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
542-249
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
4911
7. UNIT NAME (if any)

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

Number and Street
2722 E MICHIGAN AVE STE 205
City
LANSING
State
MI		 ZIP Code + 4
489124000


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:Joseph C DouglasPRESIDENT71. SIGNED:Rose M Van SchoickTREASURER
Date:Mar 21, 2014Telephone Number:517-364-2270Date:Mar 21, 2014Telephone Number:517-272-5865
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 542-249
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?Yes
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?$146,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
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?05/2015
20. How many members did the labor organization have at the end of the reporting period?2,113
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesTwo hours straight time pay per monthperper month2 hours2 hours
(b) Working Dues/Fees0per
(c) Initiation Fees20per
(d) Transfer Fees0per
(e) Work Permits0per

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 542-249

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $535,118$575,199
23. Accounts Receivable1$0$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$29,011$29,490
28. Other Assets7$4,697$3,960
29. TOTAL ASSETS $568,826$608,649

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$44,844$45,999
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$5,107$7,617
34. TOTAL LIABILITIES $49,951$53,616
35. NET ASSETS$518,875$555,033
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 542-249

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $792,665
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $5,720
39. Sale of Supplies $0
40. Interest $1,427
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$108,408
49. TOTAL RECEIPTS $908,220
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$111,845
51. Political Activities and Lobbying16$13,144
52. Contributions, Gifts, and Grants17$16,277
53. General Overhead18$17,540
54. Union Administration19$118,836
55. Benefits20$31,828
56. Per Capita Tax $545,085
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$504
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $14,987
  
66. Subtotal $870,046
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$57,070  
  67b. Less Total Disbursed$55,161  
  67c. Total Withheld But Not Disbursed $1,909
68. TOTAL DISBURSEMENTS $868,137
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 542-249

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: 542-249

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: 542-249

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 
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-249

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$504$504$504
Kenmore Refrigerator$504$504$504
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$504
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 542-249

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: 542-249

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$29,490$0$29,490$19,803
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $29,490$0$29,490$19,803
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 542-249

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $3,960
Bibles$853
UAW Local 4911 Solidarity Briefcases$3,107
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 542-249

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$45,999$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)) $45,999$0$0$0
UAW International$41,420$0$0$0
MI CAP Council$1,001$0$0$0
Region 1-C$1,469$0$0$0
Lansing Labor News$2,003$0$0$0
Region 1-C IPS Arbitration Fund$106$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 542-249

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: 542-249

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $7,617
MI Department of Treasury$749
SUTA$361
FUTA$275
City of Lansing$366
FICA$5,866
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 542-249

(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 		BRAMER ,  RAYMOND  
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 		NORCROSS ,  JANE   E
UNIT CHAIR
C		$221$0$0$0$221
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 		SLIVENSKY ,  ERICH  
RECORDING SECRETARY
C		$0$2,025$0$0$2,025
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 		BROOKER ,  EILEEN  
TRUSTEE
P		$0$0$103$0$103
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 		GURNEE ,  DOUGLAS  
UNIT CHAIR
P		$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 		HAZEL ,  NATALIE  
TRUSTEE
N		$625$0$0$0$625
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 		EVANS ,  CHERYL  
VICE PRESIDENT
P		$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 		SLONE ,  WILBERT  
SGT AT ARMS
C		$502$0$0$0$502
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 		FENBY ,  GERALD  
UNIT CHAIR
N		$1,240$0$250$0$1,490
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 		QAWWEE ,  MUHAMMAD  
UNIT CHAIR
C		$1,247$2,025$133$0$3,405
I
Schedule 15
Representational Activities 		95 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		VANSCHOICK ,  ROSE  
FINANCIAL SECRETARY
C		$77,057$0$972$0$78,029
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		98 %
A
B
C 		DOUGLAS ,  JOSEPH  
PRESIDENT
C		$61,560$0$699$0$62,259
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
A
B
C 		ALDRICH ,  DEBRA  
UNIT CHAIR
C		$2,618$2,025$94$0$4,737
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		HARVEY ,  KYMBERLYNN  
TRUSTEE
C		$935$0$94$0$1,029
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		83 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		17 %
A
B
C 		KREFT ,  MICHELINA  
TRUSTEE
C		$1,545$0$662$0$2,207
I
Schedule 15
Representational Activities 		22 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		78 %
Total Officer Disbursements$147,550$6,075$3,007$0$156,632
Less Deductions    $50,561
Net Disbursements    $106,071
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 542-249

(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 		STENSKE ,  SANDRA   F
BOOKKEEPER
none		$22,435$0$503$0$22,938
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$9,783$0$1,815$0$11,598
I Schedule 15
Representational Activities 		82 % Schedule 16
Political Activities and Lobbying 		11 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		7 % Schedule 19
Administration 		0 %
Total Employee Disbursements$32,218$0$2,318$0$34,536
Less Deductions    $6,509
Net Disbursements    $28,027
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 542-249

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 2,113 
Agency Fee Payers*7
Total Members/Fee Payers2,120 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members2,113Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 542-249

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$108,208
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$200
4. Total Receipts$108,408
     
     
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$16,277
6. Total Disbursements$16,277
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$12,329
3. To Officers$69,052
4. To Employees$9,510
5. All Other Disbursements$20,954
6. Total Disbursements$111,845
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$16,650
3. To Officers$0
4. To Employees$812
5. All Other Disbursements$78
6. Total Disbursements$17,540
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$4,595
4. To Employees$1,276
5. All Other Disbursements$7,273
6. Total Disbursements$13,144
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$82,985
4. To Employees$22,938
5. All Other Disbursements$12,913
6. Total Disbursements$118,836
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 542-249

Name and Address
(A)
UAW INTERNATIONAL

8000 S JEFFERSON AVE
DETROIT
MI
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$108,208
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$108,208
PCT REBATE 11/2012 01/17/2013$8,043
PCT REBATE PYMT 12/2012 02/11/2013$8,042
PCT REBATE PYMT 1/2013 03/04/2013$7,934
PCT REBATE PYMT 2/2013 04/02/2013$7,642
13TH REBATE CHECK 05/10/2013$10,652
PCT REBATE 3/2013 05/10/2013$8,191
PCT REBATE PYMT 4/2013 06/12/2013$8,154
PCT REBATE PYMT 5/2013 07/10/2013$8,704
PCT REBATE PYME 6/2013 08/08/2013$8,184
PCT REBATE PYMT 7/2013 09/10/2013$8,094
PCT REBATE 8/2013 10/10/2013$8,197
PCT REBATE PYMT 9/2013 11/12/2013$8,171
PCT REBATE PYMT 10/2013 12/04/2013$8,200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 542-249

Name and Address
(A)
CUSTOM EMBROIDERY PLUS

6127 W. SAGINAW HWY
LANSING
MI
48917
Type or Classification
(B)
EMBROIDERING OF CLOTHING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,290
Total of All Transactions with this Payee/Payer for This Schedule$7,290
Name and Address
(A)
DETROIT TIGERS INC.
2100 WOODWARD AVENUE
ATTN: GROUP SALES
DETROIT
MI
48201
Type or Classification
(B)
BASEBALL TEAM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,039
Total of All Transactions with this Payee/Payer for This Schedule$5,039
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 542-249

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 542-249

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 542-249

Name and Address
(A)
REGENCY OFFICE CENTER

2722 E MICHIGAN AVE
LANSING
MI
48912
Type or Classification
(B)
MONTHLY OFFICE RENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,650
Total of All Transactions with this Payee/Payer for This Schedule$16,650
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 542-249

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS FILE NUMBER: 542-249

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$31,828
MEDICAL BENEFITS SPARROW HUMAN RESOURCES $23,117
EMPLOYEE DENTAL INSURANCE MEBS $2,549
WORK COMP INSURANCE CARRIER ACCIDENT FUND $1,464
EMPLOYEE INSURANCES RELIANCE STANDARD LIFE INS CO $4,605
GROUP LIFE INSURANCE AUTO OWNERS INSURANCE $93
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 542-249


Question 15: A Bible is given to UAW members if they have an immediate family member that dies. A UAW Local 4911 tote bag is given to new members at a membership meeting if they attend the welcoming session.

Question 10: Voluntary Employee Benefit Association (VEBA) is a retiree medical plan which UAW Local 4911 members contribute to via payroll deduction through Sparrow Hospital. The Trust is administered by Richard Lichtenstein c/o Benefits Administrative Services Company, Inc.

Question 12: UAW International Auditor - Sharon Scott

Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.

General Information:

Schedule 6: Delivery men hauled away broken, discarded old refrigerator for scrap value estimate of $25.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)