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
507-510
2.
PERIOD COVERED
From
01/01/2014
Through
12/31/2014
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
281
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
KURT
Last Name
KETELSEN
P.O Box - Building and Room Number
LOCAL 281
Number and Street
21135 HOLDEN DRIVE
City
DAVENPORT IA
State
IA
ZIP Code + 4
528069314
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:
Josh S Hovey
PRESIDENT
71. SIGNED:
Kurt C Ketelsen
TREASURER
Date:
Mar 13, 2015
Telephone
Number:
563-386-0284
Date:
Mar 13, 2015
Telephone
Number:
563-386-0284
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
507-510
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?
$120,000
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
Yes
16. Were any of the labor organization's
assets pledged as security or encumbered in any way at the
end of the reporting period?
No
17. Did the labor organization have any
contingent liabilities at the end of the reporting period?
No
18. During the reporting period did the labor
organization have any changes in its constitution or
bylaws, other than rates of dues and fees, or in
practices/procedures listed in the instructions?
No
19. What is the date of the labor
organization's next regular election of officers?
05/2017
20. How many members did the labor organization
have at the end of the reporting period?
974
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 1/2 Hrs AE
per
Month
n/a
n/a
(b) Working Dues/Fees
per
(c) Initiation Fees
$20
per
One time
(d) Transfer Fees
per
(e) Work Permits
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
507-510
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$495,427
$534,928
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
$231,999
$231,956
28. Other Assets
7
$1,134
$1,316
29.
TOTAL ASSETS
$728,560
$768,200
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$23,481
$38,228
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$2,765
$4,967
34. TOTAL
LIABILITIES
$26,246
$43,195
35. NET
ASSETS
$702,314
$725,005
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
507-510
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$655,194
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$800
39. Sale of Supplies
$0
40. Interest
$3,000
41. Dividends
$0
42. Rents
$0
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
$3,043
48. Other Receipts
14
$33,314
49. TOTAL RECEIPTS
$695,351
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$140,603
51.
Political Activities and Lobbying
16
$20,766
52.
Contributions, Gifts, and Grants
17
$4,864
53. General
Overhead
18
$4,886
54. Union
Administration
19
$102,405
55. Benefits
20
$12,701
56. Per
Capita Tax
$352,518
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$323
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
$3,043
65. Direct
Taxes
$15,692
66. Subtotal
$657,801
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$29,878
67b. Less Total
Disbursed
$27,927
67c.
Total Withheld But Not Disbursed
$1,951
68.
TOTAL DISBURSEMENTS
$655,850
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
507-510
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
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:
507-510
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 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:
507-510
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:
507-510
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$323
$323
$323
Staples Shredder Serial 141578598
$200
$200
$200
Proctor Silex Roaster
$53
$53
$53
Phone in factory office
$70
$70
$70
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$323
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
507-510
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:
507-510
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
21135 Holden Drive Davenport IA 52806
$3,000
$3,000
$30,000
B.
Buildings (give location)
Building
1
:
21135 Holden Drive Davenport IA 52806
$194,351
$0
$194,351
$280,000
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$34,605
$0
$34,605
$34,605
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$231,956
$0
$231,956
$344,605
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
507-510
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$1,316
Bulk Mail Account
$838
Comfort For The Day Books -1
$20
Comfort For The Day Books-Paperback- 30
$458
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
507-510
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
$38,228
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$38,228
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
507-510
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:
507-510
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$4,967
Fed 941
$1,811
Fed 940
$79
ILLINOIS 941
$2,311
IA 941
$643
IWD Tax
$123
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
507-510
(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
ENGLING
,
KENNETH
TRUSTEE P
$729
$418
$0
$0
$1,147
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
FOBERT
,
GREG
E SGT-AT-ARMS C
$228
$26
$49
$0
$303
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
FISHER
,
MARY
RETIREE CHAIR C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
HANRAHAN
,
TRAVIS
M GUIDE C
$50
$0
$0
$0
$50
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
HOFFMAN
,
JERRY
TRUSTEE P
$1,336
$277
$685
$0
$2,298
I
Schedule 15
Representational Activities
31
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
69
%
A
B
C
HORST
,
NYLE
C RECORDING SECRETARY C
$2,491
$464
$63
$0
$3,018
I
Schedule 15
Representational Activities
14
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
86
%
A
B
C
HOVEY
,
JOSHUA
S PRESIDENT C
$7,278
$674
$5,270
$0
$13,222
I
Schedule 15
Representational Activities
59
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
40
%
A
B
C
KIRLIN
,
PHILLIP
E CHAIRPERSON P
$1,423
$0
$2,077
$0
$3,500
I
Schedule 15
Representational Activities
86
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
13
%
Schedule 19
Administration
0
%
A
B
C
KETELSEN
,
KURT
FINANCIAL SECRETARY C
$27,528
$4,756
$10,883
$0
$43,167
I
Schedule 15
Representational Activities
39
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
60
%
A
B
C
LODWICK
,
MICHELLE
CHAIRPERSON N
$370
$0
$3,600
$0
$3,970
I
Schedule 15
Representational Activities
96
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
MILLER
,
GENE
TRUSTEE N
$2,497
$0
$2,012
$0
$4,509
I
Schedule 15
Representational Activities
6
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
7
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
83
%
A
B
C
MURPHY
,
JEREMY
S TRUSTEE C
$2,658
$291
$1,004
$0
$3,953
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
99
%
A
B
C
O'BRIEN
,
MICHAEL
PRESIDENT P
$0
$0
$1,645
$0
$1,645
I
Schedule 15
Representational Activities
98
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
1
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
1
%
A
B
C
PENCE
,
DEWEY
TRUSTEE N
$4,314
$117
$2,357
$0
$6,788
I
Schedule 15
Representational Activities
22
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
77
%
A
B
C
RIPPLE
,
BRIAN
VICE PRESIDENT N
$3,661
$89
$3,386
$0
$7,136
I
Schedule 15
Representational Activities
26
%
Schedule 16
Political Activities and Lobbying
66
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
8
%
Total Officer
Disbursements
$54,563
$7,112
$33,031
$0
$94,706
Less Deductions
$16,523
Net
Disbursements
$78,183
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
507-510
(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
Hass
,
Susan
Secretary NA
$19,232
$0
$440
$0
$19,672
I
Schedule 15
Representational Activities
47
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
1
%
Schedule 19
Administration
52
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$43,597
$25
$18,661
$0
$62,283
I
Schedule 15
Representational Activities
26
%
Schedule 16
Political Activities and Lobbying
22
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
1
%
Schedule 19
Administration
51
%
Total
Employee Disbursements
$62,829
$25
$19,101
$0
$81,955
Less
Deductions
$13,356
Net Disbursements
$68,599
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
507-510
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
974
Agency Fee Payers*
Total Members/Fee Payers
974
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
974
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
507-510
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$9,060
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$24,254
4. Total
Receipts
$33,314
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$332
4. To Employees
$0
5. All Other
Disbursements
$4,532
6. Total
Disbursements
$4,864
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$15,204
2. Named Payee
Non-itemized Disbursements
$14,734
3. To Officers
$37,823
4. To Employees
$25,440
5. All Other
Disbursements
$47,402
6. Total
Disbursements
$140,603
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$455
4. To Employees
$820
5. All Other
Disbursements
$3,611
6. Total
Disbursements
$4,886
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$5,756
4. To Employees
$13,702
5. All Other
Disbursements
$1,308
6. Total
Disbursements
$20,766
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$50,339
4. To Employees
$41,993
5. All Other
Disbursements
$10,073
6. Total
Disbursements
$102,405
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
507-510
Name and Address
(A)
UAW International Union 8000 E. Jefferson Avenue
Detroit MI 48214-0000
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$9,060
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$9,060
13TH REBATE CHECK
05/09/2014
$9,060
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
507-510
Name and Address
(A)
IMAGE POINTE PO BOX 657
WATERLOO IA 50704-0657
Type or Classification
(B)
SHIRT SUPPIER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$15,204
Total
Non-Itemized Transactions with this Payee/Payer
$1,604
Total of All Transactions with this
Payee/Payer for This Schedule
$16,808
40TH ANNIVERSARY HATS
11/19/2014
$15,204
Name and Address
(A)
TRI STATE TRAVEL 530 W 76TH ST
DAVENPORT IA 52806-0000
Type or Classification
(B)
BUS LINE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,300
Total of All Transactions with this
Payee/Payer for This Schedule
$6,300
Name and Address
(A)
UAW Region 4 ACTIVITIES FUND 680 Barclay Boulevard
Lincolnshire IL 60069-0000
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,830
Total of All Transactions with this
Payee/Payer for This Schedule
$6,830
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
507-510
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:
507-510
Name and Address
(A)
-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
507-510
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:
507-510
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 20 -
BENEFITS
FILE NUMBER:
507-510
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$12,701
Medical Insurance
HUMANA INSURANCE CO
$402
Medical Insurance
WELLMARK
$7,838
Workers Compension Insurance
State Farm
$1,856
Medical Fees- To Doc/Hosp as a Co-Pay
ANESTHESIA & ANALGESIA PC
$134
Medical Fees- To Doc/Hosp as a Co-Pay
EYE SURGEONS ASSOCIATES
$70
Medical Fees- To Doc/Hosp as a Co-Pay
Genisis Medical Center
$2,154
Medical Fees- To Doc/Hosp as a Co-Pay
PULMONARY ASSOCIATES
$91
Medical Fees- To Doc/Hosp as a Co-Pay
PULMONARY ASSOCIATES OF QC PC
$47
Medical Fees- To Doc/Hosp as a Co-Pay
RADIOLIGY GROUP PC.SC
$109
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
507-510
Question 10: UAW Local 281 Building Corporation is Located at 21135 Holden Drive Davenport IA 52806. 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): UAW Local 281 Building Corporation is located at 21135 Holden Drive Davenport IA 52806. Operations of the Building Corporation are handled through the books and records of the Local Union and are therefore included in this report.
Question 15: . We threw out a box fan ($30), a bad roaster ($26.99),an old cabinet (250), and a bad phone ($59.99). We also gave away 7 Comfort for the day books ($20 each $140 total value) to Deb Ramirez,Dace Nelson, Rod Gittings, Kevin Zander, Tony Gomez, Jim Mack, Brad Snyder. Total value of assets distributed = $506.98
Statement A,
Cash Begin Total: : lINE 22A WAS INCREASED BY $44 TO ACCOUNT FOR CHECKS VIODED FROM A PREVIOUS YEAR.
Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.lINE 56 STATEMENT B WAS RAISED BY 6 DOLLARS TO ACCOUNT FOR ROUNDING TO WHOLE NUMBERS.