New York State Education Department                       
                         Office of Management Services                          
                                 State Aid Unit                                 
                                 (518) 474-2977                                 
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                                                                
                                         District Code:    200701               
      LONG LAKE CSD                      Vendor ID:  1000002002                 
                                                                                
                                                                                
                                                                                
     2012-13 Certificate of Excess Cost Aid for Students with Disabilities      
                                                                                
 1. TOTAL EXCESS COST AID (less Estimated or calc)                 $37,232.00   
 2. Total Aug-Nov State Share Medicaid Paid By DOH                      $0.00   
 3. Total Overpayments Deducted                                         $0.00   
 4. December Net Payment                                            $9,308.00   
    (Line 1 X .25 minus St Sh Med & Overpayments)                               
 5. Check Date                                                     12/14/2012   
                                                                                
 6. TOTAL EXCESS COST AID (less Estimated or calc)                 $37,232.00   
 7. Total Dec-Feb State Share Medicaid Paid by DOH                  $1,096.20   
 8. Total Overpayments Deducted                                         $0.00   
 9. March Net Payment                                              $15,658.20   
    (Line 6 X .70 less previous EC, St Sh Med & O/P's )                         
10. Check Date                                                     03/15/2013   
                                                                                
11. TOTAL EXCESS COST AID (less Estimated or calc)                 $37,232.00   
12. Total Mar-May State Share Medicaid Paid by DOH                  $1,485.29   
13. Total Foster Care Deducted                                          $0.00   
14. Total Overpayments Deducted                                         $0.00   
15. APPR* Deducted                                                      $0.00   
16. June Net Payment                                                $4,099.51   
    (Line 11 X .85 less previous EC,St Sh Med,FC,O/P's & APPR)                  
17. Check Date                                                     06/14/2013   
                                                                                
18. TOTAL EXCESS COST AID (less Estimated or calc)                 $37,232.00   
19. Total June & July State Share Medicaid Paid by DOH              $1,164.15   
20. Total Foster Care Deducted                                          $0.00   
21. Total Overpayments Deducted                                         $0.00   
22. August Net Payment                                              $4,420.65   
    (Line 18 X 100% less previous EC,St Sh Med,FC,O/P's & APPR)                 
23. Check Date                                                     08/15/2013   
                                                                                
24. TOTAL EXCESS COST AID                                          $37,232.00   
25. APPR* Deducted                                                      $0.00   
26. September Net Payment                                               $0.00   
    (Line 24 less all previous EC,St Sh Med,FC,O/P's & APPR)                    
27. Check Date                                                                  
                                                                                
 Deposit will take place sometime during the payment day and funds will be      
 available the following day.                                                   
 (ST-3 Code A3101 Basic Formula Aid - Excess Cost Only)                         
                                                                                
*Pursuant to Section 1 of Chapter 57 of the Laws of 2012, districts that do not 
have new APPR standards and procedures approved by SED by 1/17/13 will not      
receive a 2012-13 apportionment in excess of the district's 2011-12             
apportionment.  Since district data is still subject to revision, amounts are   
not yet finalized.  For further detail on the calculation of the APPR amount,   
please view the district's 2012-13 ANNUAL PROFESSIONAL PERFORMANCE REVIEW       
DEDUCTION (APPR) output report on the State Aid web site.                       
                                                                                
                                                                                

NYSED HOME PAGE | STATE AID HOME PAGE | DISTRICT HOME PAGE