Document GKEbbwQ58JLGN600GYavG1q2q

External Meeting Request Form Office of Water U.S. Environmental Protection Agency Thisform assists in planning participation in events and activities Please complete all requiredfields This is not a confirmation of attendance. Basic Background: Today's date Requesting individual and/or affiliation Name of Org/affiliation requesting to meet Requested meeting date or date range Requested meeting time Location (e.g. EPA Headquarters) Virtual or In-Person Meeting Description: Brief description or purpose of meeting: (e.g., meet and greet, policy discussion, informational) *Please attach a separate documentfar agenda/topics to be discussed[providefull context) List of attendees Officialfill name (per ID); Title; Email Address Please indicate International/Foreign visitors with country of residence (if any) Will there be time for Q&A? If so, who will be moderating What questions will be asked? Any PowerPoint presentations? List names/title/email address/country of international/foreign attendees Attachments [please attach agenda and other meeting material(s)]. Agenda must be submitted together with the completed meeting requestform. Ethics Considerations: Describe entity hosting EPA official E.g., private company, political action committee, academic institution. Sierra Club FOIA Request: 2025-EPA-04193 Rev. February, 2021 ED_018475D_00003411-00001 SC_FOIA_0001170 Has your organization ever received funding from EPA? If so, what type of funding did you receive for which project? Host(s) relationship to the EPA? Is the entity also a Federally Registered Lobbyist? Is there a registration fee? If so, does this fee apply to the speaker? Amount? Are you giving a gift, award, or anything else of value? What is the dollar value? Are you providing a meal? What is the dollar value? Yes/No If applicable If applicable Contact Information: Your name and title: Telephone number: Mailing address: E-Mail address: Cell phone number: Best way to reach you ? EPA Contacts: Connie Eng, Special Assistant, OW/IO ([ HYPERLINK "mailto:eng.connie@epa.gov" ]) David Risley, Chief of Staff ([ HYPERLINK "mailto:risley.david@epa.gov" ]) Lynsey Lanier, Deputy Chief of Staff ([ HYPERLINK "mailto:lanier.lynsey@epa.gov" ]) Sierra Club FOIA Request: 2025-EPA-04193 Rev. February, 2021 ED_018475D_00003411-00002 SC_FOIA_0001171