U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210
FORM LM-3 LABOR ORGANIZATION ANNUAL REPORT
Form Approved
Office of Management and Budget
No.
1245-0003
Expires:
08-31-2016
FOR USE ONLY BY LABOR ORGANIZATIONS WITH LESS THAN $250,000 IN TOTAL ANNUAL RECEIPTS
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
024-356
2. PERIOD COVERED
From
01/01/2015
Through
12/31/2015
3.
(a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed
under the hardship procedures:
No
(c) TERMINAL - Is this a terminal report:
No
4. AFFILIATION OR ORGANIZATION NAME
MACHINISTS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
STATE COUNCIL
6. DESIGNATION NBR
7. UNIT NAME (if any)
KY STATE COUNCIL OF MACHINISTS
8. MAILING ADDRESS (Type or print in capital letters)
First Name
SHARON K.
Last Name
NEWBERRY
P.O Box - Building and Room Number
Number and Street
21 HEARTHSTONE CT.
City
FLORENCE
State
KY
ZIP Code + 4
410429395
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 VI on penalties in the instructions.)
57. SIGNED:
Leonard Douglas
PRESIDENT
58. SIGNED:
Sharon Newberry
TREASURER
Date:
Jan 14, 2016
Contact Info:
502-594-7056
Date:
Jan 14, 2016
Contact Info:
859-282-9691
Form LM-3 (Revised 2016)
FILE NUMBER:
024-356
During the Reporting Period Did Your Organization:
10. Have a "subsidiary organization" as defined in Section X of the instructions?
No
11. Create or participate in the administration of a trust or other fund or organization which provides benefits for members or their beneficiaries?
No
12. Have a Political Action Committee (PAC) fund?
Yes
13. Acquire or dispose of any goods or property in any manner other than purchase or sale?
No
14. Have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?
No
15. Discover any loss or shortage of funds or other property? (Answer "Yes" even if there has been repayment or recovery.)
No
16.Have any officer who was paid $10,000 or more by your organization and also received $10,000 or more as an officer or employee of another labor organization or of an employee benefit plan?
No
17. Pay any employee salary, allowances, and other expenses which, together with any payments from affiliates, totaled more than $10,000?
No
18. Have loans totaling more than $250 to any officer, employee, or member, or make any loans to a business enterprise?
No
19. How many members did your organization have at the end of the reporting period?
0
20. What is the maximum amount recoverable under your organization's fidelity bond for a loss caused by any officer or employee of your organization?
$10,000
21. During the reporting period, did your 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
22. What is the date of the labor organization's next regular election of officers?
12/2017
23. 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
n/a
per
n/a
n/a
n/a
(b) Initiation Fees
n/a
per
n/a
n/a
n/a
(c) Transfer Fees
n/a
per
n/a
n/a
n/a
(d) Work Permits
n/a
per
n/a
n/a
n/a
Form LM-3 (Revised 2016)
24. ALL OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
024-356
(A) Name (List all persons who held office during the reporting period even if they received no salary or other disbursements)
Gross Salary (before taxes and other deductions)
(D)
Allowances and Other Disbursements
(E)
TOTAL
(F)
(B) Title (Enter title of officer, such as PRESIDENT or TREASURER)
(C) Status *
Total Disbursements to Officers
$0
$57
$57
Less Deductions
$0
The Total from Net Disbursements will be entered in Item 45
Net Disbursements
$57
** Code (C) Status: past officer - P; continuing officer - C; new officer during the reporting period - N.
(If any officer was not elected at a regular election in accordance with your organzation's constitution and bylaws, explain in Item 56.)
Douglas
Leonard
$0
$0
$0
President
C
Chilress
Dave
$0
$0
$0
Vice President
C
Newberry
Sharon
$0
$57
$57
Secretary Treasurer
C
Form LM-3 (Revised 2016)
STATEMENT A - ASSETS AND LIABILITIES
FILE NUMBER:
024-356
ASSETS
Start of Reporting Period
(A)
End of Reporting Period
(B)
25. Cash
$5,814
$10,311
26. Loans Receivable
$0
$0
27. U.S. Treasury Securities
$0
$0
28. Investments
$0
$0
29. Fixed Assets
$400
$400
30. Other Assets
$0
$0
31. TOTAL ASSETS
$6,214
$10,711
LIABILITIES
Start of Reporting Period
(C)
End of Reporting Period
(D)
32. Accounts Payable
$0
$0
33. Loans Payable
$0
$0
34. Mortgages Payable
$0
$0
35. Other Liabilities
$0
$0
36. TOTAL LIABILITIES
$0
$0
37. NET ASSETS
$6,214
$10,711
STATEMENT B - RECEIPTS AND DISBURSEMENTS
CASH RECEIPTS
AMOUNT
38. Dues
$0
39. Per Capita Tax
$0
40. Fees, Fines, Assessments, Work Permits
$2,133
41. Interest and Dividends
$0
42. Sale of Investments and Fixed Assets
$0
43. Other Receipts
$9,050
44. TOTAL RECEIPTS
$11,183
If total receipts reported in Item 44 are $250,000 or more, your organization must file Form LM-2 instead of this form.
CASH DISBURSEMENTS
AMOUNT
45. To Officers (from item 24)
$57
46. To Employees (less deductions)
$30
47. Per Capita Tax
$0
48. Office and Administrative Expense
$60
49. Professional Fees
$0
50. Benefits
$0
51. Contributions, Gifts, and Grants
$0
52. Purchase of Investments and Fixed Assets
$0
53. Loans Made
$0
54. Other Disbursements
$6,539
55. TOTAL DISBURSEMENTS
$6,686
Form LM-3 (Revised 2016)
56. ADDITIONAL INFORMATION SUMMARY
FILE NUMBER:
024-356
Question 12: Kentucky State Council Pac Fund # 23987