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
039-003
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
249
7. UNIT NAME (if any)

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

Number and Street
8040 NE HIGHWAY 69
City
PLEASANT VALLEY
State
MO
ZIP Code + 4
640688928


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:Jason C StarrPRESIDENT71. SIGNED:DANA DAVIDSONTREASURER
Date:Mar 27, 2018Telephone Number:816-797-0427Date:Mar 27, 2018Telephone Number:816-454-6333
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 039-003
10. During the reporting period did the labor organization create or participate in the administration of a trust or a fund or organization, as defined in the instructions, which provides benefits for members or beneficiaries?Yes
11(a). During the reporting period did the labor organization have a political action committee (PAC) fund?No
11(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?No
12. During the reporting period did the labor organization have an audit or review of its books and records by an outside accountant or by a parent body auditor/representative?Yes
13. During the reporting period did the labor organization discover any loss or shortage of funds or other assets? (Answer "Yes" even if there has been repayment or recovery.)No
14. What is the maximum amount recoverable under the labor organization's fidelity bond for a loss caused by any officer, employee or agent of the labor organization who handled union funds?$1,222,000
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?Yes
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?7,436
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 + $2.00perALLone rateone rate
(b) Working Dues/Feesper
(c) Initiation Fees$20.00per
(d) Transfer Feesper
(e) Work Permitsper

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 039-003

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $4,875,875$5,141,179
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$2,970,751$2,983,954
28. Other Assets7$38,939$26,585
29. TOTAL ASSETS $7,885,565$8,151,718

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$383,294$296,514
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$4,936$24,072
34. TOTAL LIABILITIES $388,230$320,586
35. NET ASSETS$7,497,335$7,831,132
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 039-003

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $6,751,151
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $2,940
39. Sale of Supplies $58,315
40. Interest $39,817
41. Dividends $0
42. Rents $100
43. Sale of Investments and Fixed Assets3$2,000
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 $67,153
48. Other Receipts14$412,444
49. TOTAL RECEIPTS $7,333,920
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$1,608,424
51. Political Activities and Lobbying16$30,701
52. Contributions, Gifts, and Grants17$88,551
53. General Overhead18$7,580
54. Union Administration19$506,898
55. Benefits20$301,129
56. Per Capita Tax $4,193,384
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $54,973
60. Purchase of Investments and Fixed Assets4$4,553
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 $133,827
65. Direct Taxes $133,148
  
66. Subtotal $7,063,168
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$272,969  
  67b. Less Total Disbursed$278,417  
  67c. Total Withheld But Not Disbursed -$5,448
68. TOTAL DISBURSEMENTS $7,068,616
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 039-003

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: 039-003

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: 039-003

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$2,000$2,000$2,000$2,000
TRAILER$2,000$2,000$2,000$2,000
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$2,000
Form LM-2 (Revised 2010)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 039-003

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$4,553$4,553$4,553
HP OFFICE JET PRINTER$357$357$357
DELL OPTIPLEX 3050 COMPUTER$831$831$831
TELSET TELEPHONE$242$242$242
DOCKING STATION$55$55$55
2 EACH 24" MONITOR$172$172$172
COMPUTER HARDDRIVE$205$205$205
BROTHERS FAX/SCAN/PRINTER$249$249$249
LAMINATER$323$323$323
TAX ON EQUIPMENT PURCHASES$44$44$44
TRAILER$2,000$2,000$2,000
MONITOR$75$75$75
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$4,553
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 039-003

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: 039-003

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      UAW Local 249, 8040 NE 69 Hwy., Pleasant Valley, M$154,504 $154,504$154,504
B. Buildings (give location)    
Building  1 :      UAW LOCAL 249, 8040 NE 69 HWY, PLEASANT VALLEY MO$2,376,190$2,376,190$2,376,190
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment$453,260$453,260$453,260
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $2,983,954$0$2,983,954$2,983,954
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 039-003

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $26,585
Hats, shirts and bibles$26,585
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 039-003

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$296,514$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)) $296,514$0$0$0
UTILITIES$4,708$0$0$0
PER CAPITA CAP INTERNATIONAL$277,717$0$0$0
PER CAPITA CAP COUNCILS$13,000$0$0$0
TELEPHONE/INTERNET$1,089$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 039-003

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: 039-003

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $24,072
FEDERAL INCOME TAXES$9,339
FICA (EMPLOYEE OASDI & HI FORWARD)$5,784
MISSOURI STATE INCOME TAX$2,577
UNION DUES$153
FICA (EMPLOYER OASDI & HI FORWARD)$5,784
UNEMPLOYMENT TAXES (940) FEDERAL$435
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 039-003

(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 ,  Leon   J
SERGANT AT ARMS
N
$350$1,268$0$0$1,618
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
Byers ,  Cornelius   R
TREASURER
P
$4,767$1,099$932$0$6,798
I
Schedule 15
Representational Activities
67 % Schedule 16
Political Activities and Lobbying
16 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
17 %
A
B
C
Carr ,  Thomas   A
VP
C
$2,717$875$55$0$3,647
I
Schedule 15
Representational Activities
54 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
46 %
A
B
C
Chorbak ,  Steven   J
Bargaining
C
$9,597$1,436$3,200$0$14,233
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
Davidson ,  Dana   L
Financial Secretary
C
$99,178$17,669$13,850$0$130,697
I
Schedule 15
Representational Activities
48 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
51 %
A
B
C
Fauntleroy ,  David  
GUIDE
P
$1,173$422$38$0$1,633
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
Fisher ,  James   H
BARGAINING
C
$8,008$1,646$3,885$0$13,539
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
Foley ,  Zoanna   L
NURSE BARGAINING
P
$3,232$257$961$0$4,450
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
Hall ,  Eric   C
PRESIDENT
C
$15,492$3,368$1,995$0$20,855
I
Schedule 15
Representational Activities
41 % Schedule 16
Political Activities and Lobbying
6 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
53 %
A
B
C
Hillyard ,  Larry   T
Bargaining Chairman
C
$14,654$2,402$11,553$0$28,609
I
Schedule 15
Representational Activities
91 % Schedule 16
Political Activities and Lobbying
9 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Kline ,  Christina   M
TREASURER
N
$5,525$240$0$0$5,765
I
Schedule 15
Representational Activities
74 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
26 %
A
B
C
Koogler ,  Cathy  
BARG CHAIR-NURSES
N
$3,462$360$1,157$0$4,979
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
Mata ,  Shirley   A
RECORDING SECRETARY
N
$7,484$321$285$0$8,090
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
Mcculloh ,  James   R
BARG CHAIR-S.TRADES
P
$3,721$978$938$0$5,637
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
O Dell ,  Terry   M
TRUSTEE
P
$2,200$1,349$0$0$3,549
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
Ott ,  Sade   J
TRUSTEE
N
$4,525$911$1,277$0$6,713
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
Pangborn ,  Ronal   W
SKILLED TRADES-BARG.
N
$3,936$567$805$0$5,308
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
Ramsey ,  Travis   W
Bargaining Committee
C
$9,552$1,194$3,071$0$13,817
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
Renfro ,  Tony   S
REC SECRETARY
C
$5,630$809$509$0$6,948
I
Schedule 15
Representational Activities
85 % Schedule 16
Political Activities and Lobbying
6 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
9 %
A
B
C
Riverarule ,  Irene  
TRUSTEE
P
$4,132$1,225$250$0$5,607
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
Rogers ,  David   W
BARG CHAIR PARTS
C
$0$1,718$0$0$1,718
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
Scaggs ,  Edward   W
TRUSTEE
N
$4,287$550$63$0$4,900
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
Starr ,  Jason   C
President
N
$21,121$1,560$2,912$0$25,593
I
Schedule 15
Representational Activities
31 % Schedule 16
Political Activities and Lobbying
3 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
66 %
A
B
C
Thomas ,  Connie   L
TRUSTEE
C
$9,955$2,542$323$0$12,820
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 %
Total Officer Disbursements$244,698$44,766$48,059$0$337,523
Less Deductions    $62,481
Net Disbursements    $275,042
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 039-003

(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
Amor ,  Ann   A
NA
NA
$11,274$717$76$0$12,067
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
Brown ,  Vernal  
NA
NA
$43,585$0$0$0$43,585
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
Childs ,  Jacqueline   S
NA
NA
$11,033$1,080$135$0$12,248
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
Cleveland ,  David   L
NA
NA
$4,995$4,863$1,696$0$11,554
I
Schedule 15
Representational Activities
82 % Schedule 16
Political Activities and Lobbying
18 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
0 %
A
B
C
Combe ,  Karen   L
NA
NA
$11,810$505$11$0$12,326
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
Davis ,  Marla   A
Secretary
NA
$71,222$11,821$2,482$0$85,525
I
Schedule 15
Representational Activities
29 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
71 %
A
B
C
Grant ,  David   K
NA
NA
$19,592$802$179$0$20,573
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
Maxwell ,  Tamara   K
NA
NA
$9,242$287$4,978$0$14,507
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
McClure ,  Cheryl   I
NA
NA
$72,566$11,626$475$0$84,667
I
Schedule 15
Representational Activities
19 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
81 %
A
B
C
Morris ,  Stephen   M
NA
NA
$25,167$1,322$80$0$26,569
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
Phillips ,  Shari   L
NA
NA
$72,947$11,609$0$0$84,556
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
Sambol ,  Tina   M
NA
NA
$10,622$350$1,150$0$12,122
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$347,876$90,073$96,471$0$534,420
I Schedule 15
Representational Activities
80 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
19 %
Total Employee Disbursements$711,931$135,055$107,733$0$954,719
Less Deductions    $210,488
Net Disbursements    $744,231
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 039-003

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 7,436 
Agency Fee Payers*0
Total Members/Fee Payers7,436 
*Agency Fee Payers are not considered members of the labor organization.
REGULAR MEMBERS7,436Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 039-003

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$227,732
2. Named Payer Non-itemized Receipts$98,906
3. All Other Receipts$85,806
4. Total Receipts$412,444
     
     
SCHEDULE 17   CONTRIBUTIONS, GIFTS & GRANTS
1. Named Payee Itemized Disbursements$42,500
2. Named Payee Non-itemized Disbursements$7,754
3. To Officers$0
4. To Employees$0
5. All Other Disbursements$38,297
6. Total Disbursements$88,551
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$249,602
2. Named Payee Non-itemized Disbursements$299,415
3. To Officers$227,258
4. To Employees$703,994
5. All Other Disbursements$128,155
6. Total Disbursements$1,608,424
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$7,580
6. Total Disbursements$7,580
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$7,406
4. To Employees$7,909
5. All Other Disbursements$15,386
6. Total Disbursement$30,701
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$46,959
2. Named Payee Non-itemized Disbursements$47,339
3. To Officers$102,861
4. To Employees$242,816
5. All Other Disbursements$66,923
6. Total Disbursements$506,898
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 039-003

Name and Address
(A)
Ford Motor Company
PO Box 1758

Dearborn
MI
48121
Type or Classification
(B)
Automotive Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$86,807
Total Non-Itemized Transactions with this Payee/Payer$64,522
Total of All Transactions with this Payee/Payer for This Schedule$151,329
REIMBURSE VERNAL BROWN 1001/17/2017$7,116
REIMBURSE CALENDARS02/11/2017$7,475
reimbursement for Vernal05/15/2017$15,121
Gary Jones Golf teams06/29/2017$8,000
REIMBURSE VERNAL BROWN09/21/2017$16,011
reimburse MODAPTS09/01/2017$7,378
reimburse LCO-1710/01/2017$5,500
reimburse LCO-1710/01/2017$15,035
reimburse LCO-1710/01/2017$5,171
Name and Address
(A)
International Union Uaw
8000 E Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$129,120
Total Non-Itemized Transactions with this Payee/Payer$9,386
Total of All Transactions with this Payee/Payer for This Schedule$138,506
strike rebate (DD)02/10/2017$52,984
13th rebate04/30/2017$76,136
Name and Address
(A)
Larry T. Hillyard
30503 CRYSTAL AIRE DR

Grain Valley
MO
64029
Type or Classification
(B)
BARGAINING CHAIRMAN
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$11,805
Total Non-Itemized Transactions with this Payee/Payer$364
Total of All Transactions with this Payee/Payer for This Schedule$12,169
vcp donation10/09/2017$11,805
Name and Address
(A)
Motorcycle Committee
8040 NE 69 HIGHWAY

Liberty
MO
64068
Type or Classification
(B)
UAW LOCAL 249 COMMITTEE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,504
Total of All Transactions with this Payee/Payer for This Schedule$6,504
Name and Address
(A)
RECREATION COMMITTEE
8040 NE US Hwy. 69

Pleasant Valley
MO
64068
Type or Classification
(B)
Recreation
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,310
Total of All Transactions with this Payee/Payer for This Schedule$8,310
Name and Address
(A)
UBE AIR
2000 Maxon Rd

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$9,820
Total of All Transactions with this Payee/Payer for This Schedule$9,820
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 039-003

Name and Address
(A)
Acendas
5331 Johnson Drive

Mission
KS
66205
Type or Classification
(B)
Travel Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,747
Total Non-Itemized Transactions with this Payee/Payer$17,190
Total of All Transactions with this Payee/Payer for This Schedule$23,937
AIRFARE-SUB COUNCIL (200805/18/2017$6,747
Name and Address
(A)
AMBERG EVENTS
PO BOX 537

Strafford
MO
65757
Type or Classification
(B)
EVENT PLANNERS-PICNIC
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$108,645
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$108,645
2017 PICNIC08/08/2017$24,724
2017 UAW PICNIC INV 582609/18/2017$74,171
INV 5826 2017 UAW LOCAL 210/13/2017$9,750
Name and Address
(A)
AMERICAN AIRLINES
AMON CARTER BLVD

Fort Worth
TX
76155
Type or Classification
(B)
AIRLINE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,094
Total of All Transactions with this Payee/Payer for This Schedule$9,094
Name and Address
(A)
Awards & T-Shirts Specialists Inc.
10400 E 63rd St. Suite A

Raytown
MO
64133-5110
Type or Classification
(B)
Union Made Products
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,125
Total Non-Itemized Transactions with this Payee/Payer$24,033
Total of All Transactions with this Payee/Payer for This Schedule$36,158
INV 170419K WORKERS MEMOR04/20/2017$12,125
Name and Address
(A)
CNC
P.O. Box 7146

Lee's Summit
MO
64064
Type or Classification
(B)
Computer Support
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,028
Total of All Transactions with this Payee/Payer for This Schedule$5,028
Name and Address
(A)
Damar Printing LLC
PO Box 12537

North Kansas City
MO
64116
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$5,783
Total of All Transactions with this Payee/Payer for This Schedule$5,783
Name and Address
(A)
DELTA AIRLINES
1030 DELTA BLVD

Atlanta
GA
30354
Type or Classification
(B)
AIRLINE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,506
Total of All Transactions with this Payee/Payer for This Schedule$5,506
Name and Address
(A)
Dots
PO Box 12536

Kansas City
MO
64116-2536
Type or Classification
(B)
Office Supply
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$11,159
Total of All Transactions with this Payee/Payer for This Schedule$11,159
Name and Address
(A)
Gilham's Mowing Service
531 BEECHCRAFT ST

Lake Placid
FL
33852
Type or Classification
(B)
Property Maintenance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$10,104
Total of All Transactions with this Payee/Payer for This Schedule$10,104
Name and Address
(A)
Halbrook Wood PC
3500 W 75th Street

Prairie Village
KS
66208
Type or Classification
(B)
Law Firm
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,952
Total of All Transactions with this Payee/Payer for This Schedule$5,952
Name and Address
(A)
HILTON NEW ORLEANS RIVERSIDE
TWO POYDRAS ST

New Orleans
LA
70130
Type or Classification
(B)
HOTEL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,886
Total of All Transactions with this Payee/Payer for This Schedule$8,886
Name and Address
(A)
HyVee
109 N. Bluejay Drive

Liberty
MO
64068
Type or Classification
(B)
Grocery Store
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$14,881
Total of All Transactions with this Payee/Payer for This Schedule$14,881
Name and Address
(A)
International Union Uaw
8000 E Jefferson Avenue

Detroit
MI
48214
Type or Classification
(B)
International Union
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,645
Total of All Transactions with this Payee/Payer for This Schedule$13,645
Name and Address
(A)
Kansas City Power & Light
PO Box 219330

Kansas City
MO
64121-9330
Type or Classification
(B)
Utility Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$19,331
Total of All Transactions with this Payee/Payer for This Schedule$19,331
Name and Address
(A)
Kansas City Royals
One Royal Way

Kansas City
MO
64129
Type or Classification
(B)
SPORTS ENTERTAINMENT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,477
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,477
2018 ROYALS SEASON PASS A10/19/2017$7,477
Name and Address
(A)
Lodge Of 4 Seasons
315 Four Seasons Drive

Lake Ozark
MO
65049
Type or Classification
(B)
HOTEL
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,785
Total of All Transactions with this Payee/Payer for This Schedule$5,785
Name and Address
(A)
Loews Coronado Bay Resort
4000 Coronado Bay Road

San Diego
CA
92118
Type or Classification
(B)
Resort
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,210
Total of All Transactions with this Payee/Payer for This Schedule$6,210
Name and Address
(A)
Mertz Insurance Group Inc.
PO Box 34697

Omaha
NE
68134
Type or Classification
(B)
Union Liability Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,731
Total Non-Itemized Transactions with this Payee/Payer$3,072
Total of All Transactions with this Payee/Payer for This Schedule$9,803
INV 36014-RENEW UNION LIA06/29/2017$6,731
Name and Address
(A)
Mid America Labor Management Conference
PO Box 298

Jefferson City
MO
65102
Type or Classification
(B)
Labor Conference
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,500
20 REGISTRATIONS05/24/2017$5,500
Name and Address
(A)
Patsy Jackson
11800 E 78th Place

Raytown
MO
64138
Type or Classification
(B)
Janitorial Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,632
Total of All Transactions with this Payee/Payer for This Schedule$13,632
Name and Address
(A)
PATRICK HAYES
9739 W 115TH TERR

Overland Park
KS
66210
Type or Classification
(B)
EDITOR FOR LOCAL NEWSLETTER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,697
Total of All Transactions with this Payee/Payer for This Schedule$6,697
Name and Address
(A)
Renaissance Palm Springs Hotel
888 E Tahquitz Canyon Way

Palm Springs
CA
92262
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$36,000
Total Non-Itemized Transactions with this Payee/Payer$4,026
Total of All Transactions with this Payee/Payer for This Schedule$40,026
HOTEL ROOMS01/12/2017$12,000
HOTEL ROOMS01/16/2017$24,000
Name and Address
(A)
Roberts Custom Software
3667 1st St

East Moline
IL
61244-3321
Type or Classification
(B)
Software Provider
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,613
Total Non-Itemized Transactions with this Payee/Payer$1,229
Total of All Transactions with this Payee/Payer for This Schedule$7,842
LOCK IN MAINT. & SUPPORT02/23/2017$6,613
Name and Address
(A)
Southwest Airlines
PO Box 36647-1CR

Dallas
TX
75235
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$13,251
Total of All Transactions with this Payee/Payer for This Schedule$13,251
Name and Address
(A)
Stacy Publishing Inc.
6901 Georgetown

Greenville
IN
47124
Type or Classification
(B)
Publishing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$49,426
Total of All Transactions with this Payee/Payer for This Schedule$49,426
Name and Address
(A)
Tan-Tar-A Resort
494 Tan-Tar-A Drive

Osage Beach
MO
65065
Type or Classification
(B)
Hotel/Resort
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$14,285
Total Non-Itemized Transactions with this Payee/Payer$7,130
Total of All Transactions with this Payee/Payer for This Schedule$21,415
HOTEL-LABOR MANAGEMENT CO07/11/2017$14,285
Name and Address
(A)
Time Warner Cable
PO Box 1104

Carol Stream
IL
60132-1104
Type or Classification
(B)
TV/INTERNET PROVIDER
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,946
Total of All Transactions with this Payee/Payer for This Schedule$6,946
Name and Address
(A)
Travelers
PO Box 660317

Dallas
TX
75266-0317
Type or Classification
(B)
Commercial Package Ins
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,479
Total Non-Itemized Transactions with this Payee/Payer$7,479
Total of All Transactions with this Payee/Payer for This Schedule$13,958
OCT 2017-OCT 201810/19/2017$6,479
Name and Address
(A)
Trotter & Morton
3232 Roanoke Road

Kansas City
MO
64111
Type or Classification
(B)
Mechanical Contractor
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,764
Total of All Transactions with this Payee/Payer for This Schedule$9,764
Name and Address
(A)
Tsi Usa
8111 LBJ Freeway

Dallas
TX
75251
Type or Classification
(B)
On Line Travel Agency
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$12,116
Total of All Transactions with this Payee/Payer for This Schedule$12,116
Name and Address
(A)
Uaw Region 5
721 Dunn Road

Hazlewood
MO
63042
Type or Classification
(B)
Missouri Per Capita Taxes
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$12,000
Total Non-Itemized Transactions with this Payee/Payer$2,060
Total of All Transactions with this Payee/Payer for This Schedule$14,060
REGISTRATION FOR LEADERSH11/07/2017$12,000
Name and Address
(A)
Uaw Region 5 Summer School
721 DUNN ROAD

Hazelwood
MO
63042
Type or Classification
(B)
Region Office
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$27,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$27,000
45 DELEGATES-SUMMER SCHOO03/29/2017$27,000
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 039-003

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: 039-003

Name and Address
(A)
HCFJF
PO BOX 5946

Kansas City
MO
64171
Type or Classification
(B)
CHARITY
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
STAND UP KC10/19/2017$5,000
Name and Address
(A)
Tides Foundation NAACP #3134
8020 2ND AVE

Detroit
MI
48202
Type or Classification
(B)
Charity-NAACP
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,500
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,500
62nd Annual Fight for Fre04/06/2017$7,500
Name and Address
(A)
United Memorial Bible Services Inc
PO Box 269

Gastonia
NC
28053-0269
Type or Classification
(B)
BIBLES FOR LABOR UNIONS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,954
Total of All Transactions with this Payee/Payer for This Schedule$5,954
Name and Address
(A)
Williams Charity Fund
6533 E. Jefferson Ave

Detroit
MI
48207
Type or Classification
(B)
Charity
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$10,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$10,000
GOLD SPONSORSHIP06/29/2017$10,000
Name and Address
(A)
Working Family Friends
1021 Pennsylvania

Kansas City
MO
64105
Type or Classification
(B)
Community Resources
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer$1,800
Total of All Transactions with this Payee/Payer for This Schedule$21,800
DONATION FOR THE BBQ COOK08/28/2017$5,000
DONATION11/22/2017$15,000
Form LM-2 (Revised 2010)
SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 039-003

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: 039-003

Name and Address
(A)
Dots
PO Box 12536

Kansas City
MO
64116-2536
Type or Classification
(B)
Office Supply
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,405
Total of All Transactions with this Payee/Payer for This Schedule$5,405
Name and Address
(A)
Kansas City Power & Light
PO Box 219330

Kansas City
MO
64121-9330
Type or Classification
(B)
Utility Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$9,363
Total of All Transactions with this Payee/Payer for This Schedule$9,363
Name and Address
(A)
Lees Printing Co. Inc.
804 Central Avenue

Kansas City
KS
66101
Type or Classification
(B)
Printing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,475
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$7,475
2017 CALENDARS02/01/2017$7,475
Name and Address
(A)
Matt Holsted
8040 NE 69 HIGHWAY

Liberty
MO
64068
Type or Classification
(B)
UAW/FORD RAMP CREW
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,115
Total of All Transactions with this Payee/Payer for This Schedule$7,115
Name and Address
(A)
Patsy Jackson
11800 E 78th Place

Raytown
MO
64138
Type or Classification
(B)
Janitorial Service
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,603
Total of All Transactions with this Payee/Payer for This Schedule$6,603
Name and Address
(A)
RAY COUNTY CLERKS OFFICE
100 WEST STREET

Richmond
MO
64085
Type or Classification
(B)
COUNTY OFFICES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$39,484
Total Non-Itemized Transactions with this Payee/Payer$3,300
Total of All Transactions with this Payee/Payer for This Schedule$42,784
2017-TRIENNIAL ELECTION05/11/2017$10,299
2017-TRIENNIAL ELECTION05/11/2017$29,185
Name and Address
(A)
Stacy Publishing Inc.
6901 Georgetown

Greenville
IN
47124
Type or Classification
(B)
Publishing
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$8,792
Total of All Transactions with this Payee/Payer for This Schedule$8,792
Name and Address
(A)
Travelers
PO Box 660317

Dallas
TX
75266-0317
Type or Classification
(B)
Commercial Package Ins
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$6,761
Total of All Transactions with this Payee/Payer for This Schedule$6,761
Form LM-2 (Revised 2010)
SCHEDULE 20 - BENEFITS FILE NUMBER: 039-003

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$301,129
Dental/Hearing/Medical/Vision InsuranceAarp Medicare Rx Preferred (pdp)$1,152
Dental/Hearing/Medical/Vision InsuranceBlue Cross Blue Shield Of Florida Inc$5,370
Dental/Hearing/Medical/Vision InsuranceBlue Cross Blue Shield Of Kansas City$75,820
Dental/Hearing/Medical/Vision InsuranceDONNA STASA$2,143
Dental/Hearing/Medical/Vision InsuranceFlorida Blue$490
Dental/Hearing/Medical/Vision InsuranceFord Motor Company$15,353
Dental/Hearing/Medical/Vision InsuranceMurphy Watson Burr Eye Centers$1,406
Dental/Hearing/Medical/Vision InsuranceUnited Healthcare$432
Disability/Sick & Accident InsuranceGuardian$3,161
Group Life InsuranceUnicare Life & Health Insurance$524
Scholarship/Tuition PaymentsKANSAS UNIVERSITY$5,000
Scholarship/Tuition PaymentsNeosho County Community College$1,500
Scholarship/Tuition PaymentsPark University c/o Cassandra Scholten$1,000
Scholarship/Tuition PaymentsTRUMAN STATE UNIVERSITY$2,500
Scholarship/Tuition PaymentsUNIVERSITY OF MISSOURI$1,500
Retirement Savings(401K etc)EmployerAmeriprise Financial$46,942
Membership Death BenefitALEXANDRA M. HAIDER$2,000
Membership Death BenefitALLISON MEEK$2,000
Membership Death BenefitAURA EDGE$2,032
Membership Death BenefitAmanda Bell$2,000
Membership Death BenefitBARBARA LEVENS$2,030
Membership Death BenefitBETTY ELLIOTT$2,009
Membership Death BenefitBETTY J. TAYLOR$2,015
Membership Death BenefitBRANDON ASHLOCK$2,005
Membership Death BenefitBRETT BURTSON$500
Membership Death BenefitBillie Perks$2,012
Membership Death BenefitCAROLYN MOXLEY$2,012
Membership Death BenefitCEDRIC A. MAYO$2,006
Membership Death BenefitCHEREE LEE$1,000
Membership Death BenefitCLARENCE BOSWELL JR$1,000
Membership Death BenefitCLIFONDA BENNETT$2,002
Membership Death BenefitCYNTHIA BYERS$667
Membership Death BenefitCharlene Smith$2,045
Membership Death BenefitChrista Walker$1,997
Membership Death BenefitClint Shelton$1,002
Membership Death BenefitCynthia Cantwell$2,015
Membership Death BenefitDENISE BYAS$2,000
Membership Death BenefitDERON CURTIS$2,006
Membership Death BenefitDON PRICE$2,065
Membership Death BenefitDOROTHY CARTER$2,000
Membership Death BenefitDOROTHY E. PENDERSON$1,984
Membership Death BenefitDavid A. Shelton$1,002
Membership Death BenefitDebra Logan$2,000
Membership Death BenefitDorothea Hamilton$2,035
Membership Death BenefitEDITH BOWEN$2,000
Membership Death BenefitEDNA PIENTA$2,009
Membership Death BenefitELENORA WOODS$2,009
Membership Death BenefitFRANK SCOTT JR.$2,000
Membership Death BenefitGARY A. DUFF$1,997
Membership Death BenefitGary Manser$2,005
Membership Death BenefitGladys LeAnna Baker$2,002
Membership Death BenefitILENE MADDOX$500
Membership Death BenefitINA M. BERRY$2,029
Membership Death BenefitJAMES E. ELLIS$2,042
Membership Death BenefitJANICE CRAWFORD$2,002
Membership Death BenefitJEANETTE BROWN$500
Membership Death BenefitJOYCE KING$2,018
Membership Death BenefitJohn Cardin$2,009
Membership Death BenefitJoyce D. Moles$2,000
Membership Death BenefitKAREN HOOPER BURKE$2,017
Membership Death BenefitKAREN PURSER$2,068
Membership Death BenefitKELLY BLANKENSHIP$2,060
Membership Death BenefitKIMBERLY HALLEMEIER$2,039
Membership Death BenefitLOIS PATTERSON$2,011
Membership Death BenefitLarry Wyse$2,011
Membership Death BenefitLinda McElwee$2,014
Membership Death BenefitMARIA D. FRANCIS$2,000
Membership Death BenefitMARK BURTSON$500
Membership Death BenefitMARVIN EVANS JR.$2,000
Membership Death BenefitMARY ANN MARKHAM$2,014
Membership Death BenefitMARY BETH THOMAS$2,017
Membership Death BenefitMARY BUTTERWORTH$2,014
Membership Death BenefitMARY LOU REED$2,053
Membership Death BenefitMICHAEL BROWN$500
Membership Death BenefitMICHAEL FISHER$2,014
Membership Death BenefitMORRIS STEVEN WALKER$2,012
Membership Death BenefitNICOLE BURRES$500
Membership Death BenefitOLGA SIX$1,973
Membership Death BenefitPATTI HARTLEY$2,023
Membership Death BenefitREGINA PEARSON$500
Membership Death BenefitREVOCABLE TRUST OF WILFRID J. AND MARGARET M. WURT$2,000
Membership Death BenefitROSE CLEM$2,012
Membership Death BenefitROY WHITE$2,000
Membership Death BenefitRosemary Wallar$2,018
Membership Death BenefitSHAWN BYERS JR$667
Membership Death BenefitSHAWN BYERS SR.$667
Membership Death BenefitSHIRLEY BAUGHMAN$2,012
Membership Death BenefitSHIRLEY JOAN JACOBS$2,017
Membership Death BenefitSYLVIA BLANKENSHIP$2,003
Membership Death BenefitShirley Nicholson$2,006
Membership Death BenefitVICKIE LLOYD$500
Membership Death BenefitVerna Scott$2,002
Membership Death BenefitWilliam Thompson$2,000
Membership Death BenefitYUVONA B. BREECE$2,029
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 039-003


Question 10: : All operations of the building corporation are handled through the books and records of the local union and are therefore included in this report. The death benefit plan subsequent to 1975 an annual report is not required to be filed on form 5500 the plan is funded by each union members own monthly contribution at $1.50. The accumulated contributions are carried on the books at the local union as assets and are used to pay a total of $2,000 to beneficiaries of a deceased union member.

Question 12: UAW International Auditor-Angela Wright

Question 15: BIBLES ARE GIVEN TO ACTIVE MEMBERS THAT LOOSE A FAMILY MEMBER UAW MEMBERS THAT RETIRE ARE GIVEN A WATCH AS A RETIREMENT GIFT

Question 18: THERE WERE CHANGES MADE TO OUR LOCAL UNION BYLAWS IN 2017

Statement A,

Cash Begin Total: BEGINNING BALANCE INCREASED BY $2328 TO ACCOUNT FOR VOIDS FROM A PREVIOUS PERIOD.

Schedule 8, Row1:

Schedule 8, Row1::

Schedule 8, Row2:

Schedule 8, Row2::

Schedule 8, Row3:

Schedule 8, Row3::

Schedule 8, Row4:

Schedule 8, Row4::

Schedule 13, Row1:

Schedule 13, Row1:ROW 1 SCH 13, ROW 1 REGULAR MEMBERS

Schedule 13, Row1:

Schedule 13, Row1:
Form LM-2 (Revised 2010)