Instructions For Form Lm-15a Report On Selection Of Delegates And Officers (Page 2 of 5) in pdf

Employment Standards Administration

X. COMPLETING FORM LM-15A

Office of Labor-Management Standards

Read these instructions carefully before completing Form

200 Constitution Avenue, NW, Room N-5616

LM-15A.

Washington, DC 20210

Information Entry. Entries on the report should be

VII. PUBLIC DISCLOSURE

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

or any other color ink.

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

required to make all submitted reports available for

Additional Pages. If you need additional space to

public inspection. You may examine the Form LM-15A

complete an item, enter the additional information on a

reports at, and purchase copies from, the OLMS Public

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

Disclosure Room at the address listed in Section VI, or

number of the item to which the information applies.

at the OLMS field office in whose jurisdiction the trusteed

Print clearly at the top of each attached page the

labor organization is located. At the end of these

following information: (1) full name of the trusteed

instructions is a list of OLMS field offices.

organization, (2) its 6-digit file number as reported in

Item 3 of Form LM-15A, and (3) the ending date of the

VIII. OFFICER RESPONSIBILITIES AND PENALTIES

period covered as reported on the second line of Item 2.

Each individual required to sign Form LM-15A is

All attachments must be labeled sequentially 1 of_, 2 of

personally responsible for its filing and accuracy. Under

_, etc.

the LMRDA, these individuals are subject to criminal

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

for false reporting. False reporting includes making any

IDENTIFICATION ITEMS 1 - 3

false statement or misrepresentation of a material fact

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

while knowing it to be false, or for knowingly failing to

assigned by OLMS to the labor organization held in

disclose a material fact in a required report or in the

trusteeship. If you do not know the organization’s file

information required to be contained in it or in any

number and cannot obtain it from prior reports filed by

information required to be submitted with it.

the organization held in trusteeship, contact the nearest

The reporting labor organization and the officers and

OLMS field office listed at the end of these instructions

trustees required to sign Form LM-15A are also subject

for information on the 6-digit file number.

to civil prosecution for violations of filing requirements.

2. PERIOD COVERED—Enter the beginning and

According to Section 210 of the LMRDA, “whenever it

ending dates of the period covered by this report. When

shall appear that any person has violated or is about to

the Form LM-15A accompanies a semiannual

violate any of the provisions of this title, the Secretary

Trusteeship Report, Form LM-15, the period covered will

may bring a civil action for such relief (including

be the 6 months covered by the semiannual report.

injunctions) as may be appropriate.”

When the Form LM-15A accompanies a Terminal

Under the CSRA and FSA and implementing

Trusteeship Report, Form LM-16, the period covered will

regulations, false reporting and failure to report may

end with the date of the termination of the trusteeship.

result in administrative enforcement action and litigation.

3. NAME AND ADDRESS OF LABOR

Individuals responsible for signing Form LM-15A are

ORGANIZATION HELD IN TRUSTEESHIP— Enter the

also subject to criminal penalties for false reporting

full name and the complete mailing address of the labor

under section 1001 of Title 18 of the United States Code.

organization held in trusteeship, including any building

IX. RECORDKEEPING

and room number. Include the affiliation or organization

name (for example, International Association of Factory

The individuals required to file Form LM-15A are

Workers); any designation which specifically identifies

responsible for maintaining records which must provide

the trusteed organization (for example, Local, Lodge,

in sufficient detail the information and data necessary to

Branch, Joint Council, District Council, etc.); and any

verify the accuracy and completeness of the report. You

designation number or other identifier by which the

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

trusteed organization is known (for example, Local 123

the report is filed. You must retain any record necessary

or Southeast Joint Council).

to verify, explain, or clarify the report including, but not

limited to, vouchers, worksheets, receipts, and

PART A - SELECTION OF DELEGATES, ITEMS 4-12

applicable resolutions.

Complete Part A, Items 4 through 12 if, during the

Individuals are subject to penalties for willfully making

reporting period, a convention or other policy-

any false entry in or concealing, withholding, or

determining body met to which the trusteed labor

destroying any books, records, or statements required to

organization sent delegates or would have sent

be kept.

delegates if not in trusteeship. If more than one such

Instructions For Form Lm-15a Report On Selection Of Delegates And Officers Page 2

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