How to file your local unit’s LM report electronically

Ver. 8.1.19

Filing Electronically…. Convenient

• Electronic filing for LM-3 and LM-4 filers is now easier and more convenient than ever. Since 2004, Form LM-2 filers (unions with $250,000 or more in annual receipts) have been required to file their annual report electronically. Electronic filing has been and still is an option for Form LM-3 and LM-4 filers. Until recently however, electronic filers had to use cumbersome third party software, and purchase expensive digital signatures to file their annual report. We at the Office of Labor-Management Standards heard many complaints regarding the costs and difficulties of this system, and relatively few LM-3 and -4 filers used it.

• OLMS has replaced this system with a free, secure, web-based electronic filing system called the Electronic Forms System (EFS), which requires no digital signature purchase and only a web browser and Internet connection to use. It has been available to LM-2 filers since October 1, 2010, and to LM-3 and -4 filers since May 1, 2011. With many LM-3 and -4 reports due before the end of March, this is the perfect time to register for and use EFS to file your annual report.

• EFS is ideal if you are a smaller union with a computer and Internet access. The system features built-in, context-sensitive help, eliminating the need to flip through paper instructions. Key information from the previous year’s form is pre-filled into your EFS form. EFS has built-in math functions so you needn’t worry about rounding or math errors. Before you file with EFS, a verification step identifies all incomplete entries and errors. Once you transmit the form, it is received and posted on-line the same day, which greatly reduces the chances of late filing. You can easily save a copy of the report electronically for yourrecords. EFS will save you time, paper and money.

Preparing to file…

ELECTRONIC FORMS SYSTEM (EFS)Guide to

Preparing the LM-4

\

Office of Labor-Management Standards (OLMS) http://www.olms.dol.gov

ELECTRONIC FORMS SYSTEM {EFS)

LM-4

EFS is a web-based system for completing and filing Form LM-4 Labor Organization Annual Report.

This tutorial demonstrates basic features and functionality of the EFS LM-4 form. It does not contain instructions for what information should be provided on your report.

You can download a complete set of LM-4 Instructions from the OLMS website at: http://www.dol.gov/olms/regs/compliance/LM-4 Instructions AR.pdf

System Requirements and Settings

To access and use the EFS, OLMS recommends you use one of the following browsers:

•Microsoft Internet Explorer- Version 6 or higher

•Firefox - Version 3 or higher

Screen Resolution:

For optimal viewing, set your screen resolution to 1280 x 1024 or greater. OLMS recommends that at a minimum you set your screen resolution to 1152 x 864 to avoid horizontal scrolling.

Accessing the SystemLog into EFS using your user ID and password and the filing union'ssix-digit file number and unique union PIN.

(Please see the tutorial on how to register if you do not have a user ID or a union PIN.)

Slbsabe to l1 A1 Dct. . ESAA UNITED STATESDEPARTMENT OFLABOR AtoZlndex SlleMap FAQs DOLFonns Abou!DOL ContactUs

·Electronic Forms System - - - - - - - - - - - - - - - - - - - - - - - - - l Te xtS ,ze

Regist ration :

Welcome to the Office of Labor Management Standards Electronic Forms System (EFS)

Click for a brief tutoria l of the system

Sign in:

.Register for an EFS User account and password •

Obta in a ll.m2.!:!..£i!l• .

If you wis h to ed it your account informat io n - .

User ID

User Password

FileNumber

UnionPIN

lmbresnah

I•••••••••-

lm1so

Forootvouroassworg, forgot vour User IQ?

......................................

Frequently Asked Quesbon5 I Freedom of lnfomiabon Ad I Pnv.tey A. S e a J n t y S b t e me n t I Di-sda.,mers I <w..tomer Survey I Impor tant We b S . t e Notioes

EFS SYSTEM ACCESS

Two separate processes are required to assure a union’s secure access to the EFS:

User Registration

Every person who needs to prepare, review, or sign theLM Forms will need to register for an EFS user account and password to access the system.

Union Registration

A union representative will register to obtain a uniquePrivate Identification Number (PIN) for the union.

User Registration is the first step in gaining access to EFS.

REGISTRATION HOME PAGE

Left-click on the “click here” hyperlink to continue to the User Registration page.

USER REGISTRATION

USER REGISTRATION – COMPLETING THE FORM

Select “Yes” If you are an officer responsible for signing the form.

Select “No” if you are not an officer responsible for signing the form,BUT are responsible for reviewing or preparing the report.

If you prepare, review, or sign the LM Report Form, you will need to register and establish a User ID and password.

USER REGISTRATION – COMPLETING THE FORM

Enter the following information:

First Name Middle Initial Last Name

Enter your complete title (i.e. Secretary-Treasurer, Accountant)

USER REGISTRATION – COMPLETING THE FORM

Enter your telephone number with area code. (i.e. 555-555-5555)

Enter the email address to which a confirmation can be sent.

Create a User ID that you can easily remember. Your User ID can be a maximum of 30 characters and can include letters, number, and symbols.

USER REGISTRATION – COMPLETING THE FORM

When creating your password, keep in mind these requirements:

It must be 8-15 characters. It must include at least one CAPITAL letter. It must include at least one number. It may include special characters.

USER REGISTRATION – COMPLETING THE FORM

For additional security, you will be asked to select one of the security questions and provide an appropriate response.

USER REGISTRATION – COMPLETING THE FORM

When you have completed the registration form, click on the button at the bottom of the page

USER REGISTRATION – COMPLETING THE FORMIf you have entered all required fields, a registration confirmation will display on the screen.

In addition, an email confirmation will besent to the email address you provided on your registration form.

OBTAINING A PIN FOR YOUR UNIONEach reporting union must obtain a PIN to gain access to the EFS

A PIN is a Private Identification Number assigned to a union, and known ONLY by those who need to access the union’s information through EFS.

A union should select one representative to obtain the unique PIN.

Only one PIN will be assigned to each filing union.

The union representative assigned to obtain the PIN will then distribute this PIN to any individuals who prepare, review, orsign the LM forms.

The union will need to obtain a new PIN every year to maintain authorized access to its LM forms.

There is no charge associated with obtaining aPIN.

OBTAINING A PIN FOR YOUR UNION

Left-click on the “Click here” hyperlink to continue to the Union Registration page.

OBTAINING A PIN FOR YOUR UNION

Enter your User ID from the User Registration Process.

Enter your User Password.

Enter the File Number of your labororganization.

IMPORTANT!

ONLY ONE REPRESENTATIVE FROM THE UNION WILL OBTAIN THE PIN

OBTAINING A PIN FOR YOUR UNION

If you have successfully submitted your Union PIN Registration form, a Union PIN Registration Confirmation will display on the screen.

The PIN will be sent to the email address provided by the union representative.

OBTAINING A PIN FOR YOUR UNION

In addition, a letter will be mailed to theaddress(es) on record for the union notifyingthe union officials of any activities relating toobtaining or updating a PIN.

This is another security measure to prevent unauthorized access to the forms.

Accessing the System

Select one of the options displayed on the screen.

(Please note that the only forms that you can amend in EFS are ones that were filed using EFS.)

•.....................•..: Select LM-4 .:.: from the :

. . - - - - - - - - - - - - - - - - - - - - - - . , 1 dropdownThe Electronic Form s System customizes the LM r eport with your Union's • • • •. .....................

•••

What would you like to do?r Cont inue to vork on forms in progressr. Start a ne ,v formr Amend an alread y submitt ed form

Hew Form

information.

Fiscal Year Selected

Form Selected

Period Covered

Beg in Date

End Date

.y.•

••••1201 .;] ••••••• ••••

;• jl t..1·4 ... •••I ••········ ·······················

: Note: You must :: change the "period :: covered" dates before :: obtaining the form! :

101/01/2011

112/31/2011• • • • • • • • • • • • • • • • • • • • • • • • 1

GetForm

Accessing the SystemLog into EFS using your user ID and password and the filing union'ssix-digit file number and unique union PIN.

(Please see the tutorial on how to register if you do not have a user ID or a union PIN.)

Slbsabe to l1 A1 Dct. . ESAA UNITED STATESDEPARTMENT OFLABOR AtoZlndex SlleMap FAQs DOLFonns Abou!DOL ContactUs

·Electronic Forms System - - - - - - - - - - - - - - - - - - - - - - - - - l Te xtS ,ze

Regist ration :

Welcome to the Office of Labor Management Standards Electronic Forms System (EFS)

Click for a brief tutoria l of the system

Sign in:

.Register for an EFS User account and password •

Obta in a ll.m2.!:!..£i!l• .

If you wis h to ed it your account informat io n - .

User ID

User Password

FileNumber

UnionPIN

lmbresnah

I•••••••••-

lm1so

Forootvouroassworg, forgot vour User IQ?

......................................

Frequently Asked Quesbon5 I Freedom of lnfomiabon Ad I Pnv.tey A. S e a J n t y S b t e me n t I Di-sda.,mers I <w..tomer Survey I Impor tant We b S . t e Notioes

Accessing the System

Select one of the options displayed on the screen.

(Please note that the only forms that you can amend in EFS are ones that were filed using EFS.)

•.....................•..: Select LM-4 .:.: from the :

. . - - - - - - - - - - - - - - - - - - - - - - . , 1 dropdownThe Electronic Form s System customizes the LM r eport with your Union's • • • •. .....................

•••

What would you like to do?r Cont inue to vork on forms in progressr. Start a ne ,v formr Amend an alread y submitt ed form

Hew Form

information.

Fiscal Year Selected

Form Selected

Period Covered

Beg in Date

End Date

.y.•

••••1201 .;] ••••••• ••••

;• jl t..1·4 ... •••I ••········ ·······················

: Note: You must :: change the "period :: covered" dates before :: obtaining the form! :

101/01/2011

112/31/2011• • • • • • • • • • • • • • • • • • • • • • • • 1

GetForm

LM-4 Page 1

The EFS form looks similar to the old Adobe form. Your union information is pre-filled.

PAGE1

PAGE2

ADDIIL IIIFO

VALIDATIONSUMMARY

••..••••••••• ••- - - - - - -!,,- - - - - ·.., •-..- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

. READ THE INS TRUCT!Q NS CAREFULLY BEFORE PREPARING THIS REPORT.

s.·

.; J •••M LM-4 LABOR ORGANIZATION ANNUAL REPORT I formApprovedU.S. Depa rtm, e lt of Labor Office of Management andStondo,. s FOR USE N• Y BY LABOR ORGANIZATIONS WITH LESS THAN Sl0,000 IN TOTAL ANNUAL I No. 003Office of Labor-M11nogement

Vos h ing ton,! 20210 • • • RECEIPTS Expires: 10.31•2013

fiiTs"report is mandat.! rv under P.L. 86·257 as amended. FaTiu l!t comply may result in crimi nal prosecution fines or civ1i pena lti es as provided by 29 U.S.C. 439 or 440.

.For Official Use Only :

E

1. FILE NUMBER544446

2. PERIO c:t VERED 3. (a) AMENDED - If this is an amended report , r• +• MO DAY YEAR check here :

(bl TERMINAL - If your oroan izat ion ceased toFrom 0 1/01 /20 ,. • e xist and this is its term inal repo rt , see section rThrouoh 12/31/2011 •1'. XII of the in struct ions and check here :

4. AFFILlATION OR ORGANIZATION NAME 8 . MAILING ADDRESS (Type in cap ita l lett ers)FACTORY WORKERS_--_D_E S-_I G_N_AT_I O_N_(_Lo_c_a, l-_Lo_ _do_e, - e-t-c. -) - -_ 16_D_E_S_I G_N_A_T_I _ON_N_U_M_ B_ER ,

First Name J OHN

ILast Name. SMITH

,- - - - - - - - - - - - - - - - - - - - - - - - - - - - ,P.O. Box - Buil ding

ROOM lA

and

Room Number( i f an y )7. UNIT NAME (if any)PITTSBURGHREGION

Number and Street1234 MAIN STREET

CityPITTSBURGHState

IPA ..:.lI ZIP Code+ 4543211234

Each of the undersigned, duly authorized officers of the above labor organization, declares, under penalty of perjury and other applicable penalties of law, that all of theinformation submitted in this report (including the information contained in any accompanying documents) has been examined by the signatory and is, to the best of the undersigned"s kn owledge and belief, true, correct, and complete. (See Section VI on penalties in the instructions.)

20. SIGNED: I !PRESIDENT 21. SIGNED : I !TREASURER( If other title, see instructions) (If other title, see instructions)

Date : I Telephone Date: I Telephone INumber: Number:

NavigationYou can easily move through the form by using the navigation links to the left to go directly to a page or by scrolling through pages using the arrows

PAGE1

PAGE 2

ADDNLlllFD

VAUOATIOflSUMMARY

at the top.............·· .····················... ··········.........

Validate -

-l

I FORM LM- 4 LABOR

ORGANIZATION ANNUAL

REPORT

Form ApprovedU.S. Depart m entofLabor

Office of Management andOffice of Labor-

Management

BudgetStandards

FOR USE ONLY BY LABOR ORGANI ZATIONS WI TH

LESS THAN Sl 0,000 INTOTALANNUAL

No. 1245-0003Wash in gton, DC20210

RECEIPTS

Expires:10·31·2013

ThTsreport Ts mand atory und e r P. L. 86·257 as ame nd ed. Fa1fu re to

comply ma y res ultTn cri mina l prosec utio n fines , or J vl l pe na lties as provi

de d by 29 U.s.c. 439 or440.

READ THE IN STRUCTIONS

CAREFULLY BEFORE PREPARINGTHIS

REPORT.

For Official Use Only

E3. (a) AMENDED • If this is an amended

1. FILE NUMBER544446

2. PERIOD COVEREDMO

From 01/01/2011Through 12/31/2011

DAYYEAR

Getting Help Within the Form

The form has several built-in help functions.

••••

Mouse-over text that displays information on what to report or how to enter data into a field is available on many items.

••• •••• ••••• •••• ••••13 . Ho IV man y members d id you r •.

org a n_ iz a t ion ave at,t ' Enter the number of members in the labor organization atreportingp e roi d? the end of the reporting period. Include all categories of

members who pay dues. Do not include nonmember employees who make payments in lieu of dues as a condition of employment under a union security provision in a collective bargaining agreement.

••••••••••••••

•••••••18 . Enter the to ta l paymen t s to off icers and employees du rin g the repor t i ng per iod(g ross salaries, los t t ime pal'"""-"=<..._ _._ all o Nances exp en ses etc .) Ente r the total amount of all paymentsto officers and

'

Please be sure to :

' employees made by the labor organization during the reporting period. The amount should include, for example, gross salaries (before tax withholdings and other payroll deductions); lost time pay; monthly, weekly, or daily

• Enter your union·s 6-di allowances; and disbursements for conducting official. . business of the labor organization as well as disbursements

• Repor t a t ime per iod of which were essentially for the personal benefit of the• Ha ve you r u i ·s p r esh:.o.f.f..,.ic..e,...r..,or,.,,.e.m...,P..,lo..,Y,,,e.e.......,,............,,....,.....,.............T"C..,.........,'T"""--'

Getting Help Within the FormClick the Help link at the top of each page to open the form instructions for the current page in a new window.

···········..·...........•• •.; •..•........·PAGE1

PAGE2FILENUMBER:S44-446COMPLETE ITEMS 9 THROUGH 18

Enter Amounts in Dollars Only • Do Not Enter CentsADDIILDIFD

VAUDATIOIISUMMARY

9.Dorg con rate pra

havco p iE

- - -- - - - - --- -

A UNITED STATES s . b s a b e t o O AI= • a Ms

\::;I DEPARTMENT OF LABOR . . . . . . . . . E mins,t A to Z I Srte Map I

EDI

FAQs I Fom,s I

About DOL I Contact Us I Espanol

chan

10. (labo1 an dI te m

Office of Labor-Management Standards> Q.LMS > U-1-4 !nstruroons

11. (labo1shor..Yesreco•

ComplianceAssistance

Regulatory Library

fl ews Room

About OLMS

Contact Us

Office of Labor-Management Standards (OLMS)

lf ff ORMATlOII ITEMS 9- 18

Add1t,onal JnformatlQn and SIClnatvres>

Answer Ite ms 9 thr ough 18 as r,s ructed. Select the appropna e box or those questions requm g a " Yes" or· 11·0 answ er; do not leav eboth boxes blan . En er a sngle ·o· 11 t h e boxes for ems requm g a number or dolar amount there 5 noth11g to report .

9. CHAIIGES DI COIIST1TUT10 11 AIID 8YLAWS OR PRACTICES/PROCEDURES - I f the labor organeation an sw ered' Yes" to I te m 9 becau se the labor organea ion' s const ution and bylaw s w ere changed dum g the report11g penod (oth er than rates of dues and ees), a dat ed copy of the new constitution and bylaws roost either be sub ed as an electro nic atta chmen to th e Form U·l-4 th e labor organeation sub s o OU- IS, or the labor constitution and bylaw s o:

Office of Labor-Man agement Standards200 Constitution Ave., UW, Room 11-15 19Wash11gto n, DC 202 10·000 1

If h e labor organeaoon 5 governed by a un orm cons t ion and bylaws prescrb ed by the labor organea ion' s paren nat ionalornc emaoonal body, the labor organeaoon' s parent body may• the conm :ution and bylaws on e labor organ eaoon's beha . If the paren body s a cons uoon an d bylaws on the labor organeation's beha , an sw er I em9' Yes" and sta e a fact 11 I te m 19 ( Add nal In ormation).

If I em 9 5 answered' Ye·s because h e labor organ eation changed any o th e pract ices/ procedures ist ed below dum g the reportn g penod and the pract ices/ procedures are no descrb ed 11 the labor organeaoon's const uoon and bylaw s, th e labor organeation roost

an amended Form LM· l (Labor Organeation Information Report ) with , s Form LI·l-4 to upda·e 11 ormation on e w h OU- IS:

qualifications for or restnroons on membership;VVl'I Q assessments;

part ic,patn g 11 11surance or oth er bene plans;

12.(orga

Ifre

"13.forga repo

Menu ItemsThe menu across the top of the form contains the following items:

AddAttachments

1. Save and Calculate - Click this item to save the current page and perform all mathematical calculations. Calculations are not performed automatically because doing so would dramatically reduce the speed of the application. It is important to click Save and Calculate at regular intervals when entering data in the form. If you do not save, you will be prompted to do so when you navigate away from a page.

2. Add Attachments - Click this item to open the Add Attachments page where supplemental information (like a constitution and bylaws or audit report) can be uploaded. The uploaded data can then be submitted with the form.

3. Validate - Click this item to run the form validation routine, which checks the form for missing data. Each page has its own set of validations , and you will be prompted to fix these items before leaving the page if you wish. All validations must be satisfied before the form can be signed and submitted.

4. Help - Click this item to take you to page-specific instructions for completing the form. You can navigate through the instructions page by page, or download/print a copy from our website at: http://www.dol.gov/olms/regs/compliance/LM-4 Instructions AR.pdf

5. Print - Click this item to open a facsimile of the electronically completed LM-4 . You can save a copy of this report to your computer and share it with others who may need to prepare or review the document. You may save a copy of the final signed report prior to submission.

Additional InformationThroughout the form, there are places where the system will prompt you to enter additional information. You have the option to check a box to enter theinformation later, and the Additional Information prompt will remain red to remind you that you will need to enter additional information before submitting your report.

To go back and enter the additional information, doubleclick on the Al icon and enter theadditional information. The prompt will turn green, indicating that additional information has been entered.

The Additiona l Information Summary can be found in the left navigation pane.

Additional Information · RateCha nge

If •· Ye·s· to item 10, you must report the new rat es of dues and fees in Additional In formation. Please r efer to the It em 10 instructions for specific r eporting requirements.

Please Note: Once you begin enterin g information, you must press SAVE or ENTER LATER button to exit the Additional I nformation data entry process.

N' w = a t . ! : l . S 1 . S \ - . 02 p / :=. P t!!' !!".O • • t.:l

- ltftt!P.§i

Yes r. D ..cl• •• • • • • •No r

Yes r. I!]No r ............

AdditionalInformation entered

Additional Information needs to

be entered

Additional Information

PAGE 1

P1 1i 2.•••••• ••• AODNL IHFO :••• ••VAuf>M-i•1or

SUMMARY

••• Click the "ADDNL INFO" link in the left navigation••

M ••• •• pane to display the Additional Information Summary page.

To enter any other additional information

required by the forminstructions, click the

General Informationlink.

••••••••...........•••• •••.•;•Ge11eral l11forma11011•••••········••• FILE NUMBER:544 -446

AddAttachme11ts

1 9 . ADDillONAL I NFORMATI ON SUMMARY

! Quest ion 10 : Ne" rate is 1.45% + .02 p/ hr per month

• • • • • • • • • • • •

19 . ADDmONAL I NFORMATI ON SUMMARY

! Quest ion 10: Ne v rate is 1.45% + .02 p/hr per monthTo go to the item, click on the blue additional informationtext.

Attachments: Attaching Supplemental Data

As with the previous forms system, EFS allows you to attach data, such as constitutions and bylaws, that may be required to be submitted with the report.

To begin the process of adding an attachment, click the Add Attachments link on the top menu bar.

Add Attachments

Note: While the system does not prevent them from being uploaded, certain file formats cannot be read by our system. The following file formats can be read:

•Adobe PDF•Microsoft Word•Microsoft Excel•Rich Text Format•HTML•Standard Picture formats JPEG, BMP, GIF•Text files

Attachments: Attaching Supplemental Data

Add Attachments

ATTACHMENTS

Select Type of Att ach ment I- - - - - - - - - - -

Select File Browse

ttachFIie

Attached Files

I•1-•:-•••••••.A•tt achm ent

r,• test .pdf •: Byla !>IS and Other Att achments•• ••·····......••••••••••••••••••••••••••••

..........,• • elete•• ••

Type tf ••••••"

••••

•••

••••

••••

.••••••

•

••••

••••

••••

•••••

•••••

Select the type of attachment you want to upload. Reviewers can view attachments by selecting the check box to the left of the attachment name and clicking the open link.

Validation

There are two types of validations built into the form to help ensure that the correct data is being entered into the form: Page Level Validations and Form Level Validations.

Page Level Validations occur before you navigate away from a page. A pop up message will alert you of items that must be corrected before the form can be signed and submitted.

Message from webpage

?.. The items below failed to pass the validation. Do you want to correct them now? (

Click "OK" to correct them now or click "Cancer to correct themlater.)

Page2: ltem9: You must provide an explanation for this item. Please consult the form instructions if you are unsure of what information to provide.

If you click OK you can correct the item before leaving the page.

If you click Cancel, you can correct the item later. You will be prompted to make the correction during form validation.

ValidationForm Level Validations occur as a final check before the form can be submitted. You must click the Validate link on the top menu bar.

PAGE1

PAGE2

ADDIIL IIIFO

VAUDATIOIISUMMARY

AddAttachments

FILE NUMBER:544-446

AUOATION SUMMARY PAGE

1. Page2 : Item 9: You must provide an explanat ion for this item. Please consult the form instru ctions if you are unsure of what information to provide.

The system will open the Validation Summary Page containing a list of items that must be corrected.

You can click on each item and be taken to the page where the item canbe corrected. For more information on what should be provided for theseitems, consult the form instructions.

Signing the FormOnce all of the validation items have been corrected, the form is ready to be signed.

Message from webpage

This form has passed the varidation check. Validations only check to make sure data has been entered properly in the form, but there could stiU be reporting errors in the form. Please review the LM-4 instructions to make sure this form has been fiUed out according to the requirements.

Please click on a signature fieldtosign.

11...........oK...........i).

The signature blocks will turn red, indicating the form can be signed.

Each of the unde rsigned, duly authorized officers of the above la bor orga nizat ion, declares, unde r penalty of pe rju ry and othe r app licable penalties of law, that all of theinformation su bmitted in this report (inclu ding the information contained in any accom panying doc ume nts) has bee n examined by the signato ry and is, to the best of the un dersigned's knowledg e and belief , true, corre ct, and comple te. (See Section VI on penaltie s in the instructions.)

21. SIGNED: Click Hereto Sign !TREASURER

(If ot he r title, see inst ructions )Telephone Number:

!PRESIDENT

(If othe r title, see inst ructions)Telephone Number:

20. SIGNED: Click Hereto Sign

Date: Date:

Note: All officers who must sign the form must have established user accounts and must log into EFS with their account information to sign the form.

Signing the Form

You must re-enter your password to 'sign' the form. By doing so, you are legally attesting that you are the person identified by name in the signature block and a duly authorized officer of the union.

_ _ _ _ _ _ P_r..e;;.s.'-id.;...e.: nt's Signat-"u_re.:;.._ _By e ntering my na me and pass word be lo•, , I attes that I a m John Smith , a du ly autho rize d officer of the a bove labor organizat ion, a nd dec l a re, und e r pe na lty of pe rjury and o he r a pp li ca ble pe nalties ofla w, tha t all of the informat ion su bmitted in this re port (includ ing the informat ion conta ine d in any attac hed documents ) has bee n ex amined by me a nd is , to the best of my knowle dge a nd be li e f , true , correct.!. a nd compl e te .F ir s t Name l .J._o..-hn _ _ _

Middle Initial IN e l ..S.. m---- - - - -

104/05/2011Date

Pass ord 1.....-.-••-.-.-.-.-.- - - -Phon e Number j2025551212

Signing the Form

A minimum of two signatures are required to submit the report.

Each officer will have to log in separately to sign the form.

Once the report has been signed, if any changes are made to any fields on the form, the signatures will be removed and the form must be validated and signed again.

Save a Signed Copy

Click the Print item and click Fi le7 Save As to save a signed copy of the report as a PDF to your computer. Do this before submitting the report.

FORM LM - 4 LABOR ORGANIZATION ANNUAL REPORT,i!<lCU!OS

Save a Copy...

Downloads =l.:.!:J· r29U

2010 LM·i Factory Workers=za' t.rteIr

Nai r f

.J::L

321·

Sa-ve !

eance1 Ia12010 LM-4 Factoryw'orkers.pdf

IAdobePDFFiles(".pdf) .:l

Note: You can obtain a copy of the submitted report from the Online Public Disclosure site. Please see the next section for information on this.

Submitting the Form

Once the signatures have been applied, the form can be submitted.

Click the Submit button from the top menu bar. Once the formhas been processed (this may take a few minutes) a confirmation message will display:

Yo ur LM-4 Form has been successfully accepted for processing. Yo ur confirmati on number is: 544446-44 1258-20110405114851 Please make a note of this number for your records.

To view your submitted LM-4 report, visit th e OLMS Online Publi c Disclosure Room OLMS Online Public Disclosure Room link:http://www.dol.gov/olms/reqs/compliance/rrlo/lmrda.htm

You can print this message by going to Fi le7 Print, or simply copy and paste the text from the page into an email or word processing document.

You should now be able to view your submitted report in the Online Public Disclosure Room, by using the link shown above.

Troubleshooting

During peak filing periods, you may experience a slowdown in saving and validating the report.

During these busy periods, you may see an error that looks like this:

S<.bsabe to g Al DOI. • ESA AdvancedS earchA UNITED STATES E!l2::m EmDEPARTMENT OF LABOR AtoZlndex s,teMap FAQs DOLFonns AboutDOL ContactUs

,EfSElectronic Fonns Sys tem - - - - - - - - - - - - - - - - - - - - - - - l : I D TextS oze

Error condition 1001 has occurred during the prefill processing. If this error continues to occur, please contact the OLMS Help Desk at 1-866-401 -1109. Please select the Back link below to return to the schedule.

frequently Asked Questions I Freedom of Inform.ibon Ad I Pnvacy & Sea.inty Statement I D1sd aune rs I Customer Survey I Important Web SIie Notices

Please wait a few minutes and try again. However, if you continue to experience the problem, please contact our technical support desk. See the next page for information on how to get help.

Getting Help

If you experience difficulty using EFS, please contact OLMS Form Technical Support toll-free at:

1-866-401-1109

This PowerPoint presentation and other information regarding EFS can be found on our website by accessing the following URL:

http://www.dol.gov/olms/regs/compliance/efs/efsintro.htm

If you have additional questions or comments please contact OLMS:E-mail OLMS at olms-public@dol.govor contact your local OLMS District Office

Ron Berg – email : Ronald.Berg@nrlca.org / PH#: 608-220-4855Columbia, Waupaca, Door/Kewanee, Waushara, Winnebago, Brown/Shawano

Bob Lueck – email: BobLueck59@outlook.com / PH#: 920-285-6867Cal-Man-She, Dodge, Jefferson, Milwaukee/Waukesha, Racine/Kenosha, Ozaukee/Washington

Dawn Pingel – email: Dawn.Pingel@nrlca.org / PH#: 608-343-7869La Crosse, Fond du Lac/Green Lake, Marquette/Adams, Monroe/Juneau, Vernon, Wood/Portage

Erica Kragness – email: Erica.Kragness@nrlca.org / PH# 715-563-5302Barron/Washburn, Chippewa/Eau Claire, Dunn, Lake Superior, Northern Waters

Susan Tiffany – email: susabella25@yahoo.com / PH# 715-612-2060Lincoln/Langlade, Marathon/Clark, Marinette, Oconto, Outagamie, Tri-County

Frances Smidt – email : franceswirlca@gmail.com / PH# 715-450-1881Buffalo/Tremp/Jackson, Pierce/Pepin, Polk/Burnett, Price/Taylor, St Croix

Jason Johnson – email: jleejohnson23@gmail.com / PH# 608-482-1280

Crawford, Dane, Grant/Iowa, RWLG Stateline

**Tom Bittner has also volunteered to assist anyone needing/wanting help. His contact information is: email: tombittner@charter.net / PH#: (920) 418-9351.