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DocuSign Envelope ID: 3F05AA6E -4F62- 4678- 8F07- 34D6E1679E9A <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Program Budget <br />Operating Budget for Program <br />PROGRAM NAME: <br />PROGRAM REVENUE <br />Private Donations <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 (CDBG /HOME /etc.) <br />Private Foundation Grants <br />Other Revenue <br />Sponsorships and business support <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 />Farmer Foodshare <br />SURPLUS /(DEFICIT) FOR PERIOD: I $ - I $ 0 $ - 1 - 100% <br />FY 2018 -19 Program Budget <br />Actual <br />2016 -17 <br />Estimated <br />2017 -18 <br />Projected <br />2018 -19 <br />Percent <br />Change <br />$ <br />45,500 <br />$ <br />40,597 <br />$ <br />44,000 <br />8% <br />$ <br />$ <br />- <br />0 <br />$ <br />1,750 <br />$ <br />4,000 <br />$ <br />5,000 <br />25% <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />5,000 <br />$ <br />5,000 <br />$ <br />5,000 <br />0% <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />2,500 <br />$ <br />6,250 <br />$ <br />10,000 <br />60% <br />$ <br />- <br />1 $ <br />$ <br />- <br />1 0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />i <br />$ <br />$ <br />$ <br />- <br />0 <br />$ <br />$ <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />10,000.00 <br />$ <br />13,000.00 <br />$ <br />14,000.00 <br />$ 0.08 <br />$ <br />11,250 <br />$ <br />16,000 <br />1 $ <br />15,000 <br />$ 0.06 <br />6iiiiiiiiiii6n, <br />$ <br />55,959 <br />$ <br />61,568 <br />$ <br />65,900 <br />7% <br />$ <br />5,101 <br />$ <br />5,960 <br />$ <br />6,740 <br />13% <br />$ <br />8,630 <br />$ <br />10,085 <br />$ <br />11,875 <br />18% <br />$ <br />6,310 <br />$ <br />7,234 <br />$ <br />8,485 <br />17% <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />000 1 <br />$ <br />84,847 <br />$ <br />93,000 <br />1 10% <br />SURPLUS /(DEFICIT) FOR PERIOD: I $ - I $ 0 $ - 1 - 100% <br />FY 2018 -19 Program Budget <br />