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
036-518
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
402
7. UNIT NAME (if any)

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

Number and Street
3671 URBANA ROAD
City
SPRINGFIELD
State
OH
ZIP Code + 4
45502


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:Jason L BarlowPRESIDENT71. SIGNED:Richard SeversTREASURER
Date:Mar 09, 2017Telephone Number:937-390-3327Date:Mar 09, 2017Telephone Number:937-390-3327
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 036-518
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?05/2017
20. How many members did the labor organization have at the end of the reporting period?1,218
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 TimeperMonth1 hr SUB2.5 Hrs Straight
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation Fees20.00perMemberN/AN/A
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 036-518

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $118,614$156,958
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$846,288$853,596
28. Other Assets7$7,179$11,574
29. TOTAL ASSETS $972,081$1,022,128

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$39,617$44,887
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$2,053$970
34. TOTAL LIABILITIES $41,670$45,857
35. NET ASSETS$930,411$976,271
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 036-518

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $770,900
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $4,240
39. Sale of Supplies $7,519
40. Interest $0
41. Dividends $175
42. Rents $26,054
43. Sale of Investments and Fixed Assets3$1,300
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 $0
48. Other Receipts14$100,879
49. TOTAL RECEIPTS $911,067
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$195,722
51. Political Activities and Lobbying16$11,121
52. Contributions, Gifts, and Grants17$9,266
53. General Overhead18$11,562
54. Union Administration19$108,152
55. Benefits20$624
56. Per Capita Tax $490,217
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $11,170
60. Purchase of Investments and Fixed Assets4$7,308
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 $27,705
  
66. Subtotal $872,847
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$32,854  
  67b. Less Total Disbursed$32,730  
  67c. Total Withheld But Not Disbursed $124
68. TOTAL DISBURSEMENTS $872,723
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 036-518

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: 036-518

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: 036-518

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$1,300$1,300$1,300$1,300
Derr Road Rec. Park Easement $1,300$1,300$1,300$1,300
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$1,300
Form LM-2 (Revised 2010)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 036-518

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$7,308$7,308$7,308
Tile Mens Restroom Remodel$1,152$1,152$1,152
Mens Restroom Remodel$1,825$1,825$1,825
Mens Restroom Remodel$3,750$3,750$3,750
Laminator$54$54$54
Basketballs$64$64$64
Basketball Pump$75$75$75
36 Baseballs$152$152$152
Charbroil Grill$236$236$236
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$7,308
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 036-518

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: 036-518

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      3671 Urbana Rd$31,600 $31,600$31,600
Land  2 :      4945 Derr Rd$20,000 $20,000$20,000
B. Buildings (give location)    
Building  1 :      3671 Urbana Rd$378,832$378,832$378,832
Building  2 :      4945 Derr Rd$253,556$253,556$253,556
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$159,476$159,476$159,476
E. Other Fixed Assets$10,132$10,132$10,132
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $853,596$0$853,596$853,596
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 036-518

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $11,574
Shirts 751 @ 13.00$9,763
Hats 47 @ 13.00$611
Hoodies 30 @ 40.00$1,200
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 036-518

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$44,887$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $44,887$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 036-518

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: 036-518

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $970
Treasurer of State of Ohio$273
School District Income$21
Internal Revenue Service 940$128
City of Springfield Income$203
City of Urbana Income$16
Ohio Dept. of Job and Family Service$329
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 036-518

(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
Barlow ,  Jason   L
President
C
$33,664$3,057$2,489$0$39,210
I
Schedule 15
Representational Activities
71 % Schedule 16
Political Activities and Lobbying
12 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
17 %
A
B
C
Blizard ,  Chris   L
1st Vice-Pres.
C
$15,524$398$51$0$15,973
I
Schedule 15
Representational Activities
74 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
26 %
A
B
C
Eldridge ,  Todd   C
Trustee
C
$1,396$46$0$0$1,442
I
Schedule 15
Representational Activities
15 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
15 % Schedule 19
Administration
70 %
A
B
C
Entler ,  James   J
Guide
C
$4,484$73$52$0$4,609
I
Schedule 15
Representational Activities
23 % Schedule 16
Political Activities and Lobbying
34 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
43 %
A
B
C
Harshaw ,  Jeffery   A
Exec. Board Trustee
C
$2,480$67$0$0$2,547
I
Schedule 15
Representational Activities
21 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
24 % Schedule 19
Administration
55 %
A
B
C
Hartzog ,  Dale   D
Retiree 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
Ketterman ,  Terry   L
Trustee Chairman
C
$1,611$41$0$0$1,652
I
Schedule 15
Representational Activities
13 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
6 % Schedule 19
Administration
81 %
A
B
C
Seegraves ,  Thomas   R
Sgt-at-Arms
C
$1,642$42$0$0$1,684
I
Schedule 15
Representational Activities
26 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
74 %
A
B
C
Severs ,  Richard   L
Fin Secy
C
$7,398$188$0$0$7,586
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
95 %
A
B
C
Stuckey ,  Peggy   J
Recording Sec'y
C
$3,829$87$341$0$4,257
I
Schedule 15
Representational Activities
14 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
86 %
A
B
C
Zirkle Jr ,  Edward   E
Bargaining Chairman
C
$1,015$29$172$0$1,216
I
Schedule 15
Representational Activities
53 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
47 %
Total Officer Disbursements$73,043$4,028$3,105$0$80,176
Less Deductions    $16,382
Net Disbursements    $63,794
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 036-518

(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
Chapman ,  James   W
Worker's Comp. R
NA
$20,691$0$958$0$21,649
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
McMahan ,  Gretchen   M
Bookeeper
NA
$36,368$0$33$0$36,401
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 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$25,103$0$1,326$0$26,429
I Schedule 15
Representational Activities
27 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
17 % Schedule 19
Administration
56 %
Total Employee Disbursements$82,162$0$2,317$0$84,479
Less Deductions    $16,429
Net Disbursements    $68,050
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 036-518

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,218 
Agency Fee Payers*5
Total Members/Fee Payers1,223 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members1,218Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 036-518

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$64,530
2. Named Payer Non-itemized Receipts$11,791
3. All Other Receipts$24,558
4. Total Receipts$100,879
     
     
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$9,266
6. Total Disbursements$9,266
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$14,920
2. Named Payee Non-itemized Disbursements$38,652
3. To Officers$43,666
4. To Employees$28,785
5. All Other Disbursements$69,699
6. Total Disbursements$195,722
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,002
4. To Employees$4,493
5. All Other Disbursements$6,067
6. Total Disbursements$11,562
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$6,272
4. To Employees$0
5. All Other Disbursements$4,849
6. Total Disbursement$11,121
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$29,235
4. To Employees$51,201
5. All Other Disbursements$27,716
6. Total Disbursements$108,152
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 036-518

Name and Address
(A)
International Union Uaw
8000 E Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$64,530
Total Non-Itemized Transactions with this Payee/Payer$11,791
Total of All Transactions with this Payee/Payer for This Schedule$76,321
13TH REBATE CHECK04/18/2016$12,934
Jason Barlow Election Pro07/25/2016$16,667
902 Retiree Fund New Fund12/14/2016$34,929
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 036-518

Name and Address
(A)
Custom Promotions Inc.
17520 W. Twelve Mile Rd.

Southfield
MI
48076
Type or Classification
(B)
Promotional Items
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$11,119
Total of All Transactions with this Payee/Payer for This Schedule$11,119
Name and Address
(A)
Gillam Lawncare & Landscaping Llc.
8885 Old Columbus Rd.

South Vienna
OH
45369
Type or Classification
(B)
Lawncare Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,745
Total of All Transactions with this Payee/Payer for This Schedule$5,745
Name and Address
(A)
Kroger - Cincinnati Customer Charges
P.O. Box 644459

Pittsburgh
PA
15264-4459
Type or Classification
(B)
Retail
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,045
Total Non-Itemized Transactions with this Payee/Payer$12,663
Total of All Transactions with this Payee/Payer for This Schedule$19,708
Member Xmas12/13/2016$7,045
Name and Address
(A)
Ohio Edison
PO Box 3687

Akron
OH
44309-3687
Type or Classification
(B)
Utility Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,825
Total of All Transactions with this Payee/Payer for This Schedule$5,825
Name and Address
(A)
Texas Roadhouse
1750 N Bechtle Avenue

Springfield
OH
45504
Type or Classification
(B)
Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,875
Total Non-Itemized Transactions with this Payee/Payer$3,300
Total of All Transactions with this Payee/Payer for This Schedule$11,175
Retiree Christmas Caterin12/20/2016$7,875
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 036-518

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: 036-518

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: 036-518

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: 036-518

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: 036-518

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$624
Workers Compension InsuranceBureau Of Workers Compensation$624
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 036-518


Question 10: Operations of the building corporation are handled through the books and records of the local union and therefore included in this report

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

Question 15: Gave away 1205 Shirts with value of $15665 Gave away 2400 Planners with value of $2716 Gave away 5 Sweatshirts with value of $200 Gave away 33 Hats with value of $429

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.
Form LM-2 (Revised 2010)