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
042-001
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
1216
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
AMY
Last Name
THOMAS
P.O Box - Building and Room Number
P.O. BOX 732
Number and Street
3211 BARDSHAR RD
City
SANDUSKY
State
OH
ZIP Code + 4
44870
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:
Matthew C Frank
PRESIDENT
71. SIGNED:
Amy J Thomas
TREASURER
Date:
Mar 27, 2018
Telephone
Number:
419-627-3735
Date:
Mar 26, 2018
Telephone
Number:
419-625-2573
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
042-001
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?
$146,000
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?
05/2020
20. How many members did the labor organization
have at the end of the reporting period?
2,190
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 straight 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
ONE-TIME
(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:
042-001
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$303,825
$370,234
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
$889,519
$889,838
28. Other Assets
7
$99
$50
29.
TOTAL ASSETS
$1,193,443
$1,260,122
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$49,863
$62,188
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$2,417
$1,906
34. TOTAL
LIABILITIES
$52,280
$64,094
35. NET
ASSETS
$1,141,163
$1,196,028
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
042-001
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,089,427
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$1,375
39. Sale of Supplies
$481
40. Interest
$335
41. Dividends
$0
42. Rents
$10,795
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
$0
48. Other Receipts
14
$48,459
49. TOTAL RECEIPTS
$1,150,872
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$235,224
51.
Political Activities and Lobbying
16
$2,136
52.
Contributions, Gifts, and Grants
17
$23,811
53. General
Overhead
18
$22,067
54. Union
Administration
19
$124,143
55. Benefits
20
$643
56. Per
Capita Tax
$653,717
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$319
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
$0
65. Direct
Taxes
$23,361
66. Subtotal
$1,085,421
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$28,196
67b. Less Total
Disbursed
$27,238
67c.
Total Withheld But Not Disbursed
$958
68.
TOTAL DISBURSEMENTS
$1,084,463
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
042-001
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:
042-001
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:
042-001
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:
042-001
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$319
$319
$319
SECURITY CAMERAS
$319
$319
$319
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$319
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
042-001
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:
042-001
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
3211 BARDSHAR ROAD, ERIE COUNTY-LAND
$40,000
$40,000
$40,000
B.
Buildings (give location)
Building
1
:
3211 BARDSHAR ROAD,ERIE COUNTY-UNION HALL
$704,928
$704,928
$704,928
Building
2
:
3211 BARDSHAR ROAD, EIRE COUNTY-OUTSIDE SHELTER
$85,024
$85,024
$85,024
C. Automobiles
and
Other Vehicles
$0
$0
$0
$0
D. Office
Furniture
and Equipment
$59,886
$0
$59,886
$59,886
E.
Other Fixed Assets
$0
$0
$0
$0
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$889,838
$0
$889,838
$889,838
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
042-001
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$50
MEMORY BOOKS INVENTORY
$50
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
042-001
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
$62,188
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$62,188
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
042-001
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:
042-001
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$1,906
Federal Income Taxes (941) Forward
$425
FICA-Employee OASDI and HI Forward
$592
State Income Taxes Forward
$151
Union Dues Forward
$49
Voluntary Cont (CAP/COPE etc) Forward
$10
FICA Employer OASDI and HI (941)
$592
Unemployment Taxes Federal (940)
$87
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
042-001
(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
Aaron
,
Sidney
SERGEANT AT ARMS C
$582
$0
$0
$0
$582
I
Schedule 15
Representational Activities
33
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
67
%
A
B
C
Batey
,
Joan
E Past Financial Secre P
$18,986
$4,325
$886
$0
$24,197
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
90
%
A
B
C
Crawford-Gerber
,
Paulina
Trustee/Chair P
$4,860
$50
$334
$0
$5,244
I
Schedule 15
Representational Activities
58
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
4
%
Schedule 19
Administration
37
%
A
B
C
Frank
,
Matthew
C President/ Chair N
$2,204
$1,130
$1,569
$0
$4,903
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
Gorby
,
Robert
L VICE PRESIDENT/CHAIR C
$3,023
$480
$0
$0
$3,503
I
Schedule 15
Representational Activities
97
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
2
%
A
B
C
Lynn
,
William
J Trustee N
$2,023
$0
$262
$0
$2,285
I
Schedule 15
Representational Activities
32
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
32
%
Schedule 19
Administration
36
%
A
B
C
Marvicsin
,
Gary
A PRESIDENT/CHAIR C
$3,554
$1,150
$724
$0
$5,428
I
Schedule 15
Representational Activities
94
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
5
%
A
B
C
McCarty
,
Sonia
K Vice President/Chair C
$1,894
$210
$921
$0
$3,025
I
Schedule 15
Representational Activities
53
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
46
%
A
B
C
McFarlin
,
Sean
M RECORDING SECRETARY C
$5,617
$1,200
$892
$0
$7,709
I
Schedule 15
Representational Activities
24
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
75
%
A
B
C
Napka
,
Mary
L RETIREE CHP PRESIDEN N
$0
$0
$15
$0
$15
I
Schedule 15
Representational Activities
40
%
Schedule 16
Political Activities and Lobbying
9
%
Schedule 17
Contributions
1
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
50
%
A
B
C
Thomas
,
Amy
J Financial Secretary N
$23,701
$2,070
$680
$0
$26,451
I
Schedule 15
Representational Activities
6
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
93
%
A
B
C
Wolfe
,
Laura
L TRUSTEE C
$2,459
$0
$262
$0
$2,721
I
Schedule 15
Representational Activities
46
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
14
%
Schedule 19
Administration
40
%
Total Officer
Disbursements
$68,903
$10,615
$6,545
$0
$86,063
Less Deductions
$15,528
Net
Disbursements
$70,535
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
042-001
(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
$64,210
$362
$21,910
$86,482
I
Schedule 15
Representational Activities
91
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
8
%
Total
Employee Disbursements
$64,210
$362
$21,910
$0
$86,482
Less
Deductions
$12,669
Net Disbursements
$73,813
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
042-001
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
2,190
Agency Fee Payers*
Total Members/Fee Payers
2,190
*Agency Fee Payers are
not considered members of the labor organization.
REGULAR MEMBERS
2,190
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
042-001
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$19,785
2. Named Payer
Non-itemized Receipts
$17,585
3. All Other Receipts
$11,089
4. Total
Receipts
$48,459
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
$23,811
6. Total
Disbursements
$23,811
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$31,105
2. Named Payee
Non-itemized Disbursements
$51,003
3. To Officers
$25,351
4. To Employees
$78,699
5. All Other
Disbursements
$49,066
6. Total
Disbursements
$235,224
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$1,322
4. To Employees
$0
5. All Other
Disbursements
$20,745
6. Total
Disbursements
$22,067
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$514
4. To Employees
$865
5. All Other
Disbursements
$757
6. Total
Disbursements
$2,136
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$32,194
2. Named Payee
Non-itemized Disbursements
$5,811
3. To Officers
$58,875
4. To Employees
$6,919
5. All Other
Disbursements
$20,344
6. Total
Disbursements
$124,143
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
042-001
Name and Address
(A)
Department Of The Treasury IRS
Cincinnati OH 45999-0005
Type or Classification
(B)
Government
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,950
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$10,950
STOP PAYMENT
07/06/2017
$10,950
Name and Address
(A)
International Union Uaw 8000 E. Jefferson Ave.
Detroit MI 48214-3963
Type or Classification
(B)
Union Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,835
Total
Non-Itemized Transactions with this Payee/Payer
$350
Total of All Transactions with this
Payee/Payer for This Schedule
$9,185
Art 16 Sect 13a/b
04/25/2017
$8,835
Name and Address
(A)
Retiree Chapter Local 1216 PO Box 732
Sandusky OH 44870
Type or Classification
(B)
Retiree Chapter
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,555
Total of All Transactions with this
Payee/Payer for This Schedule
$7,555
Name and Address
(A)
Womens 3211 Bardshar Road PO Box 732 Sandusky OH 44870
Type or Classification
(B)
UAW Committee
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$9,680
Total of All Transactions with this
Payee/Payer for This Schedule
$9,680
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
042-001
Name and Address
(A)
Cardmember Services P.O. Box 790408
Saint Louis MO 63179-0408
Type or Classification
(B)
Credit Card
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,003
Total of All Transactions with this
Payee/Payer for This Schedule
$5,003
Name and Address
(A)
Gundlach Sheet Metal Works Inc. 910 Columbus Avenue
Sandusky OH 44870
Type or Classification
(B)
Heating/Cooling
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$12,128
Total
Non-Itemized Transactions with this Payee/Payer
$493
Total of All Transactions with this
Payee/Payer for This Schedule
$12,621
replacement of 3 rooftop
06/13/2017
$12,128
Name and Address
(A)
Harbourtown Travel Inc. 4660 Liberty Ave
Vermilion OH 44089
Type or Classification
(B)
Travel/Vacation
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$12,788
Total of All Transactions with this
Payee/Payer for This Schedule
$12,788
Name and Address
(A)
Hilton Orlando Lake Buena Vista Palace 1900 E. Buena Vista Dr Attn: Accounting Department Orlando FL 32830
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,597
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,597
Marvicsin McFarlin Batey
03/01/2017
$5,597
Name and Address
(A)
International Union Uaw 8000 E. Jefferson Ave.
Detroit MI 48214-3963
Type or Classification
(B)
Union Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$13,105
Total of All Transactions with this
Payee/Payer for This Schedule
$13,105
Name and Address
(A)
Pelz Lettering Inc. 5003 Milan Road
Sandusky OH 44870
Type or Classification
(B)
Clothing/Lettering
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,538
Total of All Transactions with this
Payee/Payer for This Schedule
$5,538
Name and Address
(A)
Region 2-B UAW 1691 Woodlands Drive
Maumee OH 43537
Type or Classification
(B)
Union Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$8,345
Total of All Transactions with this
Payee/Payer for This Schedule
$8,345
Name and Address
(A)
Roberts Custom Software Inc. 3667 1st Street
East Moline IL 61244
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,231
Total of All Transactions with this
Payee/Payer for This Schedule
$5,231
Name and Address
(A)
Sawmill Creek Resort 400 Sawmill Creek
Huron OH 44839
Type or Classification
(B)
Hotel/Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,205
Total
Non-Itemized Transactions with this Payee/Payer
$500
Total of All Transactions with this
Payee/Payer for This Schedule
$8,705
RET CHAPT XMAS LUNCHEON
12/19/2017
$8,205
Name and Address
(A)
UM-D CLCS 257 Fairlane Center North 19000 Hubbard Dr Dearborn MI 48126
Type or Classification
(B)
Conference
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,175
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,175
15 Member Sponsorship
03/27/2017
$5,175
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
042-001
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:
042-001
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:
042-001
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:
042-001
Name and Address
(A)
Department Of The Treasury IRS
Cincinnati OH 45999-0005
Type or Classification
(B)
Government
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,950
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$10,950
USATAXPYMT -overpayment/c
07/06/2017
$10,950
Name and Address
(A)
Electec Inc. P.O. Box 791
Mount Holly NJ 08060
Type or Classification
(B)
Voting Machines
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,230
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$7,230
Inv # B17-0607-05 & 06
08/02/2017
$7,230
Name and Address
(A)
Gundlach Sheet Metal Works Inc. 910 Columbus Avenue
Sandusky OH 44870
Type or Classification
(B)
Heating/Cooling
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$14,014
Total
Non-Itemized Transactions with this Payee/Payer
$569
Total of All Transactions with this
Payee/Payer for This Schedule
$14,583
replacement of 3 rooftop
06/13/2017
$14,014
Name and Address
(A)
Roberts Custom Software Inc. 3667 1st Street
East Moline IL 61244
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,242
Total of All Transactions with this
Payee/Payer for This Schedule
$5,242
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
042-001
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)