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
037-308
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
94
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
Scott
Last Name
Cargill
P.O Box - Building and Room Number
Number and Street
3450 CENTRAL AVENUE
City
DUBUQUE
State
IA
ZIP Code + 4
520011104
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:
Daniel f White
PRESIDENT
71. SIGNED:
Scott P Cargill
TREASURER
Date:
Mar 28, 2018
Telephone
Number:
563-583-1779
Date:
Mar 28, 2018
Telephone
Number:
563-583-1779
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
037-308
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?
No
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?
$156,000
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?
1,303
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 1/2 HRS
per
Month
0
0
(b) Working Dues/Fees
0
per
0
NA
NA
(c) Initiation Fees
20
per
1 Time
NA
NA
(d) Transfer Fees
NA
per
NA
NA
NA
(e) Work Permits
NA
per
NA
NA
NA
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
037-308
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$497,719
$514,429
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$48
$48
27. Fixed Assets
6
$477,568
$477,952
28. Other Assets
7
$5,469
$7,105
29.
TOTAL ASSETS
$980,804
$999,534
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$38,308
$56,752
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$4,966
$8,215
34. TOTAL
LIABILITIES
$43,274
$64,967
35. NET
ASSETS
$937,530
$934,567
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
037-308
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$957,049
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$3,880
39. Sale of Supplies
$2,836
40. Interest
$877
41. Dividends
$230
42. Rents
$0
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
$14,600
48. Other Receipts
14
$69,085
49. TOTAL RECEIPTS
$1,048,557
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$288,258
51.
Political Activities and Lobbying
16
$9,884
52.
Contributions, Gifts, and Grants
17
$30,600
53. General
Overhead
18
$9,186
54. Union
Administration
19
$59,879
55. Benefits
20
$2,268
56. Per
Capita Tax
$580,049
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$20,029
60. Purchase
of Investments and Fixed Assets
4
$384
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
$7,591
65. Direct
Taxes
$30,203
66. Subtotal
$1,038,331
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$34,980
67b. Less Total
Disbursed
$28,496
67c.
Total Withheld But Not Disbursed
$6,484
68.
TOTAL DISBURSEMENTS
$1,031,847
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
037-308
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:
037-308
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:
037-308
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:
037-308
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$384
$384
$384
Purchase of a schredder
$139
$139
$139
Purchase of a Laminator
$134
$134
$134
Voicemail repair
$111
$111
$111
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$384
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
037-308
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
$48
E. Total Book Value
$48
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))
$48
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
037-308
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
Land 1 Lot 47,48 & 48 of lot 48 Lineham park add
$35,300
$35,300
$35,300
B.
Buildings (give location)
Building
1
:
3450 Central Ave, Dubuque, Ia 52001
$316,710
$316,710
$316,710
$316,710
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$125,942
$125,942
$119,620
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$477,952
$316,710
$477,952
$471,630
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
037-308
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$7,105
27 Catholic Bibles at $36.50 each
$986
34 Protestant Bibles @$36.50 each
$1,241
4 Jewish Bibles at $36.50 each
$146
7 Yellow UAW sweatshirts at $35.00 each
$245
1 Green UAW sweatshirt at $35.00 each
$35
5 Blue UAW sweatshirts at $35.00 each
$175
273 Blue UAW t-shirts at $15.00 each
$4,095
9 Black POW Caps at $15.00 each
$135
Prepaid postage
$47
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
037-308
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
$56,752
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$56,752
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
037-308
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:
037-308
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$8,215
Federal Income Taxes (941) Forward
$7,232
Retirement Savings (401 K etc) Forward
$361
Union Dues Forward
$36
Unemployment Taxes State
$586
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
037-308
(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
Avenarius
,
Michael
Vice-President P
$3,469
$405
$66
$0
$3,940
I
Schedule 15
Representational Activities
90
%
Schedule 16
Political Activities and Lobbying
10
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
Cargill
,
Scott
P Financial Secretary C
$28,008
$632
$4,813
$0
$33,453
I
Schedule 15
Representational Activities
72
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
28
%
A
B
C
Collins Jr
,
Leo
L Guide C
$310
$55
$252
$0
$617
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
Jaeger
,
Dale
Seargent-At-Arms C
$14
$0
$0
$0
$14
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
Knockel
,
Daniel
VICE PRESIDENT C
$6,031
$325
$1,103
$0
$7,459
I
Schedule 15
Representational Activities
82
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
14
%
A
B
C
Krausman
,
Greg
H Financial Secretary P
$21,307
$2,867
$1,837
$0
$26,011
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
Ludovissy
,
Dale
Trustee P
$2,311
$194
$308
$0
$2,813
I
Schedule 15
Representational Activities
97
%
Schedule 16
Political Activities and Lobbying
3
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
Moyer
,
Kari
TRUSTEE N
$2,130
$183
$123
$0
$2,436
I
Schedule 15
Representational Activities
74
%
Schedule 16
Political Activities and Lobbying
6
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
20
%
A
B
C
Pregler
,
Walter
A Retiree-At-Large C
$0
$0
$120
$0
$120
I
Schedule 15
Representational Activities
80
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
20
%
A
B
C
Smith
,
Kevin
TRUSTEE N
$4,285
$342
$1,574
$0
$6,201
I
Schedule 15
Representational Activities
82
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
14
%
A
B
C
Thul
,
Donnie
TRUSTEE N
$233
$0
$0
$0
$233
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
Wendling
,
Timothy
Trustee P
$223
$0
$0
$0
$223
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
Wetter
,
Kari
RECORDING SECRETARY N
$3,170
$102
$941
$0
$4,213
I
Schedule 15
Representational Activities
94
%
Schedule 16
Political Activities and Lobbying
3
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
3
%
A
B
C
White
,
Daniel
F President C
$0
$0
$14,680
$0
$14,680
I
Schedule 15
Representational Activities
88
%
Schedule 16
Political Activities and Lobbying
10
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
2
%
Total Officer
Disbursements
$71,491
$5,105
$25,817
$0
$102,413
Less Deductions
$17,533
Net
Disbursements
$84,880
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
037-308
(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
Kennicker
,
Brenda
J Office Secretary NA
$30,863
$0
$0
$0
$30,863
I
Schedule 15
Representational Activities
60
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
1
%
Schedule 19
Administration
39
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$33,990
$59
$17,941
$0
$51,990
I
Schedule 15
Representational Activities
69
%
Schedule 16
Political Activities and Lobbying
3
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
23
%
Total
Employee Disbursements
$64,853
$59
$17,941
$0
$82,853
Less
Deductions
$17,447
Net Disbursements
$65,406
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
037-308
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
1,303
Agency Fee Payers*
Total Members/Fee Payers
1,303
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
1,303
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
037-308
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$26,925
2. Named Payer
Non-itemized Receipts
$18,493
3. All Other Receipts
$23,667
4. Total
Receipts
$69,085
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$22,000
2. Named Payee
Non-itemized Disbursements
$2,000
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$6,600
6. Total
Disbursements
$30,600
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$29,766
2. Named Payee
Non-itemized Disbursements
$55,197
3. To Officers
$78,880
4. To Employees
$54,391
5. All Other
Disbursements
$70,024
6. Total
Disbursements
$288,258
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$2,909
5. All Other
Disbursements
$6,277
6. Total
Disbursements
$9,186
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$2,764
4. To Employees
$1,560
5. All Other
Disbursements
$5,560
6. Total
Disbursements
$9,884
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$20,767
4. To Employees
$23,995
5. All Other
Disbursements
$15,117
6. Total
Disbursements
$59,879
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
037-308
Name and Address
(A)
INTERNATION UNION - UAW 8000 EAST JEFFERSON AVENUE
Detroit MI 48214
Type or Classification
(B)
Union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,148
Total
Non-Itemized Transactions with this Payee/Payer
$1,370
Total of All Transactions with this
Payee/Payer for This Schedule
$9,518
13TH PER CAPITA REBATE
05/08/2017
$8,148
Name and Address
(A)
Mike Ansel 2780 Central Ave
Dubuque IA 52001
Type or Classification
(B)
Vetran Comm Officer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$13,777
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$13,777
SALE OF NUTS FOR VETERANS
11/29/2017
$13,777
Name and Address
(A)
VETERANS MEMORIAL PLAZA 1894 GLENDALE COURT
Dubuque IA 52001
Type or Classification
(B)
VOLUNTEER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,000
DONATION VTAP PROGRAM
04/24/2017
$5,000
Name and Address
(A)
Walt Pregler 2966 Shiras
Dubuque IA 52001
Type or Classification
(B)
Retired Officer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$17,123
Total of All Transactions with this
Payee/Payer for This Schedule
$17,123
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
037-308
Name and Address
(A)
INTERNATION UNION - UAW 8000 EAST JEFFERSON AVENUE
Detroit MI 48214
Type or Classification
(B)
Union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$9,351
Total of All Transactions with this
Payee/Payer for This Schedule
$9,351
Name and Address
(A)
Ludovissy & Associate Insurance Company 787 W Locust Street
Dubuque IA 52001
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,866
Total
Non-Itemized Transactions with this Payee/Payer
$738
Total of All Transactions with this
Payee/Payer for This Schedule
$6,604
INV # 1450/DIRECTORS & OF
02/10/2017
$5,866
Name and Address
(A)
Midwest Distribtion Group 2011 N Griffith BLVD
Griffith IN 46319
Type or Classification
(B)
Food Distributor
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$11,652
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$11,652
INVOICE #40622 VETS NUT S
11/17/2017
$11,652
Name and Address
(A)
Pitney Boyes Global Financial Services Llc PO Box 371887
Pittsburgh PA 15250-7887
Type or Classification
(B)
Office Equipment
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,009
Total of All Transactions with this
Payee/Payer for This Schedule
$7,009
Name and Address
(A)
Roberts Custom Software 3667 First Street
East Moline IL 61244-3321
Type or Classification
(B)
Software Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,500
Total
Non-Itemized Transactions with this Payee/Payer
$780
Total of All Transactions with this
Payee/Payer for This Schedule
$7,280
30 MONTH CONTRACT FOR SOF
02/10/2017
$6,500
Name and Address
(A)
Society Insurance PO Box 1237
Fond Du Lac WI 54936-1237
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$9,235
Total of All Transactions with this
Payee/Payer for This Schedule
$9,235
Name and Address
(A)
Sunset Lanes And Hall P.O. Box 220
Dickeyville WI 53808
Type or Classification
(B)
Caterer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$28,084
Total of All Transactions with this
Payee/Payer for This Schedule
$28,084
Name and Address
(A)
Timberline Golf Course 19858 E Pleasant Grove Rd
Peosta IA 52068
Type or Classification
(B)
Golf Course
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,748
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,748
2017 UAW LOCAL 94 GOLF OU
06/08/2017
$5,748
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
037-308
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:
037-308
Name and Address
(A)
Region 4 Activity Fund 680 Barclay Blvd
Lincolnshire IL 60069
Type or Classification
(B)
UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$22,000
Total
Non-Itemized Transactions with this Payee/Payer
$2,000
Total of All Transactions with this
Payee/Payer for This Schedule
$24,000
REBUILDING OF PAT GREATHO
10/13/2017
$22,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
037-308
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:
037-308
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:
037-308
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$2,268
Workers Compension Insurance
Ludovissy & Associate Insurance Company
$150
Workers Compension Insurance
Society Insurance
$1,555
Retirement Savings(401K etc)Employer
American Funds
$563
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
037-308
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 15: Local Union 94 gave 1104 Shirts to members at $15.00 a piece totaling $16,560.00
Local Union 94 gave away 54 Catholic bibles to members valued at $36.50 a piece totaling $1971.00
Statement A,
Cash Begin Total: Line 22 was increased by $430 due to voided checks from the year before
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.