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
039-003
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
249
7. UNIT NAME (if any)

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

Number and Street
8040 NE HIGHWAY 69
City
PLEASANT VALLEY
State
MO
ZIP Code + 4
640688928


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:eric hallPRESIDENT71. SIGNED:DANA DAVIDSONTREASURER
Date:Mar 28, 2017Telephone Number:816-454-6333Date:Mar 28, 2017Telephone Number:816-454-6333
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 039-003
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?No
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?$1,264,000
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?9,028
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesTwo and one half hours straight time pay plus $2.00perallone rateone rate
(b) Working Dues/Feesper
(c) Initiation Fees$20.00per
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 039-003

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $5,054,642$4,873,547
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$2,753,805$2,970,751
28. Other Assets7$32,943$38,939
29. TOTAL ASSETS $7,841,390$7,883,237

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$1,000,039$383,294
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$5,478$4,936
34. TOTAL LIABILITIES $1,005,517$388,230
35. NET ASSETS$6,835,873$7,495,007
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 039-003

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $7,002,600
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $14,580
39. Sale of Supplies $55,398
40. Interest $27,200
41. Dividends $0
42. Rents $0
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 $52,286
48. Other Receipts14$427,144
49. TOTAL RECEIPTS $7,579,208
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,425,356
51. Political Activities and Lobbying16$104,973
52. Contributions, Gifts, and Grants17$116,300
53. General Overhead18$46,097
54. Union Administration19$649,084
55. Benefits20$326,005
56. Per Capita Tax $4,779,301
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $47,125
60. Purchase of Investments and Fixed Assets4$39,057
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 $95,498
65. Direct Taxes $128,984
  
66. Subtotal $7,757,780
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$273,508  
  67b. Less Total Disbursed$276,031  
  67c. Total Withheld But Not Disbursed -$2,523
68. TOTAL DISBURSEMENTS $7,760,303
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 039-003

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$0$0$0$0
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: 039-003

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 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: 039-003

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: 039-003

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$39,057$39,057$39,057
Two computers$2,490$2,490$2,490
Scanner$262$262$262
4 Office Chairs$1,082$1,082$1,082
Computer Server$5,112$5,112$5,112
10 Election Booths$1,950$1,950$1,950
Audio/Video Equipment System$28,161$28,161$28,161
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$39,057
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 039-003

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: 039-003

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      UAW Local 249, 8040 NE 69 Hwy., Pleasant Valley, M$154,503 $154,503$154,503
Land  2 :      UAW Local 249, 8040 NE 69 Hwy., Pleasant Valley, M$2,376,190 $2,376,190$2,376,190
Land  3 :      Office Furniture & Equipment$440,058 $440,058$440,058
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $2,970,751$0$2,970,751$2,970,751
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 039-003

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $38,939
Hats, shirts and bibles$38,939
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 039-003

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$383,294$0$0$0
Total from all other accounts payable$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $383,294$0$0$0
International Union Per Capita$368,951$0$0$0
UAW Region 5 Per Capita$14,343$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 039-003

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$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 039-003

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $4,936
Missouri Withholding$3,374
Federal Unemployment$502
Missouri Unemployment$1,060
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 039-003

(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
Byers ,  Cornelius   R
TREASURER
C
$6,649$2,091$1,939$0$10,679
I
Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
11 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
7 %
A
B
C
Carr ,  Thomas   A
VP
C
$2,691$905$158$0$3,754
I
Schedule 15
Representational Activities
45 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
55 %
A
B
C
Chorbak ,  Steven   J
Bargaining
C
$5,920$868$2,940$0$9,728
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
Davidson ,  Dana   L
Financial Secretary
C
$120,192$19,364$22,063$0$161,619
I
Schedule 15
Representational Activities
48 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
51 %
A
B
C
Ebbers ,  Anthony  
BARGAINING CHAIR
P
$4,417$353$1,320$0$6,090
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
Fauntleroy ,  David  
Guide
C
$1,252$730$668$0$2,650
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
Fisher ,  James   H
BARGAINING
C
$7,039$720$3,953$0$11,712
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
Foley ,  Zoanna   L
NURSE BARGAINING
N
$1,943$80$598$0$2,621
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
Hall ,  Eric   C
PRESIDENT
C
$25,537$1,661$4,869$0$32,067
I
Schedule 15
Representational Activities
19 % Schedule 16
Political Activities and Lobbying
10 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
71 %
A
B
C
Hillyard ,  Larry   T
Bargaining Chairman
C
$10,578$2,191$5,193$0$17,962
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
O Dell ,  Terry   M
TRUSTEE
C
$8,481$1,657$250$0$10,388
I
Schedule 15
Representational Activities
59 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
41 %
A
B
C
Ramsey ,  Travis   W
Bargaining Committee
N
$3,964$666$2,118$0$6,748
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
Rivera-Rule ,  Irene  
Trustee
C
$7,034$1,890$145$0$9,069
I
Schedule 15
Representational Activities
26 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
74 %
A
B
C
Rupp ,  Larry   G
RETIREE
C
$0$529$936$0$1,465
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
Scaggs ,  Edward   W
SARGENT AT ARMS
C
$251$652$250$0$1,153
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
Starr ,  Jason   C
Vice President
N
$4,431$794$2,087$0$7,312
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
Thomas ,  Connie   L
TRUSTEE
C
$16,747$2,235$489$0$19,471
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
Wright ,  Jeffrey   M
President
P
$12,461$10,116$1,677$0$24,254
I
Schedule 15
Representational Activities
33 % Schedule 16
Political Activities and Lobbying
14 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
53 %
Total Officer Disbursements$239,587$47,502$51,653$0$338,742
Less Deductions    $60,709
Net Disbursements    $278,033
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 039-003

(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
Brown ,  Vernal  
NA
NA
$56,909$0$0$0$56,909
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
Childs ,  Jacqueline   S
NA
NA
$9,251$877$1,257$0$11,385
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Cleveland ,  David   L
NA
NA
$37,278$4,557$10,997$0$52,832
I
Schedule 15
Representational Activities
28 % Schedule 16
Political Activities and Lobbying
72 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Crawford ,  Anthony   A
NA
NA
$8,572$906$930$0$10,408
I
Schedule 15
Representational Activities
86 % Schedule 16
Political Activities and Lobbying
11 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
Davis ,  Marla   A
Secretary
NA
$78,383$12,629$797$0$91,809
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 %
A
B
C
Freed ,  Dean   A
NA
NA
$5,376$721$3,918$0$10,015
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
Grant ,  David   K
NA
NA
$9,151$953$829$0$10,933
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
Hayes ,  Patrick   M
NA
NA
$13,120$2,028$179$0$15,327
I
Schedule 15
Representational Activities
86 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
14 %
A
B
C
McClure ,  Cheryl  
NA
NA
$75,766$12,017$848$0$88,631
I
Schedule 15
Representational Activities
26 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
74 %
A
B
C
McCulloh ,  James   R
NA
NA
$6,731$1,085$2,495$0$10,311
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
Morris ,  Stephen   M
NA
NA
$13,525$1,375$575$0$15,475
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
Phillips ,  Shari   L
NA
NA
$75,430$12,793$335$0$88,558
I
Schedule 15
Representational Activities
88 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
12 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$345,080$84,722$128,473$0$558,275
I Schedule 15
Representational Activities
74 % Schedule 16
Political Activities and Lobbying
8 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
18 %
Total Employee Disbursements$734,572$134,663$151,633$0$1,020,868
Less Deductions    $212,795
Net Disbursements    $808,073
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 039-003

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 9,028 
Agency Fee Payers*0
Total Members/Fee Payers9,028 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members9,028Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 039-003

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$215,248
2. Named Payer Non-itemized Receipts$165,765
3. All Other Receipts$46,131
4. Total Receipts$427,144
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$67,213
2. Named Payee Non-itemized Disbursements$14,909
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$34,178
6. Total Disbursements$116,300
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$256,574
2. Named Payee Non-itemized Disbursements$173,375
3. To Officers$187,978
4. To Employees$695,317
5. All Other Disbursements$112,112
6. Total Disbursements$1,425,356
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$12,731
2. Named Payee Non-itemized Disbursements$11,751
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$21,615
6. Total Disbursements$46,097
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$9,394
4. To Employees$83,846
5. All Other Disbursements$11,733
6. Total Disbursements$104,973
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$55,000
2. Named Payee Non-itemized Disbursements$133,840
3. To Officers$141,373
4. To Employees$241,706
5. All Other Disbursements$77,165
6. Total Disbursements$649,084
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 039-003

Name and Address
(A)
Ford Motor Company
PO Box 1758

Dearborn
MI
48121
Type or Classification
(B)
Automotive Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$88,938
Total Non-Itemized Transactions with this Payee/Payer$71,650
Total of All Transactions with this Payee/Payer for This Schedule$160,588
REIMBURSE VERNAL BROWN02/13/2016$27,187
REIMBURSE CALENDARS03/01/2016$7,660
REIMBURSE VERNAL BROWN05/06/2016$17,672
REIMBURSE VERNAL BROWN06/20/2016$8,934
REIMBURSE SAFETY CONFEREN06/28/2016$5,625
GARY JONES GOLF 5 GAME CH08/01/2016$6,000
reimbursement for Vernal11/07/2016$15,860
Name and Address
(A)
International Union Uaw
8000 E Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$95,185
Total Non-Itemized Transactions with this Payee/Payer$13,755
Total of All Transactions with this Payee/Payer for This Schedule$108,940
13th rebate04/18/2016$95,185
Name and Address
(A)
Lake House Hotel
3518 Osage Beach Parkway

Osage Beach
MO
65065
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,018
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,018
refund for Labor Mgmt Con07/05/2016$9,018
Name and Address
(A)
NATIONAL UAW CAP
721 Dunn Road

Hazelwood
MO
63042
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,833
Total Non-Itemized Transactions with this Payee/Payer$3,571
Total of All Transactions with this Payee/Payer for This Schedule$20,404
ADVANCE PAY DAVID CLEVELA06/20/2016$16,833
Name and Address
(A)
Priceline-Washington Marriott Wardman Park
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$5,274
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,274
hotel refund CBTU04/26/2016$5,274
Name and Address
(A)
RECREATION COMMITTEE
8040 NE US Hwy. 69

Pleasant Valley
MO
64068
Type or Classification
(B)
Recreation
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,595
Total of All Transactions with this Payee/Payer for This Schedule$7,595
Name and Address
(A)
Uaw Region 5 Midwest States Cap Council
721 Dunn Road

Hazelwood
MO
63042
Type or Classification
(B)
Cap Council
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,401
Total of All Transactions with this Payee/Payer for This Schedule$12,401
Name and Address
(A)
UBE AIR
2000 Maxon Rd

Onaway
MI
49765
Type or Classification
(B)
Travel Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,011
Total of All Transactions with this Payee/Payer for This Schedule$6,011
Name and Address
(A)
Veterans Community Project
Suite B Box 336

Liberty
MO
64068
Type or Classification
(B)
Charity
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$37,730
Total of All Transactions with this Payee/Payer for This Schedule$37,730
Name and Address
(A)
Worlds Of Fun
45454 Worlds Of Fun Ave.

Kansas City
MO
64161
Type or Classification
(B)
AMUSEMENT PARK
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,052
Total of All Transactions with this Payee/Payer for This Schedule$13,052
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 039-003

Name and Address
(A)
Acendas
5331 Johnson Drive

Mission
KS
66205
Type or Classification
(B)
Travel Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,714
Total Non-Itemized Transactions with this Payee/Payer$23,223
Total of All Transactions with this Payee/Payer for This Schedule$43,937
19 AIR FARE11/02/2016$7,170
22 INVOICES11/09/2016$8,015
AIRFARE TO SAN DIEGO11/22/2016$5,529
Name and Address
(A)
Awards & T-Shirts Specialists Inc.
10400 E 63rd St. Suite A

Raytown
MO
64133-5110
Type or Classification
(B)
Union Made Products
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,789
Total of All Transactions with this Payee/Payer for This Schedule$5,789
Name and Address
(A)
Cnc
P.O. Box 7146

Lee's Summit
MO
64064
Type or Classification
(B)
Computer Support
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,407
Total of All Transactions with this Payee/Payer for This Schedule$8,407
Name and Address
(A)
Dots
PO Box 12536

Kansas City
MO
64116-2536
Type or Classification
(B)
Office Supply
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,337
Total of All Transactions with this Payee/Payer for This Schedule$9,337
Name and Address
(A)
Expedia
333 108th Avenue

Bellevue
WA
98004
Type or Classification
(B)
ECommece-Travel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,851
Total of All Transactions with this Payee/Payer for This Schedule$5,851
Name and Address
(A)
Gilham's Mowing Service
7507 Pleasant Valley Rd

Pleasant Valley
MO
64068
Type or Classification
(B)
Property Maintenance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,289
Total of All Transactions with this Payee/Payer for This Schedule$8,289
Name and Address
(A)
GOVERNMENT SALES CO.
PO BOX 720

Swansboro
NC
28584
Type or Classification
(B)
MILITARY COINS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,170
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,170
INV 62139410/12/2016$5,170
Name and Address
(A)
HyVee
109 N Bluejay Drive

Liberty
MO
64068
Type or Classification
(B)
Grocery Store
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,823
Total of All Transactions with this Payee/Payer for This Schedule$14,823
Name and Address
(A)
International Modapts Association Ima
51199 Kara Dr

Jonesboro
AR
72401
Type or Classification
(B)
MODAPTS Org
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,200
Total Non-Itemized Transactions with this Payee/Payer$250
Total of All Transactions with this Payee/Payer for This Schedule$5,450
2016 MODAPTS CONF REGISTR04/14/2016$5,200
Name and Address
(A)
Kansas City Power & Light
PO Box 219330

Kansas City
MO
64121-9330
Type or Classification
(B)
Utility Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,691
Total of All Transactions with this Payee/Payer for This Schedule$14,691
Name and Address
(A)
Lake House Hotel
3518 Osage Beach Parkway

Osage Beach
MO
65065
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,068
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,068
Hotel - Labor Management06/23/2016$9,068
Name and Address
(A)
Lees Printing Co. Inc.
804 Central Avenue

Kansas City
KS
66101
Type or Classification
(B)
Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,276
Total Non-Itemized Transactions with this Payee/Payer$871
Total of All Transactions with this Payee/Payer for This Schedule$21,147
INV 992860309/23/2016$20,276
Name and Address
(A)
Lodge Of 4 Seasons
315 Four Seasons Drive

Lake Ozark
MO
65049
Type or Classification
(B)
HOTEL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,447
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$20,447
18 GUESTS HOTEL 7/10-7/1406/30/2016$11,964
25 ROOMS FOR CAP MEETING09/30/2016$8,483
Name and Address
(A)
Mertz Insurance Group Inc.
PO Box 34697

Omaha
NE
68134
Type or Classification
(B)
Union Liability Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,731
Total Non-Itemized Transactions with this Payee/Payer$148
Total of All Transactions with this Payee/Payer for This Schedule$6,879
UNION LIABILITY RENEW POL07/20/2016$6,731
Name and Address
(A)
Patsy Jackson
11800 E 78th Place

Raytown
MO
64138
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$11,760
Total of All Transactions with this Payee/Payer for This Schedule$11,760
Name and Address
(A)
Southwest Airlines
PO Box 36647-1CR

Dallas
TX
75235
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,841
Total of All Transactions with this Payee/Payer for This Schedule$8,841
Name and Address
(A)
Stacy Publishing Inc.
6901 Georgetown

Greenville
IN
47124
Type or Classification
(B)
Publishing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$39,018
Total of All Transactions with this Payee/Payer for This Schedule$39,018
Name and Address
(A)
The Kansas City Star Media Group
1729 Grand Blvd.

Kansas City
MO
64108
Type or Classification
(B)
News paper
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$8,000
Jan. 1 Spirit Ad & Jan. 312/23/2016$8,000
Name and Address
(A)
Travelers
PO Box 660317

Dallas
TX
75266-0317
Type or Classification
(B)
Commercial Package Ins
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,477
Total Non-Itemized Transactions with this Payee/Payer$4,483
Total of All Transactions with this Payee/Payer for This Schedule$9,960
POLICY 8093A28710/20/2016$5,477
Name and Address
(A)
Trotter & Morton
3232 Roanoke Road

Kansas City
MO
64111
Type or Classification
(B)
Mechanical Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,456
Total Non-Itemized Transactions with this Payee/Payer$7,764
Total of All Transactions with this Payee/Payer for This Schedule$16,220
INV 013842 - PROPOSAL PP108/25/2016$8,456
Name and Address
(A)
Uaw Region 5 - Pico Rivera Office
6500 S. Rosemead Blvd

Pico Rivera
CA
90660
Type or Classification
(B)
Region Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,800
Total Non-Itemized Transactions with this Payee/Payer$1,600
Total of All Transactions with this Payee/Payer for This Schedule$20,400
REGISTRATION-2017 LEADERS11/02/2016$18,800
Name and Address
(A)
Uaw Region 5 Summer School
721 DUNN ROAD

Hazelwood
MO
63042
Type or Classification
(B)
Region Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,600
Total Non-Itemized Transactions with this Payee/Payer$3,000
Total of All Transactions with this Payee/Payer for This Schedule$24,600
REGISTRATION FOR SUMMER S03/12/2016$15,600
REGISTRATION FOR SUMMER S03/12/2016$6,000
Name and Address
(A)
UAW Financial Officers Conference
8000 E. JEFFERSON AVE

Detroit
MI
48214
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,200
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$11,200
REGISTRATION FOR FINANCIA02/01/2016$5,600
REGISTRATION12/19/2016$5,600
Name and Address
(A)
UBE AIR
2000 Maxon Rd

Onaway
MI
49765
Type or Classification
(B)
Travel Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,230
Total of All Transactions with this Payee/Payer for This Schedule$5,230
Name and Address
(A)
Worlds Of Fun
45454 Worlds Of Fun Ave.

Kansas City
MO
64161
Type or Classification
(B)
AMUSEMENT PARK
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$95,435
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$95,435
2016 UAW PICNIC08/18/2016$95,435
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 039-003

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 039-003

Name and Address
(A)
JC PENNEY
8100 FLINTLOCK ROAD

Kansas City
MO
64158
Type or Classification
(B)
RETAIL STORE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,409
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,409
2016 COATS FOR KIDS10/27/2016$5,409
Name and Address
(A)
United Memorial Bible Services Inc
PO Box 269

Gastonia
NC
28053-0269
Type or Classification
(B)
BIBLES FOR LABOR UNIONS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,269
Total of All Transactions with this Payee/Payer for This Schedule$10,269
Name and Address
(A)
Veterans Community Project
Suite B Box 336

Liberty
MO
64068
Type or Classification
(B)
Charity
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$46,804
Total Non-Itemized Transactions with this Payee/Payer$2,840
Total of All Transactions with this Payee/Payer for This Schedule$49,644
DONATION FOR VCP11/09/2016$39,304
2016 SPONSOR VCP-TINY HOU04/18/2016$7,500
Name and Address
(A)
Williams Charity Fund
6533 E. Jefferson Ave

Detroit
MI
48207
Type or Classification
(B)
Charity
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Gold Sponsor for Charity06/30/2016$10,000
Name and Address
(A)
Working Family Friends
1021 Pennsylvania

Kansas City
MO
64105
Type or Classification
(B)
Community Resources
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$1,800
Total of All Transactions with this Payee/Payer for This Schedule$6,800
DONATION FOR EVENT SEPT 208/25/2016$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 039-003

Name and Address
(A)
Awards & T-Shirts Specialists Inc.
10400 E 63rd St. Suite A

Raytown
MO
64133-5110
Type or Classification
(B)
Union Made Products
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,221
Total of All Transactions with this Payee/Payer for This Schedule$8,221
Name and Address
(A)
Lees Printing Co. Inc.
804 Central Avenue

Kansas City
KS
66101
Type or Classification
(B)
Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,660
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,660
INV 9927487 2016 CALENDAR02/11/2016$7,660
Name and Address
(A)
The American Time Companies
1600 North Clinton Ave

Rochester
NY
14621
Type or Classification
(B)
American Made Watches
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,071
Total Non-Itemized Transactions with this Payee/Payer$3,530
Total of All Transactions with this Payee/Payer for This Schedule$8,601
INV 0023081-IN06/15/2016$5,071
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 039-003

Name and Address
(A)
Awards & T-Shirts Specialists Inc.
10400 E 63rd St. Suite A

Raytown
MO
64133-5110
Type or Classification
(B)
Union Made Products
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,784
Total of All Transactions with this Payee/Payer for This Schedule$10,784
Name and Address
(A)
Cnc
P.O. Box 7146

Lee's Summit
MO
64064
Type or Classification
(B)
Computer Support
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,200
Total of All Transactions with this Payee/Payer for This Schedule$6,200
Name and Address
(A)
Crowne Plaza Melbourne
2605 North A1A Highway

Melbourne
FL
32903
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,527
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,527
MODAPTS CONF HOTEL ROOMS05/13/2016$6,527
Name and Address
(A)
Dots
PO Box 12536

Kansas City
MO
64116-2536
Type or Classification
(B)
Office Supply
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,836
Total of All Transactions with this Payee/Payer for This Schedule$6,836
Name and Address
(A)
Gilham's Mowing Service
7507 Pleasant Valley Rd

Pleasant Valley
MO
64068
Type or Classification
(B)
Property Maintenance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,068
Total of All Transactions with this Payee/Payer for This Schedule$6,068
Name and Address
(A)
Hilton Buena Vista Palace
1900 E Buena Vista Drive

Orlando
FL
32830
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,164
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,164
HOTEL 3/5-3/9/1711/23/2016$7,164
Name and Address
(A)
Hyatt Place Orlando/Universal
5895 Caravan Court

Orlando
FL
32819
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,934
Total Non-Itemized Transactions with this Payee/Payer$185
Total of All Transactions with this Payee/Payer for This Schedule$8,119
HOTEL-FINANCIAL CONF-ORLA03/19/2016$7,934
Name and Address
(A)
International Union Uaw
8000 E Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,059
Total of All Transactions with this Payee/Payer for This Schedule$6,059
Name and Address
(A)
Kansas City Power & Light
PO Box 219330

Kansas City
MO
64121-9330
Type or Classification
(B)
Utility Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,756
Total of All Transactions with this Payee/Payer for This Schedule$10,756
Name and Address
(A)
Kansas City Royals
PO Box 804440

Kansas City
MO
64180-4440
Type or Classification
(B)
SPORTS ENTERTAINMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,420
Total Non-Itemized Transactions with this Payee/Payer$2,057
Total of All Transactions with this Payee/Payer for This Schedule$7,477
2016 POST SEASON TICKETS08/25/2016$5,420
Name and Address
(A)
Loews Coronado Bay Resort
4000 Coronado Bay Road

San Diego
CA
92118
Type or Classification
(B)
Resort
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,733
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,733
HOTEL-POLITICAL SUMMIT-SA03/23/2016$5,733
Name and Address
(A)
Patsy Jackson
11800 E 78th Place

Raytown
MO
64138
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$8,610
Total of All Transactions with this Payee/Payer for This Schedule$8,610
Name and Address
(A)
Priceline Hotels
800 Connecticut Avenue

Norwalk
CT
06854
Type or Classification
(B)
ECOMMERCE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,274
Total Non-Itemized Transactions with this Payee/Payer$2,000
Total of All Transactions with this Payee/Payer for This Schedule$7,274
CBTU HOTEL FOR 5/24-5/31/04/26/2016$5,274
Name and Address
(A)
Renaissance Palm Springs Hotel
888 E Tahquitz Canyon Way

Palm Springs
CA
92262
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$28,431
Total of All Transactions with this Payee/Payer for This Schedule$28,431
Name and Address
(A)
Roberts Custom Software
3667 1st St

East Moline
IL
61244-3321
Type or Classification
(B)
Software Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,558
Total of All Transactions with this Payee/Payer for This Schedule$6,558
Name and Address
(A)
Southwest Airlines
PO Box 36647-1CR

Dallas
TX
75235
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,717
Total of All Transactions with this Payee/Payer for This Schedule$8,717
Name and Address
(A)
Stacy Publishing Inc.
6901 Georgetown

Greenville
IN
47124
Type or Classification
(B)
Publishing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$16,708
Total of All Transactions with this Payee/Payer for This Schedule$16,708
Name and Address
(A)
Tan-Tar-A Resort
494 Tan-Tar-A Drive

Osage Beach
MO
65065
Type or Classification
(B)
Hotel/Resort
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,625
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,625
HOTEL:SAFE CON EXPO 5/17-04/22/2016$5,625
Name and Address
(A)
Travelers
PO Box 660317

Dallas
TX
75266-0317
Type or Classification
(B)
Commercial Package Ins
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,293
Total of All Transactions with this Payee/Payer for This Schedule$7,293
Name and Address
(A)
Trotter & Morton
3232 Roanoke Road

Kansas City
MO
64111
Type or Classification
(B)
Mechanical Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,191
Total Non-Itemized Transactions with this Payee/Payer$5,684
Total of All Transactions with this Payee/Payer for This Schedule$11,875
INV 013842 - PROPOSAL PP108/25/2016$6,191
Name and Address
(A)
Washington Hilton
1919 CONNETICUT AVE

Washington
DC
20009
Type or Classification
(B)
HOTEL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,132
Total Non-Itemized Transactions with this Payee/Payer$894
Total of All Transactions with this Payee/Payer for This Schedule$6,026
CBTU CONF HOTEL OVERFLOW05/27/2016$5,132
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 039-003

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$326,005
Dental/Hearing/Medical/Vision InsuranceAarp Medicare Rx Preferred (pdp)$1,340
Dental/Hearing/Medical/Vision InsuranceBlue Cross Blue Shield Of Florida Inc$5,749
Dental/Hearing/Medical/Vision InsuranceBlue Cross Blue Shield Of Kansas City$86,210
Dental/Hearing/Medical/Vision InsuranceFlorida Blue$585
Dental/Hearing/Medical/Vision InsuranceFord Motor Company$18,033
Dental/Hearing/Medical/Vision InsuranceMurphy Watson Burr Eye Centers$255
Dental/Hearing/Medical/Vision InsuranceUnited Healthcare$208
Disability/Sick & Accident InsuranceGuardian$3,161
Group Life InsuranceUnicare Life & Health Insurance$524
Scholarship/Tuition PaymentsCENTRAL METHODIST UNIVERSITY$1,000
Scholarship/Tuition PaymentsMISSOURI STATE UNIVERSITY$1,500
Scholarship/Tuition PaymentsNeosho County Community College$1,500
Scholarship/Tuition PaymentsUNIVERSITY OF MISSOURI$5,000
Scholarship/Tuition PaymentsUNIVERSITY OF MISSOURI$5,000
Medical/prescription Fee ReimbursementsCHERYL MCCLURE$162
Medical/prescription Fee ReimbursementsDEBBIE BRUGNONI$580
Medical/prescription Fee ReimbursementsDONNA STASA$1,453
Medical/prescription Fee ReimbursementsMurphy Watson Burr Eye Centers$483
Medical/prescription Fee ReimbursementsShari Phillips$629
Retirement Savings(401K etc)EmployerAmeriprise Financial$50,062
Membership Death BenefitAARON HENSLEY$2,006
Membership Death BenefitANDREW URNESS$2,000
Membership Death BenefitAndrew Lee Barfield$1,000
Membership Death BenefitAngelia Davis$2,006
Membership Death BenefitBARBARA BUTTRAM$2,020
Membership Death BenefitBARBARA SWEENEY$998
Membership Death BenefitBARBARA WOOD$2,014
Membership Death BenefitBEVERLY SAUNDERS$1,000
Membership Death BenefitBRENDA COPENHAVER$2,000
Membership Death BenefitBRENDA JACKSON$1,000
Membership Death BenefitCARLENE REINERT$2,000
Membership Death BenefitCAROL BAXTER$1,007
Membership Death BenefitCHARLES W PARKER$2,000
Membership Death BenefitCHRIS PIGG$1,007
Membership Death BenefitCONNIE NICKELL$2,000
Membership Death BenefitCandace Jane Mace$671
Membership Death BenefitCarole Baker$2,000
Membership Death BenefitCharolyn Hyder$2,002
Membership Death BenefitDALE L. SWEENEY$998
Membership Death BenefitDAMON LEWIS$1,006
Membership Death BenefitDANA WONDER$1,000
Membership Death BenefitDAVID TRIPLETT$685
Membership Death BenefitDEANA VAN HOY$2,018
Membership Death BenefitEVELYN SPIERS$2,011
Membership Death BenefitGEORGIANNA LEWIS$2,005
Membership Death BenefitGLENDA HAMPTON$1,007
Membership Death BenefitGreg Rhoades$2,017
Membership Death BenefitHELEN LEACH$2,008
Membership Death BenefitHazel Fisher$2,021
Membership Death BenefitINEZ STEWART$2,011
Membership Death BenefitJANET SWEENEY$685
Membership Death BenefitJANNA LOWRY$2,014
Membership Death BenefitJIMMIE ALLMON$1,984
Membership Death BenefitJULIA LYNN SHIPP$1,000
Membership Death BenefitJames A. Spears$2,000
Membership Death BenefitJanet Canady$2,012
Membership Death BenefitJanice Anderson$671
Membership Death BenefitJanice Martin$2,006
Membership Death BenefitJewell Nicotra$2,000
Membership Death BenefitJoyce Loulos$2,000
Membership Death BenefitJudith Cray$671
Membership Death BenefitKATHY POTTER$1,007
Membership Death BenefitKaren Langner$2,006
Membership Death BenefitKathleen Buford$2,015
Membership Death BenefitKim Phipps$2,000
Membership Death BenefitKimetha Edwards$2,000
Membership Death BenefitLARRY STUCKER$2,002
Membership Death BenefitLINDA M EASTABROOKS$1,000
Membership Death BenefitLISA REED$2,000
Membership Death BenefitLOIS SUE SLAUGHTER$2,024
Membership Death BenefitLORI BROOKSHIER$2,008
Membership Death BenefitLYLA BOYER$2,012
Membership Death BenefitLinda Norris$2,014
Membership Death BenefitLoeast Watkins$2,014
Membership Death BenefitMARGARET WILT$2,011
Membership Death BenefitMARIE GARRETT$2,000
Membership Death BenefitMARIE RONN$2,014
Membership Death BenefitMARILYN SHORT$2,011
Membership Death BenefitMARY F. ROSS$2,015
Membership Death BenefitMARY ROSS$18
Membership Death BenefitMILDRED EVANS$2,000
Membership Death BenefitMary Oliver$2,009
Membership Death BenefitPaulette Graham$2,059
Membership Death BenefitREBA JOHNSON$2,011
Membership Death BenefitROBERT SMITH$2,000
Membership Death BenefitROBERTA ROBERSON$2,000
Membership Death BenefitRebecca Sue Smith$2,017
Membership Death BenefitRoberta Maxwell$2,015
Membership Death BenefitRon Dabbs$2,002
Membership Death BenefitRonda Owen$1,991
Membership Death BenefitRonda Reynolds$2,000
Membership Death BenefitSHANNON WINDERS$2,000
Membership Death BenefitSHIRLA BAXTER$2,000
Membership Death BenefitSTEVE TRIPLETT$685
Membership Death BenefitShirley New$2,000
Membership Death BenefitShirley Williams$2,005
Membership Death BenefitStarletta Taha$2,009
Membership Death BenefitTERESA HOOPER$667
Membership Death BenefitTHOMAS WATERS$667
Membership Death BenefitTIMOTHY WATERS$667
Membership Death BenefitVirginia Hesher$2,006
Membership Death BenefitWILLA T. LEWIS$1,006
Membership Death BenefitWILSON FAMILY REVOCABLE TRUST$2,002
Membership Death BenefitYOUN FLEIG$2,006
Membership Death BenefitZETTA CASAS$2,015
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 039-003


Question 10: All operations of the building corporation are handled through the books and records of the local union and are therefore included in this report. The death benefit plan subsequent to 1975 an annual report is not required to be filed on form 5500 the plan is funded by each union members own monthly contribution at $1.50. The accumulated contributions are carried on the books at the local union as assets and are used to pay a total of $2,000 to beneficiaries of a deceased union member.

Question 15: Bibles are given to active members who have lost a family member. UAW members that retire are given a watch from the union as a retirement gift.

Question 18: There were changes made to our local union by-laws in 2016.

Statement A,

Cash Begin Total: Beginning balance increased by $2105 to account for voids from a previous period.

Schedule 8, Row1:

Schedule 8, Row1::

Schedule 8, Row2:

Schedule 8, Row2::

Schedule 9, Row1:

Schedule 9, Row1:

Schedule 13, Row1:

Schedule 13, Row1:Regular Members

Schedule 13, Row1:

Schedule 13, Row1:

General Information:

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