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
028-745
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
869
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
RONKE
Last Name
CIERS
P.O Box - Building and Room Number
AUTO WORKERS AFL-CIO LU 869
Number and Street
24257 MOUND ROAD
City
WARREN
State
MI
ZIP Code + 4
480915325


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:ROMAINE MCKINNEY IIIPRESIDENT71. SIGNED:Ronke L CiersTREASURER
Date:Mar 21, 2017Telephone Number:313-506-5413Date:Mar 20, 2017Telephone Number:586-755-3300
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 028-745
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?No
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?$234,000
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?1,948
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 STperper month2 hours2.5 hours ST
(b) Working Dues/Fees0per
(c) Initiation Fees20.00per
(d) Transfer Fees0per
(e) Work Permits0per

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 028-745

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $471,680$608,052
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$327,994$328,493
28. Other Assets7$3,430$3,204
29. TOTAL ASSETS $803,104$939,749

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$77,360$93,770
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$1,260$1,072
34. TOTAL LIABILITIES $78,620$94,842
35. NET ASSETS$724,484$844,907
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 028-745

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,747,021
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $960
39. Sale of Supplies $0
40. Interest $0
41. Dividends $0
42. Rents $45,925
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 $1,706
48. Other Receipts14$54,871
49. TOTAL RECEIPTS $1,850,483
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$195,536
51. Political Activities and Lobbying16$0
52. Contributions, Gifts, and Grants17$7,715
53. General Overhead18$8,157
54. Union Administration19$344,100
55. Benefits20$37,357
56. Per Capita Tax $1,074,713
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$499
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 $1,706
65. Direct Taxes $45,368
  
66. Subtotal $1,715,151
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$104,773  
  67b. Less Total Disbursed$103,733  
  67c. Total Withheld But Not Disbursed $1,040
68. TOTAL DISBURSEMENTS $1,714,111
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 028-745

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: 028-745

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: 028-745

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: 028-745

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$499$499$499
DELL-LAPTOP Inspiron 15 3000 Series$499$499$499
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$499
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 028-745

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$0
B. Total Book Value$0
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$0
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: 028-745

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      24257 and 24249 Mound Rd. Warren, MI 48091$11,000 $11,000$11,000
B. Buildings (give location)    
Building  1 :      24257 Mound Rd. Warren, MI 48091$225,000$225,000$225,000
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$52,740$52,740$52,740
E. Other Fixed Assets$39,753$39,753$39,753
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $328,493$0$328,493$328,493
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 028-745

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $3,204
Bibles (42)$925
Union Flags (7)$772
30-40 years of service Tie Tax (45)$69
Ink Pens (33)$547
Union Shirts (66)$891
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 028-745

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$93,770$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $93,770$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 028-745

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: 028-745

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,072
FUTA - 4th Qtr. 2016$39
MESC - 4th Qtr 2016$156
State of Michigan - Dec. 2016$877
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 028-745

(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
PLATT ,  LINDA  
RECORDING SECRETARY
N
$22,982$0$266$0$23,248
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
ALEXANDER ,  CHRIS  
COMMITTEEMAN
N
$449$0$0$0$449
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
CARTER ,  KIM  
TRUSTEE
C
$3,765$0$205$0$3,970
I
Schedule 15
Representational Activities
46 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
54 %
A
B
C
SCOTT ,  RODNEY   A
TRUSTEE
N
$2,317$0$398$0$2,715
I
Schedule 15
Representational Activities
44 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
56 %
A
B
C
GARLAND ,  MARC  
COMMITTEEMAN
N
$290$0$0$0$290
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
MASTERSON ,  CHRISTOPHER  
SEARGENT AT ARMS
P
$0$0$0$0$0
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
GARNER ,  MICHAEL  
VICE PRESIDENT
N
$7,397$115$459$0$7,971
I
Schedule 15
Representational Activities
19 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
81 %
A
B
C
WRIGHT ,  MELVIN  
COMMITTEEMAN
C
$937$0$116$0$1,053
I
Schedule 15
Representational Activities
58 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
42 %
A
B
C
KLEIN ,  DARRELL  
COMMITTEEMAN
N
$664$0$0$0$664
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
WILLIAMSON ,  TONYA  
GUIDE
C
$463$0$0$0$463
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
ELDER JR ,  PARRISH  
COMMITTEEMAN
C
$464$0$0$0$464
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
CIERS ,  RONKE  
FINANCIAL SECRETARY
N
$117,679$15,015$1,072$0$133,766
I
Schedule 15
Representational Activities
10 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
90 %
A
B
C
MCKINNEYIII ,  ROMAINE  
PRESIDENT
N
$53,570$15,015$327$0$68,912
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
LOSIER ,  JOSEPH  
SGT-AT-ARMS
N
$817$0$117$0$934
I
Schedule 15
Representational Activities
86 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
14 %
A
B
C
GREVATT ,  MARTHA  
TRUSTEE
N
$1,295$0$0$0$1,295
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$213,089$30,145$2,960$0$246,194
Less Deductions    $77,581
Net Disbursements    $168,613
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 028-745

(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
CHAU ,  CONNIE   N
BOOKKEEPER
none
$62,595$0$205$0$62,800
I
Schedule 15
Representational Activities
44 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
56 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$30,702$3,240$3,280$0$37,222
I Schedule 15
Representational Activities
66 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
34 %
Total Employee Disbursements$93,297$3,240$3,485$0$100,022
Less Deductions    $27,192
Net Disbursements    $72,830
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 028-745

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,948 
Agency Fee Payers*
Total Members/Fee Payers1,948 
*Agency Fee Payers are not considered members of the labor organization.
Regular members, anyone who has applied and been accepted for membership is a regular member1,948Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 028-745

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$27,399
2. Named Payer Non-itemized Receipts$7,904
3. All Other Receipts$19,568
4. Total Receipts$54,871
     
     
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$7,715
6. Total Disbursements$7,715
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$5,000
2. Named Payee Non-itemized Disbursements$20,584
3. To Officers$28,974
4. To Employees$52,199
5. All Other Disbursements$88,779
6. Total Disbursements$195,536
SCHEDULE 18   GENERAL OVERHEAD
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$8,157
6. Total Disbursements$8,157
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$0
5. All Other Disbursements
6. Total Disbursement$0
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$14,302
2. Named Payee Non-itemized Disbursements$9,317
3. To Officers$217,220
4. To Employees$47,823
5. All Other Disbursements$55,438
6. Total Disbursements$344,100
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 028-745

Name and Address
(A)
CEDAR POINT
ONE CEDAR POINT DRIVE
GROUP SALES DEPARTMENT
SANDUSKY
OH
44870-9960
Type or Classification
(B)
RESALE TICKETS-AMUSEMENT PARK
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,904
Total of All Transactions with this Payee/Payer for This Schedule$7,904
Name and Address
(A)
INTERNATIONAL UNION UAW

8000 E JEFFERSON
DETROIT
MI
48214
Type or Classification
(B)
PCT TAX
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,399
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$27,399
PCT REBATE04/20/2016$27,399
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 028-745

Name and Address
(A)
CEDAR POINT

ONE CEDAR POINT
SANDUSKY
OH
44870-5259
Type or Classification
(B)
AMUSEMENT PARK
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,675
Total of All Transactions with this Payee/Payer for This Schedule$7,675
Name and Address
(A)
EAST POINTE MANOR
23401 MOUNR ROAD
ATTN: BANQUET CENTER
WARREN
MI
48091
Type or Classification
(B)
HOLIDAY DINNER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$1,000
Total of All Transactions with this Payee/Payer for This Schedule$6,000
ON 12/23/201612/13/2016$5,000
Name and Address
(A)
HALINA'S CATERING LLC

3164 CANYON OAKS TRAIL
MILFORD
MI
48380
Type or Classification
(B)
CATERING SERV
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,084
Total of All Transactions with this Payee/Payer for This Schedule$6,084
Name and Address
(A)
INTERNATIONAL UNION UAW
27800 GEORGE MERRELLI DR
UAW REGION 1
WARREN
MI
48092
Type or Classification
(B)
RETIREE SEMINAR-REG FEE
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
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 028-745

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: 028-745

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: 028-745

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: 028-745

Name and Address
(A)
KARPET AND FLOORING MART
SUITE 100
30180 ORCHARD LAKE RD
FARMINGTON HILLS
MI
48334
Type or Classification
(B)
FLOORING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,302
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$14,302
FLOOR INSTALLATION04/25/2016$7,020
ON A HALL FLOOR05/05/2016$7,282
Name and Address
(A)
TAYLOR DOOR COMPANY

8110 E 10 MILE ROAD
CENTERLINE
MI
48015
Type or Classification
(B)
REPLACE DOOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$9,317
Total of All Transactions with this Payee/Payer for This Schedule$9,317
Form LM-2 (Revised 2010)
SCHEDULE 20 - BENEFITS FILE NUMBER: 028-745

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$37,357
PENSION PLAN FOR L/42NATIONAL INTEGRATED$7,722
DENTAL INSURANCEDELTA DENTAL PLAN OF MI$2,557
GROUP INSR.PREMIUM-LOCAL 42NATIONWIDE INSURANCE CO$6,162
MEDICAL INSURANCE-JOHN S.STERLING INSURANCE GROUP$20,916
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 028-745


Statement A,

Cash Begin Total:

Statement A,

Cash begin total: Does not equal amount shown in previous years item 22(B) due to $139 worth of checks written in prior year being voided in this reporting period.

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:
Form LM-2 (Revised 2010)