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DocuSign Envelope ID: EB294A71-C7D1-4EE4-8287-60A6149320D4 <br /> • 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 /> • Other Government Grants <br /> • Triangle United Way <br /> • State Government <br /> • Federal Government(CDBGfHOMEletc.) <br /> • Private Foundation Grants <br /> • Other Revenue <br /> • Expenditures <br /> o Compensation <br /> o Rent & Utilities <br /> • Supplies & Equipment <br /> • Travel &Training <br /> • Other Expenses <br /> 2. Program Budget Detail— Provide description of"other" budget items, not defined. <br /> Other budget items include telephone and network support, insurance, and pest <br /> control. The majority is direct assistance to program members for rent, utilities, <br /> essential medication, and other assistance. <br /> 3. This program budget represents what percent of the agency budget?20 percent <br /> 4. COST PER INDIVIDUAL <br /> This Cost per Individual must reflect the total program budget divided by the total number of <br /> program individuals in this application. <br /> Actual 201+ -17 Estimated 2017-18 Projected 2018-15 <br /> Total Cost of Program $434,933 $400,954 $416,992 <br /> Total#of Individuals 1,529 1,514 1,525 <br /> Cost Per Individual $284 $264 $273 <br /> ----.... .... ........ <br /> .. <br /> Agency Information 1/23/2018 2:06:13 PM Page 14 of 37 <br />