Document RJ1kmXK9gz8RKdvov0y9KEEmk

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: Thursday, February 1, 2018 Tom Schatz, President, Citizens Against Government Waste (CAGW) CA G W 's 2018 Policy Breakfast Series Tuesday M arch 20 or Thursday M arch 22, 2018 Yes, we can also accommodate any Tuesday, Wednesday, Thursday in the month o fMarch 8:00am-9:00am Off-the-record discussion with an audience o f like-minded thought leaders Discuss the Adm inistrator's various priorities; Q&A Speaking engagementfollow ed by Q&A Discuss the Adm inistrator's various priorities Keynote, Off-the-record discussion, Q&A However long the speaker would like to talk fo r within the hour period; remaining time will be open fo r Q&A No Edison Electric Institute; 701 Pennsylvania Ave NW, Washington, DC 20004 Approx. 50 people; Various think tank, advocacy, and thought leaders CAGW (Peter Klensch & M artin Rundle); EEI (Kristine Telford) CAGW: National taxpayer organization; EEI: Association representing electricity industry' -8:00am: CAGW President Tom Schatz makes briefopening remarks -Tom introduces Administrator Pruitt -B riefintroduction o f attendees Page 1 of 3 Sierra Club v. EPA 18cv3472 NDCA Tier 7 ED 002061 00059685-00001 ADMINISTRATOR SCOTT PRUITT EVENT REQUEST FORM U.S. Environmental Protection Agency -Admin. Pruitt remarks. He will have as much time as he would like to speak, but most guests speakfo r 15-20 minutes on topic(s) o f their choice -Q&A session -9:00am breakfast concludes Is there a Hold Room Available for the No Administrator? Open Press/Closed Press? Closed press Dress Code: Business Attire Teleprompter Available: No Microphone / Room Setup: Conference room, microphone, A/'V available Honorable Guests Attending: None Notable Federal, State or Local Appointed or None Elected officials attending: _____ Individual Introducing Administrator: Tom Schatz, President, CAGW Person to contact for media purposes: Curtis Kalin, Director o f Communications; ckalin@cagw.org; \ Ex. 6 Is this event held Weekly, Monthly, Annually? One time eventfo r the administrator, but the policy breakfast series is on a monthlv basis Day of Event Point of Contact: Security Contact: Peter Klensch, Associate o fPolicy and Government Affairs; pklensch@cagw. org; \ Ex. 6 i J E x . 6 1----------------------------------------------------------------------------------------- Suggested Entrance/ Exit to Event Venue: 7th Street N W entrance to 701 Pennsvlvania Avenue Is the host of the event a registered 501(c)(3), (4), or has a 527 Political Action Committee (PAC): CAGW: 501(c)(3); EEL 501(c)(6) 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? Continental breakfast; value at approx.. $10 per person Page 2 of 3 Sierra C lub v. E P A 18cv3472 N D C A Tier 7 ED 002061 00059685-00002 ADMINISTRATOR SCOTT PRUITT EVENT REQUEST FORM U.S. Environmental Protection Agency Please return this completedform to Hayley Ford at ford. haylevCd),epa.gov Sierra Club v. EPA 18cv3472 NDCA Tier 7 Page 3 of 3 ED 002061 00059685-00003