U.S. GOVERNMENT TRADE EVENT INFORMATION REQUEST

The U.S. Government takes great pride in saluting the efforts and success of U.S. companies in developing overseas markets.  To be considered for an event highlighting your company's project during a USG international trade event, please provide the following information and return it to the Advocacy Center at (202) 482-3508 (fax).  If you have any questions, please call the Center at (202) 482-3896.  Freedom of Information Act:  Information submitted to the government may be subject to disclosure pursuant to the Freedom of Information Act.  However, all confidential commercial information will be protected from disclosure to the extent permitted by law. 

Event: 				___________________________________________
Name of Company:		___________________________________________                                                                       
Company Address:		___________________________________________	
				___________________________________________
Name of Contact Person:		___________________________________________                                                                                      
Telephone:			                                       Fax:  ___________________                                       

I.	NATURE OF THE EVENT

	A.	Describe the event in which the USG official is to participate (e.g., site visit, announcement, ribbon-cutting, business agreement signing).

	B.	Identify all foreign and domestic entities involved, including ownership and control and role of each entity in the project. 
		Entity/Ownership			Percent Ownership of this project

	C.	Briefly describe the role of the foreign business partner(s) (i.e. JV, etc.).

	D.	Please provide the name(s), address(es) and CEOs of foreign business partners
		or buyers:

	E.	Please identify decision makers for this event.
		Name			Title 			Organization

	F.	What if any agreements/approvals have previously occurred in connection with this project?

	G.	What is your latest information on the status of this event?

	H.	What additional actions must occur before the event can materialize (e.g., 			financing needs to be secured, permits obtained, Ministry approval, etc.)?

	
	I.	List all signatories for any agreements to be witnessed: 
		Name				Title				Organization

	J.	Please describe the legal nature and impact of any document that will be signed.

II.	INFORMATION ABOUT YOUR COMPANY

Please provide the following information about your company:

	A.	Full corporate name and headquarters address

B.	If this company is a subsidiary, the parent company(ies) and any controlling individual(s)

	C.	Name of Chief Executive Officer (if CEO is not decision-maker, please identify appropriate company official)

	D.	Name, phone and fax of company’s in-country representative (if applicable)

III.	ECONOMIC AND ENVIRONMENTAL IMPACT OF THE PROJECT OR TRANSACTION

Please provide the following information regarding the project or transaction:

A.	Relevant industrial economic sector(s)

	B.	Overall economic value of the project or transaction

C.	Value and detailed description of all projected U.S. export content

	D.	Principal U.S. subcontractors

	E.	States from which the projected U.S. export content will be sourced

	F.	Number of U.S. jobs created or retained

G.	Environmental Impact

IV.	DOCUMENTS REQUIRED

	A.	A copy of any agreement to be signed (this requirement cannot be waived).  It will be treated as "business confidential".

	B.	A draft press release from your company announcing the event.  Please include in the press release a description of any role of U.S. Government played in assisting to conclude this agreement (e.g., scheduled appointments, advocacy with foreign officials, trade events, trade negotiations, counseling, financing assistance, etc.).

	C.	Please provide specific points you would like the U.S. Government official to highlight regarding this event.

The undersigned, being so authorized, certifies on behalf of the Company that, to the best of my knowledge, the information provided herewith is complete and accurate, and that the Company is in compliance with applicable U.S. law including the Foreign Corrupt Practices Act. 

____________________________________	________________________________                                                               
Print Name					Title

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Signature					Date