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
010-923
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
72
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
Peni
 Last Name
Keeling
P.O Box - Building and Room Number

Number and Street
3615 WASHINGTON ROAD
City
KENOSHA
State
WI		 ZIP Code + 4
531441640


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:Peggy C Applegate-PeplinskiPRESIDENT71. SIGNED:Peni J KeelingTREASURER
Date:Mar 18, 2017Telephone Number:262-605-9339Date:Mar 18, 2017Telephone Number:262-945-7528
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 010-923
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?$102,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
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?05/2017
20. How many members did the labor organization have at the end of the reporting period?7,722
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 timepermonthoo
(b) Working Dues/Feesoperooo
(c) Initiation Fees$20perone time00
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 010-923

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $777,664$684,463
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$440$440
27. Fixed Assets6$1,295,136$1,299,203
28. Other Assets7$774$774
29. TOTAL ASSETS $2,074,014$1,984,880

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$6,670$7,505
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$118$151
34. TOTAL LIABILITIES $6,788$7,656
35. NET ASSETS$2,067,226$1,977,224
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 010-923

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $47,572
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $742
41. Dividends $33
42. Rents $34,627
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 $3,744
48. Other Receipts14$78,197
49. TOTAL RECEIPTS $164,915
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$11,106
51. Political Activities and Lobbying16$4,229
52. Contributions, Gifts, and Grants17$9,433
53. General Overhead18$196,600
54. Union Administration19$4,456
55. Benefits20$11,012
56. Per Capita Tax $10,478
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$4,067
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 $0
65. Direct Taxes $6,702
  
66. Subtotal $258,083
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$0  
  67b. Less Total Disbursed$33  
  67c. Total Withheld But Not Disbursed -$33
68. TOTAL DISBURSEMENTS $258,116
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 010-923

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: 010-923

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: 010-923

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: 010-923

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$4,067$4,067$4,067
Coffee Pots$55$55$55
Building Furniture$1,668$1,668$1,668
Tables$2,344$2,344$2,344
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$4,067
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 010-923

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost$440
B. Total Book Value$440
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)) $440
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 010-923

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      3615 Washington Road, Kenosha WI$145,864 $145,864$145,864
Land  2 :      3601 40th Street, Kenosha WI$115,153 $115,153$115,153
B. Buildings (give location)    
Building  1 :      3615 Washington Road, Kenosha WI$689,221$0$689,221$689,221
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$348,965$0$348,965$348,965
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)) $1,299,203$0$1,299,203$1,299,203
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 010-923

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $774
12 Men's Watches @ $64.50 each$774
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 010-923

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$911$0$0$0
Total from all other accounts payable$6,594$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $7,505$0$0$0
Per Capita Taxes$911$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 010-923

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: 010-923

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $151
State Sales Tax Fwd$151
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 010-923

(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 		Applegate-Peplin ,  Peggy   C
President
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		19 % Schedule 17
Contributions 		4 % Schedule 18
General Overhead 		71 % Schedule 19
Administration 		6 %
A
B
C 		Davis ,  Anthony   L
Head Trustee
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		37 % Schedule 17
Contributions 		22 % Schedule 18
General Overhead 		22 % Schedule 19
Administration 		19 %
A
B
C 		Duprey ,  Frederick  
Vice President
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		94 %
A
B
C 		Farmer ,  Cynthia   S
GUIDE
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		50 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		10 % Schedule 19
Administration 		40 %
A
B
C 		Keeling ,  Peni   J
Financial Secretary
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		24 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		16 % Schedule 19
Administration 		60 %
A
B
C 		Ketchum ,  Thomas   G
Trustee
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		26 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		42 % Schedule 19
Administration 		32 %
A
B
C 		Manke ,  Dennis   C
Recording Secretary
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		7 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		93 %
A
B
C 		Panasewicz ,  Louis   J
Palmen Unit Chair
C		$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 		Raymond ,  Kerry  
Trustee
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		15 % Schedule 17
Contributions 		20 % Schedule 18
General Overhead 		40 % Schedule 19
Administration 		25 %
A
B
C 		Underhill ,  Michael   L
Sgt At Arms
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		50 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		50 %
A
B
C 		Wilson ,  Curt   E
Retirees Chap Chair
C		$0$0$0$0$0
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		19 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		76 % Schedule 19
Administration 		5 %
Total Officer Disbursements$0$0$0$0$0
Less Deductions    $0
Net Disbursements    $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 010-923

(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
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$0$0$0$0$0
I Schedule 15
Representational Activities 		40 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		5 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		45 %
Total Employee Disbursements$0$0$0$0$0
Less Deductions    $0
Net Disbursements    $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 010-923

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 7,722 
Agency Fee Payers*
Total Members/Fee Payers7,722 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members22Yes
Retired Members7,700Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 010-923

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$5,795
2. Named Payer Non-itemized Receipts$42,732
3. All Other Receipts$29,670
4. Total Receipts$78,197
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$9,433
6. Total Disbursements$9,433
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$11,106
6. Total Disbursements$11,106
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$12,314
2. Named Payee Non-itemized Disbursements$100,555
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$83,731
6. Total Disbursements$196,600
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$0
5. All Other Disbursements$4,229
6. Total Disbursements$4,229
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$4,456
6. Total Disbursements$4,456
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 010-923

Name and Address
(A)
Rick Phillips
3615 Washington Road

Kenosha
WI
53144
Type or Classification
(B)
Local Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,795
Total Non-Itemized Transactions with this Payee/Payer$42,732
Total of All Transactions with this Payee/Payer for This Schedule$48,527
Bar sales 2/13/1602/17/2016$5,795
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 010-923

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 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 010-923

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: 010-923

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 010-923

Name and Address
(A)
At & T
PO Box 5080

Carol Stream
IL
60197-5080
Type or Classification
(B)
Telephone Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,482
Total of All Transactions with this Payee/Payer for This Schedule$5,482
Name and Address
(A)
CJW Inc.
2437 Chicory Road

Racine
WI
53403
Type or Classification
(B)
Beverages
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,877
Total of All Transactions with this Payee/Payer for This Schedule$14,877
Name and Address
(A)
Dennis Christensen
8245 63rd Avenue

Pleasant Prairie
WI
53158
Type or Classification
(B)
Janitorial Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,273
Total of All Transactions with this Payee/Payer for This Schedule$7,273
Name and Address
(A)
John G. Tenant
1621 22nd Street

Kenosha
WI
53140
Type or Classification
(B)
Janitorial Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,686
Total of All Transactions with this Payee/Payer for This Schedule$7,686
Name and Address
(A)
Kenosha Water Utility
4401 Green Bay Road

Kenosha
WI
53144
Type or Classification
(B)
Water & Sewer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,614
Total of All Transactions with this Payee/Payer for This Schedule$8,614
Name and Address
(A)
Sir Arthur's Tavern
3501 14th Avenue

Kenosha
WI
53140
Type or Classification
(B)
Caterer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,993
Total Non-Itemized Transactions with this Payee/Payer$102
Total of All Transactions with this Payee/Payer for This Schedule$6,095
Retiree Christmas12/01/2016$5,993
Name and Address
(A)
Southeast Wisconsin Labor Times
600 10th Place

Kenosha
WI
53144
Type or Classification
(B)
Newsletter
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,908
Total of All Transactions with this Payee/Payer for This Schedule$15,908
Name and Address
(A)
Tom Ketchum
6614 7th Street

Kenosha
WI
53144
Type or Classification
(B)
Janitorial Service
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,273
Total of All Transactions with this Payee/Payer for This Schedule$7,273
Name and Address
(A)
We Energies Electric
PO Box 90001

Milwaukee
WI
53290-0001
Type or Classification
(B)
Utilities
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$33,340
Total of All Transactions with this Payee/Payer for This Schedule$33,340
Name and Address
(A)
West Bend Mutual Insurance Company
Bin 432

Milwaukee
WI
53288-0432
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,321
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,321
Insurance02/17/2016$6,321
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 010-923

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 20 - BENEFITS FILE NUMBER: 010-923

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$11,012
Dental/Hearing/Medical/Vision InsuranceAARP Dental Insurance Plan$1,693
Dental/Hearing/Medical/Vision InsuranceEmily Cerasani$2,400
Dental/Hearing/Medical/Vision InsuranceEpic Life Insurance Company$82
Dental/Hearing/Medical/Vision InsuranceUnicare Life & Health Insurance Company$236
Dental/Hearing/Medical/Vision InsuranceUnited Health Care$6,601
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 010-923


Question 10: Operations of the Building Corporation are handled through the books and records of the Local Union and therefore are 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 are included in this report.

Question 12: The books of the Local were audited in 2016 by an International Union UAW Auditor.

Statement A,

Cash Begin Total: : Beginning balance adjusted by $1,295 due to voided checks issued in a previous year.

Schedule 8, Row1:

Schedule 8, 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:

Schedule 13, Row2:

Schedule 13, Row2:Retired members voluntarily pay $2 per month dues.

Schedule 13, Row2:

Schedule 13, Row2:
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)