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: 08-31-2016
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
036-518
2. PERIOD COVERED
From01/01/2014
Through12/31/2014
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
402
7. UNIT NAME (if any)

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

Number and Street
3671 URBANA ROAD
City
SPRINGFIELD
State
OH
ZIP Code + 4
45502


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:Jason L BarlowPRESIDENT71. SIGNED:Richard SeversTREASURER
Date:Mar 20, 2015Telephone Number:937-390-3327Date:Mar 19, 2015Telephone Number:937-390-3327
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 036-518
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?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?05/2017
20. How many members did the labor organization have at the end of the reporting period?1,131
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 straightpermonth1 hr SUB2.5 hrs straight
(b) Working Dues/Feesper
(c) Initiation Fees20.00perone time
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 036-518

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $118,555$112,569
23. Accounts Receivable1$0$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$843,391$850,417
28. Other Assets7$10,037$6,115
29. TOTAL ASSETS $971,983$969,101

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$47,468$41,447
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$1,963$1,415
34. TOTAL LIABILITIES $49,431$42,862
35. NET ASSETS$922,552$926,239
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 036-518

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $569,403
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $5,100
39. Sale of Supplies $5,795
40. Interest $0
41. Dividends $175
42. Rents $32,025
43. Sale of Investments and Fixed Assets3$255
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 $2,163
48. Other Receipts14$48,743
49. TOTAL RECEIPTS $663,659
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$21,967
51. Political Activities and Lobbying16$2,289
52. Contributions, Gifts, and Grants17$7,263
53. General Overhead18$17,306
54. Union Administration19$266,734
55. Benefits20$858
56. Per Capita Tax $322,748
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$6,391
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 $0
65. Direct Taxes $24,111
  
66. Subtotal $669,667
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$26,613  
  67b. Less Total Disbursed$26,591  
  67c. Total Withheld But Not Disbursed $22
68. TOTAL DISBURSEMENTS $669,645
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 036-518

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)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 036-518

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)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 036-518

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$2,087$2,087$2,087$255
19 Tables Sold$2,087$2,087$2,087$255
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$255
Form LM-2 (Revised 2010)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 036-518

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$6,391$6,391$6,391
Computer Ins Office/Repairs J Computer$641$641$641
Coffee Pots$311$311$311
Adding Machine$43$43$43
Computer/Fin Secy Office$659$659$659
42 8' Tables for Hall$3,500$3,500$3,500
42 8' Tables for Hall$142$142$142
Stapler$35$35$35
19" Computer Monitor Workers Comp$30$30$30
Computer$1,030$1,030$1,030
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$6,391
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 036-518

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)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 036-518

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      3671 Urbana Rd$31,600 $31,600$31,600
Land  2 :      4945 Derr Rd$20,000 $20,000$20,000
B. Buildings (give location)    
Building  1 :      3671 Urbana Rd$378,832$378,832$378,832
Building  2 :      4945 Derr Rd$253,556$253,556$253,556
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$156,297$156,297$156,297
E. Other Fixed Assets$10,132$10,132$10,132
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $850,417$0$850,417$850,417
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 036-518

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $6,115
T-Shirts 239 @10.00$2,390
Jackets 90 @40.00$3,600
Jackets 5 @25.00$125
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 036-518

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$37,777$0$0$0
Total from all other accounts payable$3,670$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $41,447$0$0$0
International UAW$37,777$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 036-518

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)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 036-518

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,415
Internal Revenue Service FUTA$848
City of Springfield$140
Ohio Dept. of Job & Family Services$163
School District Income$1
Treasurer of State of Ohio$248
City of Urbana Income Tax$15
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 036-518

(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
BARLOW ,  JASON   L
PRESIDENT
C
$22,159$0$2,324$0$24,483
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
98 %
A
B
C
BLIZARD ,  CHRISTO   L
1ST VICE-PRES.
C
$21,107$0$166$0$21,273
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
99 %
A
B
C
ELDRIDGE ,  TODD   C
TRUSTEE
C
$1,529$0$0$0$1,529
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
ENTLER ,  JAMES   J
GUIDE
C
$1,576$0$0$0$1,576
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
HARSHAW ,  JEFFREY   A
EXEC. BOARD TRUSTEE
C
$1,974$0$0$0$1,974
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
91 %
A
B
C
KETTERMAN ,  TERRY   L
TRUSTEE CHAIRMAN
C
$1,742$0$0$0$1,742
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
SCOTT ,  TODD  
BARGAINING CHAIRMAN
P
$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 %
A
B
C
SEEGRAVES ,  THOMAS   R
SGT-AT-ARMS EXEC. BD
C
$1,961$0$66$0$2,027
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
SEVERS ,  RICHARD   L
2ND VICE-PRES
C
$8,526$0$264$0$8,790
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
STUCKEY ,  PEGGY   J
RECORDING SEC'Y
C
$3,285$0$366$0$3,651
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
ZIRKLE Jr. ,  EDWARD   E
BARGAINING CHAIRMAN
N
$2,330$0$1,750$0$4,080
I
Schedule 15
Representational Activities
44 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
56 %
Total Officer Disbursements$66,189$0$4,936$0$71,125
Less Deductions    $13,951
Net Disbursements    $57,174
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 036-518

(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
CHAPMAN ,  JAMES   W
WORKER'S COMP. R
NA
$13,949$0$642$0$14,591
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
MCMAHAN ,  GRETCHE   M
BOOKEEPER
NA
$34,980$0$391$0$35,371
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$16,950$0$6,761$0$23,711
I Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
51 % Schedule 19
Administration
45 %
Total Employee Disbursements$65,879$0$7,794$0$73,673
Less Deductions    $12,662
Net Disbursements    $61,011
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 036-518

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,131 
Agency Fee Payers*0
Total Members/Fee Payers1,131 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members1,131Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 036-518

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$12,872
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$35,871
4. Total Receipts$48,743
     
     
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$7,263
6. Total Disbursements$7,263
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$5,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,795
4. To Employees$948
5. All Other Disbursements$14,224
6. Total Disbursements$21,967
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$391
4. To Employees$12,093
5. All Other Disbursements$4,822
6. Total Disbursements$17,306
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$490
4. To Employees$0
5. All Other Disbursements$1,799
6. Total Disbursement$2,289
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$23,497
2. Named Payee Non-itemized Disbursements$63,790
3. To Officers$68,449
4. To Employees$60,632
5. All Other Disbursements$50,366
6. Total Disbursements$266,734
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 036-518

Name and Address
(A)
INTERNATIONAL UNION UAW
8000 E JEFFERSON AVENUE

DETROIT
MI
48214-0000
Type or Classification
(B)
LABOR UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,872
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,872
13TH REBATE CHECK04/21/2014$7,528
SEPT 2013 PER CAPITA REBA01/24/2014$5,344
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 036-518

Name and Address
(A)
TEXAS ROADHOUSE
1750 N BECHTLE AVENUE

SPRINGFIELD
OH
45504-0000
Type or Classification
(B)
CATERING
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
INV: 1217201412/29/2014$5,000
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 036-518

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 036-518

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 036-518

There was no data found for this schedule.

SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 036-518

Name and Address
(A)
CINCINNATI BELL
P.O. BOX 748003

CINCINNATI
OH
45274-8003
Type or Classification
(B)
PHONE COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,208
Total of All Transactions with this Payee/Payer for This Schedule$5,208
Name and Address
(A)
COLUMBIA GAS
P.O. BOX 16581

COLUMBUS
OH
43216-6581
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$5,114
Total of All Transactions with this Payee/Payer for This Schedule$5,114
Name and Address
(A)
CUSTOM PROMOTIONS INC.
17520 W. TWELVE MILE RD.

SOUTHFIELD
MI
48076-0000
Type or Classification
(B)
PROMOTIONAL ITEMS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,760
Total of All Transactions with this Payee/Payer for This Schedule$14,760
Name and Address
(A)
DANA HORSELY
3880 CREEK ROAD
HEATING COOLING & PLUMB
ST. PARIS
OH
43072-0000
Type or Classification
(B)
HEATING & COOLING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,277
Total Non-Itemized Transactions with this Payee/Payer$2,456
Total of All Transactions with this Payee/Payer for This Schedule$7,733
ROOF TOP UNIT08/26/2014$5,277
Name and Address
(A)
GILLAM LAWNCARE & LANDSCAPING
9736 OLD COLUMBUS RD.

SOUTH VIENNA
OH
45369-0000
Type or Classification
(B)
LAWNCARE COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,398
Total of All Transactions with this Payee/Payer for This Schedule$8,398
Name and Address
(A)
KROGER - CINCINNATI CUSTOMER C
P.O. BOX 644459

PITTSBURGH
PA
15264-4459
Type or Classification
(B)
RETAIL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,058
Total of All Transactions with this Payee/Payer for This Schedule$11,058
Name and Address
(A)
OHIO EDISON
PO BOX 3637 ST

AKRON
OH
44309-3637
Type or Classification
(B)
UTILITY COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,976
Total of All Transactions with this Payee/Payer for This Schedule$10,976
Name and Address
(A)
TROY MAYHON
5825 ROUSSEAU DRIVE

HUBER HEIGHTS
OH
45424-0000
Type or Classification
(B)
CONSTRUCTION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,640
Total Non-Itemized Transactions with this Payee/Payer$5,820
Total of All Transactions with this Payee/Payer for This Schedule$17,460
ROOF REPLACEMENT MATERIAL07/12/2014$11,640
Name and Address
(A)
WALLACE & TURNER INSURANCE AGE
616 N LIMESTONE ST

SPRINGFIELD
OH
45503-0000
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,580
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,580
POLICY #CWP838126311/04/2014$6,580
Form LM-2 (Revised 2010)
SCHEDULE 20 - BENEFITS FILE NUMBER: 036-518

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$858
Workers Compension InsuranceBUREAU OF WORKERS COMPENSATION$858
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 036-518


Question 10: : Operations of the building corporation are handled through the books and records of the local union and 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 therefore included in this report

Question 15: : Received misc. donated items for Region Office closing estimated at $890.00

Schedule 8, Row1:

Schedule 13, Row1:

Schedule 13 Row 1: Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues

Schedule 13, Row1:
Form LM-2 (Revised 2010)