Document KRybwYJZzrepVmaoZ397NOkOx

The BFGoodrich Company Chemical Gioup R R l . Box 15 Henry. Illinois 61537 309-364-2311 June 11, 1991 Mr. Angelo J. Lendino Dental Care of America PO Box 765E Wheeling, IL 60090 RE: Richard T. Bogner - SS# 336-34-1583 DCA Plan # 442 Dear Mr. Lendino: Mr. Bogner has been placed on our Long Term Disability roles effective 4/27/91. He has indicated that he would like to remain in the DCA plan, but because he no longer has the option of payroll deduction, it will be necessary to bill Mr. Bogner at his home address which is: Richard T. Bogner R.R. #1 21 Melody Lane Lacon, IL 61540 This billing should begin with the August, 1991 premium. If you have any questions, please let roe know. Sincerely Benefits/BognerR2.doc cc: E. Casey R. Bogner File Sharon F. Murphy HR Administrator NGC 04413 * * * * * EMPLOYEE PERFORMANCE REVIEW * * * EMPLOYEE HAM?. --v ' I/' O -L ; > c '< ft c ^ s .<DEPARTMENT > - : >PERIOD -'-T ~ ' REVIEW f THRU . J` ' j > - V / ATTENTION REVIEVER: This report la to reflect the Employee's Performance only for the above period. Cross out (x) number of factors which sre not applicable. Check (x) the box to Che right of Che racing factor which besc describes Che employee's performance. Particular emphasis should be placed on employee acrenghca, weaknesses, and Beans of improvement on attached sheet. RATINC FACTORS 1. KNOWLEDGE - Consider knowledge of work gained thru experience, general education, specialized training and utilization of sources of information. 2. QUALITY - Consider ability to produce work free from error. Consider accuracy and neatness. Does he follow procedures. 3. QUANTITY - Consider volume of work produced under normal conditions within given period of time by employee and/or unit he supervises. U. DEPENDABILITY - Consider reliability in che execution of assignments and amount of supervision required. 5. COOPERATION - Consider attitudes toward work, company, and associates. * Consider compliance, Cl helpfulness, and courtesy. n PERFORMANCE RATINC SELECT THE ONE WHICH BEST REFLECTS EMPLOYEE'S PERFORMANCE IN HIS PRESENT POSITION Adequate to meet normal Job require ments. Capable of handling present as signments. r Sufficient to usually produce sa t is f r. to r ` ' /. Occasionally deficient. r Exceptionally thorough knowledge of work and related fields. Exceeds maximum requirements. (V Additional knowledge needed to meet minimum require ments. Comprehensive. Entirely adequate Sometimes exceeds Job requirements. rr Work consistently Work always of highest well done. Rarely quality. Neatness and makes an error. accuracy unsurpassed. Very neat. Always follows proce Usuallv follows procedures. dures. r-- fx Tends to be careless. Makes frequent errors. Rarely follows proce dures . r Work barely meets quality standards. Seldom follows pro cedures . r Adequate to fulf ill normal Job requirements, occasional e rrors. Follows procedure*. occasicnallv, / Exceedingly big producer. Consis tently exceeds requirements, Meets schedules reg ularly. Sometimes provides additional effort. r* Fulfills Job require ments. Regularly provide sufficient work. Meets minimum re quirements Output usually adequate. Sometime* fall* to provide adequate effort. |-- Falls behind lr. work of ten. Inefficient. r Marginally re liable. Usually requires detail supervision on new work. Requires considerable prodding and follow up even on routine work. r Outstanding ability to follow through on any assignment with no detail supervlsion. F Can be depended upon to perform standard assign ments. Some super vision required when perfoming unusua 1 assignments. p-- Reliable worker, Rarely needs follow-up or close supervision on variety of assignments. n Usually gets along Meets normal expect well. Occasionally ations of attitude, must be prodded to compliance, help cooperate. fulness, and J courtesy. Gets along very well. Cood attitude toward work and associates. Creates good feelings. __________C C___ __________________________ Always congenial and helpful. Goes out of his'way to cooperate. Respected by all. An exceptional attitude. R Unsatisfactory attitude Coward others. Resents suggest ions. Arousea anta gonism. r ' * * * EMPLOYEE PERFORMANCE REVIEW ***** -2- 6. ADAPTABILITY - Consider ability to meet changing conditions and 1 emergencies, ________________________________ Has some difficulty when shifted to new , different work. r Able to learn variety o duties with average amount of guidance, r Has considerable difficulty in adjusting to any variety in assignments. Highly flexible. Can be used effeccively on many varied assignp"- ments. (Usually learns new duties with less than normal supervision. j- 7. INITIATIVE - Consider aggressiveness and confidence In cackling work. Eager to go ahead. Proceeds on his own on most assignments Makes suggestions. r Goes ahead on regular assignments. Hesitant in Btsrtlng new work. Occasionally requires follow-up. r A self-ecarter. Aggressive, selfconfident and resourceful on all ass lgnmenta. lacks aggressiveness and selfconfidence requlred. Must frequently be 17 prodded. Normal amount of Interest and aggressiveness p" r~ 8. JUDGEMENT AND COMMON SENSE Consider wisdom of decisions In absence of decall Instruction, ability to solve problems, to think clearly and constructively. Inclined to be illoglcsl, requires very detailed Instructlons, confuses easily, ___________c Shows average Judgment, thinks clearly under normal conditions. Needs guidance In unusual clrcums cances. r~ Exerqlsee be-tt-ef : Exceptionally logical. Fair Judgement Judgment Positive and construct under normal pg-ntd. Has logical lve at all times in c lrcums cances solutions for most any aituaCIon. Some times sets problems. Thinks before he thinks. clearly and positively Requires some under unusual conditions nr checking of his r solutions. r* 9. PLANNINC AND ORGANIZING Consider work habits and ability to plan and organize work; to conserve time, materials and funds. Objective planner and organizer effective even lender very difficult circumstances. Requires some assistance in planning and organizlng work, other chan routine assignments. Above average planner and organizer. Work plarus are easily loplemented. Able to organize and plan work In expected fashion. n r rr Does not plan and organize work as Job requires, Needs unusual amount of guidance In planning and oreanlzlne assign r neats- 10. HOUSEKEEPING - Consider attitude coward housekeeping and degree of effort shown. 11. LEADERSHIP - Consider ability to select, organize, inspire, and lead a group to obtain maximum efficiency. 12 . SAFETY - Consider degree of safety consciousness. Is knowledge applied? Seldom cleans up area. r Shows sufficient ability In present assignment handles employees aatisfactorily. r- Minimal effort continual prodding. Displays superior leadership qualities. Stimulates exceptlonally cooperative team work. Area is normally Initiates extra Housekeeping kept in satisfactory housekeeping effort excellent - helps condition. within area of out In areas out - responsibility. side of his own, r r* r " Very capable leader. Leadership qualities Adequate under Handles employees well are Inadequate. routine clrcura- with better chan Shows definite lack stances, Needs average results. of ability. help to get re- suits under ocher r r~ |chan routine con R dltIons. Fairly safe worker. Requires some reminding. Performs work vith expected amount of cau tion. Familar with rules. Shows more chan expected awareness of safety rules. lives little heed to regulations and good safety practices. laceless /ery safety con,clous. Always ollovs rules and ttas constructive ( uggestlons. r~ ___E=- ____________c=L c_________ \G C 04415 ! c. L rtMv <_ .ICrl 13. ATTENDANCE AND PUNCTUALITY 1. Absence 2, Tardy or early stopping 3. Long lunch periods or coffee breaks; person business, etc Too often Too often ^ Too often ^-- Frequently Frequently j"" ^___ _ Frequently ^___ Average Average Average [X Seldom Seldom Seldom f- Never ____ Never (X __ Never r* ^ ^ 14. OVERTIME COVERACE 1. Scheduled 2. Call-ins Always accepts 1----- Always accepts Never Never ( cd Seldom Seldom r~ nd Average Average FreHquently f_X_ Frequently ' 1" _________________ OVERALL EVALUATION In comparison with other employees with the same length of service on this Job-' Definicely Unsatisfactory Substandard, but making progress. Doing an average Job. Definitely above average. Outstanding COMMENTS Major weak points are: i. L*cK tf Cl 2. 3. '-/(* C V u Major strong points are: 1. / - c~ - f c - 2. /- A ,1 , f -A 3. c< .T ..-,1 and these can be strengthened by doing the following: Coals and these can be used more effectively by doing the following: Coals y IftO 3 0 `3UUd bUPbV'dfc.bdE l. dom I'Ja t- k uoo U- Li-J.J 0 ON dS3 Hi 0 QN dS3H Ml MH9 0 ON JS0 3H Hi ON Mas >isvh ina 0' sod dwnd Wdd* ' ' 09 E 282210 9 1/3 "31*0 IdlHS 31VW tH 1VDIW3H3 m XSVH iflG 00' 06E 2 8EO 0 9 SOd dWnd Wdd -- 1/3 "3iva ldIHS 31VH L*f H TV3IW3HD in wsvw inc MSVH ino SOd dWfid IC* 60' Wdd" * 06 20SZ6O 06E 28OEO 1/3 . "3id a 0 131NS S0 0 00 eur wstfi 3N`JU9 S0 000 aor w *> v i a3N`JU9 tso S0 aur oou 000 ms'v i EU AdNJJ- tfdav ------- 3w*N 1NV Ic E W. A dN dh *3dV " " 3 NV N 1NV Ic tait^Ewct Eu EU vj&sr AUNdt AdNdJ""3hvn 1NV U 0 1 / I s S 0t6 t*9 6C.'E i a 9^HV6l M3 i tCIOOO ;j gifivlf : l ` :S6-62'6 9-29-99; 2AK/-B P UOOD3 i CM ; 1 3U9 4 asj u \4 1966A60 - B.F.G. PERSONNEL MONITOR - PERSONAL DATA 01/01/84 TO 12/31/84 DATE 02/01/85 TIME 152103 PAGE 1 336341583 BOGNER RT SOUND N80 MALE >lant name .... area task job shift DATE.. E/T value MENRY 713 000 051 D 10178 A 360 30.BO > 1150B nn ^ non - cr a NGC 04418 oonr iA 9-29'39; ' I -42 AM ; El P . GCOD^i I CH i 3Uy36<9-> Ob B ' =,/ i e R96846D - -^CRSOWAt OAT A ' 'HpATE 01-/10/** TINE 105352 PAGE <$ *, `" ' Vsfc*'" -ANp^-.- v*- . .' -M-&^'1^'-"* ' '".. ' * 5##^vip6rncie v rS'. v .fl-S' >1 1 msK JOB SHIFT poo 053 C 000 053 D 000 053 C OOQ 053 A RT DATE.. 030631 060161 090361 120381 CHEMICAL H3A HALE E/T 390 390 390 390 .. .PPH .04 .64 .05 .12 PUMP P05 OUT MASK OUT MASK OUT MASK 8RK TH RESP HEA NO 0 NO 0 NO 0 NO 0 BOGNER RT CHEMICAL HA 7 MALE task JOB SHIFT date . 000 053 D G&01B1 E/T 390 .. .PPH PUMP POS .39 OUT MASK BRK TH RESP HEA NO 0 BOGNER RT CHEMICAL HI HALE H^-CNrY * s task JOB SHIFT date.713 000 053 D 0406B1 E/T 36 0 >. -PPM PUMP POS 04 OUT MASK BRK TH RESP HEA >20% 0 NGC 04419 1 PQGP.15 NGC 04420 CM3 REPORT NO. 055 PROGRAM CMS8CM65 PLANT! 1*00 HENRY CHEN PIT 309-364-2311 EMPLOYEE! 336-34-1533 RT BOGNER EMPLOYEE ENVIRONMENTAL EXPOSURE PROFILE DEPARTMENT! 5523 ENGINEERING SHOPS YEAR! 1935 JOB CODE JOB NAME EXP EXPOSURE CDE NAME LVL RANGE AVC STO DEV UNITS SAMPLES DATE SHIFT LENGTH THA VALIO PROTECTION 1400552801 MAINTENANCE MAN A0152 CHROMATE IV - 5.08 88 AVO EXPOSURE s 000-011 A0433 COPPER FUME 38 AVO EXPOSUREl 002-031 B0001 NOISE 80X90-5 AVO EXPOSURE s 000-000 00067 HEIOING FUME 38 AVG EXPOSURE: 000-000 00124 LEAD - INORGANIC 88 AVG EXPOSURE: 000-COD 00144 TOLUENE 88 AVG EXPOSURE: 001-001 00151 CADMIUM 38 AVG EXPOSUREr 00220 NICKEL 88 AVG EXPOSURE: 000-000 000-000 2.76 4.1 UG/M3 17.38 12.7 UG/M3 0.00 0.0 PCNT TOTAL 0. 6 0.0 MG/M3 1910.1025 0.13 0.0 UG/M3 1.00 0.0 PPM 0,17 0.1 UG/MI 0.00 0.0 MG/M3 f> S 0 1 1 1 4 S l 'J 3 REPORT DATE 05/11/39 PACE 36 If) S> s 5 n E R SEP 29 1999 1 1 '5 5 PfiGE.17 13093649405 CMS REPORT NO. 055 PROGRAM CHSGCM65 PLANTt 1400 HENRY CHEM PIT 309-J44-2J11 EMPLOYEEi 334-34-1583 RT BOGNER EMPLOYEE ENYIROWteMTAL EXPOSURE PROPILE DEPARTMENT) 5528 ENGINEERING SHOPS YEAR: 1989 REPORT DATE 02/20/90 PAGE 55 JOB CODE JOB NAME EXP EXPOSURE CDE NAME LVL RANGE STD AVG QEV UNITS SAMPLES DATE SHIFT LENGTH TNA VALID PROTECTION 99931 RESPIRATOR FIT TESTING - QUALITATIVE INDIVIDUAL MONITORING! INDIVIDUAL MONITORING! 12/15/89 12/15/89 15 0.00 0 1/2 MASK - AIR PURIFYING 15 0.00 0 1/2 MASK - AIR SUPPLXED 3 m a N G C 04421 cr> ffi cr> OJ & tn NCC 04422 CHS REPORT NO. 0S PROGRAM CMSSCM6S PLANTi 1400 HENRY CKEH PLT 309-364-2311 EMPLOYEEJ 336-34-1583 RT BGGNER EMPLOYEE ENVIRONMENTAL EXPOSURE PROFILE DEPARTMENT! 5528 ENGINEERING SHOPS YEAR! 1909 JOS CODE JOS NAME EXP EXPOSURE CDS NAME LVL RANGE AVO STB OEV UNITS SAMPLES DATE SHIFT LENGTH THA VALID PROTECTION 1400552801 MAINTENANCE MAN A015Z CHROMATE IV - B.06 AVO EXPOSURE! 000-000 0.00 0.0 LT6/M3 0 A0433 COPPER FUME AVG EXPOSURE: 000-000 0.00 0.0 US/M3 0 80001 NOISE t 80/90-5 89 AVG EXPOSUREi 027-027 27.48 0.0 PCNT 1 00047 HELDINC FUME TOTAL 89 AVG EXPOSURE: 000-001 0.70 0.5 MG/M3 3 00124 LEAD - INORGANIC 1910.1025 AVG EXPOSURE: 000-000 0.00 0.0 U6/M3 0 00144 TOLUENE AVG EXPOSURE: 000-000 0.00 0.0 PPM 0 00151 CADMIUM ; AVG EXPOSURE: 000-000 0.00 0.0 UG/M3 0 00220 NICKEL 5 3 5 AVG EXPOSURE: 000-000 0.00 0.0 H3/H3 0 2 00448 NITROGEN DIOXIDE 5 < 39 AVG EXPOSURE: 000-000 0.05 0.0 PPM 3 M 1 99917 TRAINING - OSHA HAZARD COt'MJNICATION INDIVIDUAL MONITORING: ffl Ch .99930 TRAINING - RESPIRATOR USE 04/11/89 60 0.00 0 NONE NORN INDIVIDUAL MONITORING! 10/10/89 40 0.00 0 NONE NORN REPORT OATE 02/20/90 PAGE 4 CD 0 0 0 0 0 SEP 29 1939 1 1 :5 5 Richard Thostaa Bogner PRINT HOWt ADDRESS Lacon. Illinois 5536 6007 336-34-1583 EMPLOYEFS WITHHOLDING EXEMPTION CERTIFICATE (Ccltoelion 01 Income Tax AI Source On We{ii) FILE THIS FORM WITH YOUR EMPLOYER. Otherwise, he must withhold U. S. income tax from your wages without exemption. HOW TO CLAIM YOUR WITHHOLDING EXEMPTIONS 2. If SINGLE, and you claim an exemption, write the figure "1"........................................................................................................................................... 2. If MARRIED, one exemption each for husband and wife if not claimed on another certificate. (a) Tf you ciaim both of these exemptions, write the figure "2" } y (b) If you claim one of these exemptions, write the figure "1" >.................................................................................................................................. / (c) If you claim neither of these exemptions, write "0" j 3. Exemptions for age and blindness (applicable only to you and your wife but not to dependents): (a) If you or your wife wiJ] be 65 years of age or older at the end of the year, and you claim this exemption, write the figure "1 if both will be 65 or older, and you claim both of these exemptions, write the figure "2"..................................................................................... (b) If you or your wife are blind, and you claim this exemption, write the figure "1"; if both are blind, and you claim both these exemptions, write the figure "2''............................................................................................................................................. ...... ......................... 4. If you claim exemptions for one or more dependents, write the number of such exemptions. (Do not claim exemption for a de pendent unless you are qualified under instruction 3 on other side.).............................................................................................................................. 5. Add the number of exemptions which you have claimed above and write the total . ...................................................... -.W I certify that the number of withholding exemptions claimed on this certificate does not exceed the number to which I am entitled. ,, __ y .-- Dated. .// / ^ . y. ^ , 29 (Signature).. . .4<. ......... Form W-4 phintbd in u.o. (Revteed Aug. 1954) S'lfteT^I iTeTemTfsl^e** Savings Bonds s Savings Notj^pplication I hereby authorize my employer to save $ /9.*~ om my pay each payday, beginning K. ________ __ 19_______ lor ' ,, U. S. Savings Bonds in the denomination or lor the US. Bond ond U.S. Savings Note (Freedom Share] combination in the denominations 33 .s> -.y?i3-ss&x. --= * .37- lor the Bond ati< s^ ____lor the Note. This cancels any previous allotment egisfer both securities as follows: Sociol Security Numbi Iwner Mr., hAs j.1 MU., 'y n & y Los' Address g] Co-owner or 4*r.. Mrs. * , mm Street Q Beneficiary v&r (<te^np;v'j-.. `-!^1i4Srts**tCa*'* Mldtjf* * tmtidf* ZIP code z. in e f- doil Somol Security Number Morried womon s first name must bs shown, not-lhol of her husband. . his authorization will continue in effect until cancelled by me in writingjojlferminalion of my employment 0r terminoiion of th` ffering of either or both of these securities. , j imv //- __________ R-LtA&J) T . B . f ((SSiiggnnaattuurree of Employee-Pij'chaier (Cm other tide lor de'oilr about faitlfolion) S90 802 REV. 7 a rs 4- t-J Ui PROCEDURE REVIEW Name Job Classification A/Q.J/iMa Of? V This employee has satisfactorily demonstrated his compliance with each of the open ating procedures pertaining to his job liotod below or. the noted date. i V PERSONNEL INDEX C&BTV^ BOGNER. RICHARD THOMAS n.r> `>536 p p Nf> 46^ Dependents Salary. Hourly- Name B. D. Social Sec. No 336-34-1583 r.DJ/25M Brian Paul F>f-aX/e.y 6/9/< x s____Dep________Relation next of kin Next Of kin Joyce j^laine Bogner wife /o '3> -ey Address____ Lac*n, Illinois Residence 7?K */- ^TZtoJ, Lav Signature _____Tel. No. 246-8263 ( yX<rb't*r />* NGC 04425 Dept 1 - Operation -- - ,-v Rate 1 Date 1 - G. N.F. 5536/6007.1 Prod. Oner. Heloer ___ UZ15/65I | Prod. Ctoer. Helper 1 Prod. Ooer. Heloer [ Prod. Oper. Helper 2,56 1/10/66 1 2.64 _ 2/14/66 1 2.77 3/7/66 N G N 1 Prod. Ooer. 2nd Cla* s 2.8^ 5/2/66 P _________ 1 _Prod. Ooer. 2nd clsyj R ?.<=) 6 /?7/66 W ____________1 Prod. Oper. 2nd' clas s 3.09 10/17/66 i Prod. Oper. 1st class 3.29 5/1/67 P 1 L'ro.i. Oyer. 1st. cLass 3.44 10/16/67' 1 v>mA Oper. 1st class 3.64 10/14/68 C, G ____________ Ipr-D.-: n cr l^i- fi ug.1 1 LR7... | in/n/69 r; _____________ Prod. Oner. 1st class 1 4.18 1 10/19/70 G iProd. Ooer. 1st class l 4.41 1 11/15/71 |Prod. Oper. 1st class l 4.57 1 10/18/71 Prod. Oper. 1st class | 4*82 j 10/ib/72 :o.j//bUUT FrodrtJper. T.st class 4T82 5/28//J 0 G Li -- DeiA'. j- ` Operation Rate Date ,* G-. M. .*?. '153 7/&G07! Prod. Ooer. 1st class 1 3.15 i10/15/73 0 i Prod! Oper! 1st class! 5.`46 I 7/1/74 ____ fi___ t Prod. Oper. 1st class! 5.89 t 12/16/74 __G____ [ Prod. Oper. 1st class ! 6.47 1 1/5/76 G I 1 11 5528/20041 Maintenance helper |n it 1 1-iaint. Man 2nd class 1 it---------- n-------- n--------it- Main. Man 2nd class 1 M--------- n------n---------n-- 1 11 It II 11 Main. Man 2nd clasK 1 5.76 1 3/2/76 ! T 1 6.24 i n/15/76 ! G i 6.42 l 12/20/76 1 P ! 6.601 2/14/77 1 A 1 6.77! 4/11/77 1 A 1 6.871 6/2/77 I G 1 6.99 ! 8/1/77 >G 1 7.08 110/31/77 1 c 17.57!10/31/77 1 GI 1 7.4&J J_/_1Q^2S___L_ C NGC 04426 PERSONNEL INDEX CARD Nmp Bogner, Richard T. ppt. 5.528 p.tln. 2004 Dependents Name B. D. SalaryHourly Social Sec. No. --336/34/1 ___ B. P^5/25/40 M._____S._____ DepRelation next of kin Address . Residence Next of Kin R.R.i - 21 Melody Ln. Lac on. 111*___________6l54p M & D Printing Co . | Signature Tel. No. 246-8263 NGC 04427 Dept. | Operation 28/200M 'Maint. Man 42 1 Mai n't. JT Mtai n ' 41 "i It 1 1 11 n it n 1 II l II G-3>. 17 ~7 ( 1 1 11 11 11 ii ii 1 Main. Man n n n 1 1 I i n5528/20041 Main. Mar J Rate j Date j - G.N.P.- 18.10101/29/79! : 8.39l05/12/79! c p 18.86104/30/791 0 "18.80105/07/791 A 19.07 107/02/791 A 19-32 [07/30/791 c 19.95 H0/29/79I' c [16.0801/28/801 c llo-337/2gZoi C 110.5^ 8/04/8(3 1 c 1 11.061 11/3/80 1 $.11 COT. !1 l .19 G 111.06 1 L .20 UP- 111.23 1 2/2/81 : .17 C Dept. j Operation j Rate \ Date 2/2004|Maint. Man 2nd. c | 7.54 05/0.1/78 1.............................. "17.70 07/31/78 1 * "" " 1 7 Q7 10/30/78 1 41 ...........................lc.10 01/29/79 (Maint. Man 1st. city 39 03/12/79 1" " " 18.56 0V30/79 in 1 n n irnon' 05/07/79 i! | !i | ]i 1 1 !: 11 . G.N. P. CO 14. COT,A n( C P C A 1 111 Dept. j Operation 5528/20041 Maint . Man //I i 11 ti rtlain. Man ii___ 1 ii [Main. Man #1 1 1 1M If M 1 if 11 1 T1 tf II 1" 11 | | t\ 11 1 1 \Z~ r~"~ | Rate j Date j G.N.P. l11.401 5/4/81 1 .17 C i 11.55 L R/3/R1 1 J11. 11/2/81i _ 1l l1 . ii 2.0512/1/82 i 11.2.12l 5/3/82 1 11.514 6/7/82 1 n 9 19 1 1/3/83 1 112.14 1 1/31/83 1 .iyc .17 C 21 C .12c . 07C 5% .02C 112.52 1 .572/83___ 1___ _3.8G 12.62 ! 8/1/83 1 ,10C 12.88 1 10/31/83 .12C 11 PL2.94 | 1/30/84 .14G . 06C J_____ .J. 1_ - NGC 04428 13i9l fill fo| [sizeI 1200^1 i 11-21-90 1 DRP OIV. MBDC DEPT PR NO REPORT DATE PART I: EMPLOYEE IDENTIFICATION BFGOODRICH EMPLOYEE PROFILE BFG RESTRICTED SECURITY CLEARANCE DEPT/TIRE CENTER/MGR - 1 RT BOGNER P EFFECTIVE OATS MO OA VR SOC SEC/INS NUMBER 336-34-1583 ! II M f 1 1 1 003 INIT _*T | FIRST NAME AND INITIAL LAST NAME RICHARD T BOGNER .1.1 1 1 1 II II 1 1 TnTTT'ITfTI' 1 11 024 BIRTH DATE 05/25/40 031 COMPANY SERV 11/15/65 PART II: CURREWT COMPANY INFORMATION REGULAR FULLTIME ACTIVE 379 363 004 016 JOB SERVICE OEPT. SERVICE DRP T/R DIV 03/12/79 03/02/76 319 R 1 1 1 II ~ i nr _LL 31 | DEPT. PAY NO. BUOGET GRP 5528 2004 903104 1 1 1 _LLL hrfTT GEON ENGINEERING SHOPS UNIT NAME PLANT LOC. HENRY ZONE/DIST/AREA 012 PIC USE R0164-Y1685 -U-M-J 1 1 1 1 RSN JOB NAME P MAINTENANCE MAN *1 015 002 186 SHIFT HAY TOTAL FLSA WSN SPLIT CHARGE 02 N zr "i rrrr - DEPT (1 X DEPT X 1 1 Mill DEPT 111 X | 017 PZC USE 1400 111 WORK LOCATION STREET RRS1 BOX 15 CITY HENRY STATE/ZIP/PROV IL-61537 005 029 UNION AFFIL 041 033 032 COUNTY PAY LOC-GRP 035 BEN. MODIF. TERR. SLS. NO. EXPAT CHG BK 123 3610 TTIT" "i..rvi Mil' LABOR MARKET PART III: COMPENSATION INFORMATION 045 AMOUNT OF EFFECTIVE DATE TP ADJUSTMENT MONTH DAY YEAR _L 1 _L 1 II 1 ! i 1 CURRENT RATE 2872.130 'Tmri'n RATE PER MO | BUDGET CHARGED 903104 11 1 1 1 AMOUNT CHARGED LUMP 044 460 CHECK PAV FREQ. SUM SCMED.HOURS PAYMSTR PICKUP 0ATE ____ WEEKLY 40.0 __ _______ 1 II 1 1 SEMI-MONTHLY BI-WEEKLY ADJUSTMENT DATE MOST RECENT 10/29/90 131.750 X MID PT SALARY EQUIVALENCIES WEEKLY 662.000 SALARY RANGE 030 POS. LVL. RNG. TYPE 014 047 LUMP SUM EXPIRES MANAGERS REMINDER INCT GROUP PLAN STATS FIRST SECOND PRIOR 11/06/89 THIRD PRIOR 10/31/88 NEW MIN. 123.070 95.330 NEW MID. MONTHLY 1 2872.130 MID PT. 34,466 NEW 1 MAX.| 1 1 1 oo/u SECOND 1 1 11 INCENTIVE EARNINGS LAST YEAR 1 MONTHS YEAR COVERED AMOUNT QUOTA 11 1 COMPENSATION CHANGES PERMISSIBLE TYPES OF ADJUSTMENTS P - PROMOTION M - MERIT U - UNION PROGRESSION T - TANDEM PROGRESSION A - AUTOMATIC PROGRESSION G - GENERAL INCREASE E - EQUITY O - DECREASE OR DEMOTION S - SPECIAL X - MISCELLANEOUS INCREASE V - MISCELLANEOUS DECREASE O - OTHER INCREASE Z - OTHER DECREASE C - COST OF LIVING REASON FOR PROPOSED ACTION (IF NEEDED USE REVERSE). EMPLOYEE REPLACES__________________________________________ IS THE JOB THAT OF THE PERSON BEING REPLACED? YES. NO. IS THE EMPLOYEE TO BE REPLACED? YES_ NO. NAME PART IV: APPROVAL SIGNATURES CURRENT ORGANIZATION ------------------------------------------------------------------------------------- BXTE RECEIVING ORGANIZATION DATE DRP A .u~. ^_____ u A i /< / J` l ATE ------------------------------------------------------------------------------------- DATE-- -------------------------------------------------------------------------------------- DATE-- ------------------------------------------------------------------------------------ DATE-- ) 1 * * NGC 04429 o n 404 ss PART Vi ORGANIZATION JOB HISTORY EFFECTIVE TYPE OF CHANGE RBN DIV, UNIT LOCATION DEPARTMENT WORK LOCATION HISTORY CODE CITY SALARY HISTORY 6CHED. 6T TYPE EQUIVALENT PER HOURS PL/ft 0130//1229//9709 s 9 f5f8tr!raE HAN i$BINEERINS SH0PS 1400 HENRY XL G 2872.130 MO 40.0 oo/u 11/06/89 03/12/79 s R GEON HENRY ENGINEERING SHOPS P MAINTENANCE MAN #1 1400 HENRY IL G 2740.400 MO 40.0 00/U 10/31/68 03/12/79 04/21/88 03/12/79 s P GEON HENRY ENGINEERING SHOPS MAINTENANCE MAN fl s P GEON HENRY ENGINEERING SHOPS MAINTENANCE MAN tl 1400 HENRY 1400 HENRY IL G 2617.330 MO 40.0 oo/u IL N 2522.000 MO 40.0 oo/u 08/03/87 03/12/79 s P SSBrME HAN S$K3INEE,,ING SHPS 1400 HENRY IL C 2522.000 HR 40.0 00/U 05/01/87 03/12/79 s R GEON HENRY ENGINEERING SHOPS P MAINTENANCE MAN 1 1400 HENRY IL c 2496.000 HR 40.0 oo/u 02/01/87 03/12/79 s R GEON HENRY ENGINEERING SHOPS P MAINTENANCE MAN 1 1400 HENRY IL G 2475.200 HR 40.0 oo/u 11/03/86 03/12/79 s R GEON HENRY ENGINEERING SHOPS P MAINTENANCE MAN *1 1400 HENRY IL G 2464.800 HR 40.0 00/U io o 1 11/03/86 03/12/79 s R GEON HENRY ENGINEERING SHOPS P MAINTENANCE MAN #1 1400 HENRY IL C 2431.860 HR oo/u 04/28/86 03/12/79 02/03/86 03/12/79 s R GEON HENRY ENGINEERING SHOPS P MAINTENANCE MAN *1 s P GEON HENRY ENGINEERING SHOPS MAINTENANCE MAN *1 1400 HENRY 1400 HENRY IL c 2428.400 HR 40.0 00/U IL c 2424.930 HR 40.0 oo/u 01/01/86 03/12/79 D R GEON HENRY ENGINEERING SHOPS P MAINTENANCE MAN *1 1400 HENRY IL G 2409.330 HR 40.0 oo/u CODING LEGEND ORG. CHANGES* T( TRANSFER ) t ft ( REORGANIZATION ) , NJMEW HIRE .REMIftE .ft E INSTATEMENT ) , BIBUMP), E( EMPLOYEE REQUESTED), S1STAFF REALIGNMENT), HI MEDICAL ) } JOB CHANGES, nInEW HIRE, REHIRE, REINSTATEMENT). L! LATERAL TRANSFERJ, D(OOWNWArD CHANCE IN POS. LVL. ) , P{PROM6TION ), RI RECLASSIPICATION), C(CAREER DEVELOPMENT), S(STAFF REALIGNMENT), I(EMPLOYEE REQUESTED), HfMEOXCAL): HISTORY LINE CHANGES, PftEM)PRE-EHPLOVMENT), HIRE I NEW HIRE), REINSTATEMENT), LOA(LEAVE OF ABSENCE), LAVFf LAYOFF ) , RLOAfRETURN-LOA), RLAVlRETURN-LAVA ) . TERM|TERMINATED). -................................ ......... " ' 'MESSAGE), PI POSITION LEVEL), F(FLSA ) , TRANSFER TO NON-PMIS STATUS), PART VI: ORGANIZATION JOB HISTORY FROM ACTIVE TO: 001 CODE (_J -RETIREMENT OR LTD |4|0|7l |_J -TERMINATION Mil 1_J-LEAVE OF ABSENCE [ | j j | I-LAYOFFS HITH RECALL) J I I -mp[_Ji-pSfS^TIRE-DEFER-VAC Mil FINAL PAY INFORMATION LAST DAY HORDED FROM INACTIVE TO: 1 !-RETURN FROM LJ1 LEAVE OF ABSENCE U-KfjjR! FR0M i92)/i^i;?ikil?|g] 001 CODE II II 11 1 LI 1 I U 0-REGULAR FULL TIME u 1-REGULAR PART TIME ELIG FOR BENEFITS u 2-REGULAR PART TIME INELIG FOR BENEFITS l_J 3-TEMPORARY | ( 4-CO OP LAST DAY ON INACTIVE STATUS l IF TERMINATED HRILE ON LEAVE) <+611 IF ON PAID EXTENDED ILLNESS ?hf8\S8oBr 4621 CURRENT YEAR VACATION -FROM. HOLIDAY DATE IS ) / RakIDaU J_[ OTHER 471________ _T0_ {JtLtDAW ENTER EXPIRATION DATE OF LEAVE OF ABSENCE OR LAYOFF: M M 1 1 . ENTER LEAVE OF ABSENCE OR TERMINATION REASON L e> fj 6- -r e /W 1h t fi / C / T~ Y ! 11 E^EC^E5!!?^0 rERMINAri0N DATE 0R LAYOFF/LOA RETIREE PRO-RATED VACATION CURRENT YEAR VACATION 12T( 463 \_A__1_1_ Of bJ It, I DAYS 464 | j | (KS to \t\ DEFERRED VACATION 465 ( J |__ L IF ON OEFERREO VACATION PRIOR TO RETIREMENT -DEFERRED VACATION START DATE (100) OEFERREO VACATION ENO DATE "fiWWHBhS'M ESk^SSa- 466 5 ^Ak- DAYS TERMINATION DATE. V________ ELIGIBLE FOR REEMPLOYMENT!Y/N ) 048. PAYMENT IN LIEU OF NOTICE 470 | | | DEDUCTIONS FROM FINAL PAY: TRAVEL ADVANCE 467| | f OTHER AMT,468] i m i [1 SPi ETCIFiYlTlYPEi OT F i DEi DrUClTIOI N OTHER 472__________________________________________ INDICATE Y, N OR NSA: CONTRIBUTORY PENSION PLAN MEMBER fATTACH WITHDRAWAL APPL, FORM) IS HOME ADDRESS ACCURATE? TOOLS AND EQUIPMENT RETURNED DOCUMENTS/RECORDS IN ORDER ADVANCE6/ftECEIVABLGS COLLECTED OISCOUNT PRIVILECE/X D CARD RTN AIR TRAV1_/CAR CARD RTN PRESCRIPTION CARO RTN " RENTAL AUTO RETURNED TELEPHONE CARD RETURNED- STOCK PURCHASE WITHDRAWAL SECURITY CLEARANCE TERMINATION STMT. OTHER BEG PROPRIETARY DOCUMENTATION ` MASTER CHARGE CARO RETURNED wcs BF. Goodrich NGC 04431 BFGoodrich The BFGoodhch Company Chemicol Group R R. 1. Box 15 Henry. Illinois 61 53? 309-364-23U R. J. Grahek Facilities Manager November 14, 1985 Mr. Richard T. Bogner R.R.#1 21 Melody Lane Lacon, IL 61540 Dear Dick, Congratulations on your 20-Year Anniversary with BFGoodrich! From your first 10 years in production on through these last 10 years in maintenance, I imagine you have some pretty interesting memories; memories of unique experiences and of the different folks you have worked with. 1 certainly hope these are memories you can look back on with a sense of pride and enjoyment. Since 1965, there have been a lot of changes to the Henry Plant. We have been blessed with many expansions, many improvements. Being a plant electrician whose work takes him to every corner of the plant, you prob ably realize this as much as anyone. These changes, including the new boiler and Cure-rite 18, have come here to Henry because our upper manage ment in Akron and Cleveland have confidence in this plant, confidence in the people, such as yourself. Over the years, the plant has developed an excellent reputation, a reputation for teamwork, adaptability, and accom plishing the difficult goals. You have played a key role in this success. For this work you have done in the past and continue to do today, l offer my sincere thanks and appreciation. Dick, once again, congratulations on your anniversary and best of luck in the future. While things look up for the plant, we still have a lot of work to do. I look forward to further establishing our reputation and, by working together, securing the future of the Henry Plant. Sincerely, RJG:sfm Robert C. Grahek NGC 04432 MECHANICAL COURSE - HELPER - / Mf $?/ ( / *7 #/ 6 IEs^E life/* _o]C fe/7f Vlf I/-Z0 _o/C V.?r | !p/7i. \L AA 569 Hand Safety 2/211 l/70 _x 3/V-r fo/70 <?K lo/?o AA 590 AA 29 AA in AA 60 Safety Test MnHierii.irir^, Plant - Part T - Whole Numbers Tint lirn'.n r \ r<-. , Plnnr - Parr TT - Vr.lcMnnj Msthemnri rs, Plant - Pert TIT. - Decimals & Per Cent v?r ito/7. 9/70 M oK .9? 90 83 AA 82 AA FI Mathcirjticr-, Plant - Part IV - Positive & Negative Numbers Marhenn t i r :, Plnnr - Part V *- Simple Algebra, to/TO tt/10 eft totIt 11-/70 s? AA 84 AA 73 AA 99 AA 114 Mathematics, Plant - Part VI - Ratio and Proportion to/70 liathcmaf'rs, Plant - Area ft Volume of Common Figures U/70 Mathematics, Plant - Using Tobies of Squares and Square Roots U/70 Mathematics. Plant - Rt. Angle Trigonometry \ih(r i*ho to/70 to/?o \0hL Aft 97 9^ (0 c AA 97 Scaffolds AA 0 Materials Handline - Chain Hoists AA 22 Materials Handling - Crane L Hoists Signals AA 89 Materials Handling - Knots AA 23 Materials ilrndling - Wive Rope Identification -AA- - P4-----1 in ter ie Is--hf.v.-.l 1- ir.g------- t-rra---C-i-t-t i t g 0 tohe 10/10 to/?0 /otic to/70 to/10 to/10 to/70 i*/70 toxj /OC 9<P l<rC AA 81 AA 109 AA 16 AA 17 Materials 'Handling - Wire Rone Slines Drawings - Reading Engineering Drawinrs Drills - Part 1 - Selection, Checking & Inspection Drills - Parr TT - P. e pr r r! i up A Mod i f i cn- ion ISlUiL. to/70 U/70 tl/lO $vr n/70 Q(d ti/70 6i it/70 1 94 AA 03 AA 04 AA 05 AA B8 Measurements for Installation arid Construction Skills Measuring Tools - Coliocrs Measuring Tonis - Verniers Steam Traps - Part T - Mow rn Test uif/f7i?0 n/70 it/10 ee / co ii/20 JJ./70., 3Z- ft/70 _ Jlhk- j&L AA 91 AA 102 Steam Traps - Parr. TT - Installation Steam Traps - Part TIT - Trouble Shooting who 11/70 n/70 tt/70 SO AA 27 Sketching - Field Practices til'll- j/ZZ. 63 Number of Courses ~ 3o All of the above courses must be completed prior to advancement to second class E: NAME: / c\C *l^oCr/'eri-- ^ J s Uft) Cf u < {L tfs^i ^7^3. l/77 \GC 04433