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2004 (2) Enfield Vol Fire Company Documents
Inc. Quarterly Report Jan. L 2004 thru Mar. 31, 2004 4/13/04 Category Description INCOME Income TOTAL INCOME EXPENSES Admin -OSHA Admin -Reimburse Administration Building -Ground Fire Equipment HlthBSafety Insurance Loans Operations Rescue Training Truck Maint Utilities TOTAL EXPENSES OVERALLTOTAL 135,000.00 222,604.00 -87,604.00 135,000.00 222,W4.00 -81,W4.00 458.87 2,352.00 1,893.13 485.33 3,975.00 3,489.67 2,025.80 4,650.00 2,624.20 2,565.27 7,600.00 5,034.73 5,040.94 9,869.00 4,828.06 0.00 14, 749.00 14,749.00 22,548.00 33,090.00 10,542.00 73,273.05 111,408.00 38,134.95 420.61 4,650.00 4,229.39 201.52 5,161.00 4,959.48 0.00 2,400.00 2,400.00 2,551.95 8,850.00 6,298.05 - 4,183.42 13,850.00 9,666.58 113,1b4.16 122,6U4.OU 108,849.24 21;245.2-4 0.00 21,245.24 Form 990 Return ofOrganization Exempt from Income Tax °11B"°'00`� • 2004 Under section 501(c), 527, or 4947(a)(1) of Bre internal Revenue Code (except black lung benefit trust or private foundation) Open to Public Department d the Treasury artemal Ravus service ' The organization may have to use a copy of this return to satisfy state reporting requirements. inspection - - A For the 2004 calendar year, or tax year beginning 20", and ending B � -hock r eppicabb C name or orgwvmnion - r Emplorvr Nf#pf arntion Number Ad&ea amrtge i Pismo ,Enfield Fire_ Department - 16-1334367 or prtnt Nemo chs QeS i Number and save! (or D 0 bet r mat t not cWKww to street oddr) Room/whn E j nrtrber InLW retum epacmc 172 Enfield Main St. - insuw (607) 272-8757 Firm( return dons. CnY. town or country Stats ZIP code + 4 F Acl"Ing (-'-j �,�,.. � W Arrorhded rawm Ithaca - NY 14 8 5 0 other (s .dc ).►- Mp p&MIFI9 eSection 501(c)(3)organtratlonsand 4947s�(1)nonexanpt Ha.,dt.rs„orepyeaareeo"ctbn527wy.,r oftu, charitable trusts must attach a completed Schedule A H a inn a (Form 990 or ON.M. () sip return for amnatesv Yes Me G Web site: ► N/ A H (b) r Yes, emu number of amtatea . m - (C)(G) Ars all an=. iri tudedt . . . . , Ely" a 11 J o:ganizatim type - (Ir No,' attach a list. See tnstnxtyornl (check ordy one s X� 501 IC) 3 � onaertno.) 114947(ppr)or27 K Check here P-19 the organization's gross receipts are normally not more than H (d) I9 tr,n a separate mix„ nese by, an $25,000 The organization need not file a return with the IRS, but If the organization Organom" -d by a group rwsral n.. received a Form 9% Package in the mail, it should file a return without financial data. t Group Exemption Number . ► N/A Some states require a complete return. M Check ► Wd91eorgartrtahnnlsnotrequired L Gross "Ipts Add lines 6b, 8b, 9b, and 10b to line 12.. ► 286, 253. 10aWhSdtedtle6(Form990 MEZ, or 990-P". Pa It I I Revenue, Expenses, and Changes in Net Assets or FUnd B` IS (See instruk9ions) 1 Contributors. gifts, grants, and similar amounts received a Direct public support . . ... . ... . . . . ... .. .... ... 1 a 11,-873. h b Indirect public support . . . . . . . . . . . . . . . . . .. . . .... 1 b c Government contributions (grants) . . ....... .... ........ 1 c 44 , 249- d Tool radd o .3 t a m tSr,gn yc) (cash $ nonan $ ) ..... . .. .. .. '14 S6 122 . 2 Program service revenue including government fees and contracts (from Part VII, Inde 93) .. .. ... '2 .� 222 ,-421 . 3 Membership dues and assessments . . . . . . . . . . . ..... . . ... . ..... . ... ..3 J- iso. 4 Interest on savings and temporary cash investments ........ . _ . , ..... 4 5 Dividends and interest from securit(es . . . . . . . . .... , .. . .. . ... 5 6a Gross rents . . . . . . . . . . . . . . . . . . . . . .. 8aJ bLess rental expenses . . . . . . . . . . . . .. .. . .. . 8b) c Net rental income or (loss) (subtract !ne 6b from line 6a) ..... . :. .. ... .. . . .. Bc R 7 Other investment income (describe . . . . . . ► ) . -.14 .�- E A Securities e 8 a Gross amount horn sales of assets other ( ) ($) father N than inventory .... . ... . . ... .. ...... 8 a 200. e b Less cost or other basis and sales experuws. . . . . . 8 b c Gain or (lass) (attach schedule) . . . . . . . . . . . . . . 8ci $00. d Net gain or (loss) (combine line 8c, columns (A) and (B)) .......... ..... .... ... :8d 200_ Lim 9 Special events and activities (attach schedule) If any amount is from gaming, check here .. .. ►�. , C= a Gross revenue (not including $ of contributions C-4 reported on line 1a) . ... . .. . ... . . .. . . ... .. ga 6,939. b Less direct expenses other than fundralsi pe ng expenses . .. ........ � obi 5..586: c Net income or loss from special events subtract line 9b from tide 9a .. . v (loss) Pew ( ) - . .. .. .. !c 1,353. LL 10a Gross sales of inventory, less returns and allowances 10a bLess- cost of goods sold .. .... .... , . ....... . .. lob • _ Q c Gross profs or (loss) from sales of mwfty (attach sdledule) (subM Ime 10b from Ime 10a) ......... ........ toe u) 11 Other revenue (from Part V11, line 103) . . . . . ... ..... .' 11 Z 12 Total revenue (add lines 1d, 2, 3, 4, 5, 6c, 1.81C 9t _ , ; { � j 12 2$0, 667. Z E 13 Program services (from line 44, column (B)) ... . , .... ... 1$ 2:60, 053. UP 14 Management and general (from line 44, column (C)) Gib)-NOV , 2nn 14 36,094. E 15 Fundraising (from line 44, column (D)) .. .... ...... UJIu! . , .. 15 _ 6,379. E 17 Total expenses (add (attach schedule) .. s�'�-� .. n, .. .. 16 s 16 Payments to affiliates lies 16 and 44, column A)) © `17 302, 526. A 18 Excess or (deW) for the year (subtract line 17 from line 12) 7:- _ � .-. ... 18 .-21 859. N8 19 Net assets or fund ba Lances at beginning of year (from line 73, column (A))........:... `..::... 19 _171., 969. TE 20 Other changes in net assets orfund balances (attach explar don) ..... , . , - s 21 Net assets or fund balances at end of year (aombtne lines 18, 19, and 20) ...- ...... , 21 1S0,110. BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. TeEAOtet e1107A5 Form 990 (2004) a FonnM(20p4) Enfield Fire DeVartment 16-1334367 Paget lPart•ll': I Statement of Functional Expenses Ali organizations must complete column (A) Columns (B), (C) and for 501(c)(3) (D) are ...k required section and (4) organizations and section 4947(aXi) nonexempt charitable trusts but optional for others. Do not include amounts repovted on line 6b, ab, 9b, 10b, or 16 of Part L ; : (A) Total (8) Program tC) Management services(D) Fundttafsing 22 Granas and allDcanom (an sch) - "•, (cash $ 550. non -rash $ ).... 22 550. 23 Speofx asssurxe 10 mdmduals (an sch) . . . 23 0.) 24 Benefits paid to or for members (art sot) . . . . 24 0. .. . 25 Compensation of officers, duettors, etc . . . . 23 0; 26 Other salaries and wages. .. ... .. 26 ) 0:.1 i) . 1 0. 0. . 27 Pension plan contributions . . . . . . . 27 { 011 0 ,. 0. 0 • 28 Other employee benefits . . . .. . . . 28 0'; 0.. 0 . 0 29 Payroll taxes .. . . ... . . ... . 29 0.. 0 . _ 0 30 Professional fundraising fees ..... 30. 6,379 0 . 0.1 fi, 379. 31 Accounting fees ............: 3i _ 400:. 0 . 400. 32 Legal fees ................ 31_ 145; 14S.10: 0_ 33 Supplies ............. ... . 33 t3, 785:; - . 8, 785. 0. 0. 34 Telephone ........ ........ 34 1:709. 1, 709 . 0. 04 35 Postage and shipping. . . . . . . . . .. 311 353: 353. 0.1- 0. 38 Occupancy ..... . .. .... .. .2 2,401. 22, 401. 9.317. 13,084.1 `. 0. 37 Equipment rental and maintenance . , . 31 91715. 91715. 0.1 0 . 38 Printing and publications . ....... 38 0. - 0 _ 1 0:. 0 . 39 Travel .......... ....... 300 0.1 40 Conferences, convent, and rrangs. 40- 0 0„ 0. 0 , 41 Interest . . . . . . . . . . . . . . . . .. 41.: 16, i30. :_ 16,130. 0.1 0. 42 Depreciation depiew, etc (atta6 schedule) • 42 137, 411. 118,588- 18,823. 0. 43 Other ezperses not covered abD* (Mmuze): a Administrative ------- 43a 787.1 - 0. 787.. 0_ bMiscellaneous---_----- 43bl 53,063. 53,063. _0._, `0. c Fuel ______ 43cl 1,037. 1,037. 0. 0, ---- 1,816. 1,816. 0. 0-, 0-, o See Other Expenses Stmt3 - - - - - - ®� ------ - 41, 845. 38 , 845. _ 3., 000. 0 _ 44 Total fi8netlorsal etpenus (add Imes 22 - 43 . �totafts�l3 -1S . . . . . l 44 302, 526. 1 260, 053 . 1 36,,094. 6,379. Joint Costs. Check ► U if you are following SOP 96-2 Are any joint costs from a combined educational campaign and fundraising soGatabon repbrted in (B) Progamsewces? . . . . . . ►❑ Yes No ff 'Yes,' enter 0) the aggregate amount of these joint costs $ (11) the amount allocated to Program services $ (I10 the amount allocated to Management and general $. and (h) ft amount allocated to Fundraisin $ �tatsment (Part 111- A of Program Service Accomplishments What is the organization's primary exempt purpose? Provide Community Fire & Sa€tey Services PrrSettrkef�ttsts Aft organaattons describe their - - }Of ti`1f dea7ancTr mariner-tafe'ffie must exempt purpose achievementsin a number of clients served, publications issued, etc Discuss achievements that are not measurable (Section 501(c) 3) 8 (4) organ- e�aT uum o n izations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of 8 allocations ffoo oifters.) axr) grants ografroroe,,,s a Community Fire_ Department-13rovides over 13 000 personnel hours supporting_:epaonses for fire, rescue, EMS and other services. ----------------------------(Grar�andapocatipnt3.$ -------------� 141.4-55. b ----------------------------.----------- -.------------- (Grants and allocations $ ) c ------------------------ ------------------------ - - - - - (Grants and allocations $ ) d ----------------------------� �-- ------------ ( andg>lac., e Other program services. . ._ ......... . (Gram and apocstiiorts f Total of Prc$ram Service Expenses (should equal line 44, column (8), Prawatn services) .. ........... •► 141,465. BAA TEEa0102 oWAX Form 9!0 (2004) FormlllWpoo4) Enfield Fire Department 16.1334367 Pow3 jPallf'[W d Balance Sheets (see Instructions) Note: Where required, attached schedules and amounts within the descrfprion (A) column should be for end -of --year amounts only.Begirrring of year End d year 45 Cash —hon-Interest-beanng . .. ...... r .... - lib".235 _� IS: 28, 601. 46 savings and temporary cash investments . . . . ..... . .... .. . . 46 47a Accounts receivable . ... . . . ... . ......� 47fa b Less allowance for doubtful accounts . ... , ... 4" b ( 47c " 48a Pledges receivable . . . . . . . . . . . . . . . . . . 488 b Less allowance for doubtful accounts . ..... ..1.48bt 49 Grants receivable . . .. . . . ... . ..... .......... ... .. 48 ISOs A 50 Receivables from officers, directors, trustees, and key II s employees (attach schedule) . . . . . . . . _.II E 51 a Other notes & mans receivable (attach sch) . . ..... . i1 a T b Less allowance for doubtful accounts . 51b� 416, 52 lnventones for sale or use . . . . . . . .. ... _ . . . . . _ . . ... 52 L 53 Prepaid expenses and deferred charges ...... ..... . !13 54 Investments — securities (attach schedule). . ►� cost ❑ FMV 34 55a Investments — land, buildings, & equipment basis ..' SSp b Less accumulated depreciation (attach schedule) . . . . . . . . . . . ...... 55 5Se 56 Investments — other (attach schedule) . .... . . ........ . . . ... ... ' 57a Land, e4 buildings, and equipment 9 Pment iasis ...... ,I 57.8 2, 010.368__"1 . .49`: b Less accumulated depredation (attach schedule) ..................., ST b- 1,234,410. 805, 2. 517c : :775, 958._ 58 Other assets (describe ' ) • 58 ' 59 Total assets (add lines 4511hrough 58) (nwa equal l'llne 74) ....... $71.484.1 'SS 60 Accounts payable and accrued expenses . . .................... 400. 130 80.0_ 61 Grants payable . . . . . . . . . . . . . . . ... .. . .. . . . . . .. _ . 81 A62 Deferred revenue . . .. . .. ................... ... 162 1 1 63 Loans from officers, detectors, rustees, and key employees (attach schedule) . . ....... .. 163 I64a Tax-exempt bond liabilities (attach schedule) . . . . .. .... . . . ...... ._) ' 64a1:. E b Monp9es and other rotes payable (attach schedule) .. . . ................ 699, 115. 1 601. _ 65.3, 649 . s 65 Other liabilities (describe ► ) • I< 66 Total iiablittles (add lines 60 through 65) ................ .. .. , .. 699,515.166 654,449. _ Organlasdons hurt follow SFAS 117, check here and complete lines 67 M through 69 and lines 73 and 74. A 67 Unrestricted .. .. . ..... . ... . . .................... 171, 969-1 67..- - 150 110. , 68 Temporarily restricted ... log I 69 Permanently restricted . . . . . . . . 0 g �. o Organizations that do not follow SFAS 117, check here 61hand complete lines F 70 through 74 w 70 Capital stock, trust pnnapal, or current funds . , .. , ...... .... ....71) • 0 71 Paid4n or ca ital surplus, or land, building, P rd ng, and equipment end - . . . . . N 71-1 72 Retained earrings, endowment, accumulated income, or other funds ........ 72 N 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through It. 72, column (A) must equal line 19, column (B) must equal line 21).. 171 t 969. 7S _ i;90 110. 74 Total Ila bllftles and net assetsHund balances (add lines 66 and 73) ..... • • 871`,-4$4 . JU '+` -- . -: .$04 550 Foran 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a pardmAr organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments a" TEE10103 01107105 Form 99012004) Enfield Fire Department 16-1334367 Page Pati#'iV f► Reconciliation of Revenue per Audited Part N=B-AReconciliation of Expenses per Audited Financial Statements with Revenue Financial Statements with Expenses per Return (See instructions.) per Return a Total revenue, gams, and other support NIA a Total expenses and losses per audited N/A per audited finariaal statements . . . . ► a financial statements .. . . .. . . . . ► a b Amounts included on line a butb , Amounts Included on line a but not not on line 12, Form 990• '' on line 17, Form 99D (1) Net unrealized `- (1) Donated serv- gains on ices and use investments $ ' of facilities . . .. (2) Donated sere- y{ `_; _ ' " (2) Prior year adjust - ices and use - : meritsRpatted on of facilities $ • �� f ti - ' the 20, Form 990.. $ (3) of prior (3) Losses repaned on Jea gunk$ . . . . yS` year F kne 20, Form 990. $ 7' (4) Other (specify), r . 4 O Other (specify) .1 i Add amounts on lines (1) hough (A) .. ► b Add amounts on Imes M (trough (4) .. . . ► b c Line a minus line b ......... ► c c Line a minus line b ......... ► c d Amounts included on line 12, • :'• '::"`'' ; d Amounts rnduded on line 17,- J tin Form 990 but not on line a; l ll♦ 1,_ �` Form 990 but not on line a: 4 „ (1) investment expenses " ` ,f a •• '4: (1) Inveslmerd expensesnot Y1uded i1 L1lRIG! an line _! �y'1 �7.' � a�Y.,�, ♦ v _ not included on line 6b, Form 990 . . . $ 6b, Farm 990 . . $ •' �, -a �;` (2) Other (specify)*"; x i (2) Other (specify)- Add amounts on lines (4) and (2) .. ► d Add amounts on hues (1) and (2) .. ► d e Total revenue per line 12, Form 990 (line c plus line d) ..... , . P -e a Total expenses ' line 17, Form goo (line c plusirle d) . . • , • • • • • ► e (PartV I List of Officers, Directors, Trustees, and KeyEmployees (List each one even if not compensate$, see instructions.) (8) Title and average hours (C) Com tan (D) Contributions to (E) Expense benefit account and oftr per week devoted (ff "s" pa""', employee A Name and address (A) to position errter 4-) plans and deferred allowances compensation See Attached Listing ................ (Various 0. 0. --------------------- --------------------- --------------------- --------------------- ---------------------- ---------------------- ---------------------- --------------------- l 7S Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related organizations, of which more than $10,000 was provided by the related organaations9 . .. ..... .................. ► Yes If 'Yes; attach schedule — see instructions t3AA TFEM104 01/07/06 M ® No Form 890 (2004) Form 990(2004 Enfield Fire Department 16-1334367_ ., Pages I `Part V1- I er Information (see instructions) Y - 76 Did the organization engage in any activity not previously reported to the IRS tf Yes,' t" attach a detailed description of each activity . .................. .. . .. . . . ... .. . . . . . . . . .ir8 X 77 Were any changes made in the organizing or governing documents but not reported to the IRS? . . . . . . . . . . . . . . . . 71 }( If Yes,' attach a conformed copy of the Changes 78a Did the organization have unrelated business gross Income of $1,000 or more during the year covered by this return 78a� X b If Yes,' has ri filed a tax return on Form 990-T for this year; . .. . . . . . , .. . . . . . . . .. 78b X 79 Was There a liquidation, dissllution, termination, or substantial contraction during the year') If 'Yes,' attach a statement . . . . . . ... .. . .. . ... .. . . . . . . . . . . . . 7! % 80a is the organization related (other than by associabon with a statewide or nationwide organization) through common membemhlp, governing bodies, trustees, officers, etc, to any other exempt or nonexempt organization . . . . . . . . . . .. 8_08 X Ib if Yes,' enter the name of the organization ► _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ---------_ _ _ _ _ _ and check whether iiv. e�Jjtor nonexem t 81a Enter direct and indirect political expenditures See line 81 instructions . . . ... u 0. b Did the organization file Form 1120-POL for this year? . . ..... ......... . .. .... .S1 b X 82a Did the organization receive donated services or the use of materials, equipment, or fad6tiea at no charge oral substanbally less than fair rental value?. . . . . ...... .. Sial X b If Yes,' you may indicate the value of these items here. Do not Indude this amount 9$ revenue in Part I or as an expense in Part It (See instructions in Part III.), .. ... # 82b1t 83a Did the organization comply with the public inspection requirements for returns and exemption applications) .... . . : s3s X b Did the organization comply with dw disclosure requirements relating to quid pro quo eanttlbuticins? .. , :..... ; dib 84a Did the organization solicit any contributions or gifts that were not tax deductible?.. ... . .. . . ; . 84tr1 X b if Yes,' did the organization include with every solicitation an express statement that suds contributions or gifts were not tax deductible? . . . . . . . . . . . . . . . . . . . . 85 501(c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by membeeal . . . ... . ` bSa N b Did the organization make only In-house lobbying expenditures of $2,000 or less? ... ,- . , 85b N H Yes' was answered to either 85a or 85b. do not c omple-te 85c through 85h below unless the organ¢adori cae9iaed a. " waiver for proxy tax owed for the prior year c Dues, assessments, and similar amounts from members .... oat d Section 162(e) lobbying and political expenditures .. .. . . Bsd a Aggregate nondeductible amount of section 6033(e)(1xA)dues notices.. .. . . . ... 85a f Taxable amount of lobbying and political expenditures (line 85d less 85e). . . ......... ::. S5i g Does the organization elect to pay the section 6033(e) tax on the amount on line 850 .................... 85p N/iA h If se=n 6033(e)(1)(A) dues notices rare serri does the organization agree to add the amoum on line 851 to its reasonable estimate of dues allocable to nondeductible lobtrpng and poiMcal expenddurras for the fol" tax year? ... . . . . . . . . . . . . . . . . . . . . . 85h N f ,. 86 501(c)(7) organizations Enter a Initiation fees and capital contributions included an , line 12 .. l8Qa N%A _ b Gross receipts, included on line 12, for public use of chub facilities . . . . . . . . . . . . . . . 1 88b 87 501(c)(12) organizations. Enter a Gross income from members or shareholders.. ... slit's -N/A '. . b Gross income from outer sources (Do not net amounts due or paid to other sources against amounts due or received from them ) . . . . .. . .... . . . . . . . . . . . . . 87b- '.. N/A ' 88 At any time during the year, did the organization own a 50% or greeter interest in a taxable corporation or pavtnmahtp. or an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301 1701r " IfYes,' complete Part IX . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . .. . . .. .. Si X 89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under section 4911 ► 0. section 4912 ► 0. ; section 4955 ► 0.. b 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefrt transaction from a prior year'7 If'Yes,' attach a statement explaining each transaction . . . . . . . . . . . . . .. . .. ... . . . .. . . . . . . . . . . . . . . . . . . . . . . . 89b X c Enter Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 .. . . ... ............... ... ..... . , .. , . ► -... 0. d Enter Amount of tax on line 89c, above, reimbursed by On organization ...... ............... , ► 0. 90a List the states with which a copy of this return is filed • None_ _ _ _ _ _ _ - b Number of employees employed et the pay period that 1ndudes Mardi 12, 2004 (See instn dons.).. .. ------rlibl 0 91 The books are in care of ► _She_ — — — r. Ber ren _ Telephone number ► _(607) 212-87S7 --------- — — --- Loratedal► 172 Enfield MaPi-31,,—Ithaca NY ZIPs4► 14850_ _ 92 Sect on 4947(x)(1) nonexempt charitable trusts h7fng Form 990 in Nett o(form 1041— Check here . -, . ... and enter the amount of tax-exempt interest received or aoc rued dufim the tax year,_ . _, . , , r . r.. r , r, r r0 -I 8Y f v � BAA Form 990 (2404) TEFAo105 01107m5 Form 990)2004) Enfield Fire Departmet 16-1334367 Page [Pait'Vl1•IAnalysis of Income -Producing Activities (see instructions-) Unrelatea business income Excluded by section 512, 513, or 514 Nate: Enter gross amounts unless (A) (6) (C) (D) Relatedorexempt otherwise indicated. Business cDde Amount E:dusuon code Amount function income 93 Program service revenue. a b c d a f Medicare/Medicaid payments. . ... I e 104 Submtal (add columns (B), (D), and (Q) ... { ? =i = 1; 9b5 . 2-22,58-0. 105 Total (add 5ne 104, columns (B), (0), and (E)) ........ .... ............. ....... ► 224,-S4 - 5. Note: Lune 105 plus line Id, Part 1, should equal the amount on line 12, Part t I Part VIII Relationship of Activities to the Accomplishment of Exempt Purposes (see instructions) Une No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment • of the organization's exempt purposes (other than by providing funds for such purposes). 93a Contract with Town of Enfield to protect property from fire and other emergencies and State insurance funds for fireman safety. I Part D( Information Reg2Lding RegardingTaxable Subsidiaries and Disregarded Entities (see instructions) N/A (A) (a) (C) (D) (E) Name, address, and EIN of corporation, Pere of Nature of activities Total End-cf-year partnership, or disregarded e" owrtershp Interest income assets ( $ $ Part X j Information Regardinifers Associated with Personal Benefit %:ontracts tree in ) a Dud the orgarntanoR during tare year, renegue any curds, directly or rrtdmectly, to pay premmms on a personal benefitcontract? Yes fi No b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contrad9.. Yes No Note: if 'Yes' to (b), No tom► 8870 and Form 4720 (we instructions) p,,�ryryry•�,,�rr realm, ticismtam,rn,, ry of rrr my traape arodu► D. it r.: - w�e tett r�dkn re oUrer damn dnuerj r on eG'trA+&nf8dm or v�Darer ries e Please n.r. g fees & cmlracts tram government arux-s . 222,427- 22,42'7,94 94 Membership dues and assessments :153. 95 Irderest on savings b temporary cash Irrrmras. ( 14 412-. 96 Dividends & Interest from securities. . 97 Nei rental incDme or (loss) from real estate: `-..;,• : s.:: a t , -:+v a debt-financed property . . . . . b not debt-financed property ... . 98 Net realm rrtcome Or (loss) from pens prop • . 99 Other Investment Income . ... ....] 100 Gain or (loss) from sales of assets other than inventory . .. ... ....� 18' 20.0 . 101 Net inewie or (loss) from special everts ... 1 1,353. 192 Grose pron or (loss) from sats of Irene" - 103 other revenue a- b c d e 104 Submtal (add columns (B), (D), and (Q) ... { ? =i = 1; 9b5 . 2-22,58-0. 105 Total (add 5ne 104, columns (B), (0), and (E)) ........ .... ............. ....... ► 224,-S4 - 5. Note: Lune 105 plus line Id, Part 1, should equal the amount on line 12, Part t I Part VIII Relationship of Activities to the Accomplishment of Exempt Purposes (see instructions) Une No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment • of the organization's exempt purposes (other than by providing funds for such purposes). 93a Contract with Town of Enfield to protect property from fire and other emergencies and State insurance funds for fireman safety. I Part D( Information Reg2Lding RegardingTaxable Subsidiaries and Disregarded Entities (see instructions) N/A (A) (a) (C) (D) (E) Name, address, and EIN of corporation, Pere of Nature of activities Total End-cf-year partnership, or disregarded e" owrtershp Interest income assets ( $ $ Part X j Information Regardinifers Associated with Personal Benefit %:ontracts tree in ) a Dud the orgarntanoR during tare year, renegue any curds, directly or rrtdmectly, to pay premmms on a personal benefitcontract? Yes fi No b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contrad9.. Yes No Note: if 'Yes' to (b), No tom► 8870 and Form 4720 (we instructions) p,,�ryryry•�,,�rr realm, ticismtam,rn,, ry of rrr my traape arodu► D. it r.: - w�e tett r�dkn re oUrer damn dnuerj r on eG'trA+&nf8dm or v�Darer ries e Please n.r. Organization Exempt Under OMB No. 1545.OW7 SCHEDULE A Section 501(c)(3) (Form V90 or 890 -EZ) (Except Private Foundation) a' d section 501 501(f), 501(k), n 501 (n), or Section 4947 a))( ! Nonexempt Cfe). rftabbe Trust 2404 Supplementary Information — (See separate instructions.) DspanmeM of "° re,, MUST be completed the above Rama s p by organizations and attached to their Form 990 or 8904:2 Name of d" WPft 03n Empiw1w kbnV zbw mcnbrr 116-1334367 Enfield Fire Departmen$. 1 Pait�l,' 1 Compensation of the Five Highest Paid Employe" Other Than Officers, Directors, and Trustees (see instnictions. List each one If there are none, enter'None') (a) Name and address of each (b) Title and average (c) Compensation (d) Caruultiutrorts (a) Expense employee paid more hours per weekemP �?� account and other than $50,000 devoted to position competsation allowances None 0 Total number of other employees paid over $50,000 . . . . . . . . . . . . . . . . . . . . . ► None I Part Compensation of the Five Highest Paid Independent Contractors for Professional Services (See instructions. List each one (whether individuals or firms) If there are none, enter'None.') (a) Name and address of each independent contractor paid more than $50,000 None ----------------------------------------- Total number of others receiving over $50,000 for professional services, ► I None BAA For Paperwork Reduction Act Nodco, see the Instructions for Form 990 and Form 990-EZ- (b) 90-EZ iEEnna1 mraW (b) Type of service (c) Compensation Schedwe A (Form 9% or 990 -EZ) 2004 Schedule A (Form 990 or 990 -EZ) 2004 Enfield Fire Department I Paiflll, �-°,J Statements About Activities (See Instructions) 16-1334367 Page res No 1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence public opinion on a legislative matter or referendum? If 'Yes,* enter the total expenses paid or incurred in connection with the lobbying activities . . . . to $ (Must equal amounts on line 38, Part VI -A, or line I of Part VI$ ) . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI -A. Other organizations checking 'Yes' must complete Part VI -8 AND attach a statement giving a detailed description of the lobbying activities 2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? i f fie answer to any question is 'Yes,' attach a detailed statement explaining the transactions.) a Sale, exchange, or leasing of property . . . . . . . . . . . .. .. . .. . . . . . . . . , . . . . . . . . . . . . . . . 1 X 2a X b Lending of money or other extension of credits _ . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 2b c Furnishing of goods, services, or facilities? . ...... ............... .. . .. . .. ... .. . .. . .. - . 2c d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)? ....... . ... ...... 20 X X _ X • Transfer of any part of its income or assets') . . . .... .. ... . . .. . . . . . . . .. . .. . . . . . . ... ..... 2e X 3a Do you make grants for scholarships, fellowships, student loans, etc? (if'Yes,' attach an explanation of how you determine that recipients qualify to receive payments ) .... ........ . ........... 3a . X b Do you have a section 403(b) annuity plan for your employees? ................ ... ... .......... 3b X 4 a Didyou maintain any separate account for participating donors where donors have the right to provide advice on the use or distribution of funds' ..... . . ..... . ..... ...... • • • • • • • • 4, X b Do you provide credit counseling, debt management, credit repair, or debt negotiation, services? .. ,....._ ,.,:: 4b X.. WartN d Reason for Non -Private Foundation Status (See instructions) ) The or lanization is not a private foundation because it is (Please check only ONE applicable box ) 5 A church, convention of churches, or association of churches Section 170(b)(1)(AXI) 6 _ A school Section 170(bX1)(A)(ii) (Also complete Part V.) 7 _ A hospital or a cooperative hospital service organization Section 170(bXlXA#i). 8 _ A Federal, state, or local government or govemmentaf unit Section 170(b)(1)(A)(v) 9 A medical research organization operated in conjunction with a hospital Section 170(bx1xA)("nt) Enter the hospkal's name, city, `andstata' ——————————————————————————— ------------------------------ 10 E] An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(bx1 XA)Cv) (Also complete the Support Schedule in Part iV-A ) Ila © An organization that normally receives a substantial part of its support from a governmental unit or from the general public Section 170(bx1)(Axvi). (Also complete the Support Schedule in Part IV -A.) 11 b ❑ A community trust. Section 170(bX1 XA)(vi). (Also complete the Support Schedule in Part IV -A) 12 F] An organization that normally receives- (1) more than 33-1t3% of its support from contributions, membership fees, and gross receipts from activities related to its charitable, etc, functions — subject to certain exceptions, and (2) no more than 33-113% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after .lune 30, 1975. See section 509(x)(2) (Also complete the Support Schedule in Part IV -A ) 13 ❑An %organizabon that is not controlled by any disqualified persons (other than foundation managers) and supports(0 ; izations descn'bed hna 1 lines 5 through 12 above; or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509 .7,2 See section 509(a�() ) Provide the following information about the supported organizations_ (See instructions ) (b) Line number f (a) Name(s) of supported organization(s) room above schedule A (Form 990 or 990.E 2004 Enfield Fire Depa7rtf11ent 16-1334367 Page 3 1Pal t ITA Support $chedul9 (Complete orgy if you checked a box on line 10, 11. or 12) Use cash method ofacit oun ft. Note: You may use the worksheet in the /nalructions for conver)ing hum the accrual do Ilse cash mathod of accounting. Calendar year (or fiscal year (a1 b ((��)) �{ Tatar beginning In) . ... . .... . .. ►' 2 3 A2 2b6t 2000 (s) . 15 Gifts, grants, and contributions , received (Do not Include unusual grants See line 28) . .� 233, 370. 255, 304, 218, 244. ,_ 187,240. 894,_158 . 18 Membership fees received , .. ,1 109.1 297.1 156. 143.). 705 17 Gross receipts from admissions, merchandose sold or swvxes performed, or lurrMng at fa ftes in any acOvrty that is related to the organrzaeon's charitable, etc, purpose .. 7,702- 8,311_ 15 ,113 ;. 15,800. 4_6,925. 18 Gross irimme from inlares. drvMends, amounts recerked from paMnIs on secunues loans (section 512(a)(5)1. rem, royalties, and urveiated business taxable income (less section 511 taxes) from businesses acquired by the organ- ization ata June 30,1975 , .. . . . 797. 1,670. 3,288- - 2,763- 119 ,763.19 Nal ncome from unrelated business anvities not included in line 18. . . 0. 0.1 0. 0 . 0. 20 Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf 0. 0 . 0 _ 0. 0. 21 The value of services or facilities furnished to the organization by a governmental unit without charge Do not include the value of services or facilities generally furnished to the public without charge .. ... 0. 0. 0: 0- 0. 22 Other income Attach a schedule Do not include gain or (loss) from sale of I! capital assets. . . .. .... 0. 0. .0: 0_. 0 23 Total of lines 15 through 22. . . . 241,077. � 265, 582.1236, 801;-J. 205,946-1 950 306. 24 Line 23 minus line 17 .... .. 234, 276. 257,271 _ -221,689..- .190_146,_ 903, 3$l 25 Enter s%of line 23........I 2,420.E 2,656,1 2,_368j_ 2,0594 26 Organtsations described on lines 10 or 11: a Enter 2% of amount In column (e), tine 24 . . .. . . . . ► 2621, b Prepare a Irsl for your records to show the name of and amount cont ibuied by each person (other r han a1 unit or publicly supported organization) whose total grits for 2000 through 2003 exceeded the amourd shown in fire 26a. �t his 6si hatch your r 2$b+ . return. Ener the total of all theseexcess amounts .. . ..... ..... , . c Total support for section 509(ax1) test Enter line 24, column (e) . ..... ............. ► 26c 9031381. d Add: Amounts from column (e) for lines 18 81518. 19 0. 22 0. 26b 204 S,S18_ e Pubic support (fine 26c minus line 26d total) . ... . . ..... .. . ... .. .. . .. . .. .. ... W. 280 894,863. f Public support percentage (fine 26e (numerator) dtvlded by line 26c (denominator)).... ► 241"1 §9.06- 27 9.0627 Organizations described on fine 12: a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list with your return. Enter the sum of such amounts for each year. (2003 ) _---- - - - -- -- (2002)------------ (2001)------------ (200p) --------------' b For any amount Included in line 17 that was received from each person (other than *dsqu~ persons), prepare a list far your records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or2 $5,000. (Include in the fist organizations described in lines 5 through 11, as well as individuals ) Do not file this list with your rs um. After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year (2003)-unts _ - (2002) - (2001) - - - - - - - - - - (2000) c Add Amofrom column (e) for lines 15 16 17 20 21 ► 27c d Add. Line 27a total . . . and fine 27b total . . . .. . . r 27d e Public support (line 27c total minus line 27d total). .. . ... .. ... ... ► 274 f Total support for section 509(ax2) test Enter amount from tine 23, column (e) . r1 271 g Public support percentage (fine 27e (numerator) divided by line 27f (denondhartor)) .. .. ... . In Investment Income percentage (line 16, column (e) (numerator) divided by Me 27f (denarninsirtor)) . ..:_ . 21,hl $ 26 Unusual Grants: For an organzation described in line 10, 11, or 12 that received any unusual grants during 2000 through 2003, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of a16 gratin, tied a dAsM*m of M@ nature of the prank Do not file this list wfth Your ratum. Do not include these grants in line 15 BAA >EE+ M2304 Schedule A (Form 990 or 99"2) 2004 T Schedule A (Form 990 or 996 -EZ} 2004 Enf i e ld Fire Department 16-1334367 Page 4 IPa7rV . ..,1 Private School Questionnaire (see instruction&) _ . (To be completed ONLY by schools that checked the box on line 6 in Part M N/A- Yea Ne 29 Does the organization have a racially nondiscriminatory policy toward studerrts by statement in its charter, bylaws, other governing Instrument, or in a resolution of its governing body? . .. . .. .. . . .. .. . .. . . . ..... ... . . 2g 30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues, and other written communications with the dealing public with student admissions, programs, and scholarships? . . . . .. . . . . . . ................ ........... .. . 31 Has the organization publicized Its racially nondiscriminatory pdicy through newspaper or broadcast media during the period of solicitation for students, or during the registra period it it has no solicitation program, in a way that makes the policy known to all parts of the general community it serves? . . . . . . . . . . . . . . . . . . . .. .. . . . . . 31 If 'Yes,' please describe, if 'No,' please explain (If you need more space, attach a separate statement.) ----------------------------------------- 32 Does the organization maintain the following. - - - - - - - - - - - - - - - - a Records Indicating the racial composition of the student body, faculty, and administrative staff? . . .. .. . . . . . . . . . . . 32a b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? . . .. .. ... ... .... . .......... . .. . .. . .... . .. . .. , . ... 32b c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships? ....... .. . . .. ... .. . .. . .. ... .. . .. ... . . 32c d Copies of all material used by the organization or on its behalf to solicit contributions? . . . . . . . . . . . . . . . . . . . . . 32d If you answered 'No' to any of the above, please explain. (If you need more apace, attach a separate statement) i 33 Does the organization discriminate by race in anyway with respect to aStudents' rights or privileges? .. ... ... . . . ............... .... .. .. . .. .. . ... .. . .. .. 33a bAdmissions policies? . .. . ... ... . . .. . ......... . .. . .. . ..... . .. , .. ... .. ... .. 33ti c Employment of faculty or administrative stall? . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . 33c _ dSctmlarships or other financial assistance? . . . . .. . . . . . . .. .. . .. . . .. . . . . . . . . . . .. . . . . . ' 33d, - eEducational policies? . .. ...... ... . . . .... ...... .. ........... .... ........ 330 f Use of facilities? . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . g Athletic pn?grams? . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _L3 9 h Other extracurricular activibes? . .. . . .. .. . ... .. . .... .. ... . .. . . . .. . .. . .. ..... ... . . 33h If you answered 'Yes' to any of the above, please explain (If you need more space, attach a separate statement) ----------------------------------------------------------- 34a Does the organization receive any financial aid or asaialsnce from a governmental agency' .. ... ...... 34a b Has the organizations right to such aid ever been revoked or suspended? . . . . . . . . . . . . . . . . . . . . . . . . . . . 34b If you answered 'Yes' to either 34a or b, please explain using an attached statement 35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 05 of Rev Prot 75-50, 19752 C.8 587, covering racial 'No,' nondiscrimination? If attach an explanation ..... .. . .. _ .._ . .. . . . . . . . . . . . . 35 BAA TEEnaa 07rzL404 Schedule A (Form 996 or A -BZ 2004 Schedule A (Form 990 or 990 -EZ) 2004 Enfield_ Fire Department 16-1334367 Paws Pact` ►, Lobbying Ex2enditures by Electing Public Charities (see instructions) (To be comple ONLY by an eligible organization that filed Form 5768) N/A Check ► a it the organization belongs to an affiliated group Check ► b I I if You checked 'a' and 'limited control' Provisions aptly Limits on Lobbying Expenditures(a (b) Affiliated gip To be (The tern 'expenditures' means amounts paid or incurred) totals for ALL e g orgartizal0ons 36 Total lobbying expenditures to influence public opmion (grass(`0ots lobbying) ...... 36 i 37 Total lobbying expenditures to influence a legislative body (direct lobbying) . . . . . . , 37 38 Total lobbying expenditures (add lines 36 and 37) ..... ..... . . ....... 38 39 Other exempt purpose expenditures . . . . . . . ... . . . . 39 40 Total exempt purpose expenditures (add lines 38 and 39) ....... . . . .. . ... . 40 I M_ 41 Lobbying nontaxable amount. Enter the amount from the following table - If the amount on lime 40 is - The lobbying nontaxable amount is - Not over $500,0130 . . . . . . . . . . . . . 20% of the amount on line 40 . Over 55001000 but rot rner S1,000,000 . $100,000 plus 15% of the excess over M,000 Over $1,000,000 but not over $1,500,000 . . .. . 5175 000 plus 109E of the excess over 51.000,000 - 41 Over $1.500.000 but not over $17,000,000 . . . , . SWAM plus 5% al the excess am S1,50Q000 r c Over $17,000,000 . . . . . . . . . . . .. $1,000,000 . . . .. . 42 Grassroots nontaxable amount (enter 25% of line 41).. . . ...... ....... 42 43 Subtract line 42 from fine 36 Enter -0- if line 42 is more than line 36 ........ 43 44 Subtract line 41 from line 38 Enter -0- if line 41 is more than line 38 ..... , ... Caution: N there is an amount on either line 43 or late 44, you must Me Form 4720. 4 -Year Averaging Period Under Section'501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five eduunas below. See the instructions for lines 45 through 50 ) Lofting Expenditures During 4 -Year Averaging Period Calendar year (a) (b) (c) (d) (e) (or fiscbeginning In) 2004 2003 2002 2001 Total 43 Lobbying nontaxable amount. . . . . . . 48 Lobtry�Tng cedUrg amouitl d line 45(e)) (15( 47 Total lobbying expenditures . . . . . " 48 Grassroots non. taxable amount. 49 Grammots cell�g armure + i (15096 of line 48r(e)) 50 Grassroots lobbyingI _ e dltures . . . . (Part vi .� Lobbying Activityby Nonettactin�g Public Charities (For reporting only by that organizations t d' not complete Part VI -A) (See instructions.) NSA During the year, did the organization attempt to Influence national, state or local legislation, mcl dgtg any attempt to influence public opinion on a legislative matter or referendum, through the use of Yes No Amount aVolunteers . . . . . . . . . . . . . . . .. . ..... . . . ... . b Paid staff or management (include compensation in Expenses reported on lines a through h.) . . . . . . . cMedia advertisements . . . . . . . . . . . . . . . .. . . ... . . . . . . . .. .. .. . . . d Mailings to members, legislators, or the public . . . . . . . . . . . . . . . . . e Publications, or published or broadcast statements . . . . . .. ... .. . . . . . . .. f Grants to other organizations for lobbying purposes. . . . .e .. ... . . ..... . g Direct contact with legislators, their staffs, government officials, or alegislative body .. �._ h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means .. . .... .. . I Total lobbying expenditures (add lines c through h.) .. .... . . . ... If 'Yes' to any of the above, also attach a statement giving a detailed description of 1he.tobbying aoWdes BAA RtIoNa A (F6flii MaibW 2" tt:rtaoe o7/23Ni Schedule A (Foran 990 or 990 -EZ) 2004 Enfield Fire Department 16-1334367 Page 6 IPart"Vi j Information Regarding Transfers To and Transactions and Relationships With Nonchadtable Exempt Organizations (See instructions) 51 Did the reporting organization directly or Ind trecty engage in any of the following with any other organizabon described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political org9inizellions? a Transfers from the reporting organization to a noncha itable exempt orgainizabon of yes o (t)Cash . . . . . . . . . . . . . . . . . . . . . 51a_(q X pl) Other assets . . . . . . . . . . . . . . . . . . .. . . ... .. . . . . . .. . . . .. . a X b Other transactions: (1) Sales or exchanges of assets with a noncharitable exempt organization .. , ,,, , , , , , , , , , , , b (Q X bl (11) Purchases of assets from a noncharhae exempt organization . . . . . , . .. .. . .. ... b (11) X (141) Rental of facilities, equipment, or other assets . . . . . . . . . . . . . . . .... .. .. . ...:. . b (9A X (tv) Reimbursement arrangements . . . . . . . . . . . . ..... . . . . . . . . . .. . . . . . b.(Iv) X iv)Loans or loan guarantees . . .. .......... ... , .... .. b (v) X (Yl) Performance of services or membership or fundraising sollicitaBons... b v X c Sharing of facilities, equipment, mailing lists, other assets, or paid employees ........... ..... , . c g - d if the answer to any of the above is 'Yes,' oomptete the following schedule Column (b) should always show the fair market value of. , the goods, other assets, or services given by the wrp�ly organization if the organization received less than fair market value in arty transaction or sharing arrangement, show in column?d) the value of the goods, other assets, or services received ia) (b) (c) Line no Amount involved Name of noncharifabie exempt organization Desor"m d transfers, liar Lam, mW sharing a mrge mom 1 I f � " 52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(cx3)) or in section 527? . . . . . . . . . . . . . . .. . s a: Yes �( No b If 'Yes,' complete the following schedule a Name of organization Type of organizationC Description ar relaiionshtp Enfield Fire Department 16-1334367 Form 990, Page 2, Part 11, Line 43 Other Expenses Stint (A) (S) Other expenses not Total Program covered above {itemize): services Insurance 38,161_ 35,161. Health & Saftey 3,684. 3,684. Total 41,845. 38,845. (C) (D) Management Fundraising and general 3,000. 0. 0. 0- 3,000. 0. 1 Form 8868 (Rev 12.2004) Enfield Fire Department 16-1334367 P iqe 2 r • If you are tiling for an Additional (not automatic) 3 -Month Extension, complete only Part 11 and check this box ► Note. Only complete Part II if you have already been granted an autnvnaltc 3 -month extension on a previously filed Form 8868 • if you are flhn for an Automatic 3 -Month Extension, complete only Part I (on_ page 1) Part ti 1 AddHional (not automatic) 3 -Month Extension of Time — Must File Original and One Copy. Name of Exempt Organaalant!mployer rtieMiflcaton number Type or print Enfield Fire Department 16-1334367 Number sueel and room fN smote number If a P O box see msutictions _ For ft use only .. . Fde ay Ire - - extended , due date for - - fdingthe ;72 Enfield Main St_. return see msfu lions City town or post office, state avid ZIP code For a foreign address see rnsir lxtrara - - - Ithaca NY 19850 Check type of return to be filed (File a separate application for each return) - lForm; Form 990 Form 990-T (section401(a) or.408(a) trust), Form SU7.Form 990 -BL Form 990-T (trustother than above) Form 6069Form 990•EZ Form 1041-A Form 8876 990 -PF Form 4720 . STOP: Do not complete Partit if you were not already granted an automatic 3 -month extension on a previously fled Form 8868. • The books are to care of ► Sherry _SergcZren_ _ _ _ - _ - - _ - _ _ - _ Telephone No ► ( 607) _2_72_-8_7_5_7 _ _ _ _ _ FAX No ►_ _ _ _ _ _ • It the organization does not have an office or place of business in the United States. check this box. ► • if this Is for a Group Return, enter the organizations four digit Group Exemption Number (GEN) N/A If this Is for the whole group, check this box ► If it is part of the group, check this box ► and attach a list with the names and EINs of all members the extension is for 4 1 request an additional 3 -month extension of time until _Nov_ 15 .20 _0_5 - S For catendar year _200_4 or other tax year beginning _ 20 and ending_ _ _ _ _ _ _ -120 6 if this tax year is for less than 12 months. check reason Initial return Final returnChange to accounting period 7 State to detail why you need the extension ' Data necessary to_complie_ the return ---------- -- ----------=----------- has not been fully assembled. - -------- -------------------- fs appttca--tlon--is-fcf--Fo-rm-990-GL.----99-0- PF- - 99C- - T.--4'20.--or-b069--, enter t -he - tentative-- tax, less any 8a If Ih nonrefundable credits See Instructions S 0. b If this application is for Form 990 -PF. 990-T 4720 or 6069, enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a -credit and any amount paid previously with Form 8868 $ 0. , c Balance Due. Subtract line 8b from fine 8a Include your payment with this form, or. If required. deposit with FTD coupon or, It required. by using EFTPS (Electronic Federal_Tax Payment, System) See instructions -S, _ 0. Signature and Verification Under penalties of perlte cWre @hal t have exa this Form 'mciWmq accompany schedules and statements and to the best my knowledge and belief it r5 true coned and c rplete 0 1 7 m author this form p' Srgnafwe/ � - Title , � ",- ... � -Gate.- ll� Notice to Applicant - To be Completed by the IRS We have approved this application Please attach this form to the organization's return , We have not approved this application However, we have granted a 10 -day grace period from'the later of the date .Shown below or the due date of the organization's return (including any prior extensions) This grace period Is considered to be a valid extension of time for elections otherwise required to be made On a timely filed return Please attach this form to the organization's return:. I I We have not approved this application After considering the reasons stated to Item 7, we cannot grant your request for an extension of time to file We are not granting a )0 -day grace period We cannot consider this application because it was filed after the extended due date of the return for which an extension was requested + Other er: 0�'ector ? Date rt\fC Alternate Mailing Address - Enter the address if you want fhe copy of this"application for an additional 3, mo h tie V a urned to an address different than the one entered above Name — Type Or 1 Number and street (include suite room, or apartment number) ora P 0 box number - - - - - print city or town. province or state, and country (including Postai or ZIP code) BAA FIFZ0502 oir04105 Form 8868 (Rev 12-2004) ®.,t J��, ,y; - ._ '�' a. The parties agree to meet during the year at the request of either party, to discuss the provision of FIRE COMPANY services as contained herein. Said meetings shall take place as apart of the regularly scheduled meetings of the TOWN BOARD. The Fire Company shall provide quarterly the following: i. Information as to the number and types of calls/responses made by the FIRE COMPANY since the last report. ii. A synopsis of staffing and training levels of the FIRE COMPANY, including a complete listing of all active members of the FIRE COMPANY. iii. A statement of income and expenses as they relate to the activities of the FIRE COMPANY under this contract. These reports are Fire Company Treasurer reports labeled Quarterly report and Budget report. On an annual basis, at the close of the Fire Company's fiscal year, the Fire Company will provide to the Town Board a statement of outstanding debts. This paragraph does not, however, imply directly or indirectly, approval by the TOWN BOARD of the acquisition of any equipment. b. The TOWN may request by resolution of the Town Board and shall pay the expense of an independent audit, by a creditable public accounting agency, of the financial records maintained by the FIRE COMPANY pertaining solely to the town funds received pursuant to this contract and to the use of said funds in the discharge of the obligations contained in this agreement or any other agreement between the parties since I January 1995. C. The FIRE COMPANY and the TOWN agree to act in good faith and to take steps to accomplish the provisions of the preceding paragraph, should the TOWN elect to exercise its audit rights. The FIRE COMPANY agrees to provide reasonable access to necessary audit information, as determined by the independent auditor, when given reasonable notice of the same. The Town specifically acknowledges the extensive amount of time required for the completion of an audit. Accordingly, any audit instituted under the terms and conditions of this agreement shall be so conducted so as to be completed as expeditiously as prudently possible. The TOWN further agrees to compensate the FIRE COMPANY an amount not to exceed $4,500.00 to offset any expenses actually incurred by the FIRE COMPANY in the completion of the aforementioned audit, 10. With the safety of it's emergency responders and citizens as a priority goal, the FIRE CONVANY and the TOWN agree that it is mutually beneficial to both - parties to recognize and acknowledge the need for the Fire Company's compliance with all applicable standards, including Federal, State and Local statutes and voluntary consensus standards, and to reasonably fund such compliance. 11. The parties acknowledge that this agreement represents.the entire Agreement between the parties, superseding any previous agreement(s). 12. The TOWN and the FIRE COMPANY agree that sources -of water are an important aspect of the fire protection of the Town of Enfield and agree to carry on mutual discussions of appropriate ways to address water needs with respect to fire service during the duration of this agreement_ 13. This agreement shall commence as of January 1, 2004 and continue through December 31, 2006. 14. Both parties agree that any surplus funds left (if any) at the end of the year be placed in a reserve account. It is further agreed that these funds will be used -at the- . Fire Company's discretion to reduce costs of capital projects or emergency repairs. 15. If any provision of this agreement is held to be invalid or unenforceable, all other provisions hereof shall nevertheless continue in full force and effect. ATTEST Town Clerk own Supervisor ENFIELD VOLUNTEER FIRE COMPANY, INC. B � President ATTEST: