LM-16 Terminal Trusteeship Form

Labor Organization and Auxiliary Reports

LM-16_Terminal_Trusteeship_form_NON FILLABLE

OMB: 1245-0003

Document [pdf]
Download: pdf | pdf
86'HSDUWPHQWRI/DERU
2IILFHRI/DERU0DQDJHPHQW
6WDQGDUGV
:DVKLQJWRQ'&
)RU2IILFLDO8VH2QO\

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

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

E
 7UXVWHHVKLS7HUPLQDWLRQ'DWHPPGG\\\\

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

 )LOH1XPEHURI/DERU2UJDQL]DWLRQ7HUPLQDWLQJWKH7UXVWHHVKLS

eq
ui

re

d

 )LOH1XPEHURI/DERU2UJDQL]DWLRQ)RUPHUO\+HOGLQ7UXVWHHVKLS

'HVLJQDWLRQ(Local, Lodge, etc.)

 /DERU2UJDQL]DWLRQ7HUPLQDWLQJWKH7UXVWHHVKLS
'HVLJQDWLRQ1XPEHU(Prefix/Number/Suffix)

1DPH

R

8QLW1DPH(if any)

g

32%R[%XLOGLQJDQG5RRP1XPEHULIDQ\
32%R[%XLOGLQJDQG5RRP1XPEHULIDQ\

&LW\

1XPEHUDQG6WUHHW

lin

1XPEHUDQG6WUHHW

fi

6WDWH

&LW\
6WDWH

ct
ro
n

ic

=,3&RGH

=,3&RGH

 'XULQJWKHSHULRGVLQFHWKHODVW)RUP/0WUXVWHHVKLSUHSRUWZDVILOHG

D 'LGDFRQYHQWLRQRURWKHUSROLF\GHWHUPLQLQJERG\PHHWWRZKLFKWKHWUXVWHHGODERURUJDQL]DWLRQVHQWGHOHJDWHVRUZRXOGKDYHVHQWGHOHJDWHVLIQRWLQWUXVWHHVKLS"
File Typeapplication/pdf
File TitleForm LM-16: Terminal Trusteeship Report
SubjectLMRDA Reporting Form
AuthorDOL/ESA/OLMS
File Modified2023-01-12
File Created2023-01-10

© 2024 OMB.report | Privacy Policy