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
010-923
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
72
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
Peni
Last Name
Keeling
P.O Box - Building and Room Number
Number and Street
3615 WASHINGTON ROAD
City
KENOSHA
State
WI
ZIP Code + 4
531441640
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:
Peggy C Applegate-Peplinski
PRESIDENT
71. SIGNED:
Peni J Keeling
TREASURER
Date:
Mar 20, 2015
Telephone
Number:
262-308-3062
Date:
Mar 20, 2015
Telephone
Number:
262-945-7528
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
010-923
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?
$112,000
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?
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?
7,703
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 hours straight time
per
month
0
0
(b) Working Dues/Fees
0
per
0
0
0
(c) Initiation Fees
$20
per
one time
0
0
(d) Transfer Fees
0
per
0
0
0
(e) Work Permits
0
per
0
0
0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
010-923
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$661,714
$832,329
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$17,540
$440
27. Fixed Assets
6
$1,472,030
$1,316,259
28. Other Assets
7
$774
$774
29.
TOTAL ASSETS
$2,152,058
$2,149,802
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$1,325
$7,478
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$0
$0
34. TOTAL
LIABILITIES
$1,325
$7,478
35. NET
ASSETS
$2,150,733
$2,142,324
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
010-923
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$46,504
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$80
39. Sale of Supplies
$0
40. Interest
$4,467
41. Dividends
$28
42. Rents
$60,240
43. Sale of Investments
and Fixed Assets
3
$257,885
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
$6,069
48. Other Receipts
14
$81,079
49. TOTAL RECEIPTS
$456,352
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$36,115
51.
Political Activities and Lobbying
16
$31,482
52.
Contributions, Gifts, and Grants
17
$15,537
53. General
Overhead
18
$117,675
54. Union
Administration
19
$53,704
55. Benefits
20
$16,450
56. Per
Capita Tax
$6,750
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$2,567
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
$0
65. Direct
Taxes
$5,457
66. Subtotal
$285,737
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$0
67b. Less Total
Disbursed
$0
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$285,737
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
010-923
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:
010-923
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:
010-923
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
$274,985
$274,985
$257,885
$257,885
3715 Washington Road, Kenosha, WI
$132,325
$132,325
$132,325
$132,325
3615 Washington Road, Kenosha, WI (rear building)
$125,560
$125,560
$125,560
$125,560
171 Shares Coop Stock
$17,100
$17,100
$0
$0
Less Reinvestments
$0
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$257,885
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
010-923
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$2,567
$2,567
$2,567
SHOP VAC & PRODUCTS
$781
$781
$781
WIRELESS EQUIPMENT
$526
$526
$526
COMPUTER EQUIPMENT
$1,260
$1,260
$1,260
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$2,567
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
010-923
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
$440
B. Total Book Value
$440
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))
$440
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
010-923
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
3615 Washington Road, Kenosha WI
$145,864
$145,864
$145,864
Land
2
:
3601 40th Street, Kenosha WI
$115,153
$115,153
$115,153
B.
Buildings (give location)
Building
1
:
3615 Washington Road, Kenosha WI
$689,221
$0
$689,221
$689,221
C. Automobiles
and
Other Vehicles
$0
$0
$0
$0
D. Office
Furniture
and Equipment
$366,021
$0
$366,021
$366,021
E.
Other Fixed Assets
$0
$0
$0
$0
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$1,316,259
$0
$1,316,259
$1,316,259
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
010-923
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$774
12 Men's Watches @ $64.50 each
$774
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
010-923
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
$7,478
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$7,478
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
010-923
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:
010-923
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
010-923
(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
APPLEGATE-PEPLIN
,
Peggy
C PRESIDENT C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
79
%
Schedule 17
Contributions
15
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
6
%
A
B
C
DAVIS
,
Anthony
L HEAD TRUSTEE C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
9
%
Schedule 17
Contributions
32
%
Schedule 18
General Overhead
6
%
Schedule 19
Administration
53
%
A
B
C
DUPREY
,
FREDERI
VICE PRESIDENT C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
35
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
65
%
A
B
C
FARMER
,
Cynthia
S GUIDE N
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
77
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
23
%
A
B
C
FISHER
,
VERNON
C GUIDE P
$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
KEELING
,
PENI
J FINANCIAL SEC TREAS C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
17
%
Schedule 16
Political Activities and Lobbying
7
%
Schedule 17
Contributions
1
%
Schedule 18
General Overhead
3
%
Schedule 19
Administration
72
%
A
B
C
KETCHUM
,
THOMAS
G TRUSTEE N
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
50
%
Schedule 19
Administration
50
%
A
B
C
MANKE
,
DENNIS
C RECORDING SEC C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
8
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
92
%
A
B
C
PANASEWICZ
,
LOUIS
J PALMEN UNIT CHAIR C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
86
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
14
%
A
B
C
PRYBYLSKI
,
JO ANN
TRUSTEE 1/2011 P
$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
RAYMOND
,
KERRY
TRUSTEE C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
60
%
Schedule 19
Administration
40
%
A
B
C
UNDERHILL
,
MICHAEL
L SGT AT ARMS C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
30
%
Schedule 17
Contributions
18
%
Schedule 18
General Overhead
15
%
Schedule 19
Administration
37
%
A
B
C
WILSON
,
CURT
E RETIREES CHAP CHAIR C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
19
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
77
%
Schedule 19
Administration
4
%
Total Officer
Disbursements
$0
$0
$0
$0
$0
Less Deductions
$0
Net
Disbursements
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
010-923
(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
$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
%
Total
Employee Disbursements
$0
$0
$0
$0
$0
Less
Deductions
$0
Net Disbursements
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
010-923
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
7,703
Agency Fee Payers*
Total Members/Fee Payers
7,703
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
3
Yes
Retired Members
7,700
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
010-923
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$11,206
2. Named Payer
Non-itemized Receipts
$34,857
3. All Other Receipts
$35,016
4. Total
Receipts
$81,079
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$15,537
6. Total
Disbursements
$15,537
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$5,552
2. Named Payee
Non-itemized Disbursements
$8,037
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$22,526
6. Total
Disbursements
$36,115
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$56,882
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$60,793
6. Total
Disbursements
$117,675
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$14,764
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$16,718
6. Total
Disbursements
$31,482
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$17,100
2. Named Payee
Non-itemized Disbursements
$16,242
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$20,362
6. Total
Disbursements
$53,704
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
010-923
Name and Address
(A)
PENI J KEELING 7915 31ST AVENUE
KENOSHA WI 53142-0000
Type or Classification
(B)
UNION OFFICER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$11,206
Total
Non-Itemized Transactions with this Payee/Payer
$8,227
Total of All Transactions with this
Payee/Payer for This Schedule
$19,433
Bar Sales 2/15/14
02/15/2014
$6,200
Bar Sales 2/16/14
02/17/2014
$5,006
Name and Address
(A)
RICHARD PHILLIPS 5311 89TH STREET
PLEASANT PRAIRIE WI 53158-0000
Type or Classification
(B)
NONE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$26,630
Total of All Transactions with this
Payee/Payer for This Schedule
$26,630
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
010-923
Name and Address
(A)
SIR ARTHUR'S TAVERN 3501 14TH AVENUE CAMELOT CATERING LLC KENOSHA WI 53140-0000
Type or Classification
(B)
CATERER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,552
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,552
CATERING FOR RETIREE CHRI
12/01/2014
$5,552
Name and Address
(A)
THE LABOR PAPER 3030 39TH AVENUE ROOM 110
KENOSHA WI 53144-0000
Type or Classification
(B)
NEWSPAPER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,037
Total of All Transactions with this
Payee/Payer for This Schedule
$8,037
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
010-923
Name and Address
(A)
JOHNSON'S ENTERPRISE 1643 NINTH STREET BEVERLY JOHNSON RACINE WI 53403-0000
Type or Classification
(B)
JANITORIAL & LAWN SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,867
Total of All Transactions with this
Payee/Payer for This Schedule
$5,867
Name and Address
(A)
WE ENERGIES ELECTRIC PO BOX 2089
MILWAUKEE WI 53201-2089
Type or Classification
(B)
UTILITIES
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,897
Total of All Transactions with this
Payee/Payer for This Schedule
$8,897
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 -
CONTRIBUTIONS, GIFTS & GRANTS
FILE NUMBER:
010-923
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:
010-923
Name and Address
(A)
CJW INC. 2437 CHICORY ROAD
RACINE WI 53403-0000
Type or Classification
(B)
BEVERAGES
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$12,916
Total of All Transactions with this
Payee/Payer for This Schedule
$12,916
Name and Address
(A)
JOHNSON'S ENTERPRISE 1643 NINTH STREET BEVERLY JOHNSON RACINE WI 53403-0000
Type or Classification
(B)
JANITORIAL & LAWN SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$14,961
Total of All Transactions with this
Payee/Payer for This Schedule
$14,961
Name and Address
(A)
KENOSHA WATER UTILITY 4401 GREEN BAY ROAD
KENOSHA WI 53144-0000
Type or Classification
(B)
WATER & SEWER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,314
Total of All Transactions with this
Payee/Payer for This Schedule
$6,314
Name and Address
(A)
WE ENERGIES ELECTRIC PO BOX 2089
MILWAUKEE WI 53201-2089
Type or Classification
(B)
UTILITIES
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$22,691
Total of All Transactions with this
Payee/Payer for This Schedule
$22,691
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
010-923
Name and Address
(A)
JOHNSON'S ENTERPRISE 1643 NINTH STREET BEVERLY JOHNSON RACINE WI 53403-0000
Type or Classification
(B)
JANITORIAL & LAWN SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,455
Total of All Transactions with this
Payee/Payer for This Schedule
$6,455
Name and Address
(A)
UNION COOP STOCK
MILWAUKEE WI 53201-0000
Type or Classification
(B)
STOCK
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$17,100
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$17,100
LOSS OF STOCK INVESTMENT
07/31/2014
$17,100
Name and Address
(A)
WE ENERGIES ELECTRIC PO BOX 2089
MILWAUKEE WI 53201-2089
Type or Classification
(B)
UTILITIES
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$9,787
Total of All Transactions with this
Payee/Payer for This Schedule
$9,787
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
010-923
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$16,450
Dental/Hearing/Medical/Vision Insurance
AARP DENTAL INSURANCE PLAN
$1,585
Dental/Hearing/Medical/Vision Insurance
Anthem Life Insurance Company
$118
Dental/Hearing/Medical/Vision Insurance
EMILY CERASANI
$2,400
Dental/Hearing/Medical/Vision Insurance
EPIC LIFE INSURANCE COMPANY
$50
Dental/Hearing/Medical/Vision Insurance
Epic Life
$20
Dental/Hearing/Medical/Vision Insurance
Epic Life Insurance
$7
Dental/Hearing/Medical/Vision Insurance
Epic Life Insurance Company
$7
Dental/Hearing/Medical/Vision Insurance
UNITED HEALTH CARE
$8,811
Dental/Hearing/Medical/Vision Insurance
UNITED HEALTH CARE CA
$3,216
Dental/Hearing/Medical/Vision Insurance
Unicare Life & Health Insurance Company
$236
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
010-923
Question 10: Operations of the Building Corporation are handled through the books and records of the Local Union and therefore are included in this report.
Question 11(b): Operations of the Building Corporation are handled through the books and records of the Local Union and therefore are included in this report.
Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.
Schedule 13, Row2:Retired members voluntarily pay $2 per month.
General Information: Rates of Dues and Fees: Regular dues changed from 2 hours straight time per month to 2 1/2 hours straight time per month in November 2014.
Line 22B Ending Balance reflects the loss of stock in the amount of $17,100. This stock loss was further reflected in