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
018-395
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
231
7. UNIT NAME (if any)

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

Number and Street
PO BOX H
City
BELLINGHAM
State
WA		 ZIP Code + 4
982270298


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 V on penalties in the instructions.)
70. SIGNED:Jennifer A ThompsonPRESIDENT71. SIGNED:Richard J EwingTREASURER
Date:Mar 29, 2022Telephone Number:360-734-7780Date:Mar 29, 2022Telephone Number:360-734-7780
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 018-395
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?$300,000
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?11/2022
20. How many members did the labor organization have at the end of the reporting period?2,162
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$15.00No maximum
(b) Working Dues/Fees$15.00perMonthN/AN/A
(c) Initiation FeesN/AperOne time$85.00No maximum
(d) Transfer Fees$0.50perTransferN/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: 018-395

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $1,298,867$1,426,009
23. Accounts Receivable1$51,836$94,833
24. Loans Receivable2
25. U.S. Treasury Securities $0$0
26. Investments5
27. Fixed Assets6$98,997$90,317
28. Other Assets7
29. TOTAL ASSETS $1,449,700$1,611,159

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$85,114$45,061
34. TOTAL LIABILITIES $85,114$45,061
35. NET ASSETS$1,364,586$1,566,098
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 018-395

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,746,710
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $664
39. Sale of Supplies $197
40. Interest $1,509
41. Dividends $0
42. Rents $46,654
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $1,489
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$57,799
49. TOTAL RECEIPTS $1,855,022
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$585,544
51. Political Activities and Lobbying16$2,349
52. Contributions, Gifts, and Grants17$7,875
53. General Overhead18$244,272
54. Union Administration19$28,686
55. Benefits20$357,897
56. Per Capita Tax $382,050
57. Strike Benefits $53,301
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$652
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $1,601
64. On Behalf of Individual Members $0
65. Direct Taxes $64,928
  
66. Subtotal $1,729,155
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$166,665  
  67b. Less Total Disbursed$165,390  
  67c. Total Withheld But Not Disbursed $1,275
68. TOTAL DISBURSEMENTS $1,727,880
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 018-395

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$94,833$3,838$38,091 
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $94,833$3,838$38,091$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 018-395

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: 018-395

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: 018-395

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$652$652$652
Furniture and Equipment - cabinet$652$652$652
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$652
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 018-395

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
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)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 018-395

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      1700 N. State Street, Bellingham, WA 98227$8,000 $8,000$290,400
B. Buildings (give location)    
Building  1 :      1700 N. State Street, Bellingham, WA 98227$84,888$23,948$60,940$322,462
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$101,888$80,511$21,377$21,377
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $194,776$104,459$90,317$634,239
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 018-395

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 018-395

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: 018-395

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$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 018-395

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $45,061
Payroll Taxes Withheld$1,713
Employee Vacation Liability$43,348
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 018-395

(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 		Ewing ,  Richard   J
Secretary-Treasurer
C		$97,923$12,804$3,645$114,372
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Thompson ,  Jennifer   A
President
C		$81,496$12,780$2,606$96,882
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 		Rose-Banks ,  Flo   I
Vice-President
C		$0$3,120$0$3,120
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 		Smith ,  Daron   L
Record Secre/Business Rep
C		$81,496$12,780$1,921$96,197
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 		Schols ,  Earl   B
Trustee
C		$0$3,120$0$3,120
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 		Hayes ,  Russell   F
Trustee
C		$0$3,120$0$3,120
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 		Mason ,  Allen   W
Trustee
C		$0$3,120$0$3,120
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$260,915$50,844$8,172$0$319,931
Less Deductions    $86,343
Net Disbursements    $233,588
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 018-395

(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 		Birkland ,  Gunnar   M
Business Representative
None		$81,496$12,788$1,407$95,691
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 		Copps ,  Kelsey   R
Business Rep/Organizer
None		$56,010$1,135$65$57,210
I
Schedule 15
Representational Activities 		12 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		88 % Schedule 19
Administration 		0 %
A
B
C 		Ewing ,  Heather   T
Business Representative
None		$81,496$13,300$1,767$96,563
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Lyddan ,  Alison   A
Office Manager/Bookkeeper
None		$70,102$0$0$70,102
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$9,570$0$0$9,570
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 %
Total Employee Disbursements$298,674$27,223$3,239$0$329,136
Less Deductions    $80,322
Net Disbursements    $248,814
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 018-395

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 2,162 
Agency Fee Payers*131
Total Members/Fee Payers2,293 
*Agency Fee Payers are not considered members of the labor organization.
Active Member2,104Yes
Dues Cash Member58Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 018-395

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$31,814
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$25,985
4. Total Receipts$57,799
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$7,875
6. Total Disbursements$7,875
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$8,328
2. Named Payee Non-itemized Disbursements$24,713
3. To Officers$306,307
4. To Employees$198,153
5. All Other Disbursements$48,043
6. Total Disbursements$585,544
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$73,383
3. To Officers$0
4. To Employees$130,017
5. All Other Disbursements$40,872
6. Total Disbursements$244,272
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,144
4. To Employees$966
5. All Other Disbursements$239
6. Total Disbursements$2,349
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$7,791
3. To Officers$12,480
4. To Employees$0
5. All Other Disbursements$8,415
6. Total Disbursements$28,686
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 018-395

Name and Address
(A)
Joint Council 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$11,814
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$11,814
IBT Delegate Convention Fund allocation05/28/2021$6,814
Contribution to BCS Hardship Fund07/15/2021$5,000
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$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Contribution to BCS Hardship Fund07/15/2021$10,000
Name and Address
(A)
Teamsters Local Union No. 38

2601 Everett Avenue
Everett
WA
98201
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
Contribution to BCS Hardship Fund07/15/2021$5,000
Name and Address
(A)
Teamsters Local Union No. 763

14675 Interurban Ave S #305
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
Contribution to BCS Hardship Fund07/15/2021$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 018-395

Name and Address
(A)
AT&T
5019
0
Carol Stream
IL
60197-5019
Type or Classification
(B)
Communications Service Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,029
Total of All Transactions with this Payee/Payer for This Schedule$5,029
Name and Address
(A)
Reid, McCarthy, Ballew & Leahy L.L.P.

100 W Harrison Street, #300
Seattle
WA
98119
Type or Classification
(B)
Attorney
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,328
Total Non-Itemized Transactions with this Payee/Payer$19,684
Total of All Transactions with this Payee/Payer for This Schedule$28,012
Legal fees for negotiations and grievances02/09/2021$8,328
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 018-395

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 018-395

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 018-395

Name and Address
(A)
Action Cleaning Services

2009 Iron Street
Bellingham
WA
98225-4211
Type or Classification
(B)
Janitorial Services Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,613
Total of All Transactions with this Payee/Payer for This Schedule$5,613
Name and Address
(A)
Aramark Uniform Services
101179

Pasadena
CA
91189-1179
Type or Classification
(B)
Uniform Services Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,248
Total of All Transactions with this Payee/Payer for This Schedule$9,248
Name and Address
(A)
Century Link
52187

Phoenix
AZ
85072-2187
Type or Classification
(B)
Communications Service Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,068
Total of All Transactions with this Payee/Payer for This Schedule$13,068
Name and Address
(A)
Huebner, Dooley & 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$12,360
Total of All Transactions with this Payee/Payer for This Schedule$12,360
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$5,526
Total of All Transactions with this Payee/Payer for This Schedule$5,526
Name and Address
(A)
Pitney Bowes Inc
223648

Pittsburgh
PA
15250-2648
Type or Classification
(B)
Postage Supply Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,000
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Name and Address
(A)
Union Insurance Group

303 W Erie St, Ste 310
Chicago
IL
60654
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$5,458
Total of All Transactions with this Payee/Payer for This Schedule$5,458
Name and Address
(A)
Xerox Financial Services
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$12,110
Total of All Transactions with this Payee/Payer for This Schedule$12,110
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 018-395

Name and Address
(A)
American Products

1600 North Clinton Ave
Rochester
NY
14621
Type or Classification
(B)
Product and Supply Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,791
Total of All Transactions with this Payee/Payer for This Schedule$7,791
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 018-395

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$357,897
PensionWestern Conference of Teamsters Pension Trust$159,071
PensionPacific Coast Benefits Trust$30,521
Health and WelfareWashington Teamsters Welfare Trust$155,178
Legal Defense FundAmerican Legal Services$5,372
Health Insurance Deductibles CoveredEmployees$100
Group Life InsuranceTeamsters Life with Dues Trust Fund$7,509
Group Life InsuranceTeamsters Life Insurance Trust Fund$146
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 018-395
Address of Record: Physical office address: 1700 N. State Street Bellingham, WA 98225

Question 12: The Local Union's financial records were 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, Row1:

Schedule 13, Row1::Active Members are members with voting rights on dues checkoff.

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row2:

Schedule 13, Row2::Dues

Cash Members are active members paying dues cash.

Schedule 13, Row2:

Schedule 13, Row2::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)