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
545-101
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
2213
7. UNIT NAME (if any)
PROFESSIONAL REGISTERED NURSES
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
SUSAN
Last Name
PRATT
P.O Box - Building and Room Number
P O BOX 9536
Number and Street
City
TOLEDO
State
OH
ZIP Code + 4
43697
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:
Susan Pratt
PRESIDENT
71. SIGNED:
Erin M Lyons
TREASURER
Date:
Mar 31, 2015
Telephone
Number:
419-251-2098
Date:
Mar 31, 2015
Telephone
Number:
419-251-2098
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
545-101
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?
No
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?
$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?
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?
Yes
19. What is the date of the labor
organization's next regular election of officers?
05/2016
20. How many members did the labor organization
have at the end of the reporting period?
885
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 1/2
per
month
see box 69
n/a
(b) Working Dues/Fees
n/a
per
n/a
n/a
n/a
(c) Initiation Fees
50.00
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:
545-101
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$0
$27,124
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
$0
$33,880
28. Other Assets
7
$0
$9,569
29.
TOTAL ASSETS
$0
$70,573
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$0
$29,327
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$0
$3,621
34. TOTAL
LIABILITIES
$0
$32,948
35. NET
ASSETS
$0
$37,625
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
545-101
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$523,739
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$2,645
39. Sale of Supplies
$2,232
40. Interest
$0
41. Dividends
$0
42. Rents
$1,875
43. Sale of Investments
and Fixed Assets
3
$0
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
$0
48. Other Receipts
14
$31,138
49. TOTAL RECEIPTS
$561,629
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$198,648
51.
Political Activities and Lobbying
16
$6,180
52.
Contributions, Gifts, and Grants
17
$7,021
53. General
Overhead
18
$14,068
54. Union
Administration
19
$45,926
55. Benefits
20
$984
56. Per
Capita Tax
$242,636
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$4,400
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
$7,133
66. Subtotal
$526,996
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$28,483
67b. Less Total
Disbursed
$35,992
67c.
Total Withheld But Not Disbursed
-$7,509
68.
TOTAL DISBURSEMENTS
$534,505
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
545-101
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:
545-101
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:
545-101
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:
545-101
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$4,400
$0
$4,400
Copier
$4,400
$4,400
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$4,400
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
545-101
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:
545-101
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
$33,880
$0
$33,880
$33,880
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$33,880
$0
$33,880
$33,880
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
545-101
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$9,569
308 t shirts @ $15.00 each
$4,620
204 UAW pins @ $5.00 each
$1,020
336 Drawstring bags @ $5.00 each
$1,680
117 water bottles @ $3.00 each
$351
109 lunch bags @ 4.00 each
$436
17 watches @ $86.00 each
$1,462
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
545-101
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
$27,751
$0
$0
$0
Total from all other accounts payable
$1,576
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$29,327
$0
$0
$0
Per Capita Tax
$27,751
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
545-101
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:
545-101
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$3,621
Federal Income tax
$1,730
Federal Uemployment Tax
$620
State tax
$728
State Unemployment
$39
City Tax
$504
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
545-101
(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
GUESS
,
SUZANNE
TRUSTEE N
$0
$600
$0
$0
$600
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
LYONS
,
ERIN
FIN SECRETARY N
$46,511
$1,200
$4,731
$0
$52,442
I
Schedule 15
Representational Activities
96
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
4
%
A
B
C
MASSERANT
,
CHARLOT
TRUSTEE N
$0
$1,100
$0
$0
$1,100
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
MAXCY
,
SHARON
REC SECRETARY N
$4,743
$1,100
$1,782
$0
$7,625
I
Schedule 15
Representational Activities
51
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
12
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
37
%
A
B
C
MCDONALD
,
LATONYA
VICE PRESIDENT N
$4,311
$1,100
$1,714
$0
$7,125
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
MCVICKER
,
TINA
TRUSTEE N
$0
$600
$0
$0
$600
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
PRATT
,
SUSAN
PRESIDENT N
$20,905
$5,475
$20,530
$0
$46,910
I
Schedule 15
Representational Activities
70
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
30
%
Total Officer
Disbursements
$76,470
$11,175
$28,757
$0
$116,402
Less Deductions
$26,619
Net
Disbursements
$89,783
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
545-101
(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
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$6,869
$0
$2,366
$0
$9,235
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
%
Total
Employee Disbursements
$6,869
$0
$2,366
$0
$9,235
Less
Deductions
$1,864
Net Disbursements
$7,371
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
545-101
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
885
Agency Fee Payers*
8
Total Members/Fee Payers
893
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
885
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
545-101
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$5,836
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$25,302
4. Total
Receipts
$31,138
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$915
4. To Employees
$0
5. All Other
Disbursements
$6,106
6. Total
Disbursements
$7,021
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$5,737
2. Named Payee
Non-itemized Disbursements
$25,654
3. To Officers
$96,495
4. To Employees
$9,235
5. All Other
Disbursements
$61,527
6. Total
Disbursements
$198,648
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$6,279
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$7,789
6. Total
Disbursements
$14,068
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
$6,180
6. Total
Disbursements
$6,180
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$5,578
3. To Officers
$18,992
4. To Employees
$0
5. All Other
Disbursements
$21,356
6. Total
Disbursements
$45,926
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
545-101
Name and Address
(A)
UAW LOCAL 12 2300 ASHLAND AVE
TOLEDO OH 43620-0000
Type or Classification
(B)
UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,836
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,836
BALANCE OF UNIT FUNDS
01/22/2014
$5,836
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
545-101
Name and Address
(A)
CLEAR IMAGES 121 11TH STREET
TOLEDO OH 43624-0000
Type or Classification
(B)
PROMOTIONAL PRODUCTS
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,475
Total of All Transactions with this
Payee/Payer for This Schedule
$6,475
Name and Address
(A)
H & S SPORTS PLUS CUSTOM EMBRO 8015 SUMMERFIELD RD
LAMBERTVILLE MI 48144-0000
Type or Classification
(B)
PRINTER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$11,833
Total of All Transactions with this
Payee/Payer for This Schedule
$11,833
Name and Address
(A)
OMNI SHOREHAM HOTELS & RESORT 2500 CALVERT ST NW
WASHINGTON DC 20008-0000
Type or Classification
(B)
HOTEL/LODGING
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,346
Total of All Transactions with this
Payee/Payer for This Schedule
$7,346
Name and Address
(A)
ROBERT G. STEIN NAA 265 W. MAIN ST. SUITE 102 ARBITRATOR & MEDIATOR KENT OH 44240-2403
Type or Classification
(B)
ARBITRATOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,737
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,737
ARBITRATION EXPENSES
08/07/2014
$5,737
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
545-101
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:
545-101
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:
545-101
Name and Address
(A)
ROBERTS CUSTOM SOFTWARE 3667 1ST STREET
EAST MOLINE IL 61244-0000
Type or Classification
(B)
SOFTWARE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,279
Total of All Transactions with this
Payee/Payer for This Schedule
$6,279
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
545-101
Name and Address
(A)
DETROIT MARRIOTT AT THE 400 RENAISSANCE DR RENAISSANCE CENTER DETROIT MI 48243-0000
Type or Classification
(B)
LODGING/HOTEL
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,578
Total of All Transactions with this
Payee/Payer for This Schedule
$5,578
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
545-101
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$984
Disability/Sick & Accident Insurance
CIGNA
$25
Group Life Insurance
NEBCO
$219
Workers Compension Insurance
COMP MANAGEMENT INC
$115
Scholarship/Tuition Payments
RICHARD T GOSSER SCHOLARSHIP
$625
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
545-101
Question 18: See attached copy.
Schedule 8, Row1:
Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.
Schedule 13, Row1:
General Information:
Page 2 Dues Structure
For Employees who are scheduled 40 hrs/week, dues are 2 1/2 hrs of pay per month.
For Employees who are scheduled less than 40/hrs per week, dues are 1.44% per pay.