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Home My WebLink About1981PLEASE MAIL 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, New York 12236 ANNUAL REPORT OF THE RECEIVED FEB 0,:, Town Cler~ So.'afc[ FIRE DISTRICT TREASURER NAME OF DISTRICT TOWN OR TOWNS OF COUNTY OF YEAR ENDED DECEMBER 31, 19 IN THE THE DISTRICT IS GOVERNED BY: (check one) or [] To,~ Bom'd AUTHORIZATION Article 3, Sect/on 30, of the General Municipal ~-aw "1. *** every *** fire *** district *** shall annually make a report of its financial condition to the comptroller. Such report shall be mode 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 Dated AC 1962 (11/78l Print Code YZ STATE OF NEW YORK DEPARTMENT OF AUDIT AND CONTROL GENERAL FUND EDP RECEIPTS AND BEGINNING BALANCE Code Al0 RealPropertyTaxes(sameastaxcomputationonpage4) .... A1001 $_ A20 State Aid for Lose 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 Sale of Equipment ...................................................... A2665 A$4 Gifts and Donations .................................................... A2705 AS5 Refunds of Expenses .................................................. A2701 A59 Miscellaneous Revenues (zpecify) J~.,~.'J- .~.,. A2770 A81 Transfer A2850 A82 Transfer ....... A2882 Total Revenues .................................................. AS000 A64 Budget Nates Issued .................................................. A5750 $ A65 Tax Anticipation Notes ~ssued .................................... 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 Socia~ 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 A900 Purchase of Investments .............................................. A9985.5 Other (spe¢ify)~ ;. ............ A Total Payments .............................................. A9999.0 Balance at End of Year (Transfer to page 4) .................. A8507 TOTAL PAYMENTS AND BALANCE ............ A8599.0 7y NOTE: EDP Codes are for Department of Audit and Control use, DO NOT FILE THIS:REPORT IF $100.00 OR LESS WAS RECEIVED ANNUAL REPORT ON RECEIPT AND DISBURSEMENT OF FOREIGN FIRE INSURANCE PREMIUMS (NAME OF MUNICIPALITY~R DISTRICT ~HERE LOCATED) For the Fiscal Year Ended Balance:{ AT~E- ~G. OF YEAR) Receipts: Total Balance and Receipts Disbursements: Purpose Amount $ Balance:~_~ 9/. /~-/ $ ~ (DATE - END OF YEAR) (SEE INSTRUCTIONS ON REVERSE SIDE) I,~~.~~~, certify that this report isa true and a. ccurate statement Of the recei~s and dis~rsements of foreign fire insurance premiums for the year ended J~Z~ ~?. /J;&/ - (DATE) GNATURE) (TITLE) ~ (~DD~ESS)~ (TELEP'HONE NUMBER) Please mail report to: ATTENTION: Nicholas Solomos, Associate Examiner New York State Department of Audit & Control Division of Munilcipal 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 ~1. AC 1965 (11/78) ~i,~ cod° x ANNUAL REPORT OF NOTICES OF TORT CLAIMS FISCAL YEAR ENDING 19~.~/ COUNTY / Number Amount Amount Paid i of of on n Claims Claims Claims I Claims Pending at Beginning of Year S. $. XXXX 2 Notices of Claims Filed During Year to XXXX NUMBER NUMBER TOTAL XXXX Claims Disposed of During Year Prior to 4a By Municipality S. $. 4b By Insurance Carrier Claims Disposed of During Year After Commencement of Court Action: Sa By Municipality Sb By Insurance Cra'tier Sc By Judgment Other (explain) 6b 7 TOTAL CLAIMS DISPOSED OF DURING YEAR 8 Claims Pending at End of Year (Line 3 minas line 7) AUTHORIZATION Article 4, Section SO.f of the General Municipal Low 3. o. Each officer charged with the duty of making and keeping the record of claims shall make an annual report thereat, in summary, to tho governing board of such municipal corporation ar 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 ¢o~poratlon, authority or commission required by section thirty of the general municipal law to file ae~ annual report of its linen- cia( condition with the state comptroller shall file the report requlmd by this subsection with such financial report. Dated: Report Prepared by: Title Add.ss Note: It is not necessary to furnish any additional information ar 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. DEPARTMENT OF AUDIT AND CONTROL DIVISION OF MUNICIPAL AFFAIRS ALBANY, NEt/YORK 12236 CAPITAL FUND EDP RECEIPTS AND BEGINNING BALANCE Code H51 ~nterest and Earnings .............................................. N2401 H60 Bonds .................................................................. H5710 H61 Premium and Accrued Interest on Bonds .................. H2710 H62 Capital Notes ........................................................ HS740 N63 Bond Anticipation Notes ........................................ H5730 H82 Transfer from Genera~ Fund .................................... H2810 Other .................. H2770 Total Receipts .............................................. H6000 Balance at Beginning of Year .................................. N8491 TOTAL RECEIPTS AND BALANCE ............ H8499 PAYMENTS AND ENDING BALANCE H200 Equipment ............................................................ HSO0 Real Property (inciucleinterestcfurlagconstructien) .... H693 Redemption of Bond Anticipation Notes .................... H810 Transfer to General Fund ........................................ Other .................. H3410.2 H3410.3 H9930.5 H9510.9 H9995.5 Total Payments ............................................ H9999.0 Balance at End of Year(Transfer t~ page 4) .............. H8497 TOTAL PAYMENTS AND BALANCE ............ N8499.0 RESERVE FUND(S) Tyi~Reserve RECEIPTS AND BEGINNING BALANCE M51 Interest and Earnings ............................................ R2401 M53 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 ............................................................ R3410.2 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 4) ............ R8497 $ ,,,s~'~ ~[4 75~ $ Type (purpose) of Reserve $. $. $ $ TOTAL PAYMENTS AND BALANCE ............ R8499.0 .~ /.g..~6 ~/,_~o_~.~=.~ $: TRUST AND AGENCY FUNDS Cash Balance Beginning of Year Cash R~ceipts Cash Balance End of Year T2 New York State Income Taxes .. T21 $, $ T3 Federal Income Taxes ............ T22 T4 Social Security Taxes ............ T26 T5 Foreign Fire Insurance Fund.... TSO 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: O.n.,a, Fu.d (from pog. Gelelellj:::~md (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 f Bank Bank Balaqce Outstanding Cheaks Net Bank Balance TOTALS Cash on Hand (Date Deposited --~ .............................................................. '~ TOTAL BANK BALANCES AND CASH ON HAND ................................................ 8300 ................ $~- ~ INVESTMENTS HELD AT DECEMBER 31, 19 Fund Description of Investment S Purchase Price TOTAL INVESTMENTS ...................................................................................... 8~! ...... iS Town CO/~PUTATION OF REAL PROPERTY TAXES Assessed Valuation Tax Rate Amount af Tax of Fire District per $1,000 (Assessed Valuation Within Town of Assessed Valuation Multiplied by Tax Rate) 2 Must agree with Real Property Taxes shown at top of page 2. TOTAL ASSESSED VALUATION S DETAILED STATE/~ENT OF INDEBTEDNESS Bonds Year nearest Begiflnfng Dur ng During End (Show each iss~ separ~ely by of ...................................... Notes ~ TOTAL BONDS OUTSTANDING AS OF DECEMBER 31 ~-;~7;,~;;7 ............. %~kZ~-(~I -- I . 1 : ~OT.AkNOTE~ ..... 827 [.~xxI XXX I~ ___ ~ ........... k .............. TOTAL NOTES OUTSTANDING AS OF DECEMBER 31 $ ~¢. RECEIVABLES CLAIMS PAYABLE Amount Due District at En~ of Year 8532 $ ~ . Amount of Unpaid Claims of DistrJct at End of Year 8541 $