HomeMy WebLinkAbout1977PLEASE MAIL REPORT TO: State of New York
Deportment of Audit and Control
Division of Municipal Affairs
Rureau of Municipal Research and Statistics
Governor Alfred E. Smith State Office Building
Albany, Hew York 12236
Attefltion: 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 15 GOVERNED BY: (chock one)
[] Separate Bored of Fire Commls,loners or
AUTHORIZATION
Article 3, Section ~0, of the Genera/Municipal Law
"1. *** every *** fire *** district *** shall annually make o report of its financial condition to tho comptroller.
Such report shale be made by the *** treasurer of each fire *** district ***."
"5. All reports shall be certified by tho officer makinR the same and shall he filed with the comptroller within
sixty days after tho 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, 197Z.
Name ; ~ Address
STATE OF NEW YORK
DEPARTMENT OF AUDIT AND CONTROl.
FIRE DISTRICT
ANNUAL REPORT OF NOTICES OF TORT CLAIMS FOR FIRE DISTRICTS
FISCAL YEAR ENDING DECEMBER 31, 19 7/9
COUNTY
Claims Pending at Beginning of Year
Notices of Claims Filed During Year
NUMBER
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
Sc By Judgment
Other (explain)
TOWN
Number Amount Amount Paid
of of on
Claims Claims C~aims
6a
6b
7
8
to
$. $ XXXX
XXXX
NUMBER TOTAL, XXXX
TOTAL CLAIMS DISPOSED OF DURING YEAR __ $..
Claims Pending at End of Year (Line 3 minus Line 7) --
AUTHORIZATION
Article 4, Section $O.f of the General Municipal I. aw
3. a. Each officer charged with the duty of mal~ing and keeping the record of claims shall make an annual report thereof, in summary,
to the governing board of such municipal corporation or of such authority or commission and shaJ1 file a copy thereof in the office of the
state comptroller within sixty days after the close of the fiscal year of such municipal corporation or of such authority or commission. A
municipal corporation, authority or commission required by section thirty of the generaJ municipal law to file an annual report of its finan-
cial condition with the state comptroller shal1 file the report required by this subsection with such financJaJ report.
Report Prepared by:
Name
~ Title
Report,
DEPAE~M~NT O~ A~DIT AND ~ONTEOL
~OM~TEOLLEE'$ OFFICE
RECEIP]
ANNLIA] I,q PliRT
AND D]SIIUI~S[Illh, I I1F FOR[IGN FIRE INSURANCE
(NAHE AND FYP[ Or ENTITY)
OF HUNICIPALI~OR DIST~IC~ WHERE
Balance --
Receipts:
' ~DATE)
(DAli - HE[;. f]F YEAR)
and BaJance
ENO OI YEAR)
PREMIUMS
LOCATED)
Total Receipts
Disbursements*
Balance --
~-~ T E
Purpoue
Amount
TaLa] $ ~
(Classif'y rue purpo~;e or purposes ul the disbursements. F±le
separale sheel if' ~dd~t~onal space i~ needed.)
and accurate s[aterr, en~ of the receJpL~; and disbursements of foreign
fire insurance premiums for the year ended /~/o~//77
(DATE)
(al GNA l URL~/-
. . . 4 // ?
' ' -(ADD~ESS)
(TELPHONE NUMBER)
Please mail repo['f Lo:
ATTENI]HN: Phi]l~p Krey
State o1' New York
Department of' Audi[ and Contra]
Division of HunJc±pal Affairs
State OFfice Building
Albany, New York 12236
DO NOT FILE THIS REPOR[ If $IOO.O0 OR LESS WAS RECEIVED.
RECEIP1
Balance --
Receipts:
ANNIIAI I~,t P()RT
UN
AND I) ISHURSLHI NI (1F FORLIGN FIRE INSURANCE
(NAME AND [YP[ OF ENTITY)
(NAMF df MUNICIPA~TY OR DISTRICT WHERE
/ ~D~TE)
(DAIE - tt[G. OF YEAR)
PREMIUMS
LOCATED)
Total Receipts and Balance
Disbursements*
Balance --
(DATE - END OI YEAR)
* Purpose
Amount
$
Total $ ~
(Classif'y tile purpm;e or purposes ~1 the disbursements. File
separate sheet Jr' additional space i~ needed.)
I, ~--.~--,~,-~z~..~,,,.~_~,~ ~ , cortir) that thi~ report is a true
an~ ~6eurate slatemont of the reeeip[a and disbursements of foEeign
(DATE)
(ADDRESS)
(TELPHONE NUMBER)
fire insurance prefniums For the year
(SIGN.IUR[)
('FI TI [' )
Please mail report Lo:
ATTEN[]ON: Phi]lip Frey
State of' New York
Department of Audi[ and Control
Division of Municipat Affairs
State OFfice Building
Albany, New Yo~k 122}6
DO NOT FILE THIS REPORf IF $100.00 OR LESS WAS RECEIVED.
~'*~ GENE
RECEIPTS AND BEGINNING BALANCE
Al0 Real Property Taxes(sameastax computatlononpage4) ....
A20
A30
A40
A51
A52
A53
AS4
A55
RAL
EDP
Code
A1001
State Aid for Lace in RaUroad Tax Revenue .................. A3007
Federal Aid for Civil Defense ...................................... A4305
Charges far Fire Fratectlan, Other Services .................. A2262
Interest and EarnJnge .................................................. A2401
Rentale ...................................................................... A2410
Sale of Equipment ...................................................... A266S
Gifts and Donations .................................................... A2705
Refunds of Expenses .................................................. A2701
A59 Miscellaneous Revenues (specify)
~..=~Oh,~J. ~_. _~,..~.~ .............. A~??0
AS! ]lran~fer fra~ Capltal Fund ........................................ A98$0
ASl Transfer fra~ Reserve Fund ........................................ A~88~
Total Revenues .................................................. A~000
A64 Budget Notes Issued .................................................. A5750
A6S 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 Judgmente and Clalms ................................................ A1930.4
A628 State Retirement System .............................................. A9010.8
A629 Police and Fire Retirement System .............................. A9015.8
A630 Workmene 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 ............................................ A95S0.9
A802 Transfer to Reeerve Fund ............................................ A9560.9
Total Expensee .................................................. A9900.0
A900 Purchase of Investments .............................................. A998S. 5
Other (specify)
Total Paymente .............................................. A9999.0
Balance at End of Year {Transfer to page 4) .................. A8507
TOTAL PAYMENTS AND BALANCE ............ ASS99.0
FUND
s
/~,, 0 ?
NOTE: EDP Codes are for Department of Audit and Control use.
CAPITAL FUND
RECEIPTS AND BEGINNING BALANCE
H51
H60
H6!
H62
H63
H82
EDP
Code
Intorast and Earnings .............................................. H2401
B~nds .................................................................. H5710
Premium and Accrued Interest on Bonds .................. H2710
Capital Notes ........................................................ H5740
B~nd Anticipation Notes ........................................ H$730
Transfer from General Fund .................................... H2~10
Other .................. H2770
Total Receipts .............................................. H6000
Balance at Beginning of Year .................................. H8491
TOTAL RECEIPTS AND BALANCE ............ H8499
PAYMENTS AND ENDING BALANCE
H200 Equipment ............................................................ H3410.2
HS00 Real Property (Includelntoreetduringconstruction) .... H3410.3
H693 Redemption of Bond Anticipation Notes .................... H9930.5
N810 Transfer to General Fund ........................................ H9510.9
Other .................. H9995.5
Total Payments ............................................ H9999.0
Balance at End of Year(Trmsfer to page 4) .............. H8497
TOTAL PAYMENTS AND BALANCE ............ H8499.0
RESERVE
RECEIPTS AND BEGINNING BALANCE
M51 Interest and Earnings ............................................ R2401
M53 Sale of Assets ...................................................... R2660
M82 Tranefer fram General Fund .................................... R2810
M83 Transfer fr~m Reserve Fund .................................... R2882
Other .................... R2770
Tatol Receipts .............................................. R6000
Balance at Beginning of Year .................................. R8491
TOTAL RECEIPTS AND BALANCE .............. R8499
PAYMENTS AND ENDING BALANCE
M200 Equipm~nt ............................................................
MSO0 Real Property ........................................................
M802 Transfer to Reserve Fund ......................................
M810 Transfer to General Fund ......................................
O~ner ..................
Total Payments ............................................
Balance at End of Year (Tryster to page 4) ..... .......
TOTAL PAYMENTS AND BALANCE ............
FUND(~
Type (~urpase) of Reserve
s /~/
Type (purpose) of Reserve
S.
R3410.2 $ $
R3410.3
R9560.9
R9510o9
R9995o5
R9999.0 $ S_
Rad97 /~ /~, ,6'-}
R8499.0 S ./~-. /~'3 , ~'X $__
EDP
Code
T2 New York State Income Taxes .. T21
T3 Federal Income Taxes ............ T22
T4 Social Security Taxes ............ T26
T5 Foreign Fire Insurance Fund.... T50
T6 Group Insurance Deductions......T20
Other ( speci {y)
.... T85
.... T85
TOTALS .......................... T808
TRUST AND AGENCY FUNDS
Cash Balance Cash Balance
Beginning of Year Cash Receipts Cash Disbursements End of Year
1 3 5 7
$ $ $ ,, $
s ~
RECON~*'~ATION OF CASH AND BANK BALANL_~
Cash Balances by Fund at End of Year: EDP CODE
Genera| Fund (from page 2) ...................................................................................... 8301 ................
Capital Fund (from page 3) ,.,~..-.,-..,-..-.,-...u,.~..._........_...,....,.......,.,.,,,_.........., 8308 ................
Reserve Fund (from page 3)'~,'""*'*'""""""""*'""'"'"'"'"'"'"" 8313 ................
Trust and Agency Fundg (from page 3) ...................................................................... 8312 ................
Total - All Funds .............................................................................................. 8399 .................
Bank Balances at End of Year:.
Hame and Location of Bank
Bank Balance Outstanding Checks Net Bank Balance
6'?, ?r" s 2~, ? / s
TOTALS S $-
$ /~, D7
Cash on Hand (Date Deposited ) ..............................................................
TOTAL BANK BALAHCES AND CASH ON HAND ................................................ 8300 ................ $
INVESTMENTS HELD AT DECEMBER 31, 197
Fund Description of Investment Purchase Price
TOTALINVESTMENTS ...................................................................................... 8~1 ......
COMPUTATION OF REAL PROPERTY TAXES
Assessed Valuation Tax Rate Amount of Tax
Town of Fire District per $1,000 (Assessed Valuation
Within Town of Assessed Valuation Multiplied by Tax Rate)
, 2 4 6
DISTRICT TOTAL 855. S S $ * ,~ ,~. 0 ~ ~", ~'-~"~
* Mu~t agree with Real Property Taxes shown at top of page 2. TOTAL ASSESSED VALUATION $
DETAILED ~TATEMENT OF INDEBTEDNESS
TOTAL BONDS 897.
of Rate
Issue
XXX: XXX
Outstanding
Beginning
of Year
s
During
3
Redeemed
During
5
Outetondlng
End
of Year
7
TOTAL BONDS OUTSTANDING AS OF DECEMBER 31
Tax Anticipation Notes 891. ~ XX_X~X_
Revenue Anticipation Notes 892. ! XXXX
Budget Notes 893. J +XXXzX_
Capital Notes 895. / XXXX
Bond Anticipation Notes 896. J XXXX
TOTAL NOTES 821. / XXXX
TOTAL BONDS AND NOTES
_ XXX ~$
XXX ~
xxx~ j
XXX J
XXX ~
xxx ~,, $ ~
TOIAL NOTES OUTSTANDING AS OF DECEMBER 31 S
824.
RECEIVABLES CLAIMS PAYABLE
Amount Due District at End of Year 8532 S /~'l,es's.~.-~- . Amount of Unpaid Claims of Diatrict at End of Year 8541