--- OCR page 1 of 21 --- = 0c. Stare 5.28 20zo fate Auattor & Ing; sil Pector EMERGENCY MEDICAL SERVICE BOARD 2020-2021 - ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2019-2020 EMERGENCY MEDICAL SERVICE BOARD - THE COUNTY OF OTTAWA STATE OF OKLAHOMA - Two copies of this Financial Statement and Estimate of Needs shouldbe filed with the County Clerk not later than August 17 for all Counties. After approval by the Excise Board and the levies are made, both statements should be signed by the appropriate Board Members. One complete signed copy must be sent to the State Auditor and Inspector, Suite 106, 4200 N. =| Lincoln Blvd., Oklahoma City, OK 73105-3453. If publication may not be had by date required for filing, affidavit and proof of publication are required to be attached within five days after date of filing. ‘THE 2020-2021 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2019-2020 e PREPARED BY Turner & Associates, PLC - SUBMITTED TO THE OTTAWA COUNTY EXCISE BOARD THIS pay or_Oc toby £ 2020 - EMERGENCY MEDICAL SERVICE BOARD Chairman Member E Member Member a Menez} 5 Sf ( a. eo Member cD aa Pa Clerk w= iG) 1A | ‘S.A.&1 Form 268BR98 Entity: Ottawa EMS Board, 58; See Accountant's Report Wednesday, September 23, 2020 " = --- OCR page 2 of 21 --- = ' EMERGENCY MEDICAL SERVICE BOARD OF OTTAWA COUNTY . 2020-2021 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE ® FISCAL YEAR 2019-2020 c ® INDEX . [Letters and Certifications: Page i | : Affidavit of Publication umuinnsannnnntsninnnannannnsinittsees 2 o Accountant's Letter Soreeanttminnninemnntinntintiitiiunnnnetnnntinnnnnnmnmennnmmmmennnn 3 Cerificate OF cise Bod eennnnimee — BRADY Pagel |g hibits: Filed = Exhibit "E" Emergency Medical Fund ee.) Exhibit “G” Sinking Fund nnanntmninnininnnnnnnnnntntitniinnintinmmmniininnnmsnniummmunnen NO Exhibit "J" Capital Project Funds ttn, NO Exhibit "Y" Certificate of Excise Board Estimate of Needs Veg ™ Publication Sheet Filed With County Budget en 3) C Exhibit "2" Publication Sheet "sorreoanenataccnnanenenenannnennsenaneegnacennnnnesonnatsstaniananeenesunnnasenennssteesiestneseemuanstetgeeutnnaeanensnnnaneesenetegnngsnststaceeeevenenenneas Yes . . 3 S.A.&1, Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Wednesday, September 23, 2020 --- OCR page 3 of 21 --- - Page 1 EMERGENCY MEDICAL SERVICE BOARD OF » OTTAWA COUNTY 2020-2021 ESTIMATE OF NEEDS a AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2019-2020 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 ge fiscal condition of the Emergency Medical Service Board, County of Ottawa , State of Oklahoma, for the fiscal year beginning July 1, 2019 and ending June 30, 2020, together with an itemized statement of the estimated needs thereof for the fiscal year beginning July 1, 2020 and ending June 30, 2021. 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 ai ending June 30, 2020, 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, 2020 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, 2020 and ending June 30, 2021 as shown under "Schedule 8" were prepared and filed with the Emergency Medical Service Board as of the first Monday in July 2020, 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 a 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 hal same sources during the fiscal year ending June 30, 2020. Dated at the office of the County Clerk, at Miami, Oklahoma, this Va “day of QCICK< er _, 2020. Chai io Member K ZA ous y é I\i-, a ‘ 2 ember Methber) VJ a Filed this___day of, 2020 Secretary and Clerk of Excise Board, Ottawa County, Oklahoma. S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 Sce Accountant's Report Wednesday, September 23, 2020 e --- OCR page 4 of 21 --- 2 oo OD Page 2 m . Independent Accountant's Compilation Report Honorable Emergency Medical Service Board & Ottawa County Management is responsible for the 2019-2020 financial statements as of and for the fiscal year ended June 30, 2020 and ra the 2020-2021 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 § L 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. ® 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. 7 * re a Tumer & Associates, PLC — 5 Tuners Associates, PLE os ee ee September 23, 2020 ; * S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 Wednesday, September 23, 2020 | --- OCR page 5 of 21 --- = Page 3 AFFIDAVIT OF PUBLICATION STATE OF OKLAHOMA, COUNTY OF OTTAWA Personally appeared before me, the undersigned Notary Public, County Clerk of the County and State aforesaid, who being first duly sworn according to hy, deposes and says: That he/she complied with the law by having the financial statement for the fiscal year ending June 30, 2020, and the estimated needs and the estimated income from a sources other than ad valorem taxes, for the fiscal year beginning July 1, 2020 and ending June 30, 2021 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. Z. ae LO _ : le As > County Clerk WS an i ty oe) BONN) ad WEAN See? . Subscribed and sworn to before me this Sap or Oc dew r_, 2020. q ome q = My Commission Expires cts 6P2%, _ NATASHAL.M 4 +. Me NOTARY PUBLIG OKLAHOMA Nat OTTANACOUNTY RSE cone, NO. 18002629 EXP. 03-08-202 ~ = S.A.&l, Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report ‘Wednesday, September 23, 2020 --- OCR page 6 of 21 --- AFFP Ottawa County EMS Financial Affidavit of Publication STATE OF OK} ss COUNTY OF OTTAWA } , being duly sworn, says: That he is Jim Ellis of the Miami News Record, a daily newspaper of general circulation, printed and published in Miami, Ottawa County, OK; that the publication, a copy of which is attached hereto, was published in the said newspaper on the following dates: October 09, 2020 That said newspaper was regularly issued and circulated on those dates. SIGNED: in Elis Subscribed to and sworn to me this 9th day of October 2020. \ | /) 9 0 > KU Oa Kiso awe Rebecca Branham, Bookkeeper, Ottawa County, OK My commission expires: October 15, 2023 TEBECCA L BRANHAM Notary Public, State of Oklahoma Commission # 19010383 My Commission Expires 10-15-2023 00009335 00088436 BRENDA ELLIS MI-LG - Ottawa County EMS 4608 CAMELOT PL MIAMI, OK 74354 --- OCR page 7 of 21 --- EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHIEET - OTTAWA COUNTY, OKLAHOMA FINANCIAL STATEMENT OF THE VARIUS FUNDS FOR THE FISCAL YEAR ENDING JUNE 30, 020, AND ESTIMATE OF NEEDS FOR THE FISCAL YEAR ENDING JUNE 30,2021, OF THE EMERGENCY MEDICAL SERVICE BOARD OF : OTTAWA COUNTY, OKLAHOMA ExuIBiT-Z" = Past a = 5 0 UNE 30,2009 —o| Fee dg sats Balance June 30,2020 } s_ moasun — oa oS = + | rs Ol |; | [ieee fries on Waray fiserre From Setetles ESTIMATED NEEDS FOR FISCAL VEARENDINGIUNE SO 2000 (GERBER FoR YG ERERAL FORD —_—SINKING FUND BALANCE SHEET —[ REINO] EE CUO eo OV | fResene forint on Waren © Revaunon JS 7.75203 Legal invesments Properly Mat == [teal Reaieg Os 2 ademas Pada Revesby eck fs CC re a A a CR EE a — Conmisonson above 3] [psoo Lact Sores of Revemms $+ 0. Jodemers anda Lvied fovUapad —[s) a a ued Ines — es a "iS Acstnd on Usted Bon —| =, ic) = a | a Ee Assual Accra Fem BenbaE——['$ | a ST | an a a ee ee ———— Se = a a ————_ — —_ _ [Piss otis iy xt 1s} TRESS bay Gon SOT 7: Tin, ST EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET -OTTAWA COUNTY, OKLAHOMA FINANCIAL STATEMENT OF THE VARIUS FUNDS FOR THE FISCAL YEAR ENDING JUNE 3,202, AND ESTIMATE OF NEEDS {FOR THE FISCAL YEAR ENDING JUNE 30,2121, OF THE EMERGENCY MEDICAL SERVICE BOARD OF [OTTAWA COUNTY, OKLAHOMA EXOUBIT 2 TT Tine savas ee Toe ootag WaT a] ech intr fom ie "Tol Ligid AS, Jj | Pir tlerart ocaBeetiagt — EZ [2k Unreal Doe — eo a, Fe [rractess ish Requrenents fo Coren Fal Var Excasaf Cok onFand (om Lis SAO — SS cE (CERTIFICATE GOVERNING BOARD ‘STATE OF OKLAHOMA, COUNTY OF OTTAWA, $5 We the undersigned mergeney Moi Serve Board ef Ons County Oho, do ery cry taxing the Emergency Mel Sie puns rte sid oun, bop teins povided byl for Contes and pursasto he rovisns of 6 OS. 1991 Sex, 3002 te Fee Re SET prepare ants aw tnd cont ondkon of tn Facial Aira of si Eereney Metical Bard as rect byte serene chek and Trenarer, We thes cry that th forging eximat fr cent expenses fr the al ye tginig July 12020, 20 ‘ins nuns 30,3007 a Shown ae easonably eresey fer he propane of tao he sid Eergeny Metal Service Bat th te Enid Inset darned fom sures ethan a vl tution doesnot exceed the el autre ato of he revenue derived fom thea source daring he pressing faye a) 7 Wa Taker (ete ¥ vo Tomcat sai Sutserbetend moto aioe methis ZCI CaEO caer GR DessIE MAY Nosy Pic Girg vounrmeuconeun Ey rancor equ to be published in ep qalied newspaper ine inthe Cur or on ste pbs eM MEERA a eli, ‘athe Coun. [SAL Toon 580898 Ey Orava ES Bo St ese Seener 3.209 (Published in The Miami News-Record - October 9,2020) LPXLP. --- OCR page 8 of 21 --- 7 EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2019, to JUNE 30, 2020 + pamper ge ESTIMATE OF NEEDS FOR 2020-2021 |Cash Balance June 30, 2019 [__TOTALASSETS J , LIABILITIES AND RESERVES: ans Ousandig fs | | es i [sd : : ee ee REVENUE: | | {| a [| fd ee ee ‘laims Paid by Warrants Issued. $ 478,216.47 [so re [se [| foe OIA REDUREMENTE MD ou FUND Lancs —————|- J ——~gigat [ [s [s ' jf [sd , [| | S.A.&L. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Wednesday, September 23, 2020 --- OCR page 9 of 21 --- EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2019, to JUNE 30, 2020 ESTIMATE OF NEEDS FOR 2020-2021 2a EXHIBIT "E" a oe -——| [ss ee [is tminingFees : [ss [ss [iii omer | [107 Other === a ee |] [119 Other [s__ [120 Others ee Sa piel Ot |S ee [2 ee ee lS S| [1128 Oter= ss a (Se | [3s Omer ss. ae ae [2000 INTERGOVERNMENTAL REVENUE -LOCAL SOURCES; | ——w [s [s_ a | ee eel § P| 21H Otters [s_ ot ee | [s [2 ee cere eel SE a a Seer [312 Omer-ore SSCS [___Sub-Towl 07 [ss Ss Ca CC a [S26 omer [s [3217 tye [s2teowe Te ee | [s_ [3219 Other [s [3220 Other ts P22 Oh ee ee ee |S, OG Ne ee | Ee a ce ee] [3224 Otyer [3228 omer ts [ss ‘Continued on page 2b See Accountant's Report Wednesday, September 23, 2020, S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 --- OCR page 10 of 21 --- = EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2019, to JUNE 30, 2020 - ESTIMATE OF NEEDS FOR 2020-2021 Page 2a : BASIS AND) LIMIT OF ENSUING ESTIMATE. [____INCOME ___| GOVERNING BOARD _| __EXCISE BOARD__| a | ps 00rd $d ps 90 009d ss js 90 007d ss mn ps 90.00% $s fs 90 0096 ss ts 8 009 § 5 a fs 0.00% sss [sO 9000%f sss [sO 90 0099 ss 5 PS 9.000 ss ts [sO 90.00rf ss [S000 fs 90.0098 gs 2 fs wo.00ed sss fs 90.0096 3 ss SS a ES | | 7 | | || | | fs 90.009 sss Se SE | 17 | SS | js 90,0026 f sss (ss. 005¢ $s Js 90.009 gs fs ~ ys 90.0020 Ss Is 9000s ss Is 90.0004 Ss a fs 50.0076 Ss a | a A | || > |S EE (EE en ee [so 90.002 sss a | 7: | | S| 7 Sa | 1: | | [so C(O | 0, | | [So 90.0096 Ss Ps 0002's ss | 0 | | [so 90.0026 s ss i [so 90.00% Ss a | | Is 00 Ss ee Ca || | | SS | | | | [se 90.00nf sss [ss g00f's ss l [si 9000's ss (Ss CSCS SS 'S.A.&l. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report ‘Wednesday, September 23, 2020 --- OCR page 11 of 21 --- EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2019, to JUNE 30, 2020 ESTIMATE OF NEEDS FOR 2020-2021 » ' EXHIBIT "E" = SOURCE erin oon es ; [angomer- Sg [ansower- Ss [an7Oher- [ss [s == [ss [sts [sis [s- |s [sd ' [S000MISCELLANEOUSREVENUE; CU [ss as [ss [js [sd [so js es [3121 Omer COCO [51220ther— TT OCOCOCOCCCSY js [5123 Other fs fs a a SF ee mT YD | ae eal | $125 Others Ea | | [si27Omers SSCS sd [5128 Ome SY is EE aa ET (Se | | ELC i ae ST [131 Omer Cid [2182 Other SS [sd rs ' [CY S.A.&L, Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Wednesday, September 23, 2020 --- OCR page 12 of 21 --- a EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2019, to JUNE 30, 2020 7 ESTIMATE OF NEEDS FOR 2020-2021 Page 2b ; BASIS AND ro arco ————] [over umiror ensue ESTIMATE. | es [ss 02 ss hs [3 0.02 Y's 8s 0009 § fs [3 coef § a | C eS 009 ts i 1 a 2 {Ss 09 § fs i 03 [0000s hs [S000 ss i fs $f [ssf § ss [ss 09 § fs i 6S sc fs 0008 § Ss is CdS —“‘“ W*iSSOOCOC~C“(CC*CGSS”C*~“‘#N’:#C#C#*S | Ea SC S| a a 50 [el (sO 50009 § ss 0 8 § fs a 9? 1 8g 0 086 § 0009 § fs 9090094 § st 6 fs 8 EN SI 0009 § 8 fs 8 $s (ss cf § 0002 § $s 8s so 2 § 5 [$00 sr [S000 § ss 8 fs $$ [009 § 5 fs [S008 § fs 0 2 $s [SSO CdS CCSC:«*didCS SCTCTCC*diSS TCCSSY a (| || 2 |S a a [sod TCC™C~CC*dWSC SCC™C™~“‘“SC*@CSSC C TTCSS~S*Y " S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Wednesday, September 23, 2020 --- OCR page 13 of 21 --- ® EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2019, to JUNE 30, 2020 ESTIMATE OF NEEDS FOR 2020-2021 ° EXHIBIT "E" Z ¢ [so [sd : ; [s ! [ss \ [so ee is js [ss ' [so | ' [s js js [_ BALANCE WARRANTS OUTSTANDING JUNE 30,2000 YS iY [ss [so [so [s ' S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Wednesday, September 23, 2020 --- OCR page 14 of 21 --- EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2019, to JUNE 30, 2020 .~ ESTIMATE OF NEEDS FOR 2020-2021 Page 3 SE CC [sss ss i i a ee Se a CC CCT) [s—a0ssn fs sss ss sosen6) [sss ss i] . [ss sss fs i : [si930531[s sss srr] _ fs s30s30 sss ss is as [ss ss Ss i re] [sss ss i [ss ss ss | rr] 0 sess fs i I a] [Ss SS Se "7 SC CS [sss ss — sss ss a] . [Ss SSS TC [s_aniea7's_ = Is] s__ [ss] | [s__a72iea7[s ss SSC CdS CCdCSC SC —Sd [ss ss ts [sss ss is ess ss [sania [sss fs _ Tnvestments Barred Tnvestments June 30, 2019 Purchased of Cost Premium Court Order June 30, 2020 [so Sg 7 [ss ss i [ss : 7 [ss ss [sss ss - S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Wednesday, September 23, 2020 --- OCR page 15 of 21 --- ms EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2019, to JUNE 30, 2020 ESTIMATE OF NEEDS FOR 2020-2021 - EXHIBIT “E" 4 ‘Schedule 8(a), Report Of Prior Year's Expenditures | FISCAL YEAR ENDING JUNE 30, 2019 a oe DEPARTMENTS OF GOVERNMENT RESERVES ORIGINAL APPROPRIATED ACCOUNTS, 6-30-2019 SINCE LAPSED. APPROPRIATIONS [sup Tarrrorriations| | 3 a |b 92 EMERGENCY MEDICAL BUDGET ACCOUNT: a 92a Personal Services a 1,500.00 192b Part Time Help a EE DE | Cn] |e Rane [nae [ss ts ss 730,130.99 p2¢ Capital Outlay [ss gs patauditExpense S'S CS CS CS [ss ss 8,126.50 pai Other ss ss 92 Total [ss SS 739,757.49 es eee SS eee eee 93a Personal Services SE | |S FS 93b Part Time Help SS FE Ce paeTrvel sss 93d Maintenance and Operation ee [93e Capital Outla Se Ce ee 93f Intergovernmental a ee Cs k = is a] seme Seemmmer-n| a ES | 25 EMERGENCY MEDICAL AUDIT BUDGET ACCOUNT: [Te 95a Salaries and Expense of Audit and Report is - is - fs - Is 35,639.18 95b Intergovernmental ee es Ce Se Other sss ss psd Omer Ss BSeOther= sss ts Bsgother= ss sr psmOwer= Ss i tS” pS Tow dS CdS CdS «dS as | 98 OTHER USES: a | | | 98a Other Deductions [ss ss 4 [sss a | a TOTAL GENERAL FUND ACCOUNT [Is - Ci [$s - «STS 775,396.67 7 SUBJECT TO WARRANT ISSUE: [ | 99 Provision for Interest on Warrants [si [s = GRAND TOTAL GENERAL FUND S_ 775,396.67] “) ESTIMATE OF NEEDS FOR THE FISCAL YEAR. “| PURPOSE: [Current Expense Tig Pro rata share of County Assessor's Budget as determined by County Excise Board GRAND TOTAL - Emergency Medical Fund S.A.4. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Wednesday, September 23, 2020 " --- OCR page 16 of 21 --- [ EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2019, to JUNE 30, 2020 ESTIMATE OF NEEDS FOR 2020-2021 " Page 4 FISCAL YEAR ENDING JUNE 30, 2020 FISCAL YEAR 2020-2021 r [SSS CSdYCONE'AMOUNT | AMOUNT | WARRANTS _| [RESERVES | [LAPSED | | NEEDSAS | AS [APPROVED BY| BY| SUPPLEMENTAL | __OF | issuepD_ || BALANCE |BSTIMATEDBY|__COUNTY_| ADIUSTMENTS [appropriations |" | —*| KNOWN TO BE| GOVERNING | EXCISE BOARD] CANCELLED[ | C*UNENCUMBeRED! BOARD |__| P (| | = — [s 3,000.00 3,000.00 [$s 1,500.00| 1,500.00 [fs - ‘| [$s __ 1,500.00] 1,500.00 [$s _1,500.00| 1,500.00 [$1,500.00] 1,500.00 r [ss ss ss |s_ = Ws 741,685.92 |s_ = ss 277,268.02 $802,097.13 r [$ 9,473.82 | 9,473.82 — [$s __17,600.32| 17,600.32 [$8 100.32| 8,100.32 [si [$s 9,500.00 | 9,500.00 [$s __9,500.00| 9,500.00 [$7,752.03 | 7,752.03 js. | [js = sss ss r [ss ss sss fs [s_- | [s- _[S__ 288,268.02 S_ 811349.16 a | (| eo fs sss sss [ss ss ss ss [ss ss ss ss [se sss ss ss r [ss ss ss sss [sss ss sss [ss [ss ss ss r [ss ss ss ss a a | | | r [$20,559.07 | 20,559.07 Is - | [Ss __56,198.25 | 56,198.25 [s 4,198.25] 4,198.25 Is - | [S 52,000.00 | 52,000.00 [$ 52,000.00 | 52,000.00 [$37,115.10] 37,115.10 ss [sss ss ss [ss sg gs [ss sss sss ES ES ES |S a S| [sss ss sss is__- fs ss ss ss [ [s = [$s 56,198.25 [s__- _|[s___2,000.00|[s 52,000.00 a | (| c [sss ss [ss ss ds Ss ds id a es ee | c $__539,100.00|[ $ 848,464.26 —————————— E—}+-— a | | ES [ $43,087.82 ee eT Estimate of [Approved by_] r TE ees by County CC —~—~*—~“‘“#NNCCéCéC#éC#éC#éCGoverning Boar] Excise Bosrd_| TS 529,600.00 [$860,712.23 P pT 9,500.00 a LS 5890000 | F848, 464.26 | c S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Wednesday, September 23, 2020 --- OCR page 17 of 21 --- pn Exhibit“Y" Page 1 | CERTIFICATE OF EXCISE BOARD ESTIMATE OF NEEDS FOR 2020-2021 r 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 r Proposed current expenses for the ensuing fiscal year as filed with the Emergency Medical Service Board, and those directly under, or in 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. [" 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) r 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 c 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 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 2019 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. f c See Accountant's Report r S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 Wednesday, September 23, 2020 --- OCR page 18 of 21 --- CERTIFICATE OF EXCISE BOARD I ESTIMATE OF NEEDS FOR 2020-2021 Page 2 [County Excise Board's Appropriation es [s_ [ss Es | eee ae [ss [s_ = SE mall [so a kate of Levy Required and Certiied Gin MMs) TT 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 2020-2021 is as follows: = a | | 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: EMS Fund 3.07 Mills; Building Fund 0.00 Mills; Sinking Fund 0.00 Mills; Sub-Total 3.07 Mills; SSS 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; = County Wide Levy For Schools (4.00 Mills) 0.00 Mills; Total County Wide Levy 3.07 Mills; “and we do hereby order the above levies w be cond loom mn DYNO SOT 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 2021 without regard to any protest that may be filed against any levies, as required by 68 O. S. 1991, Section 2869 Dated at Oklahoma, this s_ day of. > 2020. a be Board Member a fe \ ®Q EXcise Board Chairman - ed vs 701 “§." \ Shan Aun \ —rielgge— * awe Va Bxcise Board Secrettn VOW 1 Sasi S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Wednesday, September 23, 2020 --- OCR page 19 of 21 --- [ OTTAWA COUNTY, 58 STATISTICAL DATA r FISCAL YEAR 2019-2020 r Total Valuation Total Gross Valuation Real Property $ 130,063,588.00 Homestead Exemption $ (5,941,183.00) r Other Exemptions $ 2,171,091.00) Total Real Property $ 121,951,314.00 Total Personal Property $ 29,172,476.00 i Total Public Service Property $ 30,966,068.00 Total Valuation of Property $ 182,089,858.00 r See Accountant's Report --- OCR page 20 of 21 --- EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET - OTTAWA COUNTY, OKLAHOMA, "I FINANCIAL STATEMENT OF THE VARIUS FUNDS FOR THE FISCAL YEAR ENDING JUNE 30, 2020, AND ESTIMATE OF NEEDS 1 FOR THE FISCAL YEAR ENDING JUNE 30, 2021, OF THE EMERGENCY MEDICAL SERVICE BOARD OF ' OTTAWA COUNTY, OKLAHOMA. EXHIBIT "2" Page 1 7 ATEMENT OF FINANICAL CONDITION ASSETS: 7 [s_- [__TOTAL ASSETS] LIABILITIES AND RESERVES: [fs | 7 [ss [ss [s_ (CASH FUND BALANCE (Defic) JUNE 30,200 SS] 7 ESTIMATED NEEDS FOR FISCAL YEAR ENDING JUNE 30, 2020 [ss [ss GODS es TT es | 7 [ss [s_= [ss [sO fF js 1 [s_= [ss ps [sn - [ss [ss [ss [ss [s_ = T fT js [ss [sd ps 7 [$= [ss [sd ae ——— | [Ss [ss [sy [$s 7 [ss [ss a | | a || a | a | | wee eee a a | ww eee a | [s_| 7 a | [so } [s_ 7 S.A.&1 Form 268BR98 Entity: Ottawa EMS Board, 58 ‘Wednesday, September 23, 2020 --- 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, 2020, AND ESTIMATE OF NEEDS FOR THE FISCAL YEAR ENDING JUNE 30, 2021, OF THE EMERGENCY MEDICAL SERVICE BOARD OF OTTAWA COUNTY, OKLAHOMA m EXHIBIT "Z" *Trline 12 is less than line To after omitting "h” deduct the following NEIN each in tur from line 4, "Total Liquid Assets". FUND 3d. j. Unmatured Coupons Due 4-1-2021 Ss - 4 (4c Cnmatured Bonds So Due =a 15d. I, Whatever Remains is for ExhbR RK Line E Ss ey _|[t7. Less Cash Requirements for Current Fiscal Year in Exoess of Cash on Hand (From Line 15d Above). 18d. Remaining Deficit is for Exhibit KK Line F. 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 {FP __ Service Board of the said County, begun at the time provided by law for Counties and pursuant to the provisions of 68 O. $. 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, 2020, and mm ending June 30, 2021, 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. Chairman of Board Membfr Meml [ A ; FA aa a c —_— Member ber Me Attest County Clerk Seal g OFFICIAL SEAL Subscribed and sworn to before me this. 2a CTO DEBBIE MAY 44) NOTA STTANACOUNTY : . ocean Pl Meroe ‘COMM, NO. 10008569 EXP, 11-12-2022 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 Wednesday, September 23, 2020