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
028-633
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
434
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
ROBERT
Last Name
BULLER
P.O Box - Building and Room Number
Number and Street
630 19TH STREET
City
EAST MOLINE
State
IL
ZIP Code + 4
612441837
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:
Heather L Keag
PRESIDENT
71. SIGNED:
Robert J Buller
TREASURER
Date:
Mar 23, 2016
Telephone
Number:
309-755-5046
Date:
Mar 23, 2016
Telephone
Number:
309-755-5046
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
028-633
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?
$100,000
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?
03/2017
20. How many members did the labor organization
have at the end of the reporting period?
608
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 1/2 hours straight time
per
month
0
0
(b) Working Dues/Fees
0
per
0
0
(c) Initiation Fees
$20.00
per
one time
0
0
(d) Transfer Fees
0
per
0
0
(e) Work Permits
0
per
0
0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
028-633
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$245,850
$250,852
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
$44,412
$43,678
28. Other Assets
7
$2,073
$1,440
29.
TOTAL ASSETS
$292,335
$295,970
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$28,488
$39,033
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$5,264
$3,398
34. TOTAL
LIABILITIES
$33,752
$42,431
35. NET
ASSETS
$258,583
$253,539
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
028-633
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$508,957
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$0
39. Sale of Supplies
$6,016
40. Interest
$557
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
$45
48. Other Receipts
14
$26,736
49. TOTAL RECEIPTS
$542,311
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$116,040
51.
Political Activities and Lobbying
16
$3,666
52.
Contributions, Gifts, and Grants
17
$5,880
53. General
Overhead
18
$3,563
54. Union
Administration
19
$60,370
55. Benefits
20
$1,426
56. Per
Capita Tax
$336,204
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$215
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
$45
65. Direct
Taxes
$8,516
66. Subtotal
$535,925
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$21,915
67b. Less Total
Disbursed
$23,299
67c.
Total Withheld But Not Disbursed
-$1,384
68.
TOTAL DISBURSEMENTS
$537,309
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
028-633
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:
028-633
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:
028-633
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:
028-633
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$215
$215
$215
Brother Laser Printer
$215
$215
$215
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$215
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
028-633
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:
028-633
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
630 19th Street East Moline, IL 61244-1837
$35,879
$35,879
$35,879
B. Buildings
(give location)
$0
$0
$0
$0
C. Automobiles
and
Other Vehicles
$0
$0
$0
D. Office
Furniture
and Equipment
$7,799
$7,799
$7,799
E.
Other Fixed Assets
$0
$0
$0
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$43,678
$0
$43,678
$43,678
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
028-633
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$1,440
Bibles - Protestant 10 @ $23 each; 24 @ $25 each
$830
Bibles - 15 @ $27 each
$405
Bulk mailing permit #109 balance as of 12-31-15
$205
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
028-633
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
$39,033
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$39,033
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
028-633
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:
028-633
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$3,398
Federal Withholding Tax
$1,218
Employee Fica/Meca
$783
Employer Fica/Meca
$783
Illinois Department of Revenue IL941
$354
Federal Unemployment Deposit Qtly 940 (4th Qtr)
$55
Illinois Director of Employment Security SUTA tax
$80
Iowa State Withholding tax
$125
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
028-633
(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
Bern
,
Robert
E Trustee Chairman C
$3,349
$196
$707
$0
$4,252
I
Schedule 15
Representational Activities
4
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
92
%
A
B
C
Buller
,
Robert
J Financial Secretary C
$21,469
$2,176
$2,255
$0
$25,900
I
Schedule 15
Representational Activities
43
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
57
%
A
B
C
Deaton
,
Charles
K Retiree Chairman 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
Derby
,
David
Trustee C
$739
$54
$23
$0
$816
I
Schedule 15
Representational Activities
6
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
94
%
A
B
C
Devrieze
,
Adrien
S Shop Chairman C
$4,046
$890
$2,022
$0
$6,958
I
Schedule 15
Representational Activities
88
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
11
%
A
B
C
Ebert
,
Jason
E Guide C
$0
$0
$0
$0
$0
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
Frew
,
Kenneth
R Trustee C
$2,673
$233
$718
$0
$3,624
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
Hanson
,
David
W Sergeant At Arms C
$0
$0
$0
$0
$0
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
Keag
,
Heather
L President C
$12,065
$2,174
$3,276
$0
$17,515
I
Schedule 15
Representational Activities
79
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
20
%
A
B
C
Moens
,
Brian
M Vice President C
$14,411
$1,160
$0
$0
$15,571
I
Schedule 15
Representational Activities
73
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
27
%
A
B
C
Thompson
,
Gregory
T Recording Secretary C
$771
$52
$115
$0
$938
I
Schedule 15
Representational Activities
38
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
62
%
Total Officer
Disbursements
$59,523
$6,935
$9,116
$0
$75,574
Less Deductions
$16,343
Net
Disbursements
$59,231
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
028-633
(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
$27,931
$0
$5,403
$33,334
I
Schedule 15
Representational Activities
92
%
Schedule 16
Political Activities and Lobbying
2
%
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
6
%
Total
Employee Disbursements
$27,931
$0
$5,403
$0
$33,334
Less
Deductions
$5,478
Net Disbursements
$27,856
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
028-633
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
608
Agency Fee Payers*
0
Total Members/Fee Payers
608
*Agency Fee Payers are
not considered members of the labor organization.
Regular members
608
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
028-633
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$8,825
2. Named Payer
Non-itemized Receipts
$749
3. All Other Receipts
$17,162
4. Total
Receipts
$26,736
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
$5,880
6. Total
Disbursements
$5,880
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$5,954
2. Named Payee
Non-itemized Disbursements
$5,968
3. To Officers
$43,039
4. To Employees
$30,667
5. All Other
Disbursements
$30,412
6. Total
Disbursements
$116,040
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
$3,563
6. Total
Disbursements
$3,563
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$415
4. To Employees
$667
5. All Other
Disbursements
$2,584
6. Total
Disbursements
$3,666
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$32,120
4. To Employees
$2,000
5. All Other
Disbursements
$26,250
6. Total
Disbursements
$60,370
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
028-633
Name and Address
(A)
International Union Uaw 8000 E Jefferson Ave
Detroit MI 48214-1837
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,825
Total
Non-Itemized Transactions with this Payee/Payer
$749
Total of All Transactions with this
Payee/Payer for This Schedule
$9,574
13TH REBATE CHECK
05/06/2015
$8,825
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
028-633
Name and Address
(A)
Awards & T-Shirt Specialists Inc. 10400 E. 63rd Street
Raytown MO 64133
Type or Classification
(B)
T-Shirts And Awards
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,954
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,954
SOLIDARITY T-SHIRTS 2015
04/15/2015
$5,954
Name and Address
(A)
Image Pointe PO Box 657
Waterloo IA 50704-0657
Type or Classification
(B)
Promotional Items
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,968
Total of All Transactions with this
Payee/Payer for This Schedule
$5,968
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
028-633
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:
028-633
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:
028-633
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:
028-633
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:
028-633
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$1,426
Berkley Assigned Risk Services
Workers Compension Insurance
$1,426
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
028-633
Question 10: UAW Local 434 owns 18% of the Union Hall at 630 19th Street, East Moline, IL 61244-1837. A copy of the East Moline Union Hall LM-3 will be submitted by the Building Corporation.
Question 11(b):
Question 11(b): : : UAW Local 434 owns 18% of the Union Hall at 630 19th Street, East Moline, IL 61244-1837. A copy of the East Moline Union Hall LM-3 will be submitted by the Building Corporation.
Question 15: Disposed of Brother Laser Printer valued at $161.24; Disposed of Brother Laser Printer valued at 162.48; disposed of 6 office chairs valued at $50.00 each $300.00); disposed of a Texas Instruments calculator valued at $110.00. Adjustment is accounted for in
Schedule 6. Local 434 gave away 9 Protestant bibles valued at $23.00 each to families of deceased members; gave away 706 Solidarity t-shirts to Local 434 members (one per member to wear during contract negotiations) - 471 S-XL shirts @ $7.00 each; 169 2XL shirts @ $8.75 each; 45 3XL shirts @ $10.25 each; 10 4XL shirts @ $11.75 each; 3 5XL shirts @ $13.25 each; 2 XLT shirts @ $17.95 each; 1 3XLT shirt @ $20.95 each; 2 4XLT shirts @ $23.95 each.
Schedule 13, Row1:Anyone who has applied for and been accepted for membership is a regular member. Regular members pay full dues.