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
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
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 collinsPRESIDENT71. SIGNED:Sharon K GeiselmanTREASURER
Date:Mar 31, 2015Telephone Number:765-453-4600Date:Mar 30, 2015Telephone 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/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.5 hrs straight timepermonth00
(b) Working Dues/FeesNAper
(c) Initiation Fees25.00perone time
(d) Transfer FeesNAper
(e) Work PermitsNAper

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 Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$2,016,814$2,017,065
28. Other Assets7$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 Payable8$17,724$20,709
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$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 RECEIPTSSCHAMOUNT
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 Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $185
48. Other Receipts14$112,568
49. TOTAL RECEIPTS $574,303
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$23,209
51. Political Activities and Lobbying16$717
52. Contributions, Gifts, and Grants17$1,845
53. General Overhead18$218,934
54. Union Administration19$98,457
55. Benefits20$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 Assets4$251
61. Loans Made2$0
62. Repayment of Loans Obtained9$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 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: 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 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: 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 Payers578 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS578Yes
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 Settlement05/14/2014$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 Check04/17/2014$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 Settlement03/31/2014$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 Repairs06/01/2014$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 Luncheon12/22/2014$9,048
Dec Luncheon01/19/2014$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 Payment08/07/2014$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/MEDICALBRUCE YOUNG$3,975
DENTAL/HEARING/MEDICALREBECCA DUNLAP$2,788
GROUP LIFE INSURANCEANTHEM LIFE INSURANCE$763
GROUP LIFE INSURANCEINTERNATIONAL UNION, UAW$1,198
WORKER COMPENSATION INSURANCEUNION INSURANCE GROUP$2,164
MEDICAL FEESBRUCE YOUNG$1,030
MEDICAL FEEREBECCA 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
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)