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DocuSign Envelope ID:2164F437-BF9D-46A1-B13B-7740B02003DA 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: Boys&Girls Clubs of Eastern Piedmont-Chapel Hill Community Impact Program <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change <br /> Balance Carried Forward <br /> Private Donations $ 11,380 $ 57,000 $ 60,000 5% <br /> Agency Generated Revenue(fees) $ 250 $ 300 $ 1,100 267% <br /> Local Government Grants: <br /> Orange County $ 3,000•$ 10,000 <br /> Town of Chapel Hill ••$ 10,000 <br /> Town of Carrboro ••$ 10,000 <br /> Other Local: $ 1,000- <br /> OtherLocal: --- 1 <br /> Other Local: --- 1 <br /> It more than 3 sources,please <br /> provide a separate list. <br /> Non-Local Government Grants <br /> Triangle United Way-Designations $ 1,000 $ 1,000®i'. <br /> State Government $ 5,000 $ 9,200 <br /> Federal Government •••stu <br /> Other Grants: $ 30,000 $ 25,000 <br /> Other Grants: --- 1 <br /> Miscellaneous/Other Revenue --- 0 <br /> Please Ilst 3largest Miscellanous sources: <br /> Special Events <br /> Other $ - <br /> $ - <br /> Total Agency Revenue MN MN WEI 12% <br /> AGENCY EXPENSES <br /> Compensation $ 3,757 $ 48,087 $ 71,000 48% <br /> Rent&Utilities $ 3,044 $ 1,431 $ 5,500 284% <br /> Supplies&Equipment-Program $ 1,710 $ 3,632 $ 11,500 217% <br /> Travel&Training $ 1.550 $ 2.500 61% <br /> Office Supplies/Mailing $ 812 $ 1,800 $ 2,500 39% <br /> Professional Dues $ 489 $ 500 $ 1,000 100% <br /> Corporate Support $ 51,000 $ 50,900 $ 53,000 4% <br /> Fundraising Expense $ 20.100 $ 4.600 -77% <br /> Other Expenses: 0 <br /> Please Ilst 3largest"Other Expenses, <br /> Total Agency Expenses 60 812 . 128 000 . 151 600 18% <br /> SURPLUS/(DEFICIT)FOR PERIOD: I$ 161,983 I$ 128,283 I$ 136,683 I 7%1 <br /> Main Application 5/24/2016 8:59:25 a5/p5 P a g . 23 o . 23 <br />