Document omDZkpXGZLbnVny7ZDzj92X63

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? September 26th Lincoln Club ofOrange County Meeting with EPA Administrator Scott Pruitt Oct. 3rd No 7:00PM-9:00PM Welcome Reception To welcome attendee's to DC Briefspeech w/ Q&A. Time to mingle with attendees. The new EPA Administrators agenda Speech with Q&A 10 minutes with 15 minutes ofQ&A No The Willard Hotel 100+ business owners and leaders ofindustry in California Lincoln Club ofOrange County, San Diego County, Northern California This can be arranged. 17cv01906 Sierra Club v. EPA Page 1 of 2 ED_001523B_0000 1009-00001 Open Press/Closed Press? Dress CodeA: DMINISTRAUT.SO. ERnSvCirOo_Bu_sz.n_ess_Att_zre _ _ _ _ _ _ _ _ _ _ _ _ _ __ Teleprompter Available: No Microphone/ Room Setup: Yes, mixture ofcocktail tables and rounds. Honorable Guests Attending: Yes, Sen. Tillis and 2-3 others expected. Notable Federal, State or Local Appointed or Elected officials attending: Individual Introducing Administrator: LC President, John Warner Person to contact for media purposes: CLOSED EVENT Is this event held Weekly, Monthly, Annually? Day of Event Point of Contact: Seth Morrison, Executive Director, (760) 807-7029 Security Contact: Suggested Entrance/ Exit to Event Venue: Is the host of the event a registered 501(c)(3), (4), or has a 527 Political Action Committee (PAC): 5016 -------------------------- Will there be a "gift" presented to the Administrator? If so, what is the US currency value of the gift? -N- O - - - - - - - - - - - - - - - - - - - - - - - - Will a meal be provided, if so what is the US currency value? _D_r_in_k_s_a_n_d_h_eav~y_ap~p~e_t_iz_e_r_s._ _ _ _ _ _ _ _ _ _ _ _ __ Please return this form completed to scheduhng(ii1epa.gov and Aaron Dickerson at dickerson.aaron(a1ez a.gov 17cv01906 Sierra Club v. EPA Page 2of 2 ED_001523B_0000 1009-00002