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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 /> AGENCY NAME: Voices Together <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Change <br /> Private Donations $ 37,602 $ 35,000 $ 35,000 0% <br /> Agency Generated Revenue(fees) $ 36,325 $ 45,000 $ 45,000 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: $ 115,000 $ 126,250 $ 130,000 3% <br /> Other Local: $ - $ - $ - 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 $ 199,288 $ 305,000 $ 316,000 4% <br /> Other Grants: Corporations $ 72,393 $ 95,000 $ 100,000 5% <br /> Miscellaneous/Other Revenue [1111111.1111111111111111 0 <br /> Please list 3 largest Miscellanous sources: <br /> $ <br /> $ <br /> $ - <br /> Total Agency Revenue $ 467 608 $ 621 250 $ 641 000 3% <br /> AGENCY EXPENSES <br /> Compensation $ 381,588 $ 456,720 $ 475,000 4% <br /> Rent&Utilities $ 41,549 $ 43,685 $ 45,000 3% <br /> Supplies&Equipment $ 27,394 $ 22,358 $ 25,000 12% <br /> Travel&Training $ 4,891 $ 5,500 $ 6,000 9% <br /> Other Expenses: $ 23,017 $ 87,505 $ 88,000 1% <br /> Please list 3 largest"Other Expenses": <br /> $ - <br /> $ - <br /> $ - <br /> Total Agency Expenses $ 478 439 $ 615 768 $ 639 000 4% <br /> SURPLUS/(DEFICIT)FOR PERIOD: $ (10,831) $ 5,482 1 $ 2,000 J -64% <br /> Main Application 1/25/2016 1:42:01 PM Page 21 • f 21 <br />