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:
07-31-2019
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
515-898
2.
PERIOD COVERED
From
01/01/2016
Through
12/31/2016
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
2250
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
FRANCISCO
Last Name
MARTINEZ
P.O Box - Building and Room Number
Number and Street
1395 EAST PEARCE BLVD
City
WENTZVILLE
State
MO
ZIP Code + 4
633851925
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:
Van L Simpson
PRESIDENT
71. SIGNED:
Francisco J Martinez
TREASURER
Date:
Mar 14, 2017
Telephone
Number:
636-327-5796
Date:
Mar 14, 2017
Telephone
Number:
636-327-5796
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
515-898
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?
$490,000
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?
4,505
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 hours straight time pay
per
month
1.45%
0
(b) Working Dues/Fees
0
per
(c) Initiation Fees
20.00
per
one time
(d) Transfer Fees
0
per
(e) Work Permits
0
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
515-898
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$1,061,714
$1,051,001
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
$1,089,067
$1,093,274
28. Other Assets
7
$18,149
$17,341
29.
TOTAL ASSETS
$2,168,930
$2,161,616
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$160,015
$178,605
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$3,504
$2,562
34. TOTAL
LIABILITIES
$163,519
$181,167
35. NET
ASSETS
$2,005,411
$1,980,449
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
515-898
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$3,496,056
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$15,840
39. Sale of Supplies
$36,323
40. Interest
$1,131
41. Dividends
$0
42. Rents
$16,950
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
$28,089
48. Other Receipts
14
$242,297
49. TOTAL RECEIPTS
$3,836,686
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$526,142
51.
Political Activities and Lobbying
16
$158,696
52.
Contributions, Gifts, and Grants
17
$39,592
53. General
Overhead
18
$216,537
54. Union
Administration
19
$300,022
55. Benefits
20
$41,728
56. Per
Capita Tax
$2,435,011
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$26,378
60. Purchase
of Investments and Fixed Assets
4
$6,337
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
$28,086
65. Direct
Taxes
$68,500
66. Subtotal
$3,847,029
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$128,995
67b. Less Total
Disbursed
$129,365
67c.
Total Withheld But Not Disbursed
-$370
68.
TOTAL DISBURSEMENTS
$3,847,399
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
515-898
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:
515-898
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
$0
$0
$0
$0
$0
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:
515-898
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:
515-898
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$6,337
$6,337
$6,337
Equipment
$2,341
$2,341
$2,341
Other Fixed Assets-Handrail
$3,996
$3,996
$3,996
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$6,337
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
515-898
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:
515-898
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
1395 E Pearce Blvd, Wentzville, MO 63385
$153,483
$153,483
$153,483
B.
Buildings (give location)
Building
1
:
1395 E Pearce Blvd, Wentzville, MO 63385
$745,326
$745,326
$745,326
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$186,084
$186,084
$186,084
E.
Other Fixed Assets
$8,381
$8,381
$8,381
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$1,093,274
$0
$1,093,274
$1,093,274
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
515-898
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$17,341
Bibles
$602
Shirts & Hats
$8,463
Watches
$6,278
Rings
$721
Misc. Items
$1,277
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
515-898
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
$165,355
$0
$0
$0
Total from all other accounts payable
$13,250
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$178,605
$0
$0
$0
International Union, UAW
$157,973
$0
$0
$0
UAW Region Five
$7,382
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
515-898
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:
515-898
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$2,562
Federal Tax
$482
Employer FICA
$211
Missouri Withholding
$1,161
Federal Unemployment
$301
Missouri Unemployment
$407
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
515-898
(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
Bullock
,
Michael
P Chairman C
$2,481
$1,560
$3,308
$0
$7,349
I
Schedule 15
Representational Activities
94
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
5
%
A
B
C
Crouch
,
Robin
L Retiree President N
$0
$0
$778
$0
$778
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
Curtis
,
James
Retiree President P
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
Diersen
,
Craig
Guide C
$6,639
$0
$0
$0
$6,639
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
Downey
,
Melody
A Recording Secretary C
$23,844
$240
$1,909
$0
$25,993
I
Schedule 15
Representational Activities
8
%
Schedule 16
Political Activities and Lobbying
11
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
81
%
A
B
C
Gibson
,
Vonda
Nurses' Chair C
$2,781
$0
$886
$0
$3,667
I
Schedule 15
Representational Activities
49
%
Schedule 16
Political Activities and Lobbying
42
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
9
%
A
B
C
Jamison
,
Fredrick
K Trustee C
$4,128
$0
$0
$0
$4,128
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
Martinez
,
Francisco
J Financial Secretary C
$22,795
$1,560
$4,349
$0
$28,704
I
Schedule 15
Representational Activities
8
%
Schedule 16
Political Activities and Lobbying
10
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
82
%
A
B
C
Mosley
,
Terrance
A Sgt At Arms C
$6,897
$0
$1,023
$0
$7,920
I
Schedule 15
Representational Activities
13
%
Schedule 16
Political Activities and Lobbying
2
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
85
%
A
B
C
Presberry
,
Deangelo
Jll-Chairman C
$1,359
$0
$0
$0
$1,359
I
Schedule 15
Representational Activities
51
%
Schedule 16
Political Activities and Lobbying
36
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
13
%
A
B
C
Richard
,
Wanda
S Trustee C
$6,615
$0
$599
$0
$7,214
I
Schedule 15
Representational Activities
23
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
22
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
54
%
A
B
C
Simpson
,
Vandaris
L President C
$12,037
$3,360
$6,085
$0
$21,482
I
Schedule 15
Representational Activities
75
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
24
%
A
B
C
Stevenson
,
Stanley
K Vice President C
$22,010
$1,560
$5,037
$0
$28,607
I
Schedule 15
Representational Activities
29
%
Schedule 16
Political Activities and Lobbying
36
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
35
%
A
B
C
Wells Jr
,
Gregory
Trustee C
$3,993
$0
$95
$0
$4,088
I
Schedule 15
Representational Activities
23
%
Schedule 16
Political Activities and Lobbying
2
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
75
%
Total Officer
Disbursements
$115,579
$8,280
$24,069
$0
$147,928
Less Deductions
$33,446
Net
Disbursements
$114,482
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
515-898
(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
Melson
,
James
M Union Label Comm NA
$34,168
$0
$9,549
$0
$43,717
I
Schedule 15
Representational Activities
19
%
Schedule 16
Political Activities and Lobbying
77
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
4
%
A
B
C
Smith
,
Debra
H Secretary NA
$70,450
$0
$905
$0
$71,355
I
Schedule 15
Representational Activities
22
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
77
%
A
B
C
Welling
,
Rebecca
C Secretary NA
$66,998
$0
$865
$0
$67,863
I
Schedule 15
Representational Activities
50
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
49
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$194,447
$1,800
$92,201
$0
$288,448
I
Schedule 15
Representational Activities
40
%
Schedule 16
Political Activities and Lobbying
29
%
Schedule 17
Contributions
2
%
Schedule 18
General Overhead
1
%
Schedule 19
Administration
28
%
Total
Employee Disbursements
$366,063
$1,800
$103,520
$0
$471,383
Less
Deductions
$95,419
Net Disbursements
$375,964
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
515-898
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
4,505
Agency Fee Payers*
Total Members/Fee Payers
4,505
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
4,505
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
515-898
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$135,394
2. Named Payer
Non-itemized Receipts
$79,935
3. All Other Receipts
$26,968
4. Total
Receipts
$242,297
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$7,125
3. To Officers
$1,587
4. To Employees
$5,769
5. All Other
Disbursements
$25,111
6. Total
Disbursements
$39,592
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$101,602
2. Named Payee
Non-itemized Disbursements
$107,276
3. To Officers
$42,588
4. To Employees
$173,315
5. All Other
Disbursements
$101,361
6. Total
Disbursements
$526,142
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$197,607
2. Named Payee
Non-itemized Disbursements
$7,511
3. To Officers
$0
4. To Employees
$2,884
5. All Other
Disbursements
$8,535
6. Total
Disbursements
$216,537
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$18,657
4. To Employees
$118,705
5. All Other
Disbursements
$21,334
6. Total
Disbursements
$158,696
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$6,480
3. To Officers
$85,094
4. To Employees
$170,710
5. All Other
Disbursements
$37,738
6. Total
Disbursements
$300,022
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
515-898
Name and Address
(A)
Dawn Womack 1395 E Pearce Blvd
Wentzville MO 63385
Type or Classification
(B)
Standing Committee
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,944
Total of All Transactions with this
Payee/Payer for This Schedule
$10,944
Name and Address
(A)
International Union Uaw 8000 E Jefferson Avenue
Detroit MI 48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$90,702
Total
Non-Itemized Transactions with this Payee/Payer
$10,445
Total of All Transactions with this
Payee/Payer for This Schedule
$101,147
other lost time
01/12/2016
$16,536
other per diem
01/12/2016
$7,349
travel
01/12/2016
$22,201
13th Rebate from Internat
04/19/2016
$44,616
Name and Address
(A)
Kim Cook 1395 E Pearce Blvd
Wentzville MO 63385
Type or Classification
(B)
Standing Committee
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$18,542
Total of All Transactions with this
Payee/Payer for This Schedule
$18,542
Name and Address
(A)
Louise Seay 2925 Thrush Dr
St Charles MO 63301
Type or Classification
(B)
Retiree Trav Coordinator
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$21,050
Total
Non-Itemized Transactions with this Payee/Payer
$1,236
Total of All Transactions with this
Payee/Payer for This Schedule
$22,286
Trip to Biloxi & New Orle
06/29/2016
$21,050
Name and Address
(A)
National UAW CAP 8000 E Jefferson Ave
Detroit MI 48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$18,283
Total
Non-Itemized Transactions with this Payee/Payer
$2,662
Total of All Transactions with this
Payee/Payer for This Schedule
$20,945
Lost time
06/20/2016
$18,283
Name and Address
(A)
Steve Melson 1395 E Pearce Blvd
Wentzville MO 63385
Type or Classification
(B)
Standing Committee
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,838
Total of All Transactions with this
Payee/Payer for This Schedule
$6,838
Name and Address
(A)
UAW Region 5 Midwest States CAP Council 721 Dunn Road
Hazelwood MO 63042
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$21,866
Total of All Transactions with this
Payee/Payer for This Schedule
$21,866
Name and Address
(A)
UBE/AIR 2000 Maxon Rd
Onaway MI 49765
Type or Classification
(B)
Travel Agent
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,359
Total
Non-Itemized Transactions with this Payee/Payer
$7,402
Total of All Transactions with this
Payee/Payer for This Schedule
$12,761
Reimb airfare-Black Lake
03/29/2016
$5,359
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
515-898
Name and Address
(A)
Allison's Fun Incorporated 826 N. Santa Fe
Wichita KS 67214
Type or Classification
(B)
Carnival Rides
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$19,367
Total
Non-Itemized Transactions with this Payee/Payer
$520
Total of All Transactions with this
Payee/Payer for This Schedule
$19,887
picnic
09/01/2016
$9,684
UNION PICNIC
09/08/2016
$9,683
Name and Address
(A)
Ameren Missouri PO Box 66529
St Louis MO 63166
Type or Classification
(B)
Electric Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,804
Total of All Transactions with this
Payee/Payer for This Schedule
$7,804
Name and Address
(A)
Beehive Promotions P.O. Box 50616
Indianapolis IN 46250
Type or Classification
(B)
Resale Items
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$17,178
Total
Non-Itemized Transactions with this Payee/Payer
$10,699
Total of All Transactions with this
Payee/Payer for This Schedule
$27,877
lunch bags
08/04/2016
$8,798
red tumblers
09/22/2016
$8,380
Name and Address
(A)
Cardmember Service P.O. Box 790408
Saint Louis MO 63179-0408
Type or Classification
(B)
Travel Charge
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,893
Total
Non-Itemized Transactions with this Payee/Payer
$5,551
Total of All Transactions with this
Payee/Payer for This Schedule
$12,444
Active
12/15/2016
$6,893
Name and Address
(A)
Country Lake Golf Course 15 Country Lake Dr.
Warrenton MO 63383
Type or Classification
(B)
Golf Course
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,445
Total of All Transactions with this
Payee/Payer for This Schedule
$6,445
Name and Address
(A)
Diamond Tours Inc. 13100 Westlinks Terrace
Fort Meyers FL 33913
Type or Classification
(B)
Travel Agent
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$22,800
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$22,800
Trip Biloxi & New Orleans
06/30/2016
$22,800
Name and Address
(A)
Discover PO Box 6103
Carol Stream IL 60197
Type or Classification
(B)
Travel Charge
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$16,419
Total of All Transactions with this
Payee/Payer for This Schedule
$16,419
Name and Address
(A)
Donna Miles 186 Welch Rd
Eolia MO 63344
Type or Classification
(B)
Janitorial Service
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$12,026
Total of All Transactions with this
Payee/Payer for This Schedule
$12,026
Name and Address
(A)
FIA Card Services PO Box 851001
Dallas TX 75285-1001
Type or Classification
(B)
Travel Charge
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,265
Total of All Transactions with this
Payee/Payer for This Schedule
$7,265
Name and Address
(A)
International Union UAW 6500 Rosemead Blvd
Pico Rivera CA 90660
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,402
Total of All Transactions with this
Payee/Payer for This Schedule
$6,402
Name and Address
(A)
L. P. Miceli Inc. 3800 Hampton Avenue
St Louis MO 63109
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,026
Total
Non-Itemized Transactions with this Payee/Payer
$3,531
Total of All Transactions with this
Payee/Payer for This Schedule
$13,557
Union Liability Insurance
11/21/2016
$10,026
Name and Address
(A)
Midwest Advertising PO Box 104194
Jefferson City MO 65110
Type or Classification
(B)
Resale Items
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,190
Total of All Transactions with this
Payee/Payer for This Schedule
$6,190
Name and Address
(A)
St Louis Cardinals 700 Clark St
St. Louis MO 63102-1727
Type or Classification
(B)
Baseball Team
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,580
Total
Non-Itemized Transactions with this Payee/Payer
$792
Total of All Transactions with this
Payee/Payer for This Schedule
$9,372
Baseball tickets
05/11/2016
$8,580
Name and Address
(A)
U.A.W. Region 5 Summer School 721 Dunn Road
Hazelwood MO 63042
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$10,200
Total of All Transactions with this
Payee/Payer for This Schedule
$10,200
Name and Address
(A)
UAW Region 5 6500 S Rosemead Blvd
Pico Rivera CA 90660
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,000
Total
Non-Itemized Transactions with this Payee/Payer
$2,430
Total of All Transactions with this
Payee/Payer for This Schedule
$12,430
Registration- Leadership
11/03/2016
$10,000
Name and Address
(A)
UBE/AIR 2000 Maxon Rd
Onaway MI 49765
Type or Classification
(B)
Travel Agent
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,758
Total
Non-Itemized Transactions with this Payee/Payer
$11,002
Total of All Transactions with this
Payee/Payer for This Schedule
$17,760
Airfare to Black Lake
02/26/2016
$6,758
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
515-898
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:
515-898
Name and Address
(A)
5 Game Changer Charity Fund 721 Dunn Road
Hazelwood MO 63042
Type or Classification
(B)
Charity
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,125
Total of All Transactions with this
Payee/Payer for This Schedule
$7,125
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
515-898
Name and Address
(A)
American Time Manufacturing Ltd. 1600 North Clinton Ave
Rochester NY 14621
Type or Classification
(B)
Watch Co
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$15,047
Total
Non-Itemized Transactions with this Payee/Payer
$25
Total of All Transactions with this
Payee/Payer for This Schedule
$15,072
Retiree watches
08/04/2016
$15,047
Name and Address
(A)
Available Asphalt & Contracting. LLC 133 Green River Trail
Pacific MO 63069
Type or Classification
(B)
Asphalt Co.
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$146,560
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$146,560
parking lot overlay
07/21/2016
$146,560
Name and Address
(A)
Coatings Unlimited Inc. PO Box 7790100
Saint Louis MO 63179-0100
Type or Classification
(B)
Asphalt Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$36,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$36,000
seal & stripe
09/22/2016
$36,000
Name and Address
(A)
Wehners' Awards Inc. 212 Main St.
Festus MO 63028
Type or Classification
(B)
Retiree Plaques
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,486
Total of All Transactions with this
Payee/Payer for This Schedule
$7,486
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
515-898
Name and Address
(A)
Donna Miles 186 Welch Rd
Eolia MO 63344
Type or Classification
(B)
Janitorial Service
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,480
Total of All Transactions with this
Payee/Payer for This Schedule
$6,480
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
515-898
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$41,728
Dental/Hearing/Medical/Vision Insurance
Anthem Blue Cross Blue Shield
$18,737
Dental/Hearing/Medical/Vision Insurance
Brevco Family Dentistry
$436
Dental/Hearing/Medical/Vision Insurance
Gregory T Berg DDS
$1,164
Dental/Hearing/Medical/Vision Insurance
Thomas C Delaney
$1,850
Workers Compension Insurance
Missouri Employers Mutual Insurance
$3,811
Pension Allocations
Stifel Nicolaus & Co Inc.
$15,730
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
515-898
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 though the books and records of the Local Union and are therefore included in this report.
Question 15: Upon completion of the Local 2250 Union Trustees audit, they requested the Local destroy the following items which were found to be damaged beyond repair: 1 brown metal table valued at $71.34 & 1 hand built computer tower valued at $2.058.43 for a total of $2,129.77
Statement A,
Cash Begin Total: Line 22 A adjusted by $2,229.00 due to checks voided from a previous year.
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:
Schedule 7: In the beginning of 2016 the Local had $1,400.00 worth of Bibles in inventory. They purchased an additional $3,584.00 worth and sold $386.00 worth. $3,996.00 worth were given to deceased members families as funeral tributes. This left a balance of $602.00 worth of bibles at the end of 2016 as seen on this schedule.
In the beginning of 2016 the Local had $721.00 worth of Union Rings. They had no additional purchases, sales or donations during the year, leaving a balance in inventory of $721.00 as shown on the schedule.
In the beginning of 2016 the Local had $4,216.00 worth of watches. They purchased an additional $15,047.00 worth, had no sales and $12,985.00 worth were given to retirees as recognition awards, leaving a balance of $6,278.00 worth of watches at the end of 2016 as seen o this schedule.
In the beginning of 2016 the Local had an inventory of $10,503.00 worth of shirts, jackets & hats. They purchased an additional $24,681.00 worth, sold $25,852.00 worth and donated $869.00 worth leaving a balance of $8,463.00 at he end of 2016 as seen on the schedule.
In the beginning of 2016 the Local had $1,309.00 worth of Miscellaneous Pins, Patches & Key chains. They purchased an additional $512.00 worth, had sales of $542.00 worth during the year, donated $2.00 worth, leaving a balance of $1,277.00 worth at the end of 2016 as seen on the schedule.
Statement B Line 64 is $3.00 less than collections (Line 47) due to check written in 2015 and voided in 2016.