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DocuSign Envelope ID: C5C1 1 FD4-56CD-48FD-BBD1 -95F2AFF7112B <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Agency Budget <br />Operating Budget for Entire Agency <br />AGENCY NAME: Historic Hillsborough Commission, Inc. - The Burwell School Historic Site <br />AGENCY REVENUE <br />Private Donations <br />Agency Generated Revenue (fees) <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 />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 />SURPLUS /(DEFICIT) FOR PERIOD: 1 $ (46)1$ (437)1$ 8,500 1 2045% <br />FY 2018 -19 Agency Budget <br />Actual <br />2016 -17 <br />Estimated <br />2017 -18 <br />Projected <br />2018 -19 <br />Percent <br />Change <br />$ <br />4,500 <br />$ <br />6,500 <br />$ <br />7,500 <br />15% <br />$ <br />3,900 <br />$ <br />1,300 <br />$ <br />2,000 <br />54% <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />8,857 <br />$ <br />9,028 <br />$ <br />9,200 <br />2% <br />$ <br />- <br />$ <br />- <br />1 $ <br />- <br />0 <br />$ <br />20,800 <br />$ <br />25,615 <br />$ <br />30,000 <br />17% <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />7,500.00 <br />$ <br />7,500.00 <br />$ <br />- <br />$ (1.00) <br />$ <br />26,510 <br />$ <br />53,320 <br />$ <br />60,000 <br />$ 0.13 <br />$ <br />$ <br />72,067 <br />29,288 <br />$ <br />$ <br />103,263 <br />45,600 <br />$ <br />$ <br />108,700 <br />50,000 <br />5% <br />10% <br />$ <br />8,000 <br />$ <br />8,900 <br />$ <br />9,200 <br />3% <br />$ <br />3,000 <br />$ <br />5,000 <br />$ <br />6,000 <br />20% <br />$ <br />200 <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />31,625 <br />$ <br />44,200 <br />1 $ <br />35,000 <br />1 -21% <br />$ <br />72,113 <br />$ <br />103,700 <br />1 $ <br />100,200 <br />1 -3% <br />SURPLUS /(DEFICIT) FOR PERIOD: 1 $ (46)1$ (437)1$ 8,500 1 2045% <br />FY 2018 -19 Agency Budget <br />