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 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 544-559 2. PERIOD COVERED From 07/01/2012 Through 06/30/2013 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 CARPENTERS IND 5. DESIGNATION (Local, Lodge, etc.) LOCAL UNION 6. DESIGNATION NBR 1556 7. UNIT NAME (if any) 8. MAILING ADDRESS (Type or print in capital letters) First Name CHRISTOPHER Last Name PARZYCH P.O Box - Building and Room Number Number and Street 395 HUDSON STREET City NEW YORK CITY State NY ZIP Code +4 10014 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: Chris Parzych PRESIDENT 71. SIGNED: Thomas Tremarco TREASURER Date: Aug 30, 2013 Telephone Number: 212-989-2284 Date: Aug 30, 2013 Telephone Number: 212-989-2284 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 1 of 30 6/17/2014 7:25 PM ITEMS 10 THROUGH 21 FILE NUMBER: 544-559 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? 06/2016 20. How many members did the labor organization have at the end of the reporting period? 2,705 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 $6.00-$53.33per MONTH $6.00 $53.33 (b) Working Dues/Fees N/Aper (c) Initiation Fees $300per $300.00 $300.00 (d) Transfer Fees N/Aper (e) Work Permits N/Aper Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 2 of 30 6/17/2014 7:25 PM STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 544-559 ASSETS ASSETS Schedule Number Start of Reporting Period (A) End of Reporting Period (B) 22. Cash $1,457,768 $746,719 23. Accounts Receivable 1 $0 24. Loans Receivable 2 25. U.S. Treasury Securities $0 $0 26. Investments 5 $373,105 $0 27. Fixed Assets 6 $2,584 $1,976 28. Other Assets 7 $6,318 $6,318 29. TOTAL ASSETS $1,839,775 $755,013 LIABILITIES LIABILITIES Schedule Number Start of Reporting Period (A) End of Reporting Period (B) 30. Accounts Payable 8 $0 31. Loans Payable 9 32. Mortgages Payable $0 $0 33. Other Liabilities 10 $1,256,418 $420,368 34. TOTAL LIABILITIES $1,256,418 $420,368 35. NET ASSETS $583,357 $334,645 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 3 of 30 6/17/2014 7:25 PM STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 544-559 CASH RECEIPTS SCH AMOUNT 36. Dues and Agency Fees $1,134,495 37. Per Capita Tax $0 38. Fees, Fines, Assessments, Work Permits $47,222 39. Sale of Supplies $0 40. Interest $415 41. Dividends $0 42. Rents $0 43. Sale of Investments and Fixed Assets 3 $473,370 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 $0 48. Other Receipts 14 $71,431 49. TOTAL RECEIPTS $1,726,933 CASH DISBURSEMENTS SCH AMOUNT 50. Representational Activities 15 $223,264 51. Political Activities and Lobbying 16 $0 52. Contributions, Gifts, and Grants 17 $29,895 53. General Overhead 18 $355,299 54. Union Administration 19 $89,543 55. Benefits 20 $78,487 56. Per Capita Tax $646,862 57. Strike Benefits $0 58. Fees, Fines, Assessments, etc. $0 59. Supplies for Resale $0 60. Purchase of Investments and Fixed Assets 4 $100,415 61. Loans Made 2 62. Repayment of Loans Obtained 9 63. To Affiliates of Funds Collected on Their Behalf $853,026 64. On Behalf of Individual Members $0 65. Direct Taxes $61,191
66. Subtotal $2,437,982 67. Withholding Taxes and Payroll Deductions 67a. Total Withheld $46,565 67b. Less Total Disbursed $46,565 67c. Total Withheld But Not Disbursed 68. TOTAL DISBURSEMENTS $2,437,982 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 4 of 30 6/17/2014 7:25 PM SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 544-559 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 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 5 of 30 6/17/2014 7:25 PM SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 544-559 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) Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 6 of 30 6/17/2014 7:25 PM SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 544-559 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 $473,370 $473,370 $473,750 $473,750 MATURITY OF CERTIFICATE OF DEPOST $100,000 $100,000 $100,380 $100,380 TRANSFER OF RMA MONEY MARKET SHARES TO LINE 22 $373,370 $373,370 $373,370 $373,370 Less Reinvestments $380 (The total from Net Sales Line will be automatically entered in Item 43)Net Sales $473,370 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 7 of 30 6/17/2014 7:25 PM SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 544-559 Description (if land or buildings, give location) (A) Cost (B) Book Value (C) Cash Paid (D) Total of all lines above $100,415 $100,415 $100,415 MONEY MARKET SHARES $100,415 $100,415 $100,415 Less Reinvestments $0 (The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases $100,415 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 8 of 30 6/17/2014 7:25 PM SCHEDULE 5 - INVESTMENTS FILE NUMBER: 544-559 Description (A) Amount (B) Marketable Securities A. Total Cost B. Total Book Value C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B. 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)) $0 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 9 of 30 6/17/2014 7:25 PM SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 544-559 Description (A) Cost or Other Basis (B) Total Depreciation or Amount Expensed (C) Book Value (D) Value (E) A. Land (give location) $0 $0 $0 B. Buildings (give location) $0 $0 $0 $0 C. Automobiles and Other Vehicles D. Office Furniture and Equipment $3,040 $1,064 $1,976 $1,976 E. Other Fixed Assets F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $3,040 $1,064 $1,976 $1,976 Form LM-2 (Revised 2003) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 10 of 30 6/17/2014 7:25 PM SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 544-559 Description (A) Book Value (B) Total (Total will be automatically entered in Item 28, Column(B)) $6,318 DUE FROM FREDERICK W. DEVINE SCHOLARSHIP FUND $6,318 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 11 of 30 6/17/2014 7:25 PM SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 544-559 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 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 12 of 30 6/17/2014 7:25 PM SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 544-559 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) Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 13 of 30 6/17/2014 7:25 PM SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 544-559 Description (A) Amount at End of Period (B) Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $420,368 DUE TO LOCAL 1456 MEMBERSHIP RELIEF FUND $420,368 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 14 of 30 6/17/2014 7:25 PM SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 544-559 (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 RUSSELL, THOMAS PRES PRO TERM/CONDUCTOR P $0 $375 $0 $0 $375 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C PASSERO, J OSEPH PRESIDENT P $0 $4,172 $0 $2,095 $6,267 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C PARZYCH, CHRISTOPHER PRESIDENT / VICE PRESIDEN N $0 $3,795 $0 $0 $3,795 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C TUCKER, TIMOTHY VICE PRESIDENT P $0 $0 $0 $0 $0 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C J OULE, ROBERT VICE PRESIDENT N $0 $548 $0 $0 $548 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C KING, THOMAS FINANCIAL SECRETARY C $0 $2,946 $0 $0 $2,946 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C ANGELLETTA, MATTHEW RECORDING SECRETARY P $0 $397 $0 $0 $397 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C J OHNSON, CRAIG RECORDING SECRETARY C $0 $3,610 $0 $0 $3,610 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 15 of 30 6/17/2014 7:25 PM (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 TREMARCO, THOMAS TREASURER C $0 $1,619 $0 $0 $1,619 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C RICE, PETER CONDUCTOR C $0 $1,764 $0 $0 $1,764 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C SVEDE, ANDREW WARDEN P $0 $141 $0 $0 $141 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C HARKIN, GREGORY WARDEN P $0 $0 $0 $0 $0 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C LARSEN, PAUL WARDEN N $0 $2,128 $0 $0 $2,128 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C BENDER, THOMAS TRUSTEE P $0 $558 $0 $0 $558 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C OLENICK, DENNIS TRUSTEE P $0 $540 $0 $0 $540 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C MCLAUGHLIN, BRIAN TRUSTEE C $0 $3,220 $316 $0 $3,536 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C HERMANSEN, PETE TRUSTEE C $0 $3,125 $0 $0 $3,125 DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 16 of 30 6/17/2014 7:25 PM (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 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C GREGOR, PAUL TRUSTEE P $0 $0 $0 $0 $0 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C AGRIDIANO, J OSE TRUSTEE N $0 $2,481 $0 $0 $2,481 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % A B C LAWRENCE, LARSON TRUSTEE N $0 $407 $0 $0 $407 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 5 % Schedule 18 General Overhead 10 % Schedule 19 Administration 85 % Total Officer Disbursements $0 $31,826 $316 $2,095 $34,237 Less Deductions $4,991 Net Disbursements $29,246 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 17 of 30 6/17/2014 7:25 PM SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 544-559 (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 NAVAREZ, J OANN OFFICE MANAGER LOCAL 1556 $55,502 $0 $0 $0 $55,502 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 0 % Schedule 18 General Overhead 100 % Schedule 19 Administration 0 % A B C DRIGGS, RITA SECRETARY LOCAL 1556 $34,923 $0 $0 $0 $34,923 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 0 % Schedule 18 General Overhead 100 % Schedule 19 Administration 0 % A B C J UNE, PATTY SECRETARY LOCAL 1556 $40,399 $0 $194 $0 $40,593 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 0 % Schedule 18 General Overhead 100 % Schedule 19 Administration 0 % A B C , $0 I Schedule 15 Representational Activities Schedule 16 Political Activities and Lobbying Schedule 17 Contributions Schedule 18 General Overhead Schedule 19 Administration TOTALS RECEIVED BY EMPLOYEES MAKING LESS THAN $10000 $112 $3,639 $0 $0 $3,751 I Schedule 15 Representational Activities 0 % Schedule 16 Political Activities and Lobbying 0 % Schedule 17 Contributions 0 % Schedule 18 General Overhead 100 % Schedule 19 Administration 0 % Total Employee Disbursements $130,936 $3,639 $194 $0 $134,769 Less Deductions $41,574 Net Disbursements $93,195 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 18 of 30 6/17/2014 7:25 PM SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 544-559 Category of Membership (A) Number (B) Voting Eligibility (C) Members (Total of all lines above) 2,705 Agency Fee Payers* 0 Total Members/Fee Payers 2,705 *Agency Fee Payers are not considered members of the labor organization. REGULAR 1,732 Yes APPRENTICE 134 Yes EARLY RETIRED 76 Yes RETIRED / DISABLED 283 Yes HONORARY 242 Yes MILITARY SERVICE 3 Yes ARREARS 235 No Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 19 of 30 6/17/2014 7:25 PM DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 544-559 SCHEDULE 14 OTHER RECEIPTS 1. Named Payer Itemized Receipts $50,701 2. Named Payer Non-itemized Receipts $9,354 3. All Other Receipts $11,376 4. Total Receipts $71,431
SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS 1. Named Payee Itemized Disbursements $0 2. Named Payee Non-itemized Disbursements $0 3. To Officers $1,711 4. To Employees $0 5. All Other Disbursements $28,184 6. Total Disbursements $29,895 SCHEDULE 15 REPRESENTATIONAL ACTIVITIES 1. Named Payee Itemized Disbursements $166,247 2. Named Payee Non-itemized Disbursements $31,921 3. To Officers $0 4. To Employees $0 5. All Other Disbursements $25,096 6. Total Disbursements $223,264 SCHEDULE 18 GENERAL OVERHEAD 1. Named Payee Itemized Disbursements $137,579 2. Named Payee Non-itemized Disbursements $38,793 3. To Officers $3,427 4. To Employees $134,769 5. All Other Disbursements $40,731 6. Total Disbursements $355,299 SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING 1. Named Payee Itemized Disbursements $0 2. Named Payee Non-itemized Disbursements $0 3. To Officers $0 4. To Employees $0 5. All Other Disbursements $0 6. Total Disbursement $0 SCHEDULE 19 UNION ADMINISTRATION 1. Named Payee Itemized Disbursements $12,253 2. Named Payee Non-itemized Disbursements $1,000 3. To Officers $29,102 4. To Employees $0 5. All Other Disbursements $47,188 6. Total Disbursements $89,543 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 20 of 30 6/17/2014 7:25 PM SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 544-559 Name and Address (A) DOCKBUILDERS LOCAL 1456 MEMBERSHIP RELIEF FUND 395 HUDSON STREET NEW YORK NY 10014 Type or Classification (B) RELATED BENEFIT FUND Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer $44,201 Total Non-Itemized Transactions with this Payee/Payer $0 Total of All Transactions with this Payee/Payer for This Schedule $44,201 MISDEPOSIT OF ASSESSMENTS 12/27/2012 $13,891 MISDEPOSIT OF ASSESSMENTS 01/02/2013 $9,559 MISDEPOSIT OF ASSESSMENTS 01/03/2013 $11,400 MISDEPOSIT OF ASSESSMENTS 01/15/2013 $9,351 Name and Address (A) NYC DCC WELFARE FUND 395 HUDSON STREET NEW YORK NY 10014 Type or Classification (B) RELATED BENEFIT FUND Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,854 Total of All Transactions with this Payee/Payer for This Schedule $5,854 Name and Address (A) OLAF OLSEN 33 BURNSIDE AVENUE STATEN ISLAND NY 10302 Type or Classification (B) FORMER EXECUTIVE BOARD MEMBER Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer $6,500 Total Non-Itemized Transactions with this Payee/Payer $3,500 Total of All Transactions with this Payee/Payer for This Schedule $10,000 REIMBURSEMENT FOR PERSONAL EXPENSES 04/15/2013 $6,500 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 21 of 30 6/17/2014 7:25 PM SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 544-559 Name and Address (A) DOCKBUILDERS LOCAL 1456 MEMBERSHIP RELIEF FUND 395 HUDSON STREET NEW YORK NY 10014 Type or Classification (B) RELATED BENEFIT FUND Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer $114,292 Total Non-Itemized Transactions with this Payee/Payer $0 Total of All Transactions with this Payee/Payer for This Schedule $114,292 MEMBER INSURANCE COVERAGE MAY - NOV 2012 12/14/2012 $80,012 MEMBER INSURANCE COVERAGE DEC 2012 - FEB 2013 02/26/2013 $34,280 Name and Address (A) EVERYTHING ENTERTAINMENT 236 ARLINGTON AVENUE STATEN ISLAND NY 10303 Type or Classification (B) ENTERTAINMENT COMPANY Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer $13,842 Total Non-Itemized Transactions with this Payee/Payer $0 Total of All Transactions with this Payee/Payer for This Schedule $13,842 ENTERTAINMENT FOR MEMBER PICNIC 06/10/2013 $6,670 ENTERTAINMENT FOR MEMBER PICNIC 06/21/2013 $7,172 Name and Address (A) MEYER, SUOZZI, ENGLISH & KLEIN, P.C. 1350 BROADWAY NEW YORK NY 10018 Type or Classification (B) LEGAL COUNSEL Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $22,629 Total of All Transactions with this Payee/Payer for This Schedule $22,629 Name and Address (A) TASTE OF HONEY 3465 VICTORY BOULEVARD STATEN ISLAND NY 10314 Type or Classification (B) CATERER Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer $26,292 Total Non-Itemized Transactions with this Payee/Payer $1,000 Total of All Transactions with this Payee/Payer for This Schedule $27,292 FINAL PAYMENT OF 2012 MEMBER PICNIC 07/12/2012 $26,292 Name and Address (A) VERNON COMPANY DEPT C 600 ONE PROMOTION PLACE NEWTON IA 50208 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 $6,493 Total of All Transactions with this Payee/Payer for This Schedule $6,493 DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 22 of 30 6/17/2014 7:25 PM MERCHANDISE Name and Address (A) ZUBIE WEAR 1516 UNIVERSAL CITY BLVD UNIVERSAL CITY TX 78148 Type or Classification (B) MERCHANDISE Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer $11,821 Total Non-Itemized Transactions with this Payee/Payer $1,799 Total of All Transactions with this Payee/Payer for This Schedule $13,620 2013 MEMBER PICNIC T-SHIRTS 06/20/2013 $11,821 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 23 of 30 6/17/2014 7:25 PM SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 544-559 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) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 24 of 30 6/17/2014 7:25 PM SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 544-559 There was no data found for this schedule. SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 544-559 Name and Address (A) COGENT COMMUNICATIONS 1015 31ST STREET, NW WASHINGTON DC 20007 Type or Classification (B) INTERNET PROVIDER Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $8,935 Total of All Transactions with this Payee/Payer for This Schedule $8,935 Name and Address (A) DOCKBUILDERS 1456 MEMBERSHIP RELIEF FUND 395 HUDSON STREET NEW YORK NY 10014 Type or Classification (B) RELATED BENEFIT FUND Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer $28,100 Total Non-Itemized Transactions with this Payee/Payer $0 Total of All Transactions with this Payee/Payer for This Schedule $28,100 REFUND OF ASSESSMENT MISDEPOSIT 08/01/2012 $28,100 Name and Address (A) NOVAK FRANCELLA LLC 450 SEVENTH AVENUE, 35TH FL NEW YORK NY Type or Classification (B) ACCOUNTANT Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $12,720 Total of All Transactions with this Payee/Payer for This Schedule $12,720 Name and Address (A) NYC DCC BENEFIT FUNDS 395 HUDSON STREET NEW YORK NY 10014 Type or Classification (B) RELATED BENEFIT FUNDS Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $5,544 Total of All Transactions with this Payee/Payer for This Schedule $5,544 Name and Address (A) NYC DISTRICT COUNCIL OF CARPENTERS 395 HUDSON STREET, 9TH FLOO NEW YORK NY Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer $90,774 Total Non-Itemized Transactions with this Payee/Payer $1,207 Total of All Transactions with this Payee/Payer for This Schedule $91,981 MONTHLY RENT 07/30/2012 $7,000 MONTHLY RENT 08/20/2012 $7,012 DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 25 of 30 6/17/2014 7:25 PM 10014 Type or Classification (B) RELATED DISTRICT COUNCIL Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer $90,774 Total Non-Itemized Transactions with this Payee/Payer $1,207 Total of All Transactions with this Payee/Payer for This Schedule $91,981 MONTHLY RENT 10/23/2012 $7,141 MONTHLY RENT 11/12/2012 $6,926 MONTHLY RENT 12/13/2012 $6,916 MONTHLY RENT 12/24/2012 $6,593 MONTHLY RENT 01/29/2013 $6,706 MONTHLY RENT 03/08/2013 $6,763 MONTHLY RENT 04/04/2013 $6,689 MONTHLY RENT 05/01/2013 $6,536 MONTHLY RENT 05/17/2013 $6,350 MONTHLY RENT 06/20/2013 $6,605 SECURITY 12/24/2012 $9,537 Name and Address (A) TERRENCE R. MOONEY, CPA 247 NEW J ERSEY AVENUE ABSECON NJ 08201 Type or Classification (B) ACCOUNTANT Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer $18,705 Total Non-Itemized Transactions with this Payee/Payer $35 Total of All Transactions with this Payee/Payer for This Schedule $18,740 EMPLOYER ASSESSMENT AUDITS 07/19/2012 $18,705 Name and Address (A) TRAVELERS INDEMNITY COMPANY OF CT 660317 DALLAS TX 75266 Type or Classification (B) INSURANCE PROVIDER Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer Total Non-Itemized Transactions with this Payee/Payer $10,352 Total of All Transactions with this Payee/Payer for This Schedule $10,352 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 26 of 30 6/17/2014 7:25 PM SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 544-559 Name and Address (A) AMERICAN ARBITRATION ASSOCIATION 1633 BROADWAY, 10TH FLOOR NEW YORK NY 10019 Type or Classification (B) ELECTION ARBITRATOR Purpose (C) Date (D) Amount (E) Total Itemized Transactions with this Payee/Payer $12,253 Total Non-Itemized Transactions with this Payee/Payer $1,000 Total of All Transactions with this Payee/Payer for This Schedule $13,253 ELECTION ASSISTANCE 12/04/2012 $12,253 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 27 of 30 6/17/2014 7:25 PM SCHEDULE 20 - BENEFITS FILE NUMBER: 544-559 Description (A) To Whom Paid (B) Amount (C) Total of all lines above (Total will be automatically entered in Item 55.) $78,487 ANNUITY NYC DCC ANNUITY FUND $14,446 HEALTH INSURANCE NYC DCC WELFARE FUND $30,416 LIFE INSURANCE GENWORTH LIFE INSURANCE COMPANY $725 LONG-TERM DISABILITY NYC DCC $400 RETIREMENT NYC DCC RETIREMENT & PENSION PLAN $32,500 Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 28 of 30 6/17/2014 7:25 PM DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 29 of 30 6/17/2014 7:25 PM 69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 544-559 Question 15: DURING THE YEAR ENDED J UNE 30, 2013, THE LOCAL RECORDED DEPRECIATION EXPENSE IN THE AMOUNT OF $608. Schedule 13, Row1:REGULAR MEMBERS' DUES RATE IS $33.05 TO $53.33 PER MONTH. Schedule 13, Row2:APPRENTICE MEMBERS PAY DUES OF $33.05 PER MONTH. Schedule 13, Row2: Schedule 13, Row3:EARLY RETIRED MEMBERS PAY DUES OF $25.00 PER MONTH. Schedule 13, Row3: Schedule 13, Row4:RETIRED / DISABLED RETIREES PAY DUES OF $6.00 PER MONTH. Schedule 13, Row4: Schedule 13, Row5:HONORARY MEMBERS DO NOT PAY MONTHLY DUES. Schedule 13, Row5: Schedule 13, Row6:MILITARY SERVICE MEMBERS ARE EXEMPT FROM PAYING DUES UNTIL THEIR RETURN FROM DUTY. Schedule 13, Row6: Schedule 13, Row7:MEMBERS IN ARREARS ARE NOT CURRENTLY PAYING DUES AT THEIR RESPECTIVE RATE. Schedule 13, Row7:MEMBERS IN ARREARS DO NOT HAVE VOTING RIGHTS. Schedule 13, Row1: Form LM-2 (Revised 2010) DOL FormReport (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do 30 of 30 6/17/2014 7:25 PM