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: 08-31-2016
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

This report is mandatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
034-229
2. PERIOD COVERED
From01/01/2013
Through12/31/2013
3. (a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This is a terminal report:No
4. AFFILIATION OR ORGANIZATION NAME
AUTO WORKERS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
 6. DESIGNATION NBR
1250
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
JACK
 Last Name
FEDERAN
P.O Box - Building and Room Number

Number and Street
17250 HUMMEL RD.
City
BROOK PARK
State
OH		 ZIP Code + 4
441422134


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:MIKE D GAMMELLAPRESIDENT71. SIGNED:JACK FEDERANTREASURER
Date:Mar 03, 2014Telephone Number:216-267-9900Date:Mar 03, 2014Telephone Number:216-267-9900
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 034-229
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?No
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?No
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$148,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?05/2014
20. How many members did the labor organization have at the end of the reporting period?1,086
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2 hours straight paypermonth00
(b) Working Dues/FeesNoneperNone00
(c) Initiation Fees$50perone time00
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 034-229

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $359,518$399,602
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$740,247$740,247
28. Other Assets7$834$728
29. TOTAL ASSETS $1,100,599$1,140,577

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$52,531$56,025
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$2,282$6,805
34. TOTAL LIABILITIES $54,813$62,830
35. NET ASSETS$1,045,786$1,077,747
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 034-229

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $911,590
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $50
39. Sale of Supplies $0
40. Interest $583
41. Dividends $0
42. Rents $60,625
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$150,891
49. TOTAL RECEIPTS $1,123,739
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$134,216
51. Political Activities and Lobbying16$0
52. Contributions, Gifts, and Grants17$445
53. General Overhead18$3,842
54. Union Administration19$272,644
55. Benefits20$49,142
56. Per Capita Tax $584,618
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$0
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $37,781
  
66. Subtotal $1,082,688
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$71,617  
  67b. Less Total Disbursed$72,584  
  67c. Total Withheld But Not Disbursed -$967
68. TOTAL DISBURSEMENTS $1,083,655
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 034-229

Entity or Individual Name
(A) 		Total Account Receivable
(B) 		90-180 Days
Past Due
(C) 		180+ Days
Past Due
(D) 		Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 034-229

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 034-229

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Gross Sales Price
(D) 		Amount Received
(E)
Total of all lines above$0$0$0$0
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 034-229

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 034-229

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost
E. Total Book Value
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.  
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 034-229

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      17250 Hummel Road Brookpark, OH 44142$65,280 $65,280$65,280
B. Buildings (give location)    
Building  1 :      17250 Hummel Road Brookpark, OH 44142$305,889$0$305,889$305,889
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$304,247$0$304,247$304,247
E. Other Fixed Assets$64,831$0$64,831$64,831
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $740,247$0$740,247$740,247
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 034-229

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $728
POW/MIA T-SHIRTS - 19 @ $10 EACH$190
COMBAT BOOTS - 9 @ $10 EACH$90
15" BRANCH PATCHES - 4 @ $15 EACH$60
6" BRANCH PATCHES - 8 @ $5 EACH$40
GREY T-SHIRTS - 19 @ $17 EACH$323
BELTS W/ BELTBUCKLES - 5 @ $5 EACH$25
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 034-229

Entity or Individual Name
(A) 		Total Account
Payable
(B) 		90-180 Days
Past Due
(C) 		180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$56,025$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)) $56,025$0$0$0
Per Capita Taxes$41,479$0$0$0
Utilities, Property Taxes, supplies, etc$14,546$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 034-229

Source of Loans Payable at Any
Time During the Reporting Period
(A) 		Loans Owed at
Start of Period
(B) 		Loans Obtained
During Period
(C) 		Repayment
During Period
Cash
(D)(1) 		Repayment
During Period
Other Than Cash
(D)(2) 		Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 034-229

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $6,805
Unemployment Taxes (940)$285
City Taxes$28
State of Ohio Unemployment Taxes$27
State Income Taxes Forwarded$871
Federal Income Taxes Forwarded (941, MECA, FICA)$5,206
Local Taxes$388
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 034-229

(A)
Name		(B)
Title		(C)
Status		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances
Disbursed 		(F)
Disbursements for Official Business 		(G)
Other
Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		BUCHAN ,  DOUGLAS  
1ST VICE PRESIDENT
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		FEDERAN ,  JACK   S
FINANCIAL SECRETARY
C		$90,901$12,986$0$0$103,887
I
Schedule 15
Representational Activities 		11 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		89 %
A
B
C 		GAMMELLA ,  MICHAEL   D
PRESIDENT
C		$19,617$0$6,332$0$25,949
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		GROVE ,  KEITH  
EXEC BOARD MEM
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HOGAN ,  PATRICK   G
GUIDE
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		KISER ,  DONALD   F
RETIREE CHAIRMAN
C		$0$2,190$0$0$2,190
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		MOORE ,  WILLIAM   R
TRUSTEE
C		$1,303$184$0$0$1,487
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		MOORE ,  TOMMIE   L
SERGEANT AT ARMS
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		POOLE ,  WALTER   L
EXEC BOARD MEM
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		RANDALL ,  TIMOTHY   J
EXEC BOARD MEM
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		ROPELEWSKI ,  JOHN   T
TRUSTEE
C		$1,694$225$51$0$1,970
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		WADE ,  DANIEL   S
TRUSTEE
C		$1,381$177$0$0$1,558
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
A
B
C 		WALLACE ,  PATRICK   L
RECORDING SECRETARY
C		$2,965$295$0$0$3,260
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		100 %
Total Officer Disbursements$117,861$16,057$6,383$0$140,301
Less Deductions    $49,227
Net Disbursements    $91,074
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 034-229

(A)
Name		(B)
Title		(C)
Other Payer		 (D)
Gross Salary
Disbursements
(before any
deductions) 		(E)
Allowances Disbursed 		(F)
Disbursements for Official Business 		(G)
Other Disbursements not reported in
(D) through (F) 		(H)
TOTAL
A
B
C 		MEDINA ,  THERESA  
OFFICE MANAGER
NA		$67,453$0$0$0$67,453
I
Schedule 15
Representational Activities 		31 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		69 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$26,050$1,460$5,630$0$33,140
I Schedule 15
Representational Activities 		77 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		23 %
Total Employee Disbursements$93,503$1,460$5,630$0$100,593
Less Deductions    $22,391
Net Disbursements    $78,202
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 034-229

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 1,086 
Agency Fee Payers*
Total Members/Fee Payers1,086 
*Agency Fee Payers are not considered members of the labor organization.
Regular Member1,086Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 034-229

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$129,048
2. Named Payer Non-itemized Receipts$12,450
3. All Other Receipts$9,393
4. Total Receipts$150,891
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$445
6. Total Disbursements$445
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$7,500
2. Named Payee Non-itemized Disbursements$28,494
3. To Officers$13,618
4. To Employees$46,428
5. All Other Disbursements$38,176
6. Total Disbursements$134,216
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$3,842
6. Total Disbursements$3,842
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$0
6. Total Disbursements$0
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$46,137
3. To Officers$126,683
4. To Employees$54,165
5. All Other Disbursements$45,659
6. Total Disbursements$272,644
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 034-229

Name and Address
(A)
INTERNATIONAL UNION UAW
P O BOX 77000

DETROIT
MI
48277-1277
Type or Classification
(B)
UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$120,589
Total Non-Itemized Transactions with this Payee/Payer$6,650
Total of All Transactions with this Payee/Payer for This Schedule$127,239
PCT REBATE 04/201306/12/2013$21,532
PCT REBATE 13TH CHECK; CH04/29/2013$14,219
PCT REBATE 08/201310/15/2013$13,048
PCT REBATE 11/201201/22/2013$8,449
PCT REBATE 01/201303/14/2013$8,394
PCT REBATE 12/201202/11/2013$7,999
PCT REBATE 05/201307/17/2013$7,934
PCT REBATE 06/201308/21/2013$7,923
PCT REBATE 03/201305/08/2013$7,892
PCT REBATE 10/201312/09/2013$7,805
PCT REBATE 02/201304/11/2013$7,729
PCT REBATE 09/201311/12/2013$7,665
Name and Address
(A)
RECREATION COMMITTEE
17250 HUMMEL RD

BROOK PARK
OH
44142-0000
Type or Classification
(B)
UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,459
Total Non-Itemized Transactions with this Payee/Payer$5,800
Total of All Transactions with this Payee/Payer for This Schedule$14,259
DONATION AND ENTRANCE FEE05/14/2013$8,459
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 034-229

Name and Address
(A)
GOLF INCORPORATED
1316 MUDBROOK RD
THUNDERBIRD HILLS GOLF CO
HURON
OH
44839-0000
Type or Classification
(B)
RECREATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer$330
Total of All Transactions with this Payee/Payer for This Schedule$7,830
JUNE 2 2013 GOLF OUTING05/29/2013$7,500
Name and Address
(A)
JOHN ROPELEWSKI
37236 SUGAR CREEK LANE

NORTH RIDGEVILLE
OH
44039-0000
Type or Classification
(B)
RECREATION EVENTS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,756
Total of All Transactions with this Payee/Payer for This Schedule$5,756
Name and Address
(A)
LES SZUCS
7465 CANYON CIRCLE

MIDDLEBURG HTS
OH
44130-0000
Type or Classification
(B)
CUSTODIAN
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,156
Total of All Transactions with this Payee/Payer for This Schedule$5,156
Name and Address
(A)
Roberts Custom Software
3667 1st Street

East Moline
IL
61244-0000
Type or Classification
(B)
Software Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,259
Total of All Transactions with this Payee/Payer for This Schedule$5,259
Name and Address
(A)
THE ILLUMINATING COMPANY
P O BOX 3638

AKRON
OH
44309-3638
Type or Classification
(B)
ELECTRIC DISTRIBUTOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,857
Total of All Transactions with this Payee/Payer for This Schedule$6,857
Name and Address
(A)
WILLIAM M HORA
6849 BLUESPRUCE OVAL

MIDDLEBURG HTS
OH
44130-3501
Type or Classification
(B)
JANITORIAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,136
Total of All Transactions with this Payee/Payer for This Schedule$5,136
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 034-229

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 034-229

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 034-229

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 034-229

Name and Address
(A)
AT&T
P O BOX 5080

CAROL STREAM
IL
60197-5080
Type or Classification
(B)
TELEPHONE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,657
Total of All Transactions with this Payee/Payer for This Schedule$5,657
Name and Address
(A)
LES SZUCS
7465 CANYON CIRCLE

MIDDLEBURG HTS
OH
44130-0000
Type or Classification
(B)
CUSTODIAN
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,733
Total of All Transactions with this Payee/Payer for This Schedule$7,733
Name and Address
(A)
LORAIN PARTY CENTER
2501 LEAVITT ROAD

LORAIN
OH
44052-0000
Type or Classification
(B)
FOOD
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,872
Total of All Transactions with this Payee/Payer for This Schedule$6,872
Name and Address
(A)
Roberts Custom Software
3667 1st Street

East Moline
IL
61244-0000
Type or Classification
(B)
Software Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,888
Total of All Transactions with this Payee/Payer for This Schedule$7,888
Name and Address
(A)
THE ILLUMINATING COMPANY
P O BOX 3638

AKRON
OH
44309-3638
Type or Classification
(B)
ELECTRIC DISTRIBUTOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,283
Total of All Transactions with this Payee/Payer for This Schedule$10,283
Name and Address
(A)
WILLIAM M HORA
6849 BLUESPRUCE OVAL

MIDDLEBURG HTS
OH
44130-3501
Type or Classification
(B)
JANITORIAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,704
Total of All Transactions with this Payee/Payer for This Schedule$7,704
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 034-229

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$49,142
Dental/Hearing/Medical/Vision InsuranceCOSE/MEDICAL MUTUAL HEALTH PROGRAM$9,105
Dental/Hearing/Medical/Vision InsuranceDIANE ANDRASAK$3,530
Dental/Hearing/Medical/Vision InsuranceHEALTH BENEFIT FUND 1794$21,744
Dental/Hearing/Medical/Vision InsuranceTHERESA MEDINA$2,000
Group Life InsuranceINTERNATIONAL UNION UAW$702
Group Life InsuranceInternational Union UAW$234
Workers Compension InsuranceBUREAU OF WORKERS COMPENSATION$1,442
Workers Compension InsuranceCOSE WORKERS' COMPENSATION PROGRAM$126
Pension AllocationsNATIONAL INTEGRATED GROUP PENSION PLAN$6,259
Retirement Savings(401K etc)EmployerSHAREBUILDER SECURITIES CORPORATION$4,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 034-229


Question 10: Operations of the Building Corporation are handled through the books and records of the Local Union and are therefore, included in this report.

Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)