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DocuSign Envelope ID: EB541A3B-1E01-49AB-9E09-7987ECAEC1C4 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 NAME: Rogers Eubanks Neighborhood Association <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2014-15 2015-16 2016-17 Chan•e <br /> Private Donations $ 8,000 $ 11,000 $ 15,000 36% <br /> Agency Generated Revenue(fees) $ 5,000 $ 8,000 $ 12,000 50% <br /> Local Government Grants: <br /> Orange County $ 5,000 $ 20,000 $ 25,000 25% <br /> Town of Chapel Hill .0. $ 5,000 $ 20,000 300% <br /> Town of Carrboro $ 6,000 $ 6,000 $ 10,000 67% <br /> Other Local: --1 0 0 <br /> Other Local: -- <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 --� 0 <br /> State Government - 0 <br /> Federal Government 0 <br /> Other Grants:Z Smith Reynolds .0. $ 15,000 $ 15,000 0% <br /> Other Grants:Strowd Rose .0. $ 5,000 $ 5,000 0% <br /> Miscellaneous/Other Revenue 0 <br /> Please list 3 largest Miscellanous sources: <br /> $ - <br /> $ - <br /> $ - <br /> Total Agency Revenue • 24 000 • 70 000 • 102 000 46% <br /> AGENCY EXPENSES <br /> Compensation --� 0 <br /> Rent&Utilities _. 0 <br /> Supplies&Equipment 0 <br /> Travel&Training 0 <br /> Other Expenses: <br /> Please list 3 largest"Other Expenses": <br /> Insurance $ 3,069.16 <br /> $ - <br /> Total Agency Expenses m.__._. 0 <br /> SURPLUS/(DEFICIT)FOR PERIOD: I$ 24,000 I$ 70,000 I $ 102,000 46°/ <br /> Main Application1/25/2016P a g a 30 of 32 <br />