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
040-475
2. PERIOD COVERED
From01/01/2016
Through12/31/2016
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
578
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
CHRISTINE
Last Name
NUTT
P.O Box - Building and Room Number

Number and Street
2920 OREGON ST
City
OSHKOSH
State
WI
ZIP Code + 4
54902


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:Brenda S HollatzPRESIDENT71. SIGNED:Christine M NuttTREASURER
Date:Mar 20, 2017Telephone Number:920-231-5153Date:Mar 20, 2017Telephone Number:920-231-5153
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 040-475
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?$238,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?05/2017
20. How many members did the labor organization have at the end of the reporting period?2,098
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.5 hrs str timepermonth00
(b) Working Dues/Feesnaper
(c) Initiation Fees$20.00perone time
(d) Transfer Feesnaper
(e) Work Permitsnaper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 040-475

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $1,261,248$1,317,967
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$581,956$581,956
28. Other Assets7$42,638$40,268
29. TOTAL ASSETS $1,885,842$1,940,191

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$54,943$68,849
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$1,213$3,318
34. TOTAL LIABILITIES $56,156$72,167
35. NET ASSETS$1,829,686$1,868,024
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 040-475

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,068,673
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $8,060
39. Sale of Supplies $1,397
40. Interest $7,007
41. Dividends $0
42. Rents $2,350
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$22,775
49. TOTAL RECEIPTS $1,110,262
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$128,971
51. Political Activities and Lobbying16$5,316
52. Contributions, Gifts, and Grants17$27,518
53. General Overhead18$23,131
54. Union Administration19$187,100
55. Benefits20$6,168
56. Per Capita Tax $654,215
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $200
59. Supplies for Resale $1,987
60. Purchase of Investments and Fixed Assets4$7,300
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 $11,457
  
66. Subtotal $1,053,363
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$29,573  
  67b. Less Total Disbursed$29,753  
  67c. Total Withheld But Not Disbursed -$180
68. TOTAL DISBURSEMENTS $1,053,543
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 040-475

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: 040-475

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: 040-475

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: 040-475

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$7,300$7,300$7,300
Roof repair$7,300$7,300$7,300
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$7,300
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 040-475

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: 040-475

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      2920 Oregon St, Oshkosh,WI 54902$3,000 $30,000$30,000
B. Buildings (give location)    
Building  1 :      2920 Oregon St., Oshkosh, WI 54902 $449,983$0$449,983$449,983
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$101,973$0$101,973$101,973
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $554,956$0$581,956$581,956
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 040-475

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $40,268
51 Watches@$258$13,158
1458 T shirts @$15$21,870
131 Bibles @$40$5,240
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 040-475

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$66,589$0$0$0
Total from all other accounts payable$2,260$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $68,849$0$0$0
per capita taxes$66,589$0$0$0
$0$0$0$0
$0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 040-475

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)
.$0$0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 040-475

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $3,318
State Income Taxes$407
State Unemployment Taxes$21
Federal Income Taxes$946
FICA Employer OASDI$972
FICA Employee OASDI$972
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 040-475

(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
Anderson ,  Kelly   J
Guide
C
$179$300$36$0$515
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Blake ,  John  
Chief Steward
N
$1,421$325$0$0$1,746
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 %
A
B
C
Felker ,  Gina   L
Recording Secretary
N
$5,099$840$1,000$0$6,939
I
Schedule 15
Representational Activities
36 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
64 %
A
B
C
Fritz ,  Rick   E
Financial Secretary
C
$3,895$1,680$2,434$0$8,009
I
Schedule 15
Representational Activities
1 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
98 %
A
B
C
Hollatz ,  Brenda   S
President
C
$8,481$1,475$1,708$0$11,664
I
Schedule 15
Representational Activities
41 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
58 %
A
B
C
Krueger ,  Steven   J
PRESIDENT
P
$1,027$875$478$0$2,380
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
Lynk ,  Robert   A
Cheif Steward
N
$2,547$550$516$0$3,613
I
Schedule 15
Representational Activities
51 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
49 %
A
B
C
Martinez ,  Jeffrey   J
Trustee
N
$757$0$158$0$915
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Nitschke ,  Renee   R
SGT. AT ARMS
C
$0$200$0$0$200
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Nutt ,  Christine   M
Treasurer
C
$961$1,200$7,090$0$9,251
I
Schedule 15
Representational Activities
7 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
93 %
A
B
C
Patt ,  Ronald   A
Trustee
C
$2,344$420$441$0$3,205
I
Schedule 15
Representational Activities
34 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
65 %
A
B
C
Sanchez Jr ,  Frank   C
CHIEF STEWARD
C
$3,774$900$2,020$0$6,694
I
Schedule 15
Representational Activities
6 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
93 %
A
B
C
Schackow ,  Gary   W
CHIEF STEWARD
C
$3,232$900$850$0$4,982
I
Schedule 15
Representational Activities
51 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
49 %
A
B
C
Schackow ,  Robert  
Skilled Trades
C
$3,695$900$829$0$5,424
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Schroeder ,  Terry   L
Retiree Representati
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
Schwalbach ,  Karly   L
Recording Secretary
P
$189$420$0$0$609
I
Schedule 15
Representational Activities
42 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
58 %
A
B
C
Sosinski ,  Robert   G
Head Trustee
C
$2,233$140$851$0$3,224
I
Schedule 15
Representational Activities
49 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Tofari Jr ,  James   T
Vice President
C
$8,636$770$1,162$0$10,568
I
Schedule 15
Representational Activities
51 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
49 %
A
B
C
Wichser ,  Lee  
Chief Steward
C
$5,383$975$982$0$7,340
I
Schedule 15
Representational Activities
32 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
68 %
Total Officer Disbursements$53,853$12,870$20,555$0$87,278
Less Deductions    $10,894
Net Disbursements    $76,384
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 040-475

(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
Drifka ,  Sandra   A
Secretary
NA
$43,733$0$244$0$43,977
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
25 % Schedule 19
Administration
75 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$35,674$6,850$12,469$0$54,993
I Schedule 15
Representational Activities
65 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
33 %
Total Employee Disbursements$79,407$6,850$12,713$0$98,970
Less Deductions    $18,678
Net Disbursements    $80,292
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 040-475

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 2,098 
Agency Fee Payers*2
Total Members/Fee Payers2,100 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members2,098Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 040-475

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$14,562
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$8,213
4. Total Receipts$22,775
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$8,567
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$18,951
6. Total Disbursements$27,518
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$11,028
2. Named Payee Non-itemized Disbursements$12,670
3. To Officers$31,097
4. To Employees$35,745
5. All Other Disbursements$38,431
6. Total Disbursements$128,971
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$7,749
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$11,544
5. All Other Disbursements$3,838
6. Total Disbursements$23,131
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$328
4. To Employees$550
5. All Other Disbursements$4,438
6. Total Disbursements$5,316
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$19,811
3. To Officers$55,855
4. To Employees$51,131
5. All Other Disbursements$60,303
6. Total Disbursements$187,100
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 040-475

Name and Address
(A)
International UAW
8000 Jefferson Ave

Detroit
MI
48277
Type or Classification
(B)
Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,562
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$14,562
13TH MONTH STRIKE REBATE04/19/2016$14,562
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 040-475

Name and Address
(A)
Gil Vernon Arbitration Corp
808 CARMICHAEL RD #115

Hudson
WI
54016
Type or Classification
(B)
Arbitrator
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$1,400
Total of All Transactions with this Payee/Payer for This Schedule$7,400
ARB RENEE KIMBALL07/11/2016$6,000
Name and Address
(A)
Rhyme Business Products
P O BOX 660831

Dallas
TX
75266-0831
Type or Classification
(B)
Business Equipment
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,475
Total of All Transactions with this Payee/Payer for This Schedule$5,475
Name and Address
(A)
Sandra Graf Radtke
6300 W BLUEMOUND

Milwaukee
WI
53213
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,028
Total Non-Itemized Transactions with this Payee/Payer$5,795
Total of All Transactions with this Payee/Payer for This Schedule$10,823
EASTMAN ARBVACATION PAY A11/14/2016$5,028
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 040-475

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: 040-475

Name and Address
(A)
Wisconsin Veterans Home At King
N2665 County Road Qq

King
WI
54946
Type or Classification
(B)
Vet Home
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,567
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$8,567
ATTN; NICK PESKIE FROM TH03/28/2016$8,567
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 040-475

Name and Address
(A)
Reimer Jewelers Inc
11 WAUGOO AVE

Oshkosh
WI
54901-4848
Type or Classification
(B)
Watch Engraver
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,749
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,749
30 GENTS WATCHES WITH ENG11/14/2016$7,749
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 040-475

Name and Address
(A)
Rhyme Business Products
P O BOX 660831

Dallas
TX
75266-0831
Type or Classification
(B)
Business Equipment
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,430
Total of All Transactions with this Payee/Payer for This Schedule$7,430
Name and Address
(A)
Uptown Catering
915 VIOLA AVE

Oshkosh
WI
54901
Type or Classification
(B)
caterer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,381
Total of All Transactions with this Payee/Payer for This Schedule$12,381
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 040-475

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$6,168
Dental/Hearing/Medical/Vision InsuranceDELTA DENTAL OF WISCONSIN$476
Dental/Hearing/Medical/Vision InsuranceNETWORK HEALTH$408
Dental/Hearing/Medical/Vision InsuranceUNITED HEALTH CARE$4,852
Workers Compension InsuranceMiddlesex Insurance$432
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 040-475


Question 10: : : 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): : : : : 11. Operations of the Building Corporation are handled through the books and record of the Local Union and are therefore included in this record.

Schedule 8, Row1:

Schedule 8, Row1:::

Schedule 9, Row1:

Schedule 9, Row1:::::

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)