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
024-471
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
572
7. UNIT NAME (if any)

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

Number and Street
450 E. CARSON PLAZA DR #A
City
CARSON
State
CA
ZIP Code + 4
907463227


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:Lourdes M GarciaPRESIDENT71. SIGNED:Richard E MiddletonTREASURER
Date:Mar 24, 2022Telephone Number:310-515-0601Date:Mar 23, 2022Telephone Number:310-515-0601
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 024-471
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?Yes
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?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?Yes
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?10/2022
20. How many members did the labor organization have at the end of the reporting period?10,478
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesVariesperMonth18143
(b) Working Dues/Fees0perN/A00
(c) Initiation FeesVariesperNew Member01382
(d) Transfer Fees0perN/A00
(e) Work Permits0perN/A00

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 024-471

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $2,499,509$2,933,903
23. Accounts Receivable1$0$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$2,043,327$2,153,422
27. Fixed Assets6$594,470$550,711
28. Other Assets7$3,976$4,209
29. TOTAL ASSETS $5,141,282$5,642,245

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$0
31. Loans Payable9$45,890$30,309
32. Mortgages Payable $0$0
33. Other Liabilities10$0
34. TOTAL LIABILITIES $45,890$30,309
35. NET ASSETS$5,095,392$5,611,936
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 024-471

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $5,836,321
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $452,861
39. Sale of Supplies $132
40. Interest $76,717
41. Dividends $0
42. Rents $10,200
43. Sale of Investments and Fixed Assets3$729,091
44. Loans Obtained9$0
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $16,159
47. From Members for Disbursement on Their Behalf $1,142
48. Other Receipts14$26,185
49. TOTAL RECEIPTS $7,148,808
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,841,908
51. Political Activities and Lobbying16$5,815
52. Contributions, Gifts, and Grants17$99,068
53. General Overhead18$885,892
54. Union Administration19$144,718
55. Benefits20$1,121,033
56. Per Capita Tax $1,535,468
57. Strike Benefits $9,100
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$799,494
61. Loans Made2
62. Repayment of Loans Obtained9$15,581
63. To Affiliates of Funds Collected on Their Behalf $15,701
64. On Behalf of Individual Members $51,217
65. Direct Taxes $190,369
  
66. Subtotal $6,715,364
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$846,610  
  67b. Less Total Disbursed$845,660  
  67c. Total Withheld But Not Disbursed $950
68. TOTAL DISBURSEMENTS $6,714,414
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 024-471

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: 024-471

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: 024-471

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$712,909$611,852$729,091$729,091
Automobiles$74,576$3,103$15,000$15,000
Investments$606,358$606,358$714,091$714,091
Building improvements 450 E. Carson Pl - abandoned$6,450$0$0$0
Equipment - abandoned$25,525$2,391$0$0
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$729,091
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 024-471

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$799,494$799,494$799,494
Automobile$40,035$40,035$40,035
Building improvements - 450 E. Carson Plaza Drive$18,412$18,412$18,412
Furniture and equipment$24,594$24,594$24,594
Investments$716,453$716,453$716,453
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$799,494
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 024-471

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$2,153,422
B. Total Book Value$2,153,422
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • Xtrackers USD High ETF Yield Corporate Bond
$118,756
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)) $2,153,422
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 024-471

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      450 E. Carson Plaza Drive, Carson, CA$232,000 $232,000$0
B. Buildings (give location)    
Building  1 :      450 E. Carson Plaza Drive, Carson, CA$1,150,132$999,247$150,885$0
C. Automobiles and Other Vehicles$608,070$488,503$119,567$0
D. Office Furniture and Equipment$194,401$146,142$48,259$0
E. Other Fixed Assets$0$0$0$0
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $2,184,603$1,633,892$550,711$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 024-471

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $4,209
Storage security deposit$1,376
Automobile deposit$1,000
Refundable payroll tax withholdings$1,833
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 024-471

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: 024-471

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$45,890$0$15,581$0$30,309
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
Ford Motor Credit - Auto Loan$45,890$0$15,581$0$30,309
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 024-471

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 024-471

(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
Middleton ,  Richard   E
Secretary-Treasurer
C
$192,223$0$7,614$0$199,837
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
5 % Schedule 19
Administration
10 %
A
B
C
Garcia ,  Lourdes   M
President/Gen Counsel
C
$219,405$0$6,968$0$226,373
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
15 %
A
B
C
Martinez ,  Frank  
Vice President
C
$981$5,850$0$0$6,831
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
Badger ,  Stephen   T
Recording Secretary
C
$106,932$0$11,201$0$118,133
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
10 %
A
B
C
Gallardo ,  Gerardo  
Trustee
C
$1,257$5,850$98$0$7,205
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
Flemister ,  Carolyn  
Trustee
C
$2,058$4,500$0$0$6,558
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
Norwood ,  Joseph  
Trustee
N
$844$5,850$0$0$6,694
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 %
Total Officer Disbursements$523,700$22,050$25,881$0$571,631
Less Deductions    $227,293
Net Disbursements    $344,338
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 024-471

(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
Aquino ,  Myra   I
Administrative Assistant
N/A
$67,642$0$15$0$67,657
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
5 % Schedule 18
General Overhead
35 % Schedule 19
Administration
10 %
A
B
C
Avila ,  Adriana   S
Business Agent
N/A
$117,411$0$4,324$0$121,735
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
0 %
A
B
C
Baar ,  Lorraine   O
TITAN Operator
N/A
$71,685$0$15$0$71,700
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 ,  Douglas   J
Business Agent
N/A
$106,917$0$6,727$0$113,644
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
Del Castillo ,  Tish   H
TITAN Operator
N/A
$77,978$0$15$0$77,993
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
95 % Schedule 19
Administration
0 %
A
B
C
Flammia ,  John   F
Business Agent
N/A
$113,911$0$10,950$0$124,861
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
3 % Schedule 19
Administration
1 %
A
B
C
Ford ,  Michael   E
Business Agent
N/A
$46,263$0$854$0$47,117
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
Guitron Carrillo ,  Graciela  
Business Agent
N/A
$111,855$0$3,557$0$115,412
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
Li ,  Iris   J
Office Manager/Bookkeeper
N/A
$110,434$0$68$0$110,502
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
97 % Schedule 19
Administration
2 %
A
B
C
Muniz ,  Norma   M
Business Agent
N/A
$65,221$0$2,117$0$67,338
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
Phan ,  Elizabeth   N
TITAN Operator
N/A
$65,824$0$68$0$65,892
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
Roth ,  Carolina  
TITAN Operator
N/A
$75,198$0$259$0$75,457
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
Skifstrom ,  Tait   J
Business Agent
N/A
$113,911$0$10,503$0$124,414
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
Smith ,  Traci   D
Business Agent
N/A
$113,911$0$4,726$0$118,637
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
5 %
A
B
C
Vazquez ,  Laura   B
Organizer
N/A
$72,873$0$2,837$0$75,710
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
5 %
A
B
C
Villanueva ,  Jaime   O
Business Agent
N/A
$113,911$0$9,176$0$123,087
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
A
B
C
Williams ,  Michael   A
Business Agent
N/A
$111,382$0$4,059$0$115,441
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$54,567$2,080$0$0$56,647
I Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
7 % Schedule 19
Administration
8 %
Total Employee Disbursements$1,610,894$2,080$60,270$0$1,673,244
Less Deductions    $619,317
Net Disbursements    $1,053,927
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 024-471

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 10,478 
Agency Fee Payers*22
Total Members/Fee Payers10,500 
*Agency Fee Payers are not considered members of the labor organization.
Active Members10,478Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 024-471

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$21,426
2. Named Payer Non-itemized Receipts$2,352
3. All Other Receipts$2,407
4. Total Receipts$26,185
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$27,800
2. Named Payee Non-itemized Disbursements$10,254
3. To Officers$1,998
4. To Employees$4,488
5. All Other Disbursements$54,528
6. Total Disbursements$99,068
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$105,275
2. Named Payee Non-itemized Disbursements$37,492
3. To Officers$458,695
4. To Employees$1,195,958
5. All Other Disbursements$44,488
6. Total Disbursements$1,841,908
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$33,975
2. Named Payee Non-itemized Disbursements$341,836
3. To Officers$15,899
4. To Employees$439,040
5. All Other Disbursements$55,142
6. Total Disbursements$885,892
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,998
4. To Employees$1,217
5. All Other Disbursements$2,600
6. Total Disbursements$5,815
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$13,526
2. Named Payee Non-itemized Disbursements$50
3. To Officers$93,041
4. To Employees$32,542
5. All Other Disbursements$5,559
6. Total Disbursements$144,718
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 024-471

Name and Address
(A)
The Hartford
660916

Dallas
TX
75266-0916
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,862
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,862
Refund of insurance premium01/12/2021$5,862
Name and Address
(A)
United States Treasury
24017

Fresno
CA
93779-4017
Type or Classification
(B)
Government agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,065
Total Non-Itemized Transactions with this Payee/Payer$2,352
Total of All Transactions with this Payee/Payer for This Schedule$7,417
Refund of payroll taxes10/08/2021$5,065
Name and Address
(A)
Wohlner Kaplon Cutler Halford & Rosenfeld

16501 Ventura Blvd, #304
Encino
CA
91436
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,499
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,499
Overpayment of legal fees02/03/2021$10,499
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 024-471

Name and Address
(A)
BNA
419889

Boston
MA
02241-9889
Type or Classification
(B)
Bloomberg law subscription
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,163
Total of All Transactions with this Payee/Payer for This Schedule$5,163
Name and Address
(A)
Bush Gottlieb, A Law Corporation

801 N Brand Blvd, Ste 950
Glendale
CA
91203-1260
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$105,275
Total Non-Itemized Transactions with this Payee/Payer$6,628
Total of All Transactions with this Payee/Payer for This Schedule$111,903
Legal fees01/06/2021$10,470
Legal fees06/07/2021$20,994
Legal fees06/28/2021$13,362
Legal fees08/10/2021$15,753
Legal fees09/13/2021$17,379
Legal fees10/20/2021$14,308
Legal fees11/16/2021$5,055
Legal fees12/09/2021$7,954
Name and Address
(A)
Verizon

660108
Dallas
TX
75266-0108
Type or Classification
(B)
Cellular phone company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,994
Total of All Transactions with this Payee/Payer for This Schedule$13,994
Name and Address
(A)
Wohlner Kaplon Cutler Halford & Rosenfeld

16501 Ventura Blvd, #304
Encino
CA
91436
Type or Classification
(B)
Attorneys
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,707
Total of All Transactions with this Payee/Payer for This Schedule$11,707
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 024-471

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 024-471

Name and Address
(A)
HALO

3182 Momentum Pl
Chicago
IL
60689-5331
Type or Classification
(B)
Promotional items retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,800
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$11,800
3000 weekly planners09/20/2021$5,832
3000 weekly planners12/31/2021$5,968
Name and Address
(A)
Labor Community Services

2130 W James Wood Blvd
Los Angeles
CA
90006
Type or Classification
(B)
501(c)(3) Nonprofit organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,000
15 digital event passes and recognition08/25/2021$6,000
Name and Address
(A)
LAANE

464 Lucas Ave, #202
Los Angeles
CA
90017
Type or Classification
(B)
501(c)(3) Nonprofit organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,000
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Name and Address
(A)
Program for Torture Victims

3550 Wilshire Blvd, #1906
Los Angeles
CA
90010
Type or Classification
(B)
501(c)(3) Nonprofit organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Contribution10/25/2021$5,000
Name and Address
(A)
United Farm Workers
62

Keene
CA
93531
Type or Classification
(B)
501(c)(5) Nonprofit organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
2021 UFW Gala: Black Eagle Sponsor05/28/2021$5,000
Name and Address
(A)
Vanillagift.com
826

Fortson
GA
31808
Type or Classification
(B)
Online gift card retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,254
Total of All Transactions with this Payee/Payer for This Schedule$5,254
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 024-471

Name and Address
(A)
AT&T
5019

Carol Stream
IL
60197
Type or Classification
(B)
Network service provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,211
Total of All Transactions with this Payee/Payer for This Schedule$7,211
Name and Address
(A)
Cameric International Developments

454 Carson Plaza Dr, #110
Carson
CA
90746
Type or Classification
(B)
Landlord
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,436
Total of All Transactions with this Payee/Payer for This Schedule$17,436
Name and Address
(A)
Centro Strategies, LLC

333 S Grand Ave, #3310
Los Angeles
CA
90071
Type or Classification
(B)
Website and social media services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$29,250
Total of All Transactions with this Payee/Payer for This Schedule$29,250
Name and Address
(A)
Independent Printers of CA

12834 Victory Blvd
N Hollywood
CA
91606
Type or Classification
(B)
Commercial printer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,980
Total of All Transactions with this Payee/Payer for This Schedule$6,980
Name and Address
(A)
Liberty Mutual Insurance
91013

Chicago
IL
60680-1171
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,980
Total Non-Itemized Transactions with this Payee/Payer$35,214
Total of All Transactions with this Payee/Payer for This Schedule$44,194
Insurance premium07/02/2021$8,980
Name and Address
(A)
Markel
650028

Dallas
TX
75265-0028
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$30,200
Total of All Transactions with this Payee/Payer for This Schedule$30,200
Name and Address
(A)
Netready Systems Inc

251 S Lake Ave, #800
Pasadena
CA
91101
Type or Classification
(B)
Information technology consultant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$64,219
Total of All Transactions with this Payee/Payer for This Schedule$64,219
Name and Address
(A)
Pitney Bowes Global Financial Services
371887

Pittsburgh
PA
15250-7887
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$18,086
Total of All Transactions with this Payee/Payer for This Schedule$18,086
Name and Address
(A)
Purchase Power
371874

Pittsburgh
PA
15250-7874
Type or Classification
(B)
Metered postage
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$14,049
Total of All Transactions with this Payee/Payer for This Schedule$14,049
Name and Address
(A)
Quill

100 Schelter Rd
Lincolnshire
IL
60069
Type or Classification
(B)
Office supply retailer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,141
Total of All Transactions with this Payee/Payer for This Schedule$7,141
Name and Address
(A)
Ramos & Wilson, CPAs

24260 Martha St
Woodland Hills
CA
91367-3945
Type or Classification
(B)
Certified public accountants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,995
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$24,995
Accounting fees02/09/2021$7,484
Accounting fees10/21/2021$17,511
Name and Address
(A)
Southern California Edison
300

Rosemead
CA
91772
Type or Classification
(B)
Utility company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,256
Total of All Transactions with this Payee/Payer for This Schedule$17,256
Name and Address
(A)
TPx Communications
509013

San Diego
CA
92150-9013
Type or Classification
(B)
Network service provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$39,946
Total of All Transactions with this Payee/Payer for This Schedule$39,946
Name and Address
(A)
Unlimited Services Association

15133 Cabell Ave
Bellflower
CA
90706
Type or Classification
(B)
Maintenance company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,250
Total of All Transactions with this Payee/Payer for This Schedule$8,250
Name and Address
(A)
Wells Fargo Advisors

9665 Wilshire Blvd. Fl 10
Beverly Hills
CA
90212
Type or Classification
(B)
Financial advisors
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$30,669
Total of All Transactions with this Payee/Payer for This Schedule$30,669
Name and Address
(A)
Xerox Financial Service
202882

Dallas
TX
75320-2882
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$15,929
Total of All Transactions with this Payee/Payer for This Schedule$15,929
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 024-471

Name and Address
(A)
A.J. Longo & Associates

253 N Lake Ave
Pasadena
CA
91101
Type or Classification
(B)
Insurance company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,526
Total Non-Itemized Transactions with this Payee/Payer$50
Total of All Transactions with this Payee/Payer for This Schedule$13,576
Insurance premium03/24/2021$13,526
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 024-471

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,121,033
PensionsTrusts$554,308
Health and welfareTrust$436,268
Shop steward duesLocal$126,513
Prepaid legalTrust$3,944
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 024-471


Question 10: Teamsters Multi Benefits Trust Health and Welfare FEIN 93-6231741 Plan #501 Teamsters Local 572 Retirement Benefits Plan Health and Welfare FEIN 95-6983367 Plan #007 The address for the above two trusts is: Benefit Programs Administration 1200 Wilshire Blvd., Fifth Floor Los Angeles, CA 90017-1906 Teamsters & Food Employers Security Trust Fund Health and Welfare FEIN 95-6048844 Plan #102 1050 Lake Drive, Suite 120 West Covina, CA 91790 Western Conference of Teamsters Pension Trust Fund Pension FEIN 91-6145047 Plan #501 2323 Eastlake Ave., East Seattle, WA 98102

Question 12: The audit was performed by an outside accounting firm, Ramos & Wilson, Certified Public Accountants.

Question 15: Building improvements and equipment having reached the end of their economic useful life and having no value were abandoned. Cost $31,975 and a net book value of $2,391 (Cost minus accumulated depreciation).

Question 16: The automobile is pledged as security for the underlying loan with Ford Motor Credit.

Schedule 9, Row1:

Schedule 9, Row1:

Schedule 13, Row1:

Schedule 13, Row1:Active members must pay full dues and have rights consistent with eligibility requirements as set forth in the by-laws.

Schedule 13, Row1:

Schedule 13, Row1:

General Information:

Schedule 11 & 12 - Auto expenses are included in column F. Autos are used more than 50% for business and are available for personal use.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)