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DocuSign Envelope ID:9859FC6D-3EEB-4C7D-9891-BE11A53D9413 t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Agency/Prograrr Orange County Food Policy Council <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change <br /> Private Donations 0 <br /> Agency Generated Revenue (fees) 0 <br /> Local Government Grants: <br /> Orange County $ 9,000 $ 14,427 60% <br /> Town of Chapel Hill $ 9,618 0 <br /> Town of Carrboro $ 8,015 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 $ 4,000 -100% <br /> State Government 0 <br /> Federal Government 0 <br /> Other Grants: 0 <br /> Other Grants: 0 <br /> Miscellaneous/Other Revenue 0 <br /> Flease list 3 largest Miscellanous sources: <br /> Total Agency Revenue $ - $ 13 000 $ 32 060 147% <br /> AGENCY EXPENSES <br /> Compensation $ 12,500 $ 20,000 60% <br /> Rent&Utilities 0 <br /> Supplies&Equipment $ 500 $ 700 40% <br /> Travel&Training $ 8,800 0 <br /> Other Expenses: $ 2,560 0 <br /> Flease list 3 largest"Other Expenses": <br /> Access related services $ - $ 1,360 <br /> Communication - $ 1,200 <br /> $ <br /> Total Agency Expenses $ - $ 13,000 $ 32,060 147% <br /> SURPLUS/(DEFICIT)FOR PERIOD: $ I $ I $ I OI <br /> Main Application 5/25/2016 10:30:45 AM P ; 20 of 26 <br />