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DocuSign Envelope ID: DlA09OF6-2A4E-4FOB-9FB7-92FFFC9El3D2 XHIBIT A: <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> h) Agency Budget <br /> i. Is your agency currently receiving and/or requesting other (non-Human Services) <br /> local (Town of Carrboro, Town of Chapel Hill, Orange County) government <br /> funding? (YeslNo) Yes <br /> If yes, please list below: <br /> Include all programs that have funding requestslawardsltotals from Carrboro Chapel Hill <br /> and Orange County governments (other than Human Services). DO NOT include federal <br /> funding sources, such as CDBG and HOME. <br /> Program FY17-18 17Y18-19 Source <br /> Award Request <br /> $28,131 $40,000 Juvenile Crime Prevention Council + <br /> Boomerang + $8,439 County Match <br /> $1,983 $2,500 Orange County Arts Commission <br /> Total $38,553 $42,500 <br /> `Add rows or attach additional page, if needed. <br /> ii. Submit your agency's budget. ATTACHED <br /> iii. Does your agency budget show a Surplus or Deficit? Deficit <br /> Is there a significant change?Yes/No Yes <br /> Please provide a brief explanation for Surplus or Deficit, and significant changes. <br /> Deficit: A deficit of$18,896 is projected for FY 2018-19 as Boomerang will not be <br /> eligible to apply for fund from two foundations — Strowd Roses and Morgan Creek; they <br /> do not fund organizations for more than 2 consecutive years. Boomerang will re-apply to <br /> these foundations for 2019-2010. The deficit should be offset by surplus income from <br /> prior years. In addition, Boomerang is actively applying to other foundations. <br /> iv. What is your agency's fiscal year? July 1 2017—June 30 2018 <br /> (Example: July 1, 2016 through .June 30, 2017) <br />