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DocuSign Envelope ID: 373C6CF5-BA35-4F9B-A420-087EBFE4784E t A - continued
<br /> Provider's Outside Agency Application
<br /> MAIN APPLICATION
<br /> Section VI. Financial Data
<br /> Operating Budget for Entire Agency
<br /> AGENCY NAME: Chapel Hill Training-Outreach Project, Inc. (KidSCope)
<br /> Actual Estimated Projected Percent
<br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change
<br /> Private Donations $ 13,202 $ 14,100 $ 14,100 0%
<br /> Agency Generated Revenue (fees) $ 32,343 $ 28,000 $ 28,000 0%
<br /> Local Government Grants:
<br /> Orange County $ 75,000 $ 75,000 $ 75,000 0%
<br /> Town of Chapel Hill $ 4,500 $ 4,500 $ 4,500 0%
<br /> Town of Carrboro $ 2,000 $ 2,200 $ 2,200 0%
<br /> Other Local: Strowd Roses $ 5,000 -100%
<br /> Other Local: 0
<br /> Other Local: 0
<br /> provide a separate list.
<br /> Non-Local Government Grants
<br /> Triangle United Way $ 12,306 $ 56,244 $ 66,672 19%
<br /> State Government 0
<br /> Federal Government 0
<br /> Other Grants: 0
<br /> Other Grants: 0
<br /> Miscellaneous/Other Revenue $ 332,795 $ 319,405 $ 290,491 -9%
<br /> Rease list 3 largest Miscellaneous sources 13-14:
<br /> OCPFYC- Incredible years $120,500.00
<br /> Smart Start Orange County $45,000.00
<br /> Cardinal Innovation $40,000.00
<br /> Total Agency Revenue $ 472,145 $ 504,449 $ 480,963 -5%
<br /> AGENCY EXPENSES
<br /> Compensation $ 422,461 $ 386,528 $ 364,197 -6%
<br /> Rent& Utilities $ 25,404 $ 30,516 $ 30,817 1%
<br /> Supplies& Equipment $ 20,816 $ 28,959 $ 30,589 6%
<br /> Travel &Training $ 18,896 $ 29,363 $ 29,572 1%
<br /> Other Expenses: $ 51,252 $ 52,297 $ 54,002 3%
<br /> Rease list 3 largest"Other Expenses" 13-14:
<br /> Indirect Cost to CHTOP, Inc $ 25,979.00
<br /> Computer Maintenance $ 7,400.00
<br /> Occupancy costs $ 5,385.00
<br /> Total Agency Expenses $ 538,829 $ 527,663 $ 509,177 -4%
<br /> SURPLUS/(DEFICIT) FOR PERIOD: ($66,684) ($23,214) ($28,214) -22%l
<br /> Main Application 5/25/2016 9:13:32 AM P g ; 23 of 23
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