ufcw 1776 2012 financials wendell young

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4/24/13 DOL Form Report (Disclosure) kcerds.dol-esa.gov/query/orgReport.do 1/38 Return 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 045-254 2. PERIOD COVERED From 01/01/2012 Through 12/31/2012 3. (a) AMENDED - Is this an amended report: No (b) HARDSHIP - Filed under the hardship procedures: No (c) TERMINAL - This is a terminal report: No 4. AFFILIATION OR ORGANIZATION NAME FOOD & COMMERCIAL WKRS 5. DESIGNATION (Local, Lodge, etc.) LOCAL UNION 6. DESIGNATION NBR 1776 7. UNIT NAME (if any) 8. MAILING ADDRESS (Type or print in capital letters) First Name MICHELE Last Name KESSLER P.O Box - Building and Room Number Number and Street 3031 A WALTON ROAD City PLYMOUTH MEETING State PA ZIP Code + 4 19462 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: Wendell W Young IV PRESIDENT 71. SIGNED: Michele L Kessler TREASURER Date: Mar 29, 2013 Telephone Number: 610-940-1805 Date: Mar 29, 2013 Telephone Number: 570-655-6886 Form LM-2 (Revised 2010) ITEMS 10 THROUGH 21 FILE NUMBER: 045-254 10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries? Yes 11(a). During the reporting period did the labor organization have a political action committee (PAC) fund? Yes 11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions? No 12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative? Yes 20. How many members did the labor organization have at the end of the reporting period? 17,650 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 4.74-16.97per WEEK 4.74 16.97 (b) Working Dues/Fees 0per WEEK 0 0 (c) Initiation Fees 70-200per ONCE 70.00 200.00 (d) Transfer Fees 0per WEEK 0 0 (e) Work Permits 0per WEEK 0 0

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United Food and Commercial Workers Union 1776 financials 2012

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Page 1: UFCW 1776 2012 Financials  Wendell Young

4/24/13 DOL Form Report (Disclosure)

kcerds.dol-esa.gov/query/orgReport.do 1/38

Return

U.S. Department of Labor Office of Labor-Management Standards

Washington, DC 20210

FORM LM-2 LABOR ORGANIZATION ANNUAL REPORTForm Approved

Office of Management and Budget No. 1245-0003

Expires: 10-31-2013MUST 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

045-254

2. PERIOD COVEREDFrom 01/01/2012Through 12/31/2012

3. (a) AMENDED - Is this an amended report: No(b) HARDSHIP - Filed under the hardship procedures: No(c) TERMINAL - This is a terminal report: No

4. AFFILIATION OR ORGANIZATION NAME FOOD & COMMERCIAL WKRS

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

6. DESIGNATION NBR 1776

7. UNIT NAME (if any)

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

First Name MICHELE

Last Name KESSLER

P.O Box - Building and Room Number

Number and Street 3031 A WALTON ROAD

City PLYMOUTH MEETING

State PA

ZIP Code + 4 19462

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 inthis 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: Wendell W Young IV PRESIDENT 71. SIGNED: Michele L Kessler TREASURERDate: Mar 29, 2013 Telephone Number: 610-940-1805 Date: Mar 29, 2013 Telephone Number: 570-655-6886

Form LM-2 (Revised 2010)

ITEMS 10 THROUGH 21 FILE NUMBER: 045-25410. During the reporting period did the labor organization create or participatein the administration of a trust or a fund or organization, as defined in theinstructions, which provides benefits for members or beneficiaries?

Yes

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

Yes

11(b). During the reporting period did the labor organization have a subsidiaryorganization as defined in Section X of these Instructions?

No

12. During the reporting period did the labor organization have an audit orreview of its books and records by an outside accountant or by a parent bodyauditor/representative?

Yes

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

17,650

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 4.74-16.97 per WEEK 4.74 16.97

(b) Working Dues/Fees 0 per WEEK 0 0

(c) Initiation Fees 70-200 per ONCE 70.00 200.00

(d) Transfer Fees 0 per WEEK 0 0

(e) Work Permits 0 per WEEK 0 0

Page 2: UFCW 1776 2012 Financials  Wendell Young

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13. During the reporting period did the labor organization discover any loss orshortage of funds or other assets? (Answer "Yes" even if there has beenrepayment or recovery.)

No

14. What is the maximum amount recoverable under the labor organization'sfidelity bond for a loss caused by any officer, employee or agent of the labororganization who handled union funds?

$2,207,000

15. During the reporting period did the labor organization acquire or disposeof any assets in a manner other than purchase or sale?

No

16. Were any of the labor organization's assets pledged as security orencumbered in any way at the end of the reporting period?

Yes

17. Did the labor organization have any contingent l iabil ities at the end of thereporting period?

Yes

18. During the reporting period did the labor organization have any changesin its constitution or bylaws, 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 next regular election ofofficers?

07/2013

Form LM-2 (Revised 2010)

STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 045-254

ASSETS

ASSETSSchedule Number

Start of Reporting Period (A)

End of Reporting Period (B)

22. Cash $843,499 $1,139,418

23. Accounts Receivable 1 $0

24. Loans Receivable 2 $0

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

26. Investments 5 $0

27. Fixed Assets 6 $6,473,636 $6,003,054

28. Other Assets 7 $269,198 $309,600

29. TOTAL ASSETS $7,586,333 $7,452,072

LIABILITIES

LIABILITIESSchedule Number

Start of Reporting Period (A)

End of Reporting Period (B)

30. Accounts Payable 8 $675,279 $801,193

31. Loans Payable 9 $7,647,634 $7,224,815

32. Mortgages Payable $0 $0

33. Other Liabil ities 10 $691,163 $856,591

34. TOTAL LIABILITIES $9,014,076 $8,882,599

35. NET ASSETS -$1,427,743 -$1,430,527

Form LM-2 (Revised 2010)

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STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 045-254

CASH RECEIPTS SCH AMOUNT

36. Dues and Agency Fees $12,759,125

37. Per Capita Tax $0

38. Fees, Fines, Assessments, Work Permits $475,709

39. Sale of Supplies $0

40. Interest $866

41. Dividends $0

42. Rents $1,050,129

43. Sale of Investments and Fixed Assets 3

44. Loans Obtained 9 $5,993,045

45. Repayments of Loans Made 2 $0

46. On Behalf of Affi l iates for Transmittal to Them $0

47. From Members for Disbursement on Their Behalf $0

48. Other Receipts 14 $707,038

49. TOTAL RECEIPTS $20,985,912

CASH DISBURSEMENTS SCH AMOUNT

50. Representational Activities 15 $4,078,416

51. Political Activities and Lobbying 16 $511,393

52. Contributions, Gifts, and Grants 17 $88,196

53. General Overhead 18 $4,193,344

54. Union Administration 19 $286,302

55. Benefits 20 $1,595,384

56. Per Capita Tax $3,354,812

57. Strike Benefits $0

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

59. Supplies for Resale $0

60. Purchase of Investments and Fixed Assets 4

61. Loans Made 2 $0

62. Repayment of Loans Obtained 9 $6,415,864

63. To Affi l iates of Funds Collected on Their Behalf $0

64. On Behalf of Individual Members $0

65. Direct Taxes $287,448

66. Subtotal $20,811,159

67. Withholding Taxes and Payroll Deductions

67a. Total Withheld $1,902,086

67b. Less Total Disbursed $1,780,920

67c. Total Withheld But Not Disbursed $121,166

68. TOTAL DISBURSEMENTS $20,689,993

Form LM-2 (Revised 2010)

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 045-254

Entity or Individual Name (A)

Total AccountReceivable

(B)

90-180 Days Past Due

(C)

180+ Days Past Due

(D)

LiquidatedAccount

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)

SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 045-254

List below loans to officers, employees, or members which at any time during thereporting 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 l isted above

Total of all l ines above $0 $0 $0 $0 $0

Totals will be automatically entered in...Item 24

Column (A)Item 61 Item 45 Item 69

with ExplanationItem 24

Column (B)

Form LM-2 (Revised 2010)

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 045-254

Page 4: UFCW 1776 2012 Financials  Wendell Young

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

Cost (B)

Book Value (C)

Gross Sales Price (D)

Amount Received (E)

Total of all l ines above $0 $0 $0 $0

Less Reinvestments

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

Form LM-2 (Revised 2010)

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 045-254

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

Cost (B)

Book Value (C)

Cash Paid (D)

Total of all l ines above $0 $0 $0

Less Reinvestments

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

Form LM-2 (Revised 2010)

SCHEDULE 5 - INVESTMENTS FILE NUMBER: 045-254

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, l ist each subsidiary for which separate reports areattached.

G. Total of Lines B and E (Total wil l be automatically entered in Item 26, Column(B)) $0

Form LM-2 (Revised 2010)

SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 045-254

Description (A)

Cost or Other Basis (B)

Total Depreciation or Amount Expensed

(C)

Book Value (D)

Value (E)

A. Land (give location)

Land 1 : PLYMOUTH MEETING, PITTSTON, BIGLERSVILLE, PA $1,320,367 $1,320,367 $1,525,000

B. Buildings (give location)

Building 1 : PLYMOUTH MEETING, PITTSTON, BIGLERSVILLE, PA $12,173,137 $7,619,175 $4,553,962 $16,592,000

C. Automobiles and Other Vehicles $84,582 $64,659 $19,923 $20,000

D. Office Furniture and Equipment $1,626,939 $1,518,137 $108,802 $330,000

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total wil l be automatically enteredin Item 27, Column(B))

$15,205,025 $9,201,971 $6,003,054 $18,467,000

Form LM-2 (Revised 2003)

SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 045-254

Page 5: UFCW 1776 2012 Financials  Wendell Young

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Description (A)

Book Value (B)

Total (Total wil l be automatically entered in Item 28, Column(B)) $309,600

PREPAID EXPENSES $192,547

UNION CHARTER $25

DEFERRED LOAN COSTS $89,989

ACCOUNTS RECEIVABLE $27,039

Form LM-2 (Revised 2010)

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 045-254

Entity or Individual Name (A)

Total Account Payable

(B)

90-180 Days Past Due

(C)

180+ Days Past Due (D)

LiquidatedAccount Payable

(E)

Total for all itemized accounts payable $801,193 $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)) $801,193 $0 $0 $0

ACCOUNTS PAYABLE VARIOUS VENDORS $801,193 $0 $0 $0

Form LM-2 (Revised 2010)

SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 045-254

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 $7,647,634 $5,993,045 $6,415,864 $0 $7,224,815

Totals will be automatically entered in...Item 31

Column (C)Item 44 Item 62 Item 69

with ExplanationItem 31

Column (D)

VARIOUS BANK ACCOUNTS $7,143,733 $5,993,045 $5,911,963 $0 $7,224,815

TD FINANCE AND EQUIPMENT $37,155 $0 $37,155 $0 $0

TD FINANCE $466,746 $0 $466,746 $0 $0

Form LM-2 (Revised 2010)

SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 045-254

Description (A)

Amount at End of Period (B)

Total Other Liabilities (Total wil l be automatically entered in Item 33, Column(D)) $856,591

PAYROLL TAXES PAYABLE $1,959

SECURITY DEPOSITS $40,919

DEFERRED REVENUE $298,971

ACCRUED VACATION $514,742

Form LM-2 (Revised 2010)

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 045-254

(A)

Name

(B)

Title

(C)

Status

(D) Gross Salary

Disbursements (before any deductions)

(E) Allowances Disbursed

(F) Disbursements forOfficial Business

(G) Other

Disbursements not reported in (D) through (F)

(H) TOTAL

A B

CHEW, EDWARD VICE-PRESIDENT $170,146 $17,797 $187,943

Page 6: UFCW 1776 2012 Financials  Wendell Young

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C C

ISchedule 15 Representational Activities

77 %Schedule 16 Political Activities andLobbying

9 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

10 %Schedule 19 Administration

4 %

A B C

CHRISTIAN, KATRINA VICE-PRESIDENTC

$10,444 $10,444

ISchedule 15 Representational Activities

25 %Schedule 16 Political Activities andLobbying

15 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

10 %Schedule 19 Administration

50 %

A B C

COONES, BONNIE VICE-PRESIDENTC

$2,925 $2,925

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

0 %Schedule 19 Administration

100 %

A B C

DAWSON, JAMES VICE-PRESIDENTC

$2,700 $2,700

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

0 %Schedule 19 Administration

100 %

A B C

DELANCY, PEGGY SVICE-PRESIDENTC

$2,925 $2,925

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

0 %Schedule 19 Administration

100 %

A B C

DUNNE, MARY VICE-PRESIDENTC

$102,762 $12,167 $114,929

ISchedule 15 Representational Activities

55 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

1 %Schedule 18 General Overhead

40 %Schedule 19 Administration

2 %

A B C

FARINA, NICHOLAS VICE-PRESIDENTC

$180,830 $8,897 $189,727

ISchedule 15 Representational Activities

44 %Schedule 16 Political Activities andLobbying

4 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

19 %Schedule 19 Administration

33 %

A B C

JOHNSON, BARBARA RECORDERC

$56,363 $12,472 $68,835

ISchedule 15 Representational Activities

70 %Schedule 16 Political Activities andLobbying

14 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

11 %Schedule 19 Administration

5 %

A B C

KEPICH, MICHAEL MVICE-PRESIDENTC

$2,700 $2,700

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

0 %Schedule 19 Administration

100 %

A B C

KESSLER, MICHELE TREASUREC

$163,961 $16,497 $180,458

Schedule 16

Page 7: UFCW 1776 2012 Financials  Wendell Young

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I Schedule 15 Representational Activities

69 % Political Activities andLobbying

6 % Schedule 17 Contributions

2 % Schedule 18 General Overhead

14 % Schedule 19 Administration

9 %

A B C

LAYER, MARK VICE-PRESIDENTC

$93,241 $14,955 $108,196

ISchedule 15 Representational Activities

85 %Schedule 16 Political Activities andLobbying

1 %Schedule 17 Contributions

2 %Schedule 18 General Overhead

11 %Schedule 19 Administration

1 %

A B C

LIDDEL, LOIS VICE-PRESIDENTC

$2,250 $2,250

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

0 %Schedule 19 Administration

100 %

A B C

MCFARLANE, MATTHEW SEARGEANT AT ARMSC

$75,016 $10,624 $85,640

ISchedule 15 Representational Activities

5 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

93 %Schedule 19 Administration

2 %

A B C

MCGROGAN, DONALD VICE-PRESIDENTC

$106,049 $5,977 $112,026

ISchedule 15 Representational Activities

67 %Schedule 16 Political Activities andLobbying

9 %Schedule 17 Contributions

1 %Schedule 18 General Overhead

13 %Schedule 19 Administration

10 %

A B C

MCLEAN, THOMAS DVICE-PRESIDENTC

$2,250 $2,250

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

0 %Schedule 19 Administration

100 %

A B C

MEYERSON, JOHN VICE-PRESIDENTC

$107,842 $21,199 $129,041

ISchedule 15 Representational Activities

15 %Schedule 16 Political Activities andLobbying

63 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

15 %Schedule 19 Administration

7 %

A B C

O'CONNOR, WALTER VICE-PRESIDENTC

$1,469 $1,469

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

0 %Schedule 19 Administration

100 %

A B C

PURNELL, LEONARD VICE-PRESIDENTC

$96,418 $16,610 $113,028

ISchedule 15 Representational Activities

79 %Schedule 16 Political Activities andLobbying

1 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

14 %Schedule 19 Administration

6 %

A B C

RENDEROS, CARLOS MVICE-PRESIDENTC

$56,363 $16,770 $73,133

ISchedule 15 Representational Activities

85 %Schedule 16 Political Activities and 1 %

Schedule 17 Contributions

0 %Schedule 18 General Overhead

9 %Schedule 19 Administration

5 %

Page 8: UFCW 1776 2012 Financials  Wendell Young

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Lobbying

A B C

RHODES, MARGARET VICE-PRESIDENTC

$69,265 $5,756 $75,021

ISchedule 15 Representational Activities

80 %Schedule 16 Political Activities andLobbying

7 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

12 %Schedule 19 Administration

1 %

A B C

ROBERTSON, MELINDA VICE-PRESIDENTC

$45,515 $4,561 $50,076

ISchedule 15 Representational Activities

77 %Schedule 16 Political Activities andLobbying

4 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

16 %Schedule 19 Administration

3 %

A B C

RUSAK, JOHN SEARGEANT AT ARMSC

$102,848 $21,292 $124,140

ISchedule 15 Representational Activities

73 %Schedule 16 Political Activities andLobbying

4 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

14 %Schedule 19 Administration

9 %

A B C

THEYS, HELEN VICE-PRESIDENTC

$2,925 $2,925

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

0 %Schedule 19 Administration

100 %

A B C

VITALE, LAWRENCE VICE-PRESIDENTC

$2,700 $2,700

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

0 %Schedule 19 Administration

100 %

A B C

YOUNG, CHARLES VICE-PRESIDENTC

$7,140 $100 $7,240

ISchedule 15 Representational Activities

18 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

5 %Schedule 19 Administration

75 %

A B C

YOUNG, IV, WENDELL WPRESIDENTC

$258,380 $22,235 $280,615

ISchedule 15 Representational Activities

45 %Schedule 16 Political Activities andLobbying

8 %Schedule 17 Contributions

6 %Schedule 18 General Overhead

26 %Schedule 19 Administration

15 %

A B C

ZALESKI, PATRICIA VICE-PRESIDENTC

$2,250 $2,250

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

0 %Schedule 19 Administration

100 %

Total Officer Disbursements $1,727,677 $0 $207,909 $0 $1,935,586

Less Deductions

Net Disbursements $1,935,586

Form LM-2 (Revised 2010)

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 045-254

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(A)

Name

(B)

Title

(C)

Other Payer

(D) Gross Salary

Disbursements (before any deductions)

(E) Allowances Disbursed

(F) Disbursements forOfficial Business

(G) Other Disbursements not

reported in (D) through (F)

(H) TOTAL

A B C

ASFA, BELLEW REPRESENTATIVEN/A

$73,704 $10,618 $84,322

ISchedule 15 Representational Activities

44 %Schedule 16 Political Activities andLobbying

1 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

55 %Schedule 19 Administration

0 %

A B C

BELLO, LINDA REPRESENTATIVEN/A

$56,178 $12,100 $68,278

ISchedule 15 Representational Activities

85 %Schedule 16 Political Activities andLobbying

6 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

9 %Schedule 19 Administration

0 %

A B C

BOYLE, PATRICIA REPRESENTATIVEN/A

$25,816 $9,453 $35,269

ISchedule 15 Representational Activities

73 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

25 %Schedule 19 Administration

2 %

A B C

BUCCI, LOUIS REPRESENTATIVEN/A

$71,282 $17,993 $89,275

ISchedule 15 Representational Activities

70 %Schedule 16 Political Activities andLobbying

1 %Schedule 17 Contributions

1 %Schedule 18 General Overhead

14 %Schedule 19 Administration

14 %

A B C

CARBONE, KIM CLERICALN/A

$40,450 $40,450

ISchedule 15 Representational Activities

25 %Schedule 16 Political Activities andLobbying

5 %Schedule 17 Contributions

1 %Schedule 18 General Overhead

69 %Schedule 19 Administration

0 %

A B C

COFIELD, ERVIN FIELD SERVICESN/A

$67,582 $10,793 $78,375

ISchedule 15 Representational Activities

81 %Schedule 16 Political Activities andLobbying

9 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

10 %Schedule 19 Administration

0 %

A B C

CONCHA, ANTHONY FIELD SERVICESN/A

$56,363 $13,518 $69,881

ISchedule 15 Representational Activities

76 %Schedule 16 Political Activities andLobbying

4 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

20 %Schedule 19 Administration

0 %

A B C

DELBUONO, PHYLLIS CLERICALN/A

$48,882 $48,882

ISchedule 15 Representational Activities

13 %Schedule 16 Political Activities andLobbying

3 %Schedule 17 Contributions

1 %Schedule 18 General Overhead

83 %Schedule 19 Administration

0 %

A B

DERKOTCH, ANTHONY MAINTENANCE $61,438 $2,282 $63,720

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C N/A

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

8 %Schedule 18 General Overhead

92 %Schedule 19 Administration

0 %

A B C

DEUSEBIO, CAROL ASSISTANT TO PRESIDENTN/A

$77,201 $10,555 $87,756

ISchedule 15 Representational Activities

25 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

3 %Schedule 18 General Overhead

69 %Schedule 19 Administration

1 %

A B C

DAVAUGHN, RENA MEMBERS SERVICESN/A

$69,511 $69,511

ISchedule 15 Representational Activities

35 %Schedule 16 Political Activities andLobbying

10 %Schedule 17 Contributions

2 %Schedule 18 General Overhead

53 %Schedule 19 Administration

0 %

A B C

DIAZ, VANESSA ACCOUNTING CLERKN/A

$39,681 $39,681

ISchedule 15 Representational Activities

1 %Schedule 16 Political Activities andLobbying

23 %Schedule 17 Contributions

4 %Schedule 18 General Overhead

72 %Schedule 19 Administration

0 %

A B C

DREW, KEVIN REPRESENTATIVEN/A

$56,363 $5,395 $61,758

ISchedule 15 Representational Activities

83 %Schedule 16 Political Activities andLobbying

6 %Schedule 17 Contributions

1 %Schedule 18 General Overhead

10 %Schedule 19 Administration

0 %

A B C

DUFFY, JAMES ADMINISTRATIVEN/A

$77,416 $2,056 $79,472

ISchedule 15 Representational Activities

80 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

20 %Schedule 19 Administration

0 %

A B C

DUNNE, JUDITH CONTROLLERN/A

$77,061 $77,061

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

20 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

80 %Schedule 19 Administration

0 %

A B C

EPSTEIN, WILLIAM PUBLIC RELATIONSN/A

$101,346 $1,406 $102,752

ISchedule 15 Representational Activities

44 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

54 %Schedule 19 Administration

0 %

A B C

FAHRINGER, BERNADETTE ACCOUNTING CLERKN/A

$38,072 $38,072

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

98 %Schedule 19 Administration

0 %

A B C

FARINA, DANEEN ADMINISTRATIVEN/A

$25,243 $682 $25,925

Schedule 16

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I Schedule 15 Representational Activities

25 % Political Activities andLobbying

4 % Schedule 17 Contributions

4 % Schedule 18 General Overhead

67 % Schedule 19 Administration

0 %

A B C

FARINA, JEFFREY MAINTENANCEN/A

$11,136 $11,136

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

100 %Schedule 19 Administration

0 %

A B C

FLANAGAN, NANCY REPRESENTATIVEN/A

$46,366 $4,419 $50,785

ISchedule 15 Representational Activities

54 %Schedule 16 Political Activities andLobbying

7 %Schedule 17 Contributions

2 %Schedule 18 General Overhead

37 %Schedule 19 Administration

0 %

A B C

FONSECA, MARCY REPRESENTATIVEN/A

$56,325 $7,806 $64,131

ISchedule 15 Representational Activities

82 %Schedule 16 Political Activities andLobbying

3 %Schedule 17 Contributions

2 %Schedule 18 General Overhead

13 %Schedule 19 Administration

0 %

A B C

GIORGIO, MARIE ADMIN. SERV. CORDNATORN/A

$68,612 $67 $68,679

ISchedule 15 Representational Activities

10 %Schedule 16 Political Activities andLobbying

10 %Schedule 17 Contributions

5 %Schedule 18 General Overhead

75 %Schedule 19 Administration

0 %

A B C

HARKINS, VIRGINIA MEMBERS SERVICEN/A

$39,669 $39,669

ISchedule 15 Representational Activities

48 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

50 %Schedule 19 Administration

0 %

A B C

HASARA, ALLEN FIELD SERVICESN/A

$65,515 $11,457 $76,972

ISchedule 15 Representational Activities

81 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

14 %Schedule 19 Administration

3 %

A B C

HOWITZ, TRISH CLERICALN/A

$33,664 $33,664

ISchedule 15 Representational Activities

10 %Schedule 16 Political Activities andLobbying

3 %Schedule 17 Contributions

1 %Schedule 18 General Overhead

86 %Schedule 19 Administration

0 %

A B C

INNOMORATO, TARA PUBLIC RELATIONSN/A

$24,476 $1,403 $25,879

ISchedule 15 Representational Activities

25 %Schedule 16 Political Activities andLobbying

4 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

71 %Schedule 19 Administration

0 %

A B C

JACOBS, MARK REPRESENTATIVEN/A

$72,190 $11,174 $83,364

ISchedule 15 Representational Activities

75 %Schedule 16 Political Activities and 9 %

Schedule 17 Contributions

1 %Schedule 18 General Overhead

14 %Schedule 19 Administration

1 %

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Lobbying

A B C

JACOBS, REGINA MEMBERS SERVICEN/A

$35,167 $35,167

ISchedule 15 Representational Activities

45 %Schedule 16 Political Activities andLobbying

1 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

54 %Schedule 19 Administration

0 %

A B C

JOHNSTONE, DIANE DATA PROCESSINGN/A

$61,057 $61,057

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

100 %Schedule 19 Administration

0 %

A B C

KARASEK, KENNETH REPRESENTATIVEN/A

$78,147 $13,742 $91,889

ISchedule 15 Representational Activities

83 %Schedule 16 Political Activities andLobbying

8 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

9 %Schedule 19 Administration

0 %

A B C

KEEBLER, TAMMY ASSISTANT TO LEGALN/A

$47,840 $47,840

ISchedule 15 Representational Activities

28 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

1 %Schedule 18 General Overhead

69 %Schedule 19 Administration

0 %

A B C

MARTUCCI, ROBERT REPRESENTATIVEN/A

$58,666 $6,272 $64,938

ISchedule 15 Representational Activities

89 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

2 %Schedule 18 General Overhead

5 %Schedule 19 Administration

2 %

A B C

MCCARTHY, HELEN CLERICALN/A

$58,483 $58,483

ISchedule 15 Representational Activities

5 %Schedule 16 Political Activities andLobbying

1 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

94 %Schedule 19 Administration

0 %

A B C

MCFARLANE, MICHAEL FIELD SERVICESN/A

$46,481 $5,258 $51,739

ISchedule 15 Representational Activities

69 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

29 %Schedule 19 Administration

0 %

A B C

MCVEIGH, ROBERT REPRESENTATIVEN/A

$69,032 $9,819 $78,851

ISchedule 15 Representational Activities

84 %Schedule 16 Political Activities andLobbying

6 %Schedule 17 Contributions

1 %Schedule 18 General Overhead

7 %Schedule 19 Administration

2 %

A B C

MICHAEL, MICHELE OFFICE MANAGERN/A

$47,513 $47,513

ISchedule 15 Representational Activities

10 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

1 %Schedule 18 General Overhead

87 %Schedule 19 Administration

0 %

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A B C

MORENO-GARCIA, EDUARDO REPRESENTATIVEN/A

$56,308 $8,824 $65,132

ISchedule 15 Representational Activities

85 %Schedule 16 Political Activities andLobbying

5 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

8 %Schedule 19 Administration

2 %

A B C

MULLEN, ELEANOR REPRESENTATIVEN/A

$35,759 $7,590 $43,349

ISchedule 15 Representational Activities

50 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

50 %Schedule 19 Administration

0 %

A B C

NAYLOR, CHRISTOPHER REPRESENTATIVEN/A

$40,471 $3,137 $43,608

ISchedule 15 Representational Activities

61 %Schedule 16 Political Activities andLobbying

12 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

27 %Schedule 19 Administration

0 %

A B C

ODRICK, GAIL MEMBERS SERVICEN/A

$41,245 $41,245

ISchedule 15 Representational Activities

40 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

60 %Schedule 19 Administration

0 %

A B C

PANINSKI, CATHERINE REPRESENTATIVEN/A

$56,363 $4,949 $61,312

ISchedule 15 Representational Activities

88 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

10 %Schedule 19 Administration

0 %

A B C

PERICCI, PATRICIA CLERICALN/A

$50,550 $50,550

ISchedule 15 Representational Activities

35 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

2 %Schedule 18 General Overhead

61 %Schedule 19 Administration

0 %

A B C

RADZISZEWSKI, MARIE CLERICALN/A

$15,873 $15,873

ISchedule 15 Representational Activities

20 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

80 %Schedule 19 Administration

0 %

A B C

REED, LIANA MEMBERS SERVICEN/A

$42,968 $42,968

ISchedule 15 Representational Activities

34 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

64 %Schedule 19 Administration

0 %

A B C

ROETMAN, GLEN DATA PROCESSINGN/A

$86,610 $86,610

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

100 %Schedule 19 Administration

0 %

A SAUNDERS, PAMELA

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B C

FIELD SERVICESN/A

$58,053 $11,879 $69,932

I Schedule 15 Representational Activities

84 %Schedule 16 Political Activities andLobbying

7 % Schedule 17 Contributions

0 % Schedule 18 General Overhead

9 % Schedule 19 Administration

0 %

A B C

SNYDER, CHRISTOPHER REPRESENTATIVEN/A

$56,401 $12,452 $68,853

ISchedule 15 Representational Activities

79 %Schedule 16 Political Activities andLobbying

5 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

13 %Schedule 19 Administration

3 %

A B C

THOMAS, ERIC REPRESENTATIVEN/A

$56,057 $11,041 $67,098

ISchedule 15 Representational Activities

89 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

9 %Schedule 19 Administration

0 %

A B C

TRUNK, CARL MAINTENANCEN/A

$39,909 $39,909

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

100 %Schedule 19 Administration

0 %

A B C

WERKHEISER, JOHN REPRESENTATIVEN/A

$87,656 $13,906 $101,562

ISchedule 15 Representational Activities

83 %Schedule 16 Political Activities andLobbying

8 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

8 %Schedule 19 Administration

1 %

A B C

YOUNG, ALICE ADMISTRATIVEN/A

$55,675 $55,675

ISchedule 15 Representational Activities

0 %Schedule 16 Political Activities andLobbying

0 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

100 %Schedule 19 Administration

0 %

A B C

ZOLLO, ANTHONY FIELD SERVICESN/A

$54,756 $4,643 $59,399

ISchedule 15 Representational Activities

82 %Schedule 16 Political Activities andLobbying

2 %Schedule 17 Contributions

1 %Schedule 18 General Overhead

15 %Schedule 19 Administration

0 %

A B C

WYNNE, SEAN INTERNN/A

$12,160 $12,160

ISchedule 15 Representational Activities

50 %Schedule 16 Political Activities andLobbying

40 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

10 %Schedule 19 Administration

0 %

TOTALS RECEIVED BY EMPLOYEES MAKING LESS THAN $10000 $103,014 $63,194 $166,208

ISchedule 15 Representational Activities

68 %Schedule 16 Political Activities and Lobbying

12 %Schedule 17 Contributions

0 %Schedule 18 General Overhead

20 %Schedule 19 Administration

0 %

Total Employee Disbursements $2,933,756 $0 $309,883 $0 $3,243,639

Less Deductions

Net Disbursements $3,243,639

Page 15: UFCW 1776 2012 Financials  Wendell Young

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Form LM-2 (Revised 2010)

SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 045-254

Category of Membership (A)

Number (B)

Voting Eligibil ity (C)

Members (Total of all l ines above) 17,650

Agency Fee Payers* 897

Total Members/Fee Payers 18,547

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

REGULAR MEMBERS 17,650 Yes

Form LM-2 (Revised 2010)

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 045-254

SCHEDULE 14 OTHER RECEIPTS

1. Named Payer Itemized Receipts $561,573

2. Named Payer Non-itemized Receipts $88,338

3. All Other Receipts $57,127

4. Total Receipts $707,038

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS

1. Named Payee Itemized Disbursements $22,500

2. Named Payee Non-itemized Disbursements $0

3. To Officers $24,879

4. To Employees $25,700

5. All Other Disbursements $15,117

6. Total Disbursements $88,196

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES

1. Named Payee Itemized Disbursements $806,216

2. Named Payee Non-itemized Disbursements $131,563

3. To Officers $1,125,614

4. To Employees $1,677,678

5. All Other Disbursements $337,345

6. Total Disbursements $4,078,416

SCHEDULE 18 GENERAL OVERHEAD

1. Named Payee Itemized Disbursements $1,455,083

2. Named Payee Non-itemized Disbursements $665,851

3. To Officers $390,283

4. To Employees $1,358,936

5. All Other Disbursements $323,191

6. Total Disbursements $4,193,344

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING

1. Named Payee Itemized Disbursements $98,563

2. Named Payee Non-itemized Disbursements $12,553

3. To Officers $177,969

4. To Employees $156,849

5. All Other Disbursements $65,459

6. Total Disbursement $511,393

SCHEDULE 19 UNION ADMINISTRATION

1. Named Payee Itemized Disbursements $0

2. Named Payee Non-itemized Disbursements $22,590

3. To Officers $216,843

4. To Employees $24,486

5. All Other Disbursements $22,383

6. Total Disbursements $286,302

Form LM-2 (Revised 2010)

SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 045-254

Name and Address (A)

H.S.I

3031 B WALTON ROADPLYMOUTH MEETINGPA19462

Type or Classification (B)

DATA PROCESSING SERVICES (TRI-STATE)

Purpose (C)

Date (D)

Amount (E)

DATA PROCESSING 01/23/2012 $9,336

DATA PROCESSING 02/23/2012 $9,445

DATA PROCESSING 03/12/2012 $8,430

DATA PROCESSING 04/30/2012 $8,398

DATA PROCESSING 05/22/2012 $9,018

DATA PROCESSING 06/18/2012 $8,232

DATA PROCESSING 07/19/2012 $7,669

DATA PROCESSING 08/20/2012 $7,744

DATA PROCESSING 09/12/2012 $8,654

DATA PROCESSING 10/25/2012 $8,324

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Total Itemized Transactions with this Payee/Payer $101,683

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $101,683

DATA PROCESSING 11/26/2012 $8,361

DATA PROCESSING 12/27/2012 $8,072

Name and Address (A)

H.S.I.

3031 B WALTON ROADPLYMOUTH MEETINGPA19462

Type or Classification (B)

DATA PROCESSING SERVICES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $204,267

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $204,267

DATA PROCESSING 01/10/2012 $16,605

DATA PROCESSING 02/15/2012 $16,831

DATA PROCESSING 03/06/2012 $16,848

DATA PROCESSING 05/01/2012 $2,587

DATA PROCESSING 05/01/2012 $14,434

DATA PROCESSING 05/21/2012 $17,161

DATA PROCESSING 06/12/2012 $17,149

DATA PROCESSING 07/18/2012 $16,818

DATA PROCESSING 08/16/2012 $16,810

DATA PROCESSING 09/11/2012 $17,289

DATA PROCESSING 10/23/2012 $17,248

DATA PROCESSING 11/26/2012 $17,259

DATA PROCESSING 12/28/2012 $17,228

Name and Address (A)

UFCW CENTRAL PA

150 S. 43RD ST. RM 214HARRISBURGPA17111

Type or Classification (B)

DATA PROCESSING SERVICES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $19,122

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $19,122

DATA PROCESSING 01/03/2012 $1,570

DATA PROCESSING 02/03/2012 $1,825

DATA PROCESSING 03/12/2012 $1,558

DATA PROCESSING 05/01/2012 $1,556

DATA PROCESSING 05/21/2012 $1,568

DATA PROCESSING 06/13/2012 $1,566

DATA PROCESSING 07/18/2012 $1,568

DATA PROCESSING 08/16/2012 $1,581

DATA PROCESSING 09/13/2012 $1,577

DATA PROCESSING 10/23/2012 $1,581

DATA PROCESSING 11/26/2012 $1,588

DATA PROCESSING 12/27/2012 $1,584

Name and Address (A)

UFCW H&W FUND OF NE PA

3031 B WALTON ROADPLYMOUTH MEETINGPA19462

Type or Classification (B)

DATA PROCESSING SERVICES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $2,859

Total of All Transactions with this Payee/Payer for This Schedule $2,859

Name and Address (A)

Purpose (C)

Date (D)

Amount (E)

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UFCW INTERNATIONAL UNION

1775 "K" STREET, N.W.WASHINGTONDC20006

Type or Classification (B)

SUBSIDY

Total Itemized Transactions with this Payee/Payer $90,000

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $90,000

ORGANIZING STAFF SUBSIDY 01/31/2012 $7,500

ORGANIZING STAFF SUBSIDY 02/28/2012 $7,500

ORGANIZING STAFF SUBSIDY 03/31/2012 $7,500

ORGANIZING STAFF SUBSIDY 04/30/2012 $7,500

ORGANIZING STAFF SUBSIDY 05/31/2012 $7,500

ORGANIZING STAFF SUBSIDY 06/30/2012 $7,500

ORGANIZING STAFF SUBSIDY 07/31/2012 $7,500

ORGANIZING STAFF SUBSIDY 08/31/2012 $7,500

ORGANIZING STAFF SUBSIDY 09/30/2012 $7,500

ORGANIZING STAFF SUBSIDY 10/31/2012 $7,500

ORGANIZING STAFF SUBSIDY 11/30/2012 $7,500

ORGANIZING STAFF SUBSIDY 12/31/2012 $7,500

Name and Address (A)

UFCW INTERNATIONAL UNION

1775 "K" STREET, N.W.WASHINGTONDC20006

Type or Classification (B)

EXPENSE REIMBURSEMENT

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $77,598

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $77,598

EXPENSE REIMBURSEMENT 11/05/2012 $2,265

EXPENSE REIMBURSEMENT 11/09/2012 $19,905

EXPENSE REIMBURSEMENT 12/10/2012 $21,108

EXPENSE REIMBURSEMENT 12/10/2012 $17,499

EXPENSE REIMBURSEMENT 12/10/2012 $16,821

Name and Address (A)

UFCW LOCAL 1776

3031 A WALTON ROADPLYMOUTH MEETINGPA19462

Type or Classification (B)

EMPLOYEE AUTO REIMBURSEMENT

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $81,181

Total of All Transactions with this Payee/Payer for This Schedule $81,181

Name and Address (A)

UFCW LOCAL 23

345 SOUTHPOINTE BLD, ST 300CONONSBURGPA15317

Type or Classification (B)

EXPENSE REIMBURSEMENT PLCB CAMPAIGN

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $68,903

Total Non-Itemized Transactions with this Payee/Payer $4,298

Total of All Transactions with this Payee/Payer for This Schedule $73,201

EXPENSE REIMBURSEMENT PLCB CAMPAIGN 02/17/2012 $6,149

EXPENSE REIMBURSEMENT PLCB CAMPAIGN 05/23/2012 $18,869

EXPENSE REIMBURSEMENT PLCB CAMPAIGN 07/05/2012 $28,004

EXPENSE REIMBURSEMENT PLCB CAMPAIGN 12/04/2012 $15,881

Form LM-2 (Revised 2010)

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 045-254

Name and Address (A)

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A DREAM OUT LOUD COMPANY, INC

255 S. 17TH STPHILADELPHIAPA19103

Type or Classification (B)

MEDIA

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $8,195

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $8,195

PLCB- VIDEO 11/14/2012 $8,195

Name and Address (A)

AFFAIR AT MAINLAND GRILLE

2250 RITTENHOUSE ROADMAINLANDPA19451

Type or Classification (B)

SERVICE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $5,476

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $5,476

MEMBER GOLF OUTING 06/13/2012 $5,476

Name and Address (A)

AMERICAN ARBITRATION ASSN.

230 SOUTH BROAD STREETPHILADELPHIAPA19102

Type or Classification (B)

LEGAL

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $10,150

Total of All Transactions with this Payee/Payer for This Schedule $10,150

Name and Address (A)

AMERICAN UNION EMBROIDERY

123 SWIGGUM ROADWESTBYWI54667

Type or Classification (B)

APPAREL

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $6,018

Total of All Transactions with this Payee/Payer for This Schedule $6,018

Name and Address (A)

CBL CUSTOM APPAREL

2313 PENN AVEWEST LAWNPA19609

Type or Classification (B)

APPAREL

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $5,478

Total Non-Itemized Transactions with this Payee/Payer $1,921

Total of All Transactions with this Payee/Payer for This Schedule $7,399

JACKETS 02/01/2012 $5,478

Name and Address (A)

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ELLIOT GREENLEAF & DEAN3010

BLUE BELLPA19422

Type or Classification (B)

LEGAL

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $18,218

Total Non-Itemized Transactions with this Payee/Payer $15,164

Total of All Transactions with this Payee/Payer for This Schedule $33,382

LEGAL FEES CITTERIO & DUNMORE 10/17/2012 $11,495

LEGAL FEES 05/16/2012 $6,723

Name and Address (A)

EMERALD STRATEGIES, INC

401 N. SECOND STREETHARRISBURGPA17101

Type or Classification (B)

CONSULTANT

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $72,679

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $72,679

CONSULTANT FEE 10/19/2012 $6,629

CONSULTANT FEE 01/25/2012 $6,050

CONSULTANT FEE 02/15/2012 $6,000

CONSULTANT FEE 03/28/2012 $6,000

CONSULTANT FEE 04/25/2012 $6,000

CONSULTANT FEE 05/30/2012 $6,000

CONSULTANT FEE 06/27/2012 $6,000

CONSULTANT FEE 07/25/2012 $6,000

CONSULTANT FEE 08/29/2012 $6,000

CONSULTANT FEE 10/31/2012 $6,000

CONSULTANT FEE 11/20/2012 $6,000

CONSULTANT FEE 12/19/2012 $6,000

Name and Address (A)

GEORGE'S DRESHERTOWN S-N-B

1650 LIKEKILN PIKE, SUITE 2DRESHERPA19025

Type or Classification (B)

MEALS

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $7,773

Total of All Transactions with this Payee/Payer for This Schedule $7,773

Name and Address (A)

HORTMONT AVIATION SERVICE INC.

343 LURGAN ROADNEW HOPEPA18938

Type or Classification (B)

TRANSPORTATION

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $5,096

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $5,096

AIRFARE 06/13/2012 $5,096

Name and Address (A)

IMAGE POINTE

1224 LAPORTE RDWATERLOO

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $9,119

APPAREL 10/17/2012 $9,119

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IA50702

Type or Classification (B)

APPAREL

Total Non-Itemized Transactions with this Payee/Payer $523

Total of All Transactions with this Payee/Payer for This Schedule $9,642

Name and Address (A)

JOHN CHERNESKY

331 E. GROVE STKINGSTONPA18704

Type or Classification (B)

SUB CONTRACTOR PLCB CAMPAIGN

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $17,867

Total of All Transactions with this Payee/Payer for This Schedule $17,867

Name and Address (A)

KENNEDY PRINTING CO., INC.

5534 BALTIMORE AVEPHILADELPHIAPA19143

Type or Classification (B)

PRINTING

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $44,204

Total Non-Itemized Transactions with this Payee/Payer $8,250

Total of All Transactions with this Payee/Payer for This Schedule $52,454

DIALOGUE 06/20/2012 $28,370

PLCB CONTRACT 12/05/2012 $10,662

RITE AID & UFCW CONTRACTS 04/18/2012 $5,172

Name and Address (A)

KEYSTONE RESEARCH CENTER

412 NORTH 3RD STREETHARRISBURGPA17101

Type or Classification (B)

MEDIA

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $5,369

Total Non-Itemized Transactions with this Payee/Payer $600

Total of All Transactions with this Payee/Payer for This Schedule $5,969

CONSULTANT 04/18/2012 $5,369

Name and Address (A)

MAIN LINE SALES

2417 WHITBY ROADHAVERTOWNPA19083

Type or Classification (B)

APPAREL

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $6,908

Total Non-Itemized Transactions with this Payee/Payer $14,123

Total of All Transactions with this Payee/Payer for This Schedule $21,031

APPARELS 05/16/2012 $6,908

Name and Address (A)

PURCHASED POWER371874

PITTSBURGH

Purpose (C)

Date (D)

Amount (E)

METER POSTAGE REFILL 05/02/2012 $5,000

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PA15250

Type or Classification (B)

POSTAGE

Total Itemized Transactions with this Payee/Payer $5,000

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $5,000

Name and Address (A)

SHELLY COMMUNICATION, INC

227 PINE STREET, SUITE 200HARRISBURGPA17101

Type or Classification (B)

CONSULTANT

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $111,584

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $111,584

PLCB CONSULTANT 01/18/2012 $17,064

PLCB CONSULTANT 05/23/2012 $10,559

PLCB CONSULTANT 07/18/2012 $9,496

PLCB CONSULTANT 06/13/2012 $8,965

PLCB CONSULTANT 03/14/2012 $8,315

PLCB CONSULTANT 11/20/2012 $8,309

PLCB CONSULTANT 10/17/2012 $8,308

PLCB CONSULTANT 04/18/2012 $8,232

PLCB CONSULTANT 08/15/2012 $8,138

PLCB CONSULTANT 12/19/2012 $8,129

PLCB CONSULTANT 02/15/2012 $8,047

PLCB CONSULTANT 09/19/2012 $8,022

Name and Address (A)

STRATEGIC COOMUNICATIONS

601 S. HENDERSON RD, ST 152KING OF PRUSSIAPA19406

Type or Classification (B)

CONSULTANT

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $182,302

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $182,302

PLCB CONSULTANT 06/08/2012 $30,828

PLCB CONSULTANT 05/21/2012 $25,234

PLCB CONSULTANT 05/18/2012 $22,940

PLCB CONSULTANT 05/16/2012 $9,950

PLCB CONSULTANT 01/11/2012 $8,000

PLCB CONSULTANT 02/15/2012 $8,000

PLCB CONSULTANT 03/14/2012 $8,000

PLCB CONSULTANT 04/18/2012 $8,000

PLCB CONSULTANT 05/09/2012 $8,000

PLCB CONSULTANT 06/13/2012 $8,000

PLCB CONSULTANT 07/18/2012 $8,000

PLCB CONSULTANT 08/22/2012 $8,000

PLCB CONSULTANT 09/19/2012 $8,000

PLCB CONSULTANT 10/17/2012 $8,000

PLCB CONSULTANT 11/20/2012 $8,000

PLCB CONSULTANT 12/19/2012 $5,350

Name and Address (A)

U.S. POSTMASTER

BLUE BELLPA

Type or Classification (B)

POSTAGE

Purpose (C)

Date (D)

Amount (E)

POSTAGE 10/19/2012 $10,000

POSTAGE 11/14/2012 $10,000

POSTAGE 11/20/2012 $10,000

POSTAGE 03/15/2012 $8,000

POSTAGE 10/11/2012 $6,000

POSTAGE 11/14/2012 $6,000

POSTAGE 02/10/2012 $5,000

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Total Itemized Transactions with this Payee/Payer $80,000

Total Non-Itemized Transactions with this Payee/Payer $9,877

Total of All Transactions with this Payee/Payer for This Schedule $89,877

POSTAGE 04/06/2012 $5,000

POSTAGE 05/25/2012 $5,000

POSTAGE 06/20/2012 $5,000

POSTAGE 08/02/2012 $5,000

POSTAGE 09/14/2012 $5,000

Name and Address (A)

U.S. POSTMASTER OF PITTSTON

11 DOCK STPITTSTONPA18640

Type or Classification (B)

POSTAGE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,940

Total of All Transactions with this Payee/Payer for This Schedule $5,940

Name and Address (A)

UNITED AIRLINES

HOUSTONTX

Type or Classification (B)

AIR FARE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $6,090

Total of All Transactions with this Payee/Payer for This Schedule $6,090

Name and Address (A)

UNIVERSAL PRINTING COMPANY

1205 ONEILL HWYDUNMOREPA18512

Type or Classification (B)

PRINTING

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $6,550

Total Non-Itemized Transactions with this Payee/Payer $15,017

Total of All Transactions with this Payee/Payer for This Schedule $21,567

SPANISH DIALOGUE 12/19/2012 $6,550

Name and Address (A)

WILLIAM A. OWENS, JR.

508 CALDER STHARRISBURGPA17102

Type or Classification (B)

PLCB CAMPAIGN

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $12,250

Total of All Transactions with this Payee/Payer for This Schedule $12,250

Name and Address (A)

WILLIG, WILLIAMS & DAVIDSON

Purpose (C)

Date (D)

Amount (E)

LEGAL FEES 12/19/2012 $24,956

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1845 WALNUT ST, 24TH FLRPHILADELPHIAPA19103

Type or Classification (B)

LEGAL

Total Itemized Transactions with this Payee/Payer $240,038

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $240,038

LEGAL FEES 11/14/2012 $20,736

LEGAL FEES 09/19/2012 $19,771

LEGAL FEES 10/17/2012 $19,647

LEGAL FEES 07/18/2012 $19,643

LEGAL FEES 06/20/2012 $19,619

LEGAL FEES 04/18/2012 $19,422

LEGAL FEES 08/15/2012 $19,368

LEGAL FEES 03/14/2012 $19,275

LEGAL FEES 05/16/2012 $19,232

LEGAL FEES 02/15/2012 $19,215

LEGAL FEES 01/18/2012 $19,154

Form LM-2 (Revised 2010)

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 045-254

Name and Address (A)

AMERICAN UNIONS EMBROIDERY

123 SWIGGUM ROADWESTBYWI54667

Type or Classification (B)

APPAREL

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $5,328

Total Non-Itemized Transactions with this Payee/Payer $714

Total of All Transactions with this Payee/Payer for This Schedule $6,042

T-SHIRT CASEY RALLY 08/29/2012 $5,328

Name and Address (A)

HOLIDAY INN EXPRESS

WAUWATOSAWI

Type or Classification (B)

LODGING

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $8,184

Total of All Transactions with this Payee/Payer for This Schedule $8,184

Name and Address (A)

HOUSE MAJORITY PAC

1025 THOMAS JEFFERSON ST NWWASHINGTONDC20007

Type or Classification (B)

DONATION

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $10,000

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $10,000

SUPER PAC 10/25/2012 $10,000

Name and Address (A)

KENNEDY PRINTING CO., INC.Purpose Date Amount

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5534 BALTIMORE AVEPHILADELPHIAPA19143

Type or Classification (B)

PRINTING

(C) (D) (E)

Total Itemized Transactions with this Payee/Payer $5,235

Total Non-Itemized Transactions with this Payee/Payer $605

Total of All Transactions with this Payee/Payer for This Schedule $5,840

PRIMARY ELECTION CARDS 05/23/2012 $5,235

Name and Address (A)

PENNSYLVANIA AFL-CIO

319 MARKET STREET, 3RD FLRHARRISBURGPA17101

Type or Classification (B)

CONTRIBUTION

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $78,000

Total Non-Itemized Transactions with this Payee/Payer $3,050

Total of All Transactions with this Payee/Payer for This Schedule $81,050

CONTRIBUTION CLEAR COALITION 01/18/2012 $6,500

CONTRIBUTION CLEAR COALITION 02/29/2012 $6,500

CONTRIBUTION CLEAR COALITION 03/28/2012 $6,500

CONTRIBUTION CLEAR COALITION 04/25/2012 $6,500

CONTRIBUTION CLEAR COALITION 05/23/2012 $6,500

CONTRIBUTION CLEAR COALITION 06/27/2012 $6,500

CONTRIBUTION CLEAR COALITION 07/25/2012 $6,500

CONTRIBUTION CLEAR COALITION 08/22/2012 $6,500

CONTRIBUTION CLEAR COALITION 09/19/2012 $6,500

CONTRIBUTION CLEAR COALITION 10/17/2012 $6,500

CONTRIBUTION CLEAR COALITION 11/14/2012 $6,500

CONTRIBUTION CLEAR COALITION 12/12/2012 $6,500

Form LM-2 (Revised 2010)

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 045-254

Name and Address (A)

KEYSTONE PROGRESS

1500 N. 2ND ST, SUITE 11HARRISBURGPA17102

Type or Classification (B)

CONTRIBUTION

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $10,000

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $10,000

CONTRIBUTION 01/18/2012 $10,000

Name and Address (A)

PHILLIES CHARITIES, INC

321 NORRISTOWN ROADAMBLERPA19002

Type or Classification (B)

DONATION

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $7,500

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $7,500

ALS SPONSOR 08/22/2012 $7,500

Name and Address (A)

UFCW HURRICANE SANDY RELIEF FUND Purpose (C)

Date (D)

Amount (E)

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1775 K STREET, NWWASHINGTONDC02006

Type or Classification (B)

DONATION

Total Itemized Transactions with this Payee/Payer $5,000

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $5,000

HURRICANE SANDY 11/14/2012 $5,000

Form LM-2 (Revised 2010)

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 045-254

Name and Address (A)

A STORAGE INN

530 S. HENDERSON ROADKING OF PRUSSIAPA19406

Type or Classification (B)

STORAGE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $10,897

Total of All Transactions with this Payee/Payer for This Schedule $10,897

Name and Address (A)

ADP, INC842854

BOSTONMA02284

Type or Classification (B)

PAYROLL

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $18,668

Total of All Transactions with this Payee/Payer for This Schedule $18,668

Name and Address (A)

AFSCME COUNCIL 13

4031 EXECUTIVE PARK DRIVEHARRISBURGPA17111

Type or Classification (B)

RENT

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $16,146

Total of All Transactions with this Payee/Payer for This Schedule $16,146

Name and Address (A)

ANTHONY DERKOTCH

65 AVA CIRCLEGILBERTSVILLEPA19525

Type or Classification (B)

CONTRACTOR

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $5,000

Total Non-Itemized Transactions with this Payee/Payer $14,465

Total of All Transactions with this Payee/Payer for This Schedule $19,465

BLD. C RENOVATION 09/28/2012 $5,000

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Name and Address (A)

APPLE WEB STORE

AUSTINTX

Type or Classification (B)

SUPPLIES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $8,543

Total of All Transactions with this Payee/Payer for This Schedule $8,543

Name and Address (A)

AQUA PENNSYLVANIA, INC

762 W. LANCASTER AVEBRYN MAWRPA19010

Type or Classification (B)

UTILITY

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $15,345

Total of All Transactions with this Payee/Payer for This Schedule $15,345

Name and Address (A)

AT&T 8000-878-50185019

CAROL STREAMIL60197

Type or Classification (B)

TELEPHONE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $6,137

Total of All Transactions with this Payee/Payer for This Schedule $6,137

Name and Address (A)

AT&T MOBILITY 8225197796463

CAROL STREAMIL60197

Type or Classification (B)

UTILITY

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $32,499

Total Non-Itemized Transactions with this Payee/Payer $18,793

Total of All Transactions with this Payee/Payer for This Schedule $51,292

TELEPHONE 06/27/2012 $6,101

TELEPHONE 04/19/2012 $5,653

TELEPHONE 11/20/2012 $5,275

TELEPHONE 12/19/2012 $5,162

TELEPHONE 09/21/2012 $5,154

TELEPHONE 10/19/2012 $5,154

Name and Address (A)

ATTM

ALPHARETTAGA

Type or Classification (B)

TELEPHONE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $10,202

Total Non-Itemized Transactions with this Payee/Payer $132

Total of All Transactions with this Payee/Payer for This Schedule $10,334

TELEPHONE 04/18/2012 $10,202

Name and Address (A)

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AVAYA FINANCIAL SERVICES93000

CHICAGOIL60673

Type or Classification (B)

TELEPHONE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,611

Total of All Transactions with this Payee/Payer for This Schedule $5,611

Name and Address (A)

BASYS INC

857 ELKRIDGE LANDING ROADLINTHICUMMD21090

Type or Classification (B)

COMPUTER SUPPORT

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $168,793

Total Non-Itemized Transactions with this Payee/Payer $7,154

Total of All Transactions with this Payee/Payer for This Schedule $175,947

DATA PROCESSING 03/14/2012 $18,147

DATA PROCESSING 02/29/2012 $16,691

DATA PROCESSING 04/18/2012 $12,492

DATA PROCESSING 01/25/2012 $9,811

DATA PROCESSING 12/05/2012 $9,737

DATA PROCESSING 07/11/2012 $9,548

DATA PROCESSING 08/01/2012 $9,548

DATA PROCESSING 09/05/2012 $9,548

DATA PROCESSING 10/03/2012 $9,548

DATA PROCESSING 11/07/2012 $9,548

DATA PROCESSING 12/19/2012 $9,548

DATA PROCESSING 01/11/2012 $9,270

DATA PROCESSING 04/04/2012 $9,270

DATA PROCESSING 05/16/2012 $9,270

DATA PROCESSING 06/13/2012 $9,270

DATA PROCESSING 03/14/2012 $7,547

Name and Address (A)

BLINDS TO GO

ABINGTONPA

Type or Classification (B)

BLINDS

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,547

Total of All Transactions with this Payee/Payer for This Schedule $5,547

Name and Address (A)

BROWN & BROWN INSURANCE

100 BISHOPS GATE BLOULEVARMT. LAURELNJ08054

Type or Classification (B)

INSURANCE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $21,340

Total Non-Itemized Transactions with this Payee/Payer $3,379

Total of All Transactions with this Payee/Payer for This Schedule $24,719

DIRECTORS AND OFFICERS INSURANCE 04/25/2012 $21,340

Name and Address (A)

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CDW DIRECT, LLC75723

CHICAGOIL60675

Type or Classification (B)

DATA PROCESSING SUPPLIES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $19,834

Total of All Transactions with this Payee/Payer for This Schedule $19,834

Name and Address (A)

CENTURY LINK1319

CHARLOTTENC28201

Type or Classification (B)

TELEPHONE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,664

Total of All Transactions with this Payee/Payer for This Schedule $5,664

Name and Address (A)

CHARLES FRIEL INC.284216 FORREST AVENARBETHPA19072

Type or Classification (B)

LANDSCAPE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $30,131

Total of All Transactions with this Payee/Payer for This Schedule $30,131

Name and Address (A)

COLONIAL SCHOOL DISTRICT729230 FLOURTOWN ROADPLYMOUTH MEETINGPA19462

Type or Classification (B)

TAXES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $172,658

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $172,658

TAXES 08/27/2012 $88,227

TAXES 08/27/2012 $60,052

TAXES 08/27/2012 $24,379

Name and Address (A)

DESALES UNIVERSITY ACCOUNTING

2755 STATION AVECENTER VALLEYPA18034

Type or Classification (B)

TUITION

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $10,941

Total of All Transactions with this Payee/Payer for This Schedule $10,941

Name and Address (A)

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DONNA FAMOUS CATERING667

CONSHOHOCKENPA19428

Type or Classification (B)

MEALS

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,261

Total of All Transactions with this Payee/Payer for This Schedule $5,261

Name and Address (A)

E.B. O'REILLY SERVICING CORP.

30 WEST HIGHLAND AVEPHILADELPHIAPA19118

Type or Classification (B)

HEATING AND CONDITIONING

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $50,719

Total Non-Itemized Transactions with this Payee/Payer $14,797

Total of All Transactions with this Payee/Payer for This Schedule $65,516

HEATING AND CONDITIONING 06/13/2012 $17,260

HEATING AND CONDITIONING 10/31/2012 $11,856

HEATING AND CONDITIONING 10/10/2012 $7,670

HEATING AND CONDITIONING 04/11/2012 $7,572

HEATING AND CONDITIONING 06/20/2012 $6,361

Name and Address (A)

GENEVIEVE MUDLOCK

3 LAFLIN ROADINKERMANPA18640

Type or Classification (B)

TAXES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $18,190

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $18,190

PITTSTON SCHOOL TAX 09/12/2012 $12,137

REAL ESTATE PITTSTON 04/11/2012 $6,053

Name and Address (A)

HAMMOCK BEACH RESORT

200 OCEAN CREST DRIVEPALM COASTFL32137

Type or Classification (B)

LODGING

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $23,796

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $23,796

CONFERENCE 08/01/2012 $23,796

Name and Address (A)

JAMES DUFFY

179 CHERRY TREE LANECHERRY HILLNJ08002

Type or Classification (B)

CONSULTANT

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,940

Total of All Transactions with this Payee/Payer for This Schedule $5,940

Name and Address (A)

Purpose (C)

Date (D)

Amount (E)

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KENNEDY PRINTING

5534 BALTIMORE AVEPHILADELPHIAPA19143

Type or Classification (B)

PRINTING

Total Itemized Transactions with this Payee/Payer $38,671

Total Non-Itemized Transactions with this Payee/Payer $17,572

Total of All Transactions with this Payee/Payer for This Schedule $56,243

BY-LAWS, NEW MEMBERSHIP BOOK, ENVELOPE 04/18/2012 $9,374

FILE CONVERT, LETTER HEAD, ENVELOPE, BROCHURE 09/12/2012 $8,899

NEW MEM. BOOK, BUSINESS CARDS, WITHDRAWAL CARD 03/14/2012 $7,623

HEALTHCARE & MEMBER UPDATE, MEMBERHSIP CARD,PAPER

12/05/2012 $7,214

LETTERHEAD, BUSINESS CARDS 07/18/2012 $5,561

Name and Address (A)

KONE INC.429

MOLINEIL61266

Type or Classification (B)

ELEVATOR

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $7,062

Total of All Transactions with this Payee/Payer for This Schedule $7,062

Name and Address (A)

LINE SYSTEMS, INC.382026

PITTSBURGHPA15250

Type or Classification (B)

TELEPHONE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $12,023

Total of All Transactions with this Payee/Payer for This Schedule $12,023

Name and Address (A)

LOUIS MASCARO SONS, INC

701 STERIGERE STREETNORRISTOWNPA19401

Type or Classification (B)

WASTE REMOVAL

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,845

Total of All Transactions with this Payee/Payer for This Schedule $5,845

Name and Address (A)

MILLIMAN

80 LAMBERTON ROADWINDSORCT06095

Type or Classification (B)

CO-OP SET UP

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $25,000

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $25,000

CO-OP START UP FEE 12/27/2012 $25,000

Name and Address

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(A)

PAUL J. GRECORY

40 SCARLET OAK DRIVELAFAYETTE HILLPA19444

Type or Classification (B)

CONSULTANT

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $11,600

Total of All Transactions with this Payee/Payer for This Schedule $11,600

Name and Address (A)

PECO ENERGY13437

PHILADELPHIAPA19162

Type or Classification (B)

UTILITY

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $108,883

Total Non-Itemized Transactions with this Payee/Payer $105,361

Total of All Transactions with this Payee/Payer for This Schedule $214,244

ELECTRIC 02/15/2012 $9,872

ELECTRIC 06/20/2012 $9,694

ELECTRIC 03/21/2012 $9,424

ELECTRIC 03/21/2012 $9,228

ELECTRIC 01/25/2012 $9,199

ELECTRIC 08/22/2012 $8,698

ELECTRIC 12/19/2012 $8,371

ELECTRIC 09/19/2012 $8,402

ELECTRIC 07/18/2012 $8,200

ELECTRIC 10/17/2012 $7,911

ELECTRIC 04/18/2012 $7,096

ELECTRIC 05/23/2012 $6,693

ELECTRIC 11/20/2012 $6,095

Name and Address (A)

PITNEY BOWES INC.371887

PITTSBURGPA15250

Type or Classification (B)

POSTAGE METER MACHINE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $19,801

Total of All Transactions with this Payee/Payer for This Schedule $19,801

Name and Address (A)

PIVOTAL BUSINESS SOLUTIONS

228 STANDISH ROADMERION STATIONPA19066

Type or Classification (B)

CO-OP

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $6,000

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $6,000

RECRUITING OPERATION 12/27/2012 $6,000

Name and Address (A)

PLYMOUTH TOWNSHIPPurpose

(C)Date

(D)Amount

(E)

PROPERTY TAX 04/11/2012 $22,208

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700 BELVOIR ROADPLYMOUTH MEETINGPA19462

Type or Classification (B)

REAL ESTATE TAX

Total Itemized Transactions with this Payee/Payer $43,481

Total Non-Itemized Transactions with this Payee/Payer $2,421

Total of All Transactions with this Payee/Payer for This Schedule $45,902

PROPERTY TAX 04/11/2012 $15,133

PROPERTY TAX 04/11/2012 $6,140

Name and Address (A)

PPL ELECTRIC UTILITIES

2 N. 9TH STREETALLENTOWNPA18101

Type or Classification (B)

UTILITY

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $10,039

Total of All Transactions with this Payee/Payer for This Schedule $10,039

Name and Address (A)

PREFERRED BUILDING SERVICES

772 KEARNY AVEKEARNYPA07032

Type or Classification (B)

CLEANING SERVICE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $177,356

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $177,356

CLEANING SERVICE 01/05/2012 $14,770

CLEANING SERVICE 01/11/2012 $14,770

CLEANING SERVICE 03/06/2012 $14,886

CLEANING SERVICE 04/04/2012 $14,770

CLEANING SERVICE 05/02/2012 $14,770

CLEANING SERVICE 06/06/2012 $14,770

CLEANING SERVICE 07/05/2012 $14,770

CLEANING SERVICE 08/01/2012 $14,770

CLEANING SERVICE 09/05/2012 $14,770

CLEANING SERVICE 10/03/2012 $14,770

CLEANING SERVICE 10/31/2012 $14,770

CLEANING SERVICE 12/05/2012 $14,770

Name and Address (A)

PRIME BUSINESS SYSTEM26886

COLLEGEVILLEPA19426

Type or Classification (B)

TELEPHONE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,071

Total of All Transactions with this Payee/Payer for This Schedule $5,071

Name and Address (A)

REPUBLIC BANK

50 SOUTH 16TH STREETPHILADELPHIAPA19102

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $13,300

Total Non-Itemized Transactions with this Payee/Payer

Total of All Transactions with this Payee/Payer for This Schedule $13,300

APPRAISAL 08/03/2012 $13,300

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Type or Classification (B)

BANK

Name and Address (A)

SELECTIVE INSURANCE - FLOOD382034

PITTSBURGPA15251

Type or Classification (B)

INSURANCE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $8,408

Total of All Transactions with this Payee/Payer for This Schedule $8,408

Name and Address (A)

SHOPRITE

55 E. GERMANTOWN PIKEE. NORRITONPA19401

Type or Classification (B)

SUPPLIES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,558

Total of All Transactions with this Payee/Payer for This Schedule $5,558

Name and Address (A)

SIEGAL AND DROSSNER, PC

300 YORKTOWN PLAZAELKINS PARKPA19027

Type or Classification (B)

AUDITOR

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $32,000

Total Non-Itemized Transactions with this Payee/Payer $2,900

Total of All Transactions with this Payee/Payer for This Schedule $34,900

2011 AUDIT 05/30/2012 $20,000

2010 FAIRSHARE & BECK AUDIT/ BALANCE OF 2011 AUDIT 09/12/2012 $12,000

Name and Address (A)

STAPLES BUSINESS ADVANTAGE415256

BOSTONMA02241

Type or Classification (B)

OFFICE SUPPLIES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,718

Total of All Transactions with this Payee/Payer for This Schedule $5,718

Name and Address (A)

SUPERMEDIA LLC619009

DFW AIRPORTTX

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $19,236

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75261

Type or Classification (B)

TELEPHONE

Total of All Transactions with this Payee/Payer for This Schedule $19,236

Name and Address (A)

TD BANK605

BELLMAWRNJ08099

Type or Classification (B)

INTEREST

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $292,215

Total Non-Itemized Transactions with this Payee/Payer $29,290

Total of All Transactions with this Payee/Payer for This Schedule $321,505

INTEREST PAID ON PITTSTON LOAN 01/02/2012 $5,132

INTEREST PAID ON PITTSTON LOAN 02/01/2012 $5,116

INTEREST PAID ON PITTSTON LOAN 03/01/2012 $5,079

INTEREST PAID ON PITTSTON LOAN 04/01/2012 $5,044

INTEREST PAID ON PITTSTON LOAN 05/01/2012 $5,008

INTEREST PAID ON WALTON LOAN 01/20/2012 $27,570

INTEREST PAID ON WALTON LOAN 02/20/2012 $27,474

INTEREST PAID ON WALTON LOAN 04/20/2012 $27,271

INTEREST PAID ON WALTON LOAN 06/20/2012 $27,073

INTEREST PAID ON WALTON LOAN 08/20/2012 $26,866

INTEREST PAID ON WALTON LOAN 09/20/2012 $26,766

INTEREST PAID ON WALTON LOAN 05/20/2012 $26,296

INTEREST PAID ON WALTON LOAN 07/20/2012 $26,101

INTEREST PAID ON WALTON LOAN 10/20/2012 $25,805

INTEREST PAID ON WALTON LOAN 03/20/2012 $25,614

Name and Address (A)

TD EQUIPMENT FINANCCE, INC.48082

NEWARKNJ07101

Type or Classification (B)

INTEREST

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $10,749

Total Non-Itemized Transactions with this Payee/Payer $21,217

Total of All Transactions with this Payee/Payer for This Schedule $31,966

INTEREST SCH 2 LOAN 02/22/2012 $5,390

INTEREST SCH 2 LOAN 01/18/2012 $5,359

Name and Address (A)

TELL BLAST

1603 N. GREENBRIET STREETARLINGTONVA22205

Type or Classification (B)

TELEPHONE COMMUNICATION

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $5,409

Total Non-Itemized Transactions with this Payee/Payer $9,868

Total of All Transactions with this Payee/Payer for This Schedule $15,277

MULTIPLE TELL BLAST COMMUNICATION 09/19/2012 $5,409

Name and Address (A)

THE HARTFORD2907

HARTFORDCT06104

Purpose (C)

Date (D)

Amount (E)

INSURANCE 04/18/2012 $40,750

INSURANCE 07/18/2012 $17,276

INSURANCE 01/18/2012 $13,966

INSURANCE 09/19/2012 $13,311

INSURANCE 10/17/2012 $13,311

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Type or Classification (B)

AUTO LIABILITY AND WORKMAN COMP INSURANCE

Total Itemized Transactions with this Payee/Payer $164,428

Total Non-Itemized Transactions with this Payee/Payer $1,542

Total of All Transactions with this Payee/Payer for This Schedule $165,970

INSURANCE 11/20/2012 $13,311

INSURANCE 12/19/2012 $13,311

INSURANCE 05/16/2012 $13,087

INSURANCE 06/20/2012 $13,058

INSURANCE 08/22/2012 $13,047

Name and Address (A)

TYLER ROETMAN

144 FILLY DRIVENORTH WALESPA

Type or Classification (B)

CONTRACTOR

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $7,930

Total of All Transactions with this Payee/Payer for This Schedule $7,930

Name and Address (A)

VECTOR SECUTIRTY, INC

5125 CAMPUS DRIVEPLYMOUTH MEETINGPA19462

Type or Classification (B)

SECURITY SYSTEM

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,452

Total of All Transactions with this Payee/Payer for This Schedule $5,452

Name and Address (A)

VERIZON BUSINESS371355

PITTSBURGHPA15250

Type or Classification (B)

TELEPHONE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $14,822

Total of All Transactions with this Payee/Payer for This Schedule $14,822

Name and Address (A)

WEST SIDE WINDOW CLEANING CO.1182216 WYOMING AVEKINGSTONPA18704

Type or Classification (B)

CLEANING SERVICE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $16,536

Total of All Transactions with this Payee/Payer for This Schedule $16,536

Name and Address (A)

WHITEMARSH VALLEY COUNTRY CLUB

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815 THOMAS ROADWHITEMARSHPA19444

Type or Classification (B)

MEALS

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $9,741

Total of All Transactions with this Payee/Payer for This Schedule $9,741

Name and Address (A)

XEROX CORPORATION827598

PHILADELPHIAPA19182

Type or Classification (B)

COPIER

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $6,453

Total Non-Itemized Transactions with this Payee/Payer $36,514

Total of All Transactions with this Payee/Payer for This Schedule $42,967

METERS PAYMENT 02/29/2012 $6,453

Name and Address (A)

XO COMMUNICATIONS

14239 COLLECTIONS CENTER DRCHICAGOIL60693

Type or Classification (B)

COMPUTER DATA LINES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $12,464

Total of All Transactions with this Payee/Payer for This Schedule $12,464

Name and Address (A)

XO COMMUNICATIONS SERVICES

14242 COLLECTIONS CENTER DRCHICAGOIL60693

Type or Classification (B)

COMPUTER DATA LINES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer $27,941

Total Non-Itemized Transactions with this Payee/Payer $32,132

Total of All Transactions with this Payee/Payer for This Schedule $60,073

T-1 LINE 09/19/2012 $6,163

T-1 LINE 02/15/2012 $5,736

T-1 LINE 10/24/2012 $5,680

T-1 LINE 03/21/2012 $5,287

T-1 LINE 11/20/2012 $5,075

Name and Address (A)

ZIMMERMAN, INC.

105 INDUSTRIAL DRIVEPOTTSTOWNPA19464

Type or Classification (B)

SUPPLIES

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $6,343

Total of All Transactions with this Payee/Payer for This Schedule $6,343

Form LM-2 (Revised 2010)

SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 045-254

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Name and Address (A)

GEORGE'S DRESHERTOWN S-N-B

1650 LIMEKILN PIKE, SUITE 2DRESHERPA19025

Type or Classification (B)

MEALS

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $8,558

Total of All Transactions with this Payee/Payer for This Schedule $8,558

Name and Address (A)

HYATT HOTEL & RESORT

BONITA SPRINGSFL

Type or Classification (B)

LODGING

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $8,315

Total of All Transactions with this Payee/Payer for This Schedule $8,315

Name and Address (A)

US AIRWAYS

PHOENIXAZ

Type or Classification (B)

AIR FARE

Purpose (C)

Date (D)

Amount (E)

Total Itemized Transactions with this Payee/Payer

Total Non-Itemized Transactions with this Payee/Payer $5,717

Total of All Transactions with this Payee/Payer for This Schedule $5,717

Form LM-2 (Revised 2010)

SCHEDULE 20 - BENEFITS FILE NUMBER: 045-254

Description (A)

To Whom Paid (B)

Amount (C)

401 (M) PLAN ADMINISTRATION FEES JOHN HANCOCK $1,530

401 (M) PLAN ADMINISTRATION FEES/TAX SERVICE THE SAVITZ ORGANIZATION $4,500

401 (M) PLAN ADMINISTRATION FEES UNITED STATES TREASURY $1,530

EMPLOYEE MEDICAL BENEFITS P.E.B.T.F. $5,446

BARBER/SICK BENEFITS UFCW INTERNATIONAL UNION $936

EMPLOYEE BENEFITS AGING WITH GRACE $2,134

EMPLOYEE MEDICAL BENEFITS UFCW HEALTH AND WELFARE FUND OF NE PA $18,484

EMPLOYEE MEDICAL BENEFITS UFCW CENTRAL PA FLEX PLAN $509,359

EMPLOYEE MEDICAL BENEFITS UFCW LOCAL 1776 & PART EMPLOYERS H&W FUND $312,033

GROUP LIFE AD&D AND DISABILITY INSURANCE AMALGAMATED LIFE INSURANCE $93,200

HEALTH SERVICES HEALTH ADVOCATE INC. $2,105

HOUSING UFCW LOCAL 1776 HOUSING TRUST $729

PENSION UFCW & PART EMPLOYERS TRI-STATE PENSION FUND $272,294

PENSION UFCW PENSION FUND OF N.E. PA $40,485

PENSION 401 (M)/PROFIT SHARING JOHN HANCOCK $208,899

401 (K) SPONSOR AND RETIREE BENEFIT CHARGE UFCW INTERNATIONAL UNION $114,227

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Total of all l ines above (Total wil l be automatically entered in Item 55.) $1,595,384

MEMBER MEDICAL BENEFITS HANOVER FOODS $7,493

Form LM-2 (Revised 2010)

69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 045-254

Question 10: Various Officers as listed below serve as Trustees on benefit funds whose participants are members of UFCW Local 1776: NAME: FUND Wendell W. Young IV UFCW 1776 & PartEmployers H&W, Pension, Legal, Housing, Retirement Funds, UFCW TriState Pension, UFCW Northeast Pension, PA Employees Benefit Trust Fund Michele Kessler UFCW Northeast H&W/PensionFunds John Werkheiser UFCW Northeast H&W Louis Bucci UFCW 1776 & Part Employers H&W, Pension, Retirement Funds Nicholas Farina UFCW 1776 & Part Employers H&W; UFCW TriStatePension Mary Dunne UFCW 1776 & Part Employers H&W, Retirement Funds; UFCW TriState Pension Edward Chew UFCW 1776 & Part Employers Legal Fund; UFCW Central PA H&W Fund, UFCW1776 & Part Employers H&W Leonard Purnell UFCW Central PA H&W Fund Mark Layer UFCW 1776 & Part Employers H&W Fund Margaret Rhodes UFCW Central PA H&W Fund Mark Jacobs UFCW1776 & Part Employers H&W, Retirement Funds Kevin Drew UFCW 1776 Pension Fund Nancy Flanagan Alternate UFCW 1776 & Part Employers H&W Daneen Farina Alternate UFCW 1776 & PartEmployers H&W; Alternate Trustee on 401(k) Robert McVeigh UFCW 1776 & Part Employers H&W; UFCW 401(k) Robert Martucci Alternate UFCW 1776 & Part Employers H&W, Retirement andSavings plan Fund The Fund addresses are as follows: UFCW 1776 & Part Employers H&W, Pension, Legal, Housing, Retirement Funds - 3031 B Walton Road, Plymouth Meeting PA 19462 UFCWTriState Pension - 3031 B Walton Road, Plymouth Meeting PA 19462 UFCW Central PA H&W Fund - 150 S 43rd Street, Harrisburg PA 17111 UFCW Northeast H&W/Pension Funds - 2007 Highway315, Pittston PA 18640 PA Employee Benefit Trust Fund - 150 S 43rd Street, Suite 1, Harrisburg PA 17111

Question 11(a): The Local is the administrator of a Political Action Committee which complies with all government requirements for such a fund. UFCW Local 1776 PAC

Question 12: Siegal & Drossner, P.C. have been contracted to perform a certified audit for 12/31/12

Question 16: The Local’s loans with a commercial bank are secured by the buildings located in Plymouth Meeting and Pittston, Pennsylvania.

Question 17: Local is contingently l iable for all automobile leases financed through ALLY and UFCW Local 1766 Federal Credit Union.

Schedule 13, Row1:For other than agency fee payers, there is only one category of Union member which is designated as REgular Member per

Schedule 13, Line 1.Form LM-2 (Revised 2010)