Orange County NC Website
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DocuSign Envelope ID:B32F3E9F-996A-4000-8CAF-83514F2E5759 t 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 $ 341,113 $ 457,329 $ 496,285 9% <br /> Agency Generated Revenue (fees) 0 <br /> Local Government Grants: <br /> Orange County $ $ $ 10,000 <br /> Town of Chapel Hill S $ 2,000 $ 10,000 400% <br /> Town of Carrboro $ 2,000 $ 10,000 400% <br /> Other Local: 0 <br /> Other Local: 0' <br /> Other Local: <br /> Ft tmre than 3 SOUrces,please <br /> provide a separate list <br /> Nom-Local Government Grants im <br /> Mangle United Way 0 <br /> State Gowirnment 0 <br /> Federal Government 0 <br /> Other Grants <br /> Other Grants 0 <br /> MiscellaneouslOther Revenue 0 <br /> Please list 3 largest Miscellanous sources <br /> Total Agency Revenue $ 341 113 $ 461 329 14%l <br /> AGENCY EXPENSES <br /> Compensation $ 55,628 $ 60,342 $ 76,769 27% <br /> Rent&Utilities $ 32,864 $ 41,235 $ 46,100 12% <br /> Supplies&Equipment $ 119,357 $ 232,774 I $ 260,029 12% <br /> Travel &Training S 973 $ 1,450 $ 1,600 107 1 <br /> Other Expenses: $ 1,350 $ 1,269 $ 30'i <br /> Ftlease.list 3 largest"Other Expenses" <br /> 50% Website/IT Sen/ices $ 1,350.00 ' <br /> Total Agency Expenses $ 210 172 $ 337 061 $ 388 798 14%1 <br /> SURPLUSt(DEFICtlT)FOR PERIOD: [ 130,941 $ 124,268 $ 140,487 133(, <br /> Main Applicafion 1/25/2016 11:34:49 AM Page 16 o f 2 1 <br />