These quilts are given to veterans to honor their service. After the veteran receives the quilt, it is his (or hers) to do with as he or she wishes. Perhaps the veteran passed and the quilt was donated by the family, perhaps the veteran donated, it doesn't matter. The quilt itself is not what's important, it's the gift, the acknowledgment, the honor to the veteran. That is accomplished when the quilt is presented. I don't think QOV would permit a used quilt to be presented to another veteran, but the quilt could certainly be donated to a shelter, without the QOV label.