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ANNUAL RE PORT
O F T H E
FIRE DISTRICT TREASURER
YEAR ENDED DECEMBER 31, 20 DO
NAME OF DISTRICT G1Plit/TF/.6E 7�irr;GT
IN THE
TOWN OR TOWNS OF SC'OIJTdGI>
COUNTY OF
THE DISTRICT IS GOVERNED BY: (Check One)
Separate Board of
Fire Commissioners l_ or Town Board
AUTHORIZATION
Article 3, Section 30, of the General Municipal Law
Method of Accounting (Check One)
Single Entry Cash
Double Entry Modified Accrual
Please check here if the
treasurer's name, address
and/or telephone number is
different from last year.
"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. A1.1 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 of such***district***."
PLEASE MAIL REPORT TO:
State of New York
Office of the State Comptroller
Division of Municipal Affairs
Data Verification Unit
Governor Alfred E. Smith State Office Building
Albany, New York 12236
Revised 1998
GENERAL FUND - BALANCE SHEET - AS OF
ASSETS
EDPCODE
Investments
EDPCODE
Cash
A450
Cash
A200 S
Time Deposits
A201
Petty Cash
A210
Total Cash
(FOR DOUBLE ENTRY UNITS ONLY)
Investments
EDPCODE
Investment in Securities
A450
Investment in Repurchase Agreements
A451
Total Investment
Accrued Liabilities
Accounts Receivables
A380
Due from Other Funds
A391
State and Federal Receivables
Due to Employees' Retirement System
State and Federal, Other
A410
Total State and Federal Receivables
Due from Other Governments
A440
Inventory
A445
Restricted Assets
Tax Anticipation
Cesh, Special Reserves
A230
Cash in Time Deposits, Special Reserves
A231
Investment in Securities,
Budget
Special Reserves
A452
Investment in Repurchase Agreements
Special Reserves
A453
Total Restricted Assets,
A630
TOTAL ASSETS
S
S'
S
S
S
S
,
(FOR DOUBLE ENTRY UNITS ONLY)
LIABILITIES AND FUND EQUITY
EDPCODE
Accounts Payable
A600
S
Accrued Liabilities
Accrued Liabilities
A601
S
Due to Employees' Retirement System
A637
Total Accured Liabilities
S
Notes Payable
Tax Anticipation
A620
$
Revenue Anticipation
A621
Budget
A622
Total Notes Payable
$
Due to Other Funds
A630
$
Overpayments
A690
S
Due to Other Governments
A631
S_
Deferred Revenues
A691
$
Total Liabilities
S
FUND EQUITY
Fund Balance - Reserved
Encumbrances
A821
$
Inventory
A845
Repairs
A882
Debt
A884
Total Reserved
$
Fund Balance - Unreserved
Appropriated -Ensuing Year's Budget
A910
$
Unappropriated
A911
$
Total Unreserved
$
Fund Equity
$
TOTAL LIABILITIES AND FUND EQUITY
S
N
r
Notes:
(1) Cash balance for singl-e entry units should include cash in checking accounts, time deposits, investments and petty
cash.
(2) Single Entry Units Only.
(3) Only Bond Anticipation Notes and Capital Notes for double entry units.
*For Double Entry Units A8029 must equal Fund Equity on Page 1.
**These must be equal.
2
G E N E R A L
F U N D
RECEIPTS/REVENUES
EDPCODE
PAYMENTS/EXPENDITURES
EDPCODE
Real Property Taxes
A1001
$ 3,7& 6 57
Judgments and Claims
A1930.4
$
Charges for Fire Protection
A2262
Personal Services
A3410.1
to O
Interest and Earnings
A2401
_
,3615'
Fire Protection Equip/CapOutlay
A3410.2
1" 6101
Rentals
A2410
Fire Protection Contractual
A3410.4
//S(o
Sale of Equipment
A2665
State Retirement System
A9010.8
Insurance Recoveries
A2680
7-6-41
Police and Fire Retire System
A9015.8
Refund of Expenditures
A2701
Agit f4
Local Pension Funds
A9025.8
Gifts and Donations
A2705
Social Security
A9030.8
Xo/
Other Unclassified Revenue
Workers Compensation Insurance
A9040.8
A2770
Life Insurance
A9045.8
Federal Aid for Civil Defense
A4305
Disability Insurance
A9055.8
Transfers
A5031
Hospital/Medical Insurance
A9060.8
(2)Budget Notes Issued
A5750
(3) Redemption of Notes
A97 —.6
(2)Tax Anticipation Notes Issued
A5760
Interest on Notes
A97
(2)Revenue Anticipation Notes
Redemption of Bonds
—.7
A9710.6
_
Issued
A5770
Interest on Bonds
A9710.7
Transfer to Other Funds
A9901.9
ot5QOD
Other (Specify)
A
TOTAL RECEIPTS/REVENUES
TOTAL PAYMENTS/EXPENDITURES
_
Fund/Cash (1) Balance at
Fund/Cash (1) Balance at
Beginning of Year
A8021
End of Year
*A8029
**TOTAL
$ .3383SS
**TOTAL
$ 3.aSg3Ss
Notes:
(1) Cash balance for singl-e entry units should include cash in checking accounts, time deposits, investments and petty
cash.
(2) Single Entry Units Only.
(3) Only Bond Anticipation Notes and Capital Notes for double entry units.
*For Double Entry Units A8029 must equal Fund Equity on Page 1.
**These must be equal.
2
CAPITAL PROJECTS FUND
- BALANCE SHEET - AS OF ,
(FOR DOUBLE ENTRY UNITS ONLY)
ASSETS
LIABILITIES AND FUND EQUITY
r
EDPCODE
EDPCODE
Cash
Accounts Payable
"600
S
Cash
"200
S
�,
Time Deposits
"201
Accrued Liabilities
Accrued Liabilities
"601
$
Total Cash
S
H
Total Accrued Liabilities
$
Investments
Notes Payable
Investment in Securities
H450
$
Revenue Anticipation
H621
$
Investment in Repurchase Agreements
"451
Bax! Anticipation
H626
Total Investments
$
Total Notes Payable
$
Due from Other Funds
H391
$
Retained Percentages, Contracts
Payable
H605
$
Deposits with Other Governments
"395
$
Due to Other Funds
H630
$
State and Federal, Receivables
H410
S
Due to Other Governments
H631
$
Restricted Assets
Other Liabilities
H
S
Cash, Special Reserves
"230
S
Cash in Time Deposits, Special Reserve
H231
Deferred Revenues
H691
S
Investment in Securities,
Special Reserves
H452
Total Liabilities
S
Investment in Repurchase Agreements,
Special Reserves
H453
FUND EQUITY
Total Restricted Assets
S
Fund Balance - Reserved
Encumbrances
"821
S
Capital Reserve
"878
Total Reserved
S
Fund Balance - Unreserved
Unappropriated
"911
S
Total Unreserved
S
Fund Equity
S
TOTAL ASSETS
S
TOTAL LIABILITIES AND FUND EQUITY
5
r
(1) Single Entry Units Only
*For Double Entry Units H8029 must equal Fund Equity on Page 3.
**These must be equal.
4
m
CAP ITAL
FUND
RECEIPTS/REVENUES
EDPCODE
PAYMENTS/EXPENDITURES
EDPCODE
Interest and Earnings
112401
$
Fire Protection
113410.2 $
Prem. and Accrued Int. on Bonds
112710
Redemption of BAN's
119730.6
Other (Specify)
Transfer to Other Fund
119901.9
H2770
Other (Specify)
Transfer From General Fund
H5031
11
Bonds
H5710
(1)Bond Anticipation Notes
H5730
Capital Notes
115740
TOTAL RECEIPTS/REVENUES
$
TOTAL PAYMENTS/EXPENDITURES
$
Fund/Cash Balance at Beginning
Fund/Cash Balance at End
of Year
H8021
of Year
*118029 $
**TOTAL
$
**TOTAL
$
(1) Single Entry Units Only
*For Double Entry Units H8029 must equal Fund Equity on Page 3.
**These must be equal.
4
m
RECEIPTS
Interest and Earnings
Sale of Assets
Other (Specify)
Transfers
TOTAL RECEIPTS
Balance Beginning of Year
**TOTAL RECEIPTS AND BALANCE
PAYMENTS
Fire Protection
Transfers to Other Funds
Other (Specify)
TOTAL PAYMENTS
Balance at End of Year
**TOTAL PAYMENTS AND BALANCE
**These must be equal.
EDPCODE
R2401
R2660
R2770
PS031
R E S E R V E F U N DIS) IFOR SINGLE ENTRY UNITS ONLY,
DOUBLE ENTRY UNITS MUST INCLUDE
EACH RESERVE IN APPROPRIATE FUND)
Do Not Key
Type (Purpose) Type (Purpose) Type (Purpose)
Total of Reserve of Reserve of Reserve
R8021 .x/0357
R3410.2
R9901.9
R
R8029
It
s 9#'?
sGq '? S
'0.14&
/ /5'1/
0.F.? /
�f9�f979149
S
rS67
S S S
S S S
lf9#97 Ig IIgI gd-6-&7
�9�97 s !q I lel' s g,p?3Z7
AGENCY
FUNDS * BALANCE SHEET * AS OF
ASSETS
EDPCODE
AGENCY FUND LIABILITIES
EDPCODE
Cash
*Service Awards
TA13
Cash
TA200
$
Deferred Compensation
TA17
Time Deposits
TA201
$
State Retirement
TA18
Total Cash
$
Disability Insurance
TA19
Group Insurance
TA20
Investments
New York State Income Tax
TA21
Investment in Securities
TA450
$
Federal Income Tax
TA22
Investment in Repurchase Agreements TA451
Income Executions
TA23
Securities and Mortgages
TA455
Association and Union Dues
TA24
Accrued Interest on Securities
TA455
U.S. Savings Bonds
TA25
Acquired
Social Security Tax
TA26
Cash and Securities with Deferred
Guaranty and Bid Deposits
TA30
Comp. Plan Provider
TA460
Foreign Fire Insurance
TA50
Other Agency Funds (Specify)
*Service Award Program Assets
TA461
TA85
TOTAL ASSETS S
TOTAL AGENCY LIABILITIES
5
5
*Program administrator retained by district. Yhen program is administrated by the district the TE fund should be used. See Service Awards
Accounting Program Procedures dated September 6, 1990.
9
GENERAL FIXED ASSETS ACCOUNTS * BALANCE SHEET * AS OF
ASSETS EDPCODE
Land K101
Buildings K102
Improvements Other than
Buildings K103
Machinery and Equipment K104
Construction Work in Progress K105
K
K
TOTAL ASSETS
U
EDPCODE
INVESTMENT IN GENERAL FIXED ASSETS
Bails and Notes K151
Current Appropriations K152
Gifts K153
State Aid K156
Federal Aid K157
K
K
TOTAL INVESTMENT IN GENERAL FIXED ASSETS
S
GENERAL LONG-TERM OBLIGATIONS * BALANCE SHEET * AS OF
ASSETS EDPCODE
Amount Available in Debt Service Fund M120
Amounts to be provided for Long -Term
Obligations H125
e
LIABILITIES
EDPCODE
S Term Bonds Payable
H623
Bond Anticipation Notes
H626
Capital Notes Payable
H627
Bonds Payable
M628
Due to Employees' Retirement System
M637
Installment Purchase Debt
H685
Judgements and Claims Payable
H686
Compensated Absenses
H687
Other Long -Term Debt
M689
TOTAL AMOUNT AVAILABLE AND TO BE -PROVIDED S TOTAL LIABILITIES S
L
Do Not Key
RECONCILIATION
This must be completed.
Balances by Fund at End of Year:MInclude cash in checking accounts, time deposits, investments and petty cash)
General Fund......................................................................... ..... A..... $
CapitalFund.......................................................................... H..... s ,
Reserve Fund......................................................................... ..... R..... s
Trust and Agency Funds............................................................. ..... T..... S
OtherFunds......................................................................... ........... S
Total- All Funds .............................................................. ............ S 3335"d
Bank Balances at End of Year:
Name and Location of Bank Bank Balance Outstanding Checks Net Bank Balance
,,e of N y
G,e�rrw,cr.y y /19yy $ io rr3 S o S �0��3
TOTALS $ $
Cash on Hand (Date Deposited)...............................................................
PettyCash.................................................................................
INVESTMENTS HELD AT DECEMBER 31,,80
TOTAL INVESTMENTS.................................................................................... S 7
Total Bank Balances, Cash on Hand, Petty Cash and Investments s 333Sd 4
*These totals must agree
9
DETAILED STATEMENT OF INDEBTEDNESS
Year Outstanding
Issued
Redeemed
Outstanding
Bonds of Interest Beginning
During
During
End
(Show each issue separately by) Issue Rate of Year
Year
Year
of Year
1
3
5
7
EDP
_
Code
Capital Notes 2P1875
XXXX
XXX
I&
TOTAL BONDS { 2P1877 { XXXX { XXX , $ ,3i7SO0i% { $ { $ 75441d l $ �SODOo
TOTAL BONDS OUTSTANDING AS OF DECEMBER 31 $
Notes
Tax Anticipation Notes 2P1861
XXXX
XXX
Revenue Notes 2P1862
XXXX
XXX
_Anticipation
Budget Notes 2P1863
XXXX
XXX
_
_
Capital Notes 2P1875
XXXX
XXX
Bond Anticipation Notes 2P1876
XXXX
XXX
TOTAL NOTES
XXXX
XXX
TOTAL NOTES OU'T'STANDING AS OF DECEMBER 31 $
TOTAL BONDS AND NOTES V, I XXXX I XXX I $,3.tSODO I $ H7�000 $x7517000
10
Assessed Valuation
EDP of Fire District
TOWN Code Within Town
Tax Rate
per $1,000
of Assessed Valuation
Amount of Tax
(Assessed Valuation
Multiplied by Tax Rate)
*Should agree with Receipt of Real Property Taxes as shown at top of page 1
COMPUTATION OF FULL VALUATION OF TAXABLE REAL PROPERTY
TOWN
Assessed Valuation
of Fire District
Within Town
Equalization
Rate
Full Valuation
(Assessed Valuation
Divided by
Equalization Rate)
Total Assessed
Valuation
EDP
Code
Total Full Valuation - 9ZFE
137
EXAMPLE OF CALCULATION OF FULL VALUATION:
Town A $10,000 25% _ $40,000
Town B 5,000 40% = 12,500
Town C 20,000 100% = 20,000
Assessed Valuation $35,000
Full Valuation $72,500
11
CERTIFICATE OF FIRE DISTRICT TREASURER
certify that I am the Treasurer of the ozze-7—x z/f
(Please Print or Type Name)
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
Dated
Name 1//%rrzo 2zvir
Addressii i` ii /,' 7y
Telephone OrKl) ;W -d'9VS
Area
Code
CHAIRMAN OF THE BOARD
Address��G�fi/�/.r%� .�,��TiU•�
Telephone s�31) 3�3-01lS
Area
Code
STATE OF NEW YORK
OFFICE OF THE STATE COMPTROLLER
12