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DocuSign Envelope ID: DBF0775B-3A75-4D97-9EA7-5AC7933304BF t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> 4. FINANCIAL INFORMATION FOR SERVICE PROGRAMS <br /> a.) Program Budget <br /> Please complete a Program Budget Excel Form for each requested program. The <br /> Program Budget should reflect only figures and amounts associated with the Program(s) for <br /> which you are seeking funding and not the total agency budget. <br /> If the program's finances experienced significant changes that you would like to explain, <br /> please use the space below. <br /> It is required that your Excel budget worksheet be embedded on the next page. You must <br /> also submit an electronic copy of the MS Excel file with your application, as a separate file. <br /> We will continue to seek support of individual events from other grants, sponsors, and <br /> donors. We are asking for $15,000 to support us in expanding our outreach to underserved <br /> populations, strengthening our administrative infrastructure and business planning, and <br /> partially supporting the position of our new Program Coordinator. As she assumes the <br /> responsibility of volunteer coordination and logistical support, our tenured volunteers will be <br /> able to direct more of their attention to our organizational development process and <br /> fundraising. <br /> Hillsborough Arts Council 4:59 PM <br /> Profit& Loss Budget Overview FY15-16 08/12/2015 <br /> July 2015 through June 2016 Accrual Basis <br /> Jul '15 -Jun 16 <br /> Ordinary Income/Expense <br /> Income <br /> 4000 • Contributions <br /> 4010 • Individual Contributions 10,750.00 <br /> 4011 • Sponsorships 16,950.00 <br /> 4210 • Corporate Grants& Donations 1,700.00 <br /> 4610 • Organization/ Foundation Grants 0.00 <br /> 4810 • Government Grants 34,850.00 <br /> Total 4000 • Contributions 64,250.00 <br /> 5200 • Sale of Goods 19,200.00 <br /> 5410 • Program Service Fees 0.00 <br /> 5540 • Event Ticket Sales 17,740.00 <br /> 5560 • Vendors Fees 7,125.00 <br /> 5600 • Advertising& Equipment Rental 0.00 <br /> Total Income 108,315.00 <br /> Cost of Goods Sold <br /> 50000 • Cost of Goods Sold 11,725.00 <br /> Total COGS 11,725.00 <br /> Main Application 1/22/2016 8:56:04 AM II° g 1 "'" f 2 <br />