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DocuSign Envelope ID:8E4BA2A0-F8F0-406A-A380-E6C66CCD78B4
<br /> EXHIBIT A
<br /> PROVIDER'S OUTSIDE AGENCY APPLICATION
<br /> Agency Budget
<br /> Operating Budget for Entire Agency
<br /> AGENCY NAME: CHARLES HOUSE ASSOCIATION
<br /> *based on Jan-Dec Fiscal Years
<br /> Actual Estimated Projected Percent
<br /> AGENCY REVENUE 2015-16 2016-17 2017-18 Change
<br /> Private Donations $ 145,000 $ 150,000 I $ 50,000 -67%
<br /> Agency Generated Revenue (fees) $ 1,185,725 $ 1,370,000 $ 1,441,600 5%
<br /> Local Government Grants:
<br /> Human Services -Town of Carrboro $ 3,500 $ 3,500 $ 4,000 14%
<br /> Other--lown of Carrboro $ - $ - 0
<br /> Human Services -Town of Chapel Hill $ 9,000 $ 9,000 1 $ 10,000 11%
<br /> Other-Town of Chapel Hill $ - $ - 1 $ 0
<br /> Human Services -Orange County $ 15,000 $ 20,000 $ 25,000 25%
<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(CDBG/HOMEletc.) $ - $ - $ - 0
<br /> Private Foundation Grants $ 18,000 $ 60,500 $ 50,000 $ (0.17)1
<br /> Other Revenue $ 7,300 $ 1,250 $ 1,000 $ (0,20)1
<br /> $Total Agency Revenue 4)
<br /> 1 1,383,525 $1,614,250 $1,581,600 -2%
<br /> AGENCY EXPENSES
<br /> Compensation/Personnel $ 990,000 $ 1,125,550 $ 1,140,000 1%
<br /> Rent& Utilities $ 135,000 $ 133,100 $ 160,000 20%
<br /> Supplies, Equipment, Program $ 80,000 $ 82,500 $ 82,000 -1%
<br /> Development/Outreach $ 22,750 $ 32,000 $ 25,000 -22%
<br /> Other Expenses: Administrative Exp. $ 31,500 $ 40,000 $ 37,000 -8%
<br /> Other Expenses: Depreciaion $ 62,800 $ 64,150 $ 64,100 0%
<br /> Total Agency Expenses $ 1,322,050 $1,477,300 $1,508,100 2%
<br /> SURPLUS/(DEFICIT) FOR PERIOD: I $ 61,475 1 $ 136,950 1 $ 73,500 1 -46%
<br /> FY 2015-16 Comparative Agency Budget
<br /> Revised 9/2912014
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