2018-507-E Finance - Club Nova outside agency agreement

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DocuSign Envelope ID: 717C8AE2- 4D6E- 4E46- A9A7- F4213973D039 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION PROGRAM NAME PROGRAM REVENUE Program Budget Operating Budget for Program Club Nova Community, Inc. - Orange County Funding for Critical Safety Net Private Donations Program Generated Revenue Local Government Grants: Human Services Town of Carrboro Other - Town of Carrboro Human Services - Town of Chapel Hill Other - Town of Chapel dill Human Services - Orange County Other - Orange County Other - Town of Hillsborough Other Government Grants Triangle United Way State Government Federal Government (CDBGIHOMEletc.) Private Foundation Grants Other Revenue Total Program Revenue PROGRAM EXPENSES Compensation: Includes Wage Increase Rent & Utilities Supplies & Equipment: Food & Provisions Travel & Training Other Expenses: Total Program Expenses SURPLUSI(DEFICIT) FOR PERIOD: $ (486,170) $ (479,624) $ (496,000) -3% Actual 2016 -17 Estimated 2017 -18 Projected 2018 -19 Percent Change $ - $ - $ - 0 $ - $ - $ - 0 $ 13,500 $ 19,000 $ 20,000 5 %Q $ - $ - $ - 0 $ 10,000 $ 19,000 $ 20,000 5% $ - $ - $ - 0 $ 10,000 $ 15,000 $ 15,000 0% $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ 0 $ - $ $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ - $ - $ - 0 $ $ 33,500 484,270 $ $ 53,000 495,624 $ $ 55,000 510,500 4% 3 % $ - $ - $ - 0 $ 35,400 $ 37,000 $ 40,500 9% $ - $ - $ - 0 $ - $ - $ - 0 $ 519,67Q $ 532,624 $ 551,000 3% $ (486,170) $ (479,624) $ (496,000) -3%