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-69966
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)
Jon Rocco Davis
Street address
3775 North Freeway Boulevard, Suite 110
City
Sacramento
State
CA
ZIP
95834
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
Vice President and Regional Manager
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
Jon R Davis
On
Mar 31, 2023
Telephone Number
916-604-5576
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
BayCom Corp.
Contact name
Agnes Chiu
Telephone
925-476-1843
Street Address
500 Yonacio Valley Road, Suite 200
City
Walnut Creek
State
CA
ZIP
94596
9. Business deals with
a. Labor Organization
b. Trust
c. Employer
11.a. Nature of dealings
Laborers' International Union of North America (LIUNA) affiliates own shares of BayCom Corp., and the bank offers commercial banking services including deposit accounts and loans to LIUNA affiliates.
11.b. Value of dealings
LIUNA does not know the value of affiliates' shares or services.
12.a. Nature of interest, benefit, arrangement, or income
Member of Board of Directors: 1) Board Fees $10,000; 2) Common Stock Incentive Plan $6,750; 3) San Francisco Giants game tickets and parking $350
12.b. Amount or value of interest, benefit, arrangement, or
income
$17,100
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.
No information was reported in PART C.
Form LM-30 (Revised 2011)
PART B - BUSINESS.
(CONTINUATION)
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
International Accreditation Services (IAS)
Contact name
Raj Nathan
Telephone
562-364-8201
Street Address
3060 Saturn Street, Suite 100
City
Brea
State
CA
ZIP
92821
9. Business deals with
a. Labor Organization
b. Trust
c. Employer
10. If 9.b or 9.c is checked give trust or
employer's
name
Name of employer or labor relations consultant
LIUNA Training and Education Fund
Contact name
Raj Nathan
Telephone
562-364-8201
Street Address
3060 Saturn Street, Suite 100
City
Brea
State
CA
ZIP
92821
11.a. Nature of dealings
International Accreditation Services (IAS) is an accrediting body that evaluates training provided by the LIUNA Training and Education Fund.
11.b. Value of dealings
$18,900
12.a. Nature of interest, benefit, arrangement, or income
Member of Board of Directors: Board meetings, meals, and gift basket $625.00
12.b. Amount or value of interest, benefit, arrangement, or
income
$625
PART B - BUSINESS.
(CONTINUATION)
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
TDA Investment Group
Contact name
Al Hackbarth
Telephone
650-343-6333
Street Address
2025 Pioneer Court,
City
San Mateo
State
CA
ZIP
94403
9. Business deals with
a. Labor Organization
b. Trust
c. Employer
11.a. Nature of dealings
Investment Advisor to LIUNA affiliates.
11.b. Value of dealings
The value of the investment advisor services provided by TDA to L...
12.a. Nature of interest, benefit, arrangement, or income
Golf $290.00
12.b. Amount or value of interest, benefit, arrangement, or
income