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To: Pauley, Todd[tpauley@osrhe.edu] From: Hupp, Millan Sent: Tue 4/11/2017 12:20:46 PM Subject: RE: Oklahoma's Promise Day Invitation EPA Administrator Pruitt Speaker Request Form.docx Thanks Todd! How many do you expect to attend and will there be other speakers? Also, would you mind completing this form pretty please? -- Original Message-- From: Pauley, Todd [mailto:tpauley@osrhe.edu] Sent: Tuesday, April 11,2017 7:26 AM To: Hupp, Millan <hupp.millan@epa.gov> Subject: Fwd: Oklahoma's Promise Day Invitation Millan - please see the attached for the invite to OK Promise Day per our discussions. Thank you! Kylie Smith Vice Chancellor for Administration Oklahoma State Regents for Higher Education 655 Research Parkway, Suite 200 Oklahoma City, Oklahoma 73104 405.225.9122 ksmith@osrhe.edu<mailto:ksmith@osrhe.edu> 17cv01906 Sierra Club v. EPA ED 001523B 00003441-00001 ADMINISTRATOR PRUITT SPEAKER REQUEST FORM U.S. Environmental Protection Agency Deadline for Acceptance: [Publication or otherwise; please see details below] Event Title: [Enter Here] Speech Date: Is the A bove Date Flexible: [Day of the Week, Month Date, Year] [Yes/No] Speech Tim e & Duration: [#:##am/pm- ##:##am/pm] Speaker Requested: Administrator Scott Pruitt W ould You Consider a Surrogate: [Yes/No] Event Location: [Location Name] [Street Address, City, State, Zip] [Location Telephone Number] [Room Name/Number] Open Press/Closed Press: [ Open/Closed/TBD] Is Event W ebcast/Recorded/Transcribed: [Yes/No] [If Yes, please specify] Purpose o f the Event: [Enter Brief Description] Speech Topic: Requested Presentation Format: Dress Code: Speech/Presentation Duration: Teleprom pter Available: M icrophone / Room Setup: Event Sponsor: Relationship to the EPA: Event Agenda/Program: [Topic] [Keynote, Panel, Q&A, Introduction] [Casual/Business/Black Tie Optional/Black Tie/Other] [Length of Remarks] [Yes or No] [What kind of microphone will be used? What is the room setup?] [List all Sponsors] [Enter Here] [Time: Program/Agenda Item] [Time: Program/Agenda Item] [Time: Program/Agenda Item] [Time: Program/Agenda Item] Honorable Guests Attending: Notable Federal, State or Local Appointed or Elected officials attending: Individual Introducing Administrator: [Name/Title] [Name/Title] [Name/Title] Page 1 o f 2 17cv01906 Sierra Club v. EPA ED 001523B 00003442-00001 ADMINISTRATOR PRUITT SPEAKER REQUEST FORM U.S. Environmental Protection Agency Person to contact for speechwriting purposes: [Name/Title] [Email] [Office Number] [Cell Number] Person to contact for media purposes: [Name/Title] [Email] [Office Number] [Cell Number] Origin of Invitation: [Name/Title] [Email] [Office Number] [Cell Number] Day of Event Point of Contact: [Name/Title] [Email] [Office Number] [Cell Number] Security Contact: [Name/Title] [Email] [Office Number] [Cell Number] Is the organization or host of the event a registered 501(c)(3), (4), or has a 527 Political Action Committee (PAC): Will there be a presentation of a "gift" to the Administrator? If so, what is the US currency value of the gift? Will a meal be provided, if so what is the US currency value? Please return this form completed to scheduling(a)epa.gov and Sydney Hupp (hupp.svdneyf&jepa.gov). 17cv01906 Sierra Club v. EPA Page 2 o f 2 ED 001523B 00003442-00002