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DocuSign Envelope ID:99BDCA4A-2934-455A-8D45-0C865AD016D0 it A continued
<br /> Provider's Outside Agency Application
<br /> MAIN APPLICATION
<br /> Actual Estimated Projected Percent
<br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change
<br /> Private Donations $ 258,235 $ 261,000 $ 285,000 9%
<br /> Agency Generated Revenue(fees) $ 5,003 $ 6,000 $ 6,000 0%
<br /> Local Government Grants:
<br /> Orange County $ 2,000 $ 6,000 $ 6,000 0%
<br /> Town of Chapel Hill $ 2,000 $ 6,000 $ 6,000 0%
<br /> Town of Carrboro $ 1,500 $ 3,000 $ 3,000 0%
<br /> Other Local: Town of Cary $ 3,000 $ 3,000 $ 3,000 0%
<br /> Other Local: Durham County $ 15,000 $ 15,000 $ 15,000 0%
<br /> Other Local: 0
<br /> If more than 3 sources,please
<br /> provide a separate list.
<br /> Non-Local Government Grants
<br /> Triangle United Way $ 56,093 $ 68,000 $ 68,000 0%
<br /> State Govemment 0
<br /> Federal Government $ 75,000 $ 75,000 0%
<br /> Other Grants:Private Foundations $ 203,000 $ 218,000 $ 218,000 0%
<br /> Other Grants:BBBSA $ 1,451 $ 1,500 $ 1,500 0%
<br /> Miscellaneous/Other Revenue $ 253,397 $ 260,000 $ 260,000 0%
<br /> Rease list 3 largest Miscellanous sources:
<br /> BFKS $ 89,240.00
<br /> Big Night Ball $ 144,903.00
<br /> Golf Tournament $ 19,254.00
<br /> Total Agency Revenue $ 800 678 $ 922 500 $ 946 500 3%
<br /> AGENCY EXPENSES
<br /> Compensation $ 630,742 $ 669,413 $ 680,000 2%
<br /> Rent&Utilities $ 77,515 $ 80,000 $ 85,000 6%
<br /> Supplies&Equipment $ 14,409 $ 32,000 $ 32,000 0%
<br /> Travel&Training $ 6,714 $ 8,000 $ 9,000 13%
<br /> Other Expenses: $ 107,627 $ 120,000 $ 125,000 4%
<br /> Rease list 3 largest"Other Expenses":
<br /> Fundraising Expenses $ 47,379.00
<br /> BBBSA dues $ 14,609.00
<br /> Audit $ 11,715.00
<br /> Total Agency Expenses $ 837,007 $ 909,413 $ 931,000 2%
<br /> SURPLUS/(DEFICIT)FOR PERIOD: I$ (36,329)1 $ 13,087 I$ 15,500 I 18%
<br /> Main Application 5/24/2016 8:51:19 AM Fag 24 of 25
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