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DocuSign Envelope ID:88377437-EE99-4E08-B6B1-CD4F113C0672 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Bride II Sports Agency & Program Budgets <br /> Agency Budget <br /> Operafing Budget.for Entire.Agency <br /> AGENCY NAME: Bridge VI Sports <br /> Actual Estimated Projected 1Percent <br /> AGENCY REVENUE 201546 20116-17 217-118 Change, <br /> Private Donations $ 1.U00 S - $ 0. <br /> Agency Generated Revenue(fees), 5 - S - $ 0 <br /> Local Government Grants::: <br /> Human Services-Town of Carrboro $ 3,500 5 4,000 $ 4,500 13% <br /> Other-Town of Carrboro 5 - $ - $ - 0 <br /> Human Services•-Town of Chapel Hilt $ 5,000 $ 5,750 $ 6,250 <br /> Other-Town of Chapel H11111 5 - $ 2,250 $ -100%. <br /> Homan <br /> Services-Orange County $ 5,000 $ 5,250 $ 5,500 5% <br /> Other-Grange County 5 - $ - $ 01 <br /> Other-Town of Hillsborough 5 - $ - $ - 0 <br /> Other Government Grants <br /> Triangle United Way $ - $ - $ 0 <br /> State Government $ - $ - $ 0 . <br /> Federal Government(CDBGIHOMEletc.) $ - $ - $ - 0 . <br /> Private Foundation Grants imi.- $ 5,000.00 $ - $ (1..0D) <br /> LD) <br /> Other Revenue 5 - $ - $ <br /> Total Agency Revenue $ 14,500 $ 22250 $ 16,250, -27% <br />