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Home My WebLink About1981PLEASE MAll. REPORT TO: State of New York Department of Audit and Control Division of Municipal Affairs Bureau of Municipal Research and Statistics Governor Alfred E. Smith State Office Building Albany, Now York 12236 ANNUAL REPORT OF THE NAME OF DISTRICT TOWN OR TOWNS OF COUNTY OF FIRE YEAR ENDED DECEMBER 31, 174 r r/ 'x C IN THE ,~?0 z.c T H OLD x~L~_ FF 0/-. K DISTRICT TREASURER b ~-r~ ~ C T, THE DISTRICT IS GOVERNED BY: (chock one) Separate Board of Fire Commissioners or [] Town Board AUTHORIZATION Article 3, Sect/on 30, of the General Municipal law "1. *** every *** fire *** district *** shall annually make a report of its financial condition to the comptroller. Such report shall be made by the *** treasurer of each fire *** district ***" "5. All reports shall be certified by the officer making the same and shall be filed with the comptroller within sixty days after the close of the fiscal year of such *** district ***" CERTIFICATE OF FIRE DISTRICT TREASURER (Please Print or Type) Fire District and that the following report is a true and correct statement of the financial transactions of such Fire District for the year ended December 31, 19.~..~. AC 1962 (11/78) Print Code YZ STATE OF NEW YORK /:)-de", DEPARTMENT OF AUDIT AND CONTROL GENERAL EDP RECEIPTS AND BEGINNING BALANCE Code Al0 Real Property Taxes(sameastaxcomputationonpage4) .... A1001 A20 State Aid for Loss in Railroad Tax Revenue .................. A3007 A30 Federal Aid for Civil Defense ...................................... A4305 A40 Charges for Fire Protection, Other Services .................. A2262 A51 Interest and Earnings .................................................. A240t A52 Rentals ...................................................................... A2410 AS3 Sale of Equipment ...................................................... A2665 AS4 Gifts and Donations .................................................... A2705 ASS Refunds of Expenses .................................................. A2701 A59 Miscellaneous Revenues (specify) .............. A2770 A81 Transfer from Capital Fund ........................................ A2850 A82 Transfer from Reserve Fund ........................................ A2882 Total Revenues ....................... · .......................... AS000 A64 Budget Notes Issued .................................................. A5750 A65 Tax Anticipation Notes Issued .................................... A5760 A66 Revenue Anticipation Notes Issued .............................. A5770 Total Notes Issued ............................................ A90 Sale of Investments .................................................... 'A5085 Total Receipts ................................................ A6000 Balance at Beginning of Year ...................................... A8501 TOTAL RECEIPTS AND BALANCE .............. A8599 PAYMENTS AND ENDING BALANCE ., Al00 Personal Services ....... /..~.~.~.~.Q..~. .......... A3410.1 A200 Equipment ~. ~4 j~.~. ~.~.~ .~/~....~.' · .~ · .~. · .~. ~. ...................... A3410.2 A400 Contractual and Other Expenses .................................. A3410.4 A601 A602 A603 A610 A628 A629 A630 A633 A636 A638 A680 A681 A690 A691 A801 A802 A900 Hydrant Rental ............................................................ A3410.4 Fire Department or Company Services .......................... A3410.4 Fire Protection .......................................................... A3410.4 Judgments and Claims ................................................ A1930.4 State Retirement System .............................................. A9010.8 Police and Fire Retirement System .............................. A901§.8 Workmens Compensation Insurance .~.'~¢.~'.~..'~..~..~..~'. ....... A9040.8 Social Security ............................................................ A9030.8 Medical, Surgical and Hospital Care .............................. A9060.8 Insurance''~./¥i~-~/.?,~.)~.'.~.Z]~'~'.?' ...... A9060.8 B~,~t Interest on Bends ........................................................ A9710.7 Interest on Nates ........................................................ A9729.7 Redemption of Bonds .................................................. A9710.6 Redemption Transfer to Transfer to Total Purchase of Investments Other (specify) of Notes .................................................. A9729.6 Capital Fund ............................................ A9§50.9 Reserve Fund ............................................ A9 560.9 Expenses .................................................. A9900.0 .............................................. A9985.5 Total Payments .............................................. A9999.0 Balance at End of Year (Transfer to page 4) .................. A8507 TOTAL. PAYMENTS AN~D BALANCE ............ 'A8599.0 FUND NOTE: EDP Codes are for Department of Audit and Control use. ^c ~ges I~,nsI Print Code X ANNUAL REPORT OF NOTICES OF TORT CLAIMS F,sc^. EA. Name -o ~ Mu~icipaP. ity) COUNTY L Claims Pending at Beginning of Year Notices of Claims Filed During Year NUMBER Claims Disposed of During Year Prior to Commencement of Court Action: 4a By Municipality 4b By insurance Carrier Claims Disposed of During Year After Commencement of Court Action: Sa By Municipality Sb By Insurance Carrier Sc By Judgment Other (explain) to NUMBER TOTAL Number Amount Amount Paid of of on Claims Claims Claims XXXX XXXX $ S. 6a 7 TOTAL CLAIMS DISPOSED OF DURING YEAR 8 Claims Pending at End of Year (Line 3 minus line 7) AUTHORIZATION Article 4, Section SO.f of the Genera/Municipal /aw m mXXX. 3. a. Each officer charged with the duty of making and keeping the record of claims shall make an annual report thereof, in summary, to the governing board of such municipal corporation or of such authority or commission and shall file a copy thereof in the office of the state comptroller within sixty days after the close of the fiscal year of such municipal corporation or of such authority or commission. A · municipal corporation, authority or commission required by section thirty of the general municipal law to file an annual report of its finan- cial condition with the state comptroller shall file the report required by this subsection with such financial report. XXXem. Dated: Note: Title Itq4'~ not necessary to furnish any additional information or details of the above claims or notices of claims. If there were no notices of Tort Claims filed or disposed of, please state *'NONE" and return this repmt with the Annual Financial Report. DEPARTMENT OF AUDIT AND CONTROL DIVISION OF MUNICIPAL AFFAIRS ALBANY, NEW YORK 12236 FUND EDP RECEIPTS AND BEGINNING BALANCE Code H51 Interest and Earnings .............................................. H2401 H60 Bonds .................................................................. H5710 H61 Premium and Accrued Interest on Bonds .................. N2710 H62 Capital Notes ........................................................ H5740 H63 Bond Anticipation Notes ........................................ H5730 H82 Transfer from General Fund .................................... H2810 Other .................. H 2770 Total Receipts .............................................. H6000 Balance at Beginning of Year .................................. N8491 TOTAL RECEIPTS AND BALANCE ............ H8499 H 200 H $00 H693 H810 PAYMENTS AND ENDING BALANCE Equipment ............................................................ Real Property (include interest during construction) .... Redemption of Bond Anticipation Notes .................... Transfer to General Fund ........................................ Other .................. Total Payments ............................................ Balance at End of Year(Transfer to page 4) .............. TOTAL- PAYMENTS AND BALANCE ............ H3410.2 $ H3410.3 H9930.5 H9510.9 H9995.5 H9999.0 H8497 H8499.0 RESERVE RECEIPTS AND BEGINNING BALANCE MS1 Interest and Earnings ..................................... ~.~.,.~,~ R2401 M53 Sale of Assets ...................................................... R2660 M82 Transfer from General Fund ...................... .~..0~1.,.(-~(-,) R2810 M83 Transfer from Reserve Fund .................................... R2882 Other Total Receipts .......................... Balance at Beginning of Year ..................... RECE,PTS AND BALA. CE TOTAL PAYMENTS AND ENDING BALANCE M200 Equipment .............................................. MS00 Real Property ........................................................ M802 Transfer to Reserve Fund ...................................... M810 Transfer to General Fund ...................................... FUND(S) ' 'r'y'pe (pu~'p~s;)'of'Reserve s Y623q '1(/pe~(pur~se) ~f Re~serv, R2770 R ooo s I / R8499 / a '1 ' R3410.3 R9560.9 R9S10.9 R9995.5 OtherTotal Payments " ........................ iiiii~¢~:~:i:':~R9999'0 $' ~---- $_-~~~~/~ Balance at End of Year (TransCer to pa~, 4) .....~.[,..0"~ R8497 TOTAL,PAYMENTS AND BALANCE ~,.~R8499.0 ~~--== $~~%~_ _ . TRUST AND AGENCY FUNDS T2 New York State Income Taxes .. T21 T3 Federal Income Taxes ............ T22 T4 Social Security Taxes ............ T26 TS Foreign Fire Insurance Fund .... TS0 T6 Group Insurance Deductions ...... T20 Other (specify) .... T85 .... T85 TOTALS .......................... T808 Cash Balance Cash Balance ' Beginning of Year Cash R-.ceipts Cash Disbursements End of Year RECONCILIATION OF CASH AND BANK BALANCES Cash Balances by Fund at End of Year: General Fund (from page 2) ...................................................................................................... Capital Fund (from page 3) ...................................................................................................... Reserve Fund (from page 3) .................................................................................................... Trust and Agency Funds (from page 3) ...................................................................................... Total- All Funds .............................................................................................. Bank Balances at End of Year: _ Name and Location of Bank _ Bank Balance Outstanding Checks TOTALS $- $ Petty Cash .......................................................................................................................................... Cash on Hand (Dale Deposited __) .............................................................. TOTAL BANK BALANCES AND CASH ON HAND ................................................ 8300 ................ INVESTMENTS HELD AT DECEMBER 31, 19 Net Bank Balance /,? Fund Description of Investment Purchase Price $ TOTAL INVESTMENTS ................................................................................' ...... 8531 ...... $ COMPUTATION OF REAL PROPERTY TAXES Town Assessed Valuation of Fire District Within Town 2 Tax Rate per $1,000 of Assessed Valuation Amount of Tax (Assessed Valuation Multiplied by Tax Rate) DISTRICT TOTAL 855. tS :~ $ * * Must agree with Real Property Taxes shown at top of page 2. TOTAL ASSESSED VALUATION $ DETAILED STATEMENT OF INDEBTEDNESS J I I Outstanding I Issued Redeemed ' Outstanding Bonds r Year ] Interest J Beginning [ During During End (Show each issue separately by of ~ . I Title and Purpose) /' Issue ! Rate[ of 1Year I Y~ar YTr of ;ear ....................... -t- ........ t-- l, .... I, ..... .... TOTAL BONDS OUTSTANDING AS OF DECEMBER 31 $ Notes Tax Anticipation Notes 891. X___X_X._X_ -'-~-~X Revenue Anticipation Notes 892. XX__.___~XX Budget .o,es 893. _X_X__X_X_ i ' -X_ _X_ X__ Capital Notes 895. X_~XX___X_ . XX__X J Bond Anticipation Notes 896. _XX___X_X XXX TOTAL NOTES 821. XXXX XXX $ $ $ TOTAL NOTES OUTSTANDING AS OF DECEMBER 31 $ RECEIVABLES CLAIMS PAYABLE Amount Due District at End of Year 8532 $ ~ . Amount of Unpaid Claims of District at Endof Year 8541 $ DO NOT FILE THIS REPORT IF $100.00 OR LESS WAS RECEIVED ANNUAL REPORT ON RECEIPT AND DISBURSEMENT OF FOREIGN FIRE INSURANCE PREMIUMS (NAME AND TYPE OF ENTITY) .Town Cle~ Southold Balance: Receipts: Total (NAME OF MUNICIPALITY OR DISTRICT WHERE LOCATED) ,,,vTz--'~:.~- o.J ~.'~,~ $ i1~. O'T~ Balance and Receipts Disbursements: Purpose Amount _~ ii/z--l-- Balance: (DATE - END OF YEAR) (SEE INSTRUCTIONS ON REVERSE SIDE) $ Mb-/, ~6 7~., om I, ~z:O~Z: '/'~,.. Ix&O0m~/-/z~// , certify that this report is a true and accurate statement of the receipts and disbursements of foreign fire insurance premiums for the year ended (DATE) '"-" (SIGNATURE) (ADDRESS) (TITLE) (T'EL~'~'HONE NUMBER) Please mail report to: ATTENTION: Nicholas Solomos, Associate Examiner New York State Department of Audit & Control Division of Municipal Affairs State Office Building Albany, New York 12236 FILING INSTRUCTIONS: 1. The "beginning" balance should agree with last years "ending"balance. 2. Any interest earned by investment (placing in savings account, certificates of deposit, etc.) of the foreign fire insurance tax moneys should be included in receipts. Identify by major category. 3. Purpose of disbursements should be clearly stated in general terms (recreational equipment; annual picnics; annual Christmas party, etc.). 4. "Ending" balance should be balance on hand as of December 31.