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
028-745
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
869
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
RODNEY
Last Name
SCOTT
P.O Box - Building and Room Number
AUTO WORKERS AFL-CIO LU 869
Number and Street
24257 MOUND ROAD
City
WARREN
State
MI
ZIP Code + 4
480915325


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:Dave P EdgarPRESIDENT71. SIGNED:rodney a scottTREASURER
Date:Mar 10, 2014Telephone Number:586-755-3300Date:Mar 10, 2014Telephone Number:586-755-3300
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 028-745
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?$150,725
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?05/2014
20. How many members did the labor organization have at the end of the reporting period?1,845
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 STperMonth2 Hours2 hours ST
(b) Working Dues/Fees0per
(c) Initiation Fees20.00per
(d) Transfer Fees0per
(e) Work Permits0per

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 028-745

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $127,629$163,896
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$321,908$322,721
28. Other Assets7$804$880
29. TOTAL ASSETS $450,341$487,497

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$54,505$64,995
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$85$74
34. TOTAL LIABILITIES $54,590$65,069
35. NET ASSETS$395,751$422,428
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 028-745

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,133,274
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $6,180
39. Sale of Supplies $0
40. Interest $0
41. Dividends $0
42. Rents $46,885
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 $1,295
48. Other Receipts14$171,981
49. TOTAL RECEIPTS $1,359,615
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$71,719
51. Political Activities and Lobbying16$0
52. Contributions, Gifts, and Grants17$9,004
53. General Overhead18$79,318
54. Union Administration19$326,149
55. Benefits20$53,426
56. Per Capita Tax $722,161
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $2,604
60. Purchase of Investments and Fixed Assets4$0
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 $1,296
65. Direct Taxes $57,466
  
66. Subtotal $1,323,143
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$86,691  
  67b. Less Total Disbursed$86,896  
  67c. Total Withheld But Not Disbursed -$205
68. TOTAL DISBURSEMENTS $1,323,348
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 028-745

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: 028-745

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$0$0$0$0$0
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: 028-745

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: 028-745

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 028-745

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$0
B. Total Book Value$0
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost$0
E. Total Book Value$0
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: 028-745

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      24257 and 24249 Mound Road, Warren, MI$11,000 $11,000$11,000
Land  2 :      24257 Mound Road (Bldg A)$225,000 $225,000$225,000
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$46,968$0$46,968$46,968
E. Other Fixed Assets$39,753$0$39,753$39,753
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $322,721$0$322,721$322,721
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 028-745

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $880
44 Bibles on hand in 2013$880
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 028-745

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$64,995$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)) $64,995$0$0$0
Per Capita 2013$64,995$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 028-745

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: 028-745

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $74
FUTA #940 - 4th Quarter 2013$74
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 028-745

(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
KING ,  BRENT   D
COMMITTEEMAN
C
$1,350$0$0$0$1,350
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
CARTER ,  KIM  
TRUSTEE
N
$3,824$0$0$0$3,824
I
Schedule 15
Representational Activities
1 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
99 %
A
B
C
RAMSEY ,  HERBERT  
VICE PRESIDENT
N
$29,833$0$0$0$29,833
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
SCOTT ,  RODNEY   A
FINANCIAL SECRETARY
C
$54,960$0$4,545$0$59,505
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
98 %
A
B
C
MOORE ,  PAMELA  
ELECTION COMMITTEE
C
$2,567$0$0$0$2,567
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
98 %
A
B
C
BARRON ,  LEONARD  
RECORDING SECRETARY
N
$29,540$0$1,762$0$31,302
I
Schedule 15
Representational Activities
1 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
99 %
A
B
C
GRANT ,  TONYA  
GUIDE
N
$619$0$0$0$619
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
JOINER ,  DAVID   R
COMMITTEEMAN
C
$1,580$0$0$0$1,580
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
JAMES ,  THUMEL   A
COMMITTEEMAN
C
$1,414$0$103$0$1,517
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
ELDER JR ,  PARRISH  
COMMITTEEMAN
C
$1,490$0$0$0$1,490
I
Schedule 15
Representational Activities
84 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
16 %
A
B
C
EDGAR ,  DAVID   P
PRESIDENT
C
$39,621$0$1,461$0$41,082
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
98 %
A
B
C
MCKINNEYIII ,  ROMAINE  
TRUSTEE
N
$7,923$0$526$0$8,449
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
7 % Schedule 19
Administration
93 %
Total Officer Disbursements$174,721$0$8,397$0$183,118
Less Deductions    $41,292
Net Disbursements    $141,826
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 028-745

(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
CHAU ,  CONNIE   N
BOOKKEEPER
none
$70,258$0$0$0$70,258
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
98 %
A
B
C
SYACSURE JR. ,  JOHN   C
MAINTENANCE
none
$72,410$0$0$0$72,410
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$16,043$2,595$4,317$22,955
I Schedule 15
Representational Activities
27 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
73 %
Total Employee Disbursements$158,711$2,595$4,317$0$165,623
Less Deductions    $45,399
Net Disbursements    $120,224
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 028-745

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,845 
Agency Fee Payers*0
Total Members/Fee Payers1,845 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members1,845Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 028-745

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$145,270
2. Named Payer Non-itemized Receipts$1,300
3. All Other Receipts$25,411
4. Total Receipts$171,981
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$6,089
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$2,915
6. Total Disbursements$9,004
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$9,233
3. To Officers$7,989
4. To Employees$7,603
5. All Other Disbursements$46,894
6. Total Disbursements$71,719
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$591
4. To Employees$72,410
5. All Other Disbursements$6,317
6. Total Disbursements$79,318
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$0
6. Total Disbursements$0
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$12,711
2. Named Payee Non-itemized Disbursements$22,917
3. To Officers$174,538
4. To Employees$85,610
5. All Other Disbursements$30,373
6. Total Disbursements$326,149
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 028-745

Name and Address
(A)
INTERNATIONAL UNION UAW

8000 E JEFFERSON
DETROIT
MI
48214
Type or Classification
(B)
PCT TAX
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$124,511
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$124,511
PCT REBATE 01/14/2013$9,897
PCT REBATE 02/05/2013$10,762
PCT REBATE 03/01/2013$12,738
PCT REBATE 04/02/2013$13,908
PCT REBATE 05/01/2013$12,845
PCT REBATE 05/01/2013$10,242
PCT REBATE 05/31/2013$9,655
PCT REBATE 06/28/2013$10,606
PCT REBATE 08/01/2013$11,968
PCT REBATE 09/09/2013$10,439
PCT REBATE 10/02/2013$11,451
Name and Address
(A)
LOCAL 869 U.A.W.

24257 MOUND ROAD
WARREN
MI
48091
Type or Classification
(B)
DONATIONS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,711
Total Non-Itemized Transactions with this Payee/Payer$517
Total of All Transactions with this Payee/Payer for This Schedule$13,228
2013 CEDARPOINT TICKETS 08/01/2013$12,711
Name and Address
(A)
THE HANOVER INSURANCE CO

P.O. BOX 15149
WORCESTER
MA
01615-0149
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,048
Total Non-Itemized Transactions with this Payee/Payer$783
Total of All Transactions with this Payee/Payer for This Schedule$8,831
COVERAGE ROOF REPAIRS 12/04/2013$8,048
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 028-745

Name and Address
(A)
HALINA KRASUSKI

3164 CANYON OAKS TRAIL
MILFORD
MI
48380
Type or Classification
(B)
CATERING SERV
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,233
Total of All Transactions with this Payee/Payer for This Schedule$9,233
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 028-745

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: 028-745

Name and Address
(A)
AMERICAN CANCER SOCIETY
20450 CIVIC CENTER DRIVE
SOUTHEAST MICHIGAN OFFICE
SOUTHFIELD
MI
48076
Type or Classification
(B)
DONATIONS-CHARITIES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,089
Total of All Transactions with this Payee/Payer for This Schedule$6,089
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 028-745

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 028-745

Name and Address
(A)
AT&T

P. O. BOX 8100
AURORA
IL
60507-8100
Type or Classification
(B)
TELEPHONE SERV CHG
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,042
Total of All Transactions with this Payee/Payer for This Schedule$5,042
Name and Address
(A)
CEDAR POINT

ONE CEDAR POINT
SANDUSKY
OH
44870-5259
Type or Classification
(B)
AMUSEMENT PARK
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,711
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,711
446 TICKETS X $28.5 08/27/2013$12,711
Name and Address
(A)
DETROIT EDISON-DTE

P O BOX 2859
DETROIT
MI
48260
Type or Classification
(B)
UTILITY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,791
Total of All Transactions with this Payee/Payer for This Schedule$6,791
Name and Address
(A)
MCGLONE & ASSOCIATES

22440 HALL ROAD
CLINTON TWP
MI
48036
Type or Classification
(B)
INSURANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,078
Total of All Transactions with this Payee/Payer for This Schedule$6,078
Name and Address
(A)
WASTE MGT OF MI-DETROIT

P. O. BOX 4648
CAROL STREAM
IL
60197-4648
Type or Classification
(B)
GARBAGE SERV CHG
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,006
Total of All Transactions with this Payee/Payer for This Schedule$5,006
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 028-745

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$53,426
Medicare PremiumLaVerne Scott (Retried 12/1997, Deceased 2/2013)$199
Pension Plan for Staff-Local 42National Integrated$17,016
Classes-Education CommitteeWayne State University$700
Dental InsuranceDelta Dental Plan Of Michigan$2,817
Group Insurance Premium-Local 42 StaffNationwide Insurance Co.,$5,696
Medical Insurance for John Syacsure, Jr.Sterling Insurance Group$26,998
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 028-745


Statement A,

Accounts Receivable Begin Total:

Statement A - Assets and Liabilities: Start or Reporting Period (A) No. 23.

Accounts Receivable: There is no

Accounts Receivable in 2013, we were trying to a zero, should be blank.

Statement A,

Loans Receivable Begin Total:

Statement A - Assets And Liabilities Start of Reporting Period (A) No. 24.

Loans Receivable: There is No

Loans Receivable in 2013, we were trying to put a zero. (should leave it blank)

Schedule 13, Row1:Anyone who has applied and been accepted for membership is a Regular Member. Regular Members pay full Union Dues.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)