HomeMy WebLinkAbout1984PLEASE MAIL REPORT TO:
State of New York
Office of the State Comptroller
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
RECBVED
1.'31985
Town Cle~ Southold
NAME OF DISTRICT
FIRE DISTRICT TREASURER
YEAR ENDED DECEMBER 31, 19 ~
TOWN OR TOWNS OF
COUNTY OF
IN THE
THE DISTRICT IS GOVERNED BY: (check one)
er
[~ Tow~ Boed
AUTHORIZATION
Article 3, Sect/on 30, of the Genera/Municipal Law
"1. *** every **e fire *** district *** shall annuaUy make a report of its finoflcia! condition to the comptroller.
Such report shall be made by the *** treasurer of each fire *** district ***."
"5. AH reports shall be certified by the officer makln9 the same and shall be flied with the comptroller within
sixty days after the close of the fiscal year of such *** district **%"
CERTIFICATE OF FIRE DISTRICT TREASURER
l, ~/~,' ~ ./¢J D~, ,, ~ ,~/~S~' cedify that I am the Tr.asurer of ~z.~ (Ple~e Print or Ty~)
Fire District and that the folE~ing repo. is a true anti__correct stote~nt ~ t~ financial transactions
~ such Fire District for the year ended Decem~r 31, 19~.
Doted ~ /~ , 19 ~. Telephone
1962 (Rev. 11/84) STATE OF NEW YORK
Print Code YZ
OFFICE OF THE STATE COMPTROLLER
GENERAL
EDP
RECEIPTS AND BEGINNING BALANCE Code
Al0 RealPropertyTaxes(sameastaxcomputationonpage4) .... A1001
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
AS1 Interest and Earnings .................................................. A2401
A52 Rentals ...................................................................... A2410
A53 Sale of Equipment ...................................................... A2665
AS4 Gifts and Donations ................................................... A2705
ASS Refunds of Expenses .~ .......................... A2701
A59 Miscellaneous R~venues (s~e~)
A81 Transfer from Capital Fund ~t~.~';~..,~. A5031
A82 Transfer from Reserve Fund ................................ ~. A5031
Total Revenues ..................................................
A64 Budget Notes Issued .................................................. A57~
A65 Tax Anticipation Notes Issued .................................... A5760
A66 Revenue Anticipation Nates Issued .............................. A5770
Total Notes Issued ............................................
A90 Sale of Investments .................................................... A5085
Total Receipts ................................................
Balance
at Beginning of Yea~ ~.L...~..~= ................. A8501
TOTAL RECEIPTS AND BALANCE ..............
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 CJalms ................................................ A1930.4
A628 State ~etirement System .............................................. A9010.8
A629 Police and Fire Retirement System .............................. A9015.8
A630 Workrooms Compensation Insurance ................................ A9040.8
A633 Social Security ............................................................ A9030.8
A636 Medical, Surgical and Hospita~ Care .............................. A9060.8
A638 Blanket Accident Insurance ........................................ A9060.8
A680 Interest on Bonds ........................................................ A9710.7
A681 ~nterest on Notes ........................................................ A97~_.7
A690 Redemption of Bands ................................................. A9710.6
A691 Redemption of Notes ............................................. A97~.6
A801 Transfer to Capital ~und ........................................... A9950.9
A802 Transfer to Reserve Fund ........................................... A9901.9
T~tal Expenses .................................................
A900 Purchase of Investments .............................................. A9985.5
Other (spec~)
Balance at End of Yea* (Transfer to page 4) .~.~[,.~ A8507
TOTAL PAYMENTS AND BALANCE ............
FUND
$
$ ??
NOTE: EDP Codes are for Office of the State Comptroller use.
FILE m~s ~RT ~F s~oo.oo oR LESS
ANNUAL REPORT
ON
RECEIPT AND OISBURSF. MENT OF FOREIGN FIRE INSURANCE PRIDtIUMS
(.NH4E OF MUNICIP~/~ITY OR DISTRICT WHERE LOCATED)
For the Fiscal Year Ended /c~/~///
(gATE, BE~-. OFYEAR)
Recet pCs:
Amount
Total hl~nce mhd ReceiFt. s
Ot sbursem'~nCs:
Purpose
$ ~
lialanc~: ~'-~.~ ~/, /~'~s~- $ 4~.~,
(DATE - ENO OF/YEAR)
(SEE i.s~o.s ON R~WSE S~OE)
FILING II~'TRUCTIONS:
1. T~e 'beginning" balanc~ should agree
~ ~n~st e~ by tnv~t (pl~clng tn savtngs ~ccount,
~ftcat~ of ~st~, etc.) of
m~ should ~ tncl~ tn ~tp~. [d~ttf~ by ~or ca~o~.
3. ~e of dtsbu~ should be claarly s~ tn gena~l
(~ttonal ~t~t; ~1 pt~t~; ann~l Chrts~ ~, etc.).
4. ";~t~" ~1~ s~uld ~ ~l~ca ~ hand as ~ ~=~e= 3~.
AC 1965 (Rev. 11/82)
Print Code X
UAL REPORT OF NOTICES OF TO~I~IJCLAIMS
FISCAL YEAR ENDING 19~~Z
(Name of Muni~ipa~_ity)
COUNTY
L Number Amount Amount Paid
i of of on
n Claims Claims Claims
e
1 Claims Pending at Beginning of Year
2 Notices of Claims Filed During Year
NUMBER
Claims Disposed of During Year Prior to
Commencement of Court Action:
4a By Municipality
4b By Insurance Carrier
Claims Disposed of During Year After
Commencement of Court Action:
Sa By Municipality
5b By insurance Carrier
Sc By Judgment
Other (explain)
to
NUMBER
TOTAL
S $ XXXX
XXXX
XXXX
6a
7 TOTAL CLAIMS DISPOSED OF DURING YEAR
8 Claims Pending at End of Year (Line 3 minus Line 7)
AUTHORIZATION
Article 4. Sect/on SO-t of the General Municipal /aw
3. a. Each officer charged with the duty of making and keeping the record of claims shall make on annual report thereof, in summary,
to the governing board of such municipal corporation ar of such authority or commission and shah 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 finan-
cial condition with the state comptroller shall file the report required by this subsection with such financial report.
Report Prepared by:
OFFICE OF THE STATE COMPTROLLER
CAPITAL
RECEIPTS AND BEGINNING BALANCE
N51
H60
H61
H62
H63
N82
EDP
Code
Interest and Earnings .............................................. H2401
Bonds .................................................................. H5710
Premium and Accrued Interest on Bonds .................. H2710
Capital Notes ........................................................ H5740
Bond Anticipation Notes ........................................ H5730
Transfer from General Fund .................................... H 5031
Other .................. H2770
Total Receipts ..............................................
Balance at Beginning of Year .................................. H849]
TOTAL RECEIPTS AND BALANCE ............
PAYMENTS AND ENDING BALANCE
H200 Equipment ............................................................ H3410.2 $
HS00 Real Property (includeinterestduringconstruction) .... H3410.2
H693 Redemption of Bond Anticipation Notes .................... N9730.&
H810 Transfer to General Fund ........................................ H9901.9
Other
Total Payments ............................................
Balance at End of Year(Transfer to page 4) .............. H8497
TOTAL PAYMENTS AND BALANCE ............
RESERVE
RECEIPTS AND BEGINNING BALANCE
M5] Interest and Earnings ............................................ R2401
M53 Sale of Assets ...................................................... R2660
M82 Transfer from General Fund .................................... R$031
M83 Transfer from Reserve Fund ....................................
Other . ~ ¢.~'.~ .......... R2770
Total Recelp~s .............. ~ .............................
Balance at Begit~nlng of Year .................................. R849J
TOTAL RECEIPTS AND BALANCE ..............
E q u i P m e n t u~J~.~'~.'~'1 ~.~x ¢~....~..~,~/~,. h .~:~'~' ......... R3410.2 $
Other
FUND,'
FUND(S)
Type (purp~/se) of Relerve (
Type (purpose) of Reserve
T2 New York State Income Taxes .. T21
T3 Federal Income Taxes ............ T22
T4 Social Security Taxes ........... T26
T5 Foreign ~:ire Insurance Fund....TS0
T6 Group Insurance Deductions....T20
Other (specify)
T8S
T85
TOTALS ....................
TRUST AND AGENCY FUNDS
Cash Balance
S $ S.
Cash Balance
End of Year
$ $ S'. ....
RECONCILIATION OF CASH AND BANK BALANC~
Cash Balances by Fund at End of~,lTl~Year: · .~
General Fund (from page 2) .~.4~b~ ................. ~ ........~ ...............................
co,,ta, Fund (,.. po, .......................
p.---~.~,~d (fr~m pog. ~) ..~/~'~.~./,~.~..-~'"'~.'.~' .........................
Trust and Agency Funds (from page 3) ......................................................................~/
Total- All Funds ..............................................................................................
Bank Balances at End of Year:
Name and Location of Bank
_ _ ~ ~'/ ~
Bank Balance
s ~7~;/~'
TOTALS $-
Outstanding Checks
Net Bank Balance
s ~z ~./~"
Cash on Hand {Date Deposited ) ..............................................................
TOTAL BANK BALANCES AND CASH ON HAND ................................................ 8300 ................ S-
INVESTMENTS HELD AT DECEMBER 31, 19
Fund Description of Investment ~ Purchase Price
Is
TOTAC INVESTMENTS ...................................................................................... 8531 ......
COMPUTATION OF REAL PROPERTY TAXES
Assessed Valuation Tax Rats Amount of Tax
of Pire District per S1,000 (Assessed Valuation
Town Within Town af Assessed Valuation Multiplied by TGx Rote)
2
j~/j'..~ s ~.z.~%~k~,~ s ~. ~y ~,~,~I, ~Y
DETAILED STATEMENT OF INDEBTEDNESS
j ~ OutstaYing Issued [ Redeemed Outstanding
B~nds Year j Interest Beginning During J During End
~s~ ..... ~ ....... .--,~ ~ j o~ ~ .0,. I o~ Year J Y.ar / Year of Year
Natas J TOTAL BONDS OUTSTAHDING AS OF DECE~BER 31 S /~' ~' 4~
TOIAL NOTES OUTSTANDING AS OF DECEMBER31 t /~ ~.~
RECEIVABLES CLAIMS PAYABLE
Amount Due District at End of Year 8532 S ~; . Amount of Unpaid Claims otDistrict at Endof Yaar 8541 S ~;r