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DocuSign Envelope ID: FOFFD659- 4159- 4D4C- 82FD- FF8E51A5A7E4 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Program Budget <br />Operating Budget for Program <br />AGENCY NAME: The Women's Center, Inc. dba Compass Center for Women and Families <br />PROGRAM NAME Self Sofficiencv <br />+ •fitirM <br />PROGRAM REVENUE 2016 -17 . 2017 -18 <br />Private Donations $ 5,368 $ 13,992 <br />Program Generated Revenue $ - $ _ <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 (CDBG /HOME /etc.) <br />Private Foundation Grants <br />Other Revenue <br />$ <br />2,800. $ <br />$ - $ <br />$ 9,767 $ <br />$ - $ <br />$ 21,500 $ <br />$ - $ <br />$ - $ <br />$ 24,000.00 $ <br />$ 19,674.00 $ <br />$ - $ <br />$ 10,000.00 $ <br />$ 14,335 $ <br />Total Program Expenses <br />SURPLUS /(DEFICIT) FOR PERIOD <br />FY 2018 -19 Program Budget <br />P <br />9,917 $ <br />21,733 $ <br />8.19 Ch <br />20,252 <br />6,207 <br />21,543 <br />46,992 <br />24,000.00 $ 24,000.00 $ <br />20,000.00 $ 20,000.00 $ <br />10,000.00 $ 10,000.00 $ <br />17,315 $ 17,812 $ <br />.$..107,444 1 $'119,957 I $ 166,806 <br />45% <br />107% <br />0 <br />117% <br />0 <br />116% <br />0 <br />0 <br />r <br />C <br />0.03 <br />39% <br />$ 83,801 <br />1 $ <br />94,3491 <br />$ <br />134,440 1 <br />42%0 <br />$ 1,584 <br />$ <br />1,1971 <br />$ <br />1,566 <br />31% <br />$ 1,105 <br />$ <br />952 <br />$ <br />1,246 <br />31% <br />$ 983 <br />$ <br />1,707 <br />$ <br />1,441 <br />-16% <br />$— _- 19,971 <br />$ <br />21,752 <br />$ <br />28,113 <br />29% <br />$ 107,444 1 $ 119,957 1 $ 166,866 1 39% <br />- $ - <br />is - 0 <br />