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DocuSign Envelope ID:4D553CF7-2BBD-4F4E-B84E-E6B8B077A9AB <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Budget <br /> Operating Budget for Program <br /> PROGRAM NAME: Freedom Houses Recovery Center Residential Men and Women <br /> Actual Estimated. Project q Percent <br /> PROGRAM REVENUE ,'v 201 ' S ,v _ 2016-1 v 2017- ho e. <br /> Private Donations $ 289 $ 1,000 $ 1,000 0% <br /> Program Generated Revenue $ 26,562 $ 28,250 $ 29,150 3% <br /> Local Government Grants: <br /> Human Services -Town of Carrboro $ 4,000 $ 4,000 $ 5,000 25% <br /> Other-Town of Carrboro $ - $ - $ - 0 <br /> Human Services-Town of Chapel Hill $ 5,000 $ 5,000 $ 5,000 0% <br /> Other-Town of Chapel Hill $ - $ - $ - 0 <br /> Human Services-Orange County $ 7,250 $ 7,250 $ 15,000 107% <br /> Other-Orange County $ - $ - $ - 0 <br /> Other-Town of Hillsborough $ - $ - $ - 0 <br /> Other Government Grants <br /> Triangle United Way $ 5,242.00 $ 5,250.00 $ 5,250.00 $ - <br /> State Government $ 300,736.00 $303,987.00 $304,400.00 $ 0.00 <br /> Federal Government(CDBG/HOME/etc $ - $ - $ - 0 <br /> Private Foundation Grants $ - $ - 0 <br /> Other Revenue $ 68,600 $ 71,600 $ 68,500 $ 0.04 <br /> Total Program Revenue $ 417,679 $ 426,337 $ 433,300 2% <br /> PROGRAM EXPENSES <br /> Compensation $ 330,280 $ 336,337 $ 339,500 1% <br /> Rent& Utilities $ 37,757 $ 38,500 $ 40,000 4% <br /> Supplies&Equipment $ 34,430 $ 36,000 $ 38,000 6% <br /> Travel &Training $ 7,425 $ 8,000 $ 8,200 3% <br /> Other Expenses: $ 7,787 $ 7,500 $ 7,600 1% <br /> Total Program Expenses $ 417,679 $ 426,337 $433,300 2% <br /> SURPLUS/(DEFICIT) FOR PERIOD: I $ - 1 $ 1 $ - 1 01 <br />