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DocuSign Envelope ID: 8E8982E7 -EFF8- 4214- 979D- 9D572ED220CC <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />iii. Does your agency budget show a Surplus or Deficit? Yes <br />Is there a significant change? Yes /No Yes <br />Please provide a brief explanation for Surplus or Deficit, and significant changes. <br />There was an Actual 2016 -17 surplus of $12807. Outcomes were better than <br />expected for Grants ($7,200 vs expected $500) and Sale of Goods (net $14,688 <br />vs expected $6,200), resulting in a surplus for the year. <br />iv. What is your agency's fiscal year? July 1, 2017 through June 30, 2018 <br />Agency Information 2/11/2018 4:28:29 PM P a g e 1 2 o f 2 6 <br />