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
From01/01/2015
Through12/31/2015
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:MARK E PAYNEPRESIDENT71. SIGNED:JACK FEDERANTREASURER
Date:Mar 07, 2016Telephone Number:216-367-3128Date:Mar 07, 2016Telephone 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?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?$240,000
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?Yes
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?1,577
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2 1/2 hours straight timepermonth00
(b) Working Dues/Fees0per000
(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 $377,822$607,897
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$765,247
28. Other Assets7$392$961
29. TOTAL ASSETS $1,118,461$1,374,105

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$75,449$223,874
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$6,232$7,782
34. TOTAL LIABILITIES $81,681$231,656
35. NET ASSETS$1,036,780$1,142,449
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 $1,471,077
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $120
39. Sale of Supplies $455
40. Interest $340
41. Dividends $0
42. Rents $62,915
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$247,729
49. TOTAL RECEIPTS $1,782,636
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$172,786
51. Political Activities and Lobbying16$600
52. Contributions, Gifts, and Grants17$1,842
53. General Overhead18$2,705
54. Union Administration19$372,029
55. Benefits20$32,208
56. Per Capita Tax $901,996
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $3,610
60. Purchase of Investments and Fixed Assets4$15,002
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 $45,174
  
66. Subtotal $1,547,952
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$96,211  
  67b. Less Total Disbursed$100,820  
  67c. Total Withheld But Not Disbursed -$4,609
68. TOTAL DISBURSEMENTS $1,552,561
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$15,002$15,002$15,002
Computer Equipment for Offices$15,002$15,002$15,002
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$15,002
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$329,247$0$329,247$329,247
E. Other Fixed Assets$64,831$64,831$64,831$64,831
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $765,247$64,831$765,247$765,247
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)) $961
30 POW T-shirts @ $15 each$450
25 Assorted T-shirts @ $15 each$375
Christmas Decorations$20
10 Miniture Boots @ $10 each$100
8 Bags of Boxed Crayons @ $2 each$16
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$221,352$0$0$0
Total from all other accounts payable$2,522$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $223,874$0$0$0
Per Capita Taxes$211,986$0$0$0
Real Estate Taxes$9,366$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)) $7,782
Federal Taxes Forwarded$2,354
FICA Employee Forwarded$1,083
FICA Employer Forwarded$1,083
State Taxes Forwarded$957
City Taxes Forwarded$74
Local Taxes Forwarded$525
Wage Withholding Forwarded$457
Union Dues Forwarded$186
Federal Unemployment Taxes $987
State Unemployment Taxes$76
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 		BRETZ ,  STEPHEN   J
GUIDE
C		$195$0$0$0$195
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 		CULLEN ,  MARK   P
TRUSTEE
C		$4,594$533$1,350$0$6,477
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		90 %
A
B
C 		DAVIS ,  NADINE   E
RECORDING SECRETARY
C		$8,518$850$130$0$9,498
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 		FEDERAN ,  JACK   S
FINANCIAL SECRETARY
C		$84,431$11,864$269$0$96,564
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 		FIELDS-JR ,  ROBERT   E
EXEC BOARD MEM
C		$179$135$0$0$314
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 		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 		LAWSON ,  DALE   A
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 		MOORE ,  WILLIAM   R
TRUSTEE
C		$6,919$480$2,108$0$9,507
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
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 		PAYNE ,  MARK   E
PRESIDENT
C		$5,203$240$3,401$0$8,844
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 		ROPELEWSKI ,  JOHN   T
TRUSTEE
C		$2,378$445$0$0$2,823
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 		VIRDEN-JR ,  HENRY  
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 		WALLACE ,  PATRICK   L
VICE PRESIDENT
C		$456$635$2,430$0$3,521
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$112,873$17,372$9,688$0$139,933
Less Deductions    $46,921
Net Disbursements    $93,012
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		$62,527$0$0$0$62,527
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 %
A
B
C 		PRICE ,  CYNTHIA   K
SPEC ASSIGN'D B
NA		$53,329$0$0$0$53,329
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$46,865$6,725$7,053$0$60,643
I Schedule 15
Representational Activities 		62 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		38 %
Total Employee Disbursements$162,721$6,725$7,053$0$176,499
Less Deductions    $49,290
Net Disbursements    $127,209
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) 1,577 
Agency Fee Payers*
Total Members/Fee Payers1,577 
*Agency Fee Payers are not considered members of the labor organization.
Regular members1,577Yes
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$166,283
2. Named Payer Non-itemized Receipts$68,433
3. All Other Receipts$13,013
4. Total Receipts$247,729
     
     
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$1,842
6. Total Disbursements$1,842
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$10,140
2. Named Payee Non-itemized Disbursements$21,836
3. To Officers$13,460
4. To Employees$56,982
5. All Other Disbursements$70,368
6. Total Disbursements$172,786
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$2,705
6. Total Disbursements$2,705
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$600
6. Total Disbursements$600
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$57,288
3. To Officers$126,473
4. To Employees$119,517
5. All Other Disbursements$68,751
6. Total Disbursements$372,029
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 034-229

Name and Address
(A)
FORD MOTOR COMPANY
PO BOX 1758

DEARBORN
MI
48121-0000
Type or Classification
(B)
AUTOMOTIVE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,099
Total Non-Itemized Transactions with this Payee/Payer$1,242
Total of All Transactions with this Payee/Payer for This Schedule$12,341
REIMB FROM FORD (NICKEL)01/20/2015$11,099
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$138,873
Total Non-Itemized Transactions with this Payee/Payer$3,948
Total of All Transactions with this Payee/Payer for This Schedule$142,821
PCT REBATE 04/201506/24/2015$30,053
PCT REBATE 13TH CHECK; CH05/01/2015$17,315
PCT REBATE 09/201511/12/2015$13,976
PCT REBATE 10/201512/11/2015$9,830
PCT REBATE 06/201508/28/2015$9,521
PCT REBATE 01/201503/14/2015$9,201
PCT REBATE 02/201504/17/2015$8,973
PCT REBATE 12/201403/02/2015$8,882
PCT REBATE 05/201507/31/2015$8,799
PCT REBATE 11/201401/26/2015$8,503
PCT REBATE 08/201510/08/2015$8,090
PCT REBATE 07/201509/14/2015$5,730
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$5,855
Total Non-Itemized Transactions with this Payee/Payer$8,833
Total of All Transactions with this Payee/Payer for This Schedule$14,688
DONATION AND ENTRANCE FEE05/12/2015$5,855
Name and Address
(A)
UAW-FORD NATIONAL PROGRAMS
P.O. BOX 1758

DEARBORN
MI
48121-0000
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,456
Total Non-Itemized Transactions with this Payee/Payer$54,410
Total of All Transactions with this Payee/Payer for This Schedule$64,866
REIMB FOR REG BENE REP C.06/15/2015$5,228
REIMB FOR REG BENE REP C.09/11/2015$5,228
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 034-229

Name and Address
(A)
CUSTOM PROMOTIONS INC.

17250 W. 12 MILE ROAD STE
SOUTHFIELD
MI
48076-0000
Type or Classification
(B)
SPORTING GOODS
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,140
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,140
2015 FORD/UAW SPECIAL NEE12/09/2015$5,140
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$5,000
Total Non-Itemized Transactions with this Payee/Payer$830
Total of All Transactions with this Payee/Payer for This Schedule$5,830
JUNE 7 2015 GOLF OUTING06/04/2015$5,000
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$8,768
Total of All Transactions with this Payee/Payer for This Schedule$8,768
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$5,166
Total of All Transactions with this Payee/Payer for This Schedule$5,166
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$7,072
Total of All Transactions with this Payee/Payer for This Schedule$7,072
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)
BLUE RIBBON CATERING
50 N PROSPECT ST

NORWALK
OH
44857-0000
Type or Classification
(B)
CATERING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,902
Total of All Transactions with this Payee/Payer for This Schedule$11,902
Name and Address
(A)
JOHN P. DENNISON
305 PINEVIEW DRIVE

BEREA
OH
44017-0000
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$7,363
Total of All Transactions with this Payee/Payer for This Schedule$7,363
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$8,330
Total of All Transactions with this Payee/Payer for This Schedule$8,330
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$9,184
Total of All Transactions with this Payee/Payer for This Schedule$9,184
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$12,568
Total of All Transactions with this Payee/Payer for This Schedule$12,568
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$7,941
Total of All Transactions with this Payee/Payer for This Schedule$7,941
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.)$32,208
Dental/Hearing/Medical/Vision InsuranceCOSE/MEDICAL MUTUAL HEALTH PROGRAM$11,570
Dental/Hearing/Medical/Vision InsuranceDIANE ANDRASAK$5,206
Dental/Hearing/Medical/Vision InsuranceHEALTH BENEFIT FUND 1794$2,775
Dental/Hearing/Medical/Vision InsuranceTHERESA MEDINA$3,477
Workers Compension InsuranceBUREAU OF WORKERS COMPENSATION$783
Workers Compension InsuranceCOSE WORKERS' COMPENSATION PROGRAM$126
Workers Compension InsuranceOHIO BUREAU OF WORKERS COMPENSATION$95
Pension AllocationsNATIONAL INTEGRATED GROUP PENSION PLAN$6,176
Retirement Savings(401K etc)EmployerTHERESA MEDINA$2,000
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.

Question 11(b):

Question 11(b): Operations of the Building Corporation are handled through the books and records of the Local Union and are therefore, included in this report.

Question 15: The Local disposed of old computer equipment at a $0 dollar value.

Question 18: : : The Local did have bylaw changes, which were give to the International Union, UAW for final approval. The bylaws are attached.

Statement A,

Cash Begin Total: Beginning balance adjusted by $548 due to voided checks issued in a previous year being added back into the balance.

Schedule 8, Row1:

Schedule 8, Row1::

Schedule 8, Row2:

Schedule 8, Row2::

Schedule 13, 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:

Schedule 13, Row1::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)