Document d6mN59jzB0wdGN5oZQ7JrXqq

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: May 1, 2018 American Coalition fo r Clean Coal Electricity (ACCCE) Board o fDirectors Mid-Year Meeting June 21, 2018 No, this is the only date ACCCE's board will meet. Will work around the Administrator's schedule Roundtable Discussion Discussion regarding the Administrator's accomplishments and regulatory reform agenda Remarks Regulatoiy Reform Discussion Administrator's discretion Yes TBD -- Washington, DC Federal, state and local elected officials, as well as Citizens Energy's employees ACCCE N/A Regulatory'Reform accomplishments and goals One can be provided. Closed Business attire Page [P A G E ] o f l NUMPAGES j Sierra Club v. EPA 18cv3472 NDCA Tier 7 ED 002061 00071864-00001 ADMINISTRATOR SCOTT PRUITT EVENT REQUEST FORM U.S. Environmental Protection Agency Teleprompter Available: NA Microphone / Room Setup: A podium and microphone will be provided. Honorable Guests Attending: TBD Notable Federal, State or Local Appointed or N/A Elected officials attending: ____ Individual Introducing Administrator: Mr. Paul Bailey, CEO ofACCCE Person to contact for media purposes: Rashid Hallaway 202.486.0521 Is this event held Weekly, Monthly, Annually? This is a one time event Day of Event Point of Contact: Rashid Hallway, Partner, HHQ Ventures (Outside consultant), i__________________E__x_. _6__________________! rhallaway(a)hhqventures.com Security Contact: r.RadiiAB.aJ.lwjai'...Ear.tn.er..lTH.Q..Venliims./0.utside consultant), 1__________________E__x_.__6__________________ : rhallaway@hhqventures. com Suggested Entrance/ Exit to Event Venue: TBD Is the host of the event a registered 501(c)(3), (4), or has a 527 Political Action Committee (PA C): 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? Optional Please return thisform completed to scheduling^,epa. gov and Aaron Dickerson at dickerson, aaronffeya. gov Sierra Club v. EPA 18cv3472 NDCA Tier 7 Page [P A G E ] o f l NUMPAGES j ED 002061 00071864-00002