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DocuSign Envelope ID:87560079-2786-4376-A189-DC48D9482BE7 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Budget <br /> Operating Budget for Program <br /> PROGRAM NAME The Exchange Club's Family Center in Alamance County <br /> .Actual . Estimated Projected •Percent <br /> PROGRAM REVENUE • 2098-16' ` ' ;'.2016-17.. 2017-18 Change <br /> Private Donations $ - $ - $ 1,500 0 <br /> Program Generated Revenue $ - $ - $ - 0 <br /> Local Government Grants: <br /> Human Services-Town of Carrboro $ 1,000 $ 2,000 _$ 2,000 0% <br /> Other-Town of Carrboro _$ - . $ - $ - 0 <br /> Human Services-Town of Chapel Hill $ 6,000 $ 10,350 $ 13,100 27% <br /> Other-Town of Chapel Hill $ - $ - $ - 0 <br /> Human Services-Orange County $ 2,000 $ 6,175 $ 13,100 112% <br /> Other-Orange County $ - $ - $ - 0 <br /> Other-Town of Hillsborough $ - -$ - $ - 0 <br /> Other Government Grants <br /> Triangle United Way $ - $ - $ - 0 <br /> State Government $ - $ - $ - 0 <br /> Federal Government(CDBGIHOMEIetc.) $ - $ - $ - 0 <br /> Private Foundation Grants $ - $ - $ - 0 <br /> Other Revenue $ - $ - $ .. 0 <br /> Total Program Revenue $ 9,000 $ 18,525 $ 29,700 60% <br /> PROGRAM EXPENSES <br /> Compensation $ 6,634 $ 12,377. $ 22,886 85% <br /> Rent&Utilities $ 696 $ 453 $ 746 65% <br /> Supplies&Equipment $ 85 $ 746 $ 400 -46% <br /> Travel&Training $ 1,739 $ 4,949 $ 4,458 - -10% <br /> Other Expenses: $ - $ - $ 1,210 0 <br /> Total Program-Expenses. $ 9,155. $ 18,525 $ 29,700 60% <br /> SURP LUSI DEFICI T} FOR PERIOD: � $. {155) $ 1 � $ - � -100/ <br /> 1 <br />