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DocuSign Envelope ID:9B26E979-2C09-4BE7-801C-3DDB484D92EE XHIBIT A <br /> PROVIDER"S OUTSIDE AGENCY APPLICATION <br /> Agency Budget <br /> Operating Budget for Entire Agency <br /> AGENCY NAME: Orange County Rural Alliance (OCRA) <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ - $ 8,000 $ 12,500 56% <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 $ - $ - $ 25,000 0 <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 $ - $ - $ - 0 <br /> Other (In-kind donations) $ - $ 2,000 $ 3,375 $ 0.69 <br /> Total Agency Revenue $ - $ 10,000 $ 40,875 309% <br /> AGENCY EXPENSES <br /> Compensation $ - $ - $ - 0 <br /> Rent& Utilities $ - $ - $ - 0 <br /> Supplies & Equipment $ - $ 7,200 $ 35,750 397% <br /> Travel & Training $ - $ - $ - 0 <br /> Other Expenses (insurance and finance): $ - $ 2,000 $ 4,000 100% <br /> Total Agency Expenses $ - $ 9,200 $ 39,750 332% <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ - I $ 800 I $ 1,125 I 41% <br /> FY 2015-16 Comparative Agency Budget <br /> Revised 9/29/2014 <br />