DocuSign Envelope ID:6CD4A528-52AE-410E-B18B-BA619068A9AB 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: Dispute Settlement Center
<br /> Actual Estimated Projected Percent
<br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change
<br /> Private Donations $ 47,323 $ 48,000 $ 50,000 4%
<br /> Agency Generated Revenue(fees) $ 185,138 $ 224,000 $ 226,000 1%
<br /> Local Government Grants:
<br /> Orange County $ 76,000 $ 76,000 $ 80,000 5%
<br /> Town of Chapel Hill $ 12,000 $ 12,000 $ 14,000 17%
<br /> Town of Carrboro $ 7,800 $ 8,000 $ 10,000 25%
<br /> Other Local: Hillsborough $ 2,000 $ 2,000 $ - -100%
<br /> Other Local: Orange County match DJJ $ 7,661 $ 7,611 $ 7,611 0%
<br /> Other Local: Chatham County DJJ -- $ 6,000 0
<br /> If more than 3 sources,please
<br /> provide a separate list.
<br /> Non-Local Government Grants
<br /> Triangle United Way $ 11,320 $ 2,146 $ - -100%
<br /> State Government --- 0
<br /> Federal Govemment --- 0
<br /> Other Grants:DJJ-JCPC $ 25,538 $ 25,538 $ 25,538 0%
<br /> Other Grants:Chatham County DJJ -- $ 20,000 0
<br /> Miscellaneous/Other Revenue $ 56,826 $ 41,854 $ 47,823 14%
<br /> Rease list 3 largest Miscellanous sources:
<br /> Private Foundations
<br /> UW designation
<br /> Misc
<br /> $ 431 606 $ 447 149 $ 486 972 9%
<br /> AGENCY EXPENSES
<br /> Compensation $ 389,360 $ 405,689 $ 437,838 8%
<br /> Rent&Utilities $ 12,285 $ 10,600 $ 10,356 -2%
<br /> Supplies&Equipment $ 7,763 $ 7,600 $ 7,800 3%
<br /> Travel&Training $ 7,184 $ 8,000 $ 8,000 0%
<br /> Other Expenses: $ 14,283 $ 16,380 $ 22,978 40%
<br /> Rease list 3 largest"Other Expenses":
<br /> telecom $ 4,073.00
<br /> printing $ 3,232.00
<br /> prof fees $ 4,960.00
<br /> Total Agency Expenses $ 430 875 $ 448 269 $ 486 972 9%
<br /> SURPLUS/(DEFICIT)FOR PERIOD: $ 731 I$ (1,120)1 $ - I 1000/al
<br /> Main Application 5/24/2016 9:47:14 AM .. 2 2 o of 2
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