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
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
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 Tayloe
PRESIDENT
71. SIGNED:
DAVID N BOUCHER
TREASURER
Date:
Mar 28, 2018
Telephone
Number:
920-458-2173
Date:
Mar 28, 2018
Telephone
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/Fees
Amount
Unit
Minimum
Maximum
(a) Regular Dues/Fees
2.5 Hrs Str-Time
per
month
0
0
(b) Working Dues/Fees
N/A
per
N/A
N/A
(c) Initiation Fees
20.00
per
One-time
N/A
N/A
(d) Transfer Fees
N/A
per
N/A
N/A
(e) Work Permits
N/A
per
N/A
N/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 Receivable
1
$0
$0
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$0
$0
27. Fixed Assets
6
$863,996
$865,393
28. Other Assets
7
$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 Payable
8
$1,336
$3,521
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$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
RECEIPTS
SCH
AMOUNT
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 Assets
3
$200
44. Loans Obtained
9
$0
45. Repayments of Loans
Made
2
$0
46. On Behalf of
Affiliates for Transmittal to Them
$0
47. From Members for
Disbursement on Their Behalf
$8,633
48. Other Receipts
14
$176,540
49. TOTAL RECEIPTS
$1,624,532
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$443,703
51.
Political Activities and Lobbying
16
$4,606
52.
Contributions, Gifts, and Grants
17
$105,055
53. General
Overhead
18
$58,891
54. Union
Administration
19
$160,613
55. Benefits
20
$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 Assets
4
$1,597
61. Loans
Made
2
$0
62.
Repayment of Loans Obtained
9
$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 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:
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 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:
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 Payers
2,091
*Agency Fee Payers are
not considered members of the labor organization.
1. Regular Members
2,091
Yes
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 Proceeds
09/15/2017
$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 Rebate
05/16/2017
$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 Proceeds
03/13/2017
$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 Wildli
09/15/2017
$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 Outing
08/23/2017
$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 Renewal
11/07/2017
$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
Pheasants
05/25/2017
$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 P
12/13/2017
$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 Renovation
09/18/2017
$11,668
Hall Renovation
10/20/2017
$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
Retainer
11/16/2017
$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; PGC
09/18/2017
$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-Family
12/13/2017
$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 Remodel
11/07/2017
$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 Renovation
09/18/2017
$14,319
Hall Renovation
10/20/2017
$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 Insurance
Kohler Co
$7,483
Workers Compensation Insurance
FMIC
$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.