HomeMy WebLinkAbout1982PLEASE 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
ANNUAL REPORT
OF THE
FIRE DISTRICT TREASURER
RECEIVED.
Town Clerk Southold
NAME OF DISTRICT
TOWN OR TOWNS OF
COUNTY OF
YEAR ENDED DECEMBER 31, 19_~.
IN THE
THE DISTRICT IS GOVERNED BY: (check one)
or
AUTHORIZATION
Article 3, Section 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
I, ~//a~,Y,~,~.,/~/~¢~-~-/-~,~ certify that l amthe Treasurer of /~x~.~_ (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_~._.~
Telephone
~ . ~. ..-"", CHAIRMAN OF THE BOARD
AC 1962 (Rev. 21/82) STATE OF NEW YORK
Print Code YZ
OFFICE OF THE STATE COMPTROLLER
GENERAL
EDP
RECEIPTS AND BEGINNING BALANCE Code
Al0 RealPropertyTaxes(sameastaxcomputatlononpage4) .... A1001
A20 State Aid for Lass in Railroad Tax Revenue .................. A3007
A30 Federal Aid for Civil Defense ...................................... A4305
A40 Charges for Fire Protection, Other Services .................. A2262
A51 Interest and Earnings .................................................. A2401
A52 Rentals ................. ~ ............................................... A2410
A53 Sa~e of Equipment .~,~e~,~ ............................................ A2665
A54 Gifts and Donations .................................................... A2705
A5S Refunds of Expenses .................................................. A2701
AS9 Miscellaneous Revenues^(specify)
A81 ~ ' . C,~.-. · ."~'~./"~, ~,~ ..... A2850
A82 T~_-~-_~_-~ ~-. ~=z;:-;;, F-;:~ ~..~. ............. A2882
Total Revenues .................................................. A5000
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 ...................................................... A3410.1
A200 Equipment ................................................................. A3410.2
A400 Contractual and Other Expenses .................................. A3410.4
A601 Hydrant Rental ............................................................ A3410.4
A602 Fire Department or Company Services .......................... A3410.4
A603 Fire Protection .......................................................... A3410.4
A610 Judgments and Claims ................................................ A1930.4
A628 State Retirement System .............................................. A9010.8
A629 Police and Fire Retirement System .............................. A9015.8
A630 Workmens Compensation Insurance ................................ A9040.8
A633 Social Security ............................................................ A9030.8
A636 Medical, Surgical and Hospital Care .............................. A9060.8
A638 Blanket Accident Insurance ........................................ A9060.8
A680 Interest on Bonds ........................................................ A9710.7
A681 Interest on Notes ........................................................ A9729.7
A690 Redemption of Bonds .................................................. A9710.6
A691 Redemption of Notes .................................................. A9729.6
A801 Transfer to Capital Fund ............................................ A9550.9
A802 Transfer to Reserve Fund ............................................ A9560.9
Total Expenses .................................................. A9900.0
Ag00 Purchase of Investments .............................................. A9985.5
Other
(,pecify)
.~-.S~ C,~c,~**-,.~~ A
Total Payments .............................................. A9999.0
Balance at End of Year (Transfer to page 4) .................. A8507
TOTAL PAYMENTS AND BALANCE ............ A8599.0
FUND
s
NOTE: EDP Codes are for Office of the State Comptroller use.
DO NOT FILE THIS REPORT IF $100.00 OR LESS WAS RECEIVED
ANNUAL REPORT
ON
RECEIPT AND DISBURSEMENT OF FOREIGN FIRE INSUILANCE PRFJ4IUMS
(NAME AND TYPE OF ENTITY)
(NAME OF WHEIEE LOCATED)
For the Fiscal Year Ended
Balance:
Receipts:
Total Balance and Receipts
Disbursements:
Purpose
(DATE)
$
$
· Amount
$
Balance:
(DATE - END OF YEAR)
(SEE INSTRUCTIONS ON REVERSE SIDE)
$ ~
I,/~_~~,~L~. , certify that this report is a true and
accurate statement of th& receipts and d~burs~nts of foreign fire
insurance p~i~s for the year ended ~ ~Z /~F~
(DATE)
~TLE) (TELEPHONE NUMBER)
Please mail report to:
A~ENTION: Wayne Caroenter, 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 "endin~'balance.
g. 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.
)AC 1965 (Rev, 11/82)
Print Code X
ANNUAL REPORT OF NOTICES OF TORT CLAIMS
FISCAL YEAR ENDING 19~
(flame of Mun~ip~y)
COUNTY ~/~
L Number Amount Amount Paid
i of of on
n Claims Claims Claims
e
! Claims Pending at Beginning of Year $. $. XXXX
2 Notices af Claims Filed During Year to XXXX
HUMBER NUMBER TOTA1 XXXX
Claims Disposed of During Year Prior to
Commencement of Court Action:
4a By Municipality S. S.
4b By Insurance Carrier
Claims D~sposed of During Year After
Commencement of Court Action:
Sa By Municipality
5b By insurance Carrier
Sc By Judgment
Other (explain)
6a
7 TOTAL CLAIMS DISPOSED OF DURING YEAR -- $.. $
8 Claims Pending at End of Year (line 3 minus //ne 7) S "/~
AUTHORIZATION
3. a. Each officer charged with the duty of making and keeping the record of claims shall make an annual report thereof, in s~m~mary,
to the governing board of such municipal ca,potation or of such authority or commission and shall file a copy thereof in the office of the
Oa,.d:o;
Report Prepared by:
Title
Add*e~
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 Tart Claims filed or disposed of, please state "NONE" and return this repo~t with the Annual Financial
Report.
OFFICE OF THE STATE COMPTROLLEFI
DIVISION OF MUNICIPAL AFFAIF~$
ALBANY, NEW YORK 12238
CAPITAL FUND
EDP
RECEIPTS AND BEGINNING BALANCE Code
H51 Interest and Earnings .............................................. H2401
H60 Bonds .................................................................. H5710
H61 Premium and Accrued Interest on Bonds .................. H2710
H62 Capital Notes ........................................................ H5740
H63 Bond Anticipation Notes ........................................ N5730
H82 Transfer fram General Fund .................................... H2810
Other .................. H2770
Total Receipts .............................................. N6000
Balance at Beginning of Year .................................. H8491
TOTAL RECEIPTS AND BALANCE ............ H8499
PAYMENTS AND ENDING BALANCE
H200 Equipment ............................................................
HS00 Real Property (incJudeinterestduringconstruction) ....
H693 Redemption of Bond Anticipation Notes ....................
H810 Transfer to General Fund ........................................
Other ..................
H3410.2
H3410.3
N9930.5
H9510.9
H9995.5
Total Payments ............................................ H9999.0
Balance at End of Year(Transfer to page 41) .............. H84197
TOTAL PAYMENTS AND BALANCE ............ H8499.0
RESERVE
RECEIPTS AND BEGINNING BALANCE
M51 Interest and Earnings ............................................ R2401
MS3 Sale of Assets ...................................................... R2660
M82 Transfer from General Fund .................................... R2810
M83 Transfer from Reserve Fund .................................... R2882
Other .................... R2770
Total Receipts .............................................. R6000
Balance at Beginning of Year .................................. R8491
TOTAL RECEIPTS AND BALANCE .............. R8499
PAYMENTS AND ENDING BALANCE
M200 Equipment ............................................................ R34110.2
MS00 Real Property ........................................................ R3410.3
M802 Transfer to Reserve Fund ...................................... R9560.9
M810 Transfer to General Fund ...................................... R9510.9
Other .................. R9995.5
Total Payments ............................................ R9999.0
Balance at End of Year (Transfer to page 41) ............ R8497
FUND(S)
TOTAL PAYMENTS AND BALANCE ............ R8499.0 $ ~ /, £Z,~ .,~,~.? S
Type (purpose) of Reserve
TRUST AND AGENCY FUNDS
Cash Balance
Beginning of Year Cash B~ceipts
Cash Disbursements
Cash Balance
End of Year
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 $ .....
$, $
$ . $, , . $
RECONCILIATION OF CASH AND BANK BALANCES
Cash Balances by Fund at End of Year:
~ Fund (from page 2) .~C~./~y~.~.~.~:~<.....~~,l~ ..........................................
Trust and Agency Funds (from page 3) ...................................................................... Total - All Funds ..............................................................................................
Bank Balances at End of Year:
Name and Locatia~ of Bank Bank Balance
Outstanding Checks Net Bank Balance
$ /4 b, c~ ,J $ / ~//,
TOTALS $.
Cash on Hand (Date Deposited ) .............................................................. ~
TOTAL BANK BALANCES AND CASH ON HAND ................................................ 8300 ................ $- ~
INVESTMENTS HELD AT DECEMBER 31, 19
Fund Description of Investment
TOTAL INVESTMENT~ .................................................................... _.,..,.~.._.:._....~._. _. _8.~_1~...~.__ _ S
Purchase Price
Town
COMPUTATION OF REAL PROPERTY TAXES
Assessed Valuation
of Fire District
Within Town
2
DIST RIC_T. TO T_~ _L. _8_55
per S1,000
of Assessed Valuation
Amount of Tax
(Asses.ed Valuation
Multiplied by Tax Rate)
* Must agree with Real Property Taxes shown at top of page 2. TOTAL ASSESSED VALUATION $ ~x' ~ ~0 / ~?
DETAILED STATEMENT OF INDEBTEDNESS
Bonds Year Interest Beginning During During End
TOTAL BONDS OUTSTANDING AS OF DECEMBER31 S ~t] ~o~)
TOTAL.O~E~ ..... ~' .t.~XXl xxx ~ ..... ]~ ........................ ~
TOTAL NOTES OUTSTANDING AS OF DECEMBER 31 ~ ~ ~' ~ o ~
RECEIVABLES CLAIMS PAYABLE
Amount Due Distrlet at End of Year 8532 $ ~ . Amount of Unpaid ClaimsofDistrict at End of Year 8541