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
041-402
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
9
7. UNIT NAME (if any)

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

Number and Street
9618 W. GREENFIELD AVENUE
City
WEST ALLIS
State
WI
ZIP Code + 4
53214


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:LANCE R AGBUISPRESIDENT71. SIGNED:KATHLEEN M HOFSLUNDTREASURER
Date:Mar 27, 2017Telephone Number:414-475-5898Date:Mar 27, 2017Telephone Number:414-475-5898
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 041-402
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?Yes
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?No
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
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?$100,000
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?520
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 hrspermonthn/an/a
(b) Working Dues/Fees0per0n/an/a
(c) Initiation Fees$50.00perone timen/an/a
(d) Transfer Fees0per0n/an/a
(e) Work Permits0per0n/an/a

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 041-402

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $315,979$231,269
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$634,925$632,619
28. Other Assets7$840$3,983
29. TOTAL ASSETS $951,744$867,871

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$41,501$22,422
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$8,691$116
34. TOTAL LIABILITIES $50,192$22,538
35. NET ASSETS$901,552$845,333
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 041-402

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $377,728
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $6,550
39. Sale of Supplies $859
40. Interest $305
41. Dividends $0
42. Rents $43,550
43. Sale of Investments and Fixed Assets3$0
44. Loans Obtained9
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $4,903
48. Other Receipts14$191,676
49. TOTAL RECEIPTS $625,571
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$167,752
51. Political Activities and Lobbying16$20
52. Contributions, Gifts, and Grants17$489
53. General Overhead18$2,694
54. Union Administration19$187,589
55. Benefits20$44,445
56. Per Capita Tax $263,452
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $3,656
60. Purchase of Investments and Fixed Assets4$469
61. Loans Made2$0
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $52
65. Direct Taxes $10,626
  
66. Subtotal $681,244
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$45,151  
  67b. Less Total Disbursed$74,188  
  67c. Total Withheld But Not Disbursed -$29,037
68. TOTAL DISBURSEMENTS $710,281
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 041-402

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: 041-402

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: 041-402

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: 041-402

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$469$469$469
Oreck Commercial XLZ1RH9 upright vacuum$144$144$144
Used refrigerator$175$175$175
3 18-quart nescos$150$150$150
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$469
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 041-402

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: 041-402

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      9618 W. Greenfield Ave., West Allis, WI 53214$102,163 $102,163$102,163
B. Buildings (give location)    
Building  1 :      9618 W. Greenfield Ave., West Allis, WI 53214$427,079$427,079$427,079
C. Automobiles and Other Vehicles$0$0$0
D. Office Furniture and Equipment$77,028$77,028$77,028
E. Other Fixed Assets$26,349$26,349$26,349
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $632,619$0$632,619$632,619
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 041-402

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $3,983
MISCELLANEOUS OFFICE SUPPLIES$200
POSTAGE$77
2 CEDAR CASED BIBLES$80
5 BIBLES$160
214 LOCAL UNION T-SHIRTS$2,782
57 KNIT HATS$684
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 041-402

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$22,422$0$0$0
Total from all other accounts payable$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $22,422$0$0$0
Gary Curry C & W Cleaning$424$0$0$0
Milwaukee Metro Area Retired Workers Council$5$0$0$0
UAW WI State CAP Council$802$0$0$0
International Union UAW per capita tax$20,084$0$0$0
WE Energies$1,107$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 041-402

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: 041-402

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $116
2016940 ANNUAL FUTA$115
WI STATE UI TAX 2016 4TH QTR$1
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 041-402

(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
Agbuis ,  Lance   R
President
C
$0$1,001$0$0$1,001
I
Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
20 %
A
B
C
Campbell ,  David  
Sanitation At-Large
P
$0$0$13$0$13
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
Chenoweth ,  Randy   S
Trustee
C
$0$13$13$0$26
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
De Longchamp ,  Christopher   M
Brewing CCC
C
$0$520$189$0$709
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
Deringer ,  Thomas   O
Member-at-Large
P
$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
Guerra Jr ,  Raul   J
Briess-At-Large
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
Hofslund ,  Kathleen   M
Financial Secretary
C
$0$1,001$0$0$1,001
I
Schedule 15
Representational Activities
36 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
64 %
A
B
C
Holmes ,  Pamela  
San CCC
C
$26$39$0$0$65
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
Hopkins ,  Jason  
Head Trustee
C
$0$0$39$0$39
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
Hoyt ,  Sherry  
Sgt-At-Arms
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
100 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Kanzleiter ,  Joseph  
Brew-At-Large & CC
N
$0$247$0$0$247
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
Kassens ,  Jerold   J
Retired Bd Member
P
$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
Lofton ,  Eric   M
Recording Secretary
C
$0$130$0$0$130
I
Schedule 15
Representational Activities
90 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
10 %
A
B
C
Nelson ,  Stacie  
Lab CCC
C
$0$78$0$0$78
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
Ortiz ,  John   J
Retired Bd Member
N
$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
Shayhorn Jr ,  Harry  
Guide
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
Simon ,  Sparkle  
Brewing-At-Large
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
Sommerville ,  Nicholas   J
Vice President
C
$0$234$0$0$234
I
Schedule 15
Representational Activities
60 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
40 %
A
B
C
Stark ,  Andrew  
Trustee
C
$0$338$13$0$351
I
Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
7 %
A
B
C
Thanas ,  John  
Malteurop CCC
P
$469$26$0$0$495
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
Umhoefer ,  Colleen  
Lab-At-Large
P
$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 %
Total Officer Disbursements$495$3,627$267$0$4,389
Less Deductions    $333
Net Disbursements    $4,056
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 041-402

(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
Demski ,  Patricia   D
Secretary
NA
$72,337$0$0$0$72,337
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
Meyer ,  Carol   A
Bookkeeper
NA
$48,209$0$143$0$48,352
I
Schedule 15
Representational Activities
4 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
96 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$375$741$842$0$1,958
I Schedule 15
Representational Activities
58 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
41 %
Total Employee Disbursements$120,921$741$985$0$122,647
Less Deductions    $44,818
Net Disbursements    $77,829
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 041-402

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 520 
Agency Fee Payers*
Total Members/Fee Payers520 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS520Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 041-402

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$132,323
2. Named Payer Non-itemized Receipts$37,126
3. All Other Receipts$22,227
4. Total Receipts$191,676
     
     
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$489
6. Total Disbursements$489
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$13,610
2. Named Payee Non-itemized Disbursements$19,013
3. To Officers$3,351
4. To Employees$75,407
5. All Other Disbursements$56,371
6. Total Disbursements$167,752
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$2,694
6. Total Disbursements$2,694
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$20
5. All Other Disbursements$0
6. Total Disbursement$20
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$118,692
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,038
4. To Employees$47,221
5. All Other Disbursements$20,638
6. Total Disbursements$187,589
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 041-402

Name and Address
(A)
Allianz
3100 Zinfandel Dr Ste 240

Rancho Cordova
CA
95670
Type or Classification
(B)
Union Insurance Group
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$19,109
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$19,109
SEWER BACKUP DAMAGE 12/9/201501/29/2016$19,109
Name and Address
(A)
International Uaw
8000 E Jefferson St

Detroit
MI
48214
Type or Classification
(B)
Labor Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,640
Total Non-Itemized Transactions with this Payee/Payer$6,991
Total of All Transactions with this Payee/Payer for This Schedule$12,631
13TH STRIKE FUND REBATE 204/18/2016$5,640
Name and Address
(A)
Millercoors Llc Pension Plan
Northern Trust
4850 S Lake Park Ave
Chicago
IL
60615-2004
Type or Classification
(B)
Pension Plan
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$107,574
Total Non-Itemized Transactions with this Payee/Payer$30,135
Total of All Transactions with this Payee/Payer for This Schedule$137,709
6/15-12/15 PENSION REIMBU04/30/2016$43,086
6/15-12/15 PENSION REIMBU04/30/2016$9,560
JAN-APR 2016 REIMBURSEMEN06/30/2016$23,528
PENSION PLAN REIMBURSEMEN10/27/2016$24,912
PENSION PLAN REIMBURSEMEN10/27/2016$6,488
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 041-402

Name and Address
(A)
Colonial Quality Printing Inc.
2997 S. Howell Avenue

Milwaukee
WI
53207
Type or Classification
(B)
Printer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,357
Total of All Transactions with this Payee/Payer for This Schedule$6,357
Name and Address
(A)
Giertsen Company Of Wi
W223 N798 Saratoga Dr C

Waukesha
WI
53186-0412
Type or Classification
(B)
Restoration Specialists
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,610
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$13,610
WATER DAMAGE REPAIRS; DRY03/10/2016$13,610
Name and Address
(A)
Union Insurance Group
303 W Erie St Suite# 310

Chicago
IL
60654
Type or Classification
(B)
Insurance Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,035
Total of All Transactions with this Payee/Payer for This Schedule$5,035
Name and Address
(A)
We Energies
231 W Michigan St

Milwaukee
WI
53290-0001
Type or Classification
(B)
Utility
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,621
Total of All Transactions with this Payee/Payer for This Schedule$7,621
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 041-402

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: 041-402

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: 041-402

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: 041-402

Name and Address
(A)
MillerCoors-Milwaukee Brewery
ATTN: Controller
4000 W. State St.
Milwaukee
WI
53201-8322
Type or Classification
(B)
Brewery
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$118,692
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$118,692
settlement 11/2012-12/2016 union business12/19/2016$118,692
Form LM-2 (Revised 2010)
SCHEDULE 20 - BENEFITS FILE NUMBER: 041-402

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$44,445
Dental/Hearing/Medical/Vision InsuranceAnthem Bcbs Wi Individual$14,679
Dental/Hearing/Medical/Vision InsuranceAnthem Blue Cross Blue Shield$4,232
Dental/Hearing/Medical/Vision InsuranceAnthem Blue Cross Blue Shield$531
Dental/Hearing/Medical/Vision InsuranceC&d Technologies$3,923
Dental/Hearing/Medical/Vision InsuranceC&d Technologies Inc$7,859
Dental/Hearing/Medical/Vision InsuranceDelta Dental Of Wisconsin$70
Dental/Hearing/Medical/Vision InsuranceJames D. Robinson$4,269
Dental/Hearing/Medical/Vision InsuranceJames Demski$1,022
Dental/Hearing/Medical/Vision InsuranceNancy Barkdoll$144
Dental/Hearing/Medical/Vision InsuranceUnited Healthcare$1,101
Dental/Hearing/Medical/Vision InsuranceYvonne Slivka$2,804
Group Life InsurancePrudential Group Insurance$268
Medical Fee ReimbursementsNancy Barkdoll$307
Medical Fees- To Doc/Hosp as a Co-PayFroedtert Hospital$103
Medical Fees- To Doc/Hosp as a Co-PayWheaton Franciscan Healthcare$400
Medical Fees- To Doc/Hosp as a Co-PayWheaton Franciscan Healthcare$133
MEMBERSHIP DEATH BENEFITSCarmello Minesalle$200
MEMBERSHIP DEATH BENEFITSDoris Gscheidmeier$200
MEMBERSHIP DEATH BENEFITSESTATE OF JOHN G YUNKER$200
MEMBERSHIP DEATH BENEFITSEstate Of Bartolomeo Milone$200
MEMBERSHIP DEATH BENEFITSEstate Of Franklin Brown$200
MEMBERSHIP DEATH BENEFITSEstate Of Leonard Benaszeski$200
MEMBERSHIP DEATH BENEFITSEstate Of Norman Dye$200
MEMBERSHIP DEATH BENEFITSEstate Of Stephen Sanfelippo$200
MEMBERSHIP DEATH BENEFITSJack Ernest$200
MEMBERSHIP DEATH BENEFITSMarilyn Kodanko$200
MEMBERSHIP DEATH BENEFITSRuth Figarino$200
MEMBERSHIP DEATH BENEFITSSuzann Mc Carthy$200
MEMBERSHIP DEATH BENEFITSTiffany Papa$200
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 041-402


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

Question 15: Disposed of three large file cabinets (value $350 ea), four small file cabinets (value $175 ea) and an old television (value $700) set by scrapping. 100 beanies were purchased for $1196, 12 were sold at cost, 30 given as door prizes at Retirees' Christmas party, 1 given to Community Services Committee, 57 in inventory. (Total of donated hats $372) 271 shirts were purchased for $3296, 48 were sold, 29 were donated for door prizes (value $377) and 214 are in inventory. 8 bottles of liquor (value $200) and 5 calendar raffles (value $100) were given as door prizes at membership meetings. 12 retired members won a total of $375 in attendance awards. 1 active member won $100 as an attendance award. 1 member won a rifle (value $590) and 1 member won an ipad (value $528). 4 members won a total of $170 in the deer hunters' contest.

Question 12: : Audit completed by UAW International Auditor, William Stephen, through April 30, 2016.

Statement A,

Loans Receivable Begin Total: Value was zero at the end of last year's reporting period.

Statement A,

Cash Begin Total:

Page 3, line #22(A)- the amount from the previous year was increased by $429 due to checks voided from a previous year

Statement A,Investments Begin Total: Value was zero at the end of last year's reporting period.

Schedule 8, Row1:

Schedule 8, Row1::

Schedule 8, Row2:

Schedule 8, Row2::

Schedule 8, Row3:

Schedule 8, Row3::

Schedule 8, Row4:

Schedule 8, Row4::

Schedule 8, Row5:

Schedule 8, Row5:

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)