Grant Proposal Cover Page Date 9 September 2013 I Project Title Polio Eradication and Peace and Health _Organization Name International Peace Institute (LPI) Project Duration (months) 12 months (2013) Institutional official authorized to submit and accept grants on behalf of the organization: Prefix Ms. First Name Andrea Suffix Title Address Telephone Fax Email Web Site Project Director/Primary Contact: Prefix Ms. First Name Andrea Suffix Title Director, IPI Vienna Address Freyung 3 / 1010 Vienna / Austria Telephone Fax Email Web Site www.ipinst.org Director, IPI Vienna Fre 3 / 1010 Vienna / Austria Surname Pfanzelter I Surname Pfanzelter Total Cost Amount Requested of Project from Foundation in in Dollars Dollars (U.S.) $5,000,000 (U.S.) $5,000,000 Organization's revenue from last audited Financials in Dollars (U.S.) $9,151,315 Organization's Fiscal Year- End Date December 31, 2012 U.S. Tax Status (see Tax Status Definitions) 501(c)(3) Public Charity Geographic Location(s) of Project Field work: Pakistan, Nigeria, Somalia IPI Offices: New York, Vienna INTERNATIONAL PEACE INSTITUTE SEPTEMBER 4, 2013 1 EFTA01087593