Orange County NC Website
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DocuSign Envelope ID:380F50AD-C98D-426B-80DC-9Al34EB8DA24 XHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Program Budget <br /> Operating Budget for Program <br /> PROGRAM NAME ConnectMe! <br /> Actual Estimated Projected Percent <br /> PROGRAM REVENUE 2015-16 2016-17 2017-18 Change <br /> Private Donations $ - $ - $ - 0 <br /> Program Generated Revenue $ - $ - $ - 0 <br /> Local Government Grants: <br /> Human Services-Town of Carrboro $ - $ 5,000 $ - -100% <br /> Other-Town of Carrboro $ - $ - $ - 0 <br /> Human Services-Town of Chapel Hill $ - $ 10,000 $ - -100% <br /> Other-Town of Chapel Hill $ - $ - $ - 0 <br /> Human Services - Orange County $ - $ 5,000 $ - -100% <br /> Other- Orange County $ - $ - $ - 0 <br /> Other-Town of Hillsborough $ - 1 $ - 1 $ - 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 $ - $ - $ - 0 <br /> Other Revenue $ - $ - $ - 0 <br /> Total Program Revenue $ - $ 20,000 $ - -100% <br /> PROGRAM EXPENSES <br /> Compensation $ - $ - $ - 0 <br /> Rent& Utilities $ - $ - $ - 0 <br /> Supplies & Equipment $ - $ - $ - 0 <br /> Travel &Training $ - $ - $ - 0 <br /> Other Expenses: $ - $ - $ - 0 <br /> Total Program Expenses $ I $ - 1 $ - 0 <br /> SURPLUS/(DEFICIT) FOR PERIOD: $ 1 $ 20,000 1 $ - 1 -100% <br />