dividends$91
42. Sale of Investments and Fixed Assets$0
43. Other Receipts$0
44. TOTAL RECEIPTS$77,790
If total receipts reported in Item 44 are $250,000 or more, your organization must file Form LM-2 instead of this form.
CASH DISBURSEMENTSAMOUNT
45. To Officers (from item 24)$12,462
46. To Employees (less deductions)$0
47. Per Capita Tax$1,111
48. Office and Administrative Expense$4,302
49. Professional Fees$1,675
50. Benefits$0
51. Contributions, Gifts, and Grants$29,439
52. Purchase of Investments and Fixed Assets$0
53. Loans Made$0
54. Other Disbursements$1,180
55. TOTAL DISBURSEMENTS$50,169
Form LM-3 (Revised 2016)
56. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 529-253

Address of Record: HASKINS ACCOUNTING SERVICES 10 ICE MINE RD; SUITE A COUDERSPORT, PA 16915

Form LM-3 (Revised 2016)