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DocuSign Envelope ID: 8FFCF3D9- 3AF5 -4C83- 9829- AC9D4975107C <br />EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br />Agency Budget <br />Operating Budget for Entire Agency <br />AGENCY NAME: Historic Foundation of Hillsborough and Orange County <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: <br />Total Agency Expenses <br />SURPLUS /(DEFICIT) FOR PERIOD: 1 $ - 1 $ - 1 $ 13,5251 0 <br />FY 2018 -19 Agency Budget <br />Actual <br />2016 -17 <br />Estimated <br />2017 -18 <br />Projected <br />2018 -19 <br />Percent <br />Change <br />$ <br />4,417 <br />$ <br />4,900 <br />$ <br />5,145 <br />5% <br />$ <br />12,456 <br />$ <br />18,000 <br />$ <br />18,900 <br />5% <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 />6,450 <br />$ <br />8,199 <br />$ <br />16,388 <br />100% <br />$ <br />- <br />$ <br />- <br />i $ <br />- <br />0 <br />$ <br />9,995 <br />$ <br />12,000 <br />$ <br />19,596 <br />63% <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 />1,500.00 <br />$ <br />3,500.00 <br />$ <br />3,675 <br />$ 0.05 <br />$ <br />29,500 <br />$ <br />20,290 <br />$ <br />- <br />$ (1.00) <br />$ <br />$ <br />64,318 <br />44,865 <br />$ <br />$ <br />66,889 <br />44,090 <br />$ <br />$ <br />63,704 <br />46,295 <br />-50%16 <br />5% <br />$ <br />5,465 <br />$ <br />6,571 <br />$ <br />6,900 <br />5% <br />$ <br />3,418 <br />$ <br />5,060 <br />$ <br />5,313 <br />5% <br />$ <br />369 <br />$ <br />200 <br />$ <br />210 <br />5% <br />$ <br />10,201 <br />$ <br />10,968 <br />1 $ <br />11,516 <br />1 5% <br />$ <br />64,318 <br />$ <br />66,889 <br />1 $ <br />70,233 <br />1 5% <br />SURPLUS /(DEFICIT) FOR PERIOD: 1 $ - 1 $ - 1 $ 13,5251 0 <br />FY 2018 -19 Agency Budget <br />