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DocuSign Envelope ID:BF9F1016-CEDB-4BF6-9DF2-A6DAB623164C t A- continued <br /> Provider'p1NsAye5,c.ty[ •plication <br /> Section 1/1 Financial Data <br /> Operating Budget for Entire Agency <br /> AGENCY NAME: Community Empowerment Fund <br /> ctu ' stiirtated *rojecteti -ercent <br /> AGENCY REVENUE 2014.15 201646 2016.17 11 Chan.e <br /> Private Donations $ 52,000 $ 80 000 15% <br /> Agency Generated Revenue(fees) $ 13,900 $ 15,050 <br /> Local Government Grants: <br /> Orange County 5 5,000 $ 7 500 $ 7 500 0% <br /> Town of Chapel Hill ", 2,500 3 500 1. 4 500 -% <br /> Town of Cart:beim <br /> $ 2,000 111111.1111Esall 011, <br /> Other Local: Oran.e Coun Partnershi.to En( '11E11111111111111IIIIII aM11111111111111111 -100% <br /> °titer Lcal: $ <br /> Other .ocal: 1. 1. 3 111111111111111111111119 <br /> "di more then 3 sou/Piss,Piegse Provide a <br /> separate Iwsit <br /> Non-Local Government Grants <br /> Triangle United Way 11311111111111IMIlialiiientill.1111111111. mi <br /> State Government I $ - 0 <br /> Federal Government <br /> Other Grants; Live to Give Charitable Trust ". 30,000 1, 30 000 10,000 <br /> Other Grants, Oak Foundation $ ,ss0 60,000 ". 60 000 111111111111111111M1 <br /> Miscellaneous/Other Revenue $ 130 019 $ 148,333 5 200 350 <br /> Piease 3 larges,t Misrpellamous sources <br /> Sloan Family Foundation S 24,000 00 <br /> Rose Foundation $ 25,000 00 <br /> Duke Universitt $ 20,000 00 <br /> Total Agency Revenue 30 9 IIIM!!111111111./ <br /> AGENCY EXPENSES <br /> Compensation $ 152 029 $ 269,724 M <br /> Mil il <br /> Rent&Utilities $ 19,932 .I,MIIIIII31111111111111.628 $ 36 720 <br /> Supplies&Equipment $ 9,507 I $ 10 10.586 $ 11 718 <br /> Travel&Training $ 2,015 5 2 590 $ 3 430 <br /> Other Expenses: . 26,872 I $ 34 880 $ 39 082 <br /> Peese list 3.a.rgest'Ober E,x penses" <br /> Direct Memider Suplool-t 5 8 530 14 <br /> Matching Savings Contributions $ 11 762 00 <br /> Professional Database Devi $ 4 555 00 <br /> Total Agency Expenses 2 0 3 5 288 360 6 . 111.11111 <br /> SURPLUS/(DEF1OIT)FOR PERIOD: $ 20 674 $ 13 948 4 1 274 -i09., <br /> Main Application 1/25/2016 8:34:03 AM ' 2 <br />