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DocuSign Envelope ID: 134C4810- 3CA5- 4008- 9E74- 2A07D3AECED8
<br />EXHIBIT A - PROVIDER'SeO T- S�IDEez4GENCY APPLICATION
<br />Operating Budget for Entire Agency
<br />AGENCY NAME: Club Nova Community, Inc.
<br />AGENCY REVENUE
<br />Private Donations
<br />Agency Generated Revenue (fees)
<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 (CDBGIHOMEIetc.)
<br />Private Foundation Grants
<br />Other Revenue
<br />Total Agency Revenue
<br />AGENCY EXPENSES
<br />Compensation
<br />Rent & Utilities
<br />Supplies & Equipment
<br />Travel & Training
<br />Other Expenses: Include the following:
<br />Payroll taxes, Benefits, Consulting /professional services, Legal
<br />counsil, IT, accreditation and certification, dues and memberhsip
<br />Total Agency Expenses
<br />SURPLUS/(DEFICIT) FOR PERIOD: 1 $ 5,1151$ 3,698 1 $ 7,990 1 116%
<br />FY 2015 -16 Comparative Agency Budget
<br />Revised 9/29/2014
<br />Actual
<br />2015 -16
<br />Estimated
<br />2016 -17
<br />Projected
<br />.2017-18:
<br />Percent
<br />Change
<br />$
<br />93,088
<br />$
<br />100,000
<br />$
<br />100,000
<br />0%
<br />$
<br />440,452
<br />$
<br />467,000
<br />$
<br />477,000
<br />2%
<br />$
<br />10,500
<br />$
<br />13,500
<br />$
<br />20,000
<br />48%
<br />$
<br />-
<br />$
<br />-
<br />$
<br />_
<br />0
<br />$
<br />9,500
<br />$
<br />16,000
<br />$
<br />20,000
<br />25%
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />75,000
<br />$
<br />95,000
<br />$
<br />120,000
<br />26%
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />-
<br />$
<br />_
<br />$
<br />-
<br />0
<br />$
<br />56,676.91
<br />$
<br />44,990.00
<br />$
<br />44,990.00
<br />$ -
<br />$
<br />_
<br />$
<br />_
<br />$
<br />-
<br />0
<br />$
<br />-
<br />$
<br />_
<br />$
<br />_
<br />0
<br />$
<br />29,251.24
<br />$
<br />15,500.00
<br />$
<br />15,500.00
<br />$ _
<br />$
<br />68,000
<br />$
<br />91,500
<br />$
<br />91,500
<br />$ -
<br />$
<br />$
<br />782,468
<br />412,949
<br />$
<br />$
<br />843,490
<br />468,792
<br />$
<br />$
<br />888,990
<br />500,000
<br />5%
<br />7%
<br />$
<br />34,008
<br />$
<br />36,000
<br />$
<br />37,000
<br />3%
<br />$
<br />62,091
<br />$
<br />65,000
<br />$
<br />67,000
<br />3%
<br />$
<br />49,576
<br />$
<br />50,000
<br />$
<br />52,000
<br />4%
<br />$
<br />$
<br />218,728
<br />777,352
<br />$
<br />$
<br />220,000
<br />839,792
<br />$
<br />$
<br />225,000
<br />881,000
<br />2%
<br />5%
<br />SURPLUS/(DEFICIT) FOR PERIOD: 1 $ 5,1151$ 3,698 1 $ 7,990 1 116%
<br />FY 2015 -16 Comparative Agency Budget
<br />Revised 9/29/2014
<br />
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