Orange County NC Website
DocuSign Envelope ID: 1327919D -9891- 4603- B056- 5CA1EBBFDF23 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Program Budget <br />Operating Budgetfor Program <br />PROGRAM NAME: <br />$ <br />Voices Together <br />$ <br />25,000 <br />11% <br />$ 14 500 <br />PROGRAM REVENUE <br />19,750 <br />Actuai <br />Estimated <br />100t <br />Protected <br />Percent <br />250 <br />$ <br />250 <br />2+017 -18 <br />$ 500 <br />2018 -19 <br />Chan e <br />Private Donations <br />F2016-17 <br />$ <br />$ <br />2,000 <br />$ <br />Program Generated Revenue <br />25% <br />_ <br />$ <br />$ <br />$ <br />0 <br />Local Government Grants: <br />$ 16,000 <br />$ <br />22,5001$ <br />$ <br />- <br />0 <br />Human Services - Town of Carrboro <br />$ <br />_ <br />$ _ <br />$ <br />Other -Town of Carrboro <br />$ <br />_ <br />$ <br />$ <br />_ <br />0 <br />Human Services - Town of Chapel Hill <br />$ <br />_ <br />_ <br />$ <br />Other - Town of Chapel Hill <br />$ <br />- <br />$ _ <br />$ <br />0 <br />Human Services - Orange County <br />$ <br />_ <br />$ _ <br />$ <br />_ <br />0 <br />Other - Orange County <br />$ <br />16 400 <br />$ 17.500 <br />1 $ <br />2D.000 <br />0 <br />14 °% <br />Other - Town of Hillsborough <br />$ <br />- <br />$ - <br />$ <br />Other Government Grants <br />- <br />0 <br />Triangle United Way <br />$ <br />_ <br />$ <br />State Government <br />$ <br />_ <br />$ <br />$ <br />4 <br />Federal Government (CDBGIHOMEletc.) <br />$ <br />_ <br />- <br />$ <br />$ <br />0 <br />Private Foundation Grants Fox Family I <br />$ <br />_ <br />1 $ 5,000.0C <br />$ <br />0 <br />Other Revenue <br />$ <br />_ <br />Is <br />n <br />Total Program Revenue <br />Compensation <br />Rent & Utilities <br />Supplies & Equipment <br />Travel & Training <br />Other Expenses: <br />Total Program Expenses <br />SURPLUSI(DEFICIT) FOR PERIOD: <br />FY 2018 -19 Program Budget <br />$ 16,000 <br />$ <br />22,500 <br />$ <br />25,000 <br />11% <br />$ 14 500 <br />$ <br />19,750 <br />$ <br />21 750 <br />100t <br />$ 250 <br />$ <br />250 <br />$ <br />250 <br />0% <br />$ 500 <br />$ <br />500 <br />$ <br />500 <br />0 °r0 <br />$ 754 <br />$ <br />2,000 <br />$ <br />2.500 <br />25% <br />$ - <br />$ <br />- <br />$ <br />- <br />0 <br />$ 16,000 <br />$ <br />22,5001$ <br />25,000 <br />11% <br />$ $ - $ - 0 <br />