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DocuSign Envelope ID: D2CB2439-4B3B-42E7-A090-286FDDD6E948 t A - continued <br /> Provider's Outside Agency Application <br /> Section VI. Financial Data <br /> Comparative Budget for Entire Agency <br /> AGENCY NAME: Human Rights Center of Chapel Hill and Carrboro <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change <br /> Private Donations $ 800 $ 7,500 $ 9,413 26% <br /> Agency Generated Revenue (fees) $ - $ - $ - 0 <br /> Local Government Grants: <br /> Orange County $ - $ 1,000 $ 2,000 100% <br /> Town of Chapel Hill $ - $ - $ 2,775 0 <br /> Town of Carrboro $ 2,000 $ 2,750 $ 3,750 36% <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:Chapel Hill Youth Forward $ - $ - $ - 0 <br /> Other Grants: Federal Work Study(UNC) $ 5,650 $ 5,650 $ 8,950 58% <br /> Miscellaneous/Other Revenue $ 6,175 $ 1,500 -76% <br /> Please list 3 largest Miscellanous sources: <br /> Anonymous Donor $ 7,900.00 <br /> Church Fundraising $ 713.00 <br /> Tar Heel 10-Miler $ 800.00 <br /> Total Agency Revenue $ 8 450 $ 23 075 $ 28 388 23% <br /> AGENCY EXPENSES <br /> Compensation $ 6,000 $ 16,000 $ 20,000 25% <br /> Rent& Utilities $ 900 $ 3,600 $ 4,800 33% <br /> Supplies &Equipment $ 900 $ 1,275 $ 1,450 14% <br /> Travel &Training $ 650 $ 1,000 $ 1,000 0% <br /> Other Expenses: $ - $ 1,200 $ 1,138 -5% <br /> Please list 3 largest"Other Expenses": <br /> Liability Insurance $ 1,138.00 <br /> $ <br /> $ - <br /> Total Agency Expenses $ 8 450 $ 23 075 $ 28 388 23% <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ - I $ - I $ - I 0 <br />