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
011-102
2.
PERIOD COVERED
From
01/01/2016
Through
12/31/2016
3.
(a) AMENDED - Is this an amended report:
No
(b) HARDSHIP - Filed under the hardship procedures:
No
(c) TERMINAL - This
is a terminal report:
No
4. AFFILIATION OR ORGANIZATION NAME
AUTO WORKERS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
571
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
ROBERT
Last Name
FARACI
P.O Box - Building and Room Number
P.O. BOX 7275
Number and Street
394 TOLL GATE RD
City
GROTON
State
CT
ZIP Code + 4
06340
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:
William E Louis
PRESIDENT
71. SIGNED:
Robert J Faraci
TREASURER
Date:
Mar 28, 2017
Telephone
Number:
860-448-0552
Date:
Mar 28, 2017
Telephone
Number:
860-448-0552
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
011-102
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?
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?
$416,000
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?
Yes
19. What is the date of the labor
organization's next regular election of officers?
06/2018
20. How many members did the labor organization
have at the end of the reporting period?
2,132
21. What are the labor organization's rates of dues
and fees?
Rates of Dues and Fees
Dues/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
2.5
per
MONTH
20
120
(b) Working Dues/Fees
0
per
(c) Initiation Fees
300
per
PERSON
(d) Transfer Fees
0
per
(e) Work Permits
0
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
011-102
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$1,993,394
$2,014,586
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
$0
27. Fixed Assets
6
$279,392
$280,371
28. Other Assets
7
$0
29.
TOTAL ASSETS
$2,272,786
$2,294,957
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$0
$0
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$2,627
$1,259
34. TOTAL
LIABILITIES
$2,627
$1,259
35. NET
ASSETS
$2,270,159
$2,293,698
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
011-102
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,971,194
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$64,613
39. Sale of Supplies
$0
40. Interest
$19,998
41. Dividends
$0
42. Rents
$0
43. Sale of Investments
and Fixed Assets
3
$0
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
$0
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$110
48. Other Receipts
14
$100,528
49. TOTAL RECEIPTS
$2,156,443
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$663,096
51.
Political Activities and Lobbying
16
$14,498
52.
Contributions, Gifts, and Grants
17
$39,556
53. General
Overhead
18
$66,048
54. Union
Administration
19
$37,126
55. Benefits
20
$64,546
56. Per
Capita Tax
$1,218,628
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$979
61. Loans
Made
2
$0
62.
Repayment of Loans Obtained
9
$0
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$110
65. Direct
Taxes
$30,082
66. Subtotal
$2,134,669
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$51,106
67b. Less Total
Disbursed
$51,687
67c.
Total Withheld But Not Disbursed
-$581
68.
TOTAL DISBURSEMENTS
$2,135,250
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
011-102
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:
011-102
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 61
Item 45
Item 69
with Explanation
Item 24
Column (B)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 3 - SALE OF
INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
011-102
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:
011-102
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$979
$979
$979
STAPLES CREDIT PLAN PURCHASE OF NEW COMPUTER
$702
$702
$702
STEVEN BECK PURCHASE OF INTERCOM SYSTEM
$277
$277
$277
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$979
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
011-102
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:
011-102
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
394 TOLL GATE ROAD, GROTON CT 06340
$7,000
$7,000
$7,000
B.
Buildings (give location)
Building
1
:
394 TOLL GATE ROAD, GROTON CT 06340
$83,794
$83,794
$83,794
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$177,061
$177,061
$177,061
E.
Other Fixed Assets
$12,516
$12,516
$12,516
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$280,371
$0
$280,371
$280,371
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
011-102
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:
011-102
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:
011-102
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 44
Item 62
Item 69
with Explanation
Item 31
Column (D)
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 10 - OTHER
LIABILITIES
FILE NUMBER:
011-102
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$1,259
FEDERAL UNEMPLOYMENT FOR 2016
$0
STATE UNEMPLOYMENT FOR 2016
$1,259
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
011-102
(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
HALL II
,
OMAR
RETIRED WORKER REP C
$0
$0
$82
$0
$82
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
CILIANO
,
MARK
H SARGENT AT ARMS N
$3,397
$0
$545
$0
$3,942
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
MAY
,
WILLIAM
R FINANCIAL SECRETARY N
$12,081
$0
$3,259
$0
$15,340
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
GONSKI
,
PAMELA
I GUIDE C
$3,375
$0
$197
$0
$3,572
I
Schedule 15
Representational Activities
72
%
Schedule 16
Political Activities and Lobbying
3
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
25
%
A
B
C
LOUIS
,
WILLIAM
PRESIDENT C
$13,079
$0
$3,635
$0
$16,714
I
Schedule 15
Representational Activities
72
%
Schedule 16
Political Activities and Lobbying
28
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
STRAUB
,
ERIC
R TRUSTEE N
$3,784
$0
$96
$0
$3,880
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
FARACI
,
ROBERT
J TREASURER C
$11,130
$0
$2,038
$0
$13,168
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
BURGESS
,
WAYNE
J TRUSTEE N
$0
$0
$744
$0
$744
I
Schedule 15
Representational Activities
69
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
31
%
A
B
C
CLAY
,
PATRICIA
A RECORDING SECRETARY C
$6,361
$0
$1,999
$0
$8,360
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
REAGAN
,
DAVID
M SECOND VICE PRESIDENT C
$9,018
$0
$2,600
$0
$11,618
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
SMITH
,
PAUL
R TRUSTEE C
$5,814
$0
$107
$0
$5,921
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
ROWLAND
,
KENNETH
FIRST VICE PRESIDENT C
$10,895
$0
$3,403
$0
$14,298
I
Schedule 15
Representational Activities
92
%
Schedule 16
Political Activities and Lobbying
8
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
DWYER
,
WILLIAM
J TRUSTEE P
$175
$0
$299
$0
$474
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
%
Total Officer
Disbursements
$79,109
$0
$19,004
$0
$98,113
Less Deductions
$21,586
Net
Disbursements
$76,527
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
011-102
(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
MAURO
,
CAROL
A CHAIR LUCA COMMITTEE none
$9,509
$0
$1,228
$0
$10,737
I
Schedule 15
Representational Activities
87
%
Schedule 16
Political Activities and Lobbying
13
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$110,602
$0
$13,249
$0
$123,851
I
Schedule 15
Representational Activities
78
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
17
%
Total
Employee Disbursements
$120,111
$0
$14,477
$0
$134,588
Less
Deductions
$29,519
Net Disbursements
$105,069
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
011-102
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
2,132
Agency Fee Payers*
23
Total Members/Fee Payers
2,155
*Agency Fee Payers are
not considered members of the labor organization.
ELECTRIC BOAT DIVISION
2,122
Yes
COMPUTER SCIENCES DIVISION
10
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
011-102
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$65,773
2. Named Payer
Non-itemized Receipts
$20,100
3. All Other Receipts
$14,655
4. Total
Receipts
$100,528
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$12,827
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$26,729
6. Total
Disbursements
$39,556
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$277,928
2. Named Payee
Non-itemized Disbursements
$103,791
3. To Officers
$80,922
4. To Employees
$105,945
5. All Other
Disbursements
$94,510
6. Total
Disbursements
$663,096
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$11,907
2. Named Payee
Non-itemized Disbursements
$17,945
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$36,196
6. Total
Disbursements
$66,048
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$5,931
4. To Employees
$7,589
5. All Other
Disbursements
$978
6. Total
Disbursements
$14,498
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$11,260
4. To Employees
$21,055
5. All Other
Disbursements
$4,811
6. Total
Disbursements
$37,126
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
011-102
Name and Address
(A)
INTERNATIONAL UNION-UAW
8000 EAST JEFFERSON AVE DETROIT MI 48214
Type or Classification
(B)
LABOR UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$30,278
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$30,278
STRIKE FUND REBATE
04/22/2016
$30,278
Name and Address
(A)
MULTIPLE MEMBERS 394 TOLLGATE RD TICKET SALES GROTON CT 06340
Type or Classification
(B)
ON BEHALF OF MULTIPLE MBRS
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$35,495
Total
Non-Itemized Transactions with this Payee/Payer
$8,280
Total of All Transactions with this
Payee/Payer for This Schedule
$43,775
TICKET SALES FOR PICNIC,
06/16/2016
$11,854
TICKET SALES FOR PICNIC,
06/27/2016
$8,041
TICKET SALES FOR PICNIC,
11/17/2016
$7,925
TICKET SALES FOR PICNIC,
11/23/2016
$7,675
Name and Address
(A)
MULTIPLE RETIREES
394 TOLLGATE RD GROTON CT 06340
Type or Classification
(B)
ON BEHAF OF MULTIPLE RETIREES
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$11,820
Total of All Transactions with this
Payee/Payer for This Schedule
$11,820
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
011-102
Name and Address
(A)
CENTERPLATE
1225 OCEAN AVE NEW LONDON CT 06320
Type or Classification
(B)
SOCIAL + REC EVENT
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$39,377
Total
Non-Itemized Transactions with this Payee/Payer
$13,639
Total of All Transactions with this
Payee/Payer for This Schedule
Total
Non-Itemized Transactions with this Payee/Payer
$7,920
Total of All Transactions with this
Payee/Payer for This Schedule
$7,920
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
011-102
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:
011-102
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$64,546
AD+D INSURANCE FOR MEMBERS
LINCOLN NATIONAL LIFE INSURANC
$63,126
WORKERS COMP INSURANCE
THE HARTFORD
$1,420
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
011-102
Question 18: meeting attendance
Statement A,
Cash Begin Total: DOES NOT EQUAL AMOUNT SHOWN IN PREVIOUS YEAR'S ITEM 22(B) DUE TO $887.40 WORTH OF A CHECK WRITTEN IN PRIOR YEAR, BEING VOIDED IN THIS REPORTING PERIOD.
Schedule 13, Row1:
Schedule 13, Row1:ANYONE WHO HAS APPLIED AND BEEN ACCEPTED FOR MEMBERSHIP IS A REGULAR MEMBER. REGULAR MEMBERS PAY DUES OF 2.5 HOURS PER MONTH.
Schedule 13, Row1:
Schedule 13, Row1:
Schedule 13, Row2:
Schedule 13, Row2:ANYONE WHO HAS APPLIED AND BEEN ACCEPTED FOR MEMBERSHIP IS A REGULAR MEMBER. REGULAR MEMBERS PAY DUES OF 2.5 HOURS PER MONTH.