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
007-381
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
TEAMSTERS
5. DESIGNATION (Local, Lodge, etc.)
JOINT COUNCIL
 6. DESIGNATION NBR
41
7. UNIT NAME (if any)

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

Number and Street
6051 CAREY DRIVE
City
VALLEY VIEW
State
OH		 ZIP Code + 4
44125


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:Patrick J DarrowPRESIDENT71. SIGNED:Travis W BornsteinTREASURER
Date:Mar 29, 2017Telephone Number:330-434-3424Date:Mar 28, 2017Telephone Number:330-434-8126
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 007-381
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?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$225,000
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?12/2018
20. How many members did the labor organization have at the end of the reporting period?
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees1.30perMBR/MNTHN/AN/A
(b) Working Dues/Feesper
(c) Initiation Feesper
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 007-381

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $166,045$276,977
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$218,449$245,215
27. Fixed Assets6$375$1,481
28. Other Assets7$145$145
29. TOTAL ASSETS $385,014$523,818

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$0$0
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$177,416$168,888
34. TOTAL LIABILITIES $177,416$168,888
35. NET ASSETS$207,598$354,930
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 007-381

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $0
37. Per Capita Tax $672,561
38. Fees, Fines, Assessments, Work Permits $0
39. Sale of Supplies $0
40. Interest $1,933
41. Dividends $3,634
42. Rents $0
43. Sale of Investments and Fixed Assets3$25,253
44. Loans Obtained9
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $6,804
48. Other Receipts14$27,703
49. TOTAL RECEIPTS $737,888
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$43,632
51. Political Activities and Lobbying16$450
52. Contributions, Gifts, and Grants17$60,433
53. General Overhead18$98,475
54. Union Administration19$141,464
55. Benefits20$206,442
56. Per Capita Tax $0
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$54,209
61. Loans Made2$0
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $6,804
65. Direct Taxes $15,047
  
66. Subtotal $626,956
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$42,380  
  67b. Less Total Disbursed$42,380  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $626,956
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 007-381

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$0   
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: 007-381

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$0   $0
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: 007-381

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$25,862$25,862$25,253$25,253
INVESTMENTS$25,862$25,862$25,253$25,253
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$25,253
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 007-381

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$54,209$54,209$54,209
INVESTMENTS$52,628$52,628$52,628
OFFICE EQUIPMENT$1,581$1,581$1,581
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$54,209
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 007-381

Description
(A) 		Amount
(B)
Marketable Securities 
A. Total Cost$245,215
B. Total Book Value$245,215
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • 25,000 UNITS, FEDERAL HOME LOAN BANK
$25,038
  • 25,000 UNITS, FANNIE MAE
$24,996
  • 25,000 UNITS, UNITED STATES TREASURY NOTES
$24,751
  • 25,000 UNITS, UNITED STATES TREASURY NOTES
$24,941
  • 25,000 UNITS, UNITED STATES TREASURY NOTES
$25,117
  • 25,000 UNITS, UNITED STATES TREASURY NOTES
$25,283
  • 25.000 UNITS, UNITED STATES TREASURY NOTES
$25,187
  • 1,382 UNITS, MFS VALUE FUND CLASS I
$26,076
  • 865.56 UNITS, T. ROWE PRICE GROWTH STOCK FUND
$30,525
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)) $245,215
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 007-381

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)$0$0$0$0
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$17,014$15,533$1,481$1,400
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $17,014$15,533$1,481$1,400
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 007-381

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $145
DEPOSIT - WORKERS COMPENSATION$145
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 007-381

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: 007-381

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: 007-381

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $168,888
WITHDRAWAL LIABILITY$168,888
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 007-381

(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 		DARROW ,  PATRICK   J
PRESIDENT
C		$30,000$97$30,097
I
Schedule 15
Representational Activities 		5 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		90 %
A
B
C 		BORNSTEIN ,  TRAVIS  
SECRETARY-TREASURER
C		$15,600$15,600
I
Schedule 15
Representational Activities 		5 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		5 % Schedule 19
Administration 		90 %
A
B
C 		DUDAS ,  DAVID   D
VICE PRESIDENT
C		$15,600$15,600
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 		NARDI ,  NICHOLAS  
RECORDING SECRETARY
C		$10,400$13$10,413
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		97 %
A
B
C 		BAIRD ,  DOYLE  
TRUSTEE
C		$6,000$13$6,013
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 		PECORARO ,  CARL  
TRUSTEE
C		$6,000$6,000
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 		COLLINSON ,  RICHARD  
TRUSTEE
N		$2,750$2,750
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		95 %
A
B
C 		LICHTENWALD ,  WILLIAM   D
VICE PRESIDENT
P		$7,800$24$7,824
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 %
Total Officer Disbursements$94,150$0$147$0$94,297
Less Deductions    $19,041
Net Disbursements    $75,256
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 007-381

(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 		ZART ,  MARY  
ADMINISTRATIVE
N/A		$24,800$606$25,406
I
Schedule 15
Representational Activities 		5 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		85 % Schedule 19
Administration 		10 %
A
B
C 		BEDNARSKI ,  PAMELA  
ADMINISTRATIVE
N/A		$11,750$11,750
I
Schedule 15
Representational Activities 		5 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		85 % Schedule 19
Administration 		10 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$24,210$24,210
I Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		13 % Schedule 19
Administration 		87 %
Total Employee Disbursements$60,760$0$606$0$61,366
Less Deductions    $23,339
Net Disbursements    $38,027
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 007-381

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 0 
Agency Fee Payers*
Total Members/Fee Payers0 
*Agency Fee Payers are not considered members of the labor organization.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 007-381

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$0
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$27,703
4. Total Receipts$27,703
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$36,263
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$24,170
6. Total Disbursements$60,433
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$22,721
2. Named Payee Non-itemized Disbursements$16,610
3. To Officers$2,285
4. To Employees$1,858
5. All Other Disbursements$158
6. Total Disbursements$43,632
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$21,036
2. Named Payee Non-itemized Disbursements$21,085
3. To Officers$2,285
4. To Employees$34,730
5. All Other Disbursements$19,339
6. Total Disbursements$98,475
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$450
4. To Employees$0
5. All Other Disbursements$0
6. Total Disbursements$450
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$9,162
2. Named Payee Non-itemized Disbursements$12,977
3. To Officers$89,278
4. To Employees$24,779
5. All Other Disbursements$5,268
6. Total Disbursements$141,464
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 007-381

There was no data found for this schedule.

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 007-381

Name and Address
(A)
FAULKNER HOFFMAN & PHILLIPS

20445 EMERALD PARKWAY
CLEVELAND
OH
44135
Type or Classification
(B)
LAW FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$22,721
Total Non-Itemized Transactions with this Payee/Payer$16,610
Total of All Transactions with this Payee/Payer for This Schedule$39,331
LEGAL SERVICES02/24/2016$15,977
LEGAL SERVICES09/21/2016$6,744
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 007-381

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 007-381

Name and Address
(A)
BREAKING BARRIERS - HOPE IS ALIVE
534

UNIONTOWN
OH
Type or Classification
(B)
CHARITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,000
DONATION07/21/2016$10,000
Name and Address
(A)
RAINTREE COUNTRY CLUB

4350 MAYFAIR ROAD
UNIONTOWN
OH
44685
Type or Classification
(B)
GOLF COURSE
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,896
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,896
GREEN FEES, CARTS AND LUNCH08/16/2016$10,896
Name and Address
(A)
TEAMSTERS LOCAL 507 CER FUND

5425 WARNER ROAD
CLEVELAND
OH
44125
Type or Classification
(B)
CHARITABLE LABOR ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,219
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$5,219
REIMBURSED BLOOD BANK EXPENSES06/06/2016$5,219
Name and Address
(A)
THE SHOE HORN INC
2410 STATE ROAD

CUYAHOGA FALLS
OH
44223
Type or Classification
(B)
MERCHANDISR DISTRIBUTOR
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,148
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$10,148
GOLF OUTING GIFT MERCHANDISE08/24/2016$10,148
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 007-381

Name and Address
(A)
FIRST INSURANCE FUND
66468

CHICAGO
IL
60666
Type or Classification
(B)
INSURANCE AGENCY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,545
Total of All Transactions with this Payee/Payer for This Schedule$9,545
Name and Address
(A)
GARY M. TIBONI, CPA
630

COLUMBIA STATION
OH
44028
Type or Classification
(B)
ACCOUNTING SERVICES
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,540
Total of All Transactions with this Payee/Payer for This Schedule$11,540
Name and Address
(A)
TEAMSTERS LOCAL 436 PENSION FUND

6051 CAREY DRIVE
VALLEY VIEW
OH
44125
Type or Classification
(B)
BENEFIT PLAN
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,036
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$21,036
WITHDRAWAL LIABILITY PAYMENT02/10/2016$5,259
WITHDRAWAL LIABILITY PAYMENT04/01/2016$5,259
WITHDRAWAL LIABILITY PAYMENT06/21/2016$5,259
WITHDRAWAL LIABILITY PAYMENT09/13/2016$5,259
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 007-381

Name and Address
(A)
FAULKNER HOFFMAN & PHILLIPS

20445 EMERALD PARKWAY
CLEVELAND
OH
44135
Type or Classification
(B)
LAW FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$12,977
Total of All Transactions with this Payee/Payer for This Schedule$12,977
Name and Address
(A)
THACKER ROBINSON ZINZ LPA
1375 EAST 9TH STREET

CLEVELAND
OH
44114
Type or Classification
(B)
LAW FIRM
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,162
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$9,162
LEGAL SERVICES11/28/2016$9,162
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 007-381

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$206,442
SEVERANCE BENEFITSJOINT COUNCIL NO. 41 SEVERANCE PLAN$206,442
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 007-381


Question 10: JOINT COUNCIL NO. 41 SEVERANCE PLAN, EIN 34-6541609, PLAN NO. 001, PROVIDES SEVERANCE BENEFITS TO ELIGIBLE PARTICIPANTS AND IS ADMINISTERED AT 6051 CAREY DRIVE, VALLEY VIEW, OHIO 44125. THE PLAN FILES FORM 5500 WITH THE U.S. DEPARTMENT OF LABOR.

Question 15: AN OBSOLETE FULLY DEPRECIATED COMPUTER WITH A HISTORICAL COST OF $727, ACCUMULATED DEPRECIATION OF $727 AND A NET BOOK VALUE OF $0 WAS SCRAPPED.

Question 12: THE BOOKS AND RECORDS HAVE BEEN AUDITED BY OUTSIDE ACCOUNTANT GARY M. TIBONI, CPA.

Question 18: THE JOINT COUNCIL IS GOVERNED BY A UNIFORM CONSTITUTION PRESCRIBED BY THE INTERNATIONAL UNION, AND THE INTERNATIONAL UNION WILL FILE ON THE JOINT COUNCIL'S BEHALF.

General Information: JOINT COUNCIL NO. 41 COLLECTED PER CAPITA TAXES FROM 24 AFFILIATED LOCAL UNIONS AT THE RATE OF $1.30 PER MEMBER PER MONTH.
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)