DocuSign Envelope ID:39EEFC69-D47C-4CE3-8A5C-0A87B55C2CD0 XHIBIT A
<br /> PROVIDER'S OUTSIDE AGENCY APPLICATION
<br /> Agency Budget
<br /> Operating Budget for Entire Agency
<br /> AGENCY NAME: Chapel Hill Training-Outreach Project, Inc. (KidSCope)
<br /> Actual Estimated Projected Percent
<br /> AGENCY REVENUE 2015-16 2016-17 2017-18 Change
<br /> Private Donations $ 66,736 $ 14,600 $ 19,600 34%
<br /> Agency Generated Revenue (fees) $ 790,875 $ 1,033,358 $ 1,050,711 2%
<br /> Local Government Grants:
<br /> Orange County $ 75,000 $ 75,000 $ 75,000 0%
<br /> Town of Chapel Hill $ 4,500 $ 4,500 $ 4,500 0%
<br /> Town of Carrboro $ 2,200 $ 2,200 $ 2,200 0%
<br /> Chatham County $ 3,000
<br /> Other Local: Strowd Roses $ 5,000 0
<br /> Other Local: Misc $ 4,357 0
<br /> Other Local: 0
<br /> provide a separate list.
<br /> Non-Local Government Grants
<br /> Triangle United Way $ 56,251 $ 58,068 $ 58,068 0%
<br /> State Government 0
<br /> Federal Government $ 322,549 $ 374,296 $ 374,296 0%
<br /> Other Grants: NC Pre-K $ 148,630 $ 214,500 $ 214,500 0%
<br /> Other Grants: CACFP $ 56,061 $ 65,561 $ 65,000 -1%
<br /> Miscellaneous/Other Revenue $ 347,744 $ 327,991 $ 332,991 2%
<br /> Please list 3 largest Miscellaneous sources 17-18:
<br /> Total Agency Revenue $ 1,882,902 $ 2,170,074 $ 2,196,866 1%
<br /> AGENCY EXPENSES
<br /> Compensation $ 1,498,058 $ 1,609,054 $ 1,611,389 0%
<br /> Rent& Utilities $ 93,678 $ 95,215 $ 129,359 36%
<br /> Supplies&Equipment $ 97,680 $ 65,088 $ 65,465 1%
<br /> Travel &Training $ 39,844 $ 38,214 $ 38,458 1%
<br /> Other Expenses: $ 358,465 $ 390,627 $ 408,682 5%
<br /> Please list 3 largest"Other Expenses" 17-18:
<br /> Indirect Cost to CHTOP, Inc $ 133,116.00
<br /> Contracted Services $ 116,180.00
<br /> Rent& Utilities $ 108,135.00
<br /> Total Agency Expenses 2,087,726 2,198,198 2,253,353 3%
<br /> SURPLUS/(DEFICIT) FOR PERIOD: ($204,823)1 ( ,124) ($56,487)1 -101%
<br />
|