Orange County NC Website
DocuSign Envelope ID:8E4BA2A0-F8F0-406A-A380-E6C66CCD78B4 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> • Orange County Other (DO NOT Include HOME funding here) <br /> O Other Government Grants <br /> • Triangle United Way <br /> • State Government <br /> Federal Government (CDBG/HOME/etc.) <br /> • Private Foundation Grants <br /> O Other Revenue <br /> Expenditures <br /> O Compensation <br /> O Rent & Utilities <br /> O Supplies & Equipment <br /> O Travel & Training <br /> O Other Expenses <br /> iii. Does your agency budget show a Surplus or Deficit? Surplus <br /> Is there a significant change? Yes/No NO <br /> Please provide a brief explanation for Surplus or Deficit, and significant changes. <br /> iv. What is your agency's fiscal year? January 1 through December 31 <br /> (Example: July 1, 2016 through June 30, 2017) <br /> Agency Information 1/27/2017 4:52:00 PM Page 6 of 16 <br />