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: 08-31-2016
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
010-923
2. PERIOD COVERED
From01/01/2013
Through12/31/2013
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
72
7. UNIT NAME (if any)

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

Number and Street
3615 WASHINGTON ROAD
City
KENOSHA
State
WI
ZIP Code + 4
531441640


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:Peggy C Applegate-PeplinskiPRESIDENT71. SIGNED:Peni J KeelingTREASURER
Date:Mar 05, 2014Telephone Number:262-308-3062Date:Mar 05, 2014Telephone Number:262-945-7528
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 010-923
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?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?$100,000
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?05/2014
20. How many members did the labor organization have at the end of the reporting period?7,722
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2 hours straight timepermonth00
(b) Working Dues/Fees0per000
(c) Initiation Fees$20perone time00
(d) Transfer Fees0per000
(e) Work Permits0per00

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 010-923

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $701,194$661,714
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$17,540$17,540
27. Fixed Assets6$1,470,718$1,472,030
28. Other Assets7$839$774
29. TOTAL ASSETS $2,190,291$2,152,058

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$1,270$1,325
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$106$0
34. TOTAL LIABILITIES $1,376$1,325
35. NET ASSETS$2,188,915$2,150,733
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 010-923

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $46,082
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $1,498
41. Dividends $26
42. Rents $87,838
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 $2,813
48. Other Receipts14$88,996
49. TOTAL RECEIPTS $227,253
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$51,209
51. Political Activities and Lobbying16$2,907
52. Contributions, Gifts, and Grants17$13,729
53. General Overhead18$132,178
54. Union Administration19$30,320
55. Benefits20$11,175
56. Per Capita Tax $8,751
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$1,312
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 $2,655
65. Direct Taxes $12,497
  
66. Subtotal $266,733
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$0  
  67b. Less Total Disbursed$0  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $266,733
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 010-923

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: 010-923

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: 010-923

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: 010-923

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$1,312$1,312$1,312
Projector$580$580$580
Freezer$732$732$732
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$1,312
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 010-923

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$440
B. Total Book Value$440
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost$17,100
E. Total Book Value$17,100
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)) $17,540
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 010-923

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      3615 Washington Road, Kenosha, WI$145,864 $145,864$145,864
Land  2 :      3601 40th Street, Kenosha, WI$115,153 $115,153$115,153
Land  3 :      3615 Washington Road, Kenosha, WI$116,808 $116,808$116,808
Land  4 :      3715 Washington Road, Kenosha, WI$41,530 $41,530$41,530
Land  5 :      3715 Washington Road, Kenosha, WI$689,221 $689,221$689,221
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$363,454$0$363,454$363,454
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)) $1,472,030$0$1,472,030$1,472,030
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 010-923

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $774
12 Mens Watches @ $64.50 each$774
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 010-923

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$1,325$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $1,325$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 010-923

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: 010-923

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 010-923

(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
APPLEGATE-PEPLIN ,  Peggy   C
PRESIDENT
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
6 % Schedule 16
Political Activities and Lobbying
11 % Schedule 17
Contributions
36 % Schedule 18
General Overhead
15 % Schedule 19
Administration
32 %
A
B
C
BECKER ,  THEODOR  
SGT AT ARMS
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
DAVIS ,  Anthony   L
HEAD TRUSTEE
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
22 % Schedule 19
Administration
78 %
A
B
C
DUPREY ,  FREDERI  
VICE PRESIDENT
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
9 % Schedule 16
Political Activities and Lobbying
13 % Schedule 17
Contributions
19 % Schedule 18
General Overhead
19 % Schedule 19
Administration
40 %
A
B
C
FISHER ,  VERNON   C
GUIDE
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
KEELING ,  PENI   J
FINANCIAL SEC TREAS
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
32 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
3 % Schedule 19
Administration
63 %
A
B
C
MANKE ,  DENNIS   C
RECORDING SEC
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
6 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
94 %
A
B
C
NEU ,  PATRICI   M
TRUSTEE
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
PANASEWICZ ,  LOUIS   J
PALMEN UNIT CHAIR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
A
B
C
PFAFF ,  PETER   E
RETIREES BOARD MEMBE
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
PRYBYLSKI ,  JO ANN  
TRUSTEE 1/2011
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
18 % Schedule 17
Contributions
15 % Schedule 18
General Overhead
12 % Schedule 19
Administration
55 %
A
B
C
RAYMOND ,  KERRY  
TRUSTEE
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
7 % Schedule 18
General Overhead
75 % Schedule 19
Administration
18 %
A
B
C
UNDERHILL ,  MICHAEL   L
SGT AT ARMS
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
29 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
31 % Schedule 19
Administration
40 %
A
B
C
WILSON ,  CURT   E
RETIREES CHAP CHAIR
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
96 % Schedule 19
Administration
3 %
Total Officer Disbursements$0$0$0$0$0
Less Deductions    $0
Net Disbursements    $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 010-923

(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$0
I Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
Total Employee Disbursements$0$0$0$0$0
Less Deductions    $0
Net Disbursements    $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 010-923

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 7,722 
Agency Fee Payers*
Total Members/Fee Payers7,722 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members22Yes
Retired Members7,700Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 010-923

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$5,621
2. Named Payer Non-itemized Receipts$39,238
3. All Other Receipts$44,137
4. Total Receipts$88,996
     
     
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$13,729
6. Total Disbursements$13,729
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$5,905
2. Named Payee Non-itemized Disbursements$19,346
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$25,958
6. Total Disbursements$51,209
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$5,720
2. Named Payee Non-itemized Disbursements$76,425
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$50,033
6. Total Disbursements$132,178
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$2,907
6. Total Disbursements$2,907
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$14,023
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$16,297
6. Total Disbursements$30,320
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 010-923

Name and Address
(A)
PENI J KEELING
7915 31ST AVENUE

KENOSHA
WI
53142-0000
Type or Classification
(B)
UNION OFFICER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$38,807
Total of All Transactions with this Payee/Payer for This Schedule$38,807
Name and Address
(A)
PENI KEELING
3615 WASHINGTON ROAD

KENOSHA
WI
53144-0000
Type or Classification
(B)
UNION MEMBER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,621
Total Non-Itemized Transactions with this Payee/Payer$431
Total of All Transactions with this Payee/Payer for This Schedule$6,052
Bar Sales 2/16/1302/16/2013$5,621
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 010-923

Name and Address
(A)
SIR ARTHUR'S TAVERN
3501 14TH AVENUE
CAMELOT CATERING LLC
KENOSHA
WI
53140-0000
Type or Classification
(B)
CATERER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,905
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,905
Retiree Xmas Party12/07/2013$5,905
Name and Address
(A)
THE LABOR PAPER
3030 39TH AVENUE ROOM 110

KENOSHA
WI
53144-0000
Type or Classification
(B)
NEWSPAPER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,346
Total of All Transactions with this Payee/Payer for This Schedule$19,346
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 010-923

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: 010-923

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: 010-923

Name and Address
(A)
CJW INC.
2437 CHICORY ROAD

RACINE
WI
53403-0000
Type or Classification
(B)
BEVERAGES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,504
Total of All Transactions with this Payee/Payer for This Schedule$18,504
Name and Address
(A)
FRANKENMUTH INSURANCE
ONE MUTUAL AVENUE

FRANKENMUTH
MI
48787-0001
Type or Classification
(B)
INSURANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,720
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,720
Insurance Premium02/14/2013$5,720
Name and Address
(A)
JOHNSON'S ENTERPRISE
1643 NINTH STREET
BEVERLY JOHNSON
RACINE
WI
53403-0000
Type or Classification
(B)
JANITORIAL & LAWN SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$19,975
Total of All Transactions with this Payee/Payer for This Schedule$19,975
Name and Address
(A)
KENOSHA WATER UTILITY
4401 GREEN BAY ROAD

KENOSHA
WI
53144-0000
Type or Classification
(B)
WATER & SEWER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,360
Total of All Transactions with this Payee/Payer for This Schedule$6,360
Name and Address
(A)
UNITED MECHANICAL INC
1500 12TH STREET

RACINE
WI
53403-1699
Type or Classification
(B)
MECHANICAL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,281
Total of All Transactions with this Payee/Payer for This Schedule$5,281
Name and Address
(A)
WE ENERGIES ELECTRIC
PO BOX 2089

MILWAUKEE
WI
53201-2089
Type or Classification
(B)
UTILITIES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$26,305
Total of All Transactions with this Payee/Payer for This Schedule$26,305
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 010-923

Name and Address
(A)
JOHNSON'S ENTERPRISE
1643 NINTH STREET
BEVERLY JOHNSON
RACINE
WI
53403-0000
Type or Classification
(B)
JANITORIAL & LAWN SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,053
Total of All Transactions with this Payee/Payer for This Schedule$6,053
Name and Address
(A)
WE ENERGIES ELECTRIC
PO BOX 2089

MILWAUKEE
WI
53201-2089
Type or Classification
(B)
UTILITIES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,970
Total of All Transactions with this Payee/Payer for This Schedule$7,970
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 010-923

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$11,175
Dental/Hearing/Medical/Vision InsuranceAARP DENTAL INSURANCE PLAN$1,514
Dental/Hearing/Medical/Vision InsuranceEMILY CERASANI$2,400
Dental/Hearing/Medical/Vision InsuranceEpic Life$33
Dental/Hearing/Medical/Vision InsuranceEpic Life Insurance$13
Dental/Hearing/Medical/Vision InsuranceEpic Life Insurance Company$7
Dental/Hearing/Medical/Vision InsuranceUNITED HEALTH CARE$3,323
Dental/Hearing/Medical/Vision InsuranceUNITED HEALTH CARE CA$3,748
Dental/Hearing/Medical/Vision InsuranceUnicare Life & Health Insurance Company$118
Dental/Hearing/Medical/Vision InsuranceWPS$19
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 010-923


Question 10: Operations of the Building Corporation are handled through the books and records of the Local Union and therefore are included in this report.

Question 15: Distributed 1 watch valued at $65 to a retired member.

Statement A,

Cash Begin Total: Beginning balance adjusted by $514 due to checks voided that were issued in a previous year.

Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.

Schedule 13, Row2:Retired members voluntarily pay $2 dues per month.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)