FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form …

U.S. Department of Labor

Office of Labor-Management Standards

Washington, DC 20210

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORTForm Approved

Office of Management and Budget No. 1245-0003

Expires: 07-31-2019

MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN

TRUSTEESHIP

This report is mandatory under P.L. 86-257, as amended. Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.

READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.

For Official Use

Only

1. FILE NUMBER

517-319

2. PERIOD COVEREDFrom 01/01/2016

Through 12/31/2016

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 FOOD AND COMMERCIAL WKRS

5. DESIGNATION (Local, Lodge, etc.) LOCAL UNION

6. DESIGNATION NBR 135

7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)

First Name

MICHAEL

Last Name

KASPARIAN

P.O Box - Building and Room Number

Number and Street 2001 CAMINO DEL RIO SOUTH

City SAN DIEGO

State

CA

ZIP Code + 4

92108

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:

Michael A Kasparian PRESIDENT71. SIGNED:

Brian J KellyVICE PRESIDENT/COMPTROLLER

Date: Mar 31, 2017 Telephone Number: 619-298-7772 Date: Mar 31, 2017 Telephone Number: 619-298-7772

Form LM-2 (Revised 2010)

ITEMS 10 THROUGH 21 FILE NUMBER: 517-319

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?

Yes

11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?

Yes

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?

Yes

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?

$2,000,000

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?12/2018

20. How many members did the labor organization have at the end of the reporting period?

12,231

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

19.00-58.50per MONTH 19.00 58.50

(b) Working Dues/Fees

NONEper NONE NONE NONE

(c) Initiation Fees50.00-400.00

perJOB

CLASS50.00 400.00

(d) Transfer Fees NONEper NONE NONE NONE

(e) Work Permits NONEper NONE NONE NONE


STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 517-319

ASSETS

ASSETSSchedule Number

Start of Reporting Period (A)

End of Reporting Period (B)

22. Cash $10,906,173 $11,038,334

23. Accounts Receivable 1 $0 $0

24. Loans Receivable 2 $0

25. U.S. Treasury Securities $0 $0

26. Investments 5 $141,508 $144,789

27. Fixed Assets 6 $591,590 $542,701

28. Other Assets 7

29. TOTAL ASSETS $11,639,271 $11,725,824

LIABILITIES

LIABILITIESSchedule Number

Start of Reporting Period (A)

End of Reporting Period (B)

30. Accounts Payable 8 $0 $0

31. Loans Payable 9

32. Mortgages Payable $0 $0

33. Other Liabilities 10 $42,559 $39,192

34. TOTAL LIABILITIES $42,559 $39,192

35. NET ASSETS $11,596,712 $11,686,632


STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 517-319

CASH RECEIPTS SCH AMOUNT

36. Dues and Agency Fees $6,501,921

37. Per Capita Tax $0

38. Fees, Fines, Assessments, Work Permits $430,017

39. Sale of Supplies $0

40. Interest $97,560

41. Dividends $14,734

42. Rents $0

43. Sale of Investments and Fixed Assets 3 $0

44. Loans Obtained 9

45. Repayments of Loans Made 2

46. On Behalf of Affiliates for Transmittal to Them $0

47. From Members for Disbursement on Their

Behalf$346,967

48. Other Receipts 14 $517,037

49. TOTAL RECEIPTS $7,908,236

CASH DISBURSEMENTS SCH AMOUNT

50. Representational Activities 15 $2,339,184

51. Political Activities and Lobbying 16 $295,586

52. Contributions, Gifts, and Grants 17 $147,110

53. General Overhead 18 $1,330,561

54. Union Administration 19 $70,567

55. Benefits 20 $495,112

56. Per Capita Tax $2,517,862

57. Strike Benefits $0

58. Fees, Fines, Assessments, etc. $0

59. Supplies for Resale $0

60. Purchase of Investments and Fixed Assets 4 $20,488

61. Loans Made 2

62. Repayment of Loans Obtained 9

63. To Affiliates of Funds Collected on Their Behalf $0

64. On Behalf of Individual Members $346,967

65. Direct Taxes $209,114

66. Subtotal $7,772,551

67. Withholding Taxes and Payroll Deductions

67a. Total Withheld $854,352

67b. Less Total Disbursed $857,876

67c. Total Withheld But Not Disbursed -$3,524

68. TOTAL DISBURSEMENTS $7,776,075


SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 517-319

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

Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0 $0 $0 $0


SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 517-319

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

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)


SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 517-319

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 $0 $0 $0 $0

Less Reinvestments $0

(The total from Net Sales Line will be automatically entered in Item 43)Net Sales $0


SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 517-319

Description (if land or buildings, give location)

(A)

Cost

(B)

Book Value

(C)

Cash Paid

(D)

OFFICE FURNITURE AND EQUIPMENT $20,488 $20,488 $20,488

MUTUAL FUNDS - CALVERT EQUITY PORTFOLIO $14,734 $14,734 $14,734

Total of all lines above $35,222 $35,222 $35,222

Less Reinvestments $14,734

(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases $20,488


SCHEDULE 5 - INVESTMENTS FILE NUMBER: 517-319

Description

(A)

Amount

(B)

Marketable Securities

A. Total Cost $151,503

B. Total Book Value $144,789

C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.

MUTUAL FUNDS - CALVERT EQUITY PORTFOLIO $144,789

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)) $144,789


SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 517-319

Description (A)

Cost or Other Basis (B)

Total Depreciation or

Amount Expensed (C)

Book Value (D)

Value (E)

A. Land (give location)

Land 1 : 2001 CAMINO DEL RIO SOUTH, SAN DIEGO CA 92108

$11,202 $11,202 $597,000

B. Buildings (give location)

Building 1 : 2001 CAMINO DEL RIO SOUTH, SAN

DIEGO CA 92108$905,246 $485,902 $419,344 $1,613,000

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment $392,915 $280,760 $112,155 $112,155

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be

automatically entered in Item 27, Column(B)) $1,309,363 $766,662 $542,701 $2,322,155


SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 517-319

Description

(A)

Book Value

(B)

Total (Total will be automatically entered in Item 28, Column(B)) $0


SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 517-319

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


SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 517-319

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)


SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 517-319

Description

(A)

Amount at End of Period

(B)

PAYROLL WITHHOLDINGS $12,919

UFCW ABC MEMBERS EXCHANGE $26,273

Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $39,192


SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 517-319

(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

KASPARIAN , MICHAEL PRESIDENT

C

$208,893 $0 $5,127 $0 $214,020

ISchedule 15 Representational Activities

86 %

Schedule 16

Political Activities and Lobbying

12 % Schedule 17 Contributions

1 % Schedule 18 General Overhead

0 % Schedule 19 Administration

1 %

A

B C

HACKWORTH , ROSALYN

SEC/TREAS EXE. ASST PRES.P

$95,664 $0 $6,020 $0 $101,684


86 % Schedule 16 Political Activities

and Lobbying




2 %

A

B C

BALDWIN , SHARYN

V.P.C

$0 $1,100 $0 $0 $1,100

ISchedule 15

Representational Activities 0 %

Schedule 16


0 % Schedule 17

Contributions 0 %

Schedule 18

General Overhead 0 %

Schedule 19

Administration 100 %

A B

C

BRACAMONTES , MICHAEL AV.P./UNION REP

C

$55,571 $0 $3,654 $0 $59,225


96 %

Schedule 16





1 %

A

B C

ELBERT , THOMAS

V.P./UNION REPC

$98,456 $0 $4,981 $0 $103,437



and Lobbying




1 %

A

B C

JACQUES , THERESA L

V.P.C

$0 $900 $0 $0 $900

ISchedule 15


Schedule 16 Political Activities

and Lobbying

0 % Schedule 17

Contributions 0 %

Schedule 18


Schedule 19


A B

C

MARIN , JESUS V.P.

C

$0 $800 $0 $0 $800


0 %

Schedule 16





100 %

A B

C

O'BRIEN , SANDRA V.P.

C

$0 $1,100 $0 $0 $1,100



and Lobbying




100 %

A

B C

WOODS , FRANCINE

V.P./ADMIN ASST.C

$73,568 $0 $980 $0 $74,548

ISchedule 15



and Lobbying

1 % Schedule 17

Contributions 1 %

Schedule 18


Schedule 19

Administration 2 %

A B

C

KELLY , BRIAN V.P./COMPTROLLER

N

$107,678 $0 $1,795 $0 $109,473

ISchedule 15


Schedule 16


3 % Schedule 17

Contributions 3 %

Schedule 18


Schedule 19

Administration 2 %

A B

C

LINO , JOSE V.P.

N

$0 $500 $0 $0 $500

(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

I Schedule 15 Representational Activities


and Lobbying




100 %

A

B C

WALTERS , BRUCE

V.P./GRIEVANCE DIRECTORN

$107,856 $0 $3,734 $0 $111,590

ISchedule 15



and Lobbying

1 % Schedule 17

Contributions 2 %

Schedule 18


Schedule 19

Administration 2 %

A B C

BECERRA , EMILIA V.P.P

$0 $0 $0 $0 $0

ISchedule 15


Schedule 16


0 % Schedule 17

Contributions 0 %

Schedule 18


Schedule 19


A B

C

BOUCHER , JOHN V.P.

P

$0 $0 $0 $0 $0


0 % Schedule 16 Political Activities and Lobbying




100 %

A

B C

HUNT , TERENCE

V.P./UNION REPP

$13,306 $0 $0 $0 $13,306

ISchedule 15



and Lobbying

0 % Schedule 17

Contributions 0 %

Schedule 18


Schedule 19

Administration 0 %

A B C

RAMIREZ , GERMAN V.P./ORGANIZING DIR.P

$71,160 $0 $5,053 $0 $76,213

ISchedule 15


Schedule 16


2 % Schedule 17

Contributions 1 %

Schedule 18


Schedule 19

Administration 2 %

Total Officer Disbursements $832,152 $4,400 $31,344 $0 $867,896

Less Deductions $313,944

Net Disbursements $553,952


SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 517-319

(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

ANDOLINA , GUY UNION REPRESENTATIVE

NONE

$14,712 $0 $32 $0 $14,744


0 %

Schedule 16





0 %

A

B C

ARAUZ , ANABEL

ORGANIZERNONE

$95,373 $0 $5,594 $0 $100,967



and Lobbying




1 %

A

B C

BARRERA , RICHARD A

UNION REPRESENTATIVENONE

$133,692 $0 $2,164 $0 $135,856

ISchedule 15


Schedule 16


15 % Schedule 17

Contributions 3 %

Schedule 18


Schedule 19

Administration 7 %

A B

C

BENSINGER , LINDSEY MEMBERSHIP DEPT. HEAD

NONE

$67,208 $0 $321 $0 $67,529


0 %

Schedule 16





1 %

A

B C

CASTRO , SUZANNE

INSURANCE CLERKNONE

$40,803 $0 $0 $0 $40,803



and Lobbying


Schedule 18 General Overhead


1 %

A

B C

CHAVEZ , VERONICA

INSURANCE CLERKNONE

$45,389 $0 $0 $0 $45,389

ISchedule 15



and Lobbying

1 % Schedule 17

Contributions

Schedule 18


Schedule 19

Administration 1 %

A B

C

FOUNTAIN , DARRYL UNION REPRESENTATIVE

NONE

$96,582 $0 $4,443 $0 $101,025


96 %

Schedule 16





1 %

A B

C

INCROCCI , MARIE INSURANCE CLERK

NONE

$56,208 $0 $134 $0 $56,342



and Lobbying




1 %

A

B C

KABLER , JOE

INSURANCE CLERKNONE

$43,552 $0 $1,498 $0 $45,050

ISchedule 15



and Lobbying

1 % Schedule 17

Contributions 1 %

Schedule 18


Schedule 19

Administration 1 %

A B

C

KERN , LORI ACOMMUNICATION DIRECTOR

NONE

$77,058 $0 $877 $0 $77,935

ISchedule 15


Schedule 16


2 % Schedule 17

Contributions 1 %

Schedule 18


Schedule 19

Administration 1 %

A B

C

KRAMER , EDWARD UNION REPRESENTATIVE

NONE

$25,833 $0 $1,567 $0 $27,400

(A)

Name

(B)

Title

(C)

Other Payer

(D) Gross Salary


deductions)

(E) Allowances

Disbursed

(F) Disbursements for

Official Business

(G) Other Disbursements

not reported in (D) through (F)

(H) TOTAL

I Schedule 15 Representational Activities


and Lobbying




1 %

A

B C

LLOYD , RICHARD J


$98,456 $0 $3,645 $0 $102,101

ISchedule 15



and Lobbying

2 % Schedule 17

Contributions 1 %

Schedule 18


Schedule 19

Administration 1 %

A B C

MCKINZE , MARIBEL DORGANIZERNONE

$94,752 $0 $5,223 $0 $99,975

ISchedule 15


Schedule 16


5 % Schedule 17

Contributions 1 %

Schedule 18


Schedule 19

Administration 1 %

A B

C

MILLER , VICKI MEMBERSHIP CLERK

NONE

$43,260 $0 $0 $0 $43,260






1 %

A

B C

MONTANO , CRISTINA

INSURANCE CLERKNONE

$43,069 $0 $0 $0 $43,069

ISchedule 15



and Lobbying

1 % Schedule 17

Contributions 0 %

Schedule 18


Schedule 19

Administration 1 %

A B C

NARANJO , SANDY ORGANIZERNONE

$80,557 $0 $6,403 $0 $86,960

ISchedule 15


Schedule 16


23 % Schedule 17

Contributions 0 %

Schedule 18


Schedule 19

Administration 1 %

A B

C

NUNEZ , BEATRIZ UNION REPRESENTATIVE

NONE

$63,470 $0 $2,970 $0 $66,440


96 %

Schedule 16





1 %

A

B C

RAPP , CARL

MEMBERSHIP CLERKNONE

$43,590 $0 $0 $0 $43,590



and Lobbying




1 %

A

B C

SAEZ , SARAH


$27,346 $0 $792 $0 $28,138

ISchedule 15


Schedule 16


1 % Schedule 17

Contributions 1 %

Schedule 18


Schedule 19

Administration 1 %

A B

C

SINGH, JR. , GERALD MORGANIZER

NONE

$55,571 $0 $7,407 $0 $62,978


96 %

Schedule 16





1 %

A

B C

TANAKA , KELLY T

INSURANCE DEPT HEADNONE

$44,396 $0 $0 $0 $44,396



and Lobbying




1 %

$98,456 $0 $3,196 $0 $101,652

(A)

Name

(B)

Title

(C)

Other Payer

(D) Gross Salary


deductions)

(E) Allowances

Disbursed

(F) Disbursements for

Official Business

(G) Other Disbursements

not reported in (D) through (F)

(H) TOTAL

A B

C

TOM , GRANT UNION REPRESENTATIVE

NONE

ISchedule 15


Schedule 16


2 % Schedule 17

Contributions 1 %

Schedule 18


Schedule 19

Administration 1 %

A B

C

VASQUEZ , ISABEL UNION REPRESENTATIVE

NONE

$55,568 $0 $1,292 $0 $56,860






1 %

A

B C

ZAMORA, JR. , ISIDRO

INSURANCE CLERKNONE

$44,122 $0 $0 $0 $44,122

ISchedule 15



and Lobbying

1 % Schedule 17

Contributions 1 %

Schedule 18


Schedule 19

Administration 1 %

A B C

ZUNIGA , MARIA MEMBERSHIP CLERKNONE

$43,708 $0 $0 $0 $43,708

ISchedule 15


Schedule 16


1 % Schedule 17

Contributions 1 %

Schedule 18


Schedule 19

Administration 1 %

TOTALS RECEIVED BY EMPLOYEES MAKING

$10,000 OR LESS$7,382 $0 $0 $0 $7,382

ISchedule 15


Schedule 16

Political Activities and Lobbying 1 %

Schedule 17

Contributions 0 %

Schedule 18


Schedule 19

Administration 1 %

Total Employee Disbursements $1,540,113 $0 $47,558 $0 $1,587,671

Less Deductions $536,182

Net Disbursements $1,051,489


SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 517-319

Category of Membership

(A)

Number

(B)

Voting Eligibility

(C)

FOOD MEMBERS 8,284 Yes

DRUG MEMBERS 2,307 Yes

WAREHOUSE MEMBERS 798 Yes

DENTAL MEMBERS 16 Yes

APPENDIX F 201 Yes

AIRPORT MEMBERS 70 Yes

PRINTING MEMBERS 2 Yes

SUGAR PLANT MEMBERS 100 Yes

CASINO MEMBERS 453 Yes

Members (Total of all lines above) 12,231

Agency Fee Payers* 148

Total Members/Fee Payers 12,379

*Agency Fee Payers are not considered members of the labor organization.


DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 517-319

SCHEDULE 14 OTHER RECEIPTS

1. Named Payer Itemized Receipts $502,277

2. Named Payer Non-itemized Receipts $9,835

3. All Other Receipts $4,925

4. Total Receipts $517,037

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS

1. Named Payee Itemized Disbursements $30,000

2. Named Payee Non-itemized Disbursements $7,516

3. To Officers $11,806

4. To Employees $21,582

5. All Other Disbursements $76,206

6. Total Disbursements $147,110

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES






6. Total Disbursements $2,339,184

SCHEDULE 18 GENERAL OVERHEAD






6. Total Disbursements $1,330,561

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING






6. Total Disbursement $295,586

SCHEDULE 19 UNION ADMINISTRATION

1. Named Payee Itemized Disbursements $0





6. Total Disbursements $70,567


SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 517-319

Name and Address

(A)

SANDY NARANJO

2001 CAMINO DEL RIO SOUTH

SAN DIEGOCA

92108

Type or Classification

(B)

EMPLOYEE

Purpose

(C)

Date

(D)

Amount

(E)

DISABILITY REIMBURSEMENTS 01/06/2016 $9,394

Total Itemized Transactions with this Payee/Payer $9,394

Total Non-Itemized Transactions with this Payee/Payer $0

Total of All Transactions with this Payee/Payer for This Schedule $9,394

Name and Address

(A)

SO. CAL. UFCW UNION DRUG EMP. TRUST FUND

2220 HYPERION AVE.LOS ANGELES

CA90027

Type or Classification (B)

TRUST FUND

Purpose

(C)

Date

(D)

Amount

(E)

ADMINISTRATIVE EXPENSE REIMBURSEMENTS 03/07/2016 $11,629







Total Non-Itemized Transactions with this Payee/Payer $9,835


Name and Address (A)

UFCW INTERNATIONAL UNION

1775 K STREET NWWASHINGTON

DC20006-1598


INTERNATIONAL UNION

Purpose (C)

Date (D)

Amount (E)

HARDSHIP CONTRIBUTIONS 01/31/2016 $80,126





UFCW JOINT TRUST FUNDS

514250

LOS ANGELES

CA90051-4250


TRUST FUND

Purpose (C)

Date (D)

Amount (E)








VACATION REIMBURSEMENTS 09/02/2016 $8,481







SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 517-319

Name and Address

(A)

AT&T

PAYMENT CENTER

SAN DIEGO

CA

92160


(B)

TELECOMMUNICATIONS PROVIDER

Purpose

(C)

Date

(D)

Amount

(E)

Total Itemized Transactions with this Payee/Payer



Name and Address

(A)

BROADCAST CO. OF THE AMERICAS

100

6160 CORNERSTONE COURT EAST

SAN DIEGO

CA

92121


(B)

ADVERTISING AGENCY

Purpose

(C)

Date

(D)

Amount

(E)

ADVERTISING EXPENSE 03/23/2016 $15,000











Name and Address

(A)

DEFRANCE PRINTING CO.

320 W. 17TH STREET

NATIONAL CITY

CA

91950


(B)

PRINTING COMPANY

Purpose

(C)

Date

(D)

Amount

(E)

LABOR RELATIONS PROMOTIONAL ITEMS 06/29/2016 $5,510




Name and Address

(A)

DELIVERED DISH

#3

4455 LAMONT ST

SAN DIEGO

CA

92109


(B)

FOOD DELIVERY SERVICE

Purpose

(C)

Date

(D)

Amount

(E)

Total Itemized Transactions with this Payee/Payer $0



Name and Address

(A)

FRANK VENTRA

34

6750 BEADNELL WAY

SAN DIEGO

CA

92117


(B)

VIDEO EDITOR/PRODUCER

Purpose

(C)

Date

(D)

Amount

(E)

2016 STEWARDS CONFERENCE PRODUCTION 03/03/2016 $6,000




Name and Address

(A)

HILTON BAYFRONT

ONE PARK BLVD

SAN DIEGO

CA

92101


(B)

Purpose

(C)

Date

(D)

Amount

(E)

2016 STEWARDS CONFERENCE - DEPOSIT 10/17/2016 $7,500

2016 STEWARDS CONFERENCE - DEPOSIT 11/30/2016 $43,433

2016 STEWARDS CONFERENCE - FINAL 12/16/2016 $5,563




HOTEL/MEETING FACILITY

Name and Address

(A)

MARRIOTT HOTELS

1400 PARKVIEW AVENUE

MANHATTAN BEACH

CA

90266


(B)

HOTEL/MEETING FACILITY

Purpose

(C)

Date

(D)

Amount

(E)




Name and Address

(A)

MICHAEL PRIHAR

3242

GRANADA HILLS

CA

91394


(B)

ATTORNEY

Purpose

(C)

Date

(D)

Amount

(E)

LEGAL SERVICES FOR LABOR ISSUES 03/23/2016 $6,435




Name and Address

(A)

MILLER KAPLAN ARASE LLP

4123 LANKERSHIM BLVD

NORTH HOLLYWOOD

CA

91602


(B)

CPA FIRM

Purpose

(C)

Date

(D)

Amount

(E)

2014 AGENCY FEE AUDIT 01/22/2016 $5,000

2015 AGENCY FEE AUDIT 11/10/2016 $5,000




Name and Address

(A)

NEOPOST

30193

TAMPA

FL

33630-3193


(B)

POSTAGE

Purpose

(C)

Date

(D)

Amount

(E)

POSTAGE FOR MEMBERSHIP MAILINGS 07/14/2016 $5,025




Name and Address

(A)

PHOENIX DIRECT MAIL

7243 ENGINEER ROAD, #B

SAN DIEGO

CA

92111


(B)

DIRECT MAIL SERVICES

Purpose

(C)

Date

(D)

Amount

(E)




Name and Address

(A)

POSTMASTER GENERAL

266

11251 RANCHO CARMEL DR

SAN DIEGO

CA

92199


(B)

U.S. POSTAL SERVICE

Purpose

(C)

Date

(D)

Amount

(E)






Name and Address

(A)

R. DOUGLAS COLLINS ARBITRATOR

B #805

703 PIER AVENUE

HERMOSA BEACH

CA

90254-3943


(B)

ARBITRATOR

Purpose

(C)

Date

(D)

Amount

(E)




Name and Address

(A)

SAN DIEGO PADRES

100 PARK AVENUE

SAN DIEGO

CA

92101-9926


(B)

SPORTS TEAM

Purpose

(C)

Date

(D)

Amount

(E)




Name and Address

(A)

SCHWARTZ STEINSAPIR DOHRMANN

2000

6300 WILSHIRE BOULEVARD

LOS ANGELES

CA

90048


(B)

LAW FIRM

Purpose

(C)

Date

(D)

Amount

(E)















Name and Address

(A)

SCOTTISH RITE CENTER

266

11251 RANCHO CARMEL DR

SAN DIEGO

CA

92199


(B)

NONPROFIT ORGANIZATION

Purpose

(C)

Date

(D)

Amount

(E)




Name and Address

(A)

SOUTHWEST AIRLINES

36647

DALLAS

TX

75235


(B)

AIRLINE COMPANY

Purpose

(C)

Date

(D)

Amount

(E)




Name and Address

(A)

SPINELLI GRAPHICS

10631 BLOOMFIELD ST. #2

LOS ALAMITOS

CA

90720


(B)

PRINTING COMPANY

Purpose

(C)

Date

(D)

Amount

(E)

THE WORKER AND PRINTING EXPENSE 02/18/2016 $16,045



THE WORKER 04/27/2016 $6,484


THE WORKER 07/14/2016 $9,110




Purpose

(C)

Date

(D)

Amount

(E)

THE WORKER 08/30/2016 $8,477

THE WORKER 10/20/2016 $7,015

THE WORKER 12/09/2016 $7,015




Name and Address

(A)

TED LEITNER

8926

RANCHO SANTA FE

CA

92067


(B)

BROADCASTER

Purpose

(C)

Date

(D)

Amount

(E)




Name and Address

(A)

UFCW LOCAL 770

770

HOLLYWOOD

CA

90078


(B)

LABOR ORGANIZATION

Purpose

(C)

Date

(D)

Amount

(E)





SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 517-319

Name and Address

(A)

KAUFMAN LEGAL GROUP4050777 S. FIGUEROA STREET

LOS ANGELESCA

90017-5864


(B)

LAW FIRM

Purpose (C)

Date (D)

Amount (E)




Name and Address

(A)

SAN DIEGANS FOR THE MINIMUM WAGE4033737 CAMINO DEL RIO SOUTH

SAN DIEGOCA

92108


(B)

POLITICAL COMMITTEE

Purpose

(C)

Date

(D)

Amount

(E)

CONTRIBUTIONS 05/06/2016 $10,000





SD-IMP CO LABOR COUNCIL403

3737 CAMINO DEL RIO SOUTHSAN DIEGOCA

92108


LABOR ORGANIZATION

Purpose

(C)

Date

(D)

Amount

(E)

CONTRIBUTIONS 03/30/2016 $25,000





SOUTHWEST AIRLINES36647

DALLASTX

75235


AIRLINE COMPANY

Purpose (C)

Date (D)

Amount (E)





SPINELLI GRAPHICS

10631 BLOOMFIELD ST. #2LOS ALAMITOS

CA90720


PRINTING COMPANY

Purpose (C)

Date (D)

Amount (E)





YES ON K & L (CHARTER AMEND. CITY OF SD)

101330 ENCINITAS BLVD.

ENCINITASCA92024


(B)

POLITICAL COMMITTEE

Purpose

(C)

Date

(D)

Amount

(E)

CONTRIBUTIONS 10/12/2016 $100,000





SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 517-319

Name and Address

(A)

ACCE INSTITUTE

276 F STREET

CHULA VISTACA

91910


(B)


Purpose (C)

Date (D)

Amount (E)

SPONSORSHIP FOR 66TH ANNUAL FUNDRAISER

12/08/2016 $5,000




Name and Address

(A)

CENTER ON POLICY INITIATIVES1003727 CAMINO DEL RIO SOUTH

SAN DIEGOCA

92108


(B)


Purpose

(C)

Date

(D)

Amount

(E)

AWARDS SPONSORHIP 10/07/2016 $5,000





ICWJ OF SAN DIEGO COUNTY

3758 30TH AVENUESAN DIEGOCA

92104


INTERFAITH COALITION

Purpose (C)

Date (D)

Amount (E)

VOICES FOR JUSTICE BREAKFAST SPONSORHIP

10/28/2016 $10,000





SAN DIEGO PADRES

100 PARK AVENUESAN DIEGOCA

92101-9926


SPORTS TEAM

Purpose (C)

Date (D)

Amount (E)





SD-IMP CO LABOR COUNCIL210

4265 FAIRMONT AVENUESAN DIEGO

CA92105


LABOR ORGANIZATION

Purpose

(C)

Date

(D)

Amount

(E)

LABOR DAY CELEBRATION SPONSORSHIP 07/20/2016 $10,000





SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 517-319

Name and Address

(A)

A-1 SELF STORAGE

1501 FRAZEE ROAD

SAN DIEGOCA

92108


(B)

STORAGE FACILITY

Purpose (C)

Date (D)

Amount (E)




Name and Address

(A)

AT&T

PAYMENT CENTER

SAN DIEGOCA

92160


(B)


Purpose (C)

Date (D)

Amount (E)





BACI RESTAURANT

1955 WEST MORENA BLVDSAN DIEGOCA

92110


RESTAURANT

Purpose

(C)

Date

(D)

Amount

(E)

OFFICE HOLIDAY EVENT 01/22/2016 $5,465





CALIFORNIA BANK AND TRUST

6313 MISSION GORGE ROADSAN DIEGOCA

92120


FINANCIAL INSTITUTION

Purpose (C)

Date (D)

Amount (E)





CENTREXITB102

3934 MURPHY CANYON RDSAN DIEGO

CA92123


IT MANAGEMENT AND CONSULTING

Purpose (C)

Date (D)

Amount (E)





COMPLETE OFFICE

13465 GREGG STREETPOWAY

CA92064


OFFICE SUPPLIES VENDOR

Purpose (C)

Date (D)

Amount (E)





GREEN HARVEST ENTERPRISES, INC462810

ESCONDIDOCA

92046


PROPERTY MANAGER

Purpose (C)

Date (D)

Amount (E)





ISS FACILITY SERVICES,INC.100

1019 CENTRAL PARKWAY NORTHSAN ANTONIOTX

78232


JANITOR

Purpose (C)

Date (D)

Amount (E)





JACKSON & BLANC

7929 ARJONS DRIVESAN DIEGO

CA92126-4301


EQUIPMENT MAINTENANCE

Purpose (C)

Date (D)

Amount (E)





JEANNE AND JOHN WHALEN1340

501 WEST BROADWAY AVESAN DIEGO

CA92101


ARTISTS

Purpose

(C)

Date

(D)

Amount

(E)

DAMAGED WALL MURAL SETTLEMENT 11/01/2016 $40,000





MARSH MCLENNAN AGENCY LLC740663

LOS ANGELES

CA90074


INSURANCE BROKER

Purpose

(C)

Date

(D)

Amount

(E)

UNION LIABILITY INSURANCE PREMIUM 03/23/2016 $16,484





MILLER KAPLAN ARASE LLP

4123 LANKERSHIM BOULEVARDNORTH HOLLYWOOD

CA91602


CPA FIRM

Purpose (C)

Date (D)

Amount (E)

ACCOUNTING AND AUDIT SERVICES 02/15/2016 $15,000







NEOPOST30193

TAMPA

Purpose (C)

Date (D)

Amount (E)




Me

Highlight

FL33630-3193


POSTAGE


PACIFIC WESTERN BANK5001

401 W A STREETSAN DIEGO

CA92101-7917


FINANCIAL INSTITUTION

Purpose

(C)

Date

(D)

Amount

(E)





SAN DIEGO PADRES

100 PARK AVENUESAN DIEGO

CA92101-9926


SPORTS TEAM

Purpose

(C)

Date

(D)

Amount

(E)





SDG&E25111

SANTA ANA

CA92799


UTILITIES COMPANY

Purpose

(C)

Date

(D)

Amount

(E)





SPINELLI GRAPHICS

10631 BLOOMFIELD ST. #2LOS ALAMITOS

CA90720


PRINTING COMPANY

Purpose

(C)

Date

(D)

Amount

(E)

OFFICE PRINTING SUPPLIES 04/08/2016 $6,121





SSD SYSTEMS

1740 N. LEMON STREETANAHEIM

CA92801


ALARM MONITORING COMPANY

Purpose

(C)

Date

(D)

Amount

(E)





STATE FARM INSURANCE CO.680001

INSURANCE SUPPORT CENTERDALLAS

TX75368-0001


Purpose (C)

Date (D)

Amount (E)

BUILDING INSURANCE 05/27/2016 $8,836




INSURANCE COMPANY


TRANSOMATIC CORPORATION17043

ENCINOCA

91416


EQUIPMENT MAINTENANCE

Purpose (C)

Date (D)

Amount (E)





U.S. BANK EQUIPMENT FINANCE790448

SAINT LOUIS

MO63179-0448


EQUIPMENT LESSOR

Purpose

(C)

Date

(D)

Amount

(E)

EQUIPMENT LEASE 08/11/2016 $5,897





WASTE MANAGEMENT OF SAN DIEGO541065

LOS ANGELES

CA90054-1065


DISPOSAL SERVICES

Purpose (C)

Date (D)

Amount (E)





WELLS FARGO FINANCIAL LEASING10306

DES MOINES

IA50306-0306


EQUIPMENT LESSOR

Purpose

(C)

Date

(D)

Amount

(E)





WINDSTREAM9001013

LOUISVILLE

KY40290-1013



Purpose

(C)

Date

(D)

Amount

(E)





SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 517-319

Name and Address

(A)

UFCW RETIREE'S CLUB

13525 LAKESHORE DR

LAKESIDECA

92040


(B)

AFFILIATED ORGANIZATION

Purpose (C)

Date (D)

Amount (E)





SCHEDULE 20 - BENEFITS FILE NUMBER: 517-319

Description

(A)

To Whom Paid

(B)

Amount

(C)

HEALTH AND WELFARE BENEFITS UFCW JOINT TRUST FUNDS $246,400

PENSION BENEFITS UFCW JOINT TRUST FUNDS $129,154

HEALTH AND WELFARE BENEFITS UFCW INTERNATIONAL UNION $60,184

PENSION BENEFITS UFCW BENEFITS SAVINGS RETIREE $31,430

WORKERS COMPENSATION INSURANCE AM TRUST $23,994

ACCIDENTAL DEATH AR ASSOCIATES $3,950

Total of all lines above (Total will be automatically entered in Item 55.) $495,112


69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 517-319

Item 71 Title: AS OF THE DATE OF THIS FILING, THE POSITION OF SECRETARY TREASURER HAS NOT BEEN FILLED. IN THE INTERIM, VICE PRESIDENT/COMPTROLLER, BRIAN KELLY, HAS SIGNED THE FORM.

Question 10: UFCW UNIONS & FOOD EMPLOYERS BENEFIT FUND, 6425 KATELLA AVENUE, CYPRESS CA 90630. BENEFITS PROVIDED-

HEALTH, WELFARE, DENTAL, PSYCHIATRIC & PRESCRIPTIONS. EIN 95-2301788, PLAN#501 UFCW UNIONS & FOOD EMPLOYERS JOINT TRUST FUND, 6425 KATELLA AVENUE, CYPRESS CA 90630. BENEFITS PROVIDED - PENSION. EIN 95-1939092, PLAN#001 UFCW UNIONS &

FOOD EMPLOYERS SUPPLEMENTARY FUND, 6425 KATELLA AVENUE, CYPRESS CA 90630. BENEFITS PROVIDED SUPPLEMENTAL DISABILITY & UNEMPLOYMENT. EIN 95-6095499, PLAN#501 UFCW UNIONS & FOOD EMPLOYERS INDIVIDUAL ACCOUNT PLAN, 6425 KATELLA AVENUE, CYPRESS CA 90630. BENEFITS PROVIDED DEFINED CONTRIBUTION PENSION PLAN. EIN 33-0548757, PLAN#001 UFCW

SAN DIEGO EMPLOYERS HEALTH & WELFARE FUND, 2831 CAMINO DEL RIO SOUTH, SUITE 219, SAN DIEGO CA 92108. BENEFITS PROVIDED HEALTH ,WELFARE, DENTAL, PRESCRIPTIONS & VISION, EIN 95-6310045, PLAN#501 SAN DIEGO & IMPERIAL COUNTIES

BUTCHERS & FOOD EMPLOYERS BENEFIT PLAN, 2831 CAMINO DEL RIO SOUTH, SUITE 219, SAN DIEGO CA 91208. BENEFITS PROVIDED -PENSION. EIN 95-6047748, PLAN#001 SO. CAL. UFCW UNIONS & DRUG EMPLOYERS TRUST FUND, 2220 HYPERION AVE, LOS ANGELES, CA

90027. BENEFITS PROVIDED HEALTH, WELFARE, DENTAL, PSYCHIATRIC, VISION & PRESCRIPTIONS. EIN 95-6474516, PLAN#501 SO. CAL. UFCW UNIONS & DRUG EMPLOYERS TRUST FUND, 2220 HYPERION AVE, LOS ANGELES, CA 90027. BENEFITS PROVIDED PENSION. EIN

51-6029925, PLAN#001 SO. CAL UFCW UNIONS & GENERAL SALES EMPLOYERS TRUST FUND, 2220 HYPERION AVE, LOS ANGELES, CA 90027. BENEFITS PROVIDED PENSION EIN 51-6029991 PLAN#001

Question 11(a):

Question 11(a): : : UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 135 PAC (COMMITTEE ID 1252582). FILES COMMITTEE

RECIPIENT CAMPAIGN STATEMENT WITH SECRETARY OF STATE POLITICAL REFORM DIVISION. THE LOCAL UNION HAS ELECTED NOT TO INCLUDE THE PAC ACTIVITY IN THIS REPORT.

Question 12: AN AUDIT OF THE LOCAL UNION'S FINANCIAL STATEMENTS FOR DECEMBER 31, 2016 WAS PERFORMED BY THE INDEPENDENT ACCOUNTING FIRM - MILLER KAPLAN ARASE LLP - CERTIFIED PUBLIC ACCOUNTANTS.

Question 15: DURING THE YEAR, THE LOCAL UNION GAVE AWAY PROMOTIONAL ITEMS TOTALING $30,850 TO ITS MEMBERS AND

AFFILIATED LABOR ORGANIZATIONS.

Schedule 13, Row1:FOOD MEMBERS (GROCERY STORES) - FULL DUES PAYING MEMBERS WHO HAVE VOTING RIGHTS.

Schedule 13, Row2:DRUG MEMBERS (PHARMACIST, PHARMACIST ASSISTANTS,TECHNICIANS & INTERNS) - FULL DUES PAYING MEMBERS WHO HAVE VOTING RIGHTS.

Schedule 13, Row4:DENTAL MEMBERS (DENTAL OFFICES) - FULL DUES PAYING MEMBERS WHO HAVE VOTING RIGHTS.

Schedule 13, Row3:WAREHOUSE MEMBERS (FOOD WAREHOUSES)- FULL DUES PAYING MEMBERS FULL DUES PAYING MEMBERS WHO

HAVE VOTING RIGHTS.

Schedule 13, Row5:APPENDIX F (STARBUCKS, PANDA EXPRESS, FUEL STATION, & SUSHI WITHIN GROCERY STORES) - FULL DUES

PAYING MEMBERS WHO HAVE VOTING RIGHTS.

Schedule 13, Row6:AIRPORT MEMBERS - (CONVENIENCE STORES WITHIN AIRPORT) - FULL DUES PAYING MEMBERS WHO HAVE VOTING RIGHTS.

Schedule 13, Row7:PRINTING MEMBERS - PRINTING HOUSE MEMBERS - FULL DUES PAYING MEMBERS WHO HAVE VOTING RIGHTS.

Schedule 13, Row9:CASINO MEMBERS (CASINO WORKERS) - FULL DUES PAYING MEMBERS WHO HAVE VOTING RIGHTS.

Schedule 13, Row8:SUGAR PLANT MEMBERS - (SUGAR PROCESSING PLANT) - FULL DUES PAYING MEMBERS WHO HAVE VOTING RIGHTS.


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