ANNEX B 
DIRECTION TO U.S. DOW AND FUNDING AMOUNT

 

  1. [Donating Partner] Identification Number: (Per Participant’s choice; to be used for tracking purposes by Participant)
  2. [Donating Partner] Project Name: (e.g. name of defense article and/or defense service to be procured)
  3. Amount of [Donating Partner] Funding Contribution: (in exact U.S. Dollars)
  4. Source of Funding: (Per Participant’s choice; Participant will endeavor to identify if source of funding is the Participant’s Trust Fund, Holding Account, or other.)
  5. Funded Armed Forces of Ukraine LOA Designation:
  6. [Donating Partner] Program: (Per Participant’s choice; to be used for tracking purposes by Participant)
  7. [Donating Partner] Program Manager: (Per Participant’s choice; to be used for tracking purposes by Participant)
  8. [Donating Partner] Technical Assistance Contact: (Per Participant’s choice; to be used for tracking purposes by Participant)
  9. Capability to Support: (Participant to identify capability donation is intended to support)
  10. Signatures:

For the U.S. DoW:

For [Donating Partner]:

____________________________________
Signature

____________________________________
Signature

____________________________________
Name

____________________________________
Name

____________________________________
Title

____________________________________
Title