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DocuSign Envelope ID:42FC26E4-086D-47F4-A291-0A9A8706CA60 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Budget <br /> Operating Budget for Program <br /> PROGRAM NAME ECH- Carroboro Office Community Services <br /> Actual Estimated Projected Percent <br /> PROGRAM REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ 7,177 $ 10,000 $ 10,000 0% <br /> Program Generated Revenue $ 12,991 $ 55,403 $ 55,403 0% <br /> Local Government Grants: <br /> Human Services-Town of Carrboro $ 9,500 $ 14,800 $ 20,000 35% <br /> Other-Town of Carrboro $ 36,970 $ 36,970 $ 36,970 0% <br /> Human Services-Town of Chapel Hill $ 14,910 $ 18,000 $ 30,000 67% <br /> Other-Town of Chapel Hill $ - $ - $ - 0 <br /> Human Services- Orange County $ 20,000 $ 28,810 $ 35,000 21% <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.) $ - $ 20,000.00 0 <br /> Private Foundation Grants $ - $ 32,440.00 $ 32,440.00 $ - <br /> Other Revenue $ 94,532 $ 20,307 $ 150,144 $ 6.39 <br /> Total Program Revenue $ 196,080 $ 216,730 $ 389,957 80% <br /> PROGRAM EXPENSES <br /> Compensation $ 112,113 $ 96,695 $ 218,271 126% <br /> Rent&Utilities $ 29,545 $ 44,848 $ 44,848 0% <br /> Supplies & Equipment $ 1,715 $ 1,500 $ 8,179 445% <br /> Travel &Training $ 6,286 $ 6,300 $ 8,803 40% <br /> Other Expenses: $ 46,421 $ 67,387 $ 109,856 63% <br /> Total Program Expenses $ 196,080 $ 216,730 $ 389,957 80% <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ - I $ - I $ - I 0 <br />