Document 1gv3KVaEDm421MwJ8XaqDm10X

ADMINISTRATOR SCOTT PRUITT EVENT REQUEST FORM U.S. Environmental Protection Agency Deadline for Acceptance: Requesting Individual / Affiliation: Event Title: Event Date: Is the Above Date Flexible: Event Time & Duration: Type of Event: Purpose of the Event: Role of the Administrator: Requested Presentation Topic, if Speaking Involved: Requested Presentation Format: Speech/Presentation Duration: Would You Consider a Surrogate: Have you requested or are you planning to request anyone else from EPA to speak or attend this event? June 28. 2018 American Farm Bureau Federation Council o fPresidents July 10 and July 11, 2018 No July 11, 2018 at 10:30 am M eeting A ll Farm Bureau Presidents meet to talk about Policy keynote Agriculture Kevnole ______ si______________________________________________________________________________ 20 minutes presentation 10 minutes Q&A no Event Location: Event Audience: Event Host(s)/Organizer(s): Host(s)' Relationship to EPA: Run of Show/ Agenda: Is there a Hold Room Available for the Administrator? Open Press/Closed Press? Holiday Inn Capitol, 550 C Street SW Capitol Ballroom 52 Farm Bureau Presidents and Farm Bureau State Staff American Farm Bureau Federation We are stillfinalizing agenda, as soon as I have it I will send it your way no No Press Page [ PAGE] of [ NUMPAGES j Sierra Club v. EPA 18cv3472 NDCA Tier 3/4 ED 002061 00065292-00001 ADMINISTRATOR SCOTT PRUITT EVENT REQUEST FORM U.S. Environmental Protection Agency Dress Code: Business Teleprompter Available: I f needed we can have it Microphone / Room Setup: Poduim and wireless or stand mic. Honorable Guests Attending: Amb. Gregg Doud, Hon. Greg Ibach, Sen. Roberts Notable Federal, State or Local Appointed or None Elected officials attending: Individual Introducing Administrator: Zippy Duvall, President AFBF Person to contact for media purposes: How will you promote this event? Is this event held Weekly, Monthly, Annually? N ot promoted__________________________ Annually (Mr. Pruitt joined us last year too) Day of Event Point of Contact: Valeria Zavala, Managing Director Legislative Services, AFBF Cellphone) Ex. 6 [ email valeriaz@fb.org_____________ Security Contact: Suggested Entrance/ Exit to Event Venue: There are side doors closer to the ballroom Is the host of the event a registered 501(c)(3), (4), or has a 527 Political Action Committee (PAC): Will there be a "gift" presented to the Administrator? If so, what is the US currency value of the gift? No Will a meal be provided, if so what is the US currency value? no Please return this completedform to Hayley Ford at ford, haylevid),epa.gov Sierra Club v. EPA 18cv3472 NDCA Tier 3/4 Page [P A G E ] of l NUMPAGES j ED 002061 00065292-00002