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DocuSign Envelope ID: El 573D55-1 DC0 -4F4C- 9784- 749E3E95640B
<br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION
<br />Chapel Hill Carrboro Meals on Wheels 2016 -2018
<br />2016
<br />2017
<br />2018
<br />Notes
<br />Revenues
<br />Private Donations
<br />134,032.64
<br />273,187.98
<br />140,800.00
<br />Program Generated Revenue
<br />36,717.00
<br />44,131.70
<br />42,500.00
<br />Client payments
<br />Local Government Grants
<br />Carrboro Human Services
<br />11,950.00
<br />14,000.00
<br />15,000.00
<br />Carrboro Other
<br />Chapel Hill Human Services
<br />10,000.00
<br />15,000.00
<br />15,000.00
<br />Chapel Hill Other
<br />Orange County Human Services
<br />10,000.00
<br />15,000.00
<br />15,000.00
<br />Orange County Other
<br />Other Government Grants
<br />Triangle United Way
<br />23,530.00
<br />10,929.10
<br />7,000.00
<br />Designated and Allocated
<br />[Donations decreasing - Change in
<br />UW focus. Expectation to Zero]
<br />State Government
<br />-
<br />-
<br />Federal Government
<br />-
<br />-
<br />Private Foundation Grants
<br />22,500.00
<br />20,113.66
<br />35,000.00
<br />Subaru, MOWA, Whole Foods,
<br />Carol Woods, Strowd
<br />Other Revenue
<br />89,375.51
<br />79,733.83
<br />106,700.00
<br />Events & Investment income
<br />Total Revenue
<br />338,105.15
<br />472,096.27
<br />377,000.00
<br />Expenditures
<br />Compensation
<br />42,766.09
<br />67,208.82
<br />89,000.00
<br />Rent & Utilities
<br />2,093.34
<br />77,261.60
<br />102,300.00
<br />Moving expenses.
<br />Supplies & Equipment
<br />212,071.82
<br />211,095.90
<br />221,750.00
<br />Food Cost, Supplies,Depreciation
<br />Travel &Training
<br />27.37
<br />991.97
<br />4,000.00
<br />Other Expenses
<br />36,586.65
<br />32,877.07
<br />34,950.00
<br />Total Expenditures
<br />293,545.27
<br />389,435.36
<br />452,000.00
<br />Net
<br />44,559.88
<br />82,660.91
<br />(75,000.00)
<br />iii. Does your agency budget show a Surplus or Deficit? Deficit
<br />Is there a significant change? Yes /No Yes
<br />Please provide a brief explanation for Surplus or Deficit, and significant changes.
<br />The budget history for CHCMOW is a volatile one. We have no guaranteed funding
<br />each year. Every year we must apply for available grant funding and run an annual fund
<br />and fundraisers to raise the appropriate funds to enable our delivery of 170 -185 meals
<br />per day to the elderly and homebound. Our only source of income beyond grants and
<br />individual or corporate donors are client fees, which have drastically reduced over the
<br />years (relative to the number of clients served). Over the past 8 years we have tracked
<br />a significant decrease in client fees, leaving CHCMOW to meet the expense of the
<br />majority of our clients. Each year the grants we apply for, the events we run, the
<br />individual contributions we collect are entirely driven by the energy and vision of the
<br />Board and Executive Director. We are not a line item in anyone's annual budget. Even
<br />our United Way funding is diminishing each year and is the result of a rigorous
<br />application process. Some years we write 15 or more grant requests. In a good year we
<br />are successful with half or fewer and some years we may receive only a handful. To
<br />help smooth this wild up and down roller- coaster, CHCMOW has instituted the following
<br />annual fundraising campaign:
<br />Agency Information 1/22/2018 9:22:00 AM Page 13 of 26
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