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DocuSign Envelope ID: C47D73DC -CC50- 4723 - 8253- AE01785E7FAA
<br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION
<br />Agency Budget
<br />Operating Budget for Entire Agency
<br />AGENCY NAME:
<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 />OCAC
<br />NCAC
<br />Federal Government (CDBG /HOME /etc.)
<br />Private Foundation Grants
<br />Other Revenue
<br />Total Agency Revenue
<br />AGENCY EXPENSES
<br />Compensation
<br />Rent & Utilities
<br />Supplies & Equipment
<br />Travel & Training
<br />Other Expenses:
<br />Total Agency Expenses
<br />Actual 2016-
<br />17
<br />Estimated 2017-
<br />18
<br />Projected 2018-
<br />19
<br />Percent
<br />Change
<br />$
<br />61,870
<br />$
<br />64,964
<br />$
<br />68,212
<br />5%
<br />$
<br />854,474
<br />$
<br />888,653
<br />$
<br />924,199
<br />4%
<br />$
<br />15,000
<br />$
<br />20,000
<br />$
<br />20,000
<br />0%
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />12,500
<br />$
<br />15,000
<br />$
<br />15,000
<br />0%
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />26,916
<br />$
<br />25,166
<br />$
<br />26,166
<br />4%
<br />$
<br />-
<br />I $
<br />-
<br />I $
<br />-
<br />1
<br />0
<br />$ 0
<br />7,000.00
<br />$
<br />5,000.00
<br />$
<br />5,000.00
<br />$
<br />-
<br />$
<br />51,000.00
<br />$
<br />47,750.00
<br />$
<br />47,750.00
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />182,367.00
<br />$
<br />174,098.00
<br />$
<br />182,803.00
<br />$
<br />0.05
<br />$
<br />165,808
<br />$
<br />174,098
<br />$
<br />182,803
<br />$
<br />0.05
<br />$
<br />$
<br />1,376,935
<br />980,859
<br />$
<br />$
<br />1,414,729
<br />1,010,285
<br />$
<br />$
<br />1,471,933
<br />1,040,593
<br />4%
<br />3%
<br />$
<br />175,579
<br />$
<br />182,602
<br />$
<br />189,906
<br />4%
<br />$
<br />102,206
<br />$
<br />105,272
<br />$
<br />108,430
<br />3%
<br />$
<br />17,865
<br />$
<br />18,222
<br />$
<br />18,587
<br />2%
<br />$
<br />142,964
<br />$
<br />145,823
<br />$
<br />148,740
<br />2%
<br />$
<br />1,419,473
<br />$
<br />1,462,204
<br />$
<br />1,506,256
<br />3%
<br />SURPLUS /(DEFICIT) FOR PERIOD: 1 $ (42,538) $ (47,475) $ (34,323) 28%
<br />FY 2018 -19 Agency Budget
<br />
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