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DocuSign Envelope ID: 1640431D- 872F- 4BC9- ACA1- 2226D9788920
<br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION
<br />AGENCY NAME:
<br />AGENCY REVENUE
<br />Private Donations
<br />Agency Budget
<br />Operating Budget for Entire Agency
<br />ORANGE COUNTY PARTNERSHIP FOR YOUNG CHILDREN
<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 (CDBGIHOMEIetc.)
<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 />SURPLUSI(DEFICIT) FOR PERIOD:
<br />FY 2015 -16 Comparative Agency Budget
<br />Revised 9/29/2014
<br />$ (9,831)1$ 34,9361$ 27,599 -21%
<br />Actual
<br />2016 -17
<br />Estimated
<br />2017 -18
<br />Projected 2018
<br />19
<br />Percent
<br />Change
<br />$
<br />253,124
<br />$
<br />253,124
<br />$
<br />253,124
<br />0%
<br />$
<br />-
<br />-
<br />$
<br />-
<br />0
<br />$
<br />4,Uuu
<br />$
<br />O,uuu
<br />$
<br />7,Ouu
<br />17%
<br />$
<br />-
<br />$
<br />0
<br />$
<br />3,000
<br />$
<br />4,500
<br />$
<br />7,000
<br />56%
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />2,375
<br />$
<br />5,500
<br />$
<br />7,000
<br />27%
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />I $
<br />1 $
<br />-
<br />0
<br />$
<br />2,695,866
<br />$
<br />2,695,866
<br />$
<br />2,695,866
<br />$ -
<br />$
<br />21,150
<br />$
<br />81,071
<br />$
<br />81,714
<br />1%
<br />n
<br />$
<br />27,335 1
<br />5
<br />27.335
<br />1,5
<br />27,335
<br />$ -
<br />$
<br />$
<br />3,006,#50
<br />583,767
<br />$ 3,073,3'6
<br />$ 625,442
<br />$
<br />3.079,039
<br />637,951
<br />0%
<br />2%
<br />$
<br />46,632
<br />$
<br />47,098
<br />$
<br />47,569
<br />1%
<br />$
<br />54,579
<br />$
<br />56,216
<br />$
<br />56,216
<br />0%
<br />$
<br />9,255
<br />$
<br />9,255
<br />$
<br />9,255
<br />0%
<br />$
<br />2.322.448
<br />$
<br />2.300.448
<br />$
<br />2.300.448.00
<br />00%
<br />$
<br />3,016,681
<br />$ 3,038,46011
<br />$
<br />3,051,440 1
<br />0%
<br />$ (9,831)1$ 34,9361$ 27,599 -21%
<br />
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