12/2/2015 DOL Form Report (Disclosure) Return FORM LM 2 LABOR ORGANIZATION ANNUAL REPORT

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1 Return U.S. Department of Labor Office of Labor Management Standards Washington, D FORM LM 2 LOR ORGNZTON NNUL REPORT MUST E USED Y LOR ORGNZTONS WTH $250,000 OR MORE N TOTL NNUL REEPTS ND LOR ORGNZTONS N TRUSTEESHP Form pproved Office of Management and udget No Expires: This report is manadatory under P.L , as amended. Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S or 440. RED THE NSTRUTONS REFULLY EFORE PREPRNG THS REPORT. For Official Use Only 1. FLE NUMER PEROD OVERED From 01/01/2013 Through 12/31/ (a) MENDED s this an amended report: No (b) HRDSHP Filed under the hardship procedures: No (c) TERMNL This is a terminal report: No 4. FFLTON OR ORGNZTON NME TEMSTERS 5. DESGNTON (Local, Lodge, etc.) LOL UNON 7. UNT NME (if any) 6. DESGNTON NR MLNG DDRESS (Type or print in capital letters) First Name ROERT P.O ox uilding and Room Number Number and Street 5939 ENDER RD Last Name LEVER 9. re your organization's records kept at its mailing address? Yes ity HUMLE State ZP ode 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. SGNED: ROERT W LEVER PRESDENT 71. SGNED: Dominic G Fierro TRESURER : Mar 31, 2014 Telephone Number: : Mar 31, 2014 Telephone Number: TEMS 10 THROUGH 21 FLE NUMER: During the reporting period did the labor organization create or participate 20. How many members did the labor organization have at the end of the reporting 2,495 in the administration of a trust or a fund or organization, as defined in the No period? instructions, which provides benefits for members or beneficiaries? 21. What are the labor organization's rates of dues and fees? 11(a). During the reporting period did the labor organization have a political Rates of Dues and Fees Yes action committee (P) fund? Dues/Fees Unit Minimum Maximum 11(b). During the reporting period did the labor organization have a subsidiary No (a) Regular Dues/Fees Variousper Month organization as defined in Section X of these nstructions? (b) Working Dues/Fees N/ per N/ During the reporting period did the labor organization have an audit or (c) nitiation Fees Variousper New Mem review of its books and records by an outside accountant or by a parent body Yes (d) Transfer Fees per 0 0 auditor/representative? (e) Work Permits per esa.gov/query/orgreport.do 1/12

2 13. During the reporting period did the labor organization discover any loss or Yes shortage of funds or other assets? (nswer "Yes" even if there has been repayment or recovery.) 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 $295,000 organization who handled union funds? 15. During the reporting period did the labor organization acquire or dispose of No any assets in a manner other than purchase or sale? 16. Were any of the labor organization's assets pledged as security or No encumbered in any way at the end of the reporting period? 17. Did the labor organization have any contingent liabilities at the end of the No reporting period? 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 No practices/procedures listed in the instructions? 19. What is the date of the labor organization's next regular election of officers? 10/2015 STTEMENT SSETS ND LLTES FLE NUMER: SSETS SSETS Schedule Start of Reporting Period End of Reporting Period Number 22. ash $1,375,005 $1,918, ccounts Receivable 1 $0 24. Loans Receivable 2 $0 25. U.S. Treasury Securities $0 $0 26. nvestments 5 $0 27. Fixed ssets 6 $307,786 $302, Other ssets 7 $11,000 $11, TOTL SSETS $1,693,791 $2,232,096 LLTES LLTES Schedule Start of Reporting Period End of Reporting Period Number 30. ccounts Payable 8 $0 31. Loans Payable 9 $0 32. Mortgages Payable $0 $0 33. Other Liabilities 10 $1,426 $3, TOTL LLTES $1,426 $3, NET SSETS $1,692,365 $2,228,637 esa.gov/query/orgreport.do 2/12

3 STTEMENT REEPTS ND DSURSEMENTS FLE NUMER: SH REEPTS SH MOUNT SH DSURSEMENTS SH MOUNT 36. Dues and gency Fees $2,077, Representational ctivities 15 $547, Per apita Tax $0 51. Political ctivities and 16 $5, Fees, Fines, ssessments, Work Permits $24, ontributions, Gifts, and Grants 17 $9, Sale of Supplies $ $366, nterest $1, Union dministration 19 $53, Dividends $0 55. enefits 20 $158, Rents $35, Per apita Tax $438, Sale of nvestments and Fixed ssets Strike enefits $0 44. Loans Obtained 9 $0 58. Fees, Fines, ssessments, etc. $0 45. Repayments of Loans Made 2 $0 59. Supplies for Resale $0 46. On ehalf of ffiliates for Transmittal to Them $0 60. Purchase of nvestments and Fixed ssets 4 $ From Members for Disbursement on Their ehalf $ Loans Made 2 $0 48. Other Receipts 14 $21, Repayment of Loans Obtained 9 $0 49. TOTL REEPTS $2,160, To ffiliates of Funds ollected on Their ehalf $0 64. On ehalf of ndividual Members $ Direct Taxes $36, Subtotal $1,617, Withholding Taxes and Payroll Deductions 67a. Total Withheld $92,880 67b. Less Total Disbursed $92,880 67c. Total Withheld ut Not Disbursed 68. TOTL DSURSEMENTS $1,617,229 SHEDULE 1 OUNTS REEVLE GNG SHEDULE FLE NUMER: Entity or ndividual Name Total ccount Receivable Days Past Due 180+ Days Past Due Liquidated ccount Receivable Total of all itemized accounts receivable $0 $0 $0 $0 Totals from all other accounts receivable Totals(Total of olumn will be automatically entered in tem 23, olumn) $0 $0 $0 $0 SHEDULE 2 LONS REEVLE FLE NUMER: 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 regarless of amount. Loans Outstanding at Start of Period Loans Made During Period Repayments Received During Period ash (1) Other Than ash (2) Loans Outstanding at End of Period Total of loans not listed above $0 $0 $0 $0 $0 Total of all lines above $0 $0 $0 $0 $0 Totals will be automatically entered in... tem 24 tem 61 tem 45 tem 69 tem 24 olumn with Explanation olumn SHEDULE 3 SLE OF NVESTMENTS ND FXED SSETS FLE NUMER: esa.gov/query/orgreport.do 3/12

4 Description (if land or buildings give location) ost ook Value Gross Sales Price Received Total of all lines above $0 $0 $0 $0 Less Reinvestments (The total from Net Sales Line will be automatically entered in tem 43)Net Sales SHEDULE 4 PURHSE OF NVESTMENTS ND FXED SSETS FLE NUMER: Description (if land or buildings, give location) ost ook Value ash Paid Equipment $798 $798 $798 Total of all lines above $798 $798 $798 Less Reinvestments $0 (The total from Net Purchases Line will be automatically entered in tem 60.)Net Purchases $798 SHEDULE 5 NVESTMENTS FLE NUMER: Description Marketable Securities. Total ost. Total ook Value. List each marketable security which has a book value over $5,000 and exceeds 5% of Line. Other nvestments D. Total ost E. Total ook Value F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E. lso, list each subsidiary for which separate reports are attached. G. Total of Lines and E (Total will be automatically entered in tem 26, olumn) $0 SHEDULE 6 FXED SSETS FLE NUMER: Description ost or Other asis Total Depreciation or Expensed ook Value. Land (give location) Land 1 : HUMLE, $202,128 $202,128 $0. uildings (give location) $0 $0 $0 $0. utomobiles and Other Vehicles $0 $0 $0 $0 D. Office Furniture and Equipment $87,288 $71,855 $15,433 $0 E. Other Fixed ssets $85,221 $0 $85,221 $0 F. Totals of Lines through E (olumn Total will be automatically entered in tem 27, olumn) Form LM 2 (Revised 2003) Value $374,637 $71,855 $302,782 $0 SHEDULE 7 OTHER SSETS FLE NUMER: Description ook Value esa.gov/query/orgreport.do 4/12

5 Security Deposit on Lease $11,000 Total (Total will be automatically entered in tem 28, olumn) $11,000 SHEDULE 8 OUNTS PYLE GNG SHEDULE FLE NUMER: Entity or ndividual Name Total ccount Payable Days Past Due 180+ Days Past Due Liquidated ccount Payable Total for all itemized accounts payable $0 $0 $0 $0 Total from all other accounts payable $0 $0 $0 $0 Totals (Total for olumn will be automatically entered in tem 30, olumn) $0 $0 $0 $0 SHEDULE 9 LONS PYLE FLE NUMER: Source of Loans Payable at ny Time During the Reporting Period Loans Owed at Start of Period Loans Obtained During Period Repayment During Period ash (1) Repayment During Period Other Than ash (2) Loans Owed at End of Period Total Loans Payable $0 $0 $0 $0 $0 tem 31 tem 44 tem 62 tem 69 tem 31 Totals will be automatically entered in... olumn with Explanation olumn SHEDULE 10 OTHER LLTES FLE NUMER: Description at End of Period Payroll deductions payable $459 Security deposit on sublease $3,000 Total Other Liabilities (Total will be automatically entered in tem 33, olumn) $3,459 SHEDULE 11 LL OFFERS ND DSURSEMENTS TO OFFERS FLE NUMER: Name LEVER, ROERT W PRESDENT N Representational ctivities RSH, ROERT J PRESDENT P Representational ctivities Title 35 % 2 Status Political ctivities and Political ctivities and Gross Salary Disbursements (before any deductions) llowances Disbursed (F) Disbursements for Official usiness (G) Other Disbursements not reported in through (F) (H) TOTL $32,159 $32,483 $64,642 ontributions 25 % dministration $1,402 $161 $1,563 ontributions 2 dministration esa.gov/query/orgreport.do 5/12

6 FERRO, DOMN G SERETRY TRESURY Representational ctivities NTU, NGEL M VE PRESDENT Representational ctivities STUND, DNEL P TRUSTEE Representational ctivities NERREN, MHEL TRUSTEE Representational ctivities PETERSON, GLENN M REORDNG SERETRY Representational ctivities LNE, ROY M TRUSTEE Representational ctivities 95 % 98 % % Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and 1 % 1 % 5 % 1 2 $32,878 $4,428 $37,306 ontributions esa.gov/query/orgreport.do 6/12 dministration $29,447 $9,671 $39,118 ontributions dministration $8,100 $465 $8,565 ontributions dministration $5,100 $900 $14,408 $20,408 ontributions dministration $8,100 $900 $1,726 $10,726 ontributions dministration $68,978 $11,818 $80,796 ontributions dministration Total Officer Disbursements $186,164 $1,800 $75,160 $0 $263,124 Less Deductions $52,083 Net Disbursements $211,041 SHEDULE 12 DSURSEMENTS TO EMPLOYEES FLE NUMER: Name Title RO, FRNK J USNESS GEN/ORGNZER N/ Representational ctivities 10 Other Payer Political ctivities and Gross Salary Disbursements (before any deductions) llowances Disbursed (F) Disbursements for Official usiness (G) Other Disbursements not reported in through (F) (H) TOTL $67,850 $11,153 $79,003 ontributions dministration FGN, SHNNON M OOKKEEPER $60,632 $34 $60,666 4 % 1 % 15 % %

7 N/ Representational ctivities KOHLER, LS NEGOTTOR N/ Representational ctivities 10 Political ctivities and Political ctivities and ontributions 10 dministration $7,692 $1,050 $2,715 $11,457 ontributions dministration TOTLS REEVED Y EMPLOYEES MKNG LESS THN $10000 $13,171 $3,600 $17,470 $34, Representational ctivities Political ctivities and ontributions dministration Total Employee Disbursements $149,345 $4,650 $31,372 $0 $185,367 Less Deductions $40,797 Net Disbursements $144,570 SHEDULE 13 MEMERSHP STTUS FLE NUMER: ategory of Membership Number Voting Eligibility TVE MEMERS FULL DUES 2,495 Yes Members (Total of all lines above) 2,495 gency Fee Payers* 30 Total Members/Fee Payers 2,525 *gency Fee Payers are not considered members of the labor organization. DETLED SUMMRY PGE SHEDULES 14 THROUGH 19 FLE NUMER: SHEDULE 14 OTHER REEPTS 1. Named Payer temized Receipts $6, Named Payer Non itemized Receipts $0 3. ll Other Receipts $15, Total Receipts $21,494 SHEDULE 17 ONTRUTONS, GFTS & GRNTS 1. Named Payee temized Disbursements $0 2. Named Payee Non itemized Disbursements $0 3. To Officers $0 4. To Employees $0 5. ll Other Disbursements $9, Total Disbursements $9,752 SHEDULE 15 REPRESENTTONL TVTES 1. Named Payee temized Disbursements $64, Named Payee Non itemized Disbursements $74, To Officers $203, To Employees $124, ll Other Disbursements $80, Total Disbursements $547,985 SHEDULE 16 POLTL TVTES ND LOYNG 1. Named Payee temized Disbursements $0 2. Named Payee Non itemized Disbursements $0 3. To Officers $5, To Employees $0 5. ll Other Disbursements SHEDULE 18 GENERL OVERHED 1. Named Payee temized Disbursements $174, Named Payee Non itemized Disbursements $77, To Officers $16, To Employees $60, ll Other Disbursements $36, Total Disbursements $366,602 SHEDULE 19 UNON DMNSTRTON 1. Named Payee temized Disbursements $8, Named Payee Non itemized Disbursements $0 3. To Officers $38, To Employees $0 5. ll Other Disbursements $6,748 esa.gov/query/orgreport.do 7/12

8 6. Total Disbursement $5, Total Disbursements $53,337 SHEDULE 14 OTHER REEPTS FLE NUMER: Name and ddress OVNGTON SPELTY NSURNE O 945 E PES FERRY RD #1800 TLNT G Type or lassification NSURNE OMPNY LM PD ON URGLRY 06/20/2013 $6,132 Total temized Transactions with this Payee/Payer $6,132 Total Non temized Transactions with this Payee/Payer $0 Total of ll Transactions with this Payee/Payer for This Schedule $6,132 SHEDULE 15 REPRESENTTONL TVTES FLE NUMER: Name and ddress RKN MEZLSH, LLP 200 E ROD ST 10TH FL OLUMUS OH Type or lassification LW FRM Name and ddress EMSSY SUTES DLLS 3880 W NORTHWEST HWY DLLS Type or lassification HOTEL Name and ddress EMSSY SUTES PHLDELPH 9000 HRTRM VE PHLDELPH P Type or lassification HOTEL Name and ddress LEGL SERVES 03/01/2013 $7,648 LEGL SERVES 03/28/2013 $20,029 LEGL SERVES 04/19/2013 $20,067 LEGL SERVES 05/17/2013 $5,609 LEGL SERVES 11/22/2013 $11,531 Total temized Transactions with this Payee/Payer $64,884 Total Non temized Transactions with this Payee/Payer $13,452 Total of ll Transactions with this Payee/Payer for This Schedule $78,336 Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $6,968 Total of ll Transactions with this Payee/Payer for This Schedule $6,968 Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $7,623 Total of ll Transactions with this Payee/Payer for This Schedule $7,623 esa.gov/query/orgreport.do 8/12

9 HLTON HGO 720 S MHGN VE HGO L Type or lassification HOTEL Name and ddress JOHN HRRN HRS LN NEW NEY Type or lassification ONTRT NEGOTTONS Name and ddress PLMER HOUSE 17 EST MONROE ST HGO L Type or lassification HOTEL Name and ddress SOUTHWEST RLNES DLLS Type or lassification OMMERL RLN/REMURSE WGES ENEFTS Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $5,360 Total of ll Transactions with this Payee/Payer for This Schedule $5,360 Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $18,149 Total of ll Transactions with this Payee/Payer for This Schedule $18,149 Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $10,910 Total of ll Transactions with this Payee/Payer for This Schedule $10,910 Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $12,332 Total of ll Transactions with this Payee/Payer for This Schedule $12,332 SHEDULE 16 POLTL TVTES ND LOYNG FLE NUMER There was no data found for this schedule. SHEDULE 17 ONTRUTONS, GFTS & GRNTS FLE NUMER: There was no data found for this schedule. SHEDULE 18 GENERL OVERHED FLE NUMER: Name and ddress esa.gov/query/orgreport.do 9/12

10 PN ENERGY 4728 HOUSTON Type or lassification UTLTY OMPNY Name and ddress ENDER ROD LL FRESNO LNDLORD Type or lassification Name and ddress. JY MWHORTER, P NW FREEWY STE 300 HOUSTON Type or lassification OUNTNT Name and ddress GSL NVESTMENTS 6800 W LOOP SOUTH STE 200 ELLRE Type or lassification LNDLORD Name and ddress NSURNE NETWORK OF TEXS 708 SUL ROSS HOUSTON Type or lassification NSURNE GENY Name and ddress Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $13,924 Total of ll Transactions with this Payee/Payer for This Schedule $13,924 RENT 06/01/2013 $12,305 RENT 07/01/2013 $12,305 RENT 08/01/2013 $12,305 RENT 09/01/2013 $12,305 RENT 10/01/2013 $12,306 RENT 11/01/2013 $12,306 RENT 12/02/2013 $12,306 Total temized Transactions with this Payee/Payer $86,138 Total Non temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $86,138 UDTNG SERVES 04/12/2013 $14,136 Total temized Transactions with this Payee/Payer $14,136 Total Non temized Transactions with this Payee/Payer $12,376 Total of ll Transactions with this Payee/Payer for This Schedule $26,512 RENT 01/01/2013 $13,916 RENT 02/01/2013 $12,305 RENT 03/01/2013 $12,305 RENT 04/01/2013 $12,305 RENT 05/01/2013 $12,305 Total temized Transactions with this Payee/Payer $63,136 Total Non temized Transactions with this Payee/Payer $1,610 Total of ll Transactions with this Payee/Payer for This Schedule $64,746 PROPERTY NSURNE 11/22/2013 $11,255 Total temized Transactions with this Payee/Payer $11,255 Total Non temized Transactions with this Payee/Payer $326 Total of ll Transactions with this Payee/Payer for This Schedule $11,581 esa.gov/query/orgreport.do 10/12

11 S SUPPORT 8558 KTY FWY STE 118 HOUSTON Type or lassification OMPUTER MNTENNE & ONSULTNG Loynaz oquete Name and ddress Humble Type or lassification Janitorial Services Name and ddress SUPEROR DES ND PROMOTONS 4130 WEST HLLS Type or lassification PROMOTONL TEMS Name and ddress TL TONERLND DLLS Type or lassification EQUPMENT LESNG Name and ddress ZUE WER 1516 UNVERSL LVD UNVERSLTY Type or lassification PROMOTONL TEMS Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $6,041 Total of ll Transactions with this Payee/Payer for This Schedule $6,041 Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $8,300 Total of ll Transactions with this Payee/Payer for This Schedule $8,300 Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $7,584 Total of ll Transactions with this Payee/Payer for This Schedule $7,584 Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $19,876 Total of ll Transactions with this Payee/Payer for This Schedule $19,876 Total temized Transactions with this Payee/Payer Total Non temized Transactions with this Payee/Payer $7,872 Total of ll Transactions with this Payee/Payer for This Schedule $7,872 esa.gov/query/orgreport.do 11/12

12 SHEDULE 19 UNON DMNSTRTON FLE NUMER: Name and ddress ELETON SERVES SOLUTON 100 OYD ST LONG EH NY Type or lassification SERVES ONDUTNG ELETONS ONDUTNG ELETON 01/28/2013 $8,400 Total temized Transactions with this Payee/Payer $8,400 Total Non temized Transactions with this Payee/Payer $0 Total of ll Transactions with this Payee/Payer for This Schedule $8,400 SHEDULE 20 ENEFTS FLE NUMER: Description To Whom Paid PENSON ENTRL STTES $59,323 PENSON SOUTHERN REGON $49,928 HELTH & WELFRE ENTRL STTES $48,864 Total of all lines above (Total will be automatically entered in tem 55.) $158, DDTONL NFORMTON SUMMRY FLE NUMER: Question 11(a): The Local has a political action committee named Teamsters Local 19 P. The P files reports with the Texas Ethics ommission. The file number is Question 12: Outside ccountant. Jay McWhorter, P, audited the Local's records for the year ended December 31, Question 13: burglary occurred at the Local's offices on May 02, Three laptop computers were stolen. The loss was covered by insurance. The Local collected $6,132 in insurance to cover the stolen items plus the damage incurred to the offices during the burglary. Statement, ccounts Receivable egin Total: NO HNGE N THE LNE FOR STRT OF THE REPORTNG PEROD. THS ENTRY TO LER ERROR MESSGES. Statement, ash egin Total: NO HNGE N THE LNE FOR STRT OF THE REPORTNG PEROD. THS ENTRY TO LER ERROR MESSGES. Schedule 13, Row1:ctive members Full Dues rates. Schedule 13, Row1: esa.gov/query/orgreport.do 12/12

10/28/13 DOL Form Report (Disclosure) Return FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

10/28/13 DOL Form Report (Disclosure) Return FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Return U.S. Department of Labor Office of Labor-Management Standards Washington, D 20210 FORM LM-2 LOR ORGNZTON NNUL REPORT MUST E USED Y LOR ORGNZTONS WTH $250,000 OR MORE N TOTL NNUL REEPTS ND LOR ORGNZTONS