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.
For Official Use Only
E
PLEASE READ THE INSTRUCTIONS CAREFULLY BEFORE
PREPARING THIS
REPORT.
1. LM-30 File Number
U-69973
2. Fiscal Year Covered: from
01/01/2022
through
12/31/2022
3. Amended Report - If this is an amended report,
check here
4. Your Contact Information
Name (first, middle, last)
Terence M O'Sullivan
Street address
905 16th Street, NW,
City
Washington
State
DC
ZIP
20006
Email address (optional)
5. Labor Organization Identifying Information
Name
LABORERS
Street address
905 16TH STREET,
City
WASHINGTON
State
DC
ZIP
200061765
File number
000-131
Officer
Employee
Your officer position or job title
General President
Complete
PART A, B, or C
if, during the past fiscal year, you or your spouse or minor
child
directly or indirectly had a reportable interest in, transaction
or arrangement with, or received income, payment, or benefit from
the entities described below.
PART A - REPRESENTED EMPLOYER.
An employer whose employees your labor organization represents or is
actively seeking to represent.
No information was reported in PART A.
15. Signature and Verification
The undersigned declares, under penalty of perjury
and other
applicable penalties of law, that
all of the information
submitted in this report (including the
information contained in
any accompanying documents)
has been examined by the signatory and
is, to the best of the
undersigned's knowledge and belief, true,
correct and complete.
Signed
Terence M O'Sullivan
On
Mar 30, 2023
Telephone Number
202-737-8320
Form LM-30 (Revised 2011)
PART B - BUSINESS.
A business, such as a vendor or service provider, (1)
a substantial
part of which consists of buying from, selling or
leasing to, or
otherwise dealing with
the business of an employer described in
Part A
or (2) any part of
which consists of buying from or selling
or leasing
directly
or indirectly to, or otherwise dealing with
your labor
organization
or with a trust in which your labor
organization is
interested.
8. Name of business
Ullico, Inc.
Contact name
Darin Hardy
Telephone
202-682-6730
Street Address
1625 Eye Street, NW,
City
Washington
State
DC
ZIP
200061765
9. Business deals with
a. Labor Organization
b. Trust
c. Employer
11.a. Nature of dealings
Ullico, Inc., provides multi-line insurance, financial services, and administrative products to Laborers' International Union of North America, its affiliates, and members: 1) insurance contracts $772,425.47; capital interest $5,005,607.90
11.b. Value of dealings
$5,778,033
12.a. Nature of interest, benefit, arrangement, or income
Serves as a member of the Board of Directors for Ullico, Inc.: 1) Meeting Fees $18,750.00, 2) Business Meals $1,400.00, 3) Director Fees $55,000.00, 4) Transportation $3,685.00
12.b. Amount or value of interest, benefit, arrangement, or
income
$78,835
PART C - OTHER EMPLOYER OR LABOR RELATIONS
CONSULTANT.
An employer (other than an employer or business
covered under Parts
A
and B above) from whom a payment would create an
actual or
potential
conflict between your personal financial
interests
and the
interests of
your labor organization (or your duties to your
labor
organization); or
a labor relations consultant to such an
employer
or to the employer
listed in Part A.