Orange County NC Website
DocuSign Envelope ID: 717C8AE2- 4D6E- 4E46- A9A7- F4213973D039 <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Program Budget <br />Operating Budget for Program <br />PROGRAM NAME Club Nova Community, Inc. - Orange County Funding for Employment <br />PROGRAM REVENUE <br />Private Donations <br />Program Generated Revenue <br />Local Government Grants: <br />Human Services - Town of Carrbora <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 Program Revenue <br />PROGRAM EXPENSES <br />Compensation: salaries, FICA, Fringe <br />Rent & Utilities <br />Supplies & Equipment <br />Travel & Training <br />Other Expenses: <br />Total Program Expenses <br />SURPLUSI(DEFICIT) FOR PERIOD: 1 $ (25,865) $ (34,342) $ (37,500) "I"ll <br />Actual <br />2016 -17 <br />Estimated <br />2017 -18 <br />Projected <br />2018 -19 <br />percent <br />Change <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 />0 <br />$ <br />- <br />$ <br />_ <br />$ <br />- <br />0 <br />$ <br />15,000 <br />$ <br />20,000 <br />$ <br />22,500 <br />13% <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />_ <br />D <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />- <br />$ <br />- <br />$ <br />- <br />0 <br />$ <br />$ <br />15,000 <br />40,865 <br />$ <br />$ <br />20,000 <br />54,342 <br />$ <br />$ <br />22,500 <br />60,000 <br />13% <br />10% <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 />40,865 <br />$ <br />54,342 <br />$ <br />60,000 <br />10% <br />SURPLUSI(DEFICIT) FOR PERIOD: 1 $ (25,865) $ (34,342) $ (37,500) "I"ll <br />