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DocuSign Envelope ID: EBOFBDBE -FD15- 4428- 899B- 19A867F94OCC <br />p) Program Budget <br />1. Submit your program budget. You may complete the provided template (separate x1s <br />file) or you may submit your own budget file (as long as it contains the same information, <br />in the same format, as requested in the provided template). <br />Program Budgets are required to define budget amounts for the previous program <br />year, current program year, and next program year for the following categories- <br />Revenues <br />o Private Donations <br />• ,Program Generated Revenue <br />• Local Government Grants <br />• Garrboro Human Services <br />• Carrboro Other <br />• Chapel Hill Human Services <br />• Chapel Hit/ Other (DOS NOT include CDBG funding here) <br />• Orange County Human Services <br />• Orange County Other (DO NOT Include HOME funding here) <br />• Other Government Grants <br />• Triangle United Way <br />• State Government <br />Federal Government (CDBGAHONIE/etc.) <br />Private Foundation Grants <br />• Other Revenue <br />Expenditures <br />o Compensation <br />o Rent & Utilities <br />o Supplies & Equipment <br />o Travel & Training <br />o Other Expenses <br />2. Program Budget Detail — Provide description of "other" budget items, not defined. <br />3. Miscellaneous/Other Income includes interest, recycling revenue, dividend and <br />investment <br />4. This program budget represents what percent of the agency budget? .57 %® <br />5. COST PER INDIVIDUAL <br />This Cost per Individual must reflect the total program budget divided by the total number of <br />program individuals in this application. <br />Ppnr.PAM [AlFnRMA TinAi 719119nl R 9-9d1 •dR PM P z14 ri 1-1 "3 ;, o i <br />Actual 2016 -17 <br />Estimated 2017 -18 <br />Projected 2418 -19 <br />Total Cost of Program <br />507,794 <br />499,881 <br />499,881 <br />Total # of Individuals J <br />9,841 -- - <br />9,841 <br />9,841 <br />Cost Per Individual <br />52.87 <br />50.80 <br />50.80 <br />Ppnr.PAM [AlFnRMA TinAi 719119nl R 9-9d1 •dR PM P z14 ri 1-1 "3 ;, o i <br />