--- OCR page 1 of 17 ---
Se, 1, LE
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"a
EMERGENCY MEDICAL SERVICE BOARD
2015-2016
. ESTIMATE OF NEEDS
AND FINANCIAL STATEMENT OF THE
FISCAL YEAR 2014-2015
EMERGENCY MEDICAL SERVICE BOARD
n STATE OF AO daar r
od] Two copies of this Financial Statement and Estimate of Needs should be filed with the County Clerk not later than August 17
for all Counties. After approval by the Excise Board and the levies are made, both statements should be signed by the
appropriate Board Members. One complete signed copy must be sent to the State Auditor and Inspector, Suite 106, 4200 N.
_ Lincoln Blvd., Oklahoma City, OK 73105-3453. If publication may not be had by date required for filing, affidavit and proof
of publication are required to be attached within five days after date of filing
r ‘THE 2015-2016 ESTIMATE OF NEEDS AND FINANCIAL
STATEMENT OF THE FISCAL YEAR 2014-2015
PREPARED BY Turner & Associates, PLC _
SUBMITTER TO THE OLTAWA COUNTY
ol EXCISE BOARD THIS [O~ DAY OF 2015
/ EMERGENCY MEDICAL SERVICE BOARD
Chairman Z wk ndel Member
R
. Member Member ype ihe a
a” Member Member
Clerk ae aaa
EF TIES
S.A.&I. Form 268BR98 Entity: Ottawa EMS Board 43 See Accountant's Report or foniday, SeptembeED 2015
2 ce OW
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--- OCR page 2 of 17 ---
EMERGENCY MEDICAL SERVICE BOARD |
OF
, OTTAWA COUNTY
é 2015-2016 7
ESTIMATE OF NEEDS
AND FINANCIAL STATEMENT OF THE
FISCAL YEAR 2014-2015 5
INDEX
lLetters and Certifications: Page 7
Letter To Excise Board naniyemmaiistetantiiniiniainailnainiunnaninirinennnnnnnunsinnnnuinmnnsion 2
Affidavit of Publication mmnmunnueninninnennnnenitunnanninininanimsnismunnnninnnnn 2
Certificate of Excise Board tunnanannininmniniannnann Exhibit "Y"- Page 1
Exhibits: Filed
Exhibit "E" Emergency Medical Fund 1 mmnnsnnnnuninnninnsniansniineniinnnnmnnnnnnnnanann YS =
Exhibit" Capital Project FUNGS. mmm NO |
Exhibit "Y" Certificate of Excise Board Estimate of Needs mnie YO
Publication Sheet Filed With County Budget reer eenecenaeaincneemmernibanetaniasomoeenamiinnetiaaeanennen MOS
Exhibit"Z" Publication Sheet 1 maninnnininiinuninainannisininmnnnananimenennnenmenamennnn NO |
S.A.&1. Form 268BR98 Eftity: Ottawa EMS Board, 58 See Accountant's Report Monday, September 28, 2015
On


--- OCR page 3 of 17 ---
Page 1
I EMERGENCY MEDICAL SERVICE BOARD
oF
OTTAWA COUNTY
BE 2015-2016
ESTIMATE OF NEEDS
AND FINANCIAL STATEMENT OF THE

» FISCAL YEAR 2014-2015

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, forthe fiscal year beginning July

a 1, 2014 and ending June 30, 2015, together with an itemized statement of the estimated needs thereof for the fiscal year beginning
July 1, 2013 and ending June 30, 2016. The same have been prepared in coriformity to Statute, in relation to which be it further
noted that:

4 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, 2015, 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, 2015 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,

= 2015 and ending June 30, 2016 as shown under "Schedule 8" were prepared and filed with the Emergency Medical Service Board as
of the first Monday in July 2015, 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, 2015
Dated at the office of the County Clerk, at Miami, Oklahoma, this | Quay of_ AIOVEM Sr 2015.
=
C .
r pried Za _—e hia
Chairman Member
Member ae :
Member Member
A
lerk
an ,
Filed this 1Q" day of, t , 2015 Secretary and Clerk of Excise Board, Ottawa County, Oklahoma.
S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, September 28, 2015


--- OCR page 4 of 17 ---
™
___Page2
al
Independent Accountant's Compilation Report "|
Honorable Emergency Medical Service Board
Ottawa County =
|
We have compiled the 2014-2015 financial statements as of and for the fiscal year ended June 30, 2015 and the 2015-
2016 Estimate of Needs (SA&I Form 2631R97) and Publication Sheet (SA&I Form 2631R97, Exhibit "Z") for Ottawa
County, included in the accompanying prescribed forms. We have not audited or reviewed the financial statements, al
estimate of needs and publication sheet forms referred to above and, accordingly do not express an opinion or provide
any assurance about whether the financial statements, estimate of needs and publication sheet forms are in accordance
with the basis of accounting prescribed by the Office of the Oklahoma State Auditor and Inpector per 19 OS § 1722 as 7
promulgated by 19 OS § 1708-1721. |
Management is responsible for the preparation and fair presentation of the financial statements, estimate of needs and "|
publication sheet in accordance with the requirements prescribed by the Office of the Oklahoma State Auditor and 1
Inspector, per 19 OS § 1722 as promulgated by 19 § 1708-1721 and for designing, implementing, and maintaining
internal control revelvant to the preparation and fair presentation of the financial statements, estimate of needs and 4
publication sheet. {
Our responsibility is to conduct the compilation in accordance with Statements on Standards for Accounting and
Review Services issued by the American Institute of Certified Public Accountants. The objective of a compilation is to 7
assist management in presenting financial information in the form of financial statements without undertaking to
obtain or provide any assurance that there are no material modifications that should be made to the financial
statements. 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 § 7
1722 as promulgated by OS 19 § 1708-1721 and are not intended to be a complete presentation of the assets and
liabilities of the Ottawa County Emergency Medical Service District.
This report is intended solely for the information and use of management of the Ottawa County Emergency Medical 7
Service District, the Ottawa County Excise Board, management of Ottawa County, 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. ™
Turner & Associates, PLC ™
i}
a D
Tener. 5 Associates, PLE
——_——— a
September 28, 2015
'S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 ‘Monday, September 28, 2015 =
"|
tal


--- OCR page 5 of 17 ---
Page 3
cr AFFIDAVIT OF PUBLICATION
r 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 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, 2015, and the estimated needs and the estimated income from
sources other than ad valorem taxes, for the fiscal year beginning July 1, 2015 and ending June 30, 2016 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.
r
|
r County Clerk
[
Subscribed and sworn to before me this_day of. 2015.
r Notary Public My Commission Expires
r
L
F 'S.A.&, Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report ‘Monday, September 28, 2015
|
Pr
1
r


--- OCR page 6 of 17 ---
r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015
ace ESTIMATE OF NEEDS FOR 2015-2016
r EXHIBIT "E' PAGE 1
|
|.
= SSETS:
[___TOTALASSETS CSCS
P [LIABILITIES AND RESERVES:
| |
[si
[si
r [sd
r
P a |
[sass
Cash Balance June 30, 2014 $ 286,591.83 |
[" [Cash Fund Balance Transferred From Prior Yeas SSC~—~C~S~SCSC*r Fund Balance Transferred From Prior Years [s 7,087.92 | 7,087.92 [t~‘“SSCSsY
[|
. [______TOTALREVENUE,
; Ls snus
[Claims Paid by Warrants Issued. $ 371,113.50 |
P a
r js
ee
Ld
[" AbD: CASH FUND BALANCE AS PEK BALANCE SHEET ¢020(-_f/ _s_ssee
r
ADDITIONS:
"
r
[so
Pr
‘
DEDUCTIONS.
P [st
[si
[sd
F
[|
A |
r
S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, September 28, 2015
a
r


--- OCR page 7 of 17 ---
aT
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 |
ESTIMATE OF NEEDS FOR 2015-2016
EXHIBIT "E" 2a
{
SOURCE ,
So ae ee -
[1000CHARGESFORSERVICES Te
[1111 Service Fees
[1112 Service Fees
[1113 Training Fees ge
[und Other- es eee SS
[115 Other gg
[117 Other
[1118 Others
[1119 Other = gg 7
[1120 Other =
[1121 Other =O Cn
[1122 Other SS al
[1123 Other
[1124 Other
[1125 Other Se
[___Total Charges For Services TS Sd
|___INTERGOVERNMENTALREVENUE
[Bi INTERGOVERNMENTAL REVENUE - LOCAL SOURCES. [J ry
[2111 Local Contributions tS i
[2112 Local Governmental Reimbursements TSC CdS CCS
[2113 Local Payments inLiewofTaxRevenue STC CSC Cd =
[2114 Other-ProtestTex IS CdS Sd
[2115 Other Ss
[2116 Other iS
[2117 Others
[2118 Other ss
[2124 Other SS
[Total Local Sources CSCC CdSCCOCSC*dY‘CS
| 3000 INTERGOVERNMENTAL REVENUES -STATESOURCES:
[3111 County SalesTax-OT CdS TCTCTCC*dS CCS”
[3112 Other= OTC ss
[__Sub-Toul-OTC Tn ™~—CS C™C~“‘“E§S*SCSSSC“(‘#SN#SNCC:CY
[3211 SuteGrants CdS CdS Sd
[3212 State Payments in Lieu ofTaxRevenue CSC SC (dC,
[3213 Homestead Exemption Reimbursement Js]
[3214 Additonal Homestead Exemption Reimbursements]
[3215 Other-Syearexempt CdS CC «CdS 309 09 |
[3216 Other= fs fs
[3217 Other OS
[3218 Others
[3219 Other= dS «dS
[3220 Other = ss
[3221 Others ts
| 3222 Others "1
Se) [NES] (Cee
[3225 ther C*dS TCC CdS Sd
[Total - State Sources dS «dS 09.05)
Continued on page 2b ‘See Accountant's Report . ‘Monday, September 28, 2015
S.A.&I. Form 268BR98 Entity; Ottawa EMS Board, 58 a


--- OCR page 8 of 17 ---
r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015
ESTIMATE OF NEEDS FOR 2015-2016
r Page 2a
BASSAND [susan ACCOUNT} are —————
= LIMIT OF ENSUING
| [____(UNDER) _| ESTIMATE
a | | | |
0008 oh
r [sO 90000 Ss
\ js 9010096 ss
ES | ES
r [so  0.009gf Ss Ss
Po -_——-——s
[so 90002 $s
[s_— 90009 § ts ht
r [se 90.002f sss
a) : HE ) Ee
[So 90.0094 Ss
ae
[se 90.00ff
[se 0.009% ss
P a |S | | |
\ [so SS
eS | | (|
zs a | | ||
Corr
js 90.0004 gg
js 90.002 gs
P= 009s I
[so 90.00% gg
ES | | |
r | | | | |
ps 90.0004 $s
ee CC Ce
r ES
a | | ||
[Is 90.008 se
r [fs 00mg
l [So OPS iS Sd
a | | |
m Ee | | | |
r HEE SE Dn Ce a
: Sa | |
[s_—agon.ag ff orf
Po EE 0000s ss
: a || |
[So 900s
r [sd 9000s
L S| 1 | | |
a 0, |
‘al a || ||
1 Sa | |
a |
2 (sO 0009 § Ss
r Is igooag SS dS
'S.A.&. Form 268BR98 Entity: Ottawa EMS Board, $8 ‘See Accountant's Report Monday, September 28, 2015
«“


--- OCR page 9 of 17 ---
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 |
ESTIMATE OF NEEDS FOR 2015-2016
EXHIBIT "E" 2b =
Continued from page 2a {
[ 4000 INTERGOVERNMENTAL REVENUES -FEDERAL SOURCES: |
0 FS
[4112 Reimbursement=Fedeal [ss] 7]
[4113 Federal Paymens in Liew of TaxRevense Js. ]s_-] |
[lieder
Se | sh
[siisoter- Yi
[eit Omer |
[sis Omer
[ans One I 7)
[s1200me- SY
[sat ote
[arz20mer- 3 J]
[4125 Other ts
[424 0mers fh
[esomee gs
[4126 omer
[4127 Other Ss
a
[___Total FederalSoureess TT TTTCCC™C™~—CSCSCSsSYS CC™C~CSC*«*iYCSSCONCNC:C*Cdi
[5000 MISCELLANEOUSREVENUE: SCSdYSCSSSCSCCCCS@ 5
[S111 interes oninvesmens 8 a]
[5112 Rental orLease of Propet
[5113 SaleofPropey tr
[5114 Subscription Sales (Membership) ds
[5115 insurance Recoveries 8 ts
[5146 Insurance Reimbursement
[5117 Retum Cheek Charges 8 9
[S118 Usiiy Reimbursements
[5119 Veoding Machine Commissions 3
[51200tker Concessions Fr
[sia ter Ss
[319 Ome oh
[3123 Omer SY] CF7“
[siz4 mere
[s1250tier-— tts
[s260mer=
[5127 Omer 9
[5128 ome
[51290 hs
{si300mer= $5
[S131 omer 3
[3132 0m
[_____Total MiscellaneousRevenue SS SSCSCSCSCSCSCSCSC~‘“C‘SSSCSC~SSCdS S28 =
[S000NON-REVENUERECEIPIS: YP
Hi Satta fon Doe hae ———_____;—}; |
a | | |
S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, September 28, 2015 :
Lal


--- OCR page 10 of 17 ---
r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015
ESTIMATE OF NEEDS FOR 2015-2016
r Page 2b
BASIS AND
LIMIT OF ENSUING
r [__(UNDER) | ESTIMATE
a  (
[s_ 90.00%¢f $s
r [s_ 90.0094 $s
[so  90 009 sss
[sO  90. 0024 $s
r EEE GS a |e
[s_ 90. 009 $s
ps 90.0024 $s
[so  90.00%6f $s
r [so 50.00% sss
fs 90.002 sss
[Sf 900094f $s
Pfs 000 Ss fs
SS 1 |
SS 1 Se
r [sO 90.00% sss
l a | | | |
[So 90.009 ss
r ps 90.009 ss
SS ES |
[S_ 309.49 SS
. NS | (| (|
r Se EX): | |
ps 90.0026 $e gs
: Se | Xe |S | |
Pfs 0001 ss
' fs 90.00 gg
[sO 90.00% ss
[" DE Ce ne
so 90.0075 8
js 90.009 § sg
a |, |
r a | | | |
a
oS 90.00% gg
A Sa a
7 a |S | |
ee |) |
Sa aT)
L js 9000%f gs
1 S|
F eS | | |
L a | 7 |
a |
re [so 29234 SS
Po
[so 90000 Ss
| UE | | |
r [sd 601.83 PS dS
S.A.41. Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Monday, September 28, 2015
5


--- OCR page 11 of 17 ---
a
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 !
ESTIMATE OF NEEDS FOR 2015-2016
EXHIBIT "E" 3 7
[sk
is} 1]
_
a
[sd 7
-
es
.
[s 7
[sd
[s—__—]
[is - ] 7
[ss } |
7
,
[ss "
[TOTAL ™—™—C“(NNNYY
=
[s__ |
[s_—- |
=
=
™
[Ss - |
[Deductions
[fs |
4
[is
S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, September 28, 2015 aT
|
-
=


--- OCR page 12 of 17 ---
r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015
ESTIMATE OF NEEDS FOR 2015-2016
Page 3
r Schedule 5, (Continued)
2013-2014 2012-2013 2011-2012. 2010-2011 2009-2010 2008-2009 TOTAL
S$ 286s1g3[s_ ss ss Ss sos
r S_ 286591838 Ss sss 286 591.83
| Ce
[ss fs sss 286,591.83
r $ zosrs2{s = ss sss 5,539.47
[ss sss ss 11,601.83
[ss ss ss Ys 7,087.92
fs sss a
$ EAT) | |S (SP | |S £7727)
$ qosrs2s = ss ss 20,921.05,
r [so Ss ss 388,863.50
a | FE |
[so sg ss 388,863.50
$ 7,08792|[$ = SSS 362,057.55
r [so ss
a | (|
[ a ee [ss ss
[sts ts ss T
$ 7os7o2[s SSS SS 362,057.55
r Schedule 6, (Continued)
2014-2015 2013-2014 2012-2013 2011-2012 2010-2011 2009-2010 2008-2009
eS KC |S | |
r Ss smsso[s ss sg
$7 37350$ SS Ss
S 35886350 SS Ss
Pr [ss ss
t $s 1225000[s ts ss ss
[sts ss sss
r sonics SS SS
{ | | EE |
mp
| Schedule 9, Emergency Medical Fund Investments
. Investments LIQUIDATIONS Barred Investments
. INVESTED IN on Hand Since By Collections Amortized by on Hand
r June 30, 2014 Purchased of Cost Premium. Court Order June 30, 2015
. Welch StateBank [$= its 52,sa3.08f[s ds Ss 52,533.08
a (ES | ES | |
r EN Ea | Sn (ES | | |
+ a Ea |S (Sn | |
a KS Se | | (S|
a |S |S | SN | SO |
r a ES | SCO | | |
| SE ES |
[s |
Pr |S | | I ||
| | S| | S| |
$_52533.08)S SSS 52,533.08]
Pp S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, September 28, 2015
-


--- OCR page 13 of 17 ---
7
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015 |
ESTIMATE OF NEEDS FOR 2015-2016
EXHIBIT "E" 4 “
Schedule 8(2), Report Of Prior Year's Expenditures |
po FISCAL YEAR ENDING JUNE 30, 2014 [|
DEPARTMENTS OF GOVERNMENT RESERVES ORIGINAL -
APPROPRIATED ACCOUNTS 6-30-2014 SINCE LAPSED 4
Po EeeEE issue [appropriations |
Pd
[2 EMERGENCY MEDICAL BUDGET ACCOUNT: a | | 7
[ss
92b Part Time Help js ts Ss
a CS
[ss ig Ts 642,296.43
[92e Capital Outlay [ss ss
[ss ss
[ss ss 8,636.70 *)
[ss ss
ee | Fe |
[s_ SSS 652,433.13 7
A | Se (a | |
93a Personal Services [ss ss
[so sss "
a ES Ce
ES CS Ee |
re CS Ce 4
[so sss
93g Other - [ss
93h Other - ES CS Ce Ce
a SS SO | SE | S(O
95 EMERGENCY MEDICAL AUDIT BUDGET ACCOUNT: [|__]
[95a Salaries and Expense of Audit and Report [ss ss
a Ce
a | | | |
psdoters dS Cd SC
a | |
[ss ss
KF
[ss SS TS 3587353
a |
a
ES Ce | |e
a a
TOTAL GENERAL FUND ACCOUNT [sd a ES
SUBJECT TO WARRANT ISSUE: | =
[sd !
GRAND TOTAL GENERAL FUND [se  S = S 688 506.66 ]
al
ESTIMATE OF NEEDS FOR THE FISCAL YEAR
PURPOSE: “
Pro rata share of County Assessor's Budget as determined by County Excise Board =
GRAND TOTAL - Emergency Medical Fund
S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report - Monday, September 28, 2015
=


--- OCR page 14 of 17 ---
r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2014, to JUNE 30, 2015
ESTIMATE OF NEEDS FOR 2015-2016
ia Page 4
|
FISCAL YEAR ENDING JUNE 30, 2015 FISCAL YEAR 2015-2016

= [TT eramounr [warrants [ RESERVES | LAPSED | NEEDS AS
SUPPLEMENTAL IssuED__ | | BALANCE _ [ESTIMATED B
ADJUSTMENTS | APPROPRIATIONS] | ———=«dY KNOWN TOBE
CANCELLED[ | dT «UNENCUMBERED! BOARD | ——_—+
r eS (| (|
— E— | [$1,500.00 | 1,500.00 [$1,500.00 | 1,500.00 ls i is. | [$1,500.00 | 1,500.00 [$1,500.00] 1,500.00
[js ss ss
r [ss ss sss ss iS
Is - | Is | [$642,296.43 | 642,296.43 ps — sare — [$ 281,319.63 | 281,319.63 [$410,100.00 | 410,100.00 [$695,219.29 | 695,219.29
r [sss ss ss is
r is - iis - ‘Is 3636.70][$ 8.63670/$ - =ss i $8,466.28
SE EE | | ES
[sss ss ss
r [ss = WS 652,433.13 [8371350 S—=_—iS_ 281,319.63 |[ $421,100.00
| | |S | | | | |
EE ES | Es Ee |
f [ss ss ss ss
[ss ss
[ss gs ss
i SS ES | | (SE |
[ [s = ts ss sss
| ES
a a ES |S | SS | |
| SE Ke | | | Se |
| | | | | | ||
> |S __- ss a5 a73sal[s ss 35,873.53 |S 55;000.00
[Is ss gs
: [ss ss gs ss
[ss ss gs
F a | | | Se Se |
| [ss ss gs ss
[sss sss ss
oS |S |S |S | | | |
Ph — — oar —si
| | | | ||
[fs is ss ss ss
r [Is - |s - iis - TS - S  S
| rs es ee kt sil areal
[s_-_| [s_ =
[ ——— ae Ce —
a [S|
[s__ == 688, 306.66 $476,100.00

a
; TT Estimate of “T Approved by_|
(ia TT Needs by [County |
Ll Governing Board] Excise Board_|
PS 466,600.00 [ $752,448.45
Ts s00.00 fs 5528
a
a EE ACN EN TUNE
S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, September 28, 2015

5


--- OCR page 15 of 17 ---
Exhibit “Y” Page |
CERTIFICATE OF EXCISE BOARD
ESTIMATE OF NEEDS FOR 2015-2016

c 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
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 ftom 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

r 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

r GOVERNMENTAL FUNCTIONS shall be first assured and provided for, and subsequently to provide for Legislative Governmental

i 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

go || 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

i 2014 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.

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See Accountant's Report
r
S-A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 Monday, September 28, 2015

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--- OCR page 16 of 17 ---
CERTIFICATE OF EXCISE BOARD q
ESTIMATE OF NEEDS FOR 2015-2016 pase?
age
[EXHIBIT "Y" = - -
[County Excise Board's Appropriation EMS Sinking Fund
lof Income and Revenue Fund (Exc. Homesteads)
Appropriation Approved & Provision Made s 7 760,91473 [$d
ia |
lExcess of Assets Over Liabilities $ 354,969.63 [$C
[Unclaimed Protest Tax Refunds [s.- fs - |
[Miscellaneous Estimated Revenues ey) | ee
IEst. Value of Surplus Tax in Process ee es
[Sinking Fund Contributions es |
[Surplus Builing Fund Cash es
(Total Other Than 2014 Tax 3 354,969.63 ™
Balance Required $ 405,945.10|[$ i
|Add 10% for Delinquenc) $ 40,594.51
[Fotal Required for 2014 Tax 3 446,539.67 /5_______—-_|
[307 7 ||
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 2015-2016 is as follows: _
[VALUATION AND LEVIES EXCLUDING HOMESTEADS |
County Real Personal [Public Service J Tow J
$_101,264,284.00 | $_27,276.213.00][$__ 16,912,145.00 || $_145,452,642.00]] ™
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:
EMS Fund 3.07 Mills; Building Fund 0.00 Mills; Sinking Fund 0.00 Mills; Sub-Total 3.07 Mills;
LS
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; ae
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 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 2016 without regard to any protest that may be filed against
any levies, as required by 68 O. S. 1991, Section 2869
Dated at ™\ awww, Oklahoma, this [O° \ay of__ 1 Ypcombse/ » 2015.
Ruse, Somrces 2
ise Board Member en cise Board Chaifrian, =
ALS
ar J
ee YSO_ZPS ALD
Excise Board Member SON (S}Bkeise Bodrd Secretary
Le 7
S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 Es iS a Simtant's Report Monday, September 28, 2015
+ | I907\ *
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--- OCR page 17 of 17 ---
r OTTAWA COUNTY, 58
STATISTICAL DATA
r FISCAL YEAR 2014-2015
Total Valuation
r Total Gross Valuation Real Property $ 109,284,391.00
Total Homestead Exemption $ 8,020,107.00
r Total Real Property $ 101,264,284.00
r
\ Total Personal Property $ 27,276,213.00
5 Total Public Service Property $ 16,912,145.00
l Total Valuation of Property $ _145,452,642.00
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See Accountant's Report
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