2018-025-E Finance - Club Nova Performance Agreement

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DocuSign Envelope ID: 134C4810- 3CA5- 4008- 9E74- 2A07D3AECED8 EXHIBIT A - PROVIDER'S OUTSIDE AGENCY APPLICATION Program Budget Operating Budget for Program AGENCY NAME: Club Nova Community, Inc. - Orange County Funding for Employment AGENCY REVENUE Private Donations Agency Generated Revenue (fees) I Local Government Grants: Human Services - Town of Carrboro I Other - Town of Carrboro $ Human Services - Town of Chapel Hill $ Other - Town of Chapel Hill $ Human Services - Orange County $ Other - Orange County $ Other - Town of Hillsborough $ Other Government Grants Triangle United Way $ State Government $ Federal Government (CDBG/HOMEIetc.) $ Private Foundation Grants $ Other Revenue Total Agency Revenue 1 $ 10,000 $ 159000 1 $ 20,000 1 33% AGENCY EXPENSES Compensation - Salaries, FICA, Fringe Rent & Utilities Supplies & Equipment Travel & Training Other Expenses: Total Agency Expenses $ 35,145 $ 41,000 $ 54,342 33% $ - $ - $ - 0 0 $ - $ - 0 $ - $ - � ��f •, Mfr $ - $ - $ - 0 $ 3.5,145 $ 41,000 1 $ 54,342 Total Agency Revenue 1 $ 10,000 $ 159000 1 $ 20,000 1 33% AGENCY EXPENSES Compensation - Salaries, FICA, Fringe Rent & Utilities Supplies & Equipment Travel & Training Other Expenses: Total Agency Expenses $ 35,145 $ 41,000 $ 54,342 33% $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ 3.5,145 $ 41,000 1 $ 54,342 33 %0 SURPLUS /(DEFICIT) FOR PERIOD: FY 2015 -16 Comparative Agency Budget Revised 9/29/2014 $ (25,145) $ (26,000) $ (34,342) -32%