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
034-132
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
833
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
DAVID
Last Name
BOUCHER
P.O Box - Building and Room Number
Number and Street
5425 SUPERIOR AVE
City
SHEBOYGAN
State
WI
ZIP Code + 4
53083
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:
Timothy D Tayloe
PRESIDENT
71. SIGNED:
DAVID N BOUCHER
TREASURER
Date:
Apr 07, 2016
Telephone
Number:
920-458-2173
Date:
Apr 07, 2016
Telephone
Number:
920-458-2173
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
034-132
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?
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?
$212,000
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?
06/2017
20. How many members did the labor organization
have at the end of the reporting period?
56
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 pay
per
month
0
0
(b) Working Dues/Fees
N/A
per
0
0
0
(c) Initiation Fees
20.00
per
one time
0
0
(d) Transfer Fees
N/A
per
0
0
0
(e) Work Permits
N/A
per
0
0
0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
034-132
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$590,663
$607,606
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
$861,919
$862,899
28. Other Assets
7
$10,040
$11,748
29.
TOTAL ASSETS
$1,462,622
$1,482,253
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$0
$1,708
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$61,995
$3,297
34. TOTAL
LIABILITIES
$61,995
$5,005
35. NET
ASSETS
$1,400,627
$1,477,248
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
034-132
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,182,397
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$6,080
39. Sale of Supplies
$9,711
40. Interest
$1,986
41. Dividends
$0
42. Rents
$21,470
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
$12,759
48. Other Receipts
14
$304,719
49. TOTAL RECEIPTS
$1,539,122
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$454,938
51.
Political Activities and Lobbying
16
$2,650
52.
Contributions, Gifts, and Grants
17
$30,389
53. General
Overhead
18
$174,501
54. Union
Administration
19
$34,717
55. Benefits
20
$7,712
56. Per
Capita Tax
$785,363
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$7,492
60. Purchase
of Investments and Fixed Assets
4
$980
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
$13,457
65. Direct
Taxes
$8,755
66. Subtotal
$1,520,954
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$18,373
67b. Less Total
Disbursed
$19,598
67c.
Total Withheld But Not Disbursed
-$1,225
68.
TOTAL DISBURSEMENTS
$1,522,179
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
034-132
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:
034-132
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:
034-132
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:
034-132
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$980
$980
$980
LAWNMOWER
$270
$270
$270
FLOOR MATS
$628
$628
$628
FLAGS
$82
$82
$82
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$980
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
034-132
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:
034-132
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
5425 SUPERIOR AVENUE SHEBOYGAN WI
$73,953
$73,953
$73,953
B.
Buildings (give location)
Building
1
:
5425 SUPERIOR AVENUE SHEBOYGAN WI
$539,706
$0
$539,706
$539,706
C. Automobiles
and
Other Vehicles
$0
$0
$0
$0
D. Office
Furniture
and Equipment
$109,124
$0
$109,124
$109,124
E.
Other Fixed Assets
$140,116
$0
$140,116
$140,116
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$862,899
$0
$862,899
$862,899
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
034-132
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$11,748
T-SHIRTS
$2,153
BAR ITEMS
$9,595
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
034-132
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
$1,708
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$1,708
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
034-132
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:
034-132
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$3,297
FEDERAL TAXEX FORWARD
$673
FICA EMPLOYEE TAXES
$1,025
FICA EMPLOYER TAXES
$1,025
FEDERAL UNEMPLOYMENT TAXES
$106
STATE UNEMPLOYMENT TAXES
$53
STATE SALES TAXES FORWARD
$415
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
034-132
(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
BOUCHER
,
David
N FINANCIAL SECRETARY N
$88
$1,433
$4,907
$0
$6,428
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
BROCK
,
Jim
E VICE PRESIDENT C
$0
$1,733
$0
$0
$1,733
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
DICKMAN
,
ANGELIN
C TRUSTEE C
$969
$473
$78
$0
$1,520
I
Schedule 15
Representational Activities
50
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
46
%
A
B
C
MARTINEZ
,
Rufus
C SGT AT ARMS C
$0
$473
$0
$0
$473
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
MILLER
,
JASON
L GUIDE C
$580
$473
$66
$0
$1,119
I
Schedule 15
Representational Activities
55
%
Schedule 16
Political Activities and Lobbying
2
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
43
%
A
B
C
PRENING
,
Bill
R TRUSTEE C
$1,217
$473
$0
$0
$1,690
I
Schedule 15
Representational Activities
21
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
79
%
A
B
C
SAWALL
,
PENNY
L RECORDING SEC C
$0
$1,388
$1,044
$0
$2,432
I
Schedule 15
Representational Activities
88
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
12
%
A
B
C
STROHSCHOEN
,
David
W Trustee C
$333
$2,663
$3,191
$0
$6,187
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
TAYLOE
,
Tim
D PRESIDENT C
$0
$1,958
$3,375
$0
$5,333
I
Schedule 15
Representational Activities
89
%
Schedule 16
Political Activities and Lobbying
6
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
5
%
Total Officer
Disbursements
$3,187
$11,067
$12,661
$0
$26,915
Less Deductions
$2,506
Net
Disbursements
$24,409
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
034-132
(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
EIRICH
,
DAVID
K CUSTODIAN NA
$19,771
$0
$0
$0
$19,771
I
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
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$41,336
$40,085
$9,796
$0
$91,217
I
Schedule 15
Representational Activities
96
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
2
%
Schedule 19
Administration
1
%
Total
Employee Disbursements
$61,107
$40,085
$9,796
$0
$110,988
Less
Deductions
$15,867
Net Disbursements
$95,121
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
034-132
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
56
Agency Fee Payers*
Total Members/Fee Payers
56
*Agency Fee Payers are
not considered members of the labor organization.
REGULAR MEMBERS
56
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
034-132
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$176,831
2. Named Payer
Non-itemized Receipts
$0
3. All Other Receipts
$127,888
4. Total
Receipts
$304,719
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
$30,389
6. Total
Disbursements
$30,389
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$237,473
2. Named Payee
Non-itemized Disbursements
$38,358
3. To Officers
$14,989
4. To Employees
$87,568
5. All Other
Disbursements
$76,550
6. Total
Disbursements
$454,938
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$24,716
2. Named Payee
Non-itemized Disbursements
$50,085
3. To Officers
$0
4. To Employees
$21,595
5. All Other
Disbursements
$78,105
6. Total
Disbursements
$174,501
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$403
4. To Employees
$912
5. All Other
Disbursements
$1,335
6. Total
Disbursements
$2,650
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$8,233
2. Named Payee
Non-itemized Disbursements
$163
3. To Officers
$11,522
4. To Employees
$912
5. All Other
Disbursements
$13,887
6. Total
Disbursements
$34,717
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
034-132
Name and Address
(A)
International Union-UAW 8000 East Jefferson Ave
Detroit MI 48214-3448
Type or Classification
(B)
INTERNATIONAL UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$17,642
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$17,642
REBATE
05/04/2015
$17,642
Name and Address
(A)
JASON MILLER 110 TOWER DRIVE
KOHLER WI 53044-0000
Type or Classification
(B)
STRIKE ASSISTANCE CHAIR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$135,863
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$135,863
DONATIONS TO RELIEF & STR
12/14/2015
$57,268
donations Strike
12/22/2015
$33,895
Strike Donations
12/23/2015
$24,076
DONATIONS TO 833 WORKERS'
12/04/2015
$13,804
DONATIONS TO 833 WORKERS'
11/25/2015
$6,820
Name and Address
(A)
WILLIAM BOLGERT 1704 S 22ND STREET
SHEBOYGAN WI 53081-0000
Type or Classification
(B)
CONSERVATION CMT CHAIR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$23,326
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$23,326
PROCEEDS; CONSERVATION BA
09/18/2015
$23,326
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
034-132
Name and Address
(A)
HICKORY HILLS COUNTRY CLUB W3095 HICKORY HILLS RD
CHILTON WI 53014-0000
Type or Classification
(B)
COUNTRY CLUB
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,754
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$10,754
2015 UAW GOLF OUTING
07/30/2015
$10,754
Name and Address
(A)
HUB INTERNATIONAL MIDWEST LTD 15174 COLLECTIONS CENTER
CHICAGO IL 60693-0000
Type or Classification
(B)
INSURANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,154
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$7,154
LIABILITY INSURANCE RENEW
12/15/2015
$7,154
Name and Address
(A)
Jon' Sport Shop 2968 Jackson Dr.Road
Oshkosh WI 54901-0000
Type or Classification
(B)
Sporting Goods
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$11,223
Total
Non-Itemized Transactions with this Payee/Payer
$2,361
Total of All Transactions with this
Payee/Payer for This Schedule
$13,584
CONSERVATION BANQUET DOOR
07/07/2015
$11,223
Name and Address
(A)
JUS'THREADZ 1203 SOUTH 26TH STREET
MANITOWOC WI 54220-0000
Type or Classification
(B)
DIGITIZING & EMBROIDERY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$14,032
Total
Non-Itemized Transactions with this Payee/Payer
$6,629
Total of All Transactions with this
Payee/Payer for This Schedule
$20,661
T-SHIRTS
11/18/2015
$7,121
T-SHIRTS
07/30/2015
$6,911
Name and Address
(A)
KOHLER CO./STERLING P.O. BOX 91283
CHICAGO IL 60693-0283
Type or Classification
(B)
PLUMBING COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$138,370
Total
Non-Itemized Transactions with this Payee/Payer
$15,255
Total of All Transactions with this
Payee/Payer for This Schedule
$153,625
LOST TIME OFFICER & CHIEF
11/28/2015
$13,362
LOST TIME OFFICERS & CHIE
07/06/2015
$12,368
OFFICER REIMBURSEMENT/CHA
02/20/2015
$12,350
LOST TIME OFFICERS & CHIE
08/06/2015
$12,262
LOST TIME OFFICERS AND CH
04/07/2015
$12,111
LOST TIME OFFICERS & CHIE
06/13/2015
$10,998
LOST TIME OFFICER & CHIEF
10/07/2015
$10,677
LOST TIME; OFFICERS AND C
11/03/2015
$10,609
LOST TIME OFFICERS AND CH
03/09/2015
$8,175
LOST TIME; OFFICERS & CHI
09/04/2015
$8,175
LOST TIME OFFICER & CHIEF
10/07/2015
$8,175
LOST TIME-OFFICERS & CHIE
06/26/2015
$6,528
LOST TIME FOR CHIEF STEWA
02/10/2015
$6,341
LOST TIME OFFICERS & CHIE
08/06/2015
$6,239
Name and Address
(A)
PIGGLY WIGGLY HOWARDS 714 S WISCONSIN DRIVE
HOWARDS GROVE WI 53083-0000
Type or Classification
(B)
GROCERY STORE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$14,113
Total of All Transactions with this
Payee/Payer for This Schedule
$14,113
Name and Address
(A)
SALVATION ARMY P.O. BOX 1207 710 PENNSYLVANIA AVENUE SHEBOYGAN WI 53082-1207
Type or Classification
(B)
NON PROFIT ORG
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$50,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$50,000
RESTRICTED FUNDS FOR UAW
12/21/2015
$50,000
Name and Address
(A)
WINDWALKERS PHEASANTRY W2032 BIRCH LANE
MT CALVARY WI 53057-0000
Type or Classification
(B)
PHEASANTS
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,940
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,940
PHEASANTS
05/26/2015
$5,940
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
034-132
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:
034-132
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:
034-132
Name and Address
(A)
ALLIANT ENERGY PO BOX 3068
CEDAR RAPIDS IA 52406-3068
Type or Classification
(B)
ELECTRIC UTILITY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$16,704
Total of All Transactions with this
Payee/Payer for This Schedule
$16,704
Name and Address
(A)
C.A. FLIPSE SONS INC. P.O. Box 1104
Sheboygan WI 53082-1104
Type or Classification
(B)
BAR CLEANING SUPPLIES
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,373
Total of All Transactions with this
Payee/Payer for This Schedule
$6,373
Name and Address
(A)
CAPSPECIALTY BOX 673110
CHICAGO IL 60695-0000
Type or Classification
(B)
INSURANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,286
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$7,286
INSURANCE PREMIUM AND REN
02/25/2015
$7,286
Name and Address
(A)
GENERAL BEER DIST - NORTHEAST 1825 ROSEHILL RD
KAUKAUNA WI 54130-0000
Type or Classification
(B)
BEER DISTRIBUTOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,564
Total of All Transactions with this
Payee/Payer for This Schedule
$7,564
Name and Address
(A)
LAKESIDE PEPSI COLA 300 FOREST AVE.
SHEBOYGAN FALLS WI 53085-0000
Type or Classification
(B)
SODA DISTRIBUTOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$8,338
Total of All Transactions with this
Payee/Payer for This Schedule
$8,338
Name and Address
(A)
LARRY'S DISTRIBUTING INC. 3815 Playbird Road
Sheboygan WI 53083-0000
Type or Classification
(B)
Beer Distributor
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$11,106
Total of All Transactions with this
Payee/Payer for This Schedule
$11,106
Name and Address
(A)
VALLEY SEALCOAT INC. W6265 CONTRACTOR DRIVE
APPLETON WI 54914-0000
Type or Classification
(B)
ASPHALT CONTRACTOR
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$17,430
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$17,430
REPAIR & SEAL PARKING LOT
09/28/2015
$17,430
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
034-132
Name and Address
(A)
KOHLER CO./STERLING P.O. BOX 91283
CHICAGO IL 60693-0283
Type or Classification
(B)
PLUMBING COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,233
Total
Non-Itemized Transactions with this Payee/Payer
$163
Total of All Transactions with this
Payee/Payer for This Schedule
$8,396
Officer/Steward Reimburse
01/19/2015
$8,233
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
034-132
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$7,712
Dental/Hearing/Medical/Vision Insurance
KOHLER CO
$4,866
Workers Compension Insurance
AMTRUST NORTH AMERICA
$2,846
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
034-132
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 12: The books of the Local Union were audited by International Union UAW Auditor Bill Stephans through June 30, 2015.
Question 15: The local gave away 381 T-shirts valued at $3451 to the members. They also gave away 50 hams valued at $605 to members.
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.
Statement A,
Cash Begin Total: Beginning balance was adjusted by $537 in voided checks that were issued in a previous year. Also added to the beginning balance was $1311 as the ending balance on the 2014 LM did not match the beginning balance of the books. This addition could be due to interest that was not added into the books in 2014.
Statement A,
Accounts Receivable Begin Total: Beginning balance did not pre-fill.
Statement A,
Loans Receivable Begin Total: Beginning balance did not pre-fill.
Statement A,Investments Begin Total: Beginning balance did not pre-fill.
Statement A,
Accounts Payable Begin Total: Beginning balance did not pre-fill.
Statement A,
Loans Payable Begin Total: Beginning balance did not pre-fill.
Schedule 13, Row1:
Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.