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DocuSign Envelope ID: 4B292955- 9A36- 47C6- BDDE- 4E9CDOBA074D
<br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION
<br />AGENCY NAME:
<br />AGENCY REVENUE
<br />Private Donations
<br />Program Budget
<br />Operating Budget for Program
<br />Volunteers for Youth, Inc.
<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 (CDl3G /H0ME /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 />SURPLUS /(DEFICIT) FOR PERIOD:
<br />FY 2018 -19 Agency Budget
<br />$ (2,656)1$ (742)1$ - I 100%
<br />Actual
<br />2016 -17
<br />Estimated
<br />2017 -18
<br />Projected
<br />2018-19
<br />Percent
<br />Change
<br />$
<br />39,659
<br />$
<br />40,000
<br />$
<br />41,000
<br />3%
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />2,750
<br />$
<br />3,000
<br />$
<br />4,000
<br />33%
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />8,500
<br />$
<br />10,000
<br />$
<br />13,500
<br />35%
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />7,500
<br />$
<br />8,750
<br />$
<br />12,000
<br />37%
<br />$
<br />38,213
<br />$
<br />39,360
<br />$
<br />39,360
<br />0%
<br />$
<br />4
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />13,500.00
<br />$
<br />13,500.00
<br />$
<br />13,500.00
<br />$ -
<br />$ 127,379.00
<br />$ 131,200.00
<br />$ 131,200.00
<br />$ -
<br />$
<br />3,500.00
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />14,250.00
<br />$
<br />15,000.00
<br />$
<br />61,500.00
<br />$ 3.10
<br />$
<br />-
<br />$
<br />-
<br />$
<br />-
<br />0
<br />$
<br />$
<br />255,251
<br />186,572
<br />$
<br />$
<br />260,810
<br />189,958
<br />$
<br />$
<br />316,060
<br />238,454
<br />21%
<br />26%
<br />$
<br />28,434
<br />$
<br />28,644
<br />$
<br />29,503
<br />3%
<br />$
<br />9,423
<br />$
<br />9,450
<br />$
<br />10,000
<br />6%
<br />$
<br />2,263
<br />$
<br />2,500
<br />$
<br />2,800
<br />12%
<br />$
<br />31,215
<br />1 $
<br />31,000
<br />1 $
<br />35,303
<br />1 14%
<br />$
<br />257,907
<br />$
<br />261,552
<br />$
<br />316,060
<br />1 21%
<br />$ (2,656)1$ (742)1$ - I 100%
<br />
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