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DocuSign Envelope ID: C4A8ABA9 -961E- 4297- 82F0- 5131739260CFF <br />■ <br />Orange County Human Services <br />■ Orange County Other (DO NOT Include HOME funding here) <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 />Expenditures <br />o Compensation <br />* Rent 8 Utilities <br />o Supplies & Equipment <br />a Travel & Training <br />v Other Expenses <br />Ill. Does your agency budget show a Surplus or Deficit? No <br />Is there a significant change? Yes /Ho No <br />Please provide a brief explanation for Surplus or Deficit, and significant changes. <br />Iv. What Is your agency's fiscal year? Janua 1 2018 through December 31st 2018 <br />(Example: July 1, 2016 through June 30, 2017) <br />Agency Information 2/1212018 7:53:03 PM Page 14 of 28 <br />