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
From01/01/2014
Through12/31/2014
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 HoveyPRESIDENT71. SIGNED:Kurt C KetelsenTREASURER
Date:Mar 13, 2015Telephone Number:563-386-0284Date:Mar 13, 2015Telephone 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/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2 1/2 Hrs AEperMonthn/an/a
(b) Working Dues/Feesper
(c) Initiation Fees$20perOne time
(d) Transfer Feesper
(e) Work Permitsper

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 Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$231,999$231,956
28. Other Assets7$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 Payable8$23,481$38,228
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$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 RECEIPTSSCHAMOUNT
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 Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $3,043
48. Other Receipts14$33,314
49. TOTAL RECEIPTS $695,351
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$140,603
51. Political Activities and Lobbying16$20,766
52. Contributions, Gifts, and Grants17$4,864
53. General Overhead18$4,886
54. Union Administration19$102,405
55. Benefits20$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 Assets4$323
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 $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 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: 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 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: 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 Payers974 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members974Yes
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 CHECK05/09/2014$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 HATS11/19/2014$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 InsuranceHUMANA INSURANCE CO$402
Medical InsuranceWELLMARK$7,838
Workers Compension InsuranceState Farm$1,856
Medical Fees- To Doc/Hosp as a Co-PayANESTHESIA & ANALGESIA PC$134
Medical Fees- To Doc/Hosp as a Co-PayEYE SURGEONS ASSOCIATES$70
Medical Fees- To Doc/Hosp as a Co-PayGenisis Medical Center$2,154
Medical Fees- To Doc/Hosp as a Co-PayPULMONARY ASSOCIATES$91
Medical Fees- To Doc/Hosp as a Co-PayPULMONARY ASSOCIATES OF QC PC$47
Medical Fees- To Doc/Hosp as a Co-PayRADIOLIGY 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.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)