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
540-008
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
TRANSIT UNION AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
758
7. UNIT NAME (if any)

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

Number and Street
6923 LAKEWOOD DR W STE B1
City
TACOMA
State
WA
ZIP Code + 4
984673221


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:Isaac O TatePRESIDENT71. SIGNED:Deborah BrownTREASURER
Date:Mar 23, 2017Telephone Number:253-474-3123Date:Mar 23, 2017Telephone Number:253-474-3123
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 540-008
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?No
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?No
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?$160,000
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?10/2019
20. How many members did the labor organization have at the end of the reporting period?0
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1%gross x 160hrs+gross per capitapermonth2.001%gross x 160hrs+per capita
(b) Working Dues/Feesper
(c) Initiation Fees300.00permember300.00300.00
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 540-008

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $180,484$182,278
23. Accounts Receivable1$0
24. Loans Receivable2$1,893$0
25. U.S. Treasury Securities $0$0
26. Investments5
27. Fixed Assets6$273,929$263,960
28. Other Assets7
29. TOTAL ASSETS $456,306$446,238

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8
31. Loans Payable9$51,795$39,888
32. Mortgages Payable $0$0
33. Other Liabilities10
34. TOTAL LIABILITIES $51,795$39,888
35. NET ASSETS$404,511$406,350
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 540-008

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $572,914
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $56,837
39. Sale of Supplies $0
40. Interest $22
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9$13,555
45. Repayments of Loans Made2$1,893
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$0
49. TOTAL RECEIPTS $645,221
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$173,108
51. Political Activities and Lobbying16$0
52. Contributions, Gifts, and Grants17$669
53. General Overhead18$45,673
54. Union Administration19$153,135
55. Benefits20$49,996
56. Per Capita Tax $168,174
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4
61. Loans Made2$0
62. Repayment of Loans Obtained9$25,462
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $0
65. Direct Taxes $27,210
  
66. Subtotal $643,427
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$73,422  
  67b. Less Total Disbursed$73,422  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $643,427
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 540-008

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: 540-008

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$1,893$0$1,893$0$0
Totals will be automatically entered in... Item 24
Column (A)
Item 61Item 45 Item 69
with Explanation
Item 24
Column (B)
Name: IRS
Purpose: DUPL PMT OF P/R TAX
Security: NONE
Terms of Repayment: REFUND DUE
$1,893$1,893$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 540-008

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 
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 540-008

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments 
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 540-008

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: 540-008

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)    
Building  1 :      6923 LAKEWOOD DR W, SUITEB1/TACOMA, WA 98467-3221$357,558$95,113$262,445$252,200
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$26,293$24,778$1,515$750
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $383,851$119,891$263,960$252,950
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 540-008

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 540-008

Entity or Individual Name
(A)
Total Account
Payable
(B)
90-180 Days
Past Due
(C)
180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$0$0$0$0
Total from all other accounts payable$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 540-008

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$51,795$13,555$25,462$0$39,888
Totals will be automatically entered in... Item 31
Column (C)
Item 44Item 62 Item 69
with Explanation
Item 31
Column (D)
MORTG-1ST SECURITY BANK OF WA$25,462$0$25,462$0$0
PIERCE TRANSIT PAYABLE-NET CHANGE$23,828$12,787$0$0$36,615
CREDIT CARDS-NET CHANGE$2,505$768$0$0$3,273
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 540-008

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 540-008

(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
Tate ,  Isaac   o
President
C
$122,470$3,018$125,488
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
20 %
A
B
C
Thornton ,  Ronald   N
Vice President
C
$51,842$2,844$54,686
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
25 %
A
B
C
Brown ,  Deborah   E
Financial Sec/Treas
C
$37,873$1,468$39,341
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
Culver ,  Sheryl   A
Recording Secretary
C
$669$669
I
Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
100 % Schedule 18
General Overhead
Schedule 19
Administration
A
B
C
Davilla ,  Mark  
Executive Board Officer
C
$11$11
I
Schedule 15
Representational Activities
10 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
90 %
A
B
C
Hardeman ,  Gerald   J
Executive Board Officer
C
$1,562$500$2,062
I
Schedule 15
Representational Activities
35 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
65 %
A
B
C
Harris ,  Anthony   J
Executive Board Officer
C
$279$875$1,154
I
Schedule 15
Representational Activities
20 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
Jones ,  Catherine  
Executive Board Officer
C
$430$500$930
I
Schedule 15
Representational Activities
45 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
55 %
A
B
C
Leazer ,  Harold  
Executive Board Officer
C
$173$173
I
Schedule 15
Representational Activities
25 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
75 %
A
B
C
LeMay ,  Michael   E
Executive Board Officer
C
$1,396$605$2,001
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
95 %
A
B
C
Lowe ,  Russell   N
Executive Board Officer
C
$598$598
I
Schedule 15
Representational Activities
30 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
70 %
A
B
C
Marion ,  Marguarita  
Executive Board Officer
C
$241$241
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
95 %
A
B
C
Montgomery ,  Hubert  
Executive Board Officer
C
$1,075$1,075
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
95 %
A
B
C
Pickering ,  Lori  
Executive Board Officer
N
$0$0
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
95 %
A
B
C
Pulido ,  Jonathan   O
Executive Board Officer
C
$769$500$1,269
I
Schedule 15
Representational Activities
10 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
90 %
A
B
C
Strange ,  Joshua   Z
Executive Board Officer
C
$0$0
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Wiiliams ,  Daniel  
Executive Board Officer
N
$0$0
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
95 %
Total Officer Disbursements$219,388$0$10,310$0$229,698
Less Deductions     
Net Disbursements    $229,698
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 540-008

(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
Clark ,  Patricia  
Office Administrator
None
$53,870$53,870
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$2,462$2,462
I Schedule 15
Representational Activities
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
Schedule 18
General Overhead
Schedule 19
Administration
100 %
Total Employee Disbursements$56,332$0$0$0$56,332
Less Deductions     
Net Disbursements    $56,332
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 540-008

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 0 
Agency Fee Payers*
Total Members/Fee Payers0 
*Agency Fee Payers are not considered members of the labor organization.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 540-008

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$0
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts
4. Total Receipts$0
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$669
4. To Employees$0
5. All Other Disbursements
6. Total Disbursements$669
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$18,004
2. Named Payee Non-itemized Disbursements$2,382
3. To Officers$151,161
4. To Employees$0
5. All Other Disbursements$1,561
6. Total Disbursements$173,108
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$13,175
2. Named Payee Non-itemized Disbursements$4,115
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$28,383
6. Total Disbursements$45,673
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
6. Total Disbursements$0
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$6,284
2. Named Payee Non-itemized Disbursements$0
3. To Officers$77,870
4. To Employees$56,332
5. All Other Disbursements$12,649
6. Total Disbursements$153,135
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 540-008

There was no data found for this schedule.

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 540-008

Name and Address
(A)
Schroeter, Goldmark & Bender

810 Third Ave, Suite 500
Seattle
WA
98104
Type or Classification
(B)
Legal Representation-Arbitrations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,004
Total Non-Itemized Transactions with this Payee/Payer$2,382
Total of All Transactions with this Payee/Payer for This Schedule$20,386
Legal Representation-Arbitrations01/11/2016$5,268
Legal Representation-Arbitrations02/04/2016$6,785
Legal Representation-Arbitrations03/24/2016$5,951
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 540-008

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 540-008

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 540-008

Name and Address
(A)
Herman Lindsey Jr., CPA

16865 Boones Ferry RD #103
Lake Osewgo
OR
97035
Type or Classification
(B)
Accounting and Auditing Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,175
Total Non-Itemized Transactions with this Payee/Payer$4,115
Total of All Transactions with this Payee/Payer for This Schedule$17,290
Accounting and Auditing Services01/25/2016$7,125
Accounting and Auditing Services04/29/2016$6,050
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 540-008

Name and Address
(A)
Double Tree by Hilton Spokane City Center

322 N Spokane Falls Court
Spokane
WA
99201
Type or Classification
(B)
Hotel-Lodging
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,284
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$6,284
Hotel-Lodging06/05/2016$6,284
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 540-008

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$49,996
PENSION BENEFITSPIERCE TRANSIT$14,980
DEFERRED COMPPIERCE TRANSIT$3,871
MEDICAL INSURANCEPIERCE TRANSIT$22,412
MEMBER BENEFITSVARIOUS$8,733
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 540-008


Question 12: Herman L Lindsey Jr CPA 16865 Boones Ferry Rd # 103 Lake Oswego, OR 97035

Schedule 2, Row1:

Schedule 2, Row1:

Schedule 9, Row1:

Schedule 9, Row1::::

Schedule 9, Row2:

Schedule 9, Row2::::

Schedule 9, Row3:

Schedule 9, Row3::::
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)