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
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
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 TAYLOE
PRESIDENT
71. SIGNED:
PAMELA J BLOCK
TREASURER
Date:
Mar 28, 2015
Telephone
Number:
920-918-1126
Date:
Mar 27, 2015
Telephone
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/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
2
per
MONTH
2 HOURS
2.5 HOURS
(b) Working Dues/Fees
0
per
NA
NA
NA
(c) Initiation Fees
20
per
INITITATION
NA
NA
(d) Transfer Fees
0
per
NA
NA
NA
(e) Work Permits
0
per
NA
NA
NA
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 Receivable
1
$0
$0
24. Loans Receivable
2
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
27. Fixed Assets
6
$860,340
$861,919
28. Other Assets
7
$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 Payable
8
$0
31. Loans Payable
9
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$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
RECEIPTS
SCH
AMOUNT
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 Assets
3
$262
44. Loans Obtained
9
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$16,502
48. Other Receipts
14
$162,433
49. TOTAL RECEIPTS
$1,244,790
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$243,953
51.
Political Activities and Lobbying
16
$4,858
52.
Contributions, Gifts, and Grants
17
$33,351
53. General
Overhead
18
$189,957
54. Union
Administration
19
$109,177
55. Benefits
20
$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 Assets
4
$1,841
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
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 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:
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 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:
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 Payers
1,910
*Agency Fee Payers are
not considered members of the labor organization.
Regular members
1,910
Yes
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 28
04/28/2014
$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 REBATE
04/21/2014
$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 PROCEEDS
09/12/2014
$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 Outing
08/21/2014
$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 Renewal
12/13/2014
$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 purchases
05/15/2014
$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 party
12/07/2014
$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 Pheasants
06/12/2014
$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 building
03/31/2014
$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 renewal
02/24/2014
$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 liabiltiy
01/09/2014
$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 contriutions
Kohler 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.