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
064-778
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
AUTO WORKERS AFL-CIO
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
1435
7. UNIT NAME (if any)

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

Number and Street
29781 OREGON ROAD
City
PERRYSBURG
State
OH
ZIP Code + 4
435514527


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:Robert A BickerstaffPRESIDENT71. SIGNED:Karen M NeffTREASURER
Date:Apr 04, 2017Telephone Number:419-661-3477Date:Apr 04, 2017Telephone Number:419-666-7070
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 064-778
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?No
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?No
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?No
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$190,000
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?06/2017
20. How many members did the labor organization have at the end of the reporting period?1,094
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 St TimeperMONTHN/AN/A
(b) Working Dues/Fees0per
(c) Initiation Fees40per
(d) Transfer Fees0per
(e) Work Permits0per

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 064-778

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $800,193$873,396
23. Accounts Receivable1$0
24. Loans Receivable2
25. U.S. Treasury Securities $0$0
26. Investments5
27. Fixed Assets6$1,059,783$1,059,783
28. Other Assets7$2,224$4,944
29. TOTAL ASSETS $1,862,200$1,938,123

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$55,726$48,984
31. Loans Payable9
32. Mortgages Payable $0$0
33. Other Liabilities10$3,278$1,421
34. TOTAL LIABILITIES $59,004$50,405
35. NET ASSETS$1,803,196$1,887,718
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 064-778

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,025,339
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $320
39. Sale of Supplies $1,082
40. Interest $0
41. Dividends $0
42. Rents $0
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $22,237
48. Other Receipts14$51,303
49. TOTAL RECEIPTS $1,100,281
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$37,129
51. Political Activities and Lobbying16$778
52. Contributions, Gifts, and Grants17$21,557
53. General Overhead18$70,119
54. Union Administration19$203,494
55. Benefits20$9,793
56. Per Capita Tax $639,053
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $9,759
65. Direct Taxes $35,797
  
66. Subtotal $1,027,479
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$34,186  
  67b. Less Total Disbursed$33,785  
  67c. Total Withheld But Not Disbursed $401
68. TOTAL DISBURSEMENTS $1,027,078
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 064-778

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: 064-778

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: 064-778

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: 064-778

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 
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases 
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 064-778

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: 064-778

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      29781 Oregon Rd., Perrysburg, OH 43551$38,541 $38,541$38,541
B. Buildings (give location)    
Building  1 :      29781 Oregon Rd., Perrysburg, OH 43551$890,934$890,934$890,934
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$130,308$130,308$130,308
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,059,783$0$1,059,783$1,059,783
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 064-778

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $4,944
25 Watches @ $120$3,000
59 Bibles @ $32.95$1,944
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 064-778

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$48,984$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $48,984$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 064-778

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: 064-778

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,421
Federal Income Tax (941)$942
State Tax Paid & Fwded$292
Local Tax Paid & Fwded$4
State Unemployment Tax$42
City Tax Paid & Fwded$141
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 064-778

(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
Bainter ,  Eugene  
Unit 4 Chair
P
$877$80$0$0$957
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
Bickerstaff ,  Robert  
President
C
$21,290$5,146$293$0$26,729
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
98 %
A
B
C
Bradford ,  Lauri  
Unit 3 chair
C
$969$497$32$0$1,498
I
Schedule 15
Representational Activities
67 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
33 %
A
B
C
Cutcher ,  Jeremiah   M
Trustee
C
$1,676$54$0$0$1,730
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
Duling ,  Stephani   E
Unit 19 Chair
C
$815$0$32$0$847
I
Schedule 15
Representational Activities
44 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
56 %
A
B
C
Ewing ,  David  
Vice President
C
$830$940$97$0$1,867
I
Schedule 15
Representational Activities
18 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
82 %
A
B
C
Fletcher ,  Veda  
Trustee
C
$510$25$0$0$535
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
Holman ,  Nathan  
Local Guide
C
$119$0$127$0$246
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
Isaac ,  Ernest   N
Unit 742 Chair
C
$239$480$97$0$816
I
Schedule 15
Representational Activities
67 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
33 %
A
B
C
Kovacs ,  Thomas  
Trustee
C
$1,010$0$322$0$1,332
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
Neff ,  Karen   M
Financial Secretary
C
$66,052$10,085$2,035$0$78,172
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
Richards ,  Pamela  
Ret. Chapter Pres.
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
Sill ,  Karl  
Rec. Sec.
C
$542$2,080$32$0$2,654
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
96 %
A
B
C
Stacklin II ,  August   J
Unit 4 Chair
N
$701$160$32$0$893
I
Schedule 15
Representational Activities
67 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
33 %
A
B
C
Tayler ,  Johnny  
Unit 1 chair
C
$464$2,400$97$0$2,961
I
Schedule 15
Representational Activities
40 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
60 %
A
B
C
Walbolt ,  Timothy   B
Trustee
N
$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
Walls ,  Myron  
Sgt. At Arms
C
$755$0$0$0$755
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$96,849$21,947$3,196$0$121,992
Less Deductions    $28,129
Net Disbursements    $93,863
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 064-778

(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
Lozano ,  Elaine   M
NA
NA
$9,775$0$343$0$10,118
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$21,783$420$3,724$25,927
I Schedule 15
Representational Activities
6 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
91 %
Total Employee Disbursements$31,558$420$4,067$0$36,045
Less Deductions    $5,994
Net Disbursements    $30,051
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 064-778

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,094 
Agency Fee Payers*
Total Members/Fee Payers1,094 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members1,094Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 064-778

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$48,263
2. Named Payer Non-itemized Receipts$600
3. All Other Receipts$2,440
4. Total Receipts$51,303
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$5,500
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$16,057
6. Total Disbursements$21,557
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$10,421
2. Named Payee Non-itemized Disbursements$725
3. To Officers$4,683
4. To Employees$11,674
5. All Other Disbursements$9,626
6. Total Disbursements$37,129
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$28,050
2. Named Payee Non-itemized Disbursements$9,143
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$32,926
6. Total Disbursements$70,119
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$778
5. All Other Disbursements$0
6. Total Disbursements$778
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$5,572
2. Named Payee Non-itemized Disbursements$15,175
3. To Officers$117,309
4. To Employees$23,594
5. All Other Disbursements$41,844
6. Total Disbursements$203,494
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 064-778

Name and Address
(A)
Emma Jean Winkle
413 Parklane Dr.

Wallbridge
OH
43465
Type or Classification
(B)
Retiree Activities
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,354
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$18,354
Louisville trip08/16/2016$18,354
Name and Address
(A)
International Union Uaw
P.O. Box 77000

Detroit
MI
48277-1277
Type or Classification
(B)
Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$29,909
Total Non-Itemized Transactions with this Payee/Payer$600
Total of All Transactions with this Payee/Payer for This Schedule$30,509
9-18-15 RAT. MTG.01/27/2016$7,065
10/9/15 RAT. MTG.01/27/2016$6,557
REBATE04/18/2016$16,287
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 064-778

Name and Address
(A)
Premier Catering
4480 Heatherdowns Blvd

Toledo
OH
43614
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,421
Total Non-Itemized Transactions with this Payee/Payer$725
Total of All Transactions with this Payee/Payer for This Schedule$11,146
Holiday dinner dance12/08/2016$10,421
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 064-778

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: 064-778

Name and Address
(A)
Hospice Of Nw Ohio
30000 E. River Rd

Perrysburg
OH
43551
Type or Classification
(B)
Charity
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,500
Donation10/06/2016$5,500
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 064-778

Name and Address
(A)
Impressions Specialty Ad.
8914 S. Telegraph Rd.

Taylor
MI
48180
Type or Classification
(B)
Screen Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,050
Total Non-Itemized Transactions with this Payee/Payer$432
Total of All Transactions with this Payee/Payer for This Schedule$12,482
open house10/12/2016$5,000
open house10/12/2016$7,050
Name and Address
(A)
Lakefront Lines
P.O. Box 81172

Toledo
OH
44181-1172
Type or Classification
(B)
Travel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,000
Total Non-Itemized Transactions with this Payee/Payer$984
Total of All Transactions with this Payee/Payer for This Schedule$16,984
Louisville trip08/25/2016$16,000
Name and Address
(A)
The Image Group
1255 Corporate Dr

Holland
OH
43528
Type or Classification
(B)
Clothing Mfg
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,727
Total of All Transactions with this Payee/Payer for This Schedule$7,727
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 064-778

Name and Address
(A)
Columbia Gas
P.O. Box 742510

Cincinnati
OH
45274-2510
Type or Classification
(B)
Utility Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,210
Total of All Transactions with this Payee/Payer for This Schedule$5,210
Name and Address
(A)
International Union Uaw
8000 E.Jefferson Ave.

Detroit
MI
48214
Type or Classification
(B)
Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,572
Total Non-Itemized Transactions with this Payee/Payer$1,080
Total of All Transactions with this Payee/Payer for This Schedule$6,652
2015 Contract books12/15/2016$5,572
Name and Address
(A)
Toledo Edison
P.O.Box 3638

Akron
OH
44309-3638
Type or Classification
(B)
Electric Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,885
Total of All Transactions with this Payee/Payer for This Schedule$8,885
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 064-778

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$9,793
Dental/Hearing/Medical/Vision InsuranceFCA$9,793
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 064-778


Statement A,

Cash Begin Total: Beginning balance changed due to voided checks in the amount of $342 from previous year.

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:
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)