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DocuSign Envelope ID:380F50AD-C98D-426B-80DC-9Al34EB8DA24 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Agency Budget <br /> Operating Budget for Entire Agency <br /> AGENCY NAME: Youth Forward <br /> Actual Estimated Projected Percent <br /> AGENCY REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ - $ - $ - 0 <br /> Agency Generated Revenue (fees) $ - $ - $ - 0 <br /> Local Government Grants: <br /> Human Services -Town of Carrboro $ - $ - $ 5,000 0 <br /> Other-Town of Carrboro $ - $ - $ - 0 <br /> Human Services -Town of Chapel Hill $ - $ - $ 10,000 0 <br /> Other-Town of Chapel Hill $ - $ - $ - 0 <br /> Human Services - Orange County . $ - $ - $ 5,000 0 <br /> Other- Orange County $ - $ - $ - 0 <br /> Other-Town of Hillsborough $ - $ - $ - 0 <br /> Other Government Grants <br /> Triangle United Way $ - $ - $ - 0 <br /> State Government $ - $ - $ - 0 <br /> Federal Government(CDBG/HOME/etc.) $ - $ - $ - 0 <br /> Private Foundation Grants $ 168,580.00 $ 197,823.00 $ 240,338.00 $ 0.21 <br /> Other Revenue $ 1,000 $ 1,000 $ 1,000 $ - <br /> Total Agency Revenue $ 169,580 $ 198,823 $ 261,338 31% <br /> AGENCY EXPENSES 0 <br /> Compensation $ 72,772 $ 85,223 $ 113,102 33% <br /> Rent& Utilities $ - $ - $ - 0 <br /> Supplies & Equipment $ 700 $ 715 $ 1,100 54% <br /> Travel &Training $ 500 $ 1,000 $ 3,000 200% <br /> Other Expenses: $ 94,746 $ 110,629 $ 143,069 1 29% <br /> Total Agency Expenses $ 168,718 $ 197,567 1 $ 260,271 1 32% <br /> 11 <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ 862 1 $ 1,2561 $ 1,067 1 -15% <br /> FY 2015-16 Comparative Agency Budget <br /> Revised 9/29/2014 <br />