Form LM-16 Terminal Trusteeship Report

Labor Organization and Auxiliary Reports

Form LM-16

Labor Organization and Auxiliary Reports

OMB: 1245-0003

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1245-0003 can be found here:

Document [pdf]

Download: pdf | pdf

86'HSDUWPHQWRI/DERU
2IILFHRI/DERU0DQDJHPHQW
6WDQGDUGV
:DVKLQJWRQ'&
)RU2IILFLDO8VH2QO\

)RUPDSSURYHG
2IILFHRI0DQDJHPHQW
DQG%XGJHW
1R
([SLUHV

FORM LM-16
TERMINAL TRUSTEESHIP REPORT
7KLVUHSRUWLVPDQGDWRU\XQGHU3/DVDPHQGHG)DLOXUHWRFRPSO\PD\UHVXOWLQFULPLQDOSURVHFXWLRQILQHV
RUFLYLOSHQDOWLHVDVSURYLGHGE\86&
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT

E
)LOH1XPEHURI/DERU2UJDQL]DWLRQ)RUPHUO\+HOGLQ7UXVWHHVKLS

7UXVWHHVKLS7HUPLQDWLRQ'DWHPPGG\\\\

/DERU2UJDQL]DWLRQ)RUPHUO\+HOGLQ7UXVWHHVKLS
$IILOLDWLRQRU2UJDQL]DWLRQ1DPH

)LOH1XPEHURI/DERU2UJDQL]DWLRQ7HUPLQDWLQJWKH7UXVWHHVKLS

'HVLJQDWLRQ(Local, Lodge, etc.)
/DERU2UJDQL]DWLRQ7HUPLQDWLQJWKH7UXVWHHVKLS
'HVLJQDWLRQ1XPEHU(Prefix/Number/Suffix)

1DPH

8QLW1DPH(if any)
32%R[%XLOGLQJDQG5RRP1XPEHULIDQ\
32%R[%XLOGLQJDQG5RRP1XPEHULIDQ\

1XPEHUDQG6WUHHW
&LW\

1XPEHUDQG6WUHHW

6WDWH

&LW\
6WDWH

=,3&RGH

=,3&RGH

'XULQJWKHSHULRGVLQFHWKHODVW)RUP/0WUXVWHHVKLSUHSRUWZDVILOHG
D'LGDFRQYHQWLRQRURWKHUSROLF\GHWHUPLQLQJERG\PHHWWRZKLFKWKHWUXVWHHGODERURUJDQL]DWLRQVHQWGHOHJDWHVRUZRXOGKDYHVHQWGHOHJDWHVLIQRWLQWUXVWHHVKLS"
File Type application/pdf
File Title Form LM-16: Terminal Trusteeship Report
Subject LMRDA Reporting Form
Author DOL/ESA/OLMS
File Modified 2016-02-25
File Created 2016-02-25

File Type	application/pdf
File Title	Form LM-16: Terminal Trusteeship Report
Subject	LMRDA Reporting Form
Author	DOL/ESA/OLMS
File Modified	2016-02-25
File Created	2016-02-25