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 PROGRAM NAME Club Nova Community, Infc. - Carrboro Funding for Critical safety net, Health and Wellness PROGRAM REVENUE Private Donations Program Generated Revenue Local Government Grants: Human Services - Town of Carrboro 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 (CDBGIHOMEIetc.) Private Foundation Grants Other Revenue Total Program Revenue PROGRAM EXPENSES Compensation: Only includes Culinary Unit Leader Salary, but all staff privide this servise Rent & Utilities Supplies & Equipment: Food and Provisions Travel & Training Other Expenses: Total Program Expenses SURPLUS/(DEFICIT) FOR PERIOD: 1 $ (53,361) $ (52,154) $ (50,000) 4750 Actual 2015 =16 Estimated.': 201647 Projected 2017 718 :Percent..... Change $ - $ - $ - 0 $ - $ - $ - 0 $ 10,500 $ 13,500 $ 20,000 48% $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ $ 10,500 33,654 $ $ 13,500 33,654 $ $ 20,000 35,000 48% 4% $ - $ - $ - 0 $ 30,207 $ 32,000 $ 35,000 9% $ - $ - $ - 0 $ - $ - $ - 0 $ 63,86'1 $ 65,654 $ 70,000 7% SURPLUS/(DEFICIT) FOR PERIOD: 1 $ (53,361) $ (52,154) $ (50,000) 4750