PROPOSAL SUMMARY AND TRANSMITTAL FORM Proposed School Information Charter School Name: Lewis Katz New Renaissance Basketball Academy Charter School Education Corp. Name: Lewis Katz New Renaissance Basketball Academy Charter School Education Corp. Status: New Education Corporation Proposal Type: Standard New School Proposal School District (or NYC CSD): CSD 7 Opening Date: 8/1/2020 Proposed Grades and Enrollment Proposed Affiliations (if any) Charter Charter Management Grades Enrollment N/A Year Company (“CMO”): Year 1 9 88 CMO Public Contact Info N/A Year 2 9-10 176 (Name, Phone): Year 3 9-11 264 Partner Organization: New Visions for Public Schools Year 4 9-12 352 Partner Public Contact Info Mark Dunetz, 212-645-5110 Year 5 9-12 352 (Name, Phone): Lead Applicant Contact Information First Lead Applicant Name: Dan Klores Applicant is a: Parent Teacher School Administrator District Resident Education Corp./Charter School Organization Name: Applicant Mailing Address: Primary Secondary Email:
[email protected] Phone #: Phone #: Second Lead Applicant Name: Applicant is a: Parent Teacher School Administrator District Resident Education Corp./Charter School Organization Name: Applicant Mailing Address: Primary Secondary Email: Phone #: Phone #: List additional lead applicants in the “Other” section. Not Applicable Additional Applicants Listed in “Other” Media/Public Contact Information (required) Name: Dan Klores Phone #: 646-335-3249 Email:
[email protected] Lead Applicant Signature Signature: Date: 6/22/18 By signing this Proposal Transmittal Form, the Lead Applicant certifies that the information contained in this proposal to establish a charter school pursuant to the New York Charter Schools Act with the State University of New York Board of Trustees is true and accurate to the best of his or her knowledge.