Instructions For Form Lm-16 - Terminal Trusteeship Report Page 3

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6. CONVENTIONS AND ELECTIONS — Select YES in
10. ADDITIONAL INFORMATION — Use Item 10 to
Item 6(a) if, during the period since the last Trusteeship
provide additional information as indicated on Form LM-
Report (Form LM-15) was filed, any convention or other
16 and in these instructions. Enter the number of the
policy-determining body met to which the trusteed
item to which the information relates in the Item Number
organization sent delegates, or would have sent
column. See Section VIII (Completing Form LM-16) if
delegates if it was not in trusteeship.
there is not enough space in Item 10.
Select YES in Item 6(b) if, during the period since the
11 - 14. SIGNATURES —The completed Form LM-16
last Trusteeship Report (Form LM-15) was filed, there
which is filed with OLMS must be signed by the
was an election of officers of the labor organization
president and treasurer or corresponding principal
terminating the trusteeship.
officers of the organization which has imposed the
trusteeship, and all the trustees designated to supervise
If YES for either Item 6(a) or Item 6(b) is selected, you
the affairs of the organization held in trusteeship. If the
must file a Report on Selection of Delegates and
report is signed by an officer other than the president
Officers, Form LM-15A.
and/or treasurer, so indicate in Items 11 and/or 12 by (1)
A policy-determining body means any body convened by
crossing out the pre-printed officer title(s) and (2)
inserting the appropriate officer title(s). If the trustees
the parent labor organization or other labor organization
have a different title such as administrator, cross out the
which is composed of delegates from labor organizations
printed title and enter the correct title in Items 13 and 14.
and which formulates policy on such matters as wages,
If there are more than two trustees, the additional
hours, or other conditions of employment or
trustee(s) should sign and date the Form LM-15 in the
recommends or takes any action in the name of the
participating labor organization. Such a body includes,
space below the officers’ and trustees’ signatures in
Items 11-14. You must have original signatures on the
for example, a district council, area conference, or joint
Form LM-16 filed with OLMS; stamped or mechanical
board.
signatures are unacceptable.
7. METHOD OF TERMINATION OF THE TRUSTEE
Enter the date the report was signed and the telephone
SHIP — Select Item 7(a) if the subordinate labor
number(s) used by the signatories to conduct official
organization was dissolved. In Item 10, give a detailed
business. You do not have to report a private, unlisted
explanation of the circumstances of the dissolution and
telephone number.
its effective date.
Select Item 7(b) if the subordinate labor organization
was merged or consolidated. In Item 10, give a detailed
If You Need Assistance
explanation of the circumstances relating to the merger
or consolidation, its effective date, and list the name and
T he Office of Labor-Management Standards has field
mailing address of the labor organization into which the
offices located in the following cities to assist you if you
subordinate labor organization has been consolidated,
have any questions concerning LMRDA and CSRA
merged, or otherwise absorbed.
reporting requirements.
Select Item 7(c) if the subordinate labor organization has
been restored to the autonomy otherwise available to it
Atlanta, GA
under its constitution and bylaws and the constitution
Birmingham, AL
and bylaws of the labor organization which had imposed
Boston, MA
the trusteeship.
Buffalo, NY
Chicago, IL
Complete Items 8 and 9 only if Item 7(c) is selected.
Cincinnati, OH
8. METHOD OF OFFICER SELECTION — Select Item
Cleveland, OH
8(a) if the officers of the subordinate labor organization
Dallas, TX
were elected by the membership.
Denver, CO
Detroit, MI
Select Item 8(b) if the officers were selected by another
Grand Rapids, MI
method and explain that method in Item 10.
Guaynabo, PR
Honolulu, HI
9. OFFICERS — Enter the names and titles of the
officers of the subordinate labor organization.
Houston, TX
Kansas City, MO
Los Angeles, CA
Miami (Ft. Lauderdale), FL
ADDITIONAL INFORMATION AND SIGNATURES
Milwaukee, WI
Minneapolis, MN
3

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