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Exhibit A- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Program Budget <br /> Agency/Program The Arc of the Triangle,Social Programs <br /> Actual , Estimated Projected Percent <br /> AGENCY REVENUE 2014-1`� 2015 16 , 2016-17 Change <br /> Private Donations $ 1,000 $ 1,500 $ 1,800 20% <br /> Agency Generated Revenue(fees) $ 8,000 $ 8,000 $ 8,000 0% <br /> i <br /> Local Government Grants: <br /> Orange County $ 5,000 $ 12,000 $ 12,000 0% <br /> Town of Chapel Hill $ 6,000 $ 6,000 $ 6,000 0% <br /> Town of Carrboro $ 3,615 $ 5,000 $ 5,000 0% <br /> Other Local: 0 <br /> Other Local 0 <br /> Other Local: 0 <br /> tf more than 3 sources,please <br /> provide a separate list. <br /> Non-Local Government Grants <br /> Triangle United Way 0 <br /> State Government $ 35,000 $ 35,000 $ 35,000 0% <br /> Federal Government 0 <br /> Other Grants:ZTA Sorority $ 12,000 $ 15,000 $ 15,000 0% <br /> Other Grants:Cardinal Track Club $ 8,000 $ 8,000 $ 8,000 0% <br /> Miscellaneous/Other Revenue 0 <br /> Please list 3 largest Miscellanous sources: <br /> $ <br /> $ <br /> $ <br /> Total Agency Revenue $ 78 615 $ 90 500 $ 90 800 0% <br /> AGENCY EXPENSES <br /> Compensation $ 50,000 $ 51,050 $ 53,000 4% <br /> Rent&Utilities $ 2,472 $ 2,750 $ 2,750 0% <br /> i <br /> Supplies&Equipment $ 2,500 1 $ 2,800 $ 2,800 0% <br /> Travel&Training $ 1,300 $ 1,500 $ 1,500 0% <br /> i <br /> Other Expenses: 0 <br /> Please list 3 largest"Other E)Venses": <br /> $ <br /> $ <br /> II <br /> Total Agency Expenses $ 56,272 $ 58,100 $ 60,050 3% <br /> 'SURPLUS/(DEFICIT)FOR PERIOD: $ 22,343 $ 32,400 $ 30,750 -5% <br /> Main Application 5/25/2016 10:10:25 AM Page 20 of 24 <br />