--- OCR page 1 of 20 --- EMERGENCY MEDICAL SERVICE BOARD 2017-2018 al ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2016-2017 — sep oa SERVICE BOARD 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. od 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 2017-2018 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2016-2017 PREPARED BY Turner & Associates, PLC . SUBMITTER TO THE OTTAWA COUNTY EXCISE BOARD THISQS*~DAY OF cin 2017 _ EMERGENCY MEDICAL SERVICE BOARD . u . Chairman Archer drt Member _C - xPy pone BA — a Memb A Member al Member Member . Clerk a ‘S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 59 See Accountant's Report RECEIVER® 03, 2017 NOV-0 9 2017 = State Auditor and Inspector --- OCR page 2 of 20 --- a 7 rr Gr 2017-2018 1 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE FISCAL YEAR 2016-2017 ‘ 7 INDEX [Letters and Certifications: Page 7 a a | IExhibits: Filed 7 Exhibit "E" Emergency Medical Fund mnnantinnunnnnnnene XS al Exhibit "G" Sinking Fund nnniniiniienanntenmnnn NO | Exhibit "J" Capital Project Funds annntniintnnnininntinnmanennnannen NO | | Exhibit "Y" Certificate of Excise Board Estimate of Needs i enmmmnammnmamamaninmansnnnn YS Publication Sheet Filed With County Budget 2 1 7 . po 7 ‘S.A.&1, Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report ‘Tuesday, October 03, 2017 a Lal --- OCR page 3 of 20 --- Page 1 . EMERGENCY MEDICAL SERVICE BOARD OF = OTTAWA COUNTY 2017-2018 ESTIMATE OF NEEDS AND FINANCIAL STATEMENT OF THE a FISCAL YEAR 2016-2017 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 ool fiscal condition of the Emergency Medical Service Board, County of Ottawa , State of Oklahoma, for the fiscal year beginning July 1, 2016 and ending 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 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, 2017, that said statements comprise a "full and accurate statement of the assessments, receipts and expenditures of gE 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, 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, BP 2017 and ending June 30, 2018 as shown under "Schedule 8" were prepared and filed with the Emergency Medical Service Board 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 sa 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 || day of___ @nOGEvE 2017. Alenia Chairma: Member AL. Oiipt yal LZ, At. > a Or" Member Fr hay Von Membgr Member 7 or ts ] Filed this day of. 2017 Secretary and Clerk of Excise Board, Ottawa County, Oklahoma. ‘S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Tuesday, October 03, 2017 --- OCR page 4 of 20 --- ——— Page 2 7 Independent Accountant's Compilation Report " Honorable Emergency Medical Service Board Ottawa County a 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 263 1R97) 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 7 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. 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. 7 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 a liabilities of Ottawa County. : This report is intended solely for the information and use of management of Miami EMS, Ottawa County, Oklahoma, 1 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 & Associates, PLC i. Tevlea4 Aesociates, PLE October 3, 2017 a ! ‘S.A. Form 268BR98 Entity: Ottawa EMS Board, 58 ~ Tuesday, October 03,2017 al a = --- OCR page 5 of 20 --- a 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 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 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. County Clerk r Subscribed and swom to before me this___day of. 2017. r Notary Public ‘My Commission Expires r S.A.&1, Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report ‘Tuesday, October 03, 2017 r --- OCR page 6 of 20 --- ee ee NN LEGALS . LEGALS (Cort) LEGALS (Cort) STATIDGENT OF EAN ples Pak ea FAL E FINANCIAL STATEAGINT GP THE VARIUS FUNDS FOR THE FISCAL YHAR ENDING JUNE 30, 2017, ATS OF NEEDS . ‘FOR TUR FISCAL YEAR ENDING JUNE 30, 2018, OF THE EMERGENCY MEDICAL SERVICE BOARD OF oa ‘OTTAWA COUNTY, OFLAHOMA, ee : es a ee SY sl - —_ SEEING 30,20 — en Se — Sa BRasarve foe interest on Waerenis [EES EDA near] SA Dan LE ecccrest ixpomes Ee TOS. Hl, Gash Balance oni Hind Fre Sy SY fitcscrvo for Tat. on Warrants R Revahuation [$8,573.40 92 Vege! Frvesorens Property Metsting Sd fetal asin F278 5B, Fotgornents Paid to Racower by Tex Livy St FRANCE Fete St fetal Dedixctlons SS T0596 I. bs Nenewest Accrued Tretmon —S Eh CCE A a EC | ESTEARTED MSCELL ANSON EVENUR. SRG Samrat shar a Oompon AS s $1000 Charpes Boe Services Bo Piacal Agency Commissions en Above $= | 0 Lonel Sse of Revemss ES = ape ete eed ps | PPO00 Stats Soaross of Reverse OS Toa ors a Throop P10 For Woroe of Reve 9S inf Ara Stati es $F 500 bstancoum Rowena = ee Nerve eens WES ee FF EAP ! [Toe nel Roem SB, Accra ca Fad Cocpons $f EC | \ iS. Tetel tems Troogh ALY, Dases of Assets Ovex hocrunl Rascrecs eS ed | | ERG TT ——— | f [P. Accrsal on Unostined Beets $s | Ie Acces Aaweslon "Uapel? Petgesents [3 if pp: tekecst on Uspeid Fodgements RS i Se a | A CaS | ee | li ee H H a i a ST | fi i I | ee i Boos of Anseis Over Lahieg AS P Supins Buikting Pend Geeh _ — ( Belonco to cise By Tex oy Sd CESS N ES SSS T Soa | EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET - OTTAWA COUNTY, OKLAHOMA, sie i FINANCIAL STATEMENT OP THE VARIUB FUNDS POR THE FISCAL YEAR ENDING TUNE 20,2017, AND BSTAATR OF D8 FOR THE FISCAL YBAR ENDING JUNE 30, 2018, OF THE BMBROENCY MEDICAL SERVICE BOARD OF = v OTTAWA COUNTY, OKLAHOMA. a ee «| USE Desi Shen 6 Sig Fd Haines Sige . * (CERTIFICATE - GOVERNING BOARD ‘STATE GF OKLAHOMA, CORINTY OF OTTAWA, = —— ee We tn uergned Emery Modi Sarin Beard of Ota Coat Okabe do ban civ etna to Rageney Medic, | ‘Sarvico Board of te suid County, bagi si the tine poovided by fnw Sor Coartise aad purecant tothe provisions of 68.0.3, 1991 Bob$000, the * ‘foregoing statment wos peopared and is a troo end earzect oncxibion of as Pioanctal Afikira of said Brarrpensy Modicel Board as reflected by tho’ ‘ _eooed of tho Clerk end Troexser, We Carb cary tha che forgoing eatinet for current expanses fr the ise! year bogianing Fuly 1, 2017; ead 5 + eng Jano 30,2018, xs shown moreso oceisary fr tho propetonduc of toa cf the sak Emagacy Modi! Serves Hoard, Gattsa ‘kate lest be axed om rsh an ero tao oc edo Ely sor! in of Cama Seed ©" f- smo mas cng preg ly. ee dando! Qe . oe. ove igh. Cac ZF = bil 7038 Poe . a: Lopes SRE ree . @ LN a : _ wy : ~ . ‘Sahetbos and ni bie nncsg Seton wooteeen | Eigen Deda en ge 2 es mopoeamenad) nc lt Pept on beretomre rani. te cig «| + ee sr ae ae ier --- OCR page 7 of 20 --- r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 ESTIMATE OF NEEDS FOR 2017-2018 F EXHIBIT “E" PAGE 1 c a || ii ASSETS: r js . [ Ls eis Warrants Outstanding $ 61,350.00 [s r [s r jn P a | (| R : | r fj es jd r Cd er ‘laims Paid by Warrants Issued $ 562,349.21 r [s [so rs F Cd r r LC r Sw [s 7 r ia Ld r [gs js | = [sd Pr [id ee a = | r S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Tuesday, October 03, 2017 r --- OCR page 8 of 20 --- EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 1 ESTIMATE OF NEEDS FOR 2017-2018 EXHIBIT "E __2 7 Schedule 4, Miscellaneous Revenue 2016-2017 ACCOUNT SOURCE ‘ ESTIMATED ‘COLLECTED 1 1000 CHARGES FOR SERVICES | [1112 Service Fees dS 7 1113 Training Fees es [1114 Others ls m1 es ee [1117 Others ss [ss al [sp [1120 Others [1121 Others ss [1122 Other «Ss 7 [1123 Others [1124 Others SY a | INTERGOVERNMENTAL REVENUE ee 2000 INTERGOVERNMENTAL REVENUE - LOCAL SOURCES: | | | al 2111 Local Contributions [ss 2112 Local Governmental Reimbursements [ss 2113 Local Payments in Lieu of Tax Revenue [ss 7 es en [2015 Other Sg [2116 Othe [2117 Others 7 2118 Other- ee [2124 Other Ss 3000 INTERGOVERNMENTAL REVENUES - STATE SOURCES: ST [sg 5 [2112 Other OT S's __-_ Sub-Total - OTC [se SC 3211 State Grants [se 3212 State Payments in Lieu of Tax Revenue [sg 1 3213 Homestead Exemption Reimbursement [s_- Is] 3214 Additional Homestead Exemption Reimbursement ee | [ss a [3216 Other | [3217 Othe tg [3218 Other OOO Other - [se Ss 7 [3219 Other = fs [3220 Others [3221 Others SS [3222,Other eS SS [3223 Other 8 ts [3224 Other Sg [3225 Other = [sd } Continued on page 2b ‘See Accountant's Report Tuesday, October 03, 2017 S.A.&1. Porm 268BR98 Entity: Ottawa EMS Board, 58 = --- OCR page 9 of 20 --- f t EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 ESTIMATE OF NEEDS FOR 2017-2018 Pr . Page 2a ' EEE BASIS AND r [___(UNDER) —_ ESTIMATE a | | | | rp ps 90.0096 Ss l fs 9009s 7 FS ( - js 90.0024 ss r ps 90.0096 gS ss . ps 90,0096 Ss a [sO 90.00% gs ps 90.0096 $s Pr ps 90.0026 \ ps 90.0096 gs js 90.00% § Fr [se 90.00%f gs | [sO 9002 ss [ss ee |S (NS | | | r SS (| | . fs 90.0024 gs is fs 900096 gps r [sO 90.00%ef gs \ ee 1 | | | [ss s.00%ef 3g Pr eS (EE \ eS | | SK | [se 90.0098 sss is js 90.00% 3 ss EE Se ee : ee | (| on [se 90.00%¢f $s r [sO 90.00%¢f ss [S$ 90.00 [se 90.00% ss r [sO 0.000 sss [sO 9 0.00% gs a | | [s__ gars. oo0edf ss c ps 90.0094 3 ss ps 50.0 rdf sss js 90.0098 gs r ps 90.00% ss . eS | SP S| [s_P 90.0090ff ss r Li 7 | {ss 90.00¢ef sg js 90.000 sss cr a | 17) ES | [S_ 8473.97 dS Cid S.A.81. Form 268BR98 Entity: Ottawa EMS Board, 58 ‘ See Accountant's Report Tuesday, October 03, 2017 f | --- OCR page 10 of 20 --- EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 7 ESTIMATE OF NEEDS FOR 2017-2018 EXHIBIT "E" 2b aug | SOURCE Continued fromm page 2a 7 [1000 INTERGOVERNMENTAL REVENUES - FEDERAL SOURGES; JY [sured Gans BS 7 [12 Reinbusement Fadel fs [4113 Fedral Payment in Lieu ofTaxRevemse 3 [etisomer tg [asome= $d 7 [sus Ober tg [eu7 Omer. [ag Omer] 9 [a9 Omer [4120 0me=- fs [#121 Otis oh | [41 omer a [4124 Omer 7 [4125 Omer I 9 [2126 Omer [3127 Ober ss [#128 Oe. 9 [Toul Feder Souees I [Grand Total Intergovernmental Revenues SST] [SOD MISCELLANEOUSREVENUE, 1 [SllLineresioninvestments i is] [3112 Ren or Lease ofPropeny 8 [S113 Sle ofPropery Ss [3114 Subssipon Sales Membestip) [stisinsuance Recoveries tg [5116 nsuance Reimguseneat $s [S117 Rewm Cheek Charges J [3118 Us Reimbursements [5119 Vending Machine Commissions eS | ae Cee [salons fs [312 Ober ce Ces Cees [3124 Ober oS [3195 Omer [5126 omer [3127 Ober fg ts [S80 [5139 Omer ro] 7. EE] [FF GOOST |OET | | [$131 Omen [3132 Otero ERECEPIS:. EC [S111 Contibuions fom Other Funds a EE [Grad Talal Eergeney Metied Ried re S.A.&L. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Tuesday, October 03, 2017 nm --- OCR page 11 of 20 --- EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 ESTIMATE OF NEEDS FOR 2017-2018 al Page 2b Aa ee SS a, BASIS AND = LIMIT OF ENSUING ESTIMATE a | | rm [so s0.0024f sss a 1 a a 7 | [so 80.000 $s [so 90.009 sss fs 50.0008 sss Cs s0.0024[' 3s ps 90.0024 $s a | 017 mo PS 80.0096 ss [so 50.00% Ss [so 0.005 § ss me SS 90.0026 [3 ss [so 90.0004 $s fs 50.0076 sss mm PS 90.0096 ss SS | | || | a | S| | | [S_ 8a. S=d 4 Ee eee ee eee [ss 5.09 [00nd ss ps 90.0004 f $s mp fs 0.0028 gg ps 90.00% $s fs [sO 90.009¢§ ss a Sa | 17 | | | [So 90.0008 ss [So 90.0074 Ss PS 50.0078 ss [So 90.0078 ss ps 90.0076 $s a S| 0007 | S| || [So 90.0004 f $s S| 17 | |S | mo fs 50.0096 sss [sO 90.009f § ss [so 90.0094 § ss mS 0.0096 gs fs 50.0024 $s | 7 || PS 90.0076 ss a A) | | |S ES | | || Sa | 000: | i a | | || a | De | ES | Ses | See S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Tuesday, October 03, 2017 --- OCR page 12 of 20 --- EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 7 ESTIMATE OF NEEDS FOR 2017-2018 EXHIBIT "E" - 3 a] | : ci. [fs] |] ! 7 [fs | 7 7 ee 7 Is ‘| [s—__ | 4 ss 7 g 6-30-2016 of Year inCeplon YS] 71 [TOTAL os [WanantsCaneeleg [s—____] 7 1 coeds of Levy as Ceified 4 [st [Detuoions - 7 [ResereforProtest Pending gC! 4 is | ‘S.A.&I. Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Tuesday, October 03, 2017 1 “ al --- OCR page 13 of 20 --- r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 ESTIMATE OF NEEDS FOR 2017-2018 Page 3 Schedule 5, (Continued) 2015-2016 2014-2015, 2013-2014 2012-2013 2011-2012 2010-2011 TOTAL r [s__391,4g0.15[s ts Ss is S 391,480.15 cr $391,480.15 [$= Ss sss 391,480.15 a | | ee SS ( a | | | (ES r $__i6asessfs = sss ss 469,115.96] [ss ss sss 8,859.06 [sss sss ES | | | ' s__iegsass[s ss sss a94933.57 [sts ss ss 886,313.72 r [ss sss 500,999.21 a | |S |S | [ss ss $ 16958.55|[$__ = SS WS CS Sd 385,314.51] r [ss ss sss 61,350.00 [ss ss sss r [sss r [ss gs sss 61,350.00 SE ES (ES | | $ 1695855]$_ SS ES SC CdS 323,964.51] r 2016-2017 2015-2016 2014-2015 2013-2014 2012-2013 2011-2012 2010-2011 [ss c $sen3ag2ifis ss ss s__ 562,349.21 [$ = Ss Ss r $__so0se9.2iff[ tS ss ss [ss sss | | | Fe | SE | CS | | r S__soosszifs dS OS SC SCC SC ~*d [s___6i3s0.00][$ = SS SSS r Schedule 9, Emergency Medical Fund Investments Investments Barred Tavestments i INVESTED IN on Hand Since By Collections by on Hand June 30, 2016 Purchased. of Cost Premium Court Order June 30, 2017 $_ 53,03299][/s_ ss = | Cf Se | cr FR | | SO cS a Fs Es | Se a |S (FS | | r a CE | |S | | eS Ses | Sk | a Ee | SE | SS r po NS | | ES (| [OTALINVESIMENT} $ 52,816.24 [s__53,03299][$ = TS Sd r ‘S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Tuesday, October 03, 2017 r --- OCR page 14 of 20 --- EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 7 ESTIMATE OF NEEDS FOR 2017-2018 EXHIBIT "E" 4 7 Schedule 8(a), Report Of Prior Year's Expenditures ! Po FISCAL YEAR ENDING JUNE 30, 2016 [ DEPARTMENTS OF GOVERNMENT RESERVES ORIGINAL APPROPRIATED ACCOUNTS 6-30-2016 LAPSED 7 [TT issuzoParerorniarions| a ES SN SO NS 92 EMERGENCY MEDICAL BUDGET ACCOUNT: | | 7 a f2bPan Time Help [ss ss 5 [sts ss 740,159.35 [b2eCepital Outlay dS SYS «CdS CC CY f2tAuditExpense OS Ss is i *y Se | ) 2h Other ss ss eiOther sss SY 2 ed [st isi [$750,427.57] 750,427.57 7 A SS | ee | | 93b Part Time Help | al (SS | SS Se | a [sss Ss [ss ss a a | CP | pahOther= ss ss 7 p3Tol dS dS CdS CS PSEMERGENCY MEDICAL AUDITBUDGET ACCOUNT: |S [95a Salaries and Expense of Audit and Report [so ss m7 [ss ss " PSeOther = sss is Sd Other ss ss 5 Se Quher = iss Ss stOmer = is ss is BS Tot dS CdS =i dS er : 8 OTHER USES: ES | [p8a Other Deductions, [s_ gs [se sss ES TOTAL GENERAL FUND ACCOUNT. ae CE | TN = SUBJECT TO WARRANT ISSUE: ee ee [ss [s_ a | 7 ESTIMATE OF NEEDS FOR THE FISCAL YEAR _ __ i ———— 7 Pro rata share of County Assessor's Budget as determined by County Excise Board ial Se ! GRAND TOTAL - Emergency Medical Fund _ re S.A.&l. Form 268BR98 Entity: Ottawa EMS. Board, 58 See Accountant's Report Tuesday, October 03,2017 oy --- OCR page 15 of 20 --- r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2016, to JUNE 30, 2017 ESTIMATE OF NEEDS FOR 2017-2018 r Page 4 r | TT Nr AMounT | WARRANTS [RESERVES [LAPSED | NEEDS AS [APPROVED BY| |__SUPPLEMENTAL [or [| issuep_ [BALANCE ESTIMATED BY| COUNTY _| |___ADIUSTMENTS __| ppropriations[ || KNOWN TO BE| GOVERNING | EXCISE BOARD| pe {LabbED[caNcetuep[funencumperen|poarp [| { SS [js - [ss s00.00][sn50000][s = Ts Is 1500.00] 1,500.00] r [ss ss gg ss | SS |S |S | (| | ‘ [s_49eo3.0i$ Ws 790,052.36] saas77e9[s = is 241,474.67] 8 413,100.00] $707,074.12 | ~ [ss ss ss ss Po sss ss os ts ! [sss 76822 |[s eg resza|[s ss 9,s0000]s 8573.40] [ss sg gs [appear —— soa pecan} 3 encore fr t [s_49.893.01][s = [Ss 800,32058|[s 558,845.91]/$ iS _ 241,474.67 $424,100.00 $ 717,147.52] SS | | | F [ss sig is H a | SS Sn (| [ss sg sg m fs Ws ss sss Ss | Se [ss ss ss I a |S S| | a | | | [sts ss ss ss SE ES |S || | | | | eS | | A NN ES | = [s_ = _IIs_49,893.01][s"ig.ez6esl[s 3,50330|/$ is 15,323.58||s 32,000.00] $31,130.99] ES | | SS | | a | |S |S Sk Sk SS | SE SE |S | SES | Se | SE | | ES | | | | im SS EE | SS SS | | js ss sss ss [s___-_I[s_49,893.01]/$ 18,826.88 [5 3.50330|[S = WS 15,323.58| $32,000.00] _ 31,130.99] m |S | RS | Se Ee Ee Ee | [sss SS ss (oan agen}; — apres ase]; —— frescos eT a) if; ;} ——_;-_—_}, —_ —_, —_, [fs - | [ss | es ee rm |[S_49,893.01][$ 49,893.01] $819,147.46 ][$_562,349.21][$ = 256,798.25 | $ — 456,100.00][ 8 748,278.51 | " Nees by TT County | P| Governing Boar] Excise Board _| a fT 446,600.00 T $739,705.11 | eee TS 9,500.00 | $ 8,573.40 Ba De LS 456,100.00 | S748,278.57 | ™ S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Tuesday, October 03, 2017 --- OCR page 16 of 20 --- om Exhibit“Y" Page 1 r CERTIFICATE OF EXCISE BOARD ESTIMATE OF NEEDS FOR 2017-2018 cr 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 thet the probable Income estimated to be collected from all sources other than ad valorem taxation may Pr reasonably be expected as a revenue for the ensuing fiscal year, and that the same does not exceed 90% of the actual collection from such sources for the previous fiscal year. r In so doing, we have diligently performed the duties imposed upon the Excise Board by 68 O.S. 1991 Section 3007, (1) ascertaining that the financial statements, as to statistics therein contained reflect the true fiscal condition at the close of the fiscal year, or caused the same to be corrected so to show; (2) struck from the estimate of needs so submitted any items not authorized by law and reduced to the sum authorized f 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 r 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 r 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 2016 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, ‘Oklshoma 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. r See Accountant's Report r S.A.&1, Form 268BR98 Entity: Ottawa EMS Board, 58 Tuesday, October 03, 2017 r --- OCR page 17 of 20 --- CERTIFICATE OF EXCISE BOARD . ESTIMATE OF NEEDS FOR 2017-2018 = Page 2 [County Excise Board's Appropriation EMS Sinking Fund | ™ of Income and Revenue Fund (Exe. Homesteads} Appropriation Approved & Provision Made S$ 748.27851/S i [Excess of Assets Over Liabilities 3307105963 + [Unclaimed Protest Tax Refunds Miscellaneous Estimated Revenues | JEst. Value of Surplus Tax in Process es [Sinking Fund Contributions a | | [Surplus Builing Fund Cash [ss ‘otal Other Than 2016 Tax 's 307,105.96 |[$ =i Balance Required $ 441172.55|$ «dC Add 10% for Delinquency $ 44725 id [Total Required for 2016 Tax 3 485.289.80|[S_____—-_| [Rate of Levy Required and Certified Gm MM) 8) ~ 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: [VALUATION AND LEVIES EXCLUDING HOMESTEADS County Real Pessoal J Publi Service Tout] $_109,572,904.00 || $_ 26,394,365.00 | $__22,107,583.00 ][ $_158,074.852.00]] and that the assessed valuations herein certified have been used in computing the rates of mill levies and the proceeds thereof appropriated as aforesaid; 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: 7 EMS Fund 3.07 Mills; Building Fund 0.00 Mills; Sinking Fund 0.00 Mills; Sub-Total 3.07 Mills; Sh —sS—sh 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; OT 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, Segtion 2869 Dated at (7) sean 1. Oklahoma, thie ay of v celina 2017. Leecg is Excise Board Member )Excise Board Chairman Exei d Member . Excise Board Secretary S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Tuesday, October 03, 2017 --- OCR page 18 of 20 --- a] OTTAWA COUNTY, 58 STATISTICAL DATA FISCAL YEAR 2016-2017 / Total Valuation Total Gross Valuation Real Property $ 117,639,646.00 = Total Homestead Exemption $ 8,066,742.00 Total Real Property $ — 109,572,904.00 Total Personal Property $ 26,394,365.00 n Total Public Service Property $ 22,107,583.00 Total Valuation of Property $ 158,074,852.00 " See Accountant's Report --- OCR page 19 of 20 --- EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET - OTTAWA COUNTY, OKLAHOMA. FINANCIAL STATEMENT OF THE VARIUS FUNDS FOR THE FISCAL YEAR ENDING JUNE 30, 2017, AND ESTIMATE OF NEEDS 7 FOR THE FISCAL YEAR ENDING JUNE 30, 2018, OF THE EMERGENCY MEDICAL SERVICE BOARD OF OTTAWA COUNTY, OKLAHOMA EXHIBIT "2" Page 1 ATEMENT OF FINANICAL CONDITION [EMS] “1 — oe [S| 7 [__TOTAL ASSETS [s «13500 {Warrants Outstanding $ 61,350.00 [sn 7 js [$61,350.00 ESTIMATED NEEDS FOR FISCAL YEAR ENDING JUNE 30, 2017 (GENERAL FUND GENERAL FUND][____ SINKING FUND BALANCE SHEET | SINKING FUND J [ument Expense | [so [sos fs. FINANCED [se | a | [ss [ss [sot ¢ to Raise from Ad Valorem Tax | ] [se [se [se [so [$= [ss [ss [so es ee [so a |r| [sos [so s—- [$s [$s | [$e sd BINKING FUND REQUIREMENTS FOR 2017-2014] s| 7 [sos [so [ss | [so js ee | | CES | SOE || ee] eS | SE | ee | | " Cavern | RTOS || ac enSSeSe | CUNEO S| [$e Po — ce S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 Tuesday, October 03, 2017 | 4 | 4 | --- OCR page 20 of 20 --- EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET - OTTAWA COUNTY, OKLAHOMA r FINANCIAL STATEMENT OF THE VARIUS FUNDS FOR THE FISCAL YEAR ENDING JUNE 30, 2017, AND ESTIMATE OF NEEDS FOR THE FISCAL YEAR ENDING JUNE 30, 2018, OF THE EMERGENCY MEDICAL SERVICE BOARD OF OTTAWA COUNTY, OKLAHOMA EXHIBIT "Z" r IFline 12 is less than line [6 alter omitting "A" deduct the following INKIN each in tum from line 4, "Total Liquid Assets". [ ro | 34. |, Unmatured Coupons Due 4-1-2018 so 144. k, Unmatured Bonds So Due Co r 154.1, Whatever Remains is for EXRIOR KK Line E. b—— 174. Less Cash Requirements for Current Fiscal Year in Excess of Cash on Hand (From Line 154 Above). r 184: Remaining Deficit is for Exhibit KK Line F- CERTIFICATE - GOVERNING BOARD r STATE OF OKLAHOMA, COUNTY OF OTTAWA, ss: We, the undersigned Emergency Medical Service Board of Otawa County Oklahoma, do hereby certfythat at a meetingof the Emergency Medical Service Board of the said County, begun atthe time provided by law for Counties and pursuant tothe provisions of 68 O. S. 1991 Sec. 3002, the r 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, 2017, and ending June 30, 2018, as shown are reasonably necessary for the properconduct of the affairs of the said Emergency Medical Service Board, thatthe r Estimated Income to be derived from sources other than ad valorem taxationdoes not exceed the lawfully authorized ration ofthe revenue derived from the same sources during the preceding fiscal year. r Chairman of Board Memb " fember Y Ox x Va Member Member r Attest County Clerk Seal r f Subscribed and swom to before me this 20 day of June, 2017. Notary Public r Required to be published in a legally-qualfied newspaper printed in the County, or one issue published in a legally-qualified newspaper of general circulation ~ in the County. r S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 58 Tuesday, October 03, 2017 r