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
516-889
2. PERIOD COVERED
From01/01/2018
Through12/31/2018
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
2209
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
SHANE
Last Name
DAVIS
P.O Box - Building and Room Number
PO BOX 579
Number and Street
5820 EAST 900 NORTH
City
ROANOKE
State
IN
ZIP Code + 4
46783


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:Holli MurphyPRESIDENT71. SIGNED:Shane B DavisTREASURER
Date:Jan 18, 2019Telephone Number:260-672-2209Date:Jan 18, 2019Telephone Number:260-672-2209
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
ITEMS 10 THROUGH 21 FILE NUMBER: 516-889
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?$500,000
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?Yes
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?4,538
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 of straight time paypermonthn/an/a
(b) Working Dues/Fees0per
(c) Initiation Fees20perone timen/an/a
(d) Transfer Fees0per
(e) Work Permits0per

Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 516-889

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $985,306$1,128,086
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$1,301,102$1,494,578
28. Other Assets7$2,808$2,775
29. TOTAL ASSETS $2,289,216$2,625,439

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$0$0
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$1,350$1,756
34. TOTAL LIABILITIES $1,350$1,756
35. NET ASSETS$2,287,866$2,623,683
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 516-889

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $4,099,076
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $6,580
39. Sale of Supplies $38,454
40. Interest $1,835
41. Dividends $0
42. Rents $1,630
43. Sale of Investments and Fixed Assets3$0
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 $33,787
48. Other Receipts14$200,566
49. TOTAL RECEIPTS $4,381,928
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$362,663
51. Political Activities and Lobbying16$78,488
52. Contributions, Gifts, and Grants17$225,689
53. General Overhead18$94,712
54. Union Administration19$575,152
55. Benefits20$30,191
56. Per Capita Tax $2,590,314
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $125
59. Supplies for Resale $3,940
60. Purchase of Investments and Fixed Assets4$193,476
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 $28,063
65. Direct Taxes $56,502
  
66. Subtotal $4,239,315
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$153,113  
  67b. Less Total Disbursed$152,946  
  67c. Total Withheld But Not Disbursed $167
68. TOTAL DISBURSEMENTS $4,239,148
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 516-889

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: 516-889

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: 516-889

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: 516-889

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$193,476$193,476$193,476
8 ft banquet tables (22)$1,220$1,220$1,220
Power washer $439$439$439
Outside bench (3)$452$452$452
Outside trash cans (3)$375$375$375
Push lawn mower$266$266$266
Photo printer$800$800$800
Pavilion enclosure$189,924$189,924$189,924
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$193,476
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 516-889

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: 516-889

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      5820 E 900 N Roanoke, IN. 46783$27,005 $27,005$27,005
B. Buildings (give location)    
Building  1 :      5820 E 900 N Roanoke, IN. 46783$1,196,613$0$1,196,613$1,196,613
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$270,960$0$270,960$270,960
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)) $1,494,578$0$1,494,578$1,494,578
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 516-889

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $2,775
45 Bibles @ 33 each$1,485
19 UAW binders @ 30 each$570
48 UAW stocking caps @ 15 each$720
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 516-889

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$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$0$0$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 516-889

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: 516-889

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,756
Federal Unemployment taxes (FUTA)$742
State Unemployment taxes (SUTA)$956
Indiana State Sales Tax$58
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 516-889

(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
Babler ,  Keith   A
UNIT 1 ZONE
C
$6,111$118$678$0$6,907
I
Schedule 15
Representational Activities
94 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
6 %
A
B
C
Bartkowiak ,  David   M
TRUSTEE
C
$13,001$455$2,895$0$16,351
I
Schedule 15
Representational Activities
14 % Schedule 16
Political Activities and Lobbying
9 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
77 %
A
B
C
Bovie-Koomler ,  Diana   R
RETIREE CHAIRMAN
C
$0$0$4,635$0$4,635
I
Schedule 15
Representational Activities
92 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
2 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
A
B
C
Cantasano ,  Anthony   F
UNIT 1 ZONE
C
$6,894$150$700$0$7,744
I
Schedule 15
Representational Activities
92 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
8 %
A
B
C
Davidson ,  Derrick  
UNIT 3 CHAIRMAN
N
$182$0$0$0$182
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Davis ,  Shane   B
Financial Secretary
C
$54,914$2,263$13,481$0$70,658
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
8 % Schedule 17
Contributions
2 % Schedule 18
General Overhead
0 % Schedule 19
Administration
88 %
A
B
C
Dohner Jr ,  John   C
UNIT 1 ZONE
C
$6,392$123$224$0$6,739
I
Schedule 15
Representational Activities
92 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
8 %
A
B
C
Houston ,  Amy   B
RECORDING SECRETARY
C
$21,248$926$3,490$0$25,664
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
91 %
A
B
C
Kinsey ,  John  
Sergent At Arms
C
$2,913$0$1,406$0$4,319
I
Schedule 15
Representational Activities
8 % Schedule 16
Political Activities and Lobbying
48 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
44 %
A
B
C
Ladd ,  Melinda   L
TRUSTEE
C
$11,214$450$2,580$0$14,244
I
Schedule 15
Representational Activities
7 % Schedule 16
Political Activities and Lobbying
9 % Schedule 17
Contributions
8 % Schedule 18
General Overhead
0 % Schedule 19
Administration
76 %
A
B
C
Letourneau Jr ,  Richard   P
UNIT 1 CHAIRMAN
C
$7,110$233$2,592$0$9,935
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
McKibben ,  Derrick   T
Vice President
C
$48,448$1,847$728$0$51,023
I
Schedule 15
Representational Activities
51 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
49 %
A
B
C
Mcclain ,  Michael  
UNIT 2 CHAIRMAN
C
$2,342$0$875$0$3,217
I
Schedule 15
Representational Activities
70 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
30 %
A
B
C
Murphy ,  Holli   M
PRESIDENT
C
$6,774$304$8,712$0$15,790
I
Schedule 15
Representational Activities
16 % Schedule 16
Political Activities and Lobbying
8 % Schedule 17
Contributions
16 % Schedule 18
General Overhead
0 % Schedule 19
Administration
60 %
A
B
C
Stafford ,  Jesse  
UNIT 3 CHAIRMAN
P
$551$0$213$0$764
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
Teller ,  Jamie  
GUIDE
C
$8,955$0$1,523$0$10,478
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
56 % Schedule 17
Contributions
6 % Schedule 18
General Overhead
0 % Schedule 19
Administration
33 %
A
B
C
Watson ,  Deanna   L
TRUSTEE
C
$7,956$0$2,162$0$10,118
I
Schedule 15
Representational Activities
3 % Schedule 16
Political Activities and Lobbying
13 % Schedule 17
Contributions
4 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
A
B
C
Williams ,  DaVontae   D
UNIT 4 CHAIRMAN
C
$2,537$0$1,738$0$4,275
I
Schedule 15
Representational Activities
94 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
Total Officer Disbursements$207,542$6,869$48,632$0$263,043
Less Deductions    $54,443
Net Disbursements    $208,600
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 516-889

(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
Bedford ,  Gregory   J
NA
NA
$5,573$0$9,023$0$14,596
I
Schedule 15
Representational Activities
3 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
45 % Schedule 18
General Overhead
0 % Schedule 19
Administration
52 %
A
B
C
Jackson ,  Todd  
Maintenance
NA
$42,991$200$722$0$43,913
I
Schedule 15
Representational Activities
1 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
97 % Schedule 19
Administration
2 %
A
B
C
Keeser ,  Erika  
NA
NA
$55,189$0$0$0$55,189
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
95 %
A
B
C
Murray ,  Roxanna   L
NA
NA
$10,313$0$1,958$0$12,271
I
Schedule 15
Representational Activities
5 % Schedule 16
Political Activities and Lobbying
72 % Schedule 17
Contributions
10 % Schedule 18
General Overhead
0 % Schedule 19
Administration
13 %
A
B
C
Sterk ,  Matthew   T
NA
NA
$8,476$0$1,955$0$10,431
I
Schedule 15
Representational Activities
84 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
16 %
A
B
C
Turner ,  Steve   S
NA
NA
$8,875$0$1,905$0$10,780
I
Schedule 15
Representational Activities
68 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
32 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$320,727$0$71,768$0$392,495
I Schedule 15
Representational Activities
23 % Schedule 16
Political Activities and Lobbying
9 % Schedule 17
Contributions
7 % Schedule 18
General Overhead
12 % Schedule 19
Administration
49 %
Total Employee Disbursements$452,144$200$87,331$0$539,675
Less Deductions    $98,670
Net Disbursements    $441,005
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 516-889

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 4,538 
Agency Fee Payers*0
Total Members/Fee Payers4,538 
*Agency Fee Payers are not considered members of the labor organization.
Regular members4,538Yes
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 516-889

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$90,654
2. Named Payer Non-itemized Receipts$43,504
3. All Other Receipts$66,408
4. Total Receipts$200,566
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$87,973
2. Named Payee Non-itemized Disbursements$33,830
3. To Officers$6,251
4. To Employees$35,822
5. All Other Disbursements$61,813
6. Total Disbursements$225,689
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$36,685
2. Named Payee Non-itemized Disbursements$63,615
3. To Officers$76,356
4. To Employees$108,961
5. All Other Disbursements$77,046
6. Total Disbursements$362,663
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$89,695
5. All Other Disbursements$5,017
6. Total Disbursements$94,712
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$20,345
4. To Employees$45,264
5. All Other Disbursements$12,879
6. Total Disbursements$78,488
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$5,086
2. Named Payee Non-itemized Disbursements$73,032
3. To Officers$160,092
4. To Employees$259,935
5. All Other Disbursements$77,007
6. Total Disbursements$575,152
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 516-889

Name and Address
(A)
Adam Clark
PO BOX 579

Roanoke
IN
46783
Type or Classification
(B)
FUNDRAISING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,145
Total of All Transactions with this Payee/Payer for This Schedule$5,145
Name and Address
(A)
ADAM CLARK
PO BOX 579

Roanoke
IN
46783
Type or Classification
(B)
CHARITY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,605
Total Non-Itemized Transactions with this Payee/Payer$2,190
Total of All Transactions with this Payee/Payer for This Schedule$17,795
MAKE A WISH GOLF OUTING P05/22/2018$6,235
MAKE A WISH GOLF OUTING P05/22/2018$9,370
Name and Address
(A)
Caravan Facilities Management Inc
304 South Niagara

Saginaw
MI
48602
Type or Classification
(B)
Employer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,030
Total of All Transactions with this Payee/Payer for This Schedule$5,030
Name and Address
(A)
EVENTBRITE
155 5TH STREET

San Francisco
CA
94103
Type or Classification
(B)
EVENT PAYMENT PROCESSING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,278
Total of All Transactions with this Payee/Payer for This Schedule$7,278
Name and Address
(A)
General Motors Company
PO Box 62530

Phoenix
AZ
85082-2530
Type or Classification
(B)
General Motors Corp
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,500
Total of All Transactions with this Payee/Payer for This Schedule$5,500
Name and Address
(A)
International Union Uaw
8000 East Jefferson Ave

Detroit
MI
48217-3963
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$55,110
Total Non-Itemized Transactions with this Payee/Payer$3,937
Total of All Transactions with this Payee/Payer for This Schedule$59,047
13TH REBATE CHECK04/27/2018$55,110
Name and Address
(A)
QTEGO
6201 CORPORATE DRIVE
SUITE 100
Indianapolis
IN
46278
Type or Classification
(B)
CHARITY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,983
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,983
MAKE A WISH GOLF OUTING P06/14/2018$6,983
Name and Address
(A)
UAW ADAMS-ALLEN-WELLS COUNTY CAP COUNCIL
3915 PONTIAC ST

Fort Wayne
IN
46803
Type or Classification
(B)
LABOR POLITICAL ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,441
Total Non-Itemized Transactions with this Payee/Payer$2,809
Total of All Transactions with this Payee/Payer for This Schedule$9,250
REIMBURSEMENT FOR CAP CON08/09/2018$6,441
Name and Address
(A)
Union Label Committee
PO BOX 579

Roanoke
IN
46783
Type or Classification
(B)
UNION COMMITTEE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,845
Total of All Transactions with this Payee/Payer for This Schedule$5,845
Name and Address
(A)
VETERANS COMMITTEE
PO BOX 579

Roanoke
IN
46783
Type or Classification
(B)
CHARITY GROUP
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,515
Total Non-Itemized Transactions with this Payee/Payer$5,770
Total of All Transactions with this Payee/Payer for This Schedule$12,285
VETS POKER RUN PROCEEDS08/10/2018$6,515
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 516-889

Name and Address
(A)
Brookwood Golf Club
10304 Bluffton Rd.

Fort Wayne
IN
46899
Type or Classification
(B)
Golf Course
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,313
Total Non-Itemized Transactions with this Payee/Payer$350
Total of All Transactions with this Payee/Payer for This Schedule$7,663
MAKE A WISH GOLF OUTING06/21/2018$7,313
Name and Address
(A)
DAN'S FISH FRY SERVICE INC
4522 S 300 W

Huntington
IN
46750
Type or Classification
(B)
CATERING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,509
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$11,509
INVOICE 0170 FAMILY PICNI09/28/2018$11,509
Name and Address
(A)
EZ MAILING LLC
1832 EXECUTIVE DR

Indianapolis
IN
46241
Type or Classification
(B)
PRINTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,156
Total of All Transactions with this Payee/Payer for This Schedule$9,156
Name and Address
(A)
Five Star Distributing Inc.
4055 East Park 30 Drive

Columbia City
IN
46725
Type or Classification
(B)
Beverage Distributing Co
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,066
Total of All Transactions with this Payee/Payer for This Schedule$6,066
Name and Address
(A)
Frontier
PO BOX 740407

Cincinnati
OH
45274-0407
Type or Classification
(B)
UTILITY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,362
Total of All Transactions with this Payee/Payer for This Schedule$5,362
Name and Address
(A)
Impressions
8914 S. Telegraph Rd.

Taylor
MI
48180
Type or Classification
(B)
Advertising
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,202
Total of All Transactions with this Payee/Payer for This Schedule$5,202
Name and Address
(A)
International Union Uaw
8000 East Jefferson Ave

Detroit
MI
48217-3963
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,152
Total of All Transactions with this Payee/Payer for This Schedule$7,152
Name and Address
(A)
Macey Swanson And Allman
445 North Pennsylvania
Suite 401
Indianapolis
IN
46204
Type or Classification
(B)
Legal Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,552
Total of All Transactions with this Payee/Payer for This Schedule$14,552
Name and Address
(A)
Marriott Renaissance Center Detroit
400 Renaissance Drive

Detroit
MI
48243
Type or Classification
(B)
HOTEL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,010
Total of All Transactions with this Payee/Payer for This Schedule$6,010
Name and Address
(A)
Peace And Plenty Catering
511 S MAIN ST

Jonesboro
IN
46938
Type or Classification
(B)
CATERING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,830
Total of All Transactions with this Payee/Payer for This Schedule$8,830
Name and Address
(A)
THE TAG ART COMPANY
7629 MOELLER RD

Fort Wayne
IN
46806
Type or Classification
(B)
ENTERTAINMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,500
INV 2467 PICNIC ENTERTAIN09/22/2018$9,500
Name and Address
(A)
Union Services Agency
119 PERE MARQUETTE SUITE 1A

Lansing
MI
48912
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,363
Total Non-Itemized Transactions with this Payee/Payer$935
Total of All Transactions with this Payee/Payer for This Schedule$9,298
POLICY MUL0012968 03 11/112/07/2018$8,363
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 516-889

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: 516-889

Name and Address
(A)
All Usa Clothing.Com
3305 Orchards Lake Road

Keego Harbor
MI
48320-1308
Type or Classification
(B)
Apparel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,114
Total Non-Itemized Transactions with this Payee/Payer$18,136
Total of All Transactions with this Payee/Payer for This Schedule$26,250
INV 106491905/10/2018$8,114
Name and Address
(A)
BIG BROTHERS BIG SISTERS
1005 W RUDISILL BLVD

Fort Wayne
IN
46807
Type or Classification
(B)
CHARITY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,500
CHAIRMANS GOLF OUTING PRO12/13/2018$5,500
Name and Address
(A)
Flyin Needle Embroidery Inc
3132 E 900 N

Roanoke
IN
46783
Type or Classification
(B)
Clothing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,240
Total Non-Itemized Transactions with this Payee/Payer$4,404
Total of All Transactions with this Payee/Payer for This Schedule$10,644
600 SHIRTS07/11/2018$6,240
Name and Address
(A)
Fort Wayne Komet Hockey Club
1010 Memorial Way 100

Fort Wayne
IN
46805
Type or Classification
(B)
SPORTS TEAM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,500
SPONSORSHIP10/12/2018$6,500
Name and Address
(A)
FORT WAYNE TRAILS INC
300 EAST MAIN ST

Fort Wayne
IN
46802
Type or Classification
(B)
NON PROFIT PUBLIC ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,405
Total of All Transactions with this Payee/Payer for This Schedule$7,405
Name and Address
(A)
Make A Wish Foundation
7330 Woodland Dr.
Suite 101
Indianapolis
IN
46278
Type or Classification
(B)
Non For Profit
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,573
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$20,573
2018 MAKE A WISH CAMPAIGN07/19/2018$20,573
Name and Address
(A)
March Of Dimes Foundation
303 Stable Dr

Fort Wayne
IN
46825
Type or Classification
(B)
Charity
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,185
Total Non-Itemized Transactions with this Payee/Payer$3,200
Total of All Transactions with this Payee/Payer for This Schedule$10,385
2018 MARCH OF DIMES CAMPA08/01/2018$7,185
Name and Address
(A)
MAD ANTS
1910 ST JOE CTR RD
SUITE 61
Fort Wayne
IN
46825
Type or Classification
(B)
SPORTS TEAM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,500
MAD ANTS SPONSORSHIP10/12/2018$6,500
Name and Address
(A)
NEIBT 2018 LABOR DAY PICNIC
3019 WAYNEWOOD DRIVE

Fort Wayne
IN
46809
Type or Classification
(B)
LABOR ORGANIZATION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
ORGANIZED LABOR DAY PICNI05/31/2018$5,000
Name and Address
(A)
Roanoke Beautifiction Foundation
PO Box 388

Roanoke
IN
46783
Type or Classification
(B)
CHARITY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
UAW-GM DIAMOND SPONSORSHI01/25/2018$5,000
Name and Address
(A)
Shigs In Pit Bbq
2008 Fairfield

Fort Wayne
WA
46802
Type or Classification
(B)
CATERING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,236
Total Non-Itemized Transactions with this Payee/Payer$685
Total of All Transactions with this Payee/Payer for This Schedule$6,921
MAKE A WISH LUNCHEON05/31/2018$6,236
Name and Address
(A)
The Directors Charitable Fund Inc.
PO Box 421235

Indianapolis
IN
46242
Type or Classification
(B)
CHARITY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
PLATINUM SPONSOR DONATION06/27/2018$5,000
Name and Address
(A)
THREE RIVERS FESTIVAL
102 THREE RIVERS NORTH

Fort Wayne
IN
46802
Type or Classification
(B)
COMMUNITY FESTIVAL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,125
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,125
INV 10581 UAW-GM SPONSORS04/26/2018$6,125
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 516-889

Name and Address
(A)




-1
Type or Classification
(B)
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer 
Total of All Transactions with this Payee/Payer for This Schedule$0
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 516-889

Name and Address
(A)
EZ MAILING LLC
1832 EXECUTIVE DR

Indianapolis
IN
46241
Type or Classification
(B)
PRINTING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$18,697
Total of All Transactions with this Payee/Payer for This Schedule$18,697
Name and Address
(A)
Frontier
PO BOX 740407

Cincinnati
OH
45274-0407
Type or Classification
(B)
UTILITY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,941
Total of All Transactions with this Payee/Payer for This Schedule$13,941
Name and Address
(A)
Heartland Remc
PO Box 605

Markle
IN
46770-0605
Type or Classification
(B)
Utility
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,562
Total of All Transactions with this Payee/Payer for This Schedule$7,562
Name and Address
(A)
HILTON BUENA VISTA ORLANDO
1900 EAST BUENA VISTA DRIVE

Orlando
FL
32830
Type or Classification
(B)
HOTEL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,910
Total of All Transactions with this Payee/Payer for This Schedule$9,910
Name and Address
(A)
Office Depot Credit Plan
PO Box 78004

Phoenix
AZ
85062-8004
Type or Classification
(B)
Supply Co.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,857
Total of All Transactions with this Payee/Payer for This Schedule$5,857
Name and Address
(A)
Region 2-B Uaw
1691 Woodlands Drive

Maumee
OH
43537
Type or Classification
(B)
Region 2B Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,790
Total of All Transactions with this Payee/Payer for This Schedule$5,790
Name and Address
(A)
Seneca Insurance Company Inc
160 Water Street

New York
NY
10038-4922
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,086
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,086
POLICY UCM5342570 COMMERC11/08/2018$5,086
Name and Address
(A)
Suburban Propane
PO Box 290

Whippany
NJ
07981-0290
Type or Classification
(B)
Propane Gas
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,275
Total of All Transactions with this Payee/Payer for This Schedule$11,275
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
SCHEDULE 20 - BENEFITS FILE NUMBER: 516-889

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$30,191
Dental/Hearing/Medical/Vision InsuranceRetail Wholesale & Dept Int Union$19,127
Workers Compensation InsuranceAccident Fund$1,246
Pension AllocationsEdward Jones Investments$9,818
Form LM-2 (Revised 2010); (Tech. Rev. 2/2013)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 516-889


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 15: The local gave away 40 Bibles at a cost of $1318 to members who lost a family member in 2018.

Question 18: Changed bylaw Article 9, section 1, Paragraph 1 (see attached bylaws) Changed bylaw Article 9, section 12B (see attached bylaws)

Statement A,

Cash Begin Total: Beginning balance was adjusted by $2558 due to voided checks issued in previous years being added back into the balance.

Schedule 13, Row1:

Schedule 13, Row1::Anyone who has applied and been accepted for membership is a regular member.

Schedule 13, Row1:

Schedule 13, Row1::

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