HOST COUNTRY AGREEMENT BETWEEN THE GOVERNMENT OF THE REPUBLIC OF RWANDA AND THE SUSAN THOMPSON BUFFETT FOUNDATION, SIGNED IN KIGALI, RWANDA, ON 01 AUGUST 2020

Ingingo ya mbere: Kwemeza burundu Article One: Ratification Article premier : Ratification hagati ya y’Icyicaro Amasezerano Guverinoma ya Repubulika y’u Rwanda na The Susan Thompson Buffett Foundation, yashyiriweho umukono i Kigali mu Rwanda, ku wa 01 Kanama 2020, ari ku mugereka, kandi yemejwe atangiye gukurikizwa uko yakabaye. burundu The Host Country Agreement between the Government of the Republic of Rwanda and The Susan Thompson Buffett Foundation, signed in Kigali, Rwanda, on 01 August 2020, in Annex, is ratified and becomes fully effective. L’Accord de siège entre le Gouvernement de la République du Rwanda et The Susan Thompson Buffett Foundation, signé à Kigali au Rwanda, le 01 août 2020, en annexe, est ratifié et sort son plein et entier effet. ARTICLE I Definitions In this Agreement, unless the context shall otherwise require, the following expressions shall have the following meanings: a) "Government" means the Government of the Republic of Rwanda; b) "The Foundation" means the Susan Thompson Buffett Foundation; c) "Laws of the Republic of Rwanda" includes legislative acts, rules, regulations and decrees issued under the authority of the Government; d) "Facilities" includes, unless the context requires otherwise, the buildings as well as land, facilities, and offices from which the Foundation operates in the Republic of Rwanda; e) "Staff' means the officials and employees of the Foundation who work at the Headquarters in Rwanda with the exception of those who are retained on casual or piece-rate basis. Where appropriate, distinction shall be made between internationally recruited staff (who permanently reside outside Rwanda and are sent by the Foundation to work at the Branch Office in Rwanda and thereby maintain temporary residence in Rwanda) and nationally recruited staff (who maintain permanent residency in Rwanda); f) "Foundation Country Representative" means the Foundation staff designated by the Foundation from time to time to be in charge of the Foundation's initiatives in Rwanda; 3

Ingingo ya 2: Abayobozi bashinzwe gushyira mu bikorwa iri teka Article 2: Authorities responsible for the implementation of this Order Article 2 l’exécution du présent arrêté : Autorités chargées de Minisitiri w’Intebe, Minisitiri w’Ububanyi n’Amahanga n’Ubutwererane na Minisitiri w’Ubutabera akaba n’Intumwa Nkuru ya Leta bashinzwe gushyira mu bikorwa iri teka. the Minister of The Prime Minister, Foreign Affairs International Cooperation and the Minister of Justice and Attorney General are entrusted with the implementation of this Order. and le Ministre des Le Premier Ministre, Affaires Étrangères et de la Coopération Internationale et le Ministre de la Justice et Garde des Sceaux sont chargés de l’exécution du présent arrêté. ARTICLE II Legal status and treatment 1. The Foundation is an autonomous, a charitable not-for-profit organization incorporated under the laws of the State of the Nebraska, USA, on June 24 1964, with a vision to advance improvements in the health sector, with a core focus on the health of women and girls. 2. The Foundation has a juridical international personality and has capacity to, amongst other things, (a) contract, (b) acquire and dispose movable and immovable property, and ( c) institute legal proceedings. 3. The Government agrees to apply to the Foundation, its properties and assets, the provisions of the Convention on the Privileges and Immunities of the Specialized Agencies adopted by the United Nations General Assembly on 21 November 1947, as well as those set forth in this Agreement. In case of inconsistency between the provisions of the Convention and those of this Agreement, the provisions of this Agreement shall prevail.

Ingingo ya 3: Ingingo y’ururimi Article 3: Language provision Article 3 : Disposition linguistique Iri teka rw’Icyongereza. ryateguwe mu rurimi This Order was drafted in English. Le présent arrêté a été rédigé en anglais. Article III. The Foundation's Facilities The Foundation has the right to buy, rent or acquire the possession of 1. land, buildings, offices or any other facilities under applicable law, in order to carry out its activities. The Foundation has the right to construct, erect, maintain or modify any buildings or other facilities as may be required for the purposes of its mission. 2. The Government may make available to the Foundation, under terms to be mutually agreed, and for such periods as may be necessary, land, buildings and other facilities as the Foundation may need for its programs. The Foundation will be authorized to place its emblem on its premises, 3. property, and equipment. 4

Ingingo ya 4: Gutangira gukurikizwa Article 4: Entry into force Article 4 : Entrée en vigueur Iri teka ritangira gukurikizwa ku munsi ritangarijweho mu Igazeti ya Leta ya Repubulika y’u Rwanda. Agaciro karyo gahera ku wa 01/08/2020. This Order comes into force on the date of its publication in the Official Gazette of the Republic of Rwanda. It takes effect as of 01/08/2020. Le présent arrêté entre en vigueur le jour de sa publication au Journal Officiel de la République du Rwanda. Il sort ses effets à partir du 01/08/2020. Kigali, 08/04/2025 (sé) KAGAME Paul Perezida wa Repubulika President of the Republic Président de la République (sé) Dr NGIRENTE Edouard Minisitiri w’Intebe Prime Minister Premier Ministre Bibonywe kandi bishyizweho Ikirango cya Repubulika: Seen and sealed with the Seal of the Republic: Vu et scellé du Sceau de la République : (sé) Dr UGIRASHEBUJA Emmanuel Minisitiri w’Ubutabera akaba n’Intumwa Nkuru ya Leta Minister of Justice and Attorney General Ministre de la Justice et Garde des Sceaux UMUGEREKA W’ITEKA RYA PEREZIDA N° 010/01 RYO KU WA 08/04/2025 RYEMEZA BURUNDU AMASEZERANO Y’ICYICARO HAGATI YA GUVERINOMA YA REPUBULIKA Y’U RWANDA NA THE SUSAN THOMPSON BUFFETT FOUNDATION, YASHYIRIWEHO UMUKONO I KIGALI MU RWANDA, KU WA 01 KANAMA 2020 ANNEX TO PRESIDENTIAL ORDER N° 010/01 OF 08/04/2025 RATIFYING THE HOST COUNTRY AGREEMENT BETWEEN THE GOVERNMENT OF THE REPUBLIC OF RWANDA AND THE SUSAN THOMPSON BUFFETT FOUNDATION, SIGNED IN KIGALI, RWANDA, ON 01 AUGUST 2020 AMASEZERANO Y’ICYICARO HAGATI YA GUVERINOMA YA REPUBULIKA Y’U RWANDA NA THE SUSAN THOMPSON BUFFETT FOUNDATION, YASHYIRIWEHO UMUKONO I KIGALI MU RWANDA, KU WA 01 KANAMA 2020 HOST COUNTRY AGREEMENT BETWEEN THE GOVERNMENT OF THE REPUBLIC OF RWANDA AND THE SUSAN THOMPSON BUFFETT FOUNDATION, SIGNED IN KIGALI, RWANDA, ON 01 AUGUST 2020 À SIÈGE L’ARRÊTÉ ANNEXE 010/01 DU PRÉSIDENTIEL N° 08/04/2025 RATIFIANT L’ACCORD LE DE GOUVERNEMENT LA RÉPUBLIQUE DU RWANDA ET THE SUSAN BUFFETT FOUNDATION, SIGNÉ À KIGALI AU RWANDA, LE 01 AOÛT 2020 ENTRE DE THOMPSON ACCORD DE SIÈGE ENTRE LE GOUVERNEMENT LA RÉPUBLIQUE DU RWANDA ET THE SUSAN BUFFETT FOUNDATION, SIGNÉ À KIGALI AU RWANDA, LE 01 AOÛT 2020 THOMPSON DE THE SUSAN 1HOMPSON BUFFETT FOUNDATION HOST COUNTRY AGREEMENT BETWEEN THE GOVERNMENT OF THE REPUBLIC OF RWANDA AND THE SUSAN THOMPSON BUFFETT FOUNDATION 1 PREAMBLE Between: The Government of Rwanda (GoR) as represented by the Ministry of Foreign Affairs and Cooperation and The Susan Thompson Buffett Foundation (Foundation), a charitable not for-profit organization incorporated under the laws of the State of the Nebraska, USA, on June 24 1964 as a registered nonprofit corporation, with the registered address at 808 Conagra Drive, Omaha NE 68103 USA, and registered under the laws of the Republic of Rwanda as a Foundation on July 30 2020, with Certificate oflegal Personality N° 646/RGB/FDN/07 /2020; WHEREAS within the framework of the GoR's Vision 2020 and the emerging Vision 2050, the Government has set ambitious targets to achieve high quality and standards of living by growing its investments in human capital and ensuring universal access to high quality and affordable health care; WHEREAS the Foundation, having been established to advance improvements in the health sector, with a core focus on the health of women and girls is extending their work to the African region where they will support Governments with funding of priority areas towards building improved health systems, invest in local organisations and institutions in the health sector and build the next generation of global champions to drive lasting change in the health of women and girls; WHEREAS these initiatives are consistent with the objectives of the GoR's Vision 2020 and the emerging Vision 2050; WHEREAS the Foundation intends to establish its Headquarters for the Africa region in Rwanda in order to implement the Foundation's initiatives; WHEREAS the GoR is willing and able to facilitate the Foundation's establishment of its Africa Headquarter office in Rwanda and the operation of its initiatives in Rwanda; 2 NOW, THEREFORE, in consideration of the mutual considerations herein contained, the parties hereby agree as follows: ARTICLE IV Undertakings of the Government of Rwanda with regard to the Foundation's Africa Headquarters in Rwanda 1. The Foundation, its assets, income and other property shall be exempt from all taxes that would otherwise apply to its headquarters in the Republic of Rwanda, as in accordance with applicable Rwandan laws. 2. Charges for public services rendered to the Foundation will not be exempted. 3. The Foundation shall be exempt from customs duty, value added tax (VAT) and any other taxes or fiscal charges on all materials, equipment, articles, vehicles, machinery, publications and supplies imported or exported by the Foundation for its official use, provided the said goods are purchased, imported or exported prior to clearance through customs only in accordance with applicable Rwandan laws. Such goods, imported free of duties and taxes, shall not be transferred or disposed of within Rwanda unless appropriate duties and taxes are paid or the said goods sold or transferred to similarly privileged persons or organizations or re-exported. 4. The Foundation will be exempt from taxation on materials, equipment and services (including, but not limited to professional services and public utilities, e.g. telecommunications, electrical power) contracted or purchased locally for its official use. 5. The Foundation will be exempt from payment of stamp duty and other documentary taxes on any transaction to which the Foundation is a party, in accordance with applicable Rwandan laws. ARTICLEV Undertakings of the Rwanda Government with regard to the Foundation's Staff 1. The Government shall grant the Foundation's internationally recruited Staff and their dependents, privileges and immunities not less favorable than those granted to the staff of comparable rank of other international 5 organizations in Rwanda. Without limitation to the foregoing, Government undertakes: the a) to grant exemption from income tax or social security contributions on income or emoluments received by them from the Foundation in accordance with applicable Rwandan laws; b) to exempt them and their dependents from the payment of customs duty, sales tax and value added tax (VAT) on their new or used personal and household effects imported by them within the first twelve months of their first arrival in Rwanda or such other period as may be approved by the Government on each particular case in accordance with applicable Rwandan laws. Provided that such personal and household effects imported free of duties and taxes shall not be transferred or sold within Rwanda unless appropriate duties and taxes are paid or the effects are transferred or sold to similarly privileged persons or organizations or are re-exported; c) to grant them exemption from work permits, not to restrict the employment of their dependents; to grant them and their dependents exemption from national service obligations, alien registration, and immigration restrictions; and to provide them and their dependents with re-entry permits at no charge and subsequent renewals thereof; d) to extend to them and their dependents such repatriation facilities in times of international crisis as are extended by the Government to staff of other international organizations and / or specialized agencies of the United Nations; e) to permit them and their dependents to bring into Rwanda reasonable amount of foreign currency for personal use and to withdraw and repatriate such amount from Rwanda under external account facilities in accordance with the prevailing foreign exchange regulations of Rwanda as applicable to other international organizations; f) to permit them the freedom of travel, movement and communication necessary for the carrying out of the Foundation's objectives; 6 g) to facilitate the clearance through customs of their and their dependents' new or used personal and household effects and to issue them and their dependents each with an identity card and, whenever necessary, to facilitate the performance of their duties under this Agreement; h) to grant them the right to import free of customs duty and VAT one motor vehicle per family, and to grant them the right to replace, free of customs duty and VAT, the motor vehicles imported by them for personal use in case of (a) irretrievable loss in theft or accident, or (b) irreparable malfunctioning, or ( c) if a period of three (3) years has elapsed after the importation of the vehicle; but this will be only in accordance with applicable Rwandan laws. i) To grant them and their dependents immunity from legal process in respect of words spoken or written and acts performed by them in their official capacity.

ARTICLE VI Employment Conditions and Social Security 1. The Foundation shall have the authority to establish employment policies and terms and conditions of employment for the Foundation's Staff; such policies shall provide that the Foundation shall not discriminate on the basis of nationality, gender or origin or any consideration other than qualification, merit and experience. Such policies shall, however, not contravene the existing employment laws of Rwanda. 2. The Foundation shall have the authority to establish overseas pension and medical programmes for all Staff except for Rwandan nationals and permanent residents of Rwanda, in so far as such programmes provide general benefits that are at least equal to the minimum legal requirements of Rwanda. The contributions made by the Foundation to pension and medical programmes on behalf of nationally recruited Staff members will be made locally. This provision shall however not apply where the laws of the place of incorporation of the Foundation prohibit separate pension and medical programmes for the Foundation's staff. In this case, the Foundation will have the authority to establish overseas pension and medical 7 programmes for all Staff including Rwandan nationals and permanent residents of Rwanda.

ARTICLE VII Entry, Travel and Stay 1. The Government shall facilitate the movement in and out of Rwanda of all the Foundation's directors, officials, staff, trainees, scholars, visitors and invitees or any other persons discharging official duties for the Foundation, as well as their dependents, and shall provide all the assistance necessary for their entry into and exit from Rwanda. 2. The Government shall issue multiple entry visas to allow entrance into Rwanda of international staff members who are resident outside Rwanda provided that the proper execution of their duties requires regular visits to the Republic of Rwanda. Such visas will be issued on request of the Foundation's management, through a note verbal, providing the names and particulars of the individuals concerned. 3. The Foundation may host staff and official visitors from other Foundations on a short-term basis, and the Government shall extend to them the same facilities as those extended to the Foundation staff and visitors. The Foundation shall communicate to the Government the names and capacities of these persons and their dependents; such information will not be required where persons are attending short-term duties normally not exceeding three months.

ARTICLE VIII Importation, Exportation, Transportation and Use of Materials and Equipment 1. The Foundation may, without restriction, import and export all such materials, equipment, articles, vehicles, machinery, including all scientific and biological materials, publications and supplies required for its operations 8 2. Without prejudice to the provisions of paragraph 1 above, the Foundation may: a) Carry out experimental work in designated or reserved zones of the national territory; provided that the Foundation is authorized by Rwandan competent authorities and complies with applicable law as well as international norms in performing such activities. b) Import, export, transport and use radioactive material or biological or biochemical substance that it may need to carry out its activities, whether for its own purposes or in the framework of regional and international programmes of co-operation; provided that the Foundation is authorized by Rwandan competent authorities and complies with applicable law as well as international norms in performing such activities. In carrying out the activities referred to in paragraph 2 (b) above, the Foundation shall: a) comply with the laws and regulations of the Republic of Rwanda governing the protection of nature and the environment and those pertaining to national security; b) comply with the laws and regulations in force concerning quarantine and inspection with respect to biological and genetic material, in order to prevent the introduction or export of diseases and pests in or out of the country; and c) Generally, take all reasonable precautions, including those set out in the International Safety Standards and Specifications, to ensure the safety of the substances and materials. 9

ARTICLE IX The Foundation's Africa Headquarters in Rwanda 1. The Government of Rwanda will facilitate and permit the Foundation to acquire a premise where it will establish its Headquarters for the Africa region in Rwanda, and implement the Foundation's initiatives. 2. Inviolability of the Facilities: a) No official of the Government, whether administrative, judicial, military or police, shall enter the Foundation's facilities to carry out any official duties except with the consent of and under conditions agreed to by the Foundation through the Foundation Country Representative. b) All records, correspondence, documents and other materials of the Foundation shall be inviolable. c) The Foundation shall have the power to make regulations applicable within its facilities in order to establish therein all necessary conditions for its operation. However, those regulations must not contradict pertinent laws of Rwanda. d) Without prejudice to the provisions of this Agreement, the Foundation shall prevent its facilities from becoming a refuge for persons avoiding arrest under the laws of Rwanda or who are required by the Government for extradition to another country or for persons who are endeavoring to avoid service of the legal process. ARTICLEX Immunity from Legal Process 1. The Foundation, its property, assets and other facilities, wherever located and by whomsoever held, shall enjoy immunity from every form of legal process in conformity with key principles of International Law, except insofar as, in any particular instance, it has waved its immunity in writing. 10 2. Any dispute or legal claim brought against the Foundation in Rwanda, other than by the Rwanda Government, shall be referred to the Ministry of Foreign Affairs and Co-operation.

ARTICLE XI Public Services 1. The Government shall cause to be furnished to the Foundation necessary public services to the Foundation facilities on the same basis (including cost) as it does for other international organizations. 2. In the event of interruption or threat of interruption of these services, the competent authorities of such public services shall consider the Foundation's need for these services as equally important as that of comparable international organizations and shall take the necessary measures to ensure that the Foundation's operations do not suffer from such an interruption.

ARTICLE XII Communications and Publications 1. All official communications addressed to the Foundation or to the Foundation's staff and all official communications from the Foundation, by whatever means or in whatever form, shall be exempt from all censorship and from any other form of interception or violation of confidentiality. 2. The Foundation shall be authorized to install or use radio, internet and telecommunication facilities, with the agreement of the competent authorities of Rwanda and under the conditions prescribed by them for other international organizations or similar status. 3. The Foundation shall have the right to use codes and encryption, as well as to send and receive its correspondence and other official communications by sealed pouches, which shall enjoy the same privileges and immunities as diplomatic pouches. 11 4. The Foundation shall be free to publish such documents and reports in the territory of Rwanda or outside as it shall find appropriate in the exercise of its official and scientific functions, in compliance with the laws and regulations of Rwanda and international agreements on intellectual property to which Rwanda is party.

ARTICLE XIII Financial Provisions 1. Without being restricted by financial controls, regulations or moratoria, the Foundation may reserve and hold funds or currency of any kind and operate bank and similar accounts in any currency. 2. The Foundation may freely transfer its funds or currencies from one country to another or within Rwanda and convert any currency held by it into any other currency, and undertake any other foreign exchange operation in furtherance of its objectives.

ARTICLE XIV Waiver of Immunities The immunities and privileges accorded under this Agreement are granted in the interests of the Foundation and not for the personal benefit of the persons involved. The Foundation Country Representative or his/her designate shall have the duty to waive the immunity of such persons in cases where, in his/her opinion, such immunity would impede the course of justice and can be waived without prejudice to the interests of the Foundation.

ARTICLE XV Abuse of Privileges The Foundation, its Foundation Country Representative and designated representatives resident in Rwanda shall co-operate at all times with the Government to facilitate the proper administration of justice and the 12 observance of the laws of Rwanda to avoid the abuse of immunities and privileges accorded to the Foundation under this Agreement.

ARTICLE XVI Severability If any term or partial term of the agreement is prohibited or rendered invalid or unenforceable, such prohibition, invalidity or unenforceability shall not affect the validity or enforceability of the agreement or any other term or partial term of the agreement.

ARTICLE XVII Amendments Either party may propose the amendment of this Agreement to the other party. Amendments shall be in writing and may be expressed by exchange of letters or by formal amendment of the Agreement, as is deemed appropriate by both parties. Any amendment shall be made by mutual consent.

ARTICLE XVIII Settlement of Disputes Any dispute pertaining to the interpretation or the implementation of this Agreement shall be amicably settled through negotiations between the two parties. If the parties fail to resolve the dispute by the method of amicable settlement, the dispute shall be submitted to Arbitration in accordance with Kigali International Arbitration Center Arbitration rules in force in a period of thirty (30) days from the date the request for mediation was submitted.

ARTICLE XIX • Language of the agreement This Agreement is drawn up in English, which language shall govern all documents, notices, communications and meetings for its performance or in any other way thereto. 13

ARTICLE XX Notices Any notice, request or consent required or permitted to be given or made pursuant to this Agreement shall be in writing. Any such notice, request or consent shall be deemed to have been given or made when delivered in person to an authorized representative of the Party to whom the communication is addressed, or when sent by registered mail, telex, telegram or facsimile to such Party at the specified address.

ARTICLE XXI Change of address Any party may, by notice to the other party, change its chosen address to another physical address and such change shall take effect on the eighth (8) day after the date of receipt by the other party.

ARTICLE XXII Counterparts This Agreement shall be executed in two counterparts, each of which shall be deemed an original, and both of which together shall constitute one and the same Agreement.

ARTICLE XXIII Entry into Force and Termination 1. This Agreement shall enter into force upon signature by the parties. 2. This Agreement shall remain in force unless it is terminated at any time by mutual agreement or by either party serving six (6) months' written notice to the other of its intention to so terminate the Agreement. 3. In the event that this Agreement is terminated or the Foundation is dissolved, the disposition of the rights, obligations and physical assets accrued up to the time shall be determined by the Foundation Board of Directors. 14 IN WITNESS WHEREOF, the undersigned Plenipotentiaries, have signed this Agreement at Kigali, on 1st August 2020. For the Government of Rwanda Hon. Vincent BIR UT A Minister of Foreign Affairs and International Cooperation t ..... For the Susan Thompson Buffett Foundation Professor Senait Fisseha, MD, JD Director of Global Programs The Susan Thompson Buffett Foundation 15 Bibonywe kugira ngo bishyirwe ku mugereka w’Iteka rya Perezida n° 010/01 ryo ku wa 08/04/2025 ryemeza burundu Amasezerano y’Icyicaro hagati ya Guverinoma ya Repubulika y’u Rwanda na The Susan Thompson Buffett Foundation, yashyiriweho umukono i Kigali mu Rwanda, ku wa 01 Kanama 2020 Seen to be annexed to Presidential Order n° 010/01 of 08/04/2025 ratifying the Host Country Agreement between the Government of the Republic of Rwanda and The Susan Thompson Buffett Foundation, signed in Kigali, Rwanda, on 01 August 2020 l’Accord de siège entre Vu pour être annexé à l’Arrêté Présidentiel n° 010/01 du 08/04/2025 le ratifiant Gouvernement de la République du Rwanda et The Susan Thompson Buffett Foundation, signé à Kigali au Rwanda, le 01 août 2020 Kigali, 08/04/2025 (sé) KAGAME Paul Perezida wa Repubulika President of the Republic Président de la République (sé) Dr NGIRENTE Edouard Minisitiri w’Intebe Prime Minister Premier Ministre Bibonywe kandi bishyizweho Ikirango cya Repubulika: Seen and sealed with the Seal of the Republic: Vu et scellé du Sceau de la République : (sé) Dr UGIRASHEBUJA Emmanuel Minisitiri w’Ubutabera akaba n’Intumwa Nkuru ya Leta Minister of Justice and Attorney General Ministre de la Justice et Garde des Sceaux