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
513-952
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
2164
7. UNIT NAME (if any)

8. MAILING ADDRESS (Type or print in capital letters)
First Name
CONNIE
Last Name
WARREN
P.O Box - Building and Room Number
P. O. Box 51082
Number and Street
712 Plum Springs Loop
City
BOWLING GREEN
State
KY
ZIP Code + 4
42101


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:Monica J WilliamsPRESIDENT71. SIGNED:Connie G WarrenTREASURER
Date:Mar 28, 2018Telephone Number:270-782-2164Date:Mar 27, 2018Telephone Number:270-782-2164
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 513-952
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?$104,000
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?05/2018
20. How many members did the labor organization have at the end of the reporting period?760
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 TimeperMonth00
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation Fees20.00perOne TimeN/AN/A
(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: 513-952

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $184,757$199,692
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$0$0
27. Fixed Assets6$916,244$830,000
28. Other Assets7$1,635$2,119
29. TOTAL ASSETS $1,102,636$1,031,811

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$37,092$36,119
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$2,826$1,982
34. TOTAL LIABILITIES $39,918$38,101
35. NET ASSETS$1,062,718$993,710
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 513-952

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $697,696
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $1,800
39. Sale of Supplies $10,247
40. Interest $455
41. Dividends $0
42. Rents $58,295
43. Sale of Investments and Fixed Assets3$300
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 $2,652
48. Other Receipts14$64,059
49. TOTAL RECEIPTS $835,504
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$40,988
51. Political Activities and Lobbying16$4,152
52. Contributions, Gifts, and Grants17$2,652
53. General Overhead18$21,764
54. Union Administration19$270,875
55. Benefits20$2,144
56. Per Capita Tax $439,612
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $8,403
60. Purchase of Investments and Fixed Assets4$4,762
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 $2,854
65. Direct Taxes $22,042
  
66. Subtotal $820,248
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$37,210  
  67b. Less Total Disbursed$37,531  
  67c. Total Withheld But Not Disbursed -$321
68. TOTAL DISBURSEMENTS $820,569
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 513-952

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: 513-952

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: 513-952

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$1,545$1,545$300$300
Sold Blue Air Cooler Refrigerator$1,545$1,545$300$300
Less Reinvestments$0
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$300
Form LM-2 (Revised 2010)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 513-952

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$4,762$4,762$4,762
GE Gas Double Oven$1,808$1,808$1,808
Troy Bilt XP 700W Generator$805$805$805
Two Door 48" Sliding Glass Reach in Refrigertor$2,149$2,149$2,149
 Less Reinvestments$0
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$4,762
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 513-952

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: 513-952

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      712 Plum Springs Loop$60,000 $60,000$60,000
Land  2 :      712 Plum Springs Loop$60,000 $60,000$60,000
B. Buildings (give location)    
Building  1 :      712 Plum Springs Loop$710,000$710,000$710,000
C. Automobiles and Other Vehicles
D. Office Furniture and Equipment
E. Other Fixed Assets
F. Totals of Lines A through E (Column(D) Total will be automatically entered in Item 27, Column(B)) $830,000$0$830,000$830,000
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 513-952

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $2,119
Bibles (20)@ $21.50$430
T-Shirts (74)@ $11.34$839
Warren County Water Deposit$550
Warren Rural Electric Coop-Electric$300
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 513-952

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$36,119$0$0$36,119
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $36,119$0$0$36,119
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 513-952

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: 513-952

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $1,982
Federal Income Taxes (941) Forward$472
FICA-Employee OASDI and HI Forward$323
State Income Taxes Forward$222
City Income Taxes Forward$115
County Income Taxes Forward$111
FICA Employer OASDI and (941)$323
Unemployment Taxes Federal (940)$84
Unemployment Taxes State$332
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 513-952

(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
Bowers ,  Jack   L
Vice President
C
$4,560$0$362$0$4,922
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
16 % Schedule 19
Administration
84 %
A
B
C
Brown ,  Sondra   M
Guide
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
Gregory ,  Jimmie   D
Retiree Chairperson
C
$0$0$2,565$0$2,565
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
27 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
35 % Schedule 19
Administration
38 %
A
B
C
Hall ,  Reginald   D
Sgt.-At-Arms
C
$3,971$0$312$0$4,283
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Hancock ,  Pamela   J
Voith-Shop Chairpman
C
$1,120$600$304$0$2,024
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
1 %
A
B
C
Johnson ,  Cynthia   L
Trustee
C
$7,185$0$1,045$0$8,230
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
95 %
A
B
C
Medina ,  Christie   M
Recording Secretary
C
$6,495$480$504$0$7,479
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
7 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
9 % Schedule 19
Administration
84 %
A
B
C
Myers ,  Michael   H
Trustee
C
$1,903$0$4$0$1,907
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
O'Leary ,  Michael   J
Trustee
C
$3,839$0$716$0$4,555
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
100 %
A
B
C
Warren ,  Connie   G
Financial-Secretary
C
$34,621$1,200$573$0$36,394
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
3 % Schedule 19
Administration
97 %
A
B
C
Williams ,  Monica   J
President
C
$6,874$1,200$4,083$0$12,157
I
Schedule 15
Representational Activities
61 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
13 % Schedule 19
Administration
24 %
A
B
C
Wydner ,  Jeffrey   D
Shop Chairperson
C
$5,550$600$2,473$0$8,623
I
Schedule 15
Representational Activities
97 % Schedule 16
Political Activities and Lobbying
1 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
Total Officer Disbursements$76,118$4,080$12,941$0$93,139
Less Deductions    $19,989
Net Disbursements    $73,150
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 513-952

(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
Thompson ,  Risa   G
Office Assistant
NA
$12,219$0$46$0$12,265
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
99 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$48,621$14,419$63,040
I Schedule 15
Representational Activities
13 % Schedule 16
Political Activities and Lobbying
4 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
3 % Schedule 19
Administration
80 %
Total Employee Disbursements$60,840$0$14,465$0$75,305
Less Deductions    $17,222
Net Disbursements    $58,083
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 513-952

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 760 
Agency Fee Payers*
Total Members/Fee Payers760 
*Agency Fee Payers are not considered members of the labor organization.
Regular Members760Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 513-952

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$28,331
2. Named Payer Non-itemized Receipts$5,351
3. All Other Receipts$30,377
4. Total Receipts$64,059
     
     
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$2,652
6. Total Disbursements$2,652
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$17,764
4. To Employees$8,195
5. All Other Disbursements$15,029
6. Total Disbursements$40,988
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$5,529
4. To Employees$2,014
5. All Other Disbursements$14,221
6. Total Disbursements$21,764
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$1,566
4. To Employees$2,522
5. All Other Disbursements$64
6. Total Disbursement$4,152
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$19,064
2. Named Payee Non-itemized Disbursements$32,657
3. To Officers$68,281
4. To Employees$62,574
5. All Other Disbursements$88,299
6. Total Disbursements$270,875
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 513-952

Name and Address
(A)
CLASSIC CAR CHARITY
712 Plum Springs Loop

Bowling Green
KY
42101
Type or Classification
(B)
charity
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$20,000
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$20,000
DONATION-GIFT SHOP02/06/2017$12,000
TOUR ROOM SALES12/13/2017$8,000
Name and Address
(A)
International Union UAW
8000 East Jefferson Ave

Detroit
MI
48214-3963
Type or Classification
(B)
Labor Organization
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,331
Total Non-Itemized Transactions with this Payee/Payer$350
Total of All Transactions with this Payee/Payer for This Schedule$8,681
13TH REBATE CK04/30/2017$8,331
Name and Address
(A)
UBE Inc.
2000 Maxon Rd.

Onaway
MI
49765
Type or Classification
(B)
Travel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,001
Total of All Transactions with this Payee/Payer for This Schedule$5,001
Form LM-2 (Revised 2010)
SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 513-952

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 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 513-952

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: 513-952

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: 513-952

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: 513-952

Name and Address
(A)
Delta Airlines
955 Airport Service Rd.

Nashville
TN
37214
Type or Classification
(B)
Airline
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,916
Total of All Transactions with this Payee/Payer for This Schedule$5,916
Name and Address
(A)
HAMPTON INN & SUITES
400 Chestnut Street

Chattanooga
TN
37402
Type or Classification
(B)
Hotel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$7,152
Total Non-Itemized Transactions with this Payee/Payer$8,222
Total of All Transactions with this Payee/Payer for This Schedule$15,374
UAW Retiree's Trip to Cha07/12/2017$7,152
Name and Address
(A)
Kevin Thompson
363 Heritage Avenue

Bowling Green
KY
42104
Type or Classification
(B)
Lawn Care
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,357
Total of All Transactions with this Payee/Payer for This Schedule$5,357
Name and Address
(A)
Roberts Custom Software Inc.
3667 1st Street

East Moline
IL
61244
Type or Classification
(B)
Uaw Software
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$6,300
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$6,300
FIN. SOFTWARE 1/1/17-6/3002/20/2017$6,300
Name and Address
(A)
Tsi/Usa
8111 Lbj Freeway Suite900

Dallas
TX
75251
Type or Classification
(B)
Travel
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$5,474
Total of All Transactions with this Payee/Payer for This Schedule$5,474
Name and Address
(A)
Union Insurance Group
303 West Erie Street

Chicago
IL
60654
Type or Classification
(B)
Insurance
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,612
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,612
PROPERTY LIABILITY INS08/28/2017$5,612
Name and Address
(A)
Warren Rural Electric Cooperative Corporation
P.O. Box 3200

Hopkinsville
KY
42241-3200
Type or Classification
(B)
Electric Company
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$0
Total Non-Itemized Transactions with this Payee/Payer$7,688
Total of All Transactions with this Payee/Payer for This Schedule$7,688
Form LM-2 (Revised 2010)
SCHEDULE 20 - BENEFITS FILE NUMBER: 513-952

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$2,144
Workers Compension InsuranceThe Hartford$2,144
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 513-952


Question 10: The Local Union 2164 owns 712 Plum Springs Loop, Bowling Green,Ky. 42101 The Primary purpose of the Building Union Hall is to provide benefits for the members of such Labor Organization or their beneficiaries.

Question 11(b):

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

Question 15: Give away (50) Bibles to Active & Retired members when death in family! Total cost value= $1,100.00

Question 18: New By-Laws see attachment.

Schedule 13, Row1:

Schedule 13, Row1:

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.

General Information:
Form LM-2 (Revised 2010)