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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 - Food Programs <br /> Actual Estimated Projected Percent <br /> PROGRAM REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ 711,708 $ 171,002 $ 171,002 0% <br /> Program Generated Revenue(fees) $ 8,956 $ 7,113 $ 7,113 0% <br /> Local Government Grants: <br /> Orange County $ 11,880 $ 13,500 $ 13,500 0% <br /> Town of Chapel Hill $ 5,130 $ 6,750 $ 6,750 0% <br /> Town of Carrboro $ 2,700 $ 3,227 $ 3,227 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 $ 23,174 $ 25,357 $ 25,357 0% <br /> State Government $ - $ - $ - 0 <br /> Federal Government $ - $ - $ - 0 <br /> Other Grants Foundations $ 53,199 $ 56,834 $ 56,834 0% <br /> Other Grants Access To Recovery $ - $ - $ - 0 <br /> Miscellaneous/Other Revenue $ 41,922 $ 97,341 $ 97,341 0% <br /> Please list 3 largest Miscellanous sources: <br /> Endowment Inc <br /> Events <br /> CDBG <br /> Total Program Revenue $ 858 669 $ 381 124 $ 381 124 0% <br /> PROGRAM EXPENSES <br /> Compensation $ 251,140 $ 273,810 $ 282,024 3% <br /> Rent&Utilities $ 10,297 $ 12,009 $ 12,369 3% <br /> Supplies& Equipment $ 9,826 $ 5,386 $ 5,386 0% <br /> Travel &Training $ 164 $ 102 $ 102 0% <br /> Other Expenses: $ 453,641 $ 99,664 $ 81,242 -18% <br /> Please list 3 largest"Other Expenses": <br /> Crisis Intervention Program <br /> Professional Fees <br /> Food <br /> Total Program Expenses $ 725 068 $ 390 971 $ 381 124 -3% <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ 133,601 I $ (9,847)1 $ 0 1 100% <br /> FY 2015-16 Program Budget <br /> Revised 9/29/2014 <br />