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
010-923
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
72
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
Peggy
Last Name
Peplinski
P.O Box - Building and Room Number
Number and Street
3615 WASHINGTON ROAD
City
KENOSHA
State
WI
ZIP Code + 4
531441640
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:
Peggy C Applegate-Peplinski
PRESIDENT
71. SIGNED:
Richard M Phillips
TREASURER
Date:
Apr 09, 2018
Telephone
Number:
262-605-9339
Date:
Apr 09, 2018
Telephone
Number:
262-694-1104
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
010-923
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?
$100,000
15. During the reporting period did the labor
organization acquire or dispose of any assets in a manner
other than purchase or sale?
No
16. Were any of the labor organization's
assets pledged as security or encumbered in any way at the
end of the reporting period?
No
17. Did the labor organization have any
contingent liabilities at the end of the reporting period?
No
18. During the reporting period did the labor
organization have any changes in its constitution or
bylaws, other than rates of dues and fees, or in
practices/procedures listed in the instructions?
No
19. What is the date of the labor
organization's next regular election of officers?
05/2020
20. How many members did the labor organization
have at the end of the reporting period?
7,726
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
0
0
(b) Working Dues/Fees
0
per
0
0
0
(c) Initiation Fees
$20
per
one time
0
0
(d) Transfer Fees
0
per
0
0
0
(e) Work Permits
0
per
0
0
0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
010-923
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$684,463
$600,327
23. Accounts Receivable
1
$0
$0
24. Loans Receivable
2
$0
$0
25. U.S. Treasury
Securities
$0
$0
26. Investments
5
$440
$440
27. Fixed Assets
6
$1,299,203
$1,300,927
28. Other Assets
7
$774
$1,180
29.
TOTAL ASSETS
$1,984,880
$1,902,874
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$7,505
$8,068
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$151
$0
34. TOTAL
LIABILITIES
$7,656
$8,068
35. NET
ASSETS
$1,977,224
$1,894,806
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
010-923
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$45,724
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$0
39. Sale of Supplies
$0
40. Interest
$969
41. Dividends
$31
42. Rents
$35,206
43. Sale of Investments
and Fixed Assets
3
$0
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
$1,856
48. Other Receipts
14
$77,054
49. TOTAL RECEIPTS
$160,840
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$9,093
51.
Political Activities and Lobbying
16
$1,451
52.
Contributions, Gifts, and Grants
17
$19,282
53. General
Overhead
18
$187,901
54. Union
Administration
19
$2,200
55. Benefits
20
$4,720
56. Per
Capita Tax
$12,141
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$0
60. Purchase
of Investments and Fixed Assets
4
$724
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
$0
65. Direct
Taxes
$7,464
66. Subtotal
$244,976
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$0
67b. Less Total
Disbursed
$0
67c.
Total Withheld But Not Disbursed
68.
TOTAL DISBURSEMENTS
$244,976
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
010-923
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:
010-923
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:
010-923
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
$0
(The
total from Net Sales Line will be automatically entered
in Item 43)
Net Sales
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 4 - PURCHASE
OF INVESTMENTS AND FIXED ASSETS
FILE NUMBER:
010-923
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$724
$724
$724
Tables
$467
$467
$467
Towel Dispensers
$208
$208
$208
Cart
$49
$49
$49
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$724
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
010-923
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
$440
B. Total Book Value
$440
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))
$440
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 6 - FIXED
ASSETS
FILE NUMBER:
010-923
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
3615 Wasington Road, Kenosha WI
$145,864
$146,864
$145,864
Land
2
:
3601 40th Street Kenosha WI
$115,153
$115,153
$115,153
B.
Buildings (give location)
Building
1
:
3615 Washinton Road, Kenosha WI
$689,221
$0
$689,221
$689,221
C. Automobiles
and
Other Vehicles
$0
$0
$0
$0
D. Office
Furniture
and Equipment
$349,689
$0
$349,689
$349,689
E.
Other Fixed Assets
$0
$0
$0
$0
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$1,299,927
$0
$1,300,927
$1,299,927
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
010-923
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$1,180
9 Bibles@ $20 each
$180
10 Watches @ $100 each
$1,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
010-923
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
$8,068
$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))
$8,068
$0
$0
$0
Utilities
$6,024
$0
$0
$0
Internet Service
$148
$0
$0
$0
Per Capita Taxes
$1,134
$0
$0
$0
Subscriptions - Newspapers
$135
$0
$0
$0
Telephone
$627
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
010-923
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:
010-923
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
010-923
(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
Applegate-Peplin
,
Peggy
C President C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
19
%
Schedule 17
Contributions
4
%
Schedule 18
General Overhead
71
%
Schedule 19
Administration
6
%
A
B
C
Davis
,
Anthony
L Trustee C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
37
%
Schedule 17
Contributions
22
%
Schedule 18
General Overhead
22
%
Schedule 19
Administration
19
%
A
B
C
Duprey
,
Frederick
Vice President P
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
6
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
94
%
A
B
C
Farmer
,
Cynthia
S Trustee C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
50
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
40
%
A
B
C
Ingham
,
Lynne
L Guide N
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
50
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
10
%
Schedule 19
Administration
40
%
A
B
C
Keeling
,
Peni
J Financial Secretary P
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
24
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
16
%
Schedule 19
Administration
60
%
A
B
C
Ketchum
,
Thomas
G Trustee C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
26
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
42
%
Schedule 19
Administration
32
%
A
B
C
Kosterman
,
Alex
R Chairman C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
50
%
Schedule 16
Political Activities and Lobbying
10
%
Schedule 17
Contributions
40
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
A
B
C
Manke
,
Dennis
C Recording Secretary P
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
7
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
93
%
A
B
C
Mekhsian
,
Arakel
Recording Secretary P
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
7
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
93
%
A
B
C
Phillips
,
Richard
Financial Secretary N
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
24
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
60
%
Schedule 19
Administration
16
%
A
B
C
Raymond
,
Kerry
E Vice-president C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
15
%
Schedule 17
Contributions
20
%
Schedule 18
General Overhead
40
%
Schedule 19
Administration
25
%
A
B
C
Underhill
,
Michael
L Seargent at Arms C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
50
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
50
%
A
B
C
Wilson
,
Curt
E Retiree Chairperson C
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
0
%
Schedule 16
Political Activities and Lobbying
20
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
76
%
Schedule 19
Administration
4
%
Total Officer
Disbursements
$0
$0
$0
$0
$0
Less Deductions
Net
Disbursements
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
010-923
(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
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$0
$0
$0
$0
$0
I
Schedule 15
Representational Activities
100
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
0
%
Total
Employee Disbursements
$0
$0
$0
$0
$0
Less
Deductions
$0
Net Disbursements
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
010-923
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
7,726
Agency Fee Payers*
Total Members/Fee Payers
7,726
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
26
Yes
Retired Membersh
7,700
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
010-923
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$11,800
2. Named Payer
Non-itemized Receipts
$40,879
3. All Other Receipts
$24,375
4. Total
Receipts
$77,054
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
1. Named Payee
Itemized Disbursements
$10,000
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$9,282
6. Total
Disbursements
$19,282
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$9,093
6. Total
Disbursements
$9,093
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$13,039
2. Named Payee
Non-itemized Disbursements
$114,991
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$59,871
6. Total
Disbursements
$187,901
SCHEDULE 16 POLITICAL
ACTIVITIES AND LOBBYING
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$1,451
6. Total
Disbursements
$1,451
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$0
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$2,200
6. Total
Disbursements
$2,200
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
010-923
Name and Address
(A)
Peni J Keeling 7915 31st Avenue
Kenosha WI 53142
Type or Classification
(B)
Union Officer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$11,800
Total
Non-Itemized Transactions with this Payee/Payer
$2,660
Total of All Transactions with this
Payee/Payer for This Schedule
$14,460
Bar sales 2/11/17
02/13/2017
$6,500
Bar sales 2/12/17
02/13/2017
$5,300
Name and Address
(A)
Rick Phillips 3615 Washington Road
Kenosha WI 53144
Type or Classification
(B)
Local Union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$38,219
Total of All Transactions with this
Payee/Payer for This Schedule
$38,219
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
010-923
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 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
010-923
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:
010-923
Name and Address
(A)
PGC Activities Fund 680 Barclay Blvd.
Lincolnshire IL 60069
Type or Classification
(B)
Activities
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$10,000
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$10,000
Tornado Relief
10/05/2017
$5,000
Tornado Relief
10/05/2017
$5,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL
OVERHEAD
FILE NUMBER:
010-923
Name and Address
(A)
At & T PO Box 5080
Carol Stream IL 60197-5080
Type or Classification
(B)
Telephone Service
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$6,418
Total of All Transactions with this
Payee/Payer for This Schedule
$6,418
Name and Address
(A)
CJW Inc. 2437 Chicory Road
Racine WI 53403
Type or Classification
(B)
Beverages
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$12,646
Total of All Transactions with this
Payee/Payer for This Schedule
$12,646
Name and Address
(A)
David Insurance Agency 1300 S. Green Bay Rd
Racine WI 53406
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,451
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$6,451
Insurance
03/27/2017
$6,451
Name and Address
(A)
Dennis Christensen 8245 63rd Avenue
Pleasant Prairie WI 53158
Type or Classification
(B)
Janitorial Service
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,098
Total of All Transactions with this
Payee/Payer for This Schedule
$7,098
Name and Address
(A)
John G. Tenant 1621 22nd Street
Kenosha WI 53140
Type or Classification
(B)
Janitorial Service
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,098
Total of All Transactions with this
Payee/Payer for This Schedule
$7,098
Name and Address
(A)
Kenosha Water Utility 4401 Green Bay Road
Kenosha WI 53144
Type or Classification
(B)
Water & Sewer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$8,934
Total of All Transactions with this
Payee/Payer for This Schedule
$8,934
Name and Address
(A)
Rajon Construction L.L.C. 7814 27th Avenue
Kenosha WI 53143
Type or Classification
(B)
CONSTRUCTION CO
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,830
Total of All Transactions with this
Payee/Payer for This Schedule
$5,830
Name and Address
(A)
Richard Phillips 5311 89th Street
Pleasant Prairie WI 53158
Type or Classification
(B)
Bookkeeping
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$5,092
Total of All Transactions with this
Payee/Payer for This Schedule
$5,092
Name and Address
(A)
Roberts Custom Software 3667 1st Street
East Moline IL 61244-3321
Type or Classification
(B)
Software Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$6,627
Total of All Transactions with this
Payee/Payer for This Schedule
$6,627
Name and Address
(A)
Sir Arthur's Tavern 3501 14th Avenue
Kenosha WI 53140
Type or Classification
(B)
Caterer
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$6,588
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$6,588
Retiree Christmas party
11/27/2017
$6,588
Name and Address
(A)
Southeast Wisconsin Labor Times 600 10th Place
Kenosha WI 53144
Type or Classification
(B)
Newsletter
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$15,239
Total of All Transactions with this
Payee/Payer for This Schedule
$15,239
Name and Address
(A)
Tom Ketchum 6614 7th Street
Kenosha WI 53144
Type or Classification
(B)
Janitorial Service
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$7,098
Total of All Transactions with this
Payee/Payer for This Schedule
$7,098
Name and Address
(A)
We Energies Electric PO Box 90001
Milwaukee WI 53290-0001
Type or Classification
(B)
Utilities
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$0
Total
Non-Itemized Transactions with this Payee/Payer
$32,911
Total of All Transactions with this
Payee/Payer for This Schedule
$32,911
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
010-923
There was no data
found for this schedule.
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
010-923
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$4,720
Dental/Hearing/Medical/Vision Insurance
AARP Dental Insurance Plan
$856
Dental/Hearing/Medical/Vision Insurance
Epic Life Insurance Company
$65
Dental/Hearing/Medical/Vision Insurance
United Health Care
$3,799
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
010-923
Question 10: Operations of the Building Corporation are handled through the books and records of the Local Union and therefore are included in this report.
Question 11(b):
Question 11(b): : Operations of the Building Corporation are handled through the books and records of the Local Union and therefore are included in this report.
Schedule 8, Row1:
Schedule 8, Row1:::
Schedule 8, Row2:
Schedule 8, Row2:::
Schedule 8, Row3:
Schedule 8, Row3:::
Schedule 8, Row4:
Schedule 8, Row4:::
Schedule 8, Row5:
Schedule 8, Row5:::
Schedule 13, Row1:
Schedule 13, Row1:
Schedule 13, Row2:
Schedule 13, Row2:Retired members voluntarily pay $2 dues per month.
Schedule 13, Row2:
Schedule 13, Row2:
Schedule 13, Row1:
Schedule 13, Row1:::Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.