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DocuSign Envelope ID:4FFDF545-B8C1-4ABF-A6A5-400656A36357 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Section Vl. Financial Data <br /> Operating Budget for Entire Agency <br /> AGENCY NAME: Senior Care of Orange County;Inc, <br /> Actual Estimated Projected Percent <br /> PROGRAM REVENUE 2014-15 2015-16 2016-17 Change <br /> Private Donations $ 150 $ 550 $ 250 MI <br /> Program Generated Revenue (fees) $ 297,933 $ 318,951 $ 335,000 5% <br /> Local Government Grants: <br /> Orange County $ 25,000 $ 25,000 $ 25,000 0% <br /> Town of Chapel Hill $ 750 $ 1,500 $ 1,500 0% <br /> Town of Carrboro $ 1,000 $ 1,000 $ 1,000 0% <br /> Other Local: IMME 0 <br /> Other Local: = 11=.1111111111111111111111111 0 <br /> Other Local: 0 <br /> It rnore than 3 sources,please <br /> provide a separate list. <br /> Non-Local Government Grants <br /> Triangle United Way $ 928 $ - 0 <br /> State Government IMIIIIIIIIIIIIIII 0 <br /> Federal Gmernment 0 <br /> Other Grants: 111111.11111•11111 0 <br /> Other Grants: 11.1111111111MEMMINIMII 0 <br /> Miscellaneous/Other Revenue 0 <br /> Reese list 3 largest Miscellanous sources: <br /> $ - <br /> $ _ <br /> $ - <br /> Total Program Revenue IMI $ 347,001 $ 362,750 .1111 <br /> PROGRAM EXPENSES <br /> Compensation $ 295,014 $ 312,000 $ 310,000 -1% <br /> Rent&Utilities $ 1,561 $ 1,561 $ 1,561 0% <br /> Supplies&Equipment " $ 11,000 $ 12,500 MN <br /> Travel &Training $ 1,964 $ 1,430 $ 1,500 MI <br /> Other Expenses: $ 36,885 $ 38,000 $ 37,000 MI <br /> Reese list 3 largest"Other Expenses": <br /> Insurance $ 20,943.00 • <br /> Snacks $ 6,324 00 <br /> Copier Lease $ 3,465.00 <br /> Total Program Expenses $ 348 847 $ 363 991 IIPEI 0% <br /> SURPLUS/(DEFICIT)FOR PERIOD: $ (23,086)1 $ (16,990)1 $ 189 1 iotycl <br /> Main Application 1/25/2016 12:26:51 PM Page 21 of 21 <br />