--- OCR page 1 of 21 ---
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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 $+ 0. Jodemers anda Lvied fovUapad —[s)
a
a ued Ines —
es a
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=,
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a
Ee Assual Accra Fem BenbaE——['$ |
a
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ee
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————
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= a
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—
—_ _ [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:

| |
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a

[|
fd
ee ee

‘laims Paid by Warrants Issued. $ 478,216.47

[so
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foe OIA REDUREMENTE MD ou FUND Lancs —————|- J ——~gigat
[
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[sd

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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
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ae
ae
[2000 INTERGOVERNMENTAL REVENUE -LOCAL SOURCES; |
——w
[s
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ee eel § P|
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[2 ee cere eel SE a
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[312 Omer-ore SSCS
[___Sub-Towl 07
[ss
Ss
Ca CC
a
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[3217 tye
[s2teowe Te ee | [s_
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[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
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[sO  90 0099 ss
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'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
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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.
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" 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
¢
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:
;
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!
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[_ BALANCE WARRANTS OUTSTANDING JUNE 30,2000 YS iY
[ss
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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
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_ Tnvestments Barred Tnvestments
June 30, 2019 Purchased of Cost Premium Court Order June 30, 2020
[so Sg
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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


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CERTIFICATE OF EXCISE BOARD I
ESTIMATE OF NEEDS FOR 2020-2021
Page 2
[County Excise Board's Appropriation
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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 Ҥ." \ 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


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[ 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


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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:
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[__TOTAL ASSETS]
LIABILITIES AND RESERVES: [fs |
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(CASH FUND BALANCE (Defic) JUNE 30,200 SS] 7
ESTIMATED NEEDS FOR FISCAL YEAR ENDING JUNE 30, 2020
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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