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DocuSign Envelope ID:ODO4B5DD-363F-41 FF-BD24-FAD291133B51 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Budget <br /> Operating Budget for Program <br /> PROGRAM NAME Orange County Living Wage <br /> Actual Estimated Projected Percent <br /> PROGRAM REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ 4,693 $ 18,000 $ 4,000 -78% <br /> Program Generated Revenue $ - $ - $ - 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 $ - $ - $ - 0 <br /> Other-Orange County $ - $ 16,750 $ 20,000 19% <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 $ 6,500.00 $ 7,000.00 $ 0.08 <br /> Other Revenue $ 2,600 $ 3,000 $ 0.15 <br /> Total Program Revenue $ 4,693 $ 43,850 $ 34,000 -22% <br /> PROGRAM EXPENSES <br /> Compensation $ 510 $ 6,000 $ 6,000 0% <br /> Rent& Utilities $ - $ - $ - 0 <br /> Supplies & Equipment $ 466 $ 2,500 $ 2,500 0% <br /> Travel &Training $ - $ - $ - 0 <br /> Other Expenses: $ 1,578 $ 11,500 $ 14,000 22% <br /> Total Program Expenses $ 2,554 $ 20,000 $ 22,500 13% <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ 2,139 I $ 23,850 I $ 11,500 I -52% <br />