Form LM 4 is a form used by the IRS to document a sale or exchange of property. The form is also used to report any taxable gain or loss resulting from the sale or exchange. This form must be completed and filed with your tax return when you sell or exchange property. If you have sold or exchanged property during the year, it is important that you complete and file Form LM 4. Failing to do so could result in penalties and interest charges from the IRS. Make sure to consult with a tax professional if you have any questions about completing this form.
| Question | Answer |
|---|---|
| Form Name | Form Lm 4 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | lm 4 form, dol form lm4, dol lm 4, lm 4 |
U.S. Department of Labor |
FORM |
Form Approved |
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Office of |
Office of Management and Budget |
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Washington, DC 20210 |
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No. |
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FOR USE ONLY BY LABOR ORGANIZATIONS WITH LESS THAN $10,000 IN TOTAL ANNUAL RECEIPTS |
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Expires |
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This report is mandatory under P.L.
READ THE INSTRUCTIONS CAREFULLY BEFORE PREPARING THIS REPORT.
For Official Use Only
1.FILE NUMBER
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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 |
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ZIP Code + 4 |
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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 |
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(If other title, |
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(If other title, |
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see instructions.) |
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see instructions.) |
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4 - 1 |
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Page 1 of 2 |
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Enter Amounts in Dollars Only — Do Not Enter Cents
FILE NUMBER:
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Complete Items 9 through 18.
9. |
During the reporting period, did your organization |
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have any changes in its constitution and bylaws |
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(other than rates of dues and fees) or in practices/ |
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Yes |
No |
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procedures listed in the instructions? |
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(If the constitution and bylaws have changed, |
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attach two new dated copies. If practices/ |
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procedures have changed, see the instructions.) |
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10. |
Did your organization change its rates of dues |
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Yes |
No |
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and fees during the reporting period? |
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(If “Yes,” report the new rates in Item 19 |
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on page 1.) |
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11. |
Did your organization discover any loss or |
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shortage of funds or property during the |
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Yes |
No |
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reporting period? |
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(If “Yes,” provide details in Item 19 on page 1. |
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Answer “Yes” even if there has been repayment |
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or recovery.) |
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12. |
Was your organization insured by a |
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Yes |
No |
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fidelity bond during the reporting period? |
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If “Yes,” enter the maximum amount |
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recoverable under the bond for loss |
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caused by any person. |
$ |
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13.How many members did your organization have at the end of the reporting period?
14. |
Enter the total value of your organization’s |
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assets at the end of the reporting period |
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(cash, bank accounts, equipment, etc.) |
$ |
15. |
Enter the total liabilities (debts) of your |
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organization at the end of the reporting |
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period (unpaid bills, loans owed, etc.) |
$ |
16.Enter the total receipts of your organization during the reporting period (dues, fees, interest received, etc.). (If $10,000 or more,
your organization must file Form |
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$ |
17. |
Enter the total disbursements made by your |
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organization during the reporting period (per |
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capita tax, loans made, net payment to |
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officers, payments for office supplies, etc.). |
$ |
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18. |
Enter the total payments to officers and |
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employees during the reporting period |
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(gross salaries, lost time payments, |
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allowances, expenses, etc.). |
$ |
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Please be sure to:
•Enter your union’s
•Report a time period of no more than one year in Item 2.
•Have your union’s president and treasurer sign the Form
•FILE ON TIME. Form
Form |
4 - 2 |
Pa g e 2 o f 2 |