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DocuSign Envelope ID:6CD4A528-52AE-410E-B18B-BA619068A9AB t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Program Budget <br /> Agency/Prograrr MEDIATION/Dispute Settlement Center <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change <br /> Private Donations 0 <br /> Agency Generated Revenue (fees) $ 27,889 $ 28,000 $ 30,000 7% <br /> Local Government Grants: <br /> Orange County $ 76,000 $ 76,000 $ 80,000 5% <br /> Town of Chapel Hill 0 <br /> Town of Carrboro 0 <br /> Other 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 0 <br /> State Government 0 <br /> Federal Government 0 <br /> Other Grants: 0 <br /> Other Grants: 0 <br /> Miscellaneous/Other Revenue 0 <br /> Please list 3 largest Miscellanous sources: <br /> $ - <br /> $ <br /> $ - <br /> Total Agency Revenue $ 103 889 $ 104 000 $ 110 000 6% <br /> AGENCY EXPENSES <br /> Compensation $ 90,931 $ 92,268 $ 95,070 3% <br /> Rent& Utilities $ 2,433 $ 2,608 $ 2,658 2% <br /> Supplies& Equipment $ 1,938 $ 1,940 $ 1,950 1% <br /> Travel &Training $ 2,299 $ 2,250 $ 2,500 11% <br /> Other Expenses: $ 7,041 $ 8,309 $ 7,822 -6% <br /> Please list 3 largest"Other Expenses": <br /> Professional fees $ - <br /> Telecom $ - <br /> Main Application Insurance 5324/2016 9 <br /> Total Agency Expenses $ 104,642 $ 107,375 $ 110,000 2%I <br />