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
009-177
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
1219
7. UNIT NAME (if any)

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

Number and Street
1440 BELLEFONTAINE AVE
City
LIMA
State
OH		 ZIP Code + 4
458043111


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:JAY BELLPRESIDENT71. SIGNED:SANDRA ROWETREASURER
Date:Mar 31, 2017Telephone Number:419-230-1033Date:Mar 30, 2017Telephone Number:419-229-0875
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 009-177
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?$100,000
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?05/2017
20. How many members did the labor organization have at the end of the reporting period?1,240
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.5 HOURSperMONTHN/AN/A
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation Fees50.00per1 TIMEN/AN/A
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 009-177

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $554,952$467,350
23. Accounts Receivable1$0$0
24. Loans Receivable2$2,200$2,200
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$791,407$791,407
28. Other Assets7$6,037$4,556
29. TOTAL ASSETS $1,354,596$1,265,513

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$46,069$50,247
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$2,162$799
34. TOTAL LIABILITIES $48,231$51,046
35. NET ASSETS$1,306,365$1,214,467
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 009-177

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,182,958
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $2,600
39. Sale of Supplies $10,398
40. Interest $792
41. Dividends $0
42. Rents $3,900
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$46,337
49. TOTAL RECEIPTS $1,246,985
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$344,238
51. Political Activities and Lobbying16$3,008
52. Contributions, Gifts, and Grants17$21,939
53. General Overhead18$11,744
54. Union Administration19$67,589
55. Benefits20$1,200
56. Per Capita Tax $845,938
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $15,219
60. Purchase of Investments and Fixed Assets4$0
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $23,728
  
66. Subtotal $1,334,603
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$36,952  
  67b. Less Total Disbursed$36,936  
  67c. Total Withheld But Not Disbursed $16
68. TOTAL DISBURSEMENTS $1,334,587
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 009-177

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: 009-177

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$2,200$0$0$0$2,200
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Name: UAW BUILDING CORP
Purpose: INSTALL HEATING
Security: 1/5 OWNER
Terms of Repayment: AS AVAILABLE
$2,200$0$0$0$2,200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 009-177

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: 009-177

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 009-177

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: 009-177

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      3 ACRES-BIBLE & NEUBRECHT RD. LIMA OHIO$50,000 $50,000$50,000
Land  2 :      40 ACRES-1750 BIBLE RD. LIMA OHIO$293,975 $293,975$293,975
Land  3 :      1/5 LAND 1440 BELLEFONTAINE AVE. LIMA OHIO$20,073 $20,073$20,073
B. Buildings (give location)    
Building  1 :      1750 BIBLE RD. LIMA OHIO$259,374$0$259,374$259,374
Building  2 :      1/5 OWNERSHIP BUILDING$80,291$0$80,291$80,291
C. Automobiles and Other Vehicles$21,849$0$21,849$21,849
D. Office Furniture and Equipment$11,543$0$11,543$11,543
E. Other Fixed Assets$54,302$0$54,302$54,302
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $791,407$0$791,407$791,407
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 009-177

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $4,556
MEMORIAL BIBLES (53 @ 21.94 EACH)$1,163
RECOGNITION WATCHES (39 @ 78.00 EACH)$3,042
NEW MEMBER T-SHIRTS (27 @ 13.00 EACH)$351
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 009-177

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$50,247$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $50,247$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 009-177

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: 009-177

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $799
OHIO BUREAU WORKERS COMPENSATION TAX$48
US TREASURY FUTA$93
OHIO JOB & FAMILY SERVICES TAX$151
STATE OF OHIO $248
US TREASURY 941 TAX$259
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 009-177

(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 		Adams ,  Jeffery   W
Sargent @ Arms
C		$8,022$192$57$0$8,271
I
Schedule 15
Representational Activities 		86 % Schedule 16
Political Activities and Lobbying 		14 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Bell ,  Jay   M
President
C		$9,469$4,054$4,381$0$17,904
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		4 %
A
B
C 		Biehl ,  Cheryl   L
RECORDING SECRETARY
P		$1,555$268$0$0$1,823
I
Schedule 15
Representational Activities 		30 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		70 %
A
B
C 		Cook ,  Jennifer   D
Trustee
C		$2,429$99$0$0$2,528
I
Schedule 15
Representational Activities 		41 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		59 %
A
B
C 		Ferguson ,  Angela   L
GUIDE
N		$3,527$121$0$0$3,648
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		17 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Goedde ,  Shirley   A
Recording Secretary
N		$812$75$0$0$887
I
Schedule 15
Representational Activities 		8 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		92 %
A
B
C 		Hower ,  Sharon   S
Trustee
C		$1,870$70$0$0$1,940
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 		Rowe ,  Sandra   D
Financial Secretary
C		$52,908$10,780$512$0$64,200
I
Schedule 15
Representational Activities 		43 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		57 %
A
B
C 		Smith ,  Deborah   Y
Vice-President
C		$2,011$112$0$0$2,123
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 		Thompson ,  Wendy   M
Recording Secretary
P		$800$369$0$0$1,169
I
Schedule 15
Representational Activities 		24 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		76 %
Total Officer Disbursements$83,403$16,140$4,950$0$104,493
Less Deductions    $0
Net Disbursements    $104,493
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 009-177

(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$57,967$4,369$8,227$0$70,563
I Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		2 %
Total Employee Disbursements$57,967$4,369$8,227$0$70,563
Less Deductions    $12,239
Net Disbursements    $58,324
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 009-177

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 1,240 
Agency Fee Payers*
Total Members/Fee Payers1,240 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS1,240Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 009-177

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$24,557
2. Named Payer Non-itemized Receipts$16,278
3. All Other Receipts$5,502
4. Total Receipts$46,337
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$8,549
2. Named Payee Non-itemized Disbursements$8,957
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$4,433
6. Total Disbursements$21,939
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$142,335
2. Named Payee Non-itemized Disbursements$6,936
3. To Officers$59,866
4. To Employees$66,329
5. All Other Disbursements$68,772
6. Total Disbursements$344,238
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$6,229
3. To Officers$0
4. To Employees$2,117
5. All Other Disbursements$3,398
6. Total Disbursements$11,744
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,778
4. To Employees$706
5. All Other Disbursements$524
6. Total Disbursements$3,008
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$42,849
4. To Employees$1,411
5. All Other Disbursements$23,329
6. Total Disbursements$67,589
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 009-177

Name and Address
(A)
International Union Uaw
8000 East Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
International Union-Uaw
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,008
Total Non-Itemized Transactions with this Payee/Payer$800
Total of All Transactions with this Payee/Payer for This Schedule$16,808
STRIKE REBATE-1304/28/2016$16,008
Name and Address
(A)
Member - Local 1219
1440 BELLEFONTAINE AVE.

Lima
OH
45805
Type or Classification
(B)
Member- Local 1219
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,845
Total of All Transactions with this Payee/Payer for This Schedule$6,845
Name and Address
(A)
Uaw-Ford
P.O. Box 1758

Dearborn
MI
48121
Type or Classification
(B)
JOINT PROGRAM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,549
Total Non-Itemized Transactions with this Payee/Payer$8,633
Total of All Transactions with this Payee/Payer for This Schedule$17,182
REIMBURSEMENT08/31/2016$8,549
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 009-177

Name and Address
(A)
ALLEN COUNTY FAIR
State Route 309

Lima
OH
45804
Type or Classification
(B)
County fairground
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$37,135
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$37,135
UAW LOCAL 1219 FAMILY DAY08/31/2016$37,135
Name and Address
(A)
SHELLY COMPANY
3100
FOSTORIA AVENUE
FINDLAY
OH
45840
Type or Classification
(B)
ASPHALT AND PAVING CONSTRUCTION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$105,200
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$105,200
PARKING LOT AT UAW LOCAL 1219 PARK09/07/2016$105,200
Name and Address
(A)
Uaw Building Corporation
1440 Bellefontaine Ave

Lima
OH
45804
Type or Classification
(B)
Office Rent
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,936
Total of All Transactions with this Payee/Payer for This Schedule$6,936
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 009-177

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: 009-177

Name and Address
(A)
501 METALS & LUMBER
333 E. Market St.

Lima
OH
45801
Type or Classification
(B)
LUMBER
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,549
Total Non-Itemized Transactions with this Payee/Payer$8,957
Total of All Transactions with this Payee/Payer for This Schedule$17,506
RAMP CREW08/12/2016$8,549
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 009-177

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

Rochester
NY
14621
Type or Classification
(B)
Watches
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,229
Total of All Transactions with this Payee/Payer for This Schedule$6,229
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 009-177

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: 009-177

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$1,200
Pension AllocationsJanice Falk$1,200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 009-177


Question 10: : : THE LOCAL UNION OWNS 1/5 OF THE BUILDING CORPORATION. THE BUILDING CORPORATION WILL SUBMIT ITS OWN LM REPORT.

Question 11(b):

Question 11(b): : : : : : THE LOCAL UNION OWNS 1/5 OF THE BUILDING CORPORATION. THE BUILDING CORPORATION WILL SUBMIT ITS OWN LM REPORT.

Question 15: : : OUR LOCAL GIVES A BIBLE TO DECEASED MEMBERS FAMILY AND TO FAMILY OF DECEASED MEMBER.DURING THIS REPORTING PERIOD OUR LOCAL DISBURSED 27 BIBLES. OUR LOCAL GIVES EACH MEMBER WHO RETIRES A WATCH. DURING THIS REPORTING PERIOD OUR LOCAL DISBURSED 74 WATCHES TO MEMBERS WHO RETIRED.

Statement A,

Cash Begin Total: : NUMBER FROM YEAR ENDING PREVIOUS YEAR CHANGED BASED ON VOID CHECKS FROM PREVIOUS YEAR TOTALING $250.

Schedule 2, Row1:

Schedule 2, Row1::

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row1:

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