OMB 3060-0806 Approval by OMB FCC Form 471 November 2015 Description of Services Ordered and Certification Form 471

FCC Form 471 Application Information Nickname STMARGARETSSCAT117 St Margaret of Application Number 171006598 Scotland School Funding Year 2017 Category of Service Category 1

Billed Entity Contact Information The Catholic Bishop of Jessica Martens 835 N. Rush Chicago IL 60611 312-850-4134 312-534-8200 [email protected] [email protected]

Billed Entity Number 17000574 FCC Registration Number 0024919029 Applicant Type School District

Consulting Firms Name Consultant City State Zip Phone Email Registration Code Number Number Resource Renewal Project 16062788 CHICAGO IL 60606 312-850-4134 baltman@colemangroupc onsulitng.com

Entity Information

School District Entity - Details BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes ID 17000574 The Catholic Bishop of Chicago Urban Private School District None

Related Entity Information

Related Child School Entity - Details BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 70709 ACADEMY OF ST. Urban Pre-K; Private School None BENEDICT - LAFLIN 71035 ST ALPHONSUS Urban None Private School; Pre-K None ELEMENTARY SCHOOL 70288 ANNUNCIATA SCHOOL Urban None Pre-K; Private School None 69160 ASCENSION SCHOOL Urban None Private School; Pre-K None

Page 1 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 70076 BRIDGEPORT CATHOLIC Urban None Pre-K; Private School None ACAD SOUTH 16061682 CARDINAL BERNARDIN Urban None Private School; Pre-K None EARLY CHILDHOOD CENTER 207913 CARDINAL Urban None Pre-K; Private School None BERNARDIN CATHOLIC SCHOOL 70166 CHILDREN OF PEACE Urban None Pre-K; Private School None SCHOOL 69220 CHRIST OUR SAVIOR Urban None Private School; Pre-K None SCHOOL 70373 CHRIST THE KING Urban None Pre-K; Private School None SCHOOL 68545 ST PATRICK SCHOOL Urban None Pre-K; Private School None 68940 DIVINE INFANT JESUS Urban None Private School; Pre-K None SCHOOL 68941 DIVINE PROVIDENCE Urban None Private School; Pre-K None SCHOOL 70474 EPIPHANY SCHOOL Urban Pre-K; Private School None 16061686 FRASSATI CATHOLIC Urban None Private School None ACADEMY 158804 HOLY ANGELS Urban Private School; Pre-K None 68219 HOLY CROSS SCHOOL Urban None Pre-K; Private School None 16061687 HOLY FAMILY CATHOLIC Urban None Private School; Pre-K None ACADEMY 231507 IMMACULATE Urban None Private School None CONCEPTION ELEMENTARY SCHOOL 16046237 IMMACULATE Urban None Private School; Pre-K None CONCEPTION SCHOOL 70638 IMMACULATE Urban None Private School; Pre-K None CONCEPTION SCHOOL 69609 INCARNATION SCHOOL Urban None Pre-K; Private School None 69294 INFANT JESUS OF Urban None Pre-K; Private School None PRAGUE SCHOOL 70355 LEO HIGH SCHOOL Urban None Private School None 68493 MARY SEAT OF WISDOM Urban None Private School; Pre-K None SCHOOL 70947 MATERNITY BVM Urban Private School None SCHOOL 68571 MOST BLESSED TRINITY Urban Pre-K; Private School None ACADEMY 71115 MOST HOLY REDEEMER Urban None Private School; Pre-K None SCHOOL 71039 MOUNT CARMEL Urban None Private School None ACADEMY LAKEVIEW 71056 NORTHSIDE CATH ACAD Urban None Pre-K; Private School None ST GERTRUD 70699 NOTRE DAME HIGH Urban None Private School None SCHOOL FOR GIRLS 16046236 OLD ST. MARY SCHOOL Urban None Private School; Pre-K None 71112 OUR LADY OF CHARITY Urban None Private School; Pre-K None SCHOOL 70904 OUR LADY OF GRACE Urban Pre-K; Private School None SCHOOL Page 2 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 70271 OUR LADY OF Urban Pre-K; Private School None GUADALUPE SCHOOL 68657 OUR LADY OF HUMILITY Urban None Private School; Pre-K None SCHOOL 68272 OUR LADY OF Urban None Private School; Pre-K None PERPETUAL HELP SCH 70469 OUR LADY OF TEPEYAC Urban Private School None HIGH SCH 70468 OUR LADY OF TEPAYAC Urban Private School; Pre-K None SCHOOL 69264 OUR LADY OF THE Urban None Private School None RIDGE SCHOOL 70759 OUR LADY OF THE Urban None Private School; Pre-K None SNOWS SCHOOL 68149 OUR LADY OF THE Urban None Pre-K; Private School None WAYSIDE SCHOOL 70629 OUR LADY OF VICTORY Urban None Pre-K; Private School None SCHOOL 70648 JOHN PAUL II Urban Pre-K; Private School None CATHOLIC SCHOOL 69137 POPE JOHN XXIII Urban Pre-K; Private School None SCHOOL 68345 PRINCE OF PEACE Urban None Private School; Pre-K None SCHOOL 70896 QUEEN OF ALL Urban None Private School; Pre-K None SCHOOL 70525 QUEEN OF ANGELS Urban None Private School; Pre-K None SCHOOL 71009 QUEEN OF MARTYRS Urban None Pre-K; Private School None SCHOOL 68166 QUEEN OF THE ROSARY Urban None Pre-K; Private School None SCHOOL 70611 QUEEN OF THE Urban None Private School; Pre-K None UNIVERSE SCHOOL 70274 SACRED HEART Urban None Pre-K; Private School None SCHOOL 68953 SACRED HEART Urban None Private School; Pre-K None SCHOOL 68614 SACRED HEART Urban None Private School; Pre-K None SCHOOL 70236 SANTA LUCIA SCHOOL Urban None Pre-K; Private School None 69654 SETON ACADEMY Urban None Private School None 69423 SS CYRIL AND Urban None Private School; Pre-K None METHODIUS SCHOOL 70515 ST. AGATHA ACADEMY Urban Pre-K; Private School None 68623 SS FAITH HOPE & Urban None Pre-K; Private School None CHARITY SCHOOL 69247 ST AGNES SCHOOL Urban None Pre-K; Private School None 70486 ST AGNES SCHOOL Urban None Pre-K; Private School None 70342 ST AILBE SCHOOL Urban Private School; Pre-K None 69583 ST ALBERT THE GREAT Urban None Private School; Pre-K None SCHOOL 69602 ST ALEXANDER SCHOOL Urban None Pre-K; Private School None 69424 SS ALPHONSUS/ Urban None Pre-K; Private School None PATRICK SCHOOL 68552 ST ANASTASIA SCHOOL Urban None Pre-K; Private School None Page 3 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 70186 ST ANDREW ELEM Urban None Pre-K; Private School None 70940 ST ANGELA SCHOOL Urban Pre-K; Private School None 70043 ST ANN GRADE SCHOOL Urban Private School; Pre-K None 69415 ST ANN SCHOOL Urban None Private School None 68181 ST ANNE BARRINGTON Urban None Pre-K; Private School None SCHOOL 69126 ST ATHANASIUS Urban None Private School None SCHOOL 70065 ST BARBARA ELE Urban None Pre-K; Private School None THROOP SCHOOL 70838 ST SCHOOL Urban None Pre-K; Private School None 70817 ST BARTHOLOMEW Urban None Private School; Pre-K None SCHOOL 68325 ST SCHOOL Urban None Private School; Pre-K None 70966 ST BEDE THE Urban None Private School; Pre-K None VENERABLE SCHOOL 69206 ST BENEDICT SCHOOL Urban None Pre-K; Private School None 70297 ST BENEDICT Urban None Private School; Pre-K None ELEMENTARY SCHOOL 70298 ST BENEDICT HIGH Urban None Private School None SCHOOL 70662 ST BRUNO SCHOOL Urban None Private School; Pre-K None 71005 ST CAJETAN SCHOOL Urban None Private School; Pre-K None 68265 ST CATHERINE Urban None Pre-K; Private School None LABOURE SCHOOL 69553 ST CATHERINE OF Urban None Pre-K; Private School None ALEXANDRIA SCH 69158 SS CATHERINE SIENA- Urban None Pre-K; Private School None ST LUCY SCH 71069 ST CELESTINE SCHOOL Urban None Pre-K; Private School None 71011 ST CHRISTINA SCHOOL Urban None Pre-K; Private School None 69475 ST CHRISTOPHER Urban None Private School; Pre-K None SCHOOL 70194 ST CLEMENT SCHOOL Urban None Private School; Pre-K None 69854 ST CLETUS SCHOOL Urban None Pre-K; Private School None 68176 ST COLETTE SCHOOL Urban None Pre-K; Private School None 70316 AUGUSTUS TOLTON Urban None Private School; Pre-K None CATHOLIC ACADEMY 70621 ST CONSTANCE Urban None Pre-K; Private School None SCHOOL 70619 ST CORNELIUS SCHOOL Urban None Private School; Pre-K None 68977 ST SCHOOL Urban None Private School; Pre-K None 69530 ST DAMIAN SCHOOL Urban None Private School None 70752 ST DANIEL THE Urban None Private School; Pre-K None PROPHET SCHOOL 69154 ST EDMUND SCHOOL Urban None Private School; Pre-K None 70630 ST EDWARD SCHOOL Urban None Private School; Pre-K None 70985 ST ELIZABETH SCHOOL Urban None Pre-K; Private School None 68406 ST EMILY SCHOOL Urban None Private School; Pre-K None 70370 ST ETHELREDA SCHOOL Urban Pre-K; Private School None 71019 ST EUGENE SCHOOL Urban None Pre-K; Private School None

Page 4 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 70697 ST FERDINAND SCHOOL Urban None Private School; Pre-K None 70669 ST FLORIAN SCHOOL Urban None Pre-K; Private School None 71094 ST FRANCES OF Urban None Private School; Pre-K None SCHOOL 70687 ST FRANCIS BORGIA Urban None Pre-K; Private School None SCHOOL 70282 ST Urban None Private School None HIGH SCH 68357 ST FRANCIS DE SALES Urban None Private School None SCHOOL 69845 ST Urban None Private School; Pre-K None SCHOOL 68611 ST FRANCIS XAVIER Urban None Pre-K; Private School None SCHOOL 70084 ST SCHOOL Urban None Pre-K; Private School None 70603 ST GALL SCHOOL Urban None Pre-K; Private School None 70780 ST SCHOOL Urban None Pre-K; Private School None 69679 ST GEORGE SCHOOL Urban None Private School None 69540 ST GERALD SCHOOL Urban None Pre-K; Private School None 69545 ST GERMAINE SCHOOL Urban None Pre-K; Private School None 68280 ST GILBERT SCHOOL Urban None Private School; Pre-K None 69147 ST GILES SCHOOL Urban None Private School; Pre-K None 70430 ST HELEN SCHOOL Urban None Private School; Pre-K None 71051 ST HILARY SCHOOL Urban None Private School; Pre-K None 69100 ST HUBERT SCHOOL Urban None Private School; Pre-K None 68144 ST JAMES SCHOOL Urban None Pre-K; Private School None 70753 ST JANE DE CHANTAL Urban None Pre-K; Private School None SCHOOL 70233 ST SCHOOL Urban None Pre-K; Private School None 69144 ST Urban None Pre-K; Private School None SCHOOL 70902 ST JOHN BERCHMANS Urban None Private School; Pre-K None SCHOOL 71084 ST JOHN BREBEUF Urban None Pre-K; Private School None SCHOOL 70564 ST JOHN DE LA SALLE Urban None Private School; Pre-K None SCHOOL 71007 ST Urban None Private School; Pre-K None SCHOOL 69955 ST Urban None Pre-K; Private School None SCHOOL 68721 ST JOHN THE Urban None Private School None EVANGELIST SCHOOL 68964 ST JOHN VIANNEY Urban None Pre-K; Private School None SCHOOL 70195 ST JOSAPHAT Urban None Private School; Pre-K None 69345 ST JOSEPH SCHOOL Urban None Private School; Pre-K None 68368 ST JOSEPH SCHOOL Urban None Private School; Pre-K None 68515 ST JOSEPH SCHOOL Urban None Pre-K; Private School None 69704 ST JOSEPH 73RD Urban None Pre-K; Private School None SUMMIT 16027043 ST JOSEPH SCHOOL Urban None Pre-K; Private School None

Page 5 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 70642 ST JULIANA SCHOOL Urban None Private School; Pre-K None 69192 ST LEONARD SCHOOL Urban None Private School; Pre-K None 69551 ST LINUS SCHOOL Urban None Private School; Pre-K None 69535 ST LOUIS DE MONTFORT Urban None Pre-K; Private School None SCHOOL 69859 ST LOUISE DE MARILLAC Urban None Private School; Pre-K None SCHOOL 69172 ST LUKE SCHOOL Urban None Private School; Pre-K None 70145 ST MALACHY SCHOOL Urban Pre-K; Private School None 70880 ST MARGARET MARY Urban None Pre-K; Private School None SCHOOL 70834 ST MARGARET OF Urban Private School; Pre-K None SCOTLAND SCHOOL 69006 ST Urban None Pre-K; Private School None SCHOOL 68586 ST MARY SCHOOL Urban None Pre-K; Private School None 68335 ST MARY LAKE FOREST Urban None Private School None SCHOOL 68427 ST MARY SCHOOL Urban None Private School; Pre-K None 70405 ST MARY OF THE Urban None Pre-K; Private School None ANGELS SCHOOL 70180 ST MARY OF THE LAKE Urban Pre-K; Private School None SCHOOL 70891 ST MARY OF THE Urban None Private School; Pre-K None WOODS SCHOOL 69933 ST MARY SCHOOL Urban None Private School; Pre-K None 70617 ST MARY STAR OF THE Urban None Private School; Pre-K None SEA SCHOOL 70523 ST MATTHIAS SCHOOL Urban None Pre-K; Private School None 69592 ST SCHOOL Urban None Private School None 70255 ST MICHAEL SCHOOL Urban None Private School; Pre-K None 71025 ST MONICA SCHOOL Urban None Private School; Pre-K None 70608 ST NICHOLAS OF Urban Pre-K; Private School None TOLENTINE SCH 68443 ST NORBERT SCHOOL Urban None Private School; Pre-K None 69185 ST ODILO ELEMENTARY Urban None Pre-K; Private School None SCHOOL 70686 ST PASCAL SCHOOL Urban None Private School; Pre-K None 69566 ST PATRICIA SCHOOL Urban None Pre-K; Private School None 68489 ST PAUL OF THE CROSS Urban None Private School; Pre-K None SCHOOL 68126 ST PETER SCHOOL Urban None Pre-K; Private School None 70927 ST PHILIP NERI SCHOOL Urban Private School; Pre-K None 70046 ST PIUS V SCHOOL Urban None Pre-K; Private School None 70040 ST PROCOPIUS SCHOOL Urban Pre-K; Private School None 68409 ST RAYMOND SCHOOL Urban None Private School; Pre-K None 70664 ST RICHARD SCHOOL Urban None Pre-K; Private School None 70625 ST ROBERT Urban None Private School None BELLARMINE SCHOOL 70364 ST SABINA SCHOOL Urban Private School; Pre-K None 70420 ST STANISLAUS KOSTKA Urban None Pre-K; Private School None SCHOOL Page 6 BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 70908 ST SYLVESTER SCHOOL Urban None Private School; Pre-K None 70766 ST SYMPHOROSA Urban None Private School; Pre-K None SCHOOL 70897 ST TARCISSIUS SCHOOL Urban None Private School; Pre-K None 70633 ST THECLA SCHOOL Urban None Private School; Pre-K None 68465 ST THERESA SCHOOL Urban None Private School; Pre-K None 70226 ST THERESE SCHOOL Urban None Private School; Pre-K None 70799 ST THOMAS OF Urban Pre-K; Private School None CANTERBURY SCHOOL 68470 ST THOMAS OF Urban None Pre-K; Private School None VILLANOVA SCHOOL 70222 ST THOMAS THE Urban None Private School; Pre-K None APOSTLE SCHOOL 70819 ST VIATOR SCHOOL Urban None Pre-K; Private School None 70853 ST WALTER SCHOOL Urban None Private School; Pre-K None 71072 ST WILLIAM SCHOOL Urban None Pre-K; Private School None 68237 ST ZACHARY SCHOOL Urban None Pre-K; Private School None 68550 TRANSFIGURATION Urban None Pre-K; Private School None WAUCOND SCHOOL 70115 VISITATION SCHOOL Urban Pre-K; Private School None 69168 ST VINCENT FERRER Urban None Private School None SCHOOL 68502 ST Urban None Private School; Pre-K None SCHOOL

Related Child School Entity - Discount Rate Calculation Details BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 70709 ACADEMY OF ST. BENEDICT - LAFLIN Urban 233 N/A 100.00% 71035 ST ALPHONSUS ELEMENTARY SCHOOL Urban 503 N/A 70288 ANNUNCIATA SCHOOL Urban 189 N/A 69160 ASCENSION SCHOOL Urban 390 N/A 70076 BRIDGEPORT CATHOLIC ACAD SOUTH Urban 271 N/A 16061682 CARDINAL BERNARDIN EARLY CHILDHOOD CENTER Urban 152 N/A 207913 CARDINAL JOSEPH BERNARDIN CATHOLIC SCHOOL Urban 198 N/A 70166 CHILDREN OF PEACE SCHOOL Urban 198 N/A 69220 CHRIST OUR SAVIOR SCHOOL Urban 370 N/A 70373 CHRIST THE KING SCHOOL Urban 322 N/A 68545 ST PATRICK SCHOOL Urban 485 N/A 68940 DIVINE INFANT JESUS SCHOOL Urban 167 N/A 68941 DIVINE PROVIDENCE SCHOOL Urban 258 N/A 70474 EPIPHANY SCHOOL Urban 224 N/A 100.00% 16061686 FRASSATI CATHOLIC ACADEMY Urban 149 N/A 158804 HOLY ANGELS Urban 191 N/A 100.00% 68219 HOLY CROSS SCHOOL Urban 147 N/A 16061687 HOLY FAMILY CATHOLIC ACADEMY Urban 455 N/A 231507 ELEMENTARY SCHOOL Urban 215 N/A

Page 7 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 16046237 IMMACULATE CONCEPTION SCHOOL Urban 450 N/A 70638 IMMACULATE CONCEPTION SCHOOL Urban 541 N/A 69609 INCARNATION SCHOOL Urban 165 N/A 69294 INFANT JESUS OF PRAGUE SCHOOL Urban 301 N/A 70355 LEO HIGH SCHOOL Urban 131 N/A 68493 MARY SEAT OF WISDOM SCHOOL Urban 556 N/A 70947 MATERNITY BVM SCHOOL Urban 207 N/A 100.00% 68571 MOST BLESSED TRINITY ACADEMY Urban 244 N/A 100.00% 71115 MOST HOLY REDEEMER SCHOOL Urban 374 N/A 71039 MOUNT CARMEL ACADEMY LAKEVIEW Urban 284 N/A 71056 NORTHSIDE CATH ACAD ST GERTRUD Urban 541 N/A 70699 NOTRE DAME HIGH SCHOOL FOR GIRLS Urban 66 N/A 16046236 OLD ST. MARY SCHOOL Urban 465 N/A 71112 OUR LADY OF CHARITY SCHOOL Urban 255 N/A 70904 OUR LADY OF GRACE SCHOOL Urban 196 N/A 100.00% 70271 OUR LADY OF GUADALUPE SCHOOL Urban 170 N/A 100.00% 68657 OUR LADY OF HUMILITY SCHOOL Urban 298 N/A 68272 OUR LADY OF PERPETUAL HELP SCH Urban 850 N/A 70469 OUR LADY OF TEPEYAC HIGH SCH Urban 150 N/A 100.00% 70468 OUR LADY OF TEPAYAC SCHOOL Urban 180 N/A 100.00% 69264 OUR LADY OF THE RIDGE SCHOOL Urban 133 N/A 70759 OUR LADY OF THE SNOWS SCHOOL Urban 188 N/A 68149 OUR LADY OF THE WAYSIDE SCHOOL Urban 457 N/A 70629 OUR LADY OF VICTORY SCHOOL Urban 160 N/A 70648 POPE JOHN PAUL II CATHOLIC SCHOOL Urban 190 N/A 100.00% 69137 POPE JOHN XXIII SCHOOL Urban 232 N/A 100.00% 68345 PRINCE OF PEACE SCHOOL Urban 269 N/A 70896 QUEEN OF ALL SAINTS SCHOOL Urban 656 N/A 70525 QUEEN OF ANGELS SCHOOL Urban 457 N/A 71009 QUEEN OF MARTYRS SCHOOL Urban 238 N/A 68166 QUEEN OF THE ROSARY SCHOOL Urban 249 N/A 70611 QUEEN OF THE UNIVERSE SCHOOL Urban 166 N/A 70274 SACRED HEART SCHOOL Urban 174 N/A 68953 SACRED HEART SCHOOL Urban 195 N/A 68614 SACRED HEART SCHOOL Urban 192 N/A 70236 SANTA LUCIA SCHOOL Urban 107 N/A 69654 SETON ACADEMY Urban 137 N/A 69423 SS CYRIL AND METHODIUS SCHOOL Urban 336 N/A 70515 ST. AGATHA ACADEMY Urban 78 N/A 47.00% 68623 SS FAITH HOPE & CHARITY SCHOOL Urban 349 N/A 69247 ST AGNES SCHOOL Urban 215 N/A 70486 ST AGNES SCHOOL Urban 428 N/A 70342 ST AILBE SCHOOL Urban 220 N/A 100.00% 69583 ST ALBERT THE GREAT SCHOOL Urban 177 N/A 69602 ST ALEXANDER SCHOOL Urban 242 N/A Page 8 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 69424 SS ALPHONSUS/PATRICK SCHOOL Urban 169 N/A 68552 ST ANASTASIA SCHOOL Urban 230 N/A 70186 ST ANDREW ELEM Urban 466 N/A 70940 ST ANGELA SCHOOL Urban 291 N/A 100.00% 70043 ST ANN GRADE SCHOOL Urban 223 N/A 100.00% 69415 ST ANN SCHOOL Urban 188 N/A 68181 ST ANNE BARRINGTON SCHOOL Urban 320 N/A 69126 ST ATHANASIUS SCHOOL Urban 253 N/A 70065 ST BARBARA ELE THROOP SCHOOL Urban 143 N/A 70838 ST BARNABAS SCHOOL Urban 604 N/A 70817 ST BARTHOLOMEW SCHOOL Urban 204 N/A 68325 ST BEDE SCHOOL Urban 220 N/A 70966 ST BEDE SCHOOL Urban 312 N/A 69206 ST BENEDICT SCHOOL Urban 174 N/A 70297 ST BENEDICT ELEMENTARY SCHOOL Urban 761 N/A 70298 ST BENEDICT HIGH SCHOOL Urban 103 N/A 70662 ST BRUNO SCHOOL Urban 235 N/A 71005 ST CAJETAN SCHOOL Urban 400 N/A 68265 ST CATHERINE LABOURE SCHOOL Urban 239 N/A 69553 ST CATHERINE OF ALEXANDRIA SCH Urban 444 N/A 69158 SS CATHERINE SIENA-ST LUCY SCH Urban 434 N/A 71069 ST CELESTINE SCHOOL Urban 183 N/A 71011 ST CHRISTINA SCHOOL Urban 438 N/A 69475 ST CHRISTOPHER SCHOOL Urban 197 N/A 70194 ST CLEMENT SCHOOL Urban 461 N/A 69854 ST CLETUS SCHOOL Urban 430 N/A 68176 ST COLETTE SCHOOL Urban 192 N/A 70316 AUGUSTUS TOLTON CATHOLIC ACADEMY Urban 195 N/A 70621 ST CONSTANCE SCHOOL Urban 167 N/A 70619 ST CORNELIUS SCHOOL Urban 110 N/A 68977 ST CYPRIAN SCHOOL Urban 137 N/A 69530 ST DAMIAN SCHOOL Urban 389 N/A 70752 ST DANIEL THE PROPHET SCHOOL Urban 651 N/A 69154 ST EDMUND SCHOOL Urban 108 N/A 70630 ST EDWARD SCHOOL Urban 370 N/A 70985 ST ELIZABETH SCHOOL Urban 218 N/A 68406 ST EMILY SCHOOL Urban 325 N/A 70370 ST ETHELREDA SCHOOL Urban 265 N/A 100.00% 71019 ST EUGENE SCHOOL Urban 207 N/A 70697 ST FERDINAND SCHOOL Urban 277 N/A 70669 ST FLORIAN SCHOOL Urban 89 N/A 71094 ST FRANCES OF ROME SCHOOL Urban 202 N/A 70687 ST FRANCIS BORGIA SCHOOL Urban 206 N/A 70282 ST FRANCIS DE SALES HIGH SCH Urban 125 N/A 68357 ST FRANCIS DE SALES SCHOOL Urban 375 N/A Page 9 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 69845 ST FRANCIS XAVIER SCHOOL Urban 561 N/A 68611 ST FRANCIS XAVIER SCHOOL Urban 462 N/A 70084 ST GABRIEL SCHOOL Urban 191 N/A 70603 ST GALL SCHOOL Urban 249 N/A 70780 ST GENEVIEVE SCHOOL Urban 205 N/A 69679 ST GEORGE SCHOOL Urban 187 N/A 69540 ST GERALD SCHOOL Urban 361 N/A 69545 ST GERMAINE SCHOOL Urban 178 N/A 68280 ST GILBERT SCHOOL Urban 436 N/A 69147 ST GILES SCHOOL Urban 472 N/A 70430 ST HELEN SCHOOL Urban 340 N/A 71051 ST HILARY SCHOOL Urban 194 N/A 69100 ST HUBERT SCHOOL Urban 361 N/A 68144 ST JAMES SCHOOL Urban 508 N/A 70753 ST JANE DE CHANTAL SCHOOL Urban 253 N/A 70233 ST JEROME SCHOOL Urban 174 N/A 69144 ST JOAN OF ARC SCHOOL Urban 211 N/A 70902 ST JOHN BERCHMANS SCHOOL Urban 215 N/A 71084 ST JOHN BREBEUF SCHOOL Urban 260 N/A 70564 ST JOHN DE LA SALLE SCHOOL Urban 130 N/A 71007 ST JOHN FISHER SCHOOL Urban 708 N/A 69955 ST JOHN OF THE CROSS SCHOOL Urban 643 N/A 68721 ST SCHOOL Urban 234 N/A 68964 ST JOHN VIANNEY SCHOOL Urban 177 N/A 70195 ST JOSAPHAT Urban 393 N/A 69345 ST JOSEPH SCHOOL Urban 180 N/A 68368 ST JOSEPH SCHOOL Urban 454 N/A 68515 ST JOSEPH SCHOOL Urban 70 N/A 69704 ST JOSEPH 73RD SUMMIT Urban 180 N/A 16027043 ST JOSEPH SCHOOL Urban 243 N/A 70642 ST JULIANA SCHOOL Urban 454 N/A 69192 ST LEONARD SCHOOL Urban 217 N/A 69551 ST LINUS SCHOOL Urban 341 N/A 69535 ST LOUIS DE MONTFORT SCHOOL Urban 131 N/A 69859 ST LOUISE DE MARILLAC SCHOOL Urban 134 N/A 69172 ST LUKE SCHOOL Urban 352 N/A 70145 ST MALACHY SCHOOL Urban 223 N/A 98.51% 70880 ST MARGARET MARY SCHOOL Urban 166 N/A 70834 ST MARGARET OF SCOTLAND SCHOOL Urban 218 N/A 100.00% 69006 ST MARIA GORETTI SCHOOL Urban 191 N/A 68586 ST MARY SCHOOL Urban 435 N/A 68335 ST MARY LAKE FOREST SCHOOL Urban 514 N/A 68427 ST MARY SCHOOL Urban 151 N/A 70405 ST MARY OF THE ANGELS SCHOOL Urban 229 N/A 70180 ST MARY OF THE LAKE SCHOOL Urban 256 N/A 100.00% Page 10 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 70891 ST MARY OF THE WOODS SCHOOL Urban 365 N/A 69933 ST MARY SCHOOL Urban 394 N/A 70617 ST MARY STAR OF THE SEA SCHOOL Urban 228 N/A 70523 ST MATTHIAS SCHOOL Urban 375 N/A 69592 ST MICHAEL SCHOOL Urban 614 N/A 70255 ST MICHAEL SCHOOL Urban 124 N/A 71025 ST MONICA SCHOOL Urban 265 N/A 70608 ST NICHOLAS OF TOLENTINE SCH Urban 376 N/A 100.00% 68443 ST NORBERT SCHOOL Urban 172 N/A 69185 ST ODILO ELEMENTARY SCHOOL Urban 207 N/A 70686 ST PASCAL SCHOOL Urban 232 N/A 69566 ST PATRICIA SCHOOL Urban 171 N/A 68489 ST PAUL OF THE CROSS SCHOOL Urban 612 N/A 68126 ST PETER SCHOOL Urban 119 N/A 70927 ST PHILIP NERI SCHOOL Urban 147 N/A 100.00% 70046 ST PIUS V SCHOOL Urban 220 N/A 70040 ST PROCOPIUS SCHOOL Urban 234 N/A 100.00% 68409 ST RAYMOND SCHOOL Urban 485 N/A 70664 ST RICHARD SCHOOL Urban 279 N/A 70625 ST SCHOOL Urban 372 N/A 70364 ST SABINA SCHOOL Urban 243 N/A 100.00% 70420 ST STANISLAUS KOSTKA SCHOOL Urban 166 N/A 70908 ST SYLVESTER SCHOOL Urban 310 N/A 70766 ST SYMPHOROSA SCHOOL Urban 214 N/A 70897 ST TARCISSIUS SCHOOL Urban 514 N/A 70633 ST THECLA SCHOOL Urban 231 N/A 68465 ST THERESA SCHOOL Urban 344 N/A 70226 ST THERESE SCHOOL Urban 305 N/A 70799 ST THOMAS OF CANTERBURY SCHOOL Urban 245 N/A 100.00% 68470 ST THOMAS OF VILLANOVA SCHOOL Urban 195 N/A 70222 ST SCHOOL Urban 269 N/A 70819 ST VIATOR SCHOOL Urban 296 N/A 70853 ST WALTER SCHOOL Urban 144 N/A 71072 ST WILLIAM SCHOOL Urban 162 N/A 68237 ST ZACHARY SCHOOL Urban 160 N/A 68550 TRANSFIGURATION WAUCOND SCHOOL Urban 88 N/A 70115 VISITATION SCHOOL Urban 162 N/A 100.00% 69168 ST VINCENT FERRER SCHOOL Urban 281 N/A 68502 ST ALPHONSUS LIGUORI SCHOOL Urban 156 N/A

Discount Rate School District School District School District School District Category One Category Two Voice Enrollment NSLP Count NSLP Percentage Urban/ Discount Rate Discount Rate Discount Rate Rural Status 54234 12272 23.0% Urban 50% 50% 0% Page 11 Funding Request for FRN #1799011617 Funding Request Nickname: STMARGARETSSCAt117.002

Service Type: Data Transmission and/or Internet Access

Agreement Information - Month-to-Month Establishing FCC Form 470 Account Number

Was an FCC Form 470 posted No Service Provider Comcast Business for the product and/or services Communications (SPN: you are requesting? 143003990)

How many bids were received 0 When will the services end? June 30, 2018 for this contract?

What is the service start date? July 01, 2017

Pricing Confidentiality Is there a statute, rule, or other restriction which prohibits No publication of the specific pricing information for this contract?

Internet Service Narrative

Page 12 Line Item # 1799011617.001

Product and Service Details Internet access service that includes a connection from any applicant site directly to the Purpose Internet Service Provider

Function Copper

Type of Connection Cable Modem Bandwidth Speed Upload Speed 20.0 Mbps Download Speed 100.0 Mbps

Connection Information Does this include firewall services? No Is this a connection between eligible schools, No libraries and NIFs (i.e., a connection that provides a “Wide area network”)?

Is this a direct connection to a single school, Yes library or a NIF for Internet access?

Cost Calculation for FRN Line Item # 1799011617.001

Monthly Cost One-Time Cost Monthly Recurring Unit Cost $214.90 One-time Unit Cost $0.00 Monthly Recurring Unit Ineligible - $0.00 One-time Ineligible Unit Costs - $0.00 Costs One-time Eligible Unit Cost = $0.00 Monthly Recurring Unit Eligible = $214.90 One-time Quantity x 0 Costs Monthly Quantity x 1 Total Eligible One-time Costs = $0.00 Total Monthly Eligible Recurring = $214.90 Costs Summary Months of Service x 12 Total Eligible Recurring Costs $2,578.80 Total Eligible Recurring Costs = $2,578.80 Total Eligible One-time Costs + $0.00 Pre-Discount Extended Eligible = $2,578.80 Line Item Cost

Page 13 Recipients of Services BEN Name 70834 ST MARGARET OF SCOTLAND SCHOOL

Page 14 FRN Calculation for FRN #1799011617

Monthly Charges Total Requested Amount Total Monthly Recurring Charges $214.90 Total Eligible Pre-Discount $2,578.80 Total Monthly Ineligible Charges - $0.00 Recurring Charges Total Eligible Pre-Discount One- + $0.00 Total Monthly Eligible Charges = $214.90 Time Charges Total Number of Months of x 12 Total Pre-Discount Charges = $2,578.80 Service Discount Rate 50% Total Eligible Pre-Discount = $2,578.80 Recurring Charges Funding Commitment Request = $1,289.40

One-Time Charges Total One-Time Charges $0.00 Total Ineligible One-Time - $0.00 Charges Total Eligible Pre-Discount = $0.00 One-Time Charges

Page 15 Connectivity Questions

Per Entity Basis Questions Entity Name The Catholic Bishop of Chicago Entity Number 17000574 BEN Entity Name Download Units Upload Units Connection Wifi Barriers Sufficient to Robust Network 70709 ACADEMY OF ST. BENEDICT - LAFLIN 50.00 Mbps 10.00 Mbps Cable Mostly Installation Modem too costly 71035 ST ALPHONSUS ELEMENTARY SCHOOL 150.00 Mbps 20.00 Mbps Cable Mostly No barriers Modem 70288 ANNUNCIATA SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69160 ASCENSION SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 70076 BRIDGEPORT CATHOLIC ACAD SOUTH 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 16061682 CARDINAL BERNARDIN EARLY CHILDHO 12.00 Mbps 1.00 Mbps Copper Sometimes Equipment OD CENTER too costly 207913 CARDINAL JOSEPH BERNARDIN CATHOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation IC SCHOOL Modem too costly 70166 CHILDREN OF PEACE SCHOOL 13.50 Mbps 2.50 Mbps Copper Sometimes Broadband c onnection sp eed to buildin g is too slow 69220 CHRIST OUR SAVIOR SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70373 CHRIST THE KING SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 68545 ST PATRICK SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 68940 DIVINE INFANT JESUS SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 68941 DIVINE PROVIDENCE SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 70474 EPIPHANY SCHOOL 6.00 Mbps 1.00 Mbps Copper Never Broadband c onnection sp eed to buildin g is too slow 16061686 FRASSATI CATHOLIC ACADEMY 75.00 Mbps 15.00 Mbps Cable Mostly Installation Modem too costly 158804 HOLY ANGELS 75.00 Mbps 15.00 Mbps Cable Sometimes Installation Modem too costly 68219 HOLY CROSS SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Equipment Modem too costly 16061687 HOLY FAMILY CATHOLIC ACADEMY 166.00 Mbps 23.00 Mbps Cable Sometimes Installation Modem too costly 231507 IMMACULATE CONCEPTION ELEMENTAR 100.00 Mbps 20.00 Mbps Cable Mostly Installation Y SCHOOL Modem too costly 16046237 IMMACULATE CONCEPTION SCHOOL 350.00 Mbps 310.00 Mbps Fiber Mostly No barriers 70638 IMMACULATE CONCEPTION SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69609 INCARNATION SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69294 INFANT JESUS OF PRAGUE SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70355 LEO HIGH SCHOOL 75.00 Mbps 15.00 Mbps Cable Mostly Installation Modem too costly

Page 16 BEN Entity Name Download Units Upload Units Connection Wifi Barriers Sufficient to Robust Network 68493 MARY SEAT OF WISDOM SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 70947 MATERNITY BVM SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 68571 MOST BLESSED TRINITY ACADEMY 66.00 Mbps 53.00 Mbps Fiber Mostly Installation too costly 71115 MOST HOLY REDEEMER SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 71039 MOUNT CARMEL ACADEMY LAKEVIEW 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 71056 NORTHSIDE CATH ACAD ST GERTRUD 300.00 Mbps 60.00 Mbps Cable Mostly Installation Modem too costly 70699 NOTRE DAME HIGH SCHOOL FOR GIRLS 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 16046236 OLD ST. MARY SCHOOL 85.00 Mbps 25.00 Mbps Cable Sometimes Installation Modem too costly 71112 OUR LADY OF CHARITY SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 70904 OUR LADY OF GRACE SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 70271 OUR LADY OF GUADALUPE SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 68657 OUR LADY OF HUMILITY SCHOOL 250.00 Mbps 250.00 Mbps Fiber Mostly Installation too costly 68272 OUR LADY OF PERPETUAL HELP SCH 150.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 70469 OUR LADY OF TEPEYAC HIGH SCH 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70468 OUR LADY OF TEPAYAC SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69264 OUR LADY OF THE RIDGE SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70759 OUR LADY OF THE SNOWS SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 68149 OUR LADY OF THE WAYSIDE SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 70629 OUR LADY OF VICTORY SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Physical s Modem tructure or layout of building(s) 70648 POPE JOHN PAUL II CATHOLIC SCHOOL 50.00 Mbps 10.00 Mbps Cable Mostly Equipment Modem too costly 69137 POPE JOHN XXIII SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 68345 PRINCE OF PEACE SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70896 QUEEN OF ALL SAINTS SCHOOL 300.00 Mbps 40.00 Mbps Cable Sometimes Physical s Modem tructure or layout of building(s) 70525 QUEEN OF ANGELS SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 71009 QUEEN OF MARTYRS SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 68166 QUEEN OF THE ROSARY SCHOOL 30.00 Mbps 6.00 Mbps Cable Sometimes Installation Modem too costly

Page 17 BEN Entity Name Download Units Upload Units Connection Wifi Barriers Sufficient to Robust Network 70611 QUEEN OF THE UNIVERSE SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 70274 SACRED HEART SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 68953 SACRED HEART SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 68614 SACRED HEART SCHOOL 50.00 Mbps 50.00 Mbps Fiber Sometimes Installation too costly 70236 SANTA LUCIA SCHOOL 150.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 69654 SETON ACADEMY 50.00 Mbps 50.00 Mbps Fiber Mostly Installation too costly 69423 SS CYRIL AND METHODIUS SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70515 ST. AGATHA ACADEMY 50.00 Mbps 10.00 Mbps Cable Mostly Installation Modem too costly 68623 SS FAITH HOPE & CHARITY SCHOOL 150.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 69247 ST AGNES SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 70486 ST AGNES SCHOOL 50.00 Mbps 50.00 Mbps Fiber Mostly Installation too costly 70342 ST AILBE SCHOOL 75.00 Mbps 15.00 Mbps Cable Mostly Equipment Modem too costly 69583 ST ALBERT THE GREAT SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69602 ST ALEXANDER SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 69424 SS ALPHONSUS/PATRICK SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 68552 ST ANASTASIA SCHOOL 50.00 Mbps 10.00 Mbps Cable Mostly Installation Modem too costly 70186 ST ANDREW ELEM 162.00 Mbps 21.00 Mbps Cable Mostly Installation Modem too costly 70940 ST ANGELA SCHOOL 150.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 70043 ST ANN GRADE SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 69415 ST ANN SCHOOL 20.00 Mbps 20.00 Mbps Fiber Mostly Installation too costly 68181 ST ANNE BARRINGTON SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 69126 ST ATHANASIUS SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70065 ST BARBARA ELE THROOP SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70838 ST BARNABAS SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 70817 ST BARTHOLOMEW SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Physical s Modem tructure or layout of building(s) 68325 ST BEDE SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 70966 ST BEDE THE VENERABLE SCHOOL 54.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly

Page 18 BEN Entity Name Download Units Upload Units Connection Wifi Barriers Sufficient to Robust Network 69206 ST BENEDICT SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 70297 ST BENEDICT ELEMENTARY SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Physical s Modem tructure or layout of building(s) 70298 ST BENEDICT HIGH SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Physical s Modem tructure or layout of building(s) 70662 ST BRUNO SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 71005 ST CAJETAN SCHOOL 26.00 Mbps 6.00 Mbps Cable Sometimes Installation Modem too costly 68265 ST CATHERINE LABOURE SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 69553 ST CATHERINE OF ALEXANDRIA SCH 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 69158 SS CATHERINE SIENA-ST LUCY SCH 30.00 Mbps 30.00 Mbps Fixed Sometimes Broadband c Wireless onnection sp eed to buildin g is too slow 71069 ST CELESTINE SCHOOL 27.00 Mbps 5.00 Mbps Cable Sometimes Installation Modem too costly 71011 ST CHRISTINA SCHOOL 50.00 Mbps 10.00 Mbps Cable Mostly Equipment Modem too costly 69475 ST CHRISTOPHER SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70194 ST CLEMENT SCHOOL 100.00 Mbps 100.00 Mbps Fiber Mostly No barriers 69854 ST CLETUS SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 68176 ST COLETTE SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 70316 AUGUSTUS TOLTON CATHOLIC ACADEM 100.00 Mbps 20.00 Mbps Cable Mostly Installation Y Modem too costly 70621 ST CONSTANCE SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70619 ST CORNELIUS SCHOOL 75.00 Mbps 15.00 Mbps Cable Mostly Physical s Modem tructure or layout of building(s) 68977 ST CYPRIAN SCHOOL 87.00 Mbps 16.00 Mbps Cable Sometimes Installation Modem too costly 69530 ST DAMIAN SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 70752 ST DANIEL THE PROPHET SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 69154 ST EDMUND SCHOOL 75.00 Mbps 15.00 Mbps Cable Mostly No barriers Modem 70630 ST EDWARD SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Physical s Modem tructure or layout of building(s) 70985 ST ELIZABETH SCHOOL 50.00 Mbps 10.00 Mbps Cable Mostly No barriers Modem 68406 ST EMILY SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly Page 19 BEN Entity Name Download Units Upload Units Connection Wifi Barriers Sufficient to Robust Network 70370 ST ETHELREDA SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 71019 ST EUGENE SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Physical s Modem tructure or layout of building(s) 70697 ST FERDINAND SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70669 ST FLORIAN SCHOOL 54.00 Mbps 10.00 Mbps Cable Mostly Installation Modem too costly 71094 ST FRANCES OF ROME SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Equipment Modem too costly 70687 ST FRANCIS BORGIA SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70282 ST FRANCIS DE SALES HIGH SCH 100.00 Mbps 100.00 Mbps Fiber Mostly Installation too costly 68357 ST FRANCIS DE SALES SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 69845 ST FRANCIS XAVIER SCHOOL 200.00 Mbps 120.00 Mbps Fiber Mostly Physical s tructure or layout of building(s) 68611 ST FRANCIS XAVIER SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 70084 ST GABRIEL SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70603 ST GALL SCHOOL 50.00 Mbps 10.00 Mbps Cable Mostly Installation Modem too costly 70780 ST GENEVIEVE SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69679 ST GEORGE SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69540 ST GERALD SCHOOL 50.00 Mbps 10.00 Mbps Cable Mostly Installation Modem too costly 69545 ST GERMAINE SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 68280 ST GILBERT SCHOOL 150.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69147 ST GILES SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 70430 ST HELEN SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 71051 ST HILARY SCHOOL 27.00 Mbps 5.00 Mbps Cable Sometimes Installation Modem too costly 69100 ST HUBERT SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 68144 ST JAMES SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 70753 ST JANE DE CHANTAL SCHOOL 24.00 Mbps 2.00 Mbps Copper Mostly Installation too costly 70233 ST JEROME SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 69144 ST JOAN OF ARC SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70902 ST JOHN BERCHMANS SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Physical s Modem tructure or

Page 20 BEN Entity Name Download Units Upload Units Connection Wifi Barriers Sufficient to Robust Network layout of building(s) 71084 ST JOHN BREBEUF SCHOOL 120.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 70564 ST JOHN DE LA SALLE SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 71007 ST JOHN FISHER SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 69955 ST JOHN OF THE CROSS SCHOOL 100.00 Mbps 100.00 Mbps Fiber Mostly Installation too costly 68721 ST JOHN THE EVANGELIST SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 68964 ST JOHN VIANNEY SCHOOL 75.00 Mbps 15.00 Mbps Cable Sometimes Installation Modem too costly 70195 ST JOSAPHAT 151.50 Mbps 21.50 Mbps Cable Mostly Installation Modem too costly 69345 ST JOSEPH SCHOOL 27.00 Mbps 5.00 Mbps Cable Sometimes Installation Modem too costly 68368 ST JOSEPH SCHOOL 150.00 Mbps 20.00 Mbps Cable Mostly Physical s Modem tructure or layout of building(s) 68515 ST JOSEPH SCHOOL 75.00 Mbps 15.00 Mbps Cable Mostly Installation Modem too costly 69704 ST JOSEPH 73RD SUMMIT 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 16027043 ST JOSEPH SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 70642 ST JULIANA SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69192 ST LEONARD SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 69551 ST LINUS SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 69535 ST LOUIS DE MONTFORT SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69859 ST LOUISE DE MARILLAC SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Equipment Modem too costly 69172 ST LUKE SCHOOL 51.50 Mbps 11.50 Mbps Cable Mostly Installation Modem too costly 70145 ST MALACHY SCHOOL 50.00 Mbps 10.00 Mbps Cable Mostly Installation Modem too costly 70880 ST MARGARET MARY SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70834 ST MARGARET OF SCOTLAND SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Physical s Modem tructure or layout of building(s) 69006 ST MARIA GORETTI SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly 68586 ST MARY SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 68335 ST MARY LAKE FOREST SCHOOL 200.00 Mbps 40.00 Mbps Cable Sometimes Physical s Modem tructure or layout of building(s)

Page 21 BEN Entity Name Download Units Upload Units Connection Wifi Barriers Sufficient to Robust Network 68427 ST MARY SCHOOL 50.00 Mbps 10.00 Mbps Cable Mostly Installation Modem too costly 70405 ST MARY OF THE ANGELS SCHOOL 150.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 70180 ST MARY OF THE LAKE SCHOOL 20.00 Mbps 20.00 Mbps Fiber Mostly Installation too costly 70891 ST MARY OF THE WOODS SCHOOL 200.00 Mbps 40.00 Mbps Cable Mostly Installation Modem too costly 69933 ST MARY SCHOOL 50.00 Mbps 10.00 Mbps Cable Mostly Installation Modem too costly 70617 ST MARY STAR OF THE SEA SCHOOL 75.00 Mbps 15.00 Mbps Cable Sometimes Installation Modem too costly 70523 ST MATTHIAS SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 69592 ST MICHAEL SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly No barriers Modem 70255 ST MICHAEL SCHOOL 75.00 Mbps 15.00 Mbps Cable Mostly Installation Modem too costly 71025 ST MONICA SCHOOL 27.00 Mbps 5.00 Mbps Cable Sometimes Installation Modem too costly 70608 ST NICHOLAS OF TOLENTINE SCH 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 68443 ST NORBERT SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 69185 ST ODILO ELEMENTARY SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70686 ST PASCAL SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69566 ST PATRICIA SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 68489 ST PAUL OF THE CROSS SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Installation Modem too costly 68126 ST PETER SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70927 ST PHILIP NERI SCHOOL 20.00 Mbps 20.00 Mbps Fiber Mostly Installation too costly 70046 ST PIUS V SCHOOL 24.00 Mbps 2.00 Mbps Copper Sometimes Installation too costly 70040 ST PROCOPIUS SCHOOL 27.00 Mbps 5.00 Mbps Cable Sometimes Physical s Modem tructure or layout of building(s) 68409 ST RAYMOND SCHOOL 27.00 Mbps 5.00 Mbps Cable Sometimes Installation Modem too costly 70664 ST RICHARD SCHOOL 50.00 Mbps 10.00 Mbps Cable Mostly Installation Modem too costly 70364 ST SABINA SCHOOL 20.00 Mbps 20.00 Mbps Fiber Sometimes Physical s tructure or layout of building(s) 70420 ST STANISLAUS KOSTKA SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70908 ST SYLVESTER SCHOOL 50.00 Mbps 10.00 Mbps Cable Mostly Installation Modem too costly 70766 ST SYMPHOROSA SCHOOL 16.00 Mbps 3.00 Mbps Cable Sometimes Installation Modem too costly

Page 22 BEN Entity Name Download Units Upload Units Connection Wifi Barriers Sufficient to Robust Network 70897 ST TARCISSIUS SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Physical s Modem tructure or layout of building(s) 70633 ST THECLA SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 68465 ST THERESA SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Physical s Modem tructure or layout of building(s) 70226 ST THERESE SCHOOL 75.00 Mbps 15.00 Mbps Cable Mostly Equipment Modem too costly 70799 ST THOMAS OF CANTERBURY SCHOOL 20.00 Mbps 20.00 Mbps Fiber Mostly Installation too costly 68470 ST THOMAS OF VILLANOVA SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 70222 ST THOMAS THE APOSTLE SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Equipment Modem too costly 70819 ST VIATOR SCHOOL 27.00 Mbps 5.00 Mbps Cable Sometimes Installation Modem too costly 70853 ST WALTER SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 71072 ST WILLIAM SCHOOL 100.00 Mbps 20.00 Mbps Cable Sometimes Installation Modem too costly 68237 ST ZACHARY SCHOOL 75.00 Mbps 15.00 Mbps Cable Mostly Installation Modem too costly 68550 TRANSFIGURATION WAUCOND SCHOOL 75.00 Mbps 15.00 Mbps Cable Sometimes Installation Modem too costly 70115 VISITATION SCHOOL 100.00 Mbps 20.00 Mbps Cable Mostly Installation Modem too costly 69168 ST VINCENT FERRER SCHOOL 50.00 Mbps 10.00 Mbps Cable Sometimes Physical s Modem tructure or layout of building(s) 68502 ST ALPHONSUS LIGUORI SCHOOL 30.00 Mbps 30.00 Mbps Other Sometimes Installation too costly 70625 ST ROBERT BELLARMINE SCHOOL 100.00 Mbps 20.00 Gbps Cable Mostly Physical s Modem tructure or layout of building(s)

Certifications I certify that the entities listed in this application are eligible for support because they are schools under the statutory definitions of elementary and secondary schools found in the No Child Left Behind Act of 2001, 20 U.S.C. §§ 7801(18) and (38), that do not operate as for-profit businesses and do not have endowments exceeding $50 million. I certify that the entity I represent or the entities listed on this application have secured access, separately or through this program, to all of the resources, including computers, training, software, internal connections, maintenance, and electrical capacity, necessary to use the services purchased effectively. I recognize that some of the aforementioned resources are not eligible for support. I certify that the entities I represent or the entities listed on this application have secured access to all of the resources to pay the discounted charges for eligible services from funds to which access has been secured in the current funding year. I certify that the Billed Entity will pay the non-discount portion of the cost of the goods and services to the service provider(s). Total Funding Summary

Below is a summary of the total line item costs on this FCC Form 471:

Summary Total funding year pre-discount eligible amount on this FCC Form $2,578.80 471

Page 23 Total funding commitment request amount on this FCC Form 471 $1,289.40 Total applicant non-discount share of the eligible amount $1,289.40 Total budgeted amount allocated to resources not eligible for E-rate $0.00 support Total amount necessary for the applicant to pay the non-discount $1,289.40 share of eligible and any ineligible amounts Are you receiving any of the funds directly from a service provider No listed on any of the FCC Forms 471 filed by this Billed Entity for this funding year? Has a service provider listed on any of the FCC Forms 471 filed by No this Billed Entity for this funding year assited you in locating funds needed to pay your non-discounted share?

I certify that I selected an eligible commercially available business-class Internet access service exempt from the requirement to post an FCC Form 470. I certify that the entity responsible for selecting the service provider(s) has reviewed all applicable FCC, state, and local procurement/competitive bidding requirements and that the entity or entities listed on this application have complied with them. I certify that the services the applicant purchases at discounts provided by 47 U.S.C. § 254 will be used primarily for educational purposes, see 47 C.F.R. § 54.500 and will not be sold, resold or transferred in consideration for money or any other thing of value, except as permitted by the Commission’s rules at 47 C.F.R. § 54.513. Additionally, I certify that the entity or entities listed on this application have not received anything of value or a promise of anything of value, as prohibited by the Commission’s rules at 47 C.F.R. § 54.503(d), other than services and equipment sought by means of this form, from the service provider, or any representative or agent thereof or any consultant in connection with this request for services. I certify that I and the entity(ies) I represent have complied with all program rules and I acknowledge that failure to do so may result in denial of discount funding and/or cancellation of funding commitments. There are signed contracts or other legally binding agreements covering all of the services listed on this FCC Form 471 except for those services provided under non-contracted tariffed or month-to-month arrangements. I acknowledge that failure to comply with program rules could result in civil or criminal prosecution by the appropriate law enforcement authorities. I acknowledge that the discount level used for shared services is conditional, for future years, upon ensuring that the most disadvantaged schools and libraries that are treated as sharing in the service, receive an appropriate share of benefits from those services. I certify that I will retain required documents for a period of at least 10 years (or whatever retention period is required by the rules in effect at the time of this certification) after the later of the last day of the applicable funding year or the service delivery deadline for the associated funding request. I acknowledge that I may be audited pursuant to participation in the schools and libraries program. I certify that I will retain all documents necessary to demonstrate compliance with the statute and Commission rules regarding the application for, receipt of, and delivery of services receiving schools and libraries discounts, and that if audited, I will make such records available to USAC. I certify that I am authorized to order telecommunications and other supported services for the eligible entity(ies) listed on this application. I certify that I am authorized to submit this request on behalf of the eligible entity(ies) listed on this application, that I have examined this request, that all of the information on this form is true and correct to the best of my knowledge, that the entities that are receiving discounts pursuant to this application have complied with the terms, conditions and purposes of the program, that no kickbacks were paid to anyone and that false statements on this form can be punished by fine or forfeiture under the Communications Act, 47 U.S.C. §§ 502, 503(b), or fine or imprisonment under Title 18 of the Code, 18 U.S.C. § 1001 and civil violations of the False Claims Act. I acknowledge that FCC rules provide that persons who have been convicted of criminal violations or held civilly liable for certain acts arising from their participation in the schools and libraries support mechanism are subject to suspension and debarment from the program. I will institute reasonable measures to be informed, and will notify USAC should I be informed or become aware that I or any of the entities listed on this application, or any person associated in any way with my entity and/or the entities listed on this application, is convicted of a criminal violation or held civilly liable for acts arising from their participation in the schools and libraries support mechanism. I certify that if any of the Funding Requests on this FCC Form 471 are for discounts for products or services that contain both eligible and ineligible components, that I have allocated the eligible and ineligible components as required by the Commission's rules at 47 C.F.R. § 54.504. Notice Section 54.504 of the Federal Communications Commission's rules requires all schools and libraries ordering services that are eligible for and seeking universal service discounts to submit an application for such discounts by filing this Services Ordered and Certification Form (FCC Form 471) with the Universal Service Administrator. 47 C.F.R. § 54.504. The collection of information stems from the Commission's authority under Section 254 of the Communications Act of 1934, as amended. 47 U.S.C. § 254. The data in the report will be used to ensure that schools and libraries comply with the application requirements for universal service discounts contained in 47 C.F.R. § 54.504. Schools and libraries must file this form themselves or as part of a consortium. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The FCC is authorized under the Communications Act of 1934, as amended, to collect the information we request in this form. We will use the information you provide to determine whether approving your application for universal service discounts is in the public interest. If we believe there may be a violation or a potential violation of any applicable statute, regulation, rule or order, your application may be referred to the Federal, state, or local agency responsible for investigating, prosecuting, enforcing, or implementing the statute, rule, regulation or order. In certain cases, the information in your application for universal service discounts may be disclosed to the Department of Justice or a court or adjudicative body when (a) the FCC; or (b) any employee of the FCC; or (c) the United States Government is a party of a proceeding before the body or has an interest in the proceeding. In addition, consistent with the Communications Act of 1934, FCC regulations and orders, the Freedom of Information Act, 5 U.S.C. § 552, or other applicable law, information provided in or submitted with this form or in response to subsequent inquiries may be disclosed to the public. If you owe a past due debt to the Federal government, the information you provide may also be disclosed to the Department of the Treasury Financial Management Service, other Federal agencies and/or your employer to offset your salary, IRS tax refund or other payments to collect that debt. The FCC may also provide the information to these agencies through the matching of computer records when authorized. If you do not provide the information we request on the form, the FCC or the Universal Service Administrator may delay processing of your application for universal service discounts or may return your application without action. The foregoing Notice is required by the Paperwork Reduction Act of 1995, Pub. L. No. 104-13, 44 U.S.C. § 3501, et seq. Public reporting burden for this collection of information is estimated to average 4.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing, and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the reporting burden to the Federal Communications Commission, Performance Evaluation and Records Management, Washington, DC 20554. We also will accept your comments via the email if you send them to [email protected]. DO NOT SEND COMPLETED WORKSHEETS TO THESE ADDRESSES. Page 24 Authorized Person Title: consultant Name: Jessica Martens

Phone: 312-850-4134 Email: [email protected]

Address: 233 S. WACKER DR. SUITE 3430 Employer: Jessica Martens CHICAGO IL 60606

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