--- OCR page 1 of 20 ---
NOV U4 2021
- State Auditor & Inspector
EMERGENCY MEDICAL SERVICE BOARD
2021-2022
~ ESTIMATE OF NEEDS
AND FINANCIAL STATEMENT OF THE
FISCAL YEAR 2020-2021
EMERGENCY MEDICAL SERVICE BOARD
= THE COUNTY OF OTTAWA
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.
al 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 2021-2022 ESTIMATE OF NEEDS AND FINANCIAL
STATEMENT OF THE FISCAL YEAR 2020-2021
PREPARED BY Tumer & Associates, PLC
_ SUBMITTED TO THE OTTAWA COUNTY
EXCISE BOARD THIS DAY OF 2021
EMERGENCY MEDICAL SERVICE BOARD
rd . Cc») ™~
Chairman, Member =
a Member Member_ 2522 Zz
- Member Member R me . ‘D
NOV 0 4 2024
Y
= Clerk x}, % Sits Autor
Gite inspustor
S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, September 20, 2021


--- OCR page 2 of 20 ---
=
o*
EMERGENCY MEDICAL SERVICE BOARD .
OF
OTTAWA COUNTY bs
2021-2022
ESTIMATE OF NEEDS
AND FINANCIAL STATEMENT OF THE, =
FISCAL YEAR 2020-2021
=
c
INDEX
Letters and Certifications: Page
Letter To Excise ee b
es 2
™
Accountant's Letter “soesserarenzeeeanenenenareaeaanerauneevnnrovararasnnunenantnsaneeentaunnaesttnestsanetnanoenatetetaeerseaee tees earaiessaenistennereneasecsnseneneessesecen 3
Certificate of Excise Board “nnininiinniinntnnnnnnsiiiitinnnnnnnunnn Exhibit "Y" - Page 1 fs
Exhibits: Filed
Exhibit “E" Emergency Medical Fund enannnennmanennninnninnntnnnaininnnnnnmsniineninnmmnnan YES .
Exhibit "G" Sinking Fund “mannniinninintenniiiieintnntstinnntinammnumniiiin, NO
m
Exhibit "J" Capital Project Fd eer No
Exhibit "Y" Certificate of Excise Board Estimate of Needs a  < ™
Publication Sheet Filed With County Budget ae \)
=
Exhibit "Z” Publication Sheet eemnninntianninnitiaiinnninnmninninninnmnnnnmanmnnn YS
™
S.A.8l. Form 268BR98 Entity. Otawa EMS Board, 20,2021


--- OCR page 3 of 20 ---
- oy
= _ Page 1
EMERGENCY MEDICAL SERVICE BOARD
OF
- OTTAWA COUNTY
2021-2022
ESTIMATE OF NEEDS
- AND FINANCIAL STATEMENT OF THE
FISCAL YEAR 2020-2021
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, 2020 and ending June 30, 2021, together with an itemized statement of the estimated needs thereof for the fiscal year beginning
July 1, 2021 and ending June 30, 2022. 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, 2021, that said statements comprise a "full and accurate statement of the assessments, receipts and expenditures of
a 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, 2021 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,
a] 2021 and ending June 30, 2022 as shown under "Schedule 8" were prepared and filed with the Emergency Medical Service Board as
of the first Monday in July 2021, 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, 2021.
Dated at the offjge of the County Clerk, at Miami, Oklahoma, this !Z day of __ CET QE _ 2901.
rt y ‘Fn,
Chains ember
Membei Member
Member Member
7 AEN.
- Filed this___day of 2021 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 20, 2021


--- OCR page 4 of 20 ---
; ”
ri +
Page 2 °
e
Independent Accountant's Compilation Report
Honorable Emergency Medical Service Board rm
Ottawa County
Management is responsible for the 2020-2021 financial statements as of and for the fiscal year ended June 30, 2021 and 7
the 2021-2022 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, R
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, B
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.
co
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,
®
®
®
®
Tumer & Associates, PLC
Teeter.¢ Asoveiates, PLE a
se
September 20, 2021
=
=
S.A.&l Form 268BR98 Entity: Ottawa EMS Board, 58 Monday, September 20, 2021


--- OCR page 5 of 20 ---
r 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 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, 2021, and the estimated needs and the estimated income from
sources other than ad valorem taxes, for the fiscal year beginning July 1, 2021 and ending June 30, 2022 published in one issue of
r 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.
r ‘County Clerk
Subscribed and sworn to before methis___dayof___———S—Cs 2021.
r
r Notary Public My Commission Expires
r S.A. Form 268BR98 Entity. Ottawa EMS Board, 58 ‘See Accountant's Report Monday, September 20, 2021


--- OCR page 6 of 20 ---
EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET OTTAWA COUNTY, OKLAHOMA
EINANCLAL STATEMENT OF THE VARUS FUNDS FOR THE FISCAL YEAR ENDING JUNE30, 2021 AND ESTIMATE OF NEEDS
FOR THE FISCAL YEAR ENDING JUNE 30, 202, OF THS EMERGENCY MEDICAL SERVICE BOARD OF
OTTAWA COUNTY, OKLAHOMA
ponrz if a .
- ST RTERERT OF FRANTALCOROTO oo ay
SSS ma es eee ere ee Cee
rote tenes —— Ao ee
[SSO BALANCE (Det) JUN SO ESET .
"ESTIMATED NEEDS FOR FISCAL YEAR ENDING JUNE 30,2007
ferent Expense $735,347 33 If. Cash Balance on Hand June 30,2001 Sd
ED Sn | -
aaa Foe Valores Tee S S18 057. Pave Bonds} 5 J
FesTINATeD a a -
co.
ISIN Conibuti La a {ess PS a Fe
is 02 ooo | f
[7 Excess of Assets Over Accrual Reserves © | $_—__._]
™ P Accrual oq Unmatured Boods i's. 5
ff: tsterest on Unpaid Judgements t's
ES = * Eee aaa
(ii ee Raper | SE! . q
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1 Nein nail IT
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iste stay tatey ——————}. |
EL Fes AS0GRON Eaay. Ceara ND BOSE : Tinta, Sopa ST '
STATIN MEDICAL SERVICS BOARD PUBLICATION SHEET OTTAWA COUNTY, OXL
eee ORT eae eu TUDSIORTIERSCAL YEAR BONG ANSE NN Sor vaase
—— en OTA HTC OST ERE DOADOF -
Wine 12 les than Une 1 aieT SEES WP SGEGEES RISE at
[Leech in tun fom line 4 “Tota ieee ae Tl a 1 i
gk Unmatured Bonds $5 5 =1 i
{USE Remalnng Defic er ESR Tas ee Con Hind a Lag
Spe ee a
CERTIFICATE - GOVERNING BOARD . ‘a
STATE OF OKLAHOMA, COUNTY OF OTTAWA, s:
Serban ost Metial evn Bot Ocre Cm Oth doy xe
Iogear yo Core pet eae a 3002 te a
Sige Get re We far arty ngage Ec Nel Bon ny
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ee


--- OCR page 7 of 20 ---
r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021
ESTIMATE OF NEEDS FOR 2021-2022
r EXHIBIT "E" PAGE 1
ASSETS:
if
[ovesmmens
= [______TOTALASSETS
r [LIABILITIES AND RESERVES:
Is
[s
r [s————J
[so
r
F
tS ee ee
ca Bua ee
|Cash Balance June 30, 2020 $ 340,268.02
r |
a
_—
r [_TOTALREVENUE™CSdYCSNCC#C#NNC(‘#dz
c Hs
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rs
Cd
ee
r
f
aaa]
if |
is
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[DEDUCTIONS:
r
[is |
r
)
a a
r
S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Monday, September 20, 2021


--- OCR page 8 of 20 ---
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021 ‘
ESTIMATE OF NEEDS FOR 2021-2022 2
a
EXHIBIT“E” i
‘Schedule 4, Miscellaneous Revenue SUDSOST ACCOUNT
SOURCE [amount [ACTUALLY _| 4
[__ESTIMATED __| __ COLLECTED _|
itSeveeFes —
— —
[1116 Other Ss
a "
— ——
es
INTERGOVERNMENTAL REVENUE ee
2000 INTERGOVERNMENTAL REVENUE - LOCAL SOURCES: es ‘
a
2112 Local Governmental Reimbursements ss
2113 Local Payments in Lieu of Tax Revenue [ss CS 7
es
Total - Local Sources | 7
3000 INTERGOVERNMENTAL REVENUES - STATE SOURCES: |
[ss 7
ss
es
3212 State Payments in Lieu of Tax Revenue a 7) |
3213 Homestead Exemption Reimbursement es
3214 Additional Homestead Exemption Reimbursement es
[s_ = s_ 5,061.26 | 7
3216 Other - State Land Reimbursement [ss 5.29]
3218 Other a es 7
[si :
Continued on page 2b See Accountant's Report Monday, September 20, 2021
S.A, Form 268BR98 Entity: Ottawa EMS Board, 58 7


--- OCR page 9 of 20 ---
r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021
ESTIMATE OF NEEDS FOR 2021-2022
r Page 2a
TA reo
LIMIT OF ENSUING
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S.A.&L Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Monday, September 20, 2021


--- OCR page 10 of 20 ---
C
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021
ESTIMATE OF NEEDS FOR 2021-2022 =
EXHIBIT "B* 2
SOURCE 7
Continued from page 2a
| 4000 INTERGOVERNMENTAL REVENUES - FEDERAL SOURCES. [SY
[4ti1 Federal Grants dS
[4112Reimbursement-Federl CdS CSS]
[4113 Federal Payments in Liew of TaxRevenue SiS
[tid Other fs oh ®
[411s Other = fs
[4116 Other tg
[2117 tbe, ts c
[4118 Other ts I
[4ti9 Other gg
[#120 Omer =
[4121 Others I .
[4122 Omer oo
[4128 Ober S
[8126 Otero L
[2125 Ober oh
[2126 Oe ES
[e127 Oe
28 Ott
| ———_ Tal Federal Seuss
{ewe Tol Inergoveramenial Revenues Sy m
Hsin MISCELLANEOUS REVENUE,
[Stites on nvesmenss 0 rr]
P2112 Renal or Lease of ropeny fg
131s SleofPeopeny hr? "
[$114 Subsrpdon Sees (Membersipg) fp
[SiS aswance Resoves 0
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[St17 Rem Chesk barges Os
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[$113 Vending Machine Commissions R
f3120 Otis Coneesins
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{E00 NON-REVENUE RECEDPTS: TT
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ar SS}, J 9]
[__Grand Total Emergeney Medical Fund ar]
S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Monday, September 20, 2021 1


--- OCR page 11 of 20 ---
r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021
. ESTIMATE OF NEEDS FOR 2021-2022
r Page 2b
BASIS AND
r | OVER} uimrror ensue
[_____ (UNDER) ESTIMATE
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r js 0003's sd
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ps s0.00%f's sO
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'S.A.&. Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report ‘Monday, September 20, 2021
[


--- OCR page 12 of 20 ---
7
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021
ESTIMATE OF NEEDS FOR 2021-2022 =
EXHIBIT "E" 3
-
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S.A.&I. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Report Monday, September 20, 2021 7


--- OCR page 13 of 20 ---
c EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021
ESTIMATE OF NEEDS FOR 2021-2022
= Pag
r Schedule 5, (Continued) ge
2019-2020 2018-2019 2017-2018 2016-2017 2015-2016 2014-2015 TOTAL
S__340,268.02][§ [sss SSS 340,268.02
$3406.02 [8 S's san
[sts sss fs
[sss sss 310 268.02
$__24as73s[s_ [ss ds Sd Cd
GS |G | eS) ee
r [s_ ss sss
a
$__2asz3s[s_ ss ss
[sss ss
r [sss sss
[sg ss sss
[sss ss sss 08 81
r $__24as73s[s_ Ss ds Cd Cd
[so sg gS
[ss ss sss
pe [sss ss ss
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[sg ig Sg
= a | | EE |) 269,520.20
r
2020-2021 2019-2020 2018-2019 2017-2018 2016-2017 2015-2016 2014-2015
a CS ef |
c s_6sa7easi[s is ss ss
s__ 658,768.81 ][$ its its sd sd
r [ss ss ss
Se |S (ES | S| S| S| SO
Se | | | |
r a | | S| | | |
P HES) [EE Ee Pe Le eee
: [se  S Sd
r Schedule 9, Emergency Medical Fund Investments
Tnvestments LIQUIDATIONS Barred Tavestments
és INVESTED IN on Hand Since By Collections by on Hand
June 30, 2020 Purchased of Cost Premium Court Order_|| _June 30, 2021
eS | | | S| Sk | |
a a Cn
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SS | |
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r a ES | | S| |S |
NE ES ES SS |
fOTALINVESIMENT|S = iS TS SS Sd
r S.A.&1, Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Monday, September 20, 202)


--- OCR page 14 of 20 ---
m
EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021
ESTIMATE OF NEEDS FOR 2021-2022 _
EXHIBIT "E" a
Schedule 8(a), Report Of Prior Year's Expenditures
PT FISCAL YEAR ENDING JUNE 30, 2020 ee
DEPARTMENTS OF GOVERNMENT RESERVES,
APPROPRIATED ACCOUNTS 6-30-2020 SINCE LAPSED
pT issuzp[areroraanons|
a
92 EMERGENCY MEDICAL BUDGET ACCOUNT: a
[js is ss 1,500.00
2b Part Time Help a Ce Ce
Beeld SY is
[ss ss 809,809.16
js fs ss
PatauditExpense CdS CCS [ss
[js sss
DE) a naa js ts :
pe Towl dS J aE 1309.16
A | ee ee
[sss sr
[ss ss
BseTrvel Cid ss ee
[ss ss dF,
[ss ss
js ss is
[ss ss
3Tow CSCS [ss ss
pS EMERGENCY MEDICAL AUDIT BUDGET ACCOUNT: JP ———([_ es |
5s Salaries and Expense of Audit andRepot Sf $37,115.10] ™
9Sb Intergovernmental [sss is
95d Other - [ss ss
| [$37,115.10]
8 OTHER USES: re ee
98a Other Deductions GE |G Fe Pe
98 Total a is |
Po re
TOTAL GENERAL FUND ACCOUNT — [s__ | "
SUBJECT TO WARRANT ISSUE: es
es
GRAND TOTAL GENERAL FUND. Es es ™
J
ESTIMATE OF NEEDS FOR THE FISCAL YEAR, .
[POR
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 20, 2021 7


--- OCR page 15 of 20 ---
r EMERGENCY MEDICAL FUND ACCOUNTS COVERING THE PERIOD JULY 1, 2020, to JUNE 30, 2021
ESTIMATE OF NEEDS FOR 2021-2022
P Page 4
= | ___T wer amount [Warrants | RESERVES | LAPSED | NEEDS AS [APPROVED BY]
L |_suppyementaL [or [issuep_ |_| _BALANCE [ESTIMATED BY] COUNTY _|
|___ADyusTMENTS [Appropriations || ————S~—=*dY KNOWN TO BE] GOVERNING | EXCISE BOARD]
=  {L-ADDED [CANCELLED|” «| ~————~*dvencunperen|poarp | |
P | (||
|s_1,s0000[[s = fs 3,000.00 ls tsoooolfs _—- ‘Is _1.50000||s 1,500.00] s 1.50000]
, pS sss sss
r fs ss sss ss
ee 832,218.08 |S 648,155.23|[$ __- ‘|| $ _184,062.85]| $ 485,600.00] s 724,429.67]
ES | |
r [ss ss ss ss
[sss sss ss
| |S | | |
js = {sss ss ss
P [s_23,868.92|[$ = ifs 835,218.08 |[$ 649,655.23 [8S 185,562.85 $ 487,100.00] $ 725,929.67]
TS | | RN | | | |
ES EE | |S S|
r [ss gg gg
SR ES | | | |
SR (ES | ES | | | | (|
r [ss ss sss is
js [ss ss sss
| | es ee
r SS |S | |
[ss
| | | NSN | |S | ||
[s sigasls - Ws eg.ciasel[s 9 ssel[s-([s59.500.00||s _59,500.00|[$ 38,440.13]
P [fs - is ss ss ss
is - fs - ‘Is - is ts ss is
r js - is is sss ss
Is__- fs - Is ss ss is
Is - Is - Is is ss is es
Is_- Is - Is - *‘|s ss is se
" [Is - is - is ss ss ts
[s_3149848[S = (IS 68,013.58][$ __9.113.58]/s dS _59,500.00||$__59,500.00][$__ 38,440.13]
a A | | | ||
[Is - is ss ss
if is - Is - Is - ss SS
——
r [s_55367401$ _- |[S _903,831.66|[S 658,768.81 |S = ‘(LS 245,062.85 |[$_546,600.00]| $_ 764,369.80]
rs

b—}—_; —_},_ |, __},
r [S_55.36740|[S_-_[S__903,831,.66][$_658,768.81][$ NS 245,062.85 |S _546,600.00][ $ _764,369.80 |
[TT Estimate of] Approved by |
j [OT Needs by [County |
t Governing Board] Excise Board |
[TS 537,100.00 [$755,541.33 |
r PTs 9,500.00 $8,828.47
ee ee
DS 546,600.00 [$764,369.80]
r S.A.81, Form 268BR98 Entity: Ottawa EMS Board, 58 ‘See Accountant's Report Monday, September 20, 2021


--- OCR page 16 of 20 ---
Exhibit “Y” Page 1

r CERTIFICATE OF EXCISE BOARD

ESTIMATE OF NEEDS FOR 2021-2022

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.

cr 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

FP || 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

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
2020 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

r 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

S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 Monday, September 20, 2021


--- OCR page 17 of 20 ---
CERTIFICATE OF EXCISE BOARD "
ESTIMATE OF NEEDS FOR 2021-2022
Page2
[County Excise Board's Appropriation
Fun | exe Honest
PS
PS
[so
[Unclaimed Protest Tax Refunds
[Miscellaneous Estimated Revenues L
Sl
[so
[se
[s_
fig
[Rate of Levy Required and Ceniied Gn Mil) 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 2021-2022 is as follows:
County Rae SE [Tora 7]
7
and thatthe assessed valuations herein certified have been used in computing the rates of mill levies and the proceeds thereof appropriated as aforesaid:
ans 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: |
EMSFund 3.07 Mills; Building Fund 0.00 Mills; Sinking Fund 0.00 Mills; Sub-Total 3.07 Mills;
eS
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; py
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 to be certified forthwith by the Secretary of this Board to the County Assessor of said County, in order hat the wg
Assessor may immediately extend said levies upon the Tax Rolls forthe year 2022 without regard to any protest that may be filed against
any levies, as required by 68 O. S. 1991, Section 2869
Dated at W\ acm, , Oklahoma, this. day of \c +3 +2021.
Hes Board ies Bfeise Board Chairman _
Abin? Cys” Doo ina)
Excise Board Member peselse Board Secretary
“a -
sr
S.A.&. Form 268BR98 Entity: Ottawa EMS Board, 58 See Accountant's Rep 0 py Monday, September 20, 2021


--- OCR page 18 of 20 ---
t OTTAWA COUNTY, 58
STATISTICAL DATA

r FISCAL YEAR 2020-2021
Total Valuation

[ Total Gross Valuation Real Property $ 135,124,444.00
Homestead Exemption $ (5,764,810.00)

r Other Exemptions $ (2,363,533.00
Total Real Property $  126,996,101.00

[ Total Personal Property $ 26,349,791.00

r Total Public Service Property $ 32,725,001.00
Total Valuation of Property $ 186,070,893.00

r 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, 2021, AND ESTIMATE OF NEEDS 7
FOR THE FISCAL YEAR ENDING JUNE 30, 2022, OF THE EMERGENCY MEDICAL SERVICE BOARD OF
OTTAWA COUNTY, OKLAHOMA
EXHIBIT "Z" Pagel =
ATEMENT OF FINANICAL CONDITION oa] |
[so
[__TOTAL ASSETS
TABILITIES AND RESERVES: fle :
7
[ss
[so
es
ESTIMATED NEEDS FOR FISCAL YEAR ENDING JUNE 30, 2021
[GENERAL FOND GENERAL FOND][ SINKING FOND BALANCE SHEET ——][ SINKING FUND]
[ss
[Ss
FINANCED Cd [s
[| 7
[so [ss
[3
[fs
fn ps 7
[so [ss
[2000 Local Sources of Revenue SC id [so
[so [ss
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[ Deduct; Sd
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[| 7
S.A.&1. Form 268BR98 Entity: Ottawa EMS Board, 58 Monday, September 20, 2021


--- OCR page 20 of 20 ---
e
EMERGENCY MEDICAL SERVICE BOARD PUBLICATION SHEET - OTTAWA COUNTY, OKLAHOMA
| FINANCIAL STATEMENT OF THE VARIUS FUNDS FOR THE FISCAL YEAR ENDING JUNE 30, 2021, AND ESTIMATE OF NEEDS
FOR THE FISCAL YEAR ENDING JUNE 30, 2022, OF THE EMERGENCY MEDICAL SERVICE BOARD OF
OTTAWA COUNTY, OKLAHOMA
EXHIBIT "Z"
F¥ IFline 12 is less than Tine To alter omitting" deduct the following
each in turn from line 4, "Total Liquid Assets". FUND
13d. j. Unmatured Coupons Due 4-1-2022
py [fide Unmatured Bonds So Due Co
15d. 1. Whatever Remains is for EXIT RK Line E- as
7d. Less Cash Requirements for Current Fiscal Year in Excess of Cash on Hand (From Line 15d Above).
py |[iSc. Remaining Detioi is for Exhibit KK Line F.
CERTIFICATE - GOVERNING BOARD
m _ STATE OF OKLAHOMA, COUNTY OF OTTAWA, ss:
We, the undersigned Emergency Medical Service Board of Ottawa County Oklahoma, do hereby certifthat at a meetingof the Emergency Medical
jm Service Board of the said County, begun atthe 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 forthe fiscal year beginning July 1, 2021, and
ending June 30, 2022, as shown are reasonably necessary for the properconduct of the affairs of the said Emergency Medical Service Board, that the
TF _Estimated Income to be derived from sources other than ad valorem taxationdoes not exceed the lawfully authorized ration of the revenue derived from
te same sources during the preceding fiscal year.
° Lp AE
Chainhan of Board SI Member
e 5 LL,
d he Sy l4 Wa
Member Member Member
= wa
Attest =
ie
P inns,
SS AANEL 1%,
on a,
SOOM EES
FS forrswacowys2 =
2+! 18004281 | =
2 4 7.2022 Fe =
: 3 ene ass
Subscribed and sworn to before me this IZ OC CTI ee OS
kh: Mae “Ht Os
Notary Public =e
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 Monday, September 20, 2021