Orange County NC Website
DocuSign Envelope ID:2A83AE93-E43A-4DCA-8002-FA0D789204A6 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> • Chapel Hill Other (DO NOT include CDBG funding here) <br /> • Orange County Human Services <br /> • Orange County Other (DO NOT Include HOME funding here) <br /> o Other Government Grants <br /> • Triangle United Way <br /> • State Government <br /> • Federal Government (CDBG/HOME/etc.) <br /> • Private Foundation Grants <br /> O Other Revenue <br /> • Expenditures <br /> O Compensation <br /> O Rent & Utilities <br /> o Supplies & Equipment <br /> O Travel & Training <br /> o Other Expenses <br /> iii. Does your agency budget show a Surplus or Deficit? Surplus <br /> Is there a significant change? Yes/No NO <br /> The past four years have been challenging for us. Our small surplus is the result of us <br /> budgeting to start building up a cash reserve. <br /> iv. What is your agency's fiscal year? 1/1/17 to 12/31/17 <br /> (Example: July 1, 2016 through June 30, 2017) <br /> Agency Information 1/27/2017 1:43:18 PM Page 13 of 24 <br />