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DocuSign Envelope ID: 17COF518- 9238 - 480E- 96E6- 77F FCC C2626B <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Agency Budget <br />Operating Budget for Entire Agency <br />AGENCY NAME: <br />Senior Care of Orange Countv; Inc. <br />AGENCY REVENUE <br />Private Donations <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 />To tal Agency Revenue <br />AGENCY EXPENSES <br />Compensation <br />Rent & Utilities <br />Supplies & Equipment <br />Travel & Training <br />Other Expenses: Insurances <br />2t116 X17 <br />Zt,'1.,.i't8 <br />7n <br />$ 20,125 <br />$ 7,500 <br />$ 500 <br />-93% <br />$ 239,767 <br />$ 1,250 <br />$ 265,000 <br />$ 1,500 <br />$ 275,000 <br />$ 1,500 <br />4% <br />0% <br />$ - <br />$ - <br />$ - <br />0 <br />$ 1,750 <br />$ 2,500 <br />$ 2,500 <br />0% <br />$ - <br />$ - <br />$ - <br />0 <br />$ 21,250 <br />$ 28,750 <br />$ 35,000 <br />22% <br />$ - <br />$ - <br />$ - <br />0 <br />$ - <br />$ - <br />$ - <br />$ - <br />$ - <br />$ - <br />0 <br />0 <br />$ - <br />$ - <br />$ - <br />0 <br />$ 54,086 <br />$ 62,000 <br />$ 62,000 <br />$ - <br />$ - <br />$ 3 <br />$ 338;231 <br />$ 298,102 <br />$ - <br />$ - <br />$ 367,250 <br />$ 320,000 <br />$ 376;500 <br />$ 320,000 <br />0 <br />0 <br />3% <br />0% <br />$ 1 <br />$ 1,560 <br />$ 1,560 <br />0% <br />$ 22,820 <br />$ 26,500 <br />$ 27,000 <br />2% <br />$ 2,102 <br />$ 1,900 <br />$ 1,900 <br />0% <br />$ 15,566 <br />$ 17,500 <br />$ 18,000 <br />3% <br />FY 2015 -16 Comparative Agency Budget <br />Revised 9129/2014 <br />