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DocuSign Envelope ID: EB294A71-C7D1-4EE4-8287-60A6149320D4 <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, Change County) government <br /> funding? (Yes/No) Yes. IFC is also requesting capital funds for our new FeodFirst <br /> Building. We request one-time construction costs (including architecture and <br /> engineering fees) over and above the annual operating support needed for our <br /> programs. Funds may be granted as pledges to be paid over three years. <br /> If yes, please list below: <br /> Include all programs that have funding requests/awards/totals 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 - FYI 7-18 FYI 8-19 Source <br /> Award Request <br /> FeodFirst Building (over 3 years) $0 $150,000 Carrboro—Capital Funds <br /> FoodFirst Building (over 3 years) $0 $300,000 Chapel Hill—Capital Funds <br /> FoodFirst Building (over 3 years) $0 $300,000 Orange County -Capital Funds <br /> `Add rows or attach additional page, if needed. <br /> il. Submit your agency's budget. You may complete the provided template (separate <br /> xis file) or you may submit your own budget file (as long as it contains the same <br /> information, and in a similar format, as requested in the provided template). Attached <br /> Agency 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 /> o Program Generated Revenue <br /> * Local Government Grants <br /> ■ Carrboro Human Services <br /> ■ Carrboro Other <br /> ■ Chapel Hill Human Services <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 /> o 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 /> o Compensation <br /> o Rent & Utilities <br /> o Supplies & Equipment <br /> o Travel &Training <br /> o Other Expenses <br /> ..... ...-.........- <br /> Agency Information 1/23/2018 2:06:13 PM Page 6 of 37 <br />