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
036-518
2.
PERIOD COVERED
From
01/01/2017
Through
12/31/2017
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
402
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
DICK
Last Name
SEVERS
P.O Box - Building and Room Number
Number and Street
3671 URBANA ROAD
City
SPRINGFIELD
State
OH
ZIP Code + 4
45502
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:
Jason L Barlow
PRESIDENT
71. SIGNED:
Richard Severs
TREASURER
Date:
Mar 22, 2018
Telephone
Number:
937-390-3327
Date:
Mar 22, 2018
Telephone
Number:
937-390-3327
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
036-518
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?
$116,000
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?
06/2020
20. How many members did the labor organization
have at the end of the reporting period?
1,293
21. What are the labor organization's rates of dues
and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
2.5 Hrs Str Time
per
Month
N/A
N/A
(b) Working Dues/Fees
N/A
per
N/A
N/A
N/A
(c) Initiation Fees
20.00
per
Member
N/A
N/A
(d) Transfer Fees
N/A
per
N/A
N/A
N/A
(e) Work Permits
N/A
per
N/A
N/A
N/A
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
036-518
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$157,728
$109,846
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
$0
27. Fixed Assets
6
$853,596
$858,827
28. Other Assets
7
$11,574
$13,822
29.
TOTAL ASSETS
$1,022,898
$982,495
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$44,887
$47,489
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$970
$2,255
34. TOTAL
LIABILITIES
$45,857
$49,744
35. NET
ASSETS
$977,041
$932,751
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
036-518
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$888,106
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$4,500
39. Sale of Supplies
$12,333
40. Interest
$175
41. Dividends
$0
42. Rents
$25,264
43. Sale of Investments
and Fixed Assets
3
$0
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
$0
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$2,323
48. Other Receipts
14
$53,013
49. TOTAL RECEIPTS
$985,714
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$271,391
51.
Political Activities and Lobbying
16
$2,533
52.
Contributions, Gifts, and Grants
17
$9,822
53. General
Overhead
18
$14,852
54. Union
Administration
19
$115,540
55. Benefits
20
$3,773
56. Per
Capita Tax
$564,299
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$15,751
60. Purchase
of Investments and Fixed Assets
4
$5,231
61. Loans
Made
2
$0
62.
Repayment of Loans Obtained
9
$0
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$1,615
65. Direct
Taxes
$28,751
66. Subtotal
$1,033,558
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$38,212
67b. Less Total
Disbursed
$38,250
67c.
Total Withheld But Not Disbursed
-$38
68.
TOTAL DISBURSEMENTS
$1,033,596
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
036-518
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:
036-518
List below loans to officers, employees, or members which
at any time during the reporting period exceeded $250 and
list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not
listed above
Total of all lines
above
$0
$0
$0
$0
$0
Totals will be
automatically entered in...
Item 24
Column (A)
Item 61
Item 45
Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF
INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
036-518
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:
036-518
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$5,231
$5,231
$5,231
Xerox Copier
$4,950
$4,950
$4,950
Basketball Pump
$109
$109
$109
UAW Tent
$172
$172
$172
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$5,231
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
036-518
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:
036-518
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
3671 Urbana Road
$31,600
$31,600
$31,600
Land
2
:
4945 Derr Road
$20,000
$20,000
$20,000
B.
Buildings (give location)
Building
1
:
3671 Urbana Road
$378,832
$378,832
$378,832
Building
2
:
4945 Derr Road
$253,556
$253,556
$253,556
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$164,707
$164,707
$164,707
E.
Other Fixed Assets
$10,132
$10,132
$10,132
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$858,827
$0
$858,827
$858,827
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
036-518
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$13,822
Hats 94 each
$1,410
Shirts 719 each
$10,785
Jackets 26 each
$520
Polo shirts 15 each
$420
Safety Shirts/Vest 38 each
$687
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
036-518
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
$47,489
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$47,489
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
036-518
Source of Loans Payable at Any
Time During the Reporting Period
(A)
Loans Owed at
Start of Period
(B)
Loans Obtained
During Period
(C)
Repayment
During Period
Cash
(D)(1)
Repayment
During Period
Other Than Cash
(D)(2)
Loans Owed at
End of Period
(E)
Total Loans Payable
$0
$0
$0
$0
$0
Totals will be automatically entered in...
Item 31
Column (C)
Item 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
036-518
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$2,255
Federal Withholding Taxes
$1,332
State Income Taxes
$212
City Income Taxes
$252
Local Income Taxes
$11
Union Dues
$52
Federal Unemployment
$73
State Unemployment
$323
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
036-518
(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
Barlow
,
Jason
L President C
$41,923
$0
$6,898
$0
$48,821
I
Schedule 15
Representational Activities
87
%
Schedule 16
Political Activities and Lobbying
3
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
10
%
A
B
C
Blizard
,
Chris
L Vice President C
$22,175
$0
$0
$0
$22,175
I
Schedule 15
Representational Activities
78
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
1
%
Schedule 19
Administration
21
%
A
B
C
Eldridge
,
Todd
C Trustee C
$908
$0
$38
$0
$946
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
Entler
,
James
J Guide P
$457
$0
$0
$0
$457
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
Graham III
,
Charles
W Guide N
$526
$0
$0
$0
$526
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
28
%
Schedule 19
Administration
72
%
A
B
C
Harshaw
,
Jeffery
A Trustee C
$2,852
$0
$0
$0
$2,852
I
Schedule 15
Representational Activities
25
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
25
%
Schedule 19
Administration
50
%
A
B
C
Hartzog
,
Dale
D Retiree Chairman 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
Howard
,
Joseph
L Sgt-at-Arms N
$776
$0
$0
$0
$776
I
Schedule 15
Representational Activities
29
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
21
%
Schedule 19
Administration
50
%
A
B
C
Ketterman
,
Terry
L Trustee C
$1,322
$0
$0
$0
$1,322
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
Seegraves
,
Thomas
R Sgt.-At-Arms P
$453
$0
$0
$0
$453
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
Severs
,
Richard
L Financial Secretary C
$9,256
$0
$38
$0
$9,294
I
Schedule 15
Representational Activities
18
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
4
%
Schedule 19
Administration
78
%
A
B
C
Stuckey
,
Peggy
J Recording Secretary C
$2,201
$0
$0
$0
$2,201
I
Schedule 15
Representational Activities
14
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
86
%
A
B
C
Zirkle Jr
,
Edward
E Bargaining Chairman C
$2,956
$0
$500
$0
$3,456
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
%
Total Officer
Disbursements
$85,805
$0
$7,474
$0
$93,279
Less Deductions
$19,898
Net
Disbursements
$73,381
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
036-518
(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
Chapman
,
James
W Worker's Comp. R NA
$21,098
$0
$751
$0
$21,849
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
McMahan
,
Gretchen
M Bookeeper NA
$39,795
$0
$0
$0
$39,795
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
$33,086
$0
$3,397
$0
$36,483
I
Schedule 15
Representational Activities
38
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
15
%
Schedule 19
Administration
47
%
Total
Employee Disbursements
$93,979
$0
$4,148
$0
$98,127
Less
Deductions
$18,314
Net Disbursements
$79,813
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
036-518
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
1,293
Agency Fee Payers*
17
Total Members/Fee Payers
1,310
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
1,293
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
036-518
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$24,998
2. Named Payer
Non-itemized Receipts
$12,421
3. All Other Receipts
$15,594
4. Total
Receipts
$53,013
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
$9,822
6. Total
Disbursements
$9,822
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$24,505
2. Named Payee
Non-itemized Disbursements
$71,677
3. To Officers
$63,872
4. To Employees
$35,495
5. All Other
Disbursements
$75,842
6. Total
Disbursements
$271,391
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$1,617
4. To Employees
$5,472
5. All Other
Disbursements
$7,763
6. Total
Disbursements
$14,852
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$1,465
4. To Employees
$0
5. All Other
Disbursements
$1,068
6. Total
Disbursements
$2,533
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$26,326
4. To Employees
$57,160
5. All Other
Disbursements
$32,054
6. Total
Disbursements
$115,540
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
036-518
Name and Address
(A)
Dick Severs 3260 Uplands Drive
Springfield OH 45506
Type or Classification
(B)
Member
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,353
Total of All Transactions with this
Payee/Payer for This Schedule
$6,353
Name and Address
(A)
International Union Uaw 8000 E Jefferson Avenue
Detroit MI 48214
Type or Classification
(B)
Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$24,998
Total
Non-Itemized Transactions with this Payee/Payer
$6,068
Total of All Transactions with this
Payee/Payer for This Schedule
$31,066
13TH REBATE CHECK
04/25/2017
$7,619
Jason Barlow Fuyao Organi
08/07/2017
$7,603
J. Barlow Reimb Fuyao Org
11/29/2017
$9,776
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
036-518
Name and Address
(A)
Christopher Karg 45 West Possum Road
Springfield OH 45505
Type or Classification
(B)
Tree Service
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$8,375
Total of All Transactions with this
Payee/Payer for This Schedule
$8,375
Name and Address
(A)
Custom Promotions Inc. 17520 W. Twelve Mile Rd.
Southfield MI 48076
Type or Classification
(B)
Promotional Items
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$9,811
Total of All Transactions with this
Payee/Payer for This Schedule
$9,811
Name and Address
(A)
Gillam Lawncare & Landscaping Llc. 8885 Old Columbus Rd.
South Vienna OH 45369
Type or Classification
(B)
Lawncare Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$8,277
Total of All Transactions with this
Payee/Payer for This Schedule
$8,277
Name and Address
(A)
Impressions Specialty 8914 S. Telegraph Rd
Taylor MI 48180
Type or Classification
(B)
Shirts/Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,551
Total of All Transactions with this
Payee/Payer for This Schedule
$5,551
Name and Address
(A)
Jody Massie 7921 E National Road
South Charleston OH 45368
Type or Classification
(B)
Roofing
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,612
Total of All Transactions with this
Payee/Payer for This Schedule
Total
Non-Itemized Transactions with this Payee/Payer
$14,281
Total of All Transactions with this
Payee/Payer for This Schedule
$20,049
Active XMas
12/19/2017
$5,768
Name and Address
(A)
Lee's Famous Recipe PO BOX 383
New Carlisle OH 45344
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,004
Total
Non-Itemized Transactions with this Payee/Payer
$2,083
Total of All Transactions with this
Payee/Payer for This Schedule
$7,087
Labor Day Picnic
09/26/2017
$5,004
Name and Address
(A)
Ohio Edison PO Box 3687
Akron OH 44309-3687
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
$7,497
Total of All Transactions with this
Payee/Payer for This Schedule
$7,497
Name and Address
(A)
Region 2-B UAW 1691 Woodlands Drive
Maumee OH 43537
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
$8,935
Total of All Transactions with this
Payee/Payer for This Schedule
$8,935
Name and Address
(A)
Texas Roadhouse 1750 N Bechtle Avenue
Springfield OH 45504
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,700
Total
Non-Itemized Transactions with this Payee/Payer
$255
Total of All Transactions with this
Payee/Payer for This Schedule
$8,955
Retiree Christmas
12/19/2017
$8,700
Name and Address
(A)
Wallace & Turner Insurance Agency PO BOX 209 30 WARDER ST SUITE 200 SPRINGFIELD OH 45501-0209
Type or Classification
(B)
Insurance Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,033
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,033
Insurance
11/21/2017
$5,033
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
036-518
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:
036-518
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:
036-518
Name and Address
(A)
-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
036-518
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:
036-518
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$3,773
Workers Compension Insurance
Bureau Of Workers Compensation
$773
Medical Fees- To Doc/Hosp as a Co-Pay
Columbus Radiology Corporation
$273
Medical Fees- To Doc/Hosp as a Co-Pay
Springfield Regional Medical Center
$2,727
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
036-518
Question 10: Operations of the Building Corporation are handled through the books and records of the Local Union and therefore included in this report
Question 11(b):
Question 11(b): : : Operations of the Building Corporation are handled through the books and records of the Local Union and are therefore included in this report
Question 12: International UAW Union
Question 15: The Local Union gave away 305 Shirts valued at $4575.00
The Local Union gave away 110 Committee Shirts valued at $3603.76
The Local Union gave away 40 Hats valued at $600.00
The Local Union gave away 5 Hitches valued at $100.00
The Local Union gave away 1 Sweatshirt valued at $20.00
The Local Union gave away 2000 planners valued at $2840.00
Question 18: A copy of the By-Laws are attached
Statement A,
Cash Begin Total: Line 22A was adjusted due to checks voided from a previous year
Schedule 13, Row1:
Schedule 13, Row1:::Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.