4/15/13 10:49 PM HTML Report (Disclosure) Page 1 of 27 http://kcerds.dol-esa.gov/query/orgReport.do A to Z Index | Site Map | FAQs | DOL Forms | About DOL | Contact Us April 15, 2013 DOL Home > OLMS > Public Disclosure Home > Search Criteria > Select Report > Report Printable View 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: 10-31-2013 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 543-153 2. PERIOD COVERED From 01/01/2011 Through 12/31/2011 3. (a) AMENDED - Is this an amended report: Yes (b) HARDSHIP - Filed under the hardship procedures: No (c) TERMINAL - This is a terminal report: No 4. AFFILIATION OR ORGANIZATION NAME STATE COUNTY & MUNI EMPLS AFL-CIO 5. DESIGNATION (Local, Lodge, etc.) LEADERSHIP COUNCIL 6. DESIGNATION NBR 5 7. UNIT NAME (if any) MINNESOTA 8. MAILING ADDRESS (Type or print in capital letters) First Name DIANE Last Name JOHNSTON P.O Box - Building and Room Number Number and Street 300 HARDMAN AVENUE SOUTH City SOUTH SAINT PAUL State MN ZIP Code + 4 550752469 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.) 26. SIGNED: Michael E Buesing PRESIDENT 27. SIGNED: Clifford T Poehler TREASURER Date: Mar 29, 2012 Contact Info: 651-287-0518 Date: Mar 29, 2012 Contact Info: 651-287-0518 Form LM-2 (Revised 2010) ITEMS 10 THROUGH 21 FILE NUMBER: 543-153 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? Yes 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? $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? 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? Yes 18. During the reporting period did the labor organization 20. How many members did the labor organization have at the end of the reporting period? 38,164 21. What ar the labor organization's rates of dues and fees? Rates of Dues and Fees Dues/Fees Amount Unit Minimum Maximum (a) Regular Dues/Fees -per month 3.55 93.52 (b) Working Dues/Fees -per - - - (c) Initiation Fees -per - - - (d) Transfer Fees -per - - - (e) Work Permits -per - - -
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4/15/13 10:49 PMHTML Report (Disclosure)
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A to Z Index | Site Map | FAQs | DOL Forms | About DOL | Contact Us
April 15, 2013 DOL Home > OLMS > Public Disclosure Home > Search Criteria > Select Report > Report
Printable View
U.S. Department of Labor Office of Labor-Management
Standards Washington, DC 20210
FORM LM-2 LABOR ORGANIZATION ANNUALREPORT Form Approved
Office of Management and Budget No. 1245-0003
Expires: 10-31-2013MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE INTOTAL 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 by29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official UseOnly
1. FILE NUMBER 543-153
2. PERIOD COVEREDFrom 01/01/2011Through 12/31/2011
3. (a) AMENDED - Is this an amended report: Yes(b) HARDSHIP - Filed under the hardship procedures: No(c) TERMINAL - This is a terminal report: No
4. AFFILIATION OR ORGANIZATION NAME STATE COUNTY & MUNI EMPLS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.) LEADERSHIP COUNCIL
6. DESIGNATION NBR 5
7. UNIT NAME (if any) MINNESOTA
8. MAILING ADDRESS (Type or print in capital letters)First Name DIANE
Last Name JOHNSTON
P.O Box - Building and Room Number
Number and Street 300 HARDMAN AVENUE SOUTH
City SOUTH SAINT PAUL
State MN
ZIP Code + 4 550752469
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 oflaw, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by thesignatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in theinstructions.)26. SIGNED: Michael E Buesing PRESIDENT 27. SIGNED: Clifford T Poehler TREASURERDate: Mar 29, 2012 Contact Info: 651-287-0518 Date: Mar 29, 2012 Contact Info: 651-287-0518Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 543-15310. During the reporting period did the labor organizationcreate or participate in the administration of a trust or afund or organization, as defined in the instructions, whichprovides benefits for members or beneficiaries?
Yes
11(a). During the reporting period did the labororganization have a political action committee (PAC)fund?
Yes
11(b). During the reporting period did the labororganization have a subsidiary organization as defined inSection X of these Instructions?
Yes
12. During the reporting period did the labor organizationhave an audit or review of its books and records by anoutside accountant or by a parent bodyauditor/representative?
Yes
13. During the reporting period did the labor organizationdiscover any loss or shortage of funds or other assets?(Answer "Yes" even if there has been repayment orrecovery.)
No
14. What is the maximum amount recoverable under thelabor organization's fidelity bond for a loss caused by anyofficer, employee or agent of the labor organization whohandled union funds?
$500,000
15. During the reporting period did the labor organizationacquire or dispose of any assets in a manner other thanpurchase or sale?
No
16. Were any of the labor organization's assets pledgedas security or encumbered in any way at the end of thereporting period?
No
17. Did the labor organization have any contingentliabilities at the end of the reporting period? Yes
18. During the reporting period did the labor organization
20. How many members did the labor organization have atthe end of the reporting period? 38,164
21. What ar the labor organization's rates of dues and fees? Rates of Dues and Fees
Dues/Fees Amount Unit Minimum Maximum(a) Regular Dues/Fees -per month 3.55 93.52(b) Working Dues/Fees -per - - -(c) Initiation Fees -per - - -(d) Transfer Fees -per - - -(e) Work Permits -per - - -
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18. During the reporting period did the labor organizationhave any changes in its constitution or bylaws, other thanrates of dues and fees, or in practices/procedures listed inthe instructions?
No
19. What is the date of the labor organization's nextregular election of officers? 10/2012
Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 543-153
35. NET ASSETS -$7,075,739 -$7,074,991Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 543-153
CASH RECEIPTS SCH AMOUNT36. Dues and Agency Fees $037. Per Capita Tax $10,565,55338. Fees, Fines, Assessments, Work Permits $039. Sale of Supplies $040. Interest $86,79941. Dividends $042. Rents $043. Sale of Investments and Fixed Assets 344. Loans Obtained 945. Repayments of Loans Made 2 $29,80046. On Behalf of Affiliates for Transmittal to Them $5,957,01047. From Members for Disbursement on TheirBehalf $5,670,078
48. Other Receipts 14 $957,30549. TOTAL RECEIPTS $23,266,545
CASH DISBURSEMENTS SCH AMOUNT50. Representational Activities 15 $3,275,53551. Political Activities and Lobbying 16 $1,144,82852. Contributions, Gifts, and Grants 17 $83,01753. General Overhead 18 $2,799,09054. Union Administration 19 $1,897,11755. Benefits 20 $2,054,29156. Per Capita Tax $057. Strike Benefits $058. Fees, Fines, Assessments, etc. $059. Supplies for Resale $060. Purchase of Investments and Fixed Assets 461. Loans Made 2 $062. Repayment of Loans Obtained 963. To Affiliates of Funds Collected on TheirBehalf $5,689,383
64. On Behalf of Individual Members $5,670,07865. Direct Taxes $431,531
66. Subtotal $23,044,87067. Withholding Taxes and Payroll Deductions 67a. Total Withheld $1,928,088 67b. Less Total Disbursed $1,927,335 67c. Total Withheld But Not Disbursed $75368. TOTAL DISBURSEMENTS $23,044,117
List below loans to officers, employees, or members whichat any time during the reporting period exceeded $250 andlist all loans to business enterprises regarless of amount.
(A)
Loans Outstanding at Start of Period
(B)
Loans Made DuringPeriod
(C)
Cash (D)(1)
Other ThanCash (D)(2)
Loans Outstanding at End of Period
(E)
Total of loans not listed above Total of all lines $58,115 $0 $29,800 $0 $28,315
Totals will be automatically entered in...Item 24
Column (A)Item 61 Item 45 Item 69
with ExplanationItem 24
Column (B)
Name: AFSCME Building CorpPurpose: Building improvementSecurity: noneTerms: $2,623 per month
$58,115 $0 $29,800 $0 $28,315
Form LM-2 (Revised 2010)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 543-153
Description (if land or buildings give location) (A)
Cost (B)
Book Value (C)
Gross Sales Price (D)
Amount Received (E)
Total of all lines $0 $0 $0 $014. Less Reinvestments
(Net Sales total will automatically entered in Item 43)15. Net Sales Form LM-2 (Revised 2010)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 543-153
Description (if land or buildings, give location) (A)
Cost (B)
Book Value (C)
Cash Paid (D)
Total of all lines $0 $0 $0 14. Less Reinvestments
(Net Purchases total will automatically entered in Item 60)15. Net Purchases Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 543-153
Description (A)
Amount (B)
Marketable Securities 1. Total Cost2. Total Book Value3. List each marketable security which has a book value over $5000 and exceeds 5% of Line 2.
Other Investments 4. Total Cost5. Total Book Value6. List each other investment which has a book value over $5,000 and exceeds 5% of Line 5. Also, list eachsubsidiary for which separate reports are attached.
7. Total of Lines 2 and 5 (Total will be automatically entered in Item 26, Column(B)) $0Form LM-2 (Revised 2010)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 543-153
Description (A)
Cost or Other Basis (B)
Total Depreciation orAmount Expensed
(C)
Book Value (D)
Value (E)
1. Land (give location) $0 $0 $03. Buildings (give location) $0 $0 $0 $05. Automobiles and Other Vehicles6. Office Furniture and Equipment $851,110 $776,997 $74,113 $75,0007. Other Fixed Assets8. Totals of Lines 1 through 7 (Column(D) Total will beautomatically entered in Item 27, Column(B)) $851,110 $776,997 $74,113 $75,000
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 543-153
Description (A)
Book Value (B)
Total Other Assets (Total will be automatically entered in Item 28, Column(B)) $576,112
Per capita receivable $377,598Prepaid expenses $198,514
Form LM-2 (Revised 2010)
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(E)Total from all other accounts payable $187,133 $0 $0 $0Total Accounts Payable (Column(B) Total will be automaticallyentered in Item 30, Column(D)) $187,133 $0 $0 $0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 543-153
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)(1)
Loans Owed at End of Period
(E)
Total Loans Payable $0 $0 $0 $0 $0
Totals will be automatically entered in... Item 31Column (C)
Item 44 Item 62 Item 69with Explanation
Item 31Column (D)
Form LM-2 (Revised 2010)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 543-153
Description (A)
Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $11,054,342
Accrued post-retirement benefits $9,592,553Accrued vacations $379,766Accrued severence $248,394Deferred revenue $134,957Dues collected and payable to affiliated locals $698,672
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 543-153
(A) Name
(B) Title
(C) Status
(D) Gross Salary
Disbursements (before any deductions)
(E) Allowances Disbursed
(F) Disbursements
for OfficialBusiness
(G) Other
Disbursements notreported in (D) thru (F)
(H) TOTAL
A B C
JEFFREY BIRTTNENEBOARDC
$984 $0 $544 $0 $1,528
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
PAUL BISSENEBOARDC
$3,017 $0 $1,655 $0 $4,672
I
Schedule 15
RepresentationalActivities
5 %
Schedule 16
Political Activitiesand Lobbying
5 %Schedule 17 Contributions 0 % Schedule 18
General Overhead0 % Schedule 19
Administration90 %
A B C
LEON S BOWMANEBOARDP
$1,747 $0 $2,947 $0 $4,694
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
CARMEN BROWNEBOARDC
$1,532 $0 $270 $0 $1,802
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
MICHAEL E BUESINGPRESC
$4,591 $3,000 $1,544 $0 $9,135
ISchedule 15 RepresentationalActivities
20 %Schedule 16 Political Activitiesand Lobbying
15 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 65 %
A B C
KEVIN CLARKEBOARDC
$2,228 $0 $3,118 $0 $5,346
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A JEAN M DIEDRICH
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A B C
JEAN M DIEDRICHEBOARDC
$3,048 $0 $856 $0 $3,904
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
JODY A EBERTEBOARDC
$1,442 $0 $400 $0 $1,842
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
JOHN B EWALDTEBOARDP
$0 $0 $0 $0 $0
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
MARY L FALKSECRETARYC
$8,983 $2,400 $1,642 $0 $13,025
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
10 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 85 %
A B C
GERALD FIRKUSEBOARDC
$3,048 $0 $1,345 $0 $4,393
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B
C
STEPHEN C FITZEEBOARDP
$215 $0 $0 $0 $215
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
KAREN L FOREMANEBOARDC
$1,132 $0 $1,816 $0 $2,948
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
DENNIS D FRAZIEREBOARDC
$5,585 $0 $3,708 $0 $9,293
ISchedule 15 RepresentationalActivities
20 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 75 %
A B C
DUANE R GATZKEEBOARDC
$3,555 $0 $942 $0 $4,497
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
JIM GAYLORDEBOARDC
$0 $0 $1,461 $0 $1,461
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
PATRICK GUERNSEYEBOARDC
$4,654 $0 $646 $0 $5,300
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
JEN L GUERTINEBOARDC
$2,200 $0 $196 $0 $2,396
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
A B C
SABRINA HEGGEBOARDC
$1,710 $0 $2,329 $0 $4,039
ISchedule 15 RepresentationalActivities
5 %Schedule 16 Political Activitiesand Lobbying
5 % Schedule 17 Contributions 0 % Schedule 18
General Overhead 0 % Schedule 19 Administration 90 %
SCHEDULE 14 OTHER RECEIPTS1. Named Payer Itemized Receipts $890,2652. Named Payer Non-itemized Receipts $15,0853. All Other Receipts $51,9554. Total Receipts $957,305
SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS1. Named Payee Itemized Disbursements $60,0002. Named Payee Non-itemized Disbursements $03. To Officers $04. To Employees $7,7565. All Other Disbursements $15,2616. Total Disbursements $83,017
SCHEDULE 15 REPRESENTATIONAL ACTIVITIES1. Named Payee Itemized Disbursements $225,2412. Named Payee Non-itemized Disbursements $150,4993. To Officers $18,2504. To Employees $2,519,2325. All Other Disbursements $362,3136. Total Disbursements $3,275,535
SCHEDULE 18 GENERAL OVERHEAD1. Named Payee Itemized Disbursements $1,081,5262. Named Payee Non-itemized Disbursements $295,0063. To Officers $04. To Employees $960,8725. All Other Disbursements $461,6866. Total Disbursements $2,799,090
SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING1. Named Payee Itemized Disbursements $207,8872. Named Payee Non-itemized Disbursements $20,6313. To Officers $12,0774. To Employees $866,5315. All Other Disbursements $37,7026. Total Disbursement $1,144,828
SCHEDULE 19 UNION ADMINISTRATION1. Named Payee Itemized Disbursements $62,5432. Named Payee Non-itemized Disbursements $35,1233. To Officers $179,8634. To Employees $1,574,7645. All Other Disbursements $44,8246. Total Disbursements $1,897,117
Total Itemized Transactions $20,000Total Non-Itemized Transactions Total of All Transactions $20,000
MEDIA BUY 03/25/2011 $20,000
Name and Address (A)
GUM SPIRITS PRODUCTIONS
147 BRACKETT STPORTLANDME04102
Type or Classification (B)
ADVERTISING
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions $305,000Total Non-Itemized Transactions $0Total of All Transactions $305,000
MEDIA BUY 06/06/2011 $290,000MEDIA BUY 06/17/2011 $5,000MEDIA BUY 06/24/2011 $10,000
Name and Address (A)
IMAGING PATH
PO BOX 18310MINNEAPOLISMN55418-0000
Type or Classification (B)
COPIERS
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $32,856Total of All Transactions $32,856
Name and Address
(A)MINNEAPOLIS PAPER COMPANY
1005 INTERNATIONALE PKWY
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions
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1005 INTERNATIONALE PKWYWOODRIDGEIL60517-0000
Type or Classification (B)
MEDIA
Total Itemized Transactions Total Non-Itemized Transactions $18,417Total of All Transactions $18,417
Name and Address (A)
MINNESOTA PUBLIC RADIOCM-978PO BOX 70870SAINT PAULMN55170-9788
Type or Classification (B)
MEDIA
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions $19,950Total Non-Itemized Transactions $0Total of All Transactions $19,950
ADVERTISING EXP 01/28/2011 $19,950
Name and Address (A)
MP INTEGRATED SOLUTIONS
500 COUNTY ROAD 37 EASTMAPLE LAKEMN55358-0000
Type or Classification (B)
IT CONSULTANT
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $39,192Total of All Transactions $39,192
Name and Address (A)
PAUL HENNINGSON
13395 SHADOW WOOD DRIVEBAXTERMN56425-0000
Type or Classification (B)
LANDLORD
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $9,735Total of All Transactions $9,735
Name and Address (A)
PITNEY BOWES
PO BOX 371896PITTSBURGHPA15250-7896
Type or Classification (B)
MAIL MACHINE
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $5,097Total of All Transactions $5,097
Name and Address (A)
POSTMASTER - PEUS POSTAGE SERVICE WINDOW 5P O BOX 645014SAINT PAULMN55101-0000
Type or Classification (B)
POSTMASTER
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions $33,858Total Non-Itemized Transactions $0Total of All Transactions $33,858
POSTAGE FOR MAGAZINE 02/04/2011 $5,433POSTAGE FOR MAGAZINE 04/22/2011 $5,438POSTAGE FOR MAGAZINE 07/08/2011 $5,612POSTAGE FOR MAGAZINE 09/09/2011 $5,787POSTAGE FOR MAGAZINE 11/18/2011 $5,863POSTAGE FOR MAGAZINE 12/09/2011 $5,725
Name and Address (A)
QWEST
PO BOX 91154SEATTLEWA98111-9254
Type or Classification (B)
TELEPHONE
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $7,276Total of All Transactions $7,276
Name and Address (A)
QWEST
PO BOX 91154SEATTLEWA98111-9254
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $7,318Total of All Transactions $7,318
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Total Itemized Transactions Total Non-Itemized Transactions $18,053Total of All Transactions $18,053
Name and Address (A)
REGENTS OF THE UNIV OF MNNW 5960PO BOX 1450MINNEAPOLISMN55485-5960
Type or Classification (B)
VIDEO PRODUCTION
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $5,054Total of All Transactions $5,054
Name and Address (A)
SEVEN CORNERS PRINTING
1099 SNELLING AVE NSAINT PAULMN55108-0000
Type or Classification (B)
PRINTER
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $6,881Total of All Transactions $6,881
Name and Address (A)
THE UPTAKE
213 EAST 4TH ST, SUITE 417SAINT PAULMN55101-0000
Type or Classification (B)
VIDEO PRODUCTION
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions $5,000Total Non-Itemized Transactions $0Total of All Transactions $5,000
VIDEO SPONSORSHIP 04/08/2011 $5,000
Name and Address (A)
TRIANGLE PARK CREATIVE
2600 EAST FRANKLIN AVEMINNEAPOLISMN55406-0000
Type or Classification (B)
PRINTER
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $10,284Total of All Transactions $10,284
Name and Address (A)
TWIN CITY OFFICE SUPPLY CO.
P O BOX 131795SAINT PAULMN55113-0000
Type or Classification (B)
OFFICE SUPPLIES
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $9,366Total of All Transactions $9,366
Name and Address (A)
UNION HOUSE INC.
26796 FELTON AVENUEWYOMINGMN55092-0000
Type or Classification (B)
UNION SUPPLIER
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions $7,529Total Non-Itemized Transactions $3,496Total of All Transactions $11,025
UNION SUPPLIES 06/10/2011 $7,529
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Name and Address (A)
US BANCORP EQUIPMENT FINANCE
P O BOX 790448SAINT LOUISMO63179-0448
Type or Classification (B)
FINANCIAL SERVICE
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $11,167Total of All Transactions $11,167
Name and Address (A)
USPS POSTAL ST66100207
1106 WALNUT STREETSAINT LOUISMO63199
Type or Classification (B)
POSTAGE
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $11,054Total of All Transactions $11,054
Name and Address (A)
VERIZON WIRELESS
PO BOX 25505LEHIGH VALLEYPA18002-5505
Type or Classification (B)
CELL PHONE
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions $7,066Total Non-Itemized Transactions $14,483Total of All Transactions $21,549
CELL PHONES 08/26/2011 $7,066
Name and Address (A)
WILLMAR TEN INVESTORSC/O DEAN ANDERSON416 SW SIXTH ST - PO BOX 3WILLMARMN56201-0000
Type or Classification (B)
LANDLORD
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $12,201Total of All Transactions $12,201
Form LM-2 (Revised 2010)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 543-153
Name and Address (A)
GRAND SUPERIOR LODGE
2826 HIWAY 61TWO HARBORSMN55616-0000
Type or Classification (B)
HOTELLODGING
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions $11,683Total Non-Itemized Transactions $0Total of All Transactions $11,683
EXECUTIVE BOARD RETREAT 03/11/2011 $11,683
Name and Address (A)
HOLIDAY INN, DULUTHDOWNTOWN WATERFRONT200 W 1ST STREETDULUTHMN55802-0000
Type or Classification (B)
HOTELLODGING
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions $26,694Total Non-Itemized Transactions $8,684Total of All Transactions $35,378
COUNCIL 5 CONVENTION 11/03/2011 $26,694
Name and Address (A)
RADISSON HOTEL DULUTH
505 WEST SUPERIOR STREETDULUTHMN55802-0000
Type or Classification (B)
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions $5,850Total Non-Itemized Transactions $0Total of All Transactions $5,850
COUNCIL 5 CONVENTION 11/03/2011 $5,850
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(B)HOTELLODGING
Name and Address (A)
ST LOUIS COUNTY AUDITORCOUNTY AUDITOR100 N. 5TH AVE W., ROOM 201DULUTHMN55802-0000
Type or Classification (B)
REIMBURSEMENT NON STAFF
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $7,784Total of All Transactions $7,784
Name and Address (A)
TST CREATIVE CATERING
1494 DALE ST. NSAINT PAULMN55117-0000
Type or Classification (B)
CATERER FOR MEETINGS
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $9,928Total of All Transactions $9,928
Name and Address (A)
TWIN CITY OFFICE SUPPLY CO.
P O BOX 131795SAINT PAULMN55113-0000
Type or Classification (B)
OFFICE SUPPLIES
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions Total Non-Itemized Transactions $7,972Total of All Transactions $7,972
Name and Address (A)
UNION HOUSE INC.
26796 FELTON AVENUEWYOMINGMN55092-0000
Type or Classification (B)
UNION SUPPLIER
Purpose (C)
Date (D)
Amount (E)
Total Itemized Transactions $18,316Total Non-Itemized Transactions $755Total of All Transactions $19,071
UNION SUPPLIES 10/07/2011 $18,316
Form LM-2 (Revised 2010)
SCHEDULE 20 - BENEFITS FILE NUMBER: 543-153
Description (A)
To Whom Paid (B)
Amount (C)
Total Benefits $2,054,291
RETIREE HEALTH INSURANCE BCBS $7,248RETIREE HEALTH INSURANCE BLUE PLUS $10,417RETIREE HEALTH INSURANCE MN MANAGEMENT & BUDGET $35,595RETIREE HEALTH INSURANCE PREFERRED ONE $10,005RETIREE HEALTH INSURANCE T.ORMAN $5,136RETIREE HEALTH INSURANCE UCARE $14,505RETIREE DENTAL INSURANCE DELTA DENTAL $15,014RETIREE DENTAL INSURANCE DELTA DENTAL $1,583RETIREE HEALTH INSURANCE HEALTH PARTNERS $318,920RETIREE DENTAL INSURANCE MEDICA $3,747RETIREE LIFE INSURANCE AFSCME $11,816PENSION (EMPLYR) AFSCME $341,900PENSION (EMPLYR) M S R S $55,433PENSION (EMPLYR) P E R A $2,155HEALTH INSURANCE HEALTH PARTNERS $1,684HEALTH INSURANCE HEALTH PARTNERS $4,916HEALTH INSURANCE HEALTH PARTNERS $1,048,657HEALTH INSURANCE MN MANAGEMENT & BUDGET $3,468HEALTH INSURANCE MN MANAGEMENT & BUDGET $977HEALTH INSURANCE MN MANAGEMENT & BUDGET $8,996HEALTH INSURANCE MN MANAGEMENT & BUDGET $883HEALTH INSURANCE MN MANAGEMENT & BUDGET $704DENTAL INSURANCE DELTA DENTAL TRUST $47,002LONG TERM DISABILITY ASSURANT $29,252LIFE INSURANCE AFSCME $74,278
Form LM-2 (Revised 2010)
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69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 543-153
Question 10: "AFSCME Council 5 Member's Health and Welfare Trust" - a 501 (c)(9) VEBA. The fund is used to collect funds from employees ofaffiliated Locals to pay premiums for dental benefits. The financial information is not included on this LM-2. However, a separate audit is done onthis entity, a copy of which is attached to this LM-2.
Question 11(a): "Minnesota Council 5 PAC". The PAC information is not included in this LM-2. A separate IRS form 990 is filed annually.
Question 11(b): "The AFSCME Building Corporation" is a 501 (c)(2) title holding company. The company's sole purpose for existence is to ownreal estate property used by Council 5 as office space. The financial information is not included on this LM-2. However, a separate audit is doneon this entity, a copy of which is attached to this LM-2.
Question 12: The financial statements of AFSCME Council 5 are audited annually by the independent audit firm of Gary W Paulson, CPA's; 61First Avenue NE; Little Falls, MN 56345.
Question 17: AFSCME Council 5 has guaranteed the mortgage debt on the loan obligation of "The AFSCME Building Corporation", the 501 (c)(2)title holding company discussed in question 11(b). The Building Corporation owns the building and leases the space to AFSCME Council 5.
Schedule 13, Row1:Regular dues paying members working full time.
Schedule 13, Row2:Regular dues paying members working part time.
Schedule 13, Row3:Fair share employees choosing not to pay full dues in accordance with state statute.
Schedule 13, Row3:Fair share employees do not have voting rights.Form LM-2 (Revised 2010)