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
040-488
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
931
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
KIM
Last Name
JANESKI
P.O Box - Building and Room Number
PO BOX 486
Number and Street
City
DEARBORN
State
MI
ZIP Code + 4
481210486
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:
LaShaun Lloyd
PRESIDENT
71. SIGNED:
KIM E JANESKI
TREASURER
Date:
Mar 29, 2016
Telephone
Number:
313-587-8700
Date:
Mar 29, 2016
Telephone
Number:
313-390-2899
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
040-488
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?
No
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?
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?
No
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?
206
21. What are the labor organization's rates of dues
and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
2.5 hours straight time
per
month
N/A
N/A
(b) Working Dues/Fees
per
N/A
N/A
(c) Initiation Fees
50.00
per
one time
N/A
N/A
(d) Transfer Fees
0
per
N/A
N/A
(e) Work Permits
0
per
N/A
N/A
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
040-488
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$276,922
$284,750
23. Accounts Receivable
1
$0
24. Loans Receivable
2
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
$0
27. Fixed Assets
6
$5,631
$5,631
28. Other Assets
7
$0
$0
29.
TOTAL ASSETS
$282,553
$290,381
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$7,205
$25,195
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$115
$0
34. TOTAL
LIABILITIES
$7,320
$25,195
35. NET
ASSETS
$275,233
$265,186
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
040-488
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$262,702
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$3,850
39. Sale of Supplies
$1,660
40. Interest
$0
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
$1,470
48. Other Receipts
14
$34,533
49. TOTAL RECEIPTS
$304,215
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$46,084
51.
Political Activities and Lobbying
16
$18,467
52.
Contributions, Gifts, and Grants
17
$19,217
53. General
Overhead
18
$8,053
54. Union
Administration
19
$50,964
55. Benefits
20
$438
56. Per
Capita Tax
$144,884
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$1,275
60. Purchase
of Investments and Fixed Assets
4
$0
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
$1,470
65. Direct
Taxes
$5,351
66. Subtotal
$296,203
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$16,637
67b. Less Total
Disbursed
$16,822
67c.
Total Withheld But Not Disbursed
-$185
68.
TOTAL DISBURSEMENTS
$296,388
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
040-488
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:
040-488
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
$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:
040-488
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:
040-488
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$0
$0
$0
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
040-488
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:
040-488
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give
location)
$0
$0
$0
B. Buildings
(give location)
$0
$0
$0
$0
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$5,631
$0
$5,631
$5,631
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$5,631
$0
$5,631
$5,631
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
040-488
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
040-488
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
$25,195
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$25,195
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
040-488
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:
040-488
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
040-488
(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
REGNIER
,
PHILLIP
N COMMITTEEMAN C
$5,057
$1,200
$246
$0
$6,503
I
Schedule 15
Representational Activities
77
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
19
%
A
B
C
WASHINGTON
,
ERIKA
L RECORDING SECRETARY C
$2,301
$1,440
$318
$0
$4,059
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
14
%
Schedule 17
Contributions
24
%
Schedule 18
General Overhead
2
%
Schedule 19
Administration
50
%
A
B
C
LLOYD
,
LASHAUN
M VICE PRESIDENT C
$940
$1,340
$41
$0
$2,321
I
Schedule 15
Representational Activities
53
%
Schedule 16
Political Activities and Lobbying
7
%
Schedule 17
Contributions
3
%
Schedule 18
General Overhead
1
%
Schedule 19
Administration
36
%
A
B
C
GRIFFIN
,
SYLVIA
RETIREE CHAIRPERSON N
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
33
%
Schedule 16
Political Activities and Lobbying
33
%
Schedule 17
Contributions
17
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
17
%
A
B
C
WARFIELD
,
AARON
S COMMITTEEMAN C
$1,582
$900
$164
$0
$2,646
I
Schedule 15
Representational Activities
75
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
1
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
19
%
A
B
C
SUTTON
,
LYNN
A TRUSTEE C
$3,974
$0
$172
$0
$4,146
I
Schedule 15
Representational Activities
4
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
2
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
90
%
A
B
C
OLESZKOWICZ
,
DAVID
M TRUSTEE C
$2,358
$0
$132
$0
$2,490
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
10
%
Schedule 17
Contributions
2
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
78
%
A
B
C
COOLEY
,
STEPHANIE
TRUSTEE C
$2,490
$0
$512
$0
$3,002
I
Schedule 15
Representational Activities
4
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
2
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
90
%
A
B
C
JANESKI
,
KIM
E FINANCIAL SECRETARY C
$5,548
$2,040
$1,747
$0
$9,335
I
Schedule 15
Representational Activities
33
%
Schedule 16
Political Activities and Lobbying
7
%
Schedule 17
Contributions
5
%
Schedule 18
General Overhead
2
%
Schedule 19
Administration
53
%
A
B
C
POKERWINSKI
,
JEFFREY
VICE PRESIDENT N
$0
$120
$0
$0
$120
I
Schedule 15
Representational Activities
92
%
Schedule 16
Political Activities and Lobbying
3
%
Schedule 17
Contributions
2
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
3
%
A
B
C
KREKLAU
,
DAVID
SERGANT AT ARMS C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
30
%
Schedule 17
Contributions
30
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
30
%
A
B
C
CHERNICK
,
GERALD
GUIDE C
$949
$0
$468
$0
$1,417
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
30
%
Schedule 17
Contributions
30
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
30
%
A
B
C
PAGAC
,
DAVID
M PRESIDENT C
$2,215
$1,750
$399
$0
$4,364
I
Schedule 15
Representational Activities
50
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
10
%
Schedule 18
General Overhead
5
%
Schedule 19
Administration
30
%
Total Officer
Disbursements
$27,414
$8,790
$4,199
$0
$40,403
Less Deductions
$11,638
Net
Disbursements
$28,765
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
040-488
(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
$14,382
$180
$1,021
$0
$15,583
I
Schedule 15
Representational Activities
1
%
Schedule 16
Political Activities and Lobbying
55
%
Schedule 17
Contributions
19
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
25
%
Total
Employee Disbursements
$14,382
$180
$1,021
$0
$15,583
Less
Deductions
$4,999
Net Disbursements
$10,584
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
040-488
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
206
Agency Fee Payers*
Total Members/Fee Payers
206
*Agency Fee Payers are
not considered members of the labor organization.
REGULAR MEMBERS
206
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
040-488
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$11,880
2. Named Payer
Non-itemized Receipts
$11,279
3. All Other Receipts
$11,374
4. Total
Receipts
$34,533
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$2,593
4. To Employees
$2,961
5. All Other
Disbursements
$13,663
6. Total
Disbursements
$19,217
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$11,526
2. Named Payee
Non-itemized Disbursements
$527
3. To Officers
$14,678
4. To Employees
$156
5. All Other
Disbursements
$19,197
6. Total
Disbursements
$46,084
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$509
4. To Employees
$0
5. All Other
Disbursements
$7,544
6. Total
Disbursements
$8,053
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$2,957
4. To Employees
$8,571
5. All Other
Disbursements
$6,939
6. Total
Disbursements
$18,467
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$16,957
2. Named Payee
Non-itemized Disbursements
$2,500
3. To Officers
$19,666
4. To Employees
$3,896
5. All Other
Disbursements
$7,945
6. Total
Disbursements
$50,964
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
040-488
Name and Address
(A)
GLOVER,CRAIG A
14168 FAIRMONT DETROIT MI 48205
Type or Classification
(B)
UNION MEMBER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$11,880
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$11,880
SALES OF CEDAR POINT
08/11/2015
$11,880
Name and Address
(A)
JANESKI,KIM E
669 LINCOLN WYANDOTTE MI 48192
Type or Classification
(B)
UNION MEMBER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,531
Total of All Transactions with this
Payee/Payer for This Schedule
$5,531
Name and Address
(A)
PAGAC,DAVID M
16711 ROSA LANE SOUTHGATE MI 48195
Type or Classification
(B)
UNION MEMBER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,748
Total of All Transactions with this
Payee/Payer for This Schedule
$5,748
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
040-488
Name and Address
(A)
CEDAR POINT ONE CEDAR POINT DRIVE ATTN: ACCOUNTS RECEIVEABLE SANDUSKY OH 44870-5259
Type or Classification
(B)
AMUSEMENT PARK
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$11,526
Total
Non-Itemized Transactions with this Payee/Payer
$527
Total of All Transactions with this
Payee/Payer for This Schedule
$12,053
SALES OF TICKETS FOR
08/24/2015
$11,526
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
040-488
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:
040-488
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:
040-488
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:
040-488
Name and Address
(A)
THE DEARBORN INN 20301 OAKWOOD BOULEVARD A MARRIOTT HOTEL DEARBORN MI 48124-4009
Type or Classification
(B)
REFRESHMENTS
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$16,957
Total
Non-Itemized Transactions with this Payee/Payer
$2,500
Total of All Transactions with this
Payee/Payer for This Schedule
$19,457
60TH ANNIVERSARY DINNER
12/01/2015
$16,957
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
040-488
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$438
INSURANCE
TRAVELERS
$438
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
040-488
Address of Record: Records are kept at 17000 Oakwood Blvd, RM 6204, Allen Park, MI 48101
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:::::
General Information: Item 22A $-1 is due to rounding of figures.