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DocuSign Envelope ID:64D61581-25C0-4408-84C2-991109E2DF4C XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Section III. Program Information <br /> Program Budget Worksheet <br /> AGENCY NAME: Inter-Faith Council for Social Service - Residential Services <br /> Actual Estimated Projected Percent <br /> PROGRAM REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ 1,897,888 $ 456,006 $ 456,006 0% <br /> Program Generated Revenue(fees) $ 23,883 $ 18,968 $ 18,968 0% <br /> Local Government Grants: <br /> Orange County $ 31,240 $ 35,500 $ 35,500 0% <br /> Town of Chapel Hill $ 13,490 $ 17,750 $ 17,750 0% <br /> Town of Carrboro $ 7,100 $ 8,485 $ 8,485 0% <br /> Other Local: --- 0 <br /> Other Local: --- 0 <br /> Other Local: --- 0 <br /> If more than 3 sources,please <br /> provide a separate list. <br /> Non-Local Government Grants <br /> Triangle United Way $ 61,796 $ 67,620 $ 67,620 0% <br /> State Government $ - $ - $ - 0 <br /> Federal Government $ - $ - $ - 0 <br /> Other Grants Foundations $ 141,864 $ 151,558 $ 151,558 0% <br /> Other Grants Access To Recovery $ - $ - $ - 0 <br /> Miscellaneous/Other Revenue $ 111,792 $ 259,576 $ 259,576 0% <br /> Please list 3 largest Miscellanous sources: <br /> Endowment Inc <br /> Events <br /> CDBG <br /> Total Program Revenue $ 2 289 053 $ 1 015 463 $ 1 015 463 0% <br /> PROGRAM EXPENSES <br /> Compensation $ 669,706 $ 730,160 $ 752,065 3% <br /> Rent&Utilities $ 27,459 $ 32,025 $ 32,986 3% <br /> Supplies& Equipment $ 26,204 $ 14,362 $ 14,793 3% <br /> Travel &Training $ 438 $ 272 $ 272 0% <br /> Other Expenses: $ 1,209,708 $ 265,772 $ 215,348 -19% <br /> Please list 3 largest"Other Expenses": <br /> Crisis Intervention Program <br /> Professional Fees <br /> Food <br /> Total Program Expenses $ 1 933 515 $ 1 042 591 $ 1 015 463 -3% <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ 355,538 I $ (27,128)1 $ (0)1 100% <br /> FY 2015-16 Program Budget <br /> Revised 9/29/2014 <br />