DRAFT — UNVERIFIED

Form LM-2 workpaper packet — Test Workers Local 9999

LM file no. 999001 · fiscal year July 1, 2026 – June 30, 2027
Contents: cover · disbursement schedules 17–24 · manual-entry sheet

Prepared by: ____________________ Date: ____________

Reviewed by: ____________________ Date: ____________

Draft — not for filing until both signatures are recorded.

DRAFT — UNVERIFIED

Schedule 17 — Contract Negotiation and Administration

Test Workers Local 9999 · LM file no. 999001 · fiscal year July 1, 2026 – June 30, 2027

Itemization: “Major” disbursement: any individual disbursement of $5,000 or more, or disbursements to a single entity or individual that aggregate to $5,000 or more in the reporting period.

Itemized payees

PayeeTxnsAmount
BARGAINING STRATEGIES GROUP1239,548.33
GRIEVANCE HEARING SERVICES1037,792.96
INDEPENDENT ARBITRATION PANEL1049,373.93

Line totals

LineTraceAmount
Named Payee Itemized Disbursements32 traced entries126,715.22
Named Payee Non-Itemized Disbursements0 traced entries0.00
Schedule 17 total
ties to Statement B item 51		 126,715.22
DRAFT — UNVERIFIED

Schedule 18 — Organizing

Test Workers Local 9999 · LM file no. 999001 · fiscal year July 1, 2026 – June 30, 2027

Itemization: “Major” disbursement: any individual disbursement of $5,000 or more, or disbursements to a single entity or individual that aggregate to $5,000 or more in the reporting period.

Itemized payees

PayeeTxnsAmount
CAMPAIGN OUTREACH SERVICES1331,342.29
GRASSROOTS ORGANIZING PARTNERS1442,554.29
MEMBER RECRUITMENT DRIVE COSTS1333,717.24

Line totals

LineTraceAmount
Named Payee Itemized Disbursements40 traced entries107,613.82
Named Payee Non-Itemized Disbursements0 traced entries0.00
Schedule 18 total
ties to Statement B item 52		 107,613.82
DRAFT — UNVERIFIED

Schedule 19 — Political Activities

Test Workers Local 9999 · LM file no. 999001 · fiscal year July 1, 2026 – June 30, 2027

Itemization: “Major” disbursement: any individual disbursement of $5,000 or more, or disbursements to a single entity or individual that aggregate to $5,000 or more in the reporting period.

Itemized payees

PayeeTxnsAmount
STATE WORKER RIGHTS PAC615,128.48

Line totals

LineTraceAmount
Named Payee Itemized Disbursements6 traced entries15,128.48
Named Payee Non-Itemized Disbursements0 traced entries0.00
Schedule 19 total
ties to Statement B item 53		 15,128.48
DRAFT — UNVERIFIED

Schedule 20 — Lobbying

Test Workers Local 9999 · LM file no. 999001 · fiscal year July 1, 2026 – June 30, 2027

Itemization: “Major” disbursement: any individual disbursement of $5,000 or more, or disbursements to a single entity or individual that aggregate to $5,000 or more in the reporting period.

Itemized payees

PayeeTxnsAmount
STATEHOUSE ADVOCACY PARTNERS621,969.48

Line totals

LineTraceAmount
Named Payee Itemized Disbursements6 traced entries21,969.48
Named Payee Non-Itemized Disbursements0 traced entries0.00
Schedule 20 total
ties to Statement B item 54		 21,969.48
DRAFT — UNVERIFIED

Schedule 21 — Contributions, Gifts, and Grants

Test Workers Local 9999 · LM file no. 999001 · fiscal year July 1, 2026 – June 30, 2027

Itemization: “Major” disbursement: any individual disbursement of $5,000 or more, or disbursements to a single entity or individual that aggregate to $5,000 or more in the reporting period.

Itemized payees

PayeeTxnsAmount
COMMUNITY RELIEF FUND47,125.71

Line totals

LineTraceAmount
Named Payee Itemized Disbursements4 traced entries7,125.71
Named Payee Non-Itemized Disbursements4 traced entries4,843.02
Schedule 21 total
ties to Statement B item 55		 11,968.73
DRAFT — UNVERIFIED

Schedule 22 — General Overhead

Test Workers Local 9999 · LM file no. 999001 · fiscal year July 1, 2026 – June 30, 2027

Itemization: “Major” disbursement: any individual disbursement of $5,000 or more, or disbursements to a single entity or individual that aggregate to $5,000 or more in the reporting period.

Itemized payees

PayeeTxnsAmount
ANDERSON STATIONERS17337,338.70
CALDER FINCH CPAS49,667.91
CAPITAL BUSINESS PRODUCTS17337,757.71
CRESTLINE PAPER SUPPLY17236,035.49
GUARDIAN SHIELD INSURANCE GROUP413,845.10
HIGHLAND GAS125,459.69
KWIK COURIER17339,814.27
LAKEVIEW OFFICE SOLUTIONS17141,252.31
METRO OFFICE SUPPLY17339,652.41
METRO POWER LIGHT125,660.57
NORTHGATE SUPPLY17340,963.40
OFFICEMAX17338,738.56
PINNACLE BUSINESS PRODUCTS17240,108.72
PRIME OFFICE DEPOT17340,288.18
QUICKSHIP COURIER17340,815.13
RIVERSIDE PROPERTY MGMT1281,600.00
STAPLES BUSINESS SOLUTIONS17238,917.36
SUNBELT PAPER17340,510.88
UNION TELECOM SERVICES126,509.19
VALUEMART OFFICE GOODS17340,348.98

Line totals

LineTraceAmount
Named Payee Itemized Disbursements2473 traced entries675,284.56
Named Payee Non-Itemized Disbursements29 traced entries2,881.07
Schedule 22 total
ties to Statement B item 56		 678,165.63
DRAFT — UNVERIFIED

Schedule 23 — Union Administration

Test Workers Local 9999 · LM file no. 999001 · fiscal year July 1, 2026 – June 30, 2027

Itemization: “Major” disbursement: any individual disbursement of $5,000 or more, or disbursements to a single entity or individual that aggregate to $5,000 or more in the reporting period.

Itemized payees

PayeeTxnsAmount
ALLIED LABOR FEDERATION1287,334.57
LABOR EDUCATION INSTITUTE1215,633.70
UNION HALL CATERING119,055.75

Line totals

LineTraceAmount
Named Payee Itemized Disbursements35 traced entries112,024.02
Named Payee Non-Itemized Disbursements1 traced entry300.19
Schedule 23 total
ties to Statement B item 57		 112,324.21
DRAFT — UNVERIFIED

Schedule 24 — Benefits

Test Workers Local 9999 · LM file no. 999001 · fiscal year July 1, 2026 – June 30, 2027

Itemized payees

PayeeTxnsAmount
BEACON BENEFITS TRUST12221,575.98
LAKESHORE PENSION FUND12187,073.13

Line totals

LineTraceAmount
Total of all lines above24 traced entries408,649.11
Schedule 24 total
ties to Statement B item 58		 408,649.11
DRAFT — UNVERIFIED

Purpose-level detail — RIVERSIDE PROPERTY MGMT

Test Workers Local 9999 · LM file no. 999001 · fiscal year July 1, 2026 – June 30, 2027

Schedule 22 → Statement B item 56 (General Overhead). Every transaction behind this payee's itemized total, at the row level.

TxnDatePurposeAmount
L333July 1, 2026monthly rent — union hall6,800.00
L334August 1, 2026monthly rent — union hall6,800.00
L335September 1, 2026monthly rent — union hall6,800.00
L336October 1, 2026monthly rent — union hall6,800.00
L337November 1, 2026monthly rent — union hall6,800.00
L338December 1, 2026monthly rent — union hall6,800.00
L339January 1, 2027monthly rent — union hall6,800.00
L340February 1, 2027monthly rent — union hall6,800.00
L341March 1, 2027monthly rent — union hall6,800.00
L342April 1, 2027monthly rent — union hall6,800.00
L343May 1, 2027monthly rent — union hall6,800.00
L344June 1, 2027monthly rent — union hall6,800.00
Total81,600.00
DRAFT — UNVERIFIED

Manual-entry sheet — Statement B

Test Workers Local 9999 · LM file no. 999001 · fiscal year July 1, 2026 – June 30, 2027

Values are ordered for keying: total receipts first, the schedule-fed items in form order, total disbursements last. Cents are always shown; negative amounts appear in parentheses.

OrderForm itemValue to keyKeyed
001Statement B · item 50 — TOTAL RECEIPTS7,383,183.45☐
002Statement B · item 51 — Contract Negotiation and Administration (Schedule 17 total)126,715.22☐
003Statement B · item 52 — Organizing (Schedule 18 total)107,613.82☐
004Statement B · item 53 — Political Activities (Schedule 19 total)15,128.48☐
005Statement B · item 54 — Lobbying (Schedule 20 total)21,969.48☐
006Statement B · item 55 — Contributions, Gifts, and Grants (Schedule 21 total)11,968.73☐
007Statement B · item 56 — General Overhead (Schedule 22 total)678,165.63☐
008Statement B · item 57 — Union Administration (Schedule 23 total)112,324.21☐
009Statement B · item 58 — Benefits (Schedule 24 total)408,649.11☐
010Statement B · item 74 — TOTAL DISBURSEMENTS1,482,534.68☐

Basis of the aggregate rows

  1. TOTAL RECEIPTS (item 50): Basis: total receipts as computed for the filing-form eligibility test over the imported synthetic GL; not transcribed from any filing.
  2. TOTAL DISBURSEMENTS (item 74): Basis: the sum of the mapped schedule totals (items 51–58) in this packet; not the complete form total; not transcribed from any filing.

Keyed by: ____________________ Date: ____________
Verified by: ____________________ Date: ____________

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