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DocuSign Envelope ID: DDOCFB62- 8EDD- 4B57- ACF6- 9C98BO78AA95 XHIBIT A <br />PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Program Budget <br />Operating Budget for Program <br />PROGRAM NAME Adult Literacy <br />PROGRAM REVENUE <br />Private Donations <br />Program Generated Revenue <br />Local Government Grants: <br />Human Services - Town of Carrboro <br />Other - Town of Carrboro <br />Human Services - Town of Chapel Hill <br />Other - Town of Chapel Hill <br />Human Services - Orange County <br />Other - Orange County <br />Other - Town of Hillsborough <br />Other Government Grants <br />Triangle United Way <br />State Government <br />Federal Government (CDBG /HOME /etc.) <br />Private Foundation Grants <br />Other Revenue <br />Total Program Revenue <br />PROGRAM EXPENSES <br />Compensation <br />Rent & Utilities <br />Supplies & Equipment <br />Travel & Training <br />Other Expenses: <br />Total Program Expenses <br />SURPLUS /(DEFICIT) FOR PERIOD: I $ 0 $ - is - I 0' <br />Actual <br />2015 -16 <br />Estimated <br />2016 -17 <br />Projected <br />2017 -18 <br />Percent <br />Change <br />$ <br />37,000 <br />$ <br />37,500 <br />$ <br />33,193 <br />-11 %. <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />4,000 <br />$ <br />4,500 <br />$ <br />5,400 <br />20 % <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />14,000 <br />$ <br />15,000 <br />3; <br />16,600 <br />11% <br />$ <br />$ <br />- <br />0 <br />$ <br />12,000 <br />$ <br />15,000 <br />$ <br />1.6,000 <br />7% <br />$ <br />- <br />1 $ <br />- <br />1 $ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ 171.714.39 <br />$ 208,883.00 <br />$ 181,478.00 <br />$ 0.13 <br />$ <br />- <br />1 $ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />10,000 <br />$ <br />- <br />$ 1.00 <br />$ <br />$ <br />238,714 <br />196,161 <br />$ <br />$ <br />290,883 <br />233,086 <br />$ <br />$ <br />252,671 <br />202,807 <br />-13% <br />-13% <br />$ <br />21,024 <br />$ <br />28,033 <br />$ <br />31,000 <br />11% <br />$ <br />18.029 <br />$ <br />15,564 <br />$ <br />9,564 <br />-39% <br />$ <br />3,500 <br />$ <br />8,200 <br />$ <br />4,600 <br />-44% <br />$ <br />- <br />$ <br />6,000 <br />$ <br />4,700 <br />-22% <br />$ <br />238,714 <br />$ <br />290,883 <br />$ <br />252,671 <br />-13% <br />SURPLUS /(DEFICIT) FOR PERIOD: I $ 0 $ - is - I 0' <br />