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4/27/12

DOL Form Report (Disclosure)

Return FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT


MUST BE USED BY LABO R O R GANIZATIO NS W ITH $250,000 O R MO R E IN TO TAL ANNUAL R EC EIPTS AND LABO R O R GANIZATIO NS IN TR USTEESHIP Form Approve d O ffice of Manage m e nt and Budge t No. 1215-0188 Ex pire s: 09-30-2011

U.S. De partm e nt of Labor O ffice of Labor-Manage m e nt Standards W ashington, DC 20210

This re port is m andatory unde r P.L. 86-257, as am e nde d. Failure to com ply m ay re sult in crim inal prose cution, fine s, or civil pe naltie s as provide d by 29 U.S.C . 439 or 440.

READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT. 2. PERIOD COVERED For Official Use 1. FILE NUMBER From 4/1/2005 Only 542-938 Through 3/31/2006 3. (a) AMENDED - Is this an amended report: (b) HARDSHIP - Filed under the hardship procedures: (c) TERMINAL - This is a terminal report: No No No

4. AFFILIATION OR ORGANIZATION NAME NATIONAL EMERGENCY MEDICAL SERVICES

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

First Name 5. DESIGNATION (Local, Lodge, etc.) 6. DESIGNATION NBR TORREN 7. UNIT NAME (if any) ASSOCIATION

P.O Box - Building and Room Number Number and Street 3340 Tully Rd. Suite D-3 Yes City Modesto State CA ZIP Code + 4 95360

9. Are your organization's records kept at its mailing address?

Each of the unde rsigne d, duly authorize d office rs of the above labor organization, de clare s, unde r pe nalty of pe rjury and othe r applicable pe naltie s of law, that all of the inform ation subm itte d in this re port (including inform ation containe d in any accom panying docum e nts) has be e n e x am ine d by the signatory and is, to the be st of the unde rsigne d individual's k nowle dge and be lie f, true , corre ct and com ple te (Se e Se ction V on pe naltie s in the instructions.)

26. SIGNED: Date:

Torren K Colcord Jan 29, 2007 Contact Info:

PRESIDENT

27. SIGNED: Date:

Alis Shapiro Jan 29, 2007 Contact Info:

SECRETARY

Form LM-2 (R e vise d 2003)

ITEMS 10 THROUGH 21
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? 11. During the reporting period did the labor organization have a Political Action Committee (PAC) fund? 12. During the reporting period did the labor organization have an audit or review of its books
kcerds.dol-esa.gov/query/orgReport.do

FILE NUMBER: 542-938 20. How many members did the labor organization have at the end of the reporting period? No 21. What are the labor organization's rates of dues and fees? Rates of Dues and Fees Dues/Fees Amount No Unit Minimum Maximum (a) $32 TO Regular per MONTHLY $42 Dues/Fees (b) Working 0 per 0
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2,350

Yes

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DOL Form Report (Disclosure)

and records by an outside accountant or by a parent body auditor/representative? 13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.) 14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds? 15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale? 16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period? 17. Did the labor organization have any contingent liabilities at the end of the reporting period? 18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions? 19. What is the date of the labor organization's next regular election of officers?
Form LM-2 (R e vise d 2003)

Dues/Fees (c) Initiation Fees (d) Transfer Fees $30,000 (e) Work Permits 100 per First Year Only

No

0 per 0 per 0

No

No

No

No

06 2007

STATEMENT A - ASSETS AND LIABILITIES


ASSETS 22. Cash 23. Accounts Receivable ASSETS 24. Loans Receivable 25. U.S. Treasury Securities 26. Investments 27. Fixed Assets 28. Other Assets 29. TOTAL ASSETS 5 6 7 1 2

FILE NUMBER: 542-938

Schedule Start of Reporting Period End of Reporting Period Number (A) (B) $6,396 $0 $0 $0 $0 $762 $0 $7,158 $11,353 $0 $0 $0 $0 $7,783 $2,000 $21,136

LIABILITIES 30. Accounts Payable LIABILITIES 31. Loans Payable 32. Mortgages Payable 33. Other Liabilities 34. TOTAL LIABILITIES

Schedule Start of Reporting Period End of Reporting Period Number (A) (B) 8 9 10 $155,964 $23,000 $0 $0 $178,964 $299,513 $21,235 $0 $36,138 $356,886

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35. NET ASSETS


Form LM-2 (R e vise d 2003)

-$171,806

-$335,750

STATEMENT B - RECEIPTS AND DISBURSEMENTS


CASH RECEIPTS 36. Dues and Agency Fees 37. Per Capita Tax 38. Fees, Fines, Assessments, Work Permits 39. Sale of Supplies 40. Interest 41. Dividends 42. Rents 43. Sale of Investments and Fixed Assets 44. Loans Obtained 45. Repayments of Loans Made 46. On Behalf of Affiliates for Transmittal to Them 47. From Members for Disbursement on Their Behalf 48. Other Receipts 49. TOTAL RECEIPTS 14 3 9 2 SCH AMOUNT $292,140 $0 $0 $0 $0 $0 $0 $0 $1,674 $0 $0 $0 $0 $293,814 CASH DISBURSEMENTS 50. Representational Activities 51. Political Activities and Lobbying 52. Contributions, Gifts, and Grants 53. General Overhead 54. Union Administration 55. Benefits 56. Per Capita Tax 57. Strike Benefits 58. Fees, Fines, Assessments, etc. 59. Supplies for Resale

FILE NUMBER: 542-938 SCH 15 16 17 18 19 20 AMOUNT $216,577 $0 $1,021 $22,668 $28,706 $8,399 $0 $0 $0 $0 4 2 9 $8,047 $0 $3,439 $0 $0 $0

60. Purchase of Investments and Fixed Assets 61. Loans Made 62. Repayment of Loans Obtained 63. To Affiliates of Funds Collected on Their Behalf 64. On Behalf of Individual Members 65. Direct Taxes

66. Subtotal 67. Withholding Taxes and Payroll Deductions 67a. Total Withheld 67b. Less Total Disbursed 67c. Total Withheld But Not Disbursed 68. TOTAL DISBURSEMENTS
Form LM-2 (R e vise d 2003)

$288,857

$0 $0 $0 $288,857

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE


There was no data found for this schedule.

FILE NUMBER: 542-938

SCHEDULE 2 - LOANS RECEIVABLE


There was no data found for this schedule.

FILE NUMBER: 542-938

SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS


There was no data found for this schedule.
kcerds.dol-esa.gov/query/orgReport.do

FILE NUMBER: 542-938

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SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS


Description (if land or buildings, give location) (A) 1994 Ford Taurus Office Desk Dell Computers Total of all lines Cost (B) $2,200 $1,594 $4,253 $8,047 Book Value (C)

FILE NUMBER: 542-938 Cash Paid (D) $2,200 $1,594 $4,253 $8,047 $0 $8,047

$2,200 $1,514 $4,069 $7,783 14. Less Reinvestments

(Net Purchases total will automatically entered in Item 60) 15. Net Purchases
Form LM-2 (R e vise d 2003)

SCHEDULE 5 - INVESTMENTS
Description (A) Marketable Securities 1. Total Cost 2. Total Book Value 3. List each marketable security which has a book value over $5000 and exceeds 5% of Line 2.
.

FILE NUMBER: 542-938 Amount (B)

$0 $0 $0 Other Investments

4. Total Cost 5. Total Book Value 6. List each other investment which has a book value over $5000, of Line 5. Also list each Trust which is an investment.
.

$0 $0

$0 $0

7. Total of Lines 2 and 5 (Total will be automatically entered in Item 26, Column(B))
Form LM-2 (R e vise d 2003)

SCHEDULE 6 - FIXED ASSETS


Total Depreciation or Amount Expensed (C)

FILE NUMBER: 542-938

Description (A) 1. None 3. None 5. Automobiles and Other Vehicles 6. Office Furniture and Equipment 7. Other Fixed Assets 8. Totals of Lines 1 through 7 (Column(D) Total will be automatically entered in Item 27,
kcerds.dol-esa.gov/query/orgReport.do

Cost or Other Basis (B) $0 $0 $2,200 $5,847 $0 $8,047

Book Value (D) $0

Value (E) $0 $0 $2,200 $5,847 $0 $8,047


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$0 $0 $264 $0 $264

$0 $2,200 $5,583 $0 $7,783

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DOL Form Report (Disclosure)

Column(B))
Form LM-2 (R e vise d 2003)

SCHEDULE 7 - OTHER ASSETS


Description (A) Security Deposit Total Other Assets (Total will be automatically entered in Item 28, Column(B))
Form LM-2 (R e vise d 2003)

FILE NUMBER: 542-938 Book Value (B) $2,000 $2,000

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE


Entity or Individual Name (A) Carrol, Burdick & McDonough LLP Chang, Rutherford & Long PC Mark Macy New Direction Services Torren Colcord Total from all other accounts payable Total Accounts Payable (Column(B) Total will be automatically entered in Item 30, Column(D))
Form LM-2 (R e vise d 2003)

FILE NUMBER: 542-938 180+ Days Past Due (D) $0 $0 $4,750 $5,452 $0 $0 $10,202 $130,473 $10,636 $6,836 $10,550 $13,259 $0 $171,754 Liquidated Account (E) $0 $0 $0 $0 $0 $0 $0

Total Account Payable (B) $130,473 $10,636 $13,621 $27,882 $113,259 $3,642 $299,513

90-180 Days Past Due (C)

SCHEDULE 9 - LOANS PAYABLE


Source of Loans Payable at Any Time During the Reporting Period (A) Michael Bergman Torren Colcord Dell Computer Total Loans Payable Totals will be automatically entered in...
Form LM-2 (R e vise d 2003)

FILE NUMBER: 542-938

Loans Owed at Start of Period (B) $20,000 $3,000 $0 $23,000 Item 31 Column (C)

Loans Obtained During Period (C) $0 $0 $1,674 $1,674 Item 44

Repayment During Period Cash (D)(1) $439 $3,000 $0 $3,439 Item 62

Repayment During Period Other Than Cash (D)(1) $0 $0 $0 $0 Item 69 with Explanation

Loans Owed at End of Period (E) $19,561 $0 $1,674 $21,235 Item 31 Column (D)

SCHEDULE 10 - OTHER LIABILITIES


Description (A) Related Party Payables Accured Vacation/Salaries Defense Fund Strike Fund Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))
kcerds.dol-esa.gov/query/orgReport.do

FILE NUMBER: 542-938 Amount at End of Period (B) $1,382 $22,038 $6,359 $6,359 $36,138
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Form LM-2 (R e vise d 2003)

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS


(D) (E) Gross Salary Allowances Disbursements Disbursed (before any deductions) $40,000 Schedule 16 Political 76 % Activities and Lobbying $0

FILE NUMBER: 542-938 (H) TOTAL

(A) Name

(B) Title

(C) Status

(F) (G) Disbursements Other for Official Disbursements Business not reported in (D) thru (F) $0 $0

A Torren K Colcord B President CC Schedule 15 I Representational Activities A Alis Shapiro B Secretary CC Schedule 15 I Representational Activities A Thomas Nipper B Vice President CC Schedule 15 I Representational Activities A David Turner B Treasurer CC Schedule 15 I Representational Activities Schedule 16 100 Political % Activities and Lobbying Schedule 16 100 Political % Activities and Lobbying Schedule 16 100 Political % Activities and Lobbying

$40,000

0%

Schedule 17 Contributions

Schedule 18 0 % General Overhead

0%

Schedule 19 Administration

24 %

$0

$0

$0

$0

$0

0%

Schedule 17 Contributions

Schedule 18 0 % General Overhead

0%

Schedule 19 Administration

0%

$0

$0

$0

$0

$0

0%

Schedule 17 Contributions

Schedule 18 0 % General Overhead

0%

Schedule 19 Administration

0%

$0

$0

$0

$0

$0

0%

Schedule 17 Contributions

Schedule 18 0 % General Overhead $0 $0

0%

Schedule 19 Administration

0%

Total Officer Disbursements Less Deductions Net Disbursements


Form LM-2 (R e vise d 2003)

$40,000

$0

$40,000 $5,171 $34,829

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES


(D) Gross Salary Disbursements (before any deductions) $16,154 (E) Allowances Disbursed

FILE NUMBER: 542-938 (F) (G) Disbursements Other for Official Disbursements Business not reported in (D) thru (F) $0 $0 (H) TOTAL

(A) Name A Mark F Macy B Controller C None

(B) Title

(C) Other Payer

$0

$16,154

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Schedule 15 I Representational Activities A Aaron C Pelican B Representative C None Schedule 15 I Representational Activities A Eric Stephens B Representative C None Schedule 15 I Representational Activities A Tim Bonifay B Representative C None Schedule 15 I Representational Activities

Schedule 16 76 % Political Activities and Lobbying

0%

Schedule 17 Contributions

Schedule 18 0 % General Overhead

0%

Schedule 19 Administration

24 %

$14,308 Schedule 16 Political 43 % Activities and Lobbying

$0

$0

$0

$14,308

0%

Schedule 17 Contributions

Schedule 18 0 % General Overhead

0%

Schedule 19 Administration

57 %

$16,154 Schedule 16 Political 89 % Activities and Lobbying

$0

$0

$0

$16,154

0%

Schedule 17 Contributions

Schedule 18 0 % General Overhead

0%

Schedule 19 Administration

11 %

$13,846 Schedule 16 Political 80 % Activities and Lobbying

$0

$0

$0

$13,846

0%

Schedule 17 Contributions

Schedule 18 0 % General Overhead

0%

Schedule 19 Administration

20 %

TOTALS RECEIVED BY EMPLOYEES MAKING LESS THAN $10000 Schedule 15 I Representational Activities Schedule 16 91 Political Activities and % Lobbying

$6,923

$0

$0

$0

$6,923

0%

Schedule 18 Schedule 17 0 % General Contributions Overhead $0 $0

0%

Schedule 19 9% Administration $0 $67,385 $13,432 $53,953

Total Employee Disbursements Less Deductions Net Disbursements


Form LM-2 (R e vise d 2003)

$67,385

SCHEDULE 13 - MEMBERSHIP STATUS


Category of Membership (A) Regular Membership form not filled out Members Agency Fee Payers* Total Members/Fee Payers *Agency Fee Payers are not considered members of the labor organization.
Form LM-2 (R e vise d 2003)

FILE NUMBER: 542-938 Number (B) 1,927 423 2,350 0 2,350 Voting Eligibility (C) Yes No

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19


SCHEDULE 14 OTHER RECEIPTS
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FILE NUMBER: 542-938

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS


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1. Named Payer Itemized Receipts 2. Named Payer Non-itemized Receipts 3. All Other Receipts 4. Total Receipts

$0 $0 $0

1. Named Payee Itemized Disbursements 2. Named Payee Non-itemized Disbursements 3. To Officers 4. To Employees 5. All Other Disbursements 6. Total Disbursements

$0 $0 $0 $0 $1,021 $1,021

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES 1. Named Payee Itemized Disbursements 2. Named Payee Non-itemized Disbursements 3. To Officers 4. To Employees 5. All Other Disbursements 6. Total Disbursements 1. Named Payee Itemized Disbursements 2. Named Payee Non-itemized Disbursements 3. To Officers 4. To Employees 5. All Other Disbursements 6. Total Disbursements
Form LM-2 (R e vise d 2003)

$17,237 $59,878 $30,400 $50,183 $58,879 $216,577 $0 $0 $0 $0 $0

SCHEDULE 18 GENERAL OVERHEAD 1. Named Payee Itemized Disbursements 2. Named Payee Non-itemized Disbursements 3. To Officers 4. To Employees 5. All Other Disbursements 6. Total Disbursements SCHEDULE 19 UNION ADMINISTRATION 1. Named Payee Itemized Disbursements 2. Named Payee Non-itemized Disbursements 3. To Officers 4. To Employees 5. All Other Disbursements 6. Total Disbursements $0 $0 $9,600 $17,202 $1,904 $28,706 $0 $11,969 $0 $0 $10,699 $22,668

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING

SCHEDULE 14 - OTHER RECEIPTS


There was no data found for this schedule.

FILE NUMBER: 542-938

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES


Name and Address (A) Carrol, Burdick, & McDonough, LLC 1007 7th St., Suite 200 Sacramento CA 95814 Type or Classification (B) Legal Council Name and Address (A) New Direction Services 8300 FAIR OAKS BLVD., SUITE Carmichael CA 95608 Type or Classification
kcerds.dol-esa.gov/query/orgReport.do

FILE NUMBER: 542-938

Purpose (C) Bargaining contract in San Mateo - AMR Bargaining contract in San Mateo - AMR Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D) 01/10/2006 02/15/2006

Amount (E) $10,463 $6,774 $17,237 $19,527 $36,764

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $34,113 $34,113


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(B) Printing Business Name and Address (A) Nextel Communications PO BOX 541023 Los Angeles CA 90054-1023 Type or Classification (B) Cell Phone company
Form LM-2 (R e vise d 2003)

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $6,238 $6,238

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING


There was no data found for this schedule.

FILE NUMBER 542-938

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS


There was no data found for this schedule.

FILE NUMBER: 542-938

SCHEDULE 18 - GENERAL OVERHEAD


Name and Address (A) Carrol, Burdick & McDonough, LLC 1007 7th St., Suite 200 Sacramento CA 95814 Type or Classification (B) Legal Council
Form LM-2 (R e vise d 2003)

FILE NUMBER: 542-938

Purpose (C) Total Itemized Transactions Total Non-Itemized Transactions Total of All Transactions

Date (D)

Amount (E) $0 $11,969 $11,969

SCHEDULE 19 - UNION ADMINISTRATION


There was no data found for this schedule.

FILE NUMBER: 542-938

SCHEDULE 20 - BENEFITS
Description (A) Dental Insurance Medical Insurance Vision (VSP) Medical Insurance Total Benefits
kcerds.dol-esa.gov/query/orgReport.do

FILE NUMBER: 542-938 To Whom Paid (B) Principal Health Net Co Power Blue Shield Amount (C) $1,308 $709 $640 $5,742 $8,399
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Form LM-2 (R e vise d 2003)

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 542-938

Schedule 13 : Regular members are current dues payers. They also have full voting rights.

Question 12: KEMPER CPA GROUP, LLP CONDUCTED AUDIT OF BOOKS. 3031 W. MARCH LN., STE 133 S STOCKTON, CA 95219

Schedule 13 : same as question #2 below.

Schedule 13 : #2. These members had not signed a membership forms nor paid dues as of March 31, 2006 and therefore had no voting rights at that time. Many of these have since become members in good standing. Title: SECRETARY SIGNATURE APPEARS ON FORM DUE TO AVAILABLITY AND OBTAINING OF DIGITAL SIGNATURE.

Form LM-2 (R e vise d 2003)

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