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
007-090
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
292
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
SHARON
Last Name
GEISELMAN
P.O Box - Building and Room Number
PO BOX B
Number and Street
City
KOKOMO
State
IN
ZIP Code + 4
46904
9. Are your organization's records kept at its
mailing address?
No
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:
matthew d collins
PRESIDENT
71. SIGNED:
Sharon K Geiselman
TREASURER
Date:
Mar 31, 2015
Telephone
Number:
765-453-4600
Date:
Mar 30, 2015
Telephone
Number:
317-439-0141
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
007-090
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?
$106,000
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?
578
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
2.5 hrs straight time
per
month
0
0
(b) Working Dues/Fees
NA
per
(c) Initiation Fees
25.00
per
one time
(d) Transfer Fees
NA
per
(e) Work Permits
NA
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
007-090
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$257,647
$227,505
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
$2,016,814
$2,017,065
28. Other Assets
7
$2,934
$2,644
29.
TOTAL ASSETS
$2,277,395
$2,247,214
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$17,724
$20,709
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$2,743
$1,707
34. TOTAL
LIABILITIES
$20,467
$22,416
35. NET
ASSETS
$2,256,928
$2,224,798
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
007-090
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$444,583
37. Per Capita Tax
$676
38. Fees, Fines,
Assessments, Work Permits
$200
39. Sale of Supplies
$0
40. Interest
$671
41. Dividends
$0
42. Rents
$15,420
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
$185
48. Other Receipts
14
$112,568
49. TOTAL RECEIPTS
$574,303
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$23,209
51.
Political Activities and Lobbying
16
$717
52.
Contributions, Gifts, and Grants
17
$1,845
53. General
Overhead
18
$218,934
54. Union
Administration
19
$98,457
55. Benefits
20
$14,734
56. Per
Capita Tax
$220,266
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$251
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
$25,303
66. Subtotal
$603,716
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$22,494
67b. Less Total
Disbursed
$23,223
67c.
Total Withheld But Not Disbursed
-$729
68.
TOTAL DISBURSEMENTS
$604,445
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
007-090
Entity or Individual Name
(A)
Total Account Receivable
(B)
90-180 Days
Past Due
(C)
180+ Days
Past Due
(D)
Liquidated Account
Receivable
(E)
Total of all itemized
accounts receivable
$0
$0
$0
$0
Totals from all other
accounts receivable
$0
$0
$0
$0
Totals
(Total of Column (B) will be automatically entered in Item
23, Column(B))
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
007-090
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
$0
$0
$0
$0
$0
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:
007-090
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:
007-090
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$251
$251
$251
Copier
$251
$251
$251
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$251
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
007-090
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
$0
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:
007-090
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
250 S 95 W Kokomo, IN 46902
$10,165
$10,165
$10,165
B.
Buildings (give location)
Building
1
:
1201 W Alto Road Kokomo, IN 46902
$1,332,268
$1,332,268
$1,332,268
$1,332,268
C. Automobiles
and
Other Vehicles
$0
$0
$0
$0
D. Office
Furniture
and Equipment
$507,675
$507,675
$507,675
$507,675
E.
Other Fixed Assets
$166,957
$166,957
$166,957
$166,957
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$2,017,065
$2,006,900
$2,017,065
$2,017,065
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
007-090
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$2,644
Bibles
$0
Shirts and Hats
$2,644
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
007-090
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
$20,709
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$20,709
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
007-090
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:
007-090
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$1,707
Federal Withholding
$311
State Withholding
$289
County Withholding
$74
Federal Unemployment
$523
State Unemployment
$44
FICA Employers Share
$233
FICA Employees Share
$233
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
007-090
(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
CLICK
,
ANGELA
J SGT AT ARMS C
$2,618
$0
$0
$0
$2,618
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
COLLINS
,
MATTHEW
D PRESIDENT C
$32,286
$0
$3,783
$0
$36,069
I
Schedule 15
Representational Activities
44
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
56
%
A
B
C
CONNER
,
SUE
A RETIREE CHAIR C
$0
$0
$2,147
$0
$2,147
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
100
%
A
B
C
EDWARDS
,
ROBERT
B GUIDE N
$876
$0
$0
$0
$876
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
GALE
,
WENDY
J TRUSTEE P
$1,987
$0
$1,106
$0
$3,093
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
GEISELMAN
,
SHARON
K FINANCE SEC-TREASURER C
$21,200
$0
$4,842
$0
$26,042
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
HAMILTON
,
GREGORY
K VICE PRESIDENT N
$1,924
$0
$193
$0
$2,117
I
Schedule 15
Representational Activities
4
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
96
%
A
B
C
HOLLIS
,
DEBRA
A TRUSTEE N
$1,995
$0
$0
$0
$1,995
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
INGLE
,
JAMES
D TRUSTEE N
$1,866
$0
$460
$0
$2,326
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
JAMESON
,
CHERYL
A RECORDING SECRETARY C
$2,047
$0
$64
$0
$2,111
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
MCGREGOR
,
TRAVIS
TRUSTEE P
$849
$0
$0
$0
$849
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
STATZER
,
CAROL
TRUSTEE N
$1,164
$0
$0
$0
$1,164
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
TAYLOR
,
RONALD
W TRUSTEE P
$1,619
$0
$0
$0
$1,619
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
$70,431
$0
$12,595
$0
$83,026
Less Deductions
$66,691
Net
Disbursements
$16,335
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
007-090
(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
$24,077
$0
$11,763
$0
$35,840
I
Schedule 15
Representational Activities
18
%
Schedule 16
Political Activities and Lobbying
2
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
80
%
Total
Employee Disbursements
$24,077
$0
$11,763
$0
$35,840
Less
Deductions
$6,159
Net Disbursements
$29,681
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
007-090
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
578
Agency Fee Payers*
0
Total Members/Fee Payers
578
*Agency Fee Payers are
not considered members of the labor organization.
REGULAR MEMBERS
578
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
007-090
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$107,823
2. Named Payer
Non-itemized Receipts
$1,888
3. All Other Receipts
$2,857
4. Total
Receipts
$112,568
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
$1,845
6. Total
Disbursements
$1,845
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$15,955
4. To Employees
$6,451
5. All Other
Disbursements
$803
6. Total
Disbursements
$23,209
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$91,819
2. Named Payee
Non-itemized Disbursements
$69,625
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$57,490
6. Total
Disbursements
$218,934
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$717
5. All Other
Disbursements
$0
6. Total
Disbursements
$717
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$67,071
4. To Employees
$28,672
5. All Other
Disbursements
$2,714
6. Total
Disbursements
$98,457
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
007-090
Name and Address
(A)
Firemans Fund Insurance
33 W Monroe St, #1200 Chicago IL 60603
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$74,347
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$74,347
Storm Damage Settlement
05/14/2014
$74,347
Name and Address
(A)
International Union, UAW
8000 East Jefferson Ave Detroit MI 48214
Type or Classification
(B)
Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,391
Total
Non-Itemized Transactions with this Payee/Payer
$1,888
Total of All Transactions with this
Payee/Payer for This Schedule
$8,279
13th rebate Check
04/17/2014
$6,391
Name and Address
(A)
Union Insurance Group
2995 Prospect P Rancho Cordova CA 95670
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$27,085
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$27,085
Storm Damage Settlement
03/31/2014
$27,085
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
007-090
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
007-090
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:
007-090
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:
007-090
Name and Address
(A)
Comcast Cable PO Box 3005
Southeastern PA 19398
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
$5,082
Total of All Transactions with this
Payee/Payer for This Schedule
$5,082
Name and Address
(A)
Duke Energy PO Box 1326
Charlotte NC 28201
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
$23,244
Total of All Transactions with this
Payee/Payer for This Schedule
$23,244
Name and Address
(A)
Hayes Brothers General Contracting
1241 East 400 S Kokomo IN 46902
Type or Classification
(B)
Storm Damage Repairs Contractors
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$67,499
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$67,499
Storm Damage Repairs
06/01/2014
$67,499
Name and Address
(A)
Indiana Media Group
1133 Jackson St Anderson IN 46016
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
$5,370
Total of All Transactions with this
Payee/Payer for This Schedule
$5,370
Name and Address
(A)
NIPSCO PO Box 13007
Merrillville IN 46411
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
$15,172
Total of All Transactions with this
Payee/Payer for This Schedule
$15,172
Name and Address
(A)
Peace & Plenty Catering
511 S Main St Jonesboro IN 46938
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$17,711
Total
Non-Itemized Transactions with this Payee/Payer
$4,220
Total of All Transactions with this
Payee/Payer for This Schedule
$21,931
Retirees Christmas Luncheon
12/22/2014
$9,048
Dec Luncheon
01/19/2014
$8,663
Name and Address
(A)
Perfection Lawn Care
1229 W 700 N Kokomo IN 46902
Type or Classification
(B)
Lawn Maintenance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,950
Total of All Transactions with this
Payee/Payer for This Schedule
$8,950
Name and Address
(A)
Roberts Custom Software
3667 1st St East Moline IL 61244
Type or Classification
(B)
Finance Software and Support
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$7,587
Total of All Transactions with this
Payee/Payer for This Schedule
$7,587
Name and Address
(A)
Union Insurance Group
2125 W Roscoe S Chicago IL 60618
Type or Classification
(B)
Property Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,609
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$6,609
Policy Payment
08/07/2014
$6,609
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
007-090
Name and Address
(A)
-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
007-090
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$14,734
DENTAL/HEARING/MEDICAL
BRUCE YOUNG
$3,975
DENTAL/HEARING/MEDICAL
REBECCA DUNLAP
$2,788
GROUP LIFE INSURANCE
ANTHEM LIFE INSURANCE
$763
GROUP LIFE INSURANCE
INTERNATIONAL UNION, UAW
$1,198
WORKER COMPENSATION INSURANCE
UNION INSURANCE GROUP
$2,164
MEDICAL FEES
BRUCE YOUNG
$1,030
MEDICAL FEE
REBECCA DUNLAP
$2,816
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
007-090
Address of Record: 9. Records are kept at the Local Union Hall located at 1201 W Alto Road, Kokomo, IN 46902
Question 10: 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): 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: The Local started the year with zero Bibles, bought 50 Bibles at $908.49, gave away 50 Bibles valued at $908.49 to deceased members' families as funeral tributes and ended the year with zero Bibles in inventory. The Local started the year with $2934 shirts and hats, bought zero shirts and hats, sold 40 shirts at $5 per shirt for a total of $200, gave away 10 shirts valued at $5 per 8 hats valued at $5 per hat at the Labor Day Celebration and ended the year with $2644 shirts and hats in inventory.
Statement A,
Cash Begin Total:
Statement A 22.(B)
Cash Begin Total adjusted due to $2065 voided checks issued in prior year
Schedule 13, Row1:SCH 13 Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues