--- OCR page 1 of 17 --- Bn EF ps ry State A “aio, o spe - Chop BOARD OF COUNTY HEALTH 2017-2018 = ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2016-2017 BOARD OF etnies HEALTH OF E 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 al filing, affidavit and proof of publication are required to be attached within five days after date of filing. ™ ‘THE 2017-2018 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2016-2017 - PREPARED BY Turner & Associates, PLC SUBMITTED TO THE OTTAWA COUNTY ah. . EXCISE BOARD THIS {[>_ DAY of be ss 2017 BOARD OF COUNTY HEALTH - cmt aon V Keetlicap Member f mone anng ad dead Member « = Member 2&0 Ol ee) Member -- Clete, With \ \ S.A.&1, Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report R Monday, October 02, 2017 - ‘ECEIVED = State Aucitar and Inspector --- OCR page 2 of 17 --- BOARD OF COUNTY HEALTH ] OF OTTAWA COUNTY 7 2017-2018 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE 7 FISCAL YEAR 2016-2017 INDEX [Letters and Certifications: Page al Letter To Excise Board. a snnnentnennannnntitniiiinnnnenneniinnannnnnnnnnen F eS 1 Certificate of Excise Board mentite xhibit "¥" Page 1 IExhibits: Filed ‘7 nC al Exhibit "G" Sinking Fund tnninneeneninnnennnnnnniimnnninninninnnnintninnnnnnnmannnnnnennnen NO Exhibit "J" Capital Project Funds. nmnmmnnnntnnniitntnineninminnannannnnnannninnmnn NO "| Exhibit "Y" Certificate of Excise Board eC) 7 Publication Sheet Filed With County Budget mumanunuinunsninanannunnnnnsinaniamaninnnnnanan YS " Exhibit "Z" Publication Sheet (When Not Filed With County Budget) sss NO } | } _ _ 1 S.A.&, Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Monday, October 02, 2017 --- OCR page 3 of 17 --- = Page | BOARD OF COUNTY HEALTH OF a OTTAWA COUNTY 2017-2018 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE. FISCAL YEAR 2016-2017 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, 2016 and ending 7 June 30, 2017, together with an itemized statement of the estimated needs thereof for the fiscal year beginning July 1, 2017 and ending June 30, 2018. 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, 2017, that said statements comprise a "full and accurate statement of the assessments, receipts and expenditures of the preceding year, made out in al 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, 2017 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 2017 and ending June 30, 2018 as shown under "Schedule 8" were prepared and filed with the Board of County Health as of the first Monday in July 2017, 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, 2017. Dated at the office of the County Clerk, at Miami, Oklahoma, this Cis of. © c- e Seeve 2017. BOARD OF COUNTY HEALTH Chairman Le : Member Member ] Member - Vhitkplhomexti2 Member Member Clerk » Filed this yO Rhy of Qetoherzti 7 Secretary and Clerk of Excise Board, Ottawa County, Oklahoma. $.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Monday, October 02, 2017 --- OCR page 4 of 17 --- " Page 2 1 Independent Accountant's Compilation Report a Honorable Board of County Health Ottawa County, Oklahoma 1 Management is responsible for the 2016-2017 financial statements as of and for the fiscal year ended June 30, 2017 and the 2017-2018 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 performed a al compilation engagement in accordance with Statements on Standards for Auditing and Review Services promulgated by the Accounting and Review Services Committee of the AICPA. We did not audit or review the financial statements, estimate of needs and publication sheet forms included in the accompanying prescribed form, nor were we required to 7 perform any procedures to verify the accuracy or completeness of the information provided by management. u Accordingly, we do not express an opinion, a conclusion, nor provide any form of assurance on the financial statements, estimate of needs and publication sheet included in the prescribed form. 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 § 1- 7 226 OS § 3003.B as promulgated by OS 68 § 3009-3011 and are not intended to be a complete presentation of the assets and liabilities of County. This report is intended solely for the information and use of management of the Ottawa County Health Department, 7 Ottawa County Excise Board, 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 " Teenter.¢ Asoociates, PLE October 2, 2017 7 S.A. Form 2631R97 Entity. Board of County Health, Otiawa County, 58 ‘Monday, October 02, 2017 " --- OCR page 5 of 17 --- an _ Page 3 AFFIDAVIT OF PUBLICATION STATE OF OKLAHOMA, COUNTY OF OTTAWA a Personally appeared before me, the undersigned Notary Public, K Syren SO County 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, 2017, and the estimated P needs and the estimated income from sources other than ad valorem taxes, for the fiscal year beginning July 1, 2017 and ending June 30, 2018 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. Ria NAD ad County Clerk = _ Subscribed and sworn to before me this Abday ot October 2017. E Notary Public 4 My Commission Expires a . LINOAGKEREY | SS) waypacreee | Shonen CORY ty Comms oxen 80172018 S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Monday, October 02, 2017 --- OCR page 6 of 17 --- c HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 ESTIMATE OF NEEDS FOR 2017-2018 r EXHIBIT "E" PAGE 1 | co ta ASSETS: c [s_-_] fa ; ens Oneeed [is | r r r ee) = {Cash Balance June 30, 2016 $ 333,921.49 r a C— I r Cd a [Claims Paid by Warrants Issued $ 255,496.27 r J ss [fs Ld r fo Ld P [ r [is ‘| c ——— r [s_—._ Pr [| r L S.A.&I. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Monday, October 02, 2017 --- OCR page 7 of 17 --- = HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 | ESTIMATE OF NEEDS FOR 2017-2018 EXHIBIT "E” 2a 7 | SOURCE al [1000 CHARGESFORSERVICES [1111 Clinical Services Sd «Cd is] [1112 Laboratory Servioes Cid iC C”d 7 [ANS immunizations dS [1i14Dental Service Fees CdS CC CdS Sd [1115 Child Guidance Services SSCSC~idS SSC CY 7 [16 Early TestEanly Care Cid [1117 Food Service Test and Cenificaion ———————SSSSSSSSSSCSCSCSCS~S SSC id's [1118 PooWSpaCerification Cid CdS CS —*S [1120 Public Bathing Licenses SCSCSCSC—CSd SC Cd [1121 OtherLicenses Cid SY {1122 Miselaneous Heal ees ss [1123 Oters ts [1124 Omer dS a SS [Total Charges For Sevioes_—— sr] [____INTERGOVERNMENTALREVENUE OC CSCSCSCS@Y [2000 INTERGOVERNMENTAL REVENUE -LOCAL SOURGES:——————SS—~idi SSSC~*dY SSCS 7 [211MobileHomeTax CdS CdS dC [2112 Housing Authority Payments in Liew ofTaxRevenwe ——~—SCSCSCS' SSCS | [2113 Revaluation of Real Property Reimbursements —————SSSSSSSCidS [2114 Mansacuring emp Reimbursement Y's | | [2115 Public Health Contributions SiS [2116 Perinatal Health Progam SY [2117 Community CaresHMO dS dT [2118 Other- ProtestTee iS [2124 Omer Ss [Total Local Soest $e] 9 [3000 INTERGOVERNMENTAL REVENUES - STATE SOURCES! [| J) YC [3211 StateLand Payments Cid CdS [3212 Ste Payments in Lieu of Tx Revenue Sd dd [3213 Homestead Exemption Reimbursement SiS dC [3214 Additional Homestead Exemption Reimbursement ————S—SCSCSCSd SS dS [3215 State Grnss Sg [3216 Okishoma Dept of Environmental Qaliy 3) [3217 STD Program Stas) dS Sd [3218 Water Resouress Board Cid dS 3212 Osho Conse Commision lg gs [3220 Welfare Agen Sub-Total-OTG dS [3221 Early Intervention (State) dS 7 [322 Eldercare S'S [3223 Child AbusePrevenion dS ZC [3226 Adolescent Health State YS [3225TB-Stte SS 7 [3226 Other Swe Reimbursements dS S| [3227 Other tS [3228 Omer Ln Total = State Sources Sid dS | 1 Continued on page 2b See Accountant's Report Monday, October 02, 2017 S.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, 2016, to JUNE 30, 2017 ESTIMATE OF NEEDS FOR 2017-2018 r Page 2a | BASIS AND LIMIT OF ENSUING r [___ (UNDER) __| ESTIMATE, | | || [s_3ss1a78 [00nd $s r js 90.0024 sss [so 90.009 sss fs 90.0096 ss r DT, | DE [a | [fs 0000 8 ts SE a | r a | | fs 90.0096 ¢ s [so 90.0096 if ps 90.0096 Ss r | | fs 900028 gs eS | f [sso sss | | | | a |S | | | [ SS | SP | S| [sara || oof sss r [se codfs COC CdS TCCCOCOC™C~SSC*~dYS C™~“—~SC~SSCS™Y [s_43@iza ff ooo sss SS RT | | F | 1: r a | [so 90.00% $s re [se 90.0096 $s r [s_ 1997024] SCC C—C“‘“CSCSCS*@C eS | | | | [sO 90002 gg r js 90.00% § ss fs 90.00% gs [so 90. 0096 ss i a | | c ps 90.0096 Ss Se LC Lon) [on | | r fs 9:0.002f sss js 90.0024 $e ss js 90.009 Ss r [sO 90002f 3s js s0.00%f sss ps 900094 $s r Se |: ES | S| [sg fone ss [so 0.009gf sss r fs 90.00% ss [sa] dS dS ™C~“*CSCSC*dCSC“$NYNNNNN ‘S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Monday, October 02, 2017 Pr t --- OCR page 9 of 17 --- HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 7 ESTIMATE OF NEEDS FOR 2017-2018 EXHIBIT."E" 2b ‘| SOURCE Continued from page 2a al | 4000 INTERGOVERNMENTAL REVENUES - FEDERAL SOURCES: {SY [4 Federal Grants Sd [4112 Federal Payments in Lieu of Tax Revenues SCSC*dS SCC CdS CCS ~*d 7 [4113 Bureau ofLand Management dS CdS Cd [4114 Adolescent Health Feder CdS CSC C«*di ZS CS [4115 Women Infants endChilgen CdS CCS 7 [4116 Maternity Care (Medicaid) dS sd [4117 BPSDT (Medicaid) CdS Cid CCS | 4119 Early Intervention Federal) Cid SCC CdS CCS” [4120 Oklahoma Dept of Environmental Quality (Federal) ————SSSSCS*dS SSS dS CC ~*Y [4121STD Progam(Federa) dS OS [2a Ryan White Progam [4123 immunization Acton Plan dS CdS Cid [4124 Direct Observed Therapy Cid CdS CS | 4125 Summer Food Service CdS CCC CdS SY 7 [4126 Other SY [4127 Other dS ~ [4128 Other dS al | ___Total Federal Sowees CdS CSCC —CdidS CCS~*S |____Grand Total Intergovernmental Revenues "dS dS 3.028 | [5000 MISCELLANEOUSREVENUE:; CCS 7 [51Linterestoniavesments dS Cid TY ! [$112 Insurance Recoveries CSC CdS SY [5113 insurance Reimbursements CdS CC CdS CC —~*d il [511 Copies TT CCCCCSdS CdS CS ~*S | [5115 Retum Check Charges CdS CdS SY [5116 Uiility Reimbursements CdS CCC CdS TC ~*Y [5117 Other Refunds and Reimbursements dS Sd a | $118 Resale Property FundDDistibution dS Odd [5119 SaleofPropepy CdS CS [$120 Sale of Equipment IS dS [5121 Vending Machine Commissions «dCi «*dSCdt | 5122 Other Concessions SSS [$123 Public RecordgFee SS dd [5124 Record Search Fee CYS CdS CS 1 [5125 CorSeatSales dS Sd [5126 HeatFalss 0S Sw | $138 Project Women CdS YC [$129 Community Care-HMO dS SY | | Se] (el 7 [$131 Omer= ss [$132 Others SS : [_.-—_-1otal Miscellaneous Revenue SiS al | 9000 NON-REVENUE RECEIPTS; SY [6111 Contributions fiom OtherFunds CdS CSCSCSC*d SS SY a | [___Grand Total HealthFund dS dS 18,971,06] S.A.&L. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Monday, October 02, 2017 --- OCR page 10 of 17 --- [ HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 ESTIMATE OF NEEDS FOR 2017-2018 r Page 2b | BASIS|AND r L [____ (UNDER) | ESTIMATE a a | (RS (| a |: SS r [se 90.0096 fg " fs 90.0076 gg a | | | || cr fs 90.0074 sg js 90.0076 ss fs 90.0096 ss POs 90.009) § ss l [se 90.0024 gg [so 90.002 ss peo fs 90.0096 gs L fs 90.0096 gg a | | | P [so 50.0028 ggg r Se | | | | | | S| = So 90.00% ge r [so 90.0076 $s [st S = fs 19,971.06 SS a | | | [ [so 0.0026 sg Se | | | Pr [So 90.00%) pig L ee | ee | 0 | | Sn | |X) SS | r fs 90.00% Ss [So 90.00% a S| m eS S| | CC a ES (CE bs 0.002 § i is [sO Ss r [so 90.0006 ggg [So 90.00% 8 a (|S |S | EE ED Dn ee, c [se 00096 gg [so 90.0000 gs a js 9000 gg P [se 90.0096 gg fs 9 0,0f $e sg [So 90.00% ST r [SB | S| | [So 90.00% gs | ON | c [se 19,971.06 PSS S.A.&l. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report ‘Monday, October 02, 2017 --- OCR page 11 of 17 --- HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 7 ESTIMATE OF NEEDS FOR 2017-2018 EXHIBIT "E" 3 > 7 [s [ss 7 7 js 7 |TOTALRECBIPTS OOS his 7 7 [ss 1 1 Fund Warrant Account of Curent and All Por Years 7 7 [TOTAL 31,9410 [si al [Warrants Cancelled SSCS [s_ =| ! 4 | [so 1 [s | [se | [so [Excess Collections OS ‘S.A.&L Form 2631R97 Entity: Board of County Health, Ottawa. County, 58 See Accountant's Report Monday, October 02, 2017 7 5 --- OCR page 12 of 17 --- [ HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 ESTIMATE OF NEEDS FOR 2017-2018 r Page 3 [sez7org7f[s sss ss 392,791.97] c [s_333sziag ffs sss ss 33,921.49] js ts gs is ss 333,921.49] ms [s_sagmoasis ss ss Ws 392,791.97] r [s__esis2is ts ss ss 235,114 8 [sss ss ss 19,971.06] re [sss ss ss 9.086-77 | js ss ss ss : [s_zesig2i[s ss ss Ms 264,172.41] [s_66szigofls fs ss ss 656,964.38| r [s__szaasoslls ss sss 299,240.79 ES ES | FS CS |s___s7aasoafs ss sss 299,240.79] ‘a [s__9,086.77][$_ = SSS SS 357,723.59] l [ss ss sss 13,700.51] js ss ss ss js ts ss ss Ws si.183.71| r js ss gs is ss 6884.22] fs = is ts sss ss = [s__9,086.7[s__ tS SS SS 292,839:37] r r iss sarsaiis = ss gs [$s 255,49627][s_s2,069.e2[s = ss ss [s___255,496.27|[s___57.445.03|[s_ = ts Ss Sd r [s___241,795.76|[¢__s7.a4so3iis_ | ts sg gs [ss ss ss ss [sss sss a r [s___241,795.76|[$___57,445.03][s__ = is ts SS [sas7o0sns——— = i [ Investments Barred Investments r June 30, 2016 Purchased. of Cost Premium Court Order June 30, 2017 fs ss sss . a ee 7 =aa==== a ES ES | js ts ss ss P SS | | es js ss sss a Cs r [sts ss ss [ss ss ss |FOTALINVESTMENTY $= Ss Ss r S.A.&1, Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Monday, October 02, 2017 --- OCR page 13 of 17 --- HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 7 ESTIMATE OF NEEDS FOR 2017-2018 EXHIBIT “E" 4 Schedule 8(a), Report Of Prior Year's Expenditures 7 po FISCAL YEAR ENDING JUNE 30, 2016 [| DEPARTMENTS OF GOVERNMENT. RESERVES BALANCE ORIGINAL APPROPRIATED ACCOUNTS 6-30-2016 SINCE LAPSED al pT issuep[arrrorriations| | a NS SO ES | 2 COUNTY HEALTH BUDGET ACCOUNT: eS | NN 7 Jp2aPersonal Services TS 37,666.70 $ _37,666.70|[$ __- || $ 170,000.00 92b Part Time Help Ce ec | 308.14 || $ 302.94|[$ 5.20||$ 40,000.00 7 $_632023][s 5311.98] s 1,008.25 |[ $150,000.00 $9,200.00 $8,788.00 $184,053.28 92f Intergovernmental [ss ss [ss ss 4,398.39 A SO | | p35 Others sss $__53,495.07][$ 52,069.62 $__ 548,451.67 7 aS | |. | ees | [ss gs 93b Part Time Help Ss es ee 7 3eTravel ss ss [sss Ss Fe Fs | 3g. Others sss [93hOther ss ss eS | al [ss [ss gs SS | a SF | ES EE | Ee Ee another ss Sd [s_- s Ss 98 OTHER USES: a | NE | | [ss ss 5 pe Tow CdS dS dS CC CdS TC ~*dCS: a | |S UE |S $52,069.62 SUBJECT TO WARRANT ISSUE: ES | | (| 7 99 Provision for Interest on Warrants [ss Ss dS 3 548451.67 a = ESTIMATE OF NEEDS FOR THE FISCAL _ _ a 7 Pro rata share of County Assessor's Budget as determined by County Excise Board = GRAND. General Fund _ $.A.&I. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Monday, October 02, 2017 7 --- OCR page 14 of 17 --- c HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 ESTIMATE OF NEEDS FOR 2017-2018 r Page 4 me fT neramounr| WaRRANTS [RESERVES [LAPSED [NEEDS AS _[ APPROVED BY| r |__suppLemental [or {| issuep_ [| BALANCE ESTIMATED BY| COUNTY _| : | ___ADIUSTMENTS ___[appropriarion [| KNOWN TOBE| GOVERNING | EXCISE BOARD | [_ADDED _[CANCELLED[ | encumpere | BoaRD P a | . [s__795.00][s__ I s_170,79s.00][s_131,040.10][$__39,75490][3 = IS 170,795.00]| s 217,000.00 , |S ys es ss sss r [s__-_[[s_ = I[s 40,000.00 f[s__s.sea.iol[s__isi.s3i[s___34,230.07||s 65,000.00] $25,000.00] [s_is3i478l[s___- is _165,314.78][s_107,952.43][s 11,246.98 |[$__46,115.37||$ 185,000.00] $__ 150,000.00 [s___- Ws _795.00l[s_183,258.28][s 6si72s]s__ Ms 176,741,031 230,205.00|[$s 108,756.73 | r [fs_ sss ss ss iy S——| E+ [s_ 4,398.39 | 4,398.39 [s__ 4,398.39 | 430839|[$ ss - ~ss «SS 6,000.00]$ 4,300.66 [ss ss ss r ls__- ls - its sts Ss gs ts rs SS | | es es a SE EE ES ES Se | r [ss ss ss ss js = ts ss ss ss Is fs ss ss ss r js [ss ss sss [ss ss ss ss [Is = ts ts ss gs ss [ Be ——— i EES | SE (| Ee ee SS | | (| js = fs ss ss ss c [sts ss ss ss js ts ss ss ss [sss ss sss r js ts ss ss ss SE | |S | [ss ss gs ss ss r a EC [s___-_i[s_ ts ds ss sds ES | | | es Ca | (| | | Gen ea ee P \ fh [s__-_i[is__- fs - ds [sd r (OT Estimate of] Approved by | f a ee ee P| Governing Boar | Excise Board _] Po 651,000.00 T $500,756.73 | r [6,000.00 [4 300.66 a | LS 857,000.00 [$505,057.39 | r $.A.8l. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report ‘Monday, October 02, 2017 --- OCR page 15 of 17 --- a Exhibit “Y" Page 1 r CERTIFICATE OF EXCISE BOARD. ESTIMATE OF NEEDS FOR 2017-2018 r COUNTY OF OTTAWA, STATE OF OKLAHOMA r 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 || Ino 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 lf 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 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 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. See Accountant's Report r S.A.&I. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 Monday, October 02, 2017 --- OCR page 16 of 17 --- CERTIFICATE OF EXCISE BOARD - ESTIMATE OF NEEDS FOR 2017-2018 _ Page 2 [County Excise Board's Appropriation Health Sinking Fund js __ = [ss | [ss [ss [$0 s [ss [ss [s_- [sy S| [Rate of Levy Required and Certified (in Milly [I 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 2017-2018 is as follows: County Real Personal J Pobie Service JL Towa 7] and that the assessed valuations herein certified have been used in computing the rates of mill levies and the proceeds thereo: 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; eeeeeFFSFSSFSSSSSSSSSSSSSSSSSSSSSSSSSES 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; oy eee 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 2018 without regard to any protest that may be filed against ~ any levies, as required by 68 O. S. 1991, Section 2869 Dated at (| jAven \ , Oklahoma, this (Tay of TS ctnber 2017. y ae D q gen 7 Sook P&S g % Ekcise Board Member ly * pa * NO Excise Board Chairman seemed (rites) SN rahbull , ExciseBbard Member KN NY Excise Board Secretary Se : 5 S.A.41. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Sunday, August 13, 2017 --- OCR page 17 of 17 --- m= m OTTAWA COUNTY, 58 STATISTICAL DATA m FISCAL YEAR 2016-2017 m= Total Valuation = Total Gross Valuation Real Property $ 117,639,646.00 Total Homestead Exemption $ 8,066,742.00 ail Total Real Property $ — 109,572,904.00 m ; Total Personal Property $ 26,394,365.00 m Total Public Service Property $ 22,107,583.00 - Total Valuation of Property $ _158,074,852.00 = il m - : See Accountant's Report m