Orange County NC Website
Browse       Search
DocuSign Envelope ID:7D246B6F-37D5-48F7-99D7-98C230BA1C70 it A continued <br /> Provider's iZ 1$fipt 8sMAcation <br /> Local Government Grants: <br /> Orange County $ - $ - $ 4,000 0 <br /> Town of Chapel Hill $ 7,500 $ 7,500 $ 8,000 7% <br /> Town of Carrboro $ 5,500 $ 5,600 $ 6,000 7% <br /> Other Local: --- 0 <br /> Other Local: --- 0 <br /> Other Local: $ 320 $ 320 -100% <br /> If more than 3 sources,please <br /> provide a separate list. <br /> Non-Local Government Grants <br /> Triangle United Way --- 0 <br /> State Government --- 0 <br /> Federal Government --- 0 <br /> Other Grants: --- 0 <br /> Other Grants: IDS plan reimbursement $ 4,680 $ 4,580 -100% <br /> Miscellaneous/Other Revenue 0 <br /> Please list 3 largest Miscellanous sources: <br /> $ - <br /> $ - <br /> $ - <br /> Total Agency Revenue 18 000 18 000 18 000 0% <br /> AGENCY EXPENSES <br /> Compensation $ 16,800 $ 13,800 $ 16,200 17% <br /> Rent&Utilities $ 4,200 in kind re.uest #VALUE! <br /> Supplies&Equipment $ 1,200 $ 1,200 0 <br /> Travel&Training $ 600 0 <br /> Other Expenses: 0 <br /> Please list 3 largest"Other Expenses": <br /> $ - <br /> $ - <br /> $ - <br /> Total Agency Expenses 18 000 18 000 18 000 0% <br /> SURPLUS/(DEFICIT)FOR PERIOD: I$ - I $ - I $ - I 01 <br /> Main Application 1/20/2016 4:35:53 PM Page 18 of 21 <br />