Orange County NC Website
DocuSign Envelope ID: 557EOBA8 -OFDF- 4943- B10E- 6AB96D651F4B <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />PROGRAM NAME <br />PROGRAM REVENUE <br />Private Donations <br />Program Budget <br />Operating Budget for Program <br />EmPOWERment, Inc. Rentals <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 (CDBGIHOME /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: <br />FY 2018 -19 Program Budget <br />$ 111,284 1 $ 119,650 1 $ 131,196 1 10 °/a <br />*Surplus in program budget does not include mortgage payments. <br />Mortgage payments are included in the agency budget. <br />Actual <br />2016 -17 <br />Estimated <br />2017 -18 <br />Projected <br />2018 -19 <br />Percent <br />Change <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />330,093 <br />$ <br />336,695 <br />$ <br />343,429 <br />2% <br />$ <br />10,000 <br />$ <br />14,000 <br />$ <br />20,000 <br />43 % <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />13,500 <br />$ <br />13,500 <br />$ <br />20,000 <br />48% <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />20,000 <br />$ <br />27,500 <br />$ <br />30,000 <br />9% <br />$ <br />- <br />$ <br />_ - <br />$ <br />- <br />0 <br />$ <br />$ <br />$ <br />- <br />0 <br />$ <br />$ <br />$ <br />- <br />0 <br />$ <br />$ <br />$ <br />0 <br />$ <br />I <br />$ <br />- <br />1 $ <br />0 <br />$ <br />$ <br />- <br />1 $ <br />0 <br />$ <br />$ <br />- <br />$ <br />0 <br />$ <br />$ <br />373,593 <br />84,534 <br />$ <br />$ <br />391,695 <br />85,380 <br />$ <br />$ <br />413,429 <br />86,234 <br />6% <br />1% <br />$ <br />21,492 <br />$ <br />22,567 <br />$ <br />23,696 <br />5% <br />$ <br />81,864 <br />$ <br />85,958 <br />$ <br />90,256 <br />5% <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />74,419 <br />$ <br />78,140 <br />$ <br />82,047 <br />5% <br />$ 262,309 <br />$ 272,045 <br />$ 282,233 <br />4% <br />$ 111,284 1 $ 119,650 1 $ 131,196 1 10 °/a <br />*Surplus in program budget does not include mortgage payments. <br />Mortgage payments are included in the agency budget. <br />