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
036-518
2.
PERIOD COVERED
From
01/01/2014
Through
12/31/2014
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
402
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
DICK
Last Name
SEVERS
P.O Box - Building and Room Number
Number and Street
3671 URBANA ROAD
City
SPRINGFIELD
State
OH
ZIP Code + 4
45502
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:
Jason L Barlow
PRESIDENT
71. SIGNED:
Richard Severs
TREASURER
Date:
Mar 20, 2015
Telephone
Number:
937-390-3327
Date:
Mar 19, 2015
Telephone
Number:
937-390-3327
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
036-518
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?
Yes
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?
$100,000
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?
05/2017
20. How many members did the labor organization
have at the end of the reporting period?
1,131
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
2.5 straight
per
month
1 hr SUB
2.5 hrs straight
(b) Working Dues/Fees
per
(c) Initiation Fees
20.00
per
one time
(d) Transfer Fees
per
(e) Work Permits
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
036-518
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$118,555
$112,569
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
$0
27. Fixed Assets
6
$843,391
$850,417
28. Other Assets
7
$10,037
$6,115
29.
TOTAL ASSETS
$971,983
$969,101
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$47,468
$41,447
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$1,963
$1,415
34. TOTAL
LIABILITIES
$49,431
$42,862
35. NET
ASSETS
$922,552
$926,239
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
036-518
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$569,403
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$5,100
39. Sale of Supplies
$5,795
40. Interest
$0
41. Dividends
$175
42. Rents
$32,025
43. Sale of Investments
and Fixed Assets
3
$255
44. Loans Obtained
9
$0
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
$2,163
48. Other Receipts
14
$48,743
49. TOTAL RECEIPTS
$663,659
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$21,967
51.
Political Activities and Lobbying
16
$2,289
52.
Contributions, Gifts, and Grants
17
$7,263
53. General
Overhead
18
$17,306
54. Union
Administration
19
$266,734
55. Benefits
20
$858
56. Per
Capita Tax
$322,748
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$6,391
61. Loans
Made
2
$0
62.
Repayment of Loans Obtained
9
$0
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$24,111
66. Subtotal
$669,667
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$26,613
67b. Less Total
Disbursed
$26,591
67c.
Total Withheld But Not Disbursed
$22
68.
TOTAL DISBURSEMENTS
$669,645
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
036-518
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:
036-518
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 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:
036-518
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
$2,087
$2,087
$2,087
$255
19 Tables Sold
$2,087
$2,087
$2,087
$255
Less Reinvestments
$0
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$255
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
036-518
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$6,391
$6,391
$6,391
Computer Ins Office/Repairs J Computer
$641
$641
$641
Coffee Pots
$311
$311
$311
Adding Machine
$43
$43
$43
Computer/Fin Secy Office
$659
$659
$659
42 8' Tables for Hall
$3,500
$3,500
$3,500
42 8' Tables for Hall
$142
$142
$142
Stapler
$35
$35
$35
19" Computer Monitor Workers Comp
$30
$30
$30
Computer
$1,030
$1,030
$1,030
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$6,391
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
036-518
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:
036-518
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
3671 Urbana Rd
$31,600
$31,600
$31,600
Land
2
:
4945 Derr Rd
$20,000
$20,000
$20,000
B.
Buildings (give location)
Building
1
:
3671 Urbana Rd
$378,832
$378,832
$378,832
Building
2
:
4945 Derr Rd
$253,556
$253,556
$253,556
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$156,297
$156,297
$156,297
E.
Other Fixed Assets
$10,132
$10,132
$10,132
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$850,417
$0
$850,417
$850,417
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
036-518
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$6,115
T-Shirts 239 @10.00
$2,390
Jackets 90 @40.00
$3,600
Jackets 5 @25.00
$125
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
036-518
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
$37,777
$0
$0
$0
Total from all other accounts payable
$3,670
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$41,447
$0
$0
$0
International UAW
$37,777
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
036-518
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:
036-518
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$1,415
Internal Revenue Service FUTA
$848
City of Springfield
$140
Ohio Dept. of Job & Family Services
$163
School District Income
$1
Treasurer of State of Ohio
$248
City of Urbana Income Tax
$15
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
036-518
(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
BARLOW
,
JASON
L PRESIDENT C
$22,159
$0
$2,324
$0
$24,483
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
BLIZARD
,
CHRISTO
L 1ST VICE-PRES. C
$21,107
$0
$166
$0
$21,273
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
1
%
Schedule 19
Administration
99
%
A
B
C
ELDRIDGE
,
TODD
C TRUSTEE C
$1,529
$0
$0
$0
$1,529
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
ENTLER
,
JAMES
J GUIDE C
$1,576
$0
$0
$0
$1,576
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
HARSHAW
,
JEFFREY
A EXEC. BOARD TRUSTEE C
$1,974
$0
$0
$0
$1,974
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
9
%
Schedule 19
Administration
91
%
A
B
C
KETTERMAN
,
TERRY
L TRUSTEE CHAIRMAN C
$1,742
$0
$0
$0
$1,742
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
SCOTT
,
TODD
BARGAINING CHAIRMAN 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
SEEGRAVES
,
THOMAS
R SGT-AT-ARMS EXEC. BD C
$1,961
$0
$66
$0
$2,027
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
SEVERS
,
RICHARD
L 2ND VICE-PRES C
$8,526
$0
$264
$0
$8,790
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
STUCKEY
,
PEGGY
J RECORDING SEC'Y C
$3,285
$0
$366
$0
$3,651
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
ZIRKLE Jr.
,
EDWARD
E BARGAINING CHAIRMAN N
$2,330
$0
$1,750
$0
$4,080
I
Schedule 15
Representational Activities
44
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
56
%
Total Officer
Disbursements
$66,189
$0
$4,936
$0
$71,125
Less Deductions
$13,951
Net
Disbursements
$57,174
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
036-518
(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
CHAPMAN
,
JAMES
W WORKER'S COMP. R NA
$13,949
$0
$642
$0
$14,591
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
MCMAHAN
,
GRETCHE
M BOOKEEPER NA
$34,980
$0
$391
$0
$35,371
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
$16,950
$0
$6,761
$0
$23,711
I
Schedule 15
Representational Activities
4
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
51
%
Schedule 19
Administration
45
%
Total
Employee Disbursements
$65,879
$0
$7,794
$0
$73,673
Less
Deductions
$12,662
Net Disbursements
$61,011
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
036-518
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
1,131
Agency Fee Payers*
0
Total Members/Fee Payers
1,131
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
1,131
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
036-518
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$12,872
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$35,871
4. Total
Receipts
$48,743
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
$7,263
6. Total
Disbursements
$7,263
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$5,000
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$1,795
4. To Employees
$948
5. All Other
Disbursements
$14,224
6. Total
Disbursements
$21,967
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$391
4. To Employees
$12,093
5. All Other
Disbursements
$4,822
6. Total
Disbursements
$17,306
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$490
4. To Employees
$0
5. All Other
Disbursements
$1,799
6. Total
Disbursements
$2,289
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$23,497
2. Named Payee
Non-itemized Disbursements
$63,790
3. To Officers
$68,449
4. To Employees
$60,632
5. All Other
Disbursements
$50,366
6. Total
Disbursements
$266,734
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
036-518
Name and Address
(A)
INTERNATIONAL UNION UAW 8000 E JEFFERSON AVENUE
DETROIT MI 48214-0000
Type or Classification
(B)
LABOR UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$12,872
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$12,872
13TH REBATE CHECK
04/21/2014
$7,528
SEPT 2013 PER CAPITA REBA
01/24/2014
$5,344
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
036-518
Name and Address
(A)
TEXAS ROADHOUSE 1750 N BECHTLE AVENUE
SPRINGFIELD OH 45504-0000
Type or Classification
(B)
CATERING
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,000
INV: 12172014
12/29/2014
$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
036-518
There was no data
found for this schedule.
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
036-518
There was no data
found for this schedule.
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
036-518
There was no data
found for this schedule.
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
036-518
Name and Address
(A)
CINCINNATI BELL P.O. BOX 748003
CINCINNATI OH 45274-8003
Type or Classification
(B)
PHONE COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,208
Total of All Transactions with this
Payee/Payer for This Schedule
$5,208
Name and Address
(A)
COLUMBIA GAS P.O. BOX 16581
COLUMBUS OH 43216-6581
Type or Classification
(B)
UTILITY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,114
Total of All Transactions with this
Payee/Payer for This Schedule
$5,114
Name and Address
(A)
CUSTOM PROMOTIONS INC. 17520 W. TWELVE MILE RD.
SOUTHFIELD MI 48076-0000
Type or Classification
(B)
PROMOTIONAL ITEMS
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$14,760
Total of All Transactions with this
Payee/Payer for This Schedule
$14,760
Name and Address
(A)
DANA HORSELY 3880 CREEK ROAD HEATING COOLING & PLUMB ST. PARIS OH 43072-0000
Type or Classification
(B)
HEATING & COOLING
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,277
Total
Non-Itemized Transactions with this Payee/Payer
$2,456
Total of All Transactions with this
Payee/Payer for This Schedule
$7,733
ROOF TOP UNIT
08/26/2014
$5,277
Name and Address
(A)
GILLAM LAWNCARE & LANDSCAPING 9736 OLD COLUMBUS RD.
SOUTH VIENNA OH 45369-0000
Type or Classification
(B)
LAWNCARE COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$8,398
Total of All Transactions with this
Payee/Payer for This Schedule
$8,398
Name and Address
(A)
KROGER - CINCINNATI CUSTOMER C P.O. BOX 644459
PITTSBURGH PA 15264-4459
Type or Classification
(B)
RETAIL
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$11,058
Total of All Transactions with this
Payee/Payer for This Schedule
$11,058
Name and Address
(A)
OHIO EDISON PO BOX 3637 ST
AKRON OH 44309-3637
Type or Classification
(B)
UTILITY COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$10,976
Total of All Transactions with this
Payee/Payer for This Schedule
$10,976
Name and Address
(A)
TROY MAYHON 5825 ROUSSEAU DRIVE
HUBER HEIGHTS OH 45424-0000
Type or Classification
(B)
CONSTRUCTION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$11,640
Total
Non-Itemized Transactions with this Payee/Payer
$5,820
Total of All Transactions with this
Payee/Payer for This Schedule
$17,460
ROOF REPLACEMENT MATERIAL
07/12/2014
$11,640
Name and Address
(A)
WALLACE & TURNER INSURANCE AGE 616 N LIMESTONE ST
SPRINGFIELD OH 45503-0000
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,580
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$6,580
POLICY #CWP8381263
11/04/2014
$6,580
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
036-518
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$858
Workers Compension Insurance
BUREAU OF WORKERS COMPENSATION
$858
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
036-518
Question 10: : Operations of the building corporation are handled through the books and records of the local union and therefore included in this report
Question 11(b):
Question 11 (b): Operations of the building corporation are handled through the books and records of the local union and therefore included in this report
Question 15: : Received misc. donated items for Region Office closing estimated at $890.00
Schedule 8, Row1:
Schedule 13, Row1:
Schedule 13 Row 1: Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues