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: 07-31-2019
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
003-408
2. PERIOD COVERED
From01/01/2016
Through12/31/2016
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
140
7. UNIT NAME (if any)

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

Number and Street
23345 PINEWOOD
City
WARREN
State
MI
ZIP Code + 4
480914756


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:Wallace RicePRESIDENT71. SIGNED:tiffany n riceTREASURER
Date:Mar 07, 2017Telephone Number:313-656-1522Date:Mar 07, 2017Telephone Number:586-756-9300
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 003-408
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?$468,000
15. During the reporting period did the labor organization acquire or dispose of any assets in a manner other than purchase or sale?No
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?4,373
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. Str.-TimeperMonth00
(b) Working Dues/FeesN/Aper
(c) Initiation Fees20.00perOne-Time
(d) Transfer FeesN/Aper
(e) Work PermitsN/Aper

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 003-408

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $892,765$1,369,808
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$689,858$689,858
28. Other Assets7$0$0
29. TOTAL ASSETS $1,582,623$2,059,666

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$160,625$234,092
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$11,499$8,864
34. TOTAL LIABILITIES $172,124$242,956
35. NET ASSETS$1,410,499$1,816,710
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 003-408

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $3,602,515
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $8,620
39. Sale of Supplies $0
40. Interest $1,485
41. Dividends $1,463
42. Rents $9,600
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 $44,247
48. Other Receipts14$107,414
49. TOTAL RECEIPTS $3,775,344
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$328,993
51. Political Activities and Lobbying16$7,378
52. Contributions, Gifts, and Grants17$15,923
53. General Overhead18$201,456
54. Union Administration19$346,551
55. Benefits20$77,024
56. Per Capita Tax $2,208,294
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$0
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 $47,429
65. Direct Taxes $68,226
  
66. Subtotal $3,301,274
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$150,399  
  67b. Less Total Disbursed$147,426  
  67c. Total Withheld But Not Disbursed $2,973
68. TOTAL DISBURSEMENTS $3,298,301
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 003-408

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: 003-408

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: 003-408

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: 003-408

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$0$0$0
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$0
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 003-408

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: 003-408

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      23345 Pinewood$63,000 $63,000$63,000
B. Buildings (give location)    
Building  1 :      23345 Pinewood$500,940$500,940$500,940
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$125,918$125,918$125,918
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $689,858$0$689,858$689,858
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 003-408

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $0
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 003-408

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$233,539$0$0$0
Total from all other accounts payable$553$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $234,092$0$0$0
Per Capita Tax$233,539$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 003-408

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: 003-408

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $8,864
Federal Income Tax$2,732
FICA - Employee$1,577
State Income Taxes$1,008
Credit Union Savings$1,317
Union Dues Forwarded$306
FICA - Employer$1,577
State Unemployment Taxes 4th Quarter$285
VCAP Forwarded$62
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 003-408

(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
Bonds ,  Marylyn  
Recording Sec
C
$45,679$1,920$833$0$48,432
I
Schedule 15
Representational Activities
54 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
7 % Schedule 19
Administration
39 %
A
B
C
Broaden ,  James  
Sgt At Arms
C
$160$420$0$0$580
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
Caldwell ,  Schmetta   P
Exec. Board
C
$0$240$0$0$240
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
Dickow ,  Mark   S
President
P
$29,829$50,980$756$0$81,565
I
Schedule 15
Representational Activities
77 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
7 % Schedule 19
Administration
15 %
A
B
C
Fiebig ,  Henry  
Trustee
C
$1,952$420$0$0$2,372
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
Harris ,  Mary  
Exec.Brd.
C
$0$720$0$0$720
I
Schedule 15
Representational Activities
6 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
94 %
A
B
C
Harris ,  Tiffany   R
Exec. Board
C
$116$240$0$0$356
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
Hawkins ,  Stacy   O
Trustee
C
$3,023$420$154$0$3,597
I
Schedule 15
Representational Activities
2 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
98 %
A
B
C
Jones ,  Harbert  
Exec. Board
C
$117$240$0$0$357
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
Kelly ,  Gina   F
Guide
C
$754$420$0$0$1,174
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
McCoy ,  Precious   S
Trustee
C
$2,907$420$242$0$3,569
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
Rice ,  Tiffany   N
Financial Sec'y Trea
C
$114,604$35,919$1,011$0$151,534
I
Schedule 15
Representational Activities
12 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
19 % Schedule 19
Administration
68 %
A
B
C
Rice ,  Wallace   N
President
C
$49,115$2,404$178$0$51,697
I
Schedule 15
Representational Activities
91 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
8 %
A
B
C
Richardson ,  Janell   A
Exec. Board
C
$116$240$0$0$356
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
Seidell ,  Michael   D
Exec. Board
C
$30$240$0$0$270
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$248,402$95,243$3,174$0$346,819
Less Deductions    $109,716
Net Disbursements    $237,103
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 003-408

(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
Clark ,  Michael   C
NA
NA
$18,754$0$1,825$0$20,579
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
99 % Schedule 19
Administration
1 %
A
B
C
Jones ,  Kelly   E
Secretary
NA
$73,817$0$418$0$74,235
I
Schedule 15
Representational Activities
1 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
98 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$85,484$17,721$5,459$0$108,664
I Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
Schedule 18
General Overhead
2 % Schedule 19
Administration
15 %
Total Employee Disbursements$178,055$17,721$7,702$0$203,478
Less Deductions    $40,683
Net Disbursements    $162,795
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 003-408

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 4,373 
Agency Fee Payers*
Total Members/Fee Payers4,373 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members4,373Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 003-408

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$65,020
2. Named Payer Non-itemized Receipts$6,754
3. All Other Receipts$35,640
4. Total Receipts$107,414
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$9,428
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$6,495
6. Total Disbursements$15,923
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$29,104
2. Named Payee Non-itemized Disbursements$15,950
3. To Officers$154,337
4. To Employees$89,846
5. All Other Disbursements$39,756
6. Total Disbursements$328,993
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$35,302
2. Named Payee Non-itemized Disbursements$41,158
3. To Officers$38,408
4. To Employees$22,546
5. All Other Disbursements$64,042
6. Total Disbursements$201,456
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$2,331
4. To Employees$1,829
5. All Other Disbursements$3,218
6. Total Disbursement$7,378
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$12,590
2. Named Payee Non-itemized Disbursements$29,334
3. To Officers$151,742
4. To Employees$89,256
5. All Other Disbursements$63,629
6. Total Disbursements$346,551
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 003-408

Name and Address
(A)
Chase
Van Dyke

Warren
MI
48091
Type or Classification
(B)
Bank
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,457
Total Non-Itemized Transactions with this Payee/Payer$1,189
Total of All Transactions with this Payee/Payer for This Schedule$12,646
reversal of check#'s 855205/13/2016$11,457
Name and Address
(A)
International Union Uaw
8000 East Jefferson

Detroit
MI
48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$53,563
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$53,563
13th Rebate04/18/2016$53,563
Name and Address
(A)
Sharon Thomas
946 N. Adams

Birmingham
MI
48009
Type or Classification
(B)
Retiree/Member
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,565
Total of All Transactions with this Payee/Payer for This Schedule$5,565
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 003-408

Name and Address
(A)
Chase
Van Dyke

Warren
MI
48091
Type or Classification
(B)
Bank
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,183
Total Non-Itemized Transactions with this Payee/Payer$9,116
Total of All Transactions with this Payee/Payer for This Schedule$14,299
F.O.C. Hotel03/30/2016$5,183
Name and Address
(A)
F & B Hospitality
34911 Van Dyke

Sterling Heights
MI
48312
Type or Classification
(B)
Hospitality
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,668
Total Non-Itemized Transactions with this Payee/Payer$1,100
Total of All Transactions with this Payee/Payer for This Schedule$7,768
Caterer for Retirees Luncheon11/30/2016$6,668
Name and Address
(A)
International Union Uaw
8000 East Jefferson

Detroit
MI
48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,510
Total Non-Itemized Transactions with this Payee/Payer$5,652
Total of All Transactions with this Payee/Payer for This Schedule$14,162
UAW Contract books for membership12/14/2016$8,510
Name and Address
(A)
Raze-It Printing Inc.
1784 Heron View Ct.

West Bloomfield
MI
48324
Type or Classification
(B)
Printing Co.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,743
Total Non-Itemized Transactions with this Payee/Payer$82
Total of All Transactions with this Payee/Payer for This Schedule$8,825
Calendars for Membership12/21/2016$8,743
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 003-408

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 003-408

Name and Address
(A)
Valuefresh Marketplace
24800 Hoover

Warren
MI
48089
Type or Classification
(B)
Market
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,428
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$9,428
Flint Water Drive02/18/2016$9,428
Form LM-2 (Revised 2010)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 003-408

Name and Address
(A)
Arrow Uniform Rental-Taylor Llc
6400 Monroe Blvd

Taylor
MI
48180
Type or Classification
(B)
Rental Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,465
Total of All Transactions with this Payee/Payer for This Schedule$6,465
Name and Address
(A)
Chase
Van Dyke

Warren
MI
48091
Type or Classification
(B)
Bank
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,008
Total Non-Itemized Transactions with this Payee/Payer$12,704
Total of All Transactions with this Payee/Payer for This Schedule$17,712
Penalty for 2nd Qtr. 94107/18/2016$5,008
Name and Address
(A)
Galactic Transit Authority Inc
9213 Abbey Lane

Ypsilanti
MI
48198
Type or Classification
(B)
Amusement Operation
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,300
Total of All Transactions with this Payee/Payer for This Schedule$6,300
Name and Address
(A)
Golfsmith
790 E. Big Beaver

Troy
MI
48083
Type or Classification
(B)
Golf Shop
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,562
Total Non-Itemized Transactions with this Payee/Payer$2,612
Total of All Transactions with this Payee/Payer for This Schedule$11,174
Prizes for the golf outin07/28/2016$8,562
Name and Address
(A)
Pine Knob Golf Course Inc.
5580 Waldon Road

Clarkston
MI
48348
Type or Classification
(B)
Golf Course
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,920
Total Non-Itemized Transactions with this Payee/Payer$700
Total of All Transactions with this Payee/Payer for This Schedule$11,620
Golf Outing Catering08/02/2016$10,920
Name and Address
(A)
Quick Made Trophy Sales
4600 E. 9 Mile Rd.

Warren
MI
48091
Type or Classification
(B)
Custom Promotional
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,462
Total of All Transactions with this Payee/Payer for This Schedule$5,462
Name and Address
(A)
Soul of the D Catering
5275 Yorkshire

Detroit
MI
48224
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,812
Total Non-Itemized Transactions with this Payee/Payer$9
Total of All Transactions with this Payee/Payer for This Schedule$10,821
Caterer for Annual Picnic06/29/2016$5,812
Catering deposit for the02/18/2016$5,000
Name and Address
(A)
Tech Automation
1713-B Larchwood Drive

Troy
MI
48083
Type or Classification
(B)
Audio/Visual Repair
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,906
Total of All Transactions with this Payee/Payer for This Schedule$6,906
Form LM-2 (Revised 2010)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 003-408

Name and Address
(A)
Auto-Owners Insurance
P.O. Box 30315

Lansing
MI
48909-7815
Type or Classification
(B)
Insurance Co.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,169
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,169
Ins.09/14/2016$7,169
Name and Address
(A)
Chase
Van Dyke

Warren
MI
48091
Type or Classification
(B)
Bank
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,777
Total of All Transactions with this Payee/Payer for This Schedule$5,777
Name and Address
(A)
Dte Energy
P.O. Box 740786

Cincinnati
OH
45274-0786
Type or Classification
(B)
Electric Co.
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,823
Total of All Transactions with this Payee/Payer for This Schedule$8,823
Name and Address
(A)
Off The Wagon Market
1500 N. Crooks Rd

Clawson
MI
48017
Type or Classification
(B)
Market
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,734
Total of All Transactions with this Payee/Payer for This Schedule$14,734
Name and Address
(A)
Sterling Insurance Group
13900 Lakeside Circle

Sterling Heights
MI
48313
Type or Classification
(B)
Insurance Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,421
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,421
Renewal of Policy #SUL31210/12/2016$5,421
Form LM-2 (Revised 2010)
SCHEDULE 20 - BENEFITS FILE NUMBER: 003-408

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$77,024
Dental/Hearing/Medical/Vision InsuranceDelta Dental Plan Of Michigan$3,822
Dental/Hearing/Medical/Vision InsuranceDelzora L Davis$1,259
Dental/Hearing/Medical/Vision InsuranceRhea Madajski$1,259
Dental/Hearing/Medical/Vision InsuranceSterling Insurance Group$46,367
Dental/Hearing/Medical/Vision InsuranceSylvia Fell$1,259
Group Life InsuranceNationwide Employee Benefits$1,918
Group Life InsuranceNationwide Employee Benefits$7,673
Workers Compension InsuranceAccident Fund$4,625
Pension AllocationsNational Integrated Group$8,842
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 003-408


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 11(b):

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

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.

Schedule 13, Row1:

Schedule 13, Row1:::

General Information:
Form LM-2 (Revised 2010)