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DocuSign Envelope ID:88AEE9BF-924A-442D-BD41-DC640F1 E1 BAC <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Budget <br /> Operating Budget for Program <br /> PROGRAM NAME MEDIATION <br /> Actual Estimated Projected Percent <br /> PROGRAM REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ 20,000 $ 23,000 $ 23,620 3% <br /> Program Generated Revenue $ 32,080 $ 31,000 $ 34,000 10% <br /> Local Government Grants: <br /> Human Services-Town of Carrboro $ - $ - $ - 0 <br /> Other-Town of Carrboro $ - $ - $ - 0 <br /> Human Services-Town of Chapel Hill $ - $ - $ - 0 <br /> Other-Town of Chapel Hill $ - $ - $ - 0 <br /> Human Services-Orange County $ 76,000 $ 80,000 $ 83,000 4% <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/HOME/etc.) $ - $ - $ - 0 <br /> Private Foundation Grants $ 20,000.00 $ 20,000.00 $ 18,000.00 $ 0.10 <br /> Other Revenue $ - $ - $ - 0 <br /> Total Program Revenue $ 148,080 $ 154,000 $ 158,620 3% <br /> PROGRAM EXPENSES <br /> Compensation $ 125,513 $ 129,278 $ 133,170 3% <br /> Rent& Utilities $ 2,650 $ 2,700 $ 2,700 0% <br /> Supplies & Equipment $ 3,217 $ 3,247 $ 3,400 5% <br /> Travel &Training $ 4,131 $ 4,275 $ 4,600 8% <br /> Other Expenses: $ 14,437 $ 14,500 $ 14,750 2% <br /> Total Program Expenses $ 149,948 $ 154,000 $ 158,620 3% <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ (1,868)1 $ - I $ - I 0 <br />