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DocuSign Envelope ID: 1327919D -9891- 4603- B056- 5CA1EBBFDF23 <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 />Triangle United Way <br />State Government <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: Loan Repayment incl. <br />Total Agency Expenses <br />Voices Together <br />SURPLUS /(DEFICIT) FOR PERIOD: 1 $ 88,396 $ 5,692 1 $ 23,192 1 3077/6 <br />Actual <br />Estimated <br />Projected <br />Percent <br />$ <br />78,090 <br />$ <br />107,000 <br />$ <br />107,000 <br />0% <br />$ <br />28,403 <br />$ <br />52,000 <br />$ <br />52,000 <br />0% <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />15,000 <br />$ <br />17,500 <br />$ <br />20,000 <br />14% <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />13,438.00 <br />1 $ <br />20,000.00 <br />1 $ <br />20,000.00 <br />$ - <br />$ <br />108,944.00 <br />$ <br />70,000.00 <br />$ <br />85,000.00 <br />21% <br />$ <br />71,525 <br />$ <br />605,700 <br />$ <br />605,700 <br />$ - <br />$ <br />$ <br />315,400 <br />343,657 <br />$ <br />$ <br />872,200 <br />558,677 <br />$ <br />$ <br />889,700 <br />558,677 <br />2% <br />0% <br />$ <br />40,449 <br />$ <br />58,828 <br />$ <br />58,828 <br />0% <br />$ <br />4,932 <br />$ <br />28,651 <br />$ <br />28,651 <br />0% <br />$ <br />2,660 <br />$ <br />47,450 <br />$ <br />47,450 <br />0% <br />$ <br />12,098 <br />$ <br />172,902 <br />$ <br />172,902 <br />0% <br />$ <br />403,796 <br />$ <br />866,508 <br />$ <br />866,508 <br />02. <br />SURPLUS /(DEFICIT) FOR PERIOD: 1 $ 88,396 $ 5,692 1 $ 23,192 1 3077/6 <br />