008-320 (LM2) 12/31/2013

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
008-320

2. PERIOD COVERED
From	01/01/2013
Through	12/31/2013

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 865
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name DANNY	Last Name Dooley
P.O Box - Building and Room Number
Number and Street 630 19TH STREET
City EAST MOLINE
State IL	ZIP Code + 4 61244

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:

STEVE C DOYE

PRESIDENT

71. SIGNED:

dan dooley

TREASURER

Date:

May 16, 2014

Telephone Number:

309-755-5273

Date:

May 16, 2014

Telephone Number:

309-755-5273

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

ITEMS 10 THROUGH 21

FILE NUMBER: 008-320

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?	$266,000
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?

1,977

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	2 HOURS STRAIGHT TIME	per	MONTH	N/1	N/A
(b) Working Dues/Fees	N/A	per	N/A	N/A	N/A
(c) Initiation Fees	35.00	per	ONE TIME	N/A	N/A
(d) Transfer Fees	N/A	per	N/A	N/A	N/A
(e) Work Permits	N/A	per	N/A	N/A	N/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 008-320

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$974,908	$1,105,378
23. Accounts Receivable	1	$0	$0
24. Loans Receivable	2	$0	$0
25. U.S. Treasury Securities		$0	$0
26. Investments	5	$0	$0
27. Fixed Assets	6	$183,988	$183,988
28. Other Assets	7	$976	$1,365
29. TOTAL ASSETS		$1,159,872	$1,290,731

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8	$59,160	$92,843
31. Loans Payable	9	$0
32. Mortgages Payable		$0	$0
33. Other Liabilities	10	$4,067
34. TOTAL LIABILITIES		$63,227	$92,843

35. NET ASSETS

$1,096,645

$1,197,888

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 008-320

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$1,575,789
37. Per Capita Tax		$0
38. Fees, Fines, Assessments, Work Permits		$6,230
39. Sale of Supplies		$0
40. Interest		$3,961
41. Dividends		$0
42. Rents		$0
43. Sale of Investments and Fixed Assets	3
44. Loans Obtained	9
45. Repayments of Loans Made	2	$0
46. On Behalf of Affiliates for Transmittal to Them		$0
47. From Members for Disbursement on Their Behalf		$6,233
48. Other Receipts	14	$34,099
49. TOTAL RECEIPTS		$1,626,312

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$209,031
51. Political Activities and Lobbying		16	$13,842
52. Contributions, Gifts, and Grants		17	$3,031
53. General Overhead		18	$36,287
54. Union Administration		19	$249,096
55. Benefits		20	$3,820
56. Per Capita Tax			$887,964
57. Strike Benefits			$0
58. Fees, Fines, Assessments, etc.			$113
59. Supplies for Resale			$0
60. Purchase of Investments and Fixed Assets		4	$59,683
61. Loans Made		2	$0
62. Repayment of Loans Obtained		9
63. To Affiliates of Funds Collected on Their Behalf			$0
64. On Behalf of Individual Members			$6,007
65. Direct Taxes			$20,394

66. Subtotal			$1,489,268
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$88,710
67b. Less Total Disbursed	$95,284
67c. Total Withheld But Not Disbursed			-$6,574
68. TOTAL DISBURSEMENTS			$1,495,842

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 008-320

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: 008-320

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

Totals will be automatically entered in...

Item 24
Column (A)

Item 61

Item 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: 008-320

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: 008-320

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Cash Paid (D)
Total of all lines above	$59,683	$59,683	$59,683
ADD BREAKOUT	$59,683	$59,683	$59,683

		Less Reinvestments	$0
(The total from Net Purchases Line will be automatically entered in Item 60.)		Net Purchases	$59,683

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 5 - INVESTMENTS

FILE NUMBER: 008-320

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))

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 008-320

Description (A)	Cost or Other Basis (B)	Total Depreciation or Amount Expensed (C)	Book Value (D)	Value (E)
A. Land (give location)
Land 1 : 630 19TH STREET EAST MOLINE,IL 61244	$132,999		$132,999	$132,999

B. Buildings (give location)

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment

$50,989

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B))

$183,988

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 008-320

Description (A)	Book Value (B)
Total (Total will be automatically entered in Item 28, Column(B))	$1,365
BIBLES PROTESTANT 19 CATHOLIC 34	$1,166
MAILING PERMIT	$199

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE

FILE NUMBER: 008-320

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	$92,843	$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))	$92,843	$0	$0	$0
PER CAPITA TAXES FOR INTERNATIONAL	$56,711	$0	$0	$0
PER CAPITA FOR CAP	$4,429	$0	$0	$0
PER CAPITA TAXES AFFILIATES	$27,962	$0	$0	$0
PER CAPITA FOR RETIREE COUNCIL	$19	$0	$0	$0
UNEMPLOYMENT TAXES FOR 2013 4TH QT	$80	$0	$0	$0
STATE INCOME TAXES FOR 2013	$1,256	$0	$0	$0
FEDERAL TAXES 941 FOR 2013	$2,386	$0	$0	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 9 - LOANS PAYABLE

FILE NUMBER: 008-320

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 44	Item 62	Item 69 with Explanation	Item 31 Column (D)

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 10 - OTHER LIABILITIES

FILE NUMBER: 008-320

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 008-320

(A)
Name

(B)
Title

(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

DAVIDSON , PAMELA
TRUSTEE
N

$6,129

$2,283

$2,657

$11,069

Schedule 15
Representational Activities

69 %

Schedule 16
Political Activities and Lobbying

10 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

21 %

A
B
C

DIAZ , RICARDO A
VICE PRESIDENT
C

$25,059

$5,555

$2,547

$33,161

Schedule 15
Representational Activities

78 %

Schedule 16
Political Activities and Lobbying

3 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

19 %

A
B
C

DOOLEY , DANNY D
FINANCIAL SEC.
C

$35,648

$9,302

$1,317

$46,267

Schedule 15
Representational Activities

19 %

Schedule 16
Political Activities and Lobbying

14 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

67 %

A
B
C

DOYE , STEVEN C
PRESIDENT
C

$53,767

$8,729

$3,738

$66,234

Schedule 15
Representational Activities

96 %

Schedule 16
Political Activities and Lobbying

3 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

1 %

A
B
C

FLYNN , JOSEPH R
RECORDING SECRE
C

$4,909

$1,815

$6,724

Schedule 15
Representational Activities

15 %

Schedule 16
Political Activities and Lobbying

14 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

71 %

A
B
C

LANG , JEREMY J
TIME STUDY REP.
C

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

MOENS , LARRY E
President
P

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

SCOTT , VICKI L
Trustee
C

$1,072

$1,014

$2,086

Schedule 15
Representational Activities

24 %

Schedule 16
Political Activities and Lobbying

24 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

52 %

A
B
C

SMITH , CODY J
GUIDE
C

$3,235

$1,553

$158

$4,946

Schedule 15
Representational Activities

52 %

Schedule 16
Political Activities and Lobbying

15 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

33 %

A
B
C

VanKLAVEREN JR , HENRY A
HEAD TRUSTEE
C

$36,721

$5,462

$653

$42,836

Schedule 15
Representational Activities

17 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

83 %

Total Officer Disbursements	$166,540	$35,713	$11,070	$0	$213,323
Less Deductions					$153,481
Net Disbursements					$59,842

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 008-320

(A)
Name

(B)
Title

(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

PEARSON , Ben J
NA
NA

$11,926

$336

$12,262

Schedule 15
Representational Activities

49 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

51 %

A
B
C

POLLOCK , KIM E
OFFICE MANGER
NA

$47,551

$589

$48,140

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

$57,673

$6,024

$18,190

$81,887

Schedule 15
Representational Activities

98 %

Schedule 16
Political Activities and Lobbying

1 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

1 %

Total Employee Disbursements	$117,150	$6,024	$19,115	$0	$142,289
Less Deductions					$28,867
Net Disbursements					$113,422

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 008-320

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	1,977
Agency Fee Payers*
Total Members/Fee Payers	1,977
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS	1,977	Yes

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 008-320

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$18,064
2. Named Payer Non-itemized Receipts	$6,648
3. All Other Receipts	$9,387
4. Total Receipts	$34,099

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	$3,031
6. Total Disbursements	$3,031

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$117,244
4. To Employees	$86,257
5. All Other Disbursements	$5,530
6. Total Disbursements	$209,031

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	$36,287
6. Total Disbursements	$36,287

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$12,750
4. To Employees	$819
5. All Other Disbursements	$273
6. Total Disbursements	$13,842

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$7,980
2. Named Payee Non-itemized Disbursements	$36,133
3. To Officers	$83,331
4. To Employees	$55,213
5. All Other Disbursements	$66,439
6. Total Disbursements	$249,096

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 008-320

Name and Address
(A)

INTERNATIONAL UNION UAW
P.O. Box 77000

Detroit
MI
48277-1277

Type or Classification
(B)

PER CAPITA TAXES

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$18,064
Total Non-Itemized Transactions with this Payee/Payer		$1,365
Total of All Transactions with this Payee/Payer for This Schedule		$19,429
OUR 13TH CK FROM INTERNAT	04/30/2013	$18,064

Name and Address
(A)

Uaw Local 865 Retired Council
630-19th Street

East Moline
IL
61244-0000

Type or Classification
(B)

SOCIAL ORG.

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$5,283
Total of All Transactions with this Payee/Payer for This Schedule		$5,283

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 008-320

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 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 008-320

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: 008-320

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: 008-320

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: 008-320

Name and Address
(A)

EAST MOLINE UAW BUILDING CORP.
630-19th Street

East Moline
IL
61244-0000

Type or Classification
(B)

Support organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$6,561
Total of All Transactions with this Payee/Payer for This Schedule		$6,561

Name and Address
(A)

HOLIDAY INN EXPRESS
120 WEST STEVENSON RD.

OTTAWA
IL
61350-0000

Type or Classification
(B)

HOTEL/MOTEL

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$6,594
Total of All Transactions with this Payee/Payer for This Schedule		$6,594

Name and Address
(A)

JUMER'S CASINO AND HOTEL
777 JUMER DRIVE

ROCK ISLAND
IL
61201-0000

Type or Classification
(B)

HOTEL

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,980
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$7,980
THIS IS FOR THE REMAINING	10/09/2013	$7,980

Name and Address
(A)

MARRIOT WIDMAN PARK
2660 WOODLEY RD. NW.

WASHINGTON
DC
20008-0000

Type or Classification
(B)

HOTEL

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$8,164
Total of All Transactions with this Payee/Payer for This Schedule		$8,164

Name and Address
(A)

MULKEYS CATERING SERVICE
3800-14th Av.

Rock Island
IL
61201-0000

Type or Classification
(B)

CATERER

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$8,884
Total of All Transactions with this Payee/Payer for This Schedule		$8,884

Name and Address
(A)

REGION 4 UAW ACTIVITY FUND
680 Barclay Blvd.

Lincolnshire
IL
60069-0000

Type or Classification
(B)

UNION OFFICE REGION 4

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$5,930
Total of All Transactions with this Payee/Payer for This Schedule		$5,930

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 20 - BENEFITS

FILE NUMBER: 008-320

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$3,820
Disability/Sick & Accident Insurance	ILLINOIS MUTUAL	$796
Workers Compension Insurance	LOHMAN COMPANIES INSURANCE	$524
Scholarship/Tuition Payments	BLACK HAWK COLLEGE	$500
Scholarship/Tuition Payments	BLACKHAWK COLLEGE	$500
Scholarship/Tuition Payments	GREENVILLE COLLEGE	$500
Scholarship/Tuition Payments	KIRKWOOD COMMUNITY COLLEGE	$500
Scholarship/Tuition Payments	SCOTT COMMUNITY COLLEGE	$500

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 008-320

Question 10: . The UAW East Moline Building Corporation is jointly owned by three local unions. On a percentage as follows local 79 -17%,Local 434-18% and local 865-65%. Ownership responsibility and all assets, liabilities of the Corporation are proportional accordingly. The Building Corp has a different Ein Number. question 11(b): The UAW EAST MOLINE BUILDING CORPORATION IS JOINTLY OWNED BY THREE LOCAL UNIONS. ON A PERCENTAGE AS FOLLOWS LOCAL 79-17%,LOCAL 434-18%AND LOCAL 865-65%.OWNERSHIP RESPONSIBILITY AND ALL ASSETS , LIABILITIES OF THE CORPORATION ARE PROPORTIONAL ACCORDINGLY. THE BUILDING CORP HAS A DIFFERENT EIN NO. QUESTION 15 DISPOSED OF BIBLES TO MEMBERS WHO HAD A LOVED ONE PASS. STATEMENT A,CASH BEGIN TOTAL: BEGINING BALANCE ADJUSTED TO ACCOUNT FOR $103 VOIDS FROM A PREVIOUS YEAR. SCHEDULE 8, ROW 1 SCHEDULE 8, ROW 2 SCHEDULE 8 ROW 3: SCHEDULE 8 ROW4: SCHEDULE 8 13:, ROW 1: ANYONE WHO HAS APPLIED AND BEEN ACCEPTED FOR MEMBERSHIP IS A REGULAR MEMBER. REGULAR MEMBERS PAY FULL DUES. SCHEDULE 13: ROW1:

Statement A,

Accounts Receivable Begin Total: NO CHANGES MADE FROM PREVIOUS PERIOD.

Statement A,

Loans Receivable Begin Total: NO CHANGES MADE FROM PREVIOUS PERIOD.

Statement A,Investments Begin Total: NO CHANGES MADE FROM PREVIOUS PERIOD.

Statement A,

Loans Payable Begin Total: NO CHANGES MADE FROM PREVIOUS PERIOD.

Schedule 13, Row1:SCHEDULE 13 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)