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DocuSign Envelope ID: El 573D55-1 DC0 -4F4C- 9784- 749E3E95640B
<br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION
<br />p) Program Budget
<br />1. Submit your program budget. You may complete the provided template (separate As
<br />file) or you may submit your own budget file (as long as it contains the same information,
<br />in the same format, as requested in the provided template).
<br />Program Budgets are required to define budget amounts for the previous program
<br />year, current program year, and next program year for the following categories:
<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 />jNetj 1
<br />1 44,559.88
<br />1 82,660.91
<br />(75,000.00)
<br />2. Program Budget Detail — Provide description of "other" budget items, not defined.
<br />The budget surpluses in 2016 and 2017 were the result of strategic planning and
<br />one large on -time corporate gift to prepare for CHCMOW's expanded professional
<br />team and office and distribution space. In 2018 CHCOW will be moving to an
<br />expanded location at the current Aldersagte Church (soon to be a part of St Thomas
<br />More). The planning and accrued funds will support CHCMOW's capacity to meet
<br />increasing needs.
<br />Our biggest expense are food costs which are included under "supplies" The
<br />following expenses are listed under the "other" category:
<br />• Professional fees (990 and financial review fees, website charges)
<br />• Advertising costs
<br />• Insurance
<br />PROGRAM INFORMATION 1/22/2018 9:22:00 AM Page 22 of 26
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