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DocuSign Envelope ID:A6B9A80E-25C6-439A-A77D-6C8B04CDDFE2 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Budget <br /> Operating Budget for Program <br /> PROGRAM NAME: Earthkeepers Afterschool Program <br /> Actual Estimated Projected Percent <br /> PROGRAM REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ 1,681 $ 1,370 $ 1,260 -8% <br /> Program Generated Revenue $ 12,588 $ 6,664 $ 7,750 16% <br /> Local Government Grants: <br /> Human Services-Town of Carrboro $ 2,200 $ 2,500 0 <br /> Other-Town of Carrboro $ - $ - $ - 0 <br /> Human Services-Town of Chapel Hill $ - $ - $ - 0 <br /> Other-Town of Chapel Hill $ 1,000 $ - $ - 0 <br /> Human Services- Orange County $ 2,000 $ - $ - 0 <br /> Other- Orange County $ - $ - $ - 0 <br /> Other-Town of Hillsborough $ - $ - $ - 0 <br /> other-Durham County $ 8,190 $ 1,190 <br /> Other Government Grants <br /> Triangle United Way $ - $ - $ - 0 <br /> State Government $ - $ - $ - 0 <br /> Federal Government (CDBG/HOME/etc.) $ - $ - $ - 0 <br /> Private Foundation Grants $ 10,000.00 $ - $ - 0 <br /> Other Revenue $ - $ - $ - 0 <br /> Total Program Revenue $ 37,659 $ 9,224 $ 11,510 25% <br /> PROGRAM EXPENSES <br /> Compensation $ 38,076 $ 8,533 $ 10,500 23% <br /> Rent& Utilities $ 315 $ 141 $ 160 13% <br /> Supplies & Equipment $ 1,007 $ 450 $ 350 -22% <br /> Travel & Training $ 91 $ 100 $ 250 150% <br /> Other Expenses: survey incentives $ - $ - $ 250 0 <br /> Total Program Expenses $ 39,489 $ 9,224 $ 11,510 25% <br /> SURPLUS/(DEFICIT) FOR PERIOD: I $ (1,830) $ - $ - 0 <br />