©1999 All rights Reserved. Not for publication on the internet without express written permission of Jim McGough

U.S. Department of Labor
Office of Labor-Management
Standards
 Washington, DC 20210

FORM LM-2

Form approved
Office of Management
and Budget
No. 1214-0001
Expires 12-31-96

 

LABOR ORGANIZATION ANNUAL REPORT

MUST BE USED BY LABOR ORGANIZATIONS WITH $200,000 OR MORE IN TOTAL ANNUAL RECEIPTS AND LABOR ORGANIZATIONS UNDER TRUSTEESHIP

 

 

 

This report is mandatory under PL. 86-257, as amended. Failure to comply may result in criminal prosecution, fines, or civil penalties as provided by 29 U.S.C. 439 or 440.

READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT. SUBMIT THIS REPORT IN DUPLICATE.

IMPORTANT

 

 

 

 

 

1. FILE NUMBER

It a label is here, peel off the top copy and place it in the same box on the second copy of the form
If label information is correct, leave Items 4 through 8 blank.
If label information is incorrect, complete Items 4 through 8.

2. PERIOD COVERED

MO

DAY

YR

From

Through

 

3. If your organization ceased to exist and this is its terminal report, see Section XII of the instructions and
check here

 

 

 

4. AFFILIATION OR ORGANIZATION NAME

8. MAILING ADDRESS
(in care of)
NAME AND TITLE OF PERSON

 

 

5. DESIGNATION (Local, Lodge, etc.)

6. DESIGNATION
NUMBER

NUMBER AND STREET

 

 

7. UNIT NAME (if any

BUILDING AND ROOM NUMBER (if any

 

 

9. Are your organization's records kept at its mailing address ?(If "No, " provide address in Item 75.)

Yes No

CITY

STATE

ZIPCODE

 

 

DURING THE REPORTING PERIOD DID YOUR ORGANIZATION:

Yes No

18. How many members did your organization
have at the end of the reporting period?


 

 

10. Have a Subsidiary organization" as defined in
Section X of the instructions?

19. What is the date of your organization's next regular election of officers?

To be determined
Council is in Trusteeship

Month Year

 

 

11. Create or participate in the administration of a trust
or other fund or organization, as defined in the instructions, which provides benefits for members or their beneficiaries?

20. What is the maximum amount recoverable under your organization's fidelity bond for a loss caused by any officer or employee of your organization? $

 

 

12. Have a political action committee (PAC)fund?

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

 

 

13. Acquire or dispose of any goods or property in
any manner other than by purchase or sale?

Rates of Dues and Fees

 

 

14. Have an audit or review of its books and records
by an outside accountant or by a parent body
auditor/representative?

(a) Regular Dues/Fees

$

per


(month, year, etc )

 

 

15. Discover any loss or shortage of funds or other property?(Answer slyest even if there has been repayment or recovery)

(b) Initiation Fees

(c) Transfer Fees

$
$

 

 

 

16. Have any officer who was paid $10,000 or more
by your organization and also received $10,000
or more as an officer or employee of another labor
organization or of an employee benefit plan?

(d) Work Permits

$

per


(month, year, etc )

 

 

1 7. Liquidate or reduce any liabilities without
disbursement of cash?

22. During the reporting period, did your organization have any changes in its constitution and bylaws (other than rates of dues and fees) or in practices/procedures listed in the instructions?(If the constitution and bylaws have changed, attach two new dated copies. If practices/procedures have changed, see the instructions.)

Yes

No

 

(If the answer to any of the above questions is Yes, " provide details in Item 7 5 as explained in the instructions for each item.)

 

 

 

 

23. Were any of your organization's assets pledged as security or encumbered in any other way at the end of the reporting period?

 

 

 

24. Did your organization have any contingent liabilities at the end of the reporting period?
(If the answer to Item 23 or 24 is "Yes, " provide details in Item 7 5.)

 

 

Each of the undersigned, duly authorized officers of the above labor organization, declares, under the applicable penalties of law, that all of the information submitted in this report (including the information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned's knowledge and belief, true, correct, and complete. (See Section VI on penalties in the instructions.)

 

76. SIGNEDPRESIDENT
(If other tit/e, see instructions)

Date Telephone Number

77. SIGNEDSecretary-TREASURER
(If other tit/e,see instructions)

Date Telephone Number

 

Form LM-2 (Revised 1994)

 

 

 

 

 

 

 

 

Page 1 of 6

 

 

 

ENTER AMOUNTS IN DOLLARS ONLY

FILE NUMBER

COMPLETE SCHEDULES 1 THROUGH 15 BEFORE COMPLETING STATEMENTS A AND B

STATEMENT A -- ASSETS AND LIABILITIES

ASSETS

Item

From
SCH
#

Start of Reporting
Period
(A)

End of Reporting
Period
(B)

LIABILITIES

Item

From
SCH
#

Start of Reporting
Period
(C)

End of Reporting
Period
(D)

25. Cash

33. Accounts Payable

 

26. Accounts Receivable

 

34. Loans Payable

8

27. Loans Receivable

1

35. Mortgages Payable

 

28. U.S. Treasury Securities

 

36. Other Liabilities

4

29. Investments

2

37. TOTAL LIABILITIES

 

30. Fixed Assets

5

 

 

 

 

31. Other Assets

3

 

 

 

 


32. TOTAL ASSETS

 

38. NET ASSETS
(Item 32 less Item 37)

 

 

STATEMENT B - RECEIPTS AND DISBURSEMENTS

CASH RECEIPTS

Item

From
SCH
#

AMOUNT

CASH DISBURSEMENTS

Item

From
SCH
#

AMOUNT

39. Dues

 

56. To Officers

9

40. Per Capita Tax

 

5 7. To Employees

10

41. Fees

 

58. Per Capita Tax

 

42. Fines

 

59. Fees, Fines, Assessments, etc

 

43. Assessments

 

60. Office & Administrative Expense

13

44. Work Permits

 

61. Educational & Publicity Expense

 

45. Sale of Supplies

 

62. Professional Fees

 

46. Interest

 

63. Benefits

11

4 7. Dividends

 

64. Contributions, Gifts & Grants

12

48. Rents

 

65. Supplies for Resale

 

49. Sale of Investments & Fixed Assets

6

66. Direct Taxes

 

50. Loans Obtained

8

6 7. Withholding Taxes

 

51. Repayments of Loans Made

1

68. Purchase of Investments & Fixed Assets

7

52. On Behalf of Affiliates for Transmittal

 

69. Loans Made

1

to Them

 

 

7 0. Repayment of Loans Obtained

8

53. From Members for Disbursement on Their Behalf

 

7 1. To Affiliates of Funds Collected on Their Behalf

 

54. Other Receipts

14

7 2. On Behalf of Individual Members

 

 

 

 

7 3. Other Disbursements

15

55. TOTAL RECEIPTS

 

7 4. TOTAL DISBURSEMENTS

 

 

 

 

 

 

 

7 5. ADDITIONAL INFORMATION (if more space is needed, attach additional pages properly identified.)

Item Number

Form LM-2 (Revised 1994)

 

 

 

 

Page 2 of 6

 

LM-2

 

 

 

 

 

If more space is needed to complete any of the schedules, continue on additional pages, using the same column headings used on the schedule, and enter the totals on the line provided for additional pages in each schedule.

FILE NUMBER

SCHEDULE 1 - LOANS RECEIVABLE

List below loans to officers, employees, or members which at any time during the reporting period exceeded $250 and list all loans to business enterprises regardless of amount.

(A)

Loans
Outstanding at Start of Period
(B)

Loans Made
During Period

(C)

Repayments Received
Cash

(D)(1 )

During Period
Other Than Cash)

(D)(2

Loans
Outstanding
at End of Period
(E)

1. Name:

 

Purpose:

 

Security:

 

Terms of Repayment:

2. Name:

 

Purpose:

 

Security:

 

Terms of Repayment:

3. Totals from additional pages (if any

4. Totals of loans not listed above

5. Totals of Lines 1 through 4

Enter the Totals from Line 5 in

Item 27,
Column (A)

Item 69

Item 51

Item 75
with Explanation

Item 27,
Column (B)

 


SCHEDULE 2 - I NVESTMENTS
(OTHER THAN U.S. TREASURY SECURITIES)

Description
(A)

Amount
(B)

Marketable Securities
1. Total Cost

2. Total Book Value

3. List each marketable security which has a book
value over $1,000 and exceeds 20% of Line 2.

 

(a)

(b)

(c)

(d)

Other Investments

 

4. Total Cost

5. Total Book Value

 

6. List each other investment which has a book
value over$1,000 and exceeds 20% of Line 5.
Also list each subsidiary for which separate reports
are attached.

Description (A)

(a)

(b)

(c)

(d)

(e) Total from additional pages (if any)

7. Total of Lines 2 and 5

Enter the Total from Line 7....... ....in Item 29, Column (B)

 

SCHEDULE 3 - OTHER ASSETS

Description
(A)

Book Value
(B)

1.

2.

3.

4.

5. Total from additional pages (if any)

6. Total of Lines 1 through 5

Enter the Total from Line 6 in

Item 31, Column (B)

 

SCHEDULE 4 - OTHER LIABILITIES

 

Description
(A)

Amount at
End of Period
(B)

1.

2.

3.

4.

5.

6.

7.

8. Total from additional pages (if any)

9. Total of Lines 1 through 8

Enter the Total from Line 9 in

Item 36. Column (D)

 

Form LM-2 (Revised 1994)


Page 3 of 6


 

 

 

FILE NUMBER

SCHEDULE 5 - FIXED ASSETS

Description

(A)

Cost or
Other Basis

(B)

Total Depreciation
or Amount Expensed

(C)

Book
Value

(D)

Fair Market
Value
(E)

1. Land (give location):

2. Totals from additional pages (if any)

3. Buildings (give location):

4. Totals from additional pages (if any)

5. Automobiles and Other Vehicles

6. Office Furniture and Equipment

7. Other Fixed Assets

8. Totals of Lines 1 through 7

Enter the Total from Line 8, Column (D) in

 

 

Item 30, Column (B)

 

 


 

SCHEDULE 6 - SALE OF INVESTMENTS AND FIXED ASSETS

Description (if land or buildings, give location)
(A)

Cost
(B)

Book Value
(C)

Gross Sales Price
(D)

Amount Received
(E)

1.

2.

3.

4.

5. Totals from additional pages (if any)

6. Totals of Lines 1 through 5

 

 

 

7. Less Reinvestments

 

 

 

8. Net Sales

Enter the Total from Line 8 in

 

 

 

Item 49


SCHEDULE 7 - PURCHASE OF INVESTMENTS AND FIXED ASSETS

Description (if land or buildings, give location)
(A)

Cost
(B)

Book Value
(C)

Cash Paid
(D)

1.

2.

3.

4.

5. Totals from additional pages (if any)

6. Totals of Lines 1 through 5

 

 

7. Less Reinvestments

 

 

8. Net Purchases

Enter the Total from Line 8 in

 

 

Item 68


 

SCHEDULE 8 -LOANS PAYABLE

 

 

 

Repayments Made During Period

 

Source of Loans Payable at Any
Time During the Reporting Period
(A)

Loans Owed at
Start of Period
(B)

Loans Obtained
During Period
(C)

Cash
(D)(1 )

Other Than Cash
(D)(2)

Loans Owed at
End of Period
(E)

1.

2.

3.

4. Totals from additional pages (if any)

5. Totals of Lines 1 through 4

Enter the Totals from Line 5 in

Item 34,
Column (C)

Item 50

Item 70

Item 75
with Explanation

Item 34,
Column (D)

 

Form LM-2 2 (Revised 1994)

 



 

 

 

LM-2

SCHEDULE 9 - ALL OFFICERS AND DISBURSEMENTS TO OFFICERS

FILE NUMBER

 

 

 

Name
( List all persons who held office during the reporting period even if they received no salary or other disbursements.)
(A)

Title
(B)

S
t
a
t
u
s
(C)

Gross Salary
(before taxes
and other
deductions)
(D)

Other Disbursements
(E)

Allowances
(F)

Disbursements for
Official
Business
(G)

Total
(H)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Totals from additional pages (if any) "B"

 

 

 

 

11. Totals of Lines 1 through 10

 

 

 

 

 

 

 

 

 

12. Less Deductions

 

 

 

 

 

 

 

13. Net Disbursements

 

 

Enter the Total from Line 13 in

 

 

 

 

 

 

Item 56

 

 

Code for Column (C): past officer -- P; continuing officer-C; new officer during the reporting period -- N.
(If any officer was not elected at a regular election in accordance with your organization's constitution and bylaws, explain in Item 75. )

 

 


 

 

SCHEDULE 10 - DISBURSEMENTS TO EMPLOYEES

 

Name
(List all employees who received more than $10,000 in total disbursements from your organization and any affiliates.)
(A)

Position
(B)

Name of Affiliated Organization (if applicable)
(C)

Gross Salary (before taxes and other deductions)
(D)

Allowances
(E)

Disbursements for Official Business
(F)

Other Disbursements
(G)

Total
(H)

 

 

 

 

 

 

 

 

 

9. Totals from additional pages (if any)

 

 

 

10. Totals for all employees who, during the reporting period, received $10,000 or less in total disbursements from your organization and any affiliates

 

 

 

11. Totals of Lines 1 through 10

 

 

 

 

 

 

 

 

12. Less Deductions

 

 

 

 

 

 

13. Net Disbursements

 

Enter the Total from Line 13 in

 

 

 

 

 

 

Item 57

 

Form LM-2 (Revised 1994)

 

 

 

 

 

 

Page 5 of 6

 


SCHEDULE 11 - BENEFITS

FILE NUMBER

Description
(A)

To Whom Paid
(B)

Amount
(C)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10. Total from additional pages (if any)

 

 

 

11. Total of Lines 1 through 10

 

 

 

Enter the Total from Line 11 in

 

 

 

Item 63


SCHEDULE 12 - CONTRIBUTIONS, GIFTS & GRANTS

Description
(A)

Amount
(B)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10. Total from additional pages (if any)

11. Total of Lines 1 through 10

Enter the Total from Line 11 in

Item 64

 

SCHEDULE 13 - OFFICE & ADMINISTRATIVE EXPENSE

Description
(A)

Amount
(B)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10. Total from additional pages (if any)

11. Total of Lines 1 through 10

Enter the Total from Line 11 in

Item 60


 

SCHEDULE 14 - OTHER RECEIPTS

Description
(A)

Amount
(B)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10. Total from additional pages (if any)

11. Total of Lines 1 through 10

Enter the Total from Line 11 in

Item 54

 

SCHEDULE 15 - OTHER DISBURSEMENTS

Description
(A)

Amount
(B)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10. Total from additional pages (if any)

11. Total of Lines 1 through 10

Enter the Total from Line 11 in

Item 73

Form LM-2 revised 1994)

Page 6 of 6



Lm2 report as filed by Chicago Laborers District Council for 1997. Laborers for JUSTICE represents the foregoing to be an a accurate representation of report on file with DOL-OLMS . If you would like to see Labor Management Reports web published for any union , contact Laborers for JUSTICE at 847-202-3838 or send an email to jimmcgough@super-highway.net. LM2 electronic form copyrighted by Laborers for JUSTICE © 1999. All rights reserved. Not for publication on other internet sites without express written permission of Laborers for JUSTICE.

(c) LABORERS for JUSTICE
jimmcgough@super-highway.net