Document JrOoLBn75RL6qwvOxV0pmBbwK

EPA ADMINISTRATOR EVENT INFORMATION FORM This form assists in planning participation in events and activities. Please be complete to minimize need for follow up. This is not a confirmation of attendance. Basic Background Event official title: Event host(s)/organizer(s): Event date (flexible?): Time, duration, and time zone of event: List all hosts organizing the event. Note if this is an EPA hosted or co-hosted event. E.g., 12:00pm through 3:00pmEST Deadline for acceptance: Will you accept a surrogate? Event location and physical address: Type of event: Host(s) relationship to the EPA? E.g., ABC Convention Center, 123 Boulevard Way, Baltimore, MD, 56789 Reception; Conference; Meeting; Recorded/Streaming audio or video, etc. Event sponsor(s): Event Description and Role of the EPA Official Purpose of event: Brochure/website/invitation/ and/or other event materials: Run of show/agenda: Timing for EPA official's role: Role of the EPA official at the event: Requested presentation topic (if speaking): Requested presentation format: Name and title of person introducing EPA official: Audience make up? Event held weekly, monthly, annually? List here or provide separately in response Providefull agenda of event, including events immediately before/following the EPA official's participation Example: 1:00pm to 1:15pmEST Attendance only? Panel presentation? Speaker? Participating in press conference? Touring a facility? Etc. Keynote, panel, Q&A, introduction, fireside chat, etc. Size of audience and brief description. E.g., 100 expected in attendance made up of attorneys, business owners, students, industry, employees, etc. 1 of 3 Sierra Club FOIA Request: 2025-EPA-04193 ED_018475D_00002613-00001 SC_FOIA_0000059 EPA ADMINISTRATOR EVENT INFORMATION FORM This form assists in planning participation in events and activities. Please be complete to minimize need for follow up. This is not a confirmation of attendance. Event Preparation Other EPA speakers? Name and titles of EPA personnel Does EPA need to submit materials prior to event? Expected prep and timing for prep calls or meetings: Registration fee charged? How much? Registration Form? Biography? Picture? Copy ofpresentation, speaker releaseform, etc? Describe entity hosting EPA official: Is the entity also a Federally Registered Lobbyist? Are you giving a gift, award or anything else of value? Amount? Are you providing a meal? Amount? Private company; 50I(c)(3); 50I(c)(4); 50I(c)(6); 527 Political Action Committee; academic institution; etc. Yes / No E.g., Speaker or courtesy gift; award; plaque; travel support (hotel, transportation, etc.) etc., + description and value At the Event and Other Event Logistics Is there a private hold room available for the Administrator? Open press/closed press? Will you be issuing a press release? Person to contact for media purposes: Dress code: Room setup: Notable/honorable guests attending (including elected officials): Are you recording the event? Website URL for recording (if event is recorded and posted): Security contact: Name & Title; Email; Office Number, Cell Number Casual/Business/Black Tie Optional/Black Tie/Etc. What kind of microphone? What is the room setup? Is there a podium? Name & Title; Email; Office Number, Cell Number 2 of 3 Sierra Club FOIA Request: 2025-EPA-04193 ED_018475D_00002613-00002 SC_FOIA_0000060 S $ L PRO" EPA ADMINISTRATOR EVENT INFORMATION FORM This form assists in planning participation in events and activities. Please be complete to minimize need for follow up. This is not a confirmation of attendance. Directions to event (include relevant information about parking, the specific building, best entrance to use) Where to meet contact: Contact Information Your name and position: Phone (best & alternate): Email address: Mailing address: Are you the point-of-contact at the event? If not, contact details: Please return this completedform to [ HYPERLINK "mailto:zeldinscheduling@epa.gov" ], and copy [ HYPERLINK "mailto:brown.ashley@epa.gov" ] 3 of 3 Sierra Club FOIA Request: 2025-EPA-04193 ED_018475D_00002613-00003 SC_FOIA_0000061