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
545-101
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
2213
7. UNIT NAME (if any)
PROFESSIONAL REGISTERED NURSES
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
SUSAN
Last Name
PRATT
P.O Box - Building and Room Number
P O BOX 9536
Number and Street
City
TOLEDO
State
OH
ZIP Code + 4
43697
9. Are your organization's records kept at its
mailing address?
No
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:
Susan Pratt
PRESIDENT
71. SIGNED:
Erin M Lyons
TREASURER
Date:
Mar 28, 2018
Telephone
Number:
419-251-2098
Date:
Mar 28, 2018
Telephone
Number:
419-251-2098
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
545-101
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?
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?
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?
$100,000
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?
05/2019
20. How many members did the labor organization
have at the end of the reporting period?
1,668
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
0
0
(b) Working Dues/Fees
N/A
per
N/A
N/A
(c) Initiation Fees
$50.00
per
one time
N/A
N/A
(d) Transfer Fees
N/A
per
N/A
N/A
(e) Work Permits
N/A
per
N/A
N/A
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
545-101
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$185,793
$217,018
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
$35,824
$38,114
28. Other Assets
7
$18,661
$28,790
29.
TOTAL ASSETS
$240,278
$283,922
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$31,830
$30,912
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$2,086
$1,788
34. TOTAL
LIABILITIES
$33,916
$32,700
35. NET
ASSETS
$206,362
$251,222
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
545-101
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$650,126
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$3,625
39. Sale of Supplies
$0
40. Interest
$0
41. Dividends
$0
42. Rents
$549
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
$17,473
49. TOTAL RECEIPTS
$671,773
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$173,921
51.
Political Activities and Lobbying
16
$21,790
52.
Contributions, Gifts, and Grants
17
$2,000
53. General
Overhead
18
$19,037
54. Union
Administration
19
$9,756
55. Benefits
20
$115
56. Per
Capita Tax
$404,658
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$581
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$2,289
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
$6,366
66. Subtotal
$640,513
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$14,329
67b. Less Total
Disbursed
$14,364
67c.
Total Withheld But Not Disbursed
-$35
68.
TOTAL DISBURSEMENTS
$640,548
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
545-101
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:
545-101
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:
545-101
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:
545-101
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$2,289
$2,289
$2,289
Retractable banner
$429
$429
$429
Retractable banner
$429
$429
$429
Keyboard
$45
$45
$45
Filing Cabinet
$257
$257
$257
Filing Cabinet
$257
$257
$257
Desktop computer
$280
$280
$280
Printer
$100
$100
$100
Freezer
$492
$492
$492
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$2,289
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
545-101
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:
545-101
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
D. Office
Furniture
and Equipment
$38,114
$38,114
$38,114
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$38,114
$0
$38,114
$38,114
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
545-101
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$28,790
17 watches at $85.00 each
$1,445
609 mugs at $8.25 each
$5,024
247 adult t shirts at $15.00 each
$3,705
48 adult t shirts at $8.95 each
$430
99 adult t-shirts at $7.00 each
$693
1223 kids t-shirts at $8.45 each
$10,334
100 water bottles at $8.00 each
$800
38 ladies watches at $36.00 each
$1,368
10 mens watches at $38.00 each
$380
141 adult t shirts a $7.95 each
$1,121
218 kids t shirts at $6.12 each
$1,334
154 long sleeve adult t shirts at $14.00 each
$2,156
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
545-101
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
$30,912
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$30,912
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
545-101
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:
545-101
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$1,788
Federal Income Taxes (941) Forward
$362
FICA-Employee OASDI and HI Forward
$256
State Income Taxes Forward
$242
City Income Taxes Forward
$296
FICA Employer OASDI and HI (941)
$256
Unemployment Taxes Federal (940)
$235
Unemployment Taxes State
$141
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
545-101
(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
Arvay
,
Mary
R Sgt at Arms C
$852
$900
$231
$0
$1,983
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
Guess
,
Suzanne
M Trustee C
$0
$900
$0
$0
$900
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
Lyons
,
Erin
M Financial Secretary C
$2,027
$10,400
$4,416
$0
$16,843
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
Masserant
,
Charlotte
M Chief Trustee C
$320
$400
$0
$0
$720
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
Maxcy
,
Sharon
S Recording Secretary C
$4,245
$1,100
$1,432
$0
$6,777
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
McDonald
,
Latonya
Vice President C
$3,456
$1,000
$683
$0
$5,139
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
Pratt
,
Susan
A President C
$17,425
$5,200
$12,603
$0
$35,228
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
Sopko
,
Anthony
J Board Member at Larg C
$1,298
$900
$886
$0
$3,084
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
Szymanski
,
Lisa
M Trustee C
$0
$1,000
$0
$0
$1,000
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
Walerius
,
Patricia
M Guide C
$0
$800
$0
$0
$800
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
%
Total Officer
Disbursements
$29,623
$22,600
$20,251
$0
$72,474
Less Deductions
$13,089
Net
Disbursements
$59,385
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
545-101
(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
$5,397
$2,550
$1,005
$0
$8,952
I
Schedule 15
Representational Activities
37
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
63
%
Schedule 19
Administration
0
%
Total
Employee Disbursements
$5,397
$2,550
$1,005
$0
$8,952
Less
Deductions
$1,240
Net Disbursements
$7,712
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
545-101
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
1,668
Agency Fee Payers*
16
Total Members/Fee Payers
1,684
*Agency Fee Payers are
not considered members of the labor organization.
Regular members
1,668
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
545-101
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$6,508
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$10,965
4. Total
Receipts
$17,473
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
$2,000
6. Total
Disbursements
$2,000
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$15,983
2. Named Payee
Non-itemized Disbursements
$38,726
3. To Officers
$72,474
4. To Employees
$3,312
5. All Other
Disbursements
$43,426
6. Total
Disbursements
$173,921
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$5,175
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$5,640
5. All Other
Disbursements
$8,222
6. Total
Disbursements
$19,037
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$21,790
6. Total
Disbursements
$21,790
SCHEDULE 19 UNION
ADMINISTRATION
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
$9,756
6. Total
Disbursements
$9,756
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
545-101
Name and Address
(A)
Int'l Union UAW 8000 E Jefferson Ave
Detroit MI 48214
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,508
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$6,508
13th check
05/04/2017
$6,508
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
545-101
Name and Address
(A)
Dan Blank Treasurer PO Box 828
Ashtabula OH 44004-0828
Type or Classification
(B)
Union Affiliate
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,198
Total of All Transactions with this
Payee/Payer for This Schedule
$5,198
Name and Address
(A)
Impressions Specialty Advertising 8914 S Telegraph Rd
Taylor MI 48180
Type or Classification
(B)
Promotional Items
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,296
Total of All Transactions with this
Payee/Payer for This Schedule
$6,296
Name and Address
(A)
Joan Torzewski LPA 2 Maritime Plaza Third Fl
Toledo OH 43604-1805
Type or Classification
(B)
Lawyer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$8,871
Total of All Transactions with this
Payee/Payer for This Schedule
$8,871
Name and Address
(A)
Lamar Companies PO Box 96030
Baton Rouge LA 70896
Type or Classification
(B)
advertising
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,200
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,200
Billboard Ads for Nurses
05/18/2017
$5,200
Name and Address
(A)
Sunset Printing & Advertising PO Box 98
Northport NY 11768
Type or Classification
(B)
printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,544
Total
Non-Itemized Transactions with this Payee/Payer
$243
Total of All Transactions with this
Payee/Payer for This Schedule
$5,787
watches/Labor Day supplie
03/02/2017
$5,544
Name and Address
(A)
The Keystone Press Inc. P.O. Box 9183
Toledo OH 43697-9183
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,239
Total
Non-Itemized Transactions with this Payee/Payer
$1,855
Total of All Transactions with this
Payee/Payer for This Schedule
$7,094
2018 Calendars SB 55 post
10/19/2017
$5,239
Name and Address
(A)
The Toledo Blade Company PO Box 921
Toledo OH 43697
Type or Classification
(B)
Newspaper
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,351
Total of All Transactions with this
Payee/Payer for This Schedule
$6,351
Name and Address
(A)
WTOL-TV Toledo PO Box 11407
Birmingham AL 35246-1350
Type or Classification
(B)
advertising
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$9,912
Total of All Transactions with this
Payee/Payer for This Schedule
$9,912
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
545-101
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:
545-101
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:
545-101
Name and Address
(A)
Roberts Custom Software 3667 1st Street
East Moline IL 61244
Type or Classification
(B)
Software
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
Support & maintenance fee
02/24/2017
$5,175
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
545-101
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:
545-101
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$115
Workers Compension Insurance
Comp Management
$115
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
545-101
Address of Record: 2213 Cherry St Toledo OH 43608
Question 15: Local 2213 disposed of HP Photosmart printer valued @ $200
Statement A,
Cash Begin Total: Line 22A was increased 1000.00 due to voided checks from previous years.
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.