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: 07-31-2019
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
From01/01/2016
Through12/31/2016
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 HartmanPRESIDENT71. SIGNED:Shane B DavisTREASURER
Date:Mar 16, 2017Telephone Number:260-672-2209Date:Mar 16, 2017Telephone 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?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?$456,000
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?Yes
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?3,471
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2 1/2 hours of straight timeperhourn/an/a
(b) Working Dues/Fees0per
(c) Initiation Fees20perone timen/an/a
(d) Transfer Fees0per
(e) Work Permits0per

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 $701,901$756,138
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$1,324,560$1,302,618
28. Other Assets7$1,798$1,122
29. TOTAL ASSETS $2,028,259$2,059,878

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$6,115$0
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$1,412$390
34. TOTAL LIABILITIES $7,527$390
35. NET ASSETS$2,020,732$2,059,488
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 516-889

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $3,575,514
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $7,416
39. Sale of Supplies $2,969
40. Interest $803
41. Dividends $0
42. Rents $3,480
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $20,534
48. Other Receipts14$228,409
49. TOTAL RECEIPTS $3,839,125
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$333,729
51. Political Activities and Lobbying16$118,758
52. Contributions, Gifts, and Grants17$127,716
53. General Overhead18$124,280
54. Union Administration19$729,257
55. Benefits20$39,053
56. Per Capita Tax $2,210,006
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $150
59. Supplies for Resale $8,615
60. Purchase of Investments and Fixed Assets4$2,960
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $16,865
65. Direct Taxes $73,533
  
66. Subtotal $3,784,922
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$190,503  
  67b. Less Total Disbursed$190,471  
  67c. Total Withheld But Not Disbursed $32
68. TOTAL DISBURSEMENTS $3,784,890
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$0$0$0$0$0
Totals will be automatically entered in... Item 24
Column (A) 		Item 61Item 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$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: 516-889

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$2,960$2,960$2,960
Laptop computer$1,184$1,184$1,184
Portable fountain soda equipment$1,248$1,248$1,248
Industrial Fan$528$528$528
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$2,960
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)) $0
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$0$0$0$0
D. Office Furniture and Equipment$268,924$0$268,924$268,924
E. Other Fixed Assets$0$0$0$0
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,302,618$0$1,302,618$1,302,618
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)) $1,122
34 Bibles @ $33 each$1,122
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$0$0$0$0
Total from all other accounts payable$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$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 44Item 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)) $390
Federal Unemployment Taxes$390
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		(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 		Allison ,  Leroy  
UNIT 4 CHAIRMAN
P		$497$238$735
I
Schedule 15
Representational Activities 		49 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		36 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		15 %
A
B
C 		Bartkowiak ,  David   M
TRUSTEE
C		$8,441$1,939$10,380
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		89 %
A
B
C 		Bovie-Koomler ,  Diana   R
RETIREE CHAIRMAN
C		$2,598$2,598
I
Schedule 15
Representational Activities 		46 % Schedule 16
Political Activities and Lobbying 		23 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		31 %
A
B
C 		Bradbury ,  Daniel   R
SARGEANT AT ARMS
C		$1,056$1,056
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		95 %
A
B
C 		Cantasano ,  Anthony   F
ZONE COMMITEEMAN
C		$5,372$116$2,437$7,925
I
Schedule 15
Representational Activities 		80 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		15 %
A
B
C 		Cornish ,  David   M
ZONE COMMITEEMAN
C		$2,377$20$514$2,911
I
Schedule 15
Representational Activities 		78 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		20 %
A
B
C 		Davis ,  Shane   B
FINANCIAL SECRETARY
C		$54,326$2,165$19,238$75,729
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		21 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		78 %
A
B
C 		Dohner Jr ,  John   C
ZONE COMMITEEMAN
C		$3,609$74$1,337$5,020
I
Schedule 15
Representational Activities 		76 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		20 %
A
B
C 		Elliott ,  Quatrina  
UNIT 4 CHAIRMAN
P		$0$0
I
Schedule 15
Representational Activities 		100 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Gevaart ,  Mark   G
Vice President
C		$11,045$862$11,907
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		29 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		69 %
A
B
C 		Hartman ,  Brian   C
PRESIDENT
C		$10,055$452$6,102$16,609
I
Schedule 15
Representational Activities 		31 % Schedule 16
Political Activities and Lobbying 		31 % Schedule 17
Contributions 		4 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		34 %
A
B
C 		Houston ,  Amy   B
RECORDING SECRETARY
C		$48,489$1,635$3,159$53,283
I
Schedule 15
Representational Activities 		4 % Schedule 16
Political Activities and Lobbying 		9 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		87 %
A
B
C 		Johnson ,  Benjamin   T
GUIDE
C		$5,271$678$5,949
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		50 % Schedule 17
Contributions 		4 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		45 %
A
B
C 		Letourneau Jr ,  Richard   P
UNIT 1 CHAIRMAN
C		$2,071$2,071
I
Schedule 15
Representational Activities 		73 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		21 %
A
B
C 		Mcclain ,  Michael  
Unit 2 Chairman
C		$2,097$842$2,939
I
Schedule 15
Representational Activities 		36 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		18 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		46 %
A
B
C 		Murphy ,  Holli   M
TRUSTEE
C		$7,425$1,461$8,886
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		28 % Schedule 17
Contributions 		7 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		63 %
A
B
C 		Riley Jr ,  Roosevelt   M
UNIT 3 CHAIRMAN
C		$0$0
I
Schedule 15
Representational Activities 		75 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		20 %
A
B
C 		Sargent ,  Cory   H
TRUSTEE
C		$4,507$849$5,356
I
Schedule 15
Representational Activities 		3 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		96 %
A
B
C 		Williams ,  DaVontae   D
UNIT 4 CHAIRMAN
N		$1,043$273$1,316
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 %
Total Officer Disbursements$165,610$4,462$44,598$0$214,670
Less Deductions     
Net Disbursements    $214,670
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 516-889

(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 		Depew ,  Tony   P
NA
NA		$10,368$0$98$0$10,466
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		5 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		95 %
A
B
C 		Jackson ,  Todd  
Maintenance
NA		$44,056$200$136$0$44,392
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		97 % Schedule 19
Administration 		3 %
A
B
C 		Keeser ,  Erika  
NA
NA		$49,148$0$0$0$49,148
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		99 %
A
B
C 		Meier ,  Amanda   J
NA
NA		$25,098$0$4,490$0$29,588
I
Schedule 15
Representational Activities 		3 % Schedule 16
Political Activities and Lobbying 		84 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		12 %
A
B
C 		Sterk ,  Matthew   T
NA
NA		$9,000$0$2,436$0$11,436
I
Schedule 15
Representational Activities 		91 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		9 %
A
B
C 		Williams ,  Alissa   M
NA
NA		$9,253$0$947$0$10,200
I
Schedule 15
Representational Activities 		6 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		7 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		87 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$499,078$0$66,995$0$566,073
I Schedule 15
Representational Activities 		6 % Schedule 16
Political Activities and Lobbying 		7 % Schedule 17
Contributions 		6 % Schedule 18
General Overhead 		9 % Schedule 19
Administration 		72 %
Total Employee Disbursements$646,001$200$75,102$0$721,303
Less Deductions     
Net Disbursements    $721,303
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) 3,471 
Agency Fee Payers*
Total Members/Fee Payers3,471 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS3,471Yes
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$111,972
2. Named Payer Non-itemized Receipts$44,540
3. All Other Receipts$71,897
4. Total Receipts$228,409
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$59,652
2. Named Payee Non-itemized Disbursements$27,688
3. To Officers$2,318
4. To Employees$35,497
5. All Other Disbursements$2,561
6. Total Disbursements$127,716
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$46,713
2. Named Payee Non-itemized Disbursements$49,979
3. To Officers$27,249
4. To Employees$45,871
5. All Other Disbursements$163,917
6. Total Disbursements$333,729
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$20,308
2. Named Payee Non-itemized Disbursements$9,474
3. To Officers$0
4. To Employees$94,498
5. All Other Disbursements$0
6. Total Disbursements$124,280
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$36,351
4. To Employees$64,479
5. All Other Disbursements$17,928
6. Total Disbursements$118,758
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$7,700
2. Named Payee Non-itemized Disbursements$20,132
3. To Officers$148,752
4. To Employees$480,959
5. All Other Disbursements$71,714
6. Total Disbursements$729,257
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 516-889

Name and Address
(A)
Adam Clark/ Make A Wish
PO Box 579

Roanoke
IN
46783
Type or Classification
(B)
CHARITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,978
Total Non-Itemized Transactions with this Payee/Payer$19,857
Total of All Transactions with this Payee/Payer for This Schedule$32,835
GOLF/ TSHIRTS/ DONATIONS05/26/2016$12,978
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$5,284
Total Non-Itemized Transactions with this Payee/Payer$301
Total of All Transactions with this Payee/Payer for This Schedule$5,585
REIMBURSMENT FOR CAP CONF08/25/2016$5,284
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$69,777
Total Non-Itemized Transactions with this Payee/Payer$6,514
Total of All Transactions with this Payee/Payer for This Schedule$76,291
2015 CONTRACT MEETING REIMBURSMENT01/04/2016$13,990
REBATE CHECK04/19/2016$55,787
Name and Address
(A)
Krishana Lear/ March of Dimes
PO BOX 579

Roanoke
IN
46783
Type or Classification
(B)
CHARITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,187
Total Non-Itemized Transactions with this Payee/Payer$5,808
Total of All Transactions with this Payee/Payer for This Schedule$10,995
MOD FUNDRAISER 03/11/2016$5,187
Name and Address
(A)
Uaw Local 2049
PO BOX 121

Columbia City
IN
46725
Type or Classification
(B)
union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,106
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$13,106
1405 RETIREE FUNDS TRANSFER10/20/2016$13,106
Name and Address
(A)
VETERANS COMMITTEE
PO BOX 579

Roanoke
IN
46783
Type or Classification
(B)
CHARITY GROUP
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,640
Total Non-Itemized Transactions with this Payee/Payer$12,060
Total of All Transactions with this Payee/Payer for This Schedule$17,700
RED SHIRT FUNDRAISER10/31/2016$5,640
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 516-889

Name and Address
(A)
A Party Apart
200 East Superior Street

Fort Wayne
IN
46802
Type or Classification
(B)
Rental
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,767
Total Non-Itemized Transactions with this Payee/Payer$1,454
Total of All Transactions with this Payee/Payer for This Schedule$10,221
SOLIDARITY DAY RENTALS07/14/2016$8,767
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 
Total Non-Itemized Transactions with this Payee/Payer$5,756
Total of All Transactions with this Payee/Payer for This Schedule$5,756
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$6,225
Total Non-Itemized Transactions with this Payee/Payer$3,179
Total of All Transactions with this Payee/Payer for This Schedule$9,404
BATHROOM REPAIR PER MEMBERSHIP06/24/2016$6,225
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 
Total Non-Itemized Transactions with this Payee/Payer$6,521
Total of All Transactions with this Payee/Payer for This Schedule$6,521
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 
Total Non-Itemized Transactions with this Payee/Payer$7,033
Total of All Transactions with this Payee/Payer for This Schedule$7,033
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$6,500
Total of All Transactions with this Payee/Payer for This Schedule$6,500
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 
Total Non-Itemized Transactions with this Payee/Payer$6,009
Total of All Transactions with this Payee/Payer for This Schedule$6,009
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 
Total Non-Itemized Transactions with this Payee/Payer$7,772
Total of All Transactions with this Payee/Payer for This Schedule$7,772
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$23,750
Total Non-Itemized Transactions with this Payee/Payer$4,820
Total of All Transactions with this Payee/Payer for This Schedule$28,570
18 MEMBERS FOR JULY LEADERSHIP TRAINING 06/16/2016$11,250
BLACK LAKE LEADERSHIP TRAINING08/12/2016$12,500
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$7,971
Total Non-Itemized Transactions with this Payee/Payer$935
Total of All Transactions with this Payee/Payer for This Schedule$8,906
LIQUOR LIABILITY INS POLICY11/16/2016$7,971
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$7,643
Total Non-Itemized Transactions with this Payee/Payer$7,408
Total of All Transactions with this Payee/Payer for This Schedule$15,051
MAKE A WISH FUNDRAISER 07/14/2016$7,643
Name and Address
(A)
CHESTNUT HILLS GOLF CLUB
11502 ILLINOIS ROAD

Fort Wayne
IN
46814
Type or Classification
(B)
ENTERTAINMENT
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,698
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,698
RECEIPT # 369887 MAW GOLF06/09/2016$7,698
Name and Address
(A)
Flyin Needle Embroidery Inc
3132 E 900 N

Roanoke
IN
46783
Type or Classification
(B)
Clothing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,258
Total Non-Itemized Transactions with this Payee/Payer$5,334
Total of All Transactions with this Payee/Payer for This Schedule$10,592
VETS COMMITTEE FUNDRAISER06/30/2016$5,258
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$500
Total of All Transactions with this Payee/Payer for This Schedule$5,500
LABOR DAY PICNIC DONATION07/21/2016$5,000
Name and Address
(A)
Make A Wish Foundation
7330 Woodland Dr.
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$13,553
Total Non-Itemized Transactions with this Payee/Payer$1,472
Total of All Transactions with this Payee/Payer for This Schedule$15,025
MAKE A WISH SPONSORSHIP06/24/2016$5,000
2016 MAKE A WISH CAMPAIGN07/20/2016$8,553
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$15,000
Total Non-Itemized Transactions with this Payee/Payer$2,500
Total of All Transactions with this Payee/Payer for This Schedule$17,500
PLATINUM CORPORATE SPONSO03/03/2016$5,000
2016 MARCH OF DIMES CAMPAGN 05/12/2016$5,000
2016 MARCH OF DIMES CAMPAIGN05/12/2016$5,000
Name and Address
(A)
Roanoke Beautifiction Foundation
PO Box 388

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$5,000
Total of All Transactions with this Payee/Payer for This Schedule$5,000
Name and Address
(A)
Shigs In Pit Bbq
2008 Fairfield

Fort Wayne
WA
46802
Type or Classification
(B)
CATERING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,474
Total of All Transactions with this Payee/Payer for This Schedule$5,474
Name and Address
(A)
THREE RIVERS FESTIVAL
102 THREE RIVERS NORTH

Fort Wayne
IN
46802
Type or Classification
(B)
COMMUNITY FESTIVAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,500
SPONSORSHIP UAW/GM05/12/2016$5,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 516-889

Name and Address
(A)
American Time
1600 North Clinton Avenue

Rochester
NY
14621
Type or Classification
(B)
Watch Supplier
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,308
Total Non-Itemized Transactions with this Payee/Payer$9,474
Total of All Transactions with this Payee/Payer for This Schedule$29,782
RETIREES SERVICE CLOCK/WATCH06/09/2016$12,423
RETIREES SERVICE CLOCK/WATCH06/24/2016$7,885
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 516-889

Name and Address
(A)
AMERICAN AIRLINES
P.O. Box 619616

Fort Worth
TX
76155
Type or Classification
(B)
AIRLINE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,705
Total of All Transactions with this Payee/Payer for This Schedule$5,705
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$0
Total Non-Itemized Transactions with this Payee/Payer$14,427
Total of All Transactions with this Payee/Payer for This Schedule$14,427
Name and Address
(A)
Uaw Financial Officers Conference (foc)
8000 E. Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,700
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,700
FINANCIAL OFFICERS TRAINING01/21/2016$4,200
FINANCIAL OFFICERS TRAINING12/15/2016$3,500
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.)$39,053
Dental/Hearing/Medical/Vision InsuranceHUMANA INSURANCE COMPANY$3,029
Dental/Hearing/Medical/Vision InsuranceRetail Wholesale & Dept Int Union$21,859
Workers Compensation InsuranceAccident Fund$2,498
Pension AllocationsEdward Jones Investments$8,717
Medical Fees - OtherIU PSYCHIATRIC ASSOCIATES INC$1,750
Medical Fees - OtherTHE CASE CLINIC/MAPLES FAMILY CHIROPRACTIC$1,200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 516-889


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.

Question 11(b):

Question 11(b): : : Operations of the Building Corporation are handled through the books and records of the Local Union and therefore included in this report.

Question 12: Audit by the UAW International Auditor Jim Stanton in September 2016.

Question 18: Bylaw Article 11, Section 11 changed on 9/21/2016. See attached bylaws.

Question 15: The local gave away 62 bibles at a cost of $2046 to members who had a loss of a family member. The local disposed of $24,902 in fixed assets due to age, water damage, or no longer usable. Most items were damaged in the flood of 2015. A detailed list was reported to the members at the August 2016 membership meeting. All items were destroyed and hauled away by Republic National.

Statement A,

Cash Begin Total: ITEM 22(A)

Cash Begin Total: Beginning balance was adjusted by $5298 due to voided checks issued in previous years being added back into the balance.

Schedule 13, Row1:

Schedule 13, 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.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)