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<br />Agency Information 1/18/2018 7:54:45 PM Page 16 of 29 <br />o Travel & Training <br />o Other Expenses <br /> <br />iii. Does your agency budget show a Surplus or Deficit? Surplus <br /> <br /> Is there a significant change? Yes/No No <br />Please provide a brief explanation for Surplus or Deficit, and significant changes. <br /> <br />We are continuing to work hard to build up our cash reserve. <br /> <br />iv. What is your agency’s fiscal year? 1/1/18 to 12/31/18 <br />(Example: July 1, 2016 through June 30, 2017) <br />Exhibit A: <br />Provider's Outside Agency Application <br />DocuSign Envelope ID: 1381F24A-F27B-438F-AC45-7A16015EA606