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DocuSign Envelope ID: 8E8982E7 -EFF8- 4214- 979D- 9D572ED220CC <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />ii. Submit your agency's budget. You may complete the provided template <br />(separate xls file) or you may submit your own budget file <br />Agency BudgetA1:N38 <br />Operating Budget for Entire Agency <br />AGENCY NAME: Hillsborough Arts Council <br />AGENCY REVENUE <br />Private Donations <br />Agency Generated Revenue (fees & sales) <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 />(OCOAG) <br />Other - Orange County (OCAC) <br />Other - Hillsborough (Town & T. Bd.) <br />Other Government Grants <br />Triangle United Way <br />State Government <br />Federal Government <br />Private Foundation Grants <br />Other Revenue <br />Total Agency Revenue <br />AGENCY EXPENSES <br />Compensation <br />Rent & Utilities <br />Supplies & Equipment <br />Travel & Training <br />Other Expenses: <br />Total Agency Expenses <br />Actual <br />2016 -17 <br />Estimated <br />2017 -18 <br />Projected <br />2018 -19 <br />Percent <br />Change <br />$32,938 <br />$31,000 <br />$38,000 <br />23% <br />$27,991 <br />$40,238 <br />$40,500 <br />1% <br />0 <br />0 <br />0 <br />0 <br />$7,500 <br />$9,500 <br />$16,500 <br />74% <br />$7,370 <br />$5,726 <br />$6,000 <br />5% <br />$28,360 <br />$29,409 <br />$32,000 <br />9% <br />0 <br />0 <br />0 <br />$7,700 <br />$5,000 <br />$7,000 <br />40% <br />0 <br />$111,859 <br />$33,416 <br />$119,873 <br />$33,416 <br />$140,000 <br />$50,000 <br />17% <br />50% <br />$14,705 <br />$17,000 <br />$17,000 <br />0% <br />$7,476 <br />$10,194 <br />$10,000 <br />-2% <br />0 <br />$43,455 <br />$60,256 <br />$50,000 <br />-17% <br />7$99,052 <br />$120,866 <br />$140,000 <br />16% <br />SURPLUS /(DEFICIT) FOR PERIOD: 1 $12,807 $(7) $0 1 100% <br />Agency Information 2/11/2018 4:28:29 PM Page 11 of 26 <br />