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DocuSign Envelope ID:24839407-DB2D-47A2-B399-3BEA061662C1 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: PROGRAM&AGENCY BUDGETS ARE IDENTICAL
<br /> Actual Estimated Projected Percent
<br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change
<br /> Private Donations $ 71,350 $ 83,528 $ 77,000 -8%
<br /> • Generated Revenue(fees) $ 54,000 $ 39,424 $ 38,000 -4%
<br /> • Government Grants:
<br /> Orange County $ 10,000 $ 10,000 $ 15,000 50%
<br /> • of Chapel Hill $ 9,000 $ 9,000 $ 15,000 67%
<br /> • of Carrboro $ 10,000 $ 10,000 $ 15,000 50%
<br /> • Local: 0
<br /> Other Local: 0
<br /> Other Local: 0
<br /> If more than 3 sources,please
<br /> provide a separate list.
<br /> Non-Local Government Grants
<br /> Triangle United Way $ 28,280 $ 27,893 $ 28,400 2%
<br /> • Government 0
<br /> Federal Government 0
<br /> Other Grants:Walmart or GSK $ 25,000 $ 25,000 $ 25,000 0%
<br /> • Grants: $ 10,100 $ 12,650 $ 10,000 -21%
<br /> Revenue $ 92,207 $ 92,878 $ 86,500 -7%
<br /> • list 3 largest Miscellanous sources:
<br /> $ -
<br /> $ -
<br /> Total Agency Revenue $ 309 937 $ 310 373 $ 309 900 0%
<br /> AGENCY EXPENSES
<br /> Compensation $ 29,626 $ 35,806 $ 46,487 30%
<br /> • &Utilities $ 1,960 $ 2,040 $ 2,200 8%
<br /> $ 4,911 $ 2,167 $ 4,800 122%
<br /> • &Training $ 494 $ 1,500 0
<br /> Other Expenses: $ 220,080 $ 237,017 $ 238,430 1%
<br /> • list 3 largest"Other Expenses":
<br /> Food Costs $
<br /> rofessonal(Acctg and web fee $ 9,500.00
<br /> Insurance $ 3,000.00
<br /> Total Agency Expenses $ 257,071 $ 277,030 $ 293,417 6%
<br /> SURPLUS/(DEFICIT)FOR PERIOD: $ 52,866 $ 33,343 $ 16,483 -51%
<br /> Main Application 5/24/2016 9:18:54 AM P 23 of 2
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