516-889 (LM2) 12/31/2015

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
516-889

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 2209
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name SHANE	Last Name DAVIS
P.O Box - Building and Room Number PO BOX 579
Number and Street 5820 EAST 900 NORTH
City ROANOKE
State IN	ZIP Code + 4 46783

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:

Brian C Hartman

PRESIDENT

71. SIGNED:

Shane B Davis

TREASURER

Date:

Mar 29, 2016

Telephone Number:

260-672-2209

Date:

Mar 29, 2016

Telephone Number:

260-672-2209

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

ITEMS 10 THROUGH 21

FILE NUMBER: 516-889

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?	$468,000
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?	05/2017

20. How many members did the labor organization have at the end of the reporting period?

3,796

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	0
(c) Initiation Fees	$20	per	one time	0	0
(d) Transfer Fees	0	per	0	0	0
(e) Work Permits	0	per	0	0	0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT A - ASSETS AND LIABILITIES

FILE NUMBER: 516-889

ASSETS

ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
22. Cash		$612,618	$696,603
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	$1,297,649	$1,324,560
28. Other Assets	7	$28,790	$1,798
29. TOTAL ASSETS		$1,939,057	$2,022,961

LIABILITIES

LIABILITIES	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
30. Accounts Payable	8	$185,383	$6,115
31. Loans Payable	9	$0	$0
32. Mortgages Payable		$0	$0
33. Other Liabilities	10	$20,012	$1,412
34. TOTAL LIABILITIES		$205,395	$7,527

35. NET ASSETS

$1,733,662

$2,015,434

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

STATEMENT B - RECEIPTS AND DISBURSEMENTS

FILE NUMBER: 516-889

CASH RECEIPTS	SCH	AMOUNT
36. Dues and Agency Fees		$3,761,675
37. Per Capita Tax		$0
38. Fees, Fines, Assessments, Work Permits		$6,360
39. Sale of Supplies		$18,091
40. Interest		$775
41. Dividends		$0
42. Rents		$6,982
43. Sale of Investments and Fixed Assets	3	$28,400
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		$19,544
48. Other Receipts	14	$221,921
49. TOTAL RECEIPTS		$4,063,748

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$234,863
51. Political Activities and Lobbying		16	$49,357
52. Contributions, Gifts, and Grants		17	$149,140
53. General Overhead		18	$95,789
54. Union Administration		19	$840,120
55. Benefits		20	$30,401
56. Per Capita Tax			$2,458,812
57. Strike Benefits			$0
58. Fees, Fines, Assessments, etc.			$185
59. Supplies for Resale			$6,793
60. Purchase of Investments and Fixed Assets		4	$29,911
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			$12,753
65. Direct Taxes			$70,929

66. Subtotal			$3,979,053
67. Withholding Taxes and Payroll Deductions
67a. Total Withheld	$175,526
67b. Less Total Disbursed	$176,236
67c. Total Withheld But Not Disbursed			-$710
68. TOTAL DISBURSEMENTS			$3,979,763

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE

FILE NUMBER: 516-889

Entity or Individual Name (A)	Total Account Receivable (B)	90-180 Days Past Due (C)	180+ Days Past Due (D)	Liquidated Account Receivable (E)
Total of all itemized accounts receivable	$0	$0	$0	$0
Totals from all other accounts receivable
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B))	$0	$0	$0	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 2 - LOANS RECEIVABLE

FILE NUMBER: 516-889

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.
(A)

Loans
Outstanding at
Start of Period
(B)

Loans Made
During Period
(C)

Repayments Received During Period
Cash (D)(1)	Other Than Cash (D)(2)

Loans
Outstanding at
End of Period
(E)

Total of loans not listed above

Total of all lines above

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: 516-889

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	$30,005	$0	$0	$28,400
5820 E 900 N Roanoke IN 46783	$30,005	$0	$0	$28,400

				Less Reinvestments	$0
(The total from Net Sales Line will be automatically entered in Item 43)				Net Sales	$28,400

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

FILE NUMBER: 516-889

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Cash Paid (D)
Total of all lines above	$29,911	$29,911	$29,911
Media TV	$739	$739	$739
Office Furniture	$28,812	$28,812	$28,812
3 Speakers	$360	$360	$360

		Less Reinvestments	$0
(The total from Net Purchases Line will be automatically entered in Item 60.)		Net Purchases	$29,911

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 5 - INVESTMENTS

FILE NUMBER: 516-889

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))

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 6 - FIXED ASSETS

FILE NUMBER: 516-889

Description (A)	Cost or Other Basis (B)	Total Depreciation or Amount Expensed (C)	Book Value (D)	Value (E)
A. Land (give location)
Land 1 : 5820 E 900 N Roanoke IN 46783	$27,005		$27,005	$27,005

B. Buildings (give location)
Building 1 : 5820 E 900 N Roanoke IN 46783	$1,006,689	$0	$1,006,689	$1,006,689

C. Automobiles and Other Vehicles

D. Office Furniture and Equipment

$290,866

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B))

$1,324,560

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 7 - OTHER ASSETS

FILE NUMBER: 516-889

Description (A)	Book Value (B)
Total (Total will be automatically entered in Item 28, Column(B))	$1,798
58 Bibles @ $31 each	$1,798

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE

FILE NUMBER: 516-889

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	$6,055	$0	$0	$0
Total from all other accounts payable	$60	$0	$0	$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D))	$6,115	$0	$0	$0
Per Capita Taxes	$6,055	$0	$0	$0

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 9 - LOANS PAYABLE

FILE NUMBER: 516-889

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: 516-889

Description (A)	Amount at End of Period (B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D))	$1,412
State Unemployment Taxes	$1,271
County Taxes Forwarded	$141

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER: 516-889

(A)
Name

(B)
Title

(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

Bovie-Koomler , Diana R
RETIREE CHAIRMAN
C

$968

Schedule 15
Representational Activities

16 %

Schedule 16
Political Activities and Lobbying

84 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

0 %

A
B
C

Bradbury , Daniel R
SARGEANT AT ARMS
C

$1,506

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

Cantasano , Anthony F
3RD SHIFT ZONE
N

$4,118

$1,626

$5,744

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

Cornish , David M
1st Shift Zone
C

$3,703

$1,109

$4,812

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

Davis , Shane B
Financial Secretary
C

$55,978

$4,321

$60,299

Schedule 15
Representational Activities

2 %

Schedule 16
Political Activities and Lobbying

2 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

1 %

Schedule 19
Administration

95 %

A
B
C

Dohner Jr , John C
2nd Shift Zone
C

$4,501

$1,988

$6,489

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

Elliott , Quatrina
UNIT 4 CHAIRMAN
C

$1,625

$697

$2,322

Schedule 15
Representational Activities

61 %

Schedule 16
Political Activities and Lobbying

16 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

23 %

A
B
C

Gevaart , Mark G
Vice President
C

$7,065

$81

$7,146

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

Hartman , Brian C
PRESIDENT
C

$7,875

$4,132

$12,007

Schedule 15
Representational Activities

33 %

Schedule 16
Political Activities and Lobbying

10 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

57 %

A
B
C

Houston , Amy B
TRUSTEE
C

$20,626

$1,688

$22,314

Schedule 15
Representational Activities

9 %

Schedule 16
Political Activities and Lobbying

5 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

86 %

A
B
C

Johnson , Benjamin T
GUIDE
C

$5,254

$262

$5,516

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

4 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

96 %

A
B
C

Letourneau Jr , Richard P
UNIT 1 CHAIRMAN
C

$4,801

$1,814

$6,615

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

Mcclain , Michael
Unit 2 Chairman
C

$457

$320

$777

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

Murphy , Holli M
Trustee
C

$8,128

$300

$8,428

Schedule 15
Representational Activities

3 %

Schedule 16
Political Activities and Lobbying

8 %

Schedule 17
Contributions

9 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

80 %

A
B
C

Richardson , Amy L
Recording Secretary
P

$39,492

$2,924

$42,416

Schedule 15
Representational Activities

8 %

Schedule 16
Political Activities and Lobbying

2 %

Schedule 17
Contributions

1 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

89 %

A
B
C

Riley Jr , Roosevelt M
UNIT 3 CHAIRMAN
C

$2,516

$107

$2,623

Schedule 15
Representational Activities

24 %

Schedule 16
Political Activities and Lobbying

4 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

72 %

A
B
C

Sargent , Cory H
TRUSTEE
N

$2,213

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

Srour , Ghada A
TRUSTEE
P

$8,208

$878

$9,086

Schedule 15
Representational Activities

7 %

Schedule 16
Political Activities and Lobbying

12 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

81 %

Total Officer Disbursements	$178,066	$0	$23,215	$0	$201,281
Less Deductions					$47,869
Net Disbursements					$153,412

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES

FILE NUMBER: 516-889

(A)
Name

(B)
Title

(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

Jackson , Todd
Maintenance
NA

$43,551

$200

$163

$43,914

Schedule 15
Representational Activities

0 %

Schedule 16
Political Activities and Lobbying

0 %

Schedule 17
Contributions

0 %

Schedule 18
General Overhead

100 %

Schedule 19
Administration

0 %

A
B
C

Keeser , Erika
NA
NA

$44,983

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

Meier , Amanda J
NA
NA

$16,602

$2,147

$18,749

Schedule 15
Representational Activities

18 %

Schedule 16
Political Activities and Lobbying

24 %

Schedule 17
Contributions

6 %

Schedule 18
General Overhead

0 %

Schedule 19
Administration

52 %

A
B
C

Walker , Darlene K
Secretary
NA

$70,933

$135

$71,068

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 %

TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS

$322,397

$52,999

$375,396

Schedule 15
Representational Activities

19 %

Schedule 16
Political Activities and Lobbying

6 %

Schedule 17
Contributions

7 %

Schedule 18
General Overhead

11 %

Schedule 19
Administration

57 %

Total Employee Disbursements	$498,466	$200	$55,444	$0	$554,110
Less Deductions					$127,656
Net Disbursements					$426,454

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 13 - MEMBERSHIP STATUS

FILE NUMBER: 516-889

Category of Membership (A)	Number (B)	Voting Eligibility (C)
Members (Total of all lines above)	3,796
Agency Fee Payers*
Total Members/Fee Payers	3,796
*Agency Fee Payers are not considered members of the labor organization.
Regular Members	3,796	Yes

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19

FILE NUMBER: 516-889

SCHEDULE 14 OTHER RECEIPTS
1. Named Payer Itemized Receipts	$84,416
2. Named Payer Non-itemized Receipts	$45,797
3. All Other Receipts	$91,708
4. Total Receipts	$221,921

SCHEDULE 17 CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements	$45,406
2. Named Payee Non-itemized Disbursements	$10,142
3. To Officers	$1,183
4. To Employees	$27,403
5. All Other Disbursements	$65,006
6. Total Disbursements	$149,140

SCHEDULE 15 REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements	$44,162
2. Named Payee Non-itemized Disbursements	$8,186
3. To Officers	$38,525
4. To Employees	$74,700
5. All Other Disbursements	$69,290
6. Total Disbursements	$234,863

SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$603
4. To Employees	$85,208
5. All Other Disbursements	$9,978
6. Total Disbursements	$95,789

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements	$0
2. Named Payee Non-itemized Disbursements	$0
3. To Officers	$7,646
4. To Employees	$27,024
5. All Other Disbursements	$14,687
6. Total Disbursements	$49,357

SCHEDULE 19 UNION ADMINISTRATION
1. Named Payee Itemized Disbursements	$116,300
2. Named Payee Non-itemized Disbursements	$107,643
3. To Officers	$153,324
4. To Employees	$339,776
5. All Other Disbursements	$123,077
6. Total Disbursements	$840,120

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 14 - OTHER RECEIPTS

FILE NUMBER: 516-889

Name and Address
(A)

ADAM CLARK
PO BOX 579

Roanoke
IN
46783

Type or Classification
(B)

CHARITY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer
Total Non-Itemized Transactions with this Payee/Payer		$29,889
Total of All Transactions with this Payee/Payer for This Schedule		$29,889

Name and Address
(A)

International Union Uaw
8000 East Jefferson Ave

Detroit
MI
48214-3963

Type or Classification
(B)

Labor Organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$59,416
Total Non-Itemized Transactions with this Payee/Payer		$3,524
Total of All Transactions with this Payee/Payer for This Schedule		$62,940
REIMBUSEMENT FOR AMY RICH	03/09/2015	$6,066
13 REBATE CHECK	05/05/2015	$53,350

Name and Address
(A)

Krishana Lear
PO BOX 579

Roanoke
IN
46783

Type or Classification
(B)

CHARITY

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$12,384
Total of All Transactions with this Payee/Payer for This Schedule		$12,384

Name and Address
(A)

Seneca Insurance Company Inc
160 Water Street

New York
NY
10038-4922

Type or Classification
(B)

Insurance

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$25,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$25,000
FLOOD INS CLAIM PAYMENT	04/17/2015	$25,000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES

FILE NUMBER: 516-889

Name and Address
(A)

Brookwood Golf Club
10304 Bluffton Rd.

Fort Wayne
IN
46899

Type or Classification
(B)

Golf Course

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,000
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$7,000
MAKE A WISH GOLF OUTING	05/28/2015	$7,000

Name and Address
(A)

International Union Uaw
8000 East Jefferson Ave

Detroit
MI
48214-3963

Type or Classification
(B)

Labor Organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$7,530
Total of All Transactions with this Payee/Payer for This Schedule		$7,530

Name and Address
(A)

Region 2-B Uaw
1691 Woodlands Drive

Maumee
OH
43537

Type or Classification
(B)

Region 2B Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$23,600
Total Non-Itemized Transactions with this Payee/Payer		$75
Total of All Transactions with this Payee/Payer for This Schedule		$23,675
LEADERSHIP CONF AT BLACK	06/11/2015	$11,800
BLACK LAKE LEADERSHIP	08/06/2015	$11,800

Name and Address
(A)

Union Services Agency
119 PERE MARQUETTE SUITE 1A

Lansing
MI
48912

Type or Classification
(B)

Insurance

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$7,477
Total Non-Itemized Transactions with this Payee/Payer		$153
Total of All Transactions with this Payee/Payer for This Schedule		$7,630
INV 13106 UNION LIABILITY	11/12/2015	$7,477

Name and Address
(A)

Weigand Construction
7808 Honeywell Drive

Fort Wayne
IN
46825

Type or Classification
(B)

Construction

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$6,085
Total Non-Itemized Transactions with this Payee/Payer		$428
Total of All Transactions with this Payee/Payer for This Schedule		$6,513
INV 15003-042115 HALL WAT	04/23/2015	$6,085

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING

FILE NUMBER 516-889

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: 516-889

Name and Address
(A)

All Usa Clothing.Com
3305 Orchards Lake Road

Keego Harbor
MI
48320-1308

Type or Classification
(B)

Apparel

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$11,089
Total Non-Itemized Transactions with this Payee/Payer		$1,542
Total of All Transactions with this Payee/Payer for This Schedule		$12,631
INV 1062385 1062496 VETS	08/06/2015	$5,000
INV 1062322 MAKE A WISH F	05/28/2015	$6,089

Name and Address
(A)

Greater Allen Co Cap Council
3915 E Pontiac Street

Fort Wayne
IN
46803

Type or Classification
(B)

Union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$600
Total of All Transactions with this Payee/Payer for This Schedule		$5,600
LABOR DAY PICNIC DONATION	07/16/2015	$5,000

Name and Address
(A)

Make A Wish Foundation
Suite 101

Indianapolis
IN
46278

Type or Classification
(B)

Non For Profit

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$13,317
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$13,317
2015 MAW CAMPAIGN	07/24/2015	$13,317

Name and Address
(A)

March Of Dimes Foundation
303 Stable Dr

Fort Wayne
IN
46825

Type or Classification
(B)

Charity

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$16,000
Total Non-Itemized Transactions with this Payee/Payer		$2,500
Total of All Transactions with this Payee/Payer for This Schedule		$18,500
2015 MOD CAMPAIGN FWD	05/04/2015	$16,000

Name and Address
(A)

Sheperds House
21735 Plank Road

Howard
OH
43028

Type or Classification
(B)

Non-Profit Organization

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$5,500
Total of All Transactions with this Payee/Payer for This Schedule		$5,500

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 18 - GENERAL OVERHEAD

FILE NUMBER: 516-889

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: 516-889

Name and Address
(A)

Certified Burglar And Fire Alarm Systems
PO Box 10658

Fort Wayne
IN
46853

Type or Classification
(B)

Security

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,255
Total Non-Itemized Transactions with this Payee/Payer		$133
Total of All Transactions with this Payee/Payer for This Schedule		$5,388
INV 86028 86029 ALARM IN	07/24/2015	$5,255

Name and Address
(A)

Cyber Onsite Services Llc
7505 Witling Blvd

Roanoke
IN
46783

Type or Classification
(B)

Computer Tech

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$5,051
Total of All Transactions with this Payee/Payer for This Schedule		$5,051

Name and Address
(A)

Department 771277
PO Box 77000

Detroit
MI
48277-1277

Type or Classification
(B)

International Union

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,000
Total Non-Itemized Transactions with this Payee/Payer		$410
Total of All Transactions with this Payee/Payer for This Schedule		$5,410
INV 45312 45368 45266 U	08/31/2015	$5,000

Name and Address
(A)

Five Star Distributing Inc.
4055 East Park 30 Drive

Columbia City
IN
46725

Type or Classification
(B)

Beverage Distributing Co

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$5,555
Total of All Transactions with this Payee/Payer for This Schedule		$5,555

Name and Address
(A)

Gordon Food Service Inc
PO Box 88029

Chicago
IL
60680-1029

Type or Classification
(B)

Supply Co.

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$5,089
Total of All Transactions with this Payee/Payer for This Schedule		$5,089

Name and Address
(A)

Havel
PO Box 1287

Fort Wayne
IN
46801

Type or Classification
(B)

Maintenance

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,798
Total Non-Itemized Transactions with this Payee/Payer		$2,884
Total of All Transactions with this Payee/Payer for This Schedule		$11,682
INV 15951553 REPLACE PARK	08/31/2015	$8,798

Name and Address
(A)

Heartland Remc
PO Box 605

Markle
IN
46770-0605

Type or Classification
(B)

Utility

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$8,098
Total of All Transactions with this Payee/Payer for This Schedule		$8,098

Name and Address
(A)

Impressions
8914 S. Telegraph Rd.

Taylor
MI
48180

Type or Classification
(B)

Advertising

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$10,946
Total of All Transactions with this Payee/Payer for This Schedule		$10,946

Name and Address
(A)

International Union Uaw
8000 East Jefferson Ave

Detroit
MI
48214-3963

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		$5,010
Total of All Transactions with this Payee/Payer for This Schedule		$5,010

Name and Address
(A)

Jungclaus-Campbell Co. Inc
825 Massachusettes Avenue

Indianapolis
IN
46204

Type or Classification
(B)

Bldg

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$17,737
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$17,737
FIRE WALL BETWEEN BUILDIN	06/12/2015	$17,737

Name and Address
(A)

Keefer Printing Co. Inc.
3824 Transportation Drive

Fort Wayne
IN
46818

Type or Classification
(B)

Printing Company

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$26,872
Total of All Transactions with this Payee/Payer for This Schedule		$26,872

Name and Address
(A)

Macey Swanson And Allman
445 North Pennsylvania
Suite 401
Indianapolis
IN
46204

Type or Classification
(B)

Legal Service

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,626
Total Non-Itemized Transactions with this Payee/Payer		$13,672
Total of All Transactions with this Payee/Payer for This Schedule		$22,298
LYMON VS LOCAL 2209 & NLR	08/31/2015	$8,626

Name and Address
(A)

Office Depot Credit Plan
PO Box 78004

Phoenix
AZ
85062-8004

Type or Classification
(B)

Supply Co.

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$5,900
Total of All Transactions with this Payee/Payer for This Schedule		$5,900

Name and Address
(A)

Professional Affairs
PO Box 81111

Conyers
GA
30013

Type or Classification
(B)

Event Planning

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$24,640
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$24,640
SOLIDARITY DAY PICNIC	05/05/2015	$24,640

Name and Address
(A)

Punch Films
211 W. Wayne St

Fort Wayne
IN
46802

Type or Classification
(B)

Commercial Production

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,060
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$5,060
INV 1018-0 UAW 2209 COMME	07/23/2015	$5,060

Name and Address
(A)

Region 2-B Uaw
1691 Woodlands Drive

Maumee
OH
43537

Type or Classification
(B)

Region 2B Office

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$8,936
Total of All Transactions with this Payee/Payer for This Schedule		$8,936

Name and Address
(A)

Seneca Insurance Company Inc
160 Water Street

New York
NY
10038-4922

Type or Classification
(B)

Insurance

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$5,619
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$5,619
POLICY UCM5342570 COMMERC	11/19/2015	$5,619

Name and Address
(A)

Servpro Of West Fort Wayne
2749 Freeman Street

Fort Wayne
IN
46802

Type or Classification
(B)

Restoration

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$8,004
Total Non-Itemized Transactions with this Payee/Payer		$0
Total of All Transactions with this Payee/Payer for This Schedule		$8,004
RESTORATION SERVICES DUE	01/22/2015	$8,004

Name and Address
(A)

Suburban Propane
PO Box 290

Whippany
NJ
07981-0290

Type or Classification
(B)

Propane Gas

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$0
Total Non-Itemized Transactions with this Payee/Payer		$7,150
Total of All Transactions with this Payee/Payer for This Schedule		$7,150

Name and Address
(A)

Weigand Construction
7808 Honeywell Drive

Fort Wayne
IN
46825

Type or Classification
(B)

Construction

Purpose (C)	Date (D)	Amount (E)
Total Itemized Transactions with this Payee/Payer		$27,561
Total Non-Itemized Transactions with this Payee/Payer		$1,937
Total of All Transactions with this Payee/Payer for This Schedule		$29,498
INV 15003-042115 HALL WAT	04/23/2015	$27,561

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

SCHEDULE 20 - BENEFITS

FILE NUMBER: 516-889

Description (A)	To Whom Paid (B)	Amount (C)
Total of all lines above (Total will be automatically entered in Item 55.)		$30,401
HUMANA INSURANCE COMPANY	Dental/Hearing/Medical/Vision Insurance	$197
Retail Wholesale & Dept Int Union	Dental/Hearing/Medical/Vision Insurance	$21,656
Accident Fund	Workers Compensation Insurance	$4,173
Edward Jones Investments	Pension Allocations	$4,375

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)

69. ADDITIONAL INFORMATION SUMMARY

FILE NUMBER: 516-889

Question 10: The operations of the Building Corporation are handled through the books and records of the Local Union, and are therefore in this report.

Question 11(b):

Question 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 gave away 94 Bibles at a value of $2914 to family members of a deceased Local member. The Local donated 109 t-shirts at a value of $1635 to GM Plant Medical, per membership action. The Local closed the small store they had in the Union Hall in 2015 and donated the items in inventory to GM Plant Medical, per membership action, value unknown.

Statement A,

Cash Begin Total: Beginning balance was adjusted by $1549 due to voided checks issued in previous years being added back into the balance.

Schedule 8, Row1:

Schedule 8, Row1:::

Schedule 13, Row1:

Schedule 13, Row1::Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.

Schedule 13, Row1:

Schedule 13, Row1:::



Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)