FORM
LM-21 - RECEIPTS
& DISBURSEMENTS REPORT
OMB No. 1245-0003 . Expires 01-31-2025 .
IMPORTANT: 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. Required of persons, including Labor Relations Consultants and Other Individuals and Organizations, under Section 203(b) of the Labor-Management Reporting and Disclosure Act of 1959, as amended (LMRDA).
Office of Labor-Management Standards
U.S. Department of Labor
For Official Use Only
E
OLMS
Read the instructions carefully before completing this report.
1. File Number: C-68629      2. Period Covered by this report From: 01/01/2021 Through: 12/31/2021
A. Person Filing
3. Name and mailing address (including Zip Code):
Name:David Burke
Title:President
Organization:Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:PO Box 6063
Street:
City:MalibuState:CA
ZIP code:90264
4. Any other address where records necessary to verify this report are kept:
Name:
Title:
Organization:
P.O. Box., Bldg., Room No., if any:
Street:
City:State:
ZIP code:
Signature and Verification
Each of the undersigned declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including the information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned's knowledge and belief, true, correct, and complete. (See Section VII on penalties in the instructions.)
17.
SIGNED: David Burke
Title: PRESIDENT
Date: Mar 03, 2022
Telephone Number: 310-589-5225
18.
SIGNED: Marta De los Rios
Title: TREASURER
Date: Mar 03, 2022
Telephone Number: 310-589-5225
Form LM-21 (2003)
B.
Statement of Receipts Report all receipts from employers in connection with labor relations advice or services regardless of the purposes of the advice or services.

5.a.Name and Address of Employer (including trade name, if any).
Employer: Amazon.com Services LLC
Trade Name: Amazon
Name: James Venable
Title:
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:320 108th Ave NE
City:BellevueState:NV
ZIP code:98004
  5.b.Termination Date: On-Goining 5.c.Amount:$351,810      Non-Cash Payment:
    Type of Payment: Payment on Invoices issued

5.a.Name and Address of Employer (including trade name, if any).
Employer: AOSC
Trade Name:
Name: Al Meitl
Title: Managing Member
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:651 Comisky Road
City:BartlettState:NV
ZIP code:60103
  5.b.Termination Date: 07/16/21 5.c.Amount:$11,875      Non-Cash Payment:
    Type of Payment: Payment for invoices issued.

5.a.Name and Address of Employer (including trade name, if any).
Employer: Axalta Coating Systems
Trade Name:
Name: Amit Shan
Title: Acting General Counsel
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:50 Applied Bank Blvd
City:Glen MillsState:NV
ZIP code:19342
  5.b.Termination Date: 10/26/21 5.c.Amount:$1,069      Non-Cash Payment:
    Type of Payment: Payment for invoices issued.

5.a.Name and Address of Employer (including trade name, if any).
Employer: Axaita Coating Systems
Trade Name:
Name: Rodrigo Tajonar
Title: HR Director
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:50 Applied Bank Blbd
City:Gen MillsState:NV
ZIP code:19342
  5.b.Termination Date: 12/19/19 5.c.Amount:$2,776      Non-Cash Payment:
    Type of Payment: Payment for invoices issued.

5.a.Name and Address of Employer (including trade name, if any).
Employer: Corovan
Trade Name:
Name: Sheri Holland
Title:
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:12302 Kerran Street
City:PowayState:NV
ZIP code:92064
  5.b.Termination Date: 5/20/21 5.c.Amount:$100,279      Non-Cash Payment:
    Type of Payment: Payment for invoices issued.

5.a.Name and Address of Employer (including trade name, if any).
Employer: Datwyler Pharma USA
Trade Name:
Name: Frank Schoubben
Title: Site Director
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:571 Merrimac Avenue
City:MiddletownState:NV
ZIP code:19709
  5.b.Termination Date: 03/22/21 5.c.Amount:$59,101      Non-Cash Payment:
    Type of Payment: Payment for invoices issued.

5.a.Name and Address of Employer (including trade name, if any).
Employer: Heritage Construction & Materials
Trade Name:
Name: Liz Larner
Title: General Counsel
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:5400 W 86th Street
City:IndianapolisState:NV
ZIP code:46268
  5.b.Termination Date: 08/25/21 5.c.Amount:$4,177      Non-Cash Payment:
    Type of Payment: Payment for invoices issued.

5.a.Name and Address of Employer (including trade name, if any).
Employer: IMEX USA
Trade Name:
Name: Robert Bulloch
Title:
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:7150 Phillips Highway
City:MiamiState:NV
ZIP code:32256
  5.b.Termination Date: 09/30/21 5.c.Amount:$29,452      Non-Cash Payment:
    Type of Payment: Payment for invoices issued.

5.a.Name and Address of Employer (including trade name, if any).
Employer: Precision Castparts Corporation
Trade Name:
Name: Ruth Beyer
Title: Sr. VP
Mailing Address:
P.O. Box., Bldg., Room No., if any:Suite 620
Street:5885 Meadows Road
City:Lake OswegoState:NV
ZIP code:97035
  5.b.Termination Date: 11/22/21 5.c.Amount:$31,035      Non-Cash Payment:
    Type of Payment: Payment for invoices issued.

5.a.Name and Address of Employer (including trade name, if any).
Employer: Pulau Corporation
Trade Name:
Name: Amy Gausz
Title: VP of HR
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:12633 Challenger Parkway
City:OrlandoState:NV
ZIP code:32826
  5.b.Termination Date: 03/24/21 5.c.Amount:$5,278      Non-Cash Payment:
    Type of Payment: Payment for invoices issued.

5.a.Name and Address of Employer (including trade name, if any).
Employer: Titan America
Trade Name:
Name: Dan Stephenson
Title: HR Director
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:2125 Kimball Terrance
City:NorforkState:NV
ZIP code:23502
  5.b.Termination Date: 08/07/2020 5.c.Amount:$12,337      Non-Cash Payment:
    Type of Payment: Payment for invoices issued.

5.a.Name and Address of Employer (including trade name, if any).
Employer: Webtec Corporation
Trade Name:
Name: Roger Raupp
Title: Exec Human Bus Partner
Mailing Address:
P.O. Box., Bldg., Room No., if any:
Street:5460 E El Campo Grande Ave
City:Las VegasState:NV
ZIP code:89115
  5.b.Termination Date: 04/06/21 5.c.Amount:$17,622      Non-Cash Payment:
    Type of Payment: Payment for invoices issued.


6.TOTAL RECEIPTS FROM ALL EMPLOYERS: $626,811
C.
Statement of Disbursements Report all disbursements made by the reporting organization in connection with labor relations advice or services rendered to the employers listed in Part B.
7.
Disbursements to Officers and Employees:
(a) Name(b) Salary(c) Expense(d) Totals
8. Total disbursements to officers and employees:$0
9. Officer and Administrative Expenses:
10. Publicity:
11. Fees for Professional Services:$230,737
12. Loans Made:
13. Other Disbursements:
14. Total Disbursements (Sum of Items 8-13):$230,737
Form LM-21 (2003)
D.
Schedule of Disbursements for Reportable Activity Use this schedule to report only disbursements made for the purposes described in Part D of the instructions.

15.a. Employer Name: Wabtec Corporation


15.c. To Whom Paid:
Name: Jose Agraz
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:PO Box 6063
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$7,410
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: Corovan


15.c. To Whom Paid:
Name: Jose Agraz
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:PO Box 6063
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$26,065
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: Datwyler Pharma USA


15.c. To Whom Paid:
Name: Chuck Ahern
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:PO Box 6063
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$2,064
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: Precision Castparts Corporation


15.c. To Whom Paid:
Name: Chuck Ahern
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:PO Box 6063
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$6,020
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: Amazon.com Services, LLC


15.c. To Whom Paid:
Name: Chuck Ahern
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:PO Box 6063
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:
Amazon

15.d.Amount:$1,011
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: AOSC


15.c. To Whom Paid:
Name: Chuck Ahern
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:PO Box 6063
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$882
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: Palau Corporation


15.c. To Whom Paid:
Name: Phillip Brown
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:PO Box 6063
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$1,500
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: Heritage Construction & Materials


15.c. To Whom Paid:
Name: Phillip Brown
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:PO Box 6063
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$1,650
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: IMEX USA


15.c. To Whom Paid:
Name: Phillip Brown
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:PO Box 6063
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$1,350
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: Axalta Coating Systems


15.c. To Whom Paid:
Name: Phillip Brown
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:PO Box 6063
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$300
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: IMEX USA


15.c. To Whom Paid:
Name: Carlos Flores
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:
Street:PO Box 6063
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$11,550
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: Datwyler Pharma USA


15.c. To Whom Paid:
Name: Mark Lema
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:PO Box 6063
Street:
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$4,455
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: Amazon.com Services, LLC


15.c. To Whom Paid:
Name: Mark Lema
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:PO Box 6063
Street:
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:
Amazon

15.d.Amount:$56,025
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: Amazon.com Services, LLC


15.c. To Whom Paid:
Name: Bradley Moss
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:PO Box 6063
Street:
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:
Amazon

15.d.Amount:$90,056
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.

15.a. Employer Name: Corovan


15.c. To Whom Paid:
Name: Jose Palacios
Title:
Organization: Labor Information Services, Inc.
P.O. Box., Bldg., Room No., if any:PO Box 6063
Street:
City:MalibuState:CA
ZIP code:90264
15.b. Trade Name, If any:

15.d.Amount:$20,400
15.e.Purpose: To meet directly with employees either individually or in a group meeting to discuss issues and answer questions regarding union issues. Also to discuss their legal rights to make an informed choice.


16.TOTAL DISBURSEMENTS FOR ALL REPORTABLE ACTIVITY: $230,738
Form LM-21 (2003)