Download:
pdf |
pdf86'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 Type | application/pdf |
File Title | Form LM-16: Terminal Trusteeship Report |
Subject | LMRDA Reporting Form |
Author | DOL/ESA/OLMS |
File Modified | 2023-01-12 |
File Created | 2023-01-10 |