LM-2 Form LM-2 Labor Organization Annual Report

F

U.S. Department of Labor

Office of Labor-Management Standards

Washington, DC 20210

Form Approved

Office of Management and Budget

No. 1215-0188

Expires 9-30-2011

MUST BE USED BY LABOR ORGANIZATIONS WITH $250,000 OR MORE IN
TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS IN TRUSTEESHIP

ORM LM-2 LABOR ORGANIZATION ANNUAL REPORT

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

2. PERIOD COVERED
MO DAY YEAR

From

Through

3

. (a) AMENDED — If this is an amended report, check here:

(b) HARDSHIP — If filing under hardship procedures check here:

(c) TERMINAL — If this is a terminal report, check here:

4. AFFILIATION OR ORGANIZATION NAME
5. DESIGNATION (Local, Lodge, etc.)	6. DESIGNATION NUMBER
7. UNIT NAME (if any)
9 . Are your organization’s records kept at its mailing address? Yes No (If “No,” provide address in Item 69.)

8. MAILING ADDRESS (Type or print in capital letters.)
First Name	Last Name
P.O. Box - Building and Room Number
Number and Street
City
State	ZIP Code + 4

69. ADDITIONAL INFORMATION (Text entered will appear on last page of form. To enter comments, press the “General Additional Information” button.)

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 the
information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned's knowledge and belief, true, correct, and complete. (See Section VI on penalties in the
instructions.)

70. SIGNED: __________________________________________________________ PRESIDENT 71. SIGNED: ____________________________________________________ TREASURER

(If other title, (If other title,

/ / ( ) — see instructions.) / / ( ) — see instructions.)

Date Telephone Number Date Telephone Number

Form LM-2 (Revised 2003) Page 1 of 26

COMPLETE ITEMS 10 THROUGH 21 FILE NUMBER:

1

Yes No

0. During the reporting period did the labor organization create or participate in the administration of a trust or other fund or organization, as defined in the instructions, which provides benefits for members or their beneficiaries?

1

Yes No

1(a). During the reporting period did the labor organization have a political action committee (PAC) fund?

1

Yes No

1(b). During the reporting period did the labor organization have a subsidiary organization as defined in Section X of these Instructions?

1

Yes No

2. 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?

1

Yes No

3. 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.)

1 4. 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

Yes No

5. During the reporting period did the labor organization acquire or dispose of any assets in any manner other than by purchase or sale?

1

Yes No

6. Were any of the labor organization’s assets pledged as security or encumbered in any other way at the end of the reporting period?

1

Yes No

7. Did the labor organization have any contingent liabilities at the end of the reporting period?

1

Yes No

8. During the reporting period did the labor organization have any changes in its constitution and bylaws, other than rates of dues and fees, or in practices/procedures listed in the instructions?

1 9. What is the date of the labor organization’s next regular election
of officers?

2 0. How many members did the labor organization have at the end
of the reporting period? (Total from Line 8 of Schedule 13)

21. What are the labor organization’s rates of dues and fees? (Enter a minimum and maximum if more than one rate applies for any line.)

Rates of Dues and Fees
Dues/Fees	Amount		Unit	Minimum	Maximum
(a) Regular Dues/Fees		per
(b) Working Dues/Fees		per
(c) Initiation Fees		per
(d) Transfer Fees		per
(e) Work Permits		per

If the answer to any of the above questions is “Yes,” provide details in Item 69 (Additional Information) as explained in the instructions for each item.

Form LM-2 (Revised 2003) Page 2 of 26

STATEMENT A – ASSETS AND LIABLITIES FILE NUMBER:

Complete Schedules 1 Through 20 Before Completing Statement A

ASSETS		ASSETS	Schedule Number	Start of Reporting Period (A)	End of Reporting Period (B)
		22. Cash
		23. Accounts Receivable	1
		24. Loans Receivable	2
		25. U.S. Treasury Securities
		26. Investments	5
		27. Fixed Assets	6
		28. Other Assets	7
		29. TOTAL ASSETS
LIABILITIES		LIABILITIES	Schedule Number	Start of Reporting Period (C)	End of Reporting Period (D)
		30. Accounts Payable	8
		31. Loans Payable	9
		32. Mortgages Payable
		33. Other Liabilities	10
		34. TOTAL LIABILITIES
		35. NET ASSETS (Item 29 Less Item 34)

Form LM-2 (Revised 2003) Page 3 of 26

STATEMENT B – RECEIPTS AND DISBURSEMENTS FILE NUMBER:

Complete Schedules 1 Through 20 Before Completing Statement B

Item CASH RECEIPTS	SCH #	AMOUNT		Item CASH DISBURSEMENTS		SCH #	AMOUNT
36. Dues and Agency Fees				50. Representational Activities		15
37. Per Capita Tax				51. Political Activities and Lobbying		16
38. Fees, Fines, Assessments, Work Permits				52. Contributions, Gifts, and Grants		17
39. Sale of Supplies				53. General Overhead		18
40. Interest				54. Union Administration		19
41. Dividends				55. Benefits		20
42. Rents				56. Per Capita Tax
43. Sale of Investments and Fixed Assets	3			57. Strike Benefits
44. Loans Obtained	9			58. Fees, Fines, Assessments, etc.
45. Repayments of Loans Made	12			59. Supplies for Resale
46. On Behalf of Affiliates for Transmittal to Them				60. Purchase of Investments and Fixed Assets		4
47. From Members for Disbursement on Their Behalf				61. Loans Made		2
48. Other Receipts	14			62. Repayment of Loans Obtained		9
49. TOTAL RECEIPTS				63. To Affiliates of Funds Collected on Their Behalf
				64. On Behalf of Individual Members
				65. Direct Taxes
				66. Subtotal
				67. Withholding Tax and Payroll Deductions
				67a. Total Withheld
				67b. Less Total Disbursed
				67c. Total Withheld But Not Disbursed
				68. TOTAL DISBURSEMENTS (Line 66 – Line 67c)

Form LM-2 (Revised 2003) Page 4 of 26

SCHEDULE 1 – ACCOUNTS RECEIVABLE AGING SCHEDULE FILE NUMBER:

Entity or Individual Name (A)	Total Account Receivable (B)	90 - 180 Days Past Due (C)	180+ Days Past Due (D)	Liquidated Account Receivable (E)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25. Totals from Continuation pages (if any)
26. Totals of Lines 1 through 25
27. Totals from all other accounts receivable
28. Totals of Lines 26 and 27 (Total from Line 28, Column (B) will be automatically entered in Item 23, Column (B).)

Form LM-2 (Revised 2003) Page 5 of 26

SCHEDULE 2 – LOANS RECEIVABLE FILE NUMBER:

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		Loans Outstanding at End of Period (E)
			Cash (D)(1)	Other Than Cash (D)(2)
1. Name: _______________________________ Purpose: _______________________________ Security: _______________________________ Terms of Repayment: _____________________
2. Name: _______________________________ Purpose: _______________________________ Security: _______________________________ Terms of Repayment: _____________________
3. Name: _______________________________ Purpose: _______________________________ Security: _______________________________ Terms of Repayment: _____________________
4. Totals from Continuation pages (if any)
5. Totals of loans not listed above
6. Totals of Lines 1 through 5
The Totals from Line 6 will be automatically entered in ………………………………………Item 24 ………………………..Item 61 ………………………Item 45……………………………..Item 69………………………Item 24 Column (A) with Explanation Column (B)

Form LM-2 (Revised 2003) Page 6 of 27

SCHEDULE 3 – SALE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER:

Description (if land or buildings, give location) (A)	Cost (B)	Book Value (C)	Gross Sales Price (D)	Amount Received (E)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12. Totals from Continuation pages (if any)
13. Totals of Lines 1 through 12
			14. Less Reinvestments
		(The total from line 15 will be automatically entered in Item 43.)	15. Net Sales

Form LM-2 (Revised 2003) Page 7 of 26

SCHEDULE 4 – PURCHASE OF INVESTMENTS AND FIXED ASSETS FILE NUMBER:

Description (if land or buildings, give location) (A)		Cost (B)	Book Value (C)	Cash Paid (D)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12. Totals from Continuation pages (if any)
13. Totals of Lines 1 through 12
			14. Less Reinvestments
		(The total from line 15 will be automatically entered in Item 60.)	15. Net Sales

Form LM-2 (Revised 2003) Page 8 of 26

SCHEDULE 5 – INVESTMENTS FILE NUMBER:

Description (A)	Amount (B)
Marketable Securities
1. Total Cost
2. Total Book Value
3. List each marketable security which has a book value over $5,000 and exceeds 5% of Line 2.
(a)
(b)
(c)
(d) Total from Continuation pages (if any)
Other Investments
4. Total Cost
5. Total Book Value
6. List each other investment which has a book value over $5,000 and exceeds 5% of Line 5. Also, list each subsidiary for which separate reports are attached.
(a)
(b)
(c)
(d)
(e) Total from Continuation pages (if any)
7. Total of Lines 2 and 5 (The total from Line 7 will be automatically entered in Item 26, Column (B).)

Form LM-2 (Revised 2003) Page 9 of 26

SCHEDULE 6 – FIXED ASSETS FILE NUMBER:

Description (A)	Cost or Other Basis (B)	Total Depreciation or Amount Expensed (C)	Book Value (D)	Value (E)
1. Land (give location)
2. Totals from Continuation pages (if any)
3. Buildings (give location)
4. Totals from Continuation pages (if any)
5. Automobiles and Other Vehicles
6. Office Furniture and Equipment
7. Other Fixed Assets
8. Total of Lines 1 through 7 (The Total from Line 8, Column (D) will be automatically entered in Item 27, Column (B).)

Form LM-2 (Revised 2003) Page 10 of 26

SCHEDULE 7 – OTHER ASSETS FILE NUMBER:

Description (A)	Book Value (B)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14. Total from Continuation pages (if any)
15. Total of Lines 1 through 14 (The Total from Line 15 will be automatically entered in Item 28, Column (B).)

Form LM-2 (Revised 2003) Page 11 of 26

SCHEDULE 8 – ACCOUNTS PAYABLE AGING SCHEDULE FILE NUMBER:

Entity or Individual Name (A)	Total Account Payable (B)	90 - 180 Days Past Due (C)	180+ Days Past Due (D)	Liquidated Account Payable (E)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25. Totals from Continuation pages (if any)
26. Totals of Lines 1 through 25
27. Totals from all other accounts payable
28. Totals of Lines 26 and 27 (Total from Line 28, Column (B) will be automatically entered in Item 30, Column (D).)

Form LM-2 (Revised 2003) Page 12 of 26

SCHEDULE 9 – LOANS PAYABLE FILE NUMBER:

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 Made During Period		Loans Owed at End of Period (E)
			Cash (D)(1)	Other Than Cash (D)(2)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12. Totals from Continuation pages (if any)
13. Totals of Lines 1 through 12
The Totals from Line 13 will be automatically entered in ………………………………………Item 31 ………………………..Item 44 ………………… ……Item 62……………………………..Item 69………………………Item 31 Column (C) with Explanation Column (D)

Form LM-2 (Revised 2003) Page 13 of 26

SCHEDULE 10 – OTHER LIABILITIES FILE NUMBER:

Description (A)	Amount at End of Period (B)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13. Total from Continuation pages (if any)
14. Total of Lines 1 through 13 (The Total from Line 13 will be automatically entered in Item 33, Column (D).)

Form LM-2 (Revised 2003) Page 14 of 26

SCHEDULE 11 – ALL OFFICERS AND DISBURSEMENTS TO OFFICERS FILE NUMBER:

(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

1 A

B

C

I

Schedule 15 Representational Activities

%

Schedule 16 Political Activities and Lobbying

%

Schedule 17 Contributions

%

Schedule 18 General Overhead

%

Schedule 19 Administration

%

2 A

B

C

I

Schedule 15 Representational Activities

%

Schedule 16 Political Activities and Lobbying

%

Schedule 17 Contributions

%

Schedule 18 General Overhead

%

Schedule 19 Administration

%

3 A

B

C

I

Schedule 15 Representational Activities

%

Schedule 16 Political Activities and Lobbying

%

Schedule 17 Contributions

%

Schedule 18 General Overhead

%

Schedule 19 Administration

%

4 A

B

C

I

Schedule 15 Representational Activities

%

Schedule 16 Political Activities and Lobbying

%

Schedule 17 Contributions

%

Schedule 18 General Overhead

%

Schedule 19 Administration

%

5 A

B

C

I

Schedule 15 Representational Activities

%

Schedule 16 Political Activities and Lobbying

%

Schedule 17 Contributions

%

Schedule 18 General Overhead

%

Schedule 19 Administration

%

6. TOTALS FROM CONTINUATION PAGES (if any)
7. TOTAL OF LINES 1 – 6
8. LESS DEDUCTIONS
9. NET DISBURSEMENTS

Form LM-2 (Revised 2003) Page 15 of 26

SCHEDULE 12 – DISBURSEMENTS TO EMPLOYEES FILE NUMBER:

(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

1 A

B

C

I

Schedule 15 Representational Activities

%

Schedule 16 Political Activities and Lobbying

%

Schedule 17 Contributions

%

Schedule 18 General Overhead

%

Schedule 19 Administration

%

2 A

B

C

I

Schedule 15 Representational Activities

%

Schedule 16 Political Activities and Lobbying

%

Schedule 17 Contributions

%

Schedule 18 General Overhead

%

Schedule 19 Administration

%

3 A

B

C

I

Schedule 15 Representational Activities

%

Schedule 16 Political Activities and Lobbying

%

Schedule 17 Contributions

%

Schedule 18 General Overhead

%

Schedule 19 Administration

%

4 A

B

C

I

Schedule 15 Representational Activities

%

Schedule 16 Political Activities and Lobbying

%

Schedule 17 Contributions

%

Schedule 18 General Overhead

%

Schedule 19 Administration

%

5 A

B

C

I

Schedule 15 Representational Activities

%

Schedule 16 Political Activities and Lobbying

%

Schedule 17 Contributions

%

Schedule 18 General Overhead

%

Schedule 19 Administration

%

6. TOTALS FROM CONTINUATION PAGES (if any)
7. TOTAL OF LINES 1 – 6
8. LESS DEDUCTIONS
9. NET DISBURSEMENTS

Form LM-2 (Revised 2003) Page 16 of 26

SCHEDULE 13 – MEMBERSHIP STATUS FILE NUMBER:

Category of Membership (A)	Number (B)	Voter Eligibility (C)
1.		Yes
2.		Yes
3.		Yes
4.		Yes
5.		Yes
6.		Yes
7. Total from Continuation page(s)
8. Members (Total of Lines 1 through 7; Enter the Total from Line 8 in Item 20)
9. Agency Fee Payers*
10. Total Members/Fee Payers (Total of Lines 8 and 9)
*Agency Fee Payers are not considered members of the labor organization

Form LM-2 (Revised 2003) Page 17 of 26

DETAILED SUMMARY PAGE – SCHEDULES 14 THROUGH 19 FILE NUMBER:

Complete Itemization Pages BEFORE the Detailed Summary Page

SCHEDULE 14 OTHER RECEIPTS	1. Named Payer Itemized Receipts		Item 48
	2. Named Payer Non-Itemized Receipts
	3. All Other Receipts
	4. Total Receipts (add Lines 1 through 3)

SCHEDULE 17 CONTRIBUTIONS, GIFTS, AND GRANTS	1. Named Payee Itemized Disbursements		Item 52
	2. Named Payee Non-Itemized Disbursements
	3. To Officers
	4. To Employees
	5. All Other Disbursements
	6. Total Disbursements (add Lines 1 through 5)

SCHEDULE 15 REPRESENTA- TIONAL ACTIVITIES	1. Named Payee Itemized Disbursements		Item 50
	2. Named Payee Non-Itemized Disbursements
	3. To Officers
	4. To Employees
	5. All Other Disbursements
	6. Total Disbursements (add Lines 1 through 5)

SCHEDULE 18 GENERAL OVERHEAD	1. Named Payee Itemized Disbursements		Item 53
	2. Named Payee Non-Itemized Disbursements
	3. To Officers
	4. To Employees
	5. All Other Disbursements
	6. Total Disbursements (add Lines 1 through 5)

SCHEDULE 16 POLITICAL ACTIVITIES AND LOBBYING	1. Named Payee Itemized Disbursements		Item 51
	2. Named Payee Non-Itemized Disbursements
	3. To Officers
	4. To Employees
	5. All Other Disbursements
	6. Total Disbursements (add Lines 1 through 5)

SCHEDULE 19 UNION ADMINISTRATION	1. Named Payee Itemized Disbursements		Item 54
	2. Named Payee Non-Itemized Disbursements
	3. To Officers
	4. To Employees
	5. All Other Disbursements
	6. Total Disbursements (add Lines 1 through 5)

Form LM-2 (Revised 2003) Page 18 of 26

SCHEDULE 14 – OTHER RECEIPTS FILE NUMBER:

Complete Itemization Pages BEFORE the Detailed Summary Page

Name and Address (A)	Purpose (B)	Date (D)	Amount (E)
(B) Type or Classification
	(F) Total of Transactions Listed Above
	(G) Total of All Transactions from Continuation Pages with this Payee/Payer
	(H) Total of All Itemized Transactions with this Payee/Payer (Sum of (F) and (G))
	(I) Total of All Non-Itemized Transactions with this Payee/Payer
	(J) Total of All Transactions with this Payee/Payer for this Schedule (Sum of (H) and (I))

Form LM-2 (Revised 2003) Page 19 of 26

SCHEDULE 15 – REPRESENTATIONAL ACTIVITIES FILE NUMBER:

Complete Itemization Pages BEFORE the Detailed Summary Page

Name and Address (A)	Purpose (B)	Date (D)	Amount (E)
(B) Type or Classification
	(F) Total of Transactions Listed Above
	(G) Total of All Transactions from Continuation Pages with this Payee/Payer
	(H) Total of All Itemized Transactions with this Payee/Payer (Sum of (F) and (G))
	(I) Total of All Non-Itemized Transactions with this Payee/Payer
	(J) Total of All Transactions with this Payee/Payer for this Schedule (Sum of (H) and (I))

Form LM-2 (Revised 2003) Page 20 of 26

SCHEDULE 16 – POLITICAL ACTIVITIES AND LOBBYING FILE NUMBER:

Complete Itemization Pages BEFORE the Detailed Summary Page

Name and Address (A)	Purpose (B)	Date (D)	Amount (E)
(B) Type or Classification
	(F) Total of Transactions Listed Above
	(G) Total of All Transactions from Continuation Pages with this Payee/Payer
	(H) Total of All Itemized Transactions with this Payee/Payer (Sum of (F) and (G))
	(I) Total of All Non-Itemized Transactions with this Payee/Payer
	(J) Total of All Transactions with this Payee/Payer for this Schedule (Sum of (H) and (I))

Form LM-2 (Revised 2003) Page 21 of 26

SCHEDULE 17 – CONTRIBUTIONS, GIFTS, AND GRANTS FILE NUMBER:

Complete Itemization Pages BEFORE the Detailed Summary Page

Name and Address (A)	Purpose (B)	Date (D)	Amount (E)
(B) Type or Classification
	(F) Total of Transactions Listed Above
	(G) Total of All Transactions from Continuation Pages with this Payee/Payer
	(H) Total of All Itemized Transactions with this Payee/Payer (Sum of (F) and (G))
	(I) Total of All Non-Itemized Transactions with this Payee/Payer
	(J) Total of All Transactions with this Payee/Payer for this Schedule (Sum of (H) and (I))

Form LM-2 (Revised 2003) Page 22 of 26

SCHEDULE 18 – GENERAL OVERHEAD FILE NUMBER:

Complete Itemization Pages BEFORE the Detailed Summary Page

Name and Address (A)	Purpose (B)	Date (D)	Amount (E)
(B) Type or Classification
	(F) Total of Transactions Listed Above
	(G) Total of All Transactions from Continuation Pages with this Payee/Payer
	(H) Total of All Itemized Transactions with this Payee/Payer (Sum of (F) and (G))
	(I) Total of All Non-Itemized Transactions with this Payee/Payer
	(J) Total of All Transactions with this Payee/Payer for this Schedule (Sum of (H) and (I))

Form LM-2 (Revised 2003) Page 23 of 26

SCHEDULE 19 – UNION ADMINISTRATION FILE NUMBER:

Complete Itemization Pages BEFORE the Detailed Summary Page

Name and Address (A)	Purpose (B)	Date (D)	Amount (E)
(B) Type or Classification
	(F) Total of Transactions Listed Above
	(G) Total of All Transactions from Continuation Pages with this Payee/Payer
	(H) Total of All Itemized Transactions with this Payee/Payer (Sum of (F) and (G))
	(I) Total of All Non-Itemized Transactions with this Payee/Payer
	(J) Total of All Transactions with this Payee/Payer for this Schedule (Sum of (H) and (I))

Form LM-2 (Revised 2003) Page 24 of 26

SCHEDULE 20 – BENEFITS FILE NUMBER:

Description (A)	To Whom Paid (B)	Amount (C)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22. Total of Continuation pages (if any)
23. Total of Lines 1 through 22 (The Total from Line 23 will be automatically entered in Item 55.)

Form LM-2 (Revised 2003) Page 25 of 26

69. ADDITIONAL INFORMATION SUMMARY FILE NUMBER:

Form LM-2 (Revised 2003) Page 26 of 26