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DocuSign Envelope ID: 5D25D6E0-716B-4244-AEA3-02E6A45FD852
<br /> EXHIBIT A
<br /> PROVIDER'S OUTSIDE AGENCY APPLICATION
<br /> Program Budget
<br /> Operating Budget for Program
<br /> Fiscal Year: January 1 - December 31
<br /> Program Name: Advocate Program
<br /> Actual 2016 Estimated Projected
<br /> Income 2017 2018
<br /> Individual Contributions 4,510 12,504 15,272
<br /> Contract Income (Agency Generated Revenue) 11,485 15,000 20,000
<br /> Grants
<br /> Local Government Grants
<br /> Human Services-Town of Carrboro 1,875 2,375 3,000
<br /> Other-Town of Carrboro 0 0 0
<br /> Human Services-Town of Chapel Hill 4,000 7,250 10,000
<br /> Other-Town of Chapel Hill 0 0 0
<br /> Human Services-Orange County 7,500 13,750 20,000
<br /> Other-Orange County 0 0 0
<br /> Other-Town of Hillsborough 0 0 0
<br /> Other Governemnt Grants
<br /> Triangle United Way 0 0 0
<br /> State Government 0 0 0
<br /> Federal Government (CDBG/HOME/etc.) 0 0 0
<br /> Private Foundation Grants 105,000 90,000 84,500
<br /> Corporate Grants 8,500 15,000 15,000
<br /> University Grants 1,250 1,250 1,250
<br /> Contributions for Direct Member Support 19,146 2,192 0
<br /> Rental Income 0 13,400 13,400
<br /> Fundraising Events 0 5,250 0
<br /> Total Income 163,266 177,971 182,422
<br /> Expenses
<br /> Personnel
<br /> Program Coordinator 16,941 16,941 16,941
<br /> Operations Coordinator 11,785 11,785 11,785
<br /> Durham Program Coordinator 0 0 0
<br /> Advocate Program Coordinator (DU) 0 0 0
<br /> Housing Stabilization Specialist (DU) 0 0 0
<br /> Member Services Coordinator(CH) 25,482 32,681 33,989
<br /> Advocate Program Coordinator (CH) 13,020 28,088 29,211
<br /> Advocate Program Associate (CH) 9,982 13,395 15,249
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