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
010-321
2. PERIOD COVERED
From01/01/2017
Through12/31/2017
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
400
7. UNIT NAME (if any)
MT CLEMENS-HIGHLAND PARK LOCAL
8. MAILING ADDRESS (Type or print in capital letters)
First Name
DAVID
Last Name
MURRAY
P.O Box - Building and Room Number

Number and Street
50595 MOUND ROAD
City
UTICA
State
MI
ZIP Code + 4
48317


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 D CaygillPRESIDENT71. SIGNED:David R MurrayTREASURER
Date:Mar 26, 2018Telephone Number:586-731-6270Date:Mar 26, 2018Telephone Number:586-731-6270
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 010-321
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?Yes
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?No
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?Yes
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?No
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)Yes
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?$186,000
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?05/2020
20. How many members did the labor organization have at the end of the reporting period?1,883
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesN/Apermonth1.095%2.5 hours
(b) Working Dues/FeesN/AperN/AN/A
(c) Initiation FeesN/Apermember$25.00$40.00
(d) Transfer Fees0perN/AN/A
(e) Work Permits0perN/AN/A

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 010-321

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $448,005$482,171
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$569,124$568,864
28. Other Assets7$1,430$1,316
29. TOTAL ASSETS $1,018,559$1,052,351

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$62,139$83,900
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$0$0
34. TOTAL LIABILITIES $62,139$83,900
35. NET ASSETS$956,420$968,451
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 010-321

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,339,376
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $7,730
39. Sale of Supplies $1,120
40. Interest $175
41. Dividends $0
42. Rents $300
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 $15,598
48. Other Receipts14$40,484
49. TOTAL RECEIPTS $1,404,783
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$377,680
51. Political Activities and Lobbying16$0
52. Contributions, Gifts, and Grants17$31,066
53. General Overhead18$3,308
54. Union Administration19$73,449
55. Benefits20$27,032
56. Per Capita Tax $809,326
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $1,120
60. Purchase of Investments and Fixed Assets4$1,536
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 $14,754
65. Direct Taxes $31,346
  
66. Subtotal $1,370,617
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$84,242  
  67b. Less Total Disbursed$84,242  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $1,370,617
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 010-321

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: 010-321

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: 010-321

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: 010-321

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$1,536$1,536$1,536
50 White Folding Chairs$758$758$758
2 Chair Dollies$216$216$216
3 Bi-fold 60" Tables$350$350$350
Vacuum Cleaner$212$212$212
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$1,536
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 010-321

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: 010-321

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)$0 $0$0
B. Buildings (give location)    
Building  1 :      50595 Mound Rd., Shelby Twp., MI 48317$501,947$0$501,947$412,000
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$66,917$0$66,917$10,000
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $568,864$0$568,864$422,000
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 010-321

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $1,316
Bibles$1,007
Postage in Meter$28
Postage in Newspaper Account$144
Postage in Postage Due Account$137
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 010-321

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$83,900$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $83,900$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 010-321

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: 010-321

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: 010-321

(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
Allen ,  Craig  
Chairperson
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
Berrios ,  Anthony   D
Executive Board
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
Billups ,  Charles   E
Plant Chairman
P
$92$0$0$0$92
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Brashear Jr ,  Leonard   E
Chairperson
P
$0$0$270$0$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
Carrier ,  Michael   A
Trustee
P
$300$0$0$0$300
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
Carstarphen ,  Stacey  
Executive Board
C
$1,348$0$50$0$1,398
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
A
B
C
Caygill ,  James   D
President
C
$32,242$0$338$0$32,580
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
Coscia ,  Alfred   J
Executive Board
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
Emerson ,  Mark   E
Executive Board
C
$577$0$0$0$577
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
Emmons ,  Erik   T
Chairperson
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
Erickson ,  Rick   A
Trustee
P
$100$0$0$0$100
I
Schedule 15
Representational Activities
94 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
6 %
A
B
C
Farhat ,  Lawrence  
Trustee
C
$1,500$0$182$0$1,682
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
Ingram ,  Khirhana   B
Chairperson
N
$912$0$0$0$912
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Jordan ,  Sheneka   G
Chairperson
N
$117$0$0$0$117
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Lappe ,  Jo Ann  
Unit Chairperson
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
Laritz ,  Ronda   M
Executive Board
C
$1,459$0$0$0$1,459
I
Schedule 15
Representational Activities
91 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
5 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
A
B
C
Lashbrook ,  Randy   L
Chairperson
C
$0$0$270$0$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
Leinenger ,  Lavern   J
Chairperson
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
Murray ,  David   R
Financial Sec
C
$57,482$0$302$0$57,784
I
Schedule 15
Representational Activities
84 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
15 %
A
B
C
Patterson ,  Ed  
Plant Chairman
P
$318$0$0$0$318
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
Patton ,  Regina   M
Executive Board
N
$925$0$0$0$925
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
3 % Schedule 18
General Overhead
0 % Schedule 19
Administration
10 %
A
B
C
Rotary ,  Roy  
Trustee
N
$300$0$0$0$300
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
13 %
A
B
C
Russo ,  Salvatore  
Guide
C
$350$0$0$0$350
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
Schultz ,  Randy   L
Sgt-at-Arms
C
$100$0$0$0$100
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
A
B
C
Sherman ,  Nicholas  
Chairperson
P
$2,525$0$0$0$2,525
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
Sorgi ,  James   J
Recording Sec.
C
$70,204$0$0$0$70,204
I
Schedule 15
Representational Activities
87 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
12 %
A
B
C
Taylor ,  Lavolia  
Chairperson
C
$1,173$0$520$0$1,693
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
Trpcevski ,  Elisha   J
Executive Board
N
$367$0$0$0$367
I
Schedule 15
Representational Activities
96 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
4 %
A
B
C
Uebrueck ,  Michelle  
Chairperson
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
Verellen ,  Johnny   R
Vice President
C
$43,775$0$3,773$0$47,548
I
Schedule 15
Representational Activities
94 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
5 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Wallace ,  Carla   D
Trustee
N
$149$0$80$0$229
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
Zerilli ,  Dominic   P
Executive Bd Retiree
C
$550$0$200$0$750
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 %
Total Officer Disbursements$216,865$0$5,985$0$222,850
Less Deductions    $62,166
Net Disbursements    $160,684
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 010-321

(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
Jean ,  Therese   A
Bookkeeper
NA
$39,033$0$299$0$39,332
I
Schedule 15
Representational Activities
48 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
52 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$33,233$0$2,803$0$36,036
I Schedule 15
Representational Activities
73 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
3 % Schedule 18
General Overhead
0 % Schedule 19
Administration
24 %
Total Employee Disbursements$72,266$0$3,102$0$75,368
Less Deductions    $22,077
Net Disbursements    $53,291
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 010-321

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 1,883 
Agency Fee Payers*
Total Members/Fee Payers1,883 
*Agency Fee Payers are not considered members of the labor organization.
Regular members1,883Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 010-321

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$13,377
2. Named Payer Non-itemized Receipts$7,956
3. All Other Receipts$19,151
4. Total Receipts$40,484
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$3,758
4. To Employees$1,081
5. All Other Disbursements$26,227
6. Total Disbursements$31,066
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$20,010
2. Named Payee Non-itemized Disbursements$37,860
3. To Officers$199,063
4. To Employees$45,185
5. All Other Disbursements$75,562
6. Total Disbursements$377,680
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$3,308
6. Total Disbursements$3,308
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$0
6. Total Disbursement$0
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$7,966
2. Named Payee Non-itemized Disbursements$6,359
3. To Officers$20,031
4. To Employees$29,102
5. All Other Disbursements$9,991
6. Total Disbursements$73,449
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 010-321

Name and Address
(A)
International UAW
8000 East Jefferson Ave

Detroit
MI
48214
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$13,377
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$13,377
Per Capita Rebate 13th Check04/25/2017$13,377
Name and Address
(A)
Seneca Insurance
160 Water Street

New York
NY
10038
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$7,956
Total of All Transactions with this Payee/Payer for This Schedule$7,956
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 010-321

Name and Address
(A)
Dte Energy
PO Box 740786

Cincinnati
OH
45274-0786
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$5,602
Total of All Transactions with this Payee/Payer for This Schedule$5,602
Name and Address
(A)
Eastpointe Manor
24611 Gratiot Ave

Eastpointe
MI
48021
Type or Classification
(B)
Banquets & Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,542
Total of All Transactions with this Payee/Payer for This Schedule$6,542
Name and Address
(A)
Heather Hills Golf Club
3100 McKail Road

Romeo
MI
48065
Type or Classification
(B)
Golf Club
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,035
Total of All Transactions with this Payee/Payer for This Schedule$8,035
Name and Address
(A)
International Uaw
8000 East Jefferson Ave

Detroit
MI
48214
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$5,591
Total of All Transactions with this Payee/Payer for This Schedule$5,591
Name and Address
(A)
Rockman & Sons Publishing
240 N Fenway Dr

Fenton
MI
48430
Type or Classification
(B)
Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,090
Total of All Transactions with this Payee/Payer for This Schedule$12,090
Name and Address
(A)
Royalty House Inc
8201 E 13 Mile Rd

Warren
MI
48093
Type or Classification
(B)
Event Hall
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,140
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$12,140
Retiree Christmas Party12/12/2017$12,140
Name and Address
(A)
Sterling Insurance Group
13900 Lakeside Circle

Sterling Heights
MI
48313
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,870
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,870
Chartis D & O Union Liability Ins.01/18/2017$7,870
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 010-321

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: 010-321

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: 010-321

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: 010-321

Name and Address
(A)
Election Source
4615 Danvers Dr SE

Grand Rapids
MI
49512
Type or Classification
(B)
Election Services
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,966
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,966
Gen Elec 5/16/201705/26/2017$7,966
Name and Address
(A)
Rockman & Sons Publishing
240 N Fenway Dr

Fenton
MI
48430
Type or Classification
(B)
Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,359
Total of All Transactions with this Payee/Payer for This Schedule$6,359
Form LM-2 (Revised 2010)
SCHEDULE 20 - BENEFITS FILE NUMBER: 010-321

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$27,032
Dental/Hearing/Medical/Vision InsuranceDelta Dental Plan$858
Dental/Hearing/Medical/Vision InsuranceSterling Insurance Group$15,910
Group Life InsuranceNationwide Insurance Co$3,129
Workers Compension InsuranceAccident Fund$1,804
Scholarship/Tuition PaymentsThe American Funds$50
Pension AllocationsNational Integrated Group$5,281
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 010-321


Question 13: The Local Union filed a claim with Seneca Insurance due to a break in to the premises on October 20, 2017. The claim, adjusted by an independent insurance adjuster, The Olds Professional Centre, LTD., estimated the replacement value of the loss to the building and business personal property in the amount of $12,323.42 less recoverable depreciation of $3367.59 to arrive at an actual

Cash Value Loss of $8995.83. After accounting for $1000 deductible, The Subrogation agreement representing the Actual

Cash Value claim for known damages was $$7955.83. The property loss included 2 cabinets, 1 executive desk, 1 metal credenza, 1 tall metal file cabinet, and $1040.00 in cash. All but the cash were disposed of.

Question 15: The Local Union filed a claim with Seneca Insurance due to a break in to the premises on October 20, 2017. The claim, adjusted by an independent insurance adjuster, The Olds Professional Centre, LTD., estimated the replacement value of the loss to the building and business personal property in the amount of $12,323.42 less recoverable depreciation of $3367.59 to arrive at an actual

Cash Value Loss of $8995.83. After accounting for $1000 deductible, The Subrogation agreement representing the Actual

Cash Value claim for known damages was $$7955.83. The property loss included 2 cabinets, 1 executive desk, 1 metal credenza, 1 tall metal file cabinet, and $1040.00 in cash. All but the cash were disposed of. The Local disposed of damaged items from the 10/20/17 break in with a total cash value of $2542.60 (2 black metal cabinets, $317.99; Wood executive desk, $1067.74; 1 metal credenza, $978.80; 1 tall metal file cabinet, 178.07. Our Retiree Chapter gave away 525 2018 calendar books to members that attended our Retiree Christmas Party at a cost of $721.00. The Local Union gave away 170 shirts to members that participated in the annual Labor Day Parade at a cost of $1415. The Local Union gave away 76 shirts to union representatives for the purpose of identification at a cost of $2280. The Local Union gave away 54 bibles to the families of our recently departed members at a total cost of $1485. The Local Union gave away water bottles, key chains, pens, and license plate covers at our 75th anniversary picnic at a total cost of $3920.

Question 10: Local Union #400 Building Corporation. Operations of the Building Corporation are handled through the books and records of the Local Union and are therefore, included in this report.

Question 11(b):

Question 11(b): : : : : : Local Union #400 Building Corporation. Operations of the Building Corporation are handled through the books and records of the Local Union and are, therefore, included in this report.

Schedule 13, Row1:

Schedule 13, Row1::Anyone who has applied and been accepted for membership is a regular member.

Schedule 13, Row1:

Schedule 13, Row1::

General Information:

Statement B: the difference between lines 47 and 64, Receipts from members on their behalf and Disbursements for members on their behalf ($844) reflects Disbursements for Official Business for Local 400 Vice-president ($800, which is already included as part of Line 30,

Schedule 11(f) and ($44) which is the difference in health insurance payment schedules for our shared (with another Local) part-time bookkeeper.
Form LM-2 (Revised 2010)