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
008-157
2.
PERIOD COVERED
From
01/01/2015
Through
12/31/2015
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
450
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
JAMES
Last Name
THORNBURG
P.O Box - Building and Room Number
Number and Street
4589 NW 6TH DRIVE
City
DES MOINES
State
IA
ZIP Code + 4
503132213
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:
Richie L Tague
PRESIDENT
71. SIGNED:
James L Thornburg
TREASURER
Date:
Mar 23, 2016
Telephone
Number:
515-283-1784
Date:
Mar 23, 2016
Telephone
Number:
515-283-1784
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
008-157
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?
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?
Yes
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?
$136,000
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?
05/2017
20. How many members did the labor organization
have at the end of the reporting period?
1,015
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
2.5HR + 2.00
per
Month
N/A
N/A
(b) Working Dues/Fees
per
(c) Initiation Fees
10
per
Member
N/A
N/A
(d) Transfer Fees
per
(e) Work Permits
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
008-157
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$406,030
$513,811
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
$273,303
$274,215
28. Other Assets
7
$11,782
$15,162
29.
TOTAL ASSETS
$691,115
$803,188
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$38,869
$27,643
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$10,801
$6,381
34. TOTAL
LIABILITIES
$49,670
$34,024
35. NET
ASSETS
$641,445
$769,164
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
008-157
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$759,465
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$50
39. Sale of Supplies
$3,481
40. Interest
$0
41. Dividends
$0
42. Rents
$5,000
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
$10,860
48. Other Receipts
14
$169,303
49. TOTAL RECEIPTS
$948,159
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$228,343
51.
Political Activities and Lobbying
16
$4,260
52.
Contributions, Gifts, and Grants
17
$12,122
53. General
Overhead
18
$29,507
54. Union
Administration
19
$47,608
55. Benefits
20
$14,267
56. Per
Capita Tax
$467,114
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$4
59. Supplies
for Resale
$350
60. Purchase
of Investments and Fixed Assets
4
$912
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
$8,706
65. Direct
Taxes
$22,515
66. Subtotal
$835,708
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$43,644
67b. Less Total
Disbursed
$48,314
67c.
Total Withheld But Not Disbursed
-$4,670
68.
TOTAL DISBURSEMENTS
$840,378
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
008-157
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:
008-157
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:
008-157
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:
008-157
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$912
$912
$912
FURNITURE & EQUIPMENT-PURCHASE
$912
$912
$912
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$912
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
008-157
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:
008-157
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
4589 NW 6TH DRIVE, DES MOINES, IA 50313
$5,000
$5,000
$79,500
B.
Buildings (give location)
Building
1
:
4589 NW 6TH DRIVE, DES MOINES, IA 50313
$179,500
$179,000
$196,500
C. Automobiles
and
Other Vehicles
$0
$0
$0
$0
D. Office
Furniture
and Equipment
$29,355
$29,355
$29,355
E.
Other Fixed Assets
$60,860
$0
$60,860
$60,860
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$274,715
$0
$274,215
$366,215
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
008-157
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$15,162
Apparel
$13,063
Bibles
$127
Prepaid Postage Deposits
$1,048
Retirement Lapel Pins
$320
Vet Patches
$10
UAW Wall Clocks
$106
UAW Flags
$488
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
008-157
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
$27,643
$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))
$27,643
$0
$0
$0
PER CAPITA TAX
$27,643
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
008-157
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:
008-157
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$6,381
Federal Payroll Tax
$1,165
State Payroll Tax
$3,252
FICA/MECA Employee
$656
FICA/MECA Employer
$656
State Unemployment Tax
$349
Federal Unemployment Tax
$62
Sales Tax
$41
Ameriprise Financial Annuity
$200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
008-157
(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
Bartels
,
James
M 2nd Vice President C
$403
$0
$0
$0
$403
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
Lane
,
Jacob
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
Loney
,
Robert
A 1st Vice President C
$8,106
$0
$596
$0
$8,702
I
Schedule 15
Representational Activities
84
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
16
%
A
B
C
McFarland
,
Chad
R Recording Secretary C
$16,411
$780
$2,237
$0
$19,428
I
Schedule 15
Representational Activities
78
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
22
%
A
B
C
Melton
,
Jeremy
W Trustee C
$4,432
$0
$661
$0
$5,093
I
Schedule 15
Representational Activities
22
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
78
%
A
B
C
Nelson
,
Steven
A Sgt-At-Arms C
$187
$0
$0
$0
$187
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
Piffer III
,
Harry
W Trustee C
$1,113
$0
$0
$0
$1,113
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
Sheldahl
,
Erik
L Trustee C
$2,724
$0
$440
$0
$3,164
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
Tague
,
Richie
L President C
$13,626
$1,300
$11,299
$0
$26,225
I
Schedule 15
Representational Activities
75
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
25
%
A
B
C
Thornburg
,
James
L Financial Secretary C
$13,599
$780
$1,267
$0
$15,646
I
Schedule 15
Representational Activities
84
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
16
%
Total Officer
Disbursements
$60,601
$2,860
$16,500
$0
$79,961
Less Deductions
$18,139
Net
Disbursements
$61,822
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
008-157
(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
Nagel
,
Diana
M Office Secy NA
$47,034
$0
$1,151
$0
$48,185
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
Vaughan
,
Jonathon
A Committeeman NA
$5,520
$1,300
$6,474
$0
$13,294
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
Witthoft
,
Christine
A NA NA
$20,000
$4,164
$0
$0
$24,164
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
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$23,522
$630
$9,600
$0
$33,752
I
Schedule 15
Representational Activities
87
%
Schedule 16
Political Activities and Lobbying
6
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
7
%
Total
Employee Disbursements
$96,076
$6,094
$17,225
$0
$119,395
Less
Deductions
$25,505
Net Disbursements
$93,890
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
008-157
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
1,015
Agency Fee Payers*
0
Total Members/Fee Payers
1,015
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
1,015
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
008-157
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$137,540
2. Named Payer
Non-itemized Receipts
$24,979
3. All Other Receipts
$6,784
4. Total
Receipts
$169,303
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$5,000
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$7,122
6. Total
Disbursements
$12,122
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$11,687
3. To Officers
$56,396
4. To Employees
$115,007
5. All Other
Disbursements
$45,253
6. Total
Disbursements
$228,343
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$5,790
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$23,717
6. Total
Disbursements
$29,507
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
$2,025
5. All Other
Disbursements
$2,235
6. Total
Disbursements
$4,260
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$23,565
4. To Employees
$2,363
5. All Other
Disbursements
$21,680
6. Total
Disbursements
$47,608
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
008-157
Name and Address
(A)
DMACC 430 East Grand
Des Moines IA 50309
Type or Classification
(B)
College
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,000
Total
Non-Itemized Transactions with this Payee/Payer
$10,867
Total of All Transactions with this
Payee/Payer for This Schedule
$15,867
REFUND EXP NEG LIAISON
11/25/2015
$5,000
Name and Address
(A)
Edward Jones Investing 2505 SW White Birch Dr #i
Ankeny IA 50023
Type or Classification
(B)
Investing Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$101,882
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$101,882
DONATION TO LOCAL (RON JA
11/20/2015
$76,882
DONATION TO LOCAL (RON JA
11/20/2015
$25,000
Name and Address
(A)
International Union UAW PO 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
$30,658
Total
Non-Itemized Transactions with this Payee/Payer
$4,818
Total of All Transactions with this
Payee/Payer for This Schedule
$35,476
13TH CHECK STRIKE FUND RE
05/08/2015
$14,087
REFUND EXP NEGOTIATIONS
12/18/2015
$5,197
REFUND EXP NEGOTIATIONS
12/18/2015
$6,232
REFUND EXP NEGOTIATIONS
12/18/2015
$5,142
Name and Address
(A)
Intl Union 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
Total
Non-Itemized Transactions with this Payee/Payer
$9,294
Total of All Transactions with this
Payee/Payer for This Schedule
$9,294
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
008-157
Name and Address
(A)
Roberts Custom Software Inc. 3667 1st Street
East Moline IL 61244
Type or Classification
(B)
Software Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,160
Total of All Transactions with this
Payee/Payer for This Schedule
$6,160
Name and Address
(A)
Stoney Creek Inn 101 18th Street
Moline IL 61265
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,527
Total of All Transactions with this
Payee/Payer for This Schedule
$5,527
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
008-157
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:
008-157
Name and Address
(A)
Pat Greathouse Education Center 1000 East Center Street
Ottawa IL 61350
Type or Classification
(B)
Uaw Education Ctr
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,000
DONATION FROM THE LOCAL
12/11/2015
$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
008-157
Name and Address
(A)
Image Pointe
Waterloo IA 50704-0657
Type or Classification
(B)
Apparel
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,790
Total of All Transactions with this
Payee/Payer for This Schedule
$5,790
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
008-157
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:
008-157
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$14,267
Wellmark Blue Cross/Blue Shield Of Iowa
Dental/Hearing/Medical/Vision Insurance
$10,189
State Farm Insurance
Workers Compensation Insurance
$1,578
Ameriprise Financial Services Inc.
Retirement Savings(401K etc)Employer
$2,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
008-157
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 12: : State Farm Insurance Company, Payroll Records for Workers Comp Policy.
Question 15: : The following inventory items were no longer usable and disposed of: 3M Overhead Projector 376.27; Paper Shredder 42.39; 2/ 4 drawer File Cabinets 137.14; 4 door Wood Cabinet 100.00; Sprinkler 8.13; 2 drawer File Cabinet 40.20; Service Cart 54.99; Black Shelf 10.49, TOTAL = $769.61.
The following inventory items were given away: 33 Bibles @ 42.34 each for deceased Members/Retirees families 1397.22; 34 Labor Day Parade T-shirts for Members/Retirees attending the Parade 362.00; 20 T-shirts donated to Greg Smith for Members injured at work or torn clothing 206.00; Hats/Shirts for Recreation Activities and Door Prizes, TOTAL = $2,391.22.