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
018-984
2.
PERIOD COVERED
From
01/01/2017
Through
12/31/2017
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
699
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
CRAIG
Last Name
EVERETT
P.O Box - Building and Room Number
Number and Street
1911 BAGLEY STREET
City
SAGINAW
State
MI
ZIP Code + 4
486013108
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:
Richard E Burzynski
PRESIDENT
71. SIGNED:
Craig A Everett
TREASURER
Date:
Mar 27, 2018
Telephone
Number:
989-205-9885
Date:
Mar 27, 2018
Telephone
Number:
989-755-0569
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
018-984
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?
$308,000
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?
Yes
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?
05/2018
20. How many members did the labor organization
have at the end of the reporting period?
3,292
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 straight time pay per month
per
hour
2-1/2 hours
2-/12 hours
(b) Working Dues/Fees
0
per
N/A
N/A
N/A
(c) Initiation Fees
$20
per
One Time
N/A
N/A
(d) Transfer Fees
0
per
N/A
N/A
N/A
(e) Work Permits
0
per
N/A
N/A
N/A
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
018-984
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$1,148,018
$1,442,074
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
$1,104,390
$1,070,964
28. Other Assets
7
$0
29.
TOTAL ASSETS
$2,252,408
$2,513,038
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$92,012
$86,591
31. Loans Payable
9
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$1,428
$1,453
34. TOTAL
LIABILITIES
$93,440
$88,044
35. NET
ASSETS
$2,158,968
$2,424,994
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
018-984
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$1,801,322
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$5,180
39. Sale of Supplies
$3,695
40. Interest
$2,184
41. Dividends
$0
42. Rents
$9,500
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
$145
48. Other Receipts
14
$94,485
49. TOTAL RECEIPTS
$1,916,511
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$316,643
51.
Political Activities and Lobbying
16
$17,215
52.
Contributions, Gifts, and Grants
17
$20,446
53. General
Overhead
18
$29,965
54. Union
Administration
19
$112,685
55. Benefits
20
$5,481
56. Per
Capita Tax
$1,089,955
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$270
59. Supplies
for Resale
$2,301
60. Purchase
of Investments and Fixed Assets
4
$636
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
$145
65. Direct
Taxes
$26,494
66. Subtotal
$1,622,236
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$39,786
67b. Less Total
Disbursed
$40,003
67c.
Total Withheld But Not Disbursed
-$217
68.
TOTAL DISBURSEMENTS
$1,622,453
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
018-984
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:
018-984
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:
018-984
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:
018-984
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$636
$636
$636
RICCAR VIBRANCE VACUUM MACHINE
$636
$636
$636
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$636
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
018-984
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:
018-984
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
1911 BAGLEY STREET, SAGINAW, MI 48601
$55,122
$55,122
$55,122
B.
Buildings (give location)
Building
1
:
1911 BAGLEY STREET, SAGINAW, MI 48601
$251,110
$0
$251,110
$251,110
C. Automobiles
and
Other Vehicles
$0
$0
$0
$0
D. Office
Furniture
and Equipment
$454,039
$0
$454,039
$454,039
E.
Other Fixed Assets
$310,693
$0
$310,693
$310,693
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$1,070,964
$0
$1,070,964
$1,070,964
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
018-984
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
018-984
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
$86,591
$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))
$86,591
$0
$0
$0
INTERNATIONAL UNION UNITED WORKERS
$86,591
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
018-984
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:
018-984
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$1,453
CITY INCOME TAX
$134
STATE INCOME TAX
$595
STATE UNEMPLOYMENT TAX
$509
FEDERAL UNEMPLOYMENT TAX
$215
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
018-984
(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
WARD
,
JEREMY
D EXECUTIVE BOARD C
$2,862
$0
$181
$0
$3,043
I
Schedule 15
Representational Activities
55
%
Schedule 16
Political Activities and Lobbying
17
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
28
%
A
B
C
GLASER
,
ROBERT
D CHAIRMAN C
$0
$1,250
$0
$0
$1,250
I
Schedule 15
Representational Activities
81
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
19
%
A
B
C
SELLS
,
WILLIAM
C BOARD MEMBER C
$0
$0
$0
$0
$0
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
SUPPES
,
CHAD
S EXECUTIVE BOARD C
$1,294
$0
$272
$0
$1,566
I
Schedule 15
Representational Activities
49
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
51
%
A
B
C
BANKS
,
HASSAN
O SEARGENT C
$986
$0
$0
$0
$986
I
Schedule 15
Representational Activities
3
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
97
%
A
B
C
WEARY
,
JORDON
T BOARD MEMBER C
$966
$0
$226
$0
$1,192
I
Schedule 15
Representational Activities
22
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
74
%
A
B
C
HARRIS
,
DAVID
W TRUSTEE C
$5,734
$0
$627
$0
$6,361
I
Schedule 15
Representational Activities
4
%
Schedule 16
Political Activities and Lobbying
3
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
93
%
A
B
C
ROBERTS
,
RONALD
J RECORDING SECRETARY C
$4,539
$0
$155
$0
$4,694
I
Schedule 15
Representational Activities
7
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
93
%
A
B
C
MATHIS
,
CARLA
C TRUSTEE C
$2,508
$0
$567
$0
$3,075
I
Schedule 15
Representational Activities
5
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
91
%
A
B
C
MILKA
,
EDWINA
A TRUSTEE C
$3,281
$0
$567
$0
$3,848
I
Schedule 15
Representational Activities
4
%
Schedule 16
Political Activities and Lobbying
4
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
92
%
A
B
C
BISBEY
,
RICHARD
C BOARD MEMBER C
$847
$0
$0
$0
$847
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
BEAVER
,
MATTHEW
K VICE PRESIDENT C
$2,205
$25
$693
$0
$2,923
I
Schedule 15
Representational Activities
45
%
Schedule 16
Political Activities and Lobbying
21
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
34
%
A
B
C
HAYES
,
LAURA
J BOARD MEMBER C
$820
$0
$226
$0
$1,046
I
Schedule 15
Representational Activities
23
%
Schedule 16
Political Activities and Lobbying
5
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
72
%
A
B
C
BURZYNSKI
,
RICHARD
E PRESIDENT C
$18,774
$1,275
$818
$0
$20,867
I
Schedule 15
Representational Activities
76
%
Schedule 16
Political Activities and Lobbying
1
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
23
%
A
B
C
MAIKE
,
TIMOTHY
J GUIDE C
$2,545
$0
$443
$0
$2,988
I
Schedule 15
Representational Activities
13
%
Schedule 16
Political Activities and Lobbying
33
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
54
%
A
B
C
ARNDT
,
CHAD
A VICE PRESIDENT C
$3,331
$0
$37
$0
$3,368
I
Schedule 15
Representational Activities
70
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
30
%
A
B
C
EVERETT
,
CRAIG
A FINANCIAL SECRETARY C
$36,880
$1,300
$748
$0
$38,928
I
Schedule 15
Representational Activities
25
%
Schedule 16
Political Activities and Lobbying
6
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
12
%
Schedule 19
Administration
57
%
Total Officer
Disbursements
$87,572
$3,850
$5,560
$0
$96,982
Less Deductions
$22,094
Net
Disbursements
$74,888
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
018-984
(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
MARTINEZ
,
JENNIFER
SECRETARY none
$18,899
$0
$0
$0
$18,899
I
Schedule 15
Representational Activities
52
%
Schedule 16
Political Activities and Lobbying
3
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
6
%
Schedule 19
Administration
39
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$59,470
$50
$11,244
$0
$70,764
I
Schedule 15
Representational Activities
55
%
Schedule 16
Political Activities and Lobbying
7
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
11
%
Schedule 19
Administration
27
%
Total
Employee Disbursements
$78,369
$50
$11,244
$0
$89,663
Less
Deductions
$17,692
Net Disbursements
$71,971
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
018-984
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
3,292
Agency Fee Payers*
0
Total Members/Fee Payers
3,292
*Agency Fee Payers are
not considered members of the labor organization.
REGULAR MEMBERS
3,292
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
018-984
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$39,257
2. Named Payer
Non-itemized Receipts
$9,941
3. All Other Receipts
$45,287
4. Total
Receipts
$94,485
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$5,160
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$15,286
6. Total
Disbursements
$20,446
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$38,132
2. Named Payee
Non-itemized Disbursements
$96,656
3. To Officers
$34,530
4. To Employees
$48,747
5. All Other
Disbursements
$98,578
6. Total
Disbursements
$316,643
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$4,671
4. To Employees
$8,918
5. All Other
Disbursements
$16,376
6. Total
Disbursements
$29,965
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$5,230
4. To Employees
$5,520
5. All Other
Disbursements
$6,465
6. Total
Disbursements
$17,215
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$6,395
3. To Officers
$52,552
4. To Employees
$26,477
5. All Other
Disbursements
$27,261
6. Total
Disbursements
$112,685
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
018-984
Name and Address
(A)
INTL UNION UAW PCT REB
8000 E JEFFERSON AVE DETROIT MI 48214
Type or Classification
(B)
UAW LABOR UNION ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$19,023
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$19,023
13TH REBATE CHECK
04/25/2017
$19,023
Name and Address
(A)
MOULTRIE,LOUDEAN
1537 ESSLING SAGINAW MI 48601
Type or Classification
(B)
UNION MEMBER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,480
Total of All Transactions with this
Payee/Payer for This Schedule
$5,480
Name and Address
(A)
UAW LOCAL 668 5TH FLOOR 515 N WASHINGTON AVE SAGINAW MI 48607-1370
Type or Classification
(B)
UAW LOCAL UNION AFFILIATE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$20,234
Total
Non-Itemized Transactions with this Payee/Payer
$4,461
Total of All Transactions with this
Payee/Payer for This Schedule
$24,695
PROCEEDS FROM HUNTER'S
04/13/2017
$20,234
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
018-984
Name and Address
(A)
CONSUMERS ENERGY
BILL PAYMENT CENTER LANSING MI 48937-0001
Type or Classification
(B)
GAS/ELECTRIC SUPPLY COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,597
Total of All Transactions with this
Payee/Payer for This Schedule
$10,597
Name and Address
(A)
DORNBOS PRINTING
1131 E GENESEE ST SAGINAW MI 48607
Type or Classification
(B)
PRINTING COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$10,974
Total of All Transactions with this
Payee/Payer for This Schedule
$10,974
Name and Address
(A)
FREMONT INSURANCE
933 E MAIN STREET FREMONT MI 49412-9751
Type or Classification
(B)
INSURANCE AGENCY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,065
Total of All Transactions with this
Payee/Payer for This Schedule
$5,065
Name and Address
(A)
KRZYSIAK'S RESTAURANT
1605 MICHIGAN BAY CITY MI 48708
Type or Classification
(B)
FOOD/CATERING SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$26,024
Total of All Transactions with this
Payee/Payer for This Schedule
$26,024
Name and Address
(A)
MARK LIGHTFOOT
1571 SPRING AVENUE LAKE MI 48632
Type or Classification
(B)
CATERING SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,250
Total of All Transactions with this
Payee/Payer for This Schedule
$5,250
Name and Address
(A)
MASUD LABOR LAW GROUP SUITE 1 4449 FASHION SQUARE BLVD SAGINAW MI 48603
Type or Classification
(B)
ATTORNEY LAWYER FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,820
Total
Non-Itemized Transactions with this Payee/Payer
$2,977
Total of All Transactions with this
Payee/Payer for This Schedule
$10,797
LEGAL SERVICE FEES THAT
01/26/2017
$7,820
Name and Address
(A)
MCKNIGHT CANZANO SMITH 423 N MAIN STREET SUITE 200 *RADTKE + BRAULT PC ROYAL OAK MI 48067
Type or Classification
(B)
LAWYER FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$16,380
Total
Non-Itemized Transactions with this Payee/Payer
$3,533
Total of All Transactions with this
Payee/Payer for This Schedule
$19,913
CHARGES INCURRED FROM A
08/21/2017
$8,895
LEGAL SERVICES RENDERED
10/19/2017
$7,485
Name and Address
(A)
SAGINAW BUS CENTER
511 JOHNSON SAGINAW MI 48607
Type or Classification
(B)
BUS LEASING/TRAVEL COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$20,661
Total of All Transactions with this
Payee/Payer for This Schedule
$20,661
Name and Address
(A)
THE DETROIT LIONS INC. 2000 BRUSH ST. SUITE 200 ATTN: TICKET OFFICE DETROIT MI 48226
Type or Classification
(B)
PROFESSIONAL SPORTS TEAM
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,406
Total of All Transactions with this
Payee/Payer for This Schedule
$5,406
Name and Address
(A)
UAW LOCAL 668
2104 FARMER ST SAGINAW MI 48601
Type or Classification
(B)
LOCAL UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,000
Total
Non-Itemized Transactions with this Payee/Payer
$833
Total of All Transactions with this
Payee/Payer for This Schedule
$6,833
PURCHASE OF 100 TICKETS
12/05/2017
$6,000
Name and Address
(A)
UNION SERVICES AGENCY SUITE 1-A 119 PERE MARQUETTE LANSING MI 48912
Type or Classification
(B)
UNION INSURANCE AGENCY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,932
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$7,932
LIABILITY INSURANCE FOR
09/26/2017
$7,932
Name and Address
(A)
UNITED STATES POSTAL P.O. BOX 59653 SERVICE SAGINAW MI 48605-9998
Type or Classification
(B)
FEDERAL MAILING SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,336
Total of All Transactions with this
Payee/Payer for This Schedule
$5,336
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
018-984
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:
018-984
Name and Address
(A)
CRAIN FAMILY BIBLES
PO BOX 807 PINCKNEY MI 48169
Type or Classification
(B)
BIBLE SALES DEALER
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$5,160
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$5,160
PURCHASE OF 8 DOZEN OF
08/04/2017
$5,160
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
018-984
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 19 - UNION
ADMINISTRATION
FILE NUMBER:
018-984
Name and Address
(A)
CONSUMERS ENERGY
BILL PAYMENT CENTER LANSING MI 48937-0001
Type or Classification
(B)
GAS/ELECTRIC SUPPLY COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,395
Total of All Transactions with this
Payee/Payer for This Schedule
$6,395
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
018-984
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$5,481
PENSION PLAN COMPANY
NAT INT GROUP PENS TRUST
$3,683
INSURANCE AGENCY
FREMONT INSURANCE
$1,798
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
018-984
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. The Hiatt Williams Loan Fund is administered through University Accounting Service LLC, PO Box 5516, Carol Stream, IL 60197-5505, it's purpose was to provide funds for scholarships to dependents of members.
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 12: UAW International Auditor
Question 15: Bibles are given to members on behalf of Local699 in cases of death of member, father, mother, spouse of member, their children, brother, sister, mother-in-law and father-in-law. 131 bibles were given to family members valued at: $4578.00
Twelve (12) jackets were given away to members who attended meetings in the year 2017. Value: $1056.00
Question 17: Jennifer Martinez is presently filing charges against UAW Local 699. Our attorney firm is McKnight, Cazano, Smith, Radke & Brault, P.C.
Schedule 8, Row1:
Schedule 8, Row1:
Schedule 13, Row1:
Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.