Document 6BGD09x01jByvjvoeNDZw1Q41

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: 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? Dress Code: Teleprompter Available: Friday, March 2 EPA Briefing from Scott Pruitt 2018 Oklahoma Farm Bureau Congressional Action Tour Thursday, April 19 Possibly, but Thursday is definitely our preference right now Anytime - 20 Minutes to 1 Hour Briefing Theater Style Seating EPA Update Speaking Engagement EPA Update Keynote followed by short Q&A 20 Minutes to 1 Hour Possibly, but our members definitely prefer Pruitt EPA 25-45 Oklahoma Farm Bureau members (farmers & ranchers) ? ? n/a n/a Only OFB communications team will be in attendance Business Casual n/a Sierra Club v. EPA 18cv3472 NDCA Tiers 8&9 Page [PAGE] of [ NUMPAGES j ED 002061 00073444-00001 ADMINISTRATOR SCOTT PRUITT EVENT REQUEST FORM U.S. Environmental Protection Agency Microphone / Room Setup: Probably mic & podium set up, but whatever EPA can provide & Pruitt prefers Honorable Guests Attending: OFB President Rodd Moesel Notable Federal, State or Local Appointed or n/a Elected officials attending: ____ Individual Introducing Administrator: Probably LeeAnna McNally Person to contact for media purposes: Dustin Mielke, OFB Communications - \ Ex. 6 | Is this event held Weekly, Monthly, Annually? Day of Event Point of Contact: Security Contact: Annually Ex. 6 \------------------j Tasha Duncan - \ \or LeeAnna McNally - _i!_____E_x_.__6____ ii____________________________________________ EPA Security Suggested Entrance/ Exit to Event Venue: EPA Is the host of the event a registered 501(e)(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? Not that I'm aware o f n/a Will a meal be provided, if so what is the US currency value? No; n/a Please return this completedform to Hayley Ford at ford, hayley(d),epa.gov Sierra Club v. EPA 18cv3472 NDCA Tiers 8&9 Page [ P A G E ] o f l NUMPAGES j ED 002061 00073444-00002