--- OCR page 1 of 17 --- = NOV 04 2015 State Auditor & Inspector, BOARD OF COUNTY HEALTH 2015-2016 - ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2014-2015 BOARD OF COUNTY HEALTH OF a STATE OF OKLAHOMA Two copies of this Financial Statement and Estimate of Needs should be filed with the County Clerk not later than = August 17 for all Counties. After approval by the Excise Board and the levies are made, both statements should be signed by the appropriate Board Members. One complete signed copy must be sent to the State Auditor and Inspector, Suite 106, 4200 N. Lincoln Blvd., Oklahoma City, OK 73105-3453. If publication may not be had by date required for . filing, affidavit and proof of publication are required to be attached within five days after date of filing. _ ‘THE 2015-2016 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2014-2015 PREPARED BY Turner & Associates, PLC gE SUBMITTED TO THE OTTAWA COUNTY ay EXCISE BOARD THIS 3 pay or _ SNe plewbe/ 2015 BOARD OF COUNTY HEALTH = Chairman _( ‘he ut W Lf a Member . Member MK A basmati Member Npsy iu Laid x Yj Member Member LOE: eH 27. cvilhee _ y 9 88! — 735 CaaS 9D /> ee ‘S Clerk /S oeeewed r (Sn \AE | S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report is Ffiday, Adeustt 4, 2015 3] \& State Auto S/ a ‘S andl inspector Ry, gy --- OCR page 2 of 17 --- BOARD OF COUNTY HEALTH OF OTTAWA COUNTY 2015-2016 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE | FISCAL YEAR 2014-2015 INDEX etters and Certifications: Page Letter To Excise Board oo susmunienuininianmnunnnininninninninmnniannnmnnsnsinnaninninnennsonnnnnnn — E Affidavit of Publication... smsmmnnmmmnnninniniininanininnnenennninininninenmnnenennnnneneunnenenenninennmninnne — 2 Accountant's Letter a mmmuninunnnnnuinanninnsannnninmnninaninenannnmunanninnennnnnn 3 q Certificate oF Excise Board a nummsnnnnnenainsniininnnnnniinnmnnanannnnmnennnenhibit "Y" » Page 1 lExhibits: Filed Exhibit "E” Health Fung a ssummninnannninannnnnninininanninninnennannenniniienannnmenananmnennan YES ) Exhibit "Y" Certificate of Excise Board Estimate Of Needs a ssmntnnininiininintinininininiinniininninnininminninnnnmnsinninnmnnnnnnnnimnenmnnnn YES 1 Publication Sheet Filed With County Budget ssmmmmummnninninninnieninmnnnininnniouinnnesneninannnen YS Exhibit "Z" Publication Sheet (When Not Filed With County Budget) 1 smumnnnitsniminnininannnninnnn NO S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Friday, August 14, 2015 --- OCR page 3 of 17 --- Page 1 | BOARD OF COUNTY HEALTH OF OTTAWA COUNTY 4 2015-2016 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE " FISCAL YEAR 2014-2015 OTTAWA COUNTY, BOARD OF HEALTH STATE OF OKLAHOMA, COUNTY OF OTTAWA, ss: To the County Excise Board of said County and State, Greeting:- Pursuant to the requirements of 68 O.S. 1991 Section 3002, we submit herewith for your consideration, the within statement of the _ fiscal condition of the Board of Health, County of Ottawa , State of Oklahoma, for the fiscal year beginning July 1, 2014 and ending June 30, 2015, together with an itemized statement of the estimated needs thereof for the fiscal year beginning July 1, 2015 and ending June 30, 2016. The same have been prepared in conformity to Statute, in relation to which be it further noted that: - 1. We, the members of the Board of County Health of said County and State, do hereby certify that the statements herein submitted show the true and correct conditions of the fiscal affairs of said Board of Health for the fiscal year ending June 30, 2015, that said statements comprise a "full and accurate statement of the assessments, receipts and expenditures of the preceding year, made out in = detail under separate heads" as required by 19 O.S. 1991 Section 345; that said preparation was had at an official session of said Board, begun on the first Monday in July, 2015 pursuant to the provisions of 68 O.S. 1991 Section 3002. 2. And we further certify that the estimates of the several amounts necessary for current expenses for the fiscal year beginning July 1, ” 2015 and ending June 30, 2016 as shown under "Schedule 8" were prepared and filed with the Board of County Health as of the first Monday in July 2015, that the same have been correctly entered, and that all estimates made are entered as certified by Department Heads for the respective purposes herein set out. We further certify that the sums requested for salaries of county officers and the deputies are calculated and based upon authority of salary statutes currently effective and applicable in this county. 3. We further certify that the estimated income from sources other than ad valorem tax, shown on "Schedule 4", may reasonably be expected to be collected as a revenue during the ensuing fiscal year, and is not in excess of the 90% of the amounts collected for the same sources during the fiscal year ending June 30, 2015. Dated at the office of the County Clerk, at Miami, Oklahoma, this day of. ,2015, a BOARD OF COUNTY HEALTH < ¢ TAM D boone al ae WtK phos IO Chairman Member aie Member {} Y a, f Member 7 5 Member r Clerk A Filed this g day of. , 2015 Secretary and Clerk of Excise Board, Ottawa County, Oklahoma. $.A.al. Form 2631R97 Entity: Board of County Health, Ottawa County, $8 ‘See Accountant's Report Friday, August 14, 2015 --- OCR page 4 of 17 --- Page 2 Independent Accountant's Compilation Report a Honorable Board of County Health Ottawa County, Oklahoma 7 We have compiled the 2014-2015 financial statements as of and for the fiscal year ended June 30, 2015 and the 2015- 2016 Estimate of Needs (SA&I Form 2631R97) and Publication Sheet (SA&I Form 2631R97, Exhibit "Z") for the = Health Department of Ottawa County, included in the accompanying prescribed forms. We have not audited or al reviewed the financial statements, estimate of needs and publication sheet forms referred to above and, accordingly do ! not express an opinion or provide any assurance about whether the financial statements, estimate of needs and publication sheet forms are in accordance with the basis of accounting prescribed by the Office of the Oklahoma State al Auditor and Inpector per 68 OS § 3003.B and by 63 OS § 1-218 as defined by rules promulgated by 68 OS § 1-226 | and 68 OS § 3009-3011. Management is responsible for the preparation and fair presentation of the financial statements, estimate of needs and 4 publication sheet in accordance with the requirements prescribed by the Office of the Oklahoma State Auditor and 1 Inspector, per 68 OS § 3003.B and by 63 OS § 1-218 as defined by rules promulgated by 68 § 1-226 and 68 OS § 3009-3011 and for designing, implementing, and maintaining internal control revelvant to the preparation and fair 1 presentation of the financial statements, estimate of needs and publication sheet. | Our responsibility is to conduct the compilation in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. The objective of a compilation is 4 to assist management in presenting financial information in the form of financial statements without undertaking to obtain or provide any assurance that there are no material modifications that should be made to the financial r statements. 4 The financial statements, estimate of needs and publicaton sheet included in the accompanying prescribed forms are presented in accordance with the requirements of the Office of the Oklahoma State Auditor and Inspector per 68 OS § 7 3003.B and 63 OS § 1-218 as defined by rules promulgated by 68 OS § 1-226 and 68 OS § 3009-3011 and are not intended to be a complete presentation of the assets and liabilities of Ottawa County Health Department. This report is intended solely for the information and use of management of the Ottawa County Health Department, 7 the Ottawa County Excise Board, management of Ottawa County, and for filing with the State Auditor and Inspector and is not intended to be and should not be used by anyone other than these specified parties. 4 Tumer & Associatates, PLC 7 TenNer.¢ Associates, PLE August 14, 2015 al 'S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ~ Friday, August 14, 2015 al | 5 --- OCR page 5 of 17 --- — Page 3 Fr AFFIDAVIT OF PUBLICATION Pr STATE OF OKLAHOMA, COUNTY OF OTTAWA = Personally appeared before me, the undersigned Notary Public, County r Clerk of the County and State aforesaid, who being first duly sworn according to law, deposes and says: That he/she complied with the law by having the financial statement for the fiscal year ending June 30, 2015, and the estimated needs and the estimated income from sources other than ad valorem taxes, for the fiscal year beginning July 1, 2015 r and ending June 30, 2016 published in one issue of the Miami News Record a legally-qualified newspaper published - of general circulation, in said county (strike inapplicable phrase) a copy of which together with proof of publication is herewith attached marked Exhibit "Z" and made a part of hereof. r ‘County Clerk Subscribed and sworn to before me this day of, 2015. r ‘Notary Public My Commission Expires i r S.A.&1. Form 2631R97 Entity: Board of County Health, Otawa County, 58 ‘See Accountant's Report Friday, August 14, 2015 --- OCR page 6 of 17 --- Pr HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 ESTIMATE OF NEEDS FOR 2015-2016 EXHIBIT "E" PAGE 1 r __ ASSETS: r [nvesmens [__TOTALASSETS TT ™—™—OC(#*C r ILIABILITIES AND RESERVES: Is | r ° ° ae er] r EJ -_—— -_——— | ; — aims Paid by Warrants Issued $ 196,434.16 | . ae r ———e-C | a es fd [ eae ee ——} ——— a r es i | r cr fn r [fs ‘| r [_—— r 'S.A.&I. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Friday, August 14, 2015 r U r { --- OCR page 7 of 17 --- HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 7 ESTIMATE OF NEEDS FOR 2015-2016 EXHIBIT "E" 2a 7 SOURCE : 7 [i000 CHARGES FOR SERVICES [Litt Clinics Serves ST] istry eis fs fs [1113 immunizaions | [1114 Dental Service Fes [1115 child Guidance Servises—_______________ [ss] - [iilé Bay Tesebary Gwe [1117 Food Serves Test and Genfieaion —______|s—-Is—-] ~ [1118 PoolSpaCerifcaion Sd [1119 Sewage and Perk Te———— sd [1120 Publi Bathing Licenses [1124 OterLicemes [iiz2MisclaneousHeaibFes IS [isomer iS [ize other [112s ote] Ee ee Ce ec [——“INTERGOVERNMENTAL REVENUE Sd [2000 INTERGOVERNMENTAL REVENUE - LOCAL SOURCES; [| [2111 MobieHomeTee st [2112 Housing Authority Payments inLieu of Tax Revense ______[s__-s__24831] [2113 Revaluation of Real Propery Reimbursements 1s - Is *di. [att¢ Manuicurng Exempt Reinbusement sr [211s PublicHeath Contibutions YS i [2116 Perinatal Health Progam J’. ]s__-_] 17 Commun C=O gs [2118 Otter- ProeeTax dS SY [ieOber YS [Total-LocalSources TS SS 922.47]| eo A [3011 SweLandPaymens dS dS [3212 State Payments in Lien of Tax Revenue dS dd [5213 Homesead Exemption Reimbursement ss] | [2214 Addional Homestead Exemption Reimbursement $s. |s-_| [s2issweGans CdS dd [3216 Obahona Dept of Evroamena aig ss [3217 STD Progam (Sue) dS dS [3218 WaterResoureesBoard dS dis 5219 Oktons Consvaton Commision ig fs [3220 Wellue Agen Sub-Toual-OTC ss] [5221 ary inervenion (Si) [saa Bdermare is L225 Guild bas Peveniog 7 [3204 Adolescent Health Site SS [305TB-Sae [3226 Other Suis Reinbugemens 8 [3207 0tier- [3228 oer. [Total = State Sources CSCC dS CC‘CNS™’#=C@dS 1 Continued on page 2b See Accountant's Report Friday, August 14, 2015 §.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 --- OCR page 8 of 17 --- r HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 ESTIMATE OF NEEDS FOR 2015-2016 : Page 2a | r BASIS AND LIMIT OF ENSUING r [___ (UNDER) __| ESTIMATE [_____INCOME __| GOVERNINGBOARD | EXCISEBOARD _| | | [s_ 15.97.97 [0.0084 ST r [se 90.0024 [so 90.00% gg [so 90.00%] gS [so 90.00% Sg r [se 90.00%] Se [so 90,0024 gg [so 90.0026 Se r a | NE | | | eS |X | a (7: | r DE DE De es |S 1: | S| | NNN: | | r a: | r [s_s97297P SSS | | | | a | (| r [fs 90.007 sg [sai] non ss 7 [se 00s r [ss.673.16] cords sg Ce Ces | es ES r a | 1 | | fs 80.0094 § Ss Ee ES r [S21895.4e PS SS a | | | || [so 9000s a | | | r [so 90.002 sg a | [so g0.00yaf ¢ ss a eC a 0, | [sd 900000 ss r a | | | | [songs [S800 $s 2 fs 0.002 SS r [js 90.00%f sss fs 900098 § SS - [so 90.000 Ss r | |S | | . Sa | | | | | || ” a a |S |e S| r 'S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Friday, August 14, 2015 --- OCR page 9 of 17 --- 4 HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 | ESTIMATE OF NEEDS FOR 2015-2016 EXHIBIT "E" 2 7 SOURCE : Continued from page 2a | | 4000 INTERGOVERNMENTAL REVENUES - FEDERAL SOURCES: [ [4111 Federal Grants |4113 Bureau ofLandManagement ST TS [4114 Adolescent Health-Federal [4115 Women Infants andChilden Sm | 4116 Maternity Care(Medicaid) 1 [4117 EPSDT (Medicaid) | 4118 Family Planning (Medicaid) TS [4119 Early Intervention (Federal) 7 | 4120 Oklahoma Dept. of Environmental Quality Federal) SS [4121 STD Program(Federal) [4122 Ryan-WhiteProgram CSCC CSCC «dS Y [4123 Immunization ActionPlan | 4124 Direct Observed Therapy [4125SummerFoodService CSC Cd 7 [4126 Other [4127 Other = ss [4128 Other = [Total Federal Sowees SS al [S000MISCELLANEOUSREVENUE: Ed [S111 Interest on Investments 26.27] 7 [5112 Insurance Recoveries [5113 insurance Reimbursements [si14Copies a | $115 Retum Check Charges 0 [5116 Utility Reimbursements ST | 5117 OtherRefunds and Reimbursements Sd | $118 Resale Property Fund Distribution 0 7 [5119 Sale of Property [5120 Sale of Equipment | 5121 Vending Machine Commissions TS 7 | 5122 Other Concessions |5123 PublicRecordsFee se en | 5124 Record Search Fee al [5125CarSeatSales 0 [5126 Health Fairs gs |5127SalvageSales Sg 7 [5128 Project Women [$129 Community Care-HMO_ 0 [5130 Qther= gg [$131 Other gg 7 [5132 Other eee [|__Total Miscellaneous Revenue SS 26:27] a || [___ Grand Total Health Fund SS S21, 921.71 | 7 S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Friday, August 14, 2015 --- OCR page 10 of 17 --- r HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 ESTIMATE OF NEEDS FOR 2015-2016 r Page 2b | BASIS AND . r [_____(UNDER) | ESTIMATE SS | eS | SE r [so 90.00% ss Se | | SS S| [so 90.002 Ss [so 90.00% ss r [so 90.0026 f sss [se 90.0026 ss mS 90009 gs r [So 90.0026 3 ss [so 90.0026 ss [So 90.0026 SS r [so 90.000 Sg so 90.000 sg a | 7 S| a 1 |S |S | S| 1: | | | r [so 90.009 a | S| a 2 | | | S| a | r [so 26.27 fcr ss SS | 17 EE [se 90.008 Sg r a | Sn | js 90.002 [so 90.00% gg so 90.0028 r [so 90.00% Ss a | | | [So 90.0006ff'g ee ee] r [So 900090 [so 90.00% Ss mS 50.0086 3 r [So 90.0064 fs 90.009 $s fs 90.002 sg r [so 90.002 | | S| a | | | r is tC CY «(90.00% C Is Cd is sid ls CCS | [so 90,009 [So 9000 Ss r a | | |S a | A SN | | a | 077 ES ES ; a | | | | r [Sig SC CdS C=d . S.A.&1, Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Friday, August 14, 2015 r --- OCR page 11 of 17 --- HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 7 ESTIMATE OF NEEDS FOR 2015-2016 EXHIBIT "E" 3 7 [fs sid es i 7 [ss 5 [is - | | 7 es [TOTALLIABILITESANDRESERVE.—“SSC*~™SOCSCSC“C“#NSNSNYCNYCSCNCNCYA LIABILITES AND RESERVE, [$25,978.69 | 25,978.69 a [is | 7 4 fs} [s—__—J [is] m7 7 7 oe | [is] 7 is. | Cenerss | S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Friday, August 14, 2015 7 --- OCR page 12 of 17 --- r HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 ESTIMATE OF NEEDS FOR 2015-2016 . Page 3 r Schedule 5, (Continued, 2013-2014 2012-2013 2011-2012 2010-2011 2009-2010. 2008-2009. TOTAL - $s 42g793.e4|[s sss ss 408,793.84 r $416,908.54 |S Ss 216,908.54 a ES Fe js sss 428,793.88 r S$ o24n.0g[s sg gs gs 215,189.19 | { [so ss sg [sss is SS ‘ia [so ss sss { s_to24gog[s ss gs 208,094.25 | $s 2213338[s ts Ss ss 676,888.09 | r [s_iiso.03 [ss gg Ts 16,2893 [ss ss Ss : Ss iisoos[s ss 186,289.31 $10,983.35|[$ SS SS SSCS 490,598.78 r [ss ss ss a |S ES | Sn | js ts sss ss 4,683.81 r a | | ee SS Ee | [se SS SS dS (042009 rm | ‘Schedule 6, (Continued 2014-2015 2013-2014 2012-2013 2011-2012 2010-2011 2009-2010 2008-2009 Pp [sd [ss sss | [ss ss . $ 1iiso03 fs TS SC CS CdS [s_uiiso.o3 [sss ss r fs ts ss ss t t | ES SO [sts ss sss eS Se ke kk $2206 s SSS SS r Schedule 9, Health Fund Investments Investments LIQUIDATIONS Barred Investments ; INVESTED IN on Hand Since by on Hand r June 30, 2014 Purchased of Cost Premium Court Order June 30, 2015, [so ss sss a ES | | | r a | | | | ‘ a ES | Ee | a ES | | a | S| c [ss ss ss a EE | (EE | = [sss sss r a | | | : FOTALINVESTMENT/[S_— = SSS SS re S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Friday, August 14, 2015 L r --- OCR page 13 of 17 --- HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 7 ESTIMATE OF NEEDS FOR 2015-2016 EXHIBIT "E" 4 7 po FISCAL YEAR ENDING JUNE 30,2014 : 7 Po issuepTappropriations| GL ee eee eee eee p2COUNTYHEALTHBUDGET ACCOUNT: ft " Ip2aPersonalServiees Ss = T's 250,000.00] p2bPanTimeHelp CS CS ss 20,000.00 " 7 [92eCapital Outlay CTS S000] S000 [ss 50,587.79] Ip2fintergovernmental Ss is Ip2g Revaluation Ss 332.02] 7 2hiease Sg Ts 6,500.00 | [92 Other gs ss 7 | | | | 3aPersonalSevies CS SS sbPanTimeHelp TS Ss 4 bscTravl CS 93d Maintenance and Operation TS CSS b3eCapitl Outlay [o3intergovernmental S's 1 agOther- SC BhOher- CS se 2S) oe | oo al a TS |S cs lodaPersonal Services TS SS acTravel TS Ss lo4d Maintenance and Operation CS O'S Ss lp4eCapitalQutlay SC CS l9afintergovemmental TS OS SS 7 pagOther- SS showers Ss ato IS SS CdS a 8OTHERUSES: 8aOtherDeductions CS C'S OSS a | | | 7 a OO | | | ———— —— [99 Provision forntereston Warrants TS St ! 9 —— } | 7 w= ——<£ —£@£ <—£@—_______} 7 S.A.&I. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Friday, August 14, 2015 --- OCR page 14 of 17 --- r HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 ESTIMATE OF NEEDS FOR 2015-2016 Page 4 r . |__| neramounr] warrants [ RESERVES [LAPSED | NEEDS AS _| APPROVED BY] [ |- supetewewrar or | issuep [| paLance [esmimaten By| county _| [ADJUSTMENTS [APPROPRIATION ——————+(| | KNOWN TOBE] GOVERNING | EXCISE BOARD | [Appep [CANCELLED] |S) JuneNCumBeRED| BOARD |__| ee ee es es ee ee ee ee [s2000000]'s 1S 270,00000|/$ 5p9096|'s IIs 19400004 s 150,000.00] s 150,000.00 | [s— = [s soos; sts <'s - Is - Is 25.000.00]|s 25,000.00] = [s___. [ss aopoonol[s —7isesa’s __si9a0|[s 22.291.36]['s 40,000.00] s 40,000.00] [|S appear ff srsesat sortase | s —arsear]s—essveae | ssecoaroo [=—aezsnomy [s—1370.06|s 7481.00 |[saaa7eas|['s 13,35600['s Is 31,12085|[¢ 150,000.00][s 188,672.55] - |s-|s- [ss fs sss [ps aeals ass is aon fs a] [s___-_|s_- [[s 6 s0000]'sas330['s ls 2306 70s 6,500.00]|s 6500.00] [s-[s__-|s_- Is - fs Is - [Is _- [s | c a SE (CS (EC a es a a ee CF | [s___- |s__- |s__- Js - Js - Js Js Js | [ss [ss _- Is - Js. Is _- [Is | r [s-|s- Is - fs. Is. Is fs [Is __- | Hes DS Ho Ra | Fee [s_-|s-_fs - Is - ls - Js. Is. is | po fs sg ss (| Ss GE FE SC | ee a | | a (ss Po [sss ss is ts [ss ss ss ss [sss [sts sds ss po fs ss ss sss eS | SC [s_-s__-[s_-_|s- Is. [fs - [ss | = [ts . Js Js is ds ss i Po ks hh e ——— ee es HS Ge P| | Fe | ss es es a a a [ ——-—_ —_ —_ _ —_, —_, [1 es ee r Eamets of | Approved iy | ers by County] CT Feeing Board] Baie Boa] a TC Fs 000.00 F's 1789 a ee [ «CoO rr Sr r S.A.&L Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Friday, August 14, 2015 --- OCR page 15 of 17 --- Exhibit “Y” Page 1 CERTIFICATE OF EXCISE BOARD ESTIMATE OF NEEDS FOR 2015-2016 r COUNTY OF OTTAWA, STATE OF OKLAHOMA t We, the members of the Excise Board of said County and State, do hereby certify that we have examined the foregoing estimates of proposed current expenses for the ensuing fiscal year as filed with the Board of County Health, and those directly under, or in contractual relationship with, the Board of County Health; we have ascertained from the Financial Statements submitted therewith the amount of Surplus Balances of Cash on Hand; we have considered the uncollected ad valorem taxes of the previous year or years; and we have ascertained that the probable r Income estimated to be collected from all sources other than ad valorem taxation may reasonably be expected as a revenue for the ensuing fiscal year, and that the same does not exceed 90% of the actual collection from such sources for the previous fiscal year. r In so doing, we have diligently performed the duties imposed upon the Excise Board by 68 0.S. 1991 Section 3007, (1) ascertaining that the financial statements, as to statistics therein contained reflect the true fiscal condition at the close of the fiscal year, or caused the same to be corrected so to show; (2) struck from the estimate of needs so submitted any items not authorized by law and reduced to the sum authorized by law any items restricted by statute as to the amount lawfully expendable therefore; (3) supplemented such estimate, after proper publication, by r an estimate of needs prepared by this Excise Board to make provision for mandatory governmental functions where the estimate submitted wholly failed or was deemed inadequate to fulfill the mandate of the Constitutions or of the Legislature; (4) computed the total means available to each fund in the manner provided; and (5) then and only thereafter. - Accordingly, we have and do hereby appropriate the Surplus Balances of Cash on Hand, and the Revenues and Levies hereinafter set forth for each Fund to the several and specific purposes named in such estimates, by each, to the intent and purpose that CONSTITUTIONAL GOVERNMENTAL FUNCTIONS shall be first assured and provided for, and subsequently to provide for Legislative Governmental Functions insofar as to the available Surpluses, Revenues and Levies will permit; and we have provided also that the Levies are in excess of the amount appropriated to needs after deducting the surplus cash balance on hand, and Estimated Revenues other than tax, by the percentage la and amount or reserve for delinquent tax as hereinafter set forth, which we have determined in the manner provided by law. We further certify that we have examined the within statements of account and estimated needs or requirements of the Governing Board of r Health of Ottawa County, in relation to the Sinking Fund or Funds thereof, and after finding the same correct or having caused the same to be corrected pursuant to 68 O. S. 1991 Section 3009, have approved the requirements therefor to fulfill the conditions of Section 26 and 28 of Article 10, Oklahoma Constitution, and have made and certified a tax levy therefor to the extent of the excess of said total requirements over r the total of items 2, 3, 6, and 12 of Exhibit "Y" (Page 2) and any other legal deduction, including a reserve of 10% for delinquent taxes. a | See Accountant's Report . rm = 'S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 Friday, August 14, 2015 --- OCR page 16 of 17 --- CERTIFICATE OF EXCISE BOARD ESTIMATE OF NEEDS FOR 2015-2016 5 Page 2 [County Excise Board's Appropriation is js [ss YS a | ae [ss EERE |e js - [Rate of Levy Required and Certified (in Mills) JP We further certify that the net assessed valuation of the Property, subject to ad valorem taxes, after the amount of all Homestead Exemptions have been deducted in the said County as finally equalized and certified by the State Board of Equalization for the current year 2015-2016 is as follows: " [__Toral7 _|| ‘and that the assessed valuations herein certified have been used in computing the rates of mill levies and the proceeds thereof appropriated as aforesaid; and — my that having ascertained as aforesaid, the aggregate amount to be raised by ad valorem taxation, we thereupon made the levies therefor as provided by law as follows: Health Fund 1.54 Mills, Building Fund 0.00 Mills, Sinking Fund 0.00 Mills; Sub-Total 1.54 Mills, Free Fair Budget Account (Levy Per Applicable Statute) 0.00 Mills; Free Fair Improvement Budget Account (Net Proceeds of 1.00 Mill) 0.00 Mills; Free Fair Additional Improvement Budget Account (Net Proceeds of 1.00 Mill) 0.00 Mills; Library Budget Account (Net Proceeds of 1/2 of 1.00 Mill) 0.00 Mills; Cooperative County/City-County Library Budget Account (1.00 to 4.00 Mills) 0.00 Mills; py County Cemetery (Prior To Aug. 15, 1933) Budget Account (Net Proceeds of 1/5 of 1.00 Mill) 0.00 Mills; Public Buildings Budget Account (Not To Exceed 5.00 Mills) 0.00 Mills; County Health Fund (Not To Exceed 2.50 Mills) 0.00 Mills, Emergency Medical Service ( Not To Exceed 3.00 Mills) 0.00 Mills; = Total County Levies 1.54 Mills, County Wide Levy For Schools (4.00 Mills) 0.00 Mills; Total County Wide Levy 1.54 Mills; and we do hereby order the above levies to be certified forthwith by the Secretary of this Board to the County Assessor of said County, in order that the Assessor may immediately extend said levies upon the Tax Rolls for the year 2016 without regard to any protest that may be filed against any levies, as required by 68 O. S. 1991, Sectipn 2869 5 Dated at (Yam _, Oklahoma, ad day of 2015. OBR ) a J Extise Boardffiember ‘S| OF Ni xcise Board Chairman Type Joe Eyseonay) <j ‘\ / aw, 2 pez 5 cise Board Member aes yy EXcise Board Secretary Barer $.A.&I. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Friday, August 14, 2015 ™ --- OCR page 17 of 17 --- r r OTTAWA COUNTY, 58 STATISTICAL DATA r FISCAL YEAR 2014-2015 r Total Valuation r Total Gross Valuation Real Property $ 109,284,391.00 Total Homestead Exemption $ 8,020,107.00 r Total Real Property $ — 101,264,284.00 r Total Personal Property $ 27,276,213.00 7 Total Public Service Property $ 16,912,145.00 if Total Valuation of Property $_ 145,452,642.00 r \ FP { Pp r ' See Accountant's Report oy) | r i r L