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
007-090
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
292
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
SHARON
Last Name
GEISELMAN
P.O Box - Building and Room Number
PO BOX B
Number and Street
City
KOKOMO
State
IN
ZIP Code + 4
46904


9. Are your organization's records kept at its mailing address?


No

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:matthew d collinsPRESIDENT71. SIGNED:Sharon K GeiselmanTREASURER
Date:Mar 27, 2016Telephone Number:765-453-4600Date:Mar 28, 2016Telephone Number:317-439-0141
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 007-090
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?$104,000
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?06/2017
20. How many members did the labor organization have at the end of the reporting period?0
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/Fees2.5 hrs straight timepermonth00
(b) Working Dues/FeesN/Aper
(c) Initiation Fees25.00perone time
(d) Transfer FeesN/Aper
(e) Work PermitsN/Aper

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 007-090

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $227,905$263,301
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$2,017,065$1,407,433
28. Other Assets7$2,644$501
29. TOTAL ASSETS $2,247,614$1,671,235

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$20,709$58,498
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$1,707$1,286
34. TOTAL LIABILITIES $22,416$59,784
35. NET ASSETS$2,225,198$1,611,451
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 007-090

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $541,456
37. Per Capita Tax $6
38. Fees, Fines, Assessments, Work Permits $80
39. Sale of Supplies $15
40. Interest $693
41. Dividends $0
42. Rents $11,995
43. Sale of Investments and Fixed Assets3$6,954
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 $859
48. Other Receipts14$10,838
49. TOTAL RECEIPTS $572,896
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$19,134
51. Political Activities and Lobbying16$1,258
52. Contributions, Gifts, and Grants17$2,000
53. General Overhead18$132,132
54. Union Administration19$78,432
55. Benefits20$14,999
56. Per Capita Tax $276,875
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $50
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$2,632
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 $10,269
  
66. Subtotal $537,781
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$17,985  
  67b. Less Total Disbursed$17,704  
  67c. Total Withheld But Not Disbursed $281
68. TOTAL DISBURSEMENTS $537,500
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 007-090

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: 007-090

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: 007-090

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$42,500$26,000$6,954$6,954
Tractor$20,000$8,000$2,100$2,100
Lift$12,000$10,000$204$204
Lawnmower$10,500$8,000$4,650$4,650
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$6,954
Form LM-2 (Revised 2010)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 007-090

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$2,632$2,632$2,632
Construction on 417 Arnold Court, Kokomo, IN $2,632$2,632$2,632
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$2,632
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 007-090

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$0
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$0
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: 007-090

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      250 S 95 W, Kokomo, IN 46902$10,165 $10,165$10,165
B. Buildings (give location)    
Building  1 :      1201 W Alto Rd, Kokomo, IN 46902$1,332,268$1,332,268$1,332,268$1,332,268
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$65,000$65,000$65,000$65,000
E. Other Fixed Assets$0$0$0$0
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $1,407,433$1,397,268$1,407,433$1,407,433
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 007-090

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $501
Bibles$0
Shirts and Hats$501
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 007-090

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$58,498$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $58,498$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 007-090

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: 007-090

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,286
Federal Withholding$346
State Withholding$219
County Withholding$88
Federal Unemployment$53
State Unemployment$54
FICA Employers Share$278
FICA Employees Share$248
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 007-090

(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
CLICK ,  ANGELA   J
SGT AT ARMS
C
$1,309$0$0$0$1,309
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
COLLINS ,  MATTHEW   D
PRESIDENT
C
$31,569$0$4,230$0$35,799
I
Schedule 15
Representational Activities
41 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
59 %
A
B
C
CONNER ,  SUE   A
RETIREE CHAIR
C
$0$0$186$0$186
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
EDWARDS ,  ROBERT   B
GUIDE
C
$1,046$0$0$0$1,046
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
GEISELMAN ,  SHARON   K
FINANCIAL SEC
C
$20,400$0$5,224$0$25,624
I
Schedule 15
Representational Activities
1 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
99 %
A
B
C
HAMILTON ,  GREGORY   K
VICE PRESIDENT
C
$1,458$0$709$0$2,167
I
Schedule 15
Representational Activities
30 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
70 %
A
B
C
HOLLIS ,  DEBRA   A
TRUSTEE
C
$2,847$0$0$0$2,847
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
INGLE ,  JAMES   D
TRUSTEE
C
$4,107$0$170$0$4,277
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
JAMESON ,  CHERYL   A
REC SECRETARY
C
$1,371$0$74$0$1,445
I
Schedule 15
Representational Activities
8 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
92 %
A
B
C
STATZER ,  CAROL  
TRUSTEE
C
$2,244$0$19$0$2,263
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 %
Total Officer Disbursements$66,351$0$10,612$0$76,963
Less Deductions    $15,011
Net Disbursements    $61,952
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 007-090

(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
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$13,284$8,177$21,461
I Schedule 15
Representational Activities
16 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
80 %
Total Employee Disbursements$13,284$0$8,177$0$21,461
Less Deductions    $2,973
Net Disbursements    $18,488
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 007-090

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 0 
Agency Fee Payers*
Total Members/Fee Payers0 
*Agency Fee Payers are not considered members of the labor organization.
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 007-090

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$7,767
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$3,071
4. Total Receipts$10,838
     
     
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$2,000
6. Total Disbursements$2,000
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$15,700
4. To Employees$3,434
5. All Other Disbursements
6. Total Disbursements$19,134
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$28,842
2. Named Payee Non-itemized Disbursements$62,711
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$40,579
6. Total Disbursements$132,132
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$858
5. All Other Disbursements$400
6. Total Disbursement$1,258
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$61,263
4. To Employees$17,169
5. All Other Disbursements$0
6. Total Disbursements$78,432
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 007-090

Name and Address
(A)
INTERNATIONAL UNION, UAW

8000 EAST JEFFERSON
DETROIT
MI
48214
Type or Classification
(B)
LABOR UNION
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,767
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,767
13TH REBATE CHECK05/01/2015$7,767
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 007-090

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 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 007-090

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: 007-090

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: 007-090

Name and Address
(A)
AREA 5 RETIREES PENNY FUND

929 HOFFER ST
KOKOMO
IN
46902
Type or Classification
(B)
LABOR UNION RETIREES CHAPTER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,053
Total Non-Itemized Transactions with this Payee/Payer$1,858
Total of All Transactions with this Payee/Payer for This Schedule$6,911
FORWARDED AREA 5 FUNDS PER INTERNATIONAL LETTER04/30/2015$5,053
Name and Address
(A)
DUKE ENERGY
PO BOX 1326

CHARLOTTE
NC
28201-1326
Type or Classification
(B)
UTIITY COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$17,107
Total of All Transactions with this Payee/Payer for This Schedule$17,107
Name and Address
(A)
NIPSCO
PO BOX 13007

MERRILLVILLE
IL
46411-3077
Type or Classification
(B)
UTILITY COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$16,877
Total of All Transactions with this Payee/Payer for This Schedule$16,877
Name and Address
(A)
PEACE & PLENTY CATERING

511 S MAIN
JONESBORO
IN
46938
Type or Classification
(B)
CATERING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,459
Total Non-Itemized Transactions with this Payee/Payer$4,925
Total of All Transactions with this Payee/Payer for This Schedule$14,384
DEC CHRISTMAS LUNCHEON12/28/2015$9,459
Name and Address
(A)
PERFECTION LAWN CARE

1229 W 700 N
KOKOMO
IN
46902
Type or Classification
(B)
LAWN SERVICE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,425
Total Non-Itemized Transactions with this Payee/Payer$3,665
Total of All Transactions with this Payee/Payer for This Schedule$11,090
LAWN CARE09/14/2015$7,425
Name and Address
(A)
QUALITY PLUMBING & HEATING
PO BOX 428

BUNKER HILL
IN
46914
Type or Classification
(B)
HVAC AND AC REPAIR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,279
Total of All Transactions with this Payee/Payer for This Schedule$8,279
Name and Address
(A)
REALTY INVESTORS

782 EAST 450 NORTH
KOKOMO
IN
46901
Type or Classification
(B)
REAL ESTATE PROPERTY RENTAL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$10,000
Total of All Transactions with this Payee/Payer for This Schedule$10,000
Name and Address
(A)
UNION INSURANCE GROUP

2125 W ROSCOE
CHICAGO
IL
60618
Type or Classification
(B)
INSURANCE COMPANY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,905
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,905
PROPERTY INSURANCE08/14/2015$6,905
Form LM-2 (Revised 2010)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 007-090

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: 007-090

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$14,999
DENTAL/HEARING/MEDICAL/VISIONBRUCE YOUNG$6,499
DENTAL/HEARING/MEDICAL/VISIONREBECCA DUNLAP$3,841
GROUP LIFE INSURANCEANTHEM LIFE INS COM$763
GROUP LIFE INSURANCETHE HARTFORD$749
WORKERS COMPENSATION INSURANCETHE HARTFORD$50
WORKERS COMPENSATION INSURANCEUNION INSURANCE GROUP$2,270
PENSION ALLOCATIONSNATIONAL INTEGRATED GROUP PENSION PLAN$827
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 007-090
Address of Record: 9. Records are kept at the Local Union Hall located at 417 Arnold Court, Kokomo, IN 46902

Question 10: 10. Operations of the Building Corporation are handled through the books and records of the Local Union and are therefore included in this report.

Question 11(b):

Question 11(b): : : 11. (b) Operations of the Building Corporation are handled through the books and records of the Local Union and are therefore included n this report.

Question 15: 15. The Local started the year with zero Bibles, bought 100 Bibles at $2098.73, gave away 100 Bibles valued at $2098.73 to deceased members' families as funeral tributes and ended the year with zero Bibles in inventory. The Local started the year with $2644 shirts and hats, bought zero shirts and hats, sold 3 shirts for $15, gave away 168 shirts valued at $2105.04 at the Labor Day Celebration and ended the year with 40 shirts and hats valued at $501.20

Statement A,

Cash Begin Total: 22.

Cash beginning total has been adjusted to reflect $400 in checks voided from previous year15. The Local down-sized in Sept 2015 into a smaller building and gave away, donated and discarded fixed assets and furniture being carried on the inventory sheets valued at $442,675 and $166,952 worth of other assets listed on the inventory sheet. Most office equipment, desks, files, maintenance tools and equipment, kitchen dishes and utensils, file cabinets, desks, credenza''s, computers, printers, copiers, folding machines and all office equipment that would not fit into the smaller new building was discarded, donated or given away to members of the Local on a first come first served basis. A few bigger items were sold on a publicly announced rummage sale to members and those items are accounted for on

Schedule 6.
Form LM-2 (Revised 2010)