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DocuSign Envelope ID: A2273A84- 8827 - 4141- A87E- C8CFF83C3936 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Program Budget <br />Operating Budget for Program Bridge Builders <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 Events <br />Corporate <br />Total Program Revenue <br />PROGRAM EXPENSES <br />Compensation <br />Rent & Utilities <br />Supplies & Equipment <br />Travel & Training <br />Other Expenses: Interpreters <br />Other Expenses: Insurance <br />Other Expenses: Consulting Fees <br />Total Program Expenses <br />SURPLUS /(DEFICIT) FOR PERIOD: <br />Bridge Builders <br />Actual <br />2016 -17 <br />Estimated <br />2017 -18 <br />Projected <br />2018 -19 <br />Percent <br />Change <br />$ <br />12,500 <br />$ <br />18,000 <br />$ <br />27,700 <br />54% <br />$ <br />$ <br />- <br />3,000 <br />$ <br />$ <br />- <br />5,000 <br />$ <br />$ <br />- <br />8,300 <br />0 <br />66% <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />1,000 <br />$ <br />1,000 <br />$ <br />7,200 <br />620% <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />1,500 <br />$ <br />8,500 <br />$ <br />14,500 <br />71% <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />$ <br />- <br />- <br />$ <br />$ <br />- <br />- <br />$ <br />$ <br />- <br />- <br />0 <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$19,128.00 <br />I$E=- <br />$45,000.00 <br />$ 2,460 <br />$ 50,300.00 <br />$ 2,100 <br />12% <br />-15% <br />$ <br />$ <br />1,000 <br />38,128 <br />$ <br />$ <br />23,500 <br />79,960 <br />$ - <br />$ 110,100 <br />-100% <br />38% <br />$ <br />29,000 <br />$ <br />58,290 <br />$ <br />91,625 <br />57% <br />$ <br />3,600 <br />$ <br />2,796 <br />$ <br />2,796 <br />0% <br />$ <br />2,798 <br />$ <br />3,220 <br />$ <br />3,700 <br />15% <br />$ <br />550 <br />$ <br />1,000 <br />$ <br />1,325 <br />33% <br />$ <br />980 <br />$ <br />3,000 <br />$ <br />5,500 <br />83% <br />$ <br />1,200 <br />$ <br />2,654 <br />$ <br />2,654 <br />0% <br />$ <br />- <br />$ <br />9,000 <br />$ <br />2,500 <br />-72% <br />$ 38,128 1 $ 79,960 1 $ 110,100 1 389/6 <br />$ - 1 $ - 1 $ - 1 0 <br />