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
029-205
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
211
7. UNIT NAME (if any)

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

Number and Street
2120 BALTIMORE ROAD
City
DEFIANCE
State
OH		 ZIP Code + 4
43512


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:Keith BoeckerPRESIDENT71. SIGNED:GERT M HAHNTREASURER
Date:Mar 24, 2017Telephone Number:419-784-5399Date:Mar 20, 2017Telephone Number:419-784-5399
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 029-205
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?$218,000
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?1,324
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 hrs. Str per month + 1.50-3.00perMonth00
(b) Working Dues/Feesn/apern/a
(c) Initiation Fees20.00perOne time
(d) Transfer Feesn/apern/a
(e) Work Permitsn/apern/a

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 029-205

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $704,492$773,628
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$1,628,402$1,617,315
28. Other Assets7$3,387$5,263
29. TOTAL ASSETS $2,336,281$2,396,206

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$140,469$64,536
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$3,698$4,197
34. TOTAL LIABILITIES $144,167$68,733
35. NET ASSETS$2,192,114$2,327,473
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 029-205

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,335,109
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $2,340
39. Sale of Supplies $3,610
40. Interest $674
41. Dividends $0
42. Rents $68,835
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 $1,126
48. Other Receipts14$59,713
49. TOTAL RECEIPTS $1,471,407
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$355,978
51. Political Activities and Lobbying16$13,593
52. Contributions, Gifts, and Grants17$16,700
53. General Overhead18$86,111
54. Union Administration19$19,616
55. Benefits20$4,531
56. Per Capita Tax $863,071
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $3,068
60. Purchase of Investments and Fixed Assets4$1,277
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 $138
65. Direct Taxes $25,077
  
66. Subtotal $1,389,160
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$60,241  
  67b. Less Total Disbursed$73,352  
  67c. Total Withheld But Not Disbursed -$13,111
68. TOTAL DISBURSEMENTS $1,402,271
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 029-205

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: 029-205

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: 029-205

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: 029-205

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$1,277$1,277$1,277
Snow Blower $600$600$600
Computer Monitor (Secretary computer)$107$107$107
Lifetime Table (2)$193$193$193
Keyboard $27$27$27
Adding Machine $57$57$57
Holiday Banner $251$251$251
Receptacles$42$42$42
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$1,277
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 029-205

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: 029-205

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      2120 Baltimore Rd. Defiance OH 43512$103,000 $103,000$103,000
B. Buildings (give location)    
Building  1 :      2120 & 2140 Baltimore Rd. Defiance OH 43512$1,024,780$1,024,780$1,024,780
C. Automobiles and Other Vehicles$13,393$13,393$13,393
D. Office Furniture and Equipment$168,296$168,296$168,296
E. Other Fixed Assets$307,846$307,846$307,846
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,617,315$0$1,617,315$1,617,315
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 029-205

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $5,263
Womens / Mens watches 13)$988
360 golf balls $613
bibles (46)$1,564
seat cushion $824
Postage Meter $264
Postage Bulk Mailing$1,010
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 029-205

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$0$0$0$0
Total from all other accounts payable$64,536$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $64,536$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 029-205

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: 029-205

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $4,197
Federal Income Tax (941)$1,902
FICA Employee $1,262
MECA $295
OH State Tax $410
City Income Tax Forward $203
Local Taxes$85
Charitable Donation Forward$40
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 029-205

(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 		Bauman ,  Jeffrey  
Chairman JM
C		$3,461$148$51$0$3,660
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 		Boecker ,  Keith   B
President
C		$2,064$840$927$0$3,831
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 		Breckler ,  Stephen   J
Srg At Arms
C		$6,439$0$0$0$6,439
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		1 %
A
B
C 		Cattell ,  Chad  
Vice President
P		$4,300$90$0$0$4,390
I
Schedule 15
Representational Activities 		41 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		6 % Schedule 19
Administration 		45 %
A
B
C 		Cooper ,  Larry  
Vice President
N		$5,563$386$144$0$6,093
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		5 %
A
B
C 		Dalton ,  Sherri  
Recording Secretary
C		$10,883$836$29$0$11,748
I
Schedule 15
Representational Activities 		98 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Dewyse Jr ,  Michael   J
Trustee
C		$7,312$580$0$0$7,892
I
Schedule 15
Representational Activities 		66 % Schedule 16
Political Activities and Lobbying 		13 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		11 %
A
B
C 		Egnor ,  Robbie  
Chairman
C		$1,835$673$927$0$3,435
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 		Fleming ,  Ted  
Retirees Chairman
C		$0$0$409$0$409
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 		Fockler ,  Charles  
Chairman P & Sons
N		$643$0$51$0$694
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 		Hahn ,  Gertrude  
Financial Secretary
C		$40,210$2,241$1,070$0$43,521
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		9 %
A
B
C 		Hill ,  William  
Chairman P & Sons
P		$2,330$0$0$0$2,330
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 		Johns ,  Ricky  
Chairman Herbert Orr
C		$5,203$0$51$0$5,254
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Mendez ,  Christopher   M
Trustee
C		$8,572$704$0$0$9,276
I
Schedule 15
Representational Activities 		78 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		11 % Schedule 19
Administration 		11 %
A
B
C 		Reynolds ,  Kathy  
Chairman MCFCU
C		$2,919$0$227$0$3,146
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Sierra ,  Roger  
Chairman Aramark
C		$2,307$0$51$0$2,358
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 		Smith ,  William  
Chairman Simms
C		$2,613$0$0$0$2,613
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 		Tropepe ,  Howard  
Trustee
C		$5,972$507$0$0$6,479
I
Schedule 15
Representational Activities 		60 % Schedule 16
Political Activities and Lobbying 		32 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		4 %
A
B
C 		Zedaker ,  Jeremy  
Guide
C		$6,149$322$29$0$6,500
I
Schedule 15
Representational Activities 		92 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		2 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
Total Officer Disbursements$118,775$7,327$3,966$0$130,068
Less Deductions    $25,396
Net Disbursements    $104,672
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 029-205

(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 		Beardsley ,  Lisa  
Local 211 Secret
NA		$49,450$10,603$497$0$60,550
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		2 %
A
B
C 		Johnson ,  Kevin  
Janitor
NA		$15,675$0$0$0$15,675
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		100 % Schedule 19
Administration 		0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$87,013$0$8,608$0$95,621
I Schedule 15
Representational Activities 		63 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		33 % Schedule 19
Administration 		1 %
Total Employee Disbursements$152,138$10,603$9,105$0$171,846
Less Deductions    $34,758
Net Disbursements    $137,088
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 029-205

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 1,324 
Agency Fee Payers*3
Total Members/Fee Payers1,327 
*Agency Fee Payers are not considered members of the labor organization.
Regular members1,324Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 029-205

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$20,160
2. Named Payer Non-itemized Receipts$19,150
3. All Other Receipts$20,403
4. Total Receipts$59,713
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$247
4. To Employees$0
5. All Other Disbursements$16,453
6. Total Disbursements$16,700
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$6,076
2. Named Payee Non-itemized Disbursements$36,753
3. To Officers$110,924
4. To Employees$118,369
5. All Other Disbursements$83,856
6. Total Disbursements$355,978
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$7,612
2. Named Payee Non-itemized Disbursements$0
3. To Officers$3,945
4. To Employees$48,441
5. All Other Disbursements$26,113
6. Total Disbursements$86,111
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$6,410
4. To Employees$2,869
5. All Other Disbursements$4,314
6. Total Disbursements$13,593
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$8,539
4. To Employees$2,167
5. All Other Disbursements$8,910
6. Total Disbursements$19,616
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 029-205

Name and Address
(A)
Defiance Area Uaw Cap Council
2120 Baltimore Rd

Defiance
OH
43512
Type or Classification
(B)
Political Arm Of The Uaw
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,962
Total of All Transactions with this Payee/Payer for This Schedule$7,962
Name and Address
(A)
International Union Uaw
8000 East Jefferson Ave

Detroit
MI
48214
Type or Classification
(B)
International Union Uaw
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,160
Total Non-Itemized Transactions with this Payee/Payer$5,188
Total of All Transactions with this Payee/Payer for This Schedule$25,348
13TH REBATE CHECK04/19/2016$20,160
Name and Address
(A)
Maumee Valley Vending
26896 St Rt 281

Defiance
OH
43512
Type or Classification
(B)
Vending Company
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,000
Total of All Transactions with this Payee/Payer for This Schedule$6,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 029-205

Name and Address
(A)
Brian Ruhe
3653 Road 13

Leipsic
OH
45856
Type or Classification
(B)
Concrete installer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,076
Total Non-Itemized Transactions with this Payee/Payer$1,519
Total of All Transactions with this Payee/Payer for This Schedule$7,595
remove 43 x 19 concrete d10/27/2016$6,076
Name and Address
(A)
Defiance Postmaster
420 West 2nd Street

Defiance
OH
43512
Type or Classification
(B)
Postoffice
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,495
Total of All Transactions with this Payee/Payer for This Schedule$5,495
Name and Address
(A)
Keystone Press
PO Box 9183

Toledo
OH
43697-9183
Type or Classification
(B)
Printer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,252
Total of All Transactions with this Payee/Payer for This Schedule$12,252
Name and Address
(A)
The Cincinnati Insurance Co.
P O Box 145620

Cincinnati
OH
45250-5620
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,215
Total of All Transactions with this Payee/Payer for This Schedule$5,215
Name and Address
(A)
Toledo Edison
PO Box 3638

Akron
OH
44309-3638
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$12,272
Total of All Transactions with this Payee/Payer for This Schedule$12,272
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 029-205

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: 029-205

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: 029-205

Name and Address
(A)
American Time
1600 North Clinton Avenue

Rochester
NY
14621
Type or Classification
(B)
Watches
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,612
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,612
RETIREMENT WATCHES / 90 M03/07/2016$7,612
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 029-205

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 20 - BENEFITS FILE NUMBER: 029-205

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$4,531
Disability/Sick & Accident InsuranceMotorist's Mutual Insurance$79
Disability/Sick & Accident InsurancePremium Services$680
Workers Compension InsuranceBureau Of Worker's Compensation$1,174
Workers Compension InsuranceCompManagement$135
Workers Compension InsuranceOHIO BUREAU OF WORKERS' COMPENSATION$335
Medical Fee ReimbursementsArlene Iler$500
Medical Fee ReimbursementsHumana Insurance Co.$1,128
Medical Fee ReimbursementsLisa Beardsley$500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 029-205


Question 10: Operations of the Building Corporation are handled through the books and records of the local union and therefore included in this report

Question 11(b):

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

Question 15: The local disposed of (1) Compaq computer/monitor ($410), (3) keyboards ($144),(1) HP deskjet printer ($379), (1) wall clock ($20), (1) Casio adding machine ($57),(1) Chest ice freezer ($359), (1) Soyo monitor/Verizon tower ($670). The local donated 95 watches at a value of $7220. The local donated 56 bibles at a cost of $1904

Question 18: The membership changed Article XII Section 3 to set up a Penny fund for employee charitable donations.

Statement A,

Cash Begin Total: Balance adjusted due to a voided check from previous year

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:::::::

General Information:
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)