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
007-090
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
292
7. UNIT NAME (if any)
8. MAILING ADDRESS (Type or print in capital
letters)
First Name
SHARON
Last Name
GEISELMAN
P.O Box - Building and Room Number
PO BOX B
Number and Street
City
KOKOMO
State
IN
ZIP Code + 4
46904
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:
matthew d collins
PRESIDENT
71. SIGNED:
Sharon K Geiselman
TREASURER
Date:
Apr 19, 2018
Telephone
Number:
765-453-4600
Date:
Mar 31, 2018
Telephone
Number:
317-439-0141
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21
FILE NUMBER:
007-090
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?
$102,000
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?
06/2021
20. How many members did the labor organization
have at the end of the reporting period?
444
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
Two and a half hours straight time pay
per
month
-0-
-0-
(b) Working Dues/Fees
-0-
per
-0-
-0-
(c) Initiation Fees
$25.00
per
one time
$10.00
$50.00
(d) Transfer Fees
-0-
per
-0-
-0-
(e) Work Permits
-0-
per
-0-
-0-
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS
AND LIABILITIES
FILE NUMBER:
007-090
ASSETS
ASSETS
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash
$492,101
$424,891
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
$40,165
$40,165
28. Other Assets
7
$448
$215
29.
TOTAL ASSETS
$532,714
$465,271
LIABILITIES
LIABILITIES
Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable
8
$21,633
$24,081
31. Loans Payable
9
$0
$0
32. Mortgages Payable
$0
$0
33. Other Liabilities
10
$3,281
$3,465
34. TOTAL
LIABILITIES
$24,914
$27,546
35. NET
ASSETS
$507,800
$437,725
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B -
RECEIPTS AND DISBURSEMENTS
FILE NUMBER:
007-090
CASH
RECEIPTS
SCH
AMOUNT
36. Dues and Agency Fees
$468,106
37. Per Capita Tax
$0
38. Fees, Fines,
Assessments, Work Permits
$900
39. Sale of Supplies
$0
40. Interest
$1,258
41. Dividends
$0
42. Rents
$0
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
$138
48. Other Receipts
14
$49,107
49. TOTAL RECEIPTS
$519,509
CASH DISBURSEMENTS
SCH
AMOUNT
50.
Representational Activities
15
$118,901
51.
Political Activities and Lobbying
16
$900
52.
Contributions, Gifts, and Grants
17
$4,719
53. General
Overhead
18
$27,200
54. Union
Administration
19
$138,941
55. Benefits
20
$4,080
56. Per
Capita Tax
$278,748
57. Strike
Benefits
$0
58. Fees,
Fines, Assessments, etc.
$0
59. Supplies
for Resale
$682
60. Purchase
of Investments and Fixed Assets
4
$0
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
$11,656
66. Subtotal
$585,827
67.
Withholding Taxes and Payroll Deductions
67a. Total
Withheld
$31,310
67b. Less Total
Disbursed
$32,202
67c.
Total Withheld But Not Disbursed
-$892
68.
TOTAL DISBURSEMENTS
$586,719
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS
RECEIVABLE AGING SCHEDULE
FILE NUMBER:
007-090
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
$0
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:
007-090
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
$0
$0
$0
$0
$0
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:
007-090
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:
007-090
Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total
of all lines above
$0
$0
$0
Less Reinvestments
$0
(The
total from Net Purchases Line will be automatically
entered in Item 60.)
Net Purchases
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 -
INVESTMENTS
FILE NUMBER:
007-090
Description
(A)
Amount
(B)
Marketable Securities
A. Total Cost
$0
B. Total Book Value
$0
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:
007-090
Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A.
Land (give location)
Land
1
:
250 S 95 W Kokomo, IN 46902
$10,165
$10,165
$10,165
Land
2
:
Office Furniture & Equipment
$30,000
$30,000
$30,000
B. Buildings
(give location)
$0
$0
$0
$0
C. Automobiles
and
Other Vehicles
D. Office
Furniture
and Equipment
E.
Other Fixed Assets
F. Totals of Lines A through E
(Column(D) Total will be automatically entered in Item
27, Column(B))
$40,165
$0
$40,165
$40,165
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER
ASSETS
FILE NUMBER:
007-090
Description
(A)
Book Value
(B)
Total
(Total will be automatically entered in Item 28, Column(B))
$215
Bibles
$215
Shirts & Hats
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS
PAYABLE AGING SCHEDULE
FILE NUMBER:
007-090
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
$24,081
$0
$0
$0
Totals
(Total for Column(B) will be automatically entered in Item
30, Column(D))
$24,081
$0
$0
$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS
PAYABLE
FILE NUMBER:
007-090
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:
007-090
Description
(A)
Amount at End of Period
(B)
Total Other Liabilities
(Total will be automatically entered in Item 33, Column(D))
$3,465
Federal Withholding
$1,361
State Withholding
$1,085
County Withholding
$392
Federal Unemployment
$105
State Unemployment
$58
FICA Employers Share
$140
FICA Employees Share
$140
Federal Income Tax Forward
$184
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL
OFFICERS AND DISBURSEMENTS TO OFFICERS
FILE NUMBER:
007-090
(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
Collett
,
Midge
Retiree Chair C
$0
$0
$1,073
$0
$1,073
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
Collins
,
Matthew
D President C
$33,440
$0
$4,711
$0
$38,151
I
Schedule 15
Representational Activities
43
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
57
%
A
B
C
Edwards
,
Robert
B Guide P
$347
$0
$0
$0
$347
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
Galvez
,
Marvin
R Sgt at Arms C
$3,135
$0
$0
$0
$3,135
I
Schedule 15
Representational Activities
10
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
90
%
A
B
C
Geiselman
,
Sharon
K Financial Secretary-Treas C
$20,400
$0
$6,123
$0
$26,523
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
Hollis
,
Debra
A Trustee C
$1,819
$0
$950
$0
$2,769
I
Schedule 15
Representational Activities
4
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
96
%
A
B
C
Jameson
,
Cheryl
A Rec Sec C
$2,014
$0
$122
$0
$2,136
I
Schedule 15
Representational Activities
6
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
94
%
A
B
C
Landers
,
Donald
E Guide N
$2,920
$0
$465
$0
$3,385
I
Schedule 15
Representational Activities
4
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
96
%
A
B
C
Statzer
,
Carol
Trustee C
$2,664
$0
$2,051
$0
$4,715
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
Wohlford
,
Gregory
L Vice President N
$8,230
$0
$3,442
$0
$11,672
I
Schedule 15
Representational Activities
56
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
44
%
A
B
C
Rodgers, Jr.
,
Glenn
E Trustee C
$0
$0
$2,047
$0
$2,047
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
%
Total Officer
Disbursements
$74,969
$0
$20,984
$0
$95,953
Less Deductions
$17,403
Net
Disbursements
$78,550
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 -
DISBURSEMENTS TO EMPLOYEES
FILE NUMBER:
007-090
(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
Jameson
,
Petra
S Organizing N/A
$31,899
$0
$12,932
$0
$44,831
I
Schedule 15
Representational Activities
98
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
2
%
TOTALS RECEIVED
BY EMPLOYEES MAKING $10,000 OR LESS
$24,081
$0
$3,599
$0
$27,680
I
Schedule 15
Representational Activities
77
%
Schedule 16
Political Activities and Lobbying
0
%
Schedule 17
Contributions
0
%
Schedule 18
General Overhead
0
%
Schedule 19
Administration
23
%
Total
Employee Disbursements
$55,980
$0
$16,531
$0
$72,511
Less
Deductions
$13,908
Net Disbursements
$58,603
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 -
MEMBERSHIP STATUS
FILE NUMBER:
007-090
Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members
(Total of all lines above)
444
Agency Fee Payers*
0
Total Members/Fee Payers
444
*Agency Fee Payers are
not considered members of the labor organization.
Regular Members
444
Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE
- SCHEDULES 14 THROUGH 19
FILE NUMBER:
007-090
SCHEDULE 14 OTHER RECEIPTS
1. Named Payer
Itemized Receipts
$15,209
2. Named Payer
Non-itemized Receipts
$31,740
3. All Other Receipts
$2,158
4. Total
Receipts
$49,107
SCHEDULE 17 CONTRIBUTIONS,
GIFTS & GRANTS
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
$4,719
6. Total
Disbursements
$4,719
SCHEDULE 15 REPRESENTATIONAL
ACTIVITIES
1. Named Payee
Itemized Disbursements
$0
2. Named Payee
Non-itemized Disbursements
$10,551
3. To Officers
$23,770
4. To Employees
$65,248
5. All Other
Disbursements
$19,332
6. Total
Disbursements
$118,901
SCHEDULE 18 GENERAL OVERHEAD
1. Named Payee
Itemized Disbursements
$7,242
2. Named Payee
Non-itemized Disbursements
$9,890
3. To Officers
$0
4. To Employees
$0
5. All Other
Disbursements
$10,068
6. Total
Disbursements
$27,200
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
$900
6. Total
Disbursements
$900
SCHEDULE 19 UNION
ADMINISTRATION
1. Named Payee
Itemized Disbursements
$31,597
2. Named Payee
Non-itemized Disbursements
$13,480
3. To Officers
$72,184
4. To Employees
$7,263
5. All Other
Disbursements
$14,417
6. Total
Disbursements
$138,941
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER
RECEIPTS
FILE NUMBER:
007-090
Name and Address
(A)
Howard County CAP Council
929 HOFFER ST KOKOMO IN 46902
Type or Classification
(B)
PAC Org
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$5,682
Total of All Transactions with this
Payee/Payer for This Schedule
$5,682
Name and Address
(A)
INTERNATIONAL UNION, UAW
8000 EAST JEFFERSON Detroit MI 48214
Type or Classification
(B)
Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$15,209
Total
Non-Itemized Transactions with this Payee/Payer
$26,058
Total of All Transactions with this
Payee/Payer for This Schedule
$41,267
Wages Reimbursement
03/03/2017
$9,833
Art 16 Sec 11
04/24/2017
$5,376
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 -
REPRESENTATIONAL ACTIVITIES
FILE NUMBER:
007-090
Name and Address
(A)
Main Occasions Catering
5226 North 250 West Kokomo IN 46901
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$10,551
Total of All Transactions with this
Payee/Payer for This Schedule
$10,551
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 -
POLITICAL ACTIVITIES AND LOBBYING
FILE NUMBER
007-090
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:
007-090
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 18 - GENERAL
OVERHEAD
FILE NUMBER:
007-090
Name and Address
(A)
Main Occasions Catering
5226 North 250 West Kokomo IN 46901
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$7,242
Total
Non-Itemized Transactions with this Payee/Payer
$1,890
Total of All Transactions with this
Payee/Payer for This Schedule
$9,132
Retirees Christmas Luncheon
01/03/2017
$7,242
Name and Address
(A)
Realty Investors
782 East 450 North Kokomo IN 46901
Type or Classification
(B)
Real Estate Rental
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$8,000
Total of All Transactions with this
Payee/Payer for This Schedule
$8,000
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION
ADMINISTRATION
FILE NUMBER:
007-090
Name and Address
(A)
National Integrated Group Pension Plan PO Box 18121
Neward NJ 07191-8121
Type or Classification
(B)
Employee Pension Plan
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
$31,597
Total
Non-Itemized Transactions with this Payee/Payer
$0
Total of All Transactions with this
Payee/Payer for This Schedule
$31,597
Partial Withdrawal
07/06/2017
$7,899
Partial Withdrawal
07/06/2017
$7,899
Partial Withdrawal
09/16/2017
$7,899
Partial Withdrawal
12/15/2017
$7,900
Name and Address
(A)
Realty Investors
782 East 450 North Kokomo IN 46901
Type or Classification
(B)
Real Estate Rental
Purpose
(C)
Date
(D)
Amount
(E)
Total
Itemized Transactions with this Payee/Payer
Total
Non-Itemized Transactions with this Payee/Payer
$13,480
Total of All Transactions with this
Payee/Payer for This Schedule
$13,480
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 -
BENEFITS
FILE NUMBER:
007-090
Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all
lines above (Total will be automatically entered in Item
55.)
$4,080
Group Life Insurance
Anthem Life Insurance Co
$699
Group Life Insurance
The Hartford
$728
Workers Compensation Insurance
Union Insurance Group
$2,653
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL
INFORMATION SUMMARY
FILE NUMBER:
007-090
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.
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, Stephen Lauka.
Question 15: The Local started the year with 21 Bibles valued at $447.51, bought 56 Bibles at $21.50 per Bible, gave away 66 Bibles at $3582 to deceased members' families as funeral tributes and ended the year with 10 Bibles at $215.
The Local started the year with zero hats and shirts, bought 60 shirst at $11.40 per shirt for a total of $684, gave away 60 shirts at rallies and Labor Day event and ended the year with zero hats and shirts.
Statement A,
Cash Begin Total:
Cash beginning total has been adjusted to reflect a voided check of $186 from the prevous year.
Statement A,
Loans Payable Begin Total: There is no change.
Loans payable was zero last year and is zero this year. I don't know how to get rid of this explanation box when it pops up in error.
Schedule 13, Row1:
Schedule 13, Row1:Anyone who applied and been accepted for membership is a regular member. Regular members pay full dues.