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
542-860
2.
PERIOD COVERED
From
01/01/2021
Through
12/31/2021
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
LABORERS
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
483
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
FARRELL
Last Name
RICHARTZ
P.O Box - Building and Room Number
SUITE 206
Number and Street
1125 SE MADISON ST SUITE 206
City
PORTLAND
State
OR
ZIP Code + 4
97214
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:
Jamie Doscher
PRESIDENT
71. SIGNED:
RK F Richartz
TREASURER
Date:
Mar 31, 2022
Telephone
Number:
503-358-0112
Date:
Mar 31, 2022
Telephone
Number:
503-239-5676
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
542-860
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?
06/2023
20. How many members did the labor organization
have at the end of the reporting period?
1,000
21. What are the labor organization's rates of dues
and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
34.00
per
Month
10.00
150.00
(b) Working Dues/Fees
per
(c) Initiation Fees
per
(d) Transfer Fees
per
(e) Work Permits
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
542-860
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$1,098,377
$1,283,923
23. Accounts Receivable
1
$112,650
$33,897
24. Loans Receivable
2
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
27. Fixed Assets
6
$14,306
$11,531
28. Other Assets
7
$206,281
$192,409
29.
TOTAL ASSETS
$1,431,614
$1,521,760
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$47,354
$41,048
31. Loans Payable
9
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$2,311
$6,156
34. TOTAL
LIABILITIES
$49,665
$47,204
35. NET
ASSETS
$1,381,949
$1,474,556
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
542-860
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,293,395
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$0
39. Sale of Supplies
$0
40. Interest
$1,709
41. Dividends
$0
42. Rents
$0
43. Sale of Investments
and Fixed Assets
3
44. Loans Obtained
9
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$2,751
49. TOTAL RECEIPTS
$1,297,855
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$294,298
51.
Political Activities and Lobbying
16
$14,348
52.
Contributions, Gifts, and Grants
17
$8,133
53. General
Overhead
18
$230,068
54. Union
Administration
19
$40,535
55. Benefits
20
$224,527
56. Per
Capita Tax
$266,914
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$33,486
66. Subtotal
$1,112,309
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$0
67b. Less Total
Disbursed
$0
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$1,112,309
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
542-860
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
$33,897
$0
$0
$0
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$33,897
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
542-860
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 61
Item 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:
542-860
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:
542-860
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$0
$0
$0
Less Reinvestments
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
542-860
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:
542-860
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
$72,268
$60,737
$11,531
$5,000
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$72,268
$60,737
$11,531
$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
542-860
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$192,409
ACCRUED PENSION COST - WESTERN STATES PENSION PLAN
$192,409
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
542-860
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
$41,048
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$41,048
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
542-860
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 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
542-860
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$6,156
CREDIT CARD PAYABLE
$6,156
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
542-860
(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
RICHARTZ
,
FARRELL
BUSINESS MGR/SECRETARY C
$94,770
$0
$814
$0
$95,584
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
85
%
Schedule 19
Administration
10
%
A
B
C
DOSCHER
,
JAMIE
PRESIDENT C
$2,700
$0
$0
$0
$2,700
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
STERLING
,
ANDREW
VICE-PRESIDENT C
$2,700
$201
$0
$0
$2,901
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
ZEIGLER
,
WILLIAM
EXECUTIVE BOARD C
$2,700
$0
$0
$0
$2,700
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
FLORES
,
LUIS
EXECUTIVE BOARD C
$2,700
$0
$0
$0
$2,700
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
HOUSTON
,
CLAIRE
EXECUTIVE BOARD C
$2,700
$0
$0
$0
$2,700
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
SOTOMAYER
,
RYAN
A RECORDING SECRETARY C
$2,700
$0
$306
$0
$3,006
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
%
Total Officer
Disbursements
$110,970
$201
$1,120
$0
$112,291
Less Deductions
$30,388
Net
Disbursements
$81,903
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
542-860
(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
COLETT
,
THOMAS
FIELD REP/ORGANIZER N/A
$82,205
$0
$1,186
$0
$83,391
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
10
%
A
B
C
BRYAN
,
THEODORE
F FIELD REP/ORGANIZER N/A
$40,480
$0
$429
$0
$40,909
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
10
%
A
B
C
GATES
,
KIMBERLY
T FIELD REP/ORGANIZER N/A
$12,193
$0
$512
$0
$12,705
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
10
%
A
B
C
MEECHAN
,
SHAWNA
C FIELD REP/ORGANIZER N/A
$36,891
$0
$704
$0
$37,595
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
10
%
A
B
C
HARRISON
,
DASHIELL
K FIELD REP/ORGANIZER N/A
$15,586
$0
$1,188
$0
$16,774
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
10
%
A
B
C
REYES-GEISLINGER
,
LUZ
M ADMIN SECRETARY N/A
$57,743
$0
$2,048
$0
$59,791
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
$1,155
$0
$0
$0
$1,155
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
$246,253
$0
$6,067
$0
$252,320
Less
Deductions
$73,035
Net Disbursements
$179,285
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
542-860
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
1,000
Agency Fee Payers*
Total Members/Fee Payers
1,000
*Agency Fee Payers are
not considered members of the labor organization.
MEMBERS
1,000
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
542-860
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$0
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$2,751
4. Total
Receipts
$2,751
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$5,500
2. Named Payee
Non-itemized Disbursements
$1,200
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$1,433
6. Total
Disbursements
$8,133
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$38,726
2. Named Payee
Non-itemized Disbursements
$25,633
3. To Officers
$8,354
4. To Employees
$154,254
5. All Other
Disbursements
$67,331
6. Total
Disbursements
$294,298
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$8,250
2. Named Payee
Non-itemized Disbursements
$50,666
3. To Officers
$81,246
4. To Employees
$69,360
5. All Other
Disbursements
$20,546
6. Total
Disbursements
$230,068
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$4,779
4. To Employees
$9,569
5. All Other
Disbursements
$0
6. Total
Disbursements
$14,348
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$17,912
4. To Employees
$19,138
5. All Other
Disbursements
$3,485
6. Total
Disbursements
$40,535
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
542-860
Name and Address
(A)
-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
542-860
Name and Address
(A)
BENNETT, HARTMAN, MORRIS & KAPLAN
210 SW MORRISON ST #500 PORTLAND OR 97204
Type or Classification
(B)
LEGAL - CONTRACT ENFORCEMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$38,726
Total
Non-Itemized Transactions with this Payee/Payer
$8,633
Total of All Transactions with this
Payee/Payer for This Schedule
$47,359
LEGAL FEES
08/17/2021
$27,631
LEGAL FEES
10/18/2021
$6,002
LEGAL FEES
12/07/2021
$5,093
Name and Address
(A)
NROC
12201 TUKWILA INTL BLVD 135 SEATTLE WA 98168
Type or Classification
(B)
NATIONAL ORGANIZING FUND
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$17,000
Total of All Transactions with this
Payee/Payer for This Schedule
$17,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
542-860
There was no data
found for this schedule.
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
542-860
Name and Address
(A)
LIUNA NORTHWEST DELEGATE FUND
12201 TUKWILA INTL BLVD 140 SEATTLE WA 98168
Type or Classification
(B)
NW REGIONAL CONFERENCE OF LABORERS
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,500
Total
Non-Itemized Transactions with this Payee/Payer
$1,200
Total of All Transactions with this
Payee/Payer for This Schedule
$6,700
CHARITABLE DONATION
08/19/2021
$5,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
542-860
Name and Address
(A)
DAVID C CHVATAL CPA
2427 SW VERMONT ST PORTLAND OR 97219
Type or Classification
(B)
AUDITOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,250
Total
Non-Itemized Transactions with this Payee/Payer
$558
Total of All Transactions with this
Payee/Payer for This Schedule
$8,808
ANNUAL AUDIT
07/21/2021
$8,250
Name and Address
(A)
MACADAM NASE LLC
7991 SW MOHAWK ST TUALATIN OR 97062
Type or Classification
(B)
BUILDING LESSOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$32,916
Total of All Transactions with this
Payee/Payer for This Schedule
$32,916
Name and Address
(A)
NORTHWEST LABOR PRESS 13150
PORTLAND OR 97213
Type or Classification
(B)
NEWSPAPER PUBLICATION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$12,146
Total of All Transactions with this
Payee/Payer for This Schedule
$12,146
Name and Address
(A)
NW SELF STORAGE
215 SE MORRISON ST PORTLAND OR 97214
Type or Classification
(B)
STORAGE FACILITY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,046
Total of All Transactions with this
Payee/Payer for This Schedule
$5,046
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
542-860
There was no data
found for this schedule.
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
542-860
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$224,527
HEALTH & WELFARE BENEFITS
OREGON LABORERS-EMPLOYERS HEALTH & WELFARE PLAN
$68,940
DEFINED BENEFIT PENSION
LIUNA STAFF & AFFILIATES PENSION FUND
$77,519
DEFINED BENEFIT PENSION
OREGON LABORERS-EMPLOYERS PENSION TRUST
$58,920
DEFINED BENEFIT PENSION
WESTERN STATES PENSION PLAN - WITHDRAWAL PAYMENTS
$11,490
DEFINED CONTRIBUTION PENSION
WESTERN STATES 401(K) RETIREMENT PLAN
$6,625
GROUP LIFE INSURANCE
DISTRICT COUNCIL OF LABORERS
$1,033
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
542-860
Question 12: Annual audit performed by David C. Chvatal CPA, an independent auditor.
Schedule 13, Row1:
Schedule 13, Row1:Members pay dues based on a multiple of their hourly wage rate. All members have voting privileges.