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
019-551
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
685
7. UNIT NAME (if any)

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

Number and Street
929 EAST HOFFER ST
City
KOKOMO
State
IN
ZIP Code + 4
469025722


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:Carl D GreenwoodPRESIDENT71. SIGNED:Jeff MooreTREASURER
Date:Mar 27, 2017Telephone Number:765-969-7647Date:Mar 27, 2017Telephone Number:765-459-3133
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 019-551
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?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?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?$752,053
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?6,371
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.5HRSTRIGHT TIMEperMONTHLY00
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation Fees20.00perONE TIME00
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 019-551

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $1,178,192$1,989,098
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$4,560,785$4,568,700
28. Other Assets7$12,249$5,149
29. TOTAL ASSETS $5,751,226$6,562,947

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$388,436$312,085
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$17,612$16,492
34. TOTAL LIABILITIES $406,048$328,577
35. NET ASSETS$5,345,178$6,234,370
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 019-551

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $5,505,928
37. Per Capita Tax $1,292
38. Fees, Fines, Assessments, Work Permits $7,239
39. Sale of Supplies $1,100
40. Interest $359
41. Dividends $33,417
42. Rents $5,920
43. Sale of Investments and Fixed Assets3$120
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 $13,672
48. Other Receipts14$247,174
49. TOTAL RECEIPTS $5,816,221
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$612,445
51. Political Activities and Lobbying16$19,762
52. Contributions, Gifts, and Grants17$76,686
53. General Overhead18$191,899
54. Union Administration19$466,885
55. Benefits20$20,617
56. Per Capita Tax $3,411,987
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $150
59. Supplies for Resale $1,331
60. Purchase of Investments and Fixed Assets4$79,839
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 $13,041
65. Direct Taxes $69,329
  
66. Subtotal $4,963,971
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$213,650  
  67b. Less Total Disbursed$254,994  
  67c. Total Withheld But Not Disbursed -$41,344
68. TOTAL DISBURSEMENTS $5,005,315
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 019-551

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: 019-551

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: 019-551

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$120$120$120$120
SOLD 12 STRIKE BARREL$120$120$120$120
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$120
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 019-551

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$79,839$79,839$79,839
FAIRCHILD COMMUNICATION PURCHASE 8 SECURITY CAMERA$6,933$6,933$6,933
HAYES BROTHERS INC FINAL PAYMENT RECONSTRUCTION OF$15,000$15,000$15,000
J & J ELEC INSTALL 2-EXTERIOR LIGHTS$3,846$3,846$3,846
HAYES BROTHERS INSTALL 2-GLAG POLES$8,478$8,478$8,478
AUDA HOWE CONSTRUCT GARAGE$13,500$13,500$13,500
HUSTON ELEC PURCHASE & INSTALL BLDG SIGNAGE$6,745$6,745$6,745
J&J ELEC INSTALL LIGHT TO FLAG POLE$6,722$6,722$6,722
NIXON ELECTRIC WIRE GARAGE$1,985$1,985$1,985
AUTOMATIC DOOR CONT CONVERT DOORS TO AUTO$8,715$8,715$8,715
WEBSTAURANT STORE.COM PURCHASE COFFEE MAKER$249$249$249
FEDERAL FLAGS.COM REPLACE FLAG POLES$2,870$2,870$2,870
TAYLOR PC PURCHASE PRINTER$180$180$180
AED SUPERSTORE PUR DEFIBERLATOR$1,944$1,944$1,944
TAYLOR PC PUR SAMSUNG PRINTER$330$330$330
LUCAS FURNITURE PURCHASE BOOKCASE$344$344$344
TAYLOR PC SAMSUNG PRINTER STAND COMITTEE$175$175$175
AJJ ENTERPRISES PURCHASE 8-CORNHOLE BAGS$245$245$245
BEST BUY PUR MICROWEAVE OVEN$201$201$201
IN BUSINESS COMMUN SETUP FAX LINE BENEFIT OFCT$50$50$50
GEORGIA EXPO PUR 8FT PIPE, DRAPE BACKDROP & TABLE$649$649$649
LOWES BUSINESS REPLACE LAWN MOWER WEED EATER$378$378$378
TAYLOR PC REPLACE BENEFIT COMPUTER$300$300$300
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$79,839
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 019-551

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: 019-551

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      LAND 929 EAST HOFFER ST, KOKOMO, IN 46904$470,000 $470,000$470,000
B. Buildings (give location)    
Building  1 :      BUILDING 929 EAST HOFFER ST, KOKOMO IN 46902$3,376,392$3,376,392$3,376,392$3,376,392
Building  2 :      OFFICE FURNITURE AND EQUIPMENT$722,308$722,308$722,308$722,392
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $4,568,700$4,098,700$4,568,700$4,568,784
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 019-551

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $5,149
BIBLES (70@ 36)$2,528
RETIREMENT WATCHES ( 8@77)$612
VETERANS COMMITTEE T-SHIRTS$2,009
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 019-551

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$312,085$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $312,085$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 019-551

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: 019-551

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $16,492
V-CAP WITHHOLDING$50
FEDERAL INCOME TAXES (941)$7,656
FICA-EMPLOYEE OASDI AND HI FORWARD$4,393
FICA-EMPLOYER OASDI AND HI (941)$4,393
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 019-551

(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
Barbary ,  Scotty   L
Trustee
C
$12,602$991$1,385$0$14,978
I
Schedule 15
Representational Activities
1 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
99 %
A
B
C
Benson ,  Aaron   C
Unit Chairperson
C
$2,664$450$1,689$0$4,803
I
Schedule 15
Representational Activities
69 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
30 %
A
B
C
Burks ,  Phillip  
Unit Chairperson
C
$2,604$0$1,688$0$4,292
I
Schedule 15
Representational Activities
49 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
37 % Schedule 19
Administration
14 %
A
B
C
Butcher ,  Joseph   A
Unit Chairperson
C
$162$600$0$0$762
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
Cowsert ,  John  
Committeeman
C
$8,535$1,522$1,105$0$11,162
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
A
B
C
Gosnell ,  Frankie   H
Trade Committeeman
C
$12,746$1,723$942$0$15,411
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Greenwood ,  Carl   D
President
C
$8,204$1,776$2,880$0$12,860
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
2 %
A
B
C
Guinan ,  William   R
Committeeman
C
$8,215$1,419$1,105$0$10,739
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
1 %
A
B
C
Jarvis ,  Matthew   L
Committeeman
C
$8,250$1,509$736$0$10,495
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
A
B
C
Martin ,  David   W
Shop Committee Chair
C
$8,968$2,056$759$0$11,783
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
A
B
C
Martin ,  Mark   A
Committeeman
C
$8,423$1,830$759$0$11,012
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
A
B
C
Moore Jr. ,  Jeff  
Financial Secretary
C
$93,399$5,236$12,686$0$111,321
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
99 %
A
B
C
Nelson ,  Anthony   E
Recording Secretary
C
$17,773$1,684$390$0$19,847
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
99 %
A
B
C
Pearce ,  Miranda   K
Unit Chairperson
C
$1,745$0$596$0$2,341
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
Price ,  Jerry   L
Vice President
C
$61,026$3,821$390$0$65,237
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
A
B
C
Quirk ,  Richard   G
Committeeman
C
$8,663$1,493$1,105$0$11,261
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
A
B
C
Rose ,  Donald   J
Treasurer
C
$20,476$1,339$3,366$0$25,181
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
98 %
A
B
C
Scott ,  John  
1st Vice Chair Ret
C
$0$0$556$0$556
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
53 % Schedule 19
Administration
47 %
A
B
C
Secrease Jr. ,  Ted   S
Committeeman
C
$4,541$1,362$346$0$6,249
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Shepherd ,  Jerry   W
Committeeman
C
$10,848$1,703$736$0$13,287
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
A
B
C
Shipley ,  Jeremiah   T
Committeeman
C
$5,715$1,162$0$0$6,877
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
0 %
A
B
C
Shook ,  Timothy   W
Guide
C
$4,621$262$590$0$5,473
I
Schedule 15
Representational Activities
14 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
86 %
A
B
C
Smith ,  Craig   R
Trustee
C
$5,316$799$2,870$0$8,985
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
99 %
A
B
C
Smith II ,  Ronald   S
Unit Chairperson
C
$2,381$600$835$0$3,816
I
Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
30 %
A
B
C
Snider ,  Travis   J
Sgt At Arms
P
$2,059$107$0$0$2,166
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
Story ,  Kimberly   L
Trustee
C
$16,830$1,948$3,942$0$22,720
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
6 % Schedule 19
Administration
94 %
A
B
C
Weed ,  Scott   R
Committeeman
C
$15,085$559$1,332$0$16,976
I
Schedule 15
Representational Activities
88 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
6 % Schedule 19
Administration
6 %
Total Officer Disbursements$351,851$35,951$42,788$0$430,590
Less Deductions    $107,625
Net Disbursements    $322,965
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 019-551

(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
Durham ,  Englentina  
Attendance Rep.
NA
$20,366$1,877$4,273$0$26,516
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
64 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
12 % Schedule 19
Administration
24 %
A
B
C
Hall ,  Monte   L
NA
NA
$12,718$0$46$0$12,764
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Painter ,  Karen   J
Secretary
NA
$68,106$0$45$0$68,151
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
Rose ,  Teresa   A
Secretary
NA
$69,369$0$313$0$69,682
I
Schedule 15
Representational Activities
57 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
43 %
A
B
C
Tyler II ,  Roland   H
Janitor
NA
$12,105$0$0$0$12,105
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Williams ,  Helen  
NA
NA
$9,108$0$2,758$0$11,866
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
12 % Schedule 19
Administration
88 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$196,225$8,670$63,802$0$268,697
I Schedule 15
Representational Activities
56 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
15 % Schedule 19
Administration
27 %
Total Employee Disbursements$387,997$10,547$71,237$0$469,781
Less Deductions    $105,494
Net Disbursements    $364,287
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 019-551

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 6,371 
Agency Fee Payers*
Total Members/Fee Payers6,371 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS6,371Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 019-551

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$196,104
2. Named Payer Non-itemized Receipts$11,403
3. All Other Receipts$39,667
4. Total Receipts$247,174
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$24,254
2. Named Payee Non-itemized Disbursements$22,385
3. To Officers$0
4. To Employees$2,687
5. All Other Disbursements$27,360
6. Total Disbursements$76,686
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$65,014
2. Named Payee Non-itemized Disbursements$43,784
3. To Officers$209,087
4. To Employees$226,991
5. All Other Disbursements$67,569
6. Total Disbursements$612,445
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$33,990
2. Named Payee Non-itemized Disbursements$23,960
3. To Officers$8,043
4. To Employees$69,780
5. All Other Disbursements$56,126
6. Total Disbursements$191,899
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$19,657
5. All Other Disbursements$105
6. Total Disbursements$19,762
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$5,460
2. Named Payee Non-itemized Disbursements$47,112
3. To Officers$213,462
4. To Employees$150,666
5. All Other Disbursements$50,185
6. Total Disbursements$466,885
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 019-551

Name and Address
(A)
Howard County Cap Council
P.O. Box 2152

Kokomo
IN
46904-2152
Type or Classification
(B)
Cap Council
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,603
Total of All Transactions with this Payee/Payer for This Schedule$8,603
Name and Address
(A)
International Union-Uaw
8000 E Jefferson Ave.

Detroit
MI
48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$168,197
Total Non-Itemized Transactions with this Payee/Payer$2,800
Total of All Transactions with this Payee/Payer for This Schedule$170,997
REIMBRUSEMENT NAT CONTRAC01/29/2016$33,377
13TH REBATE CHECK04/19/2016$85,989
REFUND CONTRACT ROLLOUT E04/29/2016$43,586
chry contract meet sep 2005/26/2016$5,245
Name and Address
(A)
National UAW Community Action Program
8000 E. Jefferson

Detroit
MI
48214-3963
Type or Classification
(B)
CAP
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
REIMBRUSE T. DURHAM EXP07/26/2016$20,206
Name and Address
(A)
U.S. Treasury
PO Box 804521

Cincinnati
OH
45280-4521
Type or Classification
(B)
Treasury
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,701
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,701
REFUND UNEMPLOYMENT TAX02/25/2016$7,701
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 019-551

Name and Address
(A)
Duke Energy
P.O. Box 1326

Charlotte
NC
28201-1326
Type or Classification
(B)
Electric Utility
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,178
Total of All Transactions with this Payee/Payer for This Schedule$16,178
Name and Address
(A)
International Union-Uaw
8000 E Jefferson Ave.

Detroit
MI
48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$32,366
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$32,366
PURCHASED CONTRACT BOOKS12/15/2016$27,366
LOCAL 9 DONATION11/16/2016$5,000
Name and Address
(A)
Jansen's Asphalt Sealing
1140 N PHILLIPS ST

Kokomo
IN
46901
Type or Classification
(B)
Asphalt
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,845
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$13,845
PAVE & SEAL PARKING LOT10/31/2016$13,845
Name and Address
(A)
Pats Cleaning Service
1710 S. Washington

Kokomo
IN
46902
Type or Classification
(B)
Cleaning Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,134
Total of All Transactions with this Payee/Payer for This Schedule$8,134
Name and Address
(A)
Rd Filip Inc
P.O. Box 508

Kokomo
IN
46903-0508
Type or Classification
(B)
Cleaning Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,450
Total of All Transactions with this Payee/Payer for This Schedule$5,450
Name and Address
(A)
S&B Services LLC
2503 Kent Avenue

Kokomo
IN
46902
Type or Classification
(B)
Snow Removal/Lawn Care
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,016
Total of All Transactions with this Payee/Payer for This Schedule$8,016
Name and Address
(A)
Uaw Region 2-B
1691 Woodlands Dr

Maumee
OH
43537
Type or Classification
(B)
Uaw Region Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,500
Total Non-Itemized Transactions with this Payee/Payer$280
Total of All Transactions with this Payee/Payer for This Schedule$12,780
JULY LEADERSHIP06/07/2016$12,500
Name and Address
(A)
Union Insurance Group
303 W ERIE ST STE 310

Chicago
IL
60654
Type or Classification
(B)
Building Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,303
Total Non-Itemized Transactions with this Payee/Payer$675
Total of All Transactions with this Payee/Payer for This Schedule$6,978
RENEW INSURANCE POLICIES07/22/2016$6,303
Name and Address
(A)
Zachary Confections Inc.
PO Box 219

Frankfort
IN
46041
Type or Classification
(B)
Candy
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,051
Total of All Transactions with this Payee/Payer for This Schedule$5,051
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 019-551

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: 019-551

Name and Address
(A)
Banner Flower House
1017 S. Buckeye Street

Kokomo
IN
46902
Type or Classification
(B)
Flowers
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$20,742
Total of All Transactions with this Payee/Payer for This Schedule$20,742
Name and Address
(A)
United Memorial Bible
P.O. Box 269

Gastonia
NC
28053
Type or Classification
(B)
Bible Supplier
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,254
Total Non-Itemized Transactions with this Payee/Payer$1,643
Total of All Transactions with this Payee/Payer for This Schedule$20,897
PURCHASE 240 BIBLES @AVG05/18/2016$9,188
BIBLES 144@34.95EA FOR DE08/14/2016$5,033
PURCHASED 144 BIBLES @ 3410/31/2016$5,033
Name and Address
(A)
Williams Charity Fund
6533 E. Jefferson Ave APT 2

Detroit
MI
48207
Type or Classification
(B)
Charity
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
SILVER SPONSORSHIP PER EX08/17/2016$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 019-551

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

Detroit
MI
48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,755
Total of All Transactions with this Payee/Payer for This Schedule$8,755
Name and Address
(A)
Peace & Plenty Catering
511 S Main St

Jonesboro
IN
46938
Type or Classification
(B)
Food Caterer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,740
Total Non-Itemized Transactions with this Payee/Payer$7,243
Total of All Transactions with this Payee/Payer for This Schedule$15,983
REFRESHMENTS FOR RETIREE12/19/2016$8,740
Name and Address
(A)
REGION 2-B 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$11,250
Total Non-Itemized Transactions with this Payee/Payer$625
Total of All Transactions with this Payee/Payer for This Schedule$11,875
SEPT LEADERSHIP08/24/2016$11,250
Name and Address
(A)
Richard Aniskiewicz
20087 N Brook Lane

Maricopa
AZ
85138
Type or Classification
(B)
Death Benefit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
BENEFIT SUELLEEN09/07/2016$5,000
Name and Address
(A)
Travelfocus
8111 Lyndon B Johnson Fre

Dallas
TX
75251
Type or Classification
(B)
Airline Tickets
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,222
Total of All Transactions with this Payee/Payer for This Schedule$5,222
Name and Address
(A)
Uaw Region 2-B
1691 Woodlands Dr

Maumee
OH
43537
Type or Classification
(B)
Uaw Region Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,000
Total Non-Itemized Transactions with this Payee/Payer$2,115
Total of All Transactions with this Payee/Payer for This Schedule$11,115
PURCHASE 200 TICKETS ANNU07/13/2016$9,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 019-551

Name and Address
(A)
Duke Energy
P.O. Box 1326

Charlotte
NC
28201-1326
Type or Classification
(B)
Electric Utility
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,380
Total of All Transactions with this Payee/Payer for This Schedule$6,380
Name and Address
(A)
Haywood Printing
300 North Fifth Stree

Lafayette
IN
47902-0440
Type or Classification
(B)
Printing Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$23,511
Total of All Transactions with this Payee/Payer for This Schedule$23,511
Name and Address
(A)
International Union-Uaw
8000 E Jefferson Ave.

Detroit
MI
48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,723
Total of All Transactions with this Payee/Payer for This Schedule$7,723
Name and Address
(A)
Jansen's Asphalt Sealing
1140 N PHILLIPS ST

Kokomo
IN
46901
Type or Classification
(B)
Asphalt
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,460
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,460
PAVE & SEAL PARKING LOT10/31/2016$5,460
Name and Address
(A)
Kokomo Postmaster
2719 S Webster

Kokomo
IN
46902-9998
Type or Classification
(B)
Us Post Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,498
Total of All Transactions with this Payee/Payer for This Schedule$9,498
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 019-551

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$20,617
Dental/Hearing/Medical/Vision InsuranceSecurrian Dental Plans$3,081
Group Life InsuranceAnthem Life$426
Group Life InsuranceState Farm$1,455
Worker Compensation InsuranceThe Hartford$2,915
Medical Fee ReimbursementsFrances M. Filip$1,000
Medical Fee ReimbursementsTeresa A. Rose$240
Retirement Savings(401K etc)EmployerMerril Lynch/Chris Padgett$9,700
Medical Fees - OtherFrances M. Filip$1,800
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 019-551


Question 10: QUESTION 10: OPERATION OF THE BUILDING CORPORATION ARE HANDLE THROUGH THE BOOKS AND RECORDS OF THE LOCAL UNION AND ARE THEREFORE INCLUDED IN THIS REPORT

Statement A,

Cash Begin Total: Beginning balance increased by $645 to account for voids from a previous period.

General Information: SCH 7 ITEM 1 BIBLES:AT THE BEGINNING OF THE YEAR LOCAL UNION HAD 281 BIBLES AT COST OF 9554. WITH MEMBERSHIP APPROVAL LOCAL UNION PURCHASED 528 BIBLES AT COST OF 20897 OF WHICH 733 WERE GIVEN AWAY AS FUNERAL TRIBUTES PER ARTICLE 26 SECTION OF LOCAL UNION BYLAWS AT COST OF 26439. LOCAL UNION SOLD 6 AT COST OF 180. THIS LEFT BALANCE OF 70 BIBLES AT COST OF 2525. SCH 7 ITEM 2 RETIREMENT WATCHES: AT THE BEGINNING OF THE YEAR LOCAL UNION HAD 35 RETIREMENT WATCHES AT COST OF 2695. WITH MEMBERSHIP APPROVAL LOCAL UNION PURCHASED 60 RETIREMENT WATCHES AT COST OF 4590 OF WHICH 87 WERE GIVEN AWAY TO RETIRING LOCAL 685 MEMBERS AT COST OF 4590 THIS LEFT A BALANCE OF 8 RETIREMENTS WATCHES AT COST OF 612. SCH 7 ITEM 3 VETERANS T-SHIRTS: FOR SOME TIME THE VETS COMMITTEE WAS SELLING T-SHIRTS. THE COMMITTEE CHAIRPERSON CONTINUALLY FAILED TO TURN IN INFORMATION AND SALE RECEIPTS IN A TIMELY MANNER. IN DEC 2016 THE CHAIRMAN TURNED IN INVOICES FOR PURCHASES AND CASH FOR SALES. WITH MEMBERSHIP APPROVAL OVER 3-YEAR PERIOD THE COMMITTEE PURCHASED 303 T-SHIRTS AT COST OF 3669. THE COMMITTEE SOLD 115 T-SHIRTS FOR TOTAL SALES OF 2300. OVER 3 YEARS COMMITTEE GAVE 22 T-SHIRTS AWAY AS PROMOTIONAL ITEMS AT COST OF 266. THIS LEFT A BALANCE OF 166 T-SHIRTS AT COST OF 2009.

Schedule 13, Row1:

Schedule 13, Row1::::SCH 13 MEMBERSHIP: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)