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DocuSign Envelope ID: C2E9E60D-5370-4D81-B634-C12E6C6B9DB9 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Agency Budget <br /> Operating Budget for Entire Agency <br /> AGENCY NAME: Ligo Dojo of Budo Karate <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ 2,500 $ 3,500 $ 3,500 0% <br /> Agency Generated Revenue (fees) $ 77,130 $ 80,000 $ 90,000 13% <br /> Local Government Grants: <br /> Human Services-Town of Carrboro $ 2,000 $ 2,000 $ 4,000 100% <br /> Other-Town of Carrboro $ - $ - $ - 0 <br /> Human Services -Town of Chapel Hill s $ 2,000 $ 4,000 100% <br /> Other-Town of Chapel Hill $ - $ - $ - 0 <br /> Human Services- Orange County $ 2,000 $ 2,000 $ 4,000 100% <br /> Other- Orange County $ 3,600 $ 3,600 $ 3,600 0% <br /> Other-Town of Hillsborough $ - $ - $ - 0 <br /> Other Government Grants 111111111111111111111 <br /> OC JCPC $ 19,000.00 $ 19,000.00 $ 19,000.00 $ - <br /> State Government $ - $ - $ - 0 T <br /> Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0 <br /> Private Foundation Grants $ 4,000.00 $ 2,000.00 $ 2,000.00 $ - <br /> Other Revenue $ - $ - $ - 0 <br /> Total Agency Revenue $ 110,230 $ 114,100 $ 130,100 14% <br /> AGENCY EXPENSES <br /> Compensation $ 33,731 $ 34,000 $ 48,000 41% <br /> Rent& Utilities $ 38,000 $ 38,500 $ 39,000 1% <br /> Supplies& Equipment $ 2,000 $ 4,500 $ 6,000 33% <br /> Travel &Training $ 5,000 $ 5,000 $ 5,000 0% <br /> Other Expenses: $ 31,499 $ 32,100 $ 32,100 0% <br /> Total Agency Expenses $ 110,230 $ 114,100 $ 130,100 14% <br /> SURPLUSI(DEFICIT) FOR PERIOD: $ - I $ - I $ - I 0 <br /> FY 2015-16 Comparative Agency Budget <br /> Revised 9/29/2014 <br />