516-889 (LM2) 12/31/2013

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
516-889

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 2209
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name SHANE	Last Name DAVIS
P.O Box - Building and Room Number PO BOX 579
Number and Street 5820 EAST 900 NORTH
City ROANOKE
State IN	ZIP Code + 4 46783

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:

Mark G Gevaart

PRESIDENT

71. SIGNED:

SHANE B DAVIS

TREASURER

Date:

Mar 25, 2014

Telephone Number:

260-672-2209

Date:

Mar 25, 2014

Telephone Number:

260-672-2209

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

ITEMS 10 THROUGH 21

FILE NUMBER: 516-889

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?	Yes
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?	$388,000
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?	Yes
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?

3,970

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	2hrs pay	per	1,2 & 3	2hrs pay	2 hrs pay
(b) Working Dues/Fees		per
(c) Initiation Fees	20.00	per
(d) Transfer Fees		per
(e) Work Permits		per

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 516-889

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$968,746	$495,648
23. Accounts Receivable	1	$1,330	$0
24. Loans Receivable	2	$0	$0
25. U.S. Treasury Securities		$0	$0
26. Investments	5	$0
27. Fixed Assets	6	$1,228,198	$1,279,357
28. Other Assets	7	$23,130	$20,532
29. TOTAL ASSETS		$2,221,404	$1,795,537

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8	$116,488	$113,896
31. Loans Payable	9	$0	$0
32. Mortgages Payable		$0	$0
33. Other Liabilities	10	$5,666	$9,743
34. TOTAL LIABILITIES		$122,154	$123,639

35. NET ASSETS

$2,099,250

$1,671,898

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 516-889

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$2,664,944
37. Per Capita Tax		$0
38. Fees, Fines, Assessments, Work Permits		$5,060
39. Sale of Supplies		$36,875
40. Interest		$1,419
41. Dividends		$0
42. Rents		$7,220
43. Sale of Investments and Fixed Assets	3	$273
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		$20,662
48. Other Receipts	14	$163,341
49. TOTAL RECEIPTS		$2,899,794

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$268,208
51. Political Activities and Lobbying		16	$67,798
52. Contributions, Gifts, and Grants		17	$110,265
53. General Overhead		18	$96,391
54. Union Administration		19	$1,135,673
55. Benefits		20	$69,104
56. Per Capita Tax			$1,382,218
57. Strike Benefits			$0
58. Fees, Fines, Assessments, etc.			$5,310
59. Supplies for Resale			$58,279
60. Purchase of Investments and Fixed Assets		4	$79,428
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			$9,008
65. Direct Taxes			$52,870

66. Subtotal			$3,334,552
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$211,415
67b. Less Total Disbursed	$249,755
67c. Total Withheld But Not Disbursed			-$38,340
68. TOTAL DISBURSEMENTS			$3,372,892

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 516-889

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: 516-889

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

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: 516-889

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	$2,875	$2,875	$273	$273
Book Case-2	$200	$200	$40	$40
Sold 4 Trees	$2,000	$2,000	$80	$80
Coffee Urns-3	$200	$200	$45	$45
Paper dispensers-3	$300	$300	$48	$48
Miller Lite Sign	$175	$175	$60	$60

				Less Reinvestments	$0
(The total from Net Sales Line will be automatically entered in Item 43)				Net Sales	$273

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 516-889

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Cash Paid (D)
Total of all lines above	$79,428	$79,428	$79,428
Advanced Systems Group	$8,600	$8,600	$8,600
True Freezer	$1,325	$1,325	$1,325
Chemical Storage Cabinet	$535	$535	$535
Digital Informational Sign	$37,000	$37,000	$37,000
Atlas Automatic Coffee Makers	$1,721	$1,721	$1,721
Tinkles-Refrigerator	$4,685	$4,685	$4,685
Menards	$1,601	$1,601	$1,601
Office Depot	$492	$492	$492
Cyber On Site	$2,265	$2,265	$2,265
KAT Industries	$600	$600	$600
Brooks Construction	$17,615	$17,615	$17,615
Hitzfield Landscapting	$494	$494	$494
R & C Fence	$2,368	$2,368	$2,368
Headset	$127	$127	$127

		Less Reinvestments	$0
(The total from Net Purchases Line will be automatically entered in Item 60.)		Net Purchases	$79,428

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 5 - INVESTMENTS

FILE NUMBER: 516-889

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))

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 516-889

Description (A)	Cost or Other Basis (B)	Total Depreciation or Amount Expensed (C)	Book Value (D)	Value (E)
A. Land (give location)
Land 1 : 5820 E 900 N Roanoke IN 46783	$30,005		$30,005	$30,005
Land 2 : 5820 E 900 N Roanoke IN 46783	$0		$0	$0

B. Buildings (give location)
Building 1 : 5820 E 900 N Roanoke IN 46783	$999,165	$0	$999,165	$999,165
Building 2 : 5820 E 900 N Roanoke IN 46783	$0	$0	$0	$0

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment

$250,187

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B))

$1,279,357

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 516-889

Description (A)	Book Value (B)
Total (Total will be automatically entered in Item 28, Column(B))	$20,532
Aprons 30 x 19.75	$592
T-shirts 568 x $15	$8,520
Bad Tags 208 x 2.00	$416
Bumper Stickers 1739 x 1	$1,739
Children T Shirts 25 x 10	$250
Hats 155 x 15	$2,325
Beanie hat 1 x 10	$10
Bibles 90 x 32	$2,880
Grueninger Travel Deposit	$3,000
AALCO Deposit	$500
Five Star Deposit	$300

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE

FILE NUMBER: 516-889

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	$113,896	$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))	$113,896	$0	$0	$0
UAW International Per Capita	$107,337	$0	$0	$0
UAW CAP Per Capita	$6,485	$0	$0	$0
Area 4 Retirees Council	$74	$0	$0	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 9 - LOANS PAYABLE

FILE NUMBER: 516-889

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: 516-889

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$9,743
WI Department of Revenue Withholding	$13
FUTA-940	$5,671
Indiana Department of Revenue Sales Tax	$91
Indiana Withholding Tax	$2,503
Indiana SUTA	$1,465

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 516-889

(A)
Name

(B)
Title

(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

BOVIE-KOOMLER , DIANA R
RETIREE CHAIR
N

$3,350

Schedule 15
Representational Activities

15 %

Schedule 16
Political Activities and Lobbying

79 %

Schedule 17
Contributions

3 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

3 %

A
B
C

CORNISH , DAVID M
1ST SHIFT ZONE
C

$4,048

$978

$5,026

Schedule 15
Representational Activities

63 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

37 %

A
B
C

DAVIS , SHANE B
FINANCIAL SECRE
N

$32,337

$656

$32,993

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

DOHNER JR , JOHN C
2ND SHIFT ZONE
C

$3,337

$328

$3,665

Schedule 15
Representational Activities

57 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

43 %

A
B
C

GEVAART , MARK G
PRESIDENT
C

$3,259

$400

$2,967

$6,626

Schedule 15
Representational Activities

75 %

Schedule 16
Political Activities and Lobbying

5 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

20 %

A
B
C

HARTMAN , BRIAN
GUIDE
C

$13,552

$2,661

$16,213

Schedule 15
Representational Activities

3 %

Schedule 16
Political Activities and Lobbying

9 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

88 %

A
B
C

HOUSTON , AMY B
TRUSTEE
C

$40,908

$2,779

$43,687

Schedule 15
Representational Activities

1 %

Schedule 16
Political Activities and Lobbying

6 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

7 %

Schedule 19
Administration

86 %

A
B
C

LETOURNEAU JR , RICHARD P
SHOP CHAIR
C

$3,807

$400

$1,014

$5,221

Schedule 15
Representational Activities

89 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

11 %

A
B
C

LEVETT , SHELIA D
UNIT 3 CHAIR
C

$1,190

$896

$2,086

Schedule 15
Representational Activities

22 %

Schedule 16
Political Activities and Lobbying

51 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

27 %

A
B
C

MCCLAIN , MICHAEL
UNIT 2 CHAIRMAN
C

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

MCKIBBEN , DERRICK T
VICE PRESIDENT
C

$24,472

$239

$24,711

Schedule 15
Representational Activities

5 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

20 %

Schedule 19
Administration

75 %

A
B
C

MURPHY , HOLLI M
TRUSTEE
C

$11,303

$3,227

$14,530

Schedule 15
Representational Activities

6 %

Schedule 16
Political Activities and Lobbying

10 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

84 %

A
B
C

OOTEN II , RICHARD
3RD SHIFT ZONE
C

$5,572

$741

$6,313

Schedule 15
Representational Activities

75 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

25 %

A
B
C

RICHARDSON , AMY
RECORDING SECRE
C

$48,909

$10,818

$59,727

Schedule 15
Representational Activities

23 %

Schedule 16
Political Activities and Lobbying

3 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

74 %

A
B
C

SCHULTZ , CAROL A
RETIREE CHAIR
P

$1,292

Schedule 15
Representational Activities

16 %

Schedule 16
Political Activities and Lobbying

74 %

Schedule 17
Contributions

5 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

5 %

A
B
C

SROUR , GHADA A
TRUSTEE
C

$9,632

$2,225

$11,857

Schedule 15
Representational Activities

2 %

Schedule 16
Political Activities and Lobbying

16 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

82 %

A
B
C

WINSTON , GWENDAL D
FINANCIAL SECRE
P

$26,961

$1,173

$28,134

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 %

Total Officer Disbursements	$229,287	$800	$35,344	$0	$265,431
Less Deductions					$59,691
Net Disbursements					$205,740

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 516-889

(A)
Name

(B)
Title

(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

BEETZ , RICHARD T
NA
NA

$61,442

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

29 %

Schedule 19
Administration

71 %

A
B
C

JACKSON , TODD
MAINTENANCE
NA

$39,600

$100

$112

$39,812

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

56 %

Schedule 19
Administration

44 %

A
B
C

LUCAS , ROXANNA L
NA
NA

$19,157

$1,203

$20,360

Schedule 15
Representational Activities

6 %

Schedule 16
Political Activities and Lobbying

25 %

Schedule 17
Contributions

4 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

65 %

A
B
C

MEIER , AMANDA J
NA
NA

$18,422

$3,370

$21,792

Schedule 15
Representational Activities

12 %

Schedule 16
Political Activities and Lobbying

23 %

Schedule 17
Contributions

4 %

Schedule 18
General Overhead

3 %

Schedule 19
Administration

58 %

A
B
C

WALKER , DARLENE K
SECRETARY
NA

$76,194

$100

$76,294

Schedule 15
Representational Activities

12 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

88 %

TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS

$343,006

$64,213

$407,219

Schedule 15
Representational Activities

19 %

Schedule 16
Political Activities and Lobbying

5 %

Schedule 17
Contributions

2 %

Schedule 18
General Overhead

2 %

Schedule 19
Administration

72 %

Total Employee Disbursements	$557,821	$100	$68,998	$0	$626,919
Less Deductions					$151,724
Net Disbursements					$475,195

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 516-889

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	3,970
Agency Fee Payers*
Total Members/Fee Payers	3,970
*Agency Fee Payers are not considered members of the labor organization.
Regular members	3,970	Yes

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 516-889

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$59,873
2. Named Payer Non-itemized Receipts	$2,156
3. All Other Receipts	$101,312
4. Total Receipts	$163,341

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements	$34,355
2. Named Payee Non-itemized Disbursements	$12,295
3. To Officers	$166
4. To Employees	$9,830
5. All Other Disbursements	$53,619
6. Total Disbursements	$110,265

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$45,268
2. Named Payee Non-itemized Disbursements	$24,470
3. To Officers	$38,344
4. To Employees	$90,364
5. All Other Disbursements	$69,762
6. Total Disbursements	$268,208

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$8,000
4. To Employees	$48,911
5. All Other Disbursements	$39,480
6. Total Disbursements	$96,391

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$6,975
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$14,220
4. To Employees	$30,463
5. All Other Disbursements	$16,140
6. Total Disbursements	$67,798

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$163,427
2. Named Payee Non-itemized Disbursements	$130,108
3. To Officers	$204,703
4. To Employees	$447,351
5. All Other Disbursements	$190,084
6. Total Disbursements	$1,135,673

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 516-889

Name and Address
(A)

ASSOCIATED CHURCHES OF FORT WA
602 EAST WAYNE STREET

FORT WAYNE
IN
46802-0000

Type or Classification
(B)

CHARITY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,075
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$6,075
SANTA PLANT COLLECTION FO	12/19/2013	$6,075

Name and Address
(A)

INTERNAL REVENUE SERVICE

CINCINNATI
OH
45999-0000

Type or Classification
(B)

TAXES

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,171
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$6,171
REFUND OF OVERPAID FED WI	11/22/2013	$6,171

Name and Address
(A)

INTERNATIONAL UNION UAW
8000 EAST JEFFERSON AVE

DETROIT
MI
48214-3963

Type or Classification
(B)

LABOR ORGANIZATION

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$41,317
Total Non-Itemized Transactions with this Payee/Payer		$2,156
Total of All Transactions with this Payee/Payer for This Schedule		$43,473
PER CAPITA 13TH CHECK REB	04/30/2013	$34,177
REIMBURSE DELEGATE OVERPA	01/31/2013	$7,140

Name and Address
(A)

UAW REGION 3 CAP COUNCIL
5850 FORTUNE CIRCLE WEST

INDIANAPOLIS
IN
46241-0000

Type or Classification
(B)

UNION

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,310
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$6,310
REIMBURSE A. MEIER SPECIA	02/25/2013	$6,310

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 516-889

Name and Address
(A)

HAVEL
PO BOX 1287
AN EMCORE COMPANY
FORT WAYNE
IN
46801-0000

Type or Classification
(B)

MAINTENANCE

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$5,299
Total of All Transactions with this Payee/Payer for This Schedule		$5,299

Name and Address
(A)

INTERNATIONAL UNION UAW
8000 EAST JEFFERSON AVE

DETROIT
MI
48214-3963

Type or Classification
(B)

LABOR ORGANIZATION

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$10,258
Total of All Transactions with this Payee/Payer for This Schedule		$10,258

Name and Address
(A)

KEEFER PRINTING CO. INC.
3824 TRANSPORTATION DRIVE

FORT WAYNE
IN
46818-0000

Type or Classification
(B)

PRINTING COMPANY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$8,913
Total of All Transactions with this Payee/Payer for This Schedule		$8,913

Name and Address
(A)

MIDLAND ENGINEERING
ROUTE 933 N
52639 STATEHOUSE
SOUTH BEND
IN
46637-0000

Type or Classification
(B)

ENGINEERING

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$29,295
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$29,295
FINAL PAYMENT FOR HALL RO	10/30/2013	$29,295

Name and Address
(A)

THE MCLAUGHLIN COMPANY

9210 CORPORATE BLVD. SUIT
ROCKVILLE
MD
20850-0000

Type or Classification
(B)

UNION LIABILITY INSURANCE

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,473
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$8,473
INVOICE 62242 UAW 2209 LI	11/26/2013	$8,473

Name and Address
(A)

THEISEN BOWERS & ASSOCIATES L
810 S CALHOUN ST. STE 200

FORT WAYNE
IN
46802-0000

Type or Classification
(B)

LEGAL

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,500
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$7,500
D. WALKER ARBITRATION DIS	04/18/2013	$7,500

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 516-889

Name and Address
(A)

MIDLAND ENGINEERING
ROUTE 933 N
52639 STATEHOUSE
SOUTH BEND
IN
46637-0000

Type or Classification
(B)

ENGINEERING

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,975
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$6,975
FINAL PAYMENT FOR HALL RO	10/30/2013	$6,975

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS

FILE NUMBER: 516-889

Name and Address
(A)

ASSOCIATED CHURCHES OF FORT WA
602 EAST WAYNE STREET

FORT WAYNE
IN
46802-0000

Type or Classification
(B)

CHARITY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,075
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$6,075
SANTA PLANT COLLECTION FW	12/19/2013	$6,075

Name and Address
(A)

BROOKWOOD GOLF CLUB
10304 BLUFFTON RD.
PO BOX 9276
FORT WAYNE
IN
46899-0000

Type or Classification
(B)

RECREATION

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,300
Total Non-Itemized Transactions with this Payee/Payer		$2,543
Total of All Transactions with this Payee/Payer for This Schedule		$9,843
M.A.W GOLF COURSE EVENT	05/31/2013	$7,300

Name and Address
(A)

MAKE A WISH FOUNDATION
SUITE 101
7330 WOODLAND DR.
INDIANAPOLIS
IN
46278-0000

Type or Classification
(B)

NON FOR PROFIT

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$15,980
Total Non-Itemized Transactions with this Payee/Payer		$6,842
Total of All Transactions with this Payee/Payer for This Schedule		$22,822
MAKE A WISH DONATION FROM	07/29/2013	$15,980

Name and Address
(A)

MARCH OF DIMES FOUNDATION
303 STABLE DR
NORTHEAST DIVISION
FORT WAYNE
IN
46825-0000

Type or Classification
(B)

CHARITY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$2,910
Total of All Transactions with this Payee/Payer for This Schedule		$7,910
YR 2013 CORPORATE SPONSOR	01/28/2013	$5,000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 516-889

There was no data found for this schedule.

SCHEDULE 19 - UNION ADMINISTRATION

FILE NUMBER: 516-889

Name and Address
(A)

BURKHART ADVERTISING INC
PO BOX 536
BURKHART SIGNSYSTEMS
SOUTH BEND
IN
46624-0000

Type or Classification
(B)

ADVERTISMENT & SIGNAGE

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$13,078
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$13,078
50% DOWN PAYMENT FOR WATC	07/26/2013	$13,078

Name and Address
(A)

CYBER ONSITE SERVICES LLC
7505 WITLING BLVD
JOE KNEZOVICH - OWNER
ROANOKE
IN
46783-0000

Type or Classification
(B)

COMPUTER TECH

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$6,602
Total of All Transactions with this Payee/Payer for This Schedule		$6,602

Name and Address
(A)

FIRST GROWTH CAPITAL and
4561 SOLUTION CENTER
EMPLOYMENT PLUS INC. #77
CHICAGO
IL
60677-4005

Type or Classification
(B)

EMPLOYMENT AGENCY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$24,560
Total of All Transactions with this Payee/Payer for This Schedule		$24,560

Name and Address
(A)

G&K wELL DRILLING
2215 E PAIGE RD

COLUMBIA CITY
IN
46725-0000

Type or Classification
(B)

WELL DRILLING

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$10,283
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$10,283
INVOICE 3150 & 3151	07/11/2013	$10,283

Name and Address
(A)

GORDON FOOD SERVICE INC
DEPT CH 10490
PAYMENT PROCESSING CENTER
PALASTINE
IL
60055-0490

Type or Classification
(B)

SUPPLY CO.

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$5,632
Total of All Transactions with this Payee/Payer for This Schedule		$5,632

Name and Address
(A)

GRUENINGER TRAVEL SERVICE
SUITE 111
5129 ILLINOIS ROAD
FORT WAYNE
IN
46804-0000

Type or Classification
(B)

TRAVEL AGENT

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,466
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$5,466
AIR FARE TO NEW ORLEANS F	01/04/2013	$5,466

Name and Address
(A)

HAVEL
PO BOX 1287
AN EMCORE COMPANY
FORT WAYNE
IN
46801-0000

Type or Classification
(B)

MAINTENANCE

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$10,206
Total Non-Itemized Transactions with this Payee/Payer		$7,455
Total of All Transactions with this Payee/Payer for This Schedule		$17,661
FURNACE INSPECTION AND RE	03/08/2013	$10,206

Name and Address
(A)

HITZFIELD LANDSCAPING INC.
3840 E 1100 N

ROANOKE
IN
46783-0000

Type or Classification
(B)

LANDSCAPING

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$10,912
Total of All Transactions with this Payee/Payer for This Schedule		$10,912

Name and Address
(A)

HOOSIER PROPANE
10035 LOWER HUNTINGTON RD

ROANOKE
IN
46783-0000

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		$8,254
Total of All Transactions with this Payee/Payer for This Schedule		$8,254

Name and Address
(A)

IMPRESSIONS
8914 S. TELEGRAPH RD.
SPECIALTY ADVERTISING
TAYLOR
MI
48180-0000

Type or Classification
(B)

RETAIL

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$6,108
Total of All Transactions with this Payee/Payer for This Schedule		$6,108

Name and Address
(A)

INDIANA FARMERS MUTUAL
PO BOX 856
INSURANCE COMPANY
INDIANAPOLIS
IN
46206-0856

Type or Classification
(B)

INSURANCE

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$9,919
Total of All Transactions with this Payee/Payer for This Schedule		$9,919

Name and Address
(A)

INTERNATIONAL UNION UAW
8000 EAST JEFFERSON AVE

DETROIT
MI
48214-3963

Type or Classification
(B)

LABOR ORGANIZATION

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$5,559
Total of All Transactions with this Payee/Payer for This Schedule		$5,559

Name and Address
(A)

KEEFER PRINTING CO. INC.
3824 TRANSPORTATION DRIVE

FORT WAYNE
IN
46818-0000

Type or Classification
(B)

PRINTING COMPANY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$20,299
Total of All Transactions with this Payee/Payer for This Schedule		$20,299

Name and Address
(A)

MENARDS
PO BOX 5219
HSBC BUSINESS SOLUTIONS
CAROL STREAM
IL
60197-5219

Type or Classification
(B)

BUILDING SUPPLIES

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$11,822
Total of All Transactions with this Payee/Payer for This Schedule		$11,822

Name and Address
(A)

MIDLAND ENGINEERING
ROUTE 933 N
52639 STATEHOUSE
SOUTH BEND
IN
46637-0000

Type or Classification
(B)

ENGINEERING

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$97,650
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$97,650
FINAL PAYMENT FOR HALL RO	10/30/2013	$97,650

Name and Address
(A)

PUNCH FILMS
211 W. WAYNE ST

FORT WAYNE
IN
46802-0000

Type or Classification
(B)

COMMERCIAL PRODUCTION

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$12,184
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$12,184
INVOICE 7614 UAW COMMERCI	12/05/2013	$12,184

Name and Address
(A)

REGION 2-B UAW
1691 WOODLANDS DRIVE

MAUMEE
OH
43537-0000

Type or Classification
(B)

UNION

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$14,560
Total Non-Itemized Transactions with this Payee/Payer		$4,550
Total of All Transactions with this Payee/Payer for This Schedule		$19,110
26 DELEGATES TO REGION 2B	06/20/2013	$14,560

Name and Address
(A)

UNITED REMC
PO BOX 605
PAYMENT CENTER
MARKLE
IN
46770-0605

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		$8,436
Total of All Transactions with this Payee/Payer for This Schedule		$8,436

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 20 - BENEFITS

FILE NUMBER: 516-889

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$69,104
Dental/Hearing/Medical/Vision Insurance	RETAIL WHOLESALE & DEPT	$3,036
Dental/Hearing/Medical/Vision Insurance	RETAIL WHOLESALE & DEPT INT UNION	$32,818
Workers Compensation Insurance	INDIANA FARMERS MUTUAL	$543
Scholarship/Tuition Payments	INTERNATIONAL UNION UAW	$350
Scholarship/Tuition Payments	REGION 2-B UAW	$8,400
Scholarship/Tuition Payments	UAW REGION 2B	$900
Pension Allocations	EDWARD JONES INVESTMENTS	$23,057

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 516-889

Question 10: operations of the building corporation are handled through the books and records of the local union and are therefore 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 in this report.

Question 12: Books were audited UAW International Auditor Larry Fluke

Question 18: Will be attaching a new copy of the By-Laws

Statement A,

Cash Begin Total:

Statement A Beginning Total: 22 A add $1638 in Void checks from previous year

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

Schedule 7: Had a 138 Bibles at $32 each for a total of $4416 gave 48 away to members who had a loss of a family member 48 x 32=1536 leaving 90 x $32 bibles in stock for a total of $2880

Schedule 7: 30 t-shirts at $15 each =$450, 6-kids t-shirts at $10, =$60.00, 6 hooded sweat shirts at $38 =$228, and 6 non hooded sweat shirts at $38 = 228,10 hats at $15.00 =$150, 5 aprons at $19.75 each=$98.60, (total donation and 3 UAW wheel stickers at $1.00 each = $3.00

Schedule 7: A deposit of $500 at AALCO Distributing for purchase of alcohol for membership events

Schedule 7: A deposit of $300 at Five Star Distributing for purchase of alcohol for membership events

Schedule 7: A deposit of $3000 to purchase air line tickets for members who are traveling 2 book cases at a cost value of $100 ea ($200) sold for $20.00 ea for a total of $40.00 4 trees at a cost value of $500 ea ($2000) sold for $20 ea for a total of $80.00 3 coffee urns at a cost value of $66.66 each (200) sold for $15 each for a total of $45 3 paper dispensers at a cost value of $300 ($100ea) sold for 16.00 each for a total of $48 1 Miller Lite Sign at a cost value of $175 sold for $60



Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)