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
008-157
2. PERIOD COVERED
From01/01/2015
Through12/31/2015
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
450
7. UNIT NAME (if any)

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

Number and Street
4589 NW 6TH DRIVE
City
DES MOINES
State
IA
ZIP Code + 4
503132213


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:Richie L TaguePRESIDENT71. SIGNED:James L ThornburgTREASURER
Date:Mar 23, 2016Telephone Number:515-283-1784Date:Mar 23, 2016Telephone Number:515-283-1784
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 008-157
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?Yes
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?No
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?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?$136,000
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?05/2017
20. How many members did the labor organization have at the end of the reporting period?1,015
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.5HR + 2.00perMonthN/AN/A
(b) Working Dues/Feesper
(c) Initiation Fees10perMemberN/AN/A
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 008-157

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $406,030$513,811
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$273,303$274,215
28. Other Assets7$11,782$15,162
29. TOTAL ASSETS $691,115$803,188

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$38,869$27,643
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$10,801$6,381
34. TOTAL LIABILITIES $49,670$34,024
35. NET ASSETS$641,445$769,164
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 008-157

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $759,465
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $50
39. Sale of Supplies $3,481
40. Interest $0
41. Dividends $0
42. Rents $5,000
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 $10,860
48. Other Receipts14$169,303
49. TOTAL RECEIPTS $948,159
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$228,343
51. Political Activities and Lobbying16$4,260
52. Contributions, Gifts, and Grants17$12,122
53. General Overhead18$29,507
54. Union Administration19$47,608
55. Benefits20$14,267
56. Per Capita Tax $467,114
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $4
59. Supplies for Resale $350
60. Purchase of Investments and Fixed Assets4$912
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 $8,706
65. Direct Taxes $22,515
  
66. Subtotal $835,708
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$43,644  
  67b. Less Total Disbursed$48,314  
  67c. Total Withheld But Not Disbursed -$4,670
68. TOTAL DISBURSEMENTS $840,378
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 008-157

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$0$0$0
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: 008-157

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 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: 008-157

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)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 008-157

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$912$912$912
FURNITURE & EQUIPMENT-PURCHASE$912$912$912
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$912
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 008-157

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: 008-157

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      4589 NW 6TH DRIVE, DES MOINES, IA 50313$5,000 $5,000$79,500
B. Buildings (give location)    
Building  1 :      4589 NW 6TH DRIVE, DES MOINES, IA 50313$179,500$179,000$196,500
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$29,355$29,355$29,355
E. Other Fixed Assets$60,860$0$60,860$60,860
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $274,715$0$274,215$366,215
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 008-157

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $15,162
Apparel$13,063
Bibles$127
Prepaid Postage Deposits$1,048
Retirement Lapel Pins$320
Vet Patches$10
UAW Wall Clocks$106
UAW Flags$488
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 008-157

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$27,643$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)) $27,643$0$0$0
PER CAPITA TAX$27,643$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 008-157

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: 008-157

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $6,381
Federal Payroll Tax$1,165
State Payroll Tax$3,252
FICA/MECA Employee$656
FICA/MECA Employer$656
State Unemployment Tax$349
Federal Unemployment Tax$62
Sales Tax$41
Ameriprise Financial Annuity$200
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 008-157

(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
Bartels ,  James   M
2nd Vice President
C
$403$0$0$0$403
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
Lane ,  Jacob   A
Guide
C
$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
Loney ,  Robert   A
1st Vice President
C
$8,106$0$596$0$8,702
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
McFarland ,  Chad   R
Recording Secretary
C
$16,411$780$2,237$0$19,428
I
Schedule 15
Representational Activities
78 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
22 %
A
B
C
Melton ,  Jeremy   W
Trustee
C
$4,432$0$661$0$5,093
I
Schedule 15
Representational Activities
22 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
78 %
A
B
C
Nelson ,  Steven   A
Sgt-At-Arms
C
$187$0$0$0$187
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
Piffer III ,  Harry   W
Trustee
C
$1,113$0$0$0$1,113
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
Sheldahl ,  Erik   L
Trustee
C
$2,724$0$440$0$3,164
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
Tague ,  Richie   L
President
C
$13,626$1,300$11,299$0$26,225
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
25 %
A
B
C
Thornburg ,  James   L
Financial Secretary
C
$13,599$780$1,267$0$15,646
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 %
Total Officer Disbursements$60,601$2,860$16,500$0$79,961
Less Deductions    $18,139
Net Disbursements    $61,822
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 008-157

(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
Nagel ,  Diana   M
Office Secy
NA
$47,034$0$1,151$0$48,185
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
Vaughan ,  Jonathon   A
Committeeman
NA
$5,520$1,300$6,474$0$13,294
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
Witthoft ,  Christine   A
NA
NA
$20,000$4,164$0$0$24,164
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$23,522$630$9,600$0$33,752
I Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
6 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
7 %
Total Employee Disbursements$96,076$6,094$17,225$0$119,395
Less Deductions    $25,505
Net Disbursements    $93,890
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 008-157

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,015 
Agency Fee Payers*0
Total Members/Fee Payers1,015 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members1,015Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 008-157

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$137,540
2. Named Payer Non-itemized Receipts$24,979
3. All Other Receipts$6,784
4. Total Receipts$169,303
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$5,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$7,122
6. Total Disbursements$12,122
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$11,687
3. To Officers$56,396
4. To Employees$115,007
5. All Other Disbursements$45,253
6. Total Disbursements$228,343
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$5,790
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$23,717
6. Total Disbursements$29,507
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$2,025
5. All Other Disbursements$2,235
6. Total Disbursement$4,260
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$23,565
4. To Employees$2,363
5. All Other Disbursements$21,680
6. Total Disbursements$47,608
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 008-157

Name and Address
(A)
DMACC
430 East Grand

Des Moines
IA
50309
Type or Classification
(B)
College
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$10,867
Total of All Transactions with this Payee/Payer for This Schedule$15,867
REFUND EXP NEG LIAISON11/25/2015$5,000
Name and Address
(A)
Edward Jones Investing
2505 SW White Birch Dr #i

Ankeny
IA
50023
Type or Classification
(B)
Investing Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$101,882
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$101,882
DONATION TO LOCAL (RON JA11/20/2015$76,882
DONATION TO LOCAL (RON JA11/20/2015$25,000
Name and Address
(A)
International Union UAW
PO Box 77000

Detroit
MI
48277-1277
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$30,658
Total Non-Itemized Transactions with this Payee/Payer$4,818
Total of All Transactions with this Payee/Payer for This Schedule$35,476
13TH CHECK STRIKE FUND RE05/08/2015$14,087
REFUND EXP NEGOTIATIONS12/18/2015$5,197
REFUND EXP NEGOTIATIONS12/18/2015$6,232
REFUND EXP NEGOTIATIONS12/18/2015$5,142
Name and Address
(A)
Intl Union
P.O. Box 77000

Detroit
MI
48277-1277
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,294
Total of All Transactions with this Payee/Payer for This Schedule$9,294
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 008-157

Name and Address
(A)
Roberts Custom Software Inc.
3667 1st Street

East Moline
IL
61244
Type or Classification
(B)
Software Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,160
Total of All Transactions with this Payee/Payer for This Schedule$6,160
Name and Address
(A)
Stoney Creek Inn
101 18th Street

Moline
IL
61265
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,527
Total of All Transactions with this Payee/Payer for This Schedule$5,527
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 008-157

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)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 008-157

Name and Address
(A)
Pat Greathouse Education Center
1000 East Center Street

Ottawa
IL
61350
Type or Classification
(B)
Uaw Education Ctr
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
DONATION FROM THE LOCAL12/11/2015$5,000
Form LM-2 (Revised 2010)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 008-157

Name and Address
(A)
Image Pointe


Waterloo
IA
50704-0657
Type or Classification
(B)
Apparel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,790
Total of All Transactions with this Payee/Payer for This Schedule$5,790
Form LM-2 (Revised 2010)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 008-157

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)
SCHEDULE 20 - BENEFITS FILE NUMBER: 008-157

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$14,267
Wellmark Blue Cross/Blue Shield Of IowaDental/Hearing/Medical/Vision Insurance$10,189
State Farm InsuranceWorkers Compensation Insurance$1,578
Ameriprise Financial Services Inc.Retirement Savings(401K etc)Employer$2,500
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 008-157


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 12: : State Farm Insurance Company, Payroll Records for Workers Comp Policy.

Question 15: : The following inventory items were no longer usable and disposed of: 3M Overhead Projector 376.27; Paper Shredder 42.39; 2/ 4 drawer File Cabinets 137.14; 4 door Wood Cabinet 100.00; Sprinkler 8.13; 2 drawer File Cabinet 40.20; Service Cart 54.99; Black Shelf 10.49, TOTAL = $769.61. The following inventory items were given away: 33 Bibles @ 42.34 each for deceased Members/Retirees families 1397.22; 34 Labor Day Parade T-shirts for Members/Retirees attending the Parade 362.00; 20 T-shirts donated to Greg Smith for Members injured at work or torn clothing 206.00; Hats/Shirts for Recreation Activities and Door Prizes, TOTAL = $2,391.22.

Question 18: Bylaws change to Article XVI, Departmental Stewards, Add Section 3; Article XIX, Section 15, Finances, Add "and 401K Company match".

Statement A,

Cash Begin Total: Increase of $187 due to void checks from previous year.

Schedule 13, Row1:Anyone who has applied and been accepted for membership is a regular member. Regular members pay full dues.

General Information:
Form LM-2 (Revised 2010)