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: 09-30-2021
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
007-112
2. PERIOD COVERED
From01/01/2018
Through12/31/2018
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
TEAMSTERS
5. DESIGNATION (Local, Lodge, etc.)
LOCAL UNION
6. DESIGNATION NBR
695
7. UNIT NAME (if any)

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

Number and Street
1314 NORTH STOUGHTON ROAD
City
MADISON
State
WI
ZIP Code + 4
53714


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:David R BruggerPRESIDENT71. SIGNED:Wayne H SchultzSECRETARY-TREASURER
Date:Mar 26, 2019Telephone Number:608-244-6207Date:Mar 26, 2019Telephone Number:608-244-6207
Form LM-2 (Revised 2010)
ITEMS 10 THROUGH 21 FILE NUMBER: 007-112
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?$500,000
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?Yes
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?10/2019
20. How many members did the labor organization have at the end of the reporting period?4,256
21. What are the labor organization's rates of dues and fees?
Rates of Dues and Fees
Dues/FeesAmount UnitMinimumMaximum
(a) Regular Dues/FeesN/AperMONTH19.0098.00
(b) Working Dues/FeesN/AperN/AN/AN/A
(c) Initiation Fees25.00perNEW MEMBERN/AN/A
(d) Transfer Fees.50perMEMBERN/AN/A
(e) Work PermitsN/AperN/AN/AN/A

Form LM-2 (Revised 2010)
STATEMENT A - ASSETS AND LIABILITIES FILE NUMBER: 007-112

ASSETS
ASSETS Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
22. Cash $565,614$812,182
23. Accounts Receivable1$0$0
24. Loans Receivable2$0$0
25. U.S. Treasury Securities $0$0
26. Investments5$1,421,862$1,192,929
27. Fixed Assets6$288,698$235,941
28. Other Assets7$17,110$18,633
29. TOTAL ASSETS $2,293,284$2,259,685

LIABILITIES
LIABILITIES Schedule
Number
Start of Reporting Period
(A)
End of Reporting Period
(B)
30. Accounts Payable8$0$0
31. Loans Payable9$0$0
32. Mortgages Payable $0$0
33. Other Liabilities10$0$0
34. TOTAL LIABILITIES $0$0
35. NET ASSETS$2,293,284$2,259,685
Form LM-2 (Revised 2010)
STATEMENT B - RECEIPTS AND DISBURSEMENTS FILE NUMBER: 007-112

CASH RECEIPTSSCHAMOUNT
36. Dues and Agency Fees $2,727,624
37. Per Capita Tax $0
38. Fees, Fines, Assessments, Work Permits $14,837
39. Sale of Supplies $790
40. Interest $1,056
41. Dividends $66,046
42. Rents $34,884
43. Sale of Investments and Fixed Assets3$227,495
44. Loans Obtained9$0
45. Repayments of Loans Made2$0
46. On Behalf of Affiliates for Transmittal to Them $797
47. From Members for Disbursement on Their Behalf $0
48. Other Receipts14$20,753
49. TOTAL RECEIPTS $3,094,282
CASH DISBURSEMENTSSCHAMOUNT
50. Representational Activities15$933,646
51. Political Activities and Lobbying16$6,003
52. Contributions, Gifts, and Grants17$7,972
53. General Overhead18$346,782
54. Union Administration19$135,396
55. Benefits20$517,773
56. Per Capita Tax $756,747
57. Strike Benefits $0
58. Fees, Fines, Assessments, etc. $0
59. Supplies for Resale $6,945
60. Purchase of Investments and Fixed Assets4$44,591
61. Loans Made2$0
62. Repayment of Loans Obtained9$0
63. To Affiliates of Funds Collected on Their Behalf $797
64. On Behalf of Individual Members $0
65. Direct Taxes $91,062
  
66. Subtotal $2,847,714
67. Withholding Taxes and Payroll Deductions  
  67a. Total Withheld$403,814  
  67b. Less Total Disbursed$403,814  
  67c. Total Withheld But Not Disbursed 
68. TOTAL DISBURSEMENTS $2,847,714
Form LM-2 (Revised 2010)
SCHEDULE 1 - ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER: 007-112

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$0$0$0$0
Totals (Total of Column (B) will be automatically entered in Item 23, Column(B)) $0$0$0$0
NONE$0$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 2 - LOANS RECEIVABLE FILE NUMBER: 007-112

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$0$0$0$0$0
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)
Name: NONE
Purpose: NONE
Security: NONE
Terms of Repayment: NONE
$0$0$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 3 - SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 007-112

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$368,127$179,592$289,113$289,113
MUTUAL FUND$149,952$149,976$150,000$150,000
BUILDING AND IMPROVEMENTS$208,375$19,816$117,113$117,113
LAND$9,800$9,800$22,000$22,000
Less Reinvestments$61,618
(The total from Net Sales Line will be automatically entered in Item 43)Net Sales$227,495
Form LM-2 (Revised 2010)
SCHEDULE 4 - PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER: 007-112

Description (if land or buildings, give location)
(A)
Cost
(B)
Book Value
(C)
Cash Paid
(D)
Total of all lines above$106,209$106,209$106,209
EXCHANGE TRADED FUNDS$61,618$61,618$61,618
AUTOMOBILE (1)$28,773$28,773$28,773
OFFICE EQUIPMENT AND FURNITURE$597$597$597
BUILDING IMPROVEMENTS$15,221$15,221$15,221
 Less Reinvestments$61,618
(The total from Net Purchases Line will be automatically entered in Item 60.)Net Purchases$44,591
Form LM-2 (Revised 2010)
SCHEDULE 5 - INVESTMENTS FILE NUMBER: 007-112

Description
(A)
Amount
(B)
Marketable Securities 
A. Total Cost$1,333,504
B. Total Book Value$1,192,929
C. List each marketable security which has a book value over $5,000 and exceeds 5% of Line B.  
  • HARTFORD DIVIDEND AND GROWTH FUND CLASS A
$162,583
  • VANGUARD RUSSELL 1000 ET FUND
$79,622
  • BOND FUND OF AMERICA
$170,237
  • AMERICAN CAPITAL WORLD GROWTH
$152,276
  • FRANKLIN TOTAL RETURN FUND
$85,629
  • PIMCO ALL ASSET FUND
$188,032
  • FIRST EAGLE GLOBAL FUND
$114,935
  • NUVEEN PREFERRED SECURITIES FUND
$77,760
Other Investments 
D. Total Cost$0
E. Total Book Value$0
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.  
  • NONE
$0
G. Total of Lines B and E (Total will be automatically entered in Item 26, Column(B)) $1,192,929
Form LM-2 (Revised 2010)
SCHEDULE 6 - FIXED ASSETS FILE NUMBER: 007-112

Description
(A)
Cost or Other Basis
(B)
Total Depreciation or
Amount Expensed
(C)
Book Value
(D)
Value
(E)
A. Land (give location)    
Land  1 :      1314 STOUGHTON ROAD, MADISON, WI 53714$14,810 $14,810$24,953
B. Buildings (give location)    
Building  1 :      1314 STOUGHTON ROAD, MADISON, WI 53714$688,977$577,711$111,266$1,160,847
C. Automobiles and Other Vehicles$199,754$101,943$97,811$97,811
D. Office Furniture and Equipment$73,930$61,876$12,054$12,054
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)) $977,471$741,530$235,941$1,295,665
Form LM-2 (Revised 2010)
SCHEDULE 7 - OTHER ASSETS FILE NUMBER: 007-112

Description
(A)
Book Value
(B)
Total (Total will be automatically entered in Item 28, Column(B)) $18,633
INVENTORY OF PROMOTIONAL APPAREL$18,633
Form LM-2 (Revised 2010)
SCHEDULE 8 - ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER: 007-112

Entity or Individual Name
(A)
Total Account
Payable
(B)
90-180 Days
Past Due
(C)
180+ Days Past
Due
(D)
Liquidated Account
Payable
(E)
Total for all itemized accounts payable$0$0$0$0
Total from all other accounts payable$0$0$0$0
Totals (Total for Column(B) will be automatically entered in Item 30, Column(D)) $0$0$0$0
NONE$0$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 9 - LOANS PAYABLE FILE NUMBER: 007-112

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)
NONE$0$0$0$0$0
Form LM-2 (Revised 2010)
SCHEDULE 10 - OTHER LIABILITIES FILE NUMBER: 007-112

Description
(A)
Amount at End of Period
(B)
Total Other Liabilities (Total will be automatically entered in Item 33, Column(D)) $0
NONE$0
Form LM-2 (Revised 2010)
SCHEDULE 11 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER: 007-112

(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
BRUGGER ,  DAVID   R
PRESIDENT
C
$126,943$0$4,244$0$131,187
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
4 %
A
B
C
SCHULTZ ,  WAYNE   H
SECRETARY-TREASURER
C
$124,549$375$5,473$0$130,397
I
Schedule 15
Representational Activities
60 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
40 %
A
B
C
GOWEY ,  GENE   A
RECORDING SECRETARY
P
$49,988$0$814$0$50,802
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
WEDAN ,  LARRY   L
RECORDING SECRETARY
N
$122,117$955$6,064$0$129,136
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
ROETH ,  WILLIAM   C
VICE PRESIDENT
C
$8,095$0$322$0$8,417
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
HOFFMAN ,  THOMAS   J
TRUSTEE
C
$7,962$0$1,076$0$9,038
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
HRUBES ,  CRAIG   A
TRUSTEE
C
$7,656$0$519$0$8,175
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
RHODE ,  STEVE   J
TRUSTEE
C
$6,740$0$1,182$0$7,922
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 %
Total Officer Disbursements$454,050$1,330$19,694$0$475,074
Less Deductions    $175,503
Net Disbursements    $299,571
Form LM-2 (Revised 2010)
SCHEDULE 12 - DISBURSEMENTS TO EMPLOYEES FILE NUMBER: 007-112

(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
FLADHAMMER ,  ALAN   A
BUSINESS AGENT
N/A
$62,560$0$572$0$63,132
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
2 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
0 % Schedule 19
Administration
3 %
A
B
C
MORENO ,  EVANGELINA  
BUSINESS AGENT
N/A
$109,849$198$4,526$0$114,573
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
A
B
C
MOSS ,  ROBERT   B
BUSINESS AGENT
N/A
$109,849$0$4,245$0$114,094
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 %
A
B
C
ROETH ,  RICKY   L
BUSINESS AGENT
N/A
$78,081$198$3,412$0$81,691
I
Schedule 15
Representational Activities
95 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
4 %
A
B
C
TROHA ,  BRIAN   A
BUSINESS AGENT
N/A
$68,011$0$2,581$0$70,592
I
Schedule 15
Representational Activities
98 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
1 % Schedule 19
Administration
1 %
A
B
C
BECKER ,  BARBARA   J
OFFICE MANAGER
N/A
$109,849$0$92$0$109,941
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
97 % Schedule 19
Administration
3 %
A
B
C
RUEGSEGGER ,  SANDRA   L
ASSISTANT OFFICE MANAGER
N/A
$69,745$0$0$0$69,745
I
Schedule 15
Representational Activities
60 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
40 % Schedule 19
Administration
0 %
A
B
C
ROSTAD ,  KAREN   L
TITAN OPERATOR
N/A
$65,851$0$0$0$65,851
I
Schedule 15
Representational Activities
0 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
100 % Schedule 19
Administration
0 %
TOTALS RECEIVED BY EMPLOYEES MAKING $10,000 OR LESS$47,357$0$0$0$47,357
I Schedule 15
Representational Activities
93 % Schedule 16
Political Activities and Lobbying
0 % Schedule 17
Contributions
0 % Schedule 18
General Overhead
5 % Schedule 19
Administration
2 %
Total Employee Disbursements$721,152$396$15,428$0$736,976
Less Deductions    $228,311
Net Disbursements    $508,665
Form LM-2 (Revised 2010)
SCHEDULE 13 - MEMBERSHIP STATUS FILE NUMBER: 007-112

Category of Membership
(A)
Number
(B)
Voting Eligibility
(C)
Members (Total of all lines above) 4,256 
Agency Fee Payers*29
Total Members/Fee Payers4,285 
*Agency Fee Payers are not considered members of the labor organization.
ACTIVE4,256Yes
Form LM-2 (Revised 2010)
DETAILED SUMMARY PAGE - SCHEDULES 14 THROUGH 19 FILE NUMBER: 007-112

SCHEDULE 14   OTHER RECEIPTS
1. Named Payer Itemized Receipts$0
2. Named Payer Non-itemized Receipts$0
3. All Other Receipts$20,753
4. Total Receipts$20,753
     
     
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$7,972
6. Total Disbursements$7,972
SCHEDULE 15   REPRESENTATIONAL ACTIVITIES
1. Named Payee Itemized Disbursements$8,041
2. Named Payee Non-itemized Disbursements$7,325
3. To Officers$372,516
4. To Employees$515,603
5. All Other Disbursements$30,161
6. Total Disbursements$933,646
SCHEDULE 18   GENERAL OVERHEAD
1. Named Payee Itemized Disbursements$22,304
2. Named Payee Non-itemized Disbursements$56,386
3. To Officers$1,312
4. To Employees$206,570
5. All Other Disbursements$60,210
6. Total Disbursements$346,782
SCHEDULE 16   POLITICAL ACTIVITIES AND LOBBYING
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$2,307
4. To Employees$2,404
5. All Other Disbursements$1,292
6. Total Disbursement$6,003
SCHEDULE 19   UNION ADMINISTRATION
1. Named Payee Itemized Disbursements$0
2. Named Payee Non-itemized Disbursements$0
3. To Officers$98,939
4. To Employees$12,400
5. All Other Disbursements$24,057
6. Total Disbursements$135,396
Form LM-2 (Revised 2010)
SCHEDULE 14 - OTHER RECEIPTS FILE NUMBER: 007-112

There was no data found for this schedule.

SCHEDULE 15 - REPRESENTATIONAL ACTIVITIES FILE NUMBER: 007-112

Name and Address
(A)
AT&T
5019

CAROL STREAM
IL
60197
Type or Classification
(B)
TELECOMMUNICATIONS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,947
Total of All Transactions with this Payee/Payer for This Schedule$6,947
Name and Address
(A)
HO-CHUNK CASINO

S3214 COUNTY HIGHWAY
BARABOO
WI
53913
Type or Classification
(B)
HOTEL AND CONFERENCE ROOM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$8,041
Total Non-Itemized Transactions with this Payee/Payer$378
Total of All Transactions with this Payee/Payer for This Schedule$8,419
STEWARD SEMINAR04/17/2018$8,041
Form LM-2 (Revised 2010)
SCHEDULE 16 - POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER 007-112

There was no data found for this schedule.

SCHEDULE 17 - CONTRIBUTIONS, GIFTS & GRANTS FILE NUMBER: 007-112

There was no data found for this schedule.

SCHEDULE 18 - GENERAL OVERHEAD FILE NUMBER: 007-112

Name and Address
(A)
AMW HOLDINGS

720 CASS STREET
LA CROSSE
WI
54601
Type or Classification
(B)
PROPERTY MANAGEMENT-OFFICE RENT
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,640
Total of All Transactions with this Payee/Payer for This Schedule$8,640
Name and Address
(A)
AT&T
5019

CAROL STREAM
IL
60197
Type or Classification
(B)
TELECOMMUNICATIONS
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$6,154
Total of All Transactions with this Payee/Payer for This Schedule$6,154
Name and Address
(A)
AUTO-OWNERS INSURANCE
30315

LANSING
MI
48909
Type or Classification
(B)
INSURANCE
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$5,544
Total Non-Itemized Transactions with this Payee/Payer$0
Total of All Transactions with this Payee/Payer for This Schedule$5,544
WORKERS COMP AND BUSINESS INSURANCE06/28/2018$5,544
Name and Address
(A)
ENVIRONMENT CONTROL WISCONSIN - 613

2901 AGRICULTURE DRIVE
MADISON
WI
53718
Type or Classification
(B)
BUILDING SERVICE CONTRACTOR
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$8,640
Total of All Transactions with this Payee/Payer for This Schedule$8,640
Name and Address
(A)
LEGACY PROFESSIONALS LLP

6800 FRANCE AVENUE S. #550
EDINA
MN
55435
Type or Classification
(B)
CPA FIRM
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer$16,760
Total Non-Itemized Transactions with this Payee/Payer$700
Total of All Transactions with this Payee/Payer for This Schedule$17,460
AUDIT AND GOVERNMENT FORM PREP 12/31/1703/12/2018$7,500
AUDIT AND GOVERNMENT FORM PREP 12/31/1705/03/2018$9,260
Name and Address
(A)
MADISON GAS AND ELECTRIC
1231

MADISON
WI
53701
Type or Classification
(B)
UTILITIES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$26,727
Total of All Transactions with this Payee/Payer for This Schedule$26,727
Name and Address
(A)
OFFICE DEPOT

1204 THIRD STREET
MENDOTA
IL
61342
Type or Classification
(B)
OFFICE SUPPLIES
Purpose
(C)
Date
(D)
Amount
(E)
Total Itemized Transactions with this Payee/Payer 
Total Non-Itemized Transactions with this Payee/Payer$5,525
Total of All Transactions with this Payee/Payer for This Schedule$5,525
Form LM-2 (Revised 2010)
SCHEDULE 19 - UNION ADMINISTRATION FILE NUMBER: 007-112

There was no data found for this schedule.

SCHEDULE 20 - BENEFITS FILE NUMBER: 007-112

Description
(A)
To Whom Paid
(B)
Amount
(C)
Total of all lines above (Total will be automatically entered in Item 55.)$517,773
PENSIONTRUSTS$256,154
HEALTH AND WELFARETRUSTS$261,619
Form LM-2 (Revised 2010)
69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER: 007-112
Item 71 Title: THE CHIEF FINANCIAL OFFICER OF THE LOCAL UNION IS THE SECRETARY-TREASURER.

Question 10: WISCONSIN HEALTH FUND EIN 36-6063342, PLAN 501 PO BOX 601, MILWAUKEE, WI 53201 PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS

Question 12: LEGACY PROFESSIONALS LLP

Question 15: DURING THE CURRENT REPORTING PERIOD, THE LOCAL UNION DISPOSED OF OFFICE EQUIPMENT WITH COST OF $24,238 AND BOOK VALUE OF $0. NOTHING OF VALUE WAS RECEIVED IN THESE TRANSACTIONS. DURING THE CURRENT REPORTING PERIOD, THE LOCAL UNION TRADED IN ONE AUTOMOBILE WITH COST OF $22,931 AND BOOK VALUE OF $0. TRADE IN ALLOWANCE WAS $6,500. TO PROMOTE UNITY WITHIN THE BROTHERHOOD AND TO ENCOURAGE ATTENDANCE AT UNION MEETINGS, IT IS THE PRACTICE OF THE LOCAL UNION TO GIVE AWAY UNION IMPRINTED PROMOTIONAL ITEMS OF MINIMAL COST TO MEMBERS. IT IS NOT PRACTICAL TO SPECIFICALLY IDENTIFY THE RECIPIENTS OF THESE ITEMS. THE TOTAL ESTIMATED VALUE OF PROMOTIONAL GIVEAWAYS TO MEMBERS DURING THE CURRENT REPORTING PERIOD WAS APPROXIMATELY $5,400. DURING 2018, THE LOCAL UNION WAIVED ALL DUES AND INITIATION FEES OF APPROXIMATELY $99,700. DURING THE CURRENT REPORTING PERIOD, THE LOCAL UNION HAD AN UNREALIZED MARKET VALUE DECREASE ON INVESTMENTS HELD OF $140,575.

Question 17: THE LOCAL UNION HAS ESTABLISHED A VACATION PAY POLICY FOR ITS FULL-TIME EMPLOYEES WHEREBY UP TO 30 DAYS PER EMPLOYEE MAY BE ACCUMULATED AND CARRIED FORWARD TO THE NEXT SUCCEEDING YEAR FOR A MAXIMUM OF 60 DAYS ON JANUARY 1 OF ANY YEAR. AS OF DECEMBER 31, 2018, THE OBLIGATION FOR ACCRUED VACATION PAY WAS APPROXIMATELY $170,000 WHICH IS NOT REFLECTED IN THIS LM FILING.

Schedule 13, Row1:AN ACTIVE MEMBER IS A MEMBER WHO HAS SATISFIED THE REQUIREMENTS FOR MEMBERSHIP AND IS EMPLOYED UNDER THE JURISDICTION OF THE LOCAL UNION. ACTIVE MEMBERS PAY FULL DUES AND HAVE FULL VOTING RIGHTS.ITEM 27, SCHEDULE 6, COLUMN E - FAIR VALUE THE LOCAL UNION HAS NO POLICY FOR PERIODICALLY APPRAISING ITS ASSETS TO DETERMINE THEIR FAIR VALUE. THE FAIR VALUE OF THE LAND AND BUILDINGS ARE REPORTED AT THE ESTIMATED REPLACEMENT COST AS DETERMINED BY THE LOCAL UNIONS INSURANCE COMPANY. THE BOOK VALUE OF THE LOCAL UNIONS OTHER FIXED ASSETS HAS BEEN REPORTED AS A GOOD FAITH ESTIMATE OF THE FAIR VALUE. DEPRECIATION EXPENSE AUTOMOBILES $45,622 OFFICE FURNITURE AND EQUIPMENT $4,223 BUILDING AND BUILDING IMPROVEMENTS $17,887 TOTAL $67,732 ITEMS 50-54, SCHEDULES 11 & 12 IT IS NOT PRACTICAL TO MAKE A PRECISE DISTRIBUTION OF AUTOMOBILE OPERATING EXPENSES NOT PAID DIRECTLY TO OFFICERS AND EMPLOYEES AND INCLUDED IN COLUMNS (F) AND (G). HOWEVER, AN ALLOCATION OF SUCH EXPENSES HAS BEEN MADE IN ACCORDANCE WITH IRS REPORTING RULES. IF UNION OWNED/LEASED AUTOMOBILES WERE USED 50% OR LESS FOR BUSINESS PURPOSES BY IRS STANDARDS, THE REMAINDER IS TREATED AS IF IT WERE PERSONAL USE AND IS REPORTED IN COLUMN (G). IRS STANDARDS SHOULD NOT NECESSARILY BE CONSIDERED AS THE ACTUAL BUSINESS USE OF AN AUTOMOBILE. ITEM 64 THIS ITEM REFLECTS DISBURSEMENTS ON BEHALF OF INDIVIDUAL MEMBERS FOR OTHER THAN NORMAL OPERATING PURPOSES. ALL OF OUR EXPENSES BENEFIT THE ENTIRE UNION MEMBERSHIP AND INDIVIDUALS ARE NOT NORMALLY SINGLED OUT FOR SPECIAL BENEFITS. SCHEDULE 11 DURING THE CURRENT REPORTING PERIOD, GENE GOWEY RESIGNED AS RECORDING SECRETARY AND LARRY WEDAN WAS APPOINTED TO FILL THE POSITION.
Form LM-2 (Revised 2010)