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ADMINISTRATOR PRUITT SPEAKER REQUEST FORM U.S. Environmental Protection Agency Deadline for Acceptance: June 1 Event Title: The Poultry Festival Speech Date: Is the Above Date Flexible: Friday, June 16, 2017 No Speech Time & Duration: 6:30 pm for 15-20 minutes Speaker Requested: Administrator Scott Pruitt Would You Consider a Surrogate: No Event Location: Embassy Suites - NW Arkansas 3303 S Pinnacle Hills Pkwy, Rogers, AR 72758 479-254-8400 Grand Ballroom Open Press/Closed Press: TBD - Can be open or closed to media Is Event Webcast/Recorded/Transcribed: No Purpose of the Event: Annual event held by Poultry Industry to raise money for scholarships Speech Topic: Administrator Pruitt's Plans for the EPA Requested Presentation Format: Keynote Dress Code: Business Casual Speech/Presentation Duration: 15-20 minutes Teleprompter Available: No Microphone / Room Setup: Mic with podium on stage Event Sponsor: The Poultry Federation and its members Relationship to the EPA: Industry is regulated by EPA Event Agenda/Program: 6 pm - Welcome by Marvin Childers, President of The Poultry Federation 6:30 - Administrator Pruitt Speak 7:00 - Presentation of Industry Awards 7:30 - Live Auction Honorable Guests Attending: Notable Federal, State or Local Appointed or Elected officials attending: Individual Introducing Administrator: N/A Arkansas Sec of Agriculture Wes Ward Marvin Childers, President of The Poultry Federation Page 1 o f 2 17cv01906 Sierra Club v. EPA ED 001523B 00005769-00001 ADMINISTRATOR PRUITT SPEAKER REQUEST FORM U.S. Environmental Protection Agency_________ Person to contact for speechwriting purposes: Marvin Childers marvin@thepoultryfederation.com 501-375-8131 501-766-1545 Person to contact for media purposes: Marvin Childers marvin@thepoultryfederation.com 501-375-8131 501-766-1545 Origin of Invitation: Tyler Norvell, The Poultry Federation - Oklahoma Operations tyler.norvell@gmail.com 405-235-0404 405-219-9595 Day of Event Point of Contact: Marvin Childers marvin@thepoultryfederation.com 501-375-8131 501-766-1545 Security Contact: Marvin Childers marvin@thepoultryfederation.com 501-375-8131 501-766-1545 Is the organization or host of the event a registered 501(c)(3), (4), or has a 527 Political Action Committee (PAC): The Poultry Federation is a 501(c)(6) and has a state PAC. Will there be a presentation of a "gift" to the Administrator? No If so, what is the US currency value of the gift? N/A Will a meal be provided, if so what is the US No currency value? Please return this form completed to scheduling(a)epa.gov and Sydney Hupp (hupp.svdneyf&jepa.gov). 17cv01906 Sierra Club v. EPA Page 2 o f 2 ED 001523B 00005769-00002