SIXES RURAL FIRE PROTECTION DISTRICT

This document is also available in PDF format. FY2003 Financials Report to the Secretary of State Schedule A: General Information — Fiscal Year Ending 2003 1. Name of Municipal Corporation Sixes Rural Fire Protection District 2. Mailing Address PO Box 246 Sixes Curry County 97476 3. Registered Agent Jerry Walters Secretary PO Box 246 97476 4. Board Members Ken Brewer, Board President Fred Bitgood, Board Member Chuck Gunther, Board Member Ray Johnson, Board Member Wayne Moore, Board Member 5. Total receipts (Schedule C-1 or C-2) All Funds $25,553 6. Total expenditures (Schedule C-1 or C-2) All Funds $25,232 7. Total (lines 5+6) All Funds $50,785 Line 7 — If total receipts exceed $150,000, the municipality must have an audit or review for this fiscal year (ORS 297.435). Fidelity or Faithful Performance Bond (ORS 297.435(2)(c)) Name of Company:   Bond Number: Period of Coverage: Name of Person Covered: Amount (should equal or exceed line 5 total receipts): I hereby certify that the above information and the information contained in the accompany statements are true and correct to the best of my knowledge and belief. 11. /W. Bird/ Signature 12. Telephone No: (541) 332-4200 Treasurer Title Schedule B: Statement of Assets and Liabilities/Balance Sheet   General Fund Vehicle Fund Building Fund Total All Funds Cash 12,662 2,309 5,237 20,208 Local Government Investment Pool (LGIP)                   Receivables            Taxes            Assessments            Utilities            Interfund            Other         Inventories         Prepaids and Deferred Charges         Other Assets: Checking 14     14 Fixed Assets            Land 355     355    Buildings 20,261     20,261    Equipment 63,016     63,016    Utility Systems         Less: Total Accumulated Depreciation         TOTAL ASSETS 96,308 2,309 5,237 103,854           Accounts Payable 0 0 0 0 Loans/Notes/Contracts Payable         Leases Payable         Deferred Revenues         Matured Interest Payable         Other Long-Term Debt         Fund Balance/Net Assets/Equity         TOTAL LIABILITIES AND FUND BALANCE 0 0 0 0 Schedule C: Statement of Budgeted v. Actual From 7/1/2002 to 6/30/2003 General Fund Vehicle Fund Building Fund Total Budget Actual Budget Actual Budget Actual Actual A. Beginning Fund Balance 9,000 12,662 3,941 2,309 7,048 5,237 18,430 RECEIPTS             Property Taxes 8,315 10,884         10,884 Fees               Charges for Services               Assessments               Licenses and Permits               Fines and Forfeitures               Intergovernmental                  Federal Grants/Awards 10,000 14,490         14,490    State Grants/Revenues                  Other Governments               Interest and Investment Income 625 58 0 18 0 43 119 Proceeds From Long-Term Debt               Reimbursements 610 0         0 Other 500 0         0 B. TOTAL RECEIPTS 20,735 25,492 0 18 0 43 25,553 DISBURSEMENTS             Personal Services 5,375 4,860         4,860    Salaries and Wages                  Payroll Taxes               Materials and Services 5,825 258         258 Capital Outlay 6,950 20,114         20,114    Land/Buildings/Improvements                  Furniture and Equipment                  Utilities                  Vehicles               Debt Service                  Principal                  Interest               Other 3,000 0         0 Depreciation                 500 0         0 C. TOTAL DISBURSEMENTS 21,650 25,232         25,232 INTERFUND TRANSACTIONS               D. LOANS/TRANSFERS-IN     1,500 0 1,500 0 0 E. LOANS/TRANSFERS-OUT 3,000 0         0 F. ENDING FUND BALANCE (A+B-C+D-E) 5,085 12,922 2,441 2,327 5,548 5,280 18,751 Schedule D: Supplemental Schedules of Cash and Debt   General Fund Vehicle Fund Building Fund Total All Funds 1. Cash and Investments at Beginning of Year 8,755 2,291 5,194 16,240 ADD 2. Total Receipts (Schedule C-1 or C-2; Line B) 10,884 18 43 10,945 ADD 3. Loans/Transfers-In (Sch. C-1 or C-2; Line D)         LESS 4. Total Disbursements (Sch. C-1 or C-2; Line E) 6,977     6,977 LESS 5. Loans/Transfers-Out (Sch. C-1 or C-2; Line E)         6. Cash and Investments at End of Year (1+2+3-4-5) 12,662 2,309 5,237 20,208 Line 6 should agree with cash and investment balances on Schedule B.

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