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Home My WebLink About1975A.C. 1387 (7/70} PRINT CODE Z - PLEASE MAIL REPORT TO: State of New York, Depaftmnt of Audit and C~fltrol Dlvlslun of Municipal Affairs Bureau of Municipal Research and Statistics Governor Alfred E. Smith State Office Building Albany, New York 12225 ANNUAL REPORT OF THE FIRE DISTRICT TREASURER FOR AUDIT AND CONTROL USE Year Col. 1. 2 ~'~ cal.. Class 'r ; Col. · 5 - Town Col. 7- 9 ~)istrJcr ~ COL I0 - 12 Contr0i'x CoL 13 NAME OF DISTRICT TOWN OR TOWNS OF COUNTY OF YEAR ENDED DECEMBER 31, 197.C~. THE DISTRICT IS GOVERNED BY: (check one) [] 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 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 nf such *** district ***." CERTIFICATE OF FIRE DISTRICT TREASURER (Please Prl~ o, Ty~) ~ Fire District a~ that the fail,lng Mpmt is a tr~ and c~rect statement of the financial transactions ~ such Fire District for t~ year ended Decembr 31,197~. Dated .~,~__ , 197~ Telephone CHAIRMAN OF THE BOAR~, Address STATE OF NEW YORK DEPARTMENT OF AUDIT AND CONTROL GENERAL FUND RECEIPTS AND BEGINNING BALANCE Al0 Reel Property Taxes (same as tax computation on page 4!. .... A1001 Other Revenues: 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 A51 Interest and Earnings ................................................... A24D1. A52 Rentals .....................................;~ ....... ~ ....................... ~'-.' A2410' A53 Sale of Equipment .......................................................... A2665 ,_~--~ C)O A54 Gifts and Donations ...................................................... A2705 A55 Refunds of Expenses .................. 9 M sca aneous Revenues (specify)~,ge Total Other Revenues .......................... A8S60 .......................................... EDP CODE A64 Budget Notes Issued ...................................................... A5750 A65 Tax Anticipation Notes Issued ........................................ AS760 A66 Revenue AeticipationHotes Issued .......................... ; ....... A5770 A81 A82 A90 Total Notes Issued ............................ Transfer from Capital Fund ............................................ Transfer from Reserve Fund .......................................... Total Transfers ................................ Sale of Investments ........................................................ Total Receipts ................................................ Balance at Beginning of Year .......................................... Total Receipts and Balance .............................. A5799 A2850 A508S .......................................... A8063 '""~""'""! ' ........... A8061 ................. ~ .............. ~ ......... A8064 0091 PAYMENTS AND ENDING BALANCE Current Expenses: Al00 Personal ServZces ........................................................ A3410.1 A400 Contractual and Other Expenses ...................................... A3410.4 A601 Hydrant Rental .............................................................. A3410o4 A602 Fire Deportment or Company Services .............................. A3410.4 A603 Fire Protection .............................................................. A3410.4 A610 Judgments and Claims .................................................... A1930.4 A628 State Re~irement System .................................................. A9010.8 A629 Police and Fire Retirement System .............................. t' 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. Total Current Expenses ........................ A200 Equipment ...................................................................... Debt Service: A680 Interest on Bonds .......................................................... A681 Interest on Notes .......................................................... A690 Redemption of Bands ...................................................... A691 Redemption of Nates ...................................................... Total Debt Sorvlce ~ ........................... A801 Transfer to Capital Fund ................. ; ................................ A802 Transfer to Reserve Fund ................................................ Total Transfers .................................. A900 Purchase of Investments .................................................... A8S65 .......................................... A3410,2 .............................. ;. .......... Total Payments ................................................ A8065 Balance et End of Year (Trans~er to p~ge 4) ...................... A8067 Total Payments and Balance .............................. A8068 A9710.7 $. 1044 A9729.7 114d A9710.6 I034 A9729.6 1134 A9899.0 .......................................... A9S50.9 $. /6._ ~0~. aO A9560.9 A9699.0 .......................................... A998S. 5 .......................................... ............. : ............................ .......................................... .......................................... NOTE: EDP codes ere for Department of Audit and Control use. CAPITAL FUND RECEIPTS AND BEGINNING BALANCE H51 H60 H61 H62 H63 fl82 EDP CODE Interest and Earnings ................................................ : .......H2401 ........................................ Bonds ............................................................................ H5710 ......................................... Premium and Accrued Interest on Bonds .............................. H2710 ........................................ Capital Notes .................................................................. H5740 ................................ ~ ....... Bond Anticipation Notes .................................................... H5730 .......................................... Trmsfer from General Fund ................................................ H2810 ........................................ Other ........................ N2770 ........................................ Total Receipts .................................................... H8063 ........................................ Balance at Beginning of Yam ............................................ H8061 ........................................ Total Receipts and Balance .................................. H8064 ........................................ PAYMENTS AND ENDING BALANCE H200 Equipment ........................................................................ HSO0 Real Property (include interest during construction) ............ N693 Redemption of Bond Anticipation. Notes .............................. H810 Transfer to General FuNd .................................................. ' Other Total Payments .... .............................................. Balance at End of Year (Transfer to page d) ........................ Total Payments and Balance ................................ N3410.2 ., ...................................... · H3410,3 ........................................ H9930.5 ........................................ N9510.9 ........................................ H9995.5 ........................................ H8065 ........................................ H8068 ........................................ 0O72 0082 0182 0092 019~ 0122 0072 0132 0142 1025 1125 1T3S 1075 1085 1095 RESERVE RECEIPTS AND BEGINNING BALANCE M51 Interest and Earnings ........................................................ R2401 M53 Sole of Assets .................................................................. R2660 M82 Transfer from General Fund ................................................ R2810 M83 Transfer from Reserve Fund .............................................. R2882 Other .......................... R2770 Total Receipts .................................................... R8063 Balance at Beginning of Year ............................................ R8061 Total Receipts and Balance ................................ R8064 PAYMENTS AND ENDING BALANCE . M200 Equipment ........................................................................ R3410.2 MS00 Real Property .................................................................. R3410.3 M802 Trmefer to Reserve Fund .................................................. R9560.9 M810 Transfer to General Fund .................................................. R9510.9 Other .............................. R9995.5 Total Payments ................................................. R8065 Balance at End of Year (Transfer to page 4) ........................ R8067 Total Payments and Balance ................................ R8068 FU ND(S) // I /~"'__~T~pA__.~.e)~f ,m~.se~f~v~e.~. Type (purpose)of Reserve s / o./.7 0073 0173 01~ 0~ 00~ 0133 1126 1176 .1076 TRUST AND AGENCY FUNDS ,.,... ,.,.... ~ ~ ~ -- Beginning of Year Cash Receipts Cash Disbursements End ~ Yea, 1 3 S 7 TTi~eG~.c. ~., EDP CODE New York State Income Taxes T21 Federal Income Taxes T22 Social Security Taxes T26 Foreign Fire Insurance Fund TS0 Group Insurance Deductions T20 Other (specify) TOTALS RECONCILIATION OF CASH AND BANK BALANCES Cash Bal?nces by~ Fu~d at End of Year: EDP CODE .' General Fund (free page 2) 8301 ................ $ · ~ Capital Fund (from page 3) ...................................................................................... 8308 ................ Reser.o Fund (f~m page 3~ ..........................................~ ......................................... e313 ................. Trust ond Agency Funds (from pag, 3) .~.~.~...~..~...'~'~..~.~" '~'~' ..... 8312 ................ Total - A, ~onds .............................................................................................. 8399 ................ S ?'~//~" 6O- Bank Balances at End of Year: Name and Location of Bank Bank Balance Outstanding Checks TOTALS . S Net Bank Balance INVESTMENTS HELD AT DECEMBER 31, 197 [ Fund Description of Investment I ~ Purchase Price 8531 .~:...- TOTAL INVESTMENTS ....................................... , ........................~ .......... ~.- .~--.:i.- COMPUTATION OF REAL PROPERTY TAXES Assessed Valuation Tax Rate Amount of Tax of Fire District per $1,000 (Assessed Valuation Town Within Town of Assessed Valuation Multiplied by Tax Rate) 2 4 6 Must agree with Real Property Taxes shown at top of page 2, TOTAL ASSESSED VALUATION S 210(I DE' 'AILED STATEMENT OF INDEBTEDNESS Outstanding Issued Redeemed Outstanding Bonds Year Interest Beginning During During End (5how each issue separately by of Rate of Year Year Year of Year Title end Purpose) Issue I 3 5 7 s s · 'TOTAL BONDS 8~7. XXXX XXX $ $ TOTAL BONDS OUTSTANDING AS OF DECEMBER 31 S 2200 Notes T~x A~nt?clpatlon Notes 891. XXXX XXX S Revenue Anticipation Notes , .,8~2. XXXX XXX · Budget Notes 893. XXXX XXX Capital Notes 895.~ XXXX XXX Bond A~ticipation Notes 896. XXXX XXX TOTAL.NOTES 821. XXXX xXX S $ $ TOTAL NOTES OUTSTANDING AS OF DECEMBER 31 $ 2300 TOTAL gGNOS AND NOT. I XXXXl X×X I* I' I* RECEIVABLES Amount Due DS.ir,ct at End of Y,ar 8532 CLAIMS PAYABLE · Amount of Unpaid Claims of Olstrlct at End of Year 8541 $--'--~'/~/--~"'#0--7 · ANNUAL REPORT OF NOTICES OF TORT CLAIMS FOR FIRE DISTRICTS L FISCAL YEAR ENDING DECEMBER 31, 19 FIRE DISTRICT Claims Pending at Beginning of Year Notices of Claims Flied 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) 6a 6b 7 8 TOWN COUNTY Number Amount Amount Paid of of on Claims Claims Claims $ $. XXXX to. XXXX NUMBER TOTAL, XXXX TOTAL CLAIMS DISPOSED OF DURING YEAR C}alms Pending at End of Year (Line 3 minus Line 7) -- $ $- AUTHORIZATION Article 4, Section SO.f of the Genera/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 flnan- cial condition with the state comptroller shaft fEle the report required by this subsection with such financial report. Dated: Note: It is not necessary to furnish any additional information or detalia of the above claims or notices of claims. If there were no noticea 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 COMPTROLLER'S OFFICE