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
529-057
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
TRANSIT UNION AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL DIVISION
6. DESIGNATION NBR
1576
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
David
Last Name
Thompson
P.O Box - Building and Room Number
SUITE 203
Number and Street
2810 LOMBARD AVE
City
EVERETT
State
WA
ZIP Code + 4
982013695
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:
Kathleen M Custer
PRESIDENT
71. SIGNED:
David D Thompson
TREASURER
Date:
Apr 06, 2022
Telephone
Number:
425-259-4544
Date:
Apr 06, 2022
Telephone
Number:
425-259-4544
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
529-057
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?
$400,000
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?
12/2022
20. How many members did the labor organization
have at the end of the reporting period?
688
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
n/a
per
month
62.30
n/a
(b) Working Dues/Fees
n/a
per
n/a
n/a
n/a
(c) Initiation Fees
300.00
per
member
n/a
n/a
(d) Transfer Fees
n/a
per
n/a
n/a
n/a
(e) Work Permits
n/a
per
n/a
n/a
n/a
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
529-057
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$1,226,303
$1,463,389
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
$0
27. Fixed Assets
6
$32,217
$35,071
28. Other Assets
7
$699
$699
29.
TOTAL ASSETS
$1,259,219
$1,499,159
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$0
31. Loans Payable
9
$3
$3
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$308,822
$145,982
34. TOTAL
LIABILITIES
$308,825
$145,985
35. NET
ASSETS
$950,394
$1,353,174
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
529-057
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$926,803
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$0
39. Sale of Supplies
$0
40. Interest
$0
41. Dividends
$0
42. Rents
$0
43. Sale of Investments
and Fixed Assets
3
$0
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
$0
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$4,457
49. TOTAL RECEIPTS
$931,260
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$287,627
51.
Political Activities and Lobbying
16
$0
52.
Contributions, Gifts, and Grants
17
$101
53. General
Overhead
18
$75,379
54. Union
Administration
19
$176,157
55. Benefits
20
$0
56. Per
Capita Tax
$154,910
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$0
61. Loans
Made
2
$0
62.
Repayment of Loans Obtained
9
$0
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$0
66. Subtotal
$694,174
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$7,143
67b. Less Total
Disbursed
$7,143
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$694,174
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
529-057
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:
529-057
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:
529-057
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
$0
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
529-057
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
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
529-057
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:
529-057
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
$102,590
$67,519
$35,071
$3,000
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$102,590
$67,519
$35,071
$3,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
529-057
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$699
Prepaid Bond
$567
Prepaid Expense
$132
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
529-057
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:
529-057
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
$3
$0
$0
$0
$3
Totals will be automatically entered in...
Item 31
Column (C)
Item 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Employee
$3
$0
$0
$0
$3
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
529-057
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$145,982
Payroll Reimbursement Payable
$145,982
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
529-057
(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
Custer
,
Kathleen
M President/Business Agent C
$9,000
$9,000
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Julien
,
Danielle
L Vice President C
$9,000
$9,000
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Thompson
,
David
D Financial Secretary/Treas C
$9,000
$9,000
I
Schedule 15
Representational Activities
25
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
75
%
A
B
C
Perkins
,
Lela
Recording Secretary C
$9,000
$9,000
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100
%
A
B
C
Kurjiaka
,
Bruce
M Executive Board C
$275
$275
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Johnson
,
Darrell
E Executive Board C
$275
$275
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Gibson
,
David
L Executive Board C
$1,203
$1,203
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Sullivan
,
Eric
T Executive Board C
$4,266
$4,266
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Handy
,
Erik
Executive Board C
$1,239
$1,239
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Meliza
,
Kim
Executive Board C
$1,517
$1,517
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Mann
,
Lance
C Executive Board C
$2,920
$2,920
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Sills
,
Lisa
Executive Board C
$192
$192
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Sarey II
,
Pierre
C Executive Board C
$924
$924
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Ott
,
Roy
Executive Board C
$1,094
$1,094
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Becker
,
Steven
F Executive Board C
$2,573
$2,573
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total Officer
Disbursements
$52,478
$0
$0
$0
$52,478
Less Deductions
Net
Disbursements
$52,478
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
529-057
(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
Lont
,
Jay
Shop Steward C
$102
$102
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Flanary
,
John
B Shop Steward N
$367
$367
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Hill
,
Karren
R Shop Steward C
$1,184
$1,184
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Norton
,
Lance
F Labor Rep BOD C
$4,095
$4,095
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Downs
,
Martin
Shop Steward N
$601
$601
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Brandis
,
Rebecca
J Shop Steward C
$754
$754
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$0
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total
Employee Disbursements
$7,103
$0
$0
$0
$7,103
Less
Deductions
Net Disbursements
$7,103
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
529-057
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
688
Agency Fee Payers*
0
Total Members/Fee Payers
688
*Agency Fee Payers are
not considered members of the labor organization.
Active Members: Full Dues
635
Yes
Active Members: Minimum Dues
23
Yes
Retiree Members
23
Yes
Dual Membership: ATU Local 1576 is Primary Local
6
Yes
Dual Membership: ATU Local 1576 is Secondary Local
1
No
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
529-057
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$0
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$4,457
4. Total
Receipts
$4,457
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$101
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
6. Total
Disbursements
$101
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$37,559
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$36,728
4. To Employees
$7,103
5. All Other
Disbursements
$206,237
6. Total
Disbursements
$287,627
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$39,323
2. Named Payee
Non-itemized Disbursements
$36,056
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
6. Total
Disbursements
$75,379
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
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
6. Total
Disbursements
$0
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$15,750
4. To Employees
$0
5. All Other
Disbursements
$160,407
6. Total
Disbursements
$176,157
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
529-057
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:
529-057
Name and Address
(A)
Frank Freed Subit and Thomas LLC
705 Second Ave Seattle WA 98104-1729
Type or Classification
(B)
Legal Fees
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$37,559
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$37,559
Arbitrations & Negotiations
01/22/2021
$14,489
Arbitrations & Negotiations
02/25/2021
$10,543
Arbitrations & Negotiations
03/30/2021
$2,994
Arbitrations & Negotiations
04/23/2021
$1,608
Arbitrations & Negotiations
04/29/2021
$403
Arbitrations & Negotiations
06/02/2021
$1,600
Arbitrations & Negotiations
08/30/2021
$2,058
Arbitrations & Negotiations
09/20/2021
$550
Arbitrations & Negotiations
10/21/2021
$400
Arbitrations & Negotiations
11/29/2021
$2,914
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
529-057
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 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
529-057
Name and Address
(A)
STADIUM FLOWERS P.O. BOX 598
EVERETT WA 98206
Type or Classification
(B)
Gifts
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$101
Total of All Transactions with this
Payee/Payer for This Schedule
$101
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
529-057
Name and Address
(A)
Advocate Telcom Inc
626 128th St. SW Suite 108 Everett WA 98204
Type or Classification
(B)
Computer Maintenance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$2,935
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$2,935
Computer Maintenance
08/17/2021
$540
Computer Maintenance
10/26/2021
$202
Computer Maintenance
10/26/2021
$2,193
Name and Address
(A)
Allwater Corporation P.O. Box 5886
Lynnwood WA 98046
Type or Classification
(B)
Office Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$72
Total of All Transactions with this
Payee/Payer for This Schedule
$72
Name and Address
(A)
Best Name Badges
1700 NW 65th Ave. Suite 4 Plantation FL 33313
Type or Classification
(B)
Awards/Patches/Pins/Flowers
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$58
Total of All Transactions with this
Payee/Payer for This Schedule
$58
Name and Address
(A)
Comcast Business PO Box 34744
Seattle WA 98124-1744
Type or Classification
(B)
Internet Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$4,407
Total of All Transactions with this
Payee/Payer for This Schedule
$4,407
Name and Address
(A)
Empyrean Data Solutions LLC
10125-27th Dr SE Everett WA 98208
Type or Classification
(B)
IT Services
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$3,514
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$3,514
IT Services
02/05/2021
$3,514
Name and Address
(A)
Everett Office Furniture
2931 Broadway Everett WA 98201
Type or Classification
(B)
Suppies
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$350
Total of All Transactions with this
Payee/Payer for This Schedule
$350
Name and Address
(A)
EVERETT SELF STORAGE DEPOT 2727 Maple Street
2727 Maple Street Everett WA 98201
Type or Classification
(B)
Storage Rental
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$2,862
Total of All Transactions with this
Payee/Payer for This Schedule
$2,862
Name and Address
(A)
EVERETT TRADES BLDG. ASSN.
2810 Lombard Avenue, Suite Everett WA 98201
Type or Classification
(B)
Rent
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$18,398
Total of All Transactions with this
Payee/Payer for This Schedule
$18,398
Name and Address
(A)
Handymax
5705 Lakewood Rd. Stanwood WA 98292
Type or Classification
(B)
Repairs
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$366
Total of All Transactions with this
Payee/Payer for This Schedule
$366
Name and Address
(A)
Quadient Finance USA, Inc P.O. Box 6813
Carol Stream IL 60197-6813
Type or Classification
(B)
Postage
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$1,126
Total of All Transactions with this
Payee/Payer for This Schedule
$1,126
Name and Address
(A)
Traxton CPA, P.C.
12725 SW 66th Ave Suite 202 Tigard OR 97223
Type or Classification
(B)
Accounting Services
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$32,874
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$32,874
Accounting Services
01/14/2021
$16,193
Accounting Services
04/01/2021
$5,000
Accounting Services
08/11/2021
$11,681
Name and Address
(A)
VERIZON WIRELESS PO BOX 660108
Dallas TX 75266-0108
Type or Classification
(B)
Telephone Services
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$4,463
Total of All Transactions with this
Payee/Payer for This Schedule
$4,463
Name and Address
(A)
Woodburn Company
2815 Rockefeller Ave. Everett WA 98201-6601
Type or Classification
(B)
Copier Maintenance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$3,954
Total of All Transactions with this
Payee/Payer for This Schedule
$3,954
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
529-057
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 20 -
BENEFITS
FILE NUMBER:
529-057
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
529-057
Question 12: In Progress
Statement A,
Cash Begin Total:
Statement A,
Cash Begin Total: No Change
Statement A,Fixed Assets Value Begin Total:
Statement A,Fixed Assets Value Begin Total: No Change
Statement A,Other Asset Book Value Begin Total:
Statement A,Other Asset Book Value Begin Total: No Change
Statement A,
Accounts Payable Begin Total:
Statement A,
Accounts Payable Begin Total: No Change
Statement A,Other Liabilities Amount Begin Total:
Statement A,Other Liabilities Amount Begin Total: No Change