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
516-889
2. PERIOD COVERED
From01/01/2017
Through12/31/2017
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
2209
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
SHANE
 Last Name
DAVIS
P.O Box - Building and Room Number
PO BOX 579
Number and Street
5820 EAST 900 NORTH
City
ROANOKE
State
IN		 ZIP Code + 4
46783


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:Holli MurphyPRESIDENT71. SIGNED:Shane B DavisTREASURER
Date:Mar 02, 2018Telephone Number:260-672-2209Date:Mar 02, 2018Telephone Number:260-672-2209
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 516-889
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?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?$450,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?Yes
16. Were any of the labor organization's assets pledged as security or encumbered in any way at the end of the reporting period?No
17. Did the labor organization have any contingent liabilities at the end of the reporting period?No
18. During the reporting period did the labor organization have any changes in its constitution or bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?No
19. What is the date of the labor organization's next regular election of officers?05/2020
20. How many members did the labor organization have at the end of the reporting period?3,626
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 of straight time paypermonthn/an/a
(b) Working Dues/Fees0per
(c) Initiation Fees20perone timen/an/a
(d) Transfer Fees0per
(e) Work Permits0per

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 516-889

ASSETS
ASSETS Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
22. Cash $758,121$982,748
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$1,302,618$1,301,102
28. Other Assets7$1,122$2,808
29. TOTAL ASSETS $2,061,861$2,286,658

LIABILITIES
LIABILITIES Schedule
Number 		Start of Reporting Period
(A) 		End of Reporting Period
(B)
30. Accounts Payable8$0$0
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$390$1,350
34. TOTAL LIABILITIES $390$1,350
35. NET ASSETS$2,061,471$2,285,308
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 516-889

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $3,520,331
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $4,246
39. Sale of Supplies $19,060
40. Interest $1,121
41. Dividends $0
42. Rents $300
43. Sale of Investments and Fixed Assets3$458
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $13,870
48. Other Receipts14$174,697
49. TOTAL RECEIPTS $3,734,083
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$400,220
51. Political Activities and Lobbying16$51,515
52. Contributions, Gifts, and Grants17$180,500
53. General Overhead18$98,630
54. Union Administration19$449,143
55. Benefits20$30,957
56. Per Capita Tax $2,195,105
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $300
59. Supplies for Resale $13,077
60. Purchase of Investments and Fixed Assets4$24,816
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $9,196
65. Direct Taxes $56,263
  
66. Subtotal $3,509,722
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$156,772  
  67b. Less Total Disbursed$156,504  
  67c. Total Withheld But Not Disbursed $268
68. TOTAL DISBURSEMENTS $3,509,454
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 516-889

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: 516-889

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: 516-889

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$458$458$458$458
UNIT 4 CHAIRMAN LAPTOP$458$458$458$458
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$458
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 516-889

Description (if land or buildings, give location)
(A) 		Cost
(B) 		Book Value
(C) 		Cash Paid
(D)
Total of all lines above$24,816$24,816$24,816
Perry Pro Tech Copy, scan, fax machine$13,053$13,053$13,053
Desktop computer $700$700$700
Laptop computer$600$600$600
Desktop computer with 2 monitors$1,519$1,519$1,519
Sound system$5,995$5,995$5,995
ID CARD MAKER $2,949$2,949$2,949
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$24,816
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 516-889

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: 516-889

Description
(A) 		Cost or Other Basis
(B) 		Total Depreciation or
Amount Expensed
(C) 		Book Value
(D) 		Value
(E)
A. Land (give location)    
Land  1 :      5820 E 900 N ROANOKE, IN. 46783$27,005 $27,005$27,005
B. Buildings (give location)    
Building  1 :      5820 E 900 N ROANOKE, IN. 46783$1,006,689$0$1,006,689$1,006,689
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$267,408$0$267,408$267,408
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,301,102$0$1,301,102$1,301,102
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 516-889

Description
(A) 		Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $2,808
31 Bibles @33 each$1,023
31 uaw binders @30 each$930
57 uaw stocking hats @15 each$855
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 516-889

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: 516-889

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: 516-889

Description
(A) 		Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,350
Federal Unemployment taxes (FUTA)$456
State Unemployment taxes (SUTA)$711
State Sales tax$183
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 516-889

(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 		Babler ,  Keith   A
UNIT 1 ZONE
N		$2,600$0$1,118$0$3,718
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 		Bartkowiak ,  David   M
TRUSTEE
C		$11,264$334$2,427$0$14,025
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		4 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		95 %
A
B
C 		Bovie-Koomler ,  Diana   R
RETIREE CHAIRMAN
C		$0$0$1,727$0$1,727
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 		Bradbury ,  Daniel   R
SARGEANT AT ARMS
P		$445$0$0$0$445
I
Schedule 15
Representational Activities 		86 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		14 %
A
B
C 		Cantasano ,  Anthony   F
UNIT 1 ZONE
C		$3,130$0$940$0$4,070
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 		Cornish ,  David   M
UNIT 1 ZONE
P		$1,177$0$77$0$1,254
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 		Davis ,  Shane   B
Financial Secretary
C		$53,954$0$8,467$0$62,421
I
Schedule 15
Representational Activities 		4 % Schedule 16
Political Activities and Lobbying 		2 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		94 %
A
B
C 		Dohner Jr ,  John   C
UNIT 1 ZONE
C		$2,819$0$807$0$3,626
I
Schedule 15
Representational Activities 		99 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		0 %
A
B
C 		Gevaart ,  Mark   G
Vice President
P		$5,677$468$0$0$6,145
I
Schedule 15
Representational Activities 		1 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		99 %
A
B
C 		Hartman ,  Brian   C
PRESIDENT
P		$3,572$0$1,730$0$5,302
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 		Houston ,  Amy   B
RECORDING SECRETARY
C		$36,860$0$2,683$0$39,543
I
Schedule 15
Representational Activities 		8 % Schedule 16
Political Activities and Lobbying 		5 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		87 %
A
B
C 		Johnson ,  Benjamin   T
GUIDE
P		$1,413$0$229$0$1,642
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 		Kinsey ,  John  
Sergent At Arms
N		$2,394$0$250$0$2,644
I
Schedule 15
Representational Activities 		4 % Schedule 16
Political Activities and Lobbying 		10 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		86 %
A
B
C 		Ladd ,  Melinda   L
TRUSTEE
N		$8,423$225$496$0$9,144
I
Schedule 15
Representational Activities 		25 % Schedule 16
Political Activities and Lobbying 		14 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		61 %
A
B
C 		Letourneau Jr ,  Richard   P
UNIT 1 CHAIRMAN
C		$1,297$0$2,042$0$3,339
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 		McKibben ,  Derrick   T
Vice President
N		$23,669$0$430$0$24,099
I
Schedule 15
Representational Activities 		60 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		39 %
A
B
C 		Mcclain ,  Michael  
UNIT 2 CHAIRMAN
C		$1,874$0$1,177$0$3,051
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 		Murphy ,  Holli   M
PRESIDENT
C		$5,592$297$3,603$0$9,492
I
Schedule 15
Representational Activities 		4 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		95 %
A
B
C 		Sargent ,  Cory   H
TRUSTEE
P		$3,568$0$0$0$3,568
I
Schedule 15
Representational Activities 		9 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		91 %
A
B
C 		Stafford ,  Jesse  
UNIT 3 CHAIRMAN
N		$1,926$0$544$0$2,470
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		2 %
A
B
C 		Teller ,  Jamie  
GUIDE
N		$4,847$251$1,399$0$6,497
I
Schedule 15
Representational Activities 		34 % Schedule 16
Political Activities and Lobbying 		28 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		38 %
A
B
C 		Watson ,  Deanna   L
TRUSTEE
N		$6,005$129$1,282$0$7,416
I
Schedule 15
Representational Activities 		20 % Schedule 16
Political Activities and Lobbying 		18 % Schedule 17
Contributions 		18 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		44 %
A
B
C 		Williams ,  DaVontae   D
UNIT 4 CHAIRMAN
C		$2,206$0$1,063$0$3,269
I
Schedule 15
Representational Activities 		96 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		3 %
Total Officer Disbursements$184,712$1,704$32,491$0$218,907
Less Deductions    $48,919
Net Disbursements    $169,988
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 516-889

(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 		Bedford ,  Gregory   J
NA
NA		$5,278$0$5,589$0$10,867
I
Schedule 15
Representational Activities 		60 % Schedule 16
Political Activities and Lobbying 		8 % Schedule 17
Contributions 		20 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		12 %
A
B
C 		Depew ,  Tony   P
NA
NA		$10,107$0$39$0$10,146
I
Schedule 15
Representational Activities 		11 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		89 %
A
B
C 		Jackson ,  Todd  
Maintenance
NA		$43,963$0$113$0$44,076
I
Schedule 15
Representational Activities 		0 % Schedule 16
Political Activities and Lobbying 		0 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		98 % Schedule 19
Administration 		2 %
A
B
C 		Keeser ,  Erika  
NA
NA		$53,921$0$47$0$53,968
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 		Mangrum ,  Chrissy  
NA
NA		$23,592$0$5,320$0$28,912
I
Schedule 15
Representational Activities 		97 % Schedule 16
Political Activities and Lobbying 		1 % Schedule 17
Contributions 		1 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		1 %
A
B
C 		Meier ,  Amanda   J
NA
NA		$11,387$0$1,497$0$12,884
I
Schedule 15
Representational Activities 		29 % Schedule 16
Political Activities and Lobbying 		36 % Schedule 17
Contributions 		8 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		27 %
A
B
C 		Sterk ,  Matthew   T
NA
NA		$8,059$0$2,366$0$10,425
I
Schedule 15
Representational Activities 		88 % Schedule 16
Political Activities and Lobbying 		3 % Schedule 17
Contributions 		0 % Schedule 18
General Overhead 		0 % Schedule 19
Administration 		9 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$302,370$0$57,497$0$359,867
I Schedule 15
Representational Activities 		35 % Schedule 16
Political Activities and Lobbying 		6 % Schedule 17
Contributions 		6 % Schedule 18
General Overhead 		12 % Schedule 19
Administration 		41 %
Total Employee Disbursements$458,677$0$72,468$0$531,145
Less Deductions    $107,853
Net Disbursements    $423,292
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 516-889

Category of Membership
(A) 		Number
(B) 		Voting Eligibility
(C)
Members (Total of all lines above) 3,626 
Agency Fee Payers*0
Total Members/Fee Payers3,626 
*Agency Fee Payers are not considered members of the labor organization.
Regular members3,626Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 516-889

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$79,130
2. Named Payer Non-itemized Receipts$40,671
3. All Other Receipts$54,896
4. Total Receipts$174,697
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$58,736
2. Named Payee Non-itemized Disbursements$29,396
3. To Officers$1,371
4. To Employees$25,085
5. All Other Disbursements$65,912
6. Total Disbursements$180,500
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$52,348
2. Named Payee Non-itemized Disbursements$44,061
3. To Officers$54,674
4. To Employees$174,544
5. All Other Disbursements$74,593
6. Total Disbursements$400,220
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$5,243
3. To Officers$0
4. To Employees$86,378
5. All Other Disbursements$7,009
6. Total Disbursements$98,630
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$6,000
2. Named Payee Non-itemized Disbursements$2,175
3. To Officers$8,878
4. To Employees$27,701
5. All Other Disbursements$6,761
6. Total Disbursements$51,515
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$10,775
2. Named Payee Non-itemized Disbursements$6,645
3. To Officers$153,983
4. To Employees$217,435
5. All Other Disbursements$60,305
6. Total Disbursements$449,143
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 516-889

Name and Address
(A)
ADAM CLARK
PO BOX 579

Roanoke
IN
46783
Type or Classification
(B)
CHARITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,095
Total Non-Itemized Transactions with this Payee/Payer$22,936
Total of All Transactions with this Payee/Payer for This Schedule$36,031
MAKE A WISH CAMPAIGN05/10/2017$6,244
MAKE A WISH CAMPAIGN05/31/2017$6,851
Name and Address
(A)
EVENTBRITE
155 5TH STREET

San Francisco
CA
94103
Type or Classification
(B)
EVENT PAYMENT PROCESSING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,466
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,466
MONSTER DASH EVENT REGISTRATIONS11/30/2017$1,833
PEDAL POKER REGISTRATIONS06/30/2017$3,633
Name and Address
(A)
International Union Uaw
8000 East Jefferson Ave

Detroit
MI
48217-3963
Type or Classification
(B)
Labor Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$42,204
Total Non-Itemized Transactions with this Payee/Payer$6,255
Total of All Transactions with this Payee/Payer for This Schedule$48,459
13 REBATE CHECK04/29/2017$42,204
Name and Address
(A)
Krishana Lear
PO BOX 579

Roanoke
IN
46783
Type or Classification
(B)
CHARITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,790
Total Non-Itemized Transactions with this Payee/Payer$6,483
Total of All Transactions with this Payee/Payer for This Schedule$12,273
MARCH OF DIMES CAMPAIGN03/17/2017$5,790
Name and Address
(A)
VETERANS COMMITTEE
PO BOX 579

Roanoke
IN
46783
Type or Classification
(B)
CHARITY GROUP
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,575
Total Non-Itemized Transactions with this Payee/Payer$4,997
Total of All Transactions with this Payee/Payer for This Schedule$17,572
VETS SHIRT DRIVE05/25/2017$5,365
VETS POKER RUN06/30/2017$7,210
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 516-889

Name and Address
(A)
Brookwood Golf Club
10304 Bluffton Rd.

Fort Wayne
IN
46899
Type or Classification
(B)
Golf Course
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,796
Total Non-Itemized Transactions with this Payee/Payer$4,234
Total of All Transactions with this Payee/Payer for This Schedule$11,030
MAKE A WISH GOLF OUTING06/27/2017$6,796
Name and Address
(A)
FORT WAYNE PRINTING COMPANY INC
909 PRODUCTION RD

Fort Wayne
IN
46808
Type or Classification
(B)
Printer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$15,773
Total of All Transactions with this Payee/Payer for This Schedule$15,773
Name and Address
(A)
Heartland Remc
PO Box 605

Markle
IN
46770-0605
Type or Classification
(B)
Utility
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,121
Total of All Transactions with this Payee/Payer for This Schedule$6,121
Name and Address
(A)
International Union Uaw
8000 East Jefferson Ave

Detroit
MI
48217-3963
Type or Classification
(B)
Labor Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,497
Total of All Transactions with this Payee/Payer for This Schedule$7,497
Name and Address
(A)
Region 2-B Uaw
1691 Woodlands Drive

Maumee
OH
43537
Type or Classification
(B)
Region 2B Office
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,800
Total Non-Itemized Transactions with this Payee/Payer$4,540
Total of All Transactions with this Payee/Payer for This Schedule$30,340
20 DELEGATES TO JULY LEAD TRAINING05/25/2017$12,900
20 DELEGATES TO SEPT LEAD TRAINING05/25/2017$12,900
Name and Address
(A)
Roberts Custom Software
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$6,242
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,242
MAINT AND SUPPORT COST 3 YEARS01/26/2017$6,242
Name and Address
(A)
Seneca Insurance Company Inc
160 Water Street

New York
NY
10038-4922
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,539
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,539
POLICY UCM5342570 COMMERCIAL INSURANCE11/16/2017$5,539
Name and Address
(A)
Suburban Propane
PO Box 290

Whippany
NJ
07981-0290
Type or Classification
(B)
Propane Gas
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,896
Total of All Transactions with this Payee/Payer for This Schedule$5,896
Name and Address
(A)
Union Services Agency
119 PERE MARQUETTE SUITE 1A

Lansing
MI
48912
Type or Classification
(B)
Insurance
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,971
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,971
INV 14931 UNION LIABILITY11/02/2017$7,971
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 516-889

Name and Address
(A)
International Union Uaw
8000 East Jefferson Ave

Detroit
MI
48217-3963
Type or Classification
(B)
Labor Organization
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,000
Total Non-Itemized Transactions with this Payee/Payer$2,175
Total of All Transactions with this Payee/Payer for This Schedule$8,175
NATIONAL CAP CONF REGISTRATIONS11/20/2017$6,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 516-889

Name and Address
(A)
All Usa Clothing.Com
3305 Orchards Lake Road

Keego Harbor
MI
48320-1308
Type or Classification
(B)
Apparel
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,059
Total Non-Itemized Transactions with this Payee/Payer$5,043
Total of All Transactions with this Payee/Payer for This Schedule$13,102
INV 1063666 1063787 MAKE A WISH CAMPAIGN 05/03/2017$8,059
Name and Address
(A)
BIG BROTHERS BIG SISTERS
1005 W RUDISILL BLVD

Fort Wayne
IN
46807
Type or Classification
(B)
CHARITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,681
Total Non-Itemized Transactions with this Payee/Payer$3,750
Total of All Transactions with this Payee/Payer for This Schedule$9,431
CHAIRMANS GOLF OUTING CHARITY EVENT12/08/2017$5,681
Name and Address
(A)
Flyin Needle Embroidery Inc
3132 E 900 N

Roanoke
IN
46783
Type or Classification
(B)
Clothing
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,405
Total Non-Itemized Transactions with this Payee/Payer$5,298
Total of All Transactions with this Payee/Payer for This Schedule$10,703
NEEDY VETS POKER RUN EVENTSHIRTS06/21/2017$5,405
Name and Address
(A)
FORT WAYNE TRAILS INC
300 EAST MAIN ST

Fort Wayne
IN
46802
Type or Classification
(B)
NON PROFIT PUBLIC ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,042
Total of All Transactions with this Payee/Payer for This Schedule$5,042
Name and Address
(A)
Impressions
8914 S. Telegraph Rd.

Taylor
MI
48180
Type or Classification
(B)
Advertising
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,463
Total of All Transactions with this Payee/Payer for This Schedule$7,463
Name and Address
(A)
Make A Wish Foundation
7330 Woodland Dr.
Suite 101
Indianapolis
IN
46278
Type or Classification
(B)
Non For Profit
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,466
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$18,466
2017 CAMPAIGN07/13/2017$5,000
2017 CAMPAIGN07/13/2017$13,466
Name and Address
(A)
March Of Dimes Foundation
303 Stable Dr

Fort Wayne
IN
46825
Type or Classification
(B)
Charity
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$2,500
Total of All Transactions with this Payee/Payer for This Schedule$7,500
MARCH OF DIMES SPONSORSHI01/26/2017$5,000
Name and Address
(A)
Roanoke Beautifiction Foundation
PO Box 388

Roanoke
IN
46783
Type or Classification
(B)
CHARITY
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
ROLLING INTO ROANOKE SPONSORSHIP DONATION03/23/2017$5,000
Name and Address
(A)
THREE RIVERS FESTIVAL
102 THREE RIVERS NORTH

Fort Wayne
IN
46802
Type or Classification
(B)
COMMUNITY FESTIVAL
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,125
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,125
STAGE SPONSOR 201701/26/2017$6,125
Name and Address
(A)
UAW ADAMS-ALLEN-WELLS COUNTY CAP COUNCIL
3915 PONTIAC ST

Fort Wayne
IN
46803
Type or Classification
(B)
LABOR POLITICAL ORGANIZATION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$300
Total of All Transactions with this Payee/Payer for This Schedule$5,300
DONATION FOR COMMUNITY LABOR DAY PICNIC07/20/2017$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 516-889

Name and Address
(A)
American Time
1600 North Clinton Avenue

Rochester
NY
14621
Type or Classification
(B)
AWARDS AND ENGRAVING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,243
Total of All Transactions with this Payee/Payer for This Schedule$5,243
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 516-889

Name and Address
(A)
FORT WAYNE PRINTING COMPANY INC
909 PRODUCTION RD

Fort Wayne
IN
46808
Type or Classification
(B)
Printer
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,445
Total of All Transactions with this Payee/Payer for This Schedule$5,445
Name and Address
(A)
OUTFRONT MEDIA
PO BOX 33074

Newark
NJ
07188-0074
Type or Classification
(B)
ADVERTISING
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,700
Total Non-Itemized Transactions with this Payee/Payer$1,200
Total of All Transactions with this Payee/Payer for This Schedule$6,900
INV M0002012 UNION LABEL BILLBOARD04/20/2017$5,700
Name and Address
(A)
Uaw Financial Officers Conference (foc)
8000 E. Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
UNION
Purpose
(C) 		Date
(D) 		Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,075
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,075
UAW FINANCIAL OFFICER REGISTRATIONS11/29/2017$5,075
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 516-889

Description
(A) 		To Whom Paid
(B) 		Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$30,957
Dental/Hearing/Medical/Vision InsuranceHUMANA INSURANCE COMPANY$489
Dental/Hearing/Medical/Vision InsuranceRetail Wholesale & Dept Int Union$19,127
Workers Compensation InsuranceAccident Fund$1,715
Pension AllocationsEdward Jones Investments$9,626
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 516-889


Question 11(b):

Question 11(b): : : : : : : : : Operations of the Building Corporation are handled through the books and records of the Local Union and are therefore included in this report.

Question 15: : : The local union disposed of 3 outdated desktop computers, 1 non working scanner and 1 printer valued at $5832. Traded in old Kyocera copy machine valued at 20,500 ($1000 credit toward new machine). Total value removed from inventory $26,332. The local gave away 50 bibles at a cost of $1650 to members who lost a family member.

Question 10: : : Operations of the Building Corporation are handled through the books and records of the Local Union and are therefore included in this report.

Statement A,

Cash Begin Total: Beginning balance was adjusted by $1983 due to voided checks issued in previous years being added back into the balance.

Schedule 13, Row1:

Schedule 13, Row1::

Schedule 13, Row1:

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