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 |
|
|
|||||||||||||||||||||||
|
|
ITEMS 10 THROUGH 21 | FILE NUMBER: 007-160 |
|
|
STATEMENT A - ASSETS AND LIABILITIES | FILE NUMBER: 007-160 |
|
|
|
|
||||||||||||||||||||||||||
|
STATEMENT B - RECEIPTS AND DISBURSEMENTS | FILE NUMBER: 007-160 |
|
|
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE | FILE NUMBER: 007-160 |
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 |
SCHEDULE 2 - LOANS RECEIVABLE | FILE NUMBER: 007-160 |
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) |
|
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) |
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS | FILE NUMBER: 007-160 |
|
||||||||||||||||||||
|
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS | FILE NUMBER: 007-160 |
|
||||||||||||||||||||||||||||||||
|
SCHEDULE 5 - INVESTMENTS | FILE NUMBER: 007-160 |
|
||||||||||
|
||||||||||
|
||||||||||
|
||||||||||
|
SCHEDULE 6 - FIXED ASSETS | FILE NUMBER: 007-160 |
|
|||||||||||||||
|
|||||||||||||||
|
|||||||||||||||
|
|||||||||||||||
|
|||||||||||||||
|
SCHEDULE 7 - OTHER ASSETS | FILE NUMBER: 007-160 |
Description
(A) |
Book Value
(B) |
Total (Total will be automatically entered in Item 28, Column(B)) | $9,386 |
323 T-Shirts @ $12.00 each | $3,876 |
38 Watches @ $70.00 each | $2,660 |
76 Bibles @ $25.00 each | $1,900 |
MISC. OFFICE SUPPLIES | $650 |
POSTAGE | $300 |
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE | FILE NUMBER: 007-160 |
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 | $284,648 | $0 | $0 | $0 |
Total from all other accounts payable | $6,111 | $0 | $0 | $0 |
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) | $290,759 | $0 | $0 | $0 |
UAW INTERNATION UNION PER CAPITA TAX | $284,648 | $0 | $0 | $0 |
SCHEDULE 9 - LOANS PAYABLE | FILE NUMBER: 007-160 |
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 | $392,121 | $0 | $31,811 | $0 | $360,310 |
Totals will be automatically entered in... |
Item 31
Column (C) | Item 44 | Item 62 |
Item 69
with Explanation |
Item 31
Column (D) |
421743 | $392,121 | $0 | $31,811 | $0 | $360,310 |
SCHEDULE 10 - OTHER LIABILITIES | FILE NUMBER: 007-160 |
Description
(A) |
Amount at End of Period
(B) |
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) | $20,556 |
Federal FUTA Tax | $3,308 |
State SUTA Taxes | $2,434 |
Property Taxes | $14,814 |
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS | FILE NUMBER: 007-160 |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES | FILE NUMBER: 007-160 |
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
SCHEDULE 13 - MEMBERSHIP STATUS | FILE NUMBER: 007-160 |
Category of Membership
(A) |
Number
(B) |
Voting Eligibility
(C) |
Members (Total of all lines above) | 8,850 | |
Agency Fee Payers* | ||
Total Members/Fee Payers | 8,850 | |
*Agency Fee Payers are not considered members of the labor organization. | ||
Regular Members | 8,850 | Yes |
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 | FILE NUMBER: 007-160 |
|
|
|||||||||||||||||||||||||||||
|
|
|||||||||||||||||||||||||||||
|
|
SCHEDULE 14 - OTHER RECEIPTS | FILE NUMBER: 007-160 |
|
|||||||||||||||||||||
|
|||||||||||||||||||||
|
|||||||||||||||||||||
|
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES | FILE NUMBER: 007-160 |
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||
|
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING | FILE NUMBER 007-160 |
|
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS | FILE NUMBER: 007-160 |
|
SCHEDULE 18 - GENERAL OVERHEAD | FILE NUMBER: 007-160 |
|
||||||||||||||||||||||||
|
SCHEDULE 19 - UNION ADMINISTRATION | FILE NUMBER: 007-160 |
|
|||||||||||||||||||||
|
|||||||||||||||||||||
|
|||||||||||||||||||||
|
|||||||||||||||||||||
|
|||||||||||||||||||||
|
|||||||||||||||||||||
|
|||||||||||||||||||||
|
|||||||||||||||||||||
|
SCHEDULE 20 - BENEFITS | FILE NUMBER: 007-160 |
Description
(A) |
To Whom Paid
(B) |
Amount
(C) |
Total of all lines above (Total will be automatically entered in Item 55.) | $253,303 | |
Dental/Hearing/Medical/Vision Insurance | ANTHEM BCBS | $2,556 |
Dental/Hearing/Medical/Vision Insurance | BAY PARK COMMUNITY HOSPITAL | $1,559 |
Dental/Hearing/Medical/Vision Insurance | FIRST HEALTH | $241 |
Dental/Hearing/Medical/Vision Insurance | HUMANA INSURANCE CO. | $2,913 |
Dental/Hearing/Medical/Vision Insurance | MEDICAL MUTUAL OF OHIO | $47,348 |
Dental/Hearing/Medical/Vision Insurance | UNITED INSURANCE PREMIUM | $14,221 |
Dental/Hearing/Medical/Vision Insurance | UNITEDHCMEDICARE MED INS.PAYMENT | $590 |
Workers Compension Insurance | OHIO BUREAU OF WORKERS COMPENSATION | $519 |
Medical Fee Reimbursements | BETTY CALLOWAY | $1,259 |
Medical Fee Reimbursements | DONALD BLESING | $8,239 |
Medical Fee Reimbursements | LARRY FOX | $3,077 |
Medical Fee Reimbursements | MARY HEALEY | $1,259 |
Medical Fee Reimbursements | MARY JO ROBINSON | $944 |
Medical Fee Reimbursements | PRISCILLA JANATOWSKI | $944 |
Medical Fee Reimbursements | SANDRA A. SWISHER | $734 |
Pension Allocations | NORTHWEST OHIO AREA INDUSTRIES | $3,272 |
Retirement Savings(401K etc)Employer | JOHN HANCOCK RETIREMENT PLAN SERVICES | $10,420 |
Retirement Savings(401K etc)Employer | TRUST COMPANY OF TOLEDO | $151,410 |
Medical Fees- To Doc/Hosp as a Co-Pay | CLEARWATER PATHOLOGY ASSOC. | $408 |
Medical Fees- To Doc/Hosp as a Co-Pay | MERCY ST.CHARLES HOSPITAL | $936 |
Medical Fees- To Doc/Hosp as a Co-Pay | PROMEDICA | $55 |
Medical Fees- To Doc/Hosp as a Co-Pay | VISION ASSOCIATES | $190 |
Medical Fees- To Doc/Hosp as a Co-Pay | WILDWOOD SURGICAL CENTER | $209 |
69. ADDITIONAL INFORMATION SUMMARY | FILE NUMBER: 007-160 |
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013) |