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DocuSign Envelope ID:ODO4B5DD-363F-41 FF-BD24-FAD291133B51 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Agency Budget <br /> Operating Budget for Entire Agency <br /> AGENCY NAME: Orange County Living Wage <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ 5,300 $ 6,000 $ 6,000 0% <br /> Agency Generated Revenue (fees) $ - $ - $ - 0 <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 $ - $ 16,750 $ 20,000 19% <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 $ 3,000.00 $ 3,500.00 $ 4,000.00 $ 0.14 <br /> Other Revenue 0 <br /> Total Agency Revenue $ 8,300 $ 26,250 $ 30,000 14% <br /> AGENCY EXPENSES <br /> Compensation $ 1,290 $ 4,000 $ 10,000 150% <br /> Rent& Utilities $ - $ - $ - 0 <br /> Supplies & Equipment $ 3,392 $ 4,600 $ 7,000 52% <br /> Travel & Training $ - $ - $ - 0 <br /> Other Expenses: $ 2,190 $ 17,650 $ 13,000 -26% <br /> Total Agency Expenses $ 6,872 $ 26,250 $ 30,000 14% <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ 1,428 I $ - I $ - I 0 <br /> FY 2015-16 Comparative Agency Budget <br /> Revised 9/29/2014 <br />