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
063-476
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
1268
7. UNIT NAME (if any)

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

Number and Street
1100 CHRYSLER DRIVE
City
BELVIDERE
State
IL
ZIP Code + 4
61008


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:GEORGE WELITSCHINSKYPRESIDENT71. SIGNED:Michael G MoeTREASURER
Date:Mar 24, 2016Telephone Number:815-544-2111Date:Mar 24, 2016Telephone Number:815-544-2111
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 063-476
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?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?$621,109
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?5,139
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 hours straight timepermonth0.000.00
(b) Working Dues/Feesper
(c) Initiation Fees50.00permember50.0050.00
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 063-476

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $1,744,838$2,158,814
23. Accounts Receivable1$0$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$779,085$781,475
28. Other Assets7$5,936$6,065
29. TOTAL ASSETS $2,529,859$2,946,354

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$189,409$208,231
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$6,178$10,586
34. TOTAL LIABILITIES $195,587$218,817
35. NET ASSETS$2,334,272$2,727,537
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 063-476

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $4,135,108
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $36,650
39. Sale of Supplies $54,916
40. Interest $904
41. Dividends $0
42. Rents $6,775
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9$0
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $44,677
48. Other Receipts14$187,518
49. TOTAL RECEIPTS $4,466,548
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$792,895
51. Political Activities and Lobbying16$10,425
52. Contributions, Gifts, and Grants17$44,751
53. General Overhead18$86,719
54. Union Administration19$290,420
55. Benefits20$45,334
56. Per Capita Tax $2,579,451
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $200
59. Supplies for Resale $56,094
60. Purchase of Investments and Fixed Assets4$7,535
61. Loans Made2
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $15,430
65. Direct Taxes $98,198
  
66. Subtotal $4,027,452
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$183,369  
  67b. Less Total Disbursed$208,489  
  67c. Total Withheld But Not Disbursed -$25,120
68. TOTAL DISBURSEMENTS $4,052,572
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 063-476

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: 063-476

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: 063-476

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: 063-476

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$7,535$7,535$7,535
Sjostrom & Sons Inc.$2,450$2,450$2,450
Dell Computers$3,334$3,334$3,334
Barco Products$1,751$1,751$1,751
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$7,535
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 063-476

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: 063-476

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      1100 W. CHRYSLER DRIVE, BELVIDERE, IL 61008 $55,048 $55,048$55,048
B. Buildings (give location)    
Building  1 :      1100 W. CHRYSLER DRIVE, BELVIDERE, IL 61008$355,401$0$355,401$355,401
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$371,026$0$371,026$371,026
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $781,475$0$781,475$781,475
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 063-476

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $6,065
EZ TRAVEL$4,000
ORKIN EXTERMINATING$140
POSTAGE BY PHONE$1,000
10 EMPTY BBLS OF BEER$300
5 FULL BBLS OF BEER$625
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 063-476

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$208,231$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)) $208,231$0$0$0
PER CAPITA TAX FOR DECEMBER 2015$208,231$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 063-476

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: 063-476

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $10,586
FEDERAL INCOME TAX - PAYROLL $2,549
EMPLOYEE FICA/MECA$872
EMPLOYER FICA/MECA$872
ALPINE BANK $355
ROCKFORD RENTALS$72
AIRGAS USA$23
ARAMARK$232
CITY OF BELVIDERE$73
COMMONWEALTH EDISON$796
COMCAST$342
BOONE COUNTY SHOPPER$48
QUILL$136
CUSTOM PROMOTIONS$2,310
NORTHERN MECHANICAL$135
BOONE COUNTY DEPARTMENT OF PUBLIC HEALTH$395
VANCE PRINTING$1,376
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 063-476

(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
Arnold ,  Danny   D
Unit 5 Chair
C
$471$0$0$0$471
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
Bingenheimer ,  Mary   A
Trustee
C
$8,627$0$375$0$9,002
I
Schedule 15
Representational Activities
35 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
64 %
A
B
C
Bonner ,  Patricia   E
Guide
C
$11,625$0$0$0$11,625
I
Schedule 15
Representational Activities
44 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
55 %
A
B
C
Brown ,  Debora   K
Unit 6 Chair
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
Campbell ,  William   L
Financial Sec/82337
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
Christopherson ,  Amy   I
Trustee895875
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
Dodd ,  Van  
Unit 9 Chair
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
Fehr ,  Douglas   W
2nd Vp
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
Frantzen ,  Matthew   J
Shopchair
C
$1,175$0$336$0$1,511
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
Gedney ,  John  
Cap Chair
P
$8,916$0$3,325$0$12,241
I
Schedule 15
Representational Activities
52 % Schedule 16
Political Activities and Lobbying
30 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
18 %
A
B
C
Hamilton ,  William  
Vice President
C
$50,153$0$2,167$0$52,320
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
19 %
A
B
C
Hightower ,  Charles  
Unit 4 Chair
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
Kelly Jr ,  Kendall  
Unit 5 Chair
C
$614$0$552$0$1,166
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
Logan ,  Kevin   M
Vice President
C
$5,537$0$2,020$0$7,557
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
Mc Kenney ,  Douglas  
Trustee
C
$7,325$0$359$0$7,684
I
Schedule 15
Representational Activities
36 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
62 %
A
B
C
Medina ,  Maria   B
Recording Secretary
C
$14,677$0$1,311$0$15,988
I
Schedule 15
Representational Activities
73 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
26 %
A
B
C
Mielke ,  Gary   R
Sgt Of 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
Moe ,  Michael   G
Financial Secretary
C
$88,344$4,500$2,020$0$94,864
I
Schedule 15
Representational Activities
57 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
42 %
A
B
C
Moore ,  Kenny   A
Unit 3 Chair
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
Scalzitti ,  Mary   E
Trustee/86489
C
$610$0$1,083$0$1,693
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
Smith ,  Raymond   A
Unit 10 Chair
C
$3,524$0$1,061$0$4,585
I
Schedule 15
Representational Activities
86 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
11 %
A
B
C
Sodko ,  Ronald   D
Sergeant at Arms
C
$5,099$0$405$0$5,504
I
Schedule 15
Representational Activities
68 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
31 %
A
B
C
Spradling ,  Marilyn   J
Trustee
C
$9,009$0$5,101$0$14,110
I
Schedule 15
Representational Activities
61 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
37 %
A
B
C
Steele ,  Donzeler   D
Unit 6 Chair
C
$2,539$0$968$0$3,507
I
Schedule 15
Representational Activities
89 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
7 %
A
B
C
Stowell ,  Norman   L
Unit 2 Chair
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
Stubblefield ,  Kenneth  
Unit Chair
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
Thompson ,  Sherrie  
Act. Chair
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
Welitschinsky ,  George   J
President
C
$91,018$4,500$1,933$0$97,451
I
Schedule 15
Representational Activities
83 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
17 %
A
B
C
Westphal ,  Mike   J
Unit 8 Chair
C
$3,332$0$20$0$3,352
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
9 %
A
B
C
Williams ,  Scott   R
Trustee
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
Wolf-Anderson ,  Belinda  
Unit 7 Chair
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
Woody ,  David   L
Ret.Chair/82772
C
$0$0$3,335$0$3,335
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$312,595$9,000$26,371$0$347,966
Less Deductions    $98,351
Net Disbursements    $249,615
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 063-476

(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
Hubbard Jr ,  Horace   W
NA
NA
$9,786$0$944$0$10,730
I
Schedule 15
Representational Activities
41 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
58 %
A
B
C
Kutev Jr ,  Venceslav   T
Jantior
NA
$24,401$0$22$0$24,423
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
A
B
C
Moreno ,  Kerrie   A
Bookkeeper
NA
$76,365$0$196$0$76,561
I
Schedule 15
Representational Activities
43 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
57 %
A
B
C
Simms ,  Dawn   M
NA
NA
$11,339$0$0$0$11,339
I
Schedule 15
Representational Activities
55 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
45 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$226,554$0$31,735$0$258,289
I Schedule 15
Representational Activities
59 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
8 % Schedule 19
Administration
32 %
Total Employee Disbursements$348,445$0$32,897$0$381,342
Less Deductions    $85,017
Net Disbursements    $296,325
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 063-476

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 5,139 
Agency Fee Payers*4
Total Members/Fee Payers5,143 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS5,139Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 063-476

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$107,313
2. Named Payer Non-itemized Receipts$7,812
3. All Other Receipts$72,393
4. Total Receipts$187,518
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$10,000
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$34,751
6. Total Disbursements$44,751
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$68,408
2. Named Payee Non-itemized Disbursements$103,175
3. To Officers$243,515
4. To Employees$195,947
5. All Other Disbursements$181,850
6. Total Disbursements$792,895
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$13,330
3. To Officers$523
4. To Employees$45,086
5. All Other Disbursements$27,780
6. Total Disbursements$86,719
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$5,790
4. To Employees$2,690
5. All Other Disbursements$1,945
6. Total Disbursement$10,425
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$15,400
2. Named Payee Non-itemized Disbursements$7,016
3. To Officers$98,137
4. To Employees$137,618
5. All Other Disbursements$32,249
6. Total Disbursements$290,420
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 063-476

Name and Address
(A)
1268 Vets Committee
1100 W Chrysler Drive

Belvidere
IL
61008
Type or Classification
(B)
Committee of Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,080
Total of All Transactions with this Payee/Payer for This Schedule$6,080
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$60,074
Total Non-Itemized Transactions with this Payee/Payer$1,732
Total of All Transactions with this Payee/Payer for This Schedule$61,806
13TH CHECK04/29/2015$60,074
Name and Address
(A)
North Park Rental Service Inc
9624 N. Second Street

Machesney Park
IL
61115-1696
Type or Classification
(B)
Rental Of Tents Tables
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$40,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$40,000
TRANSFER OF UNIT 11 ARBIT05/18/2015$40,000
Name and Address
(A)
United States Treasury
PO Box 105078

Atlanta
GA
30348-5078
Type or Classification
(B)
Futa Tax /940
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,239
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,239
TAX REFUND02/13/2015$7,239
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 063-476

Name and Address
(A)
Astor Crowne French Quater Hotel
739 Canal St

New Orleans
LA
70130
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,647
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,647
ROOMS FOR FINANCIAL OFFIC01/07/2015$5,647
Name and Address
(A)
Commonwealth Edison
P.O. Box 6111

Carol Stream
IL
60197-6111
Type or Classification
(B)
Electric Bill
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,878
Total of All Transactions with this Payee/Payer for This Schedule$9,878
Name and Address
(A)
Detroit Marriott At The Renaissance Center
Renaissance Center

Detroit
MI
48243
Type or Classification
(B)
Hotel / Conf. Center
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$16,964
Total of All Transactions with this Payee/Payer for This Schedule$16,964
Name and Address
(A)
Holiday Inn Express
120 W. Stevenson Rd

Ottawa
IL
61350
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,157
Total Non-Itemized Transactions with this Payee/Payer$9,640
Total of All Transactions with this Payee/Payer for This Schedule$18,797
15 ROOMS FOR SUMMER SCHOO06/10/2015$9,157
Name and Address
(A)
International Union 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$17,316
Total of All Transactions with this Payee/Payer for This Schedule$17,316
Name and Address
(A)
Michael G Moe P.C.
1100 W. Chrysler Drive

Belvidere
IL
61008
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$5,404
Total of All Transactions with this Payee/Payer for This Schedule$5,404
Name and Address
(A)
North Park Rental Service Inc
9624 N. Second Street

Machesney Park
IL
61115-1696
Type or Classification
(B)
Rental Of Tents Tables
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,239
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,239
RENTAL OF CANOPY TENTS C07/29/2015$9,239
Name and Address
(A)
Quill Corp.
P.O. Box 37600

Philadelphia
PA
19101-0600
Type or Classification
(B)
Office Supplies
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,482
Total of All Transactions with this Payee/Payer for This Schedule$10,482
Name and Address
(A)
Region 4 Activity Fund
680 Barclay Blvd

Lincolnshire
IL
60069
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,865
Total Non-Itemized Transactions with this Payee/Payer$15,950
Total of All Transactions with this Payee/Payer for This Schedule$21,815
REGISTRATION FEES TO SEND06/04/2015$5,865
Name and Address
(A)
Savor...Rockford
300 Elm St

Rockford
IL
61101
Type or Classification
(B)
Venue Rental
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$38,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$38,500
FOOD FOR 50TH ANNIVERSARY08/03/2015$38,500
Name and Address
(A)
Xerox Financial
P.O. Box 202882

Dallas
TX
75320-2882
Type or Classification
(B)
Copy Machines
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$17,541
Total of All Transactions with this Payee/Payer for This Schedule$17,541
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 063-476

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: 063-476

Name and Address
(A)
Fairdale Relief Fund
P.O. BOX 280

Kirkland
IL
60146
Type or Classification
(B)
Donations
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
FWD FUNDS COLLECTED FROM04/23/2015$10,000
Form LM-2 (Revised 2010)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 063-476

Name and Address
(A)
Auca Rockford Mc Lockbox
25259 Network Place

Chicago
IL
60673-1252
Type or Classification
(B)
Rental Janitorial Supplie
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$13,330
Total of All Transactions with this Payee/Payer for This Schedule$13,330
Form LM-2 (Revised 2010)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 063-476

Name and Address
(A)
Savor...Rockford
300 Elm St

Rockford
IL
61101
Type or Classification
(B)
Venue Rental
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$15,400
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$15,400
FOOD FOR 50TH ANNIVERSARY08/03/2015$15,400
Name and Address
(A)
Xerox Financial
P.O. Box 202882

Dallas
TX
75320-2882
Type or Classification
(B)
Copy Machines
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,016
Total of All Transactions with this Payee/Payer for This Schedule$7,016
Form LM-2 (Revised 2010)
SCHEDULE 20 - BENEFITS FILE NUMBER: 063-476

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$45,334
Betty FlandersDental/Hearing/Medical/Vision Insurance$5,236
FcaDental/Hearing/Medical/Vision Insurance$33,329
Lorraine HoelzelDental/Hearing/Medical/Vision Insurance$456
Amtrust North AmericaWorkers Compensation Insurance$6,313
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 063-476


Question 15: We disposed of 2 black office swivel chairs, wireless receiver/microphone, 2 Fellows paper shredders, 2 Dell computers, 1 Cannon fax machine, 1 HP fax machine.

Question 10: Operations of the Building Corporation are handled through the books and records of the local union.

Statement A,

Cash Begin Total: STATEMENT A. CASH BEGINNING TOTAL WAS $1744359, AND I ADDED $479 FOR CHECKS THAT WERE VOIDED FOR A PREVIOUS YEAR.

Schedule 8, Row1:

Schedule 8, 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.

Schedule 13, Row1:

Schedule 13, Row1:::

General Information:
Form LM-2 (Revised 2010)