Public reporting burden for this collection of information is estimated to average 53 0 hours per response. For filers who have subsidiary organizations, as defined in Section X of these instructions, an additional public reporting burden

is estimated to av erage 88 hours per response. Th ese estimates include the time for reviewing instructions, searching existing data sources, gathering and maintaining data needed, and completing and reviewing the collection of information. Persons are not required to respon d to the collection of information unless it displays a currently valid OMB control number. Reporting of this information is mandatory and is required by the Labor

- Management Reporting and Disclosure Act of 1959, as amended, for the purpose of public discl osure. As this is public information, there are no assurances of confidentiality. If you have any comments regarding this estimate or any other aspect of this information collection, including suggestions for reducing this burden, please send them to the U .S. Department of Labor, Office of Labor

- Management Standards, Division of Interpretations and Standards, Room N

- 5609, 200 Constitution Avenue, NW, Washington, DC 20210.

______________________________________________________________________________________ __



# INSTRUCTIONS FOR FORM LM

- 2 LABOR

ORGANIZATION ANNUAL REPORT

GENERAL INSTRUCTIONS

I. WHO MUST FILE

Every labor organization subject to the Labor

Management Reporting and Disclosure Act, as amended (LMRDA), the Civil Service Reform Act (CSRA), or t he Foreign Service Act (FSA) must file a financial report, Form LM

- 2, LM

- 3, or LM

- 4, each year with the Office of Labor

- Management Standards (OLMS) of the U.S. Department of Labor. These laws cover labor organizations that represent employees who work in p rivate industry, employees of the U.S. Postal Service, and most Federal government employees. Labor organizations that include or represent only state, county, or municipal government employees are not covered by these laws and, therefore, are not required to file

. If you have a question about whether the labor organization is required to file, contact the nearest OLMS field

office listed at the end of these instructions.



### II. WHAT FORM TO FILE

Every labor organization subject to the LMRDA, CSRA, or FSA wi th total annual receipts of $250,000 or more must file Form LM

- 2.

Labor organizations with total annual receipts of less than $250,000 may file the simplified Form

LM

- 3, if not in trusteeship as defined in Section IX (Labor Organization In Trusteeship) of these instructions. Labor organizations with total annual receipts of less than $10,000 may file the abbreviated annual report Form LM

- 4, if not in trusteeship.

The term “total annual receipts” means all financial receipts of the labor organization dur ing its fiscal year, regardless of the source, including receipts of any special funds as described in Section VIII (Funds To Be Reported) or as described in Section X (Labor Organizations With Subsidiary Organizations ). Receipts of a n LMRDA section 3(l) t rust in which the labor organization is interested (as described in Information Item 10) should not be included in the total annual receipts of the labor organization when determining which form to file, unless the 3(l) trust is a subsidiary organization o f the union.



### III. WHEN TO FILE

Form LM

- 2 must be filed within 90 days after the end of the labor organization's fiscal year (12

- month reporting period). The law does not authorize the Department to grant an extension of time for filing reports. The pen alties for delinquency are described in Section VI (Officer Responsibilities and Penalties) of these

instructions.

If the labor organization went out of existence during its fiscal year, a terminal financial report must be filed within 30 days after the date it ceased to exist. See Section XII (Labor Organizations That Have Ceased to Exist) of these instructions for information on filing a terminal financial report.

### IV. HOW TO FILE

Form LM

- 2 must be submitted electronically to the Department. Form LM

- 2 filer s will be able to file report s in paper format only if they assert a temporary hardship exemption.

If you have difficulty navigating the software, or have questions about its functions and features, call the OLMS Help Desk at: (866) 401

- 1109. For q uestions concerning the reporting requirements, please send an e

- mail to OLMS

Public@dol.gov or call (202) 693

- 0123

.

TEMPORARY HARDSHIP EXEMPTION:

If a labor organization experiences unanticipated

technical diff iculties that prevent the timely preparation and submission of an electronic filing, the organization may assert a temporary hardship exemption to prepare and s ubmit Form LM

- 2 in paper format by the required due date. An electronic format copy of the filed paper format document shall be submitted to the Department within ten business days after the required due date. Indicate in Item 3 (Amended, Hardship Exempted, or Terminal Report) that the labor organization is filing under the hardship exemption procedu res. Unanticipated technical difficulties that may result in additional delays should be brought to the attention of the OLMS Division of Interpretations and Standards, which can be reached at the address below, by email at
OLMS

- Public@dol.gov , by phone at ( 202 ) 693

- 0123, or by fax at 202

- 693

- 1340.

Note: If either the paper filing or the electronic filing is not received in the timeframe specified above, the report will be considered delinquent.



### V. PUBLIC DISCLOSURE

The LMRDA requires that the Departme nt make labor organization financial reports available for inspection by the public. Reports may be viewed
and downloaded from the OLMS Web site at www.unionreports.gov

. Copies of reports and

union constitutions and bylaws can also be ordered at the same Web site. Reports may also be examined and copies purchased at the OLMS Public Disclosure Room at the following address:

U.S. Department of Labor

Office of Labor

- Management Standards 200 Constitution Avenue, N W

Room N

- 1519 Washington, DC 20210



### VI. OFFICER RESPONSIBILITIES AND

PENALTIES

The president and treasurer or the corresponding principal officers of the labor organization required to sign Form LM

- 2 are personally responsible for its filing and accurac y. Under the LMRDA, officers are subject to criminal penalties for willful failure to file a required report and for false reporting. False reporting includes making any false statement or misrepresentation of a material fact while knowing it to be false, or for knowingly failing to disclose a material fact in a required report or in the information required to be contained in it or in any information required to

be submitted with it.

The reporting labor organization and the officers required to sign Form LM

- 2 are also subject to civil prosecution for violations of the filing requirements. Section 210 of the LMRDA (29 U.S.C. 440) provides that "whenever it shall appear that any person has violated or is about to violate any of the provisions of this title, the Secretary may bring a civil action for such relief (including injunctions) as may be appropriate."

Under the CSRA and FSA and implementing regulations, false reporting and failure to report may result in administrative enforcement action and litigat ion. The officers responsible for signing

Form LM

- 2 are also subject to criminal penalties for false reporting and perjury under Sections

1001 of Title 18 and 1746 of Title 28 of the United

States Code.



### VII. RECORDKEEPING

The officers required to file F orm LM

- 2 are responsible for maintaining records that will provide in sufficient detail the information and data necessary to verify the accuracy and completeness of the report. The records must be kept for at least 5 years after the date the report is

fil ed. Any record necessary to verify, explain or clarify the report must be retained, including, but not limited to, vouchers, worksheets, receipts, applicable resolutions, and any electronic documents, including recordkeeping software, used to complete, rea d, and file the report.

2

### VIII. FUNDS TO BE REPORTED

The labor organization must report financial

information on Form LM

- 2 for all funds of the labor organization. Include any special purpose funds or accounts, such as strike funds, vacation funds, and sc holarship funds even if they are not part of the labor organization’s general treasury.

All labor organization political action committee (PAC) funds are considered to be labor organization funds. However, to avoid duplicate reporting, PAC funds that ar e kept separate from your labor organization’s treasury are not required to be included in your organization’s

Form LM

- 2 if publicly available reports on the

PAC funds are filed with a Federal or state

agency.

Your organization is required to report finan cial information about any “subsidiary organizations.” Financial information about your organization and its subsidiary organizations may be combined on a single Form LM

- 2 or you may attach to your Form LM

- 2 report the regular annual report of the financi al condition and operations of the subsidiary organization with a signed certification by an independent public

accountant

, as described in Section X (Labor Organizations With Subsidiary Organizations)

.

If combining the information concerning subsidiary o rganizations, be sure to include the requested information and amounts for the subsidiary organizations as well as for all other assets of your union in all items.



## SPECIAL INSTRUCTIONS FOR

CERTAIN ORGANIZATIONS

IX. LABOR ORGANIZATIONS IN

TRUSTEESHIP

An y labor organization that has placed a subordinate labor organization in trusteeship is responsible for filing the subordinate's annual financial report. A trusteeship is defined in section 3(h) of the LMRDA (29 U.S.C. 402) as "any receivership, trusteeshi p, or other method of supervision or control whereby a labor organization suspends the autonomy otherwise available to a subordinate body under its constitution or bylaws." Annual financial reports filed for any labor organization in trusteeship must be filed on

Form LM

- 2. The report must be signed by the president and treasurer or corresponding principal officers of the labor organization that imposed the trusteeship. The trustees of the subordinate labor organization must also sign

and date Form LM

- 2. T o add signature blocks

, click on the “Add Signature Block” button on the

bottom of page 1

.



### X. LABOR ORGANIZATIONS WITH

SUBSIDIARY ORGANIZATIONS

The labor organization must disclose assets, liabilities, receipts, and disbursements of a subsidiary organiza tion.

Within the meaning of these instructions, a subsidiary organization is defined as any separate organization of which the ownership is wholly vested in the reporting labor organization or its officers or its membership, which is governed or controlle d by the officers, employees, or members of the reporting labor organization, and which is wholly financed by the reporting labor organization. A subsidiary organization is considered to be wholly financed if the initial financing was provided by the

repor ting labor organization even if the subsidiary organization is currently wholly or partially self

- sustaining. An example of a subsidiary organization is a building corporation which holds title to a building; the labor organization owns the building corpor ation, selects the officers, and finances the operation of the building corporation. A labor organization is required to report financial information for each of its subsidiary organizations using one of the following

methods:

Method (1)

— Consolidate the financial information for the subsidiary organization and the labor organization on a single Form LM

- 2.

Method (2)

— File, with the labor organization’s

Form LM

- 2, the regular annual report of the financial condition and operations of the subsidiary organ ization, accompanied by a statement signed by an independent public accountant certifying that the financial report presents fairly the financial condition and operations of the subsidiary organization and was prepared in accordance with generally accepted accounting principles.

3Financial information reported separately for subsidiary organizations under method (2) must include the name of the subsidiary organization

and the name and file number of the labor organization as shown on its Form LM

- 2. The

fina ncial report of the subsidiary organization must cover the same reporting period as that used by the reporting labor organization.

When method (2) is used and the subsidiary organization is an investment, the financial interest of the reporting labor org anization in the subsidiary organization must be reported in Item 26 (Investments) and in Schedule 5 (Investments) of the labor organization’s Form

LM

- 2. When method (2) is used and the subsidiary organization is of a non

- investment nature, the financial i nterest of the reporting labor organization in the subsidiary organization must be reported in Item 28 (Other Assets) and in Schedule 7 (Other Assets) of the labor organization’s Form LM

- 2.

The same type of information required on Form

LM

- 2 regarding disb ursements to officers and employees and loans made by labor organizations must also be reported with respect

t o the subsidiary organization. In method (1) the information relating to the subsidiary organization must be combined with that of the labor organ ization and reported on the labor organization’s Form LM

- 2 on Schedule 11 (All Officers and Disbursements to Officers) and Schedule 12 (Disbursements to Employees) and Statement A, Item 24 (Loans Receivable) and Schedule 2 (Loans Receivable) in the detail required by the instructions. If method (2) is used, an attachment must be submitted containing the information required by the instructions for Schedules 2, 11, and 12.

The information regarding loans made by the subsidiary organization must include in
S chedule 2 (Loans Receivable) a listing of the names of each officer, employee, or member of the labor organization and each officer or employee of the subsidiary organization whose total loan indebtedness to the subsidiary organization, to the labor organi zation, or to both at any time during the reporting period exceeded $250. However, if method (2) is used, the amount reported by the subsidiary organization should be only the amount owed to the subsidiary organization. The annual financial report must a lso include on Schedule 11 (All Officers and Disbursements to Officers) all disbursements made by the subsidiary organization to or on behalf of its officers and officers of the labor organization. The report must also list on Schedule 12 (Disbursements t o Employees) the name and position of the subsidiary organization’s employees whose total gross salaries, allowances, and other disbursements from the subsidiary organization, the reporting labor organization, and any affiliates were more than $10,000. Ho wever, if method (2) is used, only the disbursements of the subsidiary organization for its employees should be reported.



### XI. COMPLETING FORM LM

- 2

INTRODUCTION

Most pages have a “ Save & Calculat e ” button to total and transfer data to fields in various p arts of the form. You may click on one or more of these buttons as you fill out the form at any time.

You may click on the “Validate Form” button at any time to check for errors. This action will generate an “Errors Page” listing any errors that

will need to be corrected before you will be able to sign the form. Clicking on the signature lines will also perform the validation function.



### INFORMATION ITEMS 1

– 9

Items 1, 2, and 4

- 8 are “pre

- filled” items. These fields are filled in by the software based on

inf ormation you entered when you accessed the

form from our Web site. You cannot edit the information pre

- filled in Items 1, 2, and 4

- 7

.

1. FILE NUMBER

— The software will enter the labor organization’s 6

- digit file number here and at the top of each page o f Form LM

- 2. This is the number you entered when you downloaded Form

LM

- 2. If the number is incorrect, you must download another copy of the form using the correct number. If the labor organization does not

have the number on file and cannot obtain the

num ber from prior reports filed with the Department, the number can be obtained from

the OLMS Web site at www.unionreports.gov , or by contacting the nearest OLMS field office

.

2. PERIOD COVERED

— The software will enter the beginning and ending dates of the

4period covered by this report. These are the dates you entered when you downloaded Form

LM

- 2. If the dates are incorrect, you must download another form using the correct dates.

If the labor organization chang ed its fiscal year, the ending date in Item 2 should be the labor organization’s new fiscal year ending date and the labor organization should indicate in Item 69 (Additional Information) that the report is for a period of less than 12 months because its f iscal year has changed. For example, if the labor organization’s fiscal year ending date changes from June 30 to December 31, a report must be filed for the partial year from July 1 to December 31. Thereafter, the labor organization’s annual report should cover a full 12

- month period from January 1 to December 31.

3. AMENDED, HARDSHIP EXEMPTED, OR

TERMINAL REPORT

— Do not complete this item unless this report is an amended, hardship exempted, or terminal report. Select Item 3(a) if the labor organization is filing an amended report correcting a previously filed report. Select Item 3(b) if the labor organization is filing under the hardship exemption procedures defined in Section IV. Select Item 3(c) if the labor organization has gone out of business by

dis banding, merging into another labor organization, or being merged and consolidated with one or more labor organizations to form a new labor organization, and this is the labor organization's terminal report. Be sure the date the labor organization ceased t o exist is entered in Item 2 (Period Covered) after the word "Through." See Section XII (Labor Organizations That Have Ceased to Exist) of these instructions for more information on filing a terminal report.

4. AFFILIATION OR ORGANIZATION NAME

— The soft ware accesses this information from

the OLMS database and will enter the name of the national or international labor organization that granted the labor organization a charter. "Affiliates," within the meaning of these instructions, are labor organizations chartered by the same parent body, governed by the same constitution and bylaws, or having the relationship of parent and subordinate. For example, a parent body is an affiliate of all of its subordinate bodies, and all subordinate bodies of the same pare nt body are affiliates of each

other. If the labor organization has not reported such an affiliation, the software will enter the name of the labor organization as currently identified in the labor organization's constitution and bylaws or other organiza tional documents.

This item cannot be edited by the filer . If the labor organization needs to change this information, contact OLMS at (202) 693

- 0124.

5. DESIGNATION

— The software will enter the specific designation that is used to identify the

labor organization, such as Local, Lodge, Branch, Joint Board, Joint Council, District Council, etc. This field cannot be edited by the

filer

.

6. DESIGNATION NUMBER

— The software will enter the number or other identifier, if any, by which the labor organizati on is known. This

field cannot be edited by the filer

.

7. UNIT NAME

— The software will enter any additional or alternate name by which the labor organization is known, such as "Chicago Area

Local." This field cannot be edited by the filer

.

8. MAILING ADDRESS

— The software accesses the union’s mailing address on record
in the OLMS database and enters it in Item 8. The first and last name of the person, if any, to whom such mail should be sent and any building

and room number should be included. These

fields can be edited.

9. PLACE WHERE RECORDS ARE KEPT

— If the records required to be kept by the labor organization to verify this report are kept at the address reported in Item 8 (Mailing Address), answer "Yes." If not, answer "No" and provide in

Item 69 (Additional Information) the address where the labor organization's records are kept.



### INFORMATION ITEMS 1 0

– 21

Answer Items 10 through 21 as instructed. Select the appropriate box for those questions requiring a "Yes" or "No" answer; do not leave

both boxes blank. Enter a single "0" in the boxes for items requiring a number or dollar amount if there is nothing to report.

10. TRUSTS OR FUNDS

— Answer “Yes” to Item 10, if the labor organization has an interest

in a trust or other fund as defined in 29 U.S.C. 402(l). Provide in Item 69 (Additional

5Information) the full name, address, and purpose

of each trust or other fund . If a report has been

filed for the trust or other fund under the Employee Retirement Income Security Act of 1974 (ERISA), report i n Item 69 (Additional Information) the ERISA file number (Employer

Identification Number

— EIN) and plan number, if any.

A trust in which a labor organization is interested is defined in Section 3(l) of the LMRDA (29 U.S.C. 402(l)) as:

...a trust or other fund or organization (1) which was created or established by a labor organization, or one or more of

the trustees or one or more members of the governing body of which is selected or appointed by a labor organization, and (2) a primary purpose of which is to provide benefits for the members of such labor organization or their

beneficiaries.

The determination whether a particular entity is a trust in which a labor organization is interested

will be based on the facts in each case.

11. POLITICAL ACTION COM MITTEE FUNDS

AND SUBSIDIARY ORGANIZATIONS

— If the labor organization answered “Yes” to Item 11(a), in reference to a political action committee, provide in Item 69 (Additional Information) the full name of each separate political action committee (PAC) an d list the name of any government agency, such as the Federal Election Commission or a state agency, with which the PAC has filed a publicly available report, and the relevant file number of the PAC. (PAC funds kept separate from the labor organization’s treasury need not be included in the labor organization’s Form LM

- 2 if publicly available reports on the PAC funds are filed with a Federal or state agency.)

If the labor organization answered “Yes” to Item 11(b), in reference to a subsidiary organizatio n, provide in Item 69 (Additional Information) the name, address, and purpose of each subsidiary organization. Indicate whether the information concerning its financial condition and operations

is included in this Form LM

- 2 or in a separate report. See Sec tion X of these instructions for information on reporting subsidiary organizations. 12. AUDIT OR REVIEW OF BOOKS AND

RECORDS

— If the labor organization answered "Yes" to Item 12, indicate in Item 69 (Additional Information) whether the audit or

review wa s performed by an outside accountant or a parent body auditor/representative. If an outside accountant performed the audit or review, provide the name of the accountant or accounting firm. Report any audit or review by an outside accountant or a parent bod y auditor/representative in which the labor organization's books and records were examined to verify their accuracy and validity.

The term "audit or review" does not include providing assistance in developing a bookkeeping system, providing routine

bookkee ping services, or merely compiling information from the labor organization's books and records to prepare Form LM

- 2 or other financial reports. Also, do not answer "Yes" to

Item 12 if an audit committee or trustees of the labor organization performed the a udit or review.

13. LOSSES OR SHORTAGES

— Answer "Yes" to Item 13 if the labor organization experienced a loss, shortage, or other discrepancy in its finances during the period covered. Describe the loss or shortage in detail in Item 69 (Additional Infor mation), including

such information as the amount of the loss or shortage of funds or a description of the property that was lost, how it was lost, and to what extent, if any, there has been an agreement to make restitution or any recovery by means of

repa yment, fidelity bond, insurance, or other

means.

14. FIDELITY BOND

— Enter the maximum amount recoverable for a loss caused by any officer, employee, or agent of the labor organization who handled the labor organization's funds. Enter "0" if the labor

or ganization was not covered by a fidelity bond during the reporting period.

NOTE: If a labor organization has property and annual financial receipts that exceeded $5,000, each of the labor organization's officers, employees, and agents who handles funds o r other property of the labor organization must be

bonded. The amount of the bond must be at least 10% of the value of the funds handled by the individual during the last reporting period, up to a maximum bond of $500,000. The bond must

be obtained from a surety company approved by the Secretary of the Treasury. If you have any

6questions or need more information about bonding requirements, contact the nearest
OLMS field office.

15. ACQUISITION OR DISPOSITION OF

ASSETS

— If the labor organization answered "Yes" to Item 15, describe in Item 69 (Additional Information) the manner in which the labor organization acquired or disposed of the asset(s), such as donating office furniture or equipment to charitable organizations, trading in assets, writing off a rec eivable, or giving away other tangible or intangible property of the labor organization. Include the type of asset, its value, and the identity of the recipient or donor, if any. Also report in Item 69 the cost or other basis at which any acquired assets w ere entered on the labor organization's books or the cost or other basis at which any assets disposed of were carried on the labor organization's books. For example, assets may be entered on the labor organization’s books at cost and carried at that value; carried at cost less accumulated depreciation; or carried at scrap value or other nominal value because the assets were fully depreciated or were expensed when purchased (that is, the cost was charged to current expenses rather than entered on the books a nd periodically depreciated).

For assets that were traded in, enter in Item 69 the cost, book value, and trade

- in allowance.

16. PLEDGED OR ENCUMBERED ASSETS

— If the labor organization answered "Yes" to Item 16, identify in Item 69 (Additional Informa tion) all of the labor organization's assets pledged or encumbered in any way (such as those pledged as collateral for a loan) at the end of the reporting period. Also report in Item 69 their fair market value, and provide details of transactions

related t o the encumbrance.

17. CONTINGENT LIABILITIES

— If the labor organization answered "Yes" to Item 17, describe in Item 69 (Additional Information) the transactions or events resulting in the contingent liabilities and include the identity of the claimant or creditor. Contingent liabilities are potential obligations that may or may not develop into actual liabilities in the future. Examples of a contingent liability are a loan co

- signed by the labor organization, or a pending lawsuit that

could result in th e labor organization being ordered to pay damages or make other payments. A pending administrative or judicial action is considered a contingent liability that must be reported in Item 17 if, in the opinion of legal counsel, it is reasonably possible tha t the labor organization will be required to make some payment. Such administrative or judicial actions must be reported as contingent liabilities regardless of whether or not the possible losses would have a materially adverse effect on the labor organiza tion's financial condition. List in Item 69 each administrative or judicial action, including the case number, court, and caption.

18. CHANGES IN CONSTITUTION AND

BYLAWS OR PRACTICES AND

PROCEDURES

— If the labor organization

answered "Yes" to Item 18 be cause the labor organization's constitution and bylaws were changed during the reporting period (other than rates of dues and fees), a dated copy of the new constitution and bylaws must be submitted to OLMS

as an electronic attachment to the Form LM

- 2.

If the labor organization is governed by a uniform or model constitution and bylaws prescribed by the labor organization's parent national or international body, the labor organization's parent body may file the constitution and bylaws on the labor organizat ion's behalf. If the parent body files a constitution and bylaws on the labor organization's behalf, answer "Yes" to Item 18 and state that fact in Item 69 (Additional Information). If the labor organization has any supplemental governing

documents or has modified a model constitution and bylaws, the labor organization must file these

documents. If the labor organization answered "Yes" to Item 18 because the labor organization changed any of the practices/procedures listed below during the reporting period and the practices/procedures are not described in the labor organization's constitution or bylaws, the labor organization must

file an amended Form LM

- 1 (Labor Organization Information Report) to update information on file with the Department:

• qualificat ions for or restrictions on

membership;

• levying assessments;

• participating in insurance or other benefit

plans;

• authorizing disbursement of labor organization

funds;

7• auditing financial transactions of the labor organization;

• calling regular and special mee tings;

• authorizing bargaining demands;

• ratifying contract terms;

• authorizing strikes;

• disciplining or removing officers or agents for

breaches of their trust;

• imposing fines and suspending or expelling

members including the grounds for such

action and any provision made for notice, hearing, judgment on the evidence, and appeal procedures;

• selecting officers and stewards and any

representatives to other bodies composed of labor organizations' representatives;

• invoking procedures by which a member may

pr otest a defect in the election of officers (including not only all procedures for initiating an election protest but also all procedures for subsequently appealing an adverse decision, e.g., procedures for appeals to superior or parent bodies, if any); and

• issuing work permits.

Information on obtaining Form LM

- 1 may be
obtained from the OLMS Web site at www.olms.dol.gov or from any OLMS field office.

NOTE: Federal employee labor organizations subject solely to th e Civil Service Reform Act or Foreign Service Act are not required to submit

an amended Form LM

- 1 to describe revised or changed practices/procedures.

19. NEXT REGULAR ELECTION

— Enter the month and year of the labor organization's next regular election of general officers (president, vice president, treasurer, secretary, etc.). Do not report the date of any interim election to fill

vacancies.

20. NUMBER OF MEMBERS

— After Schedule 13 is completed and the “ Save & Calculate ” button is clicked, the softwa re will enter the total

number of members into Item 20.

21. DUES AND FEES

— Enter the dues and fees established by the labor organization. If more than one rate applies, enter the minimum

and maximum rates. Enter "0" where appropriate. Line (a): Enter the regular dues, fees or other periodic payments that a member must pay to be in good standing in the labor organization, including the calendar basis for the payment (per month, per year, etc.). Include only the dues or fees of regular members and not du es or fees of members with special rates, such as apprentices, retirees, or unemployed members.

Line (b) If individuals covered by your organization’s collective bargaining agreement(s) pay "working" dues in addition to their regular dues, enter the amou nt or percent of "working" dues, including the basis for the payment (per hour, per month, etc.).

Line (c): Enter the initiation fees required from

new members.

Line (d): Enter the fees other than dues required from transferred members. Such fees

are t hose charged to persons applying for a transfer of membership to the labor organization from another labor organization with the same affiliation. Do not report fees charged to members transferring from one class of membership to another within the labor

o rganization.

Line (e): If the labor organization issues work permits, enter the fees required and enter the calendar basis for the payment (per month, per year, etc.). Work permit fees are fees charged to nonmembers of the labor organization who work

wit hin its jurisdiction. Do not report as work permit fees those fees charged to nonmember applicants for membership pending acceptance of their membership application, or fees charged to persons applying for transfer of membership to the labor organization p ending acceptance of their application for transfer.



### FINANCIAL DETAILS

REPORT ONLY DOLLAR AMOUNTS

Report all amounts in dollars only. Round cents

to the nearest dollar. Amounts ending in $.01 through $.49 should be rounded down. Amounts ending in $.50 t hrough $.99 should be rounded

up.

REPORTING CLASSIFICATIONS

8Complete all items and lines on the form. Do not use different accounting classifications or change the wording of any item or line.

BEGINNING AND ENDING AMOUNTS

Entries in Schedules 2 and 9 a nd in Statement A must report amounts for both the start and the end of the reporting period. The amounts

entered for the start of the reporting period on

the labor organization's report should be

identical to the amounts entered for the end of

the reporti ng period on last year's report. If the amounts are not the same, fully explain the difference in Item 69 (Additional Information).

COMPLETE SCHEDULES FIRST

Complete Schedules 1 through 20 before completing Statements A and B. Be sure to complete all app licable lines in Schedules 1 through 20. As you complete the schedules, the

software will transfer some of the totals to the appropriate items in Statements A and B. You

must enter the remaining totals manually.

COMPLETE ALL ITEMS 22 THROUGH 68

Complete all items in Statement A and Statement B. Enter "0" where appropriate

.



### SCHEDULES 1 THROUGH 12

SCHEDULE 1

– ACCOUNTS RECEIVABLE

AGING SCHEDULE

The labor organization must report 1) all accounts with an entity or individual that aggregate to a value of $5 ,000 or more and that are 90 days or more past due at the end of the reporting period or were liquidated, reduced or written off during the reporting period; and 2) the total aggregated value of all other accounts

receivable.

If additional lines are need ed, click the “Add

More Accounts Receivable” button at the top of

the schedule. The software will add lines to the

schedule in increments of ten.

Column (A): Enter the name of each entity or individual with which the labor organization has

an account rece ivable of $5,000 or more that is 90 days or more past due at the end of the reporting period or that was liquidated, reduced or written off during the reporting period without the receipt of cash sufficient to cover the total

value of the account receivabl e.

Column (B) : Enter the total amount of money owed to the labor organization by each listed entity or individual at the end of the reporting period. Enter on the “Total from all other

accounts receivable” line the total amount of money owed to the labor organization in all other accounts receivable not required to be itemized
in Schedule 1

.

Click the “ Save & Calculate ” button at the top of the schedule and the software completes the

“Total of all itemized accounts receivable” line in
Column (B) and ent ers the total accounts receivable in Column (B) and in Item 23, Column (B) of Statement A.

Column (C): Enter the total amount of money owed to the labor organization by each listed entity or individual at the end of the reporting period that is 90 to 180 days past due. Enter the total amount of money owed to the labor organization in all other accounts receivable (those of less than $5,000) that are 90 to 180 days past due and are not required to be

itemized in Schedule 1 on the “Total from all

other accou nts receivable” line.

Click the “ Save & Calculate ” button at the top of

the schedule and the software completes the

“Total of all itemized accounts receivable ” line in Column (C) and enters the total accounts receivable that were 90 to 180 days past due i n Column (C).

Column (D): Enter the total amount of money owed to the labor organization by each listed entity or individual at the end of the reporting period that is more than 180 days past due. Enter the total amount of money owed to the labor organiza tion in all other accounts receivable (those of less than $5,000 and not require to be itemized in Schedule 1 ) that are more than 180 days past due on the “Total from

all other accounts receivable” line.

Click the “ Save & Calculate ” button at the top of the schedule and the software completes the

“Total of all itemized accounts receivable ” line in Column (D) and enters the total accounts

receivable that were more than 1 80 days past due in Column (D).

9Column (E): Enter the total amount of money

owed to th e labor organization by each entity or individual that was liquidated, reduced or written off during the reporting period by the reporting labor organization without the receipt of cash

sufficient to cover the total value of the account

receivable

. Enter o n the “Total from all other

accounts receivable” line the total amount of money owed to the labor organization in all other accounts receivable (those of less than $5,000 and not required to be itemized in Schedule1 ) that was liquidated, reduced or written off during the reporting period by the reporting labor organization without the receipt of cash sufficient

to cover the total value of the account

receivable

.

Click the “ Save & Calculate ” button at the top of the schedule and the software completes the

“ Total of all itemized accounts receivable ” line in Column (E) and enters the total liquidated accounts receivable in Column (E).

Provide in Item 69 (Additional Information) all

details and circumstances in connection with the liquidation, reduction or wri ting off of any account receivable, in accordance with the instructions for Item 15 (Acquisition or Disposition of Assets).

SCHEDULE 2

– LOANS RECEIVABLE

Report details of all direct and indirect loans (whether or not evidenced by promissory notes

or se cured by mortgages) owed to the labor organization at any time during the reporting period by individuals, business enterprises, benefit plans, and other entities including labor organizations. An example of an indirect loan is a disbursement by the labor organization to an educational institution for the tuition expense of an officer, employee, or member that must be repaid to the labor organization by that individual. Be sure to report all loans that were made and repaid in full during the reporting perio d. Do not include investments in corporate bonds or mortgages purchased on a block basis through a bank or similar institution that must be reported in Schedule 5 (Investments Other Than U.S. Treasury Securities).

NOTE: Advances, including salary advance s, are considered loans and must be reported in Schedule 2 (Loans Receivable). However, advances to officers and employees of the labor organization for travel expenses necessary for conducting official business are not considered loans if the following co nditions are met:

• The amount of an advance for a specific trip

does not exceed the amount of expenses reasonably expected to be incurred for official travel in the near future, and the amount of the advance is fully repaid or fully accounted for by

vouche rs or paid receipts within 30 days after the completion or cancellation of the travel.

• The amount of a standing advance to an officer

or employee who must frequently travel on official business does not unreasonably exceed the average monthly travel expens es for which the individual is separately reimbursed after submission of vouchers or paid receipts, and the individual does not exceed 60 days without engaging in official travel.

See the instructions for Schedules 7 (Other Assets), 11 (All Officers and Disbursements to Officers) and 12 (Disbursements to Employees) for reporting travel advances that meet these

criteria.

If additional lines are needed, click the “Add More Loans Receivable” button at the top of the

schedule. The software will add lines to the

schedule in increments of ten.

Column (A): Enter the following information:

• The name of each officer, employee, or

member whose total loan indebtedness to the labor organization, including any subsidiary organization, at any time during the reporti ng period exceeded $250, and the name of each business enterprise which had any loan indebtedness, regardless of amount, at any time during the reporting period;

• The purpose of each loan;

• The security given for each loan; and

• The terms of repayment for ea ch loan.

For each officer or employee listed, indicate after

each name either " O" (officer) or "E" (employee).

Column (B): Enter the loan amounts outstanding at the start of the reporting period from each listed individual and business enterprise. Enter the total of loans made to officers, employees, or

members whose total individual loan indebtedness to the labor organization at any time during the reporting period did not exceed

10$250, and all loans, regardless of amount, made

to other individuals and e ntities on the “Total of

loans not listed above” line.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the total for Column (B) on the “Total of all lines above” line in Schedule 2 and in Item 24 (Loans

Receivabl e), Column (A) of Statement A.

Column (C): Enter the amount of loans made during the reporting period to each listed individual and business enterprise

. Enter the total of all other loans made during the reporting period on the

“Total of loans not listed above” line.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the total for Column (C) on the “Total of all lines above”

line in Schedule 2 and in Item 61 (Loans Made)

of Statement B.

Columns (D)(1) and (D)(2): E nter the amount of loan repayments during the reporting period

from each listed individual and business enterprise. Report in these columns only the portion of the payments applied toward principal; interest received must be reported in Item 40 (Interest). Use Column (D)(1) to report repayments received in cash. Use Column (D)(2) to report repayments made in a manner other than cash, such as repayments made by officers or employees by means of deductions

from their salaries. Enter the amount of loan

repayme nts from all other loans on the “Total of

loans not listed above” line.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the total for Columns (D)(1) and (D)(2) on the “Total of all

lines above” line i n Schedule 2 and the total from Column (D)(1) in Item 45 (Repayments of Loans Made) of Statement B. Explain in Item 69 (Additional Information) any non

- cash amounts reported in Column (D)(2).

Column (E): Enter the loan amounts outstanding at the end of the reportin g period for each listed individual and business enterprise. Enter the total amount outstanding at the end of the reporting period for all other loans on the

“Total of loans not listed above” line.

Click the “ Save & Calculate ” button at the top of

the sc hedule and the software will enter the total for Column (E) on the “Total of all lines above” line in Schedule 2 and in Item 24 (Loans Receivable), Column (B) of Statement A. If any loans receivable were liquidated, reduced or written off during the report ing period, the reason and the amount must be reported in Item 69 (Additional Information).

NOTE: Section 503(a) of the LMRDA (29 U.S.C. 503) prohibits labor organizations from making direct or indirect loans to any officer or employee of the labor organ ization which results in a total indebtedness on the part of such officer or employee to the labor organization in excess of $2,000 at any time.

SCHEDULE 3

– SALE O F INVESTMENTS

AND FIXED ASSETS

Report details of the sale or redemption by the labor orga nization of U.S. Treasury securities, marketable securities, other investments, and fixed assets, including those fixed assets that were expensed (that is, the cost of the asset was charged to current expenses, rather than entered on the books and periodic ally depreciated), during the reporting period. Include receipts from sales of mortgages that were purchased on a block basis through a bank or similar institution. Do not include the receipts from repayments by individual mortgagors, which must be reporte d in Schedule 2 (Loans Receivable) as loan repayments.

If additional lines are required click the “Add

More Investments and Fixed Assets Sales” button at the top of the schedule. The software

will add lines to the schedule in increments of

ten.

Column ( A): Enter a general description of the type of investment or fixed asset sold, such as U.S. Treasury securities, stocks, bonds, land, automobiles, etc. If land or buildings were sold, enter the location of the property, including the street address, if app ropriate.

Column (B): Enter the total cost of each type of investment (including any transaction costs) or fixed asset described in Column (A).

Column (C): Enter the value at which the

investments or fixed assets were shown on the labor organization's books.

Column (D): Enter the gross sales (or contract) price of the investments or fixed assets.

11Column (E): Enter the net amount received from

the sale of the investments or fixed assets. If the amount received during the reporting period is less

than the amount due (gross sales price less any deductions for selling expenses and repayments of secured loans or mortgages), the additional amount due to the labor organization must be reported in Schedule 7 (Other Assets) with a description sufficient to id entify the type of asset. However, if a mortgage or note is taken back, it must be reported as a new loan in Schedule 2 (Loans Receivable).

Click the “ Save & Calculate ” button at the top of

the schedule and the software enters the totals for Columns (B) through (E) on the “Total of all

lines above” line.

Enter the total amount from the sale or redemption of U.S. Treasury securities, marketable securities, or other investments that was promptly reinvested (i.e., "rolled over") in U.S. Treasury securities, marketable securities, or other investments during the reporting period
on the “Less Reinvestments” line. Calculate the total amount reinvested by adding, for each investment, the lower of each investment's original cost or the amount received from the

sa le or redemption that was actually reinvested. If only a portion of the amount received was reinvested, only the reinvested portion may be

included on the Less Reinvestments line. Interest and dividends received during the reporting period must be reported in Items 40 (Interest) and 41 (Dividends).

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the total ”Net Sales” in Column (E) and in Item 43 (Sale of Investments and Fixed Assets) of Statement

B.
SCHEDULE 4

– PURCHASE OF

INVESTMENTS AND FIXED ASSETS

Report details of the purchase by the labor organization of U.S. Treasury securities, marketable securities, other investments, and fixed assets, including those fixed assets that were expensed (that is, the cost o f the asset was charged to current expenses, rather than entered on the books and periodically depreciated), during the reporting period. Include disbursements for mortgages that were purchased on a block basis through a bank or

similar institution. If a dditional lines are needed, click the “Add

Investments And Fixed Assets Purchases” button at the top of the schedule. The software

will add lines to the schedule in increments of

ten.

Column (A): Enter a general description of the type of investment or f ixed asset purchased, such as U.S. Treasury securities, stocks, bonds, land, automobiles, etc. If land or buildings were purchased, enter the location of the property, including the street address, if appropriate.

Column (B): Enter the total cost of each type of investment (including any transaction costs) or fixed asset described in Column (A).

Column (C): Enter the value at which the

investments or fixed assets were entered on the labor organization's books. If assets were traded in on assets purchase d, answer Item 15 (Acquisition or Disposition of Assets) "Yes," and provide in Item 69 (Additional Information) the cost, book value, and trade

- in allowance in

accordance with the instructions for Item 15.

Column (D): Enter the total amount disbursed

for each type of investment or fixed asset purchased during the reporting period. Do not include any unpaid balance that must be reported in Schedule 9 (Loans Payable) or Item 32 (Mortgages Payable) of Statement A.

Click the “ Save & Calculate “button at the top of

the schedule and the software will enter the totals for Columns (B) through (D) on the “Total

of all lines above” line.

Enter the total amount from the sale or redemption of U.S. Treasury securities, marketable securities, or other investments tha t was promptly reinvested (i.e., "rolled over") in U.S. Treasury securities, marketable securities, or other investments during the reporting period
on the “Less Reinvestments” line. Calculate the total amount reinvested by adding, for each investment, the lower of each investment's original cost or the amount received from the sale or redemption that was actually reinvested. If only a portion of the amount received was reinvested, only the reinvested portion may be

included on the Less Reinvestments line. Interest and dividends received during the reporting period must be reported in Items 40 (Interest) and 41 (Dividends). The total on the

12Less Reinvestments line must agree with the amount reported as Reinvestments on Schedule 3 (Sale of Investments and Fix ed Assets).

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the “Net Purchases” in Column (D) and in Item 60 (Purchase of Investments and Fixed Assets) of

Statement B.

SCHEDULE 5

– INVESTMENTS OTHER THAN

U.S. T REASURY SECURITIES

Report details of all the labor organization’s investments at the end of the reporting period,

other than U.S. Treasury securities. Include mortgages purchased on a block basis and investments in any subsidiary organization not reported on a consolidated basis in accordance with method (1) explained in Se ction X of these

instructions. Do not include savings accounts, certificates of deposit, or money market accounts, which must be reported in Item 22 (Cash) of Statement A.

Line A: Ente r in Column (B) the total cost of all the labor organization's marketable securities including transaction costs such as brokerage

commissions. Marketable securities are those

for which current market values can be obtained from published reports of transa ctions in listed

securities or in securities traded "over the counter," such as corporate stocks and bonds, stock and bond mutual funds, state and municipal bonds, and foreign government

securities.

Line B: Enter in Column (B) the total book value

of all the labor organization's marketable

securities. Book value is the lower of cost or

market value.

Line C : List in Column (A) each Marketable Security that has a book value over $5,000 and

exceeds 5% of the total book value entered in Line B, Column (B) a bove and enter its book value in Column (B).

If additional lines are needed to complete Line C, click the “Add More Marketable Securities”

button in the schedule. The software will add

lines to the schedule in increments of ten.

Line D: Enter in Column (B) the total cost, including any transaction costs, of all the labor organization's other investments (that is, those that are not U.S. Treasury securities or marketable securities). Include mortgages purchased on a block basis.

Line E: Enter in Column (B) the total book value

of such other investments. Book value is the

lower of cost or market value.

Line F: List in Line F, Column (A) each Other Investment that has a book value over $5,000

and exceeds 5% of the total book value entered in Line E, Colu mn (B) above and enter its book value in Column (B).

If additional lines are needed to complete Line F,
click the “Add More Marketable Securities”

button in the schedule. The software adds lines

to the schedule in increments of ten.

NOTE: If your organi zation has a subsidiary organization for which a separate report is being
submitted in accordance with Section X of these instructions, the subsidiary organization must be reported in Schedule 5 if it is an investment.

Enter i n Line F the name of each sub sidiary organization in Column (A) and its book value in Column (B).

If additional lines are required, click the Add More Other Investments button on the top of the

schedule. The software adds lines to the

schedule in increments of ten.

Line G: Click the “ Save & Calculate ” button at the top of the schedule and the software will enter the
total of Lines B and E on Line G and in Item 26 (Investments), Column (B) of Statement A.

SCHEDULE 6

– FIXED ASSETS

Report details of all fixed assets, such as land,

bu ildings, automobiles and other vehicles, and office furniture and equipment owned by the labor organization at the end of the reporting period. Land and buildings must be itemized, whereas automobiles and other vehicles, and office furniture and equipment should be aggregated. Include fixed assets that were expensed (that is, the cost of the asset was charged to current expenses, rather than entered on the books and periodically depreciated), fully depreciated, or carried on the labor organization's books a t scrap value or

other nominal value.

13Column (A): Enter under “ Line A. Land (give location) ” the location of any land and under

“ Line B. Buildings (give location) ” the location of any buildings owned by the labor organization.

If additional lines are n eeded, click the “Add

More Land Assets” button on Line A or the “Add More Building Assets” button on Line B, as applicable. The software will add lines to the

schedule in increments of ten.

Column (B): Enter the cost or other basis of the

fixed assets lis ted in Column (A).

Column (C): Enter the accumulated depreciation, if any, of the fixed assets (except land) listed in Column (A) whose cost or other basis is reported in Column (B). If the labor organization "expenses" fixed assets, also

include in Colu mn (C) the amount that the labor organization charged to expenses when the assets were purchased.

Column (D): Enter the amount at which the fixed assets listed in Column (A) are carried on the labor organization's books. Include the nominal amount, if an y, at which fully depreciated assets are carried on the labor organization's books. The amount reported in Column (D) should be the difference between Columns (B) and (C).

Column (E): Enter the fair market value of land

and of all assets listed in Column (A) that were expensed, fully depreciated, or depreciated to scrap value or nominal value. It is not necessary to secure a formal appraisal of the assets; a good faith estimate is sufficient. The value used for insurance purposes or for tax appraisals, fo r example, will normally be acceptable as representing the fair market value.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the totals of Columns (B) through (E) on Line F, and the total on Line F, Column (D) in Item 27 (Fixed Assets), Column (B) of Statement A.

SCHEDULE 7

– OTHER ASSETS

Report details of all the labor organization's assets at the end of the reporting period other than Item 22 (Cash), Item 23 (Accounts Receivable), Item 24 (Loans Receivable), Item 25 (U.S. Treasury Securities), Item 26 (Investments), and Item 27 (Fixed Assets). The labor organization's other assets must be described in Column (A) and may be classified by general groupings or bookkeeping categories, such as utility deposits, inventory of supplies for resale, or travel advances that are not required to be reported as loans as explained in the instructions for Schedule 2 (Loans Receivable), if the description is sufficient to identify the type of assets. Enter in Column (B) the value as shown on the labor organization's books of each asset or group of assets described in Column (A).

NOTE: If your organization has a subsidiary organization for which a separate report is being

submitted in accordance with Section X of these

instr uctions, the value of the subsidiary organization as shown on your organization’s books must be reported in Schedule 7 if it is of a

non

- investment nature. Enter in Column (A) the name of any such subsidiary organization. Enter in Column (B) the value as s hown on your organization’s books of the net assets of any such subsidiary organization.

If additional lines are needed, click the “Add More Other Assets” button at the top of the

schedule. The software will add lines to the

schedule in increments of ten.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the

T otal Other Assets in Column (B) of Schedule 7 and in Item 28 (Other Assets), Column (B) of

Statement A.

SCHEDULE 8

– ACCOUNTS PAYABLE

AGING SCHEDULE

The la bor organization must report 1) individual accounts that are valued at $5,000 or more and that are 90 days or more past due at the end of the reporting period or were liquidated, reduced or written off during the reporting period; and 2) the total aggregat ed value of all other accounts.

If additional lines are needed, click the “Add

More Accounts Payable Aging” button at the top

of the schedule. The software will add lines to

the schedule in increments of ten.

Column (A): Enter the name of each entity or individual with which the labor organization has an account payable of $5,000 or more that is 90 days or more past due at the end of the

14reporting period or that was liquidated, reduced or written off during the reporting period without

the disbursement o f cash sufficient to cover the total value of the account payable.

Column (B): Enter the total amount of money owed by the labor organization to each listed entity or individual at the end of the reporting period. Enter the total amount of money owed by the labor organization in all other accounts payable not required to be itemized in Schedule

8 on the “Totals from all other accounts payable”

line.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will complete the

“Total of all itemized accounts payable” line in Column (B) and enter the total accounts payable in Column (B) and in Item 30, Column (D) of

Statement A.

Column (C): Enter the total amount of money owed by the labor organization to the listed entity or individua l at the end of the reporting period that is 90 to 180 days past due. Enter the total amount of money owed by the labor organization in all other accounts payable (those of less than $5,000) that are 90 to 180 days past

due on the “Totals from all other ac counts payable” line.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will complete the “Total of all itemized accounts payable” line in Column (C) and enter the total accounts payable that were 90 to 180 days past due in Column (C).

Column (D): Enter the total amount of money owed by the labor organization to each entity or individual at the end of the reporting period that is more than 180 days past due. Enter the total amount of money owed by the labor organization in all other accounts payable (those of less than $5,000 and not required to be
itemized in Schedule 8 ) that are more than 180 days past due and on the “Total from all other accounts payable” line.

Click the “ Save & Calculate ” button at the top of

the sched ule and the software will complete the “Total of all itemized accounts payable” line in Column (D) and enter the total accounts payable

that were more than 180 days past due in Column (D). Column (E): Enter the total amount of money owed by the labor orga nization to each entity or individual that was written off during the reporting period by the reporting labor organization without the disbursement of cash

sufficient to cover the total value of the account payable. Enter the total amount of money owed by the labor organization in all other accounts payable (those of less than $5,000 and not required to be itemized in Schedule 8 ) that was written off during the reporting period by the reporting labor organization without the

disbursement of cash sufficient to cover the total value of the account payable on the “Total from all other accounts payable” line.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will complete the “Total of all itemized accounts payable” line in

Column (E) and enter the total liquidated accounts payable in Column (E).

Provide in Item 69 (Additional Information) all

details and circumstances in connection with the writing off of the account payable, including the

reason and amount.

SCHEDULE 9

– LOANS P AYABLE

Report details of all loans payable on which the labor organization owed money at any time during the reporting period except those secured by mortgages or similar liens on real property (land or buildings) that must be reported in Item 32 (Mortgag es Payable) of Statement A.

If additional lines are needed, click the “Add More Loans Payable” button at the top of the

schedule. The software will add lines to the

schedule in increments of ten.

Column (A): Enter the name of each business enterprise t o which a loan was payable. Also list the source of all other loans by general categories, such as labor organizations, individuals, etc.

Column (B): For each loan source listed in Column (A), enter the amount, if any, owed by the labor organization at t he start of the reporting period.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the total for Column (B) on the “ Total of all above lines ”

15line in Schedule 9 and in Item 31 (Loans Payable), Column (C) of State ment A.

Column (C): For each loan source listed in Column (A), enter the amount, if any, obtained by the labor organization during the reporting period. If, due to discounting by a bank or for any other reason, the amount received from a

loan was less tha n the face value of the note or the amount repayable, enter the amount actually received and explain in Item 69 (Additional Information).

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the total for Column (C) on the “ Total of all above

lines ” line in Schedule 9 and in Item 44 (Loans Obtained) of Statement B.

Columns (D)(1) and (D)(2): For each loan source listed in Column (A), enter the amount, if any, that the labor organization repaid to the lender during the reporting period. Report only repayments of principal; interest paid must be reported in Schedule 18 (General Overhead). Use Column (D)(1) to report repayments made in cash. Use Column (D)(2) to report repayments made in a manner other than by cash, su ch as repayments made to a creditor by offsetting an amount owed by the creditor to the labor organization.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the total for Columns (D)(1) and (D)(2) on the “ Total of all

above lines ” line in Schedule 9 and the total for Column (D)(1) in Item 62 (Repayment of Loans Obtained) of Statement B. Explain in Item 69 (Additional Information) any non

- cash amounts reported in Column (D)(2).

Column (E): For each loan source lis ted in Column (A), enter the balance, if any, that the labor organization owed the listed lender at the end of the reporting period. If any loans payable were written off during the reporting period, the

reason and amount must be reported in Item 69 (Addit ional Information).

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the total for Column (E) on the “Total of all above lines” line in Schedule 9 and in Item 31 (Loans Payable), Column (D) of Statement A.

SCHED ULE 10

– OTHER LIABILITIES Report details of all the labor organization's liabilities at the end of the reporting period other than Item 30 (Accounts Payable), Item 31 (Loans Payable), and Item 32 (Mortgages Payable) of Statement A.

Any portion of withh eld taxes or any other payroll or other deductions, which have not been transmitted at the end of the reporting period, are liabilities of the labor organization and must be reported in Schedule 10. Payroll or other deductions that are retained by the labo r organization (such as repayments of loans to officers or employees) must be fully explained in Item 69 (Additional Information).

The labor organization's other liabilities must be described in Column (A) and may be classified by general groupings or bo okkeeping categories if the description is sufficient to identify the type of liability. List separately any payroll taxes withheld but not yet paid, other unpaid payroll taxes of the labor organization, such as FICA taxes, and any funds collected on behal f of affiliates or members and not disbursed by the end of the reporting period. Do not include reserves for special purposes (for example, "Reserve for Building Fund") that are actually an allocation of certain assets for specific purposes

rather than a l iability.

If additional lines are needed, click the “Add More Other Liabilities” button at the top of the

schedule. The software will add lines to the

schedule in increments of ten.

Enter in Column (B) the amount of each liability described in Column (A ). Click the Save button at the top of the schedule and the software will enter the total in Column (B) of Schedule 10 and in Item 33 (Other Liabilities), Column (D) of

Statement A.

SCHEDULE 11

– ALL OFFICERS AND

DISBURSEMENTS TO OFFICERS

List all the l abor organization's officers and report all salaries and other direct and indirect disbursements to officers during the reporting period. Also report the percentage of time spent by each officer in the categories provided.

If additional lines are requir ed, click the “Add

More Disbursements to Officers” button at the

16top of the schedule. The software will add lines

to the schedule in increments of ten.

NOTE: A "direct disbursement" to an officer is a payment made by the labor organization to the

officer in the form of cash, property, goods, services, or other things of value.

An "indirect disbursement" to an officer is a payment made by the labor organization to another party for cash, property, goods, services, or other things of value received by or

on behalf of the officer. "On behalf of the officer" refers to a payment received by a party other than the officer or the labor organization for the personal interest or benefit of the officer. Such payments include those made through a credit arrangement under which charges are made to the account of the labor organization and are paid by the labor organization. For example, when a union, through its credit arrangements, is billed directly and pays the hotel bills of an officer who, during his workweek, r esides at a hotel in the city where the union headquarters is located away from his legal residence in another city, the payments must be reported as

disbursements to the officer

.

Column (A): Enter in (A) the last name, first name, and middle initial of each person who held office in the labor organization at any time during the reporting period. Include all the labor organization's officers whether or not any salary

or other disbursements were made to them or on their behalf by the labor organization.

"O fficer" is defined in section 3(n) of the LMRDA (29 U.S.C. 402) as "any constitutional officer, any person authorized to perform the functions of president, vice president, secretary, treasurer,

or other executive functions of a labor organization, and any member of its executive board or similar governing body."

Column (B): Enter in (B) the title of the position each officer listed held during the reporting period. If an officer held more than one position during the reporting period, list each additiona l position and the dates on which the officer held the position in Item 69 (Additional Information).

Column (C): Use the drop

- down menu to select

the status of each officer: "N" for a new officer who took office during the reporting period; "P" for a pas t officer who was not in office at the end of the reporting period; or "C" for a continuing officer who was in office before the reporting period and was still in office at the end of the reporting period. If any officer was not elected at a regular electi on in accordance with the labor organization's constitution and bylaws or other governing documents on file with OLMS, explain

the manner in which the officer was chosen in Item 69 (Additional Information).

Column (D): Enter the gross salary of each

offi cer (before tax withholdings and other payroll deductions). Include disbursements for "lost

time" or time devoted to union activities.

Column (E): Enter the total allowances made by

direct and indirect disbursements to each officer on a daily, weekly, mo nthly, or other periodic basis. Do not include allowances paid on the basis of mileage or meals which must be reported in Column (F) or (G), as applicable.

Column (F): Enter all direct and indirect

disbursements to each officer that were necessary for co nducting official business of the labor organization, except salaries or allowances which must be reported in Columns (D) and (E), respectively.

Examples of disbursements to be reported in Column (F) include all expenses that were reimbursed directly to an officer, meal allowances and mileage allowances, expenses for officers' meals and entertainment, and various goods and services furnished to officers but charged to the labor organization. Such disbursements should be included in Column (F) only if they were necessary for conducting official business; otherwise, report them in Column (G). Also include in Column (F) travel

advances that are not considered loans as explained in the instructions for Schedule 2 (Loans Receivable).

Do not report the followi ng disbursements in
Schedule 11:

• Reimbursements to an officer for the purchase

of investments or fixed assets, such as reimbursing an officer for a file cabinet purchased for office use, which must be reported in Schedule 4 (Purchase of

Investments and Fix ed Assets) and explained in Item 69 (Additional Information);

• Indirect disbursements for temporary lodging

(room rent charges only) or transportation by public carrier necessary for conducting official

business while the officer is in travel status

17away fr om his or her home and principal place of employment with the labor organization if payment is made by the labor organization directly to the provider or through a credit arrangement and these disbursements are reported in disbursement Schedules 15 through 19;

• Disbursements made by the labor organization

to someone other than an officer as a result of transactions arranged by an officer in which property, goods, services, or other things of value were received by or on behalf of the labor organization rathe r than the officer, such as rental of offices and meeting rooms, purchase of office supplies, refreshments and other expenses of membership banquets or meetings, and food and refreshments for the entertainment of groups other than the officers

and membersh ip on official business;

• Office supplies, equipment, and facilities

furnished to officers by the labor organization for use in conducting official business; and

• Maintenance and operating costs of the labor

organization's assets, including buildings,

office furniture, and office equipment; however, see "Special Rules for Automobiles"

below.

Column (G): Enter all other direct and indirect

disbursements to each officer. Include all disbursements for which cash, property, goods, services, or other things of v alue were received by or on behalf of each officer and were essentially for the personal benefit of the officer and not necessary for conducting official business of the labor organization.

Include in Column (G) all disbursements for transportation by pu blic carrier between the officer's home and place of employment or for other transportation not involving the conduct of official business. Also, include the operating and maintenance costs of all the labor organization's assets (automobiles, etc.) furnish ed to officers essentially for the officers' personal use rather than for use in conducting official business.

Do not include in Column (G) loans to officers, which must be reported in Schedule 2 (Loans Receivable) or disbursements for benefits to

office rs, which must be reported in disbursement Schedule 20 (Benefits). Column (H): Click the “ Save & Calculate ” button at the top of the schedule and the software will add the amounts in Columns (D) through (G) on

each line and enter the individual totals in Column (H).

The software will also enter the totals for all officers listed in Columns (D) through (H) on the

”Total Officers Disbursements” line.

Enter the total amount of withheld taxes, payroll deductions, and all other deductions on the

”Less Dedu ctions” line.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will subtract the

“Less Deductions” line from the “Total Officers

Disbursements” line and enter the difference on

the “Net Disbursements” line.

Line (I): Ente r the estimated percentage of time spent by the officer on activities that fall within Schedules 15 through 19 in the box next to that schedule. You may round to the nearest 10%. When the time reported by an individual in an activity is less than 5% of his or her total work time, the officer’s best estimate to the nearest percentage should be reported rather than rounding to zero. The total must equal 100%. It is understood that these figures may be imprecise. For instance, the president of an

intermediate body may spend four months working intensely on a multi

- state contract negotiation, two months lobbying against a state referendum, two more months on a contentious organizing drive, and throughout these activities he had to keep up with his other duties a s president. The president’s good

- faith estimate might be to report 50% on Schedule 15

– Representational Activities, 17% on Schedule 16

– Political Activities and Lobbying, 3% on
Schedule 17

– Contributions, Gifts, and Grants,

and 30% on Schedule 19

– Uni on Administration. The example is not intended to be a representation of a typical allocation of time but it should be used to help understand the rationale that should be employed when making

these determinations.

Click the “ Save & Calculate ” button at the top of

the schedule. Using these percentages, the software aggregates the amount of total disbursements (Column (H)) allocated to each schedule for every officer and enters the total on Line 3 of the Detailed Summary Page for

Schedules 15

- 19.

18SPECIAL RULES FOR AUTOMOBILES

Include in Column (G) of Schedule 11 that portion of the operating and maintenance costs of any automobile owned or leased by the labor organization to the extent that the use was for the personal benefit of the officer to whom it w as assigned. This portion may be computed on the

basis of the mileage driven on official business compared with the mileage for personal use. The portion not included in Column (G) must be reported in Column (F).

Alternatively, rather than allocating the se operating and maintenance costs between Columns (F) and (G), if 50% or more of the

officer's use of the vehicle was for official business, the labor organization may enter in Column (F) all disbursements relative to that vehicle with an explanation in I tem 69 (Additional Information) indicating that the vehicle was also used part of the time for personal business. Likewise, if less than 50% of

the officer's use of the vehicle was for official business, the labor organization may report all

disbursements relative to the vehicle in Column (G) with an explanation in Item 69 indicating that the vehicle was also used part of the time on

official business.

The amount of decrease in the market value of an automobile used over 50% for the personal

benefit of an officer must also be reported in

Item 69.

SCHEDULE 12

– DISBURSEMENTS TO

EMPLOYEES

Report all direct and indirect disbursements to employees of the labor organization during the reporting period. Also report the percentage of time spent by each employee in the categories provided. If additional lines are required, click

the Add More Disbursements to Employees button on the top of the schedule. The software

adds lines to the schedule in increments of ten.

Include disbursements to individuals other than officers who receive lost time payments even if the labor organization does not otherwise consider them to be employees or does not make any other direct or indirect disbursements

to them. The definitions of "direct

disbursements" and "indirect disbursemen ts" are the same as the definitions stated above in

Schedule 11.

If additional lines are required, click the “Add

More Disbursements to Employees” button at the top of the schedule. The software will add

lines to the schedule in increments of ten.

Colu mn (A): Enter the last name, first name, and middle initial of each employee who during the reporting period received more than $10,000 in gross salaries, allowances, and other direct

and indirect disbursements from the labor organization (including any su bsidiary organizations) or from any affiliates of the labor organization. (“Affiliates” means labor organizations chartered by the same parent body, governed by the same constitution and bylaws, or having the relati on of parent and subordinate.) The labor organization’s report, however, should not include disbursements made by affiliates but should include only the disbursements made by the labor organization.

Column (B): Enter the position each listed employee held in the labor organization (including an y subsidiary organizations).

Column (C): Enter the name of any affiliate that paid any salaries, allowances, or expenses o n behalf of a listed employee. If a subsidiary of the labor organization paid any salaries, allowances, or expenses on behalf of a li sted employee, see
Section X of these Instructions for information about reporting these disbursements.

Columns (D) through (G) and Line (I): To complete Columns (D) through (G) and Line (I), follow the instructions for Columns (D) through (G) and for Lin e (I) of Schedule 11.

Column (H): Click the “ Save & Calculate ” button at the top of the schedule and the software will add the amounts in Columns (D) through (G) on

each line and enter the individual totals in Column (H).

Enter in Columns (D) through ( G) on the “Total Received By All Other Employees Making $10,000 Or Less,“ the totals of all gross salaries, allowances, and other disbursements for all employees of the labor organization not required

to be listed above.

Click the “ Save & Calculate ” butt on and at the top of the schedule and the software will add the

19amounts in Columns (D) through (G) on the “Total Received By All Other Employees Making $10,000 or Less” line and enter the total in Column (H). The software will also enter the

total of all a mounts listed in Columns (D) through (H) on the “Total Employees

Disbursements” line.

Enter the total amount of withheld taxes, payroll deductions, and all other deductions on the

”Less Deductions” line.

Click the “ Save & Calculate ” button on the page

t he software will subtract the “Less Deductions” line from the “Total Employees Disbursements”

line and enter the difference on the “Net

Disbursements” line.

SCHEDULE 13

– MEMBERSHIP STATUS

INFORMATION

Enter in Column (A) the categories of membership tra cked by the reporting labor organization. Define each category of membership in Item 69 (Additional Information). The definition should include a description of the members covered by the category and indicate whether the members pay full dues.

In Column (B) enter the number of members for each of the membership categories listed in Column (A).

If additional lines are required, click the “Add

More Membership Statuses” button at the top of

the schedule. The software will add lines to the

schedule in incr ements of ten.

Members (Total of all lines above)

– Click the

“ Save & Calculate ” button at the top of the

schedule and the software will enter on this line

the total number of all members reported in Column (B)

. The software will also enter the total

numb er of members in your organization in Item 20 (Number of Members).

Agency Fee Payers Line

– Enter the total number of agency fee payers in your organization. Agency fee paying nonmembers are those who make payments in lieu of dues to the reporting labor o rganization as a condition of employment under a union security provision in a collective bargaining agreement.

Total Members/Fee Payers Line

– Click the

“ Save & Calculate ” button at the top of the schedule and the software will enter the total of

all me mbers of the labor organization and agency fee payers reported in Column (B)

. This total in Column (B) is not the total number of members of the labor organization reportable in

Item 20.

Check the "Yes" box in Column (C) if the category of membership lis ted in Column (A) is generally eligible to vote in all union elections held by the labor organization. Describe in Item 69 (Additional Information) any voting restrictions that apply to a category in Column (A).



### SCHEDULES 14 THROUGH 19

Schedules 14 thr ough 19 provide detailed information on the financial operations of the labor organization in categories that reflect the services provided to union members. Receipts
and disbursements are allocated to Schedules 14 through 19 and are either listed as indiv idual entries or as aggregated entries. Note that before completing the Detailed Summary Page for Schedules 14 through 19, you must complete the itemization pages as described

below.

Allocating Receipts Each receipt of the labor organization must be

all ocated to one of the receipt items in Statement B. Some of these items have backup schedules that require more detailed information. If a receipt does not conform to one

of the defined items in Statement B it must be included in Schedule 14 (Other Receipts ) in which any "major" receipts during the reporting period must be separately identified. A "major" receipt includes: 1) any individual receipt of $5,000 or more; or 2) total receipts from any single entity or individual that aggregate to $5,000 or more d uring the reporting period. All other receipts in this schedule are aggregated. This process is discussed further below.

Allocating Disbursements Each disbursement of the labor organization

must be allocated to one of the disbursement

items in Statement B. Some of these items have backup schedules that require more detailed information. Schedules 15 through 19 reflect various services provided to union members by the union in which all "major" disbursements during the reporting period in the various

cate gories must be separately identified. A

20"major" disbursement includes: 1) any individual disbursement of $5,000 or more; or 2) total disbursements to any single entity or individual that aggregate to $5,000 or more during the reporting period. All other di sbursements in these schedules are aggregated.

All disbursements, other than those reported elsewhere in Statement B, must be allocated to
Schedules 15 through 19, as appropriate.

Example 1: If the labor organization received a settlement of $4,999 in a small claims lawsuit, the receipt would not be individually identified, as long as the settlement was the only receipt from the entity or individual during the reporting period. The receipt would be aggregated with other small receipts in Line 3 of Schedu le 14 (Other Receipts) on the Detailed Summary Page

as discussed below.

Example 2: If the labor organization made three payments of $1,800 each to an office supplies vendor for office supplies used by employees engaged in contract negotiations during the reporting period, a single disbursement to the vendor of $5,400 would be listed in Line 1 on an

i temization p age for that vendor for Schedule 15 (Representational Activities) as discussed

below.

Example 3: If a union pays a total of $5,500 to a printing company during the reporting year and determines that $5,050 should be allocated to organizing costs, that amount must be identified

in an i temization p age for the printing company for Schedule 15 (Representational Activities). If the remaining $450 paid to the same printer over the course of the year was attributable to charitable expenses, that amount will be reported in Line 5 of Schedule 17 (Contributions, Gifts, and Grants) on the Detailed Summary Page but the printer need not be identified as a recip ient of any funds expended for Contributions, Gifts, and Grants, since the total paid to the printer during the reporting year for services related to Contributions, Gifts, and Grants did not exceed $5,000.

Example 4: The labor organization has an ongoin g contract with a law firm that provides a wide range of legal services. The labor organization makes a single payment of $10,000 each month to the law firm. In a particular month the law firm spent 50% of its time on contract negotiation litigation and 50 % advising the labor organization regarding, and working for the enactment of, a new Federal law. The labor organization must allocate the payment for that month as two distinct disbursements of $5,000 each to Schedule 15 (Representational Activities), and Schedule 16 (Political Activities and Lobbying).

Procedures for Completing Schedules 14 Through 19

Before completing the Detailed Summary Page for Schedules 14 through 19, complete an itemization page for each payer/payee for whom there is (1) an indi vidual receipt/disbursement of $5,000 or more or (2) total receipts/disbursements that aggregate to $5,000 or more during the reporting period. Do not complete an itemization page for disbursements to officers or employees because these

disbursements are r eported in Lines 3 and 4 of the Detailed Summary Page.

Enter in Column (A) the full name and business address of the entity or individual from which the receipt was received or to which the

disbursement was made. Do not abbreviate the name of the entity or individual. If you do not know and cannot reasonably attain the full address, the city and state are sufficient.

Enter in Column (B) the type of business or job classification of the entity or individual, such as printing company, office supplies vend or, lobbyist, think tank, marketing firm, legal counsel, etc.

If additional lines are needed to complete Columns (C) through (E) of the itemization page

, click the “More Receipts For This Payer” for

Schedule 14 or the “More Disbursements for This Payee” for Schedules 15 through 19 button in Column (A) of the itemization page. The

software will add lines to the itemization page in

increments of ten.

Enter in Column (C) the purpose of each individual receipt/disbursement for that payee/payer of $5,000 or m ore, which means a brief statement or description of the reason the receipt/disbursement was made. Examples of adequate descriptions include the following: preparing organizing campaign pamphlets, staffing a help desk, opposition research, litigation regar ding representation issues, litigation regarding a refusal to bargain charge,

21grievance arbitration, get

- out

- the

- vote, voter education, advocating or opposing legislation, job retraining, etc.

Enter in Column (D) the date that the receipt/disbursement wa s made. The format for the date must be mm/dd/yyyy. The date of receipt/disbursement for reporting purposes is the date the labor organization actually received or disbursed the money.

Enter in Column (E) the amount of the receipt/disbursement.

Click t he “ Save & Calculate ” button at the top of the itemization page and the software will enter

total of all itemized transactions for this payee/payer on the “Total of All Itemized Transaction with this Payee/Payer” line

.

Enter the total of all non

- itemized transactions for the payee/payer (that is, all individual transactions of less than $5,000 each) on the

“Total of All Non

- Itemized Transactions with this Payee/Payer” line.

Click the “ Save & Calculate ” button at the top of the itemization page again and the software will

enter the total of all transactions for this payee/payer, both i temized and non

- itemized

, on the “Total of All Transactions with this Payee/Payer for t his Schedule” line.

Special Instructions for Reporting Credit Card

Disbursements

Dis bursements to credit card companies may not be reported as a single disbursement to the credit card company as the vendor. Instead, charges appearing on credit card bills paid during the reporting period must be allocated to the recipient of the payment by the credit card company according to the same process as

described above.

The Department recognizes that filers will not always have the same access to information regarding credit card payments as with other transactions. Filers should report all of th e information required in the itemization schedules

that is available to the union.

For instance, in the case of a credit card transaction for which the receipt(s) and monthly statement(s) do not provide the full legal name of a payee and the union does not have access to any other documents that would contain the information, the union should report the name as it appears on the receipt(s) and statement(s). Similarly, if the receipt(s) and statement(s) do not include a full street address, the union

shou ld report as much information as is available and no less than the city and state.

Once these transactions have been incorporated into the union’s recordkeeping system they can be treated like any other transaction for purposes of assigning a description and

purpose.

In instances when a credit card transaction is canceled and the charge is refunded in whole or part by entry of a credit on the credit card statement, the charge should be treated as a disbursement, and the credit should be treated

as a rec eipt. In reporting a credit of $5,000 or more as a receipt, Column (C) must indicate that the receipt was in refund of a disbursement, and must identify the disbursement by date and

amount.

Special Procedures for Reporting Confidential

Information

File rs may use the procedure described below to report the following types of information:

• Information that would identify individuals paid

by the union to work in a non

- union bargaining unit in order to assist the union in organizing employees, provided tha t such individuals are not employees of the union who receive more than $10,000 in the aggregate in the reporting year from the union. Employees receiving more than $10,000 must be reported on

Schedule 12

– Disbursements to Employees;

• Information that woul d expose the reporting

union’s prospective organizing strategy. The union must be prepared to demonstrate that

disclosure of the information would harm an organizing drive. Absent unusual circumstances, information about past organizing drives should not b e treated as confidential;

• Information that would provide a tactical

advantage to parties with whom the reporting union or an affiliated union is engaged or will be engaged in contract negotiations. The union must be prepared to demonstrate that

disclosure of the information would harm a contract negotiation. Absent unusual

22circumstances information about past contract negotiations should not be treated as confidential;

• Information pursuant to a settlement that is

subject to a confidentiality agreement, or that the union is otherwise prohibited by law from disclosing; and,

• Information in those situations where

disclosure would endanger the health or safety

of an individual.

With respect to these specific types of information, if the reporting union can

dem onstrate that itemized disclosure of a specific major receipt or disbursement, or aggregated receipt or disbursement would be adverse to the union’s legitimate interests, the union may include the receipt or disbursement in Line 3 of Summary Schedule 14 (O ther Receipts) or in Line 5 of Summary Schedules 15 (Representational Activities) or 19 (Union Administration). In Item 69 (Additional Information) the union must identify each schedule from which any itemized receipts or

disbursements were excluded becaus e of an asserted legitimate interest in confidentiality

based on one of the first three reasons listed

above. No notation need be made for exclusion of information disclosure of which is prohibited by law or that would endanger the health or safety of an i ndividual. The notation must describe the general types of information that were omitted from the schedule, but the name of the payer/payee, date, and amount of the transaction(s) is not required. This procedure may not be used for Schedules 16 through 18.

A union member, however, has the statutory right “to examine any books, records, and accounts necessary to verify” the union’s financial report if the member can establish “just

cause” for access to the information. 29 U.S.C. 431(c); 29 U.S.C. CFR 403.8 (2002). Any exclusion of itemized receipts or disbursements from Schedules 14, 15, or 19 for one of the first

three reasons listed above would constitute a

per se demonstration of “just cause” for purposes of this Act. Consequently, any union member (and the Department), upon request, has the right to review the undisclosed information that otherwise would have appeared in the applicable schedule if the union withholds the information in order to protect confidentiality

interests. Exclusion of information disclosure of which is prohibited by law or that would endanger the health or safety of an individual creates no per se demonstration of “just cause.”

Procedures for Completing the Detailed Summary Page

The Detailed Summary Page is used to

summarize Sc hedules 14 through 19.

For Summary Schedule 14 (Other Receipts) the

software enters on Line 1 the total of all itemized receipts during the reporting period from named payers. This is the sum of the amounts entered

on the “Total of All Itemized Transacti ons with this Payee/Payer” line on all itemization pages
for Schedule 14.

The software enters on Line 2 the total of all

non

- itemized receipts from named payers. This

is the sum of the amounts entered on the “Total

of All Non

- Itemized Transactions with t his Payee/Payer” line in all itemization pages for

Schedule 14.

E nter on Line 3 the total of all other receipts during the reporting period relating to the schedule. This is the total from your organization’s books of all receipts during the reporting pe riod relating to this schedule for payers who did not have a single receipt of $5,000 or more or receipts that aggregated $5,000 or more.

The software enters on Line 4 the total of Lines 1 through 3 and forwards this total to Item 48 of

Statement B.

Fo r Summary Schedules 15

– 19, the software

enters on Line 1 of each summary schedule the total of all itemized disbursements during the reporting period to named vendors. This is the

sum of the amounts entered on the ”Total of All

Itemized Transactions with this Payee/Payer”

line in all itemization pages for the s chedul e.

The software enters on Line 2 of each summary

schedule the total of all non

- itemized

disbursements to named vendors. This is the

sum of the amounts entered on the “Total of All

Non

- Itemized Transactions with this Payee/Payer” line in all i temization p ages for the

schedule

.

The software enters on Line 3 the total of all

disbursements to officers allocated to the

schedule. This is the sum of the amounts that

23correspond to the percentages ent ered on Line (I) of Schedule 11.

The software enters in Line 4 the total of all disbursements to employees allocated to the

schedule. This is the sum of the amounts that correspond to the percentages entered on Line (I) of Schedule 12.

Enter on Line 5 the total of all other disbursements during the reporting period relating to the schedule. This is the total from your organization’s books of all disbursements during the reporting period relating to this schedule for payees who did not have a single

disb ursement of $5,000 or more or disbursements that aggregated $5,000 or more.

The software enters on Line 6 the total of Lines 1 through 5 and forwards this total to the appropriate line item of Statement B.

For example, if in Schedule 15 (Representation al Activities) a labor organization has $200,000 in itemized disbursements of $5,000 or more to vendors, $35,000 in non

itemized disbursements of less than $5,000 each to those vendors, $100,000 in salary disbursements to officers, $50,000 in salary

disbur sements to employees, and $7,000 in

disbursements to vendors who did not receive a major disbursement for representational activities, then the software will enter $200,000 in Line 1, $35,000 in Line 2, $100,000 in Line 3, $50,000 in Line 4, and the filer will enter $7,000

in Line 5 of Schedule 15 on the Detailed Summary Page. The total of Lines 1 through 5 is $392,000, which the software will enter in Line 6 of the summary schedule and Item 50 (Representational Activities) of Statement B.

SCHEDULE 14

– OT HER RECEIPTS

Report the labor organization's receipts from all sources during the reporting period, other than those that must be reported elsewhere in Statement B, such as reimbursements from officers and employees for excess expense payments or travel a dvances not reported as loans in Schedule 2 (Loans Receivable); receipts from fundraising activities such as raffles, bingo games, and dances; funds received from a parent body, other unions, or the public for strike fund assistance; and receipts from anot her labor organization that merged into the labor organization. For all itemized receipts in this category:

Enter in Column (A) of an i temization p age the full name and business address of the entity or individual from which the union received $5,000

o r more in Other Receipts during the reporting period. Do not abbreviate the name of the entity or individual. If you do not know and cannot reasonably obtain the full address of the entity or individual, the city and state are sufficient.

Enter in Column (B) the type of business or job classification of the entity or individual from which the union received $5,000 or more in Other Receipts during the reporting period.

If additional lines are needed to complete Columns (C) through (E) for this Payer, cli ck the

“ Add More Receipts for This Payer” button in Column (A) of the itemization page. The

software will add lines to the itemization page in

increments of ten.

Enter in Column (C) the purpose of each individual receipt of $5,000 or more from the

payer in sufficient detail to determine why the receipt cannot be allocated to another schedule.

Enter in Column (D) the date that each individual receipt of $5,000 or more was received. The format for the date must be mm/dd/yyyy. The date of receipt for repor ting purposes is the date the labor organization actually received the

money.

Enter in Column (E) the amount of each individual receipt of $5,000 or more.

Enter the total of all non

- itemized receipts from this payer (that is, all individual receipts of less than $5,000 each) on the “Total Non

- Itemized Transactions with this Payee/Payer” line.

When you have completed entering all of the information for this payer, click the “ Save &

Calculate ” button at the top of the itemization page and the software w ill enter the total in Column (E) on the “Total Itemized Transactions with this Payee/Payer” and the “Total of All Transactions with this Payee/Payer for This

Schedule” lines.

An i temization p age must be completed for each payer. Only one payer should be reported per

page.

24To create a new Other Receipts itemization page for a new payer, click the “Add More Other Receipts” button at the top of the itemization page and a new itemization page will open

. Follow the instructions above to complete any

addition al Other Receipts itemization pages.

By clicking the “Show Payer” drop down arrow at the top of a Schedule 14 itemization page, you can select and view all of the Other Receipts

i temization pages you have completed.

As you complete each itemization page, click the

“ Save & Calculate ” button at the top of the page

and the total itemized transactions will be added to line 1 of Summary Schedule 14 on the Detailed Summary Page

, and the total non

itemized transactions will be added to Line 2 of the Summary Sche dule.

E nter on Line 3 of Summary Schedule 14 the total amount of all other receipts relating to this schedule from other payers during the reporting period. This is the total from your organization’s books of all receipts relating to this schedule

from payers who did not provide a single receipt of $5,000 or more or receipts that aggregated $5,000 or more.

The software adds Lines 1 through 3 and enters the total on Line 4 of Summary Schedule 14 and in Item 48 (Other Receipts) of Statement B.

SCHEDULE 15

– REPRESENTATIONAL

ACTIVITIES

Report the labor organization's direct and

indirect disbursements to all entities and individuals during the reporting period associated with preparation for, and participation in, the negotiation of collective bargaining agreements and the administration and enforcement of the agreements made by the labor organization. Do not include strike benefits that must be reported in Item 57 (Strike Benefits) of Statement B. The union must also report

disbursements associated with efforts to become the exclusive bargaining representative for any unit of employees, or to keep from losing

a unit in a decertification election or to another labor organization, or to recruit new members.

For all major disbursements in this category:

Enter in Column (A) of an i temization p age the full name and business address of the entity or individual to which the disbursement was made. Do not abbreviate the name of the entity or individual. If you do not know and cannot reasonably obtain the full a ddress of the entity or individual, the city and state are sufficient.

Enter in Column (B) the type of business or job classification of the entity or individual to which the union disbursed $5,000 or more in Representational Activities during the report ing period, such as printing company, office supplies vendor, legal counsel, etc. If additional lines are required to complete Columns (C) through (E) for this Payee , click the

“ Add More Disbursements for This Payee” button in Column (A) of the itemizatio n page. The software add s lines to the itemization page

in increments of ten.

Enter in Column (C) the purpose of each individual disbursement of $5,000 or more, which means a brief statement or description of

the reason the disbursement was made. Examples of adequate descriptions include the following: contract negotiation, grievance arbitration, litigation regarding the interpretation of a collective bargaining agreement, preparing organizing campaign pamphlets, staffing a help desk, opposition research, litigation regarding representation issues, litigation regarding a refusal to bargain, etc. Neither the name of the employer nor the specific bargaining unit that is the subject of the organizing activity need be

identified.

Enter in Column (D) the date that each individual disbursement of $5,000 or more was made. The format for the date must be mm/dd/yyyy. The date of disbursement for reporting purposes is the date the labor organization actually disbursed the money.

Enter in Column (E) the amount of e ach individual disbursement of $5,000 or more.

Enter the total of all non

- itemized disbursements to this payee (that is, all individual disbursements of less than $5,000 each) on the

“Total Non

- Itemized Transactions with this Payee/Payer” line.

When you have completed entering all of the information for this payee, click the “ Save &

Calculate ” button at the top of the itemization page and the software will enter the totals in Column (E) on the “Total Itemized Transactions

25with this Payee/Payer” line and o n the “Total of All Transactions with this Payee/Payer for This

Schedule” line.

An itemization page must be completed for each payee who met the itemization threshold during the reporting period. Only one payee should be reported per page.

To create a n ew Representational Activities itemization page for a new payee, click the “Add More Representational Activities” button at the top of the itemization page and a new itemization page will open. Follow the instructions above to complete any additional Repre sentational Activities itemization pages.

By clicking the “Show Payee” drop down arrow at the top of the Schedule 15 page, you can select and view all of the Representational Activities Itemization pages you have completed.

As you complete each itemizati on page, click the

“ Save & Calculate ” button at the top of the page

and the total itemized transactions will be added to line 1 of Summary Schedule 1 5 on the Detailed Summary Page and the total non

itemized transactions will be added to Line 2 of

the Summa ry Schedule.

The software enters in Line 3 of Summary

Schedule 15 the total of all disbursements to

officers allocated to the schedule. This is the sum of the amounts that correspond to the percentages entered in Line (I) of Schedule 11.

The software en ters in Line 4 of Summary

Schedule 15 the total of all disbursements to employees allocated to the schedule. This is the sum of the amounts that correspond to the percentages entered in Line (I) of Schedule 12.

Enter the total amount of all other disburs ements relating to this schedule made to other payees during the reporting period on Line 5 of Summary Schedule 15. This is the total from your organization’s books of all disbursements relating to this schedule made to payees who did not have a single dis bursement of $5,000 or more or disbursements that aggregated $5,000

or more.

The software adds Lines 1 through 5 and enters the total on Line 6 of Summary Schedule 15 and in Item 50 (Representational Activities) of
Statement B

. SCHEDULE 16

– POLITICAL A CTIVITIES AND

LOBBYING

Report the labor organization's direct and

indirect disbursements to all entities and individuals during the reporting period associated with political disbursements or contributions in money. Also report the labor organization's d irect and indirect disbursements to all entities and individuals during the reporting period associated with dealing with the executive and legislative branches of the Federal, state, and local governments and with independent agencies and staffs to advanc e the passage or defeat of existing or potential laws or the promulgation or any other action with respect to rules or regulations (including litigation expenses). It does not matter whether the lobbying attempt succeeds.

A political disbursement or cont ribution is one that is intended to influence the selection, nomination, election, or appointment of anyone to a Federal, state, or local executive, legislative or judicial public office, or office in a political organization, or the election of Presidenti al or Vice Presidential electors, and support for or opposition to ballot referenda. It does not matter whether the attempt succeeds. Include

disbursements for communications with members (or agency fee paying nonmembers) and their families for registratio n, get

- out

- the

vote and voter education campaigns, the expenses of establishing, administering and soliciting contributions to union segregated political funds (or PACs), disbursements to political organizations as defined by the IRS in 26 U.S.C. 527, and other political

disbursements.

For all major disbursements in this category:

Enter in Column (A) of a n i temization p age the full name and business address of the entity or

individual to which the disbursement was made.

Do not abbreviate the name of the entity or individual. If you do not know and cannot reasonably obtain the full address of the entity or individual, the union may report only the city and

state.

Enter in Column (B) the type of business or job classification of the entity or individual to which the union disbursed $5,000 or more for Political Activities and Lobbying during the reporting

26period, such as campaign advisor, lobbyist, marketing firm, fund raiser, think tank, issue advocacy group, printing company, office supplies vendor, lega l counsel, etc.

If additional lines are needed to complete Columns (C) through (E) for this Payee , click the

“ Add More Disbursements for This Payee” button in Column (A) of the itemization page.

The software will add lines to the itemization page in incr ements of ten.

Enter in Column (C) the purpose of each individual disbursement of $5,000 or more, which means a brief statement or description of

the reason the disbursement was made. Examples of adequate descriptions include the following: a registration drive, get

- out

- the

- vote campaign, voter education campaign, fund raising, advocating or opposing legislation (including litigation challenging such legislation) advocating or opposing regulations (including litigation challenging such regulations), etc. T he specific campaign, legislation, regulation, referendum, etc. should be identified whenever possible. Distinguish between activities in the United States and activities in foreign countries.

Enter in Column (D) the date that each individual

disbursemen t of $5,000 or more was made. The format for the date must be mm/dd/yyyy. The date of disbursement for reporting purposes is the date the labor organization actually disbursed the money.

Enter in Column (E) the amount of each individual disbursement of $ 5,000 or more.

Enter the total of all non

- itemized disbursements

to this payee (that is, all individual disbursements of less than $5,000 each) on the

“Total Non

- Itemized Transactions with this Payee/Payer” line.

When you have completed entering all of the information for this payee, click the “ Save &

Calculate ” button at the top of the itemization page and the software will add the amounts in Column (E)

, and enter the sum on the “Total Itemized Transactions with this Payee/Payer” line and complete the “ Total of All Transactions with this Payee/Payer for This Schedule” line.

An initial itemization page must be completed for each payee who met the itemization threshold during the reporting period. Only one payee should be reported per page.

To create a n ew “Political Activities And Lobbying” itemization page for a new payee,

click the “Add More Political Activities And Lobbying Activities” button at the top of the page and a new itemization page opens. Follow the instructions above to complete any additio nal Political Activities And Lobbying itemization

pages.

By clicking the “ Show Payee ” drop down arrow at the top of the Schedule 16 page, you can

select and view all of the “Political Activities And Lobbying“ itemization pages you have completed.

As you complete each itemization page, click the

“ Save & Calculate ” button at the top of the page

and the total itemized transactions will be added to line 1 of Summary Schedule 16 on the Detailed Summary Page and the total non

itemized transactions will be added to Line 2 of the Summary Schedule.

The software enters in Line 3 of Summary

Schedule 16 the total of all disbursements to

officers allocated to the schedule. This is the sum of the amounts that correspond to the percentages entered in Line (I) of Schedul e 11.

The software enters in Line 4 of Summary

Schedule 16 the total of all disbursements to employees allocated to the schedule. This is the sum of the amounts that correspond to the percentages entered in Line (I) of Schedule 12.

Enter the total amou nt of all other transactions relating to this schedule made to other payees during the reporting period on Line 5 of Summary Schedule 16. This is the total from your organization’s books of all transactions relating to this schedule made to payees who

did not have a single disbursement of $5,000 or more or transactions that aggregated $5,000 or

more.

The software adds Lines 1 through 5 and enters the total on Line 6 of Summary Schedule 16 and in Item 51 (Political Activities and Lobbying) of

Statement B.

SCHEDULE 17

– CONTRIBUTIONS, GIFTS,

AND GRANTS

27Report the labor organization's direct and

indirect disbursements to all entities and individuals during the reporting period associated with contributions, gifts, and grants,

other than those listed on Sc hedules 15, 16, and 20. Include, for example, charitable contributions, contributions to scholarship funds,

etc.

For all major disbursements in this category:

Enter in Column (A) of an i temization p age the full name and business address of the entity o r individual to which the disbursement was made. Do not abbreviate the name of the entity or individual. If you do not know and cannot reasonably obtain the full address of the entity or individual, the union may report only the city and

state.

Enter in Column (B) the type of business or job classification of the entity or individual to which the union disbursed $5,000 or more in Contributions, Gifts, and Grants during the reporting period, such as charity, scholarship fund, state or local affiliate, etc.

If additional lines are needed to complete Columns (C) through (E) for this Payee , click the

“ Add More Disbursements for This Payee” button in Column (A) of the itemization page.

The software will add lines to the itemization page in increments of ten.

Enter in Column (C) the purpose of each individual disbursement of $5,000 or more, which means a brief statement or description of

the reason the disbursement was made. Examples of adequate descriptions include the following: medical research, community

d evelopment, job retraining, education, disaster and relief assistance, athletic and youth sponsorships, etc.

Enter in Column (D) the date that each individual disbursement of $5,000 or more was made. The format for the date must be mm/dd/yyyy. The

date o f disbursement for reporting purposes is the date the labor organization actually disbursed the money.

Enter in Column (E) the amount of each individual disbursement of $5,000 or more.

Enter the total of all non

- itemized disbursements

t o this payee (th at is, all individual disbursements of less than $5,000 each) on the

“Total Non

- Itemized Transactions with this Payee/Payer” line.

When you have completed entering all of the information for this payee, click the “ Save &

Calculate ” button at the top of th e itemization page and the software will add the amounts in Column (E) and enter the sum on the “Total Itemized Transactions with this Payee/Payer”

line

, and it will complete the “Total of All Transactions with this Payee/Payer for This

Schedule” line.

An initial itemization page must be completed for each payee who met the itemization threshold during the reporting period. Only one payee should be reported per page.

To create a new “Contributions, Gifts and Grants” itemization page for a new payee, clic k the “Add Contributions, Gifts and Grants” button on the top of the page and a new page opens. Follow the instructions above to complete any additional “Contributions, Gifts and Grants” itemization pages.

By clicking the “Show Payee” drop down arrow

at t he top of the Schedule 1 7 page, you can select and view all of the “Contributions, Gifts

and Grants“ itemization pages you have completed.

As you complete each itemization page, click the

“ Save & Calculate ” button at the top of the page

and the total item ized transactions will be added to line 1 of Summary Schedule 17 on the Detailed Summary Page and the total non

itemized transactions will be added to Line 2 of the Summary Schedule.

The software enters in Line 3 of Summary

Schedule 17 the total of all di sbursements to

officers allocated to the schedule. This is the sum of the amounts that correspond to the percentages entered in Line (I) of Schedule 11.

The software enters in Line 4 of Summary

Schedule 17 the total of all disbursements to employees allo cated to the schedule. This is the sum of the amounts that correspond to the percentages entered in Line (I) of Schedule 12.

Enter the total amount of all other transactions relating to this schedule made to other payees during the reporting period on Li ne 5 of

28Summary Schedule 17. This is the total from your organization’s books of all disbursements relating to this schedule made to payees who did not have a single disbursement of $5,000 or more or disbursements that aggregated $5,000

or more.

The soft ware totals Lines 1 through 5 and enters that amount on Line 6 of Summary Schedule 17 and in Item 52 (Contributions, Gifts and Grants)

of Statement B.

SCHEDULE 18

– GENERAL OVERHEAD

Report the labor organization's direct and

indirect disbursements to a ll entities and individuals during the reporting period associated with general overhead that cannot be allocated to any of the other disbursement categories in Statement B.

Some disbursements for overhead do not support a specific function, so these

dis bursements should be reported in this schedule. Include support personnel at the labor organization's headquarters, such as building maintenance personnel and security guards, and other overhead costs. Not all support staff

should be included in General Ov erhead. For instance, the salary of an assistant, whenever possible, should be allocated at the same ratio as the person or persons to whom they provide support.

For all major disbursements in this category:

Enter in Column (A) of an Initial Itemizatio n Page the full name and business address of the entity or individual to which the disbursement

was made. Do not abbreviate the name of the entity or individual. If you do not know and cannot reasonably obtain the full address of the entity or individual, the union may report only the city and state.

Enter in Column (B) the type of business or job classification of the entity or individual to which the union disbursed $5,000 or more in General Overhead during the reporting period, such as office supplies vendor, landlord, mortgage lender, cleaning firm, security firm, etc.

If additional lines are needed to complete Columns (C) through (E) for this Payee , click the “More Disbursements for This Payee” button in Column (A) of the itemization page. The softw are will add lines to the itemization page in

increments of ten.

Enter in Column (C) the purpose of the disbursement of $5,000 or more, in sufficient detail to determine why the disbursement cannot

be allocated to another schedule.

Enter in Column (D) t he date that each individual disbursement of $5,000 or more was made. The format for the date must be mm/dd/yyyy. The date of disbursement for reporting purposes is the date the labor organization actually disbursed the money.

Enter in Column (E) the amo unt of each individual disbursement of $5,000 or more.

Enter the total of all non

- itemized disbursements

to this payee (that is, all individual disbursements of less than $5,000 each) on the

“Total Non

- Itemized Transactions with this Payee/Payer” line.

When you have completed entering all of the information for this payee, click the “ Save &

Calculate ” button at the top of the itemization page and the software will add the amounts in Column (E) and enter the sum on the “Total

Itemized Transactions with th is Payee/Payer”

line

, and it will complete the “Total of All Transactions with this Payee/Payer for This

Schedule” line.

An itemization page must be completed for each payee who met the itemization threshold during the reporting period. Only one payee sho uld be reported per page.
To create a new “General Overhead” itemization page for a new payee, click the “Add More Overhead” button at the top of the page and a new itemization page opens. Follow the instructions above to complete any additional
“General Overhead” itemization pages.

By clicking the “Show Payee” drop down arrow at the top of the Schedule 18 page, you can

select and view all of the General Overhead itemization pages you have completed.

As you complete each itemization page, click the

“ Save & Calculate ” button at the top of the page

and the total itemized transactions will be added to line 1 of Summary Schedule 18 on the Detailed Summary Page and the total non

29itemized transactions will be added to Line 2 of the Summary Schedule.

The softwa re enters in Line 3 of Summary

Schedule 18 the total of all disbursements to

officers allocated to the schedule. This is the sum of the amounts that correspond to the percentages entered in Line (I) of Schedule 11.

The software enters in Line 4 of Summar y Schedule 18 the total of all disbursements to employees allocated to the schedule. This is the sum of the amounts that correspond to the percentages entered in Line (I) of Schedule 12.

Enter the total amount of all other transactions relating to this s chedule made to other payees during the reporting period on Line 5 of Summary Schedule 18. This is the total from your organization’s books of all disbursements relating to this schedule made to payees who did not have a single disbursement of $5,000 or

mo re or disbursements that aggregated $5,000

or more.

The software totals Lines 1 through 5 and enters that amount on Line 6 of Summary Schedule 18 and in Item 53 (General Overhead) of Statement

B.

SCHEDULE 19

– UNION ADMINISTRATION

Report the labor org anization's direct and

indirect disbursements to all entities and individuals during the reporting period

associated with union administration. Union administration includes disbursements relating to the nomination and election of union officers,

the union ’s regular membership meetings, intermediate, national and international meetings, union disciplinary proceedings, the administration of trusteeships, and the administration of apprenticeship and member education programs (not including political

education which should be reported in Schedule 16).

For all major disbursements in this category:

Enter in Column (A) of an i temization Page the full name and business address of the entity or

individual to which the disbursement was made.

Do not abbreviate the name of the entity or individual. If you do not know and cannot reasonably obtain the full address of the entity or individual, the union may report only the city and

state.

Enter in Column (B) the type of business or job classification of the entity or individual to which the union disbursed $5,000 or more for Union Administration during the reporting period, such as printing company, office supplies vendor, legal counsel, etc.

If additional lines are needed to complete Columns (C) through (E) for thi s Payee , click the “More Disbursements for This Payee” button in Column (A) of the itemization page. The

software will add lines to the itemization page in

increments of ten

.

Enter in Column (C) the purpose of the disbursement of $5,000 or more in suffici ent detail to determine why the disbursement cannot be allocated to another schedule. For example, printing of election ballots, rental of meeting facilities for a union convention, printing of transcripts of trusteeship hearing, etc.

Enter in Column (D) the date that each individual disbursement of $5,000 or more was made. The format for the date must be mm/dd/yyyy. The date of disbursement for reporting purposes is the date the labor organization actually disbursed the money.

Enter in Column (E) the a mount of each individual disbursement of $5,000 or more.

Enter the total of all non

- itemized disbursements

to this payee (that is, all individual receipts of less than $5,000 each) on the “Total Non

Itemized Transactions with this Payee/Payer”

line.

Whe n you have completed entering all of the information for this payee, click the “ Save &

Calculate ” button at the top of the itemization page and the software will add the amounts in Column (E)

, and enter the sum on the “Total

Itemized Transactions with this Payee/Payer”

line

, and it will complete the “Total of All Transactions with this Payee/Payer for This

Schedule” line.

An itemization page must be completed for each payee who met the itemization threshold during the reporting period. Only one payee shoul d be reported per page.

30To create a new “Union Administration” itemization page for a new payee, click the “Add More Administration” button at the top of the page and a new itemization page opens. Follow the instructions above to complete any

additional “Union Administration” itemization

pages.

By clicking the “Show Payee“ drop down arrow at the top of the Schedule 19 page, you can

select and view all of the Union Administration Itemization pages you have completed.

As you complete each itemization page , click the

“ Save & Calculate ” button at the top of the page

and the total itemized transactions will be added to line 1 of Summary Schedule 19 on the Detailed Summary Page and the total non

itemized transactions will be added to Line 2 of the Summary Sche dule.

The software enters in Line 3 of Summary

Schedule 19 the total of all disbursements to

officers allocated to the schedule. This is the sum of the amounts that correspond to the percentages entered in Line (I) of Schedule 11.

The software enters in Line 4 of Summary

Schedule 19 the total of all disbursements to employees allocated to the schedule. This is the sum of the amounts that correspond to the percentages entered in Line (I) of Schedule 12.

Enter the total amount of all other transactions

r elating to this schedule made to other payees during the reporting period on Line 5 of Summary Schedule 19. This is the total from your organization’s books of all disbursements relating to this schedule made to payees who did not have a single disbursemen t of $5,000 or more or disbursements that aggregated $5,000 or more. The software totals Lines 1 through 5 and enters that amount on Line 6 of Summary Schedule 19 and in Item 54 (Union Administration) of

Statement B.

SCHEDULE 20

– BENEFITS

[Note: Do no t use the Itemization Pages for Schedule 20. Instead use the separate Schedule 20]

Report the labor organization's direct and

indirect disbursements to all entities and individuals during the reporting period

associated with direct and indirect benefits for officers, employees, members, and their

beneficiaries. Benefit disbursements to be reported in Schedule 20 include, for example, disbursements for life insurance, health insurance, and pensions. Do not include salary bonuses, severance payments, or pay ments for accrued vacation, which should be reported in Column (D) of Schedule 11 or 12.

Direct benefit disbursements are those made to officers, employees, members, and their beneficiaries from the labor organization's funds.

Indirect benefit disburseme nts are those made from the labor organization's funds to a separate and independent entity, such as a trust or insurance company, which in turn and under certain conditions will pay benefits to the covered individuals. An example of an indirect

benefit di sbursement is the premium on group

life insurance.

If additional lines are required, click the “Add

More Benefits” button at the top of the schedule.

The software will add lines to the schedule in

increments of ten.

Enter in Column (A) the type of benef it, such as pension, welfare, etc.

Enter in Column (B) to whom payment was made; for example, union members, insurance company, etc. Individual union members and their beneficiaries are not required to be listed by name.

Enter in Column (C) the amount disbursed for each type of benefit.

Click the “ Save & Calculate ” button at the top of

the schedule and the software will enter the total for Column (C) on the “Total of all lines above” line and in Item 55 (Benefits) of Statement B.



## STATEMENT A

ASSETS AND LIABILITIES

ASSETS

The software pre

- fills Columns (A) and (C) (Start of Reporting Period) from your organization’s report for the previous fiscal year. If the data is inaccurate, however, it can be edited manually. Be sure to explain any changes in I tem 69 (Additional Information).

3122. CASH

— Enter the total of all the labor organization's cash on hand and on deposit at the start and end of the reporting period in Columns (A) and (B), respectively. Include all cash on hand, such as undeposited cash, checks, and money orders; petty cash; and cash in safe deposit boxes. Cash on deposit includes funds in banks, credit unions, and other financial institutions, such as checking accounts, savings accounts, certificates of deposit, and money

market accounts . Also, include any interest credited to the labor organization's account during the reporting period.

NOTE: The checking account balances reported should be obtained from the labor organization's

books as reconciled with the balances shown on

bank state ments.

23. ACCOUNTS RECEIVABLE

— Ordinarily, accounts receivable are moneys due for goods sold or services rendered evidenced by notes, statements, invoices, or other written evidence of a present obligation. Enter in Column (A) the total of all gross ac counts receivable at the start of the reporting period. The software will enter in Column (B) the total of all gross accounts

receivable at the end of the reporting period from Column (B) of Schedule 1 (Accounts Receivable Aging Schedule). If accounts

rece ivable are carried on the labor organization’s books at net (gross accounts

receivable less the allowance for doubtful accounts), the labor organization may report the

allowance for doubtful accounts in Item 69 (Additional Information).

24. LOANS RECEIVA BLE

— Enter in Column (A) the total of all gross loans receivable at the start of the reporting period, which is also reported in Column (B) of Schedule 2 (Loans Receivable). The software will enter the total of all gross loans receivable at the end of the reporting period in Column (B) from Column (E)

of Schedule 2.

25. U.S. TREASURY SECURITIES

— Enter the total value of all U.S. Treasury securities as shown on the labor organization's books at the start and end of the reporting period in Columns (A) and (B), respectively. If the value reported is different from the original cost, the original cost must be reported in Item 69 (Additional Information). Other U.S. Government obligations, state and municipal bonds, and foreign government securities must be r eported in Schedule 5 (Investments Other Than U.S. Treasury Securities) under "Marketable Securities" and in Item 26 (Investments).

26. INVESTMENTS

— Enter in Column (A) the total book value at the start of the reporting period of all investments other t han U.S. Treasury securities, which are reported in Item 25 (U.S. Treasury Securities). The software will enter in Column (B) the total reported in Column (B) of Schedule 5 (Investments Other Than U.S. Treasury Securities).

27. FIXED ASSETS

— Enter in Co lumn (A) the total value as shown on the labor organization's books at the start of the reporting period of all fixed assets, such as land, buildings, automobiles, and office furniture and equipment. The software will enter in Column (B) the total reported in Column (D) of Schedule 6 (Fixed Assets).

28. OTHER ASSETS

— Enter in Column (A) the total value as shown on the labor organization's books at the start of the reporting period of all assets not reported in Items 22 through 27. The

software will enter in Column (B) the total reported in Column (B) of Schedule 7 (Other Assets).

29. TOTAL ASSETS

— Click the “ Save &

Calculate ” button at the top of Statement A and

the software will total Items 22 through 28, Columns (A) and (B), and enter the respective

totals in Item 29.



### LIABILITIES

30. ACCOUNTS PAYABLE

— Ordinarily, accounts payable are those obligations incurred on an open account for goods and services rendered. Enter in Column (C) the total of all gross accounts payable at the start of the reporti ng period. The software will enter the total of all gross accounts payable at the end of the reporting period in Column (D) from Column (B) of Schedule 8 (Accounts Payable Aging Schedule).

31. LOANS PAYABLE

— Enter in Column (C) the total of all gross lo ans payable at the start of the reporting period, which is also reported in Column (B) of Schedule 9 (Loans Payable). The software will enter the total of all gross loans payable at the end of the reporting period in Column (D) from Column (E) of Schedule 9 (Loans Payable).

3232. MORTGAGES PAYABLE

— Enter the total amount of the labor organization's obligations that were secured by mortgages or similar liens on real property (land or buildings) at the start and end of the reporting period in Columns (C)

and (D), respectively.

33. OTHER LIABILITIES

— Enter in Column (C)

the total amount as shown on the labor organization's books at the start of the reporting period of all liabilities not reported in Items 30 through 32. The software will enter in Column (D) the total reported in Column (B) of Schedule 10 (Other Liabilities).

34. TOTAL LIABILITIES

— Click the “ Save &

Calculate ” button at the top of Statement A and

t he software will add the amounts in Items 30 through 33, Columns (C) and (D), and enter the

r espective amounts in Item 34. The software will also complete Item 35 (Net Assets) as explained

in the next instruction.

35. NET ASSETS

— As indicated in the previous instruction

, when Item 34 is completed

and the “ Save & Calculate ” button at the top of
S tatement A is clicked, t he software subtracts Item 34 (Total Liabilities), Column (C) from Item 29 (Total Assets), Column (A) and enters the difference in Item 35, Column (C). The software also subtracts Item 34, Column (D) from Item 29, Column (B) and ent ers the difference in Item 35, Column (D).



## STATEMENT B

RECEIPTS AND

D ISBURSEMENTS

Under Statement B, receipts must be recorded when money is actually received by the labor organization and disbursements must be recorded when money is actually paid out by the labor organization.

The purpose of Statement B is to report the flow of cash in and out of the labor organization during the reporting period. Transfers between separate bank accounts or between special funds of the labor organization, such as vac ation or strike funds, do not represent the flow of cash in and out of the labor organization. Therefore, these transfers should not be reported as receipts and disbursements of the labor organization. For example, do not report a

transfer of cash from the labor organization's savings account to its checking account. Likewise, the use of funds reported in Item 22 (Cash) of Statement A to purchase certificates of deposit and the redemption of certificates of deposit should not be reported in Statement B.

S ince Statement B reports all cash flowing in and out of the labor organization, "netting" is not permitted. "Netting" is the offsetting of receipts against disbursements and reporting only the balance (net) as either a receipt or disbursement. For example, if an officer received $1,000 from the labor organization for convention expenses, used only $800 and returned the remaining $200, the $1,000 disbursement must be reported in Schedule 11 (All Officers and Disbursements to Officers) and the appropriate dis bursement Schedule 15 through 19 , and the $200 receipt must be reported in Schedule 14 (Other Receipts). It would be incorrect to report only an $800 net

disbursement to the officer.

Receipts and disbursements by an agent on behalf of the labor organizat ion are considered receipts and disbursements of the labor organization and must be reported in the same detail as other receipts and disbursements. For example, if the labor organization owns a building managed by a rental agent, the agent's rental receip ts and disbursements for expenses must be reported on the labor organization's

Form LM

- 2. Also, if the labor organization's parent body or an intermediate body functions as an agent receiving and disbursing funds of the labor organization to third parties, these receipts and disbursements must be reported on the labor organization's Form LM

- 2. For example, if a parent body receives the labor organization’s dues and makes disbursements from that money to pay the labor organization’s bills (such as payments t o an attorney for legal services), those receipts and disbursements must be reported on the labor organization’s

Form LM

- 2.

CASH RECEIPTS

36. DUES AND AGENCY FEES

– Enter the total dues including regular dues, working dues, etc. received by the labor or ganization. Include dues received directly by the organization from members, dues received from employers through a checkoff arrangement, and dues transmitted to the organization by a parent body or other affiliate. Report the full dues received,

33including any portion that will later be transmitted to an intermediate or parent body as per capita tax. Also report in Item 36 payments in lieu of dues received from any nonmember employees as a condition of employment under a union security provision in a collec tive bargaining agreement.

If an intermediate or parent body receives dues checkoff directly from an employer on behalf of the reporting organization, do not report in Item 36 the portion retained by that organization for per capita tax or other purposes , such as a special assessment. Any amounts retained by the intermediate body or parent body other than per capita tax must be explained in Item 69 (Additional Information). For example, if the intermediate body or parent body retained $500 of the reportin g organization's dues checkoff as payment for supplies purchased from that body by the reporting organization, this should be explained in Item 69, but the $500 should not be reported as a receipt or disbursement on either organization's Form LM

- 2. If, how ever, the intermediate body or parent body disbursed part of the reporting organization's dues checkoff on that organization's behalf, this amount should be included in Item 36 and in the appropriate disbursement item on the reporting organization's Form L M

- 2. For example, if the intermediate body or parent body disbursed $500 of the reporting organization's dues checkoff to an attorney who had provided lobbying services to the reporting organization, this amount should be reported in Item 36 and

as a disbu rsement in Schedule 16 (Political Activities and Lobbying) of the reporting organization's Form LM

- 2.

Do not report in Item 36 dues that the reporting organization collected on behalf of other organizations for transmittal to them. For example, if the re porting organization received

dues from a member of an affiliate who worked in the reporting organization's jurisdiction, the

dues collected on the affiliate's behalf must be reported in Item 46.

37. PER CAPITA TAX

— Enter the total per capita tax receiv ed by your organization if your organization is an intermediate or parent body; otherwise, enter “0” in Item 37. Include the per capita tax portion of dues received directly by your organization from members of affiliates, per capita tax received from subo rdinates, either directly or through intermediaries, and the per capita tax portion of dues received through a checkoff arrangement whereby local dues are remitted directly to an intermediate or parent body by employers. Do not include dues

collected on be half of subordinate organizations for transmittal to them. For example, if a parent body received dues checkoff directly from an employer and returned the local’s portion of the dues, the parent body must report the dues

received on behalf of the local in Item 46 (On Behalf of Affiliates for Transmittal to Them).

38. FEES, FINES, ASSESSMENTS, WORK

PERMITS

— Enter the labor organization's receipts from fees, fines, assessments, and work permits. Receipts by the labor organization

on behalf of affiliates fo r transmittal to them must be reported in Item 46 (On Behalf of Affiliates for Transmittal to Them).

39. SALE OF SUPPLIES

— Enter the total amount received by the labor organization from the sale of supplies such as union logo clothing, lapel pins, bumpe r stickers, etc.

40. INTEREST

— Enter the total amount of interest received by the labor organization from savings accounts, bonds, mortgages, loans, and

all other sources.

41. DIVIDENDS

— Enter the total amount of

dividends from stocks and other inves tments received by the labor organization. Do not

include "dividends" from credit unions, savings and loan associations, etc., which must be reported in Item 40 (Interest).

42. RENTS

— Enter the total amount of rents received by the labor organization.

43. SALE OF INVESTMENTS AND FIXED

ASSETS

— The software will enter the total ”Net Sales” reported in Column (E) of Schedule 3 (Sale of Investments and Fixed Assets).

44. LOANS OBTAINED

— The software will enter the total reported in Column (C) of

Schedu le 9 (Loans Payable).

45. REPAYMENTS OF LOANS MADE

— The software will enter the total reported in Column (D)(1) of Schedule 2 (Loans Receivable).

46. ON BEHALF OF AFFILIATES FOR

TRANSMITTAL TO THEM

— Enter the total amount of dues, fees, fines, assess ments, and

34work permit fees received by the labor organization, through a checkoff arrangement or otherwise, on behalf of affiliates for transmittal to them. Do not include the amount withheld by the labor organization for per capita taxes or other

purpose s, such as loan repayments, which must be reported elsewhere in Statement B. When the receipts reported in Item 46 are transmitted, the disbursement must be reported in related Item 63 (To Affiliates of Funds Collected on Their Behalf).

47. FROM MEMBERS FOR DISBURSEMENT

ON THEIR BEHALF

— Enter the total receipts from members that are specifically designated by them for disbursement on their behalf; for example, contributions from members for transmittal by the labor organization to charities. When receipt s that are reported in Item 47 are transmitted, the disbursement must be reported in related Item 64 (On Behalf of Individual Members).

48. OTHER RECEIPTS

— The software will enter the total reported on Summary Schedule 14, Line 4.

49. TOTAL RECEIPTS

— Click the “ Save &

Calculate ” button at the top of Statement B and

the software will add the amounts in Items 36 through 48 and enter the total in Item 49.

CASH DISBURSEMENTS

50. REPRESENTATIONAL ACTIVITIES

– The

software will enter the total from Summ ary Schedule 15, Line 6.

51. POLITICAL ACTIVITIES AND LOBBYING

– The software will enter the total from Summary Schedule 16, Line 6.

52. CONTRIBUTIONS, GIFTS, AND GRANTS

– The software will enter the total from Summary Schedule 17, Line 6.

53. GENERA L OVERHEAD

– The software will enter the total from Summary Schedule 18, Line

6.

54. UNION ADMINISTRATION

– The software will enter the total from Summary Schedule 19,

Line 6. 55. BENEFITS

– The software will enter the total reported in Column (C) of S chedule 20 (Benefits).

56. PER CAPITA TAX

— Enter your organization’s total amount of per capita tax paid as a condition or requirement of affiliation with your parent national or international union, state and local central bodies, a conference, joint o r system board, joint council, federation, or other labor organization.

57. STRIKE BENEFITS

– Enter the total amount of all disbursements made to, or on behalf of the members (or agency fee paying nonmembers) of the labor organization, and others, associ ated with strikes (including recognitional strikes), work stoppages and lockouts during the reporting period.

58. FEES, FINES, ASSESSMENTS, ETC.

— Enter the total amount of fees, fines, assessments, and similar disbursements made by the labor organizatio n to a parent body or

other labor organization.

59. SUPPLIES FOR RESALE

— Enter the labor organization's total disbursements for purchases of supplies such as union logo clothing, lapel pins, bumper stickers, etc. for resale.

60. PURCHASE OF INVESTMENT S AND

FIXED ASSETS

— The software will enter the total reported in Column (D) of Schedule 4 (Purchase of Investments and Fixed Assets).

61. LOANS MADE

— The software will enter the total reported in Column (C) of Schedule 2 (Loans Receivable).

62. REPA YMENT OF LOANS OBTAINED

— The software will enter the total reported in Column (D)(1) of Schedule 9 (Loans Payable).

63. TO AFFILIATES OF FUNDS COLLECTED

ON THEIR BEHALF

— Enter the total

disbursements of funds collected on behalf of affiliates by the la bor organization. This amount usually is the same as the amount reported in related Item 46 (On Behalf of Affiliates for Transmittal to Them). Any such funds not disbursed by the end of the reporting period are liabilities of the labor organization and mus t be reported in Schedule 10 (Other Liabilities).

3564. ON BEHALF OF INDIVIDUAL MEMBERS

— Enter the total disbursements of funds collected from members by the labor organization that were specifically designated by

them for disbursement on their behalf. Th is amount usually is the same as the amount reported in related Item 47 (From Members for Disbursement on Their Behalf). Any such funds not disbursed by the end of the reporting period are liabilities of the labor organization and must be reported in Sched ule 10 (Other Liabilities).

65. DIRECT TAXES

– Enter all taxes assessed against and paid by your organization, including your organization’s FICA taxes as an employer.

Do not include disbursements for the transmittal

of taxes withheld from the salaries o f officers and employees which must be reported in Item 67 (Withholding Taxes and Other Payroll Deductions). Also, do not include indirect taxes, such as sales and excise taxes, for purchases reported in other disbursement items.

66. SUBTOTAL

— Click the “ Save & Calculate ” button at the top of Statement B and the

software will add the amounts in Items 50 through 65 and enter the subtotal in Item 66.

67. WITHHOLDING TAXES AND OTHER

PAYROLL DEDUCTIONS

– a. Total Withheld

- Enter the total amount of withho lding taxes and all other payroll deductions during the reporting period.

b. Total Disbursed

- Enter the total amount of withholding taxes and all other payroll deductions that were disbursed by your organization during the reporting period. This

include s your organization’s total disbursements to Federal, state, county, and municipal government agencies for the transmittal of taxes

withheld from the salaries of officers and employees, including officers’ and employees’ portion of FICA taxes and all disbu rsements for the transmittal of other payroll deductions.

c. Total Withheld But Not Disbursed

– Click the

“ Save & Calculate ” button at the top of

Statement B and the software will subtract Item

67b from Item 67a and enter the difference in

Item 67c. The s oftware will also complete Item 68 (Total Disbursements) as explained in the

next instruction.

68. TOTAL DISBURSEMENTS

– As indicated in the previous instruction, when Item 66c is completed and the “ Save & Calculate ” button at the top of Statement B is cl icked the software

subtracts Item 67c from Item 66 and enters the

difference in Item 68.

**NOTE:** The following worktable may be used to determine that the figures for receipts, disbursements, and cash are correctly reported on the labor organization's Form LM

- 2:

A. Cash at Start of Reporting $ Period

— Item 22, Column (A)

B. Add: Total Receipts

— Item 49 $

C. Total of Lines A and B $

D. Subtract: Total Disbursements $

— Item 68

E. Cash at End of Period $

If Line E does not equal the amount report ed in Item 22, Column (B), there is an error in the labor organization's report, which should be

corrected.



### ADDITIONAL INFORMATION AND
SIGNATURES

69. ADDITIONAL INFORMATION

— Use Item 69 to provide additional information as indicated

on Form LM

- 2 and in t hese instructions. Enter

the number of the item to which the information

relates in the Item Number column if the

software has not entered the number.

70

- 71. SIGNATURES

— The completed Form

LM

- 2 that is filed with OLMS must be signed by both the president and treasurer, or corresponding principal officers, of the labor organization. If an officer other than the president or treasurer performs the duties of the principal executive or principal financial officer, the other officer may sign the report. If an officer other than the president or treasurer signs the report, enter the correct title in the title field next to the signature and explain in Item 69 (Additional Information) why the president or treasurer did not sign the report.

Before signing the for m, enter the telephone number at which the signatories conduct official

business and the date. Click the Validate button at the top of the form to ensure that the report passes validation.

36To sign the form, click the signature spaces provided. Fill in the requested information in the screen that pops up.



## XII. LABOR ORGANIZATIONS
THAT HAVE CEASED TO EXIST

If a labor organization has gone out of existence as a reporting labor organization, the last president and treasurer or the officials responsible for wind ing up the affairs of the labor organization must file a terminal financial report for the period from the beginning of the fiscal year to the date of termination. A terminal financial report must be filed if the labor organization has gone out of business by disbanding, merging into another organization, or being merged and consolidated with one or more labor organizations to form a new labor organization. A terminal financial report is not required if the labor organization changed its

affiliation but con tinues to function as a separate reporting labor organization.

The terminal financial report must be filed on Form

LM

- 2 if the labor organization filed its previous annual report on Form LM

- 2 and must be submitted within 30 days after the date of terminat ion.

To complete a terminal report on Form LM

- 2, follow the instructions in Section XI and, in addition:

• Enter the date the labor organization

ceased to exist in Item 2 after the word "Through." The format for the date must be mm/dd/yyyy.

• Select Item 3(c) indicating that the labor organization ceased to exist during the reporting period and that this is the labor organization's terminal Form LM

- 2.

• Provide in Item 69 (Additional Information) a detailed statement of the reason the labor organization ceased to exist. Also report in Item 69 plans for the disposition of the labor organization's cash and other assets, if any (for example, transfer of cash and assets to the parent body). Provide the name and address of the person or organization

that will retain the records of the terminated organization. If the labor organization merged with another labor organization, report that organization's name, address, and 6

- digit file number. Contact the nearest OLMS field office if you have questions about filing a term inal report.

**If You Need Assistance**

The Office of Labor

- Management Standards has field offices located in the following cities to assist you if you have any questions concerning LMRDA and CSRA reporting requirements.

Atlanta, GA Birmingham, AL Boston, MA Buffalo, NY Chicago, IL Cincinnati, OH Cleveland, OH Dallas, TX Denver, CO Detroit, MI Fort Lauderdale, FL Honolulu, HI Kansas City, MO Los Angeles, CA Milwaukee, WI Minneapolis, MN Nashville, TN New Orleans, LA New York, NY Philadelphia, PA Phoenix, AZ

P ittsburgh, PA St. Louis, MO San Francisco, CA Seattle, WA Tampa, FL Washington, DC

Consult the OLMS Web site at www.olms.dol.gov or local telephone directory listings under United States Government, Labor Department , Office of

Labor

- Management Standards, for the address and telephone number of the nearest field office. You may also contact OLMS via email at OLMS

Public@dol.gov

.

Copies of labor organization annual financial reports, employer reports, and labor relations consultant reports filed for the year 2000 and after can be viewed and printed at www.unionreports.gov

. Copies of reports for the year 1999 and earlier can be ordere d through

the W eb site.

Information about OLMS, including key personnel and telephone numbers, compliance assistance materials, the text of the LMRDA,

37and related Federal Register and Code of Federal Regulations documents, is also
available on the OLMS we bsite at www.olms.dol.gov

.



### Revised XX /201 5

38