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DocuSign Envelope ID: B67A2C26-3304-4095-BB1C-73A2BC4A569A <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Budget <br /> Operating Budget for Program <br /> PROGRAM NAME: Home Preservation <br /> Actual Estimated Projected Percent <br /> PROGRAM REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ - $ - $ - 0 <br /> Program Generated Revenue $ 78,679 $ 135,446 $ 103,080 -24% <br /> Local Government Grants: <br /> Human Services-Town of Carrboro $ 2,000 $ - $ - 0 <br /> Other-Town of Carrboro $ - $ - $ - 0 <br /> Human Services-Town of Chapel Hill $ 1,500 $ - $ - 0 <br /> Other-Town of Chapel Hill $ 21,965 $ 25,000 $ 50,000 100% <br /> Human Services- Orange County $ 20,000 $ 25,000 $ 50,000 100% <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 $ - $ - $ - 0 <br /> Other Revenue $ 3,460 $ 3,000 $ 8,000 167% <br /> Total Program Revenue $ 127,604 $ 188,446 $ 211,080 12% <br /> PROGRAM EXPENSES <br /> Compensation $ 95,755 $ 101,446 $ 1 09,880 8% <br /> Rent& Utilities $ 7,600 $ 8,100 $ 8,900 10% <br /> Supplies & Equipment $ 6,500 $ 6,300 $ 6,900 10% <br /> Travel & Training $ 2,700 $ 3,100 $ 2,900 -6% <br /> Other Expenses: (Materials & subcontractors) $ 15,049 $ 69,500 $ 82,500 19% <br /> Total Program Expenses $ 127,604 $ 188,446 $ 211,080 12% <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ - I $ - I $ - I 0 <br />