--- OCR page 1 of 17 --- » NOV U4 2924 [ State A\ 7 . BOARD OF COUNTY HEALTH © Auditor & Inspector 2021-2022 r ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2020-2021 BOARD OF COUNTY HEALTH OF Ee 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 r 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 r filing, affidavit and proof of publication are required to be attached within five days after date of filing, e THE 2021-2022 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2020-2021 = PREPARED BY Turner & Associates, PLC SUBMITTED TO THE OTTAWA COUNTY _ EXCISE BOARD THIS ___ DAY OF 2021 BOARD OF COUNTY HEALTH | Chaiman ok, Ler erceP A Member r Member Member a Member__~ fhhas 2 ded Member = Clerk — 4 r S.A.&1, Form 2631R97 Entity: Board of County Health, Ottawa. County, 58 ‘See Accountant's Report Monday, September 27, 2021 NOV 04 2091 a 7 Gig inspecior Obrwa- --- OCR page 2 of 17 --- =, i BOARD OF COUNTY HEALTH OF 7 OTTAWA COUNTY 2021-2022 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2020-2021 7 INDEX JLetters and Certifications: Page ’ TE Certificate of Excise Board a smnnneennnnnnnterernereenerntianansannannenntininnnnnnen Exhibit "Y" ~ Page 1 7 lExhibits: Filed Exhibit "G" Sinking Fund nrnnnnninernnntntnnntinmennatiintnnnntnmennaneinnnanmennann NO Exhibit "J" Capital Project Funds minnie, NO 7 Exhibit "Y" Certificate of Excise Board Estimate Of Needs muna XS Publication Sheet Filed With County Budget usmsimannmmmannnnmnnininnnen, YS 7 Exhibit "2" Publication Sheet (When Not Filed With County Budget) users. NO aaa - ‘$.A.&l. Form 2631R97 Entity: Board of County Health, Ottawa County, $8 See Accountant's Report Monday, September 27, 2021 --- OCR page 3 of 17 --- BE Page 1 BOARD OF COUNTY HEALTH OF 7 OTTAWA COUNTY 2021-2022 ESTIMATE OF NEEDS im AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2020-2021 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, 2020 and ending June 30, 2021, together with an itemized statement of the estimated needs thereof for the fiscal year beginning July 1, 2021 and ending June 30, 2022. 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, 2021, 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, 2021 pursuant to the provisions of 68 O.S. 1991 Section 3002. in 2. And we further certify that the estimates of the several amounts necessary for current expenses for the fiscal year beginning July 1, 2021 and ending June 30, 2022 as shown under "Schedule 8" were prepared and filed with the Board of County Health as of the first Monday in July 2021, 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 ol same sources during the fiscal year ending June 30, 2021. Dated at the office of the County Clerk, at Miami, Oklahoma, this day of 2021. BOARD OF COUNTY HEALTH WE bomwi be Un Chai in Member . er Member . Member Member Clerk to] Filed this day of 2021 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 Monday, September 27, 2021 --- OCR page 4 of 17 --- | Page 2 a | = Independent Accountant's Compilation Report | Honorable Board of County Health Ottawa County, Oklahoma 7 Management is responsible for the 2020-2021 financial statements as of and for the fiscal year ended June 30, 2021 and m= the 2021-2022 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 =. 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, 7 estimate of needs and publication sheet forms included in the accompanying prescribed form, nor were we required to perform any procedures to verify the accuracy or completeness of the information provided by management. 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. ; 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- j 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. o- This report is intended solely for the information and use of management of the Ottawa County Health Department, 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. 7 Tumer & Associatates, PLC 7 — B TueNee.¢ Associates, PLE 7 September 27, 2021 S.A.&l. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘Monday, September 27, 2021 ] --- OCR page 5 of 17 --- r Page 3 AFFIDAVIT OF PUBLICATION [ 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, 2021, and the estimated FP needs and the estimated income from sources other than ad valorem taxes, for the fiscal year beginning July 1, 2021 r and ending June 30, 2022 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 r herewith attached marked Exhibit "Z" and made a part of hereof. [ County Clerk Subscribed and swom to before me this___day of , 2021. r ‘Notary Public My Commission Expires r S.A.&L Form 2631R97 Entity: Board of County Health, Otawa County, 58 See Accountant's Report ~~ Monday, September 27, 2021 --- OCR page 6 of 17 --- r HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021 ESTIMATE OF NEEDS FOR 2021-2022 r EXHIBIT "E" PAGE 1 | ASSETS: r [| nvesmenss fg ep | _ Tora asses r ABILITIES AND RESERVES: [s___- | r r - , SE ee REVENUE: [| r Cc I ___ r [____TOTALREVENUE, TT CC—“—SCS*—C—C—CSCCCYESS™™~CCY re ee r J es a Lo r [ Lid r JADDITIONS: TT ™—COCO —™—SY r t DEDUCTIONS: OO COC™—OCCTCSC“‘“C*NNNOCOCCC*dC r ——r= a r oe I r S.A.&. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Monday, September 27, 2021 --- OCR page 7 of 17 --- HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021 ESTIMATE OF NEEDS FOR 2021-2022 - EXHIBIT "E" 2 " [ESTIMATED | _COLLECTED __| [1000 CHARGES FOR SERVICES [1111 Clinical Services YS 5,358.70] [1112 Laboratory Services CS CCCC«*Sd*CSSCONNNC*CS*«SCS [13 immunizations COS CCTCOCCdS CCS [1114 Dental Service Fees COSTCO CdS dm [1115 Child Guidance Services CCCCSC~C~‘i‘NSC CSCC CdS CC C*d [1116 Barly TestBarly Care TTC~«dS TCC CdS CC *«S@d | 1117 Food Service Test and Certification CdS CdS «dS [1118 PoovSpaCenification TT SCSCSC™C~dYCSCNSCCCC«*dCSSCSCCSCSC*C*Y [119 Sewage andPerkTest SS CC*dS CCC CdS OC ~*Y | 1120 Public Bathing Licenses SCSC*dSS CNTCCOC«*SSCCC*d ~ [1121 OtherLicenses TT C™C~—~SYS TC CdS SC *=S*Y [1122 MiscellaneousHealth Fees SCSC*iYCS SSCSCSC~CSCidS OCOCSC~SSC*d [1123 Other COCO CC CdS CSS” [1124 Other ss [1125 Other CdS CdS CS [Total Charges ForSeriess SSCS SCSSSCSCSCS~*did SS SSB TO| |___INTERGOVERNMENTALREVENUE SECS) [2000 IVTERGOVERNMENTAL REVENUE - LOCAL SOURCES;_—————|- J [21 MobileHomeTax CdS CS:«*diS SSS | 2112 Housing Authority Payments in Lieu of Tax Revenue ———=SCSCSCSCSCSCSd SSCS ~Si'S SY 7 [2113 Revaluation of Real Property Reimbursements SSSSSSSSCSCSC~idS SSCS SidS |2114 Manufacturing ExemptReimbursement_SSSSSSSCSCSCid' SSCS Sid [2115 Public Health Contributions CdS SSS id [2116 Penal Heal Progam +} - [2117 Community Care-HMO CdS SCSS*dS SSS [2118 Other ProtestTax dS [2124 Other SS [____Total-Local Sourees_ SCC [3000 INTERGOVERNMENTAL REVENUES - STATE SOURCES: PY [3211 SwteLand Payments id = [3212 State Payments in Liew of TaxRevemwe id SY 819550] [3213 Homestead Exemption Reimbursement SSSSSSCSCSCSCS SSS dS” | 3214 Additional Homestead Exemption Reimbursement __———_—_———~—S~idS Sd - [321s SuteGrants SS [2216 Okoma Dept of Eavroanentl Qualys} [221781 Frogan Gat) [3218 WaterResoureesBoard CdS bs | 3219 Oklahoma Conservation Commission Cid [3220 Welfare Agen Sub-TolOTC CdS [3221 Ea Itevenion Ge) [3222 Bldercare SS [3223 Child Abuse Prevention SSCSC~*idS SCSCSCSCSCSid'S [2224 Adolescent Hea ae ———$] DBsTB-Sae | 3226 Other State Reimbursements Year Exemption ———SSSSSSSSC~d S$ Sri [3227 Other Og oF [3228 Other dS [Total =StateSourees SSCS 2,708 88 | | ‘Continued on page 2b ‘See Accountant's Report Monday, September 27, 2021 S.A.&1. Form 2631R97 Entity: Board. of County Health, Ottawa County, 58 7 --- OCR page 8 of 17 --- n - HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021 ESTIMATE OF NEEDS FOR 2021-2022 ad Page 2a BSED [—____—rmmacon nr | —over | unaror ensumve |____(ONDER)__—i| ESTIMATE [INCOME |" GOVERNING BOARD_|___EXCISE BOARD | a | = | S558 70 oh [scoff § [so cf $s rs es a 17 [x 0024 § ts ir [S009 $s a PR fs 90.009 § ts Se a eS 50009 § is [S000 me S008 $s [ss el § fs i A) | a | | | ee eS es [ss 009f ss hs (2) | RE Ee | FE Ge fs 009 § ss [S000 § ts es 009 $s oh [S009 $s Bs 0009 ss oh [S009 $s r | | |S | | ee (| || [ss |e § i i a a Ce (ES Ge A PR Ge [SI 500090 § ss fs 50000 $3 [f= on [SS 900008 $s ht a Pfs nts hh [S009 § t's 0009 § ts Pf 0.009 Y's [$0009 § ts [S009 § ts a [sasear | ooedf sf ¢§ — ? [S50 009 § i rf | i sg i [Sees CS CCCSC™C™~CSCS*dYCSC(N#SNNNNNNNNNNW. -_ Js—SS—CSCS7;3;=& S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Monday, September 27, 2021 --- OCR page 9 of 17 --- " HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021 ESTIMATE OF NEEDS FOR 2021-2022 = EXHIBIT "E" 2b SOURCE = Continued from page 2a [4000 INTERGOVERNMENTAL REVENUES -FEDERALSOURCES: | [4111 Federal Grants SS Sm [4112 Federal Payments in Lieu ofTaxRevenues CS SS [4113 Bureau ofLand Management SC OSC [4114 Adolescent Health=Federal SS dm [4115 Women infantsand Children SO SC CY [4116 Maternity Care (Medicaid) SC SC CS |4u7BPSDT (Medicaid) STC Cd Cd | 4118 Family Planning (Medicaid) dS SC CS [4119 Early Intervention(Federal) CSCC «CdS CC ~*d [4120 Oklshoma Dept. of Environmental Quality (Federal) SC SS Cid ~ [4121 STD Program (Federal) C~dYCSSC NCCC CdS C~*~CS*=*d [4122 Ryan-White Progam CS CCC CdS CCC*Y [4123 Immunization Action Plan CdS TCC dS C—~*Y [4124 Direct Observed Therapy dS CdS id [4125 SummerFood Service SCCCSC*dS CCC CSS CSS~*™d [4126 Other= OT C™C™CS CTC CdS SY [4127 Other SC «dS Ee fe | [fS | ____Towl Federal Sowoes CdS CCC CdS OCCCS=*@*Y |_Grand Total Intergoverumental Revenues YS dS re] [5000 MISCELLANEOUS REVENUE: SY [5111 Ioerest on Investments dS CC*dS SSCS [5112 Insurance Recoveries CdS CCC «dS SSCS |5113 insurance Reimbursements CdS CC CdS Cd [sti4Copies dS SY CF"n [5115 Retum Check Charges CdS CC CdS CSS | 5116 Utity Reimbursements Sd [5117 Other Refunds and Reimbursements «dS SSCS SCS~« SY | 5118 Resale Property Fund Distibution YS CSC —*Y |5119 Sale ofPropety dS SCSCSdS [2120 Sue of Egupment ss [5121 Vending Machine Commissions CdS CSCS «dS [5122 Other Concessions dS dS eS CS ie [$124 Record Search Fee dS Sd [5125 Car SeatSales CdS CC*idS SY a eS eT | 5127 Salvage Sales OS [5128 ProjectWomen Cid SS [5129 Community Care-HMO dS] = [5130 Otmer-Donations dS SS SdS 300] " [$131 Other dt gs FT [5132 Other dS ts | _Total Miscellaneous Revenue id a. | 7 [6000 NON-REVENUE RECEIPTS: 0 [6111 Contributions fom Other Funds CdS SC~=*dtS a | 7 [__Grand Total Health Fund id «dS 80987] S.A.&I. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Monday, September 27, 2021 7 --- OCR page 10 of 17 --- r HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021 ESTIMATE OF NEEDS FOR 2021-2022 r Page 2b BASIS AND F [| oveR |) uimmror ensuma r [_____(ONDER) | ESTIMATE (NN | mp [SS 0009 Sg r ps 0.000 sf [SL s0.0094f § Ts is | | RE | r [gS p00 09 $s [s_0 009 $s ps 90.009 § ss [ a (a ps 0.000 $s fs fs 90.002 $s pfs 000 § ts r fs 90.0008 $s js 90.0024 sss a | EY S| SS S| r 0 (CS | ps 90.0008 gs fs 90.0076 $s r [se 90.0096 Ss SE | ES Ef [s_8,105.56)[ Ss Sd |S NS | | [ [so 90:002f sg (S002 § fs 90.0096 sg Cf 009 §- [so 90.0 026g ss mp pS 50.0 00g sss Pfs te § fs [sf § fs is fs 90.0078 Sg r LE) EE (Ron |e BS 0009 § ps [S002 § 8 f ps 500098 Sg Ce rn ps 90.0096 gs fs 90.0076 Ss r a | 1 a fs 0.0024 § ss [Ss 90008) $f ts ia [so 32.50 00% Ss fs 90.0099 ss [S009 § ps ts r [SRA CdS TCCTCC*~dUCSC SN SCCC~C~CSC*iY‘CSN' SSCS iY eS (| | a oh | | | | t [$770 SCC CdS C™C~—“S*dUCSSC CC*~S*Y S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report ‘Monday, September 27, 2021 --- OCR page 11 of 17 --- HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021 ESTIMATE OF NEEDS FOR 2021-2022 = EXHIBIT "E" u - [so js ™ ce [ss o [se - {ss * c e [TOTAL . [so [ss = = “ [ss [ss = [s | = ! [sy = ‘S.A.&1. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 See Accountant's Report Monday, September 27, 2021 | --- OCR page 12 of 17 --- HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021 ESTIMATE OF NEEDS FOR 2021-2022 r ras Schedule 5, (Continued) 2019-2020 2018-2019, 2017-2018 2016-2017 2015-2016 2014-2015, TOTAL r S__2edz791 [ss ss dS SSS aaa] $__233,40860[[§ [ss ss 233 08 60 [sss ss fs [s__sogisziis SS - <sis SC Sd SCY a es fs ss ss Ys 280,059.68 [sss ss 8,798.70 r [ss ss ts SSS 20,330.63 pss ss sss [ss sss [sss sss 593,416.92 c Ss 4i7a6aays gs ss js ss ss ss [sss ss c is_ s ss sd fs fs [ss ss sss [ss sss 29,365.46 ES Ee ES FF | SS Ee ES (FS | r $__20,330.63][$ SS Schedule 6, (Continued 2020-2021 2019-2020 2018-2019 2017-2018 2016-2017 2015-2016 2014-2015 c is_ = 13,552.15] SS ss $___ 155,312.86 || $ 29o09s[s_ = ss gs $__155,312.86|[$___42,653.10|[s_ = TS dS dS dS r [s_136,03401[$ aiaeaa[s ss - ~Sdi[SC CdS C- CdSC CdS Sd ES Ce FS Fe ES | Ce js = go666f| Ss ss $ 42,653.10|/$ = iS SS [s___toz7eass SS SS [ Tnvestments Barred Investments r INVESTED IN on Hand Since By Collections by on Hand June 30, 2020 Purchased of Cost Premium Court Order _||_June 30, 2021 fs fs ss [sss ss a Fe | |e |S [ss sss SS | | |S | r a | | a | ES | ES | | | | r ES | | | | a |S EE (OTALINVESTMENTY $= [SSS r S.A.41, Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Monday, September 27, 2021 --- OCR page 13 of 17 --- o HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021 ESTIMATE OF NEEDS FOR 2021-2022 Ld EXHIBIT “E" 4 ‘Schedule 8(a), Report Of Prior Year's Expenditures PT FISCAL YEAR ENDING JUNE 30, 2020 es DEPARTMENTS OF GOVERNMENT RESERVES BALANCE ‘APPROPRIATED ACCOUNTS 6-30-2020 SINCE LAPSED PT issep [appropriations [| - a OO [92 COUNTY HEALTH BUDGET ACCOUNT: a $32,662.10 $___ 6,786.92] $_ 96,000.00 a $ so7ol[s = s 20,000.00 $ 3,136.07 || $ 1,379.29|[$_ 113,888.64 [sss 258,495.76] om a ee ee FS S| S| paother- Ss Ss S2Tow C*dS «37207168 29,100.95 8 8,166.21 ]| $_ 488,384.40 aS eS | | | | a [ss sss 93d Maintenance and Operation [ss ss = [ss [sss Se 3gOther= fs ss sd an Other a eS | | c [ss ss [94b Part Time Help [ss sss PéeTravel dS SC dS [ss [ss ss [ss ss EF [ss ss es es 98 OTHER USES: a | a | | . 98 Total ee ee a - TOTAL GENERAL FUND ACCOUNT $__37,267.16]|$ 29,100.95] $ 8,166.21 || $ 488,384.40 7 SUBJECT TO WARRANT ISSUE: [t—CisSCY [s__| GRAND TOTAL GENERAL FUND. $488,384.40 7 ESTIMATE OF NEEDS FOR THE FISCAL YEAR 4 Pro rata share of County Assessor's Budget as determined by County Excise Board 7 GRAND TOTAL - General Fund S.A.&1 Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘See Accountant's Report Monday, September 27, 2021 7 --- OCR page 14 of 17 --- HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021 ESTIMATE OF NEEDS FOR 2021-2022 Page 4 Governmental Budget Accounts, r FISCAL, YEAR ENDING JUNE 30, 2021 FISCAL YEAR 2021-2022 ~ [Tver amount | Warrants NEEDS AS _[ APPROVED BY SUPPLEMENTAL [or | issued | —S—s*(|_-—=séBALANCE [ESTIMATED BY r ADJUSTMENTS Jappropriavions| | KNOWN TO BE _ (abpeD Teancenmep> Td fuencumpercn] poarD [| a | | (|| r [s_ = [ss 96,000.00 $100,000.00 ||'s 100,000.00 ~ | s 15000.00]s - [ls 35,000.00|[s _i7177.39||/s 4.669.80]]$ —_13.15281]|$ 20,000.00] 20,000.00 TS 5.391.20]/s —-_—iLS 119.279.8415 93,180.00] S 6,971.66] $ —_19.128.18]]$ 118,000.00 || $100,000.00 r aa Ts 15,000.00||$ 243,495.76]/3 _ 1is1.oolls ss - —‘+$ 242,304.76 $ 362,000.00] $ 387,160.78 | L [s = is ss ss Is - fs is ss ss is [ [Is - is is Ts ee ee $20,391.20] $ 15,000.00 $155,312.86] $ _29,36546|1$ 309,097.28 |[$ 600,000.00] $ 607,160.78 | | | NS | | r [is - Is - is ss sss a (Ce |S |S |S | ES (|r [s_ =| is - Is ts ss se r is Iss [ss - ‘Js - Is dis ee |S SR |S |S SE [sss sss [s = js ts is es es ~ ls is ts sss sd . ( is - iis = ts [so ts ss _ fs. ss sss [s_ = Is - Is - ss ss e is - ls > [fs ss sss [s- Is - Is - fis fs ss <i s ss s s s «9 |s_- Is - [sss es ss [Is is ts [sts ss - (ss ss rE | . [ee a is -|s - Is fs ss [s =| ee aE |S | na |S a | | | " S__20,301.20|[ $15,000.00 S__29,365.46|| § 309,097.28 |[$ 600,000.00|| $ 607,160.78 — 2 es [ss] [ss , _ (S_RsaLIO |S Ts oo OOS 495.775.60][S 155,512.86] S_— 29.365.46][S 309,097.28 [S$ __600.000.00][ $607,160.78 TT erds by County [| Governing Board [Excise Board | NT 592,000.00 $602,732.17 . {8,000.00 [8 | a CO 2 LS 600,000.00 [$607,160.78 'S.A.&l. Form 2631R97 Entity: Board of County Ifealth, Ottawa County, 58 See Accountant's Report Thursday, September 30. 2021 5 --- OCR page 15 of 17 --- 1 peaibit¥ Page 1 CERTIFICATE OF EXCISE BOARD ESTIMATE OF NEEDS FOR 2021-2022 ] ] COUNTY OF OTTAWA, STATE OF OKLAHOMA ! ., 5 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. | 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 |] 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 || 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 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 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 t S.A.&I. Form 2631R97 Entity: Board of County Health, Ottawa County, 58 ‘Monday, September 27, 2021 5 n --- OCR page 16 of 17 --- CERTIFICATE OF EXCISE BOARD ' ESTIMATE OF NEEDS FOR 2021-2022 seca a : ——— Trealth Sinking Fund [County Exeise Board's Appropriation a (ec ieee lof Income and Revenue CORO IG : |Appropriation Approved & Provision Made 2 NOT S —— Excess of Assets Over Liabilities S$ __346,661.53 A - [Unclaimed Protest Tax Refunds [se : - [Miscellaneous Estimated Revenues see 3 - Est. Value of Surplus Tax in Process [sh - = Sinking Fund Contributions [st 2 Surplus Building Fund Cash = ‘otal Other Than 2020 Tax. S__ 346,661.53 || S : 2 een 2 E [Fotal Required for 2020 Tax S_ 286,549.18 |] $ : Rate or Levy Required and CoReT eR) rr We further certify thatthe net assessed valuation ofthe Property, subject to ad valorem taxes, after the amount ofall Homestead Exemptions have been deducted in the said County as finally equalized and certified by the State Board of Equalization for the current year 2021-2022 is as follows: [VALUATION Al LEVIES EX: JDING HOMESTEADS. City fo Real on ff Personals] BubRoservies =| ota $ 126,996,101.00 ][ $ 26,349,791.00 || $_32,725,001.00 |[ $_186,070,893.00 and that the assessed valuations herein certified have been used in computing the rates of mill levies and the proceeds thereof appropriated as aforesaid: an 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; eeeeSSSSSSSSSSSSSSSSSSSSSsSsSSSSSSSSSSSSSSSSSS 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 Mis; 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; SSS 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 2022 without regard to any protest that may be filed against any levies, as required by 68 O. S. 1991, Section 2869 sp ct - Dated at eS", Oklahoma, thisdS day of _(— ct-eae 2021. cise Boardf ember LAR Se Board Chairman Va \ QD la Nn 0 ' : Re ox Pas n | Wikis \ \ Excise Board Member i 5 3 Extise Board Secretary S.A.&, Form 2631R97 Entity: Board of County Health, Ottawa Calntysi5® See Accountant's Report Sunday, August 08, 2021 --- OCR page 17 of 17 --- r OTTAWA COUNTY, 58 STATISTICAL DATA T FISCAL YEAR 2020-2021 7 Total Valuation f Total Gross Valuation Real Property $ 135,124,444.00 Total Homestead Exemption $ 8,128,343.00 [ Total Real Property $ — 126,996,101.00 t Total Personal Property $ 26,349,791.00 r Total Public Service Property $ 32,725,001.00 Total Valuation of Property $___ 186,070,893.00 r t r See Accountant's Report