--- OCR page 1 of 20 ---
~
=
OCT 3 22
19
~ Slate Aug
HOF & inspect
EMERGENCY MEDICAL SERVICE BOARD ae
2019-2020
Fr ESTIMATE OF NEEDS
AND FINANCIAL STATEMENT OF THE
FISCAL YEAR 2018-2019
EMERGENCY MEDICAL 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
Z 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 2019-2020 ESTIMATE OF NEEDS AND FINANCIAL
STATEMENT OF THE FISCAL YEAR 2018-2019
PREPARED BY Tumer & Associates, PLC
= SUBMITTED TO THE OTTAWA COUNTY
EXCISE BOARD THIS DAY OF 2019

- ) EMERGENCY MEDICAL SERV} OD

Chairman pudhe rnd al Member —
r : OD / We

Member i Member
gE Member<Z ‘ C Gree saps ~ Member

4 a
a Clerk x () %
‘S.A.&1. Form 268BR98 Entity: Ottawa EMS Bodfd, 58 See Accountant's Report Monday, October 07, 2019
ww


--- OCR page 2 of 20 ---
m
ad
i
EMERGENCY MEDICAL SERVICE BOARD
OF .
OTTAWA COUNTY
2019-2020
ESTIMATE OF NEEDS
AND FINANCIAL STATEMENT OF THE L.
FISCAL YEAR 2018-2019
c
.
INDEX ®
ers and Certifications: Page
ee OS ee | .
Affidavit of Publication 2
Certificate of Excise Board Setnnnnnnmnnanmenennimninmnnmmnnnmnnnmnesnnnunnmmannnn Exhibit "¥" - Page 1 =
Exhibits: Filed
&
Exhibit "E" Emergency Medical Fund rnttnennnnneannnininnnnanemnnnnintitinnentnninnnninnenninennenan YS
Exhibit "G" Sinking Fund mmnnanittnnanniniiiiinice., NO 6
Exhibit "J" Capital Project Fads nnn, No
Exhibit "Y" Certificate of Excise Board Estimate of Needs Mg .
Publication Sheet Filed With County Budget reeetninnanmnmnnnnnninnmnninnininnmnnunnnnnnnnnmmmenenn NO
5
C
5
m"
S.A.&I. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 07, 2019. im
o


--- OCR page 3 of 20 ---
, Page |
EMERGENCY MEDICAL SERVICE BOARD
OF
= OTTAWA COUNTY
2019-2020
ESTIMATE OF NEEDS
=~ AND FINANCIAL STATEMENT OF THE
FISCAL YEAR 2018-2019
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, 2018 and ending June 30, 2019, together with an itemized statement of the estimated needs thereof for the fiscal year beginning
July 1, 2019 and ending June 30, 2020. The same have been prepared in conformity to Statute, in relation to which be it further
ol 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
al ending June 30, 2019, 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, 2019 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,
2019 and ending June 30, 2020 as shown under "Schedule 8" were prepared and filed with the Emergency Medical Service Board as
of the first Monday in July 2019, 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, 2019.
Dated at the office of the County Clerk, at Miami, Oklahoma, thy la) (ene 2019.
parvn del
Chairman Member
IN 2A, (a (hie a
Menper i) Memb
Zh Deana
Member Mem
a as
Z zi
Clerk
a Filed this___day of 2019 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 07, 2019


--- OCR page 4 of 20 ---
f
Page 2 =
=
Independent Accountant's Compilation Report
Honorable Emergency Medical Service Board =
Ottawa County
Management is responsible for the 2018-2019 financial statements as of and for the fiscal year ended June 30, 2019 and ®
the 2019-2020 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.
©
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, 5
ce
=
|.
Tumer & Associates, PLC
Teeas Asoociates, PLL .
October 7, 2019
=
|
S.A.&l. Form 268BR98 Entity: Ottawa EMS Board, 58 Monday, October 07, 2019 7
=
r


--- OCR page 5 of 20 ---
r Page 3
AFFIDAVIT OF PUBLICATION
STATE OF OKLAHOMA, COUNTY OF OTTAWA
cr 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, 2019, and the estimated needs and the estimated income from
r sources other than ad valorem taxes, for the fiscal year beginning July 1, 2019 and ending June 30, 2020 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 methis___dayof___—_, 2019,
r Notary Public My Commission Expires
\
cr S.A.&. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 07, 2019


--- OCR page 6 of 20 ---
SRRUENCY MEDICAL SERVICE BOARD \TION SHEET -OTTAWA COUNTY, =
. "PMOCUAL STATENENI OFTHE VARIS AS 8 THE BSCAL TeAR ENON ANG oy oe coos
e ‘FOR THE FISCAL YEAR ENDING JUNE 30,203, OF THE EMERGENCY MEDICAL Seales
OTTAWA COUNTY, ORLAHIOMA
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: ‘EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET - OTTAWA COUNTY, OKLAKOMA,
. ‘FINANCIAL STATEMENT OF THE VARIUS FUNDS FOR THE FISCAL YEAR ENDING JUNE 30,2019, AND ESTIMATE OP NEEDS
FORTHE FISCAL YEAR ENDING JUNE 30,202, OF THE! EMERGENCY MEDICAL SERVICE BOARD OF |
; ‘OTTAWA COUNTY, OKLAHOMA, a
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BF - STATEOP OKLAHOMA, COUNTY OF OTTAWA,se i
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--- OCR page 7 of 20 ---
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2018, to JUNE 30, 2019
= eee ESTIMATE OF NEEDS FOR 2019-2020
:
(Cash Balance June 30, 2018
2 se et
[_TO1AL ASS8T§
ABILITIES AND RESERVES:
is |
: [s______—
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S.A.&1. Form 268BR98 Entity: Ottawa EMS. Board, $8 See Accountant's Report Monday, October 07, 2019


--- OCR page 8 of 20 ---
"
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2018, to JUNE 30, 2019 ;
ESTIMATE OF NEEDS FOR 2019-2020 na
EXHIBIT "E"
‘Schedule 4, Miscellaneous Revenue STIS OnISACCOUNT
SOURCE ACTUALLY
ESTIMATED COLLECTED
1000 CHARGES FOR SERVICES es | ee |
111 Service Fees [ss
1112 Service Fees es
Total Charges For Services [s_ sd
INTERGOVERNMENTAL REVENUE po
2000 INTERGOVERNMENTAL REVENUE - LOCAL SOURCES: [| t™t~“—~*dYSC‘“‘CNCCNC#C#®dS
2111 Local Contributions |
2112 Local Governmental Reimbursements [ss
2113 Local Payments in Lieu of Tax Revenue es re
2114 Other - Protest Tax [ss
2118 Other ~ ee
Total - Local Sources GE Dee
3000 INTERGOVERNMENTAL REVENUES - STATE SOURCES: a |
3111 County Sales Tax - OTC [ss
Sub-Total - OTC es
[8211 State Grants
3212 State Payments in Lieu of Tax Revenue ls - fs -~*'|
3213 Homestead Exemption Reimbursement is CCW SCC™~“—*S~C~*~S~*@*
3214 Additional Homestead Exemption Reimbursement ee ee
3215 Other - 5 year exempt [so
3218 Other - es ee
[3222 Other 9S
Total - State Sources ee
Continued on page 2b ‘See Accountant's Report Monday, October 07, 2019
S.A.&I. Form 268BR98 Entity: Ottawa EMS Board, 58


--- OCR page 9 of 20 ---
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2018, to JUNE 30, 2019
5 ESTIMATE OF NEEDS. FOR 2019-2020
Page 2a
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S.A.&L Form 268BR98- Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 07, 2019


--- OCR page 10 of 20 ---
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2018, to JUNE 30, 2019
ESTIMATE OF NEEDS FOR 2019-2020
EXHIBIT "E" a
SOURCE
Continued from page 2a
| 4000 INTERGOVERNMENTAL REVENUES-FEDERALSOURCES: fC
[4 FedelGens Sg
[4112 Reimbursement=Federd dis
* (lari Federal Payments in Liew ofTax Revenue 3's
[atime tg
[suis omer fs
[suiéomers gg
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[4120 Ome =
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[2122 Omer oh
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[4125 Omer oh
[4126 Ones = se
[$127 Oe
[$28 Omer >
[__Total Federal Sourees Tf
[3000 MISCELLANEOUS REVENUE!
[3111 Inereston ovesmmenss 0g 1 ir]
[3112 Renal or Lease of Proper tp
[3103 Sale ofPropery Og
[5114 Subseiton Sales Member) 3
[311s Inswance Recovers tg
[$116 insurance Reimbursement tg
[S17 Retwrn Check Charges
[S18 Waly Reimbursemenis
[5119 Vending Machine Commissions 3 3
[3120 Other Concessions
[Sia Otero oh
[5828 Omer oh
[3123 oer th
[3124 Other Ts
[5125 omer
[$126 Omer
[127 omer os
[3128 nee oh
[3129 wee
[$130 Ober oh
[3131 Omer
[3192 0tbe
[__Total Miscellaneous Revenue 8 rs]
| 6000 NON-REVENUERECEIPTS: SY
[sires foot};
a
[____Grand Total Emergency Medical Fund id]
S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Monday, October 07, 2019


--- OCR page 11 of 20 ---
i
L
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2018, to JUNE 30, 2019
= ESTIMATE OF NEEDS FOR 2019-2020
Page 2b
= BASIS AND 2019-2020 ACCOUNT
| over) uimmrorensunc
[__(UNDER)___—i| ESTIMATE [__INCOME | GOVERNING BOARD | EXCISE BOARD —]
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; S.A.&I, Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 07, 2019


--- OCR page 12 of 20 ---
®
, EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2018, to JUNE 30, 2019 .
ESTIMATE OF NEEDS FOR 2019-2020 3
EXHIBIT "E” =
—
|
156
[s ‘|
[fs |
[s
[is
[fs
[is]
[S|
[s___sisoa.a]
[TOTAL [$511,322.48]
[fs |
[fs
[s_
| BALANCE WARRANTS OUTSTANDING JONE 30,2019
c
[S|
[is
ee
[s——_- |
'
S.A.&I. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 07, 2019


--- OCR page 13 of 20 ---
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2018, to JUNE 30, 2019
ia ESTIMATE OF NEEDS FOR 2019-2020
: Schedule 5, (Continued Poge 3
r = 20 ns = 2016-2017 2015-2016 2014-2015 2013-2014 2012-2013 TOTAL
| [sss 305,756.93 |
[305,756.93 | $__105.18698
$__ 30575698 | $s ss arses
— — a eC
r [sss ts ts 05653
ES SC CC
[sss ts ts 135.09
r a ee ee ee Ce ee $s ea35.07
S__6435.07 — — — — —
s_6a3so7['s sis ss Ys Ts a1, 70838
[sss ss i rt
ES CS Se | (CC
- [fs - Is. |s - |s__-|s -|s  |s _si,mas
$ 643so7[$ SCC CdS SCC CdS SC CdS SCSC~«C*dCS 299,426.90,
: [ss sss ss
[ss ts dts ss is
=
[s____- [sss fs ss]
[fs fs fs ‘is sss
[sss fs fs fs fs
= s___easor[s_- _[Is___- ls__-_s___-_s____- Is _29542650
Schedule 6, (Continued)
7 2018-2019 2017-2018 2016-2017 2015-2016 2014-2015 2013-2014 2012-2013
Sa ES | | |
$__siismae[s__-_] ss. ]s__-]s-_[s |
[$511,322.48 | [s-
= $_sui3224gfs_ SS TS =
S$ sui3224s[s_ Ss sss
[s—- | Js ]s__-]s_-]s_- Is |
[sss ss ]s- Is ___ |
J [fs ___|s__- |s_]s___- Js. Is. fs - |
S$ susa4ss OS SC OS OS CS
Ss id
a
Schedule 9, Emergency Medical Fund Investments
= Investments LIQUIDATIONS Barred Investments
INVESTED IN on Hand Since By Collections Amortized by on Hand
June 30, 2018 Purchased of Cost Premium Court Order June 30, 2019
= Welch StaeBank |[$ = ~O[s CS Os SO - -
ss ss ss
ss fs ts ss
ss fs ss
: ss hs fs
ss fs os ss
ss ls ss
a A EN
[ 2 Ee Ge Po Kon |G HT
HS SC CdS SC CdS S—~“CC*d S (“<$$SC(S$§W- [Ss —CS ST
r S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 07, 2019


--- OCR page 14 of 20 ---
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2018, to JUNE 30, 2019

ESTIMATE OF NEEDS FOR 2019-2020 i ,
EXHIBIT "E"
«YY SCAT YEARENDINGTONESOO@ [i
issue [arrrormiarions |
ee ed es
(S2EMERGENCY MEDICALBUDGETACcounT: [CC
feapenonslSenics SS dS Sd «dS ac
fap PanTimeHep iS ss
Se a ES CS
2d Moinenance and Operaion ————SSSSS—*dS SS sds ds a
faeCepialoutey dS ds ss CY
forauitEspene dS sds i SY
lag Revaluation Ss dis |
2h Ower gs ss
a CS SP
peteal tS Ss I re
a |
Bsetaved Sg rs
[sa Mainenance and Operon id's ss
fseCepialOutay is
psttmergovemmenad Sts 3s
P3g0mer ss oS
3h Omer ss
a Cs es Ce ee
[SEMERGENCY MEDICAL AUDIT BUDGET ACCOUNT Ps
DSbinergovermenal SS
psconer ss ts
psa Omer fs fp fs
Semmes ss
pstotier= fg fg
pss omer ss
psn omer ss fs
Sow Ss sr]
psomuERUSES.
——_
a | | S| |
ee fae
[TOTAL GENERAL FOND ACCOUNT [$$ Js ar]
[99 Provision for Interest on Warrants SC C*dS SSCSCSC~C*dS SSCS
eT
[PURPOSES OOS
[CumentExpense
RTA aes ea]
S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, October 07, 2019


--- OCR page 15 of 20 ---
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2018, to JUNE 30, 2019
™ ESTIMATE OF NEEDS FOR 2019-2020
Page 4
Governmental Budget Accounts
= FISCAL YEAR ENDING JUNE. 30, 2019 FISCAL YEAR 2019-2020
|} —__T ver aviounr’ | warrants"[ RESERVES | — Taps es APPROVED BY
| —suppuemental [7 or | issusp |} “patanoe By|_ COUNTY
|__abjusrments — |"approrniaions |] ——] KNOWN TO BE| GOVERNING | EXCISE BOARD
= ADDED [CANCELLED] |) J owecusenes| BOARD =]
es | |
a $ 3,000.00|[$_ 1,500.00 s Is 1.50000] 1.50000] $1,500.00
js sss fs [sss
$22,266.48 [5 - | $_495,72430[$- |
ls - | $__gi2278[s = Ws 9.500.00]s 9,500.00] s 8,126.50
$_33,26648]]$ = (TS 765,800.05 [s_-_ |
A es es
* | | a |
[s__ [sss sss iS iS”
[sls ss sss
[sss sss is Sd
ss ss [ss ss
ES ES | | SC (|
a | | (| |
"fs st [s |
[s_ fs ss ss ss CS
[ss sss ss [ss
ts sss sss Osi Sd
js ss sss is
js fs sss ss es
| E_+-— >
js ts ss sd TS
es ee is_ | $ 31,000.00 || $__ 35,639.18
: | | (SS | | Cc]
[ses sss
[s_ ss ss Ss |
a | | (| | |
J $_33,266.48|[$___- ‘(i$ 805,939.59 is - |
——————
ls - is id [s_ = is dS C=S
’ $33,266.48 $805,939.59
Ba nn an ed
a
T_T 5 95500.00
a
000 |S 77539 |
" S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Monday, October 07, 2019


--- OCR page 16 of 20 ---
Exhibit “y"
Page 1
CERTIFICATE OF EXCISE BOARD
. ESTIMATE OF NEEDS FOR 2019-2020

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

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 from the estimate of needs so submitted any items not authorized by law and reduced to the sum authorized
by law any items restricted by statute as to the amount lawfully expendable therefore; (3) supplemented such estimate, after proper
Publication, by an estimate of needs prepared by this Excise Board to make provision for mandatory governmental functions where the
estimate submitted wholly failed or was deemed inadequate to fulfill the mandate of the Constitutions or of the Legislature; (4) computed
the total means available to each fund in the manner provided; and (5) then and only thereafter. -
Accordingly, we have and do hereby appropriate the Surplus Balances of Cash on Hand, and the Revenues and Levies hereinafter set forth
for each Fund to the several and specific Purposes named in such estimates, by each, to the intent and Purpose that CONSTITUTIONAL
GOVERNMENTAL FUNCTIONS shall be first assured and Provided for, and subsequently to provide for Legislative Governmental
Functions insofar as to the available Surpluses, Revenues and Levies will permit; and we have provided also that the Levies are in excess of |
the amount appropriated to needs after deducting the surplus cash balance on hand, and Estimated Revenues other than tax, by the
Percentage and amount or reserve for delinquent tax as hereinafter set forth, which we have determined in the manner provided by law.
We further certify that we have examined the within statements of ‘account and estimated needs or requirements of the Governing Board of
2018 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 Tequirements therefor to fulfill the conditions of Section 26 and 28 of Article 10,
Oklahoma Constitution, and have made and certified a tax levy therefor to the extent of the excess of said total requirements over the total of

] items 2, 3, 6, and 12 of Exhibit "Y" (Page 2) and any other legal deduction, including a reserve of 10% for delinquent taxes.
See Accountant's Report
§.A.&I. Form 268BR98 Entity: Ottawa EMS Board, 58 Monday, October 07, 2019


--- OCR page 17 of 20 ---
CERTIFICATE OF EXCISE BOARD
ESTIMATE OF NEEDS FOR 2019-2020 vane?
SXHIBIT"Y" — |
. = = EMS: ‘Sinking Fund
fi
County Excise Board's Appropriation cae (Gis Heresies)
of Income and Revenue SEE
Appropriation Approved & Provision Made 3__775,396.67
Appropriation of Revenues ae
Excess of Assets Over Liabilities $292,991.83
Unclaimed Protest Tax Refunds [ss
Miscellaneous Estimated Revenues
Est. Value of Surplus Tax in Process
Sinking Fund Contributions [sos
Surplus Builing Fund Cash a
Total Other Than 2018 Tax S292,99183[$ |
Balance Required $ 482,404.84/$ i
Add 10% for Delinquency $ 43240485
Total Required for 2018 Tax S$ 530,64522 [5 =|
L307
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 2019-2020 is as follows:
VALUATION AND LEVIES EXCLUDING HOMESTEADS
[Tort 7
S_117,486,842.00][$ _28,638,681.00 | $ _26,723,114.00 |[$_172,848,637.00
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 ageregate amount to be raised by ad valorem taxation, we thereupon made the levies therefor as provided by
law as follows:
EMSFund 3.07 Mills; Building Fund 0.00 Mills; Sinking Fund 0.00 Mills; Sub-Total 3.07 Mills;
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 Mitis;
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 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 2020 without regard to any protest that may be filed against
any levies, as required by 68 O. S. 1991, Section 2869
Dated at {Yen's > Oklahoma, this \EP*day of G yop lbec +2019.
af Bo; rear 4 ER Feise Board Chairman
L697 7, fete [yy a
EXcist Board Member Eile) WA ¥ xcise BoarthSecretary
E+ Say
Ps
S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 cy * 0
, ° Ses A€dountant's Report Monday, October 07, 2019


--- OCR page 18 of 20 ---
aT
OTTAWA COUNTY, 58
a STATISTICAL DATA
FISCAL YEAR 2018-2019
: Total Valuation
Total Gross Valuation Real Property $ 125,587,136.00
] Total Homestead Exemption $ 8,100,294.00
21 00,294.00
Total Real Property $ 117,486,842.00
Total Personal Property $ 28,638,681.00
Total Public Service Property $ 26,723,114.00
8114.00
Total Valuation of Property $ 172,848,637.00
— ee
See Accountant's Report


--- OCR page 19 of 20 ---
EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET - OTTAWA COUNTY, OKLAHOMA
-INANCIAL STATEMENT OF THE VARIUS FUNDS FOR THE FISCAL YEAR ENDING JUNE 30, 2019, AND ESTIMATE OF NEEDS
FOR THE FISCAL YEAR ENDING JUNE 30, 2020, OF THE EMERGENCY MEDICAL SERVICE BOARD OF
OTTAWA COUNTY, OKLAHOMA }
IT "Z" Page 1
STATEMENT OF FIN: R L__—Ms.__]|
AS OF JUNE 30, 2019
v
estments
TOTAL ASSETS,
CITIES AND RESERVES: I; |
ats Outstanding
e for Interest on Warrants
es From Schedule 8
TOTAL LIABILITIES AND RESERVES [so]
CASHFUND BALANCE (Detien) JUNESO 09S STS
ESTIMATED NEEDS FOR FISCAL YEAR ENDING JUNE 30, 2019
ACORN GENERAL FUND ][__ SINKING FUND BALANCE SHEET [SINKING FUND J
it Expense [s_-|
¢ for Int. on Warrants & Revaluation
ial Required
NCED Total Liguig Assets ES
‘und Balance | 35,57 SS [Deter Matured Indebiednesss
xied Miscellaneous Revenue ist el [st
tal Deductions
ce to Raise from Ad Valorem Tax
MATED MISCELLANEOUS REVENUE: fer el [3
Charges for Services [se
Local Sources of Revenue =
State Sources of Revenue [ss
Federal Sourees of Revenié [3 aance of Assets Subject to Neomals_—_—_S
Miscellaneous Revenue [so ft
Contributions from Other Funds [ss iS = |
tal Estimated Revenue, [sd
iss |
===
IBINKING FUND REQUIREMENTS FOR 2019-202 [|
Pso=
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5 :
s :
$ :
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rare nneaa ese
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_
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[ Deduct:
$ =
&1. Form 268BR98 Entity: Ottawa EMS Board, 58 Monday, October 07, 2019


--- OCR page 20 of 20 ---
= EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET - OTTAWA COUNTY, OKLAHOMA.
FINANCIAL STATEMENT OF THE VARIUS FUNDS FOR THE FISCAL YEAR ENDING JUNE 30, 2019, AND ESTIMATE OF NEEDS
FOR THE FISCAL YEAR ENDING JUNE 30, 2020, OF THE EMERGENCY MEDICAL SERVICE BOARD OF
OTTAWA COUNTY, OKLAHOMA
= EXHIBIT "Z"
line 121s less than line To after omitting "h” deduct the following
each in turn from line 4, "Total Liquid Assets". FUND.
___ |[13c. i. Unmatured Coupons Due 4-1-2020
14d. k. Unmatured Bonds So Due +d
I5d_1. Whatever Remains is for Exhibit KK Line E. Sd
wm» |[17d. Less Cash Requirements for Current Fiscal Year in Excess 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
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, 2019, and
m] ending June 30, 2020, 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 yalorem taxationdoes not exceed the lawfully authorized ration of the revenue derived from
the same sources during the preceding fiscal year.
[ Chel Ablasdle> al Zul Ve Viens
jairman of Board Member Member
Member Member ys Member
4] Keo
Ey [3K fin * 5
erPEnt 5 OP gy ae
SOY PuGSOD cs ieee g Coun Clerk’ Seal
= FSS ov “OL 3
Ba ee et BY
f pb Sizam: & py NK
SP NAND ij Sa
x FOR
[O$
F Soe oth
“AWA CONS
mina
, >
Subscribed grdfSwornto hits 20 day of June, 2019.
= y ry Notary Public
Required 1 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.&L. Form 268BR98 Entity: Ottawa EMS Board, 58 Monday, October 07, 2019