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
007-160
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
12
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
PAUL
Last Name
RICKMAN, JR.
P.O Box - Building and Room Number

Number and Street
2300 ASHLAND AVENUE
City
TOLEDO
State
OH
ZIP Code + 4
436201207


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:Bruce W BaumhowerPRESIDENT71. SIGNED:Paul E Rickman JrTREASURER
Date:Mar 17, 2017Telephone Number:419-241-9126Date:Mar 17, 2017Telephone Number:419-241-9126
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 007-160
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?$941,000
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?05/2019
20. How many members did the labor organization have at the end of the reporting period?3,518
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 straight timepermonth00
(b) Working Dues/Fees0per000
(c) Initiation Fees$30perone time00
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 007-160

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $2,836,052$3,471,917
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$2,124,229$2,130,159
28. Other Assets7$9,386$6,944
29. TOTAL ASSETS $4,969,667$5,609,020

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$290,759$323,442
31. Loans Payable9$360,310$327,799
32. Mortgages Payable $0$0
33. Other Liabilities10$20,556$24,478
34. TOTAL LIABILITIES $671,625$675,719
35. NET ASSETS$4,298,042$4,933,301
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 007-160

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $6,167,319
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $74,840
39. Sale of Supplies $1,390
40. Interest $12,017
41. Dividends $0
42. Rents $35,410
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 $11,168
48. Other Receipts14$274,961
49. TOTAL RECEIPTS $6,577,105
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$955,756
51. Political Activities and Lobbying16$15,019
52. Contributions, Gifts, and Grants17$56,411
53. General Overhead18$245,933
54. Union Administration19$391,001
55. Benefits20$278,085
56. Per Capita Tax $3,819,798
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $17,973
59. Supplies for Resale $5,032
60. Purchase of Investments and Fixed Assets4$5,930
61. Loans Made2$0
62. Repayment of Loans Obtained9$32,511
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $10,843
65. Direct Taxes $96,899
  
66. Subtotal $5,931,191
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$260,050  
  67b. Less Total Disbursed$270,099  
  67c. Total Withheld But Not Disbursed -$10,049
68. TOTAL DISBURSEMENTS $5,941,240
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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)
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: 007-160

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: 007-160

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$5,930$5,930$5,930
Griddle$2,050$2,050$2,050
Griddle Stand$270$270$270
Double Beer Keg Cooler$2,168$2,168$2,168
Brother Printer$64$64$64
Weed Eater Blower$80$80$80
Gas Trimmer$142$142$142
Carpet$1,156$1,156$1,156
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$5,930
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 007-160

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: 007-160

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      Lots Batai, Ashland 363-406-365-403$127,830 $127,830$127,830
B. Buildings (give location)    
Building  1 :      2300 Ashland Avenue, Toledo, OH$1,290,436$0$1,290,436$1,290,436
C. Automobiles and Other Vehicles$31,155$0$31,155$31,155
D. Office Furniture and Equipment$680,738$0$680,738$680,738
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)) $2,130,159$0$2,130,159$2,130,159
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 007-160

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $6,944
392 T-Shirts @ $12 each$4,704
42 Bibles @ $25 each$1,050
17 Watches @ $70 each$1,190
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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$314,187$0$0$0
Total from all other accounts payable$9,255$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $323,442$0$0$0
Per Capita Taxes$299,248$0$0$0
Property Taxes$14,939$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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$360,310$0$32,511$0$327,799
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
421743$360,310$0$32,511$0$327,799
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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)) $24,478
Feceral Income Taxes Fwd$7,242
FICA Employee Forward$4,248
FICA Employer Forward$4,248
State Taxes Forward$987
City Taxes Forward$932
Bank, Credit Union, Forward$1,460
Charitable Contributions Forward$1,009
Expense, Wage, Lostime Overpmt Fwd$303
Retirement Savings Forward$2,114
Union Dues Forward$353
Voluntary Cont Forward$232
401K Loan Forward$775
Federal Unemployment Taxes$352
State Sales Tax Forward$223
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 007-160

(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
Adamson ,  Joan  
Board Mbr At Large
P
$297$88$109$0$494
I
Schedule 15
Representational Activities
26 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
11 % Schedule 19
Administration
63 %
A
B
C
Baumhower ,  Bruce   W
President
C
$106,043$7,247$8,320$0$121,610
I
Schedule 15
Representational Activities
58 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
42 %
A
B
C
Crayon II ,  Richard   L
Trustee Chairperson
C
$2,035$2,014$3,416$0$7,465
I
Schedule 15
Representational Activities
56 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
39 %
A
B
C
Duffus ,  Denise  
Recording Secretary
C
$2,345$3,766$1,237$0$7,348
I
Schedule 15
Representational Activities
49 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
6 % Schedule 19
Administration
45 %
A
B
C
Epley ,  Mark   T
Vice President
C
$0$1,166$6,268$0$7,434
I
Schedule 15
Representational Activities
54 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
3 % Schedule 19
Administration
43 %
A
B
C
Epley ,  Matt  
Sergeant At Arms
P
$0$594$0$0$594
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Funches ,  Hope  
Guide
C
$2,177$4,766$427$0$7,370
I
Schedule 15
Representational Activities
47 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
38 %
A
B
C
Humbarger ,  Corey  
Trustee
C
$6,177$2,014$1,108$0$9,299
I
Schedule 15
Representational Activities
45 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
16 % Schedule 19
Administration
39 %
A
B
C
King ,  Tanya  
Sergeant At Arms
N
$338$572$46$0$956
I
Schedule 15
Representational Activities
58 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
20 % Schedule 19
Administration
22 %
A
B
C
Kuchcinski ,  David  
Retiree Board Member
P
$0$0$0$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
Lampkowski ,  Stanley  
Trustee
P
$0$0$0$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
Martinez ,  John   J
Trustee
P
$0$0$0$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
Matney ,  Joan  
Retiree Board Member
C
$0$1,166$1,568$0$2,734
I
Schedule 15
Representational Activities
69 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
31 %
A
B
C
McGrath ,  Dan  
Trustee
C
$5,683$1,582$2,268$0$9,533
I
Schedule 15
Representational Activities
36 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
49 %
A
B
C
Miller ,  Pete  
Trustee
P
$572$0$0$0$572
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 %
A
B
C
Peterson ,  Daryl   B
Vice President
P
$0$0$0$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
Pratt ,  Susan  
Board Mbr At Large
P
$0$0$0$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
Rickman Jr ,  Paul   E
Financial Secretary
C
$107,493$7,247$7,799$0$122,539
I
Schedule 15
Representational Activities
58 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
42 %
A
B
C
Szczur ,  Joseph  
Trustee
P
$0$0$0$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
Truitt ,  Wayne   A
Trustee Chairperson
P
$0$1,026$759$0$1,785
I
Schedule 15
Representational Activities
69 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
31 %
A
B
C
Wootton ,  Jane  
Recording Secretary
P
$0$0$0$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 %
Total Officer Disbursements$233,160$33,248$33,325$0$299,733
Less Deductions    $129,235
Net Disbursements    $170,498
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 007-160

(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
Armstrong ,  Sheila   R
NA
NA
$45,716$0$0$0$45,716
I
Schedule 15
Representational Activities
47 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
4 % Schedule 19
Administration
49 %
A
B
C
Birchfield ,  Ronald   D
NA
NA
$35,269$0$2,051$0$37,320
I
Schedule 15
Representational Activities
3 % Schedule 16
Political Activities and Lobbying
26 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
33 % Schedule 19
Administration
38 %
A
B
C
Janatowski ,  Priscilla   L
Clerk
NA
$60,087$0$0$0$60,087
I
Schedule 15
Representational Activities
48 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
6 % Schedule 19
Administration
46 %
A
B
C
Rickman ,  Cindi  
Maint.
NA
$30,535$0$120$0$30,655
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 %
A
B
C
Robinson ,  Mary Jo  
Clerk
NA
$47,687$0$1,467$0$49,154
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$190,902$807$74,099$0$265,808
I Schedule 15
Representational Activities
21 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
50 % Schedule 19
Administration
27 %
Total Employee Disbursements$410,196$807$77,737$0$488,740
Less Deductions    $130,815
Net Disbursements    $357,925
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 007-160

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 3,518 
Agency Fee Payers*
Total Members/Fee Payers3,518 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members3,518Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 007-160

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$136,453
2. Named Payer Non-itemized Receipts$86,231
3. All Other Receipts$52,277
4. Total Receipts$274,961
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$5,000
2. Named Payee Non-itemized Disbursements$8,200
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$43,211
6. Total Disbursements$56,411
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$151,846
2. Named Payee Non-itemized Disbursements$307,924
3. To Officers$168,580
4. To Employees$153,965
5. All Other Disbursements$173,441
6. Total Disbursements$955,756
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$20,310
2. Named Payee Non-itemized Disbursements$5,836
3. To Officers$5,878
4. To Employees$183,767
5. All Other Disbursements$30,142
6. Total Disbursements$245,933
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$15,019
5. All Other Disbursements$0
6. Total Disbursements$15,019
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$23,984
2. Named Payee Non-itemized Disbursements$64,696
3. To Officers$125,275
4. To Employees$135,991
5. All Other Disbursements$41,055
6. Total Disbursements$391,001
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 007-160

Name and Address
(A)
International Union-Uaw
8000 East Jefferson Ave.

Detroit
MI
48214-3963
Type or Classification
(B)
Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$101,337
Total Non-Itemized Transactions with this Payee/Payer$1,435
Total of All Transactions with this Payee/Payer for This Schedule$102,772
REFUND REGISTRATION FEE F03/08/2016$5,450
13TH REBATE CK FOR 201504/18/2016$95,887
Name and Address
(A)
Karla Gerber
5850 Sarah Lake Dr

Holland
OH
43528
Type or Classification
(B)
MEMBER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,340
Total Non-Itemized Transactions with this Payee/Payer$28,301
Total of All Transactions with this Payee/Payer for This Schedule$33,641
MONEY FOR THE CRUISE09/26/2016$5,340
Name and Address
(A)
Marriott Inc.
335 E JEFFERSON AVENUE

Detroit
MI
48226
Type or Classification
(B)
HOTEL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,570
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,570
REIMB. FOR ROOMS NOT USED03/14/2016$9,570
Name and Address
(A)
National Uaw Comm Action Program
8000 E Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
CAP CONFERENCE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,206
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$20,206
RON BIRCHFIELD REIMB.07/22/2016$20,206
Name and Address
(A)
Rickman Cindi
1060 Cresceus

Toledo
OH
43616
Type or Classification
(B)
Clubroom Mgr.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$26,956
Total of All Transactions with this Payee/Payer for This Schedule$26,956
Name and Address
(A)
Toledo Union Journal
2300 Ashland Avenue

Toledo
OH
43620
Type or Classification
(B)
Paperloc.12-Adv.& Sub.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$22,039
Total of All Transactions with this Payee/Payer for This Schedule$22,039
Name and Address
(A)
Yark Automotive Group
6019 W Central Ave.

Toledo
OH
43615
Type or Classification
(B)
Car Dealership
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,500
Total of All Transactions with this Payee/Payer for This Schedule$7,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 007-160

Name and Address
(A)
Allied Union Services
240 N. Fenway Dr

Fenton
MI
48430
Type or Classification
(B)
Imprint For Tuj
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,777
Total of All Transactions with this Payee/Payer for This Schedule$8,777
Name and Address
(A)
Blue Lakes Charters & Tours
12154 N. Saginaw

Clio
MI
48420
Type or Classification
(B)
Bus Charter
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$37,974
Total Non-Itemized Transactions with this Payee/Payer$4,531
Total of All Transactions with this Payee/Payer for This Schedule$42,505
LOCAL 12 RETIREES- CHARTE03/30/2016$5,400
LOCAL 12 RETIREES- AMISH09/28/2016$7,256
LOC.12 RETIREES - FINAL P09/28/2016$25,318
Name and Address
(A)
Buckeye Telesystem
P.O.Box 94536

Cleveland
OH
44101-4536
Type or Classification
(B)
Cable-Internet Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,566
Total of All Transactions with this Payee/Payer for This Schedule$5,566
Name and Address
(A)
Campbell Inc.
2875 Crayne Way

Northwood
OH
43619
Type or Classification
(B)
Maint.Serv.Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,516
Total of All Transactions with this Payee/Payer for This Schedule$13,516
Name and Address
(A)
Clear Images
121 11th Street

Toledo
OH
43624
Type or Classification
(B)
Promotional Products
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,399
Total Non-Itemized Transactions with this Payee/Payer$18,205
Total of All Transactions with this Payee/Payer for This Schedule$30,604
GEN- INV. 2011911909/14/2016$12,399
Name and Address
(A)
Fifth Bank-Mastercard
PO Box 740789

Cincinnati
OH
45274
Type or Classification
(B)
Credit Card
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,511
Total of All Transactions with this Payee/Payer for This Schedule$8,511
Name and Address
(A)
Findley Davies
PO Box 352888

Toledo
OH
43635
Type or Classification
(B)
Attorney
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,857
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$18,857
GEN- SERVICES J.WAINGROW02/03/2016$5,493
GEN- CONSULTING RETIREMEN08/24/2016$7,500
GEN- INV. A1486812/21/2016$5,864
Name and Address
(A)
Gem Energy-Rudolph Libbe Group
PO Box 716

Toledo
OH
43697
Type or Classification
(B)
Heat/Ac
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,798
Total of All Transactions with this Payee/Payer for This Schedule$7,798
Name and Address
(A)
Grand Blanc Printing Co. Inc.
9449 Holly Road

Grand Blanc
MI
48439
Type or Classification
(B)
Printing Tuj
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$35,295
Total of All Transactions with this Payee/Payer for This Schedule$35,295
Name and Address
(A)
Great America Leasing Corp.
P.O. Box 660831

Dallas
TX
75266-0831
Type or Classification
(B)
Leasing Corp.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,642
Total of All Transactions with this Payee/Payer for This Schedule$5,642
Name and Address
(A)
Harris Reney Torzewski Lpa
Third Floor

Toledo
OH
43604-1805
Type or Classification
(B)
Lawyers
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,979
Total of All Transactions with this Payee/Payer for This Schedule$5,979
Name and Address
(A)
Impressions Specialty Ad
8914 Telegraph Rd.

Taylor
MI
48180
Type or Classification
(B)
Shirt Screen Print Co.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,555
Total Non-Itemized Transactions with this Payee/Payer$10,296
Total of All Transactions with this Payee/Payer for This Schedule$18,851
JEEP- INV. 10659802/24/2016$8,555
Name and Address
(A)
Insta Copy Printing & Graphics
P.O. Box 400

Sylvania
OH
43560
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,122
Total Non-Itemized Transactions with this Payee/Payer$3,132
Total of All Transactions with this Payee/Payer for This Schedule$12,254
JEEP- INV. 1078803/09/2016$9,122
Name and Address
(A)
Job 1usa
PO Box 74008396

Chicago
IL
60674-8396
Type or Classification
(B)
Temp Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$31,650
Total of All Transactions with this Payee/Payer for This Schedule$31,650
Name and Address
(A)
Liberty Mutual Insurance
PO Box 2051

Keene
NH
03431-7051
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,625
Total of All Transactions with this Payee/Payer for This Schedule$8,625
Name and Address
(A)
Local 12 Clubroom
2300 Ashland Avenue

Toledo
OH
43620
Type or Classification
(B)
Club Room
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,847
Total of All Transactions with this Payee/Payer for This Schedule$8,847
Name and Address
(A)
Lublin Sussman Group Llp
3166 N. Republic Blvd.

Toledo
OH
43615
Type or Classification
(B)
Cpa
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,820
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$13,820
GEN- INV 35678 AUDIT SERV09/07/2016$13,820
Name and Address
(A)
Mark Buford
6255 Telegraph Road
308
Erie
MI
48133
Type or Classification
(B)
Caterer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,986
Total of All Transactions with this Payee/Payer for This Schedule$10,986
Name and Address
(A)
Parkway Place
2592 Parkway Plaza

Maumee
OH
43537
Type or Classification
(B)
Cateer Hall Rental
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,100
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$21,100
GEN -XMAS PARTY 12-7-201612/07/2016$21,100
Name and Address
(A)
Postmaster
435 S.St.Clair St.

Toledo
OH
43601
Type or Classification
(B)
Post Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,420
Total of All Transactions with this Payee/Payer for This Schedule$12,420
Name and Address
(A)
Region 2b Annual Outing
1691 Woodlands Drive

Maumee
OH
43537
Type or Classification
(B)
Political Outing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,265
Total of All Transactions with this Payee/Payer for This Schedule$5,265
Name and Address
(A)
Region 2b Uaw
1691 Woodlands Drive

Maumee
OH
43537
Type or Classification
(B)
Regional Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,625
Total Non-Itemized Transactions with this Payee/Payer$20,832
Total of All Transactions with this Payee/Payer for This Schedule$26,457
GEN-REGIST.FEE BLACK LAKE08/10/2016$5,625
Name and Address
(A)
Roberts Custom Software Inc.
3667 1st Street

East Moline
IL
61244
Type or Classification
(B)
Software Supplier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,792
Total of All Transactions with this Payee/Payer for This Schedule$5,792
Name and Address
(A)
Stapleton Insurance & Risk Mgmt.
P.O. Box 1118

Sylvania
OH
43560-1118
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,394
Total Non-Itemized Transactions with this Payee/Payer$1,245
Total of All Transactions with this Payee/Payer for This Schedule$8,639
GEN-LIABILIT INS.INV.345212/14/2016$7,394
Name and Address
(A)
Thomas Whalen
5678 Ashbrook

Toledo
OH
43614
Type or Classification
(B)
Editor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,973
Total of All Transactions with this Payee/Payer for This Schedule$10,973
Name and Address
(A)
Toledo Edison
P.O. Box 3638

Akron
OH
44309-3638
Type or Classification
(B)
Electric Co.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$24,881
Total of All Transactions with this Payee/Payer for This Schedule$24,881
Name and Address
(A)
Tom St. Marie
3817 Bellevue

Toledo
OH
43613
Type or Classification
(B)
Advertising Salesman
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,516
Total of All Transactions with this Payee/Payer for This Schedule$9,516
Name and Address
(A)
Uaw Financial Officers Conference Foc
8000 E. Jefferson Ave.

Detroit
MI
48214
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,300
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,300
GEN- REGISTRATION OFFICER01/06/2016$6,300
Name and Address
(A)
Verizon Wireless
P.O. Box 25505

Lehigh Valley
PA
18002-5505
Type or Classification
(B)
Wirless Phone Co.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$25,866
Total of All Transactions with this Payee/Payer for This Schedule$25,866
Name and Address
(A)
Wtol-Tv Toledo
PO Box 11407

Birmingham
AL
35246
Type or Classification
(B)
Television Station
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,700
Total Non-Itemized Transactions with this Payee/Payer$3,778
Total of All Transactions with this Payee/Payer for This Schedule$14,478
GEN- ADVERTISING11/23/2016$10,700
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 007-160

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: 007-160

Name and Address
(A)
Adopt-A-Family
2300 Ashland Avenue

Toledo
OH
43620
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$7,700
Total of All Transactions with this Payee/Payer for This Schedule$7,700
Name and Address
(A)
International Union Uaw
1691 Woodlands Drive

Maumee
OH
43537
Type or Classification
(B)
Labor 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
GEN-LOCAL 9 SUPPLEMENTAL06/22/2016$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 007-160

Name and Address
(A)
Fifth Third Bank
PO Box 740789

Cincinnati
OH
45274
Type or Classification
(B)
Bank
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,836
Total of All Transactions with this Payee/Payer for This Schedule$5,836
Name and Address
(A)
Treasurer Of Lucas County
One Government Ctr #500

Toledo
OH
43604-2253
Type or Classification
(B)
County Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,310
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$20,310
GEN- PROPERTY TAXES FIRST01/27/2016$9,590
GEN- TAXES PROPERTY 2ND 207/27/2016$10,720
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 007-160

Name and Address
(A)
Campbell Inc.
2875 Crayne Way

Northwood
OH
43619
Type or Classification
(B)
Maint.Serv.Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,260
Total of All Transactions with this Payee/Payer for This Schedule$10,260
Name and Address
(A)
Electec Inc.
P.O. Box 791

Mt.Holly
NJ
08060
Type or Classification
(B)
Jeep
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,370
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$18,370
JEEP-INV. B16-0606-0206/15/2016$18,370
Name and Address
(A)
Gem Energy-Rudolph Libbe Group
PO Box 716

Toledo
OH
43697
Type or Classification
(B)
Heat/Ac
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,920
Total of All Transactions with this Payee/Payer for This Schedule$5,920
Name and Address
(A)
Liberty Mutual Insurance
PO Box 2051

Keene
NH
03431-7051
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,548
Total of All Transactions with this Payee/Payer for This Schedule$6,548
Name and Address
(A)
Local 12 Clubroom
2300 Ashland Avenue

Toledo
OH
43620
Type or Classification
(B)
Club Room
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,457
Total of All Transactions with this Payee/Payer for This Schedule$6,457
Name and Address
(A)
Postmaster
435 S.St.Clair St.

Toledo
OH
43601
Type or Classification
(B)
Post Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,430
Total of All Transactions with this Payee/Payer for This Schedule$9,430
Name and Address
(A)
Stapleton Insurance & Risk Mgmt.
P.O. Box 1118

Sylvania
OH
43560-1118
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,614
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,614
GEN-LIABILIT INS.INV.345212/14/2016$5,614
Name and Address
(A)
Thomas Whalen
5678 Ashbrook

Toledo
OH
43614
Type or Classification
(B)
Editor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,193
Total of All Transactions with this Payee/Payer for This Schedule$7,193
Name and Address
(A)
Toledo Edison
P.O. Box 3638

Akron
OH
44309-3638
Type or Classification
(B)
Electric Co.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,888
Total of All Transactions with this Payee/Payer for This Schedule$18,888
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
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.)$278,085
Dental/Hearing/Medical/Vision InsuranceAnthem Bcbs$2,628
Dental/Hearing/Medical/Vision InsuranceFirst Health$415
Dental/Hearing/Medical/Vision InsuranceHumana Insurance Co.$3,601
Dental/Hearing/Medical/Vision InsuranceMedical Mutual Of Ohio$32,780
Dental/Hearing/Medical/Vision InsuranceMedical Mutual Of Ohio$2,800
Dental/Hearing/Medical/Vision InsuranceUnited Insurance Premium$17,721
Dental/Hearing/Medical/Vision InsuranceUnitedhcmedicare Med Ins.Payment$1,069
Medical Fee ReimbursementsBetty Calloway$1,259
Medical Fee ReimbursementsDonald Blesing$6,804
Medical Fee ReimbursementsLarry Fox$2,068
Medical Fee ReimbursementsMary Healey$1,259
Medical Fee ReimbursementsMary Jo Robinson$682
Medical Fee ReimbursementsPriscilla Janatowski$765
Medical Fee ReimbursementsSandra A. Swisher$1,259
Pension AllocationsNorthwest Ohio Area Industries$2,886
Retirement Savings(401K etc)EmployerJohn Hancock Retirement Plan Services$7,480
Retirement Savings(401K etc)EmployerTrust Company Of Toledo$189,200
Medical Fees- To Doc/Hosp as a Co-PayAssociated Eye Care Inc.$38
Medical Fees- To Doc/Hosp as a Co-PayBaycare Urgent Care$211
Medical Fees- To Doc/Hosp as a Co-PayMercy Health Partners$50
Medical Fees- To Doc/Hosp as a Co-PayMercy St.Charles Hospital$1,259
Medical Fees- To Doc/Hosp as a Co-PayPro Medica$165
Medical Fees- To Doc/Hosp as a Co-PaySummit Rehabilitation Services$58
Medical Fees- To Doc/Hosp as a Co-PayToledo Clinic Inc.$46
Medical Fees- To Doc/Hosp as a Co-PayToledo Hospital$167
Medical Fees- To Doc/Hosp as a Co-PayToledo Radiological$15
Medical Fees - OtherCynthia Rickman$1,400
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SIGNATURE PAGE FILE NUMBER: 007-160

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.)


SIGNED:Paul E Rickman Jr
DATE:Mar 17, 2017
CONTACT INFO:419-241-9126
TITLE:
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 007-160


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 are therefore included in this report.

Question 12: The Local is audited annually by a CPA, Lublin Sussman due to having public sector members. The results of this audit are used by the UAW International Union legal department to complete Local 12 Hudson Report.

Question 15: The Local gave away door prizes at various meetings 62 T-shirts valued at $744. We also gave away to retirees 51 Bibles valued at $1,275 and 21 watches valued at $1,470.

Statement A,

Cash Begin Total: $1,599 was added to the beginning balance due to checks issued in a previous year being voided.

Schedule 8, Row1:

Schedule 8, Row1::

Schedule 8, Row2:

Schedule 8, Row2::

Schedule 9, Row1:

Schedule 9, 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)