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DocuSign Envelope ID: EE049453-18E5-41 D0-B66D-B62773A7BC09 <br /> EXHIBITA: Provider's Outside Agency Application <br /> • Chapel Hill Other (DO 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 (CDBG/HOME/etc.) <br /> • Private Foundation Grants <br /> • Other Revenue <br /> • Expenditures <br /> • Compensation <br /> • Rent & Utilities <br /> • Supplies & Equipment <br /> • Travel & Training <br /> • Other Expenses <br /> iii. Does your agency budget show a Surplus or Deficit? Surplus <br /> Is there a significant change? Yes/No Yes <br /> Please provide a brief explanation for Surplus or Deficit, and significant changes. <br /> Additional fundraising was implemented to support the addition of a temporary, <br /> part-time Development Associate and a part-time administrative position to assist <br /> the Executive Director, who volunteers his time to the agency and works another <br /> full-time position. In addition, the organization was reimbursed for expenses <br /> incurred during the 2017 summer program which required fundraising to <br /> compensate for this delay in funding. <br /> Fourth quarter fundraising adds to larger dollar numbers at end of year. <br /> What is your agency's fiscal year? January 1, 2018 - December 31, 2018 <br /> (Example: July 1, 2016 through June 30, 2017) <br /> Agency Information 1/23/2018 1:34:47 PM Page 13 of 26 <br />