Bill Nelson, U.S. Senator from Florida:

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FY10 Defense Appropriations Form

Defense authorizations and appropriations requests apply to items such as procurement of services, supplies, or equipment for the Department of Defense and its related agencies and organizations. This also includes defense-related basic or applied science and technology or acquisition research and development projects within each of the armed services and their organizations.

Click here for instructions

Click here for DoD Budget request justification materials

IMPORTANT DEADLINE NOTICE:

DEADLINE for submission of the form is April 10, 2009.

(Unfortunately, the aspiration for a May deadline changed because the defense committees have set an earlier deadline than anticipated.)

Although you are welcome to submit your request at your convenience, we would like to remind you that some of the information requested on the form (e.g.; the budget account, line number, and the President's budget request amount) will not be available until the President submits his budget request to Congress in April. Therefore, to reduce potential recording errors we recommend that you submit your request when all information is available.

Thank you in advance for your understanding.

* Denotes required field.
Company Organization Information
Date:

*Company/ Org Name:

*Street Address:

Street Address (con't.):

*City:

*State:

*Zip:

*Phone:

Website Address:

Does the Company/Org retain a lobbyist? Yes No


Points of Contact (POC) Information
POC for Senator Nelson: (Ex.: Organization Executive or President)
*First Name:

*Last Name:

*Title:

*Street Address:

Street Address (con't.):

*City:

*State:

*Zip:

*Phone:

*Email Address:

POC for Senator Nelson's Staff: (Ex.: Lobbyist, Gov't. Relations, Org staff member)
*First Name:

*Last Name:

*Title:

*Street Address:

Street Address (con't.):

*City:

*State:

*Zip:

*Phone:

*Email Address:

Is the staff poc a lobbyist? Yes No

Additional/Alternate POC for Senator Nelson's Staff:
First Name:

Last Name:

Title:

Street Address:

Street Address (con't.):

City:

State:

Zip:

Phone:

Email Address:
Is the additional/alternative staff poc a lobbyist? Yes No


Program Identification Funding Information:
*Project Title/Name:

*Proposed Funding Agency:			Department of Defense
			Air Force
			Army
			Navy
			Other

*Budget Account#:

*Budget Line#:

Program Element#:

Please provide the principle location in which the majority of the work will be performed:

*City:

*State:

*Is the project or program contained in the President's budget request (PBR)? Yes No

*If yes, how much was requested in the PBR? (Please use numbers only)

(In thousands)

*How much additional funding is requested above the PBR? (Please use numbers only)

(In thousands)

DoD Service Requirement

Is the project or program a DoD or service requirement?
(If yes please identify the requirement below) Yes No

Please state the official military service requirement for the project. If applicable, provide official document citations, e.g., the Operational Requirements Document (ORD), Urgent Needs Statement (UNS), Unfunded Priorities List (UPL), etc.

Is the project contained in an Unfunded Priorities List (UPL) or other official unmet needs document?
If yes, please provide the name of the supporting information and cite its location below. Yes No

Supporting Information: Location:
(Ex.: FY 2008 USAF UPL page 10 "Airborne Networking Integration")

Has the project ever been funded through Congressional direct funding?
(If yes, please provide the details of the funding below:) Yes No

Is the project or program of particular interest to DoD? Yes No

(If so, please describe and provide citiations to official sources or documents that show DoD's or the service's interest below:)

Please provide the amounts and sources of all requested authorized and/or appropriated funding for FY 2006 through FY2009 (in thousands).

PROJECT FUNDING HISTORY (in thousands)

	REQUESTED	AUTHORIZED			APPROPRIATED
Fiscal Year	PBR	HASC	SASC	Auth. Conf.	HAC	SAC	Approp. Conf.
2009
2008
2007
2006

Has the project ever been funded through other Federal funding? Yes No
(e.g.; Small Business Innovative Research funding, Army contract, etc.?)

If yes, please provide the type and source of the funding, including solicitaion # (if applicable):

Amount (in thousands): Solicitation#:

Funding Type: Funding Source:

Please send your 1 to 2 page white information paper and additional supporting documentation to the following email address: defense_request@billnelson.senate.gov

White information paper submitted:
Please be certain to properly label each page with a name, contact information and to reduce misdirected information please include page numbering (i.e.; page 1 of 2)

Yes No N/A

Additional supporting documentation submitted:
(Additional supporting documentation may be emailed to same email address above.)

Yes No N/A

Program Manager (PM) Information if Applicable

Primary PM Contact Information

First Name of Primary PM:

Last Name of Primary PM:

Office Name of Primary PM:

Phone Number of Primary PM:

Email Address of Primary PM:

Secondary PM Contact Information

First Name of Secondary PM:

Last Name of Secondary PM:

Office Name of Secondary PM:

Phone Number of Secondary PM:

Email Address of Secondary PM:

*Purpose /Justification for Additional Funding

In 255 characters and spaces or less, please provide a clear, concise , and detailed explanation for the funding requested. ***Note*** This field is restricted to 255 characters and spaces only ***

255 Characters left.

Proposed Bill and/or Report Language Request

If bill or report language is requested, please provide the clear, concise, and detailed bill and/or report language.

Industrial, Academic, and/or Government Partners

If applicable, please provide all academic, goverment, and/or industrial partners in which this project is connected. If more than three, please add additonal partners in the "Additional" section at the end of this form.

Primary Partner POC

Partner Name: (ex.: ACME Inc.)

Office Name: (ex.: Gov't Relations Dept.)

First Name of POC:

Last Name of POC:

Phone Number of POC:

Type of Partner:

Academic Government Industrial
Other

Secondary Partner POC

Partner Name:
(ex.: ACME University)

Office Name:
(ex.: President's Office)

First Name of POC:

Last Name of POC:

Phone Number of POC:

Type of Partner:

Academic Government Industrial
Other

Additional Partner POC

Partner Name:

Office Name:

First Name of POC:

Last Name of POC:

Phone Number of POC:

Type of Partner:

Academic Government Industrial
Other



Other Congressional Offices Approached or To Be Approached
If applicable, please provide all Congressional offices and POCs, which have been or will be contacted about this project. If more than three, please add additonal partners in the "Additional" section at the end of this form.

Office 1 POC
Office/Committee Name:

First Name of POC:

Last Name of POC:

Phone Number of POC:

Type of Office:	Personal Office Committee Staff Other

Office 2 POC
Office/Committee Name:

First Name of POC:

Last Name of POC:

Phone Number of POC:

Type of Office:	Personal Office Committee Staff Other

Office 3 POC
Office/Committee Name:

First Name of POC:

Last Name of POC:

Phone Number of POC:

Type of Partner:	Personal Office Committee Staff Other


Additional Information or Notes
When providing additional information, please cite to the appropriate section of this form to which the information belongs.

Additional supporting documentation may be emailed to:
defense_request@billnelson.senate.gov

It is very important that the submitted information is accurate.

FY10 Defense Appropriations Form

Company Organization Information

Date:

*Company/Org Name:

*Street Address:

Street Address (con't.):

*City:

*State:

*Zip:

Does the Company/Org retain a lobbyist? Yes No

*First Name:

*Last Name:

*Title:

*Street Address:

Street Address (con't.):

*City:

*State:

*Zip:

*Phone:

*Email Address:

*First Name:

*Last Name:

*Title:

*Street Address:

Street Address (con't.):

*City:

*State:

*Zip:

*Phone:

*Email Address:

Is the staff poc a lobbyist? Yes No

First Name:

Last Name:

Title:

Street Address:

Street Address (con't.):

City:

State:

Zip:

Phone:

Email Address:

Is the additional/alternative staff poc a lobbyist? Yes No

Program Identification Funding Information:

*Proposed Funding Agency:

Industrial, Academic, and/or Government Partners

Primary Partner POC

Type of Partner:

Academic Government Industrial Other

Type of Partner:

Academic Government Industrial Other

Type of Partner:

Academic Government Industrial Other

Other Congressional Offices Approached or To Be Approached

Office 1 POC

Type of Office:

Personal Office Committee Staff Other

Office 2 POC

Type of Office:

Personal Office Committee Staff Other

Office 3 POC

Type of Partner:

Personal Office Committee Staff Other

Additional Information or Notes

*Company/
Org Name:

Academic Government Industrial
Other

Academic Government Industrial
Other

Academic Government Industrial
Other