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:
09-30-2021
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
034-229
2.
PERIOD COVERED
From
01/01/2018
Through
12/31/2018
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
1250
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
JACK
Last Name
FEDERAN
P.O Box - Building and Room Number
Number and Street
17250 HUMMEL RD.
City
BROOK PARK
State
OH
ZIP Code + 4
441422134
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:
MARK E PAYNE
PRESIDENT
71. SIGNED:
JACK FEDERAN
TREASURER
Date:
Mar 12, 2019
Telephone
Number:
216-367-3128
Date:
Mar 12, 2019
Telephone
Number:
216-267-9900
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
034-229
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?
$220,000
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
No
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?
1,451
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 hours straight time pay
per
month
0
0
(b) Working Dues/Fees
0
per
0
0
0
(c) Initiation Fees
$50
per
one time
0
0
(d) Transfer Fees
0
per
0
0
0
(e) Work Permits
0
per
0
0
0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
034-229
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$467,182
$533,452
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
$768,946
$768,946
28. Other Assets
7
$1,338
$4,572
29.
TOTAL ASSETS
$1,237,466
$1,306,970
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$72,170
$68,152
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$9,326
$10,724
34. TOTAL
LIABILITIES
$81,496
$78,876
35. NET
ASSETS
$1,155,970
$1,228,094
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
034-229
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,525,968
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$0
39. Sale of Supplies
$576
40. Interest
$584
41. Dividends
$0
42. Rents
$65,885
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
$410
48. Other Receipts
14
$136,195
49. TOTAL RECEIPTS
$1,729,618
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$216,363
51.
Political Activities and Lobbying
16
$5,235
52.
Contributions, Gifts, and Grants
17
$2,795
53. General
Overhead
18
$57,778
54. Union
Administration
19
$331,044
55. Benefits
20
$44,040
56. Per
Capita Tax
$949,323
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$5,216
60. Purchase
of Investments and Fixed Assets
4
$0
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
$410
65. Direct
Taxes
$48,591
66. Subtotal
$1,660,795
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$103,465
67b. Less Total
Disbursed
$106,018
67c.
Total Withheld But Not Disbursed
-$2,553
68.
TOTAL DISBURSEMENTS
$1,663,348
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
034-229
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:
034-229
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:
034-229
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:
034-229
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:
034-229
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:
034-229
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
17250 Hummel Road Brookpark, OH 44142
$65,280
$65,280
$65,280
B.
Buildings (give location)
Building
1
:
17250 Hummel Road Brookpark, OH 44142
$305,889
$0
$305,889
$305,889
C. Automobiles
and
Other Vehicles
$0
$0
$0
$0
D. Office
Furniture
and Equipment
$332,946
$0
$332,946
$332,946
E.
Other Fixed Assets
$64,831
$0
$64,831
$64,831
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$768,946
$0
$768,946
$768,946
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
034-229
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$4,572
282 Veterans Hats @ $16 each
$4,512
6 T-shirts Women's Committee @10 each
$60
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
034-229
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
$68,152
$0
$0
$0
Total from all other accounts payable
$0
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$68,152
$0
$0
$0
Utilities
$2,319
$0
$0
$0
Per Capita Taxes
$64,036
$0
$0
$0
Telephone
$1,797
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
034-229
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:
034-229
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$10,724
Federal Taxes Fwd
$3,784
FICA Employee Fwd
$2,386
State Income Taxes Fwd
$850
Local Income Taxes Fwd
$445
Wage Withholding Fwd
$457
Union Dues Fwd
$128
FICA Employer Fwd
$2,386
Unemployment Taxes Federal
$152
Unemployment States Taxes
$136
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
034-229
(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
Buchan
,
Douglas
Vice President N
$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
Cullen
,
Mark
P Trustee C
$1,882
$378
$0
$0
$2,260
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
Federan
,
Jack
S Financial Secretary C
$93,645
$16,559
$0
$0
$110,204
I
Schedule 15
Representational Activities
11
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
89
%
A
B
C
Fields-Jr
,
Robert
E E Brd At Large C
$920
$102
$0
$0
$1,022
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
Mc Cann
,
Frederick
J Guide N
$4,123
$668
$2,249
$0
$7,040
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
Milchak
,
Daniel
J Trustee N
$2,742
$551
$500
$0
$3,793
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
Montelone
,
Michael
J Sergeant At Arms N
$644
$80
$0
$0
$724
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
Moore
,
Tommie
L E Brd At Large C
$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
Payne
,
Mark
E President C
$4,502
$728
$4,815
$0
$10,045
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
Peterson
,
Leonard
R Retiree Chairman N
$300
$2,190
$48
$0
$2,538
I
Schedule 15
Representational Activities
99
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
1
%
Schedule 19
Administration
0
%
A
B
C
Ropelewski
,
John
T Trustee C
$3,207
$423
$48
$0
$3,678
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
Virden-Jr
,
Henry
E Brd At Large C
$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
Wright
,
Beth
A Recording Secretary N
$15,156
$1,620
$0
$0
$16,776
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
%
Total Officer
Disbursements
$127,121
$23,299
$7,660
$0
$158,080
Less Deductions
$49,036
Net
Disbursements
$109,044
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
034-229
(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
McIntyre Jr
,
William
M NA NA
$11,755
$0
$0
$0
$11,755
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
100
%
Schedule 19
Administration
0
%
A
B
C
Medina
,
Theresa
Office Manager NA
$68,307
$0
$0
$0
$68,307
I
Schedule 15
Representational Activities
31
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
69
%
A
B
C
Price
,
Cynthia
K Spec Assign'd B NA
$53,194
$0
$0
$0
$53,194
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
Szucs
,
Leslie
NA NA
$12,080
$0
$0
$0
$12,080
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
100
%
Schedule 19
Administration
0
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$53,188
$7,883
$12,205
$0
$73,276
I
Schedule 15
Representational Activities
24
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
24
%
Schedule 19
Administration
52
%
Total
Employee Disbursements
$198,524
$7,883
$12,205
$0
$218,612
Less
Deductions
$54,429
Net Disbursements
$164,183
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
034-229
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
1,451
Agency Fee Payers*
Total Members/Fee Payers
1,451
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
1,451
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
034-229
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$62,678
2. Named Payer
Non-itemized Receipts
$60,019
3. All Other Receipts
$13,498
4. Total
Receipts
$136,195
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
$2,795
6. Total
Disbursements
$2,795
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$6,500
2. Named Payee
Non-itemized Disbursements
$52,679
3. To Officers
$14,635
4. To Employees
$91,955
5. All Other
Disbursements
$50,594
6. Total
Disbursements
$216,363
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$25
4. To Employees
$41,421
5. All Other
Disbursements
$16,332
6. Total
Disbursements
$57,778
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
$5,235
6. Total
Disbursements
$5,235
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$5,308
2. Named Payee
Non-itemized Disbursements
$42,308
3. To Officers
$143,420
4. To Employees
$85,236
5. All Other
Disbursements
$54,772
6. Total
Disbursements
$331,044
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
034-229
Name and Address
(A)
International Union Uaw P O Box 77000
Detroit MI 48277-1277
Type or Classification
(B)
Union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$24,563
Total
Non-Itemized Transactions with this Payee/Payer
$131
Total of All Transactions with this
Payee/Payer for This Schedule
$24,694
PCT REBATE 13TH CHECK; CH
05/01/2018
$24,563
Name and Address
(A)
Recreation Committee 17250 Hummel Rd
Brook Park OH 44142
Type or Classification
(B)
Union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$15,507
Total of All Transactions with this
Payee/Payer for This Schedule
$15,507
Name and Address
(A)
Uaw-Ford National Programs 151 W. JEFFERSON AVENUE
Detroit MI 48226
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$38,115
Total
Non-Itemized Transactions with this Payee/Payer
$44,381
Total of All Transactions with this
Payee/Payer for This Schedule
$82,496
REIMB FOR C. PRICE PAY 12
02/08/2018
$5,917
REIMB FOR C. PRICE PAY 03
04/19/2018
$5,917
REIMB FOR C. PRICE PAY 05
06/18/2018
$5,013
REIMB FOR C. PRICE PAY 06
09/04/2018
$5,106
REIMB FOR C. PRICE PAY 08
09/17/2018
$5,616
REIMB FOR RAMP BLDG PROJ-
09/24/2018
$5,440
REIMB FOR C. PRICE PAY &
12/07/2018
$5,106
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
034-229
Name and Address
(A)
Blue Ribbon Catering 50 N Prospect St
Norwalk OH 44857
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$19,828
Total of All Transactions with this
Payee/Payer for This Schedule
$19,828
Name and Address
(A)
DCT TELECOM GROUP INC 27877 CLEMENS ROAD
Westlake OH 44145
Type or Classification
(B)
TELECOM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,323
Total of All Transactions with this
Payee/Payer for This Schedule
$7,323
Name and Address
(A)
Golf Incorporated 1316 Mudbrook Rd
Huron OH 44839
Type or Classification
(B)
Recreation
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,500
Total
Non-Itemized Transactions with this Payee/Payer
$1,060
Total of All Transactions with this
Payee/Payer for This Schedule
$7,560
June 3 2018 Golf Outing
06/01/2018
$6,500
Name and Address
(A)
Jason Vessey 1204 Sprowl Rd
Huron OH 44839
Type or Classification
(B)
Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,879
Total of All Transactions with this
Payee/Payer for This Schedule
$7,879
Name and Address
(A)
John Ropelewski 37236 Sugar Creek Lane
North Ridgeville OH 44039
Type or Classification
(B)
Recreation Events
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$10,053
Total of All Transactions with this
Payee/Payer for This Schedule
$10,053
Name and Address
(A)
The Illuminating Company P O Box 3638
Akron OH 44309-3638
Type or Classification
(B)
Electric Distributor
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,536
Total of All Transactions with this
Payee/Payer for This Schedule
$6,536
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
034-229
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:
034-229
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:
034-229
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:
034-229
Name and Address
(A)
DCT TELECOM GROUP INC 27877 CLEMENS ROAD
Westlake OH 44145
Type or Classification
(B)
TELECOM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$12,271
Total of All Transactions with this
Payee/Payer for This Schedule
$12,271
Name and Address
(A)
Jason Vessey 1204 Sprowl Rd
Huron OH 44839
Type or Classification
(B)
Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$13,199
Total of All Transactions with this
Payee/Payer for This Schedule
$13,199
Name and Address
(A)
M.J. Griffith Paving Inc. 4570 French Creek Rd
Sheffield Lake OH 44054
Type or Classification
(B)
PAVING LOT COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,308
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,308
18-27916
08/30/2018
$5,308
Name and Address
(A)
Roberts Custom Software 3667 1st Street
East Moline IL 61244
Type or Classification
(B)
Software Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,887
Total of All Transactions with this
Payee/Payer for This Schedule
$5,887
Name and Address
(A)
The Illuminating Company P O Box 3638
Akron OH 44309-3638
Type or Classification
(B)
Electric Distributor
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$10,951
Total of All Transactions with this
Payee/Payer for This Schedule
$10,951
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
034-229
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$44,040
Dental/Hearing/Medical/Vision Insurance
Cose/Medical Mutual Health Program
$15,382
Dental/Hearing/Medical/Vision Insurance
Diane Andrasak
$9,852
Dental/Hearing/Medical/Vision Insurance
Health Benefit Fund 1794
$3,087
Dental/Hearing/Medical/Vision Insurance
Theresa Medina
$1,000
Dental/Hearing/Medical/Vision Insurance
Theresa Medina
$3,250
Workers Compension Insurance
Minute Men Hr Management Services
$126
Workers Compension Insurance
Ohio Bureau Of Workers Compensation
$491
Pension Allocations
National Integrated Group Pension Plan
$6,752
Retirement Savings(401K etc)Employer
Theresa Medina
$4,100
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
034-229
Question 10: Operations of the Building Corporation are handled through the books of the Local Union and are therefore included in this report.
Question 11(b): Operations of the Building Corporation are handled through the books of the Local Union and are therefore included in this report.
Schedule 8, Row1:
Schedule 8, Row1:
Schedule 8, Row2:
Schedule 8, Row2:
Schedule 8, Row3:
Schedule 8, Row3:
Schedule 13, Row1:
Schedule 13, Row1::Anyone who applied for and been accepted for membership is a regular member. Regular members pay full dues.