--- OCR page 1 of 17 --- r FILED WITH THE OFFICE OF THE STATE AUDITOR & INSPECTOR 11-7-14 Nov 1 Q tue nepector Er state Ausitor® BOARD OF COUNTY HEALTH 2014-2015 . ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2013-2014 BOARD OF COUNTY HEALTH OF THE COUNTY OF OTTAWA | | STATE OF OKLAHOMA. Two copies of this Financial Statement and Estimate of Needs should be filed with the County Clerk not later than ‘ol 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 2014-2015 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2013-2014 _ PREPARED BY Turner & Associates, PLC SUBMITTED TO THE OTTAWA COUNTY a) EXCISE BOARD THIS 39. DAY OF c Set embas/— 2014 cr | BOARD OF COUNTY HEALTH F ° r Member Kiae CS gnde Member Zi, AE <A bho non a Member dy Member a ember ’ 540011275 ol" fh 72 Ca SS) Vg . ©. Clerk 9 en a\ = ere iN RECE = pee eth all S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, $8 ‘See Accountant's Report & Nuthady, August 31, 2014) Stale Re OL = Sand inspector Ze: gy Seon ce --- OCR page 2 of 17 --- BOARD OF COUNTY HEALTH OF ~ OTTAWA COUNTY 2014-2015 ESTIMATE OF NEEDS 7 AND FINANCIAL STATEMENT OF THE | mwa 4 FISCAL YEAR 2013-2014 INDEX [Letters and Certifications: Page Detter To BNbise Boa sssisssamainiiinienm ti OO a naeeamaacmanecichas 2 = PARTCAV OP UbH HO sarmauraccseeatemeumemminmertiorepneminnnnsmrsmuonnaasnnssiscinsscnucs 2 AscountanBs ett” pmol Pid at Boal the Sep ng Te etl ate cal tad soon, Pa eg | Certificate of Excise Bond atl iiimatetaataat ch A Dio ecg Ber doch | enib ey? Pagal lExhibits: Filed Exhibit "G" Sinking Fund te ieroninncniiicNcnKems miner: NO Exhibit "Capital Project Finds iii tel AOE I mamma NO! Exhibit "Y" Certificate of Excise Board . Publication Sheet Filed With County Budget a ammumsnnnnanuninsinininininsianinannimmnnmnanannennnnen YES Exhibit "Z" Publication Sheet (When Not Filed With County Budget) oo mmmmammenannunanunnnnae NO S.A.&L Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Sunday, August 31, 2014 --- OCR page 3 of 17 --- Page 1 E BOARD OF COUNTY HEALTH OF OTTAWA COUNTY gE 2014-2015, ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE - FISCAL YEAR 2013-2014 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, 2013 and ending June 30, 2014, together with an itemized statement of the estimated needs thereof for the fiscal year beginning July 1, 2014 and ending June 30, 2015. The same have been prepared in conformity to Statute, in relation to which be it further noted that: 4 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, 2014, 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, 2014 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, e 2014 and ending June 30, 2015 as shown under "Schedule 8" were prepared and filed with the Board of ‘County Health as of the first Monday in July 2014, 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, 2014. Dated at the office of the County Clerk, at Miami, Oklahoma, this ___day of. 2014. BOARD OF COUNTY HEALTH Chairman Member } © aS . 4 r WEL haHeLD ber - Member = ZA ot Lhyuell Member Member Clerk A _ Filed this> day of 2014 Secretary and Clerk of Excise Board, Ottawa County, Oklahoma. S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Sunday, August 31, 2014 --- OCR page 4 of 17 --- ™ 7 Independent Accountant's Compilation Report sal Honorable Board of County Health Ottawa County, Oklahoma bal i We have compiled the 2013-2014 financial statements as of and for the fiscal year ended June 30, 2014 and the 2014- 2015 Estimate of Needs (SA&I Form 2631R97) and Publication Sheet (SA&I Form 2631R97, Exhibit "Z") for the al Health Department of Ottawa County, included in the accompanying prescribed forms. We have not audited or | 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 "| 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 ! publication sheet in accordance with the requirements prescribed by the Office of the Oklahoma State Auditor and 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 "| 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 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 "| statements. 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 § { 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, 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. ™ Tumer & Associatates, PLC : ™ “Teer.4 Aseociates, PLE August 31, 2014 7 'S.A.€21, Form 2631R97 Entity: Board of County Health, Ottawa County, 58 "Sunday, August 31, 2014 al 7 | ™ --- OCR page 5 of 17 --- Page 3 r AFFIDAVIT OF PUBLICATION r STATE OF OKLAHOMA, COUNTY OF OTTAWA. r Personally appeared before me, the undersigned Notary Public, County | Clerk of the County and State aforesaid, who being first duly swom 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, 2014, and the estimated needs and the estimated income from sources other than ad valorem taxes, for the fiscal year beginning July 1, 2014 r and ending June 30, 2015 published in one issue of the Miami News Record a legally-qualified newspaper published - l of general circulation, in said county (strike inapplicable phrase) a copy of which together with proof of publication is r herewith attached marked Exhibit "Z" and made a part of hereof. | [ County Clerk Subscribed and swom to before me this day of. 2014, r Notary Public My Commission Expires r S.A.&1, Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report ~~ Sunday, August 31, 2014 --- OCR page 6 of 17 --- Pr HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2013, to JUNE 30, 2014 ESTIMATE OF NEEDS FOR 2014-2015 = EXHIBIT "E" PAGE 1 r Amount] = ASSETS: r [ss 7 r Ls gris \Warrants Outstanding $ 6,713.16 [ss r r = r a | | es = \Cash Balance June 30, 2013 $ 381,487.30 r eT es | r Cd ns Pa by We es ia rs c [so a : Cd r SUEUSHTERE BAC AS TR ALS Tea _ cr [s ‘ r : [| r [s r [i ‘ r $.A.&I. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Sunday, August 31, 2014 --- OCR page 7 of 17 --- -™ HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2013, to JUNE 30, 2014 ! ESTIMATE OF NEEDS FOR 2014-2015 EXHIBIT "E" 2a "| " SOURCE 7 | [i000 CHARGES FOR SERVICES [1111 Clinical Serves rrr] [1112 Laboratory Servioes tt dT [1113 immunizations 3 [1114 Dewal Service Fes 3's [ILS Child Guides Series lg gs [116 Early Testy Care dS [1117 Food Service Tes and Cerfication id [111sPoovspaCerifcaton St [1119 Sewage and PerkTet_——— dC [1120 Public Bathing Licenses [Wi2t Other Licenses [122 Miscellaneous HealFees fs [1123 Other [tizeommer= Sts =F p25 bes ts [Total Charges For Serves arr] [____INTERGOVERNMENTAL REVENUE [2000 RVTERGOVERNMENTAL REVENUE - LOCAL SOURCES; J ___J-__] [ini MobileHomeTex BY Ci [2112 Housing Authority Paymenis in Lieu of Tx Revense—____]s - 1s a7 | [2113 Revaluation of Real Property Reimbursements 8 ts [2114 Manufacturing ExemptReimbursement 8c] [2115 PublicHealh Contibutions [216 Perinatal Heath Pops ss > [2117 Community Care-HMO 3 [2118 Omer~ ProtestTax [2ia¢Oters Ss [Toul- Coed Sewtes rr] 7 [3000 INTERGOVERNMENTAL REVENUES - STATE SOURCES.) [321 SuteLendPaymens dS [3213 Homestead Exemption Reimbursement ss] [3214 Additional Homestead Exemption Reimbursements. 1s] [3aisSwieGrots tg [3216 Oklahoma Dept. of Environmental Qualiy 3 tC [3217 STD Progam Gute) eS es Ce i [3219 Oklahoma Conservation Commission i's 3 [3290 Welt Agen Sub-Total-OTC dit [3221 Early imervention (Ste) St [3222Biderare Ss [3203 Child AbusePrevenion i$ [3224 Adolescent Healh- Sta [5225 18 | 5 |S | [3206 Other State Reimbursements [227 Omer fs [3208 omer Sts om [Tota -Stte Somes Continued on page 2b ‘See Accountant's Report Sunday, August 31, 2014 S.A.&L. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 fal --- OCR page 8 of 17 --- r HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2013, to JUNE 30, 2014 ESTIMATE OF NEEDS FOR 2014-2015 r Page 2a | BASIS AND r ESTIMATE, Oe SS WNW. ] = [S| oe hh Ps 0000 ss a 2 Sa 009 ps ee ec) a Ce a [sf 20.000 § 5 Se fs 0.02 $s [sf 9009 $s 0009 sh Cc [ss 09 § ss = fs 5009 § fs Se CS [so OTH SC SC“‘®CNNCOCNTC*@dCSS—C (BS”sti‘CNSCNCN#C#C#C#CS*«SCd | | | || a [ | [sare] oordts $s a a ss Cs [s——_—saens1a | 0rd $s a TC (Cs a CC se Pn 0s hh Ho , LEST oC a Se 0: ES c [So 15,348.16 PS Sd C—C—‘C™*i=C eS | S| | a Fh ee a) a eS er bs 0009 § 5 fs [S80 000g a a CC a CL, 90.084 § e fs 90009 § C—O 0009s ——— hh [S002 gs ST 0 fs oh a 7 Ce 009 § 5 [50.008 § ss as a 2 [S50 009 § sf eS EC a FR | a | | S| SO | 7 $.A.&I. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Sunday, August 31, 2014 --- OCR page 9 of 17 --- 7 HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2013, to JUNE 30, 2014 | ESTIMATE OF NEEDS FOR 2014-2015 EXHIBIT "E" 2b at | ee __ ee Continued from page 28 | [4000 INTERGOVERNMENTAL REVENUES - FEDERAL SOURCES, JP [atin Federal Gaus se =n [4112 Federal Payments in Lieu of Tox Revenues i$] [4113 Bureau ofLand Management [4114 Adolescent Healh-Federal [4115 Women Infants and Childe ts [4116 Matemity Care Medicaid) 3 YS [4117 EPSDT (Medicaid) 3 [4118 Family Planing Medica) dS sd [4119 Early intervention (Federal) SC [4120 Oahoma Dept. of Environmental Qualiy Fede) 4's fs [#121 S1D Progam Fete) Ss] 7 [4122 Ryan White Progam 3 [4123 Immunization Action Flan 3 [4124 Direct Observed Therapy [+125 SummerFoodSeriee 3 t's a [4197 Omer [sia Omer (teal ea Se <j 7 [5000 MISCELLANEOUSREVENUE: TT COCO~—OCSY [S11 merstontovestments [5112 insurance Resoveries YS [5113 osuasee Reimbursements [sueCopies 8 [5116 Uiliy Reimbusemens [5117 Other Refunds and Reimburseneais [5118 Resale Property Fund Disbution [S119 SaleofPropery 3 [5120 Sale of Equipment 7 [5121 Vending Machine Commissions [5122 Otter Concessions YS [5123 Publi Records Fee [5124 Record Search Fee [5105 CarSeatSales 3 [5126 Heal Feiss 3 [512 savage Sees pg] [5128 Project Women [5129 Community Cure-HMO dt $f [31300 ss [sisi ote [5132 0te = [| _____Total MiscellancousRevenue SS CCSCSC~*didCS SSSSCSCSCSCSCSSd SS SCS—S™ [ERONONAEVENE RECERIS. [6111 Contributions from OtherFunds CdS CCOCOC~CSSC*iYSSCCSCSC“‘“‘S*SS*S a | [Ge To en and i se) S.A.&1, Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Sunday, August 31, 2014 --- OCR page 10 of 17 --- r HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2013, to JUNE 30, 2014 ESTIMATE OF NEEDS FOR 2014-2015 r — Page 2b { | BASIS AND = LIMIT OF ENSUING if [per __| ESTIMATE eS | | r ee ee 7 | | [so 90.000 sss a | r [so 90,0008. ss [se 90.0076 ss [so 90.007 sg i [So 90.0086 sss r [so 90.00% sss [so 90.0074 sss [So 90.0096 gs Pr [so 90.00% Ss fs 90,0076] sss = S| cr a | |S | | [so 90.0076 gs [So 90.0096 ss [so SS —“‘CCN:*S PS 15,348 16] SS Sd P LE ee) Ee eee) eee r a 7 | | ee 7k | | m ESS EEE Se Ao r ae | | | a | (| | = a | | r a | | | [So 90.0096 [So 90.0096 5 Ss 90.0096 i. a EE [so 90.00% Ss 0.008 $s c SS XE [so 50.0076 Ss mS 80.00% ss C fs 90.0096 sss [so 90.0096 sss a a a es es r a Se | | [so 90.0094 $s So 90.0086 Ss r |S (FS | { a | | | RS | [so 90.0096 a | | r [sR SC CdS C“‘®ESTCTC*d*SSSC(N’SC#$NT_ : S.A.&I. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Sunday, August 31, 2014 --- OCR page 11 of 17 --- = HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2013, to JUNE 30, 2014 ESTIMATE OF NEEDS FOR 2014-2015 EXHIBIT "E” 3 al rs is : al : [sd " [is ™ | [is | - | ToraL LiABILITES ANDRESERVE al 7 . ™ [OTA OCS ca] Fane | 4] [s____-] [is CF" = = ——n| [s_____] - is | - [is ‘| ‘S.A.&1, Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Sunday, August 31,2014 "| ‘7 --- OCR page 12 of 17 --- r HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2013, to JUNE 30, 2014 ESTIMATE OF NEEDS FOR 2014-2015 r Page 3 Schedule 5, (Continued) 2012-2013 2011-2012 2010-2011 2009-2010 2008-2009 2007-2008 TOTAL. js $s sse7z07i fs ss a8. 73071 r S$ 381,48730[8 SS ss YS 381,487.30 [sts is ss 8.08730 . $ 72a3aiis sss 58,730.71] P $ 420566][$ = ts sss Ss ee ee SE | | EF ( r a | FS Fe SS S| s_429s66l[s ss ss 505331 s__uisseo7[s ss r s__6968.i6l[s ts sg ss 80,419.27 EE ES | [ss $ 457091 ][$_ SS SS S833, 364.75] r [sss sss 6,713.16 [ss [ss |] r En | Se | S| Se | SP 11,8530 [ss fs sg ss : $ 457091 $ = OS SS SS 921,479.45] c Schedule 6, (Continued 2013-2014 2012-2013 2011-2012 2010-2011 2009-2010 2008-2009 2007-2008, r [s_ = s 1,003.36][s_ sss [ss sg $___180,164.27][$ 6,968.16 /$ = tS SSS r $s i4siuiiis 6968.ieffs sg js ss i [ss sg gs , a | ES | | |S | | S| r $ 6968.16|[$ = iS SS : [ER | EE ES | r Tavestments Barred Investments INVESTED IN on Hand Since by on Hand r June 30, 2013 Purchased of Cost Premium Court Order _||_June 30, 2014 | | = | |S | | r | ES Ff | ES | ES FC | - [ss gs r |S (ES | | a | (| a | | | r [so ss ss l | |e Ce | | [ss SS SS r ‘S.A.&1, Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Sunday, August 31, 2014 --- OCR page 13 of 17 --- 5 HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2013, to JUNE 30, 2014 ESTIMATE OF NEEDS FOR 2014-2015 EXHIBIT "E" 4 om Schedule 8(a), Report Of Prior Year's Expenditures ee FISCAL YEAR ENDING JUNE 30, 2013 Te DEPARTMENTS OF GOVERNMENT. RESERVES ORIGINAL _ || .- APPROPRIATED ACCOUNTS 6-30-2013 SINCE PT issuep[arpropriations| a NS (OE | 92 COUNTY HEALTH BUDGET ACCOUNT: a $ 375.38] $ 375.38|[$ = iS 238,500.00 bab Part Time Help [ss ss $ 1,60537][s_ = is 20,000.00] ™ $ 3,984.05 | $ 275.25||$__288,590.52 [sss paftntergovernmental SC CSC COS CC dS Od bagRevaluation SC SC Cds SSC «dS 2,668.16 abLewse SC CS CC CdS CCS pajOthers sss po Tod CdS 620005 5,964.80 |[ $ 275.25 [$576,258.68 [ss ss p3bPatTimeHelp SC CdS COC CS CCC Cds Cd [pe Travel ts sss Sd [ss ss p3e Capital Outlay Se ee Ce SE EE [ss SC CdS C=sz”t a (SS |S | | | a (C [ss ss paeTravel ss ss [ss ss a | FS | [ss ss [s_ gs is bah Other sss is = [ss SC CdS CCC «=S@d 98 OTHER USES: a [ss ss [sls SSC i | a S| | TOTAL GENERAL FUND ACCOUNT $ 6,240.05 |] $ 5,964.80 |] $ 275.25 || $ 576,258.68 || _ SUBJECT TO WARRANT ISSUE: EE a . 99 Provision for Interest on Warrants [ss - | a GRAND TOTAL GENERAL FUND $6240.05 ESTIMATE OF NEEDS FOR THE FISCAL YEAR . Pro rata share of County Assessor's Budget as determined by County Excise Board . GRAND TOTAL - General Fund ‘S.A.&1, Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Sunday, August 31, 2014 " --- OCR page 14 of 17 --- r HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2013, to JUNE 30, 2014 ESTIMATE OF NEEDS FOR 2014-2015 5 Page 4 r =- [J rer amour WARRANTS [RESERVES [LAPSED —| NEEDS AS | APPROVED EY] [superar [or [issue [| aatance —Iesmmeartb ay] couny 4 [-—ADIUSTMENTS ——larPRopRiATiOnd _———_|___ ] KNOWN TOBE] GOVERNING | Excise BOARD ~ | ADDED [caNcenTED] | | Fonanconseeen| soar a ee [s__-_|s__-_ ]s__-zssoo00|s eoeaz0|[s [3 —teaseo.0]|s 25000000] = —2s0,00000] [ss fs sss [ss — 200000018 — 20,000.00] P [sss anon fs soar 's sana 's —ia0070|[s — snaoo00 fs s.0000 [sgonze|[s [$296,601.81 [s__9425758|s 4222.14 = 198,122.09 s 26,000.00 = 257,000.00] [sireas[s- ]'sru79as|'s-_|[ssoo.00][s 21,229.45] s 0,000.00] s — 0,58779| ee ee ee es es Ce ee Ce [s__- [s _- ]s 2esnio['sde0816s _- _['s _-[s _asmoo]|s az.0 [s__- [s_- ]'s 6 soo0ofsa.68.0][s____- Is a3m1.88][s 6s0000]|s 630000] e |s Js. Is fs ss ts CY | (size |'s—— | s sass |'s rears sr a's a00.66. 01 |S —osi,ponno Is ean] a a Ee A (| Po fps ss oh oh [ss [ss Js. Js. fs Js] [ss [ss Js - fs. fs Js ae CS SC CS ae |S SN CC CC [s__- [ss is ss ss r eS ss oh oh a a | - SS hh Po [ss Is. |s__. |s- |s fs Js. ffs Ts] r [s—-_|s__- Ps Ps Js [ss |s__] a [s__- s_- [s- [ss [ss fs] foes ss ss ss [ gf — — > ss hs sh a | Se es es es es es ee (sh hh J —— : iS k——;}—_—_}, J r [sonora s ——~- [ssi woo aa |S Te eaaT I's STIs — woe OT Is — soho OO Ss — ego] a CC Fring Board | Bice Bo] SSS 646 500.503 614067. | ss 00.00 Fa. A 8 { TSt.-.-—#"T"]1!]— in sa] r S.A.&l. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report ‘Sunday, August 31, 2014 --- OCR page 15 of 17 --- Exhibit “Y” Page 1 r CERTIFICATE OF EXCISE BOARD t ESTIMATE OF NEEDS FOR 2014-2015 le COUNTY OF OTTAWA, STATE OF OKLAHOMA, P ‘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 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 O.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 Z law any items restricted by statute as to the amount lawfully expendable therefore; (3) supplemented such estimate, after proper publication, by 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 r 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 r cach 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 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 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. r See Accountant's Report ‘S.A @l Form 263197 Entity: Board of County Health, Ottawa County, 58 Sunday, August 31, 2014 --- OCR page 16 of 17 --- CERTIFICATE OF EXCISE BOARD ~ ESTIMATE OF NEEDS FOR 2014-2015 a, Page 2 [County Excise Board's Appropriation Health inking Fund | [so [s_ [ss Hoes f] [ss [ss [so fs [s_ = fs [sd kate of bevy Required and Ueriied (MU) =| a oe) epee ste oe 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 2014-2015 is as follows: [Total 7] 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" 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; eeeeeeeSeSSSSSSSSSSSSSSSSsFsFeFesesFFFFFSSSSSSSSS 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; 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 2015 without regard to any protest that may be filed against ~ any levies, as required by 68 O. S. 1991, Sention 2869 Dated at (\j ame, Oklahoma, thiS0 day of s Se at ombus 2014. 7 a \ " LP>— | LVS J D Rhardember IN Excise Board Chairman Fu de M) pp L_ fh: \ 7 "Excise Board Member (Sra tcous 1) ie Board Secretary \a. /1907\ * i WAZ = S.A.&. Form 2631R97 Entity: Board of County Health, Ottawa County, 58- See Accountant's Report Sunday, August 31, 2014 --- OCR page 17 of 17 --- r OTTAWA COUNTY, 58 a . STATISTICAL DATA r FISCAL YEAR 2013-2014 Total Valuation r Total Gross Valuation Real Property $ — 107,578,923.00 Total Homestead Exemption $ 8,037,268.00 c Total Real Property $ 99,541,655.00 [ Total Personal Property $ 25,346,182.00 Total Public Service Property $ 19,049,072.00 r Total Valuation of Property $ _143,936,909.00 See Accountant's Report