Orange County NC Website
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DocuSign Envelope ID: 16AB4DFA-7125-42E6-B3E7-C6B53151B77C t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> Program Budget <br /> Agency/Program: Voices Together <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change <br /> Private Donations $ - IMII $ - 0 <br /> Agency Generated Revenue(fees) 1/11111111'/1111111111/11111111 0 <br /> Local Government Grants: <br /> Orange County $ 7,000 $ 15,000 $ 15,000 0% <br /> Town of Chapel Hill $ - $ - $ - 0 <br /> Town of Carrboro $ - $ - $ - 0 <br /> Other Local: Orange County Schools $ - $ 5,000 $ 5,000 0% <br /> Other Local: $ - $ 15,000 $ 15,000 0% <br /> Other Local: $ - $ - $ - 0 <br /> If more than 3 sources,please provide a <br /> separate list. <br /> Non-Local Government Grants <br /> Triangle United Way $ - $ - $ - 0 <br /> State Government $ - $ - $ - 0 <br /> Federal Government $ - $ - $ - 0 <br /> Other Grants: Foundations $ - $ - $ - 0 <br /> Other Grants: Corporations $ - $ - $ - 0 <br /> Miscellaneous/Other Revenue $ - MI $ - 0 <br /> Please list 3 largest Miscellanous sources: <br /> $ - <br /> $ <br /> $ - <br /> Total Agency Revenue $ 7 000 $ 35 000 $ 35 000 0% <br /> AGENCY EXPENSES <br /> Compensation $ 5,000 $ 27,350 $ 27,350 0% <br /> Rent&Utilities $ 750 $ 2,365 $ 2,365 0% <br /> Supplies&Equipment $ 500 $ 850 $ 850 0% <br /> Travel&Training $ 100 $ 500 $ 500 0% <br /> Other Expenses: $ 650 $ 3,935 $ 3,935 0% <br /> Please list 3 largest"Other Expenses": <br /> $ - <br /> $ - <br /> $ <br /> Total Agency Expenses $ 7 000 $ 35 000 $ 35 000 0% <br /> SURPLUS/(DEFICIT)FOR PERIOD: $ - I $ - I $ - I 0 <br />