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DocuSign Envelope ID: 2AC82140-8F6C-4125-8743-OB8594E61466 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />• Orange County Human Services <br />• Orange County Other (DO NOT Include HOME funding here) <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 />Expenditures <br />• Compensation <br />• Rent & Utilities <br />• Supplies & Equipment <br />• Travel & Training <br />• Other Expenses <br />iii. Does your agency budget show a Surplus or Deficit? Surplus <br />Is there a significant change? Yes /No <br />Please provide a brief explanation for Surplus or Deficit, and significant changes. <br />TABLE is operating on a surplus for a few reasons: <br />1) We are planning to purchase or lease permanent space in the next 1 -2 years. <br />We expect to have to upfit the space that we select to meet our basic needs <br />(i.e. Walk -in cooler, conference space, loading dock, etc.). We need significant <br />funding to do so. <br />2) Our operating expenses increase every year because we are serving more <br />children. In order to continue to increase the children we serve in our nutrition <br />education and hunger relief programs, we must be sure that we maintain a <br />steady stream of funding. The surplus allows us the confidence to increase the <br />children we serve and fund improvements to our programs. <br />iv. What is your agency's fiscal year? September 1, 2016 - August 31, 2017 <br />(Example: July 1, 2016 through June 30, 2017) <br />Agency Information 1/23/2018 3:44:19 PM <br />