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
512-754
2. PERIOD COVERED
From01/01/2016
Through12/31/2016
3. (a) AMENDED - Is this an amended report:
Yes
(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
2069
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
Matthew
Last Name
Blondino
P.O Box - Building and Room Number
P. O. BOX 306
Number and Street
5110 COUGAR TRAIL RD.
City
DUBLIN
State
VA
ZIP Code + 4
24084


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:James B HouchinsPRESIDENT71. SIGNED:Matthew A BlondinoTREASURER
Date:Feb 03, 2017Telephone Number:540-599-0519Date:Feb 03, 2017Telephone Number:540-357-5010
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 512-754
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?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?$500,000
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?1,879
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 HoursperMonth2.5 Hours2.5 Hours
(b) Working Dues/Fees0per000
(c) Initiation Fees10pertime00
(d) Transfer Fees0per000
(e) Work Permits0per000

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 512-754

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $725,210$506,165
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$554,878$558,374
28. Other Assets7$0$0
29. TOTAL ASSETS $1,280,088$1,064,539

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$91,801$64,223
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$2,313$1,595
34. TOTAL LIABILITIES $94,114$65,818
35. NET ASSETS$1,185,974$998,721
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 512-754

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,420,445
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $10
39. Sale of Supplies $31,513
40. Interest $2,500
41. Dividends $0
42. Rents $6,200
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 $13,752
48. Other Receipts14$97,127
49. TOTAL RECEIPTS $1,571,547
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$484,434
51. Political Activities and Lobbying16$69,745
52. Contributions, Gifts, and Grants17$58,445
53. General Overhead18$29,822
54. Union Administration19$122,589
55. Benefits20$29,332
56. Per Capita Tax $926,531
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $23,041
60. Purchase of Investments and Fixed Assets4$3,496
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 $13,752
65. Direct Taxes $28,762
  
66. Subtotal $1,789,949
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$101,937  
  67b. Less Total Disbursed$102,578  
  67c. Total Withheld But Not Disbursed -$641
68. TOTAL DISBURSEMENTS $1,790,590
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 512-754

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
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: 512-754

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: 512-754

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: 512-754

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$3,496$3,496$3,496
Office Furniture-Chairs (2)$695$695$695
Melisa Alley-(2) computers and printers$2,801$2,801$2,801
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$3,496
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 512-754

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: 512-754

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      5110 Couger Trail Road, Dublin, VA 24084$131,300 $131,300$131,300
B. Buildings (give location)    
Building  1 :      5110 Cougar Trail Road, Dublin, VA 24084$306,600$0$306,600$306,600
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$85,496$85,496
E. Other Fixed Assets$34,978$0$34,978$34,978
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $472,878$0$558,374$558,374
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 512-754

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: 512-754

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$64,223$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)) $64,223$0$0$0
Per Capita Taxes UAW$61,746$0$0$0
UAW Exchange Acct CAP$2,477$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 512-754

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: 512-754

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,595
AFL-CIO$1,343
Western VA Labor Federation$252
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 512-754

(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
JONES ,  KENNETTE   J
TRUSTEE
C
$6,389$0$0$0$6,389
I
Schedule 15
Representational Activities
21 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
79 %
A
B
C
BURKS ,  DIANE   J
GUIDE
C
$0$0$1,214$0$1,214
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
DUNCAN ,  LORI  
SALARY MEMBER 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
ALLEY ,  MELISA  
RECORDING SECRETARY
C
$7,964$0$147$0$8,111
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
LAMBERT ,  JOHN   P
TRUSTEE
C
$5,814$0$0$0$5,814
I
Schedule 15
Representational Activities
16 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
84 %
A
B
C
ANDERSON ,  WANDA   L
TRUSTEE
C
$1,271$0$905$0$2,176
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
PETERSON ,  MARK   C
VICE PRESIDENT
C
$7,981$0$2,103$0$10,084
I
Schedule 15
Representational Activities
38 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
62 %
A
B
C
OGLE ,  BILLY   J
HOURLY MEMBER AT LARGE
C
$4,512$0$213$0$4,725
I
Schedule 15
Representational Activities
12 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
88 %
A
B
C
HOUCHINS JR. ,  JAMES   B
PRESIDENT
C
$17,498$0$4,933$0$22,431
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
BLONDINO ,  MATTHEW  
FINANCIAL SECRETARY
C
$10,607$0$1,851$0$12,458
I
Schedule 15
Representational Activities
43 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
57 %
A
B
C
SURFACE ,  ROBERT   J
SGT AT ARMS
C
$6,285$0$0$0$6,285
I
Schedule 15
Representational Activities
21 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
79 %
Total Officer Disbursements$68,321$0$11,366$0$79,687
Less Deductions    $16,226
Net Disbursements    $63,461
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 512-754

(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
HODGE ,  TIMOTHY  
COMMITTEE PERSON
none
$14,071$0$2,055$0$16,126
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
SHANK ,  GREGORY  
HOURLY BARGAINING CHAIR
none
$18,652$0$6,618$0$25,270
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
KEITH ,  THOMAS   M
COMMITTEE PERSON
none
$9,341$0$2,009$0$11,350
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
SNELL ,  IVAN   D
COMMITTEE PERSON
none
$15,909$0$2,009$0$17,918
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
HARDYMON ,  NANCY  
BOOKKEEPER
none
$57,030$0$603$0$57,633
I
Schedule 15
Representational Activities
79 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
21 %
A
B
C
COLLINS ,  RANDALL   O
COMMITTEE PERSON
none
$17,999$0$2,055$0$20,054
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
MILLER ,  EARLEEN   W
POLITICAL WORKER
none
$16,420$0$5,763$0$22,183
I
Schedule 15
Representational Activities
3 % Schedule 16
Political Activities and Lobbying
97 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
VIA ,  CHRISTOPHER  
POLITICAL WORKER
none
$17,000$0$4,702$0$21,702
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
100 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
BIRD ,  PAUL  
COMMITTEE PERSON
none
$18,224$0$3,142$0$21,366
I
Schedule 15
Representational Activities
64 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
36 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$59,879$0$45,821$0$105,700
I Schedule 15
Representational Activities
56 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
11 % Schedule 19
Administration
33 %
Total Employee Disbursements$244,525$0$74,777$0$319,302
Less Deductions    $85,710
Net Disbursements    $233,592
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 512-754

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,879 
Agency Fee Payers*0
Total Members/Fee Payers1,879 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members1,879Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 512-754

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$67,376
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$29,751
4. Total Receipts$97,127
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$22,907
2. Named Payee Non-itemized Disbursements$13,124
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$22,414
6. Total Disbursements$58,445
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$106,398
2. Named Payee Non-itemized Disbursements$58,063
3. To Officers$41,278
4. To Employees$209,779
5. All Other Disbursements$68,916
6. Total Disbursements$484,434
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$5,097
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$19,319
5. All Other Disbursements$5,406
6. Total Disbursements$29,822
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$13,251
2. Named Payee Non-itemized Disbursements$6,243
3. To Officers$0
4. To Employees$43,220
5. All Other Disbursements$7,031
6. Total Disbursement$69,745
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$24,260
2. Named Payee Non-itemized Disbursements$2,732
3. To Officers$38,409
4. To Employees$46,984
5. All Other Disbursements$10,204
6. Total Disbursements$122,589
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 512-754

Name and Address
(A)
INTERNATIONAL UNIO UAW

UNKNOWN STREET
ANYCITY
MI
12345-6789
Type or Classification
(B)
---UNKNOWN TYPE---
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$26,130
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$26,130
13TH REBATE CHECK04/21/2016$26,130
Name and Address
(A)
NATIONAL UAW CAP

UNKNOWN STREET
ANYCITY
MI
12345-6789
Type or Classification
(B)
---UNKNOWN TYPE---
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$41,246
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$41,246
PREPAYMENT FOR E.MILLER06/29/2016$20,623
PREPAYMENT C. VIA06/29/2016$20,623
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 512-754

Name and Address
(A)
APPALACHIAN POWER CO.

P.O. BOX 24413
CANTON
OH
44701-4413
Type or Classification
(B)
ELECTRICITY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,651
Total of All Transactions with this Payee/Payer for This Schedule$6,651
Name and Address
(A)
KATHY'S KUSTOM KATERING
173 FASHION ROAD
P.O. BOX 1001
POUNDING MILL
VA
24637
Type or Classification
(B)
CATERER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,139
Total Non-Itemized Transactions with this Payee/Payer$4,000
Total of All Transactions with this Payee/Payer for This Schedule$24,139
25% DEPOSIT FOR 1 20009/20/2016$5,035
EVENT#E3210910/05/2016$15,104
Name and Address
(A)
NORWOOD DEVELOPMENT INC.

PO BOX 3189
RADFORD
VA
24141
Type or Classification
(B)
PAVING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$65,237
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$65,237
INVOICE #92010/04/2016$65,237
Name and Address
(A)
SOUTHERN PRINTING CO.

501 INDUSTRIAL PARK ROAD
BLACKSBURG
VA
24060
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$10,155
Total of All Transactions with this Payee/Payer for This Schedule$10,155
Name and Address
(A)
TRAVEL FOCUS
SUITE 900
8111 LBJ FREEWAY
DALLAS
TX
75251
Type or Classification
(B)
TRAVEL AGENCY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,886
Total of All Transactions with this Payee/Payer for This Schedule$6,886
Name and Address
(A)
UAW REGION 8

151 MADDOX-SIMPSON PKWY
LEBANON
TN
37090
Type or Classification
(B)
REGION 8
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,150
Total of All Transactions with this Payee/Payer for This Schedule$12,150
Name and Address
(A)
UBE AIR
2000 MAXON ROAD
ATTN: EDUCATION DEPT
ONAWAY
MI
49765
Type or Classification
(B)
TRAVEL AGENCY
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,034
Total of All Transactions with this Payee/Payer for This Schedule$6,034
Name and Address
(A)
VOLVO GROUP TRUCKS OPERATIONS
4881 COUGAR TRAIL ROAD
NEW RIVER VALLEY PLANT
DUBLIN
VA
24084
Type or Classification
(B)
VOLVO
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$21,022
Total Non-Itemized Transactions with this Payee/Payer$12,187
Total of All Transactions with this Payee/Payer for This Schedule$33,209
INVOICE 3/31/1605/17/2016$21,022
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 512-754

Name and Address
(A)
NORWOOD DEVELOPMENT INC.

PO BOX 3189
RADFORD
VA
24141
Type or Classification
(B)
PAVING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,251
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$13,251
INVOICE #92010/04/2016$13,251
Name and Address
(A)
VOLVO GROUP TRUCKS OPERATIONS
4881 COUGAR TRAIL ROAD
NEW RIVER VALLEY PLANT
DUBLIN
VA
24084
Type or Classification
(B)
VOLVO
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,243
Total of All Transactions with this Payee/Payer for This Schedule$6,243
Form LM-2 (Revised 2010)
SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 512-754

Name and Address
(A)
GOD'S PIT CREW

2499 NORTH MAIN STREET
DANVILLE
VA
24540
Type or Classification
(B)
NONPROFIT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,500
Total of All Transactions with this Payee/Payer for This Schedule$6,500
Name and Address
(A)
SW VA VETERANS CEMETERY
PO BOX 11373
MARY LOU SUMMERS CHAIRMAN
BLACKSBURG
VA
24062
Type or Classification
(B)
NONPROFIT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,500
Total of All Transactions with this Payee/Payer for This Schedule$6,500
Name and Address
(A)
UAW REGION 8

151 MADDOX-SIMPSON PKWY
LEBANON
TN
37090
Type or Classification
(B)
REGION 8
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,000
NC + SC DISASTER RELIEF10/26/2016$5,000
Name and Address
(A)
UNITED MEMORIAL

P.O. BOX 269
GASTONIA
NC
28053
Type or Classification
(B)
BIBLES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$17,907
Total Non-Itemized Transactions with this Payee/Payer$124
Total of All Transactions with this Payee/Payer for This Schedule$18,031
150 PROTESTITANT BIBLES01/25/2016$6,019
INV#7237606/14/2016$6,018
INV#7278612/13/2016$5,870
Form LM-2 (Revised 2010)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 512-754

Name and Address
(A)
NORWOOD DEVELOPMENT INC.

PO BOX 3189
RADFORD
VA
24141
Type or Classification
(B)
PAVING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,097
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,097
INVOICE #92010/04/2016$5,097
Form LM-2 (Revised 2010)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 512-754

Name and Address
(A)
NORWOOD DEVELOPMENT INC.

PO BOX 3189
RADFORD
VA
24141
Type or Classification
(B)
PAVING
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$18,348
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$18,348
INVOICE #92010/04/2016$18,348
Name and Address
(A)
VOLVO GROUP TRUCKS OPERATIONS
4881 COUGAR TRAIL ROAD
NEW RIVER VALLEY PLANT
DUBLIN
VA
24084
Type or Classification
(B)
VOLVO
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,912
Total Non-Itemized Transactions with this Payee/Payer$2,732
Total of All Transactions with this Payee/Payer for This Schedule$8,644
INVOICE 3/31/1605/17/2016$5,912
Form LM-2 (Revised 2010)
SCHEDULE 20 - BENEFITS FILE NUMBER: 512-754

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$29,332
EMPLOYEENANCY HARDYMON$758
INSURANCEAFLAC$768
INSURANCEERIE FAMILY LIFE INS. CO$3,175
INSURANCEANTHEM BLUE CROSS + BS$23,707
INSURANCEDELTA DENTAL OF VA$924
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 512-754


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.

General Information:

Schedule 8, Row1:

Schedule 8, Row1:

Schedule 8, Row2:

Schedule 8, Row2:

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)