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DocuSign Envelope ID: 1 OF°B4DA-C8B5-4AB3-9AFA-939AE00 1 OB1 8 (H IBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Budget <br /> Operating Budget for Progra <br /> PROG M NAME: <br /> Actuat Estimated Projected Percent <br /> PROGRAM REVENUE , 2016.16 2018-17 2017-18 Change <br /> Private Donations $ 7 787 $ 7955 $ 8 000 I% <br /> Program Generated Revenue $ 11,025 $ 11,500 $ 16,500 11111111.23 <br /> Local Government Grants: <br /> Human Services-Town of Candoero $ 2,500 $ 3 000 4 000 <br /> Other Town of Carrdoro 11111- $1.$MIMil <br /> Human Services-Town of Chapel Hill $ 1,000 $ 4 000 6 000 50% <br /> Other-Town of Chapel 0 <br /> Human Services-Orange County $ 8,000 $ 10,003 $ 121,500 25% <br /> Other Orange County ME LIME $ 111.11 <br /> Other-Town of Hiiilsborough $ - <br /> Other Government Grants <br /> Triangle United Vitay 0 <br /> State Government <br /> $11111111111111111. , <br /> Federal Government(CDEG/HOMElisto.) <br /> Private Foundation Grants $ 2C111 , 00 00 $ 22 500 00 $ 2E1=00 00 0,00%I <br /> • • " <br /> Other Revenue $ 0 <br /> Total Pro ram Revenue , 50 312 68 965 69 500 <br /> PROGRAM EXPENSES <br /> Compensation $ 38,865 I $ 43,669 $ 50 850 16% <br /> Rent&Utilihes <br /> Supplies&Equipment 3 z39 3 760 $ 4 700 24% <br /> Travel]&Training(Includes youth summer training) $ 2 088 $ 5 580 700 20% <br /> Other Expenses: 2 633 I 2 421 3 3,5ttl 38% <br /> Total Program Expenses $ 60,312 $ 68,955 $ 69,500 18% <br /> SURPLUSt(DEFICIT) FOR PERIOD', $ 0 $ $ 0 <br />