HomeMy WebLinkAbout1976PLEAS~, MAIL REPORT TO: State Df N~w York
Depa~,~ent 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
Attention: Mr. G. Philip Fray
ANNUAL REPORT
OF THE
FIRE DISTRICT TREASURER
NAME OF DISTRICT
TOWN OR TOWNS OF
COUNTY OF
YEAR ENDED DECEMBER 31, 197/~
IN THE
THE DISTRICT IS GOVERNED BY: ('thee&
ar
[] Town Board
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 ihaU 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 fisaal year of such *** district ***2'
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 31,197_~.
, /~..?AIRMAN OF THE BOARD
Name ~ *~.~.s/'~ ~z~7 Address (/~.-~.~.~-~'~
STATE OF NEW YORK
DEPARTMENT OF AUDIT AND CONTROL
GENERAL
EDP
RECEIPTS AND BEGINNING BALANCE Code
Al0 RealPropertyTaxes(sameastaxcomputatlononpage4) .... A1001
A20 State Aid far Loss 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
A54 Gifts and Donations .................................................... A2705
ASS Refunds of Expenses .................................................. A2701
A59 Miscellaneous Revenues (specify)
.............. A2770
A81 Transfer from Capital Fund ........................................ A2850
A82 Transfer from Reserve Fund ........................................ A2882
Total Revenues .................................................. A5000
A64 Budget Notes Issued .................................................. A5750
A65 Tax Anticipation Notes Issued .................................... A5760
A66 Revenue Anticipation Notes Issued .............................. A5770
Total Notes Issued ............................................ A5799
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
A900 Purchase of Investments .............................................. A9985.5
Other (specify)
Total Payments .............................................. A9999.0
Balance at End of Year (Transfer fo page 4) .................. A8507
TOTAL PAYMENTS AND BALANCE ............ A8599.0
FUND
79 7. oo
s 72.
NOTE= EDP Codes are for Department of Audit and Control use.
ANNUAL REPORT OF NOTICES OF TORT CLAIMS FOR FIRE DISTRICTS'
FISCAL YEAR ENDING DECEMBER 31, 19 ? ~
f/ ~' ~ COUNTY
L Number Amount
i of of
n Claims Claims
e
1 Claims Pending at Beginning of Year $
2 Notices of Claims Filed During Year to
NUMBER NUMBER
TOTAL.
Claims Disposed of During Year Prior to
Commencement of Court Action:
4a By Fire District $ $
4b By Insurance Carrier
Claims Disposed of During Year After
Commencement of Court Action:
5a By Fire District
5b By Insurance Carrier
5c By Judgment
Other (explain)
6(3
6b
7 TOTAL CLAIMS DISPOSED OF DURING YEAR
8 Claims Pending at End of Year (Line 3 minus Line 7)
TOWN
Amount Paid
on
Claims
$ XXXX
XXXX
XXXX
$ $
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 affJceof the
state comptroller within sixty days after the close of the fiscal year of such municipal corpor(3tion or of such authority or commission. A
municipal corporation, authority or commission required by section thirty of the general municipal ~aw to file an annua[ report of its finan-
cial condition with the state comptroller shall file the report required by this subsection with such financial report.
Report Prepared by:
Note: It is not necessary to furnish any addltional ~nformation or details of the above claims or notices of claims.
If there were no notices of Tort Claims fi~ed or disposed of, please state "NONE" and return this repo~t with the Annual Financial
Report.
DEPARTMENT OF AUDIT AND CONTROL
DIVISION OF MUNICIPAL AFFAIRS
COMPTROLLER'S OFFICE
ANNUAL REPORT
ON
RECEIPT AND DISBURSEMENT OF FOREIGN FIRE INSURANCE PREMIUMS
~' ' ~NAME AND TYPE OF ENTITY)
(NAME OF MUNICIPALITY OR bI~RICT WHERE LOCATED)
For the Fiscal Year Ended ~_~ ~/, (DATE)
Balance --
(DATE - BEG. OF YEAR)
Receipts (Foreign Fire Insurance Premiums Only)
Total Receipts and Balance
Disbursements (Foreign Fire Insurance Premiums Only)*
Balance --
(DATE - END OF YEAR)
* Purpose Amount
Total $ ~d __
(Classify the purpose or purposes of the disbursements - File separate sheet if additional space is needed.)
I,~l~/~a~=~ ~-~_ ~ '~.~certify that this report is a true and accurate
statement of the rec~pts and disbursements of foreign fire insurance premiums
for the year ended ~o ~, /~
.
(SIGNATURE)
(TITLE)
(ADDRESS)
(T LEPHONE m EE)
Please mail report to:
ATTENTION: Phillip Frey
State of New York
Department of Audit and Control
Division of Municipal Affairs
State Office Building
Albany, New York 12236
The annual report for the 1976 fiscal year should not show a balance at January 1st.
Reports for subsequent years should show the unexpended balance of the previous year.
DO NOT FILE THIS REPORT IF S1OO.O0 OR l.~gg WAR RRCWTU~,
CAPITAL FUND
RECEIPTS AND BEGINNING BALANCE
H60
H61
H62
H63
H82
EDP
Code
Interact and Earnings .............................................. H2401
Bonds .................................................................. H5710
Premium and Accrued Interest on Bonds .................. H2710
Capital Notes ........................................................ H5740
Bond Anticipation Notes ........................................ H5730
Transfer fram General Fund .................................... H2810
Other .................. H2770
Total Receipts .............................................. N6000
Balance at Beginning of Year .................................. H8491
TOTAL RECEIPTS AND BALANCE ............ H$499
PAYMENTS AND ENDING BALANCE
H200 Equipment ............................................................ H3410.2 $.
HS00 Real Property (Includelntorestduringconstruction) .... H3410.3
H693 Redemption of Bond Anticipation Nates .................... H9930.5
H810 Tranefer to Generai Fund ........................................ H9510.9
Other .................. H9995.5
Total Payments ............................................ H9999.0
Balance at End of Year(Transfer to page 4) .............. H8497
TOTAL PAYMENTS AND BALANCE ............ N8499.0
RESERVE
RECEIPTS AND BEGINNING BALANCE
MS! 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
TOTAL PAYMENTS AND BALANCE ............ R8499.0
FUND(S)
Typ~ (p~pose) of Reserve
Type (purpose) of Reserve
EDP
Code
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 Deductions.....,T20
Other (specify)
.... T85
................. T85
TOTALS .......................... T808 $
TRUST AND AGENCY
Cash Balance
Beginning of Year Cash Receipts
1 3
$
FUNDS
Cash Balanc,
Cash Disbursements End of Year
5 7
$ ..................... $ .................
1 3 5 7
?
RECOh,~ILIATION OF CASH AND BANK BALANCES
Coeh Balances by Fund at I~nd of Year: EDP CODE
General Fund (frompage 2) ...................................................................................... 8301 ................
Capita~ Fund (from page 3) ....... ~...-~ .... ~ ...................................... 8308
Re,eryc Fund(frompage3) ...... ~ ....................................... 8313 ................
Tru,t and Agency Funds (fram page 3) ~.. ......................................... 8312 ................
Total - All Fund* .............................................................................................. 8399 ................
Bank Balances at End of Year:
Bank Balance Outstanding Cheeks Net Bank Balance
TOTALS $ $
INVESTMENTS HELD AT DECEMBER 31,197
TOTAL INVESTMENT~ ........................................................... : .......................... 8531 ......
COMPUTATION OF REAL PROPERTY TAXES
Assessed Valuation Tax Rata Amount of Tax
of Fire District per $1,000 (Assessed Valuation
Within Town of Assessed Valuation Multiplied by Tax Rate)
2 4 6
DISTRICT TOTAL 855. ~ $ ..... E .................... ~_~ ~O/.~ ....
* Must agree with Real Property Taxes shawn at top of page 2. TOTAL ASSESSED VALUATION $
DETAILED STATEMENT OF INDEBTEDNESS
Outstanding Issued ! Redeemed Outgtanding
Bonds Year Interest Beginning During / During End
(Show each ~ssue separately by of Rate af Year Year Year af Year
~ TOTAL BAWDS ~8~7. XXXX
EECE[VABL ES CLAIMS PAYABLE
891. XXXX XXX $ $ $
892. XXXX XXX
893. XXXX XXX
895. XXXX XXX
896. XXXX XXX
821. XXXX XXX $ $ $