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
034-229
2. PERIOD COVERED
From01/01/2017
Through12/31/2017
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
1250
7. UNIT NAME (if any)

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

Number and Street
17250 HUMMEL RD.
City
BROOK PARK
State
OH
ZIP Code + 4
441422134


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:MARK E PAYNEPRESIDENT71. SIGNED:JACK FEDERANTREASURER
Date:Mar 19, 2018Telephone Number:216-367-3128Date:Mar 19, 2018Telephone Number:216-267-9900
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 034-229
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?Yes
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?$226,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
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?05/2020
20. How many members did the labor organization have at the end of the reporting period?1,639
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 time paypermonthoo
(b) Working Dues/Feesoperooo
(c) Initiation Fees$50perone time00
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 034-229

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $577,316$467,182
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$768,946$768,946
28. Other Assets7$1,290$1,338
29. TOTAL ASSETS $1,347,552$1,237,466

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$97,475$72,170
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$11,129$9,326
34. TOTAL LIABILITIES $108,604$81,496
35. NET ASSETS$1,238,948$1,155,970
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 034-229

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,410,106
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $223
40. Interest $438
41. Dividends $0
42. Rents $67,100
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 $5
48. Other Receipts14$203,775
49. TOTAL RECEIPTS $1,681,647
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$269,488
51. Political Activities and Lobbying16$3,718
52. Contributions, Gifts, and Grants17$1,185
53. General Overhead18$71,350
54. Union Administration19$463,318
55. Benefits20$35,974
56. Per Capita Tax $891,826
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
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 $51,400
  
66. Subtotal $1,788,259
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$117,573  
  67b. Less Total Disbursed$121,095  
  67c. Total Withheld But Not Disbursed -$3,522
68. TOTAL DISBURSEMENTS $1,791,781
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 034-229

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: 034-229

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: 034-229

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: 034-229

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: 034-229

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: 034-229

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      17250 Hummel Road Brookpark, OH 44142$65,280 $65,280$65,280
B. Buildings (give location)    
Building  1 :      17250 Hummel Road Brookpark, OH 44142$305,889$0$305,889$305,889
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$332,946$0$332,946$332,946
E. Other Fixed Assets$64,831$0$64,831$64,831
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $768,946$0$768,946$768,946
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 034-229

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $1,338
60 T-Shirts Womens Committee at $15 each$900
12 PO(W T-Shirts @ $12 each$154
7 T-Shirts @12 each$84
16 Bandana's @ $10 each$160
1 Veterans Emblem @ $10 each$10
1 Veterans Placard @ $10$10
10 Bracelets @ $2 each$20
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 034-229

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$72,170$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)) $72,170$0$0$0
Utilities$2,189$0$0$0
Per Capita Taxes$68,188$0$0$0
Telephone$1,793$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 034-229

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: 034-229

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $9,326
Unemployment Federal Fwd$152
State Unemployment Fwd$241
FICA Employer Fwd$1,625
FICA Employee Fwd$1,625
Federal Fwd$3,213
State Taxes Fwd$1,025
City Taxes Fwd$9
Local Income Taxes Fwd$541
Wage Withholding Fwd$457
Group Life Insurance Fwd$243
Union Dues Fwd$195
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 034-229

(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
Bretz ,  Stephen   J
Guide
P
$369$0$0$0$369
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Buchan ,  Douglas  
Vice President
N
$0$0$0$0$0
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
Cullen ,  Mark   P
Trustee
C
$3,693$441$950$0$5,084
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Davis ,  Nadine   E
Recording Secretary
P
$11,178$2,029$2,659$0$15,866
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Federan ,  Jack   S
Financial Secretary
C
$89,566$15,795$44$0$105,405
I
Schedule 15
Representational Activities
11 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
89 %
A
B
C
Fields-Jr ,  Robert   E
E Brd At Large
C
$563$36$0$0$599
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Lawson ,  Dale   A
Sergeant At Arms
P
$0$0$0$0$0
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
Mc Cann ,  Frederick   J
Guide
N
$3,207$200$1,497$0$4,904
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Milchak ,  Daniel   J
Trustee
N
$0$480$0$0$480
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
Montelone ,  Michael   J
Sergeant At Arms
N
$504$0$0$0$504
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Moore ,  Tommie   L
E Brd At Large
C
$0$0$0$0$0
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
Moore ,  William   R
Trustee
P
$2,818$355$805$0$3,978
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Payne ,  Mark   E
President
C
$4,465$528$5,211$0$10,204
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Peterson ,  Leonard   R
Retiree Chairman
N
$6,160$1,078$54$0$7,292
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
Ropelewski ,  John   T
Trustee
C
$3,193$339$54$0$3,586
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Taylor ,  Charles   E
Retiree Chairman
P
$0$966$0$0$966
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
Virden-Jr ,  Henry  
E Brd At Large
C
$0$65$0$0$65
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
Wallace ,  Patrick   L
VP/Benefits
P
$0$545$208$0$753
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
Wright ,  Beth   A
Recording Secretary
N
$7,198$80$0$0$7,278
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
Total Officer Disbursements$132,914$22,937$11,482$0$167,333
Less Deductions    $54,014
Net Disbursements    $113,319
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 034-229

(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
Medina ,  Theresa  
Office Manager
NA
$67,808$0$0$0$67,808
I
Schedule 15
Representational Activities
31 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
69 %
A
B
C
Price ,  Cynthia   K
Spec Assign'd B
NA
$57,163$0$0$0$57,163
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
Szucs ,  Leslie  
NA
NA
$12,060$0$0$0$12,060
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Wade ,  Karen   C
Election Committ
NA
$10,095$0$0$0$10,095
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$73,213$6,336$8,793$0$88,342
I Schedule 15
Representational Activities
28 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
20 % Schedule 19
Administration
51 %
Total Employee Disbursements$220,339$6,336$8,793$0$235,468
Less Deductions    $63,559
Net Disbursements    $171,909
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 034-229

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,639 
Agency Fee Payers*
Total Members/Fee Payers1,639 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members1,639Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 034-229

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$126,592
2. Named Payer Non-itemized Receipts$62,636
3. All Other Receipts$14,547
4. Total Receipts$203,775
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$1,185
6. Total Disbursements$1,185
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$48,327
2. Named Payee Non-itemized Disbursements$60,675
3. To Officers$21,151
4. To Employees$102,919
5. All Other Disbursements$36,416
6. Total Disbursements$269,488
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$30,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$29,728
5. All Other Disbursements$11,622
6. Total Disbursements$71,350
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$883
5. All Other Disbursements$2,835
6. Total Disbursements$3,718
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$114,000
2. Named Payee Non-itemized Disbursements$51,587
3. To Officers$146,182
4. To Employees$101,937
5. All Other Disbursements$49,612
6. Total Disbursements$463,318
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 034-229

Name and Address
(A)
Advance Office Copiers
6701 Chittenden Rd

Hudson
OH
44236
Type or Classification
(B)
Copiers/Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,720
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$8,720
FOR REMAINING PAYMENTS ON04/21/2017$8,720
Name and Address
(A)
Ford Motor Company
PO Box 1758

Dearborn
MI
48121
Type or Classification
(B)
Automotive
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,025
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$14,025
REIMB FROM FORD (NICKEL F03/20/2017$14,025
Name and Address
(A)
International Union Uaw
P O Box 77000

Detroit
MI
48277-1277
Type or Classification
(B)
Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$65,386
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$65,386
PCT REBATE 10/201601/18/2017$12,785
PCT REBATE 11/201602/01/2017$15,406
PCT REBATE 12/201602/23/2017$10,460
PCT REBATE 01/201703/20/2017$10,041
PCT REBATE 13TH CHECK; CH04/27/2017$16,694
Name and Address
(A)
Recreation Committee
17250 Hummel Rd

Brook Park
OH
44142
Type or Classification
(B)
Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,294
Total of All Transactions with this Payee/Payer for This Schedule$13,294
Name and Address
(A)
Uaw-Ford National Programs
151 W. JEFFERSON AVENUE

Detroit
MI
48226
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$38,461
Total Non-Itemized Transactions with this Payee/Payer$49,342
Total of All Transactions with this Payee/Payer for This Schedule$87,803
REIMB FOR REG BENE REP C.01/17/2017$5,496
REIMB FOR REG BENE REP C.04/07/2017$5,496
REIMB FOR RAMP BLDG PROJ-08/03/2017$5,496
REIMB FOR REG BENE REP C.10/06/2017$16,056
REIMB FOR C. PRICE PAY 1011/06/2017$5,917
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 034-229

Name and Address
(A)
A & S ROOFING
15240 HAMETOWN ROAD

Doylestown
OH
44230
Type or Classification
(B)
ROOFING COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,000
Total Non-Itemized Transactions with this Payee/Payer$4,466
Total of All Transactions with this Payee/Payer for This Schedule$11,466
Final Payment for Roof Co10/04/2017$7,000
Name and Address
(A)
Blue Ribbon Catering
50 N Prospect St

Norwalk
OH
44857
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$19,025
Total of All Transactions with this Payee/Payer for This Schedule$19,025
Name and Address
(A)
DCT TELECOM GROUP INC
27877 CLEMENS ROAD

Westlake
OH
44145
Type or Classification
(B)
TELECOM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,866
Total of All Transactions with this Payee/Payer for This Schedule$7,866
Name and Address
(A)
Golf Incorporated
1316 Mudbrook Rd

Huron
OH
44839
Type or Classification
(B)
Recreation
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,500
June 4 2017 Golf Outing06/01/2017$6,500
Name and Address
(A)
Jason Vessey
1204 Sprowl Rd

Huron
OH
44839
Type or Classification
(B)
Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,542
Total of All Transactions with this Payee/Payer for This Schedule$5,542
Name and Address
(A)
John Ropelewski
37236 Sugar Creek Lane

North Ridgeville
OH
44039
Type or Classification
(B)
Recreation Events
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$17,115
Total of All Transactions with this Payee/Payer for This Schedule$17,115
Name and Address
(A)
M.J. Griffith Paving Inc.
4570 French Creek Rd

Sheffield Lake
OH
44054
Type or Classification
(B)
PAVING LOT COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$34,827
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$34,827
17-2699108/04/2017$34,827
Name and Address
(A)
The Illuminating Company
P O Box 3638

Akron
OH
44309-3638
Type or Classification
(B)
Electric Distributor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,661
Total of All Transactions with this Payee/Payer for This Schedule$6,661
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 034-229

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: 034-229

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 034-229

Name and Address
(A)
A & S ROOFING
15240 HAMETOWN ROAD

Doylestown
OH
44230
Type or Classification
(B)
ROOFING COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$30,000
DEP FOR ROOFING REPAIR09/05/2017$30,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 034-229

Name and Address
(A)
A & S ROOFING
15240 HAMETOWN ROAD

Doylestown
OH
44230
Type or Classification
(B)
ROOFING COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,294
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$21,294
Final Payment for Roof Co10/04/2017$13,000
Roofing Repairs09/12/2017$8,294
Name and Address
(A)
DCT TELECOM GROUP INC
27877 CLEMENS ROAD

Westlake
OH
44145
Type or Classification
(B)
TELECOM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,609
Total of All Transactions with this Payee/Payer for This Schedule$14,609
Name and Address
(A)
Electec
P O Box 791

Mount Holly
NJ
08060
Type or Classification
(B)
Accountant
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$28,028
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$28,028
General Election06/14/2017$17,719
Run Off Election06/14/2017$10,309
Name and Address
(A)
Jason Vessey
1204 Sprowl Rd

Huron
OH
44839
Type or Classification
(B)
Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,290
Total of All Transactions with this Payee/Payer for This Schedule$10,290
Name and Address
(A)
M.J. Griffith Paving Inc.
4570 French Creek Rd

Sheffield Lake
OH
44054
Type or Classification
(B)
PAVING LOT COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$64,678
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$64,678
17-2699108/04/2017$64,678
Name and Address
(A)
Relmec Mechanical Llc
4975 Hamilton Ave

Cleveland
OH
44114
Type or Classification
(B)
Heating And Cooling
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,707
Total of All Transactions with this Payee/Payer for This Schedule$6,707
Name and Address
(A)
Roberts Custom Software
3667 1st Street

East Moline
IL
61244
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$7,610
Total of All Transactions with this Payee/Payer for This Schedule$7,610
Name and Address
(A)
The Illuminating Company
P O Box 3638

Akron
OH
44309-3638
Type or Classification
(B)
Electric Distributor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,371
Total of All Transactions with this Payee/Payer for This Schedule$12,371
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 034-229

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$35,974
Dental/Hearing/Medical/Vision InsuranceCose/Medical Mutual Health Program$12,999
Dental/Hearing/Medical/Vision InsuranceDiane Andrasak$8,517
Dental/Hearing/Medical/Vision InsuranceHealth Benefit Fund 1794$3,261
Dental/Hearing/Medical/Vision InsuranceTheresa Medina$1,203
Workers Compension InsuranceMinute Men Hr Management Services$127
Workers Compension InsuranceOhio Bureau Of Workers Compensation$686
Pension AllocationsNational Integrated Group Pension Plan$6,681
Retirement Savings(401K etc)EmployerCapital One Investing Llc$800
Retirement Savings(401K etc)EmployerTheresa Medina$1,700
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 034-229


Question 12: : : The Local's books were audited by George Nalevanko, UAW International Auditor.

Question 18: : : The Local did have changes to their bylaws. These changes were submitted to the International UAW for final approval. See attached Bylaws.

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

Question 11(b):

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

Schedule 8, Row1:

Schedule 8, Row1::

Schedule 8, Row2:

Schedule 8, Row2::

Schedule 8, Row3:

Schedule 8, Row3::

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)