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
017-610
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
1097
7. UNIT NAME (if any)

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

Number and Street
221 DEWEY AVE
City
ROCHESTER
State
NY		 ZIP Code + 4
146081102


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:Daniel J MaloneyPRESIDENT71. SIGNED:Elonda Y ClarkTREASURER
Date:Mar 24, 2017Telephone Number:585-458-1908Date:Mar 24, 2017Telephone Number:585-458-1908
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 017-610
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?No
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?$126,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?Yes
19. What is the date of the labor organization's next regular election of officers?05/2017
20. How many members did the labor organization have at the end of the reporting period?941
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.5 HRS STR TIMEperMONTH00
(b) Working Dues/Feesper
(c) Initiation Fees25.00perONE TIME
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 017-610

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $466,325$450,501
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$291,970$292,034
28. Other Assets7$4,300$2,210
29. TOTAL ASSETS $762,595$744,745

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$91,528$37,893
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$396$868
34. TOTAL LIABILITIES $91,924$38,761
35. NET ASSETS$670,671$705,984
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 017-610

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $731,978
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $580
39. Sale of Supplies $690
40. Interest $538
41. Dividends $0
42. Rents $0
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 $402
48. Other Receipts14$42,889
49. TOTAL RECEIPTS $777,077
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$50,525
51. Political Activities and Lobbying16$12,822
52. Contributions, Gifts, and Grants17$5,292
53. General Overhead18$4,291
54. Union Administration19$183,198
55. Benefits20$6,929
56. Per Capita Tax $507,583
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $71
60. Purchase of Investments and Fixed Assets4$64
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 $22,280
  
66. Subtotal $793,055
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$26,771  
  67b. Less Total Disbursed$26,617  
  67c. Total Withheld But Not Disbursed $154
68. TOTAL DISBURSEMENTS $792,901
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 017-610

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: 017-610

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: 017-610

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: 017-610

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$64$64$64
THERMAL LAMINATOR AND SLEEVES$64$64$64
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$64
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 017-610

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: 017-610

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      215 DEWEY AVE ROCHSTER, NY 14608$26,000 $26,000$26,000
B. Buildings (give location)    
Building  1 :      221 DEWEY AVE ROCHESTER, NY 14608$127,800$127,800$127,800
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$138,234$138,234$138,234
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $292,034$0$292,034$292,034
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 017-610

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $2,210
BIBLES INVENTORY (102@$20 EACH)$2,040
POSTAGE METER$100
T-SHIRTS (7@10 EACH)$70
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 017-610

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$37,893$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $37,893$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 017-610

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: 017-610

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $868
State Income taxes$598
Federal Unemployment taxes$51
State Unemployment taxes$165
Union Dues$23
V-cap$31
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 017-610

(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 		Boswell ,  Lorrie   A
Trustee
C		$1,993$0$224$0$2,217
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		24 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		74 %
A
B
C 		Brancato ,  Christopher  
Recording Secretary
C		$13,865$0$999$0$14,864
I
Schedule 15
Representational Activities 		2 % Schedule 16
Political Activities and Lobbying 		14 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		84 %
A
B
C 		Campanella ,  Todd   M
Shop Chair Unit 1
C		$3,506$0$3,269$0$6,775
I
Schedule 15
Representational Activities 		54 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		46 %
A
B
C 		Clark ,  Elonda   Y
Financial Secretary
C		$14,016$0$472$0$14,488
I
Schedule 15
Representational Activities 		4 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		95 %
A
B
C 		Donovan ,  Richard   L
Vice President
C		$3,508$0$573$0$4,081
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		25 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		74 %
A
B
C 		Guzman ,  Sheryl   L
Trustee
C		$1,427$0$173$0$1,600
I
Schedule 15
Representational Activities 		5 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		94 %
A
B
C 		James ,  Jocelyn   D
Guide
N		$957$0$104$0$1,061
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 		Maloney ,  Daniel   J
President
C		$4,598$0$4,281$0$8,879
I
Schedule 15
Representational Activities 		45 % Schedule 16
Political Activities and Lobbying 		22 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		33 %
A
B
C 		Miller ,  Justin  
Shop Chair Unit 5
N		$1,892$0$401$0$2,293
I
Schedule 15
Representational Activities 		29 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		71 %
A
B
C 		Ortiz ,  Sherry  
Member At Large
C		$957$0$120$0$1,077
I
Schedule 15
Representational Activities 		4 % Schedule 16
Political Activities and Lobbying 		50 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		46 %
A
B
C 		Pitts ,  Carol   A
Retiree 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 		Poray ,  Irene   M
Financial Secretary
P		$7,356$0$741$0$8,097
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		98 %
A
B
C 		Robinson ,  Thomas  
Sgt-At-Arms
C		$3,195$0$189$0$3,384
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		20 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		70 %
A
B
C 		Rodriguez ,  Rolando  
Shop Chair Unit 9
C		$125$0$0$0$125
I
Schedule 15
Representational Activities 		94 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		6 %
A
B
C 		Ruppert ,  Erich   A
Trustee
C		$2,370$0$484$0$2,854
I
Schedule 15
Representational Activities 		27 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		3 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		69 %
A
B
C 		Timkey ,  Jo Ann   V
Shop Chair Unit 2
C		$579$0$0$0$579
I
Schedule 15
Representational Activities 		90 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		10 %
A
B
C 		Van Houten ,  Christopher  
Shop Chair Unit 5
P		$865$0$0$0$865
I
Schedule 15
Representational Activities 		73 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		27 %
Total Officer Disbursements$61,209$0$12,030$0$73,239
Less Deductions    $10,979
Net Disbursements    $62,260
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 017-610

(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 		Forte ,  Sandra   J
Secretary
NA		$31,780$0$176$0$31,956
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		4 % Schedule 19
Administration 		95 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$28,286$0$4,542$0$32,828
I Schedule 15
Representational Activities 		24 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		2 % Schedule 19
Administration 		71 %
Total Employee Disbursements$60,066$0$4,718$0$64,784
Less Deductions    $15,795
Net Disbursements    $48,989
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 017-610

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 941 
Agency Fee Payers*
Total Members/Fee Payers941 
*Agency Fee Payers are not considered members of the labor organization.
Regular members941Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 017-610

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$11,006
2. Named Payer Non-itemized Receipts$15,061
3. All Other Receipts$16,822
4. Total Receipts$42,889
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$86
4. To Employees$0
5. All Other Disbursements$5,206
6. Total Disbursements$5,292
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$6,298
2. Named Payee Non-itemized Disbursements$0
3. To Officers$11,865
4. To Employees$8,199
5. All Other Disbursements$24,163
6. Total Disbursements$50,525
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$1,935
5. All Other Disbursements$2,356
6. Total Disbursements$4,291
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$7,073
4. To Employees$985
5. All Other Disbursements$4,764
6. Total Disbursements$12,822
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$23,204
3. To Officers$54,219
4. To Employees$53,666
5. All Other Disbursements$52,109
6. Total Disbursements$183,198
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 017-610

Name and Address
(A)
International Union Uaw
8000 E Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
International Union
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,006
Total Non-Itemized Transactions with this Payee/Payer$5,158
Total of All Transactions with this Payee/Payer for This Schedule$16,164
13TH REBATE CHECK04/20/2016$11,006
Name and Address
(A)
Lisa Landry
1000 Lexington Ave

Rochester
NY
14606
Type or Classification
(B)
Recreation Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,903
Total of All Transactions with this Payee/Payer for This Schedule$9,903
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 017-610

Name and Address
(A)
Seabreeze Amusement Park
4600 Culver Rd

Rochester
NY
14622
Type or Classification
(B)
Theme Park
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,298
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,298
INVOICE#AR3663 LABOR DAY11/02/2016$6,298
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 017-610

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: 017-610

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: 017-610

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 19 - UNION ADMINISTRATION FILE NUMBER: 017-610

Name and Address
(A)
Diplomat Banquet Center
1 Diplomat Way

Rochester
NY
14606
Type or Classification
(B)
Party House
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,466
Total of All Transactions with this Payee/Payer for This Schedule$10,466
Name and Address
(A)
Mp&sm Inc
68 Humboldt St
P.O.BOX 90600
Rochester
NY
14609-0600
Type or Classification
(B)
Pipe Fitters
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,930
Total of All Transactions with this Payee/Payer for This Schedule$6,930
Name and Address
(A)
Roberts Custom Software Inc.
3667 1st Street

East Moline
IL
61244
Type or Classification
(B)
Software Provider
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,808
Total of All Transactions with this Payee/Payer for This Schedule$5,808
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 017-610

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$6,929
Dental/Hearing/Medical/Vision InsuranceMvp Health Care$2,010
Group Life InsurancePrudential$1,259
Workers Compension InsuranceStandard Security Life Ins. Co. Of Ny$60
Pension AllocationsMetropolitan Life Insurance Co.$3,600
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 017-610


Question 10: : OPERATION OF THE BUILDING CORPORATION ARE HANDLED THROUGH THE BOOKS AND RECORDS OF THE LOCAL UNION AND ARE THEREFORE LOCATED IN THIS REPORT

Question 11(b):

Question 11(b): : : : : : : : : 11B OPERATIONS OF THE BUILDING CORPORATION ARE HANDLED THROUGH THE BOOKS AND RECORDS OF THE LOCAL UNION AND ARE THEREFORE INCLUDED IN THE REPORT

Question 15: : THESE ASSETS INCLUDE SHIRTS,HATS,JACKETS,BIBLES,ETC. THE LOCAL HAVE BEEN GIVEN DURING THE REPORTING PERIOD.

Question 18: Attached copy of revised bylaws.

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)