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
From
01/01/2013
Through
12/31/2013
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 Edgar
PRESIDENT
71. SIGNED:
rodney a scott
TREASURER
Date:
Mar 10, 2014
Telephone
Number:
586-755-3300
Date:
Mar 10, 2014
Telephone
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/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
2 hours ST
per
Month
2 Hours
2 hours ST
(b) Working Dues/Fees
0
per
(c) Initiation Fees
20.00
per
(d) Transfer Fees
0
per
(e) Work Permits
0
per
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 Receivable
1
$0
$0
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
$0
27. Fixed Assets
6
$321,908
$322,721
28. Other Assets
7
$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 Payable
8
$54,505
$64,995
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$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
RECEIPTS
SCH
AMOUNT
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 Assets
3
$0
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
$0
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$1,295
48. Other Receipts
14
$171,981
49. TOTAL RECEIPTS
$1,359,615
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$71,719
51.
Political Activities and Lobbying
16
$0
52.
Contributions, Gifts, and Grants
17
$9,004
53. General
Overhead
18
$79,318
54. Union
Administration
19
$326,149
55. Benefits
20
$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 Assets
4
$0
61. Loans
Made
2
$0
62.
Repayment of Loans Obtained
9
$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 61
Item 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 44
Item 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 Payers
1,845
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
1,845
Yes
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 Premium
LaVerne Scott (Retried 12/1997, Deceased 2/2013)
$199
Pension Plan for Staff-Local 42
National Integrated
$17,016
Classes-Education Committee
Wayne State University
$700
Dental Insurance
Delta Dental Plan Of Michigan
$2,817
Group Insurance Premium-Local 42 Staff
Nationwide 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.