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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 /> Section VI. Financial Data
<br /> Operating Budget for Entire Agency
<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: CHCCS,OCS $35,000 $55,000 $55,000 0%
<br /> Other Local: FSA $- $10,000 $10,000 0%
<br /> If more than 3 sources,
<br /> please provide a separate
<br /> list.
<br /> Non-Local Government Grants
<br /> Triangle United Way $8,646 $4,000 $5,000 25%
<br /> State Government $- $- $- 0%
<br /> Federal Government $- $- $- 0%
<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 /> Miscellaneous/Other Revenue $14,998 $30,000 -100%
<br /> Please list 3 largest Miscellanous sources:
<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&Equipment $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 /> SURPLUS/(DEFICIT)FOR PERIOD: $- I $15,083 I $18,763 I 24%
<br /> Main Application 5/24/2016 9:22:20 AM 0:' a g o 19 of 2o
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