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
034-132
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
833
7. UNIT NAME (if any)

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

Number and Street
5425 SUPERIOR AVE
City
SHEBOYGAN
State
WI
ZIP Code + 4
53083


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:Timothy D TayloePRESIDENT71. SIGNED:DAVID N BOUCHERTREASURER
Date:Mar 28, 2018Telephone Number:920-458-2173Date:Mar 28, 2018Telephone Number:920-458-2173
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 034-132
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?$226,000
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?06/2020
20. How many members did the labor organization have at the end of the reporting period?2,091
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 Str-Timepermonth00
(b) Working Dues/FeesN/AperN/AN/A
(c) Initiation Fees20.00perOne-timeN/AN/A
(d) Transfer FeesN/AperN/AN/A
(e) Work PermitsN/AperN/AN/A

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 034-132

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $616,599$558,239
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$863,996$865,393
28. Other Assets7$11,420$10,884
29. TOTAL ASSETS $1,492,015$1,434,516

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$1,336$3,521
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$65$898
34. TOTAL LIABILITIES $1,401$4,419
35. NET ASSETS$1,490,614$1,430,097
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 034-132

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,403,091
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $3,980
39. Sale of Supplies $10,783
40. Interest $46
41. Dividends $0
42. Rents $21,259
43. Sale of Investments and Fixed Assets3$200
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 $8,633
48. Other Receipts14$176,540
49. TOTAL RECEIPTS $1,624,532
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$443,703
51. Political Activities and Lobbying16$4,606
52. Contributions, Gifts, and Grants17$105,055
53. General Overhead18$58,891
54. Union Administration19$160,613
55. Benefits20$10,483
56. Per Capita Tax $873,163
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$1,597
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 $10,675
65. Direct Taxes $14,106
  
66. Subtotal $1,682,892
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$22,274  
  67b. Less Total Disbursed$22,274  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $1,682,892
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 034-132

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: 034-132

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: 034-132

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$200$200$200$200
One Flagpole$200$200$200$200
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 034-132

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$1,597$1,597$1,597
Dell Computer$1,492$1,492$1,492
Washing Machine$50$50$50
Filing Cabinet$55$55$55
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$1,597
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 034-132

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: 034-132

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      1. 5425 Superior Ave., Sheboygan, WI $73,953 $73,953$73,953
B. Buildings (give location)    
Building  1 :      1. 5425 Superior Ave., Sheboygan, WI$539,706$539,706$539,706
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$111,618$0$111,618$111,618
E. Other Fixed Assets$140,116$0$140,116$140,116
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $865,393$0$865,393$865,393
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 034-132

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $10,884
1. Bar Merchandise$9,864
2. T-Shirts/Sweatshirts$1,020
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 034-132

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$3,521$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $3,521$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 034-132

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: 034-132

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $898
Federal Income Taxes (941) Forward$10
FICA-Employee OASDI and HI Forward$12
FICA Employer OASDI and HI (941)$12
Unemployment Taxes Federal (940)$794
Unemployment Taxes State$69
State Income Taxes Forward$1
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 034-132

(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
Boucher ,  David   N
Financial Secretary
C
$56,241$1,605$3,090$0$60,936
I
Schedule 15
Representational Activities
22 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
76 %
A
B
C
Brock ,  Jim   E
Vice President
C
$0$1,980$40$0$2,020
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
14 %
A
B
C
Caldwell ,  Julie   A
Recording Secretary
N
$20,314$757$822$0$21,893
I
Schedule 15
Representational Activities
58 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
42 %
A
B
C
Dickmann ,  Angeline   C
Trustee
C
$1,980$540$594$0$3,114
I
Schedule 15
Representational Activities
60 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
40 %
A
B
C
Martinez ,  Rufus   C
Sgt At Arms
C
$0$540$55$0$595
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
Miller ,  Jason   L
Guide
C
$116$540$0$0$656
I
Schedule 15
Representational Activities
46 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
52 %
A
B
C
Prening ,  Bill   R
Trustee
P
$1,235$270$154$0$1,659
I
Schedule 15
Representational Activities
48 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
2 % Schedule 19
Administration
50 %
A
B
C
Robison ,  Nancy  
Recording Secretary
P
$37,473$810$601$0$38,884
I
Schedule 15
Representational Activities
47 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
52 %
A
B
C
Schultz ,  Caitlin  
Trustee
N
$1,022$270$297$0$1,589
I
Schedule 15
Representational Activities
9 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
90 %
A
B
C
Strohschoen ,  David   W
Trustee
C
$166$2,745$1,515$0$4,426
I
Schedule 15
Representational Activities
10 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
89 %
A
B
C
Tayloe ,  Tim   D
President
C
$190$2,205$4,602$0$6,997
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
23 %
Total Officer Disbursements$118,737$12,262$11,770$0$142,769
Less Deductions    $3,335
Net Disbursements    $139,434
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 034-132

(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
Eirich ,  David   K
Custodian
NA
$13,161$0$0$0$13,161
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$109,416$50,514$9,932$0$169,862
I Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
Total Employee Disbursements$122,577$50,514$9,932$0$183,023
Less Deductions    $18,939
Net Disbursements    $164,084
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 034-132

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 2,091 
Agency Fee Payers*0
Total Members/Fee Payers2,091 
*Agency Fee Payers are not considered members of the labor organization.
1. Regular Members2,091Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 034-132

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$40,994
2. Named Payer Non-itemized Receipts$87,471
3. All Other Receipts$48,075
4. Total Receipts$176,540
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$51,200
2. Named Payee Non-itemized Disbursements$2,624
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$51,231
6. Total Disbursements$105,055
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$75,535
2. Named Payee Non-itemized Disbursements$58,636
3. To Officers$55,378
4. To Employees$164,766
5. All Other Disbursements$89,388
6. Total Disbursements$443,703
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$16,695
3. To Officers$745
4. To Employees$14,860
5. All Other Disbursements$26,591
6. Total Disbursements$58,891
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,128
4. To Employees$1,699
5. All Other Disbursements$1,779
6. Total Disbursements$4,606
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$28,683
2. Named Payee Non-itemized Disbursements$14,268
3. To Officers$85,517
4. To Employees$1,699
5. All Other Disbursements$30,446
6. Total Disbursements$160,613
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 034-132

Name and Address
(A)
Bill Bolgert
1704 South 22nd Street

Sheboygan
WI
53081
Type or Classification
(B)
Member
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,123
Total Non-Itemized Transactions with this Payee/Payer$4,102
Total of All Transactions with this Payee/Payer for This Schedule$27,225
Raffle Proceeds09/15/2017$23,123
Name and Address
(A)
Dave Boucher
717 N. 38th Street

Sheboygan
WI
53081
Type or Classification
(B)
Financial Secretary UAW Local 833
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$19,702
Total of All Transactions with this Payee/Payer for This Schedule$19,702
Name and Address
(A)
International Union-UAW
8000 East Jefferson Ave

Detroit
MI
48214-3448
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,584
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,584
13th Rebate05/16/2017$12,584
Name and Address
(A)
Joan Otto
Address

Sheboygan Falls
WI
53085
Type or Classification
(B)
Retiree
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,874
Total of All Transactions with this Payee/Payer for This Schedule$10,874
Name and Address
(A)
Penny Sawall
N 8917 Dairyland Drive

Cleveland
WI
53015
Type or Classification
(B)
Safety Benefit Rep
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,287
Total Non-Itemized Transactions with this Payee/Payer$19,241
Total of All Transactions with this Payee/Payer for This Schedule$24,528
Raffle Proceeds03/13/2017$5,287
Name and Address
(A)
Tim Tayloe
N6470 Shamrock Court

Plymouth
WI
53073
Type or Classification
(B)
President
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,941
Total of All Transactions with this Payee/Payer for This Schedule$5,941
Name and Address
(A)
Tori Schumann
215 Grafton Ct

Kohler
WI
53044
Type or Classification
(B)
Bartender
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$27,611
Total of All Transactions with this Payee/Payer for This Schedule$27,611
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 034-132

Name and Address
(A)
Alliant Energy
PO Box 3062

Cedar Rapids
IA
52406-3062
Type or Classification
(B)
Power Co
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,369
Total of All Transactions with this Payee/Payer for This Schedule$9,369
Name and Address
(A)
Bradley Gun Sales
6189 S. County Road P

Denmark
WI
54208
Type or Classification
(B)
Gun Sales
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,930
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$11,930
Guns & Cases; 2017 Wildli09/15/2017$11,930
Name and Address
(A)
Brockman's Meat Market
1708 S. 12th Street

Sheboygan
WI
53081
Type or Classification
(B)
Groceries and Meats
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,894
Total of All Transactions with this Payee/Payer for This Schedule$6,894
Name and Address
(A)
Hickory Hills Country Club
W3095 Hickory Hills Rd

Chilton
WI
53014
Type or Classification
(B)
Country Club
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,326
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,326
2017 Golf Outing08/23/2017$12,326
Name and Address
(A)
Hub International Midwest Ltd.
15174 Collections Center

Chicago
IL
60693
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,368
Total Non-Itemized Transactions with this Payee/Payer$1,153
Total of All Transactions with this Payee/Payer for This Schedule$11,521
Union Liability Renewal11/07/2017$10,368
Name and Address
(A)
Jeff Leclerc
W9152 Chickadee Road

Glenbeulah
WI
53023
Type or Classification
(B)
Remodeling/Construction
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,940
Total of All Transactions with this Payee/Payer for This Schedule$5,940
Name and Address
(A)
Jeff S. Atkinson
W2032 Birch Lane

Mt Calvary
WI
53057
Type or Classification
(B)
Pheasants
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,237
Total Non-Itemized Transactions with this Payee/Payer$350
Total of All Transactions with this Payee/Payer for This Schedule$6,587
Pheasants05/25/2017$6,237
Name and Address
(A)
Piggly Wiggly-Howards Grove
714 S Wisconsin Drive

Howards Grove
WI
53083
Type or Classification
(B)
Grocery
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,900
Total of All Transactions with this Payee/Payer for This Schedule$8,900
Name and Address
(A)
Rebecca A. Mielczarek
1203 S. 26th Street

Manitowoc
WI
54220
Type or Classification
(B)
Digitizing & Embroidery
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$21,573
Total of All Transactions with this Payee/Payer for This Schedule$21,573
Name and Address
(A)
Rupp's On Washington
1102 W Washington Ave

Cleveland
WI
53015
Type or Classification
(B)
Restaurant and Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,192
Total Non-Itemized Transactions with this Payee/Payer$3,850
Total of All Transactions with this Payee/Payer for This Schedule$11,042
2017 Retirees Christmas P12/13/2017$7,192
Name and Address
(A)
Shannon Ericsson Jr.
P. O. Box 11816

Olympia
WA
98508
Type or Classification
(B)
Audio Video
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,082
Total Non-Itemized Transactions with this Payee/Payer$607
Total of All Transactions with this Payee/Payer for This Schedule$19,689
Hall Renovation09/18/2017$11,668
Hall Renovation10/20/2017$7,414
Name and Address
(A)
Sweet and Associates LLC
2510 East Capital Drive

Milwaukee
WI
53211
Type or Classification
(B)
Law Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,400
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$8,400
Retainer11/16/2017$8,400
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 034-132

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: 034-132

Name and Address
(A)
PGC Activities Fund
680 Barclay Blvd

Lincolnshire
IL
60069
Type or Classification
(B)
UAW Education Center
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$45,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$45,000
Construct Lodging; PGC09/18/2017$45,000
Name and Address
(A)
Sheboygan County Health & Human Services
1011 North 8th Street

Sheboygan
WI
53081
Type or Classification
(B)
County Health Dept
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,200
Total Non-Itemized Transactions with this Payee/Payer$2,624
Total of All Transactions with this Payee/Payer for This Schedule$8,824
2017 Adopt-A-Family12/13/2017$6,200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 034-132

Name and Address
(A)
Badger Liquor Co Inc.
850 South Morris Street
PO Box 1137
Fond Du Lac
WI
54936-1137
Type or Classification
(B)
Liquor Distributor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,653
Total of All Transactions with this Payee/Payer for This Schedule$9,653
Name and Address
(A)
Larry's Distributing Inc.
3815 Playbird Road

Sheboygan
WI
53083
Type or Classification
(B)
Beverage Wholesaler
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,042
Total of All Transactions with this Payee/Payer for This Schedule$7,042
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 034-132

Name and Address
(A)
Alliant Energy
PO Box 3062

Cedar Rapids
IA
52406-3062
Type or Classification
(B)
Power Co
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,498
Total of All Transactions with this Payee/Payer for This Schedule$11,498
Name and Address
(A)
Jeff Leclerc
W9152 Chickadee Road

Glenbeulah
WI
53023
Type or Classification
(B)
Remodeling/Construction
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,265
Total Non-Itemized Transactions with this Payee/Payer$2,025
Total of All Transactions with this Payee/Payer for This Schedule$7,290
Main Hall Remodel11/07/2017$5,265
Name and Address
(A)
Shannon Ericsson Jr.
P. O. Box 11816

Olympia
WA
98508
Type or Classification
(B)
Audio Video
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$23,418
Total Non-Itemized Transactions with this Payee/Payer$745
Total of All Transactions with this Payee/Payer for This Schedule$24,163
Hall Renovation09/18/2017$14,319
Hall Renovation10/20/2017$9,099
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 034-132

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$10,483
Dental/Hearing/Medical/Vision InsuranceKohler Co$7,483
Workers Compensation InsuranceFMIC$3,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 034-132


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 Local Union 833 owns the building which is used to benefit the members.

Question 15: : The Local gave away 278 T-shirts valued at $3206 to new members as part of its new member orientation program. The Local also gave away 50 hams valued at $600.79 as door prizes per membership action and 50 frozen turkeys valued at $764.86 as door prizes per membership action. The Local also awarded 41 scholarships totaling $20000 to members and/or their dependents.

Schedule 13, Row1:

Schedule 13, Row1::::Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues. The 2091 members is the number of members in December 2017.

Schedule 13, Row1:

Schedule 13, Row1::::Any member in good standing may vote. A member in good standing is defined as any member who is not delinquent in dues.

General Information:

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