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
034-132
2. PERIOD COVERED
From01/01/2016
Through12/31/2016
3. (a) AMENDED - Is this an amended report:
Yes
(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
833
7. UNIT NAME (if any)

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

Number and Street
5425 SUPERIOR AVE
City
SHEBOYGAN
State
WI		 ZIP Code + 4
53083


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:Timothy D TayloePRESIDENT71. SIGNED:DAVID N BOUCHERTREASURER
Date:Mar 28, 2017Telephone Number:920-458-2173Date:Mar 27, 2017Telephone Number:920-458-2173
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 034-132
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?$222,000
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?No
19. What is the date of the labor organization's next regular election of officers?06/2017
20. How many members did the labor organization have at the end of the reporting period?2,061
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/FeesN/Aper
(c) Initiation Fees20.00perOne -Time
(d) Transfer FeesN/Aper
(e) Work PermitsN/Aper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 034-132

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $612,607$616,599
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$862,899$863,996
28. Other Assets7$11,748$11,420
29. TOTAL ASSETS $1,487,254$1,492,015

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$1,708$1,336
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$3,297$65
34. TOTAL LIABILITIES $5,005$1,401
35. NET ASSETS$1,482,249$1,490,614
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 034-132

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,247,420
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $4,180
39. Sale of Supplies $13,530
40. Interest $0
41. Dividends $0
42. Rents $22,418
43. Sale of Investments and Fixed Assets3$400
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 $10,689
48. Other Receipts14$307,281
49. TOTAL RECEIPTS $1,605,918
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$419,548
51. Political Activities and Lobbying16$4,344
52. Contributions, Gifts, and Grants17$85,474
53. General Overhead18$74,934
54. Union Administration19$166,738
55. Benefits20$13,357
56. Per Capita Tax $780,938
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $5,420
60. Purchase of Investments and Fixed Assets4$14,122
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 $17,039
65. Direct Taxes $18,075
  
66. Subtotal $1,599,989
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$29,725  
  67b. Less Total Disbursed$31,662  
  67c. Total Withheld But Not Disbursed -$1,937
68. TOTAL DISBURSEMENTS $1,601,926
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 034-132

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: 034-132

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: 034-132

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$325$325$325$400
Two Car Ports $250$250$250$325
One Freezer$75$75$75$75
.$0$0$0$0
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$400
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 034-132

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$14,122$14,122$14,122
Ricoh Printer$3,565$3,565$14,122
Computer data backup$785$785
Konica printer$9,772$9,772
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$14,122
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 034-132

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: 034-132

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      5425 Superior Ave., Sheboygan WI$73,953 $73,953$73,953
B. Buildings (give location)    
Building  1 :      5425 Superior Ave., Sheboygan WI$539,706$539,706$539,706
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$110,221$0$110,221$110,221
E. Other Fixed Assets$140,116$0$140,116$140,116
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $863,996$0$863,996$863,996
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 034-132

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $11,420
Bar Merchandise$10,475
T-Shirts/Sweatshirts$945
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 034-132

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$1,336$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)) $1,336$0$0$0
Wisconsin Public Service$219$0$0$0
The Sounder$33$0$0$0
Town of Sheboygan$116$0$0$0
Wisconsin Newspress$65$0$0$0
Gene Fiedler Plowing and Excavation$650$0$0$0
Advanced Disposal$225$0$0$0
Lakeside Bottling$28$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 034-132

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: 034-132

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $65
Wisconsin 4th Quarter Unemployment Comp Tax$65
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 034-132

(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 		BOUCHER ,  DAVID   N
FINANCIAL SECRETARY
C		$83$1,823$48,996$0$50,902
I
Schedule 15
Representational Activities 		19 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		79 %
A
B
C 		BROCK ,  JIM   E
VICE PRESIDENT
C		$0$2,228$326$0$2,554
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 		DICKMANN ,  ANGELINE   C
TRUSTEE
C		$1,793$608$71$0$2,472
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		89 %
A
B
C 		MARTINEZ ,  RUFUS   C
SGT AT ARMS
C		$497$608$263$0$1,368
I
Schedule 15
Representational Activities 		10 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		89 %
A
B
C 		MILLER ,  JASON   L
GUIDE
C		$983$608$88$0$1,679
I
Schedule 15
Representational Activities 		46 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		54 %
A
B
C 		PRENING ,  BILL   R
TRUSTEE
C		$3,756$473$568$0$4,797
I
Schedule 15
Representational Activities 		12 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		87 %
A
B
C 		ROBISON ,  NANCY  
RECORDING SECRETARY
N		$0$1,143$29,404$0$30,547
I
Schedule 15
Representational Activities 		44 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		55 %
A
B
C 		SAWALL ,  PENNY   L
RECORDING SEC
P		$0$1,763$16,870$0$18,633
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		79 %
A
B
C 		STROHSCHOEN ,  DAVID   W
TRUSTEE
C		$1,658$1,298$1,436$0$4,392
I
Schedule 15
Representational Activities 		12 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		87 %
A
B
C 		TAYLOE ,  TIM   D
PRESIDENT
C		$221$2,498$5,764$0$8,483
I
Schedule 15
Representational Activities 		89 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		9 %
Total Officer Disbursements$8,991$13,050$103,786$0$125,827
Less Deductions    $4,262
Net Disbursements    $121,565
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 034-132

(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 		EIRICH ,  DAVID   K
CUSTODIAN
NA		$19,175$0$0$0$19,175
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 		ERTEL ,  DAVID   L
STEWARD
NA		$536$1,215$9,201$0$10,952
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$72,089$53,023$56,660$0$181,772
I Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		1 % Schedule 19
Administration 		1 %
Total Employee Disbursements$91,800$54,238$65,861$0$211,899
Less Deductions    $25,463
Net Disbursements    $186,436
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 034-132

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 2,061 
Agency Fee Payers*0
Total Members/Fee Payers2,061 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members2,061Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 034-132

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$153,384
2. Named Payer Non-itemized Receipts$105,576
3. All Other Receipts$48,321
4. Total Receipts$307,281
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$36,060
2. Named Payee Non-itemized Disbursements$1,799
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$47,615
6. Total Disbursements$85,474
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$45,924
2. Named Payee Non-itemized Disbursements$54,943
3. To Officers$39,202
4. To Employees$187,161
5. All Other Disbursements$92,318
6. Total Disbursements$419,548
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$27,029
3. To Officers$594
4. To Employees$20,993
5. All Other Disbursements$26,318
6. Total Disbursements$74,934
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,216
4. To Employees$1,928
5. All Other Disbursements$1,200
6. Total Disbursements$4,344
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$14,217
2. Named Payee Non-itemized Disbursements$32,100
3. To Officers$84,816
4. To Employees$1,818
5. All Other Disbursements$33,787
6. Total Disbursements$166,738
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 034-132

Name and Address
(A)
Amtrust North America
PO Box 6939

Cleveland
OH
44101-1939
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,155
Total of All Transactions with this Payee/Payer for This Schedule$5,155
Name and Address
(A)
Bill Kohlhagen
536 S Pleasant View Road

Plymouth
WI
53073
Type or Classification
(B)
Bartender
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,077
Total of All Transactions with this Payee/Payer for This Schedule$11,077
Name and Address
(A)
Dave Boucher
717 North 38th Street

Sheboygan
WI
53081
Type or Classification
(B)
Financial Secretary
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,666
Total of All Transactions with this Payee/Payer for This Schedule$18,666
Name and Address
(A)
International Union-Uaw
8000 East Jefferson Ave

Detroit
MI
48214-3448
Type or Classification
(B)
Labor Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$93,657
Total Non-Itemized Transactions with this Payee/Payer$7,218
Total of All Transactions with this Payee/Payer for This Schedule$100,875
REIMBURSE STRIKE EXPENSES01/13/2016$11,342
STRIKE DONATIONS02/10/2016$25,031
STRIKE ANALYSIS02/23/2016$36,084
Rebate04/26/2016$21,200
Name and Address
(A)
Jason Miller
110 Tower Drive

Kohler
WI
53044
Type or Classification
(B)
Strike Collections
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$29,647
Total Non-Itemized Transactions with this Payee/Payer$327
Total of All Transactions with this Payee/Payer for This Schedule$29,974
DONATIONS; WORKERS' RELIE01/12/2016$20,545
DONATIONS TO WORKER RELIE01/22/2016$9,102
Name and Address
(A)
Joan Otto
Address

Sheboygan Falls
WI
53085
Type or Classification
(B)
Retiree
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,743
Total of All Transactions with this Payee/Payer for This Schedule$10,743
Name and Address
(A)
Ken Hemenway
1408 N 28th St

Sheboygan
WI
53081
Type or Classification
(B)
Bartender
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$16,207
Total of All Transactions with this Payee/Payer for This Schedule$16,207
Name and Address
(A)
Penny Sawall
N 8917 Dairyland Drive

Cleveland
WI
53015
Type or Classification
(B)
Safety Benefit Rep
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,785
Total Non-Itemized Transactions with this Payee/Payer$14,043
Total of All Transactions with this Payee/Payer for This Schedule$21,828
PROCEEDS; CASINO NIGHT 3/03/22/2016$7,785
Name and Address
(A)
Tim Tayloe
N6470 Shamrock Court

Plymouth
WI
53073
Type or Classification
(B)
President
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,699
Total of All Transactions with this Payee/Payer for This Schedule$5,699
Name and Address
(A)
Tori Schumann
215 Grafton Ct

Kohler
WI
53044
Type or Classification
(B)
Bartender
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,615
Total of All Transactions with this Payee/Payer for This Schedule$12,615
Name and Address
(A)
William Bolgert
1704 South 22nd Street

Sheboygan
WI
53081
Type or Classification
(B)
Member
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,295
Total Non-Itemized Transactions with this Payee/Payer$3,826
Total of All Transactions with this Payee/Payer for This Schedule$26,121
Proceeds; Wildlife Banque09/16/2016$22,295
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 034-132

Name and Address
(A)
ALDAG/HONOLD Mechanical Inc.
3509 S. Business Drive
PO Box 1265
Sheboygan
WI
53082-1265
Type or Classification
(B)
Mechanical Contractor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,079
Total of All Transactions with this Payee/Payer for This Schedule$5,079
Name and Address
(A)
ALLIANT ENERGY
PO Box 3062

Cedar Rapids
IA
52406-3062
Type or Classification
(B)
Power Co
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,914
Total of All Transactions with this Payee/Payer for This Schedule$7,914
Name and Address
(A)
Bradley Gun Sales
6189 S. County Road P

Denmark
WI
54208
Type or Classification
(B)
Gun Sales
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,700
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,700
Guns and Rifles; 2016 Wil09/19/2016$12,700
Name and Address
(A)
Hickory Hills Country Club
W3095 Hickory Hills Rd

Chilton
WI
53014
Type or Classification
(B)
Country Club
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,451
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$13,451
2016 UAW Golf Outing09/30/2016$13,451
Name and Address
(A)
Jus' Threadz
1203 South 26th Street

Manitowoc
WI
54220
Type or Classification
(B)
Digitizing & Embroidery
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$15,980
Total of All Transactions with this Payee/Payer for This Schedule$15,980
Name and Address
(A)
PIGGLY WIGGLY-HOWARDS GROVE
714 S Wisconsin Drive

Howards Grove
WI
53083
Type or Classification
(B)
Grocery
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,315
Total of All Transactions with this Payee/Payer for This Schedule$12,315
Name and Address
(A)
Region 4 Activity Fund
680 Barclay Blvd

Lincolnshire
IL
60069
Type or Classification
(B)
Regional Union Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,505
Total of All Transactions with this Payee/Payer for This Schedule$9,505
Name and Address
(A)
Rupp's On Washington
1102 W Washington Ave

Cleveland
WI
53015
Type or Classification
(B)
Restaurant
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,506
Total Non-Itemized Transactions with this Payee/Payer$3,800
Total of All Transactions with this Payee/Payer for This Schedule$17,306
DINNER; RETIREE CHRISTMAS01/04/2016$6,799
Catering; 2016 Retirees C12/13/2016$6,707
Name and Address
(A)
Windwalkers Pheasantry
W2032 Birch Lane

Mt Calvary
WI
53057
Type or Classification
(B)
Pheasants
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,267
Total Non-Itemized Transactions with this Payee/Payer$350
Total of All Transactions with this Payee/Payer for This Schedule$6,617
Purchase Pheasants06/21/2016$6,267
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 034-132

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 034-132

Name and Address
(A)
One Wisconsin Institute
152 West Johnson Street
#214
Madison
WI
53703
Type or Classification
(B)
Education Advocacy Org.
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
WI Research Project02/22/2016$10,000
Name and Address
(A)
Regional Council Of Carpenters
N2216 Bodde Road

Kaukauna
WI
54130
Type or Classification
(B)
Labor Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$20,000
PARTIAL RETURN OF DONATIO02/18/2016$20,000
Name and Address
(A)
Sheboygan County Health & Human Services
1011 North 8th Street

Sheboygan
WI
53081
Type or Classification
(B)
County Health Dept
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,060
Total Non-Itemized Transactions with this Payee/Payer$1,799
Total of All Transactions with this Payee/Payer for This Schedule$7,859
Donation; 2016 Adopt-A-Fa12/14/2016$6,060
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 034-132

Name and Address
(A)
Badger Liquor Co Inc.
850 South Morris Street
PO Box 1137
Fond Du Lac
WI
54936-1137
Type or Classification
(B)
Liquor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,794
Total of All Transactions with this Payee/Payer for This Schedule$7,794
Name and Address
(A)
Lakeside Bottling
300 Forest Ave.

Sheboygan Falls
WI
53085
Type or Classification
(B)
Beverages
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,041
Total of All Transactions with this Payee/Payer for This Schedule$6,041
Name and Address
(A)
Larry's Distributing Inc.
3815 Playbird Road

Sheboygan
WI
53083
Type or Classification
(B)
Beverages
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,194
Total of All Transactions with this Payee/Payer for This Schedule$13,194
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 034-132

Name and Address
(A)
ALDAG/HONOLD Mechanical Inc.
3509 S. Business Drive
PO Box 1265
Sheboygan
WI
53082-1265
Type or Classification
(B)
Mechanical Contractor
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,581
Total Non-Itemized Transactions with this Payee/Payer$1,979
Total of All Transactions with this Payee/Payer for This Schedule$9,560
REPLACE A/C UNIT AND MAIN05/12/2016$7,581
Name and Address
(A)
ALLIANT ENERGY
PO Box 3062

Cedar Rapids
IA
52406-3062
Type or Classification
(B)
Power Co
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,144
Total of All Transactions with this Payee/Payer for This Schedule$14,144
Name and Address
(A)
C. A. Flipse Sons Inc.
P.O. Box 1104

Sheboygan
WI
53082-1104
Type or Classification
(B)
Wholesale
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,172
Total of All Transactions with this Payee/Payer for This Schedule$5,172
Name and Address
(A)
Hub International Midwest Ltd.
15174 Collections Center

Chicago
IL
60693
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,636
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,636
General liability insuran11/30/2016$6,636
Name and Address
(A)
Kohler Co./Sterling
91283 Collections Center Dr

Chicago
IL
60693-0912
Type or Classification
(B)
Kitchen and Bath Supply
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,805
Total of All Transactions with this Payee/Payer for This Schedule$10,805
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 034-132

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$13,357
Dental/Hearing/Medical/Vision InsuranceKohler Co./Sterling$5,994
Workers Compensation InsuranceAmtrust North America$4,386
Workers Compensation InsuranceFMIC$2,977
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 034-132


Question 15: The local gave away 367 T-shirts valued at $3,995 to new members as part of its new member orientation program. They also gave away 50 hams valued at $668 as door prizes per membership action.

Question 10: Operations of the Building Corporation are handled 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 5001 to account for voids from a previous period.

Schedule 8, Row1:

Schedule 8, Row1:

Schedule 8, Row2:

Schedule 8, Row2:

Schedule 8, Row3:

Schedule 8, Row3:

Schedule 8, Row4:

Schedule 8, Row4:

Schedule 8, Row5:

Schedule 8, Row5:

Schedule 8, Row6:

Schedule 8, Row6:

Schedule 8, Row7:

Schedule 8, Row7:

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row1:

Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)