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5.1. SR 07-19-2004
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5.1. SR 07-19-2004
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1/21/2008 8:33:53 AM
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7/19/2004 8:49:52 PM
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Data Entry <br /> <br />Data entered here will populate the 2004 Schedule £orm. Please use only Special Fund data. <br /> <br />Choose your relief association name: <br /> <br />Annual benefit level (effective 12/31/2004): <br /> <br />2003 Reporting Form (RF-03) Data <br /> Ending Assets (12/31/03) <br /> <br /> State Aid Received or Receivable <br /> <br /> Administrative Expense <br /> <br />ELK RIVER <br /> <br />4,ooo i <br /> <br />1,354,326 <br /> <br /> 112,146 <br /> <br /> 2,934 <br /> <br />2004 Actual and/or Projections <br /> <br /> Revenues <br /> <br /> Municipal / Independent Fire Dept. Contributions <br /> (must be at least the Required Contribution shown on the SC-03) <br /> <br /> Interest / Dividends <br /> <br /> Appreciation / (Depreciation) <br /> <br /> Member Dues <br /> <br /> Other Revenues <br /> Expenses <br /> <br /> Service Pensions <br /> <br /> Other Benefits <br /> <br /> Administrative Expenses <br /> <br />24,800 <br /> <br />2,200 <br />49,146 <br />39 <br />0 <br /> <br /> 0 <br /> <br /> 0 <br /> 3,392 <br /> <br />Deficit Section - If there was deficit information on the SC-03, enter that information here. <br /> <br /> Original Amount <br />[ Year Incurred I (from SC-OS) <br /> <br />1995 <br /> <br />1996 <br /> <br />1997 <br /> <br />1998 <br /> <br />1999 <br /> <br />2000 <br /> <br />2001 <br /> <br />2002 <br /> <br />2003 <br /> <br />2004 <br /> <br />(1) <br /> <br /> 101,322 <br /> 57,137 <br /> 158,459 <br /> <br />I Amount Retired I [ Amount Left <br /> (from SC-03 + 10%) Before Adiusting <br /> (3) <br /> <br />Totals <br /> <br />(2) <br /> <br /> 33,595 <br /> 33,595 <br /> <br />0 <br />0 <br />0 <br />0 <br />o <br />0 <br />0 <br />0 <br />67,727 <br />57,137 <br />124,864 <br /> <br />Surplus or Deficit <br /> (page4) a[ 124,864 1 <br />Sum of Column 3 <br /> bt 67,727 1 <br />New Deficit <br /> (a-b) c[ 57,137 I <br /> <br /> <br />
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