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
513-952
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
2164
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
CONNIE
Last Name
WARREN
P.O Box - Building and Room Number
P. O. Box 51082
Number and Street
712 Plum Springs Loop
City
BOWLING GREEN
State
KY
ZIP Code + 4
42101
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:
Monica J Williams
PRESIDENT
71. SIGNED:
Connie G Warren
TREASURER
Date:
Mar 28, 2018
Telephone
Number:
270-782-2164
Date:
Mar 27, 2018
Telephone
Number:
270-782-2164
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
513-952
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?
$104,000
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
Yes
16. Were any of the labor organization's
assets pledged as security or encumbered in any way at the
end of the reporting period?
No
17. Did the labor organization have any
contingent liabilities at the end of the reporting period?
No
18. During the reporting period did the labor
organization have any changes in its constitution or
bylaws, other than rates of dues and fees, or in
practices/procedures listed in the instructions?
Yes
19. What is the date of the labor
organization's next regular election of officers?
05/2018
20. How many members did the labor organization
have at the end of the reporting period?
760
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
N/A
(c) Initiation Fees
20.00
per
One Time
N/A
N/A
(d) Transfer Fees
N/A
per
N/A
N/A
N/A
(e) Work Permits
N/A
per
N/A
N/A
N/A
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
513-952
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$184,757
$199,692
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
$916,244
$830,000
28. Other Assets
7
$1,635
$2,119
29.
TOTAL ASSETS
$1,102,636
$1,031,811
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$37,092
$36,119
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$2,826
$1,982
34. TOTAL
LIABILITIES
$39,918
$38,101
35. NET
ASSETS
$1,062,718
$993,710
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
513-952
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$697,696
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$1,800
39. Sale of Supplies
$10,247
40. Interest
$455
41. Dividends
$0
42. Rents
$58,295
43. Sale of Investments
and Fixed Assets
3
$300
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
$0
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$2,652
48. Other Receipts
14
$64,059
49. TOTAL RECEIPTS
$835,504
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$40,988
51.
Political Activities and Lobbying
16
$4,152
52.
Contributions, Gifts, and Grants
17
$2,652
53. General
Overhead
18
$21,764
54. Union
Administration
19
$270,875
55. Benefits
20
$2,144
56. Per
Capita Tax
$439,612
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$8,403
60. Purchase
of Investments and Fixed Assets
4
$4,762
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
$2,854
65. Direct
Taxes
$22,042
66. Subtotal
$820,248
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$37,210
67b. Less Total
Disbursed
$37,531
67c.
Total Withheld But Not Disbursed
-$321
68.
TOTAL DISBURSEMENTS
$820,569
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
513-952
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:
513-952
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:
513-952
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
$1,545
$1,545
$300
$300
Sold Blue Air Cooler Refrigerator
$1,545
$1,545
$300
$300
Less Reinvestments
$0
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$300
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
513-952
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$4,762
$4,762
$4,762
GE Gas Double Oven
$1,808
$1,808
$1,808
Troy Bilt XP 700W Generator
$805
$805
$805
Two Door 48" Sliding Glass Reach in Refrigertor
$2,149
$2,149
$2,149
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$4,762
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
513-952
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:
513-952
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
712 Plum Springs Loop
$60,000
$60,000
$60,000
Land
2
:
712 Plum Springs Loop
$60,000
$60,000
$60,000
B.
Buildings (give location)
Building
1
:
712 Plum Springs Loop
$710,000
$710,000
$710,000
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$830,000
$0
$830,000
$830,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
513-952
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$2,119
Bibles (20)@ $21.50
$430
T-Shirts (74)@ $11.34
$839
Warren County Water Deposit
$550
Warren Rural Electric Coop-Electric
$300
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
513-952
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
$36,119
$0
$0
$36,119
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$36,119
$0
$0
$36,119
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
513-952
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:
513-952
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$1,982
Federal Income Taxes (941) Forward
$472
FICA-Employee OASDI and HI Forward
$323
State Income Taxes Forward
$222
City Income Taxes Forward
$115
County Income Taxes Forward
$111
FICA Employer OASDI and (941)
$323
Unemployment Taxes Federal (940)
$84
Unemployment Taxes State
$332
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
513-952
(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
Bowers
,
Jack
L Vice President C
$4,560
$0
$362
$0
$4,922
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
16
%
Schedule 19
Administration
84
%
A
B
C
Brown
,
Sondra
M Guide P
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
Gregory
,
Jimmie
D Retiree Chairperson C
$0
$0
$2,565
$0
$2,565
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
27
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
35
%
Schedule 19
Administration
38
%
A
B
C
Hall
,
Reginald
D Sgt.-At-Arms C
$3,971
$0
$312
$0
$4,283
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
Hancock
,
Pamela
J Voith-Shop Chairpman C
$1,120
$600
$304
$0
$2,024
I
Schedule 15
Representational Activities
98
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
1
%
A
B
C
Johnson
,
Cynthia
L Trustee C
$7,185
$0
$1,045
$0
$8,230
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
95
%
A
B
C
Medina
,
Christie
M Recording Secretary C
$6,495
$480
$504
$0
$7,479
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
7
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
9
%
Schedule 19
Administration
84
%
A
B
C
Myers
,
Michael
H Trustee C
$1,903
$0
$4
$0
$1,907
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
O'Leary
,
Michael
J Trustee C
$3,839
$0
$716
$0
$4,555
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
Warren
,
Connie
G Financial-Secretary C
$34,621
$1,200
$573
$0
$36,394
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
3
%
Schedule 19
Administration
97
%
A
B
C
Williams
,
Monica
J President C
$6,874
$1,200
$4,083
$0
$12,157
I
Schedule 15
Representational Activities
61
%
Schedule 16
Political Activities and Lobbying
2
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
13
%
Schedule 19
Administration
24
%
A
B
C
Wydner
,
Jeffrey
D Shop Chairperson C
$5,550
$600
$2,473
$0
$8,623
I
Schedule 15
Representational Activities
97
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
1
%
Schedule 19
Administration
1
%
Total Officer
Disbursements
$76,118
$4,080
$12,941
$0
$93,139
Less Deductions
$19,989
Net
Disbursements
$73,150
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
513-952
(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
Thompson
,
Risa
G Office Assistant NA
$12,219
$0
$46
$0
$12,265
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
1
%
Schedule 19
Administration
99
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$48,621
$14,419
$63,040
I
Schedule 15
Representational Activities
13
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
3
%
Schedule 19
Administration
80
%
Total
Employee Disbursements
$60,840
$0
$14,465
$0
$75,305
Less
Deductions
$17,222
Net Disbursements
$58,083
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
513-952
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
760
Agency Fee Payers*
Total Members/Fee Payers
760
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
760
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
513-952
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$28,331
2. Named Payer
Non-itemized Receipts
$5,351
3. All Other Receipts
$30,377
4. Total
Receipts
$64,059
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
$2,652
6. Total
Disbursements
$2,652
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$17,764
4. To Employees
$8,195
5. All Other
Disbursements
$15,029
6. Total
Disbursements
$40,988
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$5,529
4. To Employees
$2,014
5. All Other
Disbursements
$14,221
6. Total
Disbursements
$21,764
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$1,566
4. To Employees
$2,522
5. All Other
Disbursements
$64
6. Total
Disbursements
$4,152
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$19,064
2. Named Payee
Non-itemized Disbursements
$32,657
3. To Officers
$68,281
4. To Employees
$62,574
5. All Other
Disbursements
$88,299
6. Total
Disbursements
$270,875
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
513-952
Name and Address
(A)
CLASSIC CAR CHARITY 712 Plum Springs Loop
Bowling Green KY 42101
Type or Classification
(B)
charity
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$20,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$20,000
DONATION-GIFT SHOP
02/06/2017
$12,000
TOUR ROOM SALES
12/13/2017
$8,000
Name and Address
(A)
International Union UAW 8000 East Jefferson Ave
Detroit MI 48214-3963
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,331
Total
Non-Itemized Transactions with this Payee/Payer
$350
Total of All Transactions with this
Payee/Payer for This Schedule
$8,681
13TH REBATE CK
04/30/2017
$8,331
Name and Address
(A)
UBE Inc. 2000 Maxon Rd.
Onaway MI 49765
Type or Classification
(B)
Travel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,001
Total of All Transactions with this
Payee/Payer for This Schedule
$5,001
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
513-952
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 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
513-952
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:
513-952
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:
513-952
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:
513-952
Name and Address
(A)
Delta Airlines 955 Airport Service Rd.
Nashville TN 37214
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,916
Total of All Transactions with this
Payee/Payer for This Schedule
$5,916
Name and Address
(A)
HAMPTON INN & SUITES 400 Chestnut Street
Chattanooga TN 37402
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,152
Total
Non-Itemized Transactions with this Payee/Payer
$8,222
Total of All Transactions with this
Payee/Payer for This Schedule
$15,374
UAW Retiree's Trip to Cha
07/12/2017
$7,152
Name and Address
(A)
Kevin Thompson 363 Heritage Avenue
Bowling Green KY 42104
Type or Classification
(B)
Lawn Care
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,357
Total of All Transactions with this
Payee/Payer for This Schedule
$5,357
Name and Address
(A)
Roberts Custom Software Inc. 3667 1st Street
East Moline IL 61244
Type or Classification
(B)
Uaw Software
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,300
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$6,300
FIN. SOFTWARE 1/1/17-6/30
02/20/2017
$6,300
Name and Address
(A)
Tsi/Usa 8111 Lbj Freeway Suite900
Dallas TX 75251
Type or Classification
(B)
Travel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,474
Total of All Transactions with this
Payee/Payer for This Schedule
$5,474
Name and Address
(A)
Union Insurance Group 303 West Erie Street
Chicago IL 60654
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,612
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,612
PROPERTY LIABILITY INS
08/28/2017
$5,612
Name and Address
(A)
Warren Rural Electric Cooperative Corporation P.O. Box 3200
Hopkinsville KY 42241-3200
Type or Classification
(B)
Electric Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,688
Total of All Transactions with this
Payee/Payer for This Schedule
$7,688
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
513-952
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$2,144
Workers Compension Insurance
The Hartford
$2,144
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
513-952
Question 10: The Local Union 2164 owns 712 Plum Springs Loop, Bowling Green,Ky. 42101 The Primary purpose of the Building Union Hall is to provide benefits for the members of such Labor Organization or their beneficiaries.
Question 11(b):
Question 11(b): Operations of the Building Corporation are handled through the books and records of the Local Union and are therefore included in this report.
Question 15: Give away (50) Bibles to Active & Retired members when death in family! Total cost value= $1,100.00
Question 18: New By-Laws see attachment.
Schedule 13, Row1:
Schedule 13, Row1:
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.