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DocuSign Envelope ID: B701CF6A-1C9A-46CB-9234-56F771D80955 t A - continued
<br /> Provider's Outside Agency Application
<br /> MAIN APPLICATION
<br /> Program Budget
<br /> Agency/Program: Boomerang
<br /> Actual Estimated Projected Percent
<br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change
<br /> Private Donations $ - $ 3,000 $ 30,000 900%
<br /> Agency Generated Revenue(fees) $ - $ - $ 0
<br /> Local Government Grants:
<br /> Orange County $ 5,000 $ 5,000 $ 10,000 100%
<br /> Town of Chapel Hill $ 2,000 $ 2,500 $ 7,000 180%
<br /> Town of Carrboro $ 1,500 $ 1,600 $ 4,000 150%
<br /> Other Local: JCPC $ 32,760 $ 32,850 $ 32,850 0%
<br /> Other Local: CFICCS,OCS $ 35,000 $ 55,000 $ 55,000 0%
<br /> Other Local: ESA $ - $ 10,000 $ 10,000 0%'
<br /> It more than 3 sources,please provide a
<br /> separate Est
<br /> Non-Local Government Grants
<br /> Triangle United Way $ 8,646 $ 4,000 $ 5,000 25%
<br /> State Government $ - $ - $ 0'
<br /> Federal Government $ - $ - $ - o'
<br /> Other Grants: Oak Foundation $ 80,000 $ 100,000 $ 100,000 0%
<br /> Other Grants: Other Foundations $ 5,000 $ 15,000 $ 50,000 233%'
<br /> MiscellaneousfOther Revenue $ 14,998 $ 30,000 -100%
<br /> Please list 3 largest Miscellanous sowces:
<br /> YMCA $ 14,998.00
<br /> $
<br /> $
<br /> Total Agency Revenue $ 184 904 $ 258 950 $ 303 850 17%
<br /> AGENCY EXPENSES
<br /> Compensation $ 143,071 $ 196,800 $ 234,030 19%
<br /> Rent&Utilities $ - $ 20,682 $ 22,980 11%
<br /> Supplies&Emipment $ 6,154 $ 14,085 $ 17,477 24%
<br /> Travel&Training $ 234 $ 300 $ 600 100%
<br /> Other Expenses: $ 35,445 $ 12,000 $ 10,000 -17%
<br /> Please list 3 largest"Other Expenses:
<br /> Contract Services $ 35,445.00
<br /> $ _
<br /> $
<br /> Total Agency Expenses $ 184,904 $ 243,867 $ 285,087 17%
<br /> SURPLUSI(DEFICIT)FOR PERIOD: $ - I $ 15,083 I $ 18,763 I 24%
<br /> Main Application 5/24/2016 9:22:20 AM Pdgr, 16 of 2 '
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