Form Lm 4 PDF Details

The landscape of labor organization reporting in the United States incorporates a vital document known as Form LM-4, a mandatory annual report endorsed by the Office of Labor-Management Standards, within the Department of Labor. Tailored specifically for labor organizations with annual receipts of less than $10,000, Form LM-4 serves as a concise summary of an organization's financial activity over a specified period, as outlined by the Public Law 86-257, as amended. This document meticulously records a range of financial information, from changes in the constitution and bylaws (excluding dues and fees adjustments) to the total income and expenditures within the reporting period. Moreover, it addresses other critical aspects such as the existence and amount of fidelity bonds, membership counts, asset and liability totals, and details surrounding losses or shortages of funds or property. Compliance with the reporting requirements is not only a matter of legal obligation—highlighted by the risk of criminal prosecution, fines, or civil penalties for failure to comply—but also a reflection of an organization's commitment to transparency and accountability. This comprehensive approach ensures that labor organizations remain faithful to the legal standards set forth by the Office of Management and Budget, Washington, D.C., thereby fostering an environment of trust and reliability amongst their members and stakeholders.

QuestionAnswer
Form NameForm Lm 4
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameslm 4 form, dol form lm4, dol lm 4, lm 4

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U.S. Department of Labor

FORM LM-4 LABOR ORGANIZATION ANNUAL REPORT

Form Approved

Office of Labor-Management Standards

Office of Management and Budget

Washington, DC 20210

 

 

 

No. 1245-0003

 

 

FOR USE ONLY BY LABOR ORGANIZATIONS WITH LESS THAN $10,000 IN TOTAL ANNUAL RECEIPTS

 

Expires 10-31-2013

 

 

 

 

 

This report is mandatory under P.L. 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.

For Official Use Only

1.FILE NUMBER

2. PERIOD COVERED

MO DAY YEAR

From

Through

3.(a) AMENDED — If this is an amended report correcting a previously filed report, check here:

(b)TERMINAL — If your organization ceased to exist and this is its terminal report, see Section X of the instructions and check here:

IMPORTANT

Peel off the address label from the back of the package and place it here.

If the label information is correct, leave Items 4 through 8 blank.

If any of the label information is incorrect, complete Items 4 through 8.

4. AFFILIATION OR ORGANIZATION NAME

5. DESIGNATION (Local, Lodge, etc.)

6. DESIGNATION NUMBER

7. UNIT NAME (if any)

8.MAILING ADDRESS (Type or print in capital letters.) First Name

Last Name

P.O. Box Building and Room Number (if any)

Number and Street

City

State

 

ZIP Code + 4

 

 

 

 

 

 

 

 

 

19.ADDITIONAL INFORMATION (If more space is needed, attach additional pages properly identified.)

Item Number

Eachoftheundersigned,dulyauthorizedofficersoftheabovelabororganization,declares,underpenaltyofperjuryandother applicablepenaltiesoflaw,thatalloftheinformationsubmittedinthisreport(includingtheinformation containedinanyaccompanyingdocuments)hasbeenexaminedbythesignatoryandis,tothebestoftheundersigned'sknowledgeandbelief,true,correct,andcomplete.(SeeSectionVIonpenaltiesintheinstructions.)

20. SIGNED: ________________________________________________________ PRESIDENT

21. SIGNED: ______________________________________________________ TREASURER

 

 

 

 

 

(If other title,

 

 

 

 

 

(If other title,

/

/

(

)

--

see instructions.)

/

/

(

)

--

see instructions.)

 

Date

 

 

Telephone Number

 

 

Date

 

 

Telephone Number

 

Form LM-4 (Revised 2000)

 

 

 

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Enter Amounts in Dollars Only — Do Not Enter Cents

FILE NUMBER:

Complete Items 9 through 18.

9.

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/

 

 

Yes

No

 

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.)

 

 

 

 

 

 

 

 

 

10.

Did your organization change its rates of dues

 

 

 

Yes

No

 

and fees during the reporting period?

 

 

 

 

 

 

 

 

 

(If “Yes,” report the new rates in Item 19

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

on page 1.)

 

 

 

 

 

 

 

 

 

11.

Did your organization discover any loss or

 

 

 

 

 

 

 

 

 

 

shortage of funds or property during the

 

 

Yes

No

 

reporting period?

 

 

 

 

 

 

 

 

 

(If “Yes,” provide details in Item 19 on page 1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Answer “Yes” even if there has been repayment

 

 

 

 

 

 

 

 

 

 

or recovery.)

 

 

 

 

 

 

 

 

 

12.

Was your organization insured by a

 

 

 

Yes

No

 

fidelity bond during the reporting period?

 

 

 

 

 

 

 

 

 

If “Yes,” enter the maximum amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

recoverable under the bond for loss

 

 

 

 

 

 

 

 

 

 

caused by any person.

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

14.

Enter the total value of your organization’s

 

 

assets at the end of the reporting period

 

 

(cash, bank accounts, equipment, etc.)

$

15.

Enter the total liabilities (debts) of your

 

 

organization at the end of the reporting

 

 

period (unpaid bills, loans owed, etc.)

$

16.Enter the total receipts of your organization during the reporting period (dues, fees, interest received, etc.). (If $10,000 or more,

your organization must file Form LM-2 or

 

LM-3 instead of this form.)

$

17.

Enter the total disbursements made by your

 

 

 

 

 

 

 

 

organization during the reporting period (per

 

 

 

 

 

 

 

 

capita tax, loans made, net payment to

 

 

 

 

 

 

 

 

officers, payments for office supplies, etc.).

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18.

Enter the total payments to officers and

 

 

 

 

 

 

 

 

employees during the reporting period

 

 

 

 

 

 

 

 

(gross salaries, lost time payments,

 

 

 

 

 

 

 

 

allowances, expenses, etc.).

$

 

 

 

 

 

 

Please be sure to:

Enter your union’s 6-digit file number in Item 1.

Report a time period of no more than one year in Item 2.

Have your union’s president and treasurer sign the Form LM-4 in Items 20 and 21.

FILE ON TIME. Form LM-4 must be filed within 90 days after the end of your union’s fiscal year.

Form LM-4 (Revised 2000)

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