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: 01-31-2025
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
044-761
2. PERIOD COVERED
From01/01/2021
Through12/31/2021
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
TEAMSTERS
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
763
7. UNIT NAME (if any)

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

Number and Street
14675 INTERURBAN AVENUE S.
City
TUKWILA
State
WA
ZIP Code + 4
98168


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:Susan D JaberPRESIDENT71. SIGNED:Scott A SullivanTREASURER
Date:Mar 17, 2022Telephone Number:206-817-4636Date:Mar 17, 2022Telephone Number:206-441-0763
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 044-761
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?No
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?12/2024
20. How many members did the labor organization have at the end of the reporting period?4,641
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesN/AperMonth$5.00$248.00
(b) Working Dues/FeesN/AperMonth$5.00$50.00
(c) Initiation FeesN/AperOne time$50.00$150.00
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 044-761

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $1,566,071$1,905,895
23. Accounts Receivable1$178,378$304,575
24. Loans Receivable2
25. U.S. Treasury Securities $0$0
26. Investments5$2,124,387$2,066,558
27. Fixed Assets6$2,013$3,275
28. Other Assets7$13,070$1,267
29. TOTAL ASSETS $3,883,919$4,281,570

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$166,165$167,447
34. TOTAL LIABILITIES $166,165$167,447
35. NET ASSETS$3,717,754$4,114,123
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 044-761

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $2,886,749
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $1,922
39. Sale of Supplies $0
40. Interest $1,232
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9$208,333
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $869
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$15,610
49. TOTAL RECEIPTS $3,114,715
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$857,914
51. Political Activities and Lobbying16$14,649
52. Contributions, Gifts, and Grants17$26,029
53. General Overhead18$461,442
54. Union Administration19$121,735
55. Benefits20$545,113
56. Per Capita Tax $664,412
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$2,643
61. Loans Made2
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $786
64. On Behalf of Individual Members $0
65. Direct Taxes $93,238
  
66. Subtotal $2,787,961
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$297,116  
  67b. Less Total Disbursed$284,046  
  67c. Total Withheld But Not Disbursed $13,070
68. TOTAL DISBURSEMENTS $2,774,891
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 044-761

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$304,575$34,248$183,498 
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $304,575$34,248$183,498$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 044-761

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: 044-761

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: 044-761

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$2,643$2,643$2,643
Furniture and Equipment - security camera$2,643$2,643$2,643
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$2,643
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 044-761

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$2,066,558
E. Total Book Value$2,066,558
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.  
  • Interest in Teamsters Building Association-Seattle
$2,066,558
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $2,066,558
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 044-761

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$48,745$45,470$3,275$3,275
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $48,745$45,470$3,275$3,275
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 044-761

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $1,267
Other current assets$1,267
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 044-761

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$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 044-761

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$208,333$0$208,333$0
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
Paycheck Protection Program Loan$0$208,333$0$208,333$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 044-761

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $167,447
Vacation Liability$167,447
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 044-761

(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
Sullivan ,  Scott   A
Secretary-Treasurer
C
$122,408$1,500$415$124,323
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Jaber ,  Susan   D
President
C
$0$7,140$0$7,140
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
Powell ,  Jason   L
Vice-President/Bus. Agent
C
$111,268$0$68$111,336
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Baker ,  Chad   L
Record. Secre./Bus. Agent
C
$115,974$1,430$0$117,404
I
Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
7 %
A
B
C
McCue ,  John  
Trustee
C
$0$7,140$1,817$8,957
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
Leahy ,  Michael  
Trustee
C
$0$7,140$600$7,740
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
Ward ,  Cathy  
Trustee
C
$0$7,140$959$8,099
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
Total Officer Disbursements$349,650$31,490$3,859$0$384,999
Less Deductions    $89,614
Net Disbursements    $295,385
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 044-761

(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
Akins ,  Heather   L
Fiscal Support Spec. I
None
$61,727$1,148$362$63,237
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
Baker ,  Linda   M
Admin. Coordinator
None
$100,346$1,148$375$101,869
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
Brown ,  Elizabethe   A
Business Agent
None
$107,362$1,262$1,590$110,214
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
Christopher ,  Deena  
Comptroller
None
$76,986$1,500$0$78,486
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
Draven ,  Bret   A
Business Agent
None
$70,312$1,175$0$71,487
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
A
B
C
Humann ,  Debra   L
Business Agent
None
$80,605$0$994$81,599
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
Keefe ,  Mary   A
Business Agent
None
$107,362$0$321$107,683
I
Schedule 15
Representational Activities
92 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
Silvernale ,  Patrick   C
Business Agent
None
$107,361$1,217$543$109,121
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$0$0$16,865$16,865
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 %
Total Employee Disbursements$712,061$7,450$21,050$0$740,561
Less Deductions    $207,502
Net Disbursements    $533,059
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 044-761

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 4,641 
Agency Fee Payers*2
Total Members/Fee Payers4,643 
*Agency Fee Payers are not considered members of the labor organization.
Active Members4,630Yes
Suspended Members11No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 044-761

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$11,357
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$4,253
4. Total Receipts$15,610
     
     
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$16,029
6. Total Disbursements$26,029
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$40,409
2. Named Payee Non-itemized Disbursements$27,864
3. To Officers$288,394
4. To Employees$482,497
5. All Other Disbursements$18,750
6. Total Disbursements$857,914
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$143,760
2. Named Payee Non-itemized Disbursements$43,731
3. To Officers$0
4. To Employees$243,592
5. All Other Disbursements$30,359
6. Total Disbursements$461,442
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$6,741
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$5,384
5. All Other Disbursements$2,524
6. Total Disbursements$14,649
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$96,606
4. To Employees$9,087
5. All Other Disbursements$16,042
6. Total Disbursements$121,735
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 044-761

Name and Address
(A)
Joint Council of Teamsters No. 28

14675 Interurban Ave S #301
Tukwila
WA
98168
Type or Classification
(B)
Joint Council of Local Unions
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,357
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$11,357
IBT Delegate allocation from JC 28 Convention Fund05/21/2021$11,357
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 044-761

Name and Address
(A)
Reid, McCarthy, Ballew & Leahy, L.L.P.

100 West Harrison St, #300
Seattle
WA
98119
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$40,409
Total Non-Itemized Transactions with this Payee/Payer$22,464
Total of All Transactions with this Payee/Payer for This Schedule$62,873
Legal representation fees01/13/2021$6,196
Legal representation fees05/17/2021$8,391
Legal representation fees07/14/2021$6,164
Legal representation fees09/15/2021$7,901
Legal representation fees10/13/2021$11,757
Name and Address
(A)
Richard L. Ahearn

2212 Queen Anne Ave N #509
Seattle
WA
98109
Type or Classification
(B)
Arbitrator
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,400
Total of All Transactions with this Payee/Payer for This Schedule$5,400
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 044-761

Name and Address
(A)
Mosaic Printing

1920 L St NW
Washington
DC
20036
Type or Classification
(B)
Printing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,741
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,741
GOTV IBT election mailing10/13/2021$6,741
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 044-761

Name and Address
(A)
Teamsters Local Union No. 174

14675 Interurban Ave S #303
Tukwila
WA
98168
Type or Classification
(B)
Teamsters Local Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Donation to Workers Assistance Fund12/08/2021$5,000
Name and Address
(A)
Teamsters Local Union No. 231
H

Bellingham
WA
98227
Type or Classification
(B)
Teamsters Local Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Donation to BCS Hardship Fund07/07/2021$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 044-761

Name and Address
(A)
Huebner, Dooley and McGinness, P.S.

1424 NE 155th Street, #100
Shoreline
WA
98155
Type or Classification
(B)
Certified Public Accountants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,260
Total of All Transactions with this Payee/Payer for This Schedule$13,260
Name and Address
(A)
Pacific Office Automation
30310

Los Angeles
CA
90051-5343
Type or Classification
(B)
Equipment Leasing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,296
Total of All Transactions with this Payee/Payer for This Schedule$11,296
Name and Address
(A)
Quadient Finance USA, Inc.
6813

Carol Stream
IL
60197-6813
Type or Classification
(B)
Postage Meter Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,400
Total of All Transactions with this Payee/Payer for This Schedule$8,400
Name and Address
(A)
Teamsters Building Association

14675 Interurban Ave S #307
Tukwila
WA
98168
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$143,760
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$143,760
Monthly rent and utilities01/12/2021$11,980
Monthly rent and utilities02/08/2021$11,980
Monthly rent and utilities03/08/2021$11,980
Monthly rent and utilities04/06/2021$11,980
Monthly rent and utilities05/18/2021$11,980
Monthly rent and utilities06/01/2021$11,980
Monthly rent and utilities07/02/2021$11,980
Monthly rent and utilities08/05/2021$11,980
Monthly rent and utilities09/01/2021$11,980
Monthly rent and utilities10/12/2021$11,980
Monthly rent and utilities11/01/2021$11,980
Monthly rent and utilities12/07/2021$11,980
Name and Address
(A)
Teamsters Local Union No. 117

14675 Interurban Ave S #307
Tukwila
WA
98168
Type or Classification
(B)
Teamsters Local Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,775
Total of All Transactions with this Payee/Payer for This Schedule$10,775
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 044-761

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS FILE NUMBER: 044-761

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$545,113
Health and WelfareWA Teamsters Welfare Trust (NW Administrators)$224,163
PensionPacific Coast Benefits Trust$22,698
Group Life InsuranceTeamsters Life with Dues Trust Fund$36,131
PensionWestern Conference of Teamsters Pension Trust$260,028
Group Legal InsuranceWCT Legal Services Trust Fund$2,093
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 044-761


Question 12: The Local Union was audited by: Huebner, Dooley & McGinness, P.S. Certified Public Accountants 1424 NE 155th Street, Suite 100 Shoreline, WA 98155 (206) 522-8000 www.hdm-cpa.com

Schedule 13, Row2:

Schedule 13, Row2:Suspended members are delinquent in their dues payments and thus do not have voting rights.

Schedule 13, Row1:

Schedule 13, Row1:Active members are regular, dues paying members.

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row2:

Schedule 13, Row2:Suspended members are delinquent in their dues payments and thus do not have voting rights.

Schedule 9, Row1:

Schedule 9, Row1:Forgiveness of PPP loan
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)