Orange County NC Website
DocuSign Envelope ID:4F0B7605-00EB-4D90-837E-574BBBBD89EB t A- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLI-CATIONI <br /> Program Budget <br /> Agency/Progrart EtTIPOVVERnr)ent,Inc-Rentals <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Chan te <br /> Private Donations 0 <br /> Agency Generated Revenue(fees) $ 301,832 $ 310,887 $ 30 2i 3% <br /> Local Government Grants: <br /> Orange County $ 20,000 $ 20,C300 $ 25,000 2570 <br /> Town of Chapel Hill $ 13,500 $ 3,500 $ 20,000 <br /> Town at Carrbero $ 9,500 $ 10,000 $ 10,000 0% <br /> Other Local <br /> Other Local' 0 <br /> Other Local° 0 <br /> nlorp than 3 solarces,please I <br /> provtde a separate list <br /> Non-Local Government Grants <br /> Triangle United Way 0 <br /> State Government <br /> Federal Government 0 <br /> Other Grants 1111 <br /> 1111111 0 <br /> Other Grants, 0 <br /> MiscellaneoustOther Revenue 0 <br /> Flease hst 3 brgost MisceBWnoti,s sources <br /> $ <br /> $ <br /> $ - <br /> Total Agency Revenue IIIMINIE11111/1111111111111 <br /> AGENCY EXPENSES <br /> Compensation $ 58,707 $ 65,000 $ 75,086 163/o <br /> Rent&Utilities $ 26,457 $ 27,251 $ 28,068 3% <br /> Supplies&Equipment $ 41,227 $ 42,464 $ 43,738 39/c, <br /> Travel&Training <br /> Other Expenses: $ 58,692 $ 60,453 I $ 62,266 .3°/0 <br /> Please Ilst 3 largest"OtJler&penses" <br /> Management Fees $ 30,520.00 <br /> ROA Dues $ 24.883 00 <br /> Property Tax $ 2,836.0C) <br /> Total Arkgency Expenses $ 185 083 $ 195 168 $ 209 158 73/‘ <br /> SURPLUS/(DEFICIT)FOR PERIOD: $ 159,749 $ 169,219 $ 166,055 4% <br /> Main Application 1/21/2016 2:38:15 PM ■4 n 2 <br />