OMB Control No. 1024-0021 Expires 05/31/2017

NATIONAL PARK SERVICE, NATIONAL CAPITAL REGION

Application for a Permit to Conduct a Demonstration or Special Event in Park Areas and a Waiver of Numerical Limitations on Demonstrations for White House Sidewalk

and/or Lafayette Park

/ l -/ 7 {; Date of Application

Special Evcnt3 Defi11it1011s 011 lnstruction Page

SECTION I: Contact lnfor This is an application for a:

lndividual/Organizarion

Person in charge of acti vity __ L_,..._-r _\.._<J-'~"--~').~· -''....,®i..x.......;;.~=--)-.. _________ Fax 2a 2--1 7 '\ -j \ S) Address _i ......... i_.....<£'"-_\-'-C.b_\V-_~S k_~N~~--+~Uo+-'/ c.'--=j,__\.._~, ... __,Jt--'\r~"''""-\~Q ~( -+I ~2~0~(}_0__,~.,..-------

I u L. -C\J i\ -~ \S\ Mobile_(fi) (6) Email C ··:r\ W\.e.lN2--2(Q J_c_ \c. bCl·J Day Phone

One person must be listed as in charge of the activity. If different individuals are to be in charge of various activities at different locations, please list their names and contact infonnnticm_· ----------J ·:ex i"" >-~o'" -L2<w Cl"' (b) (6) ~-____ _

--------~----~~~~-.·

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SECTION II: Lafayette Park and White House Sidewalk 7@ ls this an application for the use of the White House Sidewalk

3or Lafayette Park? Yep: ~

Please be aware that a waiver ofthe numerical li1111ta11011s is required if an expected demo11stra~ion 011 Nie "11-'hite House Sidewalk will include more than 750 participa111s or that a demonstration in Lafayette Park will includeJ~ore than 3,000 participants. ~

Is this an application for a waiver o[the numerical !imitations? Yes( u ~

SECTION III: Logistics

Set-up dates AM/PM Startin \o--z.c., -\(.., Endin From I\,"'

Activity dates Starling \O -1.[Q-\~nding \0-1 ~ -\~

AM/PM From

Break-down dates AM/PM Startin \(j~ 7f,, Ending From \. U{)

Please list ALL proposed locarions (include assembly and dispersal areas): \-o--~"' ~ .... ">~-\e..-. ~\\..\:.ck-\.,V\12-(J.JJ..~l6.e \\DO

Estimated maximum number of participants for EACH PARK AREA TO BE USED (Including organizers. volunteers, participants and spectators):

3,0 OJ Purpose of activity:

~\ Ul.e. )-bd:. '(

3 The White House Sidewalk is the sidewalk between East and West Executive Avenues, on the south side Pennsylvania A~~~.\v.

Plan for proposed activity (include all speakers, a complete time schedule of the activity, proposed routes for any marches or parades, plans for the orderly termination and dispersal of activity that might affect regular flow of city

traffic,etc.): 5vQ~d.(<~ Wi..\\. \,._.,\~ 'H)"'1 Jt~\vj \.J...1.Pt ~50~(. .... ~ UJ/ ()I..Jf~?f

~b O.'-IU.Jv..) \V\ '-\ (\\/L\e, OJ.\-Si.. ~ ~\S t,_ck ( -\'(,fff\-\r

Please indicate any of these items that will be used during the proposed activity:

D Jumbotrons

Quantity/Size:

'D4iandheld Siin~s/Placards Q'7antity: \S 0 0 Chairs Quantity:

o Tables Quantity: Estimated# of Buses:

D Banner/Sign(s) Size: L W H

0 Press Riser Size: L W H

D Stage(s) Size: L W H

DPortable Restrooms Quantity:

o Podium

~istribution of Literature

o Lighting Equipment

o Tent(s) Size(s): Quantity:

D Portable Sound System

0 Camera Tripod D Generator(s) Quantity: Quantity/Type: Turf Protective Cover(s)

Type: Duration: Quantity:

Please list all other equipment (include any necessary medical/trailers, ): / 4\\ trtJ -\.A-€-'j lJ\ i.o'-'c.lf'B-( G J I <(\<~ &\\) '<.::V\ l\'-'~k

Are you proposing to solicit Are you proposing food donations: or beverages service

4:

J/Yes n /Yes ~No ~No

How will the activity be advertised' or publicized: LJ TV ~rnail/liscservs '1 Radio DWebsite

l }5-

Print Flyers Social media (twitter, Facebook, Tumbler etc.)

Are you proposing road closures or traffic management? If so list the roads and/or trails affected?

gxes ~No

Do you propose to have commercial sponsors? If yes, bow are sponsors recognized.

D Yes

~No

If boxes, crates, coffins, or similar items will be used, state whether they are to be carried opened or closed, their proposed size, the materials constructed from, and their proposed contents and use:

What are your cleanup and/or recycling plans?

How will cleanup members be identified? S

4Please note there is an additional Temporary Food Establishment Pem1it Application that must be received by NPS at least 70 days prior tc

proposed activity. Food service is subject to more stringent standards including being preapproved by the National Park Service and meeting Public Health standards. Only ethnic foods that are determined to be integral to the theme of the proposed event are pennittcd.

SECTION IV: Activity Disruption

Do you have any reason to believe or any information indicating that a;::Jndividual, group or organization might seek to

disrupt the activity for which this application is submitted? o Yes ;sw.o

If "yes," list each such individual, group or organization and contact information for each:

SECTION V: Marshals5and or Volunteers

Will applicant furnish marshals and/or volunteers~es D No Note: Marshals are required for all waivers o[m,/nerical limitations and for demonstration activities held simultaneously on White House Sidewalk and Lafayette Park.

List the functions the marshals and/or volunteers are expected to perform: <2.""'-Sure... 'Sa-~J \, lt--0 ~v.-... ~(.) ~..[v~l{.l.z"'J \S

How will the marshals and/or volunteers be identified? Ue ~ Person(s) responsible for supervision of marshals and/or volunteers (for each location):

How many?

3

Name(s) Locations(s) S,011ract i.JJfo1:,matio11.,..durinsr_.aCJlivity (address, phone)

./\"<"O·"'->r \.&o 1,0 '\.: \ 12-v ""'-~ "'-\il>)_(§) ~ \\Do ~\/\II\ Ne.,

What communications equipment will be provided to the marshals an<l/or volunteers? (Include the number of watkie­talkies, mobile phone tree, bullhorns, public address systems, flashlights, etc.) ~.,, \""'-() 1 ""' ls J State specifically the plans for ingress and egress of the participants to and from all park areas including Lafayette Park. Please include proposed sites for loading and unloading of buses, automobiles or other forms of transportation that the participants are expected to use (supply chart or map if necessary) IJJ o \ '£-. ~o s \.l..e. V ·l C<. ~ovi

>\ r"' f P-\ ~ .

Typed/Printed name of person ti ling application __ ...,{ __ ,---=--' .. --""-'-o-'_.__--~---'""-'-\('C\..L. __ V'4- __ L- ________ _

Position of person filing application

Address of perso11 filing application

Fax 1Lu "L · '\ l \-)l 2oay p

fr:e<..<l\-, ve 9\\t"'f.1:_,\;-w Email C"SJme. v-.e. 2 @ clc.. \~ ~v '1~ t \co'-\r 5-\: W w ~ S20l L.Jc. \\r " QC LOoOb

---¥-:!-'l-l-----'-----1.~· _-~Mo bi le (b) ( 6) ----~----~~~~~.

APP LI CATI S NOT VALID UNLESS SIGNED. ORIGINAL SIGNATURE REQUIRED

Hand dclivcl' or mail to: National Park Service, National Capital Region Permits Management, 900 Ohio Drive, S.W. Washington, DC 20024

Open 8:00 am to 4:00 pm, Monday -Friday, Office 202-245-4715 FAXED, EMAILED, AND XEROXED APPLICATIONS ARE NOT ACCEPTED

5 Marshals do not act as police. They help maintain order among participants and provide information to participants and non-participants. Marshals should have knowledge of the overall activity organization.

OMB Control No. 1024-0021 Expires 05/31/2017

NATIONAL PARK SERVICE, NATIONAL CAPITAL REGION

Application for a Permit to Conduct a Demonstration or Special Event in Park Areas and a Waiver of Numerical Limitations on Demonstrations for White House Sidewalk

and/or Lafayette Park

SECTION I: Contact Information j l -/ f"J & l Date of Application _______ _

Thjs is an application for a: Demonstration znitions on Instruction Page

Phone/Mobile

Day Phone (b) ( 6) •..:-......__...._....._~~~~~--....,

One person must be listed as in charge of the activity. ff different individuals are to be in chm:ge' of varf.VJ's activities a different locations, please list their names and contact information: _.,, ·~

N

w

SECTION II: Lafayette Park and White House Sidewalk

Is this an application for the use of the White House Sidewalk 3or Lafayette Park? Yes~ Please be aware that a waiver o(the numerical !imitations is required if an expected demonstration on the White House Sidewalk will include more than 750 participants or that a demonstration in Lafayette Park will include more than 3,000 participants. ~

Is this an application for a waiver o(the numerical limitations? Yes~

SECTION III: Logistics

Set-up dates Startin

Activity dates Startin

Break-down dates

En din

Startin Endin

AM/PM From

AM/PM From.

AM/PM From

Please list ALL proposed locations (include assembly and d~ersal areas):

lle>o lo (200 r.n?~ fCC(,11/q_ 1/11~ Estimated maximum number of partici.P. nzs fir EACH PARK AREA TO BE USED (Including orgaruzcrs, volunteers, participants and spectators):

o~ L-Purpose of activity:

Rz~8m 3 The White House Sidewalk is the sidewalk between East and We t Executive Avenues, on the south side Pennsylvania Avenue, N.W.

Plan for proposed activity (include all speakers, a complete time schedule of the activity, proposed routes for any marches or parades, plans for the orderly termination and dispersal of activity that might affect regular flow of city traffic, etc.):

Please indicate any of these items that will be used during the proposed activity:

D J umbotrons

Quantity/Size:

D Handheld Signs/Placards Quantity:

K_Chairs Quantity:

0 Tables Quantit : Estimated # of Buses:

0 Banner/Sign(s) Size: L W H

D Press Riser Size: L W H

D Stage(s) Size: L W H Portable Restrooms

Quantity:

D Podium

DDistribution of Literature

D Lighting

o Tent(s) Size(s): Quantity:

0 Portable Sound E ui ment S stem

~Camera Tripod D Generator(s) Quantit : Quanti IT e: Turf Protective Cover(s) Type:

Duration: Quantity:

Please List all other equipment (include any necessary medical/trailers, ):

Are you proposing to solicit donations:

0 Yes No

Are you proposing food or beverages service

4:

J Yes bl: No

How will the activity be advertised or publicized: J5<. TV D Email/listservs I:&.. Radio Dwebsite 0 0

Print Flyers Social media (twitter, Facebook, Tumbler etc.)

Are you proposing road closures or traffic management? If so list the roads and/or trails affected? D Yes /}!_No Do you propose to have commercial sponsors? If yes, how are sponsors recognized.

D Yes ~No

If boxes, crates, coffins, or similar items will be used, state whether they are to be carried opened or closed, their proposed size, the materials constructed from, and their proposed contents and use:

4Please note there is an additional Temporary Food Establishment Permit Application that must be received by NPS at least 70 days prior to proposed activity. Food service is subject to more stringent standards including being preapproved by the National Park Service and meeting Public Health standards. Only ethnic foods that are determined to be integral to the theme of the proposed event are permined.

SECTION IV: Activitv Disruption

Do you have any reason to believe or any information indicating that XJ. individual, group or organization might seek to

disrnpt the activity for which this application is submitted? 0 Yes ~o

If "yes," list each such individual, group or organization and contact information for each:

SECTION V: Marshals5and or Volunteers

Will applicant furnish marshals and/or volunteers? es O No How many? Note: Marshals are required for all waivers o(nu erica! limitations and for demonstration activities held ~o simultaneously on White House Sidewalk and Lafayette Park. ~ ~

Person(s) responsible for supervision of marshals and/or volunteers (for each location . Name(s) locations ) Con ct information durin activity (address, phone)

What communication uipment will be provid d to the marshals and/or v unteers? (Include the number of walkie-talkies, mobile phone tree; bullhorns, puiwc address systems, flashlights, etc.)

2 w Aa Ito -r-£.~ State specifi ly the plans for ingress and egress of the participants to and from all park areas including Lafayette Park. Please include proposed sites for loading and unloading of buses, automobiles or other fonns of transportation that the participants are expected to use (supply chart or map if necessary)

APPLtC--A TION IS NOT VALID UNLESS SIGNED. ORIGINAL SIGNATURE REQUIRED

Hand deliver or mail to: National Park Service, National Capital Region Permits Management, 900 Ohio Drive, S.W. Washington, DC 20024 Open 8:00 am to 4:00 pm, Monday -Friday, Office 202-245-4715

FAXED, EMAILED, AND XEROXED APPLICATIONS ARE NOT ACCEPTED

5 Marshals do not act as police. They help maintain order among participants and provide info1mation to participants and non-participants. Marshals should have knowledge of the overall activity organization.

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0)'18 Control No. 1024-0021 Expires 05/3112017

~ ~

NATIONAL PARK SERVICE, NATIONAL CAPITAL REGION

Application for a Permit to Conduct a Demonstration or Special Event in Park Areas and a Waiver of Numerical Limitations on Demonstrations for White House Sidewalk

and/or Lafayette Park

SECTION I: \ 1

_ f\ 1 '. < Date of Application_1_0_12_4_1_20_1_6 ___ _ Contact Information \o l. '-" ..J

This is an application for a: IZl Demonstration D Special Event Definitions on Instruction Page

I d. ·d 1/0 · t. ANSWER Coalition (Act Now to Stop War & End Racism) n 1v1 ua rgan1za1on~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-

Address P.O. Box 26093, Washington. D.C. 20001

-~ .. Phone/Mobill(b) (6) Fax 202-280-1022

·~~~~~~--~~~ Website/Emai I brian~\?ercoal itio;§.org ~'"

) . '-:>

Person in charge of activity Brian Becker Pax,-i02-280-l ii2 ~~~~~~~~~~~~~~~~~~~~~~~~~ . j'-.)

Address P.O. Box 26093, Washington, D.C. 20001 ) ..:::::..

Emai I brian@answercoalition.or?

One person must be Listed as in charge of the activity. If different individuals are to be in charge of various activities at different locations, please list their names and contact information:

SECTION II: Lafayette Park and White House Sidewalk

Is this an application for the use of the White House Sidewalk 3or Lafayette Park? 0 Yes 0 No

Please be aware that a waiver ofthe numerical limitations is required if an expected demonstration on the White House Sidewalk will include more than 750 participants or that a demonstration in Lafayette Park will include more than 3,000 participants.

Is this an application for a waiver oflhe numerical limitations? DYes IZlNo

SECTION III: Logistics

Set-up dates Al\1/PM Starting Ending From To

Activity dates 10 I 26116 10 / 26 /I 6 AM/PM 8:30 am 12:30 pm

Starting Ending From To Break-down dates AM/PM

Starting Ending From To Please list ALL proposed locations (include assembly and dispersal areas): Sidewalk and pub I ic space/plaza on the south side of Pennsylvania Ave. between 11th and 12th Sts. W directly in front of the Trump International Hotel

Estimated maximum number of participants for EACH PARK AREA TO BE USED (Including organizers, volunteers. participants and spectators): 1 oo

Purpose of activity:

Demonstration Calling to Stop the Trump Agenda: Say No to Trump's Racism: Defend Immigrants and Muslims

3 The White House Sidewalk is the sidewalk between East and West Executive Avenues, on the south side Pennsylvania Avenue. 1 .W.

Plan for proposed activity (include all speakers, a complete time schedule of the activity, proposed routes for any marches or parades, plans for the orderly termination and dispersal of activity that might affect regular flow of city traffic, etc.): Ongoing First Amendment activity, demonstrations, rallies and pickets

We will work with the designated National Park Service representative, as we always do, to finalize logistical arrangements.

0 Handheld ILl Banner/Sign(s) 0 Podium D Tent(s) Please indicate any Signs/Placards Size: L w H 0Distribution of Size(s): of these items that will be used during

Quantity: TBD as per regs Literature Quantity:

the proposed 0 Chairs D Press Riser D Lighting 0 Portable Sound activity: 2

Quantity: Size: L w H Equipment System

0 Tables 2 D Stage(s) 0 Camera Tripod 0 Generator(s) Quantity: Size: L w H Quantity: TBD Quantityffype:

D Jumbotrons Estimated# of Buses: D Portable Restrooms Turf Protective Cover(s)

Quantity/Size: Not applicable Quantity: TBD Type: Not applicable Duration: Not applicable Quantity: Not applicable

Please list all other equipment (include any necessary medical/trailers,):

Are you proposing to solicit Are you proposing food Are you proposing road closures or traffic management? If donations: or beverages service

4: so list the roads and/or trails affected?

0 Yes [ Yes 0 Yes [ No IL No 1ZJ No

How will the activity be advertised or publicized: Do you propose to have commercial sponsors? If yes, how [ TV IZl Email/listservs are sponsors recognized. [ Radio 0website

0 IL Print Yes

[7 Flyers IZl No

'Zl Social media (twitter, Facebook, Tumbler etc.) If boxes, crates, coffins, or similar items will be used, state whether they are to be carried opened or closed, their proposed size, the materials constructed from, and their proposed contents and use:

What are your cleanup and/or recycling plans? We will clean up after ourselves.

How will cleanup members be identified? They will be carrying out clean-up duties.

4Please note there is an additional Temporary Food Establishment Permit Application that must be received by NPS at least 70 days prior to

proposed activity. Food service is subject to more stringent standards including being preapproved by the National Park Service and meeting Public Health standards. Only ethnic foods that are determined to be integral to the theme of the proposed event are permitted.

SECTION IV: Activity Disruption

Do you have any reason to believe or any infonnation indicating that any individual, group or organization might seek to

disrupt the activity for which this application is submitted? D Yes 0No

lf"yes,'' list each such individual, group or organization and contact information for each:

SECTION V: Marshals5and or Volunteers

Will applicant furnish marshals and/or volunteers? 0Yes O No How many?

Note: Marshals are required for all waivers of numerical limitations and for demonstration activities held 10 simultaneously on White House Sidewalk and Lafayette Park.

List the functions the marshals and/or volunteers are expected to perform: Maintain order

How will the marshals and/or volunteers be identified? Person(s) responsible for supervision of marshals and/or volunteers (for each location): Name(s) Locations(s) Contact information during activity (address, phone) Brian Becker All P.O. Box 26093, Washington, D.C. 200011202-904-7992

What communications equipment will be provided to the marshals and/or volunteers? (Include the number of walkie-talkies, mobile phone tree, bullhorns, public address systems, flashlights, etc.) walkie-talkies, cell phones, bullhorns

State specifically the plans for ingress and egress of the participants to and from all park areas including Lafayette Park. Please include proposed sites for loading and unloading of buses, automobiles or other forms of transportation that the participants are expected to use (supply chart or map if necessary) Not applicable

Typed/Printed name of person filing application _s_ar_a_h_S_lo_an _____________________ _

Position of person filing application National Organizer, ANSWER Coalition Email sarah@answereoalition.org

Address of person filing application _P_._o_. B_o_x_2_6_09_3_, _w_a_sh_i_ngt_o_n_. _D_.c_._2_00_0_1 _________________ _

Fax 202-280-1022 Day~e 202-904-7949 ~M::b--.)(6) Signatureofpersonfilingapplication~Cv/\ A ~ ~- --.=:ii---~~~._.'-+"'=---+--T"---~-~ ....... -~....,,.------------

APPLICATION IS NOT VALID UNLESS SIGNED. ORIGINAL SIGNATURE REQUIRED

Hand deliver or mail to: National Park Service, National Capital Region Permits Management, 900 Ohio Drive, S.W. Washington, DC 20024 Open 8:00 am to 4:00 pm, Monday -Friday, Office 202-245-4715

FAXED, EMAILED, AND XEROXED APPLICATIONS ARE NOT ACCEPTED

5 Marshals do not act as police. They help maintain order among participants and provide information to participants and non-participants. Marshals should have knowledge of the overall activity organization.