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Home My WebLink About19864All Numbers In This Report Must Be Rounded to the Nearest Dollar RECEIVED JAN ~ ! 1987 Town Clerk Southnld ANNUAL REPORT OF THE FIRE DISTRICT TREASURER YEAR ENDED DECEMBER 31, 19 ~g, NAME OF DISTRICT J~.~_.~',. ~).c~;.~.~ IN THE TOW~ o~ ~o~s o~ ~~ co~ o~ ~~ ~ DIS~ICT IS ~D BY: (Check one) eparate Board of ~ Flre Commissioners or __Town Board AUTHORIZATION Article 3, Section 30, of the General leunicipal Law "1. ***ever~***fire***district***shall annuallw make a report of its financial condition to the Comptroller. Such report shall be made b~ the***treasu~er of each fire***district***." "5. All reports shall be certified bW the officer making the same and shall be filed with the Comptroller within sixtW daws after the close of the fiscal wear of such***district***." PLEASE MAIL REPORT TO: State of New York Office of the State Comptroller Division of Municipal Affairs Bureau of Municipal Research and Statistics Governor Alfred E. Smith State Office Building Albany, New York 12236 ALL NUMBERS IN TillS REPORT MUST BE ROUNDED TO THE NEAREST DOLLAR ANNUAL REPORT ON REVENUES AND EXPENDITURES OF FOREIGN FIRE INSURANCE PREMIDMS (N3_~ ~ T~E OP NAME OF TOM OIg. CITY Wf0E~E LOCATED NAHE OF/~'OUNT~ WHERE LOCA'[~u Balance: NAME OF DISTRICT WHERE LOCATED (IF APPROPRIATE) For the Fiscal Tear Ended '(Date) (Date - Beg. of Year) EDPCODE A8021 ..................... $ Total Revenues Total Balance and Revenues Expenditures: A8022 ..................... $ Total Expenditures A$024 ......................$ ~ Balance: A8029 ...................... $ ~ j (Date - End of Year) (SEE INSTRUCTIONS ON REVERSE SIDE) I,~_~ ~.~.~.~ ' ,certify that this report is a true and accurate statement of the revenues ~nd expenditures of foreign fire insurance premiums for the year ended ,~2.~_.. 3/, /~>~ (SlGNATUgE) (TITLE) (Date) (ADDRESS)v (TELEPHONE NUMBER) Please mail report to: Attention: Jeffrey Madej, Associate Examiner Office of the State Comptroller Division of Municipal Affairs State Office Building M, N~f 12236 PILING INSTRUCTIONS: 1. All numbers in this report must be rounded to the nearest dollar. 2. The 'beginning" balance A8021 should agree with last year's "ending" balance A8029. Any interest ear~ed by investment (placing in savings accounts, cer- tificates of deposit, etc.) of the foreign fire insurance tax moneys should be included i~ receipts. Identify by major category. Purposes of disbursements should be clearly stated in general terms (recreatiomal equipment; annual picnics; annual Christmas party, etc.). "Ending" balance A8029 should be the cash balance on hand as of December 31. GENERAL FUND RECEIPTS Real Property Taxes Charges for Fire Protection Interest and Earnings Rentals Sale of Equipment Insurance Recoveries Gifts and Donations Refund of Expenditures Miscellaneous (Specify) Transfers Budget Notes Issued Tax Anticipation Notes Issued Revenue Anticipation Notes Issued Sale of Investments TOTAL RECEIPTS Balance at Beginning of Year TOTAL RECEIPTS AND BALANCE EDP Code Al001 A2262 A2~01 A2gl0 A2665 A2680 A2705 A2701 A2770 A5031 A5750 A5760 A5770 A5085 A8501 EDP PAYMENTS Code Personal Services A3~lO.1 Equipment/Capital Outlay A3~10.2 Contractual Expenditures A34L0.4 Hydrant Rental A3~lO.~ Fire Dept./Company Services A3~10.~ Fire Protection A3~10.~ 3udgments and Claims A1930.~ State Retirement System A9010.8 Police and Fire Retire System A9015,7 Workers Compensation Insurance A90~0.8 Social Security A9030.8 Medical/Accident Insurance A9060.8 Interest on Bonds A9710.7 Interest on Notes A97__.7 Redemption of Bonds A9710.6 Redemption of Notes A97__.6 Transfer to Capital Fund A9950.9 Transfer to Reserve Fund A9901.9 Purchase of Investments A9985.5 Other (Specify) A .... $ __~_0_~.__~__~3_.__~~ TOTAL PAYMENTS ___2._~eZ4_~ Ealance ,t End of Year $ ~._~_~_~_~ 3 TOTAL PAYMENTS AND BALANCE A8507 Total Receipts and Balance must equal Total Payments and Balance. EDP Codes are for Office of the State Comptroller use. CAPITAL FUND EDP RECEIPTS Code Interest and Earnings H2401 $ Bonds H5710 Prem. and Accrued Int. on Bonds U2710 Capital Notes H5740 Bond Anticipation Notes H5730 Transfer From General Fund H5031 Other (Specify) TOTAL RECEIPTS Balance at Beginning of Year TOTAL RECEIPTS AND BALANCE H2770 H8~91 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 Code H3410.2 H3410.2 H9730.6 H9901.9 H8~97 RESERVE F U N D(S) RECEIPTS EDP Code Interest and Earnings R2~01 Sale of Assets R2660 Transfers R5051 Other (Specify) R2770 TOTAL RECEIPTS Balance at Beginning of Year R8491 Total Receipts and Balance PAYMENTS Equipment/Capital Outlay R3410.2 Real Property R3410.2 Transfers R9901.9 Other (Specify) R TOTAL PAYMENTS Balance at End of Year R8~97 Total Payments and Balance ~_~ Do Not Key Type (Purpose) Type (Purpose) Total of Reserve of Reserve Type (Purpose) of Reserve $ $ $ $ Do Not Key TRUST AND AGENCY FUNDS New York State Income Taxes..T21 Federal Income Taxes ......... T22 Social Security Taxes ........ T26 Foreign Fire Insurance Fund..TS0 Group Insurance Deductions...T20 Other (specify) .... T85 TOTALS ............... Cash Balance Beginning of Year Cash Receipts Cash Disbursements Cash Balance End of Year REC 0 NCILIATIO N OF CASH AND BANK BALANCES Cash Balances by Fund at End of Year: ~-~ General Fund ~e~.~...~ZT~....~..~..~..~..~a, ~, ,~- r/ Reserve Fund ................................................ . ......... Trust and Agency Funds ................................................ Total - All Funds ................................................. .... H .... $ .... T .... Bank Balances at End of Year: Bank Balance $__/,. .... Outstanding Checks s___i_/_~_/~ ?_~-_ .... Net Bank Balance s .... TOTALS Petty Cash ......................................................................... Cash on Hand (Date Deposited ) ................................ TOTAL BANK BALANCES AND CASH ON HAND .............................................. INVESTMENTS HELD AT DECEMBER 31. 19 Fund Description of Investment Purchase Price $ TOTAL INVESTMENTS ................................................................... S *These totals must agree DETAILED STATEMENT OF INDEBTEDNESS Bonds of (Show each issue separately by) Issue EDP Code Outstanding Issued Redeemed Outstanding Beginning During During End Interest of Year Year Year of Year Rate 1 3 5 7 ZZZi-5~E~EL;TiZZ ...... _L?_T~iZL;iLTiZi~L~::>ETBi2¢~Z~:aZZiiiiZaX ......... ~7 ................. TOTAL BONDS OUTSTANDING AS OF December 31 $__~_~_~_~_._~ .............. Notes R--~ ?-n--~Z-n__~ i¢__~ ~__q°__'_N__° ~_e__' ___T_~_!_S ~__~T!!!!T___X__xx ............................................... Budget Note. ~2P 18 6 3~XXXX~ XXX ~ ~ ~ ~Z Capital Notes 12P18751XXXX/ XXX / / / / ......... -T ..... W---T- ........ : ............................................. TOTAL NOTES OUTSTANDING AS OF DECEMBER 31 $___~.'_~_~__~.~_~__ ............... COMPUTATION OF REAL PROPERTY TAXES Assessed Valuation Tax Rate Amount of Tax EDP of Fire District per $1,000 (Assessed Valuation TOWN ~ Within Town of Assessed Valuation Multiplied by Tax Rate) 2 *Should agree with Receipt of Real Property Taxes as shown at top of page 1 COMPUTATION OF FULL VALUATION OF TAXABLE REAL PROPERTY TOWN Assessed Valuation of Fire District Within Town Equalization Rate Full Valuation (Assessed Valuation divided by Equalization Rate) Total Assessed Valuation Total Full Valuation EDP 9ZFE EXAMPLE OF CALCULATION OF FULL VALUATION: Town A $10,000 Town B 5,000 To~n C _~0,~ Assessed Valuation $3~0__.0~ 25% 40% 100% $40,000 12,500 ~fl~9o__o Full Valuation Sl2_z~ NOTICES OF TORT CLAIMS FOR THE FISCAL YEAR ENDING 19 ~ NUMBER OF CLAIMS AMOUNT OF CLAIMS AMOUNT PAID ON CLAIMS EDP CODE NUMBER EDP CODE AMOUNT EDP CODE AMOUNT Claims Pending - Beginning of Year Plus: 9ZTRiO 9ZTRll Notices Filed During the Year Less: 9ZTR20 9ZTR21 Claims disposed of during the year prior to commencement of court action: o By Locality o By Insurance Carrier 9ZTR30 9ZTR31 9ZTR32 9ZTR40 9ZTR41 9Z~R42 Claims disposed of during the year after commencement of court action: "By Locality °ByInsnrance Carrier ° By Judgment o Other ( ) 9ZTRS0 9ZTR51 9ZTH52 9ZTR60 9ZTR61 9ZTR62 9Z~R70 9ZTR71 9ZTR72 9ZTRS0 9ZTRS1 9Z~82 Equals: Claims Pending - End of Year 9ZTR90 ~;1~9-~_.. 9Z~91 ~ AUTHORIZATION Article 4, Section 50-f of the C-eneral Municipal Law "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 financial condition with the state comptroller shall file the report required by this subsection with such financial report." Report Prepared by: ~ddress Date Note: It is 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 report with the Annual Financial Report. CERTIFICATE OF FIRE DISTRICT TREASURER (P/ease Print or T~e} Fi~e District and that the following report is a true and correct statement of the financial transactions of such Fire District for the ~ear ended December 31, 19 ~. P. O. Address Dated Telephone ( ~) Area Code Name CHAIRMAN OF THE BOARD STATE OF NEW YORK OFFICE OF THE STATE COMPTROLLER