BUSSERT, LAW & ASSOCIATES, LLP

" 1. Beginning Fund Balance/Net Working Capital …………………………………. 2. Fees, Licenses, Permits, Fines, Assessments & Other Service Charges … 3. Federal, State & all Other Grants, Gifts, Allocations & Donations ……….. 4. Revenue from Bonds & Other Debt ………………………………………………… 5. Interfund Transfers/Internal Service Reimbursements ………………………. 6. All Other Resources Except Current Year Property Taxes ………………….. 7. Current Year Property Taxes Estimated to be Received …………………….. 8. Total ResourcesGadd lines 1 through 7 ………………………………………… 9. Personnel Services ………………………………………………………………………. 10. Materials and Services …………………………………………………………………. 11. Capital Outlay ……………………………………………………………………………… 12. Debt Service ……………………………………………………………………………….. 13. Interfund Transfers ……………………………………………………………………….. 14. Contingencies ………………………………………………………………………………15. Special Payments …………………………………………………………………………16. Unappropriated Ending Balance and Reserved for Future Expenditure ….17. Total RequirementsGadd lines 9 through 16 ………………………………….A public meeting of the ____________________________ will be held on ______________________at ________ at_________________________________________________________________________, Oregon. The purpose of this meeting is to discuss the budget for the fiscal year beginning July 1, 20______ as approved by the_____________________________________ Budget Committee. A summary of the budget is presented below. A copy of the budget may be inspected or obtained at _________________________________________________________________between the hours of _______ a.m., and _______ p.m., or online at _______________________________ This budget is for an annual; biennial budget period. This budget was prepared on a basis of accounting that is: the same as; different than the preceding year. If different, the major changes and their effect on the budget are: NOTICE OF BUDGET HEARING(Governing body)(Date)(Municipal corporation)(Street address)a.m.p.m.FORMLB-1(Location)150-504-073-2 (Rev. 11-17) GGGContactE-mailTelephone number( )FINANCIAL SUMMARYGRESOURCESAdopted BudgetThis Year: 20____G20____Actual Amounts20____G20____TOTAL OF ALL FUNDSApproved BudgetNext Year: 20____G20____FINANCIAL SUMMARYGREQUIREMENTS BY OBJECT CLASSIFICATIONFINANCIAL SUMMARYGREQUIREMENTS AND FULL-TIME EQUIVALENT EMPLOYEES (FTE) BY ORGANIZATIONAL UNIT OR PROGRAM*Name of Organizational Unit or ProgramFTE for Unit or ProgramForm LB-1 (continued on next page)Name FTEName FTEName FTEName FTEClearThisPageUnionHealthDistrictJune19,20188:00ProvidenceHospitalSeaside18UnionHealthDistrictofClatsopCty61018thStreetAstoria,OR971039:005:00N/AKennaKayBussert503325-5102kkbussert@bulaastoria.com1617171818191,942,884.001,975,000.002,030,500.0031,532.0028,000.0026,000.000.000.000.000.000.000.000.000.000.001,974,416.002,003,000.002,056,500.0052,207.0050,000.00450,000.002,026,623.002,053,000.002,506,500.000.000.000.0020,752.0026,100.0029,000.0021,768.001,996,900.002,447,500.000.000.000.000.000.000.000.0030,000.0030,000.000.000.000.001,984,103.000.000.002,026,623.002,053,000.002,506,500.00HospitalFacilities&Equipment2,026,623.002,023,000.002,476,500.00000AB1Pulise on 11Form LB-1 (continued from previous page)150-504-073-2 (Rev. 11-17) STATEMENT OF CHANGES IN ACTIVITIES AND SOURCES OF FINANCING*PROPERTY TA LEVIES Permanent Rate Levy …………(Rate Limit___________Per 1000) Local Option Levy …………………………………………………………………………… Levy for General Obligation Bonds ………………………………………..Rate or Amount ImposedRate or Amount ImposedRate or Amount ApprovedSTATEMENT OF INDEBTEDNESSEstimated Debt Outstanding on July 1Estimated Debt Authorized, but not Incurred on July 1If more space is needed to complete any section of this form, use the space below or add sheets.Long Term DebtGeneral Obligation Bonds ……………………………………………………..Other Bonds ………………………………………………………………………..Other Borrowings …………………………………………………………………Total ………………………………………………………………………………….. Name FTENot Allocated to Organizational Unit or Program FTETotal Requirements Total FTE ClearThisPage0.0030,000.0030,000.00002,026,623.002,053,000.002,506,500.000000.136555,500.0055,500.00450,000.000000000.000.000.000.000.000.000.000.00Form LB-1 (continued from previous page)150-504-073-2 (Rev. 11-17) STATEMENT OF CHANGES IN ACTIVITIES AND SOURCES OF FINANCING*PROPERTY TA LEVIES Permanent Rate Levy …………(Rate Limit___________Per 1000) Local Option Levy …………………………………………………………………………… Levy for General Obligation Bonds ………………………………………..Rate or Amount ImposedRate or Amount ImposedRate or Amount ApprovedSTATEMENT OF INDEBTEDNESSEstimated Debt Outstanding on July 1Estimated Debt Authorized, but not Incurred on July 1If more space is needed to complete any section of this form, use the space below or add sheets.Long Term DebtGeneral Obligation Bonds ……………………………………………………..Other Bonds ………………………………………………………………………..Other Borrowings …………………………………………………………………Total ………………………………………………………………………………….. Name FTENot Allocated to Organizational Unit or Program FTETotal Requirements Total FTE ClearThisPage0.0030,000.0030,000.00002,026,623.002,053,000.002,506,500.000000.136555,500.0055,500.00450,000.000000000.000.000.000.000.000.000.000.00"

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