|
DocuSign Envelope ID:4F0B7605-00EB-4D90-837E-574BBBBD89EB 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: EmPOWERment,Inc
<br /> Actual Estimated Projected Percent
<br /> AGENCY REVENUE 2014-15 2015-16 2016-11 Change
<br /> Private Donations $ 9,317 $ 9,597 S 9,884 3%
<br /> Agency Generated Revenue(fees) $ 18,240 $ 18,787 $ 19,351 3%
<br /> Local Government Grants:
<br /> Orange County $ 20,000 $ 20,000 $ 25,000 25%
<br /> Town of Chapel HO $ 40,897 $ 40,500 $ 47,000 16%
<br /> Town of Carrbora $ 9,500 $ 9,500 $ 10,000 5%
<br /> Other Local: 0
<br /> Other Local: 0
<br /> Other Local: Orange County-FSA $ 24,384 $ 24,384 $ 24,384 OtY0
<br /> Non-Local Government Grants
<br /> Triangle United Way 0
<br /> State Government $ 43,414 0
<br /> Federal Government 0
<br /> Other Grants.lnitative $ 3,250 $ 2,250 -100%
<br /> Other Grants: 0
<br /> Miscellaneous/Other Revenue $ 394,414 $ 406,246 11111E11.1111M
<br /> Rental Income $301,832 00
<br /> Property Sale $ 38,500 00
<br /> MBC income $ 44,963 00
<br /> Total Agency Revenue WHIM $ $54 0$3 11111111.!!
<br /> AGENCY EXPENSES
<br /> Compensation $ 199,504 $ 205,489 $ 211,654 3%
<br /> Rent&Utilities $ 186,074 $ 191,656 $ 197,406 3°/.
<br /> Supplies&Equipment $ 26,872 $ 27,678 $ 28,509 3%
<br /> Travel&Training $ 3,426 $ 3,529 $ 3,635
<br /> Other Expenses: $ 153,702 $ 158,313 $ 163,062 35/o
<br /> Flease list 3'largest'Other Expenses"
<br /> Rental Property $126,375 00
<br /> Audit $ 8,548 00
<br /> Resale Expense $ 5,016 00
<br /> Total Agency Expenses $ 604,266
<br /> SURPLUS/(DEFICIT)FOR PERIOD: $ (6,162) $ (55,401)1$ (50,213)1 9%
<br /> Main Application 1/21/2016 2:38:15 PM P q e 2 3 2 4
<br />
|