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
010-321
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
400
7. UNIT NAME (if any)
MT CLEMENS-HIGHLAND PARK LOCAL
8. MAILING ADDRESS (Type or print in capital letters)
First Name
DAVID
Last Name
MURRAY
P.O Box - Building and Room Number

Number and Street
50595 MOUND ROAD
City
UTICA
State
MI
ZIP Code + 4
48317


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:James D CaygillPRESIDENT71. SIGNED:David R MurrayTREASURER
Date:Mar 23, 2016Telephone Number:586-731-6270Date:Mar 23, 2016Telephone Number:586-731-6270
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 010-321
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?$180,000
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?1,826
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees0perMonth1.095%2.5 hours
(b) Working Dues/Fees0per
(c) Initiation Fees0perMember25.0040.00
(d) Transfer Fees0per
(e) Work Permits0per

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 010-321

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $442,654$533,878
23. Accounts Receivable1$0$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$519,336$518,414
28. Other Assets7$1,602$1,477
29. TOTAL ASSETS $963,592$1,053,769

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$54,205$102,069
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$0
34. TOTAL LIABILITIES $54,205$102,069
35. NET ASSETS$909,387$951,700
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 010-321

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,277,156
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $17,510
39. Sale of Supplies $0
40. Interest $180
41. Dividends $0
42. Rents $950
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $7,372
48. Other Receipts14$41,289
49. TOTAL RECEIPTS $1,344,457
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$350,078
51. Political Activities and Lobbying16$816
52. Contributions, Gifts, and Grants17$24,330
53. General Overhead18$723
54. Union Administration19$55,893
55. Benefits20$35,483
56. Per Capita Tax $746,771
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$2,132
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $8,301
65. Direct Taxes $28,706
  
66. Subtotal $1,253,233
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$74,050  
  67b. Less Total Disbursed$74,050  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $1,253,233
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 010-321

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: 010-321

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: 010-321

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 
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales 
Form LM-2 (Revised 2010)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 010-321

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$2,132$2,132$2,132
Chair$106$106$106
Extension Ladder$201$201$201
Printer - Laser Black & White$265$265$265
Fax Machine$180$180$180
Printer - Laser Color$530$530$530
Hot Water Heater$850$850$850
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$2,132
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 010-321

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: 010-321

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)    
Building  1 :      50595 Mound Rd, Shelby Twp., MI 48317$450,907$0$450,907$338,100
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$67,507$0$67,507$11,600
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $518,414$0$518,414$349,700
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 010-321

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $1,477
Bibles$894
Postage in Meter$154
Postage in Newspaper Account$315
Postage in Postage Due Account$114
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 010-321

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$102,069$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $102,069$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 010-321

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: 010-321

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $0
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 010-321

(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
Berrios ,  Anthony   D
Executive Board
C
$403$0$0$0$403
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
Brashear Jr ,  Leonard   E
Chairperson
C
$0$0$442$0$442
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
Carrier ,  Michael   A
Trustee
C
$300$0$0$0$300
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
Carstarphen ,  Stacy  
Executive Board
C
$1,299$0$167$0$1,466
I
Schedule 15
Representational Activities
91 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
Caygill ,  James   D
President
C
$14,130$3,152$746$0$18,028
I
Schedule 15
Representational Activities
94 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
Coscia ,  Alfred   J
Executive Board
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
Emerson ,  Mark   E
Executive Board
C
$568$0$0$0$568
I
Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
7 %
A
B
C
Erickson ,  Rick  
Trustee
C
$300$0$0$0$300
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
Farhat ,  Lawrence   J
Trustee
C
$450$0$0$0$450
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
Jones ,  Harvey   C
Chairperson
P
$1,185$0$0$0$1,185
I
Schedule 15
Representational Activities
91 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
9 %
A
B
C
Lappe ,  Joann  
Unit Chairperson
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
Laritz ,  Ronda   M
Executive Board
C
$3,258$0$0$0$3,258
I
Schedule 15
Representational Activities
67 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
29 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
A
B
C
Lashbrook ,  Randy   L
Plant Chairman
C
$0$0$499$0$499
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
Leinenger ,  Lavern  
Plant Chairman
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
Murray ,  David   R
Financial Sec
C
$49,238$2,078$498$0$51,814
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
16 %
A
B
C
Patterson ,  Ed  
Plant Chairman
C
$753$0$565$0$1,318
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
A
B
C
Russo ,  Sam  
Sgt At Arms
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
Schultz ,  Randy   L
Ex Board Retiree
C
$0$0$120$0$120
I
Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
7 %
A
B
C
Sherman ,  Nicholas  
Chairperson
N
$2,876$0$20$0$2,896
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Sorgi ,  James   J
Recording Sec
C
$57,732$2,078$0$0$59,810
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
16 %
A
B
C
Taylor ,  Lavolia   D
Plant Chairperson
C
$0$0$249$0$249
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
Verellen ,  Johnny   R
Vice President
C
$26,482$2,078$1,277$0$29,837
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
Wood ,  Kyle  
Unit Chairperson
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
Zerilli ,  Dominic  
Guide
C
$50$0$0$0$50
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
Total Officer Disbursements$159,024$9,386$4,583$0$172,993
Less Deductions    $49,293
Net Disbursements    $123,700
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 010-321

(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
Jean ,  Therese   A
Bookkeeper
NA
$46,649$0$0$0$46,649
I
Schedule 15
Representational Activities
50 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
49 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$37,513$3,114$40,627
I Schedule 15
Representational Activities
79 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
4 % Schedule 18
General Overhead
1 % Schedule 19
Administration
15 %
Total Employee Disbursements$84,162$0$3,114$0$87,276
Less Deductions    $24,757
Net Disbursements    $62,519
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 010-321

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,826 
Agency Fee Payers*
Total Members/Fee Payers1,826 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members1,826Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 010-321

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$18,540
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$22,749
4. Total Receipts$41,289
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$2,539
4. To Employees$2,091
5. All Other Disbursements$19,700
6. Total Disbursements$24,330
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$37,222
2. Named Payee Non-itemized Disbursements$29,740
3. To Officers$149,228
4. To Employees$55,420
5. All Other Disbursements$78,468
6. Total Disbursements$350,078
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$406
5. All Other Disbursements$317
6. Total Disbursements$723
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$59
4. To Employees$406
5. All Other Disbursements$351
6. Total Disbursement$816
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$21,166
4. To Employees$28,952
5. All Other Disbursements$5,775
6. Total Disbursements$55,893
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 010-321

Name and Address
(A)
International Uaw
8000 East Jefferson Ave

Detroit
MI
48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,540
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$18,540
INT'L UAW 13TH REBATE CHECK04/29/2015$18,540
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 010-321

Name and Address
(A)
Dte Energy
PO Box 740786

Cincinnati
OH
45274-0786
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$5,243
Total of All Transactions with this Payee/Payer for This Schedule$5,243
Name and Address
(A)
Imagamerica
44479 Phoenix

Sterling Hgts
MI
48314
Type or Classification
(B)
Promotional Products
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,464
Total Non-Itemized Transactions with this Payee/Payer$3,574
Total of All Transactions with this Payee/Payer for This Schedule$19,038
1870 SHIRTS FOR MEMBERSHIP - Loyalty Recognition10/15/2015$15,464
Name and Address
(A)
International Uaw
8000 East Jefferson Ave

Detroit
MI
48214
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$5,451
Total of All Transactions with this Payee/Payer for This Schedule$5,451
Name and Address
(A)
Rockman & Sons Publishing
240 N Fenway Dr

Fenton
MI
48430
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$15,472
Total of All Transactions with this Payee/Payer for This Schedule$15,472
Name and Address
(A)
Royalty House Inc
8201 E 13 Mile Rd

Warren
MI
48093
Type or Classification
(B)
Event Hall
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,028
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$14,028
RETIREE HOLIDAY PARTY 12/15/15 520 PEOPLE12/15/2015$14,028
Name and Address
(A)
Sterling Insurance Group
13900 Lakeside Circle

Sterling Heights
MI
48313
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,730
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,730
UNION LIABILITY INSURANCE 1/21/15-1/21/16 AIG01/23/2015$7,730
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 010-321

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: 010-321

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 18 - GENERAL OVERHEAD FILE NUMBER: 010-321

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 19 - UNION ADMINISTRATION FILE NUMBER: 010-321

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: 010-321

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$35,483
Delta Dental PlanDental/Hearing/Medical/Vision Insurance$1,327
Sterling Insurance GroupDental/Hearing/Medical/Vision Insurance$19,095
Nationwide Insurance CoGroup Life Insurance$4,744
Accident FundWorkers Compension Insurance$3,262
The American FundsScholarship/Tuition Payments$50
National Integrated GroupPension Allocations$7,005
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 010-321


Question 10: Local Union #400 Building Corporation. 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): : Local Union #400 Building Corporation, A Michigan Corporation. 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 Union gave away 23 shirts to UAW Local Officials for recognition of their service in January 2015 at a cost of $644. The Local Union gave away 200 shirts to members that participated in the annual Labor Day parade in Detroit at a total cost of $1600. The Local Union gave away 1910 shirts to the membership of Local 400 in recognition of their loyalty at a cost of $16794. Our Retiree Chapter gave away 550 2016 calendar books to members that attended our annual Retiree Christmas Party at a cost of $860. Our Retiree Chapter also gave away a gift bag and box of chocolates at a cost of $21 for a previous Retiree Chairperson for her dedication. The Local Union gave away 2 jackets that were in old inventory to members at a total cost of $100. The Local Union gave away 51 bibles to the families of our recently departed members at a total cost of $1407. The Local Union disposed of obsolete/damaged furniture at a cost of $254. Additionally, the Local Union disposed of an obsolete floor scrubber at a cost of $2450. When the new hot water heater was acquired, the old one was removed and disposed of at a cost of $350.

Statement A,

Cash Begin Total: Voiding of checks during the reporting period that were issued in previous years total $745 ($441,909 + $745 = $442,654).

Schedule 13, Row1:

Schedule 13, Row1:::

Schedule 13, Row1:

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

General Information:

General Information

Statement B: The difference between lines 47 and 64 Receipts from members on their behalf and Disbursements for members on their behalf(-$929)is the difference in our Community Service Committees'' beginning and ending balance for the year.
Form LM-2 (Revised 2010)