Instructions For Form Lm-16 - Terminal Trusteeship Report (Page 2 of 4) in pdf

U.S. Department of Labor

destroying any books, records, or statements required to

Employment Standards Administration

be kept.

Office of Labor-Management Standards

X. COMPLETING FORM LM-16

200 Constitution Avenue, NW, Room N-5616

Washington, DC 20210

Read these instructions carefully before completing Form

LM-16.

VII. PUBLIC DISCLOSURE

Information Entry. Entries on the report should be

Pursuant to the LMRDA, the U.S. Department of Labor is

typed or clearly printed in black ink. Do not use a pencil

required to make all submitted reports available for

or any other color ink.

public inspection. You may examine the Form LM-16

reports at, and purchase copies from, the OLMS Public

Additional Pages. If you need additional space to

Disclosure Room at the address listed in Section VI, or

complete an Item, enter the additional information on a

at the OLMS field office in whose jurisdiction the trusteed

separate letter-size (8.5 x 11) page(s), indicating the

labor organization is located. At the end of these

number of the item to which the information applies.

instructions is a list of OLMS field offices.

Print clearly at the top of each attached page the

following information: (1) full name of the subordinate

VIII. OFFICER RESPONSIBILITIES AND PENALTIES

labor organization formerly held in trusteeship, (2) its 6-

Each individual required to sign Form LM-16 is

digit file number as reported in Item 1, and (3) the date

personally responsible for its filing and accuracy. Under

that the trusteeship was terminated as reported in Item

the LMRDA, these individuals are subject to criminal

2. All attachments must be labeled sequentially 1 of __,

penalties for willful failure to file a required report and/or

2 of __, etc.

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

INFORMATION ITEMS 1 - 9

disclose a material fact in a required report or in the

1. FILE NUMBER — Enter the 6-digit file number

information required to be contained in it or in any

assigned by OLMS to the subordinate labor organization

information required to be submitted with it.

formerly held in trusteeship. If you do not know the

The reporting labor organization and the individuals

organization’s file number and cannot obtain it from prior

required to sign Form LM-16 are also subject to civil

reports, contact nearest OLMS field office listed at the

prosecution for violations of filing requirements.

end of these instructions to obtain the 6-digit file number.

According to Section 210 of the LMRDA, “whenever it

2. TRUSTEESHIP TERMINATION DATE — Enter the

shall appear that any person has violated or is about to

month, day, and year the trusteeship was terminated.

violate any of the provisions of this title, the Secretary

may bring a civil action for such relief (including

3. ADDRESS OF LABOR ORGANIZATION

injunctions) as may be appropriate.”

FORMERLY HELD IN TRUSTEESHIP — Enter the full

name and the complete mailing address of the labor

Under the CSRA and FSA and implementing

organization formerly held in trusteeship, including any

regulations, false reporting and failure to report may

building and room number. Include the affiliation or

result in administrative enforcement action and litigation.

organization name (for example, International

Individuals responsible for signing Form LM-16 are also

Association of Factory Workers); any designation which

subject to criminal penalties for false reporting under

specifically identifies the trusteed organization (for

section 1001 of Title 18 of the United States Code.

example, Local, Lodge, Branch, Joint Council, District

IX. RECORDKEEPING

Council, etc.); and any designation number or other

identifier by which the trusteed organization is known (for

The individuals required to file Form LM-16 are

example, Local 123 or Southeast Joint Council).

responsible for maintaining records which will provide in

sufficient detail the information and data necessary to

4. FILE NUMBER OF LABOR ORGANIZATION

verify the accuracy and completeness of the report. You

TERMINATING THE TRUSTEESHIP— Enter the file

must retain the records for at least 5 years after the date

number of the labor organization that is terminating the

you filed the report. You must retain any record

trusteeship.

necessary to verify, explain, or clarify the report

5. NAME AND ADDRESS OF LABOR

including, but not limited to, vouchers, worksheets,

ORGANIZATION TERMINATING THE

receipts, and applicable resolutions.

TRUSTEESHIP— Enter the name and mailing address

Individuals are subject to penalties for willfully making

of the labor organization terminating the trusteeship,

any false entry in or concealing, withholding, or

including any building and room number.

Instructions For Form Lm-16 - Terminal Trusteeship Report Page 2

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