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
034-132
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
833
7. UNIT NAME (if any)

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

Number and Street
5425 SUPERIOR AVE
City
SHEBOYGAN
State
WI
ZIP Code + 4
53083


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:PAMELA J BLOCKPRESIDENT71. SIGNED:DAVID N BOUCHERTREASURER
Date:Mar 17, 2014Telephone Number:920-458-2173Date:Mar 17, 2014Telephone Number:920-452-6596
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 034-132
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?Yes
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?$161,000
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?06/2014
20. How many members did the labor organization have at the end of the reporting period?1,855
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2permonthNANA
(b) Working Dues/Fees0perNANANA
(c) Initiation Fees20perinitiationNANA
(d) Transfer Fees0perNANANA
(e) Work Permits0perNANANA

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 034-132

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $412,765$493,434
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$854,432$860,340
28. Other Assets7$15,873$15,299
29. TOTAL ASSETS $1,283,070$1,369,073

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$0$0
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$0$627
34. TOTAL LIABILITIES $0$627
35. NET ASSETS$1,283,070$1,368,446
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 034-132

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $989,379
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $1,080
39. Sale of Supplies $2,136
40. Interest $2,060
41. Dividends $0
42. Rents $14,055
43. Sale of Investments and Fixed Assets3$582
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 $18,747
48. Other Receipts14$173,699
49. TOTAL RECEIPTS $1,201,738
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$293,567
51. Political Activities and Lobbying16$6,260
52. Contributions, Gifts, and Grants17$32,201
53. General Overhead18$129,206
54. Union Administration19$90,297
55. Benefits20$4,199
56. Per Capita Tax $510,962
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $50
59. Supplies for Resale $2,294
60. Purchase of Investments and Fixed Assets4$7,244
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 $19,421
65. Direct Taxes $23,937
  
66. Subtotal $1,119,638
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$16,711  
  67b. Less Total Disbursed$18,142  
  67c. Total Withheld But Not Disbursed -$1,431
68. TOTAL DISBURSEMENTS $1,121,069
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 034-132

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: 034-132

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: 034-132

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$1,336$1,336$582$582
Outdoor lighted billboard$850$850$300$300
Misc Scrap$25$25$18$18
Folding Metal chairs from the hall$461$461$264$264
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$582
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 034-132

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$7,244$7,244$7,244
Presidents computer$1,144$1,144$1,144
300 Folding chairs$6,100$6,100$6,100
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$7,244
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 034-132

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: 034-132

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      5425 SUPERIOR AVE, SHEBOYGAN, WI$73,953 $73,953$80,537
B. Buildings (give location)    
Building  1 :      5425 SUPERIOR AVE, SHEBOYGAN, WI$539,706$539,706$689,500
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$106,565$0$106,565$106,565
E. Other Fixed Assets$140,116$0$140,116$140,116
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $860,340$0$860,340$1,016,718
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 034-132

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $15,299
T-SHIRTS/CAPS$6,123
BAR INVENTORY$9,176
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 034-132

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$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 034-132

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: 034-132

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $627
NOVEMBER PER CAPITA WITHHELD. PAID OUT IN 2014$627
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 034-132

(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
BLOCK ,  PAMELA   J
FST
C
$49,712$1,500$3,270$54,482
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
20 % Schedule 19
Administration
60 %
A
B
C
BOUCHER ,  David   N
PRESIDENT
C
$19$2,205$5,328$7,552
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
10 %
A
B
C
BROCK ,  Jim   E
VICE PRESIDENT
C
$1,980$85$2,065
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
10 %
A
B
C
PRENING ,  Bill   R
TRUSTEE
C
$2,025$540$126$2,691
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
85 %
A
B
C
QUINN ,  JAMES  
SGT AT ARMS
C
$357$540$897
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
40 % Schedule 19
Administration
55 %
A
B
C
SAWALL ,  PENNY   L
RECORDING SEC
C
$49,712$1,560$1,090$52,362
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
70 %
A
B
C
SCHMITZ ,  RANDY   J
GUIDE
C
$945$188$1,133
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
90 % Schedule 19
Administration
10 %
A
B
C
STROHSCHOEN ,  JAMES  
TRUSTEE
C
$9,579$540$34$10,153
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
10 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
85 %
A
B
C
STROHSCHOEN ,  David   W
TRUSTEE
C
$1,160$1,710$1,631$4,501
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
80 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
10 %
Total Officer Disbursements$112,564$11,520$11,752$0$135,836
Less Deductions    $4,846
Net Disbursements    $130,990
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 034-132

(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$73,814$42,877$11,400$0$128,091
I Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
20 % Schedule 19
Administration
0 %
Total Employee Disbursements$73,814$42,877$11,400$0$128,091
Less Deductions    $11,865
Net Disbursements    $116,226
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 034-132

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,855 
Agency Fee Payers*0
Total Members/Fee Payers1,855 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS1,855Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 034-132

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$50,053
2. Named Payer Non-itemized Receipts$81,649
3. All Other Receipts$41,997
4. Total Receipts$173,699
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$6,351
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$25,850
6. Total Disbursements$32,201
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$34,293
2. Named Payee Non-itemized Disbursements$45,634
3. To Officers$29,210
4. To Employees$102,473
5. All Other Disbursements$81,957
6. Total Disbursements$293,567
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$12,702
2. Named Payee Non-itemized Disbursements$19,536
3. To Officers$19,354
4. To Employees$25,618
5. All Other Disbursements$51,996
6. Total Disbursements$129,206
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$4,994
4. To Employees$0
5. All Other Disbursements$1,266
6. Total Disbursements$6,260
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$8,000
3. To Officers$82,277
4. To Employees$0
5. All Other Disbursements$20
6. Total Disbursements$90,297
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 034-132

Name and Address
(A)
BILL BOLGERT
1704 S 22ND ST

SHEBOYGAN
WI
53081-0000
Type or Classification
(B)
CMT CHAIR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,212
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$21,212
BANQUET PROCEEDS09/12/2013$21,212
Name and Address
(A)
CAPITOL INDEMNITY CORPORATION
P.O. BOX 673110

MILWAUKEE
WI
53267-3110
Type or Classification
(B)
INSURANCE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,760
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,760
CLAIM PAID FROM BREAK-IN02/01/2013$5,760
Name and Address
(A)
DON AND JOAN OTTO
COVINGTON DR

SHEBOYGAN FALLS
WI
53085-0000
Type or Classification
(B)
RETIREE CHAIR/COORDINATOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,858
Total of All Transactions with this Payee/Payer for This Schedule$18,858
Name and Address
(A)
FLOYD AMMERMAN
153 NORTH EAST ST PO 335

ELKHART LAKE
WI
53020-0000
Type or Classification
(B)
CMT CHAIR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,732
Total Non-Itemized Transactions with this Payee/Payer$2,275
Total of All Transactions with this Payee/Payer for This Schedule$11,007
FOOD BEER RAFFLES04/17/2013$8,732
Name and Address
(A)
International Union-UAW
8000 East Jefferson Ave

Detroit
MI
48214-3448
Type or Classification
(B)
INTERNATIONAL BODY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,349
Total Non-Itemized Transactions with this Payee/Payer$1,952
Total of All Transactions with this Payee/Payer for This Schedule$16,301
13TH MONTH REBATE05/01/2013$14,349
Name and Address
(A)
PAM BLOCK
N6847 SWALLOW DRIVE

SHEBOYGAN
WI
53083-0000
Type or Classification
(B)
FINANCIAL SECRETARY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$22,086
Total of All Transactions with this Payee/Payer for This Schedule$22,086
Name and Address
(A)
PENNY SAWALL
N 8917 DAIRYLAND DR

CLEVELAND
WI
53015-0000
Type or Classification
(B)
RECORDING SECRETARY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,903
Total of All Transactions with this Payee/Payer for This Schedule$10,903
Name and Address
(A)
STAN WICK
221 ORCHARD RD

KOHLER
WI
53044-0000
Type or Classification
(B)
BAR MANAGER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,639
Total of All Transactions with this Payee/Payer for This Schedule$18,639
Name and Address
(A)
UAW SHEB AREA CAP
5425 SUPERIOR AVE

SHEBOYGAN
WI
53083-0000
Type or Classification
(B)
AREA CAP COUNCIL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,936
Total of All Transactions with this Payee/Payer for This Schedule$6,936
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 034-132

Name and Address
(A)
Alliant Energy
PO BOX 3068

CEDAR RAPIDS
IA
52406-3068
Type or Classification
(B)
ENERGY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,665
Total of All Transactions with this Payee/Payer for This Schedule$20,665
Name and Address
(A)
CAPITOL INDEMNITY CORPORATION
P.O. BOX 673110

MILWAUKEE
WI
53267-3110
Type or Classification
(B)
INSURANCE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,393
Total Non-Itemized Transactions with this Payee/Payer$3,368
Total of All Transactions with this Payee/Payer for This Schedule$10,761
GENERAL PACKAGE INSURANCE02/19/2013$7,393
Name and Address
(A)
HICKORY HILLS COUNTRY CLUB
W3095 HICKORY HILLS RD

CHILTON
WI
53014-0000
Type or Classification
(B)
GOLF COURSE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,647
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$8,647
2013 GOLF OUTING10/29/2013$8,647
Name and Address
(A)
Jon' Sport Shop
2968 Jackson Dr.Road

Oshkosh
WI
54901-0000
Type or Classification
(B)
SPORTS STORE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,057
Total Non-Itemized Transactions with this Payee/Payer$6,635
Total of All Transactions with this Payee/Payer for This Schedule$16,692
CONSERVATION BANQUET DOOR04/29/2013$10,057
Name and Address
(A)
PIGGLY WIGGLY HOWARDS
714 S WISCONSIN DRIVE

HOWARDS GROVE
WI
53083-0000
Type or Classification
(B)
GROCERY STORE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,799
Total of All Transactions with this Payee/Payer for This Schedule$10,799
Name and Address
(A)
Rupp's ON WASHINGTON
1102 W WASHINGTON AVE

CLEVELAND
WI
53015-0000
Type or Classification
(B)
CATERER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,196
Total Non-Itemized Transactions with this Payee/Payer$4,167
Total of All Transactions with this Payee/Payer for This Schedule$12,363
MEAL FOR RETIREES CHRISTM12/16/2013$8,196
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 034-132

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: 034-132

Name and Address
(A)
WINDWALKER PHEASANTRY

W2032 BIRCH LANE
MT CALVARY
WI
53057
Type or Classification
(B)
GAME SELLER,, PHEASANTS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,351
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,351
PURCHASE PHEASANTS08/05/2013$6,351
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 034-132

Name and Address
(A)
C.A. Flipse Sons Inc.
P.O. Box 1104

Sheboygan
WI
53082-1104
Type or Classification
(B)
RESTAURANT SUPPLIER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,402
Total of All Transactions with this Payee/Payer for This Schedule$5,402
Name and Address
(A)
FELDCO
1125 C TUCKAWAY LN

MENASHA
WI
54952-0000
Type or Classification
(B)
INSTALLER DOORS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,702
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,702
50% DOWN ON NORTH AND WES10/08/2013$12,702
Name and Address
(A)
GENERAL BEER DIST - NORTHEAST
1825 ROSEHILL RD

KAUKAUNA
WI
54130-0000
Type or Classification
(B)
BEVERAGE DISTRIBUTOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,984
Total of All Transactions with this Payee/Payer for This Schedule$5,984
Name and Address
(A)
Larry's Distributing Inc.
3815 Playbird Road

Sheboygan
WI
53083-0000
Type or Classification
(B)
BEVERAGE DISTRIBUTOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,150
Total of All Transactions with this Payee/Payer for This Schedule$8,150
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 034-132

Name and Address
(A)
ROBERTS CUSTOM SOFTWARE
3667 1ST ST

EAST MOLINE
IL
51244
Type or Classification
(B)
SOFTWARE REP
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,000
Total of All Transactions with this Payee/Payer for This Schedule$8,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 034-132

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$4,199
DENTAL/HEARING/MEDICAL/VISION FOR OFFICERSKOHLER CO$4,199
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 034-132


Question 15: Attached, you will find the "Banquet Donor List" and "Casino Donor List" which includes items donated to the 2013 Conservations Banquet and 2013 Casino Night sponsored by various committees for local clubs and charity events. Food certificates, golf balls, golf times, hats, shirts, dental kits and misc items were donated to the annual golf outing. During Membership meetings throughout the year, beer and soda are offered to members at no charge. The local purchases and pays have the cost to members for jackets, hats, t-shirts. Seventeen t-shirts were also given per membership approval to new members. 50 hams and 50 turkeys are give out as monthly door prizes at March and November membership meetings, respectively. 25 Presidential calendars are purchased and given to area businesses and schools. Members have the opportunity to participate in the UAW bowling, Golf, 3-D and Trapshoot events covered at 50% by the local. Scholarships were awarded to dependents of member as committee selects. Scholarship total for 2013 was $8600.00

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

Question 11(b): : : Operations of the Building Corporation are handled through the books and records of the Local Union and are therefore included in this report.

Statement A,

Cash Begin Total: Checks were voided from previous year totaling $1431

Schedule 13, Row1:ANYONE WHO HAS APPLIED AND BEEN ACCEPTED FOR MEMBERSHIP IS A REGULAR MEMBER. REGULAR MEMBERS PAY FULL DUES.

General Information: Item 64. Collections disbursed. $1321.28, Women''''s Council funds, were transferred to Local 578 to be kept under the books of their local. $626 was collected for November VCAP and sent out in 2014. Amount was overlooked.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)