The World Bank1818 H Street N.W.(202) 477-1234

INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENTWashington, D.C. 20433Cable Address: INTBAFRAD

U.S.A.

CONFORMED COPY

November 22 , 2011

Mr. Richard S. Parnell

Chief Operating Officer

The United Nations Foundation

1800 MassachusettsAve. NW, 4th Floor

Washington, D.C.20036

USA

Amendment to the Additional Contribution Agreement between the United Nations Foundation and the International Bank for Reconstruction and Development concerning the Trust Fund for the Global Fund to Fight AIDS, Tuberculosis and Malaria(MTO No.069001)

Dear Mr. Parnell:

  1. We refer to the Additional Contribution Agreement between the United Nations Foundation (the “Donor”) and the International Bank for Reconstruction and Development (“IBRD”), as Trustee of the Trust Fund for the Global Fund to Fight AIDS, Tuberculosis and Malaria(the “Trust Fund”) dated August 10, 2010,(the “Additional Contribution Agreement”).
  1. We are pleased to acknowledge, on behalf of IBRD, the intention of the Donor to make asupplemental contribution to the AdditionalContribution of up to Two Million Five Hundred Thousand United States Dollars (USD 2,500,000) as a grant to the Trust Fund.
  1. The total amount of the Additional Contribution allocated by the Donor to this Trust Fund will now aggregate to up to Five Million United States Dollars
    (USD 5,000,000).
  1. The exact amount of the Additional Contribution to be provided to IBRD will be dependent upon the amount of funding available to Donor for the purposes of the grant as determined by the Donor in its sole discretion. The Donor shall make payment of the unpaid amount of the Additional Contribution in a number of installmentsas the Donor determines in its sole discretion, during the period from the date of countersignature of this Amendment until (including) December 31, 2013.
  1. The Donor understands that the IBRD shall administer the supplemental contribution to the Additional Contribution in accordance with the terms and conditions of the Additional Contribution Agreement.
  1. Each installment shall be deposited into such bank account designated by IBRD and following a submission of a payment request by IBRD.
  1. The Bank will disclose this Agreement and related information on this Trust Fund in accordance with the World Bank Policy on Access to Information. By entering into this Agreement, the Donor consents to disclosure of this Agreement and related information on this Trust Fund.
  1. All other terms of the Additional Contribution Agreement shall remain the same.
  1. This letter shall, upon your confirmation in the manner indicated below, constitute an amendment to the Additional Contribution Agreement between the Donor and the IBRD.

Sincerely,

INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT, asTrustee of the Trust Fund for the Global Fund to Fight AIDS, Tuberculosis and Malaria

/s/ Axel van Trotsenburg Date: November 22, 2011

Axel van Trotsenburg

Vice President

Concessional Finance and Global Partnerships

CONFIRMED AND AGREED:

UNITED NATIONS FOUNDATION

/s/ Richard S. Parnell Date: November 28, 2011

Richard S. Parnell

Chief Operating Officer

ACKNOWLEDGED:

THE GLOBAL FUND TO FIGHT AIDS, TUBERCULOSIS AND MALARIA

/s/ Michel Kazatchkine Date: December 12, 2011

Prof. Michel Kazatchkine

Executive Director

GFATM-U4-2010-08-AMENDMENT

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