U.S. Department of Labor
Office of Labor-Management Standards
Washington, DC 20210
FORM LM-2 LABOR ORGANIZATION ANNUAL REPORT Form Approved
Office of Management and Budget
No. 1245-0003
Expires: 08-31-2016
MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

This report is mandatory under P.L. 86-257, as amended.  Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1. FILE NUMBER
034-132
2. PERIOD COVERED
From01/01/2014
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
833
7. UNIT NAME (if any)

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

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


9. Are your organization's records kept at its mailing address?


Yes

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of the information submitted in this report (including information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned individual's knowledge and belief, true, correct and complete (See Section V on penalties in the instructions.)
70. SIGNED:TIMOTHY TAYLOEPRESIDENT71. SIGNED:PAMELA J BLOCKTREASURER
Date:Mar 28, 2015Telephone Number:920-918-1126Date:Mar 27, 2015Telephone Number:920-458-2173
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 034-132
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?Yes
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?No
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?Yes
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?No
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$174,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?06/2017
20. How many members did the labor organization have at the end of the reporting period?1,910
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2perMONTH2 HOURS2.5 HOURS
(b) Working Dues/Fees0perNANANA
(c) Initiation Fees20perINITITATIONNANA
(d) Transfer Fees0perNANANA
(e) Work Permits0perNANANA

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

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $493,419$588,815
23. Accounts Receivable1$0$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$0
27. Fixed Assets6$860,340$861,919
28. Other Assets7$15,299$10,040
29. TOTAL ASSETS $1,369,058$1,460,774

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$0
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$627$61,995
34. TOTAL LIABILITIES $627$61,995
35. NET ASSETS$1,368,431$1,398,779
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 034-132

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,039,766
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $4,780
39. Sale of Supplies $3,805
40. Interest $2,698
41. Dividends $0
42. Rents $14,544
43. Sale of Investments and Fixed Assets3$262
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $16,502
48. Other Receipts14$162,433
49. TOTAL RECEIPTS $1,244,790
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$243,953
51. Political Activities and Lobbying16$4,858
52. Contributions, Gifts, and Grants17$33,351
53. General Overhead18$189,957
54. Union Administration19$109,177
55. Benefits20$4,116
56. Per Capita Tax $506,686
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $50
59. Supplies for Resale $5,175
60. Purchase of Investments and Fixed Assets4$1,841
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $15,704
65. Direct Taxes $34,526
  
66. Subtotal $1,149,394
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$40,504  
  67b. Less Total Disbursed$40,504  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $1,149,394
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 034-132

Entity or Individual Name
(A)
Total Account Receivable
(B)
90-180 Days
Past Due
(C)
180+ Days
Past Due
(D)
Liquidated Account
Receivable
(E)
Total of all itemized accounts receivable$0$0$0$0
Totals from all other accounts receivable    
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 034-132

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)
Loans
Outstanding at
Start of Period
(B)
Loans Made
During Period
(C)
Repayments Received During Period
Cash
(D)(1)
Other Than Cash
(D)(2)
Loans
Outstanding at
End of Period
(E)
Total of loans not listed above     
Total of all lines above$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 45 Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 034-132

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Gross Sales Price
(D)
Amount Received
(E)
Total of all lines above$400$400$262$262
SALE OF CHAIRS$400$400$262$262
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$262
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 034-132

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$1,841$1,841$1,841
Vacuum$604$604$604
SAFETY BENEFIT LAPTOP$1,237$1,237$1,237
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$1,841
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 034-132

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost
B. Total Book Value
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
Other Investments 
D. Total Cost
E. Total Book Value
F. List each other investment which has a book value over $5,000 and exceeds 5% of Line E.  Also, list each subsidiary for which separate reports are attached.  
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 034-132

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      5425 SUPERIOR AVE, SHEBOYGAN WI$73,953 $73,953$80,537
B. Buildings (give location)    
Building  1 :      5425 SUPERIOR AVE, SHEBOYGAN WI$539,706$539,706$689,500
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$108,144$0$108,144$108,144
E. Other Fixed Assets$140,116$0$140,116$140,116
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $861,919$0$861,919$1,018,297
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 034-132

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $10,040
Bar Merchandise$9,300
T-Shirts/Hats$740
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 034-132

Entity or Individual Name
(A)
Total Account
Payable
(B)
90-180 Days
Past Due
(C)
180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$0$0$0$0
Total from all other accounts payable$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 034-132

Source of Loans Payable at Any
Time During the Reporting Period
(A)
Loans Owed at
Start of Period
(B)
Loans Obtained
During Period
(C)
Repayment
During Period
Cash
(D)(1)
Repayment
During Period
Other Than Cash
(D)(2)
Loans Owed at
End of Period
(E)
Total Loans Payable$0$0$0$0$0
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 034-132

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $61,995
Per Capita tax due the International $61,995
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 034-132

(A)
Name
(B)
Title
(C)
Status
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances
Disbursed
(F)
Disbursements for Official Business
(G)
Other
Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
BOUCHER ,  DAVID  
PRESIDENT
P
$590$1,674$947$0$3,211
I
Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
15 % Schedule 17
Contributions
Schedule 18
General Overhead
10 % Schedule 19
Administration
5 %
A
B
C
BROCK ,  JIM  
VICE PRESIDENT
C
$0$1,980$34$0$2,014
I
Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
5 % Schedule 18
General Overhead
15 % Schedule 19
Administration
10 %
A
B
C
SAWALL ,  PENNY   L
RECORDING SECRETARY
C
$45,888$1,620$1,402$0$48,910
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
70 %
A
B
C
BLOCK ,  PAMELA   J
FINANCIAL SECRETARY
C
$45,888$1,500$1,373$0$48,761
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
20 % Schedule 19
Administration
60 %
A
B
C
STROHSCHOEN ,  DAVID  
HEAD TRUSTEE
C
$260$2,775$1,557$0$4,592
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
80 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
10 %
A
B
C
STROHSCHOEN ,  JAMES  
TRUSTEE
C
$3,728$203$0$0$3,931
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
10 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
85 %
A
B
C
PRENING ,  BILL  
TRUSTEE
C
$3,567$540$650$0$4,757
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
85 %
A
B
C
SCHMITZ ,  RANDY  
STG AT ARMS
P
$2,259$624$0$0$2,883
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
10 %
A
B
C
QUINN ,  JAMES  
GUIDE
P
$0$135$0$0$135
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
85 %
A
B
C
MARTINEZ ,  RUFINO  
SGT AT ARMS
N
$253$338$78$0$669
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
85 %
A
B
C
MILLER ,  JASON  
GUIDE
N
$272$338$32$0$642
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
85 %
A
B
C
SCHROEDER ,  ANGELINE  
TRUSTEE
N
$1,272$338$313$1,923
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
10 % Schedule 19
Administration
90 %
A
B
C
TAYLOE ,  TIMOTHY  
PRESIDENT
N
$0$1,749$1,429$0$3,178
I
Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
20 %
Total Officer Disbursements$103,977$13,814$7,815$0$125,606
Less Deductions    $11,817
Net Disbursements    $113,789
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 034-132

(A)
Name
(B)
Title
(C)
Other Payer
(D)
Gross Salary
Disbursements
(before any
deductions)
(E)
Allowances Disbursed
(F)
Disbursements for Official Business
(G)
Other Disbursements not reported in
(D) through (F)
(H)
TOTAL
A
B
C
EIRICH ,  DAVID   K
CUSTODIAN
None
$10,642$50$10,692
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
75 % Schedule 19
Administration
5 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$81,673$42,529$14,589$138,791
I Schedule 15
Representational Activities
45 % Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
50 % Schedule 19
Administration
5 %
Total Employee Disbursements$92,315$42,529$14,639$0$149,483
Less Deductions    $28,687
Net Disbursements    $120,796
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 034-132

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,910 
Agency Fee Payers*0
Total Members/Fee Payers1,910 
*Agency Fee Payers are not considered members of the labor organization.
Regular members1,910Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 034-132

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$40,983
2. Named Payer Non-itemized Receipts$78,984
3. All Other Receipts$42,466
4. Total Receipts$162,433
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$6,096
2. Named Payee Non-itemized Disbursements$0
3. To Officers$101
4. To Employees$0
5. All Other Disbursements$27,154
6. Total Disbursements$33,351
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$40,274
2. Named Payee Non-itemized Disbursements$25,311
3. To Officers$28,012
4. To Employees$64,594
5. All Other Disbursements$85,762
6. Total Disbursements$243,953
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$12,702
2. Named Payee Non-itemized Disbursements$25,742
3. To Officers$17,203
4. To Employees$77,415
5. All Other Disbursements$56,895
6. Total Disbursements$189,957
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$4,708
4. To Employees$0
5. All Other Disbursements$150
6. Total Disbursements$4,858
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$17,974
2. Named Payee Non-itemized Disbursements$0
3. To Officers$75,584
4. To Employees$7,475
5. All Other Disbursements$8,144
6. Total Disbursements$109,177
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 034-132

Name and Address
(A)
DON AND JOAN OTTO
COVINGTON DR

SHEBOYGAN FALLS
WI
53085
Type or Classification
(B)
RETIREE CHAIRPERSON
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,783
Total Non-Itemized Transactions with this Payee/Payer$10,427
Total of All Transactions with this Payee/Payer for This Schedule$16,210
BREWER TRIP MAY 2804/28/2014$5,783
Name and Address
(A)
INTERNATIONAL UNION, UAW
8000 EAST JEFFERSON

DETROIT
MI
48214-3448
Type or Classification
(B)
PARENT ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,336
Total Non-Itemized Transactions with this Payee/Payer$6,433
Total of All Transactions with this Payee/Payer for This Schedule$20,769
13TH MONTH REBATE04/21/2014$14,336
Name and Address
(A)
PAM BLOCK

5425 SUPERIOR AVE
SHEBOYGAN
WI
53083
Type or Classification
(B)
FINANCIAL SECRETARY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$19,123
Total of All Transactions with this Payee/Payer for This Schedule$19,123
Name and Address
(A)
PENNY SAWALL

5425 SUPERIOR AVE
SHEBOYGAN
WI
53083
Type or Classification
(B)
COMMITTEE PERSON
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,047
Total of All Transactions with this Payee/Payer for This Schedule$9,047
Name and Address
(A)
STAN WICK
221 ORCHARD RD

KOHLER
WI
53044
Type or Classification
(B)
BAR MANAGER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$31,490
Total of All Transactions with this Payee/Payer for This Schedule$31,490
Name and Address
(A)
WILLIAM BOLGERT

5425 SUPERIOR AVE
SHEBOYGAN
WI
53083
Type or Classification
(B)
CONSERVATION CMT CHAIRPERSON
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,864
Total Non-Itemized Transactions with this Payee/Payer$2,464
Total of All Transactions with this Payee/Payer for This Schedule$23,328
BANQUET PROCEEDS09/12/2014$20,864
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 034-132

Name and Address
(A)
Hickory Hills Country Club

W3095 Hickory Hlls
Chilton
WI
53014
Type or Classification
(B)
Golf course
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,649
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,649
Annual Golf Outing08/21/2014$7,649
Name and Address
(A)
HUB International Midwest

15174 Collections Dr
Chicago
IL
60693
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,368
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,368
Union Liability Renewal12/13/2014$10,368
Name and Address
(A)
Jon's Sportshop

2968 Jackson St
Oshkosh
WI
54901
Type or Classification
(B)
Sportsmans store
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,177
Total Non-Itemized Transactions with this Payee/Payer$3,330
Total of All Transactions with this Payee/Payer for This Schedule$16,507
Conservation banquet purchases05/15/2014$13,177
Name and Address
(A)
Piggly Wiggly, Howards Grove

714 S Wisconsin Ave
Howards Grove
WI
53084
Type or Classification
(B)
Grocery Store
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,954
Total of All Transactions with this Payee/Payer for This Schedule$11,954
Name and Address
(A)
Region 4 Activity Fund

680 Barclay Blvd
Lincolnshire
IL
60069
Type or Classification
(B)
UAW Regional Activies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,975
Total of All Transactions with this Payee/Payer for This Schedule$5,975
Name and Address
(A)
Rupps on Washington
1102 W Washington

Cleveland
WI
53015
Type or Classification
(B)
Caterer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,080
Total Non-Itemized Transactions with this Payee/Payer$4,052
Total of All Transactions with this Payee/Payer for This Schedule$13,132
Retiree Christmas party12/07/2014$9,080
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 034-132

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 034-132

Name and Address
(A)
Windwalkers Pheasantry

W2032 Birch Lane
Mount Calvary
WI
53057
Type or Classification
(B)
Pheasants seller
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,096
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,096
Purchase Pheasants06/12/2014$6,096
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 034-132

Name and Address
(A)
C.A. Flipse
1104

Sheboygan
WI
53082-1104
Type or Classification
(B)
Supplier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,536
Total of All Transactions with this Payee/Payer for This Schedule$5,536
Name and Address
(A)
Feldco

1125 C Tuckaway
Menasha
WI
54952
Type or Classification
(B)
Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,702
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$12,702
Purchase doors for building03/31/2014$12,702
Name and Address
(A)
General Beer

North 1825 Rosehill Rd
Kaukauna
WI
54130
Type or Classification
(B)
Distributor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,691
Total of All Transactions with this Payee/Payer for This Schedule$5,691
Name and Address
(A)
Lakeside Pepsi

300 Forest Ave
Sheboygan Falls
WI
53083
Type or Classification
(B)
Distributor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,430
Total of All Transactions with this Payee/Payer for This Schedule$5,430
Name and Address
(A)
Larry's Distributing, Inc

3815 Playbird Road
Sheboygan
WI
53083
Type or Classification
(B)
Distributor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,085
Total of All Transactions with this Payee/Payer for This Schedule$9,085
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 034-132

Name and Address
(A)
Capital Indemnity

20 Cabot Blvd
Mansfield
MA
02048
Type or Classification
(B)
Insurance carrier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,362
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$7,362
Commerical package insurance renewal02/24/2014$7,362
Name and Address
(A)
HUB International Midwest

15174 Collections D
Chicago
IL
60693
Type or Classification
(B)
Insurance carrier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,612
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,612
General liabiltiy01/09/2014$10,612
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 034-132

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$4,116
Officer Pension, Insurance contriutionsKohler Company$4,116
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 034-132


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

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

Question 15: Attached, you will find the "Banquet Donor List" and "Casino Donor List" which includes items donated to the 2014 Conservation Banquet and 2014 Casino Night sponsored by various for local organizations and charity events. Food certificates, golf balls, golf packages, hats, shirts, dental kits and misc items were donated to the annual golf outing. During Memberships meetings throughout the year, beer and soda are offered to members at no charge as well as a meal. The local purchases and pays half the cost to members for jackets, hats, t-shirts. 122 T-shirts were given to new Members per Membership action. 50 Hams and 50 Turkeys are given out as monthly door prizes at March and November Membership meetings, respectively. 25 Presidential calendars are purchased and given to area businesses and schools. Members have the opportunity to participate in UAW bowling and golf events covered 50% by the local. Scholarships were awarded to dependents of members as committee selects. The money was raised by committees.

Statement A,

Cash Begin Total: The amount was changed because of a void check of $15.00

Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular member pay full dues.Line 47 and 64 show a difference of $798. $585 was vcap collected in December and expensed in January. The other $211 was startup money from prior year.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)