HomeMy WebLinkAbout1990 RECEIVED
JAN 3 1 1991
STATE OF NEH YO~
OFFXCE OF l~E ~TAT~ COMPTROLLER
DXVZSZO~ OF ~J~ZCZPAI, AFFAXR~
ALBANY~ NEH Y~ I~'ZS6
90
&T 24 7900 0100
ORIENT MQSINITO DISTRZCT
COUNTY OF SUFFOLK
~, ~'~'/~ ')~ ~l~; , certify tha~ lr am Ehe Chief F~sc~l Officer of ~ c--~
and ~ha~ ~his reP°r~, ~o ~he bes~ of my lu~o~le~3e, informa~icx~ arid belief, ~s a Erue arid correc~ s~a~eman~ of ~l~ f~na~cial ~rmns~c~ons
Signature
Title
Official Address
Office P~tor~ i~mtber
PLEASE I~A[L REPORT TO:
STATE OF NEN yORf(
OFFICE OF THE STATE CONPTROLLER
DIVISION OF ttUNICIPAL RESEARCH AND STATISTICS
ALFRED E. S~ITFl STATE OFFECE BUILDING (lO~h. FLOOR)
IF YOU HAVE ~JEST/ONS RELATING TO THE
BALN~ICE SHEET ~ AS OF , 19
ASSETS
Cash
Deferred charges
Account s Rece ivab le
State & Federa! Receivables
Due from Othar Governments
Fixed Assets:
Cost
He~ Fixed Assets
O~her Assets
EDPCODE
7P199
7P~89
TOTAL LIABILITIES
EDPCODE
7PbO0
7P601
7P631
7P69!
7P6ZO
7P6Z8
7P&qq
7P800
7Pq0q
$
$
TOTAL ASSETS:
$
For office use m~ly
7PDATEF
TOTAL LIABILITIES AND E~U/TY
STATEMENT OF REVENUES AND OTHER SOURCES, EXPENDITURES/EXPENSES AND CHANGES IN EIRIZTY
7P8015
EDPCODE
Personal
Contractual
Expenditures
Total
Oebt
Bond - Principal
Bond - Interest
Notes - Princil~l
Notes - Interest
7P97896
7P97897
7P97886
7P978~7
TOTAL EXPENDITURES/EXPENSES
E~UITY END OF YEAR
7P80~9
~oUPPLEFt~NTAL ][NFORHATI~
STATEHENT OF Zi~EBTEDHESS
flo~th Current Outstar~ing Do Hot Inclucb Rentals Here Outstarglng Firal
Separately by Date of Issue) EDPCOOE ar~J Interest i~gi~ning Of Issued During P~id During End Of flaturiiy
Notes /
~ NEH IS~JES, PLEASE INSERT HEN ISSUE DATE. ON REK~HAL, PLEA,SE [NSERT LATEST REI~HAL DATE. PLEASE INSERT ~ DIGITS-
EXAHPLE: J~'~JARY, 1q~6 HOULD BE 01/86.
STATEHEHT OF INDEBTEDNESS
Hon~h Current Ou~s~andir~ Do Hot Include R~ls
Y~ Ra~e F~s~l Y~r F~s~l Y~r Fis~l Y~r F~s~l Y~r
T P 1 3 5 7
STATEHENT OF ZHOEBTEDNESS
Honth Cur're~t Outsta~li. ng I)o Not t*nclude Renme~ls Ym~ Ou~s~a~d:,ng Firm!
~ L~st Separately by Date of Issue) EDPCODE ar~ Zn~eres~ Becjiming of Zssu~d During Pa~d Durxng End Of Hmtur~ty
Pl~se no~e callable features of bc~d ~ssues and an reserve fcr~s ava~lmble to pray dmbt.
Nm~e of Unit:
NOTICES OF TORT CLAZHS
FOR THE FZSCAL YEAR ENOED 19__
TOTAL K4JHBER OF CLAEHS TOTAL AHOU~IT OF CLA/HS
EDP CORE KqJ~ER EDP COOE AHOUNT
TOTAL AHOUHT PAZD ON CLAZHS
EDP CO~E AHO~T
Claim Per,ding - Beginning of Y~ar
I~volvir~j Codeferda~t/Third Party Defendant
Ot~er Clai,~
7PTRZO 7PTR/! 1
7PTR15 7PTRZ6 Z
Notices Filmd During the Year
nvheolving Coda fendant/Thi ~d
r Claims
7PTR20 7PTRZ1 3
7PTRZ5 7PTRZ6 4
- Claies disposed of during the year
prior to co~mer~eme~t of c~urt action:
-By Unit
-By Ensuranoe C~rrier
after ~t of
-By
7PTR30 7PTR31 7PTR32 5
7PTR40 7PTR~I 7PTR4Z 6
7PTP~O 7PTRS! 7PTR~Z 7
7PTR60 7PTR6! 7PTR6Z 8
7PTR70 7PTRT! 7PTRTZ
7PTRO0 7P/RS1 7PTROZ l0
Equals:
Claim Pending - E~d of Year
Involving Codef--~..~t/Tbird Party Defendant
Other Claims
7PTRgO 7PTRg! l!
7PTR95 7PTR96 12
AUTHORIZATION
Article ~. S~ction 50-f of the General H~icipal La~
";. a. ~ offi~r ~ wi~ ~ ~ of ~i~ ~ k~i~ ~ ~ of claims ~11 ~e ~ ~1 ~rt ~f. in ~. to t~ ~mi~
~H of s~ --ici~l =~ti~ of ~ ~t~rity or aissim ~ ~11 file a ~ ~f in t~ offim of ~ st*t* ~t~ller ~ithin six~ &ys
after t~ clo~ of t~ fJs~l y~r of ~ ~ici~l ~ti~ or of s~ ~rity or ~issim. A ~ici~l =~{im, ~t~ri~ or ;issi~
~i~ by s~ti~ thir~ of ~ ~1 ~iciml 1~ to file ~ a~l ~rt of its fi~ial ~itim with ~ statu ~t~ller ~11 file t~
NOT~: It is not nec~ury to furni~ ~ny ~dditio~l infor~tio~ or details o~ the doove clai.s or notic~ of clei.. If there ~ere no notices of Tort
Clai.s filed or di~oosed of, plmse state "HONE" and return this r~.~ort ~ith ~nu~l Firmncial R~rt.
8
VALUE
BOOK VALUE ( COST
AT BALANCE SHEET OATE
COLLATERAL
EDP CODE AMOUNT EDP CODE AMOUNT EDP CODE ~OUNT
L~A~ OF
A B C
A - Security in possessio~ of local governm~ial t~it.
B - Cecurity held by third party custodial bank.
C - Security held by trading partner.
LOCAL GOVERt~ENTAL UNZT I;R,'ESTZ0t~IAZRE
1. Is, a~ annual 'itinm'~cial report prepared for* your ~overrmerttal unit?
EDP COOE RESPONSE
Enter I if yes, 7PlAFR ~
If the answer to question 1 is yes, please e~ter 1 if your report is prepared interrmlly or g if your report is prepared by an independlmt auditor.
your annual r~port is prepared by an independent auditor please p~i~ t~ foll~i~ infomtim.
FOR STATE C~LLER'S ~ ~LY
Nae of Fir~
Address of Fire
7PZ1CO
Telephone Nmeb~r
Are the financial trsn~ciiers for your local gmmrrm~t c~it r~ported by ~ny ~tei¢ip~liiy in its ~-eal fimeclal r~ort?
If yes plate specify rmme of t~e ~unicip~lity
10
· . ~lease enter 1, Z, or 5 as appr~oria~e for ~he basis of accoua~ing ~hich eo$~ a~cura~ely describes {he ~e~hod of reporting financi,l ~ra~ao~iens
fo~ your unit.
RESP~eISE
Cash
Fedifi~ Acc,-u~l
Fuji Accrual
EOPCODE
7P~A$
RESPONSE
Hill or have the official state.~nts for yc~ur u~it bem~ audited by an ir~t auditor {p,~lic acco~Jntant or c~tifie(] public accountant for
the fiscal year erred in lq8~.
EOPCODE
7P~hCO
_~O_e_s_cFiption _. R__sq? i~e~ Infor*.atio~ __
Name of Auditing Fire:
Address of Auditing Fire:
Street
City
Stale
Zip Code
Te le~,~ne I~ber
7PZIA£
If * single ~edit is r~luired {or yeur mit, will the audit satisfy ihs finmr~ial, i~terrml c~mtrol ae~cl oo~plieece requirem~ts of the Sidle
Audit Act of 1~?
Enter 1 if yes,
Enter 2 if no
EDP COOE RESPONSE
7P6CO1
Hame o~ U~it:
Please a~s~r ~ following questions ~o assis~ ~ O~fi~ of ~ S~a~e C~ller in pla~i~ ~ri=~e ~ini~ for 1~1 officisls.
Pl~se Iist ~ ass~ialims t~t y~ or y~r ~ici~l ~tity ~lq to ~i~ a~ ~l~an~ ~o t~ ~ties y~ a~or ot~r staff ~rfom.
Please list the ce~fere~c~s a~d training schools attended by you a~d/or by other staff for purposes of profess~orml developmmt relevant to ~
dut ~es performed.
CONFERENCE OR SCHOOL
this mrtio~ of the quesfior~i,* is u~sd ~o .~te t.ur ,~ili~ Iisi for yo~r o.'t0~aiz~,tio~. Stml8 ~o~ vl~s* co~lefe t~is i~fo~iion s.
instructed below. Your r~ly to ibis request will ensure thai all mailings ~nd inc~iries will be directed tv the proper indiviclual mad address,
If your organization daes not
Chief Fiscal Officer
O,'c~niz~fion
Offic~ P~ailin9 ~ktr~ss
City. St~te, Zip Co<le
Naee of Individu~l
Chief Exec~five Officer
official ~ilin~ Add.sss
_ci~, Slate, Zip Co~
Tel~ No. I &r~ r'o~e I
Chief Ex~utive Officer