FORM LM-2 LABOR ORGANIZATION ANNUAL · PDF fileReturn U.S. Department of Labor Office of Labor-Management Standards Washington, DC 20210 FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

Return

U.S. Department of LaborOffice of Labor-Management

StandardsWashington, DC 20210

FORM LM-2 LABOR ORGANIZATION ANNUALREPORT Form Approved

Office of Management andBudget

No. 1245-0003Expires: 10-31-2013

MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MOREIN 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 asprovided by 29 U.S.C. 439 or 440.

READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.

For Official UseOnly

1. FILE NUMBER529-093

2. PERIOD COVEREDFrom 01/01/2011Through 12/31/2011

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 NAMEFOOD & COMMERCIAL WKRS

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

6. DESIGNATION NBR700

7. UNIT NAME (if any)

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

Last NameCHORPENNING

P.O Box - Building and Room Number

Number and Street5638 PROFESSIONAL CIRCLE

CityINDIANAPOLIS

StateIN

ZIP Code + 446241

9. Are your organization's records kept at its mailingaddress? Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicablepenalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) hasbeen examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (SeeSection V on penalties in the instructions.)

26.SIGNED: Joseph M Chorpenning PRESIDENT 27.

SIGNED: Michael D Merrell TREASURER

Date: Mar 28, 2012 ContactInfo: 317-248-0391 Date: Mar 29, 2012 Contact

Info: 317-248-0391

Form LM-2 (Revised 2010)

DOL Form Report (Disclosure) http://kcerds.dol-esa.gov/query/orgReport.do

1 of 36 4/3/2012 5:32 PM

ITEMS 10 THROUGH 21 FILE NUMBER: 529-093

10. During the reporting period did the labororganization create or participate in theadministration of a trust or a fund or organization,as defined in the instructions, which providesbenefits 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 asdefined in Section X of these Instructions?

No

12. During the reporting period did the labororganization have an audit or review of its booksand records by an outside accountant or by aparent body auditor/representative?

Yes

13. During the reporting period did the labororganization discover any loss or shortage of fundsor other assets? (Answer "Yes" even if there hasbeen repayment or recovery.)

No

14. What is the maximum amount recoverableunder the labor organization's fidelity bond for aloss caused by any officer, employee or agent ofthe labor organization who handled union funds?

$716,000

15. During the reporting period did the labororganization acquire or dispose of any assets in amanner other than purchase or sale?

Yes

16. Were any of the labor organization's assetspledged as security or encumbered in any way atthe end of the reporting period?

No

17. Did the labor organization have any contingentliabilities at the end of the reporting period? No

18. During the reporting period did the labororganization have any changes in its constitution orbylaws, other than rates of dues and fees, or inpractices/procedures listed in the instructions?

No

19. What is the date of the labor organization's nextregular election of officers? 04/2013

20. How many members did the labor organizationhave at the end of the reporting period? 13,333

21. What ar the labor organization's rates of dues and fees?Rates of Dues and Fees

Dues/Fees Amount Unit Minimum Maximum(a) RegularDues/Fees N/A per month 1.50 41.00

(b) WorkingDues/Fees N/A per N/A N/A N/A

(c) Initiation Fees See item69 per N/A N/A N/A

(d) Transfer Fees N/A per N/A N/A N/A(e) Work Permits N/A per N/A N/A N/A



2 of 36 4/3/2012 5:32 PM

STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 529-093

ASSETS

ASSETS ScheduleNumber

Start of Reporting Period(A)

End of Reporting Period(B)

22. Cash $995,368 $627,262

23. Accounts Receivable 1 $0 $024. Loans Receivable 2 $0 $0

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

26. Investments 5 $514,743 $624,58327. Fixed Assets 6 $304,068 $305,99728. Other Assets 7 $0 $193

29. TOTAL ASSETS $1,814,179 $1,558,035

LIABILITIES

LIABILITIES ScheduleNumber

Start of Reporting Period(A)

End of Reporting Period(B)

30. Accounts Payable 8 $0 $031. Loans Payable 9 $0 $032. Mortgages Payable $0 $033. Other Liabilities 10 $2,510 $0

34. TOTAL LIABILITIES $2,510 $0

35. NET ASSETS $1,811,669 $1,558,035



3 of 36 4/3/2012 5:32 PM

STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 529-093

CASH RECEIPTS SCH AMOUNT36. Dues and Agency Fees $4,852,630

37. Per Capita Tax $0

38. Fees, Fines, Assessments, Work Permits $302,719

39. Sale of Supplies $0

40. Interest $30,547

41. Dividends $0

42. Rents $6,600

43. Sale of Investments and Fixed Assets 3 $225,73944. Loans Obtained 9 $045. Repayments of Loans Made 2 $046. On Behalf of Affiliates for Transmittal toThem $0

47. From Members for Disbursement on TheirBehalf $0

48. Other Receipts 14 $354,284

49. TOTAL RECEIPTS $5,772,519

CASH DISBURSEMENTS SCH AMOUNT50. Representational Activities 15 $1,985,04751. Political Activities and Lobbying 16 $147,05052. Contributions, Gifts, and Grants 17 $106,61853. General Overhead 18 $054. Union Administration 19 $946,00655. Benefits 20 $371,532

56. Per Capita Tax $1,985,831

57. Strike Benefits $0

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

59. Supplies for Resale $0

60. Purchase of Investments and FixedAssets 4 $445,285

61. Loans Made 2 $062. Repayment of Loans Obtained 9 $063. To Affiliates of Funds Collected on TheirBehalf $0

64. On Behalf of Individual Members $0

65. Direct Taxes $150,553

66. Subtotal $6,137,922

67. Withholding Taxes and PayrollDeductions 67a. Total Withheld $560,388 67b. Less TotalDisbursed $563,091 67c. Total Withheld But Not Disbursed -$2,703

68. TOTAL DISBURSEMENTS $6,140,625



4 of 36 4/3/2012 5:32 PM

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 529-093

Entity or Individual Name(A)

Total AccountReceivable

(B)

90-180Days

Past Due(C)

180+ DaysPast Due

(D)

LiquidatedAccount

Receivable(E)

Totals from all other accounts receivable $0 $0 $0 $0TOTALS (Column (B) Total will be automatically entered in Item 23, Column(B)) $0 $0 $0 $0

None $0 $0 $0 $0



5 of 36 4/3/2012 5:32 PM

SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 529-093

List below loans to officers, employees, ormembers which at any time during the reporting

period exceeded $250 and list all loans to businessenterprises regarless of amount.

(A)

LoansOutstanding atStart of Period

(B)

Loans MadeDuringPeriod

(C)

Cash(D)(1)

Other ThanCash(D)(2)

LoansOutstanding atEnd of Period

(E)

Total of loans not listed above Total of all lines $0 $0 $0 $0 $0

Totals will be automatically entered in... Item 24Column (A)

Item 61 Item 45 Item 69with Explanation

Item 24Column (B)

Name: NonePurpose: NoneSecurity: NoneTerms: None

$0 $0 $0 $0 $0



6 of 36 4/3/2012 5:32 PM

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 529-093

Description (if land or buildings give location)(A)

Cost(B)

Book Value(C)

Gross Sales Price(D)

Amount Received(E)

Total of all lines $279,563 $197,489 $225,739 $225,739

Automobiles (7) $126,819 $44,745 $74,000 $74,000Mutual Funds $152,744 $152,744 $151,739 $151,739

14. LessReinvestments $0

(Net Sales total will automatically entered in Item 43) 15. Net Sales $225,739Form LM-2 (Revised 2010)


7 of 36 4/3/2012 5:32 PM

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 529-093

Description (if land or buildings, give location)(A)

Cost(B)

Book Value(C)

Cash Paid(D)

Total of all lines $445,285 $445,285 $445,285

Automobiles (8) $182,701 $182,701 $182,701Mutual Funds $262,584 $262,584 $262,584

14. LessReinvestments $0

(Net Purchases total will automatically entered in Item 60) 15. Net Purchases $445,285Form LM-2 (Revised 2010)


8 of 36 4/3/2012 5:32 PM

SCHEDULE 5 - INVESTMENTS FILE NUMBER: 529-093

Description(A)

Amount(B)

Marketable Securities 1. Total Cost $02. Total Book Value $03. List each marketable security which has a book value over $5000 and exceeds 5% of Line 2.

NONE $0

Other Investments 4. Total Cost $624,5835. Total Book Value $624,5836. List each other investment which has a book value over $5,000 and exceeds 5% of Line 5. Also, listeach subsidiary for which separate reports are attached.

Federal Home Loan Bank 2.50 % Due 10/28/22 $115,050Federal Home Loan Bank 3.0% Due 10/29/25 $115,050Federated Institutional High Yield Bond Fund $29,132Marshall Short Term Income Fund CI Y $112,330Marshall Corportate Income Fund Class Y $78,019Marshall Aggregate Bond Fund Class Y $39,585PIMCO Funds Total Return Funds $51,461PIMCO Investments Grade Corp Bond Fund I $83,956

7. Total of Lines 2 and 5 (Total will be automatically entered in Item 26, Column(B)) $624,583Form LM-2 (Revised 2010)


9 of 36 4/3/2012 5:32 PM

SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 529-093

Description(A)

Cost or OtherBasis(B)

Total Depreciationor

Amount Expensed(C)

Book Value(D)

Value(E)

1. 5638 Professional Circle, Indianapolis, IN 46241 $42,000 $42,000 $42,000

3. 5638 Professional Circle, Indianapolis, IN 46241 $627,210 $562,116 $65,094 $627,210

5. Automobiles and Other Vehicles $289,467 $98,874 $190,593 $190,593

6. Office Furniture and Equipment $61,446 $53,136 $8,310 $8,310

7. Other Fixed Assets $0 $0 $0 $0

8. Totals of Lines 1 through 7 (Column(D) Total willbe automatically entered in Item 27, Column(B)) $1,020,123 $714,126 $305,997 $868,113



10 of 36 4/3/2012 5:32 PM

SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 529-093

Description(A)

Book Value(B)

Total Other Assets (Total will be automatically entered in Item 28, Column(B)) $193Prepaid payroll withholdings $193



11 of 36 4/3/2012 5:32 PM

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 529-093

Entity or Individual Name(A)

Total AccountPayable

(B)

90-180 DaysPast Due

(C)

180+ Days PastDue(D)

LiquidatedAccount

(E)

Total from all other accounts payable $0 $0 $0 $0Total Accounts Payable (Column(B) Total will beautomatically entered in Item 30, Column(D)) $0 $0 $0 $0

None $0 $0 $0 $0



12 of 36 4/3/2012 5:32 PM

SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 529-093

Source of Loans Payable atAny

Time During the ReportingPeriod

(A)

Loans Owed atStart of Period

(B)

Loans ObtainedDuring Period

(C)

RepaymentDuring Period

Cash(D)(1)

RepaymentDuring Period

Other Than Cash(D)(1)

Loans Owed atEnd of Period

(E)

Total Loans Payable $0 $0 $0 $0 $0Totals will be automaticallyentered in...

Item 31Column (C)

Item 44 Item 62 Item 69with Explanation

Item 31Column (D)

None $0 $0 $0 $0 $0



13 of 36 4/3/2012 5:32 PM

SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 529-093

Description(A)

Amount at End of Period(B)

Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $0None $0



14 of 36 4/3/2012 5:32 PM

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 529-093

(A)Name

(B)Title

(C)Status

(D)Gross Salary

Disbursements(before anydeductions)

(E)AllowancesDisbursed

(F)Disbursements

for OfficialBusiness

(G)Other

Disbursements notreported in(D) thru (F)

(H)TOTAL

ABC

Joseph M Chorpenning IIPresidentC

$177,182 $2,114 $13,667 $0 $192,963

ISchedule 15RepresentationalActivities

88 %Schedule 16Political Activitiesand Lobbying

5 % Schedule 17Contributions 0 %

Schedule 18GeneralOverhead

0 % Schedule 19Administration 7 %

ABC

Douglas W VanosdaleSecretary TreasurerP

$135,599 $784 $3,544 $0 $139,927






ABC

Michael D MerrellSecretary TreasurerN

$122,499 $788 $7,395 $0 $130,682






ABC

Sharon L McMahonRecording SecretaryC

$77,067 $1,087 $7,573 $0 $85,727






ABC

Michael D MerrellVice PresidentP

$0 $0 $0 $0 $0






ABC

Linda D AgnewVice PresidentC

$2,250 $0 $190 $0 $2,440





0 % Schedule 19Administration

100%

ABC

Phillip S BarnettVice President RepC

$82,205 $2,555 $8,820 $0 $93,580






ABC

Danny C BrownVice PresidentC

$5,071 $0 $2,527 $0 $7,598






100%

ABC

Chad A DunvilleVice PresidentC

$2,250 $0 $215 $0 $2,465


15 of 36 4/3/2012 5:32 PM

(A)Name

(B)Title

(C)Status

(D)Gross Salary



(F)Disbursements


(G)Other


(H)TOTAL






100%

ABC

Gary M HarrisVice PresidentC

$6,449 $0 $780 $0 $7,229






100%

ABC

Marlana S SteagallVice PresidentC

$2,486 $0 $322 $0 $2,808






100%

ABC

Margaret M HolcombVice PresidentC

$3,613 $0 $442 $0 $4,055






100%

ABC

Trinidad J LopezVice PresidentC

$2,348 $0 $651 $0 $2,999






100%

ABC

Maria N MayVice PresidentC

$2,314 $0 $349 $0 $2,663






100%

ABC

Sherry G MinerVice PresidentC

$3,869 $0 $2,029 $0 $5,898






100%

ABC

Daniel L NicholsonVice President/RepC

$59,335 $1,934 $8,425 $0 $69,694






100%

ABC

Karen K SalzerVice PresidentC

$4,750 $0 $4,316 $0 $9,066






100%


16 of 36 4/3/2012 5:32 PM

(A)Name

(B)Title

(C)Status

(D)Gross Salary



(F)Disbursements


(G)Other


(H)TOTAL

ABC

Vern D SowersVice PresidentC

$2,509 $0 $246 $0 $2,755






100%

ABC

Lynn A GodseyVice PresidentC

$2,250 $0 $700 $0 $2,950






100%

ABC

Beverly A ArthurVice PresidentC

$2,796 $0 $1,031 $0 $3,827






100%

ABC

Karen S SmithVice PresidentC

$2,352 $0 $1,241 $0 $3,593






100%

ABC

Fredrick R McDonaldVice PresidentC

$2,480 $0 $717 $0 $3,197






100%

ABC

Robert G HireVice PresidentN

$3,313 $0 $455 $0 $3,768






100%

Total Officer Disbursements $704,987 $9,262 $65,635 $0 $779,884

Less Deductions $196,215

Net Disbursements $583,669



17 of 36 4/3/2012 5:32 PM

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 529-093

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary



(F)Disbursements


(G)Other


(H)TOTAL

ABC

Sherri StoneSecretaryNone

$47,047 $0 $301 $0 $47,348






100%

ABC

Richard P FitzgeraldUnion RepNone

$133,088 $2,619 $13,998 $0 $149,705






ABC

Juan M GarciaUnion RepNone

$77,067 $714 $6,291 $0 $84,072






ABC

Andrea L GreenSecretaryNone

$47,142 $0 $301 $0 $47,443






ABC

Jeff A KimbroughUnion RepNone

$77,692 $1,864 $7,621 $0 $87,177


100%

Schedule 16Political Activitiesand Lobbying




ABC

Tracy C BartakUnion RepNone

$72,232 $1,127 $5,953 $0 $79,312






ABC

Gayle R KopecSecretaryNone

$39,872 $0 $301 $0 $40,173






100%

ABC

Sherry A PostmaBookkeeperNone

$68,642 $0 $350 $0 $68,992






ABC

Robert C RynesUnion RepNone

$79,841 $1,287 $6,941 $0 $88,069


18 of 36 4/3/2012 5:32 PM

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary



(F)Disbursements


(G)Other


(H)TOTAL






ABC

Julie G ShaySecretaryNone

$45,300 $0 $308 $0 $45,608






ABC

Jeffrey ThompsonUnion RepNone

$62,950 $1,440 $7,011 $0 $71,401






ABC

Rogelio C ValenzuelaUnion RepNone

$72,863 $1,527 $6,736 $0 $81,126






ABC

David A VillegasUnion RepNone

$79,841 $2,751 $8,621 $0 $91,213


100%





ABC

Ty A LeeSpecial Project Union RepNone

$33,388 $5,754 $3,887 $0 $43,029


100%





ABC

Amber HardwickSpecial Project Union RepNone

$13,176 $0 $5,318 $0 $18,494






ABC

Amy HaleSpecial Project Union RepNone

$17,775 $0 $1,938 $0 $19,713


100%





ABC

Herbert N SmithSpecial Project Union RepNone

$10,224 $0 $3,175 $0 $13,399







19 of 36 4/3/2012 5:32 PM

(A)Name

(B)Title

(C)Other Payer

(D)Gross Salary



(F)Disbursements


(G)Other


(H)TOTAL

ABC

Juan RuffinSpecial Project Union RepNone

$18,018 $0 $8,776 $0 $26,794






ABC

Kathleen MarbachSpecial Project Union RepNone

$16,295 $0 $4,134 $0 $20,429






ABC

Pau ENSpecial Project Union RepNone

$15,274 $0 $1,789 $0 $17,063


100%





ABC

Reginald LefloreSpecial Project Union RepNone

$10,722 $0 $1,323 $0 $12,045


100%





ABC

Stephanie WhiteSpecial Project Union RepNone

$15,214 $0 $9,557 $0 $24,771






TOTALS RECEIVED BY EMPLOYEESMAKING LESS THAN $10000 $132,876 $440 $24,825 $0 $158,141


90%

Schedule 16Political Activities andLobbying

10%

Schedule 17Contributions 0 %



Total Employee Disbursements $1,186,539 $19,523 $129,455 $0 $1,335,517

Less Deductions $364,173

Net Disbursements $971,344



20 of 36 4/3/2012 5:32 PM

SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 529-093

Category of Membership(A)

Number(B)

Voting Eligibility(C)

Members 13,333 Agency Fee Payers* 5

Total Members/Fee Payers 13,338 *Agency Fee Payers are not considered members of the labor organization.

Active 13,286 YesAffilitated 19 NoPaid-Up-Life 28 No



21 of 36 4/3/2012 5:32 PM

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 529-093

SCHEDULE 14 OTHER RECEIPTS1. Named Payer Itemized Receipts $212,2382. Named Payer Non-itemized Receipts $64,3033. All Other Receipts $77,7434. Total Receipts $354,284

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS1. Named Payee Itemized Disbursements $83,0002. Named Payee Non-itemized Disbursements $03. To Officers $04. To Employees $1,3805. All Other Disbursements $22,2386. Total Disbursements $106,618

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES1. Named Payee Itemized Disbursements $285,4332. Named Payee Non-itemized Disbursements $131,5233. To Officers $472,5654. To Employees $954,6265. All Other Disbursements $140,9006. Total Disbursements $1,985,047

SCHEDULE 18 GENERAL OVERHEAD1. Named Payee Itemized Disbursements $02. Named Payee Non-itemized Disbursements $03. To Officers $04. To Employees $05. All Other Disbursements $06. Total Disbursements $0

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING1. Named Payee Itemized Disbursements $10,3822. Named Payee Non-itemized Disbursements $22,5343. To Officers $16,2194. To Employees $81,4055. All Other Disbursements $16,5106. Total Disbursement $147,050

SCHEDULE 19 UNION ADMINISTRATION1. Named Payee Itemized Disbursements $124,8862. Named Payee Non-itemized Disbursements $160,4663. To Officers $291,0994. To Employees $298,1095. All Other Disbursements $71,4466. Total Disbursements $946,006



22 of 36 4/3/2012 5:32 PM

SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 529-093

Name and Address(A)

Central States Council

3900 Olympic Blvd Ste 100ErlangerKY41018

Type or Classification(B)

Labor Organization

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions $20,000Total Non-Itemized Transactions $0Total of All Transactions $20,000

Reimb Right to Work expense 02/04/2011 $20,000

Name and Address(A)

UFCW International Union

1775 K Street NWWashingtonDC20006


Labor Organization

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions $192,238Total Non-Itemized Transactions $64,303Total of All Transactions $256,541

Assistance with Right to Work 04/25/2011 $50,000Reimb of S.P.U.R. Expenses 06/03/2011 $16,838Reimb of S.P.U.R. Expenses 06/20/2011 $11,658Reimb of S.P.U.R. Expenses 06/30/2011 $11,224Reimb of S.P.U.R. Expenses 07/08/2011 $5,425Reimb of S.P.U.R Expenses 07/22/2011 $32,313Reimb of S.P.U,R. Expenses 07/29/2011 $18,094Reimb of S.P.U.R. Expenses 08/05/2011 $6,085Reimb of S.P.U,R. Expenses 08/12/2011 $5,908Reimb of S.P.U.R. Expenses 08/26/2011 $9,784Reimb of S.P.U,R, Expenses 09/09/2011 $10,961Reimb of S.P.U.R Expenses 09/30/2011 $5,999Reimb of S.P.U.R. Expenses 10/07/2011 $7,949



23 of 36 4/3/2012 5:32 PM

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 529-093

Name and Address(A)

Ad Ventures of Kansas

4015 Woodlawn, Suite 3WichitaKS67220


Promotional items supplier

Purpose(C)

Date(D)

Amount(E)


Purchase of shirts for right to work rally 01/14/2011 $12,406

Name and Address(A)

Advance Printing Co.1377

IndianpolisIN46206-1377


Printing Company/Organizingdocuments

Purpose(C)

Date(D)

Amount(E)

Total Itemized Transactions Total Non-Itemized Transactions $13,996Total of All Transactions $13,996

Name and Address(A)

AT&T Mobility6463

Carol StreamIL60197-6463


Cell Phone Carrier

Purpose(C)

Date(D)

Amount(E)


Cell phone expense 11/04/2011 $8,624Cell phone expense 12/09/2011 $4,790

Name and Address(A)

Delta Airlines

Thurgood Marshall AirportBaltimoreMD21240


Airline Service

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

EZ Mailing Service, Inc.42548

IndianapolisIN46242-0548


Purpose(C)

Date(D)

Amount(E)


June newsletter 06/20/2011 $7,507


24 of 36 4/3/2012 5:32 PM

Pinting / Postage

Name and Address(A)

Fishers Hospitality Group

9785 North by Northest BlvdIndianapolisIN46037


Hospitality service/Stewards trainingseminar

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Greg Denier

9108 John Simmons StreetFederickMD21704


Consulting fees

Purpose(C)

Date(D)

Amount(E)


Consulting services - organizing and right towork 01/26/2011 $11,000


Consulting services - organzing and right towork 04/08/2011 $15,000






Name and Address(A)

Hampton Inn

2312 E. 64th StreetAndersonIN46013


Hotel

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Hilton Hotel

8615 US 24 WFort WayneIN46804


Hotel

Purpose(C)

Date(D)

Amount(E)



25 of 36 4/3/2012 5:32 PM

Name and Address(A)

Holiday Inn

4235 W Airport FreewayIrvingTX75062


Hotel

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

IFEBP

18700 W Bluemound RdBrookfieldWI53045


Intl Fdn of Employee BenefitPlans/Trustee Conf.

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Jewett Printing390219 West Main StreetFarmersburgIN47850


Printing Company/right to work &organizing issues

Purpose(C)

Date(D)

Amount(E)


Printing newsletters 06/30/2011 $5,174

Name and Address(A)

Kelly Press

1701 Cabin Branch DriveCheverlyMD20785


Printing Company

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

LRCS, Inc.

17 Battery Place, Ste 928New YorkNY10004


Purpose(C)

Date(D)

Amount(E)


Design & layout of newsletter 08/05/2011 $5,465


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Printing Company/right to work &organizing issues

Name and Address(A)

The Karmel Law Firm

221 N. LaSalle St. Ste1307ChicagoIL60601


Attorney/Organizing & collectivebargaining issues

Purpose(C)

Date(D)

Amount(E)


Retainer, travel & reimbursed office expense 01/14/2011 $12,041Retainer, travel & reimbursed office expense 02/15/2011 $12,620Retainer, travel & reimbursed office expense 03/11/2011 $12,778Retainer, travel & reimbursed office expense 04/15/2011 $12,462Retainer, travel & reimbursed office expense 05/05/2011 $13,333Retainer, travel & reimbursed office expense 06/17/2011 $12,160Retainer, travel & reimbursed office expense 07/14/2011 $12,883Retainer, travel & reimbursed office expense 08/19/2011 $14,230Retainer, travel & reimbursed office expense 09/09/2011 $13,875Retainer, travel & reimbursed officer expense 10/07/2011 $12,466Retainer, travel & remibursed office expense 11/10/2011 $12,893Retainer, travel & reimbursed office expense 12/09/2011 $12,739

Name and Address(A)

UFCW Local 880

2828 Euclid AvenueClevelandOH44115-2414


Labor organization

Purpose(C)

Date(D)

Amount(E)


Spnsor spur program - Rite Aid Strike 08/05/2011 $6,213



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SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 529-093

Name and Address(A)

EZ Mailing Service, Inc.42548

IndianapolisIN46242-0548


Printing / Postage

Purpose(C)

Date(D)

Amount(E)


Postage for political letters 02/04/2011 $5,382

Name and Address(A)

Indiana Democratic Party

1 North Capital Suite 200IndianapolisIN46204


Political Organzation

Purpose(C)

Date(D)

Amount(E)


Jefferson Jackson Day 05/16/2011 $5,000



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SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 529-093

Name and Address(A)

Dave A Kemp Scholarship Fund

5638 Professional CircleIndianapolisIN46241


Charitable Organization

Purpose(C)

Date(D)

Amount(E)


Contribution 12/30/2011 $17,200

Name and Address(A)

Leukemia and Lymphoma Society

5845 Richmond Hgwy, Ste 630AlexandriaVA22303


Charitable Organization

Purpose(C)

Date(D)

Amount(E)


Contribution 12/30/2011 $65,800



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SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 529-093

There was no data found for this schedule.

SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 529-093

Name and Address(A)

Ad Ventures of Kansas

4015 Woodlawn, Suite 3WichitaKS67220


Promotional items supplier

Purpose(C)

Date(D)

Amount(E)


Purchase of button shirts for giveaway 04/21/2011 $9,181Purchase of umbrella's 09/16/2011 $5,207Purchase of fleece sweatshirts for stewards 10/07/2011 $6,830

Name and Address(A)

Adams Remco, Inc.3968

South BendIN46619-0968


Office Supplies Repair

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

AT&T8100

AuroraIL60507-8100


Telephone Company

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Fort Wayne Tincups

1301 Ewing StreetFort WayneIN46802


Baseball Organization

Purpose(C)

Date(D)

Amount(E)


Tickets for membership outing 05/05/2011 $11,200

Name and Address(A)

Indianapolis Indians

201 West Maryland StreetIndianapolisIN

Purpose(C)

Date(D)

Amount(E)


Tickets for membership appreciation night 02/18/2011 $5,000


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46225Type or Classification

(B)Baseball Organization

Purpose(C)

Date(D)

Amount(E)


Tickets for membership appreciation night 03/24/2011 $11,250Tickets for membership appreciation night 05/05/2011 $6,250

Name and Address(A)

Indianapolis Power & Light110

IndianapolisIN46206


Utility Company

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Jewett Printing390219 West Main StreetFarmersburgIN47850


Printing Company

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Legacy Professionals LLP

311 S Wacker Ste 4000ChicagoIL60606


Accounting Firm

Purpose(C)

Date(D)

Amount(E)


Annual Audit 04/29/2011 $42,458

Name and Address(A)

M&I Bank

7503 Beechwood Centre RoadAvonIN46123


Bank Services

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

McGowan Insurance Group, Inc.

101 West Market St Ste 1850Indianapolis

Purpose(C)

Date(D)

Amount(E)



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IN46204


Insurance Company

Name and Address(A)

Neofunds by Neopost30193

TampaFL33630-3193


Postage Supplier

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

Save It Now / Sanders

2340 Reliable ParkwayChicagoIL60686-0023


Office Supplier

Purpose(C)

Date(D)

Amount(E)


Name and Address(A)

The Kroger Company

5960 Castleway West DriveIndianapolisIN46250


Supermarket

Purpose(C)

Date(D)

Amount(E)


Gift cards for shop stewards 11/18/2011 $21,696

Name and Address(A)

UFCW International Union

1775 K Street NWWashingtonDC20006


Labor Organization

Purpose(C)

Date(D)

Amount(E)


Pay bonding insurance and IO employeecollections 01/26/2011 $5,814

Name and Address(A)

Web Connectivity, LLC

1828 N . Meridian Ste 115IndianapolisIN46202

Purpose(C)

Date(D)

Amount(E)



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Computer Consulting

Name and Address(A)

Willie L Wells

615 EugeneIndianapolisIN46208


Janitorial / Maintenance Services

Purpose(C)

Date(D)

Amount(E)




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SCHEDULE 20 - BENEFITS FILE NUMBER: 529-093

Description(A)

To Whom Paid(B)

Amount(C)

Total Benefits $371,532

Retiree Health and Welfare Premiums Trust $36,595Life AD&D Insurance Symetra Financial $6,213Health and Welfare Trust $262,458Pension Fund Trust $18,029Pension Fund Trust $16,940Pension Fund Trust $31,297



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69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 529-093

Schedule 13, Row1:An individual is eligible to be an active member if he or she is employed within a collective bargaining unitrepresented by the International Union or the Local Union; an employee or salaried officer of the International Union or the Local Unionof any organization approved by the International executive board with which the International Union of the Local Union has affiliated; amember of the International Union through the Local Union or a division of the Local Union which was a professional or otherassociation that has been chartered by or merged with the International Union; or working as a Barber, Cosmetologist, or IndependentInsurance Agent. Active members are required to pay dues and have full voting rights.

Schedule 13, Row2:An individual is eligible to be an affiliated member if he or she is a former active member who is no longer eligiblefor active membership, or if he or she is employed by an employer who is the subject of an active organizing effort by the InternationalUnion or the Local Union. Affiliated members are required to pay dues. They have no voting rights

Schedule 13, Row3:Paid-Up-Life members are members who have 25 years or more of active membership, are no longer eligible foractive membership, and are granted a lifetime membership in the UFCW. A Paid-Up-Life member is no longer required to pay dues.They have no voting rights.

Schedule 13, Row2:Pursuant to the Local's governing documents, affiliated members do not vote.

Schedule 13, Row3:Pursuant to the Local's governing documents, Paid-Up-Life members do not vote.

Question 10: Indiana Area United Food and Commercial Workers Health and Welfare Plan 2601 Fortune Circle Suite 103AIndianapolis, Indiana 46241 EIN# 35-6045880 PN 501 Provides Health and Welfare benefits to members. Indiana Area United Foodand Commercial Workers Joint Pension Plan 2601 Fortune Circle East Suite 103A Indianapolis, Indiana 46241 EIN# 35-6244695 PN001 Provides Pension benefits to members.

Question 11(a): United Food and Commercial Workers Local Union No. 700 PAC Fund This is a segregated fund from the Localestablished to support candidates for state and local offices who promote the interest of organized labor. This fund is not required to filereports with any state or federal agencies. Its activities are included on this LM-2.

Question 12: Legacy Professionals LLP

Question 15: The Local gifted an automobile to a retiring officer. The gifted auto had a cost value of $35,123 and a book value of$23,415. It is the practice of the Local to give away union imprinted items of minimal cost to members to encourage participation inunion activities. It is not practical to specifically identify the recipients of these items. The Local spent approximately $800 for pocketcalendars, $8,200 for sweatshirts, $1,000 for pens, and $3,800 for lapel pins.

General Information: Items 50 - 54,

Schedules 11 & 12: It is not practical to make a precise distribution of automobile operating expenses not paid directly to officers andemployees and included in columns (f) and (g). However, an allocation of such expenses has been made in accordance with IRSreporting rules. If Union owned/leased automobiles were used 50% or less for business purposes by IRS reporting standards, theremainder is treated as if it were personal use and is reported in column (g). IRS standards should not necessarily be considered as theactual business use of an automobile. Change in officers in the current year is due to the retirement of Doug Vanover as SecretaryTreasurer during the year. He was replaced by Michael Merrell. Michael Merrell resigned as a vice president during the year to take thenew position and was replaced by Robert Hire. Item 64: This item reflects only disbursements on behalf of individual members for otherthan normal operating purposes. All of our expenses benefit the entire union membership and individuals are not normally singled outfor special purposes. Item 27

Schedule 6, Column E - Fair Value: The Local has no policy for periodically appraising its assets to determine their fair value. The bookvalue of the Local assets have been reported as a good faith estimate of the fair value. The cost basis was reported as the fair value ofthe building and land. Depreciation expense: Furniture & Equipment $5,865, Automobiles $94,909, Building & Improvements $11,838Total $112,612

Question 21(c) Initiation fees are equivalent to 10 hours at the member starting rate of pay.Form LM-2 (Revised 2010)


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Documents

FORM LM-2 LABOR ORGANIZATION ANNUAL · PDF fileReturn U.S. Department of Labor Office of Labor-Management Standards Washington, DC 20210 FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT