Document RJN7gGqXZOq06718b86Y3Gpe8

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: March 15, 2018 Marvin Childers, Pres, o f The Poultry Federation 2018 Poultry Symposium fo r Production and Processing April 18, 2018 No April 18; 8:00 am - 5:00 pm Annual Poultry Symposium fo r Production and Processing Education in poultry production and processing Keynote speaker before or after lunch The role o f EPA Open speaking opportunity with short Q&A 30 mins. No Embassy Suites 3303 S Pinnacle Tills Parkway, Rogers, AR 72758 479-254-8400 Poultry company employees in production and processing, including management level employees, 500 attendees The Poultry Federation None Will be provided as soon as the agenda is completed Yes Closed Casual/Business Page [P A G E ] o f l NUMPAGES j Sierra Club v. EPA 18cv3472 NDCA Tier 1 ED 002061 00059307-00001 ADMINISTRATOR SCOTT PRUITT EVENT REQUEST FORM U.S. Environmental Protection Agency Teleprompter Available: No Microphone / Room Setup: Podium or lavalier; Classroom style seating Honorable Guests Attending: Governor o fAR; AR Sec. o f Ag Notable Federal, State or Local Appointed or None Elected officials attending: _____ Individual Introducing Administrator: Marvin Childers, Pres. O f The Poultry Federation Person to contact for media purposes: Holly Rogers, 501-326-7715 Is this event held Weekly, Monthly, Annually? Annually Day of Event Point of Contact: Marvin Childers, marvinCdlthepoultrvfederation.com; 501-7661545 Security Contact: Marvin Childers Suggested Entrance/ Exit to Event Venue: Private entrance on back o fJohn Q Hammons Center Is the host of the event a registered 501(c)(3), (4), or has a 527 Political Action Committee (PAC): No 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? 20.00 Please return this completedform to Hayley Ford at ford. haylevCdiepa. gov Sierra Club v. EPA 18cv3472 NDCA Tier 1 Page [P A G E ] o f l NUMPAGES j ED 002061 00059307-00002