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
042-001
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
1216
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
AMY
Last Name
THOMAS
P.O Box - Building and Room Number
P.O. BOX 732
Number and Street
3211 BARDSHAR RD
City
SANDUSKY
State
OH
ZIP Code + 4
44870


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:Matthew C FrankPRESIDENT71. SIGNED:Amy J ThomasTREASURER
Date:Mar 27, 2018Telephone Number:419-627-3735Date:Mar 26, 2018Telephone Number:419-625-2573
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 042-001
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.)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?$146,000
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?2,190
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 straight timeperMONTHN/AN/A
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation Fees20.00perONE-TIME
(d) Transfer FeesN/AperN/AN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 042-001

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $303,825$370,234
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$889,519$889,838
28. Other Assets7$99$50
29. TOTAL ASSETS $1,193,443$1,260,122

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$49,863$62,188
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$2,417$1,906
34. TOTAL LIABILITIES $52,280$64,094
35. NET ASSETS$1,141,163$1,196,028
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 042-001

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $1,089,427
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $1,375
39. Sale of Supplies $481
40. Interest $335
41. Dividends $0
42. Rents $10,795
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 $0
48. Other Receipts14$48,459
49. TOTAL RECEIPTS $1,150,872
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$235,224
51. Political Activities and Lobbying16$2,136
52. Contributions, Gifts, and Grants17$23,811
53. General Overhead18$22,067
54. Union Administration19$124,143
55. Benefits20$643
56. Per Capita Tax $653,717
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $0
60. Purchase of Investments and Fixed Assets4$319
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 $0
65. Direct Taxes $23,361
  
66. Subtotal $1,085,421
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$28,196  
  67b. Less Total Disbursed$27,238  
  67c. Total Withheld But Not Disbursed $958
68. TOTAL DISBURSEMENTS $1,084,463
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 042-001

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: 042-001

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: 042-001

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: 042-001

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$319$319$319
SECURITY CAMERAS$319$319$319
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$319
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 042-001

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: 042-001

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      3211 BARDSHAR ROAD, ERIE COUNTY-LAND$40,000 $40,000$40,000
B. Buildings (give location)    
Building  1 :      3211 BARDSHAR ROAD,ERIE COUNTY-UNION HALL$704,928$704,928$704,928
Building  2 :      3211 BARDSHAR ROAD, EIRE COUNTY-OUTSIDE SHELTER$85,024$85,024$85,024
C. Automobiles and Other Vehicles$0$0$0$0
D. Office Furniture and Equipment$59,886$0$59,886$59,886
E. Other Fixed Assets$0$0$0$0
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $889,838$0$889,838$889,838
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 042-001

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $50
MEMORY BOOKS INVENTORY$50
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 042-001

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$62,188$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $62,188$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 042-001

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: 042-001

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,906
Federal Income Taxes (941) Forward$425
FICA-Employee OASDI and HI Forward$592
State Income Taxes Forward$151
Union Dues Forward$49
Voluntary Cont (CAP/COPE etc) Forward$10
FICA Employer OASDI and HI (941)$592
Unemployment Taxes Federal (940)$87
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 042-001

(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
Aaron ,  Sidney  
SERGEANT AT ARMS
C
$582$0$0$0$582
I
Schedule 15
Representational Activities
33 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
67 %
A
B
C
Batey ,  Joan   E
Past Financial Secre
P
$18,986$4,325$886$0$24,197
I
Schedule 15
Representational Activities
10 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
90 %
A
B
C
Crawford-Gerber ,  Paulina  
Trustee/Chair
P
$4,860$50$334$0$5,244
I
Schedule 15
Representational Activities
58 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
4 % Schedule 19
Administration
37 %
A
B
C
Frank ,  Matthew   C
President/ Chair
N
$2,204$1,130$1,569$0$4,903
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
15 %
A
B
C
Gorby ,  Robert   L
VICE PRESIDENT/CHAIR
C
$3,023$480$0$0$3,503
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
2 %
A
B
C
Lynn ,  William   J
Trustee
N
$2,023$0$262$0$2,285
I
Schedule 15
Representational Activities
32 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
32 % Schedule 19
Administration
36 %
A
B
C
Marvicsin ,  Gary   A
PRESIDENT/CHAIR
C
$3,554$1,150$724$0$5,428
I
Schedule 15
Representational Activities
94 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
5 %
A
B
C
McCarty ,  Sonia   K
Vice President/Chair
C
$1,894$210$921$0$3,025
I
Schedule 15
Representational Activities
53 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
46 %
A
B
C
McFarlin ,  Sean   M
RECORDING SECRETARY
C
$5,617$1,200$892$0$7,709
I
Schedule 15
Representational Activities
24 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
75 %
A
B
C
Napka ,  Mary   L
RETIREE CHP PRESIDEN
N
$0$0$15$0$15
I
Schedule 15
Representational Activities
40 % Schedule 16
Political Activities and Lobbying
9 % Schedule 17
Contributions
1 % Schedule 18
General Overhead
0 % Schedule 19
Administration
50 %
A
B
C
Thomas ,  Amy   J
Financial Secretary
N
$23,701$2,070$680$0$26,451
I
Schedule 15
Representational Activities
6 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
93 %
A
B
C
Wolfe ,  Laura   L
TRUSTEE
C
$2,459$0$262$0$2,721
I
Schedule 15
Representational Activities
46 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
14 % Schedule 19
Administration
40 %
Total Officer Disbursements$68,903$10,615$6,545$0$86,063
Less Deductions    $15,528
Net Disbursements    $70,535
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 042-001

(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
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$64,210$362$21,910$86,482
I Schedule 15
Representational Activities
91 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
8 %
Total Employee Disbursements$64,210$362$21,910$0$86,482
Less Deductions    $12,669
Net Disbursements    $73,813
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 042-001

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 2,190 
Agency Fee Payers*
Total Members/Fee Payers2,190 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS2,190Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 042-001

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$19,785
2. Named Payer Non-itemized Receipts$17,585
3. All Other Receipts$11,089
4. Total Receipts$48,459
     
     
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$23,811
6. Total Disbursements$23,811
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$31,105
2. Named Payee Non-itemized Disbursements$51,003
3. To Officers$25,351
4. To Employees$78,699
5. All Other Disbursements$49,066
6. Total Disbursements$235,224
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,322
4. To Employees$0
5. All Other Disbursements$20,745
6. Total Disbursements$22,067
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$514
4. To Employees$865
5. All Other Disbursements$757
6. Total Disbursement$2,136
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$32,194
2. Named Payee Non-itemized Disbursements$5,811
3. To Officers$58,875
4. To Employees$6,919
5. All Other Disbursements$20,344
6. Total Disbursements$124,143
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 042-001

Name and Address
(A)
Department Of The Treasury
IRS

Cincinnati
OH
45999-0005
Type or Classification
(B)
Government
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,950
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,950
STOP PAYMENT07/06/2017$10,950
Name and Address
(A)
International Union Uaw
8000 E. Jefferson Ave.

Detroit
MI
48214-3963
Type or Classification
(B)
Union Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,835
Total Non-Itemized Transactions with this Payee/Payer$350
Total of All Transactions with this Payee/Payer for This Schedule$9,185
Art 16 Sect 13a/b04/25/2017$8,835
Name and Address
(A)
Retiree Chapter Local 1216
PO Box 732

Sandusky
OH
44870
Type or Classification
(B)
Retiree Chapter
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,555
Total of All Transactions with this Payee/Payer for This Schedule$7,555
Name and Address
(A)
Womens
3211 Bardshar Road
PO Box 732
Sandusky
OH
44870
Type or Classification
(B)
UAW Committee
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,680
Total of All Transactions with this Payee/Payer for This Schedule$9,680
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 042-001

Name and Address
(A)
Cardmember Services
P.O. Box 790408

Saint Louis
MO
63179-0408
Type or Classification
(B)
Credit Card
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,003
Total of All Transactions with this Payee/Payer for This Schedule$5,003
Name and Address
(A)
Gundlach Sheet Metal Works Inc.
910 Columbus Avenue

Sandusky
OH
44870
Type or Classification
(B)
Heating/Cooling
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,128
Total Non-Itemized Transactions with this Payee/Payer$493
Total of All Transactions with this Payee/Payer for This Schedule$12,621
replacement of 3 rooftop06/13/2017$12,128
Name and Address
(A)
Harbourtown Travel Inc.
4660 Liberty Ave

Vermilion
OH
44089
Type or Classification
(B)
Travel/Vacation
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,788
Total of All Transactions with this Payee/Payer for This Schedule$12,788
Name and Address
(A)
Hilton Orlando Lake Buena Vista Palace
1900 E. Buena Vista Dr
Attn: Accounting Department
Orlando
FL
32830
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,597
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,597
Marvicsin McFarlin Batey03/01/2017$5,597
Name and Address
(A)
International Union Uaw
8000 E. Jefferson Ave.

Detroit
MI
48214-3963
Type or Classification
(B)
Union Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,105
Total of All Transactions with this Payee/Payer for This Schedule$13,105
Name and Address
(A)
Pelz Lettering Inc.
5003 Milan Road

Sandusky
OH
44870
Type or Classification
(B)
Clothing/Lettering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,538
Total of All Transactions with this Payee/Payer for This Schedule$5,538
Name and Address
(A)
Region 2-B UAW
1691 Woodlands Drive

Maumee
OH
43537
Type or Classification
(B)
Union Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,345
Total of All Transactions with this Payee/Payer for This Schedule$8,345
Name and Address
(A)
Roberts Custom Software Inc.
3667 1st Street

East Moline
IL
61244
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,231
Total of All Transactions with this Payee/Payer for This Schedule$5,231
Name and Address
(A)
Sawmill Creek Resort
400 Sawmill Creek

Huron
OH
44839
Type or Classification
(B)
Hotel/Catering
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,205
Total Non-Itemized Transactions with this Payee/Payer$500
Total of All Transactions with this Payee/Payer for This Schedule$8,705
RET CHAPT XMAS LUNCHEON12/19/2017$8,205
Name and Address
(A)
UM-D CLCS
257 Fairlane Center North
19000 Hubbard Dr
Dearborn
MI
48126
Type or Classification
(B)
Conference
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,175
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,175
15 Member Sponsorship03/27/2017$5,175
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 042-001

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: 042-001

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: 042-001

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: 042-001

Name and Address
(A)
Department Of The Treasury
IRS

Cincinnati
OH
45999-0005
Type or Classification
(B)
Government
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,950
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,950
USATAXPYMT -overpayment/c07/06/2017$10,950
Name and Address
(A)
Electec Inc.
P.O. Box 791

Mount Holly
NJ
08060
Type or Classification
(B)
Voting Machines
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,230
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,230
Inv # B17-0607-05 & 0608/02/2017$7,230
Name and Address
(A)
Gundlach Sheet Metal Works Inc.
910 Columbus Avenue

Sandusky
OH
44870
Type or Classification
(B)
Heating/Cooling
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,014
Total Non-Itemized Transactions with this Payee/Payer$569
Total of All Transactions with this Payee/Payer for This Schedule$14,583
replacement of 3 rooftop06/13/2017$14,014
Name and Address
(A)
Roberts Custom Software Inc.
3667 1st Street

East Moline
IL
61244
Type or Classification
(B)
Software Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,242
Total of All Transactions with this Payee/Payer for This Schedule$5,242
Form LM-2 (Revised 2010)
SCHEDULE 20 - BENEFITS FILE NUMBER: 042-001

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$643
PensionAmy Thomas$230
Workers Compension InsuranceBureau Of Workers$171
Workers Compension InsuranceOhio Bureau Of Workers Compensation$242
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 042-001


Question 10: 3211 BARDSHAR ROAD PO BOX 732 SANDUSKY, OHIO 44870

Question 11(b): : 3211 BARDSHAR ROAD PO BOX 732 SANDUSKY, OHIO 44870

Question 15: Local 1216 gave away 3 Memory Books valued at $25 a piece. Disposed of old coffee maker valued @

Statement A,

Cash Begin Total: : Adjusted for $20 of voided checks from previous year.

Statement A,Fixed Assets Value Begin Total: : LAND AND BUILDING

Statement A,Other Asset Book Value Begin Total: : MEMORY BOOKS

Schedule 13, Row1:

Schedule 13, Row1:ANYONE WHO HAS APPLIED FOR 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)