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
043-064
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
651
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
TRISKA
Last Name
FORSYTH
P.O Box - Building and Room Number
LOCAL 651
Number and Street
3518 ROBERT T LONGWAY BLVD
City
FLINT
State
MI
ZIP Code + 4
48506
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:
Brett R Baker
PRESIDENT
71. SIGNED:
Triska L Forsyth
TREASURER
Date:
Mar 30, 2017
Telephone
Number:
810-275-2552
Date:
Mar 29, 2017
Telephone
Number:
810-742-7420
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
043-064
10. During the reporting period did the labor
organization create or participate in the administration of
a trust or a fund or organization, as defined in the
instructions, which provides benefits for members or
beneficiaries?
Yes
11(a). During the reporting period did the
labor organization have a political action committee (PAC)
fund?
No
11(b). During the reporting period did the
labor organization have a subsidiary organization as
defined in Section X of these Instructions?
Yes
12. During the reporting period did the labor
organization have an audit or review of its books and
records by an outside accountant or by a parent body
auditor/representative?
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?
$100,000
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?
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?
595
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 1/2 hours str
per
month
0
0
(b) Working Dues/Fees
n/a
per
n/a
n/a
n/a
(c) Initiation Fees
25
per
one time
0
0
(d) Transfer Fees
0
per
0
0
0
(e) Work Permits
0
per
0
0
0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
043-064
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$408,863
$383,648
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
$1,417,743
$1,396,823
28. Other Assets
7
$20,920
$21,828
29.
TOTAL ASSETS
$1,847,526
$1,802,299
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$68,269
$30,525
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$1,184
$2,720
34. TOTAL
LIABILITIES
$69,453
$33,245
35. NET
ASSETS
$1,778,073
$1,769,054
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
043-064
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$648,899
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$750
39. Sale of Supplies
$0
40. Interest
$1,256
41. Dividends
$0
42. Rents
$25,068
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
$5,324
47. From Members for
Disbursement on Their Behalf
$300
48. Other Receipts
14
$77,298
49. TOTAL RECEIPTS
$758,895
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$83,120
51.
Political Activities and Lobbying
16
$3,734
52.
Contributions, Gifts, and Grants
17
$6,033
53. General
Overhead
18
$45,095
54. Union
Administration
19
$209,649
55. Benefits
20
$0
56. Per
Capita Tax
$409,916
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$100
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$0
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
$300
65. Direct
Taxes
$27,624
66. Subtotal
$785,571
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$33,607
67b. Less Total
Disbursed
$32,146
67c.
Total Withheld But Not Disbursed
$1,461
68.
TOTAL DISBURSEMENTS
$784,110
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
043-064
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
none
$0
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 2 - LOANS
RECEIVABLE
FILE NUMBER:
043-064
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:
043-064
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:
043-064
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$0
$0
$0
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
043-064
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:
043-064
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
3518 Robert T Longway BLVD,Flint MI 48506
$56,955
$56,955
$56,955
B.
Buildings (give location)
Building
1
:
3518 Robert T Longway BLVD, Flint MI 48506
$1,201,021
$0
$1,201,021
$1,201,021
C. Automobiles
and
Other Vehicles
$0
$0
$0
$0
D. Office
Furniture
and Equipment
$138,847
$0
$138,847
$138,847
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$1,396,823
$0
$1,396,823
$1,396,823
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
043-064
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$21,828
Bibles
$1,917
Service rings 25yr
$19,911
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
043-064
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
$28,329
$0
$0
$0
Total from all other accounts payable
$2,196
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$30,525
$0
$0
$0
Per Capita tax
$28,329
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
043-064
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:
043-064
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$2,720
Federal Income Taxes
$1,105
Fica-Employee OASDI
$674
City Income taxes
$69
Fica Employer OASDI
$674
Unemployment Federal
$33
Unemployment State
$165
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
043-064
(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
Baker
,
Brett
Acting President C
$1,502
$0
$743
$0
$2,245
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
Cheathams
,
Anthony
Chairman C
$1,589
$0
$769
$0
$2,358
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
Craker
,
Amy
J Trustee C
$1,224
$0
$0
$0
$1,224
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
Dudley
,
Brenda
Trustee C
$1,191
$0
$312
$0
$1,503
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
Forsyth
,
Triska
Financial Sec'y C
$19,545
$0
$173
$0
$19,718
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
Leafi
,
Alexander
President P
$1,691
$0
$2,167
$0
$3,858
I
Schedule 15
Representational Activities
17
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
83
%
A
B
C
Orr
,
Charlise
Y Guide C
$85
$0
$146
$0
$231
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
Parker
,
Amanda
L Recording Sec'y C
$6,786
$0
$377
$0
$7,163
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
Rusetzke
,
Jessica
Trustee C
$683
$0
$0
$0
$683
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
Stanley
,
Ryan
Committee C
$30
$0
$0
$0
$30
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
Summers
,
John
L Sergeant Of Arms C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
Weatherford
,
Bobbie
Retiree Pres 0385 C
$0
$324
$2,585
$0
$2,909
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
24
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
76
%
Total Officer
Disbursements
$34,326
$324
$7,272
$0
$41,922
Less Deductions
$7,995
Net
Disbursements
$33,927
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
043-064
(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
Allen
,
Mary
J Secretary NA
$21,924
$0
$0
$0
$21,924
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
Threlkeld
,
Antonia
R NA NA
$41,800
$0
$16,788
$0
$58,588
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
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$27,591
$2,394
$9,104
$0
$39,089
I
Schedule 15
Representational Activities
39
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
1
%
Schedule 18
General Overhead
8
%
Schedule 19
Administration
51
%
Total
Employee Disbursements
$91,315
$2,394
$25,892
$0
$119,601
Less
Deductions
$25,611
Net Disbursements
$93,990
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
043-064
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
595
Agency Fee Payers*
Total Members/Fee Payers
595
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
595
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
043-064
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$34,397
2. Named Payer
Non-itemized Receipts
$35,446
3. All Other Receipts
$7,455
4. Total
Receipts
$77,298
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$391
5. All Other
Disbursements
$5,642
6. Total
Disbursements
$6,033
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$656
4. To Employees
$73,833
5. All Other
Disbursements
$8,631
6. Total
Disbursements
$83,120
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$13,412
3. To Officers
$0
4. To Employees
$3,127
5. All Other
Disbursements
$28,556
6. Total
Disbursements
$45,095
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$698
4. To Employees
$391
5. All Other
Disbursements
$2,645
6. Total
Disbursements
$3,734
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$48,920
2. Named Payee
Non-itemized Disbursements
$23,297
3. To Officers
$40,568
4. To Employees
$41,859
5. All Other
Disbursements
$55,005
6. Total
Disbursements
$209,649
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
043-064
Name and Address
(A)
International Union Uaw 8000 East Jefferson Avenue
Detroit MI 48214
Type or Classification
(B)
United Auto Worker
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$29,346
Total
Non-Itemized Transactions with this Payee/Payer
$10,128
Total of All Transactions with this
Payee/Payer for This Schedule
$39,474
Advance Temp Organizing A
02/08/2016
$14,558
13TH REBATE
04/18/2016
$7,509
Advance Temp Organizing A
04/25/2016
$7,279
Name and Address
(A)
UAW Local 651 Region 1D 1940 W Atherton Rd
Flint MI 48507
Type or Classification
(B)
Union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,051
Total
Non-Itemized Transactions with this Payee/Payer
$25,318
Total of All Transactions with this
Payee/Payer for This Schedule
$30,369
Advance Temp Organizing -
08/15/2016
$5,051
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
043-064
There was no data
found for this schedule.
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
043-064
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:
043-064
Name and Address
(A)
-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
Total of All Transactions with this
Payee/Payer for This Schedule
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
043-064
Name and Address
(A)
Saginaw Bus Center 511 Johnson
Saginaw MI 48607
Type or Classification
(B)
Rental Bus
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$13,412
Total of All Transactions with this
Payee/Payer for This Schedule
$13,412
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
043-064
Name and Address
(A)
Consumers Energy PO Box 740309
Cincinnati OH 45274-0309
Type or Classification
(B)
Electricity/Gas
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$23,248
Total of All Transactions with this
Payee/Payer for This Schedule
$23,248
Name and Address
(A)
Frankenmuth Insurance 1 Mutual Avenue
Frankenmuth MI 48787-0001
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,271
Total
Non-Itemized Transactions with this Payee/Payer
$49
Total of All Transactions with this
Payee/Payer for This Schedule
$5,320
10/21/16-10/21/17
11/10/2016
$5,271
Name and Address
(A)
T.N.T & Associates and/ or Radiant Enery Systems 3415 N. Fleming
Fowlerville MI 48836
Type or Classification
(B)
Heating & Cooling
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$43,649
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$43,649
half of last payment
08/15/2016
$7,760
$15958 less balance of $8
09/06/2016
$7,719
heating/cooling replaceme
07/06/2016
$12,691
heating/cooling
07/12/2016
$15,479
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
043-064
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
043-064
Question 11(b):
Question 11(b): : Operations of the Building Corporation are handled through the books and records of the local union and therefore are included in this report.
Question 12: International Auditor
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: adjusted due to checks voided from previous year
Statement A,
Accounts Receivable Begin Total: Bengining balance did not pre-fill.
Statement A,
Loans Receivable Begin Total: Beginning balance did not pre-fill
Statement A,Treasury Begin Total: Beginning balance did not pre-fill.
Statement A,Investments Begin Total: Beginning balance did not pre-fill.
Statement A,Fixed Assets Value Begin Total: Beginning balance did not pre-fill.
Statement A,Other Asset Book Value Begin Total: Beginning balance did not pre-fill.
Statement A,
Accounts Payable Begin Total: Beginning balance did not pre-fill.
Statement A,
Loans Payable Begin Total: Beginning balanced did not pre-fill.
Statement A,Mortagages Payable Begin Total: Beginning balance did not pre-fill.
Statement A,Other Liabilities Amount Begin Total: Begining balance did not pre-fill.
Schedule 1, Row1:
Schedule 1, Row1::
Schedule 8, Row1:
Schedule 8, Row1::
Schedule 13, Row1:
Schedule 13, Row1:
Schedule 13, Row1:
Schedule 13, Row1:Anyone who has applied for membership is a regular member. Regular members pay full dues.