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OMB 3060-0806 Approval by OMB FCC Form 471 December 2018 Description of Services Ordered and Certification Form 471 FCC Form 471 Application Information Nickname 21DCSD 471-C1 Application Number 211006136 Funding Year 2021 Category of Service Category 1 Billed Entity Contact Information DOUGLAS COUNTY SCHOOL DISTRICT R E 1 MARY JO SAGNELLA 620 WILCOX ST CASTLE ROCK CO 80104 - 1739 203-445-9577 303-387-0100 [email protected] [email protected] Billed Entity Number 142133 FCC Registration Number 0012216396 Applicant Type School District Consulting Firms Name Consultant City State Zip Phone Email Registration Code Number Number E-RATE ONLINE LLC 16048791 Orange CT 6477 203-445-9577 [email protected] om Entity Information School District Entity - Details BEN Name Urban/ State State NCES School District How does Total Endowment Rural LEA ID School Code Attributes the district Student ID report its Count for student count Category for Category Two Budget Two budget? 142133 DOUGLAS COUNTY Urban Public Sch A number for 64674 None SCHOOL DISTRICT R E 1 ool District each school in the district Related Entity Information Related Child School Entity - Details Page 1 BEN Name Urban/ State State NCES Alternative School Attributes Total Endowment Rural LEA ID School ID Code Discount Students for C2 Budget 93388 BUFFALO RIDGE ELE Urban None Public School 442 None MENTARY 93390 ACADEMY CHARTER Urban None Public School 745 None SCHOOL 93392 CASTLE ROCK MIDDL Urban None Public School 842 None E SCHOOL 93393 CASTLE ROCK ELEME Urban None Public School 421 None NTARY SCHOOL 93394 SOUTH RIDGE ELEME Urban None Public School 595 None NTARY SCHOOL 93396 DC OAKES ACADEMY- Rural None Public School 158 None CASTLE ROCK 93397 ROCK RIDGE ELEMEN Urban None Public School 534 None TARY SCHOOL 93398 DOUGLAS COUNTY HI Urban None Public School 1808 None GH SCHOOL 93451 CHERRY VALLEY ELE Rural None Public School 35 None M SCHOOL 93452 FRANKTOWN ELEMEN Rural None Public School 364 None TARY SCHOOL 93456 LARKSPUR ELEMENT Rural None Public School 237 None ARY SCHOOL 93496 ACRES GREEN ELEM Urban None Public School 493 None ENTARY SCHOOL 93497 EAGLE RIDGE ELEME Urban None Public School 627 None NTARY SCHOOL 93499 DCS MONTESSORI CH Urban None Public School 556 None ARTER SCHOOL 93500 ROXBOROUGH ELEM Rural None Public School 375 None ENTARY SCHOOL 93502 PLATTE RIVER ACADE Urban None Public School 565 None MY CHARTER 93505 SAND CREEK ELEMEN Urban None Public School 454 None TARY SCHOOL 93506 NORTHRIDGE ELEME Urban None Public School 632 None NTARY SCHOOL 93507 BEAR CANYON ELEM Urban None Public School 492 None ENTARY SCHOOL 93508 HIGHLANDS RANCH H Urban None Public School 1680 None IGH SCHOOL 93509 CRESTHILL MIDDLE S Urban None Public School 776 None CHOOL 93510 COUGAR RUN ELEME Urban None Public School 441 None NTARY SCHOOL 93511 FOX CREEK ELEMENT Urban None Public School 528 None ARY SCHOOL 93512 RANCH VIEW MIDDLE Urban None Public School 795 None SCHOOL 93513 THUNDERRIDGE HIGH Urban None Public School 2042 None SCHOOL 93514 SUMMIT VIEW ELEME Urban None Public School 523 None NTARY SCHOOL 93515 COYOTE CREEK ELE Urban None Public School 408 None MENTARY SCHOOL 93516 TRAIL BLAZER ELEME Urban None Public School 413 None NTARY SCHOOL Page 2 BEN Name Urban/ State State NCES Alternative School Attributes Total Endowment Rural LEA ID School ID Code Discount Students for C2 Budget 93544 CHAPARRAL HIGH SC Urban None Public School 2193 None HOOL 93546 SIERRA MIDDLE SCH Urban None Public School 875 None OOL 93548 PINE GROVE ELEMEN Urban None Public School 587 None TARY SCHOOL 93549 PONDEROSA HIGH SC Urban None Public School 1440 None HOOL 93550 MOUNTAIN VIEW ELE Urban None Public School 314 None MENTARY SCH 93551 NORTHEAST ELEMEN Rural None Public School 288 None TARY SCHOOL 93553 CHEROKEE TRAIL ELE Urban None Public School 564 None MENTARY SCH 93554 SEDALIA ELEMENTAR Rural None Public School 254 None Y SCHOOL 93558 PIONEER ELEMENTAR Urban None Public School 483 None Y SCHOOL 93561 PINE LANE PRIMARY Urban None Public School 756 None SCHOOL 212931 WILDCAT MOUNTAIN Urban None Public School 525 None ELEMENTARY SCHOO L 230731 ARROWWOOD ELEME Urban None Public School 383 None NTARY SCHOOL 230733 MEADOW VIEW ELEM Urban None Public School 457 None ENTARY SCHOOL 230734 SAGEWOOD MIDDLE Rural None Public School 884 None SCHOOL 230737 RENAISSANCE EXPED Urban None Public School 395 None ITONARY LEARNING O UTWARD BOUND SCH OOL 230740 SADDLE RANCH ELEM Urban None Public School 434 None ENTARY SCHOOL 234642 TIMBER TRAIL ELEME Urban None Public School 357 None NTARY 234643 LEGACY POINT ELEM Urban None Public School 358 None ENTARY 234644 FLAGSTONE ELEMEN Urban None Public School 489 None TARY 234704 MOUNTAIN RIDGE MID Urban None Public School 1088 None DLE SCHOOL 234705 ROCKY HEIGHTS MID Urban None Public School 1346 None DLE SCHOOL 234707 ROCK CANYON HIGH Urban None Public School 2310 None SCHOOL 234801 ELDORADO ELEMENT Urban None Public School 451 None ARY SCHOOL 234803 FRONTIER VALLEY EL Urban None Public School 488 None EMENTARY 234805 IRON HORSE ELEMEN Urban None Public School 460 None TARY 234806 PRAIRIE CROSSING E Urban None Public School 701 None LEMENTARY SCHOOL Page 3 BEN Name Urban/ State State NCES Alternative School Attributes Total Endowment Rural LEA ID School ID Code Discount Students for C2 Budget 234809 CHALLENGE TO EXCE Urban None Public School 521 None LLENCE CHARTER SC HOOL 234868 HERITAGE ELEMENTA Urban None Public School 439 None RY 234869 MOUNTAIN VISTA HIG Rural None Public School 2381 None H SCHOOL 16024043SOARING HAWK ELEM Urban None Public School 577 None ENTARY 16030794REDSTONE ELEMENT Urban None Public School 488 None ARY 16030795COPPER MESA ELEM Urban None Public School 428 None ENTARY 16036530CASTLE VIEW HIGH S Urban None Public School 2183 None CHOOL 16036560AMERICAN ACADEMY Urban None Public School 2535 None CHARTER SCHOOL 16048334STONE MOUNTAIN EL Urban None Public School 672 None EMENTARY 16048337MAMMOTH HEIGHTS E Urban None Public School 668 None LEMENTARY 16048338LONE TREE MAGNET Urban None Public School 421 None SCHOOL 16048340ROXBOROUGH INTER Rural None Public School 392 None MEDIATE 16048342GOLD RUSH ELEMEN Urban None Public School 699 None TARY 16048345LEGEND HIGH SCHOO Urban None Public School 2215 None L 16048346MESA MIDDLE SCHOO Rural None Public School 865 None L 16053064CIMARRON MIDDLE S Urban None Public School 1293 None CHOOL 16053068EARLY CHILDHOOD C Urban None Public School 93 None ENTER 16053506CLEAR SKY ELEMENT Urban None Public School 744 None ARY 16059637SAGE CANYON ELEM Urban None Public School 789 None ENTARY 16065804STEM ACADEMY Urban None Public School 1875 None 16070239BEN FRANKLIN ACAD Urban None Public School 930 None EMY 16059960CANTRIL SCHOOL Urban None Public School 25 None 17011700RENAISSANCE SECO Urban None Public School 327 None NDARY SCHOOL 17013034Aspen View Academy Urban None Public School 904 None 17013035Cloverleaf Enrichment S Rural None Public School 301 None chool 17013036eDCSD Urban None Public School 35 None 17013038Highlands Ranch HS Pr Urban None Pre-K; Public School 22 None e-K 17013039Parker Core Knowledge Urban None Public School 702 None 17013040Parker Performing Arts Urban None Public School 735 None School Page 4 BEN Name Urban/ State State NCES Alternative School Attributes Total Endowment Rural LEA ID School ID Code Discount Students for C2 Budget 17013041Rock Canyon HS Pre-K Urban None Pre-K; Public School 0 None 17013042World Compass Acade Rural None Public School 619 None my 16077396HOPE ONLINE LEARN Urban None Public School 489 None ING ACADEMY ELEME NTARY 16085457GLOBAL VILLAGE ACA Rural None Public School 389 None DEMY - DOUGLAS CO UNTY 16077394HOPE ONLINE LEARNI Urban None Charter School; 846 None NG ACADEMY MIDDLE Public School 16051286NORTH STAR ACADE Urban None Public School 667 None MY 17021449Ascent Classical Acade Urban None Charter School; 544 None my of Douglas County Public School Related Child School Entity - Discount Rate Calculation Details BEN Name Urban/ Number of Students CEP CEP Base Rural Students Count Based Percentage Year on Estimate 93388 BUFFALO RIDGE ELEMENTARY Urban 442 N/A 93390 ACADEMY CHARTER SCHOOL Urban 745 N/A 93392 CASTLE ROCK MIDDLE SCHOOL Urban 842 N/A 93393 CASTLE ROCK ELEMENTARY SCHOOL Urban 421 N/A 93394 SOUTH RIDGE ELEMENTARY SCHOOL Urban 595 N/A 93396 DC OAKES ACADEMY-CASTLE ROCK Rural 158 N/A 93397 ROCK RIDGE ELEMENTARY SCHOOL Urban 534 N/A 93398 DOUGLAS COUNTY HIGH SCHOOL Urban 1808 N/A 93451 CHERRY VALLEY ELEM SCHOOL Rural 35 N/A 93452 FRANKTOWN ELEMENTARY SCHOOL Rural 364 N/A 93456 LARKSPUR ELEMENTARY SCHOOL Rural 237 N/A 93496 ACRES GREEN ELEMENTARY SCHOOL Urban 493 N/A 93497 EAGLE RIDGE ELEMENTARY SCHOOL Urban 627 N/A 93499 DCS MONTESSORI CHARTER SCHOOL Urban 556 N/A 93500 ROXBOROUGH ELEMENTARY SCHOOL Rural 375 N/A 93502 PLATTE RIVER ACADEMY CHARTER Urban 565 N/A 93505 SAND CREEK ELEMENTARY SCHOOL Urban 454 N/A 93506 NORTHRIDGE ELEMENTARY SCHOOL Urban 632 N/A 93507 BEAR CANYON ELEMENTARY SCHOOL Urban 492 N/A 93508 HIGHLANDS RANCH HIGH SCHOOL Urban 1680 N/A 93509 CRESTHILL MIDDLE SCHOOL Urban 776 N/A 93510 COUGAR RUN ELEMENTARY SCHOOL Urban 441 N/A 93511 FOX CREEK ELEMENTARY SCHOOL Urban 528 N/A 93512 RANCH VIEW MIDDLE SCHOOL Urban 795 N/A 93513 THUNDERRIDGE HIGH SCHOOL Urban 2042 N/A 93514 SUMMIT VIEW ELEMENTARY SCHOOL Urban 523 N/A 93515 COYOTE CREEK ELEMENTARY SCHOOL Urban 408 N/A Page 5 BEN Name Urban/ Number of Students CEP CEP Base Rural Students Count Based Percentage Year on Estimate 93516 TRAIL BLAZER ELEMENTARY SCHOOL Urban

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