Document wDwe3xEEDZgwgNbKYOEkjZKj6

To: Hupp, Sydney[hupp.sydney@epa.gov]; Hale, Michelle[hale.miehelle@epa.gov]; scheduling[scheduling@epa.gov] Cc: Ryan McNutt[rmcnutt@sigma.org]; Charles Thombrugh[mthombr@quiktrip.com] From: Liz Menz Sent: Fri 4/21/2017 3:24:44 PM Subject: SIGMA - Speaker Request Form for Scott Pruitt, July 18, 2017 removed.txt EPA Administrator Pruitt Speaker Request Form - SIGMA.docx Hello, The Society of Independent Gasoline Marketers of America (SIGMA) would like to invite Scott Pruitt to speak at our Summer Legislative Conference. I have attached the speaker request form for Scott Pruitt for the event on July 18, 2017, following up on a personal invitation from Charles Michael Thombrugh from the QuikTrip Corporation in Tulsa, Oklahoma, and member of SIGMA's Board of Directors, and our CEO Ryan McNutt. Please let me know if we can provide any further information. Thank you. Best, Liz Liz Menz | Director of Education | SIGMA - America's Leading Fuel Marketers 3930 Pender Drive, Suite 340, Fairfax, VA 22030 | Direct: 703,375,0483 | www.siama.ora 17cv01906 Sierra Club v. EPA ED 001523B 00005701-00001 ADMINISTRATOR PRUITT SPEAKER REQUEST FORM U.S. Environmental Protection Agency Deadline for Acceptance: June 16,2017 Event Title: Society of Independent Gasoline Marketers of America (SIGMA) Summer Legislative Conference Speech Date: Is the Above Date Flexible: July 18,2017 (In Washington DC) Yes - other opportunities at our Annual Conference, Nov 8-10, Chicago, IL Speech Time & Duration: 7.30 p.m., 30 minutes Speaker Requested: Would You Consider a Surrogate: Event Location: Open Press/Closed Press: Is Event Webcast/Recorded/Transcribed: Purpose of the Event: Scott Pruitt Yes The Willard Intercontinental Hotel, Washington DC No Press No SIGMA's Legislative Fly-In - featured dinner speaker Speech Topic: Requested Presentation Format: Dress Code: Speech/Presentation Duration: Teleprompter Available: Microphone / Room Setup: Event Sponsor: Relationship to the EPA: The Current State of the EPA and the Effects on the Fuels Industry PowerPoint (if needed, not required) Business 30 minutes No Podium with mic (lav available if needed), table rounds No Sponsor Industry Stakeholder Event Agenda/Program: 7:15 pm - Attendees arrive, seated for dinner 7:30 pm - Speaker begins (30 minutes, includes Q&A if amenable) 8:00 pm - Speaker ends 8:00 pm - 9:30 pm - Dinner and Networking Honorable Guests Attending: Notable Federal, State or Local Appointed or Elected officials attending: Individual Introducing Administrator: SIGMA Board of Directors None Mike Thombrugh, QuikTrip Corporation, SIGMA Board Member, Tulsa, OK Page 1 o f 2 17cv01906 Sierra Club v. EPA ED 001523B 00005702-00001 ADMINISTRATOR PRUITT SPEAKER REQUEST FORM U.S. Environmental Protection Agency For content details: Ryan McNutt, CEO, SIGMA Person to contact for speechwriting purposes: For technical details: Liz Menz, Director of Education, SIGMA Person to contact for media purposes: Amy Rider, Director of Communications, SIGMA Origin of Invitation: Invitation and Connection originated through Mike Thombmgh of QuikTrip Corporation, Tulsa, OK - he sits on SIGMA's Board of Directors Day of Event Point of Contact: Liz Menz, Director of Education, SIGMA Backup Contact: Amy Rider, Director of Communications, SIGMA Security Contact: The Willard Intercontinental Hotel Is the organization or host of the event a registered 501(c)(3), (4), or has a 527 Political Action Committee (PAC): No, SIGMA is a 501 (c)6 Will there be a presentation of a "gift" to the Administrator? No If so, what is the US currency value of the gift? Not Applicable Will a meal be provided, if so what is the US currency value? Yes, a meal will be provided. This event is designed to be in compliance with standards set by the US Office of Government Ethics. Officials should check with their ethics and compliance office for the specific requirements regarding those standards. 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 00005702-00002