2017 IBT Local 856 SFO

Size: px
Start display at page:

Download "2017 IBT Local 856 SFO"

Transcription

1 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 mandatory 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 01/01/2017 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 PETER P.O ox - uilding and Room Number Number and Street 453 SN MTEO VENUE Last Name FNN 9. re your organization's records kept at its mailing address? Yes ity SN RUNO 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: Mike Lagomarsino PRESDENT 71. SGNED: Peter Finn SE-TRES : Mar 27, 2018 Telephone Number: : Mar 27, 2018 Telephone Number:

2 TEMS 10 THROUGH 21 FLE NUMER: During the reporting period did the labor organization create or participate in the 20. How many members did the labor organization have at the end of the reporting period? 11,198 administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries? Yes 21. What are the labor organization's rates of dues and fees? Rates of Dues and Fees 11(a). During the reporting period did the labor organization have a political action Yes Dues/Fees Unit Minimum Maximum committee (P) fund? (a) Regular Dues/Fees 16per month (b). During the reporting period did the labor organization have a subsidiary No (b) Working Dues/Fees 16per month organization as defined in Section X of these nstructions? (c) nitiation Fees 400per each During the reporting period did the labor organization have an audit or review of its Yes (d) Transfer Fees.5per each.5.5 books and records by an outside accountant or by a parent body auditor/representative? 13. During the reporting period did the labor organization discover any loss or shortage (e) Work Permits per No 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 organization who $500,000 handled union funds? 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 Yes listed in the instructions? 19. What is the date of the labor organization's next regular election of officers? 12/2020

3 STTEMENT - SSETS ND LLTES FLE NUMER: SSETS SSETS Schedule Start of Reporting Period End of Reporting Period Number 22. ash $1,468,560 $1,893, ccounts Receivable 1 $513,167 $588, Loans Receivable 2 $0 $0 25. U.S. Treasury Securities $0 $0 26. nvestments 5 $0 $0 27. Fixed ssets 6 $183,266 $197, Other ssets 7 $12,645 $24, TOTL SSETS $2,177,638 $2,703,676 LLTES LLTES Schedule Start of Reporting Period End of Reporting Period Number 30. ccounts Payable 8 $357,036 $456, Loans Payable 9 $123,530 $138, Mortgages Payable $0 $0 33. Other Liabilities 10 $156,946 $148, TOTL LLTES $637,512 $743, NET SSETS $1,540,126 $1,960,287

4 STTEMENT - REEPTS ND DSURSEMENTS FLE NUMER: SH REEPTS SH MOUNT SH DSURSEMENTS SH MOUNT 36. Dues and gency Fees $7,643, Representational ctivities 15 $2,587, Per apita Tax $0 51. Political ctivities and 16 $70, Fees, Fines, ssessments, Work Permits $259, ontributions, Gifts, and Grants 17 $82, Sale of Supplies $ $1,386, nterest $2, Union dministration 19 $76, Dividends $0 55. enefits 20 $1,328, Rents $0 56. Per apita Tax $2,220, Sale of nvestments and Fixed ssets 3 $2, Strike enefits $0 44. Loans Obtained 9 $70, 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 $74, Purchase of nvestments and Fixed ssets 4 $95, From Members for Disbursement on Their ehalf $14, Loans Made 2 $0 48. Other Receipts 14 $557, Repayment of Loans Obtained 9 $55, TOTL REEPTS $8,625, To ffiliates of Funds ollected on Their ehalf $95, On ehalf of ndividual Members $4, Direct Taxes $199, Subtotal $8,203, Withholding Taxes and Payroll Deductions 67a. Total Withheld $540,069 67b. Less Total Disbursed $536,712 67c. Total Withheld ut Not Disbursed $3, TOTL DSURSEMENTS $8,200,509

5 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 ooo - Gen Svcs $5,681 $1,206 $65 ooo - Health Svcs $21,928 $4,698 $0 ooo - LVN $11,171 $2,255 $862 Delta Dental $31,599 $4,700 $851 Eden Hospital $5,134 $749 $0 Hertz - SFO $6,277 $1,208 $0 Marin o - Probation $5,597 $1,069 $810 Marin Gen Hosp-Tech $5,171 $130 $0 Mount Diablo USD $22,292 $4,847 $134 St. Rose Hospital $7,308 $768 $223 UL - Mechanics $192,392 $14,965 $10,727 WUSD $119,210 $7,907 $0 Westin Hotel - SFO $5,239 $686 $461 Total of all itemized accounts receivable $438,999 $45,188 $14,133 $0 Totals from all other accounts receivable $149,294 $5,641 $418 Totals (Total of olumn will be automatically entered in tem 23, olumn) $588,293 $50,829 $14,551 $0

6 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 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

7 SHEDULE 3 - SLE OF NVESTMENTS ND FXED SSETS FLE NUMER: Description (if land or buildings give location) ost ook Value Gross Sales Price Received 2010 hevrolet mpala $24,964 $0 $2,500 $2,500 Total of all lines above $24,964 $0 $2,500 $2,500 Less Reinvestments $0 (The total from Net Sales Line will be automatically entered in tem 43)Net Sales $2,500

8 SHEDULE 4 - PURHSE OF NVESTMENTS ND FXED SSETS FLE NUMER: Description (if land or buildings, give location) ost ook Value ash Paid 2017 hevrolet olt $44,257 $44,257 $44, hevrolet ruze $28,549 $28,549 $28,549 Furniture and equipment $7,090 $7,090 $7,090 omputers $15,823 $15,823 $15,823 Total of all lines above $95,719 $95,719 $95,719 Less Reinvestments $0 (The total from Net Purchases Line will be automatically entered in tem 60.)Net Purchases $95,719

9 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

10 SHEDULE 6 - FXED SSETS FLE NUMER: Description ost or Other asis Total Depreciation or Expensed ook Value. Land (give location) $0 $0 $0. uildings (give location) $0 $0 $0 $0. utomobiles and Other Vehicles $344,469 $193,613 $150,856 $150,856 D. Office Furniture and Equipment $142,771 $104,000 $38,772 $38,772 E. Other Fixed ssets $266,655 $258,985 $7,670 $7,670 F. Totals of Lines through E (olumn Total will be automatically entered in tem 27, olumn) Value $753,895 $556,598 $197,298 $197,298

11 SHEDULE 7 - OTHER SSETS FLE NUMER: Description ook Value Workers compensation insurance deposit $1,575 uilding rental deposits $11,761 Fastrak transponder deposit $300 Pre-paid funds for transmittal $10,892 Water deposit $50 Total (Total will be automatically entered in tem 28, olumn) $24,578

12 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 $456,389 $0 $0 $0 Totals (Total for olumn will be automatically entered in tem 30, olumn) $456,389 $0 $0 $0

13 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 lly ank/gm Financial $117,342 $70,425 $49,651 $0 $138,116 Ford Motor redit $6,188 $0 $6,188 $0 $0 Total Loans Payable $123,530 $70,425 $55,839 $0 $138,116 Totals will be automatically entered in... tem 31 tem 44 tem 62 tem 69 tem 31 olumn with Explanation olumn

14 SHEDULE 10 - OTHER LLTES FLE NUMER: Description at End of Period Funds for transmittal, members & affiliates $3,987 ccrued vacation leave payable $127,659 ccrued sick leave payable $17,238 Total Other Liabilities (Total will be automatically entered in tem 33, olumn) $148,884

15 SHEDULE 11 - LL OFFERS ND DSURSEMENTS TO OFFERS FLE NUMER: Name Finn, Peter L -Sec-Treas Representational ctivities Lagomarsino, Michael J -President Representational ctivities Gonzalez, Rudy E -Vice President Representational ctivities hin, Lisa Trustee Representational ctivities Gabriel, Mark Trustee Representational ctivities Rodriguez, Judy Trustee Representational ctivities Gleeson, Paola Trustee-Rec Secretary Representational ctivities Title 74 % 9 92 % Status Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Gross Salary Disbursements (before any deductions) 3 % 2 % 4 % llowances Disbursed (F) Disbursements for Official usiness (G) Other Disbursements not reported in through (F) (H) TOTL $135,167 $1,650 $10,290 $147,107 ontributions 3 % 1 dministration $122,879 $600 $7,333 $130,812 ontributions 1 % dministration $111,876 $8,250 $11,903 $132,029 ontributions ontributions ontributions ontributions ontributions 2 % dministration 1 $2,400 $2,400 dministration 7 % 2 % 10 $2,400 $2,400 dministration 10 $2,400 $2,400 dministration 10 $2,400 $2,400 dministration Total Officer Disbursements $369,922 $20,100 $29,526 $0 $419,548 Less Deductions Net Disbursements $419,548 10

16 SHEDULE 12 - DSURSEMENTS TO EMPLOYEES FLE NUMER: Name dams, Gerard M N/ Representational ctivities ndazola, Richard D N/ Representational ctivities radfield, Jeanette T Representational ctivities asey, Nicole M Office N/ Representational ctivities ortez, Maria L N/ Representational ctivities Diaz, Veronica G N/ Representational ctivities Escobar, Juan R N/ Representational ctivities Farber, Susanna K N/ Representational ctivities Hallman, orey J N/ Title 98 % 97 % % 97 % 98 % 98 % 97 % Other Payer Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Gross Salary Disbursements (before any deductions) 1 % 1 % 1 % llowances Disbursed (F) Disbursements for Official usiness (G) Other Disbursements not reported in through (F) (H) TOTL $44,187 $900 $3,167 $48,254 ontributions dministration $88,877 $7,500 $3,761 $100,138 ontributions dministration $73,808 $4,650 $2,080 $80,538 ontributions dministration $92,266 $8,100 $5,825 $106,191 ontributions dministration $95,134 $600 $11,898 $107,632 ontributions dministration $86,367 $8,270 $6,359 $100,996 ontributions dministration $102,828 $7,500 $7,699 $118,027 ontributions dministration $105,615 $8,400 $3,561 $117,576 ontributions dministration $91,392 $600 $4,284 $96,276 2 % 2 % 5 % 2 % 2 % 2 % 2 %

17 Name Representational ctivities Healy, Denise R Office N/ Representational ctivities Hensel, Lisa Office N/ Representational ctivities Jenkins, Timothy N/ Representational ctivities Lectora, Javier N/ Representational ctivities Mullany, Matthew N/ Representational ctivities Pacheco, Marta Office N/ Representational ctivities Plata, May M Office N/ Representational ctivities Romero, Kathleen R T Representational ctivities Shipley, Linda M N/ Title 98 % 97 % 97 % 98 % 10 Other Payer Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Gross Salary Disbursements (before any deductions) 1 % 1 % 1 % ontributions llowances Disbursed (F) Disbursements for Official usiness (G) Other Disbursements not reported in through (F) dministration (H) TOTL $73,314 $0 $109 $73,423 ontributions 10 dministration $80,768 $135 $80,903 ontributions 10 dministration $102,700 $7,500 $5,599 $115,799 ontributions dministration $108,285 $3,150 $8,999 $120,434 ontributions dministration $109,677 $300 $8,066 $118,043 ontributions dministration $30,504 $0 $84 $30,588 ontributions 10 dministration $92,638 $51 $92,689 ontributions 10 dministration $69,992 $300 $895 $71,187 ontributions dministration $21,474 $2,270 $647 $24,391 1 % 2 % 2 % 2 %

18 Name Representational ctivities Suzuki, Patricia T N/ Representational ctivities Thompson, rystal M Office Local 856 H&W Representational ctivities Vella, Mary H N/ Representational ctivities Villafane, Laura Office N/ Representational ctivities Wright, Jonathan T N/ Representational ctivities Young, rystal N/ Representational ctivities Title 98 % 6 97 % 98 % 95 % Other Payer Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Political ctivities and Gross Salary Disbursements (before any deductions) 38 % 1 % ontributions llowances Disbursed (F) Disbursements for Official usiness (G) Other Disbursements not reported in through (F) dministration (H) TOTL $99,492 $2,250 $7,163 $108,905 ontributions dministration $68,621 $0 $179 $68,800 ontributions 10 dministration $100,537 $4,050 $10,384 $114,971 ontributions dministration $61,614 $0 $103 $61,717 ontributions 10 dministration $70,467 $0 $5,993 $76,460 ontributions dministration $74,778 $7,650 $6,006 $88,434 ontributions dministration TOTLS REEVED Y EMPLOYEES MKNG $10,000 OR LESS $0 Representational ctivities Political ctivities and ontributions dministration Total Employee Disbursements $1,945,335 $73,990 $103,047 $0 $2,122,372 Less Deductions Net Disbursements $2,122,372 2 % 2 % 2 % 2 % 5 %

19 SHEDULE 13 - MEMERSHP STTUS FLE NUMER: ategory of Membership Number Voting Eligibility Members 11,191 Yes Officers and trustees 7 Yes Members (Total of all lines above) 11,198 gency Fee Payers* 1,626 Total Members/Fee Payers 12,824 *gency Fee Payers are not considered members of the labor organization.

20 DETLED SUMMRY PGE - SHEDULES 14 THROUGH 19 FLE NUMER: SHEDULE 14 OTHER REEPTS 1. Named Payer temized Receipts $496, Named Payer Non-itemized Receipts $35, ll Other Receipts $25, Total Receipts $557,560 SHEDULE 17 ONTRUTONS, GFTS & GRNTS 1. Named Payee temized Disbursements $25, Named Payee Non-itemized Disbursements $3, To Officers $8, To Employees $0 5. ll Other Disbursements $45, Total Disbursements $82,485 SHEDULE 15 REPRESENTTONL TVTES 1. Named Payee temized Disbursements $202, Named Payee Non-itemized Disbursements $311, To Officers $348, To Employees $1,629, ll Other Disbursements $95, Total Disbursements $2,587,099 SHEDULE 16 POLTL TVTES ND LOYNG 1. Named Payee temized Disbursements $0 2. Named Payee Non-itemized Disbursements $0 3. To Officers $12, To Employees $49, ll Other Disbursements $9, Total Disbursement $70,877 SHEDULE 18 GENERL OVERHED 1. Named Payee temized Disbursements $359, Named Payee Non-itemized Disbursements $400, To Officers $14, To Employees $408, ll Other Disbursements $204, Total Disbursements $1,386,727 SHEDULE 19 UNON DMNSTRTON 1. Named Payee temized Disbursements $0 2. Named Payee Non-itemized Disbursements $0 3. To Officers $36, To Employees $36, ll Other Disbursements $4, Total Disbursements $76,842

21 SHEDULE 14 - OTHER REEPTS FLE NUMER: Name and ddress nt'l rotherhood of Teamsters 25 Louisiana ve Washington D Type or lassification Union organizing costs Name and ddress Kansas ity Life nsurance o Kansas ity MO Type or lassification Life insurance provider Name and ddress Local 350 KO th St., Ste. 304 Daly ity Type or lassification Service fees Name and ddress Local Union No Dufree venue So. El Monte Type or lassification Reimbursement of shared costs Name and ddress Teamsters Local 856 H&W Fund 2323 Eastlake ve. E Seattle W Reimbursement of costs 01/25/2017 $42,715 Reimbursement of costs 01/25/2017 $41,276 Reimbursement of costs 03/29/2017 $19,580 Reimbursement of costs 03/29/2017 $12,859 Reimbursement of costs 05/26/2017 $20,494 Reimbursement of costs 05/26/2017 $16,505 Reimbursement of costs 06/28/2017 $15,122 Reimbursement of costs 06/28/2017 $19,240 Reimbursement of costs 12/14/2017 $12,624 Reimbursement of costs 12/14/2017 $50,859 Total temized Transactions with this Payee/Payer $251,274 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $251,274 Life insurance refund 09/20/2017 $52,502 Total temized Transactions with this Payee/Payer $52,502 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $52,502 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $18,150 Total of ll Transactions with this Payee/Payer for This Schedule $18,150 Reimbursement of costs 02/28/2017 $5,428 Reimbursement of costs 06/27/2017 $15,387 Reimbursement of costs 11/27/2017 $23,297 Total temized Transactions with this Payee/Payer $44,112 Total Non-temized Transactions with this Payee/Payer $17,611 Total of ll Transactions with this Payee/Payer for This Schedule $61,723 Reimbursement of costs 10/26/2017 $9,446 Reimbursement of costs 10/26/2017 $9,492 Reimbursement of costs 10/26/2017 $9,661 Total temized Transactions with this Payee/Payer $125,922 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $125,922

22 Type or lassification Health plan benefit coordinator costs Teamsters LU 19 Name and ddress 151 Northpoint Dr Houston TX Type or lassification Solidarity fund donation Name and ddress WUSD 1108 issell ve Richmond Type or lassification Transfer of solidarity funds Reimbursement of costs 10/26/2017 $9,110 Reimbursement of costs 10/26/2017 $9,675 Reimbursement of costs 12/19/2017 $9,381 Reimbursement of costs 12/19/2017 $10,245 Reimbursement of costs 12/19/2017 $9,713 Reimbursement of costs 12/19/2017 $9,701 Reimbursement of costs 12/19/2017 $10,113 Reimbursement of costs 12/27/2017 $9,639 Reimbursement of costs 12/27/2017 $9,879 Reimbursement of costs 12/27/2017 $9,867 Total temized Transactions with this Payee/Payer $125,922 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $125,922 Solidarity fund donation 10/30/2017 $5,000 Total temized Transactions with this Payee/Payer $5,000 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $5,000 Transfer of solidarity funds 12/19/2017 $17,616 Total temized Transactions with this Payee/Payer $17,616 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $17,616

23 SHEDULE 15 - REPRESENTTONL TVTES FLE NUMER: Name and ddress nne ndrews Ellis 2041 Kings Lane San Mateo Type or lassification rbitration & mediation services Name and ddress nnelisa Luong nd venue Oakland Type or lassification Organizing Name and ddress eeson, Tayer & odine 483 Ninth Street, 2nd Flr Oakland Type or lassification Legal Expense Name and ddress ennett & Sharpe, nc Main Street #110 Fresno Type or lassification Legal expense Name and ddress Edward Krinsky, nc. 131 W. Wilson St., # 1100 Madison W Type or lassification Mediation fees Name and ddress Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $8,625 Total of ll Transactions with this Payee/Payer for This Schedule $8,625 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $25,077 Total of ll Transactions with this Payee/Payer for This Schedule $25,077 Fees 02/21/2017 $7,348 Fees 12/19/2017 $5,277 Total temized Transactions with this Payee/Payer $12,625 Total Non-temized Transactions with this Payee/Payer $33,956 Total of ll Transactions with this Payee/Payer for This Schedule $46,581 Fees 01/10/2017 $5,158 Fees 08/10/2017 $9,621 Fees 12/19/2017 $6,295 Total temized Transactions with this Payee/Payer $21,074 Total Non-temized Transactions with this Payee/Payer $33,548 Total of ll Transactions with this Payee/Payer for This Schedule $54,622 Mediation 05/30/2017 $5,412 Total temized Transactions with this Payee/Payer $5,412 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $5,412

24 Gerald M. dams 955 entral venue Matteson L Type or lassification Organizing Name and ddress Joseph Martinelli 475 hiswick Way ambria Type or lassification onsulting services Name and ddress Lawrence Ferrigno 1382 Halibut Street Foster ity Type or lassification onsulting services Name and ddress Linda Shipley 218 Waller Street San Francisco Type or lassification Legal & representation services Name and ddress Mario Santos 7091 Fremont Organizing Matthew Finnegan 116 South State St Ukiah Type or lassification Name and ddress Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $33,150 Total of ll Transactions with this Payee/Payer for This Schedule $33,150 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $7,931 Total of ll Transactions with this Payee/Payer for This Schedule $7,931 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $13,710 Total of ll Transactions with this Payee/Payer for This Schedule $13,710 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $41,332 Total of ll Transactions with this Payee/Payer for This Schedule $41,332 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $35,756 Total of ll Transactions with this Payee/Payer for This Schedule $35,756 Fees 01/02/2017 $11,500 Total temized Transactions with this Payee/Payer $148,800 Total Non-temized Transactions with this Payee/Payer $1,035 Total of ll Transactions with this Payee/Payer for This Schedule $149,835

25 95482 Legal services Victor. Herrero Type or lassification Name and ddress 1222 restview Drive San arlos Type or lassification Organizing Name and ddress Weinberg, Roger & Rosenfeld 1001 Marina Village lameda Type or lassification Legal services Name and ddress William Rangel 3400 Esperanza oncord Organizing Type or lassification Fees 02/01/2017 $11,500 Fees 03/01/2017 $11,500 Fees 04/03/2017 $11,500 Fees 05/01/2017 $11,500 Fees 06/01/2017 $11,500 Fees 07/03/2017 $11,500 Fees 08/01/2017 $11,500 Fees 09/01/2017 $14,200 Fees 10/02/2017 $14,200 Fees 11/01/2017 $14,200 Fees 12/01/2017 $14,200 Total temized Transactions with this Payee/Payer $148,800 Total Non-temized Transactions with this Payee/Payer $1,035 Total of ll Transactions with this Payee/Payer for This Schedule $149,835 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $33,015 Total of ll Transactions with this Payee/Payer for This Schedule $33,015 Legal fees 01/24/2017 $8,088 Legal fees 04/11/2017 $6,411 Total temized Transactions with this Payee/Payer $14,499 Total Non-temized Transactions with this Payee/Payer $39,083 Total of ll Transactions with this Payee/Payer for This Schedule $53,582 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $5,503 Total of ll Transactions with this Payee/Payer for This Schedule $5,503

26 SHEDULE 16 - POLTL TVTES ND LOYNG FLE NUMER Name and ddress Type or lassification Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $0

27 SHEDULE 17 - ONTRUTONS, GFTS & GRNTS FLE NUMER: Name and ddress ll harities Teamsters 250 Exec Park lvd., #3100 San Francisco Type or lassification Donations Name and ddress hinese Progressive ssociation 1042 Grant ve., 5th Flr San Francisco Type or lassification Donations Name and ddress nstituto Laboral wards Dinner th Street San Francisco Type or lassification Donations Name and ddress San Mateo entral Labor ouncil 1153 hess Dr., # 200 Foster ity Type or lassification Donations Donation 09/06/2017 $5,000 Total temized Transactions with this Payee/Payer $5,000 Total Non-temized Transactions with this Payee/Payer $3,000 Total of ll Transactions with this Payee/Payer for This Schedule $8,000 Donation 01/03/2017 $5,000 Donation 09/06/2017 $5,000 Total temized Transactions with this Payee/Payer $10,000 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $10,000 Donation 01/03/2017 $5,000 Total temized Transactions with this Payee/Payer $5,000 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $5,000 Donation 06/06/2017 $5,500 Total temized Transactions with this Payee/Payer $5,500 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $5,500

28 SHEDULE 18 - GENERL OVERHED FLE NUMER: la Moana Hotel 410 tkinson Drive Honolulu H Lodging, Mbrs. SUW T&T 5025 arol Stream L Telephone service T&T Mobility 6463 arol Stream L Telephone service audville Name and ddress Type or lassification Name and ddress Type or lassification Name and ddress Type or lassification Name and ddress nd St SE Grand Rapids M Type or lassification Supplies & printing Name and ddress auer's ntelligent Transportation 50 Pier 50 San Francisco Transportation Type or lassification Name and ddress Lodging for SUW 05/23/2017 $16,866 Total temized Transactions with this Payee/Payer $16,866 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $16,866 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $9,354 Total of ll Transactions with this Payee/Payer for This Schedule $9,354 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $19,181 Total of ll Transactions with this Payee/Payer for This Schedule $19,181 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $5,735 Total of ll Transactions with this Payee/Payer for This Schedule $5,735 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $7,720 Total of ll Transactions with this Payee/Payer for This Schedule $7,720

29 radley Drian th Street San Rafael Type or lassification Rent Name and ddress apital One ommercial 5219 arol Stream L Supplies ourtyard by Marriott Type or lassification Name and ddress 3150 Garrity Way Richmond Type or lassification Meeting room rentals Name and ddress De Tomaso Sportswear 4 Dante Rosedo P Shirts, hats & jackets DocuSign Type or lassification Name and ddress 221 Main Street, # 1000 San Francisco Type or lassification Software service Name and ddress Fireman's Fund nsurance 7186 Pasadena Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $20,176 Total of ll Transactions with this Payee/Payer for This Schedule $20,176 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $6,771 Total of ll Transactions with this Payee/Payer for This Schedule $6,771 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $5,765 Total of ll Transactions with this Payee/Payer for This Schedule $5,765 Shirts, hats & jackets 05/22/2017 $5,119 Shirts, hats & jackets 10/30/2017 $6,566 Total temized Transactions with this Payee/Payer $11,685 Total Non-temized Transactions with this Payee/Payer $1,280 Total of ll Transactions with this Payee/Payer for This Schedule $12,965 Software service 10/25/2017 $7,500 Total temized Transactions with this Payee/Payer $7,500 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $7,500 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $5,395 Total of ll Transactions with this Payee/Payer for This Schedule $5,395

30 91109 Type or lassification nsurance Name and ddress Golden Gate Office Solutions 927 Howard Street San Francisco Printing & copying Hawaii State FL-O Type or lassification Name and ddress Farrington Hwy 2Flr Kapolei H Type or lassification Registration fees - SUW Name and ddress Hilton Hotel San Francisco 7930 Jones ranch Drive McLean V Type or lassification Stewards meeting Name and ddress Service Press 935 Tanklage Road San arlos Type or lassification Printing & supplies Name and ddress nt'l rotherhood of Teamsters 25 Louisiana ve Washington D Type or lassification Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $12,456 Total of ll Transactions with this Payee/Payer for This Schedule $12,456 Fees 05/22/2017 $8,000 Total temized Transactions with this Payee/Payer $8,000 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $8,000 Stewards meeting 10/25/2017 $11,821 Stewards meeting 11/29/2017 $10,000 Total temized Transactions with this Payee/Payer $21,821 Total Non-temized Transactions with this Payee/Payer $539 Total of ll Transactions with this Payee/Payer for This Schedule $22,360 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $10,783 Total of ll Transactions with this Payee/Payer for This Schedule $10,783 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $5,525 Total of ll Transactions with this Payee/Payer for This Schedule $5,525

31 Printing & supplies Name and ddress JT ouncil of Teamsters No Exec Park lvd, #310 San Francisco Type or lassification Newsletter & event Name and ddress Leaf incinnati OH opier lease Lexis Nexis Type or lassification Name and ddress Network Place hicago L Type or lassification Research expenses Name and ddress Marriott San ntonio 3233 NW Loop 410 San ntonio TX Type or lassification Lodging, Women's onf. Name and ddress Nader Eghtesad 1720 Danville Rent Oakland Marriott Type or lassification Name and ddress Event 04/11/2017 $7,000 Total temized Transactions with this Payee/Payer $7,000 Total Non-temized Transactions with this Payee/Payer $136 Total of ll Transactions with this Payee/Payer for This Schedule $7,136 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $8,971 Total of ll Transactions with this Payee/Payer for This Schedule $8,971 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $7,861 Total of ll Transactions with this Payee/Payer for This Schedule $7,861 Lodging, women's conf. 10/16/2017 $11,152 Total temized Transactions with this Payee/Payer $11,152 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $11,152 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $29,700 Total of ll Transactions with this Payee/Payer for This Schedule $29,700

32 1001 roadway Oakland Steward seminar Pacific Printing Type or lassification Name and ddress 1445 Monterey Highway San Jose Type or lassification Printing & copying Name and ddress PG&E Sacramento Utilities Purchase Power Type or lassification Name and ddress Louisville KY Type or lassification Postage Name and ddress Reuben E. Price & o itrus ir # 207 Walnut reek ccounting & audit S.R..E Santa Rosa Type or lassification Name and ddress Steward seminar 08/23/2017 $5,574 Total temized Transactions with this Payee/Payer $5,574 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $5,574 Printing & copying 01/17/2017 $7,196 Printing & copying 08/23/2017 $7,788 Printing & copying 10/25/2017 $7,783 Total temized Transactions with this Payee/Payer $22,767 Total Non-temized Transactions with this Payee/Payer $13,953 Total of ll Transactions with this Payee/Payer for This Schedule $36,720 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $17,197 Total of ll Transactions with this Payee/Payer for This Schedule $17,197 Postage 09/18/2017 $6,027 Postage 11/20/2017 $6,027 Total temized Transactions with this Payee/Payer $12,054 Total Non-temized Transactions with this Payee/Payer $15,164 Total of ll Transactions with this Payee/Payer for This Schedule $27,218 Fees 04/03/2017 $9,421 Fees 05/01/2017 $8,130 Total temized Transactions with this Payee/Payer $17,551 Total Non-temized Transactions with this Payee/Payer $3,559 Total of ll Transactions with this Payee/Payer for This Schedule $21,110 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $14,133 Total of ll Transactions with this Payee/Payer for This Schedule $14,133

33 95402 Type or lassification Shared office expenses Name and ddress Safeway 5918 Stoneridge Mall Rd Pleasanton Type or lassification Mbrs. appreciation Name and ddress San runo Utility 570 Linden ve San runo Utilities Signified Media Group 6163 ernhard ve Richmond Web specialist Southwest irlines Type or lassification Name and ddress Type or lassification Name and ddress 2702 Love Field Drive Dallas TX Type or lassification irfare Name and ddress Staples redit Plan 9020 Des Moines Type or lassification Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $5,650 Total of ll Transactions with this Payee/Payer for This Schedule $5,650 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $6,762 Total of ll Transactions with this Payee/Payer for This Schedule $6,762 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $7,000 Total of ll Transactions with this Payee/Payer for This Schedule $7,000 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $11,597 Total of ll Transactions with this Payee/Payer for This Schedule $11,597 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $13,937 Total of ll Transactions with this Payee/Payer for This Schedule $13,937

34 Supplies & printing Name and ddress State ompensation nsurance Fund 9102 Pleasanton Type or lassification Workers' compensation ins. Name and ddress Teamsters Local East Parkway Sacramento heckoff services fee Teamsters Local 315 Type or lassification Name and ddress 2727 lhambra venue Martinez Type or lassification heckoff services fee Totos Pizzeria Name and ddress 1619 El amino Real San runo Type or lassification Membership meetings Name and ddress TPX ommunications San Diego Type or lassification Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $15,402 Total of ll Transactions with this Payee/Payer for This Schedule $15,402 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $14,384 Total of ll Transactions with this Payee/Payer for This Schedule $14,384 Fees 01/30/2017 $8,387 Fees 02/28/2017 $8,302 Fees 03/28/2017 $7,303 Fees 05/30/2017 $6,587 Fees 06/28/2017 $5,802 Fees 07/31/2017 $6,111 Fees 08/30/2017 $6,043 Fees 09/29/2017 $6,576 Fees 11/27/2017 $6,576 Fees 12/29/2017 $7,156 Total temized Transactions with this Payee/Payer $68,843 Total Non-temized Transactions with this Payee/Payer $5,929 Total of ll Transactions with this Payee/Payer for This Schedule $74,772 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $5,598 Total of ll Transactions with this Payee/Payer for This Schedule $5,598 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $9,519 Total of ll Transactions with this Payee/Payer for This Schedule $9,519

35 Telephone service United irlines Name and ddress 233 South Wacker Drive hicago L Type or lassification irfare Name and ddress US Wired 2107 N. First St., Ste 250 San Jose Type or lassification omputer service expenses Name and ddress Welch Family Partnership 383 W. San runo ve. San runo Type or lassification Office rent Zachary Goldstein Name and ddress 518 Holly Oak Lane lameda Type or lassification omms. specialist Fight campaign Name and ddress Zubie Wear 1515 Universal ity Rd Universal ity Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $17,599 Total of ll Transactions with this Payee/Payer for This Schedule $17,599 Total temized Transactions with this Payee/Payer Total Non-temized Transactions with this Payee/Payer $38,750 Total of ll Transactions with this Payee/Payer for This Schedule $38,750 Rent 01/02/2017 $9,172 Rent 02/01/2017 $9,172 Rent 03/01/2017 $9,172 Rent 04/03/2017 $9,172 Rent 05/01/2017 $9,172 Rent 06/01/2017 $9,172 Rent 07/03/2017 $9,172 Rent 08/01/2017 $9,172 Rent 09/01/2017 $9,172 Rent 10/02/2017 $9,172 Rent 11/01/2017 $9,172 Rent 12/01/2017 $9,172 Total temized Transactions with this Payee/Payer $110,064 Total Non-temized Transactions with this Payee/Payer Total of ll Transactions with this Payee/Payer for This Schedule $110,064 Fees 04/04/2017 $7,000 Total temized Transactions with this Payee/Payer $7,000 Total Non-temized Transactions with this Payee/Payer $7,459 Total of ll Transactions with this Payee/Payer for This Schedule $14,459 Shirts, hats and jackets 06/16/2017 $6,643 Total temized Transactions with this Payee/Payer $31,518 Total Non-temized Transactions with this Payee/Payer $19,549 Total of ll Transactions with this Payee/Payer for This Schedule $51,067

36 TX Type or lassification Shirts, hats and jackets Shirts, hats and jackets 09/06/2017 $5,580 Shirts, hats and jackets 11/14/2017 $19,295 Total temized Transactions with this Payee/Payer $31,518 Total Non-temized Transactions with this Payee/Payer $19,549 Total of ll Transactions with this Payee/Payer for This Schedule $51,067

37 SHEDULE 19 - UNON DMNSTRTON FLE NUMER: There was no data found for this schedule. SHEDULE 20 - ENEFTS FLE NUMER: Description To Whom Paid Health insurance Teamsters Local 856 H&W Fund $814,731 Pension Western onf. of Teamsters $385,310 Life insurance Kansas Life nsurance o. $93,132 Steward dues Teamsters Local 856 $9,291 ccidental death & disability ins. malgamated Life nsurance o. $1, k matching John Hancock Retirement Services $24,626 Total of all lines above (Total will be automatically entered in tem 55.) $1,328,300

38 69. DDTONL NFORMTON SUMMRY FLE NUMER: tem 71 Title: Peter Finn, the Treasurer, is signing this LM-2 at item 71. Peter Finn's full title is Secretary-Treasurer. Question 11(a): Question 11(a): : : : : : On January 15, 2014, Local 856 acquired an existing political action committee (P), the "Merced ounty Sheriff Employee ssociation Political ction ommittee". This P was acquired without compensation. On the date of acquisition, the P had net assets of $16,661, in the form of a bank account. t the time of the acquisition, Local 856 changed the name of the P to "Merced ounty Teamster orrectional Officers P". On November 30, 2015, Local 856 again changed the name of the P to "Teamsters Local 856 P". This P acts solely under the direction of the Local 856 Executive oard. The accounts related to the Teamsters Local 856 P are included in this Form LM-2, as follows: eginning cash balance P bank account, December 31, 2016, line 22 $11,512, ash contributions transferred from Local 856 general bank account, $12,955, ash disbursements, contributions, Political $9,200, ash disbursements, administrative expenses, $50. Ending cash balance, P bank account, December 31, 2017 $15,217. Periodic reports as required are filed with the alifornia Fair Political Practices ommission under D# Question 12: The records are audited annually by an independent certified public accounting firm, Reuben E. Price and ompany, Public ccountancy orporation. Question 10: Local 856 participates in the administration of teamsters Local Union 856 Health & Welfare Fund (The Trust). The Trust was created for the purpose of providing health insurance benefits for eligible employees and their dependents. The Trust was created in 1964, and uses the federal identification number and ERS plan number 501 for its filing of required returns and forms. The Trust address is /O Northwest dministrators 2323 Eastlake ve., Seattle, W The Trust's fiscal year ending date is June 30th. Question 18: The ylaws of Teamsters Local Union Number 856 were amended during The amended ylaws through December 31, 2017, are attached to this Form LM-2. Schedule 1, Row1: Schedule 1, Row1:: Schedule 1, Row2: Schedule 1, Row2:: Schedule 1, Row3: Schedule 1, Row3:: Schedule 1, Row4: Schedule 1, Row4:: Schedule 1, Row5: Schedule 1, Row5:: Schedule 1, Row6: Schedule 1, Row6:: Schedule 1, Row7: Schedule 1, Row7:: Schedule 1, Row8: Schedule 1, Row8::

39 Schedule 1, Row9: Schedule 1, Row9:: Schedule 1, Row10: Schedule 1, Row10:: Schedule 1, Row11: Schedule 1, Row11:: Schedule 1, Row12: Schedule 1, Row12:: Schedule 1, Row13: Schedule 1, Row13:: Schedule 9, Row1: Schedule 9, Row1::::: Schedule 9, Row2: Schedule 9, Row2::::: Schedule 13, Row1: Schedule 13, Row1:The description of the membership category "Members" is as follows. "Members" consist of regular active members. Each of the members pay their own full dues except for 20 members who act as stewards, and for whom the Local pays their full dues. Schedule 13, Row1: Schedule 13, Row1: Schedule 13, Row2: Schedule 13, Row2:The description of the membership category of "officers and trustees" is as follows. "Officers and trustees" are members who are elected by the general membership and who pay their own full dues. Schedule 13, Row2: Schedule 13, Row2: General nformation: Several items in "69. dditional nformation Summary" list a Schedule number and Row number, such as " Schedule 1, Row 1:", with no information following. These items were generated by the LM-2 software unnecessarily. There is no additional information for these sections or rows.

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

12/2/2015 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

More information

2016 IBT LOCAL 856 SFO

2016 IBT LOCAL 856 SFO 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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

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

More information

Page 1 of 185 Return U.S. Department of Labor Employment Standards dministration Office of Labor-Management Standards Washington, D 20210 FORM LM-2 LBOR ORGNZTON NNUL REPORT MUST BE USED BY LBOR ORGNZTONS

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT U.S. Department of Labor Office of Labor-Management Standards Washington, D 20210 For Official Use Only E FORM LM-2 LOR ORGNZTON NNUL REPORT Form pproved Office of Management and udget This report is mandatory

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT 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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

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

More information

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

More information

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

More information

2017 IBT Local 964 CLE

2017 IBT Local 964 CLE U.S. Department of Labor Office of Labor-Management Standards Washington, D 20210 FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL REEIPTS

More information

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

12/2/2015 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

More information

2017 IBT Local 769 MIA (MCO)

2017 IBT Local 769 MIA (MCO) 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

More information

(LM2) 12/31/2017

(LM2) 12/31/2017 1 of 28 1/8/2019, 1:35 PM 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

More information

4/22/2015 DOL Form Report (Disclosure) Return FORM LM 2 LABOR ORGANIZATION ANNUAL REPORT

4/22/2015 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 LABOR ORGANIZATION ANNUAL REPORT MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL

More information

(LM2) 12/31/2016

(LM2) 12/31/2016 1 of 29 1/8/2019, 1:39 PM 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

More information

U.S. Department of Labor

U.S. Department of Labor U.S. Department of Labor www.dol.gov/esa Search / -Z ndex Find t!: y Topic y udience y Top 20 Requested tems y Form y Organization y Location November 22, 2009 DOL Home > ES > OLMS > Public Disclosure

More information

(LM2) 12/31/2017

(LM2) 12/31/2017 1 of 27 4/13/2018, 11:12 AM U.S. Department of Labor Office of Labor-Management Standards Washington, D 20210 FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000

More information

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

More information

1 of 34 7/8/15, 12:52 PM

1 of 34 7/8/15, 12:52 PM Return U.S. Department of Labor Office of Labor-Magement 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

More information

IBT LOCAL 986 LAX

IBT LOCAL 986 LAX 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

More information

1 of 30 8/6/2015 1:37 PM

1 of 30 8/6/2015 1:37 PM 1 of 30 8/6/2015 1:37 PM 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

More information

2016 IBT LOCAL 19 IAH

2016 IBT LOCAL 19 IAH Return U.S. Department of Labor Office of Labor-Management Standards Washington, D 20210 FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT U.S. Department of Labor Office of Labor-Management Standards Washington, DC 20210 For Official Use Only E FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved Office of Management and Budget This

More information

1 of 29 3/31/2016 2:52 PM

1 of 29 3/31/2016 2:52 PM 1 of 29 3/31/2016 2:52 PM Return FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT U.S. Department of Labor Office of Labor-Management Standards Washington, DC 20210 MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000

More information

12/10/2014 DOL Form Report (Disclosure) Return FORM LM 2 LABOR ORGANIZATION ANNUAL REPORT

12/10/2014 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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Printable View 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

More information

Return U.S. Department of Labor Office of Labor-Management Standards Washington, D 20210 FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL

More information

1 of 20 05/06/ :55 PM

1 of 20 05/06/ :55 PM 1 of 20 05/06/2012 09:55 PM A to Z ndex Site Map FAQs DOL Forms About DOL Contact Us May 6, 2012 DOL Home > OLMS > Public Disclosure Home > Search Criteria > Select Report > Report U.S. Department of Labor

More information

(LM2) 08/31/2015 https://olms.dol-esa.gov/query/orgreport.do

(LM2) 08/31/2015 https://olms.dol-esa.gov/query/orgreport.do 1 of 41 7/5/2018, 4:49 PM 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

More information

(LM2) 08/31/2016 https://olms.dol-esa.gov/query/orgreport.do

(LM2) 08/31/2016 https://olms.dol-esa.gov/query/orgreport.do 1 of 42 7/5/2018, 4:48 PM 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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT 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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT 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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT 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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT 1 of 50 2/18/2011 8:11 PM Return U.S. Department of Labor Employment Standards Office of Labor-Magement Standards Washington, D 20210 FORM LM-2 LOR ORGNZTON NNUL REPORT MUST E USED Y LOR ORGNZTONS WTH

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT 1 of 54 11/3/2012 5:35 PM! FORM LM-2 LOR ORGNZTON NNUL REPORT -%* *%.#%/#&01#-0& 0-23( *0&--##&&#**04- #&#% /#&01#-0& 0&- -** 204 "#$ % &!'( ) *+,! )!!) -5467(8"995599 $99$5: '):'' RED THE NSTRUTONS REFULLY

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT 1 of 35 11/4/2012 9:10 M! FORM LM-2 LOR ORGNZTON NNUL REPORT -%* *%.#%/#&01#-0& 0-23( *0&--##&&#**04- #&#% /#&01#-0& 0&- -** 204 "#$ % &!'( ) *+,! )!!) -5467(8"995599 $99$5: '):'' RED THE NSTRUTONS REFULLY

More information

FORM LM 2 LABOR ORGANIZATION ANNUAL REPORT

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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT 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

More information

(LM2) 12/31/2017

(LM2) 12/31/2017 1 of 77 2/7/2019, 6:15 PM 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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT 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

More information

5/13/2016 DOL Form Report (Disclosure) Return FORM LM 2 LABOR ORGANIZATION ANNUAL REPORT

5/13/2016 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

More information

4/6/13 DOL Form Report (Disclosure) Return FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

4/6/13 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

More information

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

2/2/13 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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT A to Z ndex Site Map FAQs DOL Forms About DOL Contact Us March 31, 2018 DOL Home > OLMS > Public Disclosure Home > Search Criteria > Report Printable View U.S. Department of Labor Office of Labor-Management

More information

FORM LM 2 LABOR ORGANIZATION ANNUAL REPORT

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 ORGZTO UL REORT MUST E USED Y LOR ORGZTOS WTH $250,000 OR MORE TOTL UL REETS D LOR ORGZTOS TRUSTEESH

More information

2/6/13 DOL Form Report (Disclosure) Return FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

2/6/13 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

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT to Z ndex Site Map FQs DOL Forms bout DOL ontact Us pril 5, 2018 DOL Home > OLMS > Public Disclosure Home > Search riteria > Report U.S. Department of Labor Office of Labor-Management Standards Washington,

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT 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

More information

Page 1 of 65 Return U.S. Department of Labor Employment Standards 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 information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

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

More information

1 of 67 4/19/2017 11:54 M Return FORM LM-2 LOR ORGNZTON NNUL REPORT U.S. Department of Labor Office of Labor-Management Standards Washington, D 20210 MUST E USED Y LOR ORGNZTONS WTH $250,000 OR MORE N

More information

DETAILED SUMMARY. Total This Period Contributions 1. In-Kind Contributions (Total of all Contribution amounts from Schedule C sheets)

DETAILED SUMMARY. Total This Period Contributions 1. In-Kind Contributions (Total of all Contribution amounts from Schedule C sheets) DETAILED SUMMARY Name andidate or ommittee Total This Period ontributions 1 Unitemized ontributions ($50 and less) # ontributors 0 2 Itemized ontributions (Total all Schedule A sheets) 3 In-Kind ontributions

More information

REPORT OF RECEIPTS AND DISBURSEMENTS

REPORT OF RECEIPTS AND DISBURSEMENTS 09/20/ 17 : 42 Image# 12972252920 FE FORM 3X REPORT OF REEIPTS AND DISBURSEMENTS For Other Than An Authorized ommittee Office Use Only PAGE 1 / 13 1. NAME OF OMMITTEE (in full) TYPE OR PRINT Example: If

More information

OMB No Your first name and initial Last name Your social security number. Paige Turner

OMB No Your first name and initial Last name Your social security number. Paige Turner F or m Internal Revenue Service 14 U.S. Individual Income Tax Return 21 Name, ddress, and SSN (See separate instructions.) Presidential Election ampaign Filing Status heck only one box. Exemptions If more

More information

Page 1 of 133 Return U.S. Department of Labor Employment Standards 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 information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT 1 of 62 10/31/2012 10:00 PM! FORM LM-2 LOR ORGNZTON NNUL REPORT -* *.#/#&01#-0& 0-23( *0&--##&&#**04- #&# /#&01#-0& 0&- -** 204 "#$ &!'( ) *+,! )!!) -5467(8"995599 $99$5: '):'' RED THE NSTRUTONS REFULLY

More information

Page 1 of 61 to Z ndex Site Map FQs DOL Forms bout DOL ontact Us January 3, 213 DOL Home > OLMS > Public Disclosure Home > Search riteria > Select Report > Report U.S. Departm ent of Labor O ffice o f

More information

2016 TAX INSTRUCTION BOOKLET

2016 TAX INSTRUCTION BOOKLET GF6-66058 TTN: Investor Relations One edar Point rive Sandusky, OH 44870-5259 Phone (866) 569-8675 Fax (866) 554-3842 investing@cedarfair.com 2016 TX INSTRUTION OOKLET OWNLO YOUR TX INFORMTION FROM THE

More information

Eaton Vance 2010 Tax Guide

Eaton Vance 2010 Tax Guide aton Vance 2010 Tax uide aton Vance nvestment Managers o n t e n t s aton Vance unds P.O. ox 9653 Provience, R 02940 (800) 262-1121 www.eatonvance.com 2010 orm 1099-V 2 2010 orm 1099-NT 4 2010 orm 1099-6

More information

California Exempt Organization 2015 Annual Information Return

California Exempt Organization 2015 Annual Information Return FORM California Exempt Organization 2015 nnual Information Return 199 TBLE YER Calendar Year 2015 or fiscal year beginning (mm/dd/yyyy) 7/01/2015, and ending (mm/dd/yyyy) 6/30/2016. Corporation/Organization

More information

Answer Key Unit 1: Financial Accounting

Answer Key Unit 1: Financial Accounting nswer Key Unit 1: Financial ccounting Module 1: ccounting Theory, Recording and ontrol Systems 1.1.1 ccounting Fundamentals No. nswers Further explanations 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1 16 17 18 19

More information

Page 1 of 52 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

More information

#"$ % ! "# $ % "#& ' # ) * * * +, -+./. +, /. 3&#& 4 3&#& '!$ 5 6 6!% '"" / +.0/: +.0/& 9 +.0/ +.0/: +.0/

#$ % ! # $ % #& ' # ) * * * +, -+./. +, /. 3&#& 4 3&#& '!$ 5 6 6!% ' / +.0/: +.0/& 9 +.0/ +.0/: +.0/ !!" #"$ %! "# $ % "#& ' # &$ ( ) * * * +, -+./. +, +0 12 -+./. 3&#& 4 3&#& '!$ 5 6 6!% '""78 9 +.0/ +.0/: +.0/& 9 +.0/ +.0/: +.0/ & ! "#" # $ "# "# $! % $ & '()*+!, ----- -----. & '()*+! $ $, ----- -----.

More information

INSTRUCTIONS FOR FILING U.S. DEPARTMENT OF LABOR FORMS

INSTRUCTIONS FOR FILING U.S. DEPARTMENT OF LABOR FORMS Table of Contents INSTRUCTIONS FOR FILING U.S. DEPARTMENT OF LABOR FORMS TABLE OF CONTENTS INTRODUCTION... 3 ELECTRONIC FILING GUIDELINES... 5 INSTRUCTIONS FOR FILING FORM LM-2... 10 LM-2 Table of Fidelity

More information

Non-retirement account application

Non-retirement account application Non-retirement account application Introduction Instructions Please use this form to establish a non-retirement mutual fund account. Please do not use this application Special considerations Shares of

More information

PART A Electronic lodgment declaration (Form C)

PART A Electronic lodgment declaration (Form C) P Electronic lodgment declaration (orm ) his declaration is to be completed where the tax return is to be lodged via the ax Office's electronic lodgment service (EL). It is the responsibility of the taxpayer

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT U.S. Department of Labor Office of Labor-Management Standards, 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 N TRUSTEESHP

More information

LIFE POLICY ADMINISTRATION AND DISBURSEMENT REQUEST FORM

LIFE POLICY ADMINISTRATION AND DISBURSEMENT REQUEST FORM Customer Service P.O. Box 26100 Lehigh Valley, PA 18002-6100 www.guardianlife.com Call Center: 1-800-441-6455 Fax: 610-807-2720 THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA THE GUARDIAN INSURANCE & ANNUITY

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT A to Z ndex Site Map FAQs DOL Forms About DOL Contact Us February 18, 2016 DOL Home > OLMS > Public Disclosure Home > Search Criteria > Select Report > Report U.S. Department of Labor Office of Labor-Management

More information

STATE OF WISCONSIN Department of Financial Institutions Division of Banking

STATE OF WISCONSIN Department of Financial Institutions Division of Banking STATE OF WISCONSIN Department of Financial Institutions Division of Banking INSTRUCTIONS FOR CHARITABLE ORGANIZATION ANNUAL REPORT (FORM #308) Introduction The Charitable Organization Annual Financial

More information

City, town or post office, state, and ZIP code. If you have a foreign address, see page 14.

City, town or post office, state, and ZIP code. If you have a foreign address, see page 14. Form 1040 Label (See instructions on page 14.) Use the IRS label. Otherwise, please print or type. L E L H E R E Department of the Treasury Internal Revenue Service U.S. Individual Income Tax Return 2009

More information

Exempt Organization Business Income Tax Return

Exempt Organization Business Income Tax Return Form For alendar year 014 or other tax year eginning, and ending. 4 Unrelated usiness taxale inome. Sutrat line from line. If line is greater than line, enter the smaller of zero or line 401 01-1-15 LHA

More information

U.S. Return of Partnership Income

U.S. Return of Partnership Income U.. Return of Partnership ncome Form 1065 For calendar year 2016, or tax year beginning, 2016, Department of the Treasury nternal Revenue ervice Principal business activity ending, 20 nformation about

More information

Exempt Organization Business Income Tax Return

Exempt Organization Business Income Tax Return Form Department of the Treasury Internal Revenue Service For calendar year 2017 or other tax year eginning, and ending. Go to www.irs.gov/form0t for instructions and the latest information. Do not enter

More information

D NONE (No reportable non-investment income.) [Z NONE (No reportable non-investment income.) [Z NONE (No reportable reimbursements.

D NONE (No reportable non-investment income.) [Z NONE (No reportable non-investment income.) [Z NONE (No reportable reimbursements. elly_robert_f 1 Name or Penon Reportlni: Date or Report Page 2of6 ELLY,ROBERF. 04/20/2009 ll, NON-NVESMEN N CO ME. (Reporting individual and spouse; see pp. 17-U of filing instructwns.). Filer's Non-nvestment

More information

Fourth Quarter 2016 Operating Supplement

Fourth Quarter 2016 Operating Supplement Fourth Quarter 2016 Operating Supplement Table of Contents Consolidated Balance Sheets 2 Consolidated Statements of Operations 3 Net Income (Loss) Reconciliation to Operating Income (Loss) 4 Net Premiums

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Return U.S. Department of Labor Employment Standards Office of Labor-Management Standards Washington, D 20210 FORM LM-2 LABOR ORGANZATON ANNUAL REPORT MUST BE USED BY LABOR ORGANZATONS WTH $250,000 OR

More information

Ministry of Manpower Directorate General of Technological Education NIZWA COLLEGE OF TECHNOLOGY DEPARTMENT OF BUSINESS STUDIES

Ministry of Manpower Directorate General of Technological Education NIZWA COLLEGE OF TECHNOLOGY DEPARTMENT OF BUSINESS STUDIES Ministry of Manpower irectorate General of Technological Education NIZW OLLEGE OF TEHNOLOGY EPRTMENT OF USINESS STUIES STUENT NME STUENT I NO. SETION FINL EXMINTION Y 2015 2016, SEMESTER 1 OURSE OE: 2202

More information

D NONE (No reportable positions.)

D NONE (No reportable positions.) Otero, Samuel. FINNCIL DISCLOSURE REPOR FOR CLENDR YER 2010 Report Required by the Ethics in Government ct of 1978 (5 U.S.C. app. 101-111) 1. Person Reporting (last name, first, middle initial) Court or

More information

U.S. Income Tax Return for an S Corporation. 2 Cost of goods sold (attach Form 1125-A)...

U.S. Income Tax Return for an S Corporation. 2 Cost of goods sold (attach Form 1125-A)... orm 110 U.. Income Tax Return for an orporation OM o. 155-01 o not file this form unless the corporation has filed or is attaching orm 55 to elect to be an corporation. Information about orm 110 and its

More information

EquiTrust Life Insurance. Minnesota Life Insurance Company Allianz Life Insurance Company of North America. Company

EquiTrust Life Insurance. Minnesota Life Insurance Company Allianz Life Insurance Company of North America. Company 11780 US Highway 1, Suite 203N rth Palm each, FL 33408 www.legendfms.com 561.425.7333 Thank you for requesting a carrier appointment through Legend Financial Marketing Services. If this is your first time

More information

Name of Applicant Soc Sec # _ / / Marital Status (Circle One): Single Married Divorced Widow(er) Name of Spouse Date of Birth / / Soc Sec # _ / /

Name of Applicant Soc Sec # _ / / Marital Status (Circle One): Single Married Divorced Widow(er) Name of Spouse Date of Birth / / Soc Sec # _ / / PLAN NUMBER 766570 20 IBEW LOCAL 102 SURETY FUND C/O I.E. SHAFFER & CO. 830 BEAR TAVERN RD 2 ND FLOOR PO BOX 1028 TRENTON NJ 08628-0230 PHONE (800)792-3666 FAX (609) 883-7560 Application for Benefits (Please

More information

STATUS [ ] LIQUOR TAX Number of Sites: Page 1 DEPARTMENT OF REVENUE CITY OF CHICAGO

STATUS [ ] LIQUOR TAX Number of Sites: Page 1 DEPARTMENT OF REVENUE CITY OF CHICAGO 1. 2. 3. 4. 5. ITY OF HIGO EPRTMENT OF REVENUE LIQUOR TX - 7573 STTUS [ ] For office use only Mail Payment and Return to: OUNT NUMER UE TE HEK IF RETURN IS: Number of Sites: mended EGINNING PERIO ENING

More information

RECIPROCITY INFORMATION BOOKLET

RECIPROCITY INFORMATION BOOKLET RECIPROCITY INFORMATION BOOKLET SAN JOAQUIN COUNTY EMPLOYEES RETIREMENT ASSOCIATION 6 SO. EL DORADO STREET SUITE 400 STOCKTON, CA 95202 PHONE (209) 468-2163 FAX (209) 468-0480 January 2005 This is intended

More information

First Quarter 2015 Operating Supplement

First Quarter 2015 Operating Supplement First Quarter 2015 Operating Supplement Table of Contents Consolidated Balance Sheets 2 Consolidated Statements of Operations 3 Net Income (Loss) Reconciliation to Operating Income (Loss) 4 Net Premiums

More information

Terminal Pay Plan Frequently Asked Questions (For Sheriff/Sheriff Management)

Terminal Pay Plan Frequently Asked Questions (For Sheriff/Sheriff Management) Terminal Pay Plan Frequently Asked Questions (For Sheriff/Sheriff Management) If you are 50 years or older, are Sheriff/Sheriff Management and retiring or separating from the County of San Diego, your

More information

** PUBLIC INSPECTION COPY ** EXTENDED TO NOVEMBER 15, 2018 Exempt Organization Business Income Tax Return

** PUBLIC INSPECTION COPY ** EXTENDED TO NOVEMBER 15, 2018 Exempt Organization Business Income Tax Return Form Department of the Treasury Internal Revenue Service 723701 01-22-18 For calendar year 2017 or other tax year eginning, and ending. Go to www.irs.gov/form0t for instructions and the latest information.

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT to Z ndex Site Map FQs DOL Forms bout DOL ontact Us November 14, 2015 DOL Home > OLMS > Public Disclosure Home > Search riteria > Select Report > Report U.S. Department of Labor Office of Labor-Management

More information

ANNUAL STATEMENT OF THE STEWART

ANNUAL STATEMENT OF THE STEWART ANNUAL STATEMENT OF THE STEWART Title Guaranty Company of in the state of Houston Texas TO THE Insurance Department OF THE FOR THE YEAR ENDED December 31, 2012 TITLE 2012 TITLE INSURANCE COMPANIES - ASSOCIATION

More information

Alaska Oil and Gas Corporation Net Income Tax Return

Alaska Oil and Gas Corporation Net Income Tax Return laska Oil and Gas orporation Net Income Tax Return Form 6100 For calendar year 2015 or the taxable year beginning, 2015, ending, 20 2015 NIS ode ontact Person Title Mailing ddress heck if new address ontact

More information

LEGISLATOR'S FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2018

LEGISLATOR'S FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2018 LEGISLATOR'S FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2018 NOTE: Before completing this Disclosure Statement, please carefully read the enclosed instructions. If additional space is needed, please

More information

DOL Form Report (ERDS) Page 1 of 110 Return U.S. Department of Labor Employment Standards Office of Labor-Management Standards Washington, D 20210 FORM LM-2 LOR ORGNZTON NNUL REPORT MUST E USED Y LOR ORGNZTONS

More information

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

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

More information

[2 NONE (No reportable positions.)

[2 NONE (No reportable positions.) .. OlO Rev. 112007 Report Required by the Ethics in Government ct of 1978 FOR CLENDR YER 2006 (5 U.S.C. app. 101111) Person Reporting (last name, first, middle initial) Prost, Sharon, Court or Organization

More information

1040 U.S. Individual Income Tax Return 2008

1040 U.S. Individual Income Tax Return 2008 - Internal Revenue Service Form (99) IRS Use Only-Do not write or staple in this space. Lael Filing Status 00 U.S. Individual Income Tax Return 008 L Your first name and initial Last name (See instructions

More information

OFFICERS Name Title Name Title 1. Glorimar Rivero President 2. Mary Letty Hernandez Treasurer 3. Maria S. Toledo Secretary 4.

OFFICERS Name Title Name Title 1. Glorimar Rivero President 2. Mary Letty Hernandez Treasurer 3. Maria S. Toledo Secretary 4. PROPERTY AND CASUALTY COMPANIES - ASSOCIATION EDITION *30953201420100100* ANNUAL STATEMENT For the Year Ended December 31, 2014 of the Condition and Affairs of the NAIC Group Code...626, 626 NAIC Company

More information

The IRS requires 1096 and 1099 to be issued.

The IRS requires 1096 and 1099 to be issued. The IRS requires 1096 and 1099 to be issued. To our Valued client: Every person engaged in a trade or business, including partnerships and nonprofit organizations, must file information returns for each

More information

Panex 1040 Individual - Spouse Home address (number and street). If you have a P.O. box, see instructions.

Panex 1040 Individual - Spouse Home address (number and street). If you have a P.O. box, see instructions. Form 4 Department of the Treasury ' Internal Revenue Service (99) U.S. Individual Income Tax Return For the year Jan. - Dec.,, or other tax year beginning,, ending Your first name and initial OMB No. 545-74

More information

THE WINDERMERE REAL ESTATE 401(k) PLAN FOR EMPLOYEES DISTRIBUTION FORM

THE WINDERMERE REAL ESTATE 401(k) PLAN FOR EMPLOYEES DISTRIBUTION FORM THE WINDERMERE REAL ESTATE 401(k) PLAN FOR EMPLOYEES DISTRIBUTION FORM INSTRUCTIONS 1.) Please read the notice regarding the (a.) TIMING & COST OF DISTRIBUTION on this page, (b.) the DISTRIBUTION ACKNOWLEDGEMENTS

More information