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DocuSign Envelope ID: 1632E805-38D3-49DF-9836-981006B20F64 XHIBIT A
<br /> PROVIDER'S OUTSIDE AGENCY APPLICATION Approved 9.1.2016
<br /> 2nd Total Annual
<br /> 1st Quarter Quarter 3rd Quarter 4th Quarter Budget
<br /> Expense
<br /> Acquisions 25.00 25.00 25.00 25,00 100.00
<br /> Website and Advertising 275.00 275.00 275.00 275.00 1,100.00
<br /> Book Purchase 75.00 75.00 75.00 75.00 300.00
<br /> Building Preservation&Maint 825,00 1,425.00 825.00 1,785.00 4,860.001
<br /> Contract Labor
<br /> Accounting - 1,500.00 - - 1,500.00
<br /> Research/Data Entry - 100.00 200.00 200.00 500.00
<br /> Spurgeon Garden&Grounds - 550.00 550.00 1,100,00
<br /> Shutter Restoration&Repair 7,000.00 7,000.00
<br /> Keck ley Exhibit Materials(grant) 875,00 875,00
<br /> Total Contract Labor - 1,600 00 750,00 8,625.00 10,975.00
<br /> Fundraising Expense -
<br /> Auction Expense 1,000.00 4,000 00 5,000.00
<br /> Other Event Expense - 700.00 700.00 - 1,400,00
<br /> Total Fundraising Expense - 700.00 1,700.00 4,000,00 6,400.00
<br /> Insurance
<br /> Property&Liability 5,800.00 5,800.00
<br /> Directors&Officers 700.00 700.00
<br /> Workman's Comp 200.00 200.00 200.00 200.00 800.00
<br /> Total Insurance 200.00 6,700.00 200.00 200.00 7,300.00
<br /> Miscellaneous Expense
<br /> Burgler Alarm 150.00 150.00 150.00 150.00 600.00
<br /> Credit Card Processing 500.00 500.00
<br /> Safe Deposit&PO Box Rental 65.00 135.00 200.00
<br /> Subscriptions 150.00 150.00
<br /> Other 250.00 250.00' 250.00 250.00 1,000,00
<br /> Total Miscellaneous Expense 400.00 615.00 535.00 900.00 2,450.00
<br /> NC Sales Tax 15.00 15.00 15.00 15.00 60.00
<br /> Office Expense
<br /> Office Supplies 300.00 300,00 300.00 300.00 1,200.00
<br /> Postage 100.00 100.00 100.00 100.00 400.00
<br /> Total Office Expense 400.00 400.00 400.00 400.00 1,600.00
<br /> Payroll
<br /> Docent 1,000.00 1,000.00 1,000.00 1,000.00 4,000.00
<br /> Site Manager 4,800.00 6,000.00 6,000.00 6,000.00 22,800,00
<br /> Executive Director 2,400.00 3,600.00 3,600.00 3,600.00 13,200.00
<br /> Employer Pd Tax-SS,Medicare,FUTA 700.00 900.00 900.00 900.00 3,400.00
<br /> Total Payroll 8,900.00 11,500.00 11,500.00 11,500.00 43,400,00
<br /> Utilities
<br /> Electricity 900.00 750.00 750.00 900.00 3,300.00
<br /> Gas 475.00 475.00 475.00 475.00 1,900.00
<br /> Telephone&Internet 500.00 500.00 500.00 500.00 2,000,00
<br /> Water 159.00 159.00 159.00 159.00 636.00
<br /> Total Utilities 2034.00 1,884.00 1,884.00 2,034.00 7,836,00
<br /> ....
<br /> Total Expense 13,149.00 25,214.00 18,184.00 29,834.00 86,381.00
<br /> Net Income (3,213.00) (9,428.00) (8,248,00) 15,102.00 (5,787,00)
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