--- OCR page 1 of 21 --- : LBD if State 4, 9 2018 “dior & Ingo, r eCtor EMERGENCY MEDICAL SERVICE BOARD 2018-2019 ESTIMATE OF NEEDS, AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2017-2018 EMERGENCY MEDICAL SERVICE BOARD THE COUNTY OF OTTAWA STATE OF OKLAHOMA r Two copies of this Financial Statement and Estimate of Needs should be filed with the County Clerk not later than August 17 I 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 afier date of filing. THE 2018-2019 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2017-2018 PREPARED BY Tumer & Associates, PLC SUBMITTED TO THE OTTAWA COUNTY | EXCISE BOARD THIS (S™-pay oF (\ a Voc 2018 S EMERGENCY MEDICAL SERVICE BOARD = : 2 Chairman BA iendal Member is . Maser il Gon t{— Member _\., - Member ; f L Member a Clerk in RA S.A.€l. Form 268BR98 Entity: Ottawa EMS Board, 33 ‘See Accountant's Report ‘Monday, October 22, 2018 --- OCR page 2 of 21 --- i ™ EMERGENCY MEDICAL SERVICE BOARD OF OTTAWA COUNTY 2018-2019 7 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2017-2018 7 | INDEX tters and Certifications: Page 7 Affidavit of Publication nnn tease 2 - TR } Certificate of Excise Board ntenmntntinnmnnninnmnnnmnnnmeninninnnnnnnnnnnnnnmem Exhibit "¥"- Page 1 7 [Exhibits: Filed Exhibit "E" Emergency Medical Fund “netnnmnnninnnamnnnnininmnnnintininminnnnnimnnmnnmnennnnnnnnnnnnen XS al Exhibit "G" Sinking Fund tmtamnnnninniinnininnnnmninninnnnnnininnnenninnnmnnmnnnnnmennnnunnnn NO. Exhibit "J" Capital Project nn.) Exhibit "Y" Certificate of Excise Board Estimate of Needs i asmmmmnnunanen OS al Publication Sheet Filed With County Budget -ttnenttnennmmnemennaentintinnnmnminennnnnnnnnenmmnsemenimnnnn NO Exhibit "2" Publication Sheet a amnnntstiinntinitinnnnnminiinnen YES " ‘S.A. Form 268BR98 Entiy: Otawa EMS Board, 8 ~~~*SeeAccountant'sReport TTT Monon Ontober Da 2018 4 --- OCR page 3 of 21 --- Page | EMERGENCY MEDICAL SERVICE BOARD. OF OTTAWA COUNTY cE 2018-2019 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE od FISCAL YEAR 2017-2018 OTTAWA COUNTY, EMERGENCY MEDICAL SERVICE BOARD 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 Emergency Medical Service Board, County of Ottawa , State of Oklahoma, for the fiscal year beginning July 1, 2017 and ending June 30, 2018, together with an itemized statement of the estimated needs thereof for the fiscal year beginning July 1, 2018 and ending June 30, 2019. The same have been prepared in conformity to Statute, in relation to which be it further noted that; 1. We, the members of the Emergency Medical Service Board 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 Emergency Medical Service Board for the fiscal year ending June 30, 2018, that said statements comprise a "full and accurate statement of the assessments, receipts and expenditures of ol 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, 2018 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, ~ 2018 and ending June 30, 2019 as shown under "Schedule 8" were prepared and filed with the Emergency Medical Service Board as of the first Monday in July 2018, 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, 2018. Dated at the office of the County Clerk, at Miami, Oklahoma, this C7. day of NWERVEET _ ois, f es Ya rte Chairman Member Gs. Le 4 Gn ) Mémber mbe a y Member Member . Zz 7%, Tk . Filed this___ day of , 2018 Secretary and Clerk of Excise Board, Ottawa County, Oklahoma. S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Monday, October 22, 2018 --- OCR page 4 of 21 --- Page 2 7 PARE 2 i Independent Accountant's Compilation Report 7 Honorable Emergency Medical Service Board = Ottawa County 7 Management is responsible for the 2017-2018 financial statements as of and for the fiscal year ended June 30, 2018 and co the 2018-2019 Estimate of Needs (SA&I Form 2631R97) and Publication Sheet (SA&I Form 2631R97, Exhibit "Z") for \ Miami EMS, 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, ” 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 19 OS § 1722 as promulgated by 19 OS § 1708-1721 and are not intended to be a complete presentation of the assets and liabilities of Ottawa County. or This report is intended solely for the information and use of management of Miami EMS, Ottawa County, Oklahoma, 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. ne = = = Tumer & Associates, PLC _ 5 Tener. ¢ Associates, PLE = October 22, 2018 — S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 58 Monday, October 22, 2018 = = --- OCR page 5 of 21 --- S.A. BI. NO, 2633 (2009) current sal yar 2018-2019 - Date Cetiod Taxable Your 2018 Valuation OTTAWA COUNTY TAX LEVIES 2018-2019 ee Ee sooo wean] common Bulling | Sang || cererat | Bullng uwrror taxation | _ ost fund_|_ Fund | une | Fond] runt_| Fund [rivncoe | ot | t0.24[ o.00[ tsa] tg pa [see] s.2i[ sei] 40.26] 7.02 [rurtayrors | e410 || toza| ooo] 45a] aaa] | 3.07|| 36.8] 6.27] 867], t0.24 4.02) fouerw |e tozal 0.00] asa] ato a.o7]as.7a] sta] o.oo} tozal 4.09) [commerce | _r® _||__t02a| oo0[ tal anol .ar]|asisel 5.08 a5.zo|t0.26|a.02]| 96.29] fuentes tz] oo0f a se[ aso .orff azo sto] aval t0.24| 4.02] 02.65] faron ‘| tae || o2aj ooo] asa ato .0r]| 36.00] ssl oof so.za| 02] 71.44) [-to24 ooo asal ato] 3.07] a6.c4| sts] 10.08) t0.24| 4.02.45] a SR CS eee | [taza oof asa[ ato aca as.a6| S07] eel 0.24] 4.02) a9.t2) SS | | | CO | a A | | | a A | | | CO | a | a a a SH | | S| * Common Fund - 4 Mill Levy County Wide Levy for Schools ** Vo-Tech # 11 - Northeast Technology Center - Burns Flat, Mayes Co, ‘State of Oklahoma ) )ss. County of |) Spt Clerk for Ottawa County, Oklahoma, do hereby certify that the above levies are true and correct for the taxable year 2018. Witness my hand an@seal this: LEP® (a i 3(0rs lL al Sen Ottawa County Clerk WA * Mas hl en ZF ase eee --- OCR page 6 of 21 --- HEALTH FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2017, to JUNE 30, 2018 ESTIMATE OF NEEDS FOR 2018-2019 ——_—_—__— Page 4 | Governmental Budget Accounts | FISCAL YEAR ENDING JUNE 30, 2018 FISCAL YEAR 2018-2019 ! | —__T ner amount] WARRANTS | RESERVES | LAPSED | NEEDS AS | APPRovED BY | surptementaL [or | issuep [| _ BALANCE [BSriMatep By| county __| ADJUSTMENTS [ppRopriaTion| | —«d KNOWN TOBE] GOVERNING [EXCISE BOARD] CANCELLED] C*NENCUMBERET BOARD | i \ S| | [ss |s__ 41930] [ss | [ss ss [s [ss $_ 35,000.00|[$ 25,000.00 | $1546820l[$ -—sWTS 165,468.20] $ 88,251.97] $s 4,955.35 [ss = 's 108,756.73 [Ss 13.70000 ffs Is 95,056.73 | [s_- | [sss [ss [s_ [ss a30066 [5 as0066's ss a 000.00]s 4074.62 es ee es is =| |s ES (|S SS $15,468.20|[$ si S520,525.59|[$ 311,324.31 $188,372.93 [$650,000.00 a | (| | — [ss ss sss Is [s | js ts ss [se ss ss es es [ss es ss es [ss sss ss ss [s =| [sss ss [s =| ——- — [soe iss ss ——— R—— 3 a EE | SS | | a | | | a | SNE oo [ss ss [js Is - Is - |s - Is fs is ss [s_- |s - ls - [js - is is ss Is_- ls - fs - [fs - Is fs is is [s_ | es ee ee [Is - ils - |s_- Ts [s_-| i [s-|s -s - |s - Is - ~‘|js ss [s [s = [fs _-| [s- [js - is ts [sss is_- |s - Is fs ts a a mz [sts Sd ES eee a | ee [ss ss [s =| k—— [s__- [Is - Is - ~is = ts sd a SS SS [s__- Is soosasso|[S siLs2031][S _20,82835|[S 188,372.93 ][$ 650,000.00] $469,533.04] a Deets by County | | Governing Board | Excise Board J | Ts 8,000.00 [4,074.62 So, 000.00 TS 4855.05} 'S.A-&1. Form 2631R97 Entity: Ottawa County, 58 ‘See Accountant's Report Tuesday, October 23, 2018 --- OCR page 7 of 21 --- r _ Page 3 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, 2018, and the estimated needs and the estimated income from sources other than ad valorem taxes, for the fiscal year beginning July 1, 2018 and ending June 30, 2019 published in one issue of the r 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. | [ County Clerk Subscribed and swom to before me this__day of. 2018. r ‘Notary Public My Commission Expires r $.A.&1, Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report _ ‘Monday, October 22, 2018 --- OCR page 8 of 21 --- c EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2017, to JUNE 30, 2018 ESTIMATE OF NEEDS FOR 2018-2019 EXHIBIT "E" PAGE 1 r BAA ee | ESS. Ls sears r ‘aes [investments CC™~—“—S*SSSOSCOCCCC“(NWSNNNNNC“C&SCSSC“#NNN’'C“d«CS*=CSS [_____TOTAL ASSETS O—OCOCC#C#@d P [LIABILITIES AND RESERVES: is | [ss r L [so | r Pr a | CT = a : a r [| a [| Pr $ 786,533.97 = [sO c rs [sf Ld P ‘ F L ADDITIONS; f r [Warrants Estopped, Cancelled orConveted Estopped, Cancelled or Converted | [st iso r TESS EDUCTIONS! [ Pr r LT a r S.A.&1. Form 268BR98 Entity: Otawa EMS Board, 58 ‘See Accountant's Report Monday, October 22, 2018 --- OCR page 9 of 21 --- >. i EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2017, to JUNE 30, 2018 ESTIMATE OF NEEDS FOR 2018-2019 EXHIBIT "E" ra | Schedule 4, Miscellaneous Revenue } 2017-2018 ACCOUNT [amount [ACTUALLY _| ) ESTIMATED __| COLLECTED __| 1000 CHARGES FOR SERVICES es [1118 Other OOOSOSSOSCSSC [s_ 7 Total Charges For Services es INTERGOVERNMENTAL REVENUE eS es 2000 INTERGOVERNMENTAL REVENUE - LOCAL SOURCES: es ‘ 2111 Local Contributions es 2112 Local Governmental Reimbursements [ss |2113 Local Payments in Liew of TaxRevenue SSS Is 2114 Other - Protest Tax [ss 2118 Other - es [2124 Other = Ss Total - Local Sources es er 7 3000 INTERGOVERNMENTAL REVENUES - STATE SOURCES: es 3111 County Sales Tax - OTC {es =] 7 Sub-Total - OTC ee 321] State Grants es 3212 State Payments in Liew of Tax Revenue es 3213 Homestead Exemption Reimbursement es 3214 Additional Homestead Exemption Reimbursement es 3215 Other - 5 year exempt es 7] EN a | | | [3217 Other CdS SY [3219 Other OCOCOCOCOCC*diS SCSCSidS OS 7 [3220 Other = dS [3221 Other = fs fs Cn [3222 Other = ss 7 [3223 Other ss [3224 Other Sd [3225 Other C~dS TC CS CY Total - State Sources ee 5 741.65 1 ‘Continued on page 2b ‘See Accountant's Report Monday, October 22, 2018 S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 7 --- OCR page 10 of 21 --- c EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2017, to JUNE 30, 2018 ESTIMATE OF NEEDS FOR 2018-2019 r Page 2a Pe EE BASIS AND m if ESTIMATE I (a | | | [S90 00% Ss r [so 90.00%f sss eS [sO 90.009¢f $s Pr [sO 90.0024f $f OSOS—SSS Gi er | Don a | ps 0.007 Ss r ps s0.009f $s [s_ 90.00%4f Ss fs ps 900008 Ss r fs 90000 Ss js 0.009f $s [sO s0.00%f sss r GE ES | | A) [SS os | | | eg A | | | [ [so 009 3s ps 90.008¢f $s r fs 90.009 ss gs [s_ s0.009df ss tS [sO 90.0024f $s fs [so 90.007 SS ts r ps 90.00% ss ig ps 90.0024 $s ts ps 90.009 Ss is ps 90.0088 3g cr ps 90.0086 $s gs rt [sO 0.00ns es ps 90.0094f § so c HES Gr | a | 0 m [saan es [009d ss i Pr ps 50.002 ss tg es ps 90.003 S's ps 90.0024 ss r a a ps 90.009 $s ps 90.0028 $s r ps 80.0058 $s oh a 0 a a r ps 90.0091 ss Sr S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 22, 2018 --- OCR page 11 of 21 --- 4 EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2017, to JUNE 30, 2018 ESTIMATE OF NEEDS FOR 2018-2019 EXHIBIT "E" 2 7 = ae, Continued from page 2a [ESTIMATED | _ COLLECTED _| [4000 INTERGOVERNMENTAL REVENUES - FEDERAL SOURCES: | aa (SS CS [4112 Reimbursement=Federal dS ! | 4113 Federal Payments in Liew ofTaxRevenue—SSSSCid'S SSS] [4114 Other = [4115 Other tS | [4116 Others os [4107 Others I [4118 Other 7 [4119 Other = 8 [4120 Other [4121 Other fs ss 7 [4122 Other ss [4123 Other 8 fog [4125 Other [4126 Other = ss [4127 Other ts [4128 Other Ss 7 |____Total Federal Sources dS iS [5000 MISCELLANEOUSREVENUE: PY 7 [StL intereston investments dS SS a] [5112 Rental or Lease ofPropery dS CCCidS SY [5113 SaleofPropery SSCSC~“S*S*~‘“~*“C*~S*S*SY es eee 7 [5114 Subscription Sales (Memberships) Sid SSCSCSC—«*did ZS [s1iSinsuranceRecoveries dS SCOCCidS SY [5116 Insurance Reimbursement dS CdS | 5117 Retum Check Charges dS «dS C—S* 1 [$118 Utility Reimbursements SS [5119 Vending Machine Commissions CdS Cd CTCOCS*dEF7 ER JS || 7 [5121 Other [$122 Others dS [5123 Others 7 [5124 Others ss [5125 Other dS i [5126 Omer SS a [$127 Other dS [$128 Other Ts tS [5130 Other | [5131 Other Ss [$132 Omer Ss [S000 NON-REVENUE RECEIPTS: YS ee a | | [____ Grand Total Emergency Medical Fund id | | S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Monday, October 22, 2018 a --- OCR page 12 of 21 --- r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2017, to JUNE 30, 2018 ESTIMATE OF NEEDS FOR 2018-2019 r Page 2b J BASIS AND A LIMIT OF ENSUING r ESTIMATE [___INCOME | GOVERNING BOARD | ___EXCISE BOARD _| | (| | [ss 008 8S r [sO 90.002 $s ps 0 009 $s = SS 0.002 3 Ss r ps0 009 $s [sp 002f $s Ss ps 0.002 $s r ps s0.002df 8S ps 0.002 $s fs 0 002 $s mS 0001's TS r ps 0.00943 os ts ps 0.002 ss [ss 000d $s r ps 0.002 § ts ps 0.0024 § ts [SS 90.009 § ts r ps 90.0096 § sh [ss [S65 |S ee | c ps 1293 [0d § ts [sg 0.0 09 $s po SS 0 002d $s r a TC ps 0 002 $s oh > | Sn er Gee eH i [SE 90.009f 8 fs 900096 § ts a Ce r a 0 $s 0.0094 $s oh pS 90009 § ps r ps 0.0094 § L EE Ee fs 0 00gf'§ J r= a 7 r a |) pS 002 $f $0009 sg r }$_—_ 50.003 ss ps 0009 $s ps 5009 $s hh r [$a | a [$s oh | | if (s__ ns S.A.&1. Form 268BR98 Entity: Ottawa EMS. Board, 58 See Accountant's Report Monday, October 22, 2018 --- OCR page 13 of 21 --- EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2017, to JUNE 30, 2018 7 ESTIMATE OF NEEDS FOR 2018-2019 EXHIBIT "E" 3 7 (sd a i 7 [Is | . al [s 7 |S eae || [ss [s ™ [gs [s 7 : a ! [TOTAL 7 [sn | [ss es | [__BALANCE WARRANTS OUTSTANDING JUNE 30,2018 SY 7 a es [ss | } [ss = a : [s_ | S.A.&I. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 22, 2018 7 4 4 --- OCR page 14 of 21 --- r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2017, to JUNE 30, 2018 ESTIMATE OF NEEDS FOR 2018-2019 qf Page 3 Schedule 5, (Continued) 2016-2017 2015-2016 2014-2015 2013-2014 2012-2013 2011-2012 TOTAL ta S__368,455.96][§ ss ss dS 368,455.96 r $ 307105968 SS ts ts] ort [sss sss Ys 390710556 §__sissooo[s ss sss 368145596 r S__ze37.53|[s ss ss Ds a8 556.93 a CS 871.08 . a | | 12,837.53 [sts ss ss is [ $___12.837.53f[s sss ss ange S__maig7sai[s ss sss 860,721.50 r S$ 61350.00|[s gs ss ss saz 12704 $__61,350.00][§_ fs ss ss Sania r $__12,837.53[$ = SSS 8 59446 [sss a | SC SC r | | SC r RS CS CS CS ES | Se EE ES SF S| S__12,837.53|[s sss SCS 906 c Schedule 6, (Continued) 2017-2018 2016-2017 2015-2016 2014-2015 2013-2014 2012-2013 2011-2012 r [ss 6issoo0|[s ss ss s_asa77oaffs ss sss $_480.777.04]1 $__61,350.00][$_ SSS r $___480,777.04][s__61,3s0.00f[s ts Ss ES | SS FS ES SS ES | (CS (FS SE S| ™ ES Ee (CS | r $_480,777.04][$_61,350.00][$_ = [s_ = S Ss a ES | ES ES ES c Schedule 9, Emergency Medical Fund Investments Investments LIQUIDATIONS Barred Investments INVESTED IN on Hand Since By Collections Amortized by on Hand June 30, 2017 Purchased of Cost Premium Court Order June 30, 2018 Welch StateBank [sts ss gs Fr pg ss ss r a ES | eS CS (CSP CS (SS SS : Joss sss Ss if eS ee | [sss r eS CE (CE |S [fs ss ss OTAL INVESTMENT $= SSS sd r S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 22, 2018 --- OCR page 15 of 21 --- } EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2017, to JUNE 30, 2018 ESTIMATE OF NEEDS FOR 2018-2019 EXHIBIT "E" 4 | ‘Schedule 8(a), Report Of Prior Years Expenditures jC s—“‘“‘(‘CSSNCOC*#*#C#C#C*C‘C;C‘*S FISCAL YEAR ENDING JUNE 30, 2017 [CdS DEPARTMENTS OF GOVERNMENT RESERVES BALANCE ORIGINAL 7 APPROPRIATED ACCOUNTS 6-30-2017 SINCE LAPSED | APPROPRIATIONS [TT issuzp—[arrropiarions| a SS | 92 EMERGENCY MEDICAL BUDGET ACCOUNT: a | 7 [92a Personal Services [ss ss 1,500.00 [92 Part Time Help [ss ss FS | Sa | al [92d Maintenance and Operation a [ss sss P2gRevaluation CdS CCC «CdS SCSCSCSCSS*idCS SSS 3573.40 - B2iOther= is ss [sd pa Towl SS tS rr . a | | a 93a Personal Services a es es 5 93b Part Time Help [ss ss 93d Maintenance and Operation [ss ss 4 93e Capital Outla [s_ sss 936 Intergovernmental [ss ss 3h Others [ss 93 Total eS ES | | PS EMERGENCY MEDICAL AUDITBUDGET ACCOUNT: [EE I95a Salaries and Expense of Audit and Report a Fe 31,130.99 | = 95b Intergovernmental Ce 195d Other - a Sz Others [ss ss a A | SS KS SS ETA [98 OTHER USES: eS | | | 98a Other Deductions 98 Total [sts ss a | TOTAL GENERAL FUND ACCOUNT ES eS 2 ‘SUBJECT TO WARRANT ISSUE: ft i 99 Provision for Interest on Warrants [si GRAND TOTAL GENERAL FUND Cs EE 7 ESTIMATE OF NEEDS FOR THE FISCAL YEAR = PURPOSE: : Pro rata share of County Assessor's Budget as determined by County Excise Board 7 GRAND TOTAL - Emergency Medical Fund $.A.&l. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 22, 2018 = --- OCR page 16 of 21 --- c EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2017, to JUNE 30, 2018 ESTIMATE OF NEEDS FOR 2018-2019 Page 4 r Governmental Budget Accounts FISCAL YEAR ENDING JUNE 30, 2018 FISCAL YEAR 2018-2019 [| Neramounr | WARRANTS | RESERVES [LAPSED | NEEDS AS [APPROVED BY| r SUPPLEMENTAL [OF | ISSUED | ~—*«|_~=CéBALANCE _|ESTIMATEDB ADJUSTMENTS | appropriations | ———=|_——————*(| KNOWNTOBE| GOVERNING CANCELLED] | dT «(UNENCUMBERED BOARD | r a | ee s-1s00.00ffs = IIs 3,000.00|[s 1,s00.00|[s_ = $1,500.00 [s- Is is is ts ss is a [ laa is | $_ 413,100.00 $722,910.79 [so sss ss ss r [ses is ss sss [s9so160]/s = ([s 18,075.00 [s- |s 9so1eo|'s 6122.78 a a EE [sls 739,483.97 [s_- _[s__ 267,242.67 $_ 7253357 | NS | | 5 ffs gs sss i Pr SS ER [ [sss sss Ss r Ee Ge Le a) Hon [Fe a | | PF [js - | [is | [0 fs ess sss [ss91901's____-_| [s__-_| a oe 314.36 e ——- eS \ —— a ee [s786,533.97|[5__ 480,777.08 r ee $786,533.97 $480,704) $ _____- [8 305,756.95 [sss —— [S_38.255.46|[8 8 780335.97 |S ago, TT] r S__ 786,533.97 || $480,777.04 l ———— ee eC _— og et ; a a ———————— a eee Lo es r S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report ‘Monday, October 22,2018 --- OCR page 17 of 21 --- Exhibit “Y” Page| ; CERTIFICATE OF EXCISE BOARD r ESTIMATE OF NEEDS FOR 2018-2019 ie COUNTY OF OTTAWA, STATE OF OKLAHOMA 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 Emergency Medical Service Board, and those directly under, or in r contractual relationship with, the Emergency Medical Service Board; 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 r 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 {nso doing, we have diligently performed the duties imposed upon the Excise Board by 68 0.5. 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 cr 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 cach Fund to the several and specific purposes named in such estimates, by each, to the intent and purpose that CONSTITUTIONAL if GOVERNMENTAL FUNCTIONS shall be first assured and provided for, and subsequently to provide for Legislative Govemmental © |] 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 r Percentage and amount or reserve for delinquent tax as hereinafter set forth, which we have determined in the manner provided by law. r We further certify that we have examined the within statements of account and estimated needs or requirements of the Governing Board of 2017 County, in relation to the Sinking Fund or Funds thereof, and after finding the same correct or having caused the same to be corrected Plrsuant 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 r 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.&1. Form 268BR98 Entity: Ottawa EMS Board, 38 Monday, October 22, 2018 --- OCR page 18 of 21 --- CERTIFICATE OF EXCISE BOARD a ESTIMATE OF NEEDS FOR 2018-2019 =. Page 2 [County Excise Board's Appropriation EMS Sinking Fund || rincome and Revenue [$= [ss es [ss [sO T a [ss [Rete ofLevy Required and Certified GMM) Td | 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 2018-2019 is as follows: . (County Real Persona J.-P Senco Toa | 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: EMS Fund 3.07 Mills; Building Fund 0.00 Mills; Sinking Fund 0.00 Mills; Sub-Total 3.07 Mills; eee 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 3.07 Mills; sy County Wide Levy For Schools (4.00 Mills) 0.00 Mills; Total County Wide Levy 3.07 Mills; SS aera ncaa nne 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 2019 without regard to any protest that may be filed against any levies, as required by 68 O. S. 1991, Section 2869 Dated at (era. Oklahoma, thi SORay of_{ Nev a = - + 2018. = . dD | SET Frrte, SOOMAR } p Excise Bygrd ember Q (~ Excise Board Chairman an fe ‘% LU . Excise Board Member i xcise Board Secretary N\A 7 S.A.&1, Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 22, 2018 --- OCR page 19 of 21 --- r OTTAWA COUNTY, 58 STATISTICAL DATA r FISCAL YEAR 2017-2018 Total Valuation r Total Gross Valuation Real Property $ 122,420,43 1.00 r Total Homestead Exemption $ 8,143,943.00 Total Real Property $ 114,276,488.00 [ Total Personal Property $ 29,455,583.00 r Total Public Service Property $ 23,566,888.00 . Total Valuation of Property $__167,298,959.00 r See Accountant's Report --- OCR page 20 of 21 --- = EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET - OTTAWA COUNTY, OKLAHOMA FINANCIAL STATEMENT OF THE VARIUS PUNDS FOR THE FISCAL YEAR ENDING JUNE 30, 2018, AND ESTIMATE OF ‘NEEDS 7 FOR THE FISCAL YEAR ENDING JUNE 30, 2019, OF THE EMERGENCY MEDICAL SERVICE BOARD OF OTTAWA COUNTY, OKLAHOMA. EXHIBIT "Z" Page | ATEMENT OF FINANICAL CONDITION Com] §¢—<—<—<—<_$—_—— ne SSC—C~—i ASSETS: [veins [s- | L TOTAL ASSETS L$ 305,756.93 | [LIABILITIES AND RESERVES: = WewsOsmieg SSS Outstanding [s | ‘| [sO = [ss [ss [CASH FOND BALANCE (Dect) JUNE 30-2016 ar | ESTIMATED NEEDS FOR FISCAL YEAR ENDING JUNE 30, 2018 [so [$772,673.11 | [ss FINANCED a | ‘ [st [ss [ss [so eg fT ee | 7 js [se [ss [s_ | [ss [sm ps es js je [ss [ss [sd [so 7 fs - [ss [sd [so] [ss | hee |S [ss [ss [sO a | | a a | a | | a | = a | | ce | a | [s__ * [ Deduct, "| S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 Monday, October 22, 2018 } ‘ =“ - --- OCR page 21 of 21 --- _ EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET - OTTAWA COUNTY, OKLAHOMA FINANCIAL STATEMENT OF THE VARIUS FUNDS FOR THE FISCAL YEAR ENDING JUNE 30, 2018, AND ESTIMATE OF NEEDS FOR THE FISCAL YEAR ENDING JUNE 30, 2019, OF THE EMERGENCY MEDICAL SERVICE BOARD OF OTTAWA COUNTY, OKLAHOMA mm EXHIBIT "Z" FF* Trine 12 is Tess than line To after omitting "h” deduct the folowing ea each in tum from line 4, "Total Liquid Assets”. FUND 134. j. Unmatured Coupons Due 4-1-2019 [ss P |[4e.& Unmatured Bonds So Due a 15d. 1. Whatever Remains is for Exhibit KK Line E. [so - [Sie 17d, Less Cash Requirements for Current Fiscal Year in Excess of Cash on Hand (From Line 15d Above). LT 1) [Sa Remaining Deficit is for Exhibit KK Line F. [sd CERTIFICATE - GOVERNING BOARD [STATE OF OKLAHOMA, COUNTY OF OTTAWA, ss: We, the undersigned Emergency Medical Service Board of Ottawa County Oklahoma, do hereby certifythat at a meetingof the Emergency Medical [fF _ Service Board of the said County, begun at the time provided by law for Counties and pursuant to the provisions of 68 O. S. 1991 Sec. 3002, the foregoing statement was prepared and is a true and correct condition of the Financial Affairs of said Emergency Medical Board as reflected by the record of the Clerk and Treasurer. We further certify that the forgoing estimate for current expenses for the fiscal year beginning July 1, 2018, and =» _€niding June 30, 2019, as shown are reasonably necessary for the properconduct of the affairs of the said Emergency Medical Service Board, that the Estimated Income to be derived from sources other than ad valorem taxationdoes not exceed the lawfully authorized ration of the revenue derived from the same sources during the preceding fiscal year. Wi damnation Member Member Member Member Member gE] & Attest_“ iy * fe _Na Count} Clerk = Seal a r Horna cout Ye sf Se I " —— Subscribed and swom to before me this 20 day of June, 2018. a, NO Pale: Required to be published in a legally-qualified newspaper printed in the County, or one issue published in a legally qualified newspaper of general circulation in the County. S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 Monday, October 22, 2018 . .