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
068-259
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
1714
7. UNIT NAME (if any)

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

Number and Street
2121 SALT SPRINGS RD
City
LORDSTOWN
State
OH
ZIP Code + 4
444819788


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:robert moralesPRESIDENT71. SIGNED:Cindy M GeiserTREASURER
Date:Mar 30, 2017Telephone Number:330-824-2527Date:Mar 30, 2017Telephone Number:330-824-2527
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 068-259
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?$178,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?05/2018
20. How many members did the labor organization have at the end of the reporting period?1,192
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 hours straight timepermonth00
(b) Working Dues/Fees0per000
(c) Initiation Fees$20perone time00
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 068-259

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $510,603$430,289
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$572,746$577,284
28. Other Assets7$3,154$2,272
29. TOTAL ASSETS $1,086,503$1,009,845

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$145,931$45,432
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$8,213$4,652
34. TOTAL LIABILITIES $154,144$50,084
35. NET ASSETS$932,359$959,761
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 068-259

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,262,223
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $2,820
39. Sale of Supplies $5,040
40. Interest $928
41. Dividends $0
42. Rents $10,075
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 $1,785
48. Other Receipts14$93,546
49. TOTAL RECEIPTS $1,376,417
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$334,749
51. Political Activities and Lobbying16$10,520
52. Contributions, Gifts, and Grants17$36,529
53. General Overhead18$28,387
54. Union Administration19$100,247
55. Benefits20$29,099
56. Per Capita Tax $874,093
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $255
60. Purchase of Investments and Fixed Assets4$4,538
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 $1,223
65. Direct Taxes $35,076
  
66. Subtotal $1,454,716
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$61,713  
  67b. Less Total Disbursed$63,728  
  67c. Total Withheld But Not Disbursed -$2,015
68. TOTAL DISBURSEMENTS $1,456,731
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 068-259

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: 068-259

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: 068-259

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: 068-259

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$4,538$4,538$4,538
Ice Machine$4,186$4,186$4,186
Laptop$352$352$352
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$4,538
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 068-259

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: 068-259

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      2121 Salt Springs Rd, Lordstown, OH 44481$33,057 $33,057$33,057
B. Buildings (give location)    
Building  1 :      2121 Salt Springs Rd, Lordstown, OH 44481$441,462$0$441,462$441,462
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$30,225$0$30,225$30,225
E. Other Fixed Assets$72,540$0$72,540$72,540
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $577,284$0$577,284$577,284
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 068-259

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $2,272
46 Jackets @ $32 each$1,472
25 Bibles @ $32 each$800
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 068-259

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$44,179$0$0$0
Total from all other accounts payable$1,253$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $45,432$0$0$0
Per Capita Taxes$44,179$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 068-259

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: 068-259

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $4,652
Federal Taxes Fwd$1,505
FICA Employee Taxes Fwd$825
FICA Employer Taxes Fwd$825
State Taxes Fwd$285
City Taxes Fwd$758
Federal Unemployment Taxes$113
State Unemployment Taxes$341
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 068-259

(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
Brubaker ,  Scott  
SHOPCHAIR
C
$3,057$92$1,204$0$4,353
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
Dezee ,  Rachel   L
KNIGHT SHOPCHAIR
N
$1,620$0$305$0$1,925
I
Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
30 %
A
B
C
Gaunt ,  Sherry   L
Vice President
C
$8,989$121$234$0$9,344
I
Schedule 15
Representational Activities
46 % Schedule 16
Political Activities and Lobbying
53 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Geiser ,  Cindy   M
Financial Secretary
C
$23,627$0$2,260$0$25,887
I
Schedule 15
Representational Activities
15 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
85 %
A
B
C
Jenkins ,  Eric   J
knight
P
$243$0$0$0$243
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
Jones ,  Kenneth   W
Guide
C
$934$19$0$0$953
I
Schedule 15
Representational Activities
68 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
32 %
A
B
C
Long Jr. ,  Ernest   D
Trustee
C
$7,624$0$200$0$7,824
I
Schedule 15
Representational Activities
62 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
29 %
A
B
C
Morales ,  Robert  
President
C
$1,896$6,123$5,259$0$13,278
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
Robinson-Jr ,  Louis  
Recording Secretary
C
$0$0$5,132$0$5,132
I
Schedule 15
Representational Activities
26 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
73 %
A
B
C
Sullivan ,  Michael  
Retiree Chairman
C
$0$0$672$0$672
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
Terrace ,  Jeffrey   M
Trustee
C
$8,142$285$2,640$0$11,067
I
Schedule 15
Representational Activities
57 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
34 %
A
B
C
Valentin ,  Jose   L
Sergeant At Arms
C
$237$73$107$0$417
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
Voytko ,  Dennis   J
Financial Secretary
P
$917$0$0$0$917
I
Schedule 15
Representational Activities
15 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
85 %
A
B
C
Yukon ,  David   K
Trustee
C
$9,222$269$1,736$0$11,227
I
Schedule 15
Representational Activities
49 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
42 %
Total Officer Disbursements$66,508$6,982$19,749$0$93,239
Less Deductions    $15,156
Net Disbursements    $78,083
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 068-259

(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
Franklin ,  Janice   P
Secretary
NA
$51,514$0$0$0$51,514
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
15 %
A
B
C
Housel ,  Phyllis  
Secretary
NA
$65,553$0$0$0$65,553
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$54,581$0$17,558$0$72,139
I Schedule 15
Representational Activities
84 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
4 % Schedule 19
Administration
11 %
Total Employee Disbursements$171,648$0$17,558$0$189,206
Less Deductions    $46,557
Net Disbursements    $142,649
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 068-259

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,192 
Agency Fee Payers*
Total Members/Fee Payers1,192 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members1,192Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 068-259

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$24,486
2. Named Payer Non-itemized Receipts$43,799
3. All Other Receipts$25,261
4. Total Receipts$93,546
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$16,450
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$20,079
6. Total Disbursements$36,529
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$5,102
2. Named Payee Non-itemized Disbursements$22,875
3. To Officers$47,272
4. To Employees$160,760
5. All Other Disbursements$98,740
6. Total Disbursements$334,749
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$20,111
3. To Officers$2,761
4. To Employees$2,886
5. All Other Disbursements$2,629
6. Total Disbursements$28,387
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$4,952
4. To Employees$721
5. All Other Disbursements$4,847
6. Total Disbursements$10,520
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$38,252
4. To Employees$24,839
5. All Other Disbursements$37,156
6. Total Disbursements$100,247
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 068-259

Name and Address
(A)
Community Services Committee
2121 Salt Springs Rd SW

Warren
OH
44481
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$22,862
Total of All Transactions with this Payee/Payer for This Schedule$22,862
Name and Address
(A)
International Union Uaw
8000 East Jefferson Ave

Detroit
MI
48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$24,486
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$24,486
2015 NATIONAL GM CONTRACT01/14/2016$5,180
LOCAL UNIONS 13TH REBATE04/19/2016$19,306
Name and Address
(A)
Recreation Committee
2121 SALTSPRINGS RD SW

Warren
OH
44481
Type or Classification
(B)
Union Committee
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,425
Total of All Transactions with this Payee/Payer for This Schedule$9,425
Name and Address
(A)
RWC
2121 Saltsprings Rd SW

Warren
OH
44481
Type or Classification
(B)
Casino
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,512
Total of All Transactions with this Payee/Payer for This Schedule$11,512
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 068-259

Name and Address
(A)
Ciminero's
123 N. Main St

Niles
OH
44446
Type or Classification
(B)
Banquet Center
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,534
Total of All Transactions with this Payee/Payer for This Schedule$5,534
Name and Address
(A)
Cleveland Cavaliers
1 Center Court

Cleveland
OH
44115
Type or Classification
(B)
Sports
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,060
Total of All Transactions with this Payee/Payer for This Schedule$6,060
Name and Address
(A)
International Union Uaw
8000 East Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,066
Total of All Transactions with this Payee/Payer for This Schedule$6,066
Name and Address
(A)
Ohio Edison
P O Box 3637

Akron
OH
44309-3637
Type or Classification
(B)
Utility
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)
Union Insurance Group
303 W ERIE ST STE 310

Chicago
IL
60654
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,102
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,102
Insurance08/03/2016$5,102
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 068-259

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: 068-259

Name and Address
(A)
American Cancer Society
525 N. Broad St.

Canfield
OH
44406
Type or Classification
(B)
Charity
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
WOMENS COMM. UAW 171404/20/2016$5,000
Name and Address
(A)
Rulli Brothers
4331 KIRK RD

Youngstown
OH
44511
Type or Classification
(B)
Store
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,450
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$11,450
FOOD FOR BASKETS12/13/2016$11,450
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 068-259

Name and Address
(A)
Aramark Uniform Services
PO Box 731676

Dallas
TX
75373-1676
Type or Classification
(B)
Building Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,111
Total of All Transactions with this Payee/Payer for This Schedule$20,111
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 068-259

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: 068-259

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$29,099
Dental/Hearing/Medical/Vision InsuranceAnthem Blue Cross And Blue Shield$7,121
Dental/Hearing/Medical/Vision InsuranceHealth Benefit Fund - Opeiu 1794$561
Dental/Hearing/Medical/Vision InsuranceJanice Franklin$2,537
Dental/Hearing/Medical/Vision InsuranceOpeiu Local 1794$200
Dental/Hearing/Medical/Vision InsurancePhyllis L. Housel$5,532
Disability/Sick & Accident InsuranceHealth Benefit Fund - Opeiu 1794$2,000
Disability/Sick & Accident InsuranceOpeiu Local 1794$612
Disability/Sick & Accident InsuranceThe Hartford$36
Group Life InsuranceAnthem Blue Cross And Blue Shield$642
Group Life InsuranceThe Hartford$908
Workers Compension InsuranceComp Management Inc.$330
Retirement Savings(401K etc)EmployerThrivent Financial$4,406
Retirement Savings(401K etc)EmployerWells Fargo - Croutch/Myers$3,713
Medical Fees - OtherGIANT EAGLE$501
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 068-259


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

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

Question 15: The Local gave out 47 Bibles to retired/deceased members valued at $1,504. The Local also gave out 49 jackets to members, valued at $1,544.

Statement A,

Cash Begin Total: Beginning balance adjusted by $70 for voided checks that were issued in a previous year.

Schedule 8, Row1:

Schedule 8, Row1:

Schedule 13, Row1:

Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.

Schedule 13, Row1:

Schedule 13, Row1:
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)