1997 S Aging - Approval of Funding Applications for In-Home Volunteer Assistance to the Elderly Project

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U.Other sources of funds for this project only (please indicate if any item listed is in-kind): (Should be the difference between Item #9 and Item #10) Funding Source Total Amount Amount Already Notification Requested Committed Date Chapel Hill Newcomer's Club* $1,000 none First week of April 199 $1,000 none TOTALS: *If the Foundation funds this project the Club's grant would not be accepted. 12.Timetable for the project: —August 1997.. to—__--_,ongoing Month/Year Month/ ear 13.Proposed timetable for payment of funds requested from Triangle Community Foundation: (grants submitted for the August deadline available January 15 or later and grants submitted for the February 1 deadline available July 15 or later): Date Amount July 15 $4,800 14.Percentage of this project to agency's overall annual operating budget: —1% 1.5.Applicant agency's overall annual operating budget:: $ 476,583 for year FY 96-97. (You may use current year's budget or next year's projected budget; please indicate your choice.) Overall Operating Budget Breakdown - please complete on this page (you may get these figures from your most recent IRS Form 990; if you are not required to submit a 990, you may simply use your overall operating budget): Total Income $2,100 from Individuals $0 from Corporations $0— from Foundations $ 12,777 from Local Government $ 31,584 - from State Government $237,055 from Federal Government from Earned Income 193,067 from Other(e.-o,.,-fees— $476,583 Expense $ 365,704 for Program Services $ 0 for Fundraising $ 110,879 for Management/General so for Payments to Affiliates $476,583 Difference: -0 These figures are taken from IRS Form 990/,,Eurrent year budget/)projected budget (circle one) for year 96-97. Triangle Community Foundation Page 2 of 3 Grant Application