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DocuSign Envelope ID:71415AD7-D o�4C��9A9-F93F7208DC62 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Dues/Training $ 4,025.55 $ 5,300.00 $ 5,300.00 <br /> Travel $ 1,850.49 $ 5,200.00 $ 7,819.00 ~ <br /> Printing $ 2,017.86 $ 1,350.00 $ 1'350.00 <br /> Computer/Copier $ 5,124.87 $ 8,208.00 $ 8,200.00 <br /> Merchandise-Resale $ 408.50 $ 1,000.00, $ 1,000.00 <br /> Depreciation Expense $ 22,715.89 $ 1I,420.00 $ 1I,420.00 <br /> Miscellaneous Expense $ - $ 100.00 $ 100.00 <br /> Volunteer Recognition $ 805.87 $ 1,100.00 $ 1,100.00 <br /> Taxes& Licenses $ 408.23 $ 490.00 $ 490.00 <br /> Food-Non Cash Donations $348,534.08 $330L000.00 $ 330\000.00 <br /> Food Purchased MOW&SRM $ 55,38I.48 $ 60\270.00 $ 75,045.00 <br /> Fundraising Expense $ 2,958.21 $ I,800.00 $ 1,800.00 <br /> Client Healthcare $ 789.33 $ 1,000.00 $ 1,000.00 <br /> Client Water Assistance $ 9,059.59 $ 14,000.00 $ 14,000.00 <br /> Emergency Lodging $ 311.47 $ 500.00 $ 500.00 <br /> Client Rent $ 5,021.50 $ 7,000.00 $ 7,000.00 <br /> Board Expense $ 1,590.82 $ 2,000.00 $ 3,000.00 <br /> Contingency $ 5,175.42 $ 4,000.00 $ 4,000.00 <br /> $OAU,337.7O $926,400.80 $ 963,194.00 <br /> . <br />