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
009-267
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
5
7. UNIT NAME (if any)

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

Number and Street
1426 SOUTH MAIN ST
City
SOUTH BEND
State
IN
ZIP Code + 4
466132298


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:Joe L Taylor IIIPRESIDENT71. SIGNED:Marc A SnyderTREASURER
Date:Mar 30, 2017Telephone Number:574-876-3032Date:Mar 30, 2017Telephone Number:574-289-5551
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 009-267
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?$160,000
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?Yes
19. What is the date of the labor organization's next regular election of officers?06/2017
20. How many members did the labor organization have at the end of the reporting period?898
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 st timeperMonthn/an/a
(b) Working Dues/Feesper
(c) Initiation Fees30perOne timen/an/a
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 009-267

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $824,576$673,929
23. Accounts Receivable1$0$0
24. Loans Receivable2$0
25. U.S. Treasury Securities $0$0
26. Investments5$0
27. Fixed Assets6$359,630$361,283
28. Other Assets7$5,590$6,357
29. TOTAL ASSETS $1,189,796$1,041,569

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$37,687
31. Loans Payable9$0
32. Mortgages Payable $0$0
33. Other Liabilities10$0
34. TOTAL LIABILITIES $37,687$0
35. NET ASSETS$1,152,109$1,041,569
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 009-267

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $655,353
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $2,620
39. Sale of Supplies $13,646
40. Interest $1,264
41. Dividends $0
42. Rents $3,070
43. Sale of Investments and Fixed Assets3
44. Loans Obtained9
45. Repayments of Loans Made2
46. On Behalf of Affiliates for Transmittal to Them $0
47. From Members for Disbursement on Their Behalf $918
48. Other Receipts14$69,239
49. TOTAL RECEIPTS $746,110
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$375,226
51. Political Activities and Lobbying16$34,173
52. Contributions, Gifts, and Grants17$14,491
53. General Overhead18$31,373
54. Union Administration19$6,333
55. Benefits20$3,002
56. Per Capita Tax $412,294
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $1,681
60. Purchase of Investments and Fixed Assets4$1,653
61. Loans Made2
62. Repayment of Loans Obtained9
63. To Affiliates of Funds Collected on Their Behalf $0
64. On Behalf of Individual Members $918
65. Direct Taxes $18,467
  
66. Subtotal $899,611
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$53,003  
  67b. Less Total Disbursed$50,149  
  67c. Total Withheld But Not Disbursed $2,854
68. TOTAL DISBURSEMENTS $896,757
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 009-267

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: 009-267

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: 009-267

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 
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales 
Form LM-2 (Revised 2010)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 009-267

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$1,653$1,653$1,653
Sony Camcorder$998$998$998
Camera accessories$85$85$85
Studio lights and backdrop$141$141$141
Sure Microphone$179$179$179
Zoom 4 track recorder$250$250$250
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$1,653
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 009-267

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: 009-267

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      1426 S Main St South Bend, IN 46613$56,095 $56,095$56,095
B. Buildings (give location)    
Building  1 :      1426 S Main St South Bend, IN 46613$242,196$242,196$242,196
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$62,992$62,992$62,992
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $361,283$0$361,283$361,283
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 009-267

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $6,357
Bibles$869
Post Office Mailing Deposit$336
Gas Meter Deposit$250
Water Meter Deposit$15
Hats, Shirts, Etc.$4,887
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 009-267

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$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 009-267

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: 009-267

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $0
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 009-267

(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
Davies ,  Anna   M
Chair Conn-Selmer
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
Garza ,  Maria  
Head Trustee
C
$7,842$180$2,640$0$10,662
I
Schedule 15
Representational Activities
84 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
13 %
A
B
C
Hacker ,  Timothy  
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
Harris ,  Zola  
Vice President
C
$0$900$1,598$0$2,498
I
Schedule 15
Representational Activities
88 % Schedule 16
Political Activities and Lobbying
12 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Kati ,  B. Jean  
Recording Secretary
C
$1,239$480$775$0$2,494
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Kazmierczak ,  Terrence  
Guide
C
$140$0$0$0$140
I
Schedule 15
Representational Activities
92 % Schedule 16
Political Activities and Lobbying
8 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Pena ,  Joe  
Trustee
C
$4,739$180$0$0$4,919
I
Schedule 15
Representational Activities
75 % Schedule 16
Political Activities and Lobbying
5 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
20 %
A
B
C
Redding ,  Susan  
Chair Patrick
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
Schweizer ,  Bruce  
Chairman-AMG
C
$0$0$0$0$0
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Sickling ,  Mark  
Chair UCC
C
$11,079$0$0$0$11,079
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
Snyder ,  Marc   A
Financial Secretary
C
$69,043$3,435$3,061$0$75,539
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Taylor III ,  Joe   L
President
C
$20,223$1,740$4,040$0$26,003
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Tuttle ,  Gloria  
Trustee
C
$3,611$180$1,473$0$5,264
I
Schedule 15
Representational Activities
76 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
22 %
A
B
C
Van De Putte ,  Daveda  
Chair LEJ
C
$988$360$748$0$2,096
I
Schedule 15
Representational Activities
99 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Wagner ,  Rick  
Chair-A Schulman/Saa
C
$0$0$310$0$310
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
Welch ,  Kevin   R
Chair Exel
C
$2,504$0$1,640$0$4,144
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
Total Officer Disbursements$121,408$7,455$16,285$0$145,148
Less Deductions    $33,594
Net Disbursements    $111,554
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 009-267

(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
Kyle ,  Michelle  
NA
NA
$16,345$240$3,697$0$20,282
I
Schedule 15
Representational Activities
15 % Schedule 16
Political Activities and Lobbying
85 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Marsh ,  Harry  
NA
NA
$10,416$0$55$0$10,471
I
Schedule 15
Representational Activities
1 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
99 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$47,808$0$12,536$0$60,344
I Schedule 15
Representational Activities
66 % Schedule 16
Political Activities and Lobbying
18 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
14 % Schedule 19
Administration
2 %
Total Employee Disbursements$74,569$240$16,288$0$91,097
Less Deductions    $19,409
Net Disbursements    $71,688
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 009-267

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 898 
Agency Fee Payers*0
Total Members/Fee Payers898 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members898Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 009-267

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$27,898
2. Named Payer Non-itemized Receipts$15,722
3. All Other Receipts$25,619
4. Total Receipts$69,239
     
     
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$14,491
6. Total Disbursements$14,491
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$69,165
2. Named Payee Non-itemized Disbursements$50,006
3. To Officers$139,336
4. To Employees$42,974
5. All Other Disbursements$73,745
6. Total Disbursements$375,226
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$5,400
2. Named Payee Non-itemized Disbursements$0
3. To Officers$0
4. To Employees$18,814
5. All Other Disbursements$7,159
6. Total Disbursements$31,373
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$2,242
4. To Employees$28,102
5. All Other Disbursements$3,829
6. Total Disbursement$34,173
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$3,569
4. To Employees$1,207
5. All Other Disbursements$1,557
6. Total Disbursements$6,333
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 009-267

Name and Address
(A)
Galinda Taylor
217 Parkwood Lane

South Bend
IN
46613
Type or Classification
(B)
Rec Comm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,012
Total of All Transactions with this Payee/Payer for This Schedule$6,012
Name and Address
(A)
International Union U.A.W.
8000 East Jefferson Ave

Detriot
MI
48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,898
Total Non-Itemized Transactions with this Payee/Payer$3,930
Total of All Transactions with this Payee/Payer for This Schedule$31,828
13TH REBATE04/22/2016$8,905
Advance on reimbursment (07/27/2016$18,993
Name and Address
(A)
St. Joseph County Cap Council
1426 S Main St

South Bend
IN
46613
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,780
Total of All Transactions with this Payee/Payer for This Schedule$5,780
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 009-267

Name and Address
(A)
At&t
PO Box 6463

Carol Stream
IL
60197-6463
Type or Classification
(B)
Telephone Utility
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,138
Total of All Transactions with this Payee/Payer for This Schedule$7,138
Name and Address
(A)
Cedar Point
1 Cedar Point Drive

Sandusky
OH
44870
Type or Classification
(B)
Amusement Park
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,454
Total Non-Itemized Transactions with this Payee/Payer$485
Total of All Transactions with this Payee/Payer for This Schedule$8,939
Balance for Cedar Point t06/21/2016$8,454
Name and Address
(A)
Hedwig Memorial Center
331 South Scott St

South Bend
IN
46601
Type or Classification
(B)
Rental Hall
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,872
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,872
Banquet hall expenses X-m12/12/2016$6,872
Name and Address
(A)
Image Pointe
1224 Laporte Rd

Waterloo
IA
50702
Type or Classification
(B)
Promo Items
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,380
Total of All Transactions with this Payee/Payer for This Schedule$5,380
Name and Address
(A)
Indiana Michigan Power
PO Box 24401

Canton
OH
44701-4401
Type or Classification
(B)
Utility - Electric
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,787
Total of All Transactions with this Payee/Payer for This Schedule$9,787
Name and Address
(A)
Macey Swanson And Allman
445 N Pennsylvania / #401

Indianapolis
IN
46204-1800
Type or Classification
(B)
Law Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$9,902
Total Non-Itemized Transactions with this Payee/Payer$4,163
Total of All Transactions with this Payee/Payer for This Schedule$14,065
Balance owed for services11/08/2016$9,902
Name and Address
(A)
Region 2-B UAW
1691 Woodlands Dr

Maumee
OH
43537
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,500
Total Non-Itemized Transactions with this Payee/Payer$2,846
Total of All Transactions with this Payee/Payer for This Schedule$15,346
REGISTRATION LEADERSHIP C06/21/2016$5,625
REGISTRATION LEADERSHIP C08/17/2016$6,875
Name and Address
(A)
Roberts Custom Software Inc.
3667 1st Street

East Moline
IL
61244
Type or Classification
(B)
Software Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,439
Total of All Transactions with this Payee/Payer for This Schedule$8,439
Name and Address
(A)
Royal Excursion
12807 Mckinley Hwy

Mishawaka
IN
46545
Type or Classification
(B)
Buses - Charters & Rental
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,178
Total of All Transactions with this Payee/Payer for This Schedule$11,178
Name and Address
(A)
St Joseph County 4H Fair Inc.
5117 South Ironwood Rd

South Bend
IN
46614
Type or Classification
(B)
County Fairgrounds
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$25,166
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$25,166
Picnic Expenses08/12/2016$25,166
Name and Address
(A)
Union Insurance Group
303 W Erie St

Chicago
IL
60654
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,271
Total Non-Itemized Transactions with this Payee/Payer$590
Total of All Transactions with this Payee/Payer for This Schedule$6,861
Liability Policy02/03/2016$6,271
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 009-267

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: 009-267

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: 009-267

Name and Address
(A)
Charles Pates Jr.
57320 Alan RD

South Bend
IN
46619
Type or Classification
(B)
Roofer
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,400
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,400
Deposit for new roof06/24/2016$5,400
Form LM-2 (Revised 2010)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 009-267

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: 009-267

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$3,002
Workers Compension InsuranceAmtrust North America$3,002
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 009-267


Question 18: : The organization's local by-laws were amended during the reporting year and are therefore attached to this report.

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.

Statement A,

Cash Begin Total:

Statement A,

Cash begin total: Beginning balance increased by $132 to account for voids from a previous 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::

General Information: During the reporting period, the local gave away bibles valued at $747 to families of members who passed away. At the beginning of the reporting period, the local had resale items (hats, shirts, jackets, trinkets and bibles) valued at $4,989. During the course of the reporting period, the local purchased additional items at a cost of $15,674, sold items valued at $8,940 and gave away items valued at $5,966 leaving the local with resale items valued at $5,757.
Form LM-2 (Revised 2010)