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
039-003
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
249
7. UNIT NAME (if any)

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

Number and Street
8040 NE HIGHWAY 69
City
PLEASANT VALLEY
State
MO
ZIP Code + 4
640688928


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:Jason C StarrPRESIDENT71. SIGNED:DANA DAVIDSONTREASURER
Date:Mar 28, 2019Telephone Number:816-797-0427Date:Mar 28, 2019Telephone Number:816-454-6333
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 039-003
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?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?Yes
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?$1,222,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?05/2020
20. How many members did the labor organization have at the end of the reporting period?9,227
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 hrs st + $2perALLONE RATEONE RATE
(b) Working Dues/Feesper
(c) Initiation Fees$20per
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 039-003

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $5,145,397$5,467,208
23. Accounts Receivable1$0$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$0
27. Fixed Assets6$2,983,954$2,983,954
28. Other Assets7$26,585$15,354
29. TOTAL ASSETS $8,155,936$8,466,516

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$296,514$367,826
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$24,072$23,868
34. TOTAL LIABILITIES $320,586$391,694
35. NET ASSETS$7,835,350$8,074,822
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 039-003

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $6,703,967
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $8,720
39. Sale of Supplies $42,283
40. Interest $67,144
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $61,086
48. Other Receipts14$339,815
49. TOTAL RECEIPTS $7,223,015
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,398,441
51. Political Activities and Lobbying16$181,544
52. Contributions, Gifts, and Grants17$110,488
53. General Overhead18$35,239
54. Union Administration19$515,287
55. Benefits20$298,536
56. Per Capita Tax $4,015,593
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $41,357
60. Purchase of Investments and Fixed Assets4$43,897
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $120,861
65. Direct Taxes $129,204
  
66. Subtotal $6,890,447
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$235,582  
  67b. Less Total Disbursed$246,339  
  67c. Total Withheld But Not Disbursed -$10,757
68. TOTAL DISBURSEMENTS $6,901,204
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 039-003

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: 039-003

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: 039-003

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 
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 039-003

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$43,897$43,897$43,897
POSTAGE SCALE$13$13$13
DELL MONITOR$76$76$76
PODCAST VIDEO EQUIPMENT$967$967$967
DELL COMPUTER$840$840$840
FILE CABINET$90$90$90
2-WHEELER$109$109$109
PORTABLE PA SYSTEM$184$184$184
(2) PORTABLE CANOPIES$294$294$294
CONFERENCE ROOM UPGRADES 50% DEPOSIT$10,261$10,261$10,261
CANON DIGITAL COPIER$12,123$12,123$12,123
FILE CABINET$227$227$227
DIAPER CHANGING STATIONS$306$306$306
CONFERENCE ROOM MEDIA UPGRADES$6,511$6,511$6,511
CONFERENCE ROOM-BALANCE DUE$11,896$11,896$11,896
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$43,897
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 039-003

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: 039-003

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      UAW LOCAL 249 8040 NE 69 HIGHWAY$154,504 $154,504$154,504
B. Buildings (give location)    
Building  1 :      UAW LOCAL 249 8040 NE 69 HIGHWAY$2,376,190$0$2,376,190$2,376,190
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$453,260$453,260$453,260
E. Other Fixed Assets$0$0$0$0
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $2,983,954$0$2,983,954$2,983,954
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 039-003

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $15,354
BIBLES/HATS/SHIRTS$15,354
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 039-003

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$367,826$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)) $367,826$0$0$0
UTILITIES$4,937$0$0$0
PER CAPITA-INTERNATIONAL$344,267$0$0$0
PER CAPITA-CAP COUNCILS$16,953$0$0$0
SUBSCRIPTIONS-LOCAL NEWSPAPER$747$0$0$0
TELEPHONE SERVICE$922$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 039-003

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: 039-003

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $23,868
FEDERAL INCOME TAXES (941) FORWARD$5,730
FICA-EMPLOYEE OASDI AND HI FOWARD$4,134
STATE INCOME TAXES FORWARD$7,935
UNION DUES FORWARD$156
FICA EMPLOYER OASDI AND HI (941)$4,134
UNEMPLOYMENT TAXES FEDERAL (940)$515
UNEMPLOYMENT TAXES-STATE$1,264
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 039-003

(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
Allen ,  Leon   J
SGT AT ARMS
C
$4,785$2,013$2,027$0$8,825
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
Carr ,  Thomas   A
VP
C
$1,989$903$0$0$2,892
I
Schedule 15
Representational Activities
36 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
64 %
A
B
C
Chorbak ,  Steven   J
Bargaining
C
$6,227$3,088$1,912$0$11,227
I
Schedule 15
Representational Activities
77 % Schedule 16
Political Activities and Lobbying
23 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Davidson ,  Dana   L
Financial Secretary
C
$95,477$17,570$7,417$0$120,464
I
Schedule 15
Representational Activities
47 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
49 %
A
B
C
Fisher ,  James   H
BARGAINING CHAIRMAN
C
$11,380$3,018$4,662$0$19,060
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
Freed ,  Dean   A
BARGAINING
N
$3,822$1,819$2,415$0$8,056
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
Fue ,  Jeremy   L
GUIDE
N
$1,353$849$204$0$2,406
I
Schedule 15
Representational Activities
68 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
32 %
A
B
C
Hillyard ,  Larry   T
Bargaining Chairman
P
$4,380$2,402$1,202$0$7,984
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
Kline ,  Christina   M
TREASURER
C
$9,895$1,266$530$0$11,691
I
Schedule 15
Representational Activities
41 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
58 %
A
B
C
Koogler ,  Cathy  
BARG CHAIR NURSES
C
$4,784$1,300$1,661$0$7,745
I
Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
7 %
A
B
C
Mata ,  Shirley   A
RECORDING SECRETARY
C
$47,055$2,807$3,302$0$53,164
I
Schedule 15
Representational Activities
8 % Schedule 16
Political Activities and Lobbying
87 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
Ott ,  Sade   J
TRUSTEE
C
$3,000$1,172$1,027$0$5,199
I
Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
21 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
9 %
A
B
C
Pangborn ,  Ronal   W
SKILLED TRADES-BARG.
C
$7,527$2,524$1,724$0$11,775
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
Picard ,  Donald   R
BARGAINING
N
$285$1,474$396$0$2,155
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
Ramsey ,  Travis   W
Bargaining Committee
P
$9,966$2,775$3,552$0$16,293
I
Schedule 15
Representational Activities
84 % Schedule 16
Political Activities and Lobbying
16 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Renfro ,  Tony   S
VICE PRESIDENT
C
$44,639$2,346$1,691$0$48,676
I
Schedule 15
Representational Activities
44 % Schedule 16
Political Activities and Lobbying
48 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
8 %
A
B
C
Rogers ,  David   W
BARGAINING-PARTS
C
$1,718$1,560$196$0$3,474
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
Scaggs ,  Edward   W
TRUSTEE
C
$9,478$1,359$372$0$11,209
I
Schedule 15
Representational Activities
68 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
31 %
A
B
C
Starr ,  Jason   C
President
C
$35,832$5,566$6,306$0$47,704
I
Schedule 15
Representational Activities
19 % Schedule 16
Political Activities and Lobbying
8 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
73 %
A
B
C
Thomas ,  Connie   L
TRUSTEE
C
$8,238$1,886$240$0$10,364
I
Schedule 15
Representational Activities
61 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
38 %
Total Officer Disbursements$311,830$57,697$40,836$0$410,363
Less Deductions    $75,450
Net Disbursements    $334,913
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 039-003

(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
Davis ,  Marla   A
Secretary
NA
$74,293$12,479$1,634$0$88,406
I
Schedule 15
Representational Activities
29 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
70 %
A
B
C
Grant ,  David   K
NA
NA
$8,658$2,141$300$0$11,099
I
Schedule 15
Representational Activities
86 % Schedule 16
Political Activities and Lobbying
9 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
McClure ,  Cheryl   I
RECEPTIONIST
NA
$79,706$12,809$191$0$92,706
I
Schedule 15
Representational Activities
15 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
84 %
A
B
C
Meneses ,  Yolanda   L
NA
NA
$16,254$1,691$248$0$18,193
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Morris ,  Stephen   M
NA
NA
$15,702$1,836$292$0$17,830
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
Phillips ,  Shari   L
SECRETARY
NA
$71,402$12,770$0$0$84,172
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
10 %
A
B
C
Starkey ,  Gwen   M
NA
NA
$10,787$937$771$0$12,495
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
Travers ,  John   M
NA
NA
$6,470$1,772$3,656$0$11,898
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$271,196$128,570$65,986$0$465,752
I Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
1 % Schedule 19
Administration
24 %
Total Employee Disbursements$554,468$175,005$73,078$0$802,551
Less Deductions    $160,132
Net Disbursements    $642,419
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 039-003

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 9,227 
Agency Fee Payers*0
Total Members/Fee Payers9,227 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERSHIP9,227Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 039-003

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$213,133
2. Named Payer Non-itemized Receipts$47,777
3. All Other Receipts$78,905
4. Total Receipts$339,815
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$55,545
2. Named Payee Non-itemized Disbursements$12,916
3. To Officers$0
4. To Employees$4,658
5. All Other Disbursements$37,369
6. Total Disbursements$110,488
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$228,951
2. Named Payee Non-itemized Disbursements$316,386
3. To Officers$207,268
4. To Employees$511,104
5. All Other Disbursements$134,732
6. Total Disbursements$1,398,441
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$8,271
3. To Officers$0
4. To Employees$4,658
5. All Other Disbursements$22,310
6. Total Disbursements$35,239
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$10,995
2. Named Payee Non-itemized Disbursements$27,057
3. To Officers$84,866
4. To Employees$21,440
5. All Other Disbursements$37,186
6. Total Disbursements$181,544
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$20,407
2. Named Payee Non-itemized Disbursements$46,356
3. To Officers$118,228
4. To Employees$260,691
5. All Other Disbursements$69,605
6. Total Disbursements$515,287
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 039-003

Name and Address
(A)
Dennis Frasco
808 Silverlake Circle

Raymore
MO
64083
Type or Classification
(B)
Fireworks
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,500
donation08/29/2018$7,500
Name and Address
(A)
Ford Motor Company
PO Box 1758

Dearborn
MI
48121
Type or Classification
(B)
Automotive Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$48,309
Total Non-Itemized Transactions with this Payee/Payer$25,900
Total of All Transactions with this Payee/Payer for This Schedule$74,209
reimbursements Vernal Bro01/10/2018$15,121
2018 CALENDAR REIMBURSE02/05/2018$6,065
reimburse MALMC10/30/2018$5,500
reimburse MALMC10/30/2018$8,646
reimburse MALMC10/30/2018$12,977
Name and Address
(A)
International Union Uaw
8000 E Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$104,618
Total Non-Itemized Transactions with this Payee/Payer$6,120
Total of All Transactions with this Payee/Payer for This Schedule$110,738
13th rebate04/27/2018$104,618
Name and Address
(A)
Jerrod Ballard
1803 ETHAN LANE

Independence
MO
64058
Type or Classification
(B)
volunteer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,008
Total Non-Itemized Transactions with this Payee/Payer$2,092
Total of All Transactions with this Payee/Payer for This Schedule$11,100
vcp donations10/22/2018$9,008
Name and Address
(A)
Kim Rowland
306 N Jeffereson Ave

Liberty
MO
64068
Type or Classification
(B)
UAW COMMUNITY SERVICES CHAIR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,300
Total Non-Itemized Transactions with this Payee/Payer$4,536
Total of All Transactions with this Payee/Payer for This Schedule$11,836
50/5004/01/2018$7,300
Name and Address
(A)
Midwest States CAP
721 Dunn Rd.

Hazelwood
MO
63042
Type or Classification
(B)
Political Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,132
Total Non-Itemized Transactions with this Payee/Payer$661
Total of All Transactions with this Payee/Payer for This Schedule$16,793
reimburse for Tony Renfro09/19/2018$16,132
Name and Address
(A)
NATIONAL UAW CAP
721 Dunn Road

Hazelwood
MO
63042
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,266
Total Non-Itemized Transactions with this Payee/Payer$1,550
Total of All Transactions with this Payee/Payer for This Schedule$21,816
Shirley Mata upfront pay09/19/2018$20,266
Name and Address
(A)
UBE AIR
2000 Maxon Rd

Onaway
MI
49765
Type or Classification
(B)
Travel Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,918
Total of All Transactions with this Payee/Payer for This Schedule$6,918
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 039-003

Name and Address
(A)
Acendas
5331 Johnson Drive

Mission
KS
66205
Type or Classification
(B)
Travel Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,586
Total Non-Itemized Transactions with this Payee/Payer$8,390
Total of All Transactions with this Payee/Payer for This Schedule$15,976
SUB COUNCIL AIR FARE09/13/2018$7,586
Name and Address
(A)
AMBERG EVENTS
PO BOX 537

Strafford
MO
65757
Type or Classification
(B)
EVENT PLANNERS-PICNIC
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$109,980
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$109,980
2018 UAW LOCAL 249 PICNIC05/31/2018$109,980
Name and Address
(A)
AMERICAN AIRLINES
AMON CARTER BLVD

Fort Worth
TX
76155
Type or Classification
(B)
AIRLINE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,488
Total of All Transactions with this Payee/Payer for This Schedule$10,488
Name and Address
(A)
Awards & T-Shirts Specialists Inc.
10400 E 63rd St. Suite A

Raytown
MO
64133-5110
Type or Classification
(B)
Union Made Products
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$22,253
Total of All Transactions with this Payee/Payer for This Schedule$22,253
Name and Address
(A)
Camden on the Lake
2359 BITTERSWEET ROAD

Lake Ozark
MO
65049
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,977
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,977
18 ROOMS-MALMAC CONF07/09/2018$12,977
Name and Address
(A)
DELTA AIRLINES
1030 DELTA BLVD

Atlanta
GA
30354
Type or Classification
(B)
AIRLINE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,926
Total of All Transactions with this Payee/Payer for This Schedule$11,926
Name and Address
(A)
DETROIT MARRIOTT
400 RENISSANCE CENTER

Detroit
MI
48243
Type or Classification
(B)
HOTEL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$28,820
Total of All Transactions with this Payee/Payer for This Schedule$28,820
Name and Address
(A)
Dots
PO Box 12536

Kansas City
MO
64116-2536
Type or Classification
(B)
Office Supply
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,153
Total of All Transactions with this Payee/Payer for This Schedule$7,153
Name and Address
(A)
Flynn Midwest LP
8601 East US 40

Kansas City
MO
64129
Type or Classification
(B)
Roofing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,235
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,235
INV 035094 ROOF REPAIRS04/12/2018$5,235
Name and Address
(A)
Gilham's Mowing Service LLC
531 Beechcraft St.

Lake Placid
FL
33852
Type or Classification
(B)
Property Maintenance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,493
Total of All Transactions with this Payee/Payer for This Schedule$6,493
Name and Address
(A)
Hilton Buena Vista Palace
1900 E Buena Vista Drive

Orlando
FL
32830
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,875
Total of All Transactions with this Payee/Payer for This Schedule$9,875
Name and Address
(A)
Hilton Orlando Lake Buena Vista
1751 Hotel Plaza Blvd.

Lake Buena Vista
FL
32830
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,322
Total of All Transactions with this Payee/Payer for This Schedule$5,322
Name and Address
(A)
HyVee
109 N. Bluejay Drive

Liberty
MO
64068
Type or Classification
(B)
Grocery Store
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,384
Total of All Transactions with this Payee/Payer for This Schedule$15,384
Name and Address
(A)
International Union Uaw
8000 E Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,525
Total Non-Itemized Transactions with this Payee/Payer$9,212
Total of All Transactions with this Payee/Payer for This Schedule$15,737
2018 FINANCIAL CONFERENCE01/24/2018$6,525
Name and Address
(A)
Jerrod Ballard
1803 ETHAN LANE

Independence
MO
64058
Type or Classification
(B)
volunteer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,440
Total of All Transactions with this Payee/Payer for This Schedule$6,440
Name and Address
(A)
Kansas City Power & Light
PO Box 219330

Kansas City
MO
64121-9330
Type or Classification
(B)
Utility Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$19,200
Total of All Transactions with this Payee/Payer for This Schedule$19,200
Name and Address
(A)
Kansas City Royals
One Royal Way

Kansas City
MO
64129
Type or Classification
(B)
SPORTS ENTERTAINMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,997
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,997
2019 SEASON TICKETS INV 111/05/2018$5,997
Name and Address
(A)
LABOR MANAGEMENT COUNCIL
1100 ROCKHURST ROAD

Kansas City
MO
64110
Type or Classification
(B)
LABOR MANAGEMENT COUNCIL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,500
20 REGISTRATIONS FOR LABO05/10/2018$5,500
Name and Address
(A)
Lodge of 4 Seasons
315 Four Seasons Drive

Lake Ozark
MO
65049
Type or Classification
(B)
HOTEL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,943
Total Non-Itemized Transactions with this Payee/Payer$2,696
Total of All Transactions with this Payee/Payer for This Schedule$10,639
CAP CONF SEPT 201809/17/2018$7,943
Name and Address
(A)
Loews Coronado Bay Resort
4000 Coronado Bay Road

San Diego
CA
92118
Type or Classification
(B)
Resort
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,024
Total of All Transactions with this Payee/Payer for This Schedule$8,024
Name and Address
(A)
Mei Total Elevator Solutions
PO Box 0129

St. Clair
MN
56080-0129
Type or Classification
(B)
Elevator/Platform Lift
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$29,958
Total Non-Itemized Transactions with this Payee/Payer$799
Total of All Transactions with this Payee/Payer for This Schedule$30,757
40% deposit #FL181891 new03/01/2018$11,983
INV 764600-ELEVATOR10/18/2018$10,485
INV 768715 INSTALLATION O11/15/2018$7,490
Name and Address
(A)
Mertz Insurance Group Inc.
PO Box 34697

Omaha
NE
68134
Type or Classification
(B)
Union Liability Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,861
Total of All Transactions with this Payee/Payer for This Schedule$11,861
Name and Address
(A)
Patsy Jackson
11800 E 78th Place

Raytown
MO
64138
Type or Classification
(B)
Janitorial Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,341
Total of All Transactions with this Payee/Payer for This Schedule$8,341
Name and Address
(A)
PATRICK HAYES
9739 W 115TH TERR

Overland Park
KS
66210
Type or Classification
(B)
EDITOR FOR LOCAL NEWSLETTER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,395
Total of All Transactions with this Payee/Payer for This Schedule$13,395
Name and Address
(A)
Renaissance Palm Springs Hotel
888 E Tahquitz Canyon Way

Palm Springs
CA
92262
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$23,539
Total of All Transactions with this Payee/Payer for This Schedule$23,539
Name and Address
(A)
Southwest Airlines
PO Box 36647-1CR

Dallas
TX
75235
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,345
Total of All Transactions with this Payee/Payer for This Schedule$13,345
Name and Address
(A)
Stacy Publishing Inc.
6901 Georgetown

Greenville
IN
47124
Type or Classification
(B)
Publishing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$56,195
Total of All Transactions with this Payee/Payer for This Schedule$56,195
Name and Address
(A)
Trotter & Morton
3232 Roanoke Road

Kansas City
MO
64111
Type or Classification
(B)
Mechanical Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,020
Total of All Transactions with this Payee/Payer for This Schedule$7,020
Name and Address
(A)
Tsi Usa-INTERNET ONLY
2000 Maxon Rd.

Onaway
MI
49765
Type or Classification
(B)
On Line Travel Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,215
Total of All Transactions with this Payee/Payer for This Schedule$10,215
Name and Address
(A)
Uaw Region 5 - Pico Rivera Office
6500 S. Rosemead Blvd

Pico Rivera
CA
90660
Type or Classification
(B)
Region Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$13,500
30 REGISTRATIONS FOR LEAD11/27/2018$13,500
Name and Address
(A)
Uaw Region 5 Exchange Account
721 Dunn Road

Hazlewood
MO
63042
Type or Classification
(B)
Missouri Per Capita Taxes
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,750
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,750
REGISTRATION FEE FOR CONS04/20/2018$5,750
Name and Address
(A)
Uaw Region 5 Summer School
721 DUNN ROAD

Hazelwood
MO
63042
Type or Classification
(B)
Region Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$18,000
20 DELEGATES-SUMMER SCHOO05/30/2018$18,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 039-003

Name and Address
(A)
Kansas City Power & Light
PO Box 219330

Kansas City
MO
64121-9330
Type or Classification
(B)
Utility Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,395
Total of All Transactions with this Payee/Payer for This Schedule$9,395
Name and Address
(A)
Mei Total Elevator Solutions
PO Box 0129

St. Clair
MN
56080-0129
Type or Classification
(B)
Elevator/Platform Lift
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,995
Total Non-Itemized Transactions with this Payee/Payer$4,056
Total of All Transactions with this Payee/Payer for This Schedule$15,051
40% deposit #FL181891 new03/01/2018$5,864
INV 764600-ELEVATOR10/18/2018$5,131
Name and Address
(A)
Mertz Insurance Group Inc.
PO Box 34697

Omaha
NE
68134
Type or Classification
(B)
Union Liability Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,313
Total of All Transactions with this Payee/Payer for This Schedule$5,313
Name and Address
(A)
Stacy Publishing Inc.
6901 Georgetown

Greenville
IN
47124
Type or Classification
(B)
Publishing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,293
Total of All Transactions with this Payee/Payer for This Schedule$8,293
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 039-003

Name and Address
(A)
United Memorial Bible Services Inc
PO Box 269

Gastonia
NC
28053-0269
Type or Classification
(B)
BIBLES FOR UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,716
Total of All Transactions with this Payee/Payer for This Schedule$8,716
Name and Address
(A)
Veterans Community Project
Suite B Box 336

Liberty
MO
64068
Type or Classification
(B)
Charity
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$40,545
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$40,545
DONATION TO THE VCP PROJECT11/05/2018$34,064
DONATION12/13/2018$6,481
Name and Address
(A)
Working Family Friends
1021 Pennsylvania

Kansas City
MO
64105
Type or Classification
(B)
Community Resources
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,000
Total Non-Itemized Transactions with this Payee/Payer$4,200
Total of All Transactions with this Payee/Payer for This Schedule$19,200
2018 COOKOUT FUNDRAISER08/23/2018$15,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 039-003

Name and Address
(A)
KC METAL WORX LLC
1012 WOODSWETHER ROAD

Kansas City
MO
64105
Type or Classification
(B)
METAL FABRICATOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,271
Total of All Transactions with this Payee/Payer for This Schedule$8,271
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 039-003

Name and Address
(A)
Kansas City Power & Light
PO Box 219330

Kansas City
MO
64121-9330
Type or Classification
(B)
Utility Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,255
Total of All Transactions with this Payee/Payer for This Schedule$12,255
Name and Address
(A)
Lees Printing Co. Inc.
804 Central Avenue

Kansas City
KS
66101
Type or Classification
(B)
Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,065
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,065
2018 CALENDARS01/10/2018$6,065
Name and Address
(A)
Matt Holsted
8040 NE 69 HIGHWAY

Liberty
MO
64068
Type or Classification
(B)
UAW/FORD RAMP CREW
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,740
Total of All Transactions with this Payee/Payer for This Schedule$5,740
Name and Address
(A)
Mei Total Elevator Solutions
PO Box 0129

St. Clair
MN
56080-0129
Type or Classification
(B)
Elevator/Platform Lift
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,342
Total Non-Itemized Transactions with this Payee/Payer$5,291
Total of All Transactions with this Payee/Payer for This Schedule$19,633
40% deposit03/01/2018$7,649
ELEVATOR10/18/2018$6,693
Name and Address
(A)
Mertz Insurance Group Inc.
PO Box 34697

Omaha
NE
68134
Type or Classification
(B)
Union Liability Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,930
Total of All Transactions with this Payee/Payer for This Schedule$6,930
Name and Address
(A)
Patsy Jackson
11800 E 78th Place

Raytown
MO
64138
Type or Classification
(B)
Janitorial Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,324
Total of All Transactions with this Payee/Payer for This Schedule$5,324
Name and Address
(A)
Stacy Publishing Inc.
6901 Georgetown

Greenville
IN
47124
Type or Classification
(B)
Publishing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,816
Total of All Transactions with this Payee/Payer for This Schedule$10,816
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 039-003

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$298,536
Dental/Hearing/Medical/Vision InsuranceBLACKBURN AND ELROD ORTHODONTICS$2,200
Dental/Hearing/Medical/Vision InsuranceBlue Cross Blue Shield Of Florida Inc$5,124
Dental/Hearing/Medical/Vision InsuranceBlue Cross Blue Shield Of Kansas City$99,593
Dental/Hearing/Medical/Vision InsuranceDONNA STASA$2,604
Dental/Hearing/Medical/Vision InsuranceFord Motor Company$18,080
Dental/Hearing/Medical/Vision InsuranceMurphy Watson Burr Eye Centers$255
Dental/Hearing/Medical/Vision InsuranceUnited Healthcare$2,131
Disability/Sick & Accident InsuranceGuardian$5,315
Group Life InsuranceUnicare Life & Health Insurance$524
Workers Compension InsuranceTravelers$193
Scholarship/Tuition PaymentsKansas State University$1,500
Scholarship/Tuition PaymentsNeosho County Community College$1,500
Medical/prescription Fee ReimbursementsDONNA STASA$651
Retirement Savings(401K etc)EmployerAmeriprise Financial$47,456
Membership Death BenefitAUDREY LOWARY$2,000
Membership Death BenefitBOBBIE CLOSE$2,015
Membership Death BenefitBRENDA ANDERTON RYALS$1,006
Membership Death BenefitCARLA BRICKEY$2,014
Membership Death BenefitCAROLYN MILLER$2,000
Membership Death BenefitCATHY SCHLUP$2,002
Membership Death BenefitCELISSE NORRIS$1,000
Membership Death BenefitCharles Beale$2,003
Membership Death BenefitCHARLES O. KINSLOW$2,002
Membership Death BenefitCINDY JOHNSON$2,002
Membership Death BenefitCrystal Harrison$667
Membership Death BenefitCYNTHIA NISPEL$2,012
Membership Death BenefitDarryl Jones$667
Membership Death BenefitDeborah Baldwin$2,000
Membership Death BenefitDONAYDA HOLT$1,000
Membership Death BenefitDORIS KIESER$2,017
Membership Death BenefitDORIS ZEHE-SWANK$2,000
Membership Death BenefitELEANOR NEWTON$2,003
Membership Death BenefitEVA MANNING$2,008
Membership Death BenefitGLENDA BINKLEY$2,006
Membership Death BenefitHelen Fletcher$2,023
Membership Death BenefitJIM REDWINE$2,000
Membership Death BenefitJOANNE POUNCIL$2,009
Membership Death BenefitJohn Eskridge$667
Membership Death BenefitJOHN NEIDIG JR$2,011
Membership Death BenefitJOYCE B. HARLAN$2,008
Membership Death BenefitJOYCE JENSEN$2,015
Membership Death BenefitJoyce K. Holland$2,005
Membership Death BenefitJULIE BLEVINS$2,116
Membership Death BenefitJULIE TINOCO$2,000
Membership Death BenefitKIMBERLY CARDER$2,000
Membership Death BenefitLELA MAE AINSWORTH$2,000
Membership Death BenefitMARGARET RAY$2,003
Membership Death BenefitMaria Rodriguez$2,015
Membership Death BenefitMark Bowman$1,943
Membership Death BenefitMARLENE RUSSELL$2,009
Membership Death BenefitMichael Daniels$1,017
Membership Death BenefitMichael Kullman$1,008
Membership Death BenefitNancy Seeloff$1,017
Membership Death BenefitNICOLE MARTIN$2,000
Membership Death BenefitNINA LANE$2,000
Membership Death BenefitNIRA ADKINS$2,000
Membership Death BenefitPatrice Kelly$2,000
Membership Death BenefitPATRICIA CALOVICH$2,000
Membership Death BenefitPatricia Kullman-Ruiz$1,008
Membership Death BenefitREBECCA GRAHAM$2,000
Membership Death BenefitRita Mumerlyn$1,002
Membership Death BenefitROBERT J ANDERTON$1,006
Membership Death BenefitRONNIE ESSIG$1,000
Membership Death BenefitSAMANTHA HOLT$1,000
Membership Death BenefitSarah Brown$2,000
Membership Death BenefitSHARLENE CRABTREE$2,027
Membership Death BenefitSHAWN BROWN$2,003
Membership Death BenefitSHERIAN FISHMAN$2,023
Membership Death BenefitSHERI SPAETH$2,000
Membership Death BenefitSHIRLEY McDOWELL$2,012
Membership Death BenefitSTEVE JONES$2,018
Membership Death BenefitSTEVEN R. DAVIS$1,991
Membership Death BenefitTallie Crowley$2,000
Membership Death BenefitTammy Wimmer$2,000
Membership Death BenefitTERESA ARNOLD$1,006
Membership Death BenefitTERESA KELLEY$2,000
Membership Death BenefitTodd Wyse$1,006
Membership Death BenefitVIRGINIA TREECE$2,018
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 039-003


Question 10: Death benefit fund that provides $2,000 in the event of the death of an active or retired member.

Question 12: The Department of Labor came in and did an audit that covered all of 2017 and also October - December 2016 and January - March 2018.

Question 15: : Old office furniture that was damaged was thrown away and old computer monitors were recycled.

Statement A,

Cash Begin Total: Beginning balance 5,141,179 increased by 4218 to account for voids from a previous period.

Schedule 8, Row1:

Schedule 8, Row1:::

Schedule 8, Row2:

Schedule 8, Row2:::

Schedule 8, Row3:

Schedule 8, Row3:::

Schedule 8, Row4:

Schedule 8, Row4:::

Schedule 8, Row5:

Schedule 8, Row5:::

Schedule 13, Row1:DUES PAYING MEMBERS ARE ELIGIBLE TO VOTE

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