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DocuSign Envelope ID: 1640431D- 872F- 4BC9- ACA1- 2226D9788920 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Program Budget <br />Operating Budget for Program <br />PROGRAM NAME: TRANSPLANTING TRADITIONS COMMUNITY FARM <br />PROGRAM REVENUE <br />Private Donations <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 />Total Program Revenue <br />PROGRAM EXPENSES <br />Compensation <br />Rent & Utilities <br />Supplies & Equipment <br />Travel & Training <br />Other Expenses: <br />Total Program Expenses <br />SURPLUS /(DEFICIT) FOR PERIOD: 1 $ (56,148) $ (2,975) $ (2,731) 8°/ <br />Actual <br />2016 -17 <br />Estimated <br />2017 -18 <br />Projected <br />2018 -19 <br />Percent <br />Change <br />$ <br />138,951 <br />$ <br />136,951 <br />$ <br />134,951 <br />-1% <br />$ <br />- <br />$ <br />- il <br />$ <br />- <br />0 <br />$ <br />4,000 <br />$ <br />5,600 <br />$ <br />7,000 <br />17% <br />$ <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 />is <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 />- 1 <br />$ <br />81,071.00 <br />$ <br />81,714.00 <br />1% <br />I <br />A <br />1 <br />� <br />_ <br />I n <br />$ <br />148,32€ <br />$ <br />234,022 <br />5 <br />237,665 <br />2 °fie <br />$ <br />101,911 <br />$ <br />133,949 <br />$ <br />136,628 <br />2% <br />1 <br />3,968 <br />$ <br />4,008 <br />$ <br />4,048 <br />1% <br />$ <br />22,233 <br />$ <br />22,678 <br />$ <br />23,358 <br />3% <br />$ <br />1,138 <br />$ <br />1,138 <br />$ <br />1,138 <br />0% <br />It <br />7-9;,99A <br />$ <br />75,22a <br />It <br />75 ?2a <br />00/0 <br />$ <br />204,474 $ 236,99711$ <br />240,396 <br />1% <br />SURPLUS /(DEFICIT) FOR PERIOD: 1 $ (56,148) $ (2,975) $ (2,731) 8°/ <br />