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 CENIC471FY2019 K12Node Y21-R1 Sout Application Number 191013514 h - 180000110 Funding Year 2019 Category of Service Category 1 Billed Entity Contact Information CENIC-CORPORATION FOR EDUCATION NETW Cathy Benham ORK INITIATIVES IN CALIFORNIA 909-944-7798 16700 VALLEY VIEW AVENUE, SUITE 400 LA MI
[email protected] RADA CA 90638 714-220-3453
[email protected] Billed Entity Number 225495 FCC Registration Number 0011656477 Applicant Type Consortium Cassandra Patrizio -
[email protected]; Debbie Bickenbach - Holiday/Summer Contact
[email protected]; Hai Do -
[email protected]; Karen Hall - Information
[email protected] Consulting Firms Name Consultant City State Zip Phone Email Registration Code Number Number CSM Consulting Inc. 16043564 Ontario CA 91764 909-652-9104
[email protected] Entity Information Consortium Entities School Entity - Details BEN Name Urban/ State State NCES Code Alternative School Attributes Endowment Rural LEA ID School ID Discount 16072931 WOODWARD Urban Survey Charter School; None LEADERSHIP ACADEMY Public School School Entity - Discount Rate Calculation Details Page 1 BEN Name Urban/ Number of Students CEP Rural Students Count Based Percentage on Estimate 16072931 WOODWARD LEADERSHIP ACADEMY Urban 89 N/A Related School District Entity - Details BEN Name Urban/ State State NCES School District Endowment Rural LEA ID School Code Attributes