U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210		 FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 08-31-2016
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

 

This report is manadatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only 1. FILE NUMBER
001-775
2. PERIOD COVERED
From 01/01/2015
Through 12/31/2015
3. (a) AMENDED – Is this an amended report: No
  (b) HARDSHIP – Filed under the hardship procedures: No
  (c) TERMINAL – This is a terminal report: No
4. AFFILIATION OR ORGANIZATION NAME
MACHINISTS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
DISTRICT LODGE		 6. DESIGNATION NBR
19
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
MARK		 Last Name
SCHMIDT
P.O Box – Building and Room Number

Number and Street
7010 BROADWAY, STE. 204
City
DENVER
State
CO		 ZIP Code + 4
802212921

9. Are your organization’s records kept at its mailing address?

Yes

 

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual’s knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED: Jeffrey Doerr PRESIDENT 71. SIGNED: Mark Schmidt TREASURER
Date: Mar 22, 2016 Telephone Number: 303-243-3138 Date: Mar 22, 2016 Telephone Number: 303-243-3138
Form LM-2 (Revised 2010)

 

ITEMS 10 THROUGH 21 FILE NUMBER: 001-775
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries? No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund? No
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions? No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative? No
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer “Yes” even if there has been repayment or recovery.) No
14. What is the maximum amount recoverable under the labor organization’s fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds? $500,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale? Yes
16. Were any of the labor organization’s assets pledged as security or encumbered in any way at the end of the reporting period? No
17. Did the labor organization have any contingent liabilities at the end of the reporting period? No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions? No
19. What is the date of the labor organization’s next regular election of officers? 06/2019
20. How many members did the labor organization have at the end of the reporting period? 0
21. What are the labor organization’s rates of dues and fees?

Rates of Dues and Fees
Dues/Fees Amount   Unit Minimum Maximum
(a) Regular Dues/Fees N/A per N/A N/A N/A
(b) Working Dues/Fees N/A per N/A N/A N/A
(c) Initiation Fees N/A per N/A N/A N/A
(d) Transfer Fees N/A per N/A N/A N/A
(e) Work Permits N/A per N/A N/A N/A
Form LM-2 (Revised 2010)

 

STATEMENT A – ASSETS AND LIABILITIES FILE NUMBER: 001-775

 

ASSETS
 
ASSETS Schedule
Number		 Start of Reporting Period
(A)		 End of Reporting Period
(B)
22. Cash   $582,522 $664,163
23. Accounts Receivable 1 $0 $0
24. Loans Receivable 2 $0 $0
25. U.S. Treasury Securities   $0 $0
26. Investments 5 $1,748,403 $1,245,726
27. Fixed Assets 6 $94,599 $85,465
28. Other Assets 7 $0 $0
29. TOTAL ASSETS   $2,425,524 $1,995,354

 

LIABILITIES
 
LIABILITIES Schedule
Number		 Start of Reporting Period
(A)		 End of Reporting Period
(B)
30. Accounts Payable 8 $0 $0
31. Loans Payable 9   $0
32. Mortgages Payable   $0 $0
33. Other Liabilities 10 $0 $0
34. TOTAL LIABILITIES   $0 $0
     
   
35. NET ASSETS $2,425,524 $1,995,354
Form LM-2 (Revised 2010)

 

STATEMENT B – RECEIPTS AND DISBURSEMENTS FILE NUMBER: 001-775

 

CASH RECEIPTS SCH AMOUNT
36. Dues and Agency Fees   $525
37. Per Capita Tax   $4,007,105
38. Fees, Fines, Assessments, Work Permits   $0
39. Sale of Supplies   $0
40. Interest   $897
41. Dividends   $0
42. Rents   $0
43. Sale of Investments and Fixed Assets 3 $400,000
44. Loans Obtained 9 $0
45. Repayments of Loans Made 2 $0
46. On Behalf of Affiliates for Transmittal to Them   $0
47. From Members for Disbursement on Their Behalf   $48,792
48. Other Receipts 14 $776,164
49. TOTAL RECEIPTS   $5,233,483
CASH DISBURSEMENTS SCH AMOUNT
50. Representational Activities 15 $2,918,196
51. Political Activities and Lobbying 16 $9,237
52. Contributions, Gifts, and Grants 17 $46,713
53. General Overhead 18 $496,697
54. Union Administration 19 $378,370
55. Benefits 20 $916,628
56. Per Capita Tax   $1,031
57. Strike Benefits   $0
58. Fees, Fines, Assessments, etc.   $0
59. Supplies for Resale   $0
60. Purchase of Investments and Fixed Assets 4 $12,602
61. Loans Made 2 $0
62. Repayment of Loans Obtained 9 $0
63. To Affiliates of Funds Collected on Their Behalf   $0
64. On Behalf of Individual Members   $44,719
65. Direct Taxes   $327,649
  
66. Subtotal   $5,151,842
67. Withholding Taxes and Payroll Deductions    
  67a. Total Withheld $708,307    
  67b. Less Total Disbursed $708,307    
  67c. Total Withheld But Not Disbursed    
68. TOTAL DISBURSEMENTS   $5,151,842
Form LM-2 (Revised 2010)

 

SCHEDULE 1 – ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 001-775

 

Entity or Individual Name
(A)		 Total Account Receivable
(B)		 90-180 Days
Past Due
(C)		 180+ Days
Past Due
(D)		 Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable $0 $0 $0 $0
Totals from all other accounts receivable $0 $0 $0 $0
Totals(Total of Column (B) will be automatically entered in Item 23, Column(B)) $0 $0 $0 $0
0 $0 $0 $0 $0
Form LM-2 (Revised 2010)

 

SCHEDULE 2 – LOANS RECEIVABLE FILE NUMBER: 001-775

 

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.
(A)		 Loans
Outstanding at
Start of Period
(B)		 Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)		 Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above $0 $0 $0 $0 $0
Total of all lines above $0 $0 $0 $0 $0
Totals will be automatically entered in… Item 24
Column (A)		 Item 61 Item 45 Item 69
with Explanation		 Item 24
Column (B)
Name: NONE
Purpose: NONE
Security: NONE
Terms of Repayment: NONE		 $0 $0 $0 $0 $0
Form LM-2 (Revised 2010)

 

SCHEDULE 3 – SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 001-775

 

Description (if land or buildings give location)
(A)		 Cost
(B)		 Book Value
(C)		 Gross Sales Price
(D)		 Amount Received
(E)
Total of all lines above $1,748,403 $1,245,726 $400,000 $400,000
Morgan Stanley $1,748,403 $1,245,726 $400,000 $400,000
  Less Reinvestments $0
(The total from Net Sales Line will be automatically entered in Item 43) Net Sales $400,000
Form LM-2 (Revised 2010)

 

SCHEDULE 4 – PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 001-775

 

Description (if land or buildings, give location)
(A)		 Cost
(B)		 Book Value
(C)		 Cash Paid
(D)
Total of all lines above $12,602 $12,602 $12,602
PURCHASE OF NEW OFFICE EQUIPMENT $12,602 $12,602 $12,602
  Less Reinvestments $0
(The total from Net Purchases Line will be automatically entered in Item 60.) Net Purchases $12,602
Form LM-2 (Revised 2010)

 

SCHEDULE 5 – INVESTMENTS FILE NUMBER: 001-775

 

Description
(A)		 Amount
(B)
Marketable Securities  
A. Total Cost  
B. Total Book Value $1,245,726
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.   
  • Morgan Stanley
 $1,245,726
Other Investments  
D. Total Cost  
E. Total Book Value  
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.   
 
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $1,245,726
Form LM-2 (Revised 2010)

 

SCHEDULE 6 – FIXED ASSETS FILE NUMBER: 001-775

 

Description
(A)		 Cost or Other Basis
(B)		 Total Depreciation or
Amount Expensed
(C)		 Book Value
(D)		 Value
(E)
A. Land (give location)        
Land  1 :      NA     $0 $0
B. Buildings (give location)        
Building  1 :      NA $0 $0 $0 $0
C. Automobiles and Other Vehicles $0 $0 $0 $0
D. Office Furniture and Equipment $94,599 $9,135 $85,465 $85,465
E. Other Fixed Assets        
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $94,599 $9,135 $85,465 $85,465
Form LM-2 (Revised 2003)

 

SCHEDULE 7 – OTHER ASSETS FILE NUMBER: 001-775

 

Description
(A)		 Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $0
Form LM-2 (Revised 2010)

 

SCHEDULE 8 – ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 001-775

 

Entity or Individual Name
(A)		 Total Account
Payable
(B)		 90-180 Days
Past Due
(C)		 180+ Days Past
Due
(D)		 Liquidated Account
Payable
(E)
Total for all itemized accounts payable $0 $0 $0 $0
Total from all other accounts payable $0 $0 $0 $0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0 $0 $0 $0
NONE $0 $0 $0 $0
Form LM-2 (Revised 2010)

 

SCHEDULE 9 – LOANS PAYABLE FILE NUMBER: 001-775

 

Source of Loans Payable at Any
Time During the Reporting Period
(A)		 Loans Owed at
Start of Period
(B)		 Loans Obtained
During Period
(C)		 Repayment
During Period
Cash
(D)(1)		 Repayment
During Period
Other Than Cash
(D)(2)		 Loans Owed at
End of Period
(E)
Total Loans Payable $0 $0 $0 $0 $0
Totals will be automatically entered in… Item 31
Column (C)		 Item 44 Item 62 Item 69
with Explanation		 Item 31
Column (D)
NONE $0 $0 $0 $0 $0
Form LM-2 (Revised 2010)

 

SCHEDULE 10 – OTHER LIABILITIES FILE NUMBER: 001-775

 

Description
(A)		 Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $0
NONE $0
Form LM-2 (Revised 2010)

 

SCHEDULE 11 – ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 001-775

 

  (A)
Name		 (B)
Title		 (C)
Status		 (D)
Gross Salary
Disbursements
(before any
deductions)		 (E)
Allowances
Disbursed		 (F)
Disbursements for Official Business		 (G)
Other
Disbursements not reported in
(D) through (F)		 (H)
TOTAL
A
B
C		 DOERR,  JEFFREY   C
PRESIDENT/DIR GC
C		 $155,307 $0 $90,035 $0 $245,342
I
Schedule 15
Representational Activities		 70 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 30 %
A
B
C		 SCHMIDT,  MARK  
SECRETARY TREASURER
C		 $123,822 $0 $20,951 $0 $144,773
I
Schedule 15
Representational Activities		 0 % Schedule 16
Political Activities and Lobbying		 1 % Schedule 17
Contributions		   Schedule 18
General Overhead		 99 % Schedule 19
Administration		  
Total Officer Disbursements $279,129 $0 $110,986 $0 $390,115
Less Deductions         $82,508
Net Disbursements         $307,607
Form LM-2 (Revised 2010)

 

SCHEDULE 12 – DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 001-775

 

  (A)
Name		 (B)
Title		 (C)
Other Payer		 (D)
Gross Salary
Disbursements
(before any
deductions)		 (E)
Allowances Disbursed		 (F)
Disbursements for Official Business		 (G)
Other Disbursements not reported in
(D) through (F)		 (H)
TOTAL
A
B
C		 BATTLE,  DERRICK   D
GENERAL CHAIRMAN
NONE		 $116,043 $0 $30,628 $0 $146,671
I
Schedule 15
Representational Activities		 78 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 22 %
A
B
C		 CARTER,  LISA   A
GENERAL CHAIRMAN
NONE		 $116,802 $0 $38,969 $0 $155,771
I
Schedule 15
Representational Activities		 75 % Schedule 16
Political Activities and Lobbying		 5 % Schedule 17
Contributions		 10 % Schedule 18
General Overhead		   Schedule 19
Administration		 10 %
A
B
C		 DAVIS,  JAMES   M
GENERAL CHAIRMAN
NONE		 $116,289 $0 $44,546 $0 $160,835
I
Schedule 15
Representational Activities		 90 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 10 %
A
B
C		 DENNY,  JOHN   A
GENERAL CHAIRMAN
NONE		 $116,363 $0 $30,468 $0 $146,831
I
Schedule 15
Representational Activities		 98 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		 1 % Schedule 18
General Overhead		   Schedule 19
Administration		 1 %
A
B
C		 HARRINGTON,  BELINDA   J
ADMIN ASSISTANT
NONE		 $11,134 $0 $104 $0 $11,238
I
Schedule 15
Representational Activities		 0 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		 100 % Schedule 19
Administration		  
A
B
C		 JACOBS,  JAMES   H
GENERAL CHAIRMAN
NONE		 $116,477 $0 $37,103 $0 $153,580
I
Schedule 15
Representational Activities		 80 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 20 %
A
B
C		 KING,  JACOB   W
COMMUNICATOR
NONE		 $98,974 $0 $42,809 $0 $141,783
I
Schedule 15
Representational Activities		 97 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		 3 % Schedule 19
Administration		  
A
B
C		 LACEY,  JOHN   E
GENERAL CHAIRMAN
NONE		 $124,246 $0 $75,601 $0 $199,847
I
Schedule 15
Representational Activities		 90 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 10 %
A
B
C		 LANE,  CHERYL   D
EXEC SECRETARY
NONE		 $53,271 $0 $4,544 $0 $57,815
I
Schedule 15
Representational Activities		 0 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		 100 % Schedule 19
Administration		  
A
B
C		 LOOS,  KYLE   K
GENERAL CHAIRMAN
NONE		 $116,346 $0 $32,624 $0 $148,970
I
Schedule 15
Representational Activities		 98 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 2 %
A
B
C		 LOPEZ,  ELIZABETH  
ADMIN ASSISTANT
NONE		 $34,390 $0 $454 $0 $34,844
I
Schedule 15
Representational Activities		   Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		 100 % Schedule 19
Administration		  
A
B
C		 MAY,  JOSEPH   D
ORGANIZER
NONE		 $100,345 $0 $57,150 $0 $157,495
I
Schedule 15
Representational Activities		 90 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 10 %
A
B
C		 MCCARTHY,  MICHAEL  
GENERAL CHAIRMAN
NONE		 $119,302 $0 $42,061 $0 $161,363
I
Schedule 15
Representational Activities		 50 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 50 %
A
B
C		 NADEAU,  RICHARD   D
GENERAL CHAIRMAN
NONE		 $124,282 $0 $39,754 $0 $164,036
I
Schedule 15
Representational Activities		 90 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 10 %
A
B
C		 NAYLOR JR,  GARY   D
GENERAL CHAIRMAN
NONE		 $116,986 $0 $49,842 $0 $166,828
I
Schedule 15
Representational Activities		 90 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		 1 % Schedule 18
General Overhead		   Schedule 19
Administration		 9 %
A
B
C		 ORWAN,  BRIAN   K
GENERAL CHAIRMAN
NONE		 $124,883 $0 $46,673 $0 $171,556
I
Schedule 15
Representational Activities		 93 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 7 %
A
B
C		 PERRY,  JAMES   M
GENERAL CHAIRMAN
NONE		 $116,943 $0 $40,515 $0 $157,458
I
Schedule 15
Representational Activities		 92 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 8 %
A
B
C		 SANDBERG,  ANDREW   W
GENERAL CHAIRMAN
NONE		 $116,469 $0 $33,968 $0 $150,437
I
Schedule 15
Representational Activities		 90 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		 10 %
A
B
C		 TOVAR,  MAGDA   P
CONFIDENTIAL SECRETARY
NONE		 $67,246 $0 $19,543 $0 $86,789
I
Schedule 15
Representational Activities		 100 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		  
A
B
C		 TOVAR,  MONICA  
OFFICE MANAGER
NONE		 $61,195 $0 $2,017 $0 $63,212
I
Schedule 15
Representational Activities		 0 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		 100 % Schedule 19
Administration		  
TOTALS RECEIVED BY EMPLOYEES MAKING LESS THAN $10000 $51,105 $0 $46,903 $0 $98,008
I Schedule 15
Representational Activities		 100 % Schedule 16
Political Activities and Lobbying		   Schedule 17
Contributions		   Schedule 18
General Overhead		   Schedule 19
Administration		  
Total Employee Disbursements $2,019,091 $0 $716,276 $0 $2,735,367
Less Deductions         $625,800
Net Disbursements         $2,109,567
Form LM-2 (Revised 2010)

 

SCHEDULE 13 – MEMBERSHIP STATUS FILE NUMBER: 001-775

 

Category of Membership
(A)		 Number
(B)		 Voting Eligibility
(C)
Members (Total of all lines above) 0  
Agency Fee Payers*    
Total Members/Fee Payers 0  
*Agency Fee Payers are not considered members of the labor organization.
  0 No
Form LM-2 (Revised 2010)

 

DETAILED SUMMARY PAGE – SCHEDULES 14 THROUGH 19 FILE NUMBER: 001-775

 

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts $748,454
2. Named Payer Non-itemized Receipts $8,831
3. All Other Receipts $18,879
4. Total Receipts $776,164
     
     
 
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements $0
2. Named Payee Non-itemized Disbursements $20,250
3. To Officers $0
4. To Employees $18,713
5. All Other Disbursements $7,750
6. Total Disbursements $46,713
     
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements $469,814
2. Named Payee Non-itemized Disbursements $12,934
3. To Officers $171,739
4. To Employees $2,250,927
5. All Other Disbursements $12,782
6. Total Disbursements $2,918,196
 
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements $28,104
2. Named Payee Non-itemized Disbursements $117,007
3. To Officers $143,325
4. To Employees $171,362
5. All Other Disbursements $36,899
6. Total Disbursements $496,697
     
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements $0
2. Named Payee Non-itemized Disbursements $0
3. To Officers $1,448
4. To Employees $7,789
5. All Other Disbursements  
6. Total Disbursement $9,237
 
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements $8,483
2. Named Payee Non-itemized Disbursements $9,706
3. To Officers $73,603
4. To Employees $286,578
5. All Other Disbursements  
6. Total Disbursements $378,370
Form LM-2 (Revised 2010)

 

SCHEDULE 14 – OTHER RECEIPTS FILE NUMBER: 001-775

 

Name and Address
(A)
International Association of Machinists

9000 Machinist Place
Upper Marlboro
MD
20772-2667
Type or Classification
(B)
Parent Organization-International Union
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer $748,454
Total Non-Itemized Transactions with this Payee/Payer $8,831
Total of All Transactions with this Payee/Payer for This Schedule $757,285
Refund of Legal Fee 11/04/2015 $6,569
Grand Lodge Support 01/12/2015 $62,563
Grand Lodge Support 02/10/2015 $62,286
Grand Lodge Support 03/10/2015 $62,286
Grand Lodge Support 04/10/2015 $62,286
Grand Lodge Support 05/11/2015 $62,286
Grand Lodge Support 06/10/2015 $62,286
Grand Lodge Support 07/10/2015 $62,286
Grand Lodge Support 08/10/2015 $62,286
Grand Lodge Support 09/10/2015 $60,830
Grand Lodge Support 10/09/2015 $60,830
Grand Lodge Support 11/10/2015 $60,830
Grand Lodge Support 12/10/2015 $60,830
Form LM-2 (Revised 2010)

 

SCHEDULE 15 – REPRESENTATIONAL ACTIVITIES FILE NUMBER: 001-775

 

Name and Address
(A)
GUERRIERI & CLAYMAN, P. C.

1900 M ST NW STE, 700
WASHINGTON
DC
20036-2243
Type or Classification
(B)
LAW FIRM
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer $449,434
Total Non-Itemized Transactions with this Payee/Payer $5,597
Total of All Transactions with this Payee/Payer for This Schedule $455,031
LEGAL FEES 01/15/2015 $37,218
LEGAL FEES 01/21/2015 $14,032
LEGAL FEES 02/26/2015 $78,758
LEGAL FEES 03/13/2015 $153,985
LEGAL FEES 04/10/2015 $29,600
LEGAL FEES 05/11/2015 $17,015
LEGAL FEES 07/15/2015 $8,031
LEGAL FEES 08/11/2015 $10,649
LEGAL FEES 08/11/2015 $6,465
LEGAL FEES 09/19/2015 $19,457
LEGAL FEES 10/26/2015 $14,368
LEGALS FEES 11/12/2015 $39,677
LEGAL FEES 12/14/2015 $8,704
LEGAL FEES 06/09/2015 $11,475
Name and Address
(A)
THE LABOR BUREAU

1420 KING ST STE 500
ALEXANDRIA
VA
22314
Type or Classification
(B)
CONSULTING FIRM
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer $20,380
Total Non-Itemized Transactions with this Payee/Payer $7,337
Total of All Transactions with this Payee/Payer for This Schedule $27,717
ABRITRATION FEES 05/11/2015 $20,380
Form LM-2 (Revised 2010)

 

SCHEDULE 16 – POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 001-775

 

Name and Address
(A)

-1
Type or Classification
(B)
 
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer  
Total Non-Itemized Transactions with this Payee/Payer  
Total of All Transactions with this Payee/Payer for This Schedule $0
Form LM-2 (Revised 2010)

 

SCHEDULE 17 – CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 001-775

 

Name and Address
(A)
GUIDE DOGS OF AMERICA

13445 GLENOAKS BLVD
SYLMAR
CA
91342
Type or Classification
(B)
501-3(C) CHARITY
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer  
Total Non-Itemized Transactions with this Payee/Payer $20,250
Total of All Transactions with this Payee/Payer for This Schedule $20,250
Form LM-2 (Revised 2010)

 

SCHEDULE 18 – GENERAL OVERHEAD FILE NUMBER: 001-775

 

Name and Address
(A)
AT&T
6463

CAROL STREAM
IL
60197-6463
Type or Classification
(B)
TELEPHONE CELL SERVICE
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer  
Total Non-Itemized Transactions with this Payee/Payer $21,829
Total of All Transactions with this Payee/Payer for This Schedule $21,829
Name and Address
(A)
BGK. TN OFFICE ASSOC LP

10820 Kingston Pike Ste 9
KNOXVILLE
TN
37934
Type or Classification
(B)
RENTAL COMPANY
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer  
Total Non-Itemized Transactions with this Payee/Payer $8,951
Total of All Transactions with this Payee/Payer for This Schedule $8,951
Name and Address
(A)
HASLER TOTAL FUNDS
30193

TAMPA
FL
33630-3193
Type or Classification
(B)
POSTAGE COMPANY
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer  
Total Non-Itemized Transactions with this Payee/Payer $6,100
Total of All Transactions with this Payee/Payer for This Schedule $6,100
Name and Address
(A)
INTEGRA TELECOM
2966

MILWAUKEE
WI
53201-2966
Type or Classification
(B)
PHONE COMPANY
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer  
Total Non-Itemized Transactions with this Payee/Payer $18,591
Total of All Transactions with this Payee/Payer for This Schedule $18,591
Name and Address
(A)
PLAZA 36 MANAGEMENT

7111 ALEMEDA AVE
LAKEWOOD
CO
80226
Type or Classification
(B)
BUILDING MANGEMENT
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer  
Total Non-Itemized Transactions with this Payee/Payer $43,048
Total of All Transactions with this Payee/Payer for This Schedule $43,048
Name and Address
(A)
QUALITY OFFICE PRODUCTS
3983

GREENWOOD VILLIAGE
CO
80202
Type or Classification
(B)
OFFICE SUPPLY COMPANY
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer $7,601
Total Non-Itemized Transactions with this Payee/Payer $8,425
Total of All Transactions with this Payee/Payer for This Schedule $16,026
OFFICE SUPPLIES 03/24/2015 $7,601
Name and Address
(A)
UNION INSURANCE GROUP

303 W ERIE ST STE 310
CHICAGO
IL
60654
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer $20,503
Total Non-Itemized Transactions with this Payee/Payer $1,052
Total of All Transactions with this Payee/Payer for This Schedule $21,555
WORKMANS COMP POLICY 03/31/2015 $9,560
WORKMAN’S COMP POLICY 10/26/2015 $10,943
Name and Address
(A)
XEROX CORPORATION
7405

PASADENA
CA
91109-7405
Type or Classification
(B)
EQUIPMENT LEASING COMPANY
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer  
Total Non-Itemized Transactions with this Payee/Payer $9,011
Total of All Transactions with this Payee/Payer for This Schedule $9,011
Form LM-2 (Revised 2010)

 

SCHEDULE 19 – UNION ADMINISTRATION FILE NUMBER: 001-775

 

Name and Address
(A)
DIRECT MAIL SERVICE

999 S JASON STREET
DENVER
CO
80223-2807
Type or Classification
(B)
MAIL SERVICE
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer $8,483
Total Non-Itemized Transactions with this Payee/Payer  
Total of All Transactions with this Payee/Payer for This Schedule $8,483
MAILING DIST LODGE 19 NOMINATION 01/22/2015 $8,483
Name and Address
(A)
EAGAN PRINTING

1245 ELATI STREET
DENVER
CO
80204
Type or Classification
(B)
PRINTING COMPANY
Purpose
(C)		 Date
(D)		 Amount
(E)
Total Itemized Transactions with this Payee/Payer  
Total Non-Itemized Transactions with this Payee/Payer $9,706
Total of All Transactions with this Payee/Payer for This Schedule $9,706
Form LM-2 (Revised 2010)

 

SCHEDULE 20 – BENEFITS FILE NUMBER: 001-775

 

Description
(A)		 To Whom Paid
(B)		 Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.) $916,628
SUPPLEMENTAL LIFE INS OFFICE STAFF AETNA LIFE $2,606
PENSION FOR PDGC(DOERR & ST SCHMIDT) IAM NATIONAL PENSION FUND $11,476
HEALTH CARE FOR OFFICERS, STAFF & RETIRE UNITED HEALTH CARE $852,682
VISION CARE FOR OFFICERS, STAFF & RETIRE VISIION SERVICE PLAN $4,227
DENTAL CARE FOR OFFICERS, STAFF & RETIRE MET LIFE $44,211
BUSINESS TRAVEL ACCIDENT COVERAGE PRUDENTIAL INSURANCE OF AMERICA $1,426
Form LM-2 (Revised 2010)

 

69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 001-775

Question 15: Disposed of used obsolete office furniture/equipment via donation to charity.

Statement A,

Cash Begin Total: INVESTMENTS WERE SHOWN IN CASH LAST YEAR-MOVED TO INVESTMENTS

Statement A,Investments Begin Total: MOVED THE AMOUNT FROM CASH TO INVESTMENT

Statement A,Fixed Assets Value Begin Total: A COMPLETE INVENTORY OF OFFICE EQUIPMENT WAS RUN AFTER THE LM WAS SUBMITTED AND WAS ADJUSTED TO SHOWN THE CORRECT AMOUNT

 
 
Form LM-2 (Revised 2010)