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
009-267
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
5
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
MARC
Last Name
SNYDER
P.O Box - Building and Room Number
Number and Street
1426 SOUTH MAIN ST
City
SOUTH BEND
State
IN
ZIP Code + 4
466132298
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:
Joe L Taylor III
PRESIDENT
71. SIGNED:
Marc A Snyder
TREASURER
Date:
Mar 30, 2017
Telephone
Number:
574-876-3032
Date:
Mar 30, 2017
Telephone
Number:
574-289-5551
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
009-267
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?
$160,000
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?
06/2017
20. How many members did the labor organization
have at the end of the reporting period?
898
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 hrs st time
per
Month
n/a
n/a
(b) Working Dues/Fees
per
(c) Initiation Fees
30
per
One time
n/a
n/a
(d) Transfer Fees
per
(e) Work Permits
per
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
009-267
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$824,576
$673,929
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
27. Fixed Assets
6
$359,630
$361,283
28. Other Assets
7
$5,590
$6,357
29.
TOTAL ASSETS
$1,189,796
$1,041,569
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$37,687
31. Loans Payable
9
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$0
34. TOTAL
LIABILITIES
$37,687
$0
35. NET
ASSETS
$1,152,109
$1,041,569
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
009-267
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$655,353
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$2,620
39. Sale of Supplies
$13,646
40. Interest
$1,264
41. Dividends
$0
42. Rents
$3,070
43. Sale of Investments
and Fixed Assets
3
44. Loans Obtained
9
45. Repayments of Loans
Made
2
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$918
48. Other Receipts
14
$69,239
49. TOTAL RECEIPTS
$746,110
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$375,226
51.
Political Activities and Lobbying
16
$34,173
52.
Contributions, Gifts, and Grants
17
$14,491
53. General
Overhead
18
$31,373
54. Union
Administration
19
$6,333
55. Benefits
20
$3,002
56. Per
Capita Tax
$412,294
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$1,681
60. Purchase
of Investments and Fixed Assets
4
$1,653
61. Loans
Made
2
62.
Repayment of Loans Obtained
9
63. To
Affiliates of Funds Collected on Their Behalf
$0
64. On
Behalf of Individual Members
$918
65. Direct
Taxes
$18,467
66. Subtotal
$899,611
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$53,003
67b. Less Total
Disbursed
$50,149
67c.
Total Withheld But Not Disbursed
$2,854
68.
TOTAL DISBURSEMENTS
$896,757
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
009-267
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:
009-267
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:
009-267
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
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
009-267
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$1,653
$1,653
$1,653
Sony Camcorder
$998
$998
$998
Camera accessories
$85
$85
$85
Studio lights and backdrop
$141
$141
$141
Sure Microphone
$179
$179
$179
Zoom 4 track recorder
$250
$250
$250
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$1,653
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
009-267
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:
009-267
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
1426 S Main St South Bend, IN 46613
$56,095
$56,095
$56,095
B.
Buildings (give location)
Building
1
:
1426 S Main St South Bend, IN 46613
$242,196
$242,196
$242,196
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
$62,992
$62,992
$62,992
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$361,283
$0
$361,283
$361,283
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
009-267
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$6,357
Bibles
$869
Post Office Mailing Deposit
$336
Gas Meter Deposit
$250
Water Meter Deposit
$15
Hats, Shirts, Etc.
$4,887
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
009-267
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:
009-267
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:
009-267
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
009-267
(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
Davies
,
Anna
M Chair Conn-Selmer 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
Garza
,
Maria
Head Trustee C
$7,842
$180
$2,640
$0
$10,662
I
Schedule 15
Representational Activities
84
%
Schedule 16
Political Activities and Lobbying
3
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
13
%
A
B
C
Hacker
,
Timothy
Retiree Chair 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
Harris
,
Zola
Vice President C
$0
$900
$1,598
$0
$2,498
I
Schedule 15
Representational Activities
88
%
Schedule 16
Political Activities and Lobbying
12
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
Kati
,
B. Jean
Recording Secretary C
$1,239
$480
$775
$0
$2,494
I
Schedule 15
Representational Activities
96
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
Kazmierczak
,
Terrence
Guide C
$140
$0
$0
$0
$140
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
Pena
,
Joe
Trustee C
$4,739
$180
$0
$0
$4,919
I
Schedule 15
Representational Activities
75
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
20
%
A
B
C
Redding
,
Susan
Chair Patrick 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
Schweizer
,
Bruce
Chairman-AMG C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
99
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
1
%
A
B
C
Sickling
,
Mark
Chair UCC C
$11,079
$0
$0
$0
$11,079
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
Snyder
,
Marc
A Financial Secretary C
$69,043
$3,435
$3,061
$0
$75,539
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
%
A
B
C
Taylor III
,
Joe
L President C
$20,223
$1,740
$4,040
$0
$26,003
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
%
A
B
C
Tuttle
,
Gloria
Trustee C
$3,611
$180
$1,473
$0
$5,264
I
Schedule 15
Representational Activities
76
%
Schedule 16
Political Activities and Lobbying
2
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
22
%
A
B
C
Van De Putte
,
Daveda
Chair LEJ C
$988
$360
$748
$0
$2,096
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
%
A
B
C
Wagner
,
Rick
Chair-A Schulman/Saa C
$0
$0
$310
$0
$310
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
Welch
,
Kevin
R Chair Exel C
$2,504
$0
$1,640
$0
$4,144
I
Schedule 15
Representational Activities
96
%
Schedule 16
Political Activities and Lobbying
3
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
1
%
Total Officer
Disbursements
$121,408
$7,455
$16,285
$0
$145,148
Less Deductions
$33,594
Net
Disbursements
$111,554
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
009-267
(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
Kyle
,
Michelle
NA NA
$16,345
$240
$3,697
$0
$20,282
I
Schedule 15
Representational Activities
15
%
Schedule 16
Political Activities and Lobbying
85
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
Marsh
,
Harry
NA NA
$10,416
$0
$55
$0
$10,471
I
Schedule 15
Representational Activities
1
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
99
%
Schedule 19
Administration
0
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$47,808
$0
$12,536
$0
$60,344
I
Schedule 15
Representational Activities
66
%
Schedule 16
Political Activities and Lobbying
18
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
14
%
Schedule 19
Administration
2
%
Total
Employee Disbursements
$74,569
$240
$16,288
$0
$91,097
Less
Deductions
$19,409
Net Disbursements
$71,688
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
009-267
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
898
Agency Fee Payers*
0
Total Members/Fee Payers
898
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
898
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
009-267
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$27,898
2. Named Payer
Non-itemized Receipts
$15,722
3. All Other Receipts
$25,619
4. Total
Receipts
$69,239
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
$0
5. All Other
Disbursements
$14,491
6. Total
Disbursements
$14,491
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$69,165
2. Named Payee
Non-itemized Disbursements
$50,006
3. To Officers
$139,336
4. To Employees
$42,974
5. All Other
Disbursements
$73,745
6. Total
Disbursements
$375,226
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$5,400
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$18,814
5. All Other
Disbursements
$7,159
6. Total
Disbursements
$31,373
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$2,242
4. To Employees
$28,102
5. All Other
Disbursements
$3,829
6. Total
Disbursements
$34,173
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$3,569
4. To Employees
$1,207
5. All Other
Disbursements
$1,557
6. Total
Disbursements
$6,333
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
009-267
Name and Address
(A)
Galinda Taylor 217 Parkwood Lane
South Bend IN 46613
Type or Classification
(B)
Rec Comm
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,012
Total of All Transactions with this
Payee/Payer for This Schedule
$6,012
Name and Address
(A)
International Union U.A.W. 8000 East Jefferson Ave
Detriot MI 48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$27,898
Total
Non-Itemized Transactions with this Payee/Payer
$3,930
Total of All Transactions with this
Payee/Payer for This Schedule
$31,828
13TH REBATE
04/22/2016
$8,905
Advance on reimbursment (
07/27/2016
$18,993
Name and Address
(A)
St. Joseph County Cap Council 1426 S Main St
South Bend IN 46613
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,780
Total of All Transactions with this
Payee/Payer for This Schedule
$5,780
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
009-267
Name and Address
(A)
At&t PO Box 6463
Carol Stream IL 60197-6463
Type or Classification
(B)
Telephone Utility
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,138
Total of All Transactions with this
Payee/Payer for This Schedule
$7,138
Name and Address
(A)
Cedar Point 1 Cedar Point Drive
Sandusky OH 44870
Type or Classification
(B)
Amusement Park
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$8,454
Total
Non-Itemized Transactions with this Payee/Payer
$485
Total of All Transactions with this
Payee/Payer for This Schedule
$8,939
Balance for Cedar Point t
06/21/2016
$8,454
Name and Address
(A)
Hedwig Memorial Center 331 South Scott St
South Bend IN 46601
Type or Classification
(B)
Rental Hall
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,872
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$6,872
Banquet hall expenses X-m
12/12/2016
$6,872
Name and Address
(A)
Image Pointe 1224 Laporte Rd
Waterloo IA 50702
Type or Classification
(B)
Promo Items
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,380
Total of All Transactions with this
Payee/Payer for This Schedule
$5,380
Name and Address
(A)
Indiana Michigan Power PO Box 24401
Canton OH 44701-4401
Type or Classification
(B)
Utility - Electric
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$9,787
Total of All Transactions with this
Payee/Payer for This Schedule
$9,787
Name and Address
(A)
Macey Swanson And Allman 445 N Pennsylvania / #401
Indianapolis IN 46204-1800
Type or Classification
(B)
Law Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$9,902
Total
Non-Itemized Transactions with this Payee/Payer
$4,163
Total of All Transactions with this
Payee/Payer for This Schedule
$14,065
Balance owed for services
11/08/2016
$9,902
Name and Address
(A)
Region 2-B UAW 1691 Woodlands Dr
Maumee OH 43537
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$12,500
Total
Non-Itemized Transactions with this Payee/Payer
$2,846
Total of All Transactions with this
Payee/Payer for This Schedule
$15,346
REGISTRATION LEADERSHIP C
06/21/2016
$5,625
REGISTRATION LEADERSHIP C
08/17/2016
$6,875
Name and Address
(A)
Roberts Custom Software Inc. 3667 1st Street
East Moline IL 61244
Type or Classification
(B)
Software Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$8,439
Total of All Transactions with this
Payee/Payer for This Schedule
$8,439
Name and Address
(A)
Royal Excursion 12807 Mckinley Hwy
Mishawaka IN 46545
Type or Classification
(B)
Buses - Charters & Rental
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$11,178
Total of All Transactions with this
Payee/Payer for This Schedule
$11,178
Name and Address
(A)
St Joseph County 4H Fair Inc. 5117 South Ironwood Rd
South Bend IN 46614
Type or Classification
(B)
County Fairgrounds
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$25,166
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$25,166
Picnic Expenses
08/12/2016
$25,166
Name and Address
(A)
Union Insurance Group 303 W Erie St
Chicago IL 60654
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,271
Total
Non-Itemized Transactions with this Payee/Payer
$590
Total of All Transactions with this
Payee/Payer for This Schedule
$6,861
Liability Policy
02/03/2016
$6,271
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
009-267
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:
009-267
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:
009-267
Name and Address
(A)
Charles Pates Jr. 57320 Alan RD
South Bend IN 46619
Type or Classification
(B)
Roofer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,400
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,400
Deposit for new roof
06/24/2016
$5,400
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
009-267
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:
009-267
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$3,002
Workers Compension Insurance
Amtrust North America
$3,002
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
009-267
Question 18: : The organization's local by-laws were amended during the reporting year and are therefore attached to this report.
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:
Statement A,
Cash begin total: Beginning balance increased by $132 to account for voids from a previous period
Schedule 13, Row1:
Schedule 13, Row1::Anyone who has applied and been accepted for membership is a regular member.Regular members pay full dues
Schedule 13, Row1:
Schedule 13, Row1::
General Information: During the reporting period, the local gave away bibles valued at $747 to families of members who passed away. At the beginning of the reporting period, the local had resale items (hats, shirts, jackets, trinkets and bibles) valued at $4,989. During the course of the reporting period, the local purchased additional items at a cost of $15,674, sold items valued at $8,940 and gave away items valued at $5,966 leaving the local with resale items valued at $5,757.