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DocuSign Envelope ID:F9ADA870-944A-40DD-98D0-3DB55F3AD8E5 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Budget <br /> Operating Budget for Program <br /> PROGRAM NAME Afterschool Tutoring <br /> Actual Estimated Projected Percent <br /> PROGRAM REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $0.00 $0.00 $0.00 0 <br /> Program Generated Revenue $0.00 $0.00 $0.00 0 <br /> Local Government Grants: <br /> Human Services-Town of Carrboro $0.00 $0.00 $840.00 0 <br /> Other-Town of Carrboro $0.00 $0.00 $0.00 0, <br /> Human Services-Town of Chapel Hill $0.00 $0.00 $11,160.00 0 <br /> Other-Town of Chapel Hill $0.00 $0.00 $0.00 0 <br /> Human Services-Orange County $0.00 $0.00 $0.00 0 <br /> Other-Orange County $0.00 $0.00 $0.00 0 <br /> Other-Town of Hillsborough $0.00 $0.00 $0.00 0 <br /> Other Government Grants <br /> Triangle United Way $0.00 $0.00 $0.00 0 <br /> State Government $0.00 $0.00 $0.00 0 <br /> Federal Government(CDBG/HOME/etc.) $0.00 $0.00 $0.00 0 <br /> Private Foundation Grants $0.00 $0.00 $0.00' 0 <br /> Other Revenue $0,00 $0.00 $0,00 0 <br /> Total Program Revenue $0.00 $0.00 $12,000.00 0 <br /> PROGRAM EXPENSES <br /> Compensation $0.00 $0.00 $12,000.00 0 <br /> Rent& Utilities $0.00 $0.00 $0.00 0 <br /> Supplies&Equipment $0.00 $0.00 $0.00 0 <br /> Travel &Training $0.00 $0.00 $0.00 0 <br /> Other Expenses: $0.00 $0.00 $0.00 0 <br /> Total Program Expenses $0.00 $0.00 $12,000.00 0 <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ - I $ - I $ - I 0 <br />