HomeMy WebLinkAbout1987All Numbers In This Report
Must Be Rounded to the Nearest
Dollar
FIRE
ANNUAL REPORT
OF THE
DISTRICT TREASURER
JAIV 1 1988
YEAR ENDED DECEMHER 31, 19 ~7
IN THE
TOWI'{ OR TOWNS OF_
COUNTY OF //~~, '_
THE DISTRICT IS GOVERNED BY:
(Check one)
~Separate Board of
Fire Commissioners' or Town Board
AUTHORIZATION
Article 3, Section 30, of the General Hunicipal Law
***every***fire***district***sha11 annually make a report of its financial condition to the Comptroiler.
made by the***treasurer of each fire***district***."
Such report shall
State of New York
Office of the State Comptroller
Division of'Municipal Affairs
Bureau of Municipal Research and Statistics
Governor Alfred E. Sudth State Office BuiIdlng
Albapy, New York 12236
PLEASE MAI1, REPORT TO:
"5. All reports shall be certified by the officer making the same and shall be filed witl; the Comptroller within sixty days
after the close of the fiscal year of such~**district***."
ALL Ifl~B%T,S IN REPORT MUST BE ROUNDED T__O THE~i~ST DOLLAR
ANNUAL REPORT ON
P~VENUES AND EXPE~, ITURES OF FOREIGN FIR~ INSURANCE PRE~flUMS
NAME OF TO~N OR ~IT~ I~ERE LOCATED NAH~-OF C~T~ ~HEKE
LOCA'r~u
NAME OF DISTI~CT IqRERE LOCATED (IF APPROPRIATE)
~or cbs risca~ Y.ar End.d /~z/$//~?
(Da~e) '
(¢]~ate - ~e$. of Year)
Revenues:
/
A8021 ' '
Total Revenues
Total Balance and Revenues
Expenditur~s:
A8022 ..................... $
$
Total ExpendiCu'ree
(DaCe - End of Year)
A8024 ...................... $
A8029 ...................... $
(SEE INSTRUCTION_.._____~SON REVERSE SIDE)
I, . ,certify tha~ chis ~eport ~s a true ~d accurate
s~a~eu~ of ~he rev~n~s an~ expendi~ures of forei~ fire ~nsurance p~i~s for
~he year ended ~,~/ /~ .
· (Dace)
Please mail re.port to:
Attention:
/ (ADDEESS)
(TELEPHONE
Jeffrey 14adeJ, Associate Examiner
Office of the State Comptroller
Division of MunicipalAffairs
State Office Euildin$
Albany, I~ 12236
FILING i'NSTRUCT~[ONS:
1. All numbers in this report ~ust be rounded co the nearest dollar.
The '~eginningn balance A8021 should a~ree Ach Last year's "ending"'
balance A8029.
Any interest earned by investment (placing in say,rigs accounts, cer-
tificates o£ deposit, etc.) of the foreisn fire insurance tax moneys
should be included in receipts. Identify by ~aJor catesor~.
Purposes of disbursements should be clearly stated ~n general ter~s
(recreational equil~ent; annual picnics; annual Chrisms party,
etc.).
"Ending" balance A8029 should be the cash balance on hand as of
December 31.
R~CEIPTS
Real Property Taxes
Charges for Fire Protection
Interest and Barnlngs
Rentals
Sale of Equipment
Insurance Recoveries
Gifts and Donations
Refund of Expenditures
Transfers '
Budget N~tes Issued
Tax Anticipation Notes Issued
Revenue Anticipation Notes Issued
TOTAL RECEIPTS
Balance at Beginning ~£ Year
TOTAL RECEIPTS AND BALANCE
EDP
c~o~$
AIOOI
A2262
A2401
A2410
A2665'
A2680
A2705
A2701
A2770
A5051
A5,750
A5760
A5770
A8021
G ENENA L FUND
EDP
PAY#ENTS Code
Personal Services A3410.I
Equipment/Capital Outlay A3¢10.2
'Contractual Expenditures A3410.4
Hydrant Rental A3410.4
Fire Dept./Conpany Services A3410.4
Fire Protection A3410.4
Judgments and Claims A1930.4
State Netlreeent Systec A9010.8
Police and FiFe Retire System A9015.8
Norkers Compensation Inkurance A9040.8
Social Security A9030.8
Nedlcal/Accldent Insurance A9060.8
Interest on Bonds A9710.7'
Interest on Notes A97~.7
Redemption of Bonds AgTIO.6
Redemption of Notes A97__.6
Transfer to Capital Fund A9950.9
Transfer to Reserve Fund A9901.9
Other (Specify) A
TOTAL PAYNENTS
'Balance at End of Year
'TOTAL PAYNENTS AND BALANCE
A8029
Notee~
Total Receipts and Balance RUSt equal Total_Payments and Balance.
EDP Codes are for Office of the State Coeptroller use.
EDP
RECEIPTS ~gde
Interest and Earnings H2&Ot $
Bonds D5710
Pram, and Accrued Int. on Bonds H27XO
Capital Not~s H5740
Anticips~ion Notes B5730
Bond
Transfer From General Fund HS03!
Other (Specify)
TOTAL RECEIPTS
Balance at Beginning of Year
TOTAL RECEIPTS AND BALANCE
H2770
U802!
CA P I ~A L FUND
PAYMENTS
Equipment/Capital Outlay
Real Property
Redemption of BANs
Transfer to General Fund
Other (Specify)
TOTAL PAYMENTS
Balance at End of Year
TOTAL PAYMENTS AND BALANCE
EDP
C_~o d_~e
g3410.2
H34~0.2
H9730.6
E990X,9
U
B8029
RECEIPTS
Interest and Earnings
Sale of Assets
Other (Specify)
TOTAL RECEIPTS
EDP
R2401
R2660
R503!
R2770
Balance at BeginninE of Year R8021
Total Receipts and Balance
PAYHENT$
Equipment/Capital Outlay R3410.2
Real Propprty R3~10.2
Transfers R9901.9
OtheF (Specify)
R
TOTAL PAYMENTS
Balance at End of Year R8029
Total Payments and Balance
R R S.E R V E
Total
y u B D(S)
of Reserve
Do Not Key
Type (Purpose)
of Reserve
$
$
Type (Purpose)
of Reserve
$
$
Do Not Key
New York State Income Taxee..T21
Federnl Incase Taxes ......... Y22
Social Security Taxes ........ Y2S
Foreign Fire Insurance Fund..TS0
Croup Insurance DeducCtons.,,T20
Other (specify)
..... T85
TOTALS ...............
TRUST AND AGENCY FUNDS
Ca'sh Balance
Beginning ~f Year
Receipts
Cash
Disbursements
$ $ $ $
Cash Balance
Knd of Year
Do Hot Key
RECONCILIATION OP CASH AND BANK BALANCES
Cash Balances by Fudd.at End of Year:. · ~~
Capital Fund .~ ........... o...~ .......... .................
Reserve Fund ,
Trust and Agency Punds
Total - All Funds .................................................
Bank Balances at End of Year3
Name and Location o[~ank
/
Bank Balan~
OutetandinB Checks
TOTALS'
$
$
Net Bank Balance
Petty Cash ........................................................................ .
Cash on Hand (Date Deposited ') .................................
TOTAL BANK BALANCES AND CASH ON HAND ........... · ...................................
Fund
INVHSTMENT.S HELD.AT DHCEHBER 31, 19,
Description of Investment
Purchase Price
TOTAL INVESTMENTS $
*These totals must agree
DETAILED STATEMENT OF INDEBTEDNESS
Bonds
(Show e~cb issue separately by)
EDP
!
TOTAL BONDS 2P1877
.. Ou~stendinB Issued Redeemed OutstandinN
Year Beg~nning During During End
of Interest of Year Year Year of Year
Issue Rate 1 . 3 5 7
ILXXX~ xxx "ls~. ~ Is
TOTAL BONDS OUTSTANDING AS OF December 31 $___~.~ ~)~
Notes
R_$evenue Anticipation Not.e! 2P1,862 XXX X.X~X_
Bond~~~--~AnticlPation Nates ~XXX--~2PX876 XXXX ~---~EBX _'
TO~AL NOTES
TOTAL BONDS AND NOTES
TOTAL NOTES OUTSTANDING AS OF DECENBER 31 ~
TO~N
COMPUTATION OF REAL PROPERTY'TAXES
· Assessed valuation Tax Rate
EDP of Fire District per $1,O00
~pde Within Town of Assessed Valuation
Auount of Tax
(Assessed Valuation
Hultiplied by Tax Rate)
· 2
eShould seres with Receipt of Real Property Taxes as shown s-t top of pgEe i
TO~N
COMPUTATION OF FULL VALUATION OF TAXABLE REAL PROPERTY
Assessed Valuation
of Fire District
Within Town
Equalizetion
Rate
Full Vsluation
(Assessed Valuation
divided by
Equmliz~tion Rate)
Total Assessed
Valuation
Total Full Valuation
EDP
Cgde
9ZFE
· EXAMPLE OF CALCULATION OF FULL VALUATION:
Town A $10,O00
Town B 5,000
Town C '_~.~.0_~
Assessed Valuation $~3~
Full Valuation
25%
4O%
100%
$&O,O00
12,500
Claims Pendfnk - Beginning of Year
Involving Codefendant/Tbtrd Party Defendant
Other Claims
Notices Filed During the Year
Involving Codefandant/~hird Psrty Defendant
O~her CLaims
Less:
~TI~S OF ~O~T C~I~S
TOTAL NUI~ER OF CLAINS
9Z~RIO
9ZTR15
TOTAL iNObWf OF (L~IM5 TOTAL ANOUNT PAID ~ (LtI~
EDP ~
9Z~
9~16 '
9ZTR20
9ZTR25
9ZTR21
9Z1~26
Claims disposed of during the year
~rior to cmmence~ent of court action:
e By Locality
o By Insurance Carrier
Claims disposed of during the year
· By locality
' By Insurance Carrier
o By Judgaent
- Other ( )'
Claim Pending - End of Year
Involving Codefendant/Third Party Defendant
Other Claims
9Z~R30
9ZTR~.0
9Z~50
9Z~R60
9ZIR70
9ZTR80
9ZTR31 9ZTR32 5
9Z~W*I 9Z~R&2 6
9Z~ER51
9Z~R61
9Zl]tT1
9ZTRS!
9Z3~52 , 7
9ZTR62 8
9ZI~72 9
9ZTR82 10
9ZTR90 9Z33t91
9Zl'R95 9ZTR96 1.2
AIITItORIZATION
Article &, Section 50-f of the Ceneral Nunicipal Law
'3. a. Each officer charged with the duty of stoking and' keeping the record of claims shall rake 'an annual report thereof, in
sumsary~ to the governing board of such mmicipal corporation or of such authority or cmmission and shall file a copy thereof in the
office of the stat.e comptroller within sixty days after the close of the fiscal year of such smnicipal corporation or of such
authority or cc~lsalon. A smnicipal corporation, authority or cce~lea[on required by section thirty of the general smnicipal law to
file an anneal report of its financial condition with the state comptroller shall file the report required by this subsection with
such financial report." '
Note: I~ ia not necessary to fureish any additional information or detail~, on the above claims or notices of claims.
If there were ne notices of Tort Clains filed or disposed of, please state .~ONE- and return this repor~ with the Annual
Financial Report.
!
2
(1>
NUMBER
NO~ICES OF 3~ORT CLAIMS
FOR ~HE FISCAL YEAR ENDING 19.__.
(2)
Huniclpallty*s Equitable Sha~e
(3)
AMOUNT PAID GRKA~ ~4AN K~UI~ABLK SHARE
3
4
6
9Z~1~36
9Z~46
7 9Z1]t5~
8 9ZI~64
9 9Z1'R?4
10 9Z~8~
9Z'IR56
9Z~66
9~R76
9Z~R86
9Z~R58
9Z~68
9Z~78
9ZTR88
12
* ldentif~ ~he number (column 1) of claims disposed of durlng the year,here the settlement was de~e~tned in accorda~e with the rel-
ative culpability of each p~y ~r~an~ to ~ l~emtzed decision or Ju~verdic~ ~d ~ere ~he ~n~ paid by t~ ~ntcipali~y was
~eater ~n ~e ~lcipallZy's equitable share., Enter the ~nict~licyt8 equitable share (col~n 2) ~d the ~cess amount paid
col~ 3).
Report Prepared by:
Address
( )
Title Phone Number
Dated
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 ~.
// Aria
Code
CHAIRHAN OF THE EOARD
STATEOF NE~/ YORK
OFFICE OF THE STATE COHPTROLLER