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
042-001
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
1216
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
Joni
Last Name
Batey
P.O Box - Building and Room Number
P.O. BOX 732
Number and Street
3211 BARDSHAR RD
City
SANDUSKY
State
OH
ZIP Code + 4
44870
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:
Gary Marvicsin
PRESIDENT
71. SIGNED:
Joan E Batey
TREASURER
Date:
Mar 28, 2017
Telephone
Number:
419-625-2573
Date:
Mar 28, 2017
Telephone
Number:
419-625-2573
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
042-001
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?
$130,000
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?
1,762
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 hrs straight time
per
month
0
0
(b) Working Dues/Fees
n/a
per
(c) Initiation Fees
20.00
per
one-time
(d) Transfer Fees
n/a
per
(e) Work Permits
n/a
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
042-001
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$325,439
$303,805
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
$896,674
$889,519
28. Other Assets
7
$3,737
$99
29.
TOTAL ASSETS
$1,225,850
$1,193,423
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$43,285
$49,863
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$8,137
$2,417
34. TOTAL
LIABILITIES
$51,422
$52,280
35. NET
ASSETS
$1,174,428
$1,141,143
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
042-001
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$896,078
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$7,507
39. Sale of Supplies
$7,711
40. Interest
$358
41. Dividends
$0
42. Rents
$6,900
43. Sale of Investments
and Fixed Assets
3
$0
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
$0
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$0
48. Other Receipts
14
$48,941
49. TOTAL RECEIPTS
$967,495
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$260,209
51.
Political Activities and Lobbying
16
$6,194
52.
Contributions, Gifts, and Grants
17
$15,026
53. General
Overhead
18
$19,496
54. Union
Administration
19
$98,552
55. Benefits
20
$1,434
56. Per
Capita Tax
$552,222
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$4,016
60. Purchase
of Investments and Fixed Assets
4
$5,896
61. Loans
Made
2
$0
62.
Repayment of Loans Obtained
9
$0
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$0
65. Direct
Taxes
$22,774
66. Subtotal
$985,819
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$29,041
67b. Less Total
Disbursed
$32,351
67c.
Total Withheld But Not Disbursed
-$3,310
68.
TOTAL DISBURSEMENTS
$989,129
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
042-001
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:
042-001
List below loans to officers, employees, or members which
at any time during the reporting period exceeded $250 and
list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not
listed above
Total of all lines
above
$0
$0
$0
$0
$0
Totals will be
automatically entered in...
Item 24
Column (A)
Item 61
Item 45
Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF
INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
042-001
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:
042-001
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$5,896
$5,896
$5,896
New InFocus DLP Projector
$3,599
$3,599
$3,599
New Computer
$828
$828
$828
New Printer
$300
$300
$300
New Flag Poles & Bases
$791
$791
$791
New Network Wireless Access Point
$378
$378
$378
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$5,896
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
042-001
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:
042-001
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
3211 Bardshar Road, Erie County-Land
$40,000
$40,000
$40,000
B.
Buildings (give location)
Building
1
:
3211 Bardshar Road, Erie County-Union Hall
$704,928
$704,928
$704,928
Building
2
:
3211 Bardshar Road, Erie County-Outside Building
$85,024
$85,024
$85,024
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$59,567
$0
$59,567
$59,567
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$889,519
$0
$889,519
$889,519
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
042-001
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$99
Bible Inventory (3@$32.95)
$99
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
042-001
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
$49,863
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$49,863
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
042-001
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:
042-001
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$2,417
Federal Income Taxex (941) Forward
$655
FICA-Employee OASDI and HI Forward
$594
State Income Taxes Forward
$193
City Income TAxes Forward
$183
Local Income TAxes Forward
$24
FICA-Employer OASDI and HI (941)
$594
Uneployment Taxes Federa (940)
$85
Unemployment Taxes State
$41
Union Dues Forwarded
$48
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
042-001
(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
Aaron
,
Sidney
SERGEANT AT ARMS C
$1,214
$0
$291
$0
$1,505
I
Schedule 15
Representational Activities
52
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
47
%
A
B
C
Batey
,
Joan
E Financial Secretary C
$38,546
$5,286
$1,400
$0
$45,232
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
1
%
Schedule 19
Administration
88
%
A
B
C
Coleman
,
Karen
J TRUSTEE P
$2,260
$0
$593
$0
$2,853
I
Schedule 15
Representational Activities
38
%
Schedule 16
Political Activities and Lobbying
2
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
17
%
Schedule 19
Administration
43
%
A
B
C
Crawford-Gerber
,
Paulina
Trustee N
$3,159
$0
$98
$0
$3,257
I
Schedule 15
Representational Activities
53
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
15
%
Schedule 19
Administration
31
%
A
B
C
Gorby
,
Robert
L VICE PRESIDENT/CHAIR C
$2,037
$1,500
$231
$0
$3,768
I
Schedule 15
Representational Activities
59
%
Schedule 16
Political Activities and Lobbying
20
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
2
%
Schedule 19
Administration
19
%
A
B
C
Luzader
,
Rebecca
GUIDE P
$168
$0
$0
$0
$168
I
Schedule 15
Representational Activities
76
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
24
%
A
B
C
Lynn
,
William
J Trustee C
$3,875
$0
$314
$0
$4,189
I
Schedule 15
Representational Activities
16
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
22
%
Schedule 19
Administration
61
%
A
B
C
Marvicsin
,
Gary
A PRESIDENT/CHAIR C
$3,289
$2,500
$831
$0
$6,620
I
Schedule 15
Representational Activities
98
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
1
%
A
B
C
Mccarty
,
Sonia
K Guide N
$2,074
$0
$688
$0
$2,762
I
Schedule 15
Representational Activities
68
%
Schedule 16
Political Activities and Lobbying
19
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
13
%
A
B
C
Mcfarlin
,
Sean
M RECORDING SECRETARY C
$10,236
$1,463
$1,004
$0
$12,703
I
Schedule 15
Representational Activities
66
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
33
%
A
B
C
Napka
,
Mary Lou
L RETIREE CHP PRESIDEN C
$0
$0
$227
$0
$227
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
7
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
13
%
A
B
C
Wolfe
,
Laura
L TRUSTEE C
$2,111
$0
$227
$0
$2,338
I
Schedule 15
Representational Activities
9
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
27
%
Schedule 19
Administration
63
%
Total Officer
Disbursements
$68,969
$10,749
$5,904
$0
$85,622
Less Deductions
$16,773
Net
Disbursements
$68,849
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
042-001
(A) Name
(B) Title
(C) Other Payer
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances Disbursed
(F)
Disbursements for Official Business
(G)
Other Disbursements not reported in
(D) through (F)
(H)
TOTAL
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$61,362
$360
$17,747
$79,469
I
Schedule 15
Representational Activities
79
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
9
%
Schedule 19
Administration
8
%
Total
Employee Disbursements
$61,362
$360
$17,747
$0
$79,469
Less
Deductions
$12,268
Net Disbursements
$67,201
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
042-001
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
1,762
Agency Fee Payers*
Total Members/Fee Payers
1,762
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
1,762
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
042-001
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$32,059
2. Named Payer
Non-itemized Receipts
$13,832
3. All Other Receipts
$3,050
4. Total
Receipts
$48,941
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
$15,026
6. Total
Disbursements
$15,026
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$80,133
2. Named Payee
Non-itemized Disbursements
$29,820
3. To Officers
$28,279
4. To Employees
$62,781
5. All Other
Disbursements
$59,196
6. Total
Disbursements
$260,209
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$3,054
4. To Employees
$7,152
5. All Other
Disbursements
$9,290
6. Total
Disbursements
$19,496
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$2,110
4. To Employees
$3,179
5. All Other
Disbursements
$905
6. Total
Disbursements
$6,194
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$8,444
2. Named Payee
Non-itemized Disbursements
$5,705
3. To Officers
$52,179
4. To Employees
$6,358
5. All Other
Disbursements
$25,866
6. Total
Disbursements
$98,552
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
042-001
Name and Address
(A)
International Union Uaw 8000 E. Jefferson Ave.
Detroit MI 48214-3963
Type or Classification
(B)
Union Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$12,964
Total
Non-Itemized Transactions with this Payee/Payer
$1,400
Total of All Transactions with this
Payee/Payer for This Schedule
$14,364
13TH REBATE CHECK
04/14/2016
$12,964
Name and Address
(A)
Local 1216 Uaw P.O. Box 732
Sandusky OH 44870
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$13,271
Total
Non-Itemized Transactions with this Payee/Payer
$3,194
Total of All Transactions with this
Payee/Payer for This Schedule
$16,465
Per Membership -sell ceda
09/13/2016
$13,271
Name and Address
(A)
Retiree Chapter Local 1216 PO Box 732
Sandusky OH 44870
Type or Classification
(B)
Retiree Chapter
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,437
Total of All Transactions with this
Payee/Payer for This Schedule
$6,437
Name and Address
(A)
Tri-County Cap Council 3114 South Hayes Ave
Sandusky OH 44870
Type or Classification
(B)
Cap Council
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,824
Total
Non-Itemized Transactions with this Payee/Payer
$2,801
Total of All Transactions with this
Payee/Payer for This Schedule
$8,625
Hotel/air/shuttle
05/12/2016
$5,824
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
042-001
Name and Address
(A)
Amazing Moments Llc 4974 Knight Rd
Huron OH 44839
Type or Classification
(B)
Party Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,412
Total
Non-Itemized Transactions with this Payee/Payer
$4,312
Total of All Transactions with this
Payee/Payer for This Schedule
$12,724
2016 Children Christmas P
11/14/2016
$8,412
Name and Address
(A)
Cedar Point One Cedar Point Dr
Sandusky OH 44870
Type or Classification
(B)
Amusement Park
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$26,540
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$26,540
Inv#3785220
10/12/2016
$12,599
Inv#3785220
10/12/2016
$13,941
Name and Address
(A)
Commercial Flooring 10 South Superior
Toledo OH 43604
Type or Classification
(B)
Commercial Flooring
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$18,358
Total
Non-Itemized Transactions with this Payee/Payer
$2,685
Total of All Transactions with this
Payee/Payer for This Schedule
$21,043
#11588
11/07/2016
$12,558
Deposit on Flooring
03/22/2016
$5,800
Name and Address
(A)
International Union Uaw 8000 E. Jefferson Ave.
Detroit MI 48214-3963
Type or Classification
(B)
Union Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$9,123
Total of All Transactions with this
Payee/Payer for This Schedule
$9,123
Name and Address
(A)
Marriott Wardman Park Hotel 2660 Woodley Rd NW
Washington DC 20008
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,494
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$7,494
7 DELEGATES TO UAW NAT CA
01/21/2016
$7,494
Name and Address
(A)
Region 2-B UAW 1691 Woodlands Drive
Maumee OH 43537
Type or Classification
(B)
Union 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)
Sawmill Creek Resort 400 Sawmill Creek
Huron OH 44839
Type or Classification
(B)
Hotel/Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,178
Total
Non-Itemized Transactions with this Payee/Payer
$3,500
Total of All Transactions with this
Payee/Payer for This Schedule
$8,678
Retiree Portion
12/27/2016
$5,178
Name and Address
(A)
Sporting Enterprises Inc PO Box 49
Castalia OH 44824
Type or Classification
(B)
Clothing/Silk Screen/Embroiderer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$14,151
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$14,151
16361
03/28/2016
$14,151
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
042-001
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:
042-001
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:
042-001
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:
042-001
Name and Address
(A)
Commercial Flooring 10 South Superior
Toledo OH 43604
Type or Classification
(B)
Commercial Flooring
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,444
Total
Non-Itemized Transactions with this Payee/Payer
$5,705
Total of All Transactions with this
Payee/Payer for This Schedule
$14,149
#11588
11/07/2016
$8,444
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
042-001
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$1,434
Disability/Sick & Accident Insurance
Mutual Of Omaha
$925
Workers Compension Insurance
Bureau Of Workers
$447
Workers Compension Insurance
Ohio Bureau Of Workers Compensation
$62
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
042-001
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 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 15: Disposed of the following: 26 Chairs -$598: 7 tables -$1085; Old Projector-$9616; Desktop Computer-$670; gave six (6) bibles-$197.70; 1750 shirts to all members to promote solidarity-$14151.31
Question 18: Attached a copy of the new bylaws. Added verbiage regarding stewards.
Statement A,
Cash Begin Total: Adjusted due to checks voided 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.