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DocuSign Envelope ID:6D821DA0-CO6F-4D38-BB4F-DB28CB54AD8E XHIBIT A
<br /> PROVIDER'S OUTSIDE AGENCY APPLICATION
<br /> n) Program Budget
<br /> 1. Submit your program budget. You may complete the provided template (separate xls
<br /> file) or you may submit your own budget file (as long as it contains the same information,
<br /> in the same format, as requested in the provided template).
<br /> Program Budget
<br /> Operating Budget for Program
<br /> PROGRAM NAME: OE Enterprises, Inc.
<br /> Actual Estimated Projected Percent
<br /> PROGRAM REVENUE 2015-16 2016-17 2017-18 Change
<br /> Private Donations $ 12,862 $ 2,000 $ 2,000 0%
<br /> Program Generated Revenue $ 1,089,373 $ 1,089,088 $ 1,089,088 0%
<br /> Local Government Grants:
<br /> Human Services-Town of Carrboro $ 3,600 $ 3,800 $ 5,000 32%
<br /> Other-Town of Carrboro $ - $ - $ - 0
<br /> Human Services-Town of Chapel Hill $ 6,000 $ 10,000 $ 12,000 20%
<br /> Other-Town of Chapel Hill $ - $ - $ - 0
<br /> Human Services-Orange County $ 45,100 $ 51,100 $ 58,000 14%
<br /> Other-Orange County $ 100,832.64 $ 101,117.64 $ 101,117.64 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 Revenue $ - $ - $ - 0
<br /> Total Program Revenue $1,257,768 $1,257,106 $1,267,206 1%
<br /> PROGRAM EXPENSES
<br /> Compensation $ 1,004,172 $ 1,011,214 $ 1,021,355 1%
<br /> Rent&Utilities $ 49,628 $ 50,620 $ 51,633 2%
<br /> Supplies&Equipment $ 93,500 $ 95,370 $ 97,277 2%
<br /> Travel &Training $ 46,000 $ 47,500 $ 48,500 2%
<br /> Other Expenses: $ 87,235 $ 87,000 $ 87,500 1%
<br /> Total Program Expenses $1,280,535 $1,291,704 $1,306,265 1%
<br /> SURPLUS/(DEFICIT) FOR PERIOD: $ (22,767)1 $ (34,598)1 $ (39,059)1 -13%
<br /> PROGRAM INFORMATION 1/31/2017 8:24:51 AM Pago 19 of 20
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