007-160 (LM2) 12/31/2016

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
From	01/01/2016
Through	12/31/2016

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 Baumhower

PRESIDENT

71. SIGNED:

Paul E Rickman Jr

TREASURER

Date:

Mar 17, 2017

Telephone Number:

419-241-9126

Date:

Mar 17, 2017

Telephone 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/Fees	Amount		Unit	Minimum	Maximum
(a) Regular Dues/Fees	2 1/2 hours straight time	per	month	0	0
(b) Working Dues/Fees	0	per	0	0	0
(c) Initiation Fees	$30	per	one time	0	0
(d) Transfer Fees	0	per	0	0	0
(e) Work Permits	0	per	0	0	0

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 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	$2,124,229	$2,130,159
28. Other Assets	7	$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 Payable	8	$290,759	$323,442
31. Loans Payable	9	$360,310	$327,799
32. Mortgages Payable		$0	$0
33. Other Liabilities	10	$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 RECEIPTS	SCH	AMOUNT
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 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		$11,168
48. Other Receipts	14	$274,961
49. TOTAL RECEIPTS		$6,577,105

CASH DISBURSEMENTS		SCH	AMOUNT
50. Representational Activities		15	$955,756
51. Political Activities and Lobbying		16	$15,019
52. Contributions, Gifts, and Grants		17	$56,411
53. General Overhead		18	$245,933
54. Union Administration		19	$391,001
55. Benefits		20	$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 Assets		4	$5,930
61. Loans Made		2	$0
62. Repayment of Loans Obtained		9	$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

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: 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))

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

D. Office Furniture and Equipment

$680,738

E. Other Fixed Assets

F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B))

$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 44	Item 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

(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

$494

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

$121,610

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

$7,465

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

$7,348

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

$1,166

$6,268

$7,434

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

$594

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

$7,370

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

$9,299

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

$956

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

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

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

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

$1,166

$1,568

$2,734

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

$9,533

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

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

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

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

$122,539

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

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

$1,026

$759

$1,785

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

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

(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

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

$2,051

$37,320

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

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

$120

$30,655

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

$1,467

$49,154

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

$265,808

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 Payers	3,518
*Agency Fee Payers are not considered members of the labor organization.
Regular Members	3,518	Yes

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 F	03/08/2016	$5,450
13TH REBATE CK FOR 2015	04/18/2016	$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 CRUISE	09/26/2016	$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 USED	03/14/2016	$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- CHARTE	03/30/2016	$5,400
LOCAL 12 RETIREES- AMISH	09/28/2016	$7,256
LOC.12 RETIREES - FINAL P	09/28/2016	$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. 20119119	09/14/2016	$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.WAINGROW	02/03/2016	$5,493
GEN- CONSULTING RETIREMEN	08/24/2016	$7,500
GEN- INV. A14868	12/21/2016	$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. 106598	02/24/2016	$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. 10788	03/09/2016	$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 SERV	09/07/2016	$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 12-7-2016	12/07/2016	$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 LAKE	08/10/2016	$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.3452	12/14/2016	$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 OFFICER	01/06/2016	$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- ADVERTISING	11/23/2016	$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 SUPPLEMENTAL	06/22/2016	$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 FIRST	01/27/2016	$9,590
GEN- TAXES PROPERTY 2ND 2	07/27/2016	$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. B16-0606-02	06/15/2016	$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.3452	12/14/2016	$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 Insurance	Anthem Bcbs	$2,628
Dental/Hearing/Medical/Vision Insurance	First Health	$415
Dental/Hearing/Medical/Vision Insurance	Humana Insurance Co.	$3,601
Dental/Hearing/Medical/Vision Insurance	Medical Mutual Of Ohio	$32,780
Dental/Hearing/Medical/Vision Insurance	Medical Mutual Of Ohio	$2,800
Dental/Hearing/Medical/Vision Insurance	United Insurance Premium	$17,721
Dental/Hearing/Medical/Vision Insurance	Unitedhcmedicare Med Ins.Payment	$1,069
Medical Fee Reimbursements	Betty Calloway	$1,259
Medical Fee Reimbursements	Donald Blesing	$6,804
Medical Fee Reimbursements	Larry Fox	$2,068
Medical Fee Reimbursements	Mary Healey	$1,259
Medical Fee Reimbursements	Mary Jo Robinson	$682
Medical Fee Reimbursements	Priscilla Janatowski	$765
Medical Fee Reimbursements	Sandra A. Swisher	$1,259
Pension Allocations	Northwest Ohio Area Industries	$2,886
Retirement Savings(401K etc)Employer	John Hancock Retirement Plan Services	$7,480
Retirement Savings(401K etc)Employer	Trust Company Of Toledo	$189,200
Medical Fees- To Doc/Hosp as a Co-Pay	Associated Eye Care Inc.	$38
Medical Fees- To Doc/Hosp as a Co-Pay	Baycare Urgent Care	$211
Medical Fees- To Doc/Hosp as a Co-Pay	Mercy Health Partners	$50
Medical Fees- To Doc/Hosp as a Co-Pay	Mercy St.Charles Hospital	$1,259
Medical Fees- To Doc/Hosp as a Co-Pay	Pro Medica	$165
Medical Fees- To Doc/Hosp as a Co-Pay	Summit Rehabilitation Services	$58
Medical Fees- To Doc/Hosp as a Co-Pay	Toledo Clinic Inc.	$46
Medical Fees- To Doc/Hosp as a Co-Pay	Toledo Hospital	$167
Medical Fees- To Doc/Hosp as a Co-Pay	Toledo Radiological	$15
Medical Fees - Other	Cynthia Rickman	$1,400

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

SIGNATURE PAGE

FILE NUMBER: 007-160

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)