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
012-621
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
719
7. UNIT NAME (if any)
LA GRANGE-CHICAGO LOCAL
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
DENISE
Last Name
GREENWOOD
P.O Box - Building and Room Number
SUITE 100
Number and Street
6325 JOLIET ROAD
City
COUNTRYSIDE
State
IL
ZIP Code + 4
605253987
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:
guillerma - Brown
PRESIDENT
71. SIGNED:
Denise Greenwood
TREASURER
Date:
Mar 30, 2015
Telephone
Number:
708-354-3600
Date:
Mar 30, 2015
Telephone
Number:
708-354-3600
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
012-621
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?
No
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?
No
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?
$110,000
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?
Yes
19. What is the date of the labor
organization's next regular election of officers?
05/2016
20. How many members did the labor organization
have at the end of the reporting period?
948
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
2.5hrs
per
month
0
0
(b) Working Dues/Fees
n/a
per
N/A
N/A
N/A
(c) Initiation Fees
50.00
per
ONE TIME
0
0
(d) Transfer Fees
N/A
per
N/A
N/A
N/A
(e) Work Permits
N/A
per
N/A
N/A
N/A
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
012-621
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$598,507
$718,292
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
$0
27. Fixed Assets
6
$51,201
$51,201
28. Other Assets
7
$4,076
$9,617
29.
TOTAL ASSETS
$653,784
$779,110
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$40,306
$136,057
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$1,561
$1,463
34. TOTAL
LIABILITIES
$41,867
$137,520
35. NET
ASSETS
$611,917
$641,590
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
012-621
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$528,739
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$5,950
39. Sale of Supplies
$1,084
40. Interest
$688
41. Dividends
$0
42. Rents
$0
43. Sale of Investments
and Fixed Assets
3
$0
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
$0
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$1,886
48. Other Receipts
14
$17,225
49. TOTAL RECEIPTS
$555,572
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$43,110
51.
Political Activities and Lobbying
16
$5,772
52.
Contributions, Gifts, and Grants
17
$2,424
53. General
Overhead
18
$647
54. Union
Administration
19
$158,727
55. Benefits
20
$230
56. Per
Capita Tax
$209,231
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$150
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$2,013
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
$8,903
66. Subtotal
$431,207
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$16,880
67b. Less Total
Disbursed
$21,460
67c.
Total Withheld But Not Disbursed
-$4,580
68.
TOTAL DISBURSEMENTS
$435,787
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
012-621
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:
012-621
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:
012-621
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:
012-621
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$2,013
$2,013
$2,013
LAP TOP
$2,013
$2,013
$2,013
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$2,013
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
012-621
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:
012-621
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give
location)
$0
$0
$0
B. Buildings
(give location)
$0
$0
$0
$0
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$51,201
$51,201
$51,201
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$51,201
$0
$51,201
$51,201
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
012-621
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$9,617
BIBLES 3 @18.75 KING jAMES
$56
CATH. 9 @10
$90
T-SHIRTS VETERANS 7 @15
$105
T-SHIRT LOCAL 2 @ 12.
$24
T-SHIRT FLAG 57 @ 15
$855
HOODIE 1 @ 36
$36
MENS WALLETS 55 @ 15
$715
LICENS. PLATE HOLDER 569 @
$908
MEMBER'S T-SHIRT GIVE AWAY 569 @ 12
$6,828
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
012-621
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
$136,057
$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))
$136,057
$0
$0
$0
INTERNATIONAL PER-CAPITA
$132,780
$0
$0
$0
C.A.P. COUNCIL PER-CAPITA
$2,641
$0
$0
$0
REGION 4 IPS PER CAPITA
$330
$0
$0
$0
CHICAGO AREA CIVIL AND HUMAN RIGHTS
$150
$0
$0
$0
SHOP COMMITTEE INTERNET SERVICE
$80
$0
$0
$0
SHOP COMMITTEE PHONE SERVICE
$76
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
012-621
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:
012-621
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$1,463
FEDERAL 941
$454
FICA
$310
STATE
$310
FEDERAL 940
$364
BANK CHARGES
$25
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
012-621
(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
ARVIZU
,
MARCO
A GUIDE 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
BRISCOE
,
THOMAS
TRUSTEE C
$1,818
$90
$76
$0
$1,984
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
BROWN
,
GUILLER
PRESIDENT C
$2,280
$600
$3,464
$0
$6,344
I
Schedule 15
Representational Activities
54
%
Schedule 16
Political Activities and Lobbying
7
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
39
%
A
B
C
BUENO
,
FRANCIS
MEMBER-AT-LARGE C
$1,666
$180
$0
$0
$1,846
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
DAVENPORT
,
TERRANC
TRUSTEE C
$5,032
$180
$253
$0
$5,465
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
ESPINOSA
,
MARY
K VICE PRESIDENT C
$1,917
$300
$406
$0
$2,623
I
Schedule 15
Representational Activities
13
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
86
%
A
B
C
GARZA
,
PAUL
MEMBER-AT-LARGE C
$1,266
$180
$0
$0
$1,446
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
GEGEANIS
,
PATRICI
J SECRETARY P
$11,724
$0
$0
$0
$11,724
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
GREENWOOD
,
DENISE
C FINANCIAL SECRETARY C
$14,076
$2,650
$886
$0
$17,612
I
Schedule 15
Representational Activities
1
%
Schedule 16
Political Activities and Lobbying
2
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
97
%
A
B
C
HARTWELL
,
PAMELA
K CHAIR TRUSTEE C
$3,154
$180
$527
$0
$3,861
I
Schedule 15
Representational Activities
44
%
Schedule 16
Political Activities and Lobbying
8
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
48
%
A
B
C
HUERTA
,
GREGORI
RECORDING SECRETARY C
$4,080
$250
$702
$0
$5,032
I
Schedule 15
Representational Activities
6
%
Schedule 16
Political Activities and Lobbying
13
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
81
%
A
B
C
SANDERS
,
DOCK
SGT-AT-ARMS C
$1,549
$180
$104
$0
$1,833
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
SZUMACHER
,
CHRISTI
M SECRETARY C
$5,747
$0
$0
$0
$5,747
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
%
Total Officer
Disbursements
$54,309
$4,790
$6,418
$0
$65,517
Less Deductions
$13,053
Net
Disbursements
$52,464
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
012-621
(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
$14,970
$1,035
$10,100
$0
$26,105
I
Schedule 15
Representational Activities
31
%
Schedule 16
Political Activities and Lobbying
11
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
58
%
Total
Employee Disbursements
$14,970
$1,035
$10,100
$0
$26,105
Less
Deductions
$3,827
Net Disbursements
$22,278
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
012-621
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
948
Agency Fee Payers*
Total Members/Fee Payers
948
*Agency Fee Payers are
not considered members of the labor organization.
REGULAR MEMBERS
948
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
012-621
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$6,791
2. Named Payer
Non-itemized Receipts
$50
3. All Other Receipts
$10,384
4. Total
Receipts
$17,225
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
$2,424
6. Total
Disbursements
$2,424
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$5,944
4. To Employees
$8,093
5. All Other
Disbursements
$29,073
6. Total
Disbursements
$43,110
SCHEDULE 18 GENERAL OVERHEAD
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
$647
6. Total
Disbursements
$647
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$1,785
4. To Employees
$2,872
5. All Other
Disbursements
$1,115
6. Total
Disbursements
$5,772
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$10,467
2. Named Payee
Non-itemized Disbursements
$35,251
3. To Officers
$57,788
4. To Employees
$15,141
5. All Other
Disbursements
$40,080
6. Total
Disbursements
$158,727
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
012-621
Name and Address
(A)
INTERNATIONAL UNION U.A.W. P.O. BOX 77000
DETROIT MI 48277-1277
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,791
Total
Non-Itemized Transactions with this Payee/Payer
$50
Total of All Transactions with this
Payee/Payer for This Schedule
$6,841
13th rebate per 35th cons
04/21/2014
$6,791
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
012-621
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 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
012-621
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:
012-621
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:
012-621
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:
012-621
Name and Address
(A)
HEALTHMED INC. SUITE #200 6325 SOUTH JOLIET ROAD CONTRYSIDE IL 60525-0000
Type or Classification
(B)
REAL ESTATE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,820
Total of All Transactions with this
Payee/Payer for This Schedule
$8,820
Name and Address
(A)
MILLENNIUM PROPERTIES R/E INC. 200 W. MADISON STREET 36F RECEIVER CASE 13-CH-2778 CHICAGO IL 60606-0000
Type or Classification
(B)
OFFICE RENT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$17,640
Total of All Transactions with this
Payee/Payer for This Schedule
$17,640
Name and Address
(A)
ROBERTS CUSTOM SOFTWARE INC 3667 FIRST STREET
EAST MOLINE IL 61244-3321
Type or Classification
(B)
SOFTWARE PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$8,791
Total of All Transactions with this
Payee/Payer for This Schedule
$8,791
Name and Address
(A)
THE CEDARSTREAM COMPANY INC. P.O. BOX 1761
CEDARTOWN GA 30125-0000
Type or Classification
(B)
T-SHIRT COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,467
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$10,467
INVOICE #98439 UNITED WE
09/08/2014
$10,467
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
012-621
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$230
Workers Compensation insurance
LIBERTY MUTUAL
$230
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
012-621
Question 15: page 2 15. disposed of furniture old printer cabinet humidifier.
Question 18: yes the by-laws for the local were updated. Article 1-5 send copy via us mail
Schedule 8, Row1:
Schedule 8, Row2:
Schedule 8, Row3:
Schedule 8, Row4:
Schedule 8, Row5:
Schedule 8, Row6:
Schedule 13, Row1:SCHEDULE 13-Anyone who has applied and been accepted for membership is a regular member and pays full dues.