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
008-320
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
865
7. UNIT NAME (if any)

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

Number and Street
630 19TH STREET
City
EAST MOLINE
State
IL		 ZIP Code + 4
612441837


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:David D ThompsonPRESIDENT71. SIGNED:Denny R Owen JRTREASURER
Date:Mar 28, 2018Telephone Number:309-755-5273Date:Mar 28, 2018Telephone Number:309-755-5273
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 008-320
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?No
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.)Yes
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?$198,000
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?06/2020
20. How many members did the labor organization have at the end of the reporting period?1,006
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.5permonth00
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation Fees20.00perONE-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: 008-320

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $1,030,738$943,782
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$183,299$50,300
28. Other Assets7$1,430$134,045
29. TOTAL ASSETS $1,215,467$1,128,127

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$32,480$48,722
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$1,489$4,404
34. TOTAL LIABILITIES $33,969$53,126
35. NET ASSETS$1,181,498$1,075,001
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 008-320

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $891,109
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $1,160
40. Interest $5,203
41. Dividends $0
42. Rents $0
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 $4,558
48. Other Receipts14$41,333
49. TOTAL RECEIPTS $943,363
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$244,336
51. Political Activities and Lobbying16$1,234
52. Contributions, Gifts, and Grants17$27,228
53. General Overhead18$21,040
54. Union Administration19$106,045
55. Benefits20$5,463
56. Per Capita Tax $595,316
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $50
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 $4,558
65. Direct Taxes $22,026
  
66. Subtotal $1,027,296
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$55,558  
  67b. Less Total Disbursed$58,581  
  67c. Total Withheld But Not Disbursed -$3,023
68. TOTAL DISBURSEMENTS $1,030,319
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 008-320

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: 008-320

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: 008-320

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: 008-320

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: 008-320

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: 008-320

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles$0$0$0
D. Office Furniture and Equipment$50,300$0$50,300$50,300
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)) $50,300$0$50,300$50,300
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 008-320

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $134,045
BIBLE INVENTORY 17 PROTESTANT 24 CATHOLIC @$22$902
building land owned by 3 seperate locals 865 - 65%$132,999
tshirts: 12 total at $12$144
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 008-320

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$48,722$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $48,722$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 008-320

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: 008-320

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $4,404
Federal Income Taxes (941) Forward$787
FICA-Employee OASDI and HI Forward$727
State Income Taxes Forward$1,778
FICA Employer OASDI and HI (941)$727
Unemployment Taxes Federal (940)$132
Unemployment Taxes State$253
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 008-320

(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 		Bern ,  Chad   S
Zone 2 Committeeman
C		$0$840$0$0$840
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 		Bettis ,  Jeremy   J
Guide
N		$2,848$669$645$0$4,162
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 		Clevenger ,  Drew   R
Vice President
N		$8,537$1,388$551$0$10,476
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 		Davidson ,  Pamela  
Trustee
C		$2,672$980$1,984$0$5,636
I
Schedule 15
Representational Activities 		81 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		19 %
A
B
C 		Dean ,  Rachael   A
Financial Secretary
P		$0$170$1,318$0$1,488
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 		Deloose ,  Matthew   L
Zone 5 Committeeman
C		$0$840$55$0$895
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 		Diaz ,  Ricardo   A
President 2015
P		$19,414$350$5,583$0$25,347
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 		Flynn ,  Joseph   R
Recording Secretary
C		$7,400$840$192$0$8,432
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Luallen ,  Dain   M
Trustee
N		$10,599$1,287$168$0$12,054
I
Schedule 15
Representational Activities 		91 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		7 %
A
B
C 		Owen Jr. ,  Denny   R
Financial Officer
N		$21,433$3,431$2,806$0$27,670
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 		Pearson ,  Benjamin   J
Shop Chairman
N		$0$840$1,393$0$2,233
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 		Riedell ,  Mathew   R
Sgt at Arms
N		$1,154$514$142$0$1,810
I
Schedule 15
Representational Activities 		68 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		32 %
A
B
C 		Saunders ,  Joshua   N
SGT-AT-ARMS
P		$3,419$350$0$0$3,769
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		8 % Schedule 19
Administration 		6 %
A
B
C 		Scott ,  Vickie  
Trustee
C		$829$350$0$0$1,179
I
Schedule 15
Representational Activities 		84 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		16 %
A
B
C 		Smith ,  Cody   J
Guide
C		$285$350$0$0$635
I
Schedule 15
Representational Activities 		84 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		16 %
A
B
C 		Thompson ,  David   D
President
C		$12,846$1,565$2,549$0$16,960
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 		Vanklaveren ,  Henry   A
Head Trustee
C		$0$840$9$0$849
I
Schedule 15
Representational Activities 		44 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		56 %
Total Officer Disbursements$91,436$15,604$17,395$0$124,435
Less Deductions    $22,692
Net Disbursements    $101,743
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 008-320

(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 		Park ,  Kenneth   D
NA
NA		$15,782$0$838$0$16,620
I
Schedule 15
Representational Activities 		93 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		4 % Schedule 18
General Overhead 		3 % Schedule 19
Administration 		0 %
A
B
C 		Pollock ,  Kim   E
Office Manger
NA		$51,132$0$0$0$51,132
I
Schedule 15
Representational Activities 		12 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		84 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$73,569$2,520$17,535$0$93,624
I Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		18 %
Total Employee Disbursements$140,483$2,520$18,373$0$161,376
Less Deductions    $32,865
Net Disbursements    $128,511
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 008-320

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 1,006 
Agency Fee Payers*
Total Members/Fee Payers1,006 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS1,006Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 008-320

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$18,559
2. Named Payer Non-itemized Receipts$6,011
3. All Other Receipts$16,763
4. Total Receipts$41,333
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$19,760
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$1,601
5. All Other Disbursements$5,867
6. Total Disbursements$27,228
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$5,893
2. Named Payee Non-itemized Disbursements$9,228
3. To Officers$118,826
4. To Employees$96,492
5. All Other Disbursements$13,897
6. Total Disbursements$244,336
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$6,450
3. To Officers$543
4. To Employees$3,480
5. All Other Disbursements$10,567
6. Total Disbursements$21,040
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$113
4. To Employees$0
5. All Other Disbursements$1,121
6. Total Disbursements$1,234
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$11,856
3. To Officers$4,953
4. To Employees$59,803
5. All Other Disbursements$29,433
6. Total Disbursements$106,045
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 008-320

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

Detroit
MI
48214
Type or Classification
(B)
Organizing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,559
Total Non-Itemized Transactions with this Payee/Payer$6,011
Total of All Transactions with this Payee/Payer for This Schedule$24,570
rebate05/04/2017$10,067
rico reimburse11/15/2017$8,492
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 008-320

Name and Address
(A)
Marriott
10400 Fernwood Road

Bethesda
MD
20817
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,228
Total of All Transactions with this Payee/Payer for This Schedule$9,228
Name and Address
(A)
Roberts Custom Software Inc.
3667 1st Street

East Moline
IL
61244-3321
Type or Classification
(B)
Software Support
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,893
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,893
Software01/26/2017$5,893
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 008-320

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: 008-320

Name and Address
(A)
Region 4 Uaw Activity Fund
680 Barclay Blvd.

Lincolnshire
IL
60069
Type or Classification
(B)
Union Office Region 4
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,760
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$19,760
donation08/30/2017$19,760
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 008-320

Name and Address
(A)
Mulkeys Catering Service
3800-14th Av.

Rock Island
IL
61201
Type or Classification
(B)
Caterer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,450
Total of All Transactions with this Payee/Payer for This Schedule$6,450
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 008-320

Name and Address
(A)
Comfort Inn
120 W. Stevenson Road

Ottawa
IL
61350
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,616
Total of All Transactions with this Payee/Payer for This Schedule$5,616
Name and Address
(A)
Region 4 Uaw Activity Fund
680 Barclay Blvd.

Lincolnshire
IL
60069
Type or Classification
(B)
Union Office Region 4
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,240
Total of All Transactions with this Payee/Payer for This Schedule$6,240
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 008-320

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$5,463
Disability/Sick & Accident InsuranceIllinois Mutual$796
Workers Compension InsuranceBerkleynet$147
Workers Compension InsuranceLohman Companies Insurance$2,260
Workers Compension InsuranceTravelers$2,260
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 008-320


Question 12: UAW AUDIT

Question 13: MISAPPROPRIATION OF FUNDS BY FORMER FINANCIAL SECRETARY RACHAEL DEAN. MISAPPROPRIATION DISCOVERED JAN 2017. UAW AUDITOR STEVE TILLERY HAS COMPLETED THE MISAPPROPRIATIONS AUDIT AND DISCOVERED A TOTAL OF $12,199.53 THAT WAS MISAPPROPRIATED TO RACHAEL DEAN . NO PAYMENT HAS BEEN MADE BY THE BONDING AGENT YET AND AN INITIAL MEETING WITH RACHAEL DEAN INDICATED THAT SHE WILL PAY THE AMOUNT BACK IN FULL. THERE IS A FINAL MEETING WITH RACHAEL DEAN SCHEDULED FOR MARCH 27TH 2018 8:00AM AT UAW REGION 4 SUB REGIONAL OFFICE MOLINE IL 1530 46TH AVE F MOLINE IL 61265 WITH REGION 4 SERVICING REP LUCAS DESPAIN AND UAW 865 PRESIDENT DAVID THOMPSON WHERE FINAL PAYMENT WILL BE DISCUSSED AND A SIGNED CONFESSION WILL BE RECEIVED. ESTIMATED TIME FRAME OF MISAPPROPRIATION OCCURRED JUNE 2014 THROUGH JANUARY 2017.

Question 15: page 2 question 15 gave away 10 protestant bibles and 8 catholic bibles to passed away members of family members.

Question 10: question 10: UAW LOCAL 865 OWNS 65% OF THE UNION HALL AT 630 19TH ST. EAST MOLINE IL 61244-1837.

Statement A,

Cash Begin Total: : : STATEMENT A, CASH BEGIN TOTAL: ITEM 22. CASH AT START OF REPORTING PERIOD INCREASED BY $48 DUE TO VOIDED CHECKS FROM PREVIOUS YEAR.

Schedule 13, Row1:

Schedule 13, Row1:ANYONE WHO HAS APPLIED FOR AND BEEN ACCEPTED FOR MEMBERSHIP IS A REGULAR MEMBER. REGULAR MEMBERS PAY FULL DUES.

Schedule 13, Row1:

Schedule 13, Row1:

General Information:
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)