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
542-914
2. PERIOD COVERED
From01/01/2018
Through12/31/2018
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
3047
7. UNIT NAME (if any)

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

Number and Street
430 VILLAGE DRIVE
City
ELIZABETHTOWN
State
KY		 ZIP Code + 4
42701


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:Randy J MaddenPRESIDENT71. SIGNED:Shirley H BennettFinancial Secretary
Date:Mar 26, 2019Telephone Number:270-763-0668Date:Mar 26, 2019Telephone Number:270-763-0668
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 542-914
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?$146,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?06/2021
20. How many members did the labor organization have at the end of the reporting period?1,375
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.5 Hours of straight time payperMonth00
(b) Working Dues/Fees0per000
(c) Initiation Fees10.00perOne Time00
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 542-914

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $473,997$644,265
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$6,252$7,467
28. Other Assets7$1,989$2,534
29. TOTAL ASSETS $482,238$654,266

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$335$44,381
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$728$1,450
34. TOTAL LIABILITIES $1,063$45,831
35. NET ASSETS$481,175$608,435
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 542-914

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $935,705
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $2,170
39. Sale of Supplies $9,406
40. Interest $0
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$20,094
49. TOTAL RECEIPTS $967,375
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$133,480
51. Political Activities and Lobbying16$1,653
52. Contributions, Gifts, and Grants17$20,209
53. General Overhead18$2,095
54. Union Administration19$68,584
55. Benefits20$889
56. Per Capita Tax $547,640
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $14,515
60. Purchase of Investments and Fixed Assets4$1,217
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $7,206
  
66. Subtotal $797,488
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$16,659  
  67b. Less Total Disbursed$16,278  
  67c. Total Withheld But Not Disbursed $381
68. TOTAL DISBURSEMENTS $797,107
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 542-914

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$0$0$0$0
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: 542-914

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A) 		Loans
Outstanding at
Start of Period
(B) 		Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1) 		Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 45 Item 69
with Explanation 		Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 542-914

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: 542-914

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$1,217$1,217$1,217
Zerox Printer for Union Hall$801$801$801
Laptop Computer for New President (Randy Madden)$416$416$416
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$1,217
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 542-914

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: 542-914

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$7,467$7,467$7,467
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $7,467$0$7,467$7,467
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 542-914

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $2,534
Small,med,lg and xl short sleev t-shirts 73@ $9.00$657
2X short sl. t-shirts 32@ $11.5$368
4XL S/S 9 @$14.00$126
All sizes Hoodies 17 @ $37.00$629
Veteran Shirts 20 @ $15.00$300
Breast Cancer Shirt 1 @ $12.00$12
Long Sleeve 11@ $10.50$116
Long Sleeve 24@ $13.00$312
Long Sleeve 4XL 1 @ $14.00$14
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 542-914

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$44,381$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $44,381$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 542-914

Source of Loans Payable at Any
Time During the Reporting Period
(A) 		Loans Owed at
Start of Period
(B) 		Loans Obtained
During Period
(C) 		Repayment
During Period
Cash
(D)(1) 		Repayment
During Period
Other Than Cash
(D)(2) 		Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C) 		Item 44Item 62 Item 69
with Explanation 		Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 542-914

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,450
Federal Income Taxes (941) Forward$178
FICA-Employee OASDI and HI Forward$398
State Income Taxes Forward$129
City Income Taxes Forward$148
FICA Employer OASDI and HI(941)$398
Unemployment Taxes Federal (940)$130
Unemployment Taxes State$69
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 542-914

(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 		Bale ,  Jerry   D
Trustee
C		$5,479$243$2,708$0$8,430
I
Schedule 15
Representational Activities 		65 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		34 %
A
B
C 		Bennett ,  Shirley   A
Financial Secretary
C		$8,434$1,330$3,001$0$12,765
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		24 %
A
B
C 		Blaylock ,  William   R
Guide
N		$827$0$0$0$827
I
Schedule 15
Representational Activities 		46 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		53 %
A
B
C 		Coates ,  William  
Guide
P		$4,699$0$2,668$0$7,367
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		49 %
A
B
C 		Davis ,  James   E
Trustee
C		$6,149$73$1,115$0$7,337
I
Schedule 15
Representational Activities 		50 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		49 %
A
B
C 		Duvall ,  James   R
President
P		$3,786$960$1,822$0$6,568
I
Schedule 15
Representational Activities 		88 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		11 %
A
B
C 		Henderson ,  Rick   A
Vice President
C		$3,904$1,179$546$0$5,629
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		19 %
A
B
C 		Madden ,  Randy   J
President
N		$1,822$500$343$0$2,665
I
Schedule 15
Representational Activities 		77 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		22 %
A
B
C 		Parr ,  Gary  
Skilled Trades Rep
C		$8,083$1,401$2,556$0$12,040
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		18 %
A
B
C 		Shockency ,  Robert  
Trustee
C		$6,220$262$3,368$0$9,850
I
Schedule 15
Representational Activities 		17 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		82 %
A
B
C 		Thompson ,  Glyn  
Sargeant At Arms
C		$2,065$0$0$0$2,065
I
Schedule 15
Representational Activities 		30 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		69 %
A
B
C 		Wietecha ,  Thomas  
Recording Secretary
C		$7,490$1,321$4,729$0$13,540
I
Schedule 15
Representational Activities 		83 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		16 %
Total Officer Disbursements$58,958$7,269$22,856$0$89,083
Less Deductions    $13,432
Net Disbursements    $75,651
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 542-914

(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$19,463$4,855$24,318
I Schedule 15
Representational Activities 		73 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		25 %
Total Employee Disbursements$19,463$0$4,855$0$24,318
Less Deductions    $3,227
Net Disbursements    $21,091
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 542-914

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 1,375 
Agency Fee Payers*0
Total Members/Fee Payers1,375 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members1,375Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 542-914

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$12,969
2. Named Payer Non-itemized Receipts$20
3. All Other Receipts$7,105
4. Total Receipts$20,094
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$13,550
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$6,659
6. Total Disbursements$20,209
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$20,782
2. Named Payee Non-itemized Disbursements$3,070
3. To Officers$58,287
4. To Employees$17,752
5. All Other Disbursements$33,589
6. Total Disbursements$133,480
SCHEDULE 18   GENERAL OVERHEAD
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$2,095
6. Total Disbursements$2,095
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,012
4. To Employees$486
5. All Other Disbursements$155
6. Total Disbursements$1,653
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$6,722
2. Named Payee Non-itemized Disbursements$15,102
3. To Officers$29,786
4. To Employees$6,080
5. All Other Disbursements$10,894
6. Total Disbursements$68,584
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 542-914

Name and Address
(A)
International Union Union-UAW

8000 East Jefferson Ave.
Detroit
MI
48214
Type or Classification
(B)
Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,969
Total Non-Itemized Transactions with this Payee/Payer$20
Total of All Transactions with this Payee/Payer for This Schedule$12,989
13th PCT Rebate Check04/27/2018$12,969
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 542-914

Name and Address
(A)
Paroquet Springs Conference Center UAW Christmas P

395 Paroquet Springs Dr
Sheperdsville
KY
40165
Type or Classification
(B)
Conference Center
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,182
Total Non-Itemized Transactions with this Payee/Payer$520
Total of All Transactions with this Payee/Payer for This Schedule$15,702
UAW Christmas Party12/08/2018$15,182
Name and Address
(A)
UAW Region 8

151 Maddox Simpson Parkway
Lebanon
TN
37090
Type or Classification
(B)
Region 8 Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,600
Total Non-Itemized Transactions with this Payee/Payer$2,550
Total of All Transactions with this Payee/Payer for This Schedule$8,150
Registration for Summer School06/21/2018$5,600
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 542-914

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 542-914

Name and Address
(A)
Susan G Komen
PO Box 650309

Dallas
TX
75265-0309
Type or Classification
(B)
Charity
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,550
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$8,550
Contribution to Breast Cancer Research05/15/2018$8,550
Name and Address
(A)
Veterans Tribute Group
2573

Elizabethtown
KY
42701
Type or Classification
(B)
501(c) (3) Charity
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
Contribution through Membership Action 05/15/2018$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 542-914

There was no data found for this schedule.

SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 542-914

Name and Address
(A)
Buena Vista Conference Center Hotel

1900 East Buena Vista Dr
Orlando
KY
40165
Type or Classification
(B)
Hotel and Conference Center
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,722
Total Non-Itemized Transactions with this Payee/Payer$1,478
Total of All Transactions with this Payee/Payer for This Schedule$8,200
Foc Conference LM2 & 990 Training03/18/2018$6,722
Name and Address
(A)
Greektown Casino Hotel

1200 ST. Antoine St.
Detroit
MI
48226
Type or Classification
(B)
Hotel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,599
Total of All Transactions with this Payee/Payer for This Schedule$5,599
Name and Address
(A)
International Union Union-UAW

8000 East Jefferson Ave.
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$8,025
Total of All Transactions with this Payee/Payer for This Schedule$8,025
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 542-914

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$889
Workers Compensation InsuranceThe Hartford Insurance Co.$889
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 542-914
Address of Record:

Page 1 Line 9-The records for the Local are kept at the Union Hall, 478 South Mulberry St., Elizabethtown,Ky. 42701Item 71 Title: Line 71 page 1: The Financial Secretary is responsible for filing and signing this document.

Question 15:

Page 2 -The Local gives away t-shirts at the monthly membership meetings. We have 3 meetings and give 2 members t-shirts at each meeting for a total of 6 shirts at an average cost of $10, 12 meetings $1080. We also give free shirts to new members when they attend their 1st meeting and are sworn in. There were also some old computers that we had destroyed and thrown away out of the inventory. The value of these items totaled $1902. The hard drives of the computers were destroyed.The local gave away retiree jackets to our new retirees. We had 14 retirees at and average cost of $80. We also send flowers in leiu of giving bibles when our members have a close relative pass. The cost of these flowers average $70. The total cost is $2658.

Statement A,

Cash Begin Total: : STATEMENT 22(A).: Does not equal amount shown in previous year's item 22(B) due to $67 worth of checks written in prior year, being voided in this reporting period.

Schedule 13, Row1:

Schedule 13, Row1:::

Schedule 13 Row 1: Regular Members pay full dues. Anyone who has applied and been accepted for membership is a regular member.

Schedule 13, Row1:

Schedule 13, Row1:::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)