HomeMy WebLinkAbout1985PLEASE MAIL REPORT TO:
State of New York
Office of the State Comptroller
Division of Municipal Affairs
Bureau of Municipal Research and Statistics
Go.mar Alfred E. Smith State Office Building
Albany, New York 12236
ANNUAL REPORT
OF THE
RECBVB)
JAN 16 1985
NAME OF DISTRICT
TOWN OR TOWNS OF
COUNTY OF
FIRE DISTRICT TREASURER
YEAR ENDED DECEMBER 31, 19 ~5j
IN THE
THE DISTRICT IS GOVERNED BY: (check one)
Town Bawd
AUTHORIZATION
Article 3, Section 30, Of the Gmer=l Municipal Law
"1. *** every *** fire *** district *** shall annually make a report of itl financial condition to the comptroller.
Such report ehall be made by the *** treasurer of each fire *** district ***."
"S. AEI 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 ***o"
CERTIFICATE OF FIRE DISTRICT TREASURER
I, /'/O¥~/~"~/(~', ~)¢ sa,a'r e,q-/&d~r certify that I am the Treasurer of (Please Print or Typ4)
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 ~.
CHAIRMAN OF THE BOARD .
AC ~962(fiev. Z~/82) STATE OF NEW YORK
(Reissued 9/85)
OFFICE OF THE STATE COMPTROLLER
GENERAL
EDP
RECEIPTS AND BEGINNING BALANCE Cede
At0 Real Property Taxes(sameastax computationenpage41) .... 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
AS! Interest and Earnings .................................................. A2401
A52 Rentals ...................................................................... A2410
AS3 Sale of Equipment ...................................................... A2665
A54 Gifts and Donations .................................................... A2705
ASS Refunds of Expenses .................................................. A2701
AS9 Miscellaneous Revenues (specify)
.............. A2770
Transfer from Cap~tal Fund ........................................ A5031
Transfer from Reserve Fund ........................................ A5031
Total Revenues ..................................................
A64 Budget Notes Issued .................................................. A5750
A65 Tax Anticipation Notes Issued .................................... A5760
A66 Revenue Anticipation Notes Issued .............................. A5770
Total Notes Issued ............................................
A90 Safe of Investments .................................................... A5085
Total Receipts ................................................
Balance at Beginning of Year ...................................... A8501
TOTAL RECEIPTS AND BALANCE ..............
PAYMENTS AND ENDING BALANCE
Al00 Personal Services ...................................................... A3410.1
Equipment ................................................................. A3410.2
Contractual and Other Expenses .................................. A3410.4
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 .............................. A9015.8
Workmens Compensation Insurance ................................ A9040.8
Social Security ............................................................ A9030.8
Medical, Surgical and Hospital Care .............................. A9060.8
Blanket Accident Insurance ........................................ A9060.8
Interest an 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
Total Expenses ..................................................
Purchase of Investments .............................................. A9985.5
A82
A200
A400
A601
A602
A603
A610
A628
A629
A630
A633
A636
A638
A680
A681
A690
A691
A801
A802
A900
Other (specify)
Total Payments ..............................................
Balance at End of Year (Transfer to page 4) .................. A8507
TOTAL PAYMENTS AND BALANCE ............
FUND
;2; l ~7 ~. .9 ,3
~,00o , o~~
$
//P,,~oo. oo
A 9 ~z 1. oo
s 2?0. 79
s
NOTE: EDP Codes are for Office of d~e State Comptroller use.
ANNUAL FINANCIAL REPORT
(Addendum)
Would you please provide the OFFICIAL mailing address for ALL cor-
respondence relating to your fire district for the fiscal year 1986.
P.O. Address and
Zip Code
Also, in addition to the computation of real property taxes section
on page four (4) of your annual report, we are requesting completion of the
following schedule:
COMPUTATION OF FULL VALUATION OF TAXABLE REAL PROPERTY
TOWN
Assessed Valuation
of Fire District
Within Tow~
Equalization
Rate
Full Valuation
(Assessed Valuation
divided by
Equalization Rate)
Total Assessed
Valuation
$
Total Full Valuation
(EDP Code) 9ZFE
Town A
Town B
Town C
Assessed Valuation
$10,000
5,000
20,000
$35,000
FOR EXAMPLE:
25%
40%
100%
$40,000
12,500
20,000
Full Valuation $72,500
DO NOT FILE THIS P~PORT IF $100.00 OR LESS WAS RECEIVED
Balance:
Receipts:
ANNUAL REPORT ON
RECEIPT AND DISBURSEMENT OF FOREIGN FIRE INSURANCE PREMIUMS
(NAME AND TYPE OF ENTITY)
(NAME OF MUNICIPALITY OR ~STRICT WHERE LOCATED)
For the Fiscal Year Ended
(DATE)
Description EDP Cods
(Uate - Beg. of Ysar)
Amount
Total Receipts
Total Balance and Receipts
Disbursements:
A8022
Total Disbursements A8024
Balance: ~ .~l / ?~b/'
A8029
(Date - End of Ysar)
(SEE INSTRUCTIONS ON REVERSE SIDE)
I,./~ ~~~ , csrttfy that this report is a true and
accurate statement of tl/e receipts and~isbursements.~f foreign fire in-
surance premiums for the year ended ~ ~/. /~J ·
( SIGNATURE )
(TITLE)
Please mail report to:
Attention:
(DATE)
(ADDRESs)
(TELEPHONE NUMBER)
Jeffrey MadeJ, Associate Examiner
Office of the State Comptroller
Division of Municipal Affairs
State Office Building
Albany, NY 12236
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 9ZTR] 1
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 9ZTR42
Claims disposed of during the year
after commencement of court action:
o By Locality
o By Insurance Carrier
o By Judgment
° Other ( )
9ZTRSO 9ZTR51 9ZTR52
9ZIR60 9ZTR61 9ZTR62
9ZTRT0 9ZTR71 9ZTR72
9ZTRS0 9ZTRS1 9ZTR82
Equals:
Claims Pending - End of Year 9ZTR90 .,~ 9ZTR91 ~
AUTHORIZATION
Article 4, Section 50-f of the General 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
~uch financial report."
Report Prepared by:
Name
Title
Note:
Address
Date
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.
CAPITAL FUND
RECEIPTS AND BEGINNING BALANCE
H51
NB0
N6!
H62
H63
H82
EDP
Code
Interest and Earnings .............................................. H2401
Bonds .................................................................. H5710
Premium and Accrued Interest on Bonds .................. N2710
Capital Notes ........................................................ H5740
Bond Anticipation Notes ........................................ NS730
Transfer from General Fund .................................... NS031
Other .................. H2770
Total Receipts ..............................................
Balance at Beginning of Year .................................. N8491
TOTAL RECEIPTS AND BALANCE ............
PAYMENTS AND ENDING BALANCE
H200 Equipment ............................................................ H3410.2 $
HSO0 Real Property (includeinterestduringconstruction) .... N3410.2
H693 Redemption of Bond Anticipation Notes .................... N9730.6
H810 Transfer to General Fund ........................................ H9901.9
Other
Total Payments ............................................
Balance at End of Year(Transfer to page d) .............. H8497
TOTAL PAYMENTS AND BALANCE ............
RESERVE FUND(S)
? Typ~ipurpose) of Reserve Type (purpose) of Reserve
RECEIPTS AND BEGINNING BALANCE
M51 Interest and Earnings ............................................ R2401
M53 Sale of Assets ...................................................... R2660
M82 Transfer from General Fund .................................... RS031
M83 Transfer from Reserve Fund ....................................
Other, .................... R2770
Total Receipts ..............................................
Balance at Beginning of Year .................................. R8491
TOTAL RECEIPTS AND BALANCE ..............
PAYMENTS AND ENDING BALANCE
M200 Equipment ............................................................
MSO0 Real Property ........................................................
M802 Transfer to Reserve Fund ......................................
M810 Transfer to General Fund ...................................... R9901.9
Other
Total Payments
Balance at End of Year (Transfer to page 4) ............ R8497
TOTAL PAYMENTS AND BALANCE ............
R3410.2 S.
R3410.2
$ $.
$_ S
T2 New York State Income Taxes .. T21
T3 Federal Income Taxes ............ T22
T4 Social Security Taxes ............ T26
TS Foreign Fire Insurance Fund.... T50
T6 Group Insurance Deductlons......T20
Other ( speci {y)
.... T85
.... T85
TOTALS ..........................
TRUST AND AGENCY FUNDS
Cash Balance
Beginning of Yea¢ Cash R~¢eipts Cash Disbursements
S S S,
Cash Balance
End of Year
S S ...... S, ,, S
RECG...;ILIATION OF CASH AND BANK BAL~. ~ES
Cclsh Balances by Fund at End of Year:
General Fund (from page 2)~~ ../~-._-. .......... ~ ................................
~~ . ~.~,.,.~,...~. ....
TruJt and ~ency Fundl (from page 3) ......................... ~ ..........................................
Total - All Fund* ................................................. ~ ............................................
Bank Balaflces at End of Year:
Hams and Locatiofl of Bank
Bank Balance Outstanding Checks Hat Bank Balance
TOTALS
Petty Cash ........................................................................................................................................... ~
Cash on Hand (Date Deposited ) .............................................................. ~
TOTAL BANK BALANCES AND CASH ON HAND ................................................ 8300 ................ $ ~
INVESTMENTS HELD AT DECEMBER 31, 19
Fund Description of Investment Purchase Price
TOTAL INVESTMENTS ...................................................................................... 8531 ......
COMPUTATION OF REAL PROPERTY TAXES
Assessed Voluatiofl Tax Rate Amount of Tax
of Fire Dish'lct per $1,000 (As.eased Valuation
Town Within Town af Assessed Valuatim~ Multiplied by T~ H~e)
2
DISTRICT TOTAL 855. S S $ * ~ ~ bO ~. 6 ~
*Hast agree with Reol P*operty T ..... hown at top o, page ~. TOTALASSESSEDVALUATION S
DETAI~ED STATEMENT OF INDEBTEDNESS
t Outstanding Issued Redeemed Outstanding
Bonds Year Interest BeginnEngof 11'em During Dining End
::
TOTAL BONDS 877. XXXX XXX
TOTAL BONDS OUTSTANDING AS OF DECEMBER
Tax Anticipation Notes 861. XXXX XXX S S
Revenue Anticipation Nates 862. XXXX ~XX
Capital Notes 875. XXXX XXX
xxxx xxx //~,~.~.~
TOTAL NOTES 821. XXX $ $
TO1AL NOTES OUTSTANDING AS OF DECEMBER 31 ~ //~.. c~ OO, ~
TOTAL BONDS AND NOTES 824. I xxxxl xxx I$ ts Is Is
RECEIVABLES CLAIMS PAYABLE
Ame~t Due District at End of year 8532 S ,'~%~ ~ . Amount of Unpaid ClalmsofOlsteict at Endof Yam 8541