Form A For Annual Reports By Labor Organizations Or Labor Unions
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1
2G. Thomas Surtees
Robert Bentley
C
G
OVERNOR
OMMISSIONER
STATE OF ALABAMA
D
L
EPARTMENT OF
ABOR
FORM A
FOR ANNUAL REPORTS BY LABOR ORGANIZATIONS OR LABOR UNIONS
INSTRUCTIONS: Read carefully the items included before completing this form. Give complete and accurate information. Entries
should be typed, printed in ink or written plainly in ink. The completed report must be filed with the Commissioner of the Alabama
Department of Labor on or before March 31, or if the organization's fiscal year does not coincide with the calendar year, within 90
days after the close of the fiscal year, and by that time copies must be made available to every member of the labor organization or
labor union reporting. If space provided for insertion of information under any item is insufficient, supplemental sheets should be
attached.
1.
Name of the labor organization or labor union reporting______________________________________________________
Address____________________________________________________________________________________________
2.
Address of National or International Organization___________________________________________________________
___________________________________________________________________________________________________
3.
Location of Offices in Alabama_________________________________________________________________________
4.
Number of paid-up members____________________________________________________________________________
5.
In the columns of the table below insert the name of the President, Secretary, Treasurer, Business Agent, and other officers
of the labor organization or labor union who served during the year, their post office addresses, and the total of salaries, wages,
bonuses and other remuneration's paid each during the year by the union.
Title of office
Name of Officer
Post Office Address
Salaries, wages, etc.,
Period during
received
20__covered by
in 20__
salaries, wages, etc.
FROM____TO_____
SKIP THIS SECTION IF INFORMATION IS INCLUDED ON LM.
Please send a copy of the LM with this report.
6.
In the columns of the table insert the titles of offices in the labor organization or labor union and the dates of regular
elections to the these offices. Include all offices enumerated in item 5 above.
Title of office
Dates regular elections to office are held
SKIP THIS SECTION IF INFORMATION IS INCLUDED ON LM.
Please send a copy of the LM with this report.
• M
• 36131
649 M
S
, A
ONROE
TREET
ONTGOMERY
LABAMA
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