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Native Bliss - Hollister SLO, LLC - Complete
l I RETAILER (Including Delivery) Commercial Cannabis Business Operators Permit Application City of San Luis Ob ispo 2 APPLICATION ••••• , • , , , , •• , • , , , , ••• , • , , , , , , , , •••• , •••••••• , , , •• , , • , •• , , , , •• , • , , •• , ••• , , , , , , , , , , , , , , , , • , , , ,,,,,,8 Property Owner's Consent ............................................................................. 9 Articles of Incorporation .............................................................................. 16 City Commercial Cannabis Permit Required ........................................................ 17 Commercial Cannabis Operator Permit and State License(s) Required ........................ 17 Grounds for Automatic Disqualification ............................................................. 17 Business Plan ............................................................................................ 18 Operational Timetable ................................................................................. 19 Parking Plan .............................................................................................. 20 Company Principals ...................................................................................... 21 Kirk Azevedo .............................................................................................. 22 Request for Live Scan .................................................................................... 25 Marc Bohbot .............................................................................................. 27 Request for Live Scan .................................................................................... 35 local Compliance ........................................................................................ 37 Compliance with Laws ................................................................................ 37 Commercial Cannabis Operator Permit and State License( s) Required ............... 3 7 Commercial Cannabis Business Permit ......................................................... 37 Limitations on City's Liability ...................................................................... 37 Inspection and Enforcement ............................................ , ........................... 38 Indemnification, Insurance, Reimbursement, Consent ...................................... 38 Designated Mand A Commercial Cannabis Activity .......................................... 39 Daily Operations Plan ................................................................................ 39 No Packaging & Labeling ............................................................................. 39 City Commercial Cannabis Permit Required ................................................. ..40 Commercial Cannabis Operator Permit and State License(s) Required .............. ..40 Hours of Operation ..................................................................................... 40 Products and Services ................................................................................ .40 Retail Store Customer Care Plan ................................................................... 41 Retail Store Agents ...................................................................................... 42 Security Controls ....................................................................................... 42 Customer Care Procedures ............................................................................ 43 Non-Storefront (Delivery) Operations Plan ..................................................... .47 Delivery Vehicle Requirements ...................................................................... .4 7 Cannabis Goods Carried During Delivery ........................................................ .48 Cannabis Consumption During Delivery .......................................................... 49 Delivery Request Receipt .............................................................................. 49 Delivery Route ............•................................................................................ SO Signage Plan .............................................................................................. SO Dual Permits Posted and Visible .................................................................... 50 Production of Originals for Inspection ............................................................. SO Staffing Plan ................................................................................................ SO Hiring and Buying Locally .............................................................................. S1 Social Equity ................................................................................................ 51 Labor Peace Agreement ................................................................................. S 1 Roles and Responsibilities .............................................................................. S 1 Staff Acquisition Process ................................................................................ S4 Disqualifying Items and Items of Consideration ................................................. SS Discriminatory Practices ................................................................................ S6 Interview Process ......................................................................................... S6 Employee Registry ........................................................................................ S7 Employee Badges ........................................................................................... S7 New Employee Onboarding ............................................................................. S8 Employee Training ........................................................................................ S8 New Hire Training ......................................................................................... S9 Employee Safety And Training Plan .................................................................. S9 Training ...................................................................................................... S 9 Sanitation ..................................................................................................... 60 Safety Plan and Protocols ................................................................................ 6S Waste Management Plan .................................................................................. 66 Non-Cannabis Solid Waste ............................................................................... 66 Non-Cannabis Liquid Waste ............................................................................. 66 Cannabis Waste .............................................................................................. 66 Quality Assurance Plan ................................................................................... 6 7 Quality Assurance Director .............................................................................. 68 Receiving Products .......................................................................................... 68 Evaluation of Received Products ....................................................................... 69 Accepted Products ........................................................................................... 70 Rejected Products ............................................................................................ 70 Waste Storage and Quarantine ........................................................................... 70 Inventory Control Plan ......................................................................................... 70 Storage of Inventory ............................................................................................. 71 Significant Discrepancy in Inventory ........................................................................ 71 Track and Trace System ........................................................................................ 70 Recordkeeping Plan ............................................................................................. 7 4 Record Retention .................................................................................................. 75 Community Benefits & Relations Plan ...................................................................... 76 Ongoing Commitment to Medical Cannabis ............................................................... 76 Volunteerism and Charitable Donations ................................................................ 76 Non-Profit Partnerships ...................................................................................... 77 Veteran Support Initiatives .................................................................................. 77 Families and K-12 Schools ................................................................................... 77 Nuisance Mitigation .............................................................................................. 78 Consumption or Use Prohibited On-Site ................................................................... 78 Public/Cannabis Event Prohibited ......................................................................... 79 Concurrent Alcohol or Tobacco Sales or Service Prohibited ........................................ 79 Minors .............................................................................................................. 79 Prohibited Sale of Cannabis Products or Cannabis Accessories by Vending Machine ....... 79 Consumption or Use Prohibited On-Site .................................................................. 79 Public/Cannabis Event Prohibited .......................................................................... 80 Concurrent Alcohol or Tobacco Sales or Service Prohibited ........................................ 80 Minors .............................................................................................................. 80 Prohibited Sale of Cannabis Products or Cannabis Accessories by Vending Machine ...... 80 State Licenses (Kirk's Certificate of Cannabis Cultivation) ......................................... 82 Tax Compliance .................................................................................................. 83 Insurance ........................................................................................................... 88 Budget .............................................................................................................. 98 Financial Capacity .............................................................................................. 103 Commercial Cannabis Development Standards ....................................................... 110 COMMUNITY EDUCATION PLAN ........................................................................................ 111 Community Information Sessions ........................................................................... 111 Diversion Prevention ............................................................................................ 111 Diversion Prevention Training ................................................................................ 111 Electronic Infrastructure Diversion Tools ................................................................... 111 Lawful Transactions ................................................................................................ 111 Promoting Responsible Use ...................................................................................... 114 Advertising and Marketing ....................................................................................... 114 Restricting Advertising to Adults ............................................................................... 115 SECURITY PLAN ............................................................................................................. 116 Security Consultant: Roderick Ferguson, BTR Unlimited Inc. Security and Public Safety Measures Personnel Video Surveillance Alarm Systems Sign age Additional Security Surveillance Equipment On Site Security Ingress/Egress Cash Management Securing Limited Access Areas Product Security: Preventing Theft and Diversion Opening and Closing Procedures Hours ofOperation Personnel Security Policies Security Agent Response Policies Emergency Scenario Response Policies Inspections LIGHTING PLAN .............................................................................................................. 134 Outdoor Lighting Policy ....................................................................................... 134 Purpose Scope Procedure SITE AND FLOOR PLANS ............................................................................................... 136 Lease Agreement ................................................................................................ 150 Right to Occupy and to Use Property for Commercial Cannabis Activity: WATER EFFICIENCY PLAN ............................................................................................. 156 ODOR CONTROL PLAN .................................................................................................. 158 HAZARDOUS MATERIALS PLAN ........................................................................................ 159 Hazard Communication Policy ............................................................................... 160 Container Labeling ............................................................................................... 160 Material Safety Data Sheets .................................................................................... 160 Hazardous Chemicals List ...................................................................................... 160 Hazardous Non-Routine Tasks ............................................................................... 160 ENERGY EFFICIENCY PLAN .............................................................................................. 162 Social Equitv Applicants Domenique Goode .............................................................................................. 165 Miguel Garza ....................................................................................................... 177 Alan Martinez ...................................................................................................... 194 CITY OF SAN LUIS OBISPO Community Development Department 919 Palm Street, San Luis Obispo, CA 93401 805.781.7170 Commercial Cannabis Business Operators Permit Application A. Business Information Business Name: HOLLISTER SLO, LLC. Property Address: 207 HIGUERA SAN LUIS OBISPO, CA 93401 Assessor Parcel Number: 003-721-039 Zoning Designation: C-S D Cultivation -Specialty (Up to 5,000 Sq. Ft. Max D Manufacture (Non-volatile Raw Product Extraction D Manufacturer (Research and Develo ment liJ Retailer Storefront (Adult-use) l!il Retailer Non-storefront (Adult-use) D Transporter GR -Gross Receipts C. Definitions D Cultivation -Small (5,001 -10,000 Sq. Ft. Max D Manufacture (Cannabis Infusion) D Distributor gJ Retailer Storefront (Medical) Iii Retail Non-Storefront (Medical) D Mlcrobuslness (No more than 50% GR* from cultivation, distribution and manufacturin Applicant -The entity petitioning for the Cannabis Business Operator Permit. Principal(s) -The individual members of the applicant team. D Cultivation -Nursery (Up to 10,000 s . Ft. Max) D Manufacture (Itinerant -No ermanent facili D Testing Laboratory l!il Retailer Storefront (Adult-use and Medical Iii Retail Non-storefront (Adult-use and Medical D Mlcrobusiness (More than 50% GR* from cultlvatton, distribution and manufacturln Primary Principal -An Individual who has a 10% or greater ownership stake of the applicant business, which includes partners, officers, directors, and stockholders of every corporation, limited liability company, or general limited partnership that owns at least 10% of the stock, capital, profits, voting rights, or membership interest of the commercial cannabis business or that is one of the partners In the commercial cannabis business; the managers of the commercial cannabis business. Operator -An applicant that has been licensed and conducts or conducted active cannabis operations. Majority -A greater number; more than half. An equal number does not constitute a m<ijority. D. Applicant Information Name of Primary Responsible Party Completing the Application: DR. KIRK J. AZAVEDO Tltle: PRESIDENT DOB: Social Security No: If applicant is a not for profi~ corporation, partnership or other business entity, please identify: Name of Business Entity: HOLLISTER SLO, LLC. Type of Ownership: MEMBER MANAGED Federal Tax Id: Start Date: 01/10/2019 Malling Address: 113 NORTH SAN VICENTE BEVERYL Y HILLS, CA 8 Primary Phone No: Alt. Phone No: Email Address: Preferred method of contact (check one) 0Mail 0 Phone [j] Email E. Additional Responsible Parfy Information Name: MARC BOHBOT 1itle: VICE PRESDIENT DOB: Social Security No: Malling Address: Primary Phone No: N/ A Alt. Phone No: Email Address: Preferred method of contact (check one) 0Mail 0 Phone ~Email Please attach additional sheets ifthere are more than 2 Responsible Parties. F. Information on Property Owner or landlord Name: 207 HIGUERA, LLC Mailing Address: 1304 BROAD STREET SAN LUIS OBISPO, CA 93401 Primary Phone No: Alt. Phone No: Email Address: Preferred method of contact (check one) 0Mail 0 Phone Iii Email If the applicant is not the legal owner of the property, the application must be accompanied by a notarized Owner's Statement ofConsent to operate a commercial cannabis business on the property. G. Related License Information The applicant and/or responsible parties has been associated with a commercial cannabis business permit in the past 10 years. Iii Yes 0 No (If yes, please provide the following_infQrffia,,,t~lo,.,n,_ _____________ _ Name: DR. KIRI< J. AZAVEDO City or County: CAMBRIA Start Date: 12/30/2015 End Date: N/A ~:. LC-'--"-'-'-'~-"'--"'--=-'-'"-'----------~-'-'---'-''-'-- Busi ness Name: RIPARIAN BIOSUPPORT Business Type: MEDICAL MARIJUANA COLLECTIVE Please attach additional sheets ifnecessary. 9 Required Submissions (Please check the box for each attachment) - ---------~- Please attach all applicable documents listed below as part of your application as they pertain to your business type. For any items that do not apply to your business type, please provide a brief explanation as to why they do not apply. Iii Business Operations Plan Business Plan: A plan describing how the commercial cannabis business will operate in accordance with City code, state law, and other applicable regulations. The business plan must Include plans for handling cash and transporting cannabis and cannabis products to and from the site. Community Relations Plan: A plan describing who is designated as being responsible for outreach and communication with the surrounding community, including the neighborhood and businesses, and how the deslgnee can be contacted. State Licenses: Coples of the state licenses relating to the commercial cannabis business licenses, the applicant holds (when available). Tax Compliance: A current copy of the applicant's city business operations tax certificate, state sales tax seller's permit, and the applicant's most recent year's financial statement and tax returns (for first time applicants, the business operations tax account will be set up in-house alter the application has been submitted). Insurance: The applicant's certificate of commercial general liability Insurance and endorsements and certificates of all other insurance related to the operation of the cannabis business. Budget: A copy of the applicant's most recent annual budget for operations (If available) Financial Capacity: Financial information such as bank balances, available loans and other sources of funding the enterprise. Products and Services: A list/description of the general products and services the business will provide. Iii Community Benefit: The applicant shall demonstrate to the satisfaction of the City of its intent to local hiring and community support. Ii] Education Plan: A plan describing the type of cannabis education and prevention efforts that will be provided by the business to the community. Iii Security Plan: A detailed security plan outlining the measures that will be taken to ensure the safety of persons and property on the business site. The security plan must be prepared by a qualified professional. Iii Lighting Plan: A detailed lighting plan showing existing and proposed exterior and Interior lights that will provide adequate security lighting for the business site. Ii] Site and Floor Plans: A dimensioned site plan of the business site, including all buildings, structures, driveways, parking lots, landscape areas and boundaries. Also provide dimensioned fioor plans for each level of each building that makes up the business site, Including the entrances, exits, walls and cultivation areas, If applicable. The plans shall also include the following Information about the site: current zoning, parking requirements, consistency with development standards for the zone, if new development planned for the site, and any other site development information. Ii] Water Efficiency Plan: The applicant shall demonstrate to the satisfaction of the City that sufficient water supply exists for the use. Ii] Odor Control Plan: A detailed plan describing how the applicant will prevent all odors generated from the cultivation, manufacturing and storage of cannabis from escaping from the buildings on the business site, such that the odor cannot be detected by a reasonable person of normal sensitivity outside the buildings. 1!11 Hazardous Materials Plan: To the extent that the applicant Intends to use any hazardous materials in its operations, the applicant shall provide a hazardous materials management plan that compiles with all federal, state and local requirements for management of such substances. Iii Energy Efficiency Plan: Documentation that the applicant has identified the best way, including carbon free power sources to provide reliable and efficient energy solutions for their business. 10 H. City Aui:lioriz!ltiori -__ - _ _ _---~ Iii I, the applicant, provide authorization and consent for the City Manager or his/her designee to seek verification of the information contained on this application. I. Indemnification Iii I, the applicant, agree to the fullest extent permitted by law, any actions taken by a public officer or employee under the City of San Luis Obispo regulations for Commercial Cannabis Businesses, shall not become a personal llablllty of any public officer or employee of the City. To the maximum extent permitted by law, the permittee shall defend with counsel acceptable to the City), indemnify and hold harmless the City of San Luis Obispo, the San Luis Obispo City Council, and its respective officials, officers, employees, representatives, agents and volunteers from any liability, damages, actions, claims, demands, litigations, loss (direct or indirect), causes of action, proceedings, or judgments including legal costs, attorneys' fees, expert witness or consultant fees, City Attorney or staff time, expenses or costs) against the City to attach, set aside, void or annul, any cannabis-related approvals and actions and strictly comply with the conditions under which such permit is granted, In any. The City may elect, in Its sole discretion, to participate in the defense of said action and the permlttee shall reimburse the City for its reasonable legal costs and attorneys' fees. J. Nonrefundable Filing Fee - Iii I, the applicant, understand and accept that the nonrefundable filling fee must be submitted with the competed Commercial Cannabis Business Operators Permit Application and will be retained by the City regardless of the out- come of the application review. K. Background -Request for Live Scan Services g) I, the applicant, understand that a completed and processed Request for Live Scan Service, State of California Form BCIA 8016, as determined by the City of San Luis Obispo, by a duly authorized business must be provided for t the applicant and all interested parties. All applicable fees and charges are the responslblllty of the applicants and Interested parties. L. Disqualification Application was received late Application is incomplete or inaccurate Facility does not meet City business licensing standards More than one application is received for the same cannabis business type on one property (stacking of applications) 11 M. Applicant's Certification I agree to abide by and conform to the conditions of the permit and all provisions of the San Luis Obispo Munlclpal Code pertaining to the establishment and operation of the commercia l cannabis business. I acknowledge that the approval of the Commercial Cannabis Business Operators Permit shall, In no way, pe rmit any activity contrary to the San Luis Obispo Municipal Code, or any activity which Is In violation of any applicable law. I certify under penalty of perjury under the laws of the State of California, that I have personal knowledge of the Information contained In thl licatlon, and that the Information contained herein Is true and correct. Signature: Date: ( If! document Is subject to disclosure under t/Je Public Records Act. Appl/cants prov/d1i1g false or m!slead!ng lnfotmatlon In the permitting process w//I result In rejection ofthe app//tAUon and/or nulllncatlon or revocation of any Issued permit. All commerc/a/ cannabis perm/ls must be approved by the City Council. The City may attach conditions to the permit A commercial cannabis permit may be denied If any of the fol/owing findings are made: I) n1e appllcatlon does not meet all requirements ofthe commercial cannabis ordinance/· or II) Approval would vel)I l/ke/y result In harm to public safef:Yt l1ealth or welfare; or Ill) Potent/a/ negative Impacts of the use cannot be mitigated with conditions or through the ordinance requirements, Appl/cants will be notlned regarding appl!tAt/on completeness 12 l M. Applicant's Certification · I agree to abide by and conform to the conditions of the permit and all provisions of the San Luis Obispo Munlclpal code pertaining to the establishment and operation of the commerclal cannabis business. I acknowledge that the approval of the Commercial Cannabis Business Operators Permit shall, In no way, permit any activity contrary to the San Luis Obispo Municipal Code, or any activity which Is In violation of any appllcable law. I certify under penalty of perjury under the laws of the State of callfornla, that I have personal knowledge of th e Information contain d In this a pllcatlon, and that the Information contained herein Is true and correct . Signature: Date: 1hf/1q I The Information contlllned on tills document/$ subject to disclosure under the Public Records Act. Appl/cants providing false or misleading Information In the permitting process w/11 result In rejection ofthe application and/or nulllffcatlon or revocation ofany issued permit. All commercial Cilnnabls permits must be approved by the City Council The City may attach conditions to the permit A commercial cannabis permit may be denied If any of the fol/owing findings are made: I} The application does not meet allrequirements ofthe commerdal cannabis ordinance; or II} Approval would l!C'!Y likely result In l1arm to pub/le safety, health, or welfare; or Ill} Potential 11egab·ve Impacts ofthe use cannot be mitigated with conditions or through the ordinance requirements. Appl/cants will be notified regarding applicatlon completeness COMMERCIAL CANNABIS BUSINESS OPERA.TORS PER.MIT .APPLICATION OWNER'S STATEMENT OIF CONSENT If the applicant Is not the owner of record of the subject site, the following Statement of Consent must be completed by the owner or the owner's authorized representative, granting the applicant permission to apply for a cannabis business operator permit. I, the undersigned legal owner of record, hereby grant permission to: Applicant: Hollister SLO, LLC Phone: ( Mailing Address: 113 N. San Vicente Blvd. -Third Floor, Beverly Hills, CA 90211 To operate a commercial cannabis business on the property described below. I agree to abide by and conform to the conditions of the permit and all provisions of the San Luis Obispo Municipal Code pertaining to the establi shment and operation of the commercial cannabis business. I acknowledge that the approval of the Commercial Cannabis Business Operator Permit shall, In no way, permit any activity contrary to the San Luis Obispo Municipal Code, or any activity which is in violation of any applicable law. The subject property Is located at: _2.....;.0_;_7;..__;H"""ig<..;:u.:..;:e_;_ra::c........::S-=-tr....::.e-=-e.:...t ----------- Assessor's Parcel Number: 003-721 -039 ---------------------- Printed Name of Owner of Record: _2_0_7_H"'""ig<..;.u.;....e-'-ra~,._L_L_C ___________ _ Address of Owner of Record: ress: Slg~~tur.e of owner of Record: -. ~-Date: 1/ub,. HAfl.K ~·v-~1 ~ CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the lndlvldual who signed the document to which this certificate Is attached, and not the truthfulness, accuracy, or valldlty of that documen t. who proved to me on the basis of satisfactory evidence to be the person~ whose namets) ls/me subscrf bed to the within instrument and acl<nowledged to me that he/shei'they executed the same In his/I 1e1,'tt 1e!r authorized capacity~, and that by hls/he1/llteh sf gnature"8J on the instrument the personW: or the entity upon behalf of whf ch the person(s) acted, executed the instrument. i············, Place Notary Seal Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESSm~yhandand . Sfgnature -·~o_,c;_-...,::;.. _ _..,,=---=-~-==:...-,~-·=-- Signature o Nata? oPnONAL ~~~~~~~~------------- Though this section is optional, completing this Information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: _______ _ Number of Pages: Signer(s) Other Than Named Above: ------------ Capaclty(ies) Claimed by Signer(s) Signer's Name:------------ 0 Corporate Officer -Tltle(s): _____ _ 0 Partner -0 Limited 0 General 0 Individual 0 Attorney in Fact 0 Trustee 0 Guardian or Conservator 0 Other:-------------- Signer Is Representing: --------- Signer's Name: ___________ _ 0 Corporate Officer -Title{s): __ __...... __ _ 0 Partner -D Limited 0 General 0 Individual D Attorney In Fact 0 Trustee D Guardian or Conservator 0 Other: -------------- Signer Is Representing: --------- 2014 National Notary Association • www.NatlonalNotary.org • 1-800 -US NOTARY (1-800-876-6827) Item #5907 15 Secretary of State Articles of Organization Limited Liability Company (LLC) IMPORTANT-Read Instructions before c.omp\etlng this fotm, Filing Fee -S70.00 Copy Fees -First page $1.00; each auacllment page $0.50; Cortificalion Fee· $5.00 LLC-1 Note; LLCs may have to pay minimum $800 lax to the California Franchise Tax Board each year. For more Information, go to https:!Jww.v.ftb.ca.gov, 2 0 1 9 0 1 1 1 0 0 5 0 IFiliED l-IX'/\i Secretary of State i \' State of Cainomla JAN 10 2019 This Space Fur Office Use Only 1. Lhn\ted liabl\i\y Com\>any Name {See !ns\rvclion~ -Musi conlaln an LLC ending ~•uch as LLG or L.L.C. ~LLC" will be added, II no\ Included.) Hollister SLO LLC 2. Business Addresses e. ln!tlal Slreet/,ddress ol Ooslgnatod Orfice in Colifom!n • Oo no! enter a P.O. Box City (no abbrllviarons} S!a!e lip Code 401 Higuera St San Luis Obispo CA 93401 b, fn!1io! Mulling Addr&$S o{ LLC, If different lhan llom 2a Clly (no abbrovla\'ons) Stale Zip 01'.lda 3. Service of Process (Musl provide either lndlvldua! OR CorpornU,on.) INDIVIDUAL~ Complele Items 3a rm<l 3b only, Must Include agent's full name and Califor~la street address. a. Cal\fomla Agent'a First Name (If agent Is not <.1 co1porauon) Middle Ni;ime Last Name Suffix b. Street Address (if agef'll is not a corp01aUon). Do not enter a P.O. Box City {no abbrevlaUons) Slate Zip Code CA CORPORATION -Comp!ale Item 3c. Qnly include !he name of the registered agent Corporation. o. Ca!ifomia ~egistered Corporate Agent's Name (if agent Is a corporation) -Do f\01 <::omplete Jten1 3a or 3b =1 Lega!Zoom.com, Inc. 4. Management (Select only one pox) The LLC will be managed by: 0 One Manager 0 More than One Manager IZI All LLC Member(s) 5. Purpose Statement (Do not alter Purpose Statement) The purpose of the limited liability company Is to engage In any lawful act or activity for which a limited liability company may be org~nlted under \he California Revised Uniform Limited liability Company Act. 6, The Information contained herein, Including In any attachments, is true and c:orrect. By: Cheyenne Moseley, Assisrant S<icrn1ory, Lego!Zoom.com, Inc. Organize fJiin hMe Pr\n\ your name here 1.LC·1(R!::V0412017) 2017 Cali/om/a Secietary of state YNNJ.sos.ca.govlbu~lness/be 6 Application City Commercial Cannabis Permit Required Pursuant to SLOMC 9.10.040.A., Native Bliss will not engage in Commercial Cannabis Activity or have an ownership interest in, operate, or manage, a Commercial Cannabis Business without obtaining and continuously maintaining the Commercial Cannabis Business Permit pursuant to this chapter. Commercial Cannabis Operator Permit and State License(s) Required Pursuant to SLOMC 9.10.040.B., Native Bliss will not own, conduct, manage, operate, engage or participate In, work or volunteer at a Commercial Cannabis Activity or Commercial Cannabis Business that does not have a valid Permit issued pursuant to this chapter and other City permits or licenses required by this Code, in addition to the appropriate licenses. required by state law to conduct the Commercial Cannabis Activity. Any Commercial Cannabis Business or Commercial Cannabis Activity conducted without all required City and state permits and licenses is prohibited and unlawful and is hereby declared to be a public nuisance. Grounds for Automatic Disqualification Pursuant to SLOMC 9.10.060.C.3}, Native Bliss, will ensure that: None of its officers, directors or owners, or any person listed in the application,: has been convicted of any felony or offense referenced in Business and Professions Code Section 26057; or Has been subject to fines, penalties, or sanctions for cultivation or production of a controlled substance on public or private lands or for unauthorized commercial cannabis activities as specified in Business and Professions Code Section 26057; or Has had a commercial cannabis license suspended or revoked by the State of California or any city or county in any state, within the three years preceding the date the application Is filed, or Is Ineligible to apply for a state cannabis license. Pursuant to SLOMC 9.10.060.C.5), Native Bliss will ensure that no person listed on the application is a licensed physician making patient recommendations for medical or medicinal cannabis pursuant to State law. Pursuant to SLOMC 9.10.060.C.6), Native Bliss will ensure that no person listed in the application is less than twenty-one (21) years of age . 17 Lease First 5 mo (w/ deposit) Estimated Deposit Document Prep City Fees Vehicles & Vessels Buildout Insurance Payroll Misc. Contingency 3-Months Operating Expenses Grand Total Operational Timetable Upon award of a commercial cannabis business permit, Native Bliss will work within the timetable offered below, in order to be fully operational within (6) six months. Native Bliss will not engage in business in San Luis Obispo, without first being issued a permit and determined operational by the BCC. All dates are tied to the following assumptions on the City of San Luis Obispo's assessment process, and will be adjusted accordingly with actual completion dates. Task Description Planned End Date Phase 2 Determinations by City-3/1/2018 Prepare for City Interviews and Presentations 3/10/2019 Negotiate and secure Security Consulting contract 3/10/2018 Prepare all architectural construction plans, including mechanical, electrical, and plumbing specifications, for submission for Planning 3/20/2018 Department approval. Negotiate and secure General Contractor (GC) contract, scope of work, 3/20/2018 and detailed construction budget with Construction Contractor. 18 Submit all required docs to San Luis Obispo Building Department for 3/30/2019 review. Acquire San Luis Obispo building permit. 4/20/2019 Begin construction at [Company Name] facility. 4/22/2019 Mobilize and demo existing interior of the building. 5/30/2019 Install Mechanical, Electrical, Plumbing (MEPs) rough-ins. 5/30/2019 Install rough-in for Security and Surveillance. 5/30/2019 Install exterior decorative siding. 5/30/2019 Install insulation and drywall of vault. 5/30/2019 Install interior trim package 6/30/2019 Install lines on paved parking lot for parking spaces, landscaping 6/30/2019 Install floor coverings, 6/30/2019 Complete interior painting and MEP finish trims. 6/30/2019 Complete remodel. 6/30/2019 Purchase Point of Sale {POS) system and computer hardware, label 7/15/2019 printers, and bar codes scanners. Install POS system and Inventory Tracking, as well as required hardware 7/15/2019 and peripherals. Engage and establish partnerships with municipal and state law 7/15/2019 enforcement. Install security system, 7/15/2019 Invite local law enforcement to tour facility. 7/15/2019 Interview applicants for employment. 7/15/2019 Complete background checks on potential hires, 7/15/2019 Finalize employment hiring. 7/31/2019 Employee Training on OSHA, Security and POS system 8/15/2019 Employee Training on Inventory Control and Diversion Prevention 8/15/2019 Employee Training on Waste Management and Customer Data Security 8/15/2019 Employee Training on all other [Company Name] SOPs 8/15/2019 19 Select and procure staff uniforms and safety equipment. 8/15/2019 Acquire and post San Luis Obispo-mandated slgnage. 8/15/2019 Test all equipment, SOPs, and systems (Security, POS, Fire, Waste, 8/15/2019 Diversion Prevention}. Complete Inspections with city. 8/31/2019 Comp lete sta te-mandated Inspections. 9/15/2019 Host Open Houses at [Company Name] facility. 9/30/2019 Open facility for business. 10/1/2019 Parking Plan Scori ng Criteria: Th e propose d ca nn a bis b us iness site can acco mm o date th e re qui re d number o f pa rking s paces and safe and conve ni e nt a ccess for c ust o m e rs /e mployees. (1-5 poi nts) Native Bliss's retail facility has 10 parking spaces, including 1 ADA-compliant parking space. It's previous use was for office space, and It's new use will be retail. No change In intensity of parking is anticipated. Please see the Parking Matrix on the attached Site Plan, for addltiona l information. 20 Company Principals Ki rk Az evedo l<irk J. Azevedo, D.C., will be President of Native Bliss. An experienced cannabis and healthcare professional, l<irk will retain 92 percent ownership in Native Bliss and supervise the major operations, l<irk began his work in the field of compliant medical cannabis when he purchased property in San Luis Obispo in early 2013, and began cultivating cannabis under the auspices of Proposition 215. Working with focal law enforcement and city officials, Kirk produced compliant cannabis medicinal products for patients qualifying under Prop 215. As a chiropractor, Kirk has spent his career devoted to providing pain management and relief for individuals struggling to navigate debilitating conditions, without the use of highly addictive opioids. He has provided referrals of patients to physicians who could provide recommendations for local cannabis collectives and nonprofits. For the past three years, Kirk has expanded his skills beyond cultivation, studying under top extraction specialists such as Professor Jerry King, and in 2015 he began Riparian Biosupport. In addition to managing 200,000 sq. ft of canopy, as CEO of Riparian he has manufactured C02 (Apeks), kief-tumbler, rosin and ethanol, and performed extraction, cartridge filling, topical production, winterization and clarification . l l<irk serves as an employee to cannabis companies striving to provide compliant, consistent, pharmaceutical grade products to qualifying patients, and now for adult use consumers. His work in San Luis Obispo County both in and out of the cannabis industry, and have given him a unique and enriched understanding of the community's needs, both for palliative care and for the quasi-legal cannabis industry to be brought into full local and state compliance. Marc Bohbot Marc Bohbot, creator and designer of multiple worldwide fashion brands and Chairman and CEO of the Standard Oil Investment Group, will reta in 8 percent ownership and will serve as Native Bliss Vice President, advising and executing on the financial and brand vision for the company. Marc's journey into medicinal cannabis reflects the commitment he has to a late family friend, Adam Krief. Adam served as an inspiration before and after his passing In 2016 from complications related to a rare form of blood cancer. This difficult time In Marc's life gave way to a new business concept. Stepping out of fashion and real estate, Marc teamed up with Kirk Azevedo to found Native Bliss. As a stakeholder in a retail cannabis business, Marc Is part of a unique dynamic that allows him to serve those stricken with illness in more than one way: He can continue to his philanthropic quest while ensuring that patients In need of relief have a safe and legal means to obtain it. Marc and his wife, Michele, are no strangers to charitable causes. One foundation that they are committed to is Gift of Life, the bone marrow registry that Adam l<rief used to find his donor. Marc and Michele are also largely committed to hiring locally, partnering with local vendors, and ensuring that competitive wages are offered. They believe In supporting and giving back to the community, and they are devoted to ensuring that Native Bliss's success will be one that reverberates throughout the community. 21 KIRK AZEVEDO, D.C, EXPERIENCED CANNABIS PROFESSIONAL Pre;ident ct Rip:!ricrl Biosuwart, Inc., dai\e'ing pharrraceutical quality cannabis Cf1CI canM:iis msecl p-oducts from sEB:l to sae CANNABIS EXPERIENCE Riparian Blosupport, Inc. Founder and Pte:Jdent 2a:JS.C unmt Cult/vat/on 200,000 &l · ft. ofccmw 176,000 under hoop-house Mal'Hiacturlng C02 (A~s), kie'-turrtler, rosin Md etlwlol ed:ractio n Wlnteriiation Md clarificalon Cartridgafi lling topical p-oduction NllSefY De'l.Eloped "p-op-ietay' g:!l'lEtics Clones, te:!OS, see:ls Research & De.Je!optmnt TrMSderrml THC/CBD p:iin p:itch usingethosorrete:.tmolog;for cherrothe'aw i:Kients THCvfor diet and w:!EtJt bss Mlcro-da;e THC p-e-mrkout fbrrnilctlon Re:o\e'}'CBD Post-w:irkout nutrition Eplg:!l'lEtic plart l:rea:lingfor rrite tolerance (EpiMite) and rm::ronutri01t dEfidency(EpiMa::ro) Tissue Culture fur in-hoU99 gaietic p-E15Ef'\etlon Cf1CI Marker Assisted sele:tlon Yied and quaityof la~scae cannabis p-oduction in: natil.~soil, rrulch, hoop house (2 film twesl. fUl-sun g-01M1 and corrillnations of theie p-a:tices Trelisingand plart trainlngte:hnlqlSS and its ere:t on yied, quality, ax! i:Khogal susoerti~lity Cannabis oil clarificalon te:hnlques (carbon, silica p;ylliuni and its ara:t on ~eld Cf1CI cannabinoid cont01t EDUCATION Jerry King, PhD, U nlverstty of Arkansas, 2016 studied and calil:ratEd C02 e<tractlon for terpene and cannabino ld e<traction te::hniquei. Palmer College ofChlrop-actlc West, 1998-:2001 Doctor ofChirop-actlc, Cum Laude Cal Poly State U nlversity, San Luis 0 blspo, 1907·1992 Ba::hela-of Sci~ Biochenistry 22 RELATED EXPERIENCE Ripild"ian Management, Inc. Founder and CEO, 20JS.Curre111: Me:ticoi IY<ll "9" 1"' t comf)3¥ sp>::iai2ing in Reg9reretil.e Me:tici re ( PRP, snriotic merrbra"<\ <rd cord blood) for orthop;:dic corditlons. First A Id T elecenters, Inc. Founder and Pre9denl:, 20115 -Crmmt Ramta H9'lt!ure Corporaion Core Care Founder atKI CEO, 2001-201/J Multidis:lpliray l....ittm-e clinic 'lJE"ioli2ing in pan~ ircludirg Reg9reretl1e Medici re. Pl¥fcol T!...-epy, Act.pt.11Cb.re, Cfiroproctic, erd Nutrition Monsanto Company Local Marl«!t Manager, HedJiddesatld Genetically Etl{jneered Crop;, 2005-2008 Ma.l.fa:b.re Repreertrti1efor tt-e f"Slicide Rourdt.p. Fe::ili!anrfor the comrrerciaiJEtion of9""ficolly eajne=red crops-Rourdt.p-RefdyCotb:rn COMMITTEES San Luis Obispo CountyCannabisAwlsoryGroup Member, 2018 -C urrent Central Coast Cannabis Councll Board Member, 2018 -Current State of C allfornia Appointed Q ualilled Medical Examiner (Q ME AME), 20M • 2012 California State Senate District 12, Committee for Awlcijture and Water Resources, 1995 University of C alifurnia, Committee for Pyrethrokl Resistance Management,1994 Merced Comty Mental Hea1H1 Board, Vice C hair, 1992-1994 University of C alifurnia Davis, Committee on Introduction of The Principles oflntewated Pest Management Into The Pest ControlAdtlsorsTest, 1993 LANGUAGES Eajish-Native~ Sp<oish -Medical and Agicultural 23 i i I I I I I I Habitat ~ for Hu manity® fo r Sa n Lui s Ob ispo Cou nty Kirk & Lynn A ze vedo Marc & M ichele Bohbot Hollister·Group Corporation 113 North San Vicente Blvd Suite 300 Beverly Hills CA 90211 Dear Kirk and Lynn, and Marc and Miche ll e, Build ing Homes . B11ildii1g Cn1111111111ities . B uilding Hope. January 128, 2019 On beh alf of the Boa rd of Directors and sta ff of Habitat for Humanity for Sa n Luis Obispo Coun t y, thank you for your generou s donation of $5000 and your commitment to continue your support of our mission and work over the next year. It is always a t r ue gift whe n a donor recogni ze s the value of what w e are trying to achieve and commits to help us reach our goals. We are able to continue our programs -new home construction, home rehabilitation, home pres ervation, and neighborhood revitalization -because of your support. Our home preservation program allows us to assist low-Income homeowners m ainta in and preserve their homes and property'. It provides painting, landscaping, and minor repair services for homeowners in need, and helps these homeowners recl aim their homes and to live there safely and securely. Our home preservation program is part of Habitat's broader neighborhood revitalization strategy, a holistic approach that assists and stabilizes communities as well as families . Neighborhood revitalization strengthens connections within the community and cre ates sustainable positive change to our low Income neighborhoods. We currently are working with the Sierra Bonita Senior Community In Paso Robles, and a neighborhood In Oceano . We are working w ith the residents to improve and revitalize their neighborhoods. We will be break ing ground in the summer of 2019 to build 17 new homes -9 in Paso Robles and 8 In Arroyo Grande -which will be sold to 9 low-income individuals. Through the construction of these homes we are continuing to work toward our vision that everyone deserves a decent place to live. You can see how your generosity Is helping us to continue to move forward helping low-Income families in our County. There are few affordable homes in SLO County and it is critical that we not only build new homes but preserve the current affordable housing stock . Your donation supp o rting Habitat is assisting in addressing this critical housing Issue even morel Th ank you again for your donation I In partnership, Chief Executive Officer No goods or services were provided in consideration, In whole or In part, for this gift. Our Tax Exempt ID# Is 77-0434147. Please retain this letter as your receipt for tax purposes. 2lg..:) C°:)ou.~ 't*.) ~t<::. f\ 189 Gra ss ~t ree t • San Lui s Obispo • CA • 9340 l • PO J3ox 6 13 • San Lu is Ob is po • CA • 93406 Ph on e: 805 .782.0687 •Fax: 805 .782.068 7 • www.hfh sloco.org • info @hfh sloco .org 24 STATE OF CALIFORNIA SCIA 8016 DEPARTMENT Of JUSTICE PAGE I of2 Rev. 05/2018) REQUEST FOR LIVE SCAN SERVICE f Print.Form I !Reset FormJ Applicant Submission ORI {eodeass!gned byOOJ} Authonzed Applrcant l ype Type of Llcense/Certiflcafion/Permlt Qff Working Iltle (Maximum 30 characters· if assigned by DOJ, use exact !Ille essigMd) Contributing Agency Information: Agency Authorized to Receive Criminal Record Information Streel Address or P.O. Box San Luis Obispo R 7'rrty,,--'--'---~----------~ ZIP Gode Applicant Information: Azevedo as ame Other Name AKA or Alias) as Date of Birth Height Weight Eye Color Hair Color Home Address Street Address or P.O. Box Your Number: OCA Number (Agency Identifying Numbl'lr) If re-submission, list original ATI number: Must provide proof of rejection) Employer (Additional response for agencies specified by statute): Employer Name Street Address or P.O. Box 11~y-------~----~ ~s~1.~~,.....El~T~,2~1P,..,,c~oa~.,..--~ Live Scan Transaction Completed By: me of Operator Transmitting Agency LSID Mall Code (llve:cllglt code assigned by UOJ) Contact Name (mandatory for all school submissions) Contact I elephone Number Dr. Kirk J. F~1ra~t~Nr.a~m~e,..-------------TIM~ia~a~1e~1=n1mua~1-~llITf!rx irst Dnvei's License Number Biiiing Number_n(A~,,~,,~,~0~1111~,,~N"-o~mb~.~,l-~-------~ Misc. Number~~~~~~~~~-------~ Olher ldenlificallon Number) Cambria Cly Level of Service: D DOJ D FBI CA El 93428 mare--ZIP Code If lhe Level of Service Indicates FBI, the fingerprints will be used to check lhe criminal history record informalion of !he FBI) original A 11 Number Mall Code (llve digit code assigned by DOJ) I elepfione Number (optional) Date ATI Number Amount Collected/Biiied ORIGINAL -Live Scan Operator SECOND COPY -Appllcanl THIRD COPY (If needed) -Requesling Agency 25 2 Marc Bohbot wis born in Casablanca, Morocco. \M'lile sb.Jdying accounting and marketiNJ, Marc learned all aspects of the fashion indusby. Merfiw years, he s!Epped out on his ol/\O. During this time, he met and married Mictiele and together they built successful retail stores in Paris. After moving their family to the U.S ., Marc Bohbotand Michele lostalmosteveryihing, only to tum it around wth the launch of Bisou Bisou in 1989. In 2003 Marc and Michele signed an e>elusi\.e deal wthj .C Penney to be able to briNJ the theircon!Emporaryfashion line to more consumers wth affordable pricing. Marc has not only had tremendous success in the Fashion industry wth Bisou Blsou but also helped to grow t:v.o other fashion brands, .>O>O & Hale Bob reaching revenues As its Chairman and CEO, the Standard 01 Investment group has comple!Ed billions of dollars in real esta!E transactions . As Its Chairman and CEO, the Standard 01 Investment group has comple!Ed billions of dollars in real esta!E transactions. 27 YSCC YOUNG SEl'HARDIC co:MMUNITY CENTER January 14th, 2019 Mr. Marc and Michele Bohbot 810 North Rexford Drive Beverly Hills, CA 90210 Dear Marc: B'H On behalf of Young Sephardic Community Center, we would like to extend our thanks and appreciation to you for your generous donation of $112,200 for the year of2018. It is heartwanning to know that we have friends such as yourselves who care and know how vital our work is. Your support will enable us to better serve the community as well as people of all spiritual and educational backgrounds who count on your dedication. With the generous support ofpeople like you, we will be able to help many ofthese families and individuals not only to meet their essential daily needs, but to work toward a brighter future with programs, such as Shabbat day Kiddush, Women's classes, communal Shabbatons, children programs, and more . Your donations are tax deductible, so please keep this document for tax purposes. Thank you again, and we look forward to your continued support. Sincel'ely, Y.S.C .C. Tax I.D. #45-2429782 No goods or services were received for donations. 9581 W. Pico Blvd Los Angeles, Ca 90035 Tel : (310) 402-4225 Web: ysccla .com 28 West Coast Torah Center 322 N Foothill Rd. Beverly Hills, CA 9021 O Tel: (310) 271-1180 Fax: (310) 474-5628 Dec-30-20 Mr. & Mrs. Marc Bohbot 113 N San Vicente Blvd. FL 3 Beverly Hills, CA 90211 Dear Marc and Michele, \ '" Your generous donation of $13,590.00 the Sephardci West Coast Torah Center Bet- Midrash, was received with many thanks We Sincerely pray that you and your family be blessed directly from HaShem with good health and good Parnassa. 01rl"1 • With Torah Blessintjf-~" ! Rabbi~aq n 1· ~--· ..,:;~ Receipt West Coast Torah Center-322 N. Foothill Rd. Beverly Hills, CA 90210 Amount :$13,590.00 Check#: Date : 2018 Mr. & Mrs. Marc Bohbot 113 N San Vicente Blvd. FL 3 Beverly Hills, CA 90211 No Goods or Services Given For This Donation Thank You For Supporting Our Torah Programs Tax Deductible No. 95-4601016 t 29 Board of Directors Mr.Paul Mir President Mr. Efrem Harkham Secretary/Treasurer Board Members Mr. Kam Dabaoff Mrs . Dina Leeds Dr. Sherri Rashfdl Administration Rabbi M. Benzaq•Jen Founder/ Menah el Ruchanl Dr. Debora Parks Prlnclpal Mrs . Mlrram Dayan Office Administrator dvlsory Committee ErlcAbefev Marty Cooper ToddGlndy Deborah Roberts Jonathan Tessrer David M. Weiss Harkham Mr. Marc Bohbot 113 N. San Vicente Blvd., Floor 3 Beverly Hills, CA 90211 November 1, 2018 23 Cheshvnn 5779 Dear Mr. Bohbot, AON Academy 1"01 We would like to take a moment to thank those of you who attended Harkham -GAON Academy's Annual Gala at the Luxe Hotel Sunset on October 9, 2018. We missed seeing some of our friends who could not attend and we thank you for your generous donation of $2,600. We hope that our attendees enjoyed the evening 's festivities and that those who were not able to attend will be able to join us for our 2019 Gala . We hope the presentations allowed you to see and understand the profound effect an affordable Jewish education has on our students, families, and cornmunlty. We are pleased to have the support of our Jewish community as we strive to raise awareness for Harkham -GAON Academy (HGA} and thank you again for your Investment to help us grow and provide an accessible affordable Jewish education. Without your contribution, and ones like It, It would be Impossible to help the school grow and thrive and remain such an Important vehicle of education for our children; we look forward to sharing updates on the school's successes with you. If anyone Is Interested In making further contributions to the school, we have included the programs In need of support below : Scholarships: Partial $5,000 Full $15,000 Educational Fleldtrlps: $1,000 each $10,000 Annually Steve Glouberman Basketball Tournament: $25,000 Red Sarachek Basketball Tournament: $50,000 Yeshiva University Model United Nations: $75,000 Judaic Studies Program: $100,000 In the meantime, If you would like to schedul e a visit to see firsthand, the difference your gift is making, please contact the school Prlnclpal, Or. Debora Parks, at (310) 556-0663. On behalf of all the students and famllles who benefit from your generosity, thank you again for your support! We are deeply grateful for the Investment you have made on our behalf. With gratitude, Liiy and Kam Babaoff Rabbi Moshe Benzaquen POA4... ~ ~ r/2r,;t_ Or. Debora Parks Efrem Harkham Paul Mir Tax Exemption #47-5041293 5870 West Olympi c Bouleva rd, Los Angeles CA 900 36 1310.556.0663 I www.harkhamgaon.org 30 Jerusalem 13 mars. 18 Monsieur Marc Bohbot Mon cher Marc, J'ai eu un grand plaisir de te rencontrer a Jerusalem. C'est toujours un plaisir et une joie de rencontrer Jes amis qn'on aime. Lors de noire entretien au sujet de nos Institutions, je t'avais fait part de nos difficultes pour equilibrer noire budgett: 'En ~ffet; depuis que le Gouvernement a reduit ses subventions j'ai de plus en pius au mal pour fuire face aux be~oins. Tu sais bien Mon cher Marc, que Or Barouch se charge de plus de 600 enfants d·oht, la quasi- totalite est issue de fumilles pauvres et beaygoi\p d'entre eux demandent de prendre le restant de la nourriture pour leur famille. r11 ,..ct nnnrn11nl ie.t'ai ori6 de Qien vouloir renouveler ton soutien comme les annCes MARC BOHBOT • MICHELE BOHBOT OR BARUCH 8/1/2018 BofA · 7579 llOOU0l"SSlT103 USEWrTH01863EINELOPE De!1.1xe Co!J)«11Uon 1·60!P32S-0304 or www.deluxe.com.lshop B!JRK/,lJJ[: FRA,NC~: OR BAROliQ! Clo PlllRRE FIN/\NC~ •. IO Rue D'hly 75008 Paris. Tel. Ol·~6640US9 Fox: Ol-Sj(}(>J$8l 12057 5,000.00 5,000.00 5306762801 E USA: ORBAROUCH u/o Mr. Sol Bctesh.2SQ PASSAIC street NEWARK NJ. 071043700Tel: l-973-483·50.15Fox: l-973·412.ll&-53 Cel. Robbi M. TolOOiino. 972-545·601410 31 To Our Respected and Dear Friend Mr Marc Bohbot -Beverly Hills, CA. Shalom Uberacha Netiv Meir Foundation A.F.C.S. n•·:i~rn }ilJil ilDJ\\I lJ1 p 1 'ND ''.l1 J"YJ August 27tl1, 2018 -Elul 16, 5778 We thank you for yow· generous contribution in the stun of$1500 for the ''Bar Mitzvah" project. (Receipt below# 2018-1033). Your steady help evezy year enable us to commit ourselves to perpetuate our work in helping some families in need . May the Torah's grace and blessings be bestowed upon you for your support to our Chesed institution . You and your family should be among its happiest supporters. Please accept our warmest regards and blessings of good health and success In all your endeavors, and a happy and healthy new Year for you and your family. Shana Tova Umetukahl Netiv Meir Foundation Official Receipt Contribution: 2018-1033 In the value of: $1500 We thank you for your tax-deductible contribution. May you and your family be blessed with happiness and success. Tax l.D. # 20-0867348 -501© www.rwtivmeir.11rg P!l 11,,, ! 1 ;nu h ·ru~.tl t•111 11111) IP! . .<F .' i .t ~-11 lllH-1 l .l'\ .•1 -1 !1,.1-1 1111-0 l ~,, 14b 1 C:h.ult••lll•• HJ,cr . ~le 1111 Hf'\t:rlv I lilh. C'A 'lll! 1 ! rd •I I Iii hi llllllK I JI I lll4!lfttl f,\X -'lu. W -1101t7.1411 MfXIC 0 1 /o I k'. h.1.11 .Sill1111 ~UUIJll llll~'!U~.< tll' <"irt1PlllS 1'n. !'ill I> A·lll·I ( 111, 1!1Jsq111•< cit•'"' t1101,1~. Ml'xKt>. IH . 11 7110 fol. •il I i5 If, II IJf,•1 fl!ANU 1. Hl"I Olu11~1-hr ft1llCIO Slr.1<h11111!1 fol . t 11 h b 77'J.l'l.' . .l 32 ha~~d Carthay Circle September 4th, 2018 Dear Mr. Marc Bohbot, I would like to take this opportunit/iothank you for your generous contribution of$ 750.00 to Chabad of Carthay Circle. Through your generosity and kindness, you become a partner in our work to generate more good deeds. Here at Chabad of Carthay Circle, your gift is already inspiring the growth of Jewish pride amongst our community. We are devoted to teaching and strengthening our Jewish heritage and Identity. The Jewish identity which we foster within our community will make the next link in Jewish continuity that much stronger. All of this vital work is made possible only with the help of supportive friends like yourself. Through your Tzedaka you share in our work of building a strong and vibrant Jewish Community. May G-d grant you and yours much continued and ever-growing success in all of your endeavors, coupled with good health, much nachas, joy and prosperity. With warm personal regards, BS"D 33 MMIIIKaHe 6narOTBOpJ1TeJibHbIM cpoHA I<OA 41882189 Ownan le 15 D~cembre 2018 Michkane yKpa:i·rna +380503137712 M;wc BOHBOT Beverley Hills LOS ANGELES. USA Nous accusons par la presente YOtre don de 78500 dollars US pour nous aider ala construction de notre centre d'acceuil destine areceyoir les pelerins qui yiennent prier aupres de la tombe Rabbi Nahman. Nous yous remercions de tout coeur pour Yotre aide et Yous souhaitons que cette action de Tsedaka Yous apporte sante paix et reussite clans tous les domaines. Nesterenko K 34 STATE OF CALIFORNIA BCIA8016 Rev. 05/2016) DEPARTMENT OF JUSTICE PAGE 1 af2 REQUEST FOR LIVE SCAN SERVICE JedntEorml IReset ForJ Applicant Submission ORI (Code assigned by ooJ) Aufhonzed Apphcant Type Iype of Llcense/Cert1f1cat1on/Permlt OR Working Title (Maximum 30 characte1s. rr assigned by DOJ, use exact ti lie assigned) Contributing Agency Information: Agency Authorized to Receive Cnm1naf Record Information Mail Code (l1ve-d!g1t code assigned by DOJ) street Address or P.O. Box Contact Name {mandatory for all school submissions) San Luis Obispo Ed 1'1Tyv----~----------~ ZIP Code Applicant Information: Bohbot as ame Other Name Al<A or Alias) as Sex lg) Male 0 FemaleDaleofBlrlh Height Weight, Eye Color Hair Color lace of Birth (Staie or Counlty) Social Secunly Number Home Address Street Address or P.O. Box Your Number: OCA Number (Agency ldenUfyJng Number) If re-submission, list original ATI number: Must provide proof of rejection) Employer (Additional response for agencies specified by statute): Employer Name Street Address or P.O. Box Live Scan Transaction Completed By: me of Operator TransmltUng Agency LSID Contact Ielephone Number Marc First Name Middle lrnhal SUffiX Dnver'S License Number Bllllng Number cy~a~ttu-,,~NT,-m~,.~n---------~ Misc . Number 7.~~lh~,~,,~,,~"'~'"~""'1•70~..,~m~b,~0),..--------~ Severy Hills City Level of Service: lg) DOJ D FBI CA@ 92011 sraie"""' "z"IP'°'C"'o°"<l'°'e,-- If lhe Level of Service indicates FBI, the fingerprints wlll be used to check the criminal history record Information of the FBI) Ong In al A ti Number Mall Code (live d191t code assigned by DOJ) I elephone Number {opllonat) Date AT/ Number Amount Collected/Billed ORIGINAL-Live Scan Operator SECOND COPY -Appllcanl THIRD COPY (if needed) -Requesting Agency 35 Local Compliance Complia n ce with Laws Pursuant to SLOMC 9.10.170, Native Bliss will operate all times in compliance with all applicable state and local laws, regulations, and any specific, additional operating procedures or requirements which may be imposed as conditions of approval of the Commercial Cannabis Business Permit or use permit or state licenses .. Nothing in this Chapter will be construed as authorizing any action which violates state law or local law with respect to the operation of a Commercial Cannabis Activity Comm e rci a l Can n abis Ope ra tor Permit an d State Li cense (s ) Required Pursuant to SLOMC 9.10.040.B., Native Bliss will not own, conduct, manage, operate, engage or participate in, work or volunteer at a Commercial Cannabis Activity or Commercial Cannabis Business that does not have a valid Permit issued pursuant to this chapter and other City permits or licenses required by this Code, in addition to the appropriate licenses. required by state law to conduct the Commercial Cannabis Activity. Any Commercial Cannabis Business or Commercial Cannabis Activity conducted without all required City and state permits and licenses is prohibited and unlawful and is hereby declared to be a public nuisance. Co mmercial Ca nnabis Bu sines s Pe r mi t Pursuant to SLOMC 17.99.050.A., Native Bliss will not operate or conduct a commercial cannabis activity or Commercial Cannabis Business without first obtaining both the Commercial Cannabis Business Permit from the City pursuant to Chapter 9.10 of this code and a use permit from the City pursuant to this chapter, to conduct the commercial cannabis activity at a specific location. Any permit authorizing commercial cannabis activity pursuant to this chapter will be conditioned upon the holder obtaining and maintaining a City Commercial Cannabis Business Permit and the appropriate state license for the activity. Limitations on City 's Liability Pursuant to SLOMC 9 .10.260, the City will not be liable for issuing, or failing or refusing to issue, suspending, revoking or failing to renew the Commercial Cannabis Business Permit pursuant to this Chapter or otherwise approving or disapproving the operation of any Commercial Cannabis Business pursuant to this Chapter. Pursuant to SLOMC 17.99.050.E.6), Native Bliss will ensure the following prohibitions are enforced at its facility at all times: Prohibition of on-site consumption of cannabis Prohibition of the possession, storage, sale, distribution or consumption of alcoholic beverages on the premises, or the holding of license from the State Division of Alcoholic Beverage Control for the sale of alcoholic beverages, or operating a business that sells alcoholic beverages, on or adjacent to the commercial cannabis activity site. No cannabis products or cannabis accessories will be displayed in windows or visible from the public right-of way or from places accessible to the general public 37 o Prohibition of minors and persons under the age of 21 on the premises, even if accompanied by a parent or guardian. o Outdoor storage of cannabis or cannabis products is prohibited. Inspection and Enforcement Unscheduled Inspection during Business Hours Pursuant to SLOMC 9.10.140 .A., the City Manager or his/her designee and any other City of San Luis Obispo official or inspector charged with enforcing any provisions of this Code, may enter Native Bliss at any time during the hours of operation without notice for the purpose of inspecting Native Bliss for compliance with the provisions of this Code, the terms and conditions of the Commercial Cannabis Business Permit or any other City permit or state license, including inspection of the recordings and records maintained pursuant to this Chapter or the applicable provisions of State law. The right to inspect under this inspection includes the right to copy recordings and records. lntetference with Inspection Pursuant to SLOMC 9 .10.140.B., it is unlawful for any person who owns, operates, manages or is employed by, or has any responsibility over the operation of, Native Bliss, to refuse to allow, or to impede, obstruct, or interfere with, an Inspection by the City, or the City's review or copying of recordings (·including audio and video recordings) and records, or to conceal, destroy, alter or falsify any recordings or records. Obtaining Samples Pursuant to SLOMC 9.10.140.C., the City Manager or his/her designee or any other person charged with enforcing the provisions of this Chapter may enter the location of Native Bliss at any time during the hours of operation and without notice to obtain samples of cannabis and cannabis products to test for law enforcement and/or public safety purposes. Any samples obtained by the City of San Luis Obispo will be logged, recorded, and maintained in accordance with City of San Luis Obispo Police Department standards for evidence. At all other times, the City Manager or his/her designee may enter the location of Native Bliss to obtain samples of cannabis upon reasonable notice, as otherwise authorized by law or pursuant to a warrant. Indemnification, Insurance, Reimbursement, Consent Pursuant to SLOMC 9.10.160, as a condition of approval of the Commercial Cannabis Business Permit Issued pursuant to this Chapter, Native Bliss will, at a minimum: Execute an agreement to protect, indemnify, defend (at its sole cost and expense with counsel approved by City), and hold the City of San Luis Obispo and Its officers, employees, attorneys, representatives, and employees harmless from and against any and all claims, demands, losses, damages, injuries, costs, expenses including attorneys' fees) fines, penalties, or liabilities arising from, related to or associated with: the issuance of the Commercial Cannabis Business Permit or use permit; the permitting or approving the operation of a Commercial Cannabis Activity; the collection of any fees, taxes, or charges from Native Bliss; Native Bliss's or any of its owners', operators', managers', employees, or employees' violation of any federal, state or local laws; the City's suspension, revocation or refusal to renew the Commercial Cannabis Business Permit. o Maintain insurance with standard City coverages and limits, but with additional conditions thereon deemed necessary by the City Attorney. Reimburse the City of San Luis Obispo for any and all costs, expenses, attorney fees, fines, penalties and court costs that the City of San Luis Obispo may be required to pay as a result of any legal challenge related to the City's approval of the Commercial Cannabis Business Permit pursuant to this Chapter or any other City permit or the City of San Luis Obispo's approval of the operation of a Commercial Cannabis Activity. The City of San Luis Obispo may, at its sole discretion, participate at Its own expense in the defense of any such action, but such participation will not relieve the obligations imposed under this Chapter. Consent to unscheduled inspections, production of records and recordings, and obtaining of samp le s of ca nnabis and cannabis products by authorized City officials during normal operating hours as provided in this chapter. Designated M and A Commercial Cannabis Activity Pursu a nt to 16 CCR§ 5032: Native Bliss will conduct all commercial cannabis activity only with other licensees, and as a Retail licensee, with customers in accordance with chapter 3 of this division. Native Bliss may conduct business with other licensees Irrespective of the M-designation or A-designation on their licenses, except as indicated below: Products designated as "For Medical Use Only," pursuant to requirements prescribed by the State Department of Public Health in regulation, will only be sold to medicinal customers. Daily Operations Plan Native Bliss h as provided as a part of this application, detailed plans and procedures outlining the safe and sustainable operations it will employ as an Adult-use and Medical Retailer Storefront in San Lu is Obispo. These procedures Include, but are not limited to procedures for safely and securely storing, disposing and transporting all cannabis, cannabis products, and any currency. No Packaging & Labe li ng Pursuant to 16 CCR§ 5412: Native Bliss's retail facility will not accept, possess, or sell cannabis goods that are not packaged as they will be sold at final sale, In compliance with this division. Native Bliss will not package or label cannabis goods. City Commercial Cannabis Permit Required Pursuant to SLOMC 9.10.040.A., Native Bli ss will not engage In Commercial Cannabis Activity or have an ownership interest in, operate, or manage, a Commercial Cannabis Business without obtaining and co ntinuously maintaining the Commercial Cannabis Busine ss Permit pursuant to this chapter. 39 Commercial Cannabis Operator Permit a nd St ate Lic ense (s) Required Pursuant to SLOMC 9.10.040.B., Native Bliss will not own, conduct, manage, operate, engage or participate in, work or volunteer at a Commercial Cannabis Activity or Commercial Cannabis Business that does not have a valid Permit issued pursuant to this chapter and other City permits or licenses required by this Code, in addition to the appropriate licenses. required by state law to conduct the Commercial Cannabis Activity. Any Commercial Cannabis Business or Commercia l Cannabis Activity conducted without all required City and state permits and licenses Is prohibited and unlawful and Is hereby declared to be a public nuisance. Ho urs of Operation Pursuant to SLOMC 9.10.250.C., Native Bliss's Operating Hours will be, at a maximum: Retail -Storefront. 9AM-8 PM Retail-Non-Storefront (Delivery Services): 6 AM-10 PM. Products and Services Product Type Dried Cannabis: Sativa, lndica, & Hybrids Edi bl es Concentrates Tinctures Description Raw Cannabis Flower will be sold in a mix of lndica and Sativa depending on client demand. lndlca is known to reduce nausea, increase appetite and fight depression while Sativa is known for its uplifting effects that energize cllents with strong cerebral effects. Finished, dried, manicured, cured Cannabis will be sold in .Sg increments. Native Bliss plans to begin with 25-50 medicinal varieties of Cannabis. A Cannabis edible is a THC-infused product that can be consumed by the client. Infusing Cannabis into foods is a long-practiced and very effective method to use Cannabis as medicine. Native Bliss plans to offer several different edible product lines to cater to the various, nutritional, financial and taste needs of clients. Infusing Cannabis Into foods is a long-practiced and very effective method to use Cannabis as medicine. Careful dosing Is Important. Edibles can be used as effectively as smoking or vaporizing. This may include beverages, coffees, pastries, chocolates, and gummies. Edibles can be as effective as smoking or vaping. This type will ensure clients have a variety of consumption methods that suit each person's needs and lifestyle. Our line is designed to provide high levels of cannabinoids and THC in a readily accessible form which provides instant relief for serious conditions. A Cannabis tincture is a cannab is-based extract that is infused with alcohol. Typically, the flowers and trim leaves are used. This product 40 Topicals Dispensing Devices provides easy dosing for clients with rapid absorption. This line is designed to make dose control easy for clients, with rapid absorption and effect. Tinctures can be flavored for better taste. Topicals are ideal for assisting clients who are arthritic or have aching injuries. Topicals have an analgesic and anti-inflammatory effect to reduce or eliminate pain. These will be developed in the forms of sprays or lotions. Customers will be able to purchase the dispensing device associated with the Cannabis product that is purchased. This will include bongs, vape pens, bowls, pipes, and papers. Retail Store Customer Care Plan The following is a description of procedures that Native Bliss and its employees will follow to provide Customer Care. Native Bliss places Customer Care as one of its highest priorities. Members of the retail store team will be trained to follow all of these procedures. The Retail Storefront will be open to dispense to registered customers and patients at the following proposed schedule, pending approval from the City of San Luis Obispo (and to be adjusted to any restrictions mandated by city officials and law enforcement.) Delivery sales will be conducted via telephone orders or online orders, after customers and patients have been verified and registered in person according to state and local regulations. 41 Retail Store Agents Native Bliss's Retail Store Manager, Retail Store Receptionist(s), and Retail Store Agents are hired specifically to provide Customer Care. Other retail store employees may aid in Customer Care. For example, the security team will contribute to overall Customer Care by providing guest safety. The members of the security team are the security manager and the Security Guards. Retail Store Manager The Retail Store Manager is responsible for the Retail Store Receptionist(s) and employees, and will train all receptionists and employees in Customer Care procedures and execute all patient and community education plans. These are not the sole duties of the Retail Store Manager; other responsibilities may be assigned to the Retail Store Manager by the Facility Manager. Retail Store Receptionist The Retail Store Receptionist(s) will be responsible for handling all procedures regarding patients entering and exiting the retail store. This Includes greeting patients, scheduling visits, updating patient, retail store, and state recording systems, scheduling deliveries, and using the point of sale system to dispense products to customers. The duties listed are not exhaustive; additional responsibilities may be assigned by the Retail Store Manager or other members of the management team. Retail Store Agents Retail Store Agents will be responsible for consulting and advising patients on, at a minimum, the patient's medical cannabis recommendation, the products and accessories sold at the retail store, and possible routes of administration. Retail Store Agents will be responsible for checking a patient's recommendation and records to see how much and what kind of product the patient Is permitted and whether they have surpassed or may surpass the purchase and possession limits provided by state law. The duties listed here are not exhaustive; additional responsibilities may be assigned by the Retail Store Manager or other members of the management team. Security Manager The security manager is responsible for the retail store's security needs. Where Customer Care is concerned, the security manager will be responsible for making sure that the facility is a secured place where the customer can 42 obtain medical cannabis without fear. The security manager is also responsible for training all Security Guards in the performance of all security tasks. Security Guards Security guards are responsible for con trolling access to the retail store. They will verify the identity of all persons wishing to enter the retail store and ensure that only authorized Individuals with permitted items are allowed inside. Sec urity Controls Customer Care Procedure s Guest Arrival Obtaining Identification The Security Guards at the retail store w ill be the first line of Customer Care. They will ask all guests to provide identification and be trained to check for fake Identification and registration cards. When obtaining identification, Security Guards will always keep the information away from other emp loyees and visitors. Secur ity guards will refuse entrance to any visitor without valid Identification. Security guards sha ll know which individuals are permitted at the retail store and which are not. If an unauthorized person attempts to enter the retail store, a Security Guard will alert other members of the security team, and, if necessary, local law enforcement. Below is a list of persons authorized to be on the retail store property: Owners and board members; Management, employees, and interns; Agents of firms contracted to work with the retail sto re; 43 e Other authorized personnel; Law enforcement officers and first responders; Other federal, state, or local government officials, when necessary to perform essential functions or duties; Laboratory employees, who may enter a facility for the sole purpose of identifying and collecting medical or adult use cannabis samples for purposes of conducting laboratory tests; Registered customers' designated caregivers; and Other guests permitted to be at the retail store. Once a Security Guard has checked a guest's identification, the guard will instruct the guest to proceed immediately to the Retail Store Receptionist. The Retail Store Receptionist will use the patient records system to check-in the customer; other guests shall be entered in the visitor log. Visitors All persons who are not employed by or contracted to work for the retail store, or who are not registered customers, will be considered visitors. After a visitor has been permitted entrance to the retail store by a Security Guard, the Retail Store Receptionist will obtain their government-issued identification and make a copy to be saved in the visitor log. The Reta II Store Receptionist will immediately take the Identification from the visitor, make only the required number of photocopies, and then promptly return the identification to the visitor. The receptionist will not put the identification down at any point, will not hand the identification off to anyone else, and will not place copies of the identification anywhere but in the visitor log. The Retail Store Receptionist will be responsible for ensuring that each visitor to the retail store makes a complete entry into the visitor log. A complete entry will contain the name of the visitor, the date and time the visitor entered the retail store, the purpose of the visit, the time when the visitor leaves the retail store, and the visitor's signature. The visitor log will be kept for at least two years and may be made available to state and law enforcement agencies upon reasonable request. When the visitor Jog is complete the Retail Store Receptionist will give a visitor badge to the visitor and instruct the visitor to display the badge prominently on their clothing. The Retail Store Receptionist will then require the visitor to sign an agreement to not disclose any trade secrets or confidential information that the visitor sees while at the retail store, unless disclosure is required by the state or local law enforcement. The Retail Store Receptionist will instruct visitors that they must be escorted throughout the retail store by a retail store agent and that they will be required to leave the retail store if they do not remain with the retail store agent at all times. Once it is determined which agent will escort the visitor around the retail store, the Retail Store Receptionist will assign the visitor to that agent. Once the visit is complete, the visitor will be escorted back to the Retail Store Receptionist, where they will surrender their visitor badge and sign out on the visitor log. There may be occasions when it is impractical to obtain prior permission or to complete the visitor arrival procedures, such as first responders in an emergency. In these instances, after the onset of the emergency, managers will record the name and affiliation of the visitor along with the purpose, date and time of the visit. 44 Managers will monitor the visitor and be responsible for completing a log of the visit, including the time of departure. New Customers When a patient or designated caregiver visits the retail store for the first time, the Retail Store Receptionist will need to create a new patient file. The Retail Store Receptionist will give the new patient or designated caregiver a secured Health Insurance Portability and Accountability Act (HIPAA) compliant tablet on which to input: The patient's name and state registration number; The designated caregiver's name and state registration number (if applicable); The patient's date of birth; The patient or designated caregiver's phone number, e-mail address, and mailing address; The name and phone number of the physician who issued the patient's recommendation; The reason for the patient's visit, including symptoms and a history of their medical condition; A description of the patient's lifestyle, such as eating habits and exercise routines; and An indication as to whether the customer anticipates requesting medical or adult use cannabis delivered to their home in the future. If so, they will answer a series of security questions that will be used to verify their identity when placing future orders for delivery. The Retail Store Receptionist will scan and make a copy of the new customer's government issued identification. For Medical Cannabis patients and caregivers, the Retail Store Receptionist will also scan and make a copy of their: Medical cannabis registration card; and Physician's medical cannabis recommendation. If the patient does not provide a copy of the physician's recommendation, they may have their recommending physician's office fax one to the retail store. Otherwise, the patient will need to leave and return with their recommendation. While creating the new customer file, the Retail Store Receptionist will verify a medical patient's physical recommendation against their recommendation as entered in the state's data network. The Retail Store Receptionist will also check that the recommendation has not expired or become invalid for any reason. Native Bliss will alert the state of each new patient that visits the retail store. For adult use customers, the Retail Store Receptionist will verify if the customer has already bought the state limit for adult use purchases. The Retail Store Receptionist will also need to query the state's data network to determine if the customer has been dispensed cannabis products at any other retail store, and If so, how much and when. Native Bliss is responsible for ensuring that customers who have surpassed legal possession limits are not served, and that no sales are made that may push a customer over the legal possession limit. When the receptionist releases a client to a Retail Store Agent, they'll include updates from the data network and patient record, if relevant. 45 Existing Customers After determining that a patient is an existing patient, the Retail Store Receptionist will give the patient a tablet for them to update their patient file and indicate the reason for their visit. The patient's file will only be accessible by authorized retail store employees. The Retail Store Receptionist will update the patient's record with the new information from the tablet along with information obtained from the data network indicating the patient's registry status and any medical cannabis product dispensed to the patient within the past thirty (30) days. The Retail Store Receptionist will provide these updates to the Retail Store Agent. Customer Consultations Customer consultations will begin at 8 a.m. from Tuesday to Friday and at 10 a.m. on Saturday and Sunday. The Retail Store Receptionist will make sure to follow the schedule of appointments and that all walk-ins are assigned to a specific Retail Store Agent. Customers with appointments will be seen first. Appointments will be made at the beginning of each hour. Walk-ins will be handled between appointments as they arrive. Retail Store Agents Retail Store Agents will be trained on reading patient recommendations and properly dispensing medical cannabis, derived products, and accessories with educational and informational material. Retail Store Agents will attend training classes on how to evaluate medical cannabis regimens and medication-related problems. They will also attend classes on examining patients in a holistic manner, which will allow them to educate patients about lifestyles choices and how they affect treatment regimens. Retail Store Agents will be able to inform the patients on the entirety of the retail store's inventory, as well as advise and educate each patient based on their individual needs. Customer Consultation Rooms The Retail Store Agent will take the customer from the waiting room into a consulting room. While escorting the customer throughout the facility, the Retail Store Agent will ensure that the customer remains within their line of sight. Once In the consultation room, the Retail Store Agent will answer questions and provide information to the customer. The Retail Store Agent will review the patient's recommendation to see what product the physician recommended and how much product the patient may receive within thirty (30) days. The Retail Store Agent will review with the patient the types of medical cannabis and derived products available at the retail store, as well as how to properly dispose of medical cannabis and derived products. They will also discuss signs of illness or dependency from medical cannabis and derived products and answer questions to help the patient select medical cannabis. The Retail Store Agent will instruct the patient on proper administration, and provide both required and optional literature. Providing Products After all of the patient consultation procedures have been followed, the Retail Store Agent will collect the medical cannabis or derived product and bring it to the Retail Store Receptionist for check-out. The Retail Store Agent will also provide the Retail Store Receptionist with updates to the patient file. 46 If a Retail Store Agent is not available, or a customer does not require a consultation, another agent may assist the customer with their purchase and escort them back to the Retail Store Receptionist. However, only Retail Store Agents and managers will be permitted to disp ense medical cannabis and derived products. Customer Departure Before a patient leaves the retail store, the Retail Store Receptionist will verify that the patient file has been wholly updated, including an accurate reflection of the medical cannabis being dispensed. Before handin g over the dispense d item s, the receptionist will also make sure that all appropriate lab els are affixed to the packaging, that the packaging is compliant, and that all necessary additional inserts are included. The Retail Store Receptionist will collect payment for the medica l cannabis . Finally, the recep tionist will h and over the items and schedu le the patient for another co nsultation at a time wh en the patient Is able to refill their recommend ation. Non -Storefront (Delivery) Operations Plan Pursuant to 16 CCR§ 5415: All deliveries of cannabis goods will be performed by a delivery employee of a retailer. Each delivery employee of a retailer will be at least 21 years of age . All deliveries of cannabis goods will be made in person. A delivery of cannabis goods will not be made through the use of an unmanned vehicle . The process of delivery begins when the delivery employee leaves Native Blis s's licensed premises with the cannabis goods for delivery. The process of delivering ends when the delivery employee returns to Native Bliss's licensed premises after delivering the cannabis goods to the customer{s). During the process of delivery, Native Bliss 's delivery employee may not engage in any activities except for cannabis goods delivery and necessary rest, fuel, or vehicle repair stops. A delivery employee of a retailer will, during deliveries, carry a copy of Native Bliss 's current license, the employee's government-issued identification, and an identification badge provided by the employer pursuant to section 5043 of this division. Native Bliss will maintain an accurate list of Native Bliss 's delivery employees. Prior to providing cannabis goods to a delivery customer, a delivery employee will confirm the age and identity of the customer. Delivery Vehicle Requirements Pursuant to 16 CCR§ 5417: Native Bliss's delivery employee, carrying cannabis goods for delivery, will only travel in an enclosed motor vehicle. Any vehicle used in the delivery of cannabi s goods will be operated by a delivery employee of Native Bliss. Only Native Bliss or an employee of Native Bliss licensee for whom delivery Is being performed will be in the delivery vehicle . 47 While carrying cannabis goods for delivery, Native Bliss's delivery employee will ensure the cannabis goods are not visible to the public. Cannabis goods will be locked in a box, container, or cage that is secured on the inside of the vehicle. For purposes of this section, the inside of the vehicle includes the trunk. Native Bliss's delivery employee will not leave cannabis goods in an unattended motor vehicle unless the motor vehicle is locked and equipped with an active vehicle alarm system. A vehicle used for the delivery of cannabis goods will be outfitted with a dedicated Global Positioning System GPS) device for identifying the geographic location of the delivery vehicle. A dedicated GPS device must be owned by Native Bliss and used for delivery only. The device will be either permanently or temporarily affixed to the delivery vehicle and will remain active and Inside of the delivery vehicle at all times during delivery. At all times, Native Bliss will be able to identify the geographic location of all delivery vehicles that are making deliveries for Native Bliss and will provide that information to the Bureau upon request. Upon request, Native Bliss will provide the Bureau with information regarding any motor vehicle used for the delivery of cannabis goods, including the vehicle's make, model, color, Vehicle Identification Number, license plate number and Department of Motor Vehicles registration information. e Any motor vehicle used by Native Bliss to deliver cannabis goods is subject to inspection by the Bureau. Vehicles used to deliver cannabis goods may be stopped and Inspected by the Bureau at any licensed premises or during delivery. Cannabis Goods Carried During Delivery Pursuant to 16 CCR§ 5418(a), Native Bliss's delivery employee will not carry cannabis goods in the delivery vehicle in excess of $10,000 at any time. The value of cannabis goods will be determined using the current retail price of all cannabis goods carried by, or within the delivery vehicle of, Native Bliss's delivery employee. Pursuant to 16 CCR§ 5418(b), a delivery employee may only carry cannabis goods in the delivery vehicle and may only perform deliveries for one licensed retailer at a time. A delivery employee must depart and return to the same licensed premises before taking possession of any cannabis goods from another licensee to perform deliveries. Pursuant to 16 CCR§ 5418(c), Native Bliss's delivery employee will not leave the licensed premises with cannabis goods without at least one delivery order that has already been received and processed by Native Bliss. Pursuant to 16 CCR§ 5418(d), before leaving the licensed premises, Native Bliss's delivery driver will have a delivery Inventory ledger of all cannabis goods provided to Native Bliss's delivery driver. For each cannabis good, the delivery inventory ledger will include the type of good, the brand, the retail value, the track and trace identifier, and the weight, volume or other accurate measure of the cannabis good. After each customer delivery, the delivery inventory ledger must be updated to reflect the current Inventory in possession of Native Bliss's delivery driver. Pursuant to 16 CCR§ 5418(e), Native Bliss's delivery driver will maintain a log that includes all stops from the time Native Bliss's delivery driver leaves the licensed premises to the time that Native Bliss's delivery driver returns to the licensed premises, and the reason for each stop. The log will be turned in to Native Bliss when Native Bliss's delivery driver returns to the licensed premises. Native Bliss must maintain the log as a commercial cannabis activity record as required by this division. 48 I Pursuant to 16 CCR § 5418(f}, prior to arrival at any delivery location, Native Bliss must have received a delivery request from the customer and provided the delivery request receipt to Native Bliss's delivery driver electronically or in hard copy. The delivery request receipt provided to Native Bliss's delivery driver will contain all of the information required in section 5420 of this division, except for the date and time the delivery was made, and the signature of the customer. Pursuant to 16 CCR § 5418(g), immediately upon request by the Bureau or any law enforcement officer, Native Bliss's delivery driver will provide: o All delivery inventory ledgers from the time Native Bliss's delivery driver left the licensed premises up to the time of the request; All delivery request receipts for cannabis goods carried by the driver, in the delivery vehicle, or any deliveries that have already been made to customers; and The log of all stops from the time Native Bliss's delivery driver left the licensed premises up to the time of the request. Pursuant to 16 CCR § 5418(h), if Native Bliss's delivery driver does not have any delivery requests to be performed for a 30-minute period, Native Bliss's delivery driver will not make any additional deliveries and will return to the licensed premises. Required meal breaks will not count toward the 30-mlnute period. Pursuant to 16 CCR§ 5418(1), upon returning to the licensed premises, all undelivered cannabis goods will be returned to inventory and all necessary inventory and track-and-trace records will be updated as appropriate that same day. Cannabis Consumpt ion During De livery Pursuant to 16 CCR§ 5419, Native Bliss's delivery employees will not consume cannabis goods while delivering cannabis goods to customers. Delivery Request Receipt Pursuant to 16 CCR§ 5420, Native Bliss will prepare a hard copy or electronic delivery request receipt for each delivery of cannabis goods. The delivery request receipt will contain the following: The name and address of Native Bliss; The first name and employee number of Native Bliss's delivery employee who delivered the order; The first name and employee number of Native Bliss's employee who prepared the order for delivery; The first name of the customer and Native Bliss-assigned customer number for the person who requested the delivery; The date and time the delivery request was made; The delivery address; A detailed description of all cannabis goods requested for delivery. The description will include the weight, volume, or any other accurate measure of the amount of all cannabis goods requested; 49 The total amount paid for the delivery, including any taxes or fees, the cost of the cannabis goods, and any other charges related to the delivery; and Upon delivery, the date and time the delivery was made, and the handwritten or electronic signature of the customer who received the delivery. At the time of the delivery, the delivery employee of Native Bliss will provide the customer who placed the order with a hard or electronic copy of the delivery request receipt. The delivery employee will retain a hard or electronic copy of the signed delivery request receipt for Native Blis s's record s. Delivery Route Pursuant to 16 CCR§ 5421, while making deliveries of cannabis goods, Native Bliss's delivery employee will only travel from Native Bliss's licensed premises to the delivery address; from one delivery address to another delivery address; or from a delivery address back to Native Bliss's licensed premises. A delivery employee of Native Bliss will not deviate from the delivery path described in this section, except for necessary rest, fuel, or vehicle repair stops, or because road conditions make continued use of the route unsafe, impossible, or impracticable. Signage Plan Dual Permits Posted and Visible Pursuant to SLOMC 9.10.060.A., a copy of Native Bliss's Commercial Cannabis Business Permit issued by the City of San Luis Obispo pursuant to this Chapter, together with a copy of the appropriate state licenses. for the Commercial Cannabis Activity being conducted, will be posted and readily visible to the public at all times, at each location where Commercial Cannabis Activity occurs. Production of Originals for Inspection Pursuant to SLOMC 9.10.060.B., Native Bliss will produce for inspection and copying, upon request of a City inspector, code enforcement officer, or City police officer during normal operating hours, the original of the current and valid City of San Luis Obispo Commercial Cannabis Business Permit and the appropriate, current and valid licenses. of the State of California for the Commercial Cannabis Activities. or Commercial Cannabis Business.es. being conducted. Staffing Plan Native Bliss has a comprehensive staffing plan in place to guide recruitment, hiring, training and managing its employees. Highlights of the plan feature : Precise definition of responsibilities Clearly understood chains of authority Well-paid, well-qualified, well-trained personnel Professional recruiting practices Thorough training of new hires 50 Native Bliss' recruiting efforts w ill be primarily directed at candidates with the following qualifications: Health-related educational/professional backgrounds Inte rest and aptitude for the healing arts Spotless criminal records Experience in restricted access venues Native Bliss' staffing protocols detail the processes the Chief Executive Officer (CEO) and Chief Operating Officer COO) will USf:! to manage Native Bliss' human resources needs, and to provide customer or patient accessibility in compliance with state law and Department regulations. The COO is assigned the responsibility for maintaining and updating the staffing policies, which will ensure th at Native Bliss has sufficient staff possessing the correct sk ill-se t s and experience needed to ens ure the success of all operations. The staffing plan will be updated at least annua lly. Hiring and Buying Locally As a criti ca l component of its commitment to San Lui s Ob ispo's residents and businesses, Native Bliss is comm itted to hiring 90 percent or more of its empl oyees and managers from the San Luis Obispo County workforce. Native Bliss will al so purchase at least 80 percent of its suppli es and equ ipment from businesses within 90 m il es of the facility. Social Equity In add ition, Native Bliss will implement an ave rage pay rate for entry and mid-level positions of at least 40% more than the median local income for similar positions in other mainstream businesses, and that base wages for empl oyees exceed the minimum wage by at least $3.00/hour. Labor Peace Agreement Once Native Bli ss has hired 20 or more non-management emp loyees, it will enter into a labor peace agreement with a bona fide labor organization. Roles and Responsibilities The following is a list of positions th at have been or will be filled at Native Bliss: 51 52 53 Staff Acquisition Process Th e Huma n Resources Manager will coordinate with the coo to acq u ire all necessary staff Including key personne l. The acqu isitio n p rocess may v ary depending o n th e vacant position an d any special ci r cumstances Inclu d in g Chief Exec utive Officer ap p roval for a direct non-so licited hire. The acq uisition process is manage d by the Hum an Resources Manager and typica ll y Involves the following: 54 Identification of need . Job classification and job description preparation. Native Bliss will make the best efforts to fill the vacant position utilizing the methods that be st fit the position including, but not limited to: Internal posting, Partner posting (consultants, non-profit partners, vendors, etc.), External posting, Temporary staffing agency; or Executive search firm. Other procedures Native Bliss' staff will leverage to find qualified candidates include: Reviewing resumes and required job applications for qualified candidates including those with relevant experience and those with complementary skills and a strong potential for growth. Performing and recording reference checks on qualified candidates Including verification of address, education, and former and current employment. Recording of information from former supervisors on the candidate's performance If available. Scheduling first interviews. Scheduling second interviews (with strong candidates ) with the direct supervisor. Delivery of an offer letter to the first choice cand idate (as determined by the direct supervisor). Performing a Level 2 criminal background check on the se le cted candidate to determine eligibility and to identify any other possible disqualifying items. New hire orientation and training. Completion of the probationary period. Disqualifying Items and Items of Consideration Native Bliss will not hire a ny person that is not eligible. All staff must be 21 years of age or older. The Human Resources Manager will not employ anyone who will come in contact with or handle Cannabis who has been convicted of any theft, violent crime, or felony of sale or possession of drugs~ narcotics, or controlled substances. Other items discovered through the reference check process may be considered when making a hiring decision includ ing, but not limited to: A history of theft, acts o f violence, or negligence; Unverifiable resume or application statements; Negative reference checks or inability to obtain a positive reference from any former employers; 55 I Lack of stability in work history or residence; Employment with any independent l aboratory providing services for the operation or physician's office providing Cannabis patient certifications. Dis criminatory Practices Native Bliss does not discriminate In hiring or operating decisions. All managers and supervisors must comply with all EEOC guidelines when managing staffing issues. No policy or procedure implemented by Native Bliss may lead to discrimination based on or conflict with laws regarding: Race Height or Weight Credit Rating or Economic Status Religious Affiliation or Beliefs Citizenship Marital Status, Number of Children Gender Arrest or Conviction unless in a sensitive position Security/Background Checks For Certain Religious or Ethnic Groups Disability Medical Questions & Examinations Interview Process Prospective employees sho uld be brought in for an Interview to assess the candidates. The first interview will be a general conversational style interview, lower pressure, more of a "meet and greet." We are looking for candidates who are easy communicators, people with the natural ability to hold a conversation and keep us interested. Some of the traits Native Bliss is looking for are: 1. 2. 3. 4. 5. 6. 7. 8, 9. The candidate speaks well, holds a conversation, Is not awkward. The candidate Is naturally friendly and good natured. The candidate is energetic/passionate. The candidate seems to enjoy talking/Interacting people . The candidate Is magnetic. The candidate is welcoming. The candidate makes us feel listened to. The candidate Is professional and mature. Do we trust the candidate? Do we believe that this person will guide us to what we really need, or do we feel "so ld?" 56 If managers are suitably impressed, the second interview will be held to help determine the aptitude of the candidate, the qualifications of the candidate, and the candidate's current knowledge of cannabis. Background Screen;ng We will perform background checks on all employees, volunteers, principals, directors, and board members. We will also perform background checks on any contractors or vendors who regularly work within the facility or will be employed there for an extended time. Copies of any public records obtained through the background check process will be provided to the individual concerned . To ensure transparency, the entire background checking process will be conducted by a third-party. We will not employ anyone who has been convicted of a felony except for the purposes of the MMICP as an excluded felony offense." Also, we elect not to engage any contractors or vendors who would have access on a regular basis or for an extended time to restricted areas of our facility if they have been convicted of any excluded felony offenses. 1. Native Bliss will ensure employees are at least 21 years of age. 2. Native Bliss will obtain age of applicant on each employee application . 3. A copy of applicant's valid, unexpired CALIFORNIA driver's license will be made and attached to each employment application. 4. If employee will be working in capacity of "transporter", a copy of current auto insurance will be placed in employee and verified that insurance meets states minimum standard . 5. A live-scan criminal background check including any disqualifying offenses 6. Individuals will submit a full set of fingerprints to the Bureau of cannab is Control, vendor, entity, or agency authorized for processing by the state which may be forwarded to the FBI Employee Registry Pursuant to SLOMC 9.10.130.D., Native Bliss will maintain a current register of the names and the contact information (including the name, address, and telephone number) of all employees currently employed by Native Bliss and will disclose such register to any City of San Luis Obispo official upon request. Employee Badges Native Bliss will provide all agents with security badges that must be worn at all times while engaging in Commercial cannabis Activity. The employee badge will include the following: 1. The licensee's "doing business as" and license number 2. The employee's first name 3. The employee number uniquely assigned to the employee for identification purposes 4. A co lor photograph of the employee that is at least 1 inch in width and 1.5 inches in height 5. Badges must be laminated or plastic coated 57 New Employee Onboarding Once a decision has been made to hire a candidate, the employee must pass a background check and drug test. The below checklist should be used to onboard a new employee. 1. Pass a background check 2. Pass a drug test 3. Fill out our li abil ity waiver 4 . Complete the Employment Contract 5. Fill out a W-4 and provide all necessary documentation 6. Manager or HR will need to run E-verify and take all appropriate bank information for direct deposit and Paychex processing form 7. A user profile in the Payroll System will need to be created for the employee 8 . A user profile time and attendance scheduling system credentials 9. The employee will be informed of the policies regarding warnings, keys, and discipline. 10. The GM will review the uniform policy and provides two uniform shirts in appropriate size for employee Employee Training It is the policy at Native Bliss that the better informed our employees are, the better they can answer questions and teach our clients the value of the products we carry. To ensu re all employees enter the training on the same page, Native Bliss utilizes the following items to standardize training: 1. New Hire Training 2. Formalized Staff Training 3. One on One Training 4. Se lf-Directed Training 5. Peer to Peer Training Employees will be tested on training content and must pass the test by their third attempt in order to remain employed. All staff will also go through periodic refresher seminars, as well as new training on any policy updates or changes In procedure. Security and emergency response training is only part of the comprehensive training required for all employees. In developing our official safety and security policies, we will consult with local law enforcement. We will also work with local police to develop effective ongoing employee training seminars and practices. Especially in developing our policies and training procedures on crime prevention and security threat response, we will seek the involvement of local law enforcement. All emergency procedures will be rehearsed in periodic drills. 58 t In addition to training and periodic drills, all emp loye es will receive official Company reference material, written in pl ain English and presented in an eas y-to-use outline format, explaining all our operational, safety, and security policies and protocols. New Hire Training 1. For a minimum of 3-days, shadow a senior level employee 2. Training will be done on the following procedures: POS System Logging tim e and attendance Client Verification Adult-Use Age Verifi ca tion Inventory Control Product Education Cannabis laws and regulations, Client privacy, confidentiality, and secure electronic record keeping, Procedures for client reception and registration, Procedures for product sales, and Personal safety, fire safety, and crime prevention. Security and Emergency Response Ongoing education Is recommended , and employees will be encouraged attend courses regularly to pursue the highest levels of employee qualifications. Employee Safety And Training Plan As a steward of healthy living, Native Bliss is committed to serving customers, protecting employees, and meeting the public health needs of its community as it dispenses safe and effective medical and adult use cannabis. Native Bliss will exceed statutory and regulatory requirements, as well as any BCC guidance, on safety and sanitation through procedural assurance of strict sanitary policies and processes; holistic, site-wide appraisal of operational cleanliness; and applying detailed Standard Operating Procedures (SOPs) for daily sanitation compliance and best practices of related protection procedures. Training Native Bliss will ensure that its facility is a safe and sanitary place for customers to visit and employees to work at all times. Prior to commencing duties as an employee, team members will be given an Initial five hours of training on monitoring and controlling sanitation standards and policies, Including daily, weekly, monthly, and semiannual procedures, to ensure ongoing safety and sanitary conditions, as supplemented by ongoing training 59 as needed. This training will include critical, ongoing tasks to ensure Native Bliss maintains a high level of attention to site sanitation and safety on a continuous basis. Monitoring, recording, and reporting of daily tasks will ensure the consistency of cleanliness and safety at Native Bliss. Sanitation Proper sanitation is necessary for maintaining a healthy and compliant facility. Additionally, Native Bliss will maintain Its facility in a sanitary condition to limit the potential for contamination or adulteration of the medical and adult use cannabis stored In or dispensed at the facility. Dispensary Sanitation Training and Maintenance Strategy By structurally building staff SOPs around sanitation concerns, Native Bliss can ensure high levels of cleanliness are maintained without interrupting or derailing other operational processes. Native Bliss intends to achieve this high level of site sanitation by ensuring all operations and employees adhere to the Contamination Prevention policies; additionally, Native Bliss will issue a highly detailed and exacting set of SOPs that ensure cleaning procedures are carried out in a timely and consistent manner. Contamination Prevention Native Bliss stands behind the quality and efficacy of every single one of the medical and adult use cannabis products Native Bliss will be dispensing to Native Bliss customers and caregivers. As such, Native Bliss must ensure that nothing about Native Bliss facility could possibly contribute to the contamination or adulteration of any product Native Bliss sells. To ensure that, Native Bliss is putting In place the following guidelines to be followed at all times by employees and managers. In the event a contamination does occur, either discovered on-site or by a customer, the Native Bliss team will Immediately Inform the BCC, the supplying G/P, and any other necessary parties. Cleaning Procedures Native Bliss will follow a series of standardized safety and sanitation protocols, which will be evaluated and updated on a regular basis. All cleaning shall be properly documented by the responsible employee, with the date and time recorded along with any relevant notes. All products for sale that can support the rapid growth of undesirable microorganisms shall be held in a manner that prevents the growth of microorganisms or other blo-contaminants. This includes, but Is not limited to, refrigeration at proper temperatures, shielding from direct light, and preventing exposure to air. Additionally Native Bliss will institute a burnishing program to prolong the life of the floor, as well as maintaining Its appearance at all times of the year. Daily Cleaning Procedures To carry out these goals, Native Bliss will implement the following deaning procedures: 1. Visually inspect all areas for any types of debris or paper and for evidence of pests, including droppings. 2. Remove these items and dispose of them properly. 3. Vacuum up any dirt or debris that cannot be removed by hand. 60 4. s. 6. 7. 8. If there are any spots or stains on the carpets, floors, walls, furniture, or baseboards, immediately clean in an appropriate manner, then follow up with a portable spotter to remove the spot or stain and the chemical. Empty trash cans and replace garbage bags in all areas. Clean the trash can and surrounding area if necessary. Check pest traps for pests and remove as necessary, disposing of the remains in a sanitary manner sealed in separate trash bags and disposing in the dumpster. At no time will pest 9. remains be allowed to be dumped inside the building. 10. Ensure products for sale and/or for disposal are being stored in the proper manner according to their types and to all applicable rules, regulations, and laws. Weekly Cleaning Procedures 1. Dust all surfaces, including desks, filing cabinets, walls, and shelves. 11. Wipe down desks, telephones, calculators, and computer keyboards thoroughly using a disinfectant spray that has been sprayed on a microfiber cloth or a disinfecting wipe. 12. Wipe down heating vents, ledges, door jambs and window sills at any easily reachable level. 13. Dust mop all tiled or hard-surface floors, and sweep debris into dustpan for disposal. 14. Wet mop all hard-floor surfaces following step-by-step instructions. 15. Vacuum all carpeted floors, starting with the mats and runners. 16. Discard all expired food from employee break rooms. Monthly Cleaning Procedures 1. Clean wall-mounted units such as paper towel dispensers with a disinfectant spray or wipe, paying special attention to all fixtures and items in the restroom, while following established cleaning procedures. 17. Wipe down all vertical surfaces in the area with an all-purpose cleaner. 18. Spray buff all hard-surface floors. The spray procedures will be used with a low-speed floor buffer. The burnishing procedures will be best utilized with a high-speed burnisher. If hard-surface floors are particularly dirty, initially scrub floors with a low-speed buffer. 19. Polish tables, chairs, and any other wooden objects using furniture polish or wood cleaner to maintain a professional appearance. 20. Dust or vacuum all vents, overhead circular fans, and behind hard-to-reach areas like tables and desks. Clean all windows with a glass cleaner to remove all marks and fingerprints. Semiannual Cleaning Procedures 1. Strip and recoat any hard-surface floors to remove scuff marks and any imperfections in the finish. 61 2. Spray buff or burnish the floor immediately to make the finish "pop" as much as possible. 3. Extraction clean all carpeting, runners, mats, and upholstery, following the carpet extractor instructions. For any heavily soiled areas, or traffic pattern areas, follow carpet scrubbing bonnet instructions. Site Sanitation In addition to Native Bliss training and staff maintenance strategies with respect to keeping the cleanest Retail Store possible, Native Bliss will take a firm approach to standardized methods for site cleanliness in general; various staff actions will be orchestrated to achieve efficient waste removal and adequate cleaning of the site's physical surfaces, and to ensure Native Bliss's entire operation remain free from infestation by insects, rodents, birds and pests. Waste Removal Litter and waste are to be properly and regularly removed from Native Bliss, so waste does not constitute a source of contamination nor attract or harbor pests, per and . There shall be a sufficient number of trash receptacles throughout Native Bliss, with no less than one receptacle in each room, placed in such a manner to provide easy access while preventing them from obstructing walkways or creating a safety hazard. Each trash receptacle will be of sufficient size to serve the needs of the room, with larger cans in more heavily used rooms and smaller cans in less-used rooms. At all times trash cans will have liners in them and will be emptied and relined at the end of each workday and at any time during hours of operation when the receptacle is full or nearly full, or when the nature of the refuse is such that it requires immediate disposal to the on-site dumpster on the exterior of the building. To minimize spillage, odor, and contamination, all receptacles shall be constructed to prevent leaks and will be equipped with solid, tight-fitting covers that can be operated in a hands-free manner .. Native Bliss will not keep corrugated cardboard in the same area as medical and adult use cannabis products. If corrugated cardboard waste is kept in the facility at all, it will be kept off the floor, and it will be broken down and disposed of immediately to prevent dust, insects, pests, bacteria, mold, etc. All sweepings, solid or liquid wastes, refuse, and garbage shall be removed in such a manner as to avoid creating a menace to health and as often as necessary or appropriate to maintain the place of employment in a sanitary condition, per. Upon returning from disposing of refuse in the dumpster, the employee is required to wash their hands with soap and water prior to resuming other duties. Native Bliss will ensure the proper method of PHI disposal in compliance with the Health Insurance Portability and Accountability Act (HIPPA). Examples of proper disposal methods may include, but are not limited to: For PHI in paper records, shredding, burning, pulping, or pulverizing the records so PHI is rendered essentially unreadable, indecipherable, and otherwise cannot be reconstructed; Maintaining labeled prescription bottles and other items containing PHI in opaque bags in a secure area and using a disposal vendor as a business associate to pick up and shred or otherwise destroy the items containing PHI; and For PHI on electronic media, clearing (using software or hardware products designed to overwrite media with non-sensitive data), purging (degaussing or exposing the media to a strong magnetic field to disrupt the 62 recorded magnetic domains), or destroying the media (disintegration, pulverization, melting, incinerating, or shredding). Floors, Walls, and Ceilings The fioors, walls, and ceilings in every room of Native Bliss will be constructed in such a manner that they can be adequately cleaned and kept in good repair. The fiooring of Native Bliss will be slip-resistant, with a wear layer made of mineral aggregate with saturated glass-fiber backing underneath. This type of fiooring will not only minimize safety issues such as slippage, but, given the insolubility and stain-resisting properties of the material, it will make cleanup easy to complete as liquids, stains, and litter are easy to spot and cannot be absorbed, Where appropriate, there will be floor runners made of corrugated vinyl along high-traffic routes to further minimize the possibility of slippage. Such precautions will keep Native Bliss clean and will keep the rate of staff accidents low. Pest Protection Procedures Native Bliss will design and execute a pest protection plan that provides adequate protection against pests using integrated pest management practices and techniques that identify and manage pest problems. Implementation of said strategies include, but are not limited to, regular inspections of Native Bliss, the use of non-chemical means of prevention and removal of pests whenever possible, such as baited traps, keeping all areas of Native Bliss clean and sanitary at all times, regular removal of trash and other debris, and sealing cracks, crevices, and other potential means of ingress into the building against pests. Employee Sanitation and Hygiene Per, and in accordance with (relating to restrictions on food handlers) of the California Code, all Native Bliss employees shall be expected to at all times maintain proper personal hygiene and sanitary standards for their person while on the premises for any reason. All persons working in direct contact with medical and adult use cannabis or medical and adult use cannabis products shall maintain adequate personal cleanliness, which includes washing hands thoroughly prior to beginning work as well as at any other time when the hands may have become soiled or contaminated (), ensuring clothing Is suitably clean, and showering or bathing prior to reporting for duty. Hand-Washing and Lavatory Facilities Native Bliss will have an adequate number of hand-washing and lavatory facilities, convenient for their regular use by employees and customers and furnished with running water at a suitable temperature. Hand-washing facilities will be located in all bathrooms, employee break rooms, and any other locations regular hand-washing is needed; these areas will be supplied with effective, non-toxic sanitizing cleansers and sanitary towels or suitable hand drying devices. The toilet facilities will be provided with adequate consumables, readily accessible, and maintained in sanitary condition and good repair. Furthermore, Native Bliss shall at all times comply with California's laws, rules, and regulations regarding retail operations and the cleanliness and safety thereof. Native Bliss shall submit to and fully cooperate with all regular or unannounced inspections by any designated agency of California or the local authority. Going beyond that, Native Bliss shall conduct their own regular and unannounced health and safety audits and inspections by contracting with an outside firm which can provide such a service, and similarly conduct a separate pest control audit. Native Bliss shall fully implement the recommendations and requirements of each such audit. 63 Mandato1y Sanitation and Safety Supplies At all times, Native Bliss will have on each premises sufficient tools and products to ensure that safety and sanitation procedures can be properly carried out by employees. These tools will be properly labeled, locked, and stored in closets compliant with all applicable laws and regulations per and which are dedicated to such tools, away from other products to prevent diversion and cross-contamination. Cleaning Tools A janitorial cart, two mops, two mop buckets, one large push broom, two regular-sized brooms, two dustpans, one duster, one wall-mounted broom holder, one carpet vacuum cleaner, one wet-dry vacuum, one floor machine, one handheld dust vacuum, one toilet bowl scrubber, four empty refillable spray bottles, four "Caution Wet Floor" signs in both English and Spanish, one pack of reusable rubber gloves, wall-mounted hand sanitizer dispensers in each bathroom and In the employee break room, wall-mounted paper towel dispensers in the employee break room, wall-mounted automatic hand dryers in each bathroom, wall-mounted hand soap dispensers in each bathroom and the employee break room, two snow shovels, one salt spreader, one hands-free waste disposal bin of sufficient and appropriate size in every room of the facility, one hands-free recycling bin in the employee break room, and pest traps and deterrents, including ultrasonic sound emitters to deter mice and rats. Cleaning Supplies Trash bags (both for regular waste and large, heavy-duty bags), commercial-grade, all-purpose cleaner and deodorizer in gallon bottle size, one spray bottles of glass cleaner, one gallon-sized bottle of glass cleaner refill, one bottle of toilet disinfectant and cleaner, one bottle of liquid drain opener, two bottles of spray disinfectant, hand soap bottles and refill bottles, hand sanitizer refills, two hand sanitizer bottles to be kept at separate locations in the main retail area, toilet paper, tissue paper, paper towels for both the wall-mounted dispensers and for general cleaning purposes, terry cloths, all-purpose microfiber cloths, one bottle of dishwashing liquid, one pack of scrubbing sponges, one box of scouring pads, three bottles of disinfectant wipes, one bottle of air freshener, one bottle of wood cleaner or polish, one bottle of compressed gas office hardware cleaner, one bottle of metal polish, four bags of deicing salts (during the winter months only), and one bottle of insect killer. Above are non-exhaustive lists of tools and supplies to be kept at Native Bliss' facility at all times. Developing needs shall be continuously evaluated by Native Bliss managers, and it shall be the responsibility of the general manager to ensure that all cleaning tools and supplies are in stock and kept in good working order. Should a cleaning supply run low or a sanitary tool need replacing, the manager will place an order with Native Bliss supplier, prior to running out of that supply or exhausting the use of that tool. The cleaning supplies purchased by the Native Bliss team will be of the lowest toxicity possible to complete the task and be environmentally friendly when possible to purchase such a product. For instance, work surfaces will be sanitized with isopropyl alcohol. Toxic Cleaning Compounds While the Native Bliss team will strive to minimize the use and purchase of toxic cleaning compounds, should the need arise to use such products, toxic cleaning compounds, sanitizing employees, and other chemicals shall be identified, held, stored, and disposed of in a manner that protects against contamination of medical and adult 64 use cannabis and medical and adult use cannabis products. Such handling will always be done in a manner that is in accordance with any applicable local, state, or federal laws, rules, regulations, or ordinances. These compounds will be stored in monitored, secured spaces such as a locked closet away from medical and adult use cannabis products and the retail floor; such toxic products will only be accessed when necessary. Employees who use any such products are required to wash their hands with soap and water immediately after use. Safety Plan and Protocols Americans with Disabilities Act (ADA) Access Philosophy Native Bliss is focused on improving the quality of life of Native Bliss customers by providing safe access to effective medicine. This approach extends to Native Bliss's facility design philosophy, which emphasizes ADA access as a matter of priority. Native Bliss will provide reasonable accommodations to customers and caregivers to ensure safe access to the facility. From physical modifications to Native Bliss to digital modifications to Native Bliss information systems, Native Bliss is committed to providing safe, comfortable, and dignified access. Safety Training Well trained employees are integral to a safe and secure facility. Safety training includes instruction on Personal Protective Equipment (PPE), Occupational Safety and Health Administration (OSHA) training for medical professionals, and OSHA hazardous materials training. If an employee will use any devices such as ladders, dollies, pallet jacks, or forklifts, the employee will be certified for such use. Safety training also includes emergency response training for manufactured and natural disasters. Specific emergency training will be provided for a medical emergency, fire, or chemical spill. Employees will be trained for threatening events such as armed robbery, invasion, burglary, or any other criminal incident. All employees will also be instructed in basic self-defense training and will be encouraged to take additional self-defense classes. Personal Protective Equipment Personal Protective Equipment (PPE) for eyes, face, head, and extremities, protective clothing, respiratory devices, and protective shields and barriers, shall be provided, used, and maintained In a sanitary and reliable condition wherever it Is necessary, per. Native Bliss will provide training to each employee who is required to use PPE, per and its subsections. Each such employee will be trained In at least the following Information and skills: When PPE is necessary; What PPE Is necessary; How to properly put on, take off, adjust, and wear PPE; 65 Instruction for speci fic pers onal protective equipment employees will use regularly, including protective g loves during applicable work duties; The limitations of the PPE ; and The proper care, ma intenance, use ful life, and disposa l of the PPE. Emp loyees w ill demonstrate an understanding of the training and the ability to use PPE properly before being all owed to perform work req uiring the use of PPE. If an emp loyee who ha s already been trained does not have the understanding and sk ills descri bed above, the emp loyee will be retrained. OSHA Compliance OSHA re co mmends tra i ni ng for severa l fi elds, but because the medica l cannabis industry Is a young industry, certain stan dards and training have not yet been ou tlined . However, Native Bliss will make sure that all employees receive all rel eva nt OSHA training. Initiall y, Native Bliss managers will attend Introduction to OSHA for Small Bu sinesses, Introduction to Safety and Hea lth Management, and Recordkeeping Rule Seminar. Within the first 60 days of employment, Retail Store Agents will take part in the OSHA Evacuation and Emergency Planning course. Between 60 and 120 days of employment, employees w ill t ake the OSHA St andards for General Industry and OSHA Hazardous M aterials courses. Waste Management Plan Non -Cannabis Solid Waste Non-hazardous non-cannabis so lid waste will be stored in bins or dumpsters for regu lar weekly pickup by a local waste management compa ny. Example s of non-hazardous non-cannab is waste include food and general waste from break rooms and restrooms a nd recyclable waste, such as plastics, paper, and meta ls. Non-Cannabis Liquid Waste Native Bl iss does not antici pate any non-haz ardous non-ca nnabis liqu id w as te requiring a specific disposa l procedure. Should Native Bli ss devel op a need for liquid waste disposal , a policy will be Im pl ement ed that co mplies with the require ment s for disc harge into surface water, grou ndwa t er, and sewers. Cannabis Waste Pursua nt to 16 CCR§ SOSS(a), Native Bliss will not se ll cannab is waste . Pursua nt to 16 CCR§ SOSS(b ), Native Blis s will comply with all applicable wa st e managemen t laws Including, but not limited to, Divi sion 30 of the Public Resources Code. Pursua nt to 16 CCR§ SOSS(c), Native Bliss will dispose of cannab is waste in a secured waste recep t acle or in a secured area o n t he license d premises . Fo r th e purposes of this section, "secure waste receptacle" or "secured area" m ea n s that physica l access to the recept ac le or area is restricted to Native Bliss and it s employees and the local agency, or waste h auler fra nchised or contracted by a local agency. Public access to the designated receptacle or area Is prohibited. 66 Pursuant to 16 CCR§ 5055(d), if Native Bliss is composting cannabis waste on the licensed premises, Native Bliss will do so in compliance with title 14, California Code of Regulations, chapter 3.1 (commencing with Section 17850). Pursuant to 16 CCR§ 5055(e), if a local agency, or waste hauler permitted by a local agency, is being used to collect and process cannabis waste, Native Bliss will do all the following: Provide the Bureau with the following information for the local agency, or waste hauler franchised or contracted by a local agency, who will collect and process Native Bliss's cannabis waste; e Name of local agency providing waste hauling services, if applicable; Native Bliss name of the local agency franchised or contracted or permitted waste hauler, if applicable; Native Bliss business address; and Name of the primary contact person at the company and contact person's phone number. Obtain documentation from the entity hauling the waste that indicates the date and time of each collection of cannabis waste at the licensed premises; and Obtain a copy of the certified weight ticket or other documentation prepared by the entity hauling the waste confirming receipt of the cannabis waste at one, or more, of the following solid waste facilities: A manned, fully permitted solid waste landfill or transformation facility; A manned, fully permitted composting facility or manned composting operation; A manned, fully permitted in-vessel digestion facility or manned in-vessel digestion operation; A manned, fully permitted transfer/processing facility or manned transfer/processing operation; or A manned, fully permitted chip and grind facility or manned chip and grind operation. Pursuant to 16 CCR§ 5055(f), if Native Bliss is self-hauling cannabis waste to one, or more, of the solid waste facilities in subsection (e)(3) of this section, Native Bliss will obtain for each delivery of cannabis waste by Native Bliss a copy of a certified weight ticket or receipt documenting delivery from the solid waste facility. Only Native Bliss or its employees may transport self-hauled cannabis waste. Quality Assurance Plan Company Name] is committed to providing the highest quality products to its customers and patients. To ensure this commitment, Native Bliss will hire a Quality Assurance Director and an Inventory Manager. These managers, along with other Retail Agents selected to join the Native Bliss's Product Evaluation Committee, will be responsible for receiving, verifying, storing, returns, recalls, transportation, packaging, labeling, and inventory control of Cannabis at Native Bliss. Additional Retail Agents will be assigned product evaluation duties as needed. 67 In addition, the Evaluation Committee will periodically review procedures for efficiency and efficacy and make adjustments as necessary. Any deviation from standard operating procedures will be recorded in the variance log, accompanied by an appropriate explanation. Quality Assurance Director The Quality Assurance Director will be hired by the Facility Manager with approval from Native Bliss management. The Quality Assurance Director will be responsible for: Ensuring that the products sold at Native Bliss are of the quality and quantity that they are purported to be; Receiving all products shipped to Native Bliss; Inspecting the products, packaging, labeling, weight, and any other aspects of a shipment to verify quality; All decisions on which product is accepted and which is returned or destroyed; All testing and re-testing of products; Sampling received materials for potential future adverse event and recall purposes; Placing all products in storage; Ensuring that no product is stored in an unsafe or unsanitary manner; Inspecting, sanitizing, and calibrating any equipment, including scales, used with Cannabis; Maintenance of all product quality logs for cleaning, sanitizing, calibration, and other quality assurance measures; and Ensuring all edible products are labeled clearly and unambiguously as Cannabis and are presented in packaging that is not appealing to children. The duties listed here are not exhaustive; the Facility Manager may assign other responsibilities to the Quality Assurance Director. Receiving Products 68 Verification of Shipping Manifest The shipment should exactly reflect the shipping manifest; any discrepancies in the shipment will be noted on the shipping manifest. In the event of a discrepancy, the Quality Assurance Director will notify the originating facility. Only after the shipping manifest has been verified as correct will he or she perform an inspection to ensure the quality, purity, and identification of each product In the shipment. If the shipment contains Cannabis, a detailed inspection of the products, packaging, labeling, and testing results must be conducted before the shipment may be accepted. The packaging should be legally compliant and uncompromised. Any dents, tears, cracks, or other damage to the packaging may be grounds to reject the product; the Quality Assurance Director will determine if the product is compromised. Eval u ation of Received Prod ucts Each shipment of products containing Cannabis received from a Cannabis cultivation or manufacturing establishment will be inspected by the Evaluation Committee to verify that it meets all state requirements and Native Bliss best practices, prior to being stored for sale to a customer or patient. The Evaluation Committee will inspect all products, packaging, written notices and labels affixed to packaged products to make sure they contain all legally required information. If any components are deficient the product will be accepted but placed into quarantine until the Quality Assurance Director obtains the information from the shipper. The Quality Assurance Director must check labels for testing Information. If a product arrives without testing information, it shall be placed into quarantine until the Quality Assurance Director can obtain the testing results for the product. The Evaluation Committee shall verify that all information is included for all receivables, and if it is not, they shall reject the shipment, print labels containing the missing information according to labellng procedures, or place the packages In quarantine for further investigation at the direction of the Quality Assurance Director. Native Bliss shall maintain a designated area for packaging. As packaging and labeling designs change, the Quality Assurance Director will insert updated mock-ups into the standard operating procedures in order to assist Product Evaluation Retail Agents with Inspection procedures. Additional brochures or pamphlets may be given to customers and patients to provide information about routes of administration, product advisories, upcoming classes, and other topics of customer or patient interest. Upon request, Native Bliss will provide customers and patients with a pamphlet for any product. Pamphlets shall Include, at a minimum: specifications, proper administration, and instructions for disposal. This information will be available on Native Bliss website, printed In pamphlets available at Native Bliss, and provided over the phone to those who request deliveries, in addition to hard copies given with delivery. All Retail Agents must offer additional Information and product Inserts when dispensing Cannabis, but customers and patients are not required to accept it so long as the dispensed product meets all packaging and labe ling requirements. Product Information and Inserts In addition to all information required on packaging, the Evaluation Committee will ensure that any additional Information required by state law Is provided to the customer or patient with each transaction. Additional information may be included as a product insert, and may include any of the following warnings: 69 I This product may have intoxicating effects and may be habit forming. Smoking is hazardous to your health;" There may be health risks associated with consumption of this product;" For use only by the person named on the label of the dispensed product. l<eep out of the reach of children;" Products containing cannabis can impair concentration, coordination, and judgm ent. Do not operate a vehicle or machinery under the Influence of this drug;" and/or Cau tion : When eaten or swa llowed, the intoxicating effect s of this drug may be delayed by 2 or more hours." Acce pted Pr od ucts If the Quality Assurance Director believes the quality of the product is still intact, he or she may accept the product and have it tested to ensure quality. The product will be placed in quarantine until the retest results are con firmed. If the product passe s testing, Native Bliss may repackage it. If the product fails testing, the product will remain in quaranti ne until it can be properly disposed of. Products accepted at Native Bliss will be Immediately placed into secured storage by the Quality Assurance Director. Products conditionally accepted will be placed into quarantine until the necessary I nformation about the product is obtained; then they can be accepted and placed into secured storage. All other products will either be rejected and returned to the shipper or placed In quarantine to await disposal. Rejected Products All products that are rejected by the Evaluation Committee will be disposed of in full compliance with California state and local regulations for cannabis waste. Waste Storage and Quarantin e Medical Cannabis waste shall at no time be stored anywhere outside of the secured Cannabis waste disposal area. Products requiring disposal may be contam inated, returned, damaged, or in a condition that could adversely affect the quality of other Cannabis. Cannabis products that are placed in secured quarantine are products whose quality is unknown, and they may pose a similar threat to the quality of other Cannab is. As products in secured quarantine may still be approved or rejected, it is necessary to segregate them to prevent potentia l contamination. Having designated areas for Cannabis storage also means that at no lime will a Reta il Agent sell a product that has not been tested and approved. ·see the Waste Management Pian for more Information. Inventory Control Plan Pursuant to SLOMC 17.99.050.E.3), Native Bliss's facility will be sited and/or operated In a manner that prevents cannabis odors from being detected offsite. Commercial cannabis activities will not create offensive or excess ive odors, dust, heat, noise, light, glare, smoke, traffic, or hazards due to the use or storage of materials, processes, products or wastes, or other unreasonable impacts to people of normal sensitivity living, working or lawfully present in the vicinity of the commercial facility. 7Q I Inventory Control System Pursuant to SLOMC 9.10.130.C., Native Bliss will maintain an inventory control and reporting system that accurately documents the present location, amounts, and descriptions of all cannabis and cannabis products for all stages of the growing and production or manufacturing, laboratory testing and distribution processes until sold or distributed. Native Bliss will maintain records of all sales or transfers of cannabis and cannabis products. Storage of Inventory In accordance with 16 CCR § 5033, Native Bliss will not store cannabis goods outdoors. separate employee break rooms, changing facilities, and bathrooms from all storage areas. separately license each location where cannabis goods are stored Sig n ificant Discrepancy in Invent ory Pursuant to 16 CCR § 5034, Native Bliss will comply with these requirements to determine significant discrepancies in inventory: A significant discrepancy in inventory means a difference in actual inventory compared to records pertaining to inventory of at least $5,000 or 2 percent of the average monthly sales of Native Bliss, whichever is less. For the purposes of this section, average monthly sales will be calculated by taking a per month average of the total sales for the previous 6 months. If Native Bliss has not been in operation for at least 6 months, only the months in which Native Bliss was operating will be used In determining average monthly sales. For the purposes of this section, Native Bliss's acquisition price will be used to determine the value of cannabis goods in Native Bliss's inventory. Track and Trace System Pursuant to 16 CCR § 5048: Native Bliss will create and maintain an active and functional account within the track and trace system prior to engaging In any commercial cannabis activity, including the purchase, sale, test, packaging, transfer, transport, return, destruction, or disposal, of any cannabis goods. Native Bliss will designate one individual owner as the track and trace system account manager. The account manager may authorize additional owners or employees as track and trace system users and will ensure that each user is trained on the track and trace system prior to its access or use. The account manager will attend and successfully complete all required track and trace system training, including any orientation and continuing education. If the account manager did not complete the required track and trace system training prior to receiving their annual license, the account manager will sign up for and complete state mandated training, as prescribed by the Bureau, within five business days of license issuance. f The account manager and each user will be assigned a unique log-on, consisting of a username and password. The account manager or each user accessing the track and trace system will only do so under his or her assigned log-on, and will not use or access a log-on of any other individual. No account manager or user will share or transfer his or her log-on, username, or password, to be used by any other individual for any reason. The account manager will maintain a complete, accurate, and up-to-date list of all track and trace system users, consisting of their full names and usernames. Native Bliss will monitor all compliance notifications from the track and trace system, and timely resolve the issues detailed in the compliance notification. Native Bliss will keep a record, independent of the track and trace system, of all compliance notifications received from the track and trace system, and how and when compliance was achieved. If Native Bliss is unable to resolve a compliance notification within three business days of receiving the notification, Native Bliss will notify the Bureau immediately. Native Bliss is accountable for all actions its owners or employees take while logged into or using the track and trace system, or otherwise while conducting track and trace activities. Track and Trace Reporting In accordance with 16 CCR§ 5049(a), Native Bliss will record in the track and trace system all commercial cannabis activity, including: G Packaging of cannabis goods . Sale of cannabis goods . Transportation of cannabis goods to Native Bliss . Receipt of cannabis goods . Return of cannabis goods, Destruction and disposal of cannabis goods . Laboratory testing and results . Any other activity as required pursuant to this division, or by any other licensing authority. Unless otherwise specified, all transactions must be entered into the track and trace system within 24 hours of occurrence. Native Bliss will only enter and record complete and accurate information into the track and trace system, and will correct any known errors entered into the track and trace system immediately upon discovery. Pursuant to 16 CCR§ 5049(b), the following information will be recorded for each activity entered in the track and trace system: Name and type of the cannabis goods. 72 Unique identifier of the cannabis goods. Amount of the cannabis goods, by weight or count. Date and time of the activity or transaction. Name and license number of other licensees involved in the activity or transaction. Trace and Trace Requirements During Transport In accordance with 16 CCR§ 5049(b)(6)(A), if the cannabis goods are being transported, Native Bliss will transport pursuant to a shipping manifest generated through the track and trace system, that includes items (1) through (5) of this subsection, as well as: The name, license number, and premises address of the originating licensee. The name, license number, and premises address of Native Bliss transporting the cannabis goods. The name, license number, and premises address of the destination licensee receiving the cannabis goods into inventory or storage. e The date and time of departure from the licensed premises and approximate date and time of departure from each subsequent licensed premises, if any. Arrival date and estimated time of arrival at each licensed premises. Driver license number of the personnel transporting the cannabis goods, and the make, model, and license plate number of the vehicle used for transport. Pursuant to 16 CCR§ 5049(b)(6)(B), upon pick-up or receipt of cannabis goods for transport, storage, or inventory, Native Bliss will ensure that the cannabis goods received are as described in the shipping manifest, and will record acceptance and acknowledgment of the cannabis goods in the track and trace system. In accordance with 16 CCR§ 5049(b)(6)(C), If there are any discrepancies between the type or quantity specified in the shipping manifest and the type or quantity received by Native Bliss, Native Bliss will record and document the discrepancy in the track and trace system and in any relevant business record. Trace and Trace Requirements During Destruction or Disposal of Cannabis Pursuant to 16 CCR§ 5049(b)(7), if cannabis goods are being destroyed or disposed of, Native Bliss will record in the track and trace system the following additional information: o The name of the employee performing the destruction or disposal. The reason for destruction or disposal. The name of the entity being used to collect and process cannabis waste, pursuant to section 5055 of this division. Trace and Trace Requirements for Additional Adjustments In accordance with 16 CCR§ 5049(b)(8), Native Bliss will record a description for any adjustments made in the track and trace system, including, but not limited to; 73 Spoilage or fouling of the cannabis goods. Any event resulting in exposure or compromise of the cannabis goods. e Any other information as required pursuant to this division, or by any other applicable licensing authorities. Loss ofAccess Pursuant to 16 CCR§ SOSO, Native Bliss will If at any point Native Bliss loses access to the track and trace system for any reason, Native Bliss will prepare and maintain comprehensive records detailing all commercial cannabis activities that were conducted during the loss of access. The licensee will both document and notify the Bureau immediately: When access to the system is lost; When access to the system is restored; and The cause for the loss of access. Once access is restored, all commercial cannabis activity that occurred during the loss of access will be entered into the track and trace system within three business days of access being restored. Native Bliss will not transport, transfer or deliver any cannabis goods until such time as access is restored and all information recorded in the track and trace system. Track and Trace System Reconciliation In accordance with 16 CCR§ 5051(a), in addition to other inventory reconciliation requirements under this division, Native Bliss will reconcile the physical inventory of cannabis goods at the licensed premises with the records in the track and trace database at least once every 14 days. Pursuant to 16 CCR§ 5051{b), if Native Bliss finds a discrepancy between its physical inventory and the track and trace system database, Native Bliss will conduct an audit, and notify the Bureau of any reportable activity pursuant to section 5036. Recordkeeping Plan Cit;y Access to Records Pursuant to SLOMC 9.10.130.A., subject to the Health Insurance Portability and Accountability Act .HIPAA. regulations, Native Bliss will allow City of San Luis Obispo officials to have access to Native Bliss's books, records, accounts, and any and all data relevant to its permitted activities for the purpose of conducting an audit, examination or inspection. Books, records, accounts, and any and all relevant data will be produced no later than twenty-four (24) hours after receipt of the City's request or within a reasonable time as authorized in writing by the City. Annual Audit Pursuant to SLOMC 9.10.130.B., Native Bliss will file with the City Manager or his/her designee an audit of its financial operations for the previous fiscal year, complete and certified by an independent certified public accountant in accordance with generally accepted auditing and accounting principles. 74 o The audit will include but not be li mited to a discussion, an alysis, and verification of each of the records required to be maintained pursuant to this Chapter. c The Information contained in the audit will be made available in standard el ectronic format which will be compatibl e with programs and software used by the City, and which ca n easily be Imported into either Excel, access or any other contemporary software designated by the City Manager. Employee Registry Pursuant to SLOMC 9.10 .130.D., Native Bliss will maintain a current register of the names and the contact information (including the name, address, and telephone number) of all employees currently employed by Native Blis s and will disclose such register to any City of San Luis Obispo officia l upon request. Reporting and Tracking ofProduct and ofGross Sales Pursuant to SLOMC 9.10.130.E., Native Bliss will have in p lace a point-of -sale tracking system to track and to report on all aspects of its Commercia l Cannabis Activity including, but not limited to, su ch matters as cannabis tracking, inventory data, and gross sales (by weight and by sale) and will ensure that such information is compatible with the City's record-keeping systems. The system will have the capability to produce historica l transactional data for review by the City of San Lui s Obispo. All information provided to the City pursuant to this sub-Chapter will be confidentia l and will not be disclosed, except as may otherwise be required under law. Maintenance of Records Pursuant to SLOMC 9 .10.130.F., all records required by this Chapter will be maintained by Native Bliss for a period of not less than seven (7) years and will otherwise keep accurate records of all Commercial Cannab is Business activity and provide such records for inspection consistent with this Code or any ru le. Record Retention Pursuant to 16 CCR§ 5037, Native Bliss will kee p and maintain the following records related to commercial cannabis activity for at lea st seven years: Financial records incl udi ng, but not limited to, bank statements, sa le s invoices, receipts, tax records, and all records required by the California Department of Tax and Fee Administration (formerly Board of Equalization) under title 18, California Code of Regulations, sections 1698 and 4901. Personnel records, including each employee's full name, social security or individual t axpayer Identification number, date employment begins, and date of termination of employment If applicable. Training records including, but not limited to, the content of the training provided and the names of the employees that received the training. Contracts with other licensees regarding commercia l cannabis activity. Permits, licenses, and other local authorizations to conduct Native Bliss's commercial cannabis activity. Security records, except for surveillance recordings required pursuant to section 5044 of this division. Records relating to the composting or destruction of cannabis goods. 75 Documentation for data or information entered into the track and trace system. All other documents prepared or executed by an owner or his emp loyees or assignees in connection with the licensed commercia l cannabis business. The Bureau may make any examination of th e books and records of any lice nsee as it deems necessary to perform its duties under the Act. Records will be kept in a manner that allows the records to be produced for the Bureau at the licensed premises in either hard copy or electronic form, whichever the Bureau requests. Native Bliss may contract with a third party to provide custodia l or management services of the records. Such a contract will not relieve Native Bliss of Native Bliss's responsibilities und er this section. Community Benefits & Relations Plan A plan describing who Is designated as be ing respons ib le for outreach and communi cation with the surrounding commun ity, i ncl u ding t h e neighborhood and bus i nesses, and how the des ignec can be contacted . Ongoing Commitment to Medical Cannabis Native Bliss is committed to always providing :retail medical cannabis to qualifying patients. In coordination with the City of San Luis Obispo, Native Bliss will strive to provide significan t support to qualifying patients and their caregivers. Volunteerism and Charitable Donations Native Bliss will institute an Employee Service Program encouraging staff to volunteer time towards achieving Native Bliss's goals for the local community. Beginning with the local partners descr ibed above, Native Bliss will have employees join existing volunteer efforts and, if none exist, lead the effort to create volunteer opportunities that garner employees' enthusiasm. If a local Business or Corporate Volunteer Council already exists, Native Bliss will seek to join it. Using feedback from and working with other existing local organizations, Native Bliss will establish clear goals and communicate them to staff. Native Bliss also hopes to support causes that its staff is passionate about. Annually, as part of the budget process, staff will be asked to submit proposals for support of organizations, events or entities to Community Relations Liaison. Along with the CFO, CEO and others involved In the budget process, our Liaison will select programs to be supported throughout the fiscal year. To encourage participation, any employee who submits a proposal will be entered into a drawing for a prize. Selection of a proposal will be based on whether it fits into Native Bliss's established goals, feasibility, and accessibility. Native Bliss will support selected projects by incentivizing employees to volunteer, including paid time for volunteer work, flexible work hours, and additiona l training opportunities that support the employee's career path. Incentives should support the employee both in volunteering and in their professional development. Native Bliss will track its collective efforts and offer employees rewards to show appreciation for the time they spend giving back to the community. 76 Non-Profit Partnerships As the financial health of the organization allows, Native Bliss will designate at lea st $2,000/month to local charitable causes that are based in or primarily serve the SLO region in which we operate. Native Bliss will also expand its philanthropic efforts and actively pursuing new relationships with additional nonprofit organizations, veterans' groups, homeless she lters, food pantries, and a variety of other community service groups and organizations. Veteran Support Initiatives Anecdotal research shows that cannabis provides relief to veterans suffering from a variety of physical and mental symptoms, particularly post-traumatic stress disorder (PT SD ). The United States' Veterans Affairs (VA) Office estimates that up to 30% of veterans experience PTSD at some point, compared with only 8 percent of civilians. Federal barriers to research have made clinical studies on cannabis and PTSD difficult, but one study found that people suffering from PTSD have lower levels of anandamide, an endogenous cannabinoid that triggers the same brain receptors as cannabis. To increase awareness of San Luis Obispo's cannabis program among veteran s, Native Bliss will seek a partnership with a loca l veterans' service organization to hold educational discussions that include: Patient recommendation and MMCIP card application process; Strategies other veterans have used to participate in state-approved cannabis programs with minimal risk to VA benefits; and National advocacy efforts to allow veterans to access cannabis with no risk to VA benefits. The focus of veteran education forums will be creating a community among veterans, allowing them to learn from each other's experiences, and answering questions about the state and federal cannabis policies. Veteran Education Forums will be led by Native Bliss's Community Relations Liaison. Families and K-12 Schools Parents and schools face particular challenges educating teens and preteens on the facts about cannabis. Adolescents may misinterpret the legalization of cannabis as unofficial endorsement of the widespread recreational use of cannabis on school campuses, even though this is strictly prohibited by law. There may be parents and educators who feel the legalization of cannabis has made their jobs harder. Native Bliss will partner with area schools to create ongoing educational programs, given the importance of protecting children and securing the rights of patients to access cannabis. Native Bliss believes in reaching out to families , l<-12 schools, educators, and the community to build goodwill and allay fears. Demonstrating positive impacts may face some of the following challenges: Adolescents constitute a vulnerable population that must be protected; Emotions run high whenever families feel the health and safety of their children may be at risk; Educational materials for students must be age-appropriate and approved by parents and sc hool officials; and 77 Educational materials for parents must ad dress thei r concerns about diversion. Our plan of action for families and l<-12 schools includ es: Community Outreach: Native Bliss will e ngage parents and educa tors with surveys and on line forums to identify areas of interest and co ncern . It will also assess their level of understa ndi ng and perceptions of cannabis. We will ex tend invitations for co llaborative dialogu e and will maintain an open-door policy encouraging tran spa r ency in o ur products, quality and safe ty co ntrol procedures, and anti-d ivers io n tactics. We will emphasize the benefits of specific cannab is products, including the treatment of disorders that sometimes occur in ado lescent populations. We will kee p families and schools updated with pertinent r esearch and other re levant information . Developing Educational Materials: Native Bli ss will partn er with ed uca tors to create appropriate educational materials for teachers, parents and studen t s. Supporting Local Youth: Native Bliss will donate time and reso urces to local organizations that serve youth in a variety of ways. Native Bliss will co mpensa t e employees for a fixed number of days spent volunteering with se rvice o rg aniza tions, from coaching so cce r to sitting on sc ho larship co m mittees and judging science fairs. Supporting Research on Substance Abuse : Native Bliss w ill co llaborate with institutions engaged in r esearc hing subs tance abuse a mon g youth as well as cannabis treatm ents appropriate for adolescent co ndition s. Positive impacts within this community sector will be measured in the followin g ways: Increased level s of awareness of the facts, benefits and proper use of canna bis, as evidenced by periodic parent/teacher surveys; l • Increased attendance at educational events; The quantity and quality of partnerships developed with educators; and Continued voter support of California's regulated cannabis industry .. Nuisance Mitigation Consumption or Use Prohibited On-Site Pursuant to SLOMC 9.10.210.A., Native Bliss acknowledges that it is unlawful for any person or entity: To sell, give, exc hange, dispense or distribute cannabi s or cannabis products for on-site consumption, us e or sampling on any business premise s; or To consume or use cannabis or cannabis products, whether by smok ing, vaping, inhaling, eating, drinking or any other mea ns: in, on or about th e premises of any Comm e rcial Cannabis Bu siness; in, on or about any publicly owned or operated property; any place open to, or accessible by the public; any place smoking is prohibited; or any place visible from any public place w ith normal una ided vision. in on or about any other business, club, cooperative or commercial event, regardless if open to the public or only to members, ticket holders or event invitees; 78 e any location where an entry or other fee is charged to attendees or to the host or where a thing of value or consideration is received or exchanged, directly or indirectly, for or related to the provision of cannabis. Public/Cannabis Event Prohibited Pursuant to SLOMC 9.10.210.B., Native Bliss acknowledges that it is unlawful for any person to conduct a Cannabis Event in the City. Concurren t Alcohol o r Tobacco Sales o r Service Proh ibited Pursuant to SLOMC 9.10.220: Native Bliss will not dispense, serve, store, give away or consume, or cause or permit. the sale, dispensing, servin g, giving away or consumption of alcoholic beverages or tobacco in or on the premises of Native Bliss. Native Bliss will not conduct any Commercial Cannabis Activity at any location where alcoho l is sold or served. Minors Pursuant to SLOMC 9.10.230, as either an "A" or "M" licensee, or both: Minors will not be allowed on Native Bliss's premises, even if accompan ied by a parent or guardian. No person under 21 years of age will be a llowed on Native Bliss's premises. Every entrance to Native Bliss's premises will be clearly and legibly posted with the following notice: "ENTRY ONTO THESE PREMISES BY PERSONS UNDER 21 YEARS OF AGE IS PROHIBITED BY LAW. VALID PHOTO ID REQUIRED." Each letter of the notice wlll be at least two inches high and clearly visible. Native Bliss will not employ any person who is not at least twenty-one (21) years of age. Prohibited Sale of Cannabis Products or Cannabis Accessories by Vending Machine Pursuant to SLOMC 9.10.240: Native Bliss will not locate, install, keep, maintain or use, or permit the location, Installation, keeping, maintenance or use on his, her or its premises of any cannabis vending machine used or intended to be used for the purpose of selling any cannabis products or cannabis accessories therefrom. Native Bliss will not sell, offer for sale, or display for sale any cannabis product by means of a self-service display or vending machine. All cannabis products will be offered for sale exclus ively by means of vendor/employee assistance. Vending machine" means any electronic or mechanical device or app liance the operation of which depends upon the insertion of money, whether in coin or paper bill, or debit or credit card, or other thing representative of value, which device or appliance dispenses or releases cannabis, cannabis products. and/or cannabis accessories. Consumption o r Use Prohibited On -Site Pursuant to SLOMC 9.10.210.A., Native Bliss acknowledges that it is unlawful for any person or entity: 79 To sell, give, exchange, d ispense or distribute cannabis or cannabis products for on-site consumption, use or sampling on any business premises; or To consume or use cannabis or cannab is products, whether by smoking, vaping, Inha ling, eating, drinking or any other means: in, on or about t he premises of any Commercia l Cannabis Bus i ness; in, on or about any publicly owned or operated property; any place open to, or accessible by the public; any place smoking is prohibited; or any place visible from any public place with normal unaided vision. In on or about any other business, club, cooperative or commercial event, regardless if open to the public or only to members, ticket holders or event invitees; any location where an entry or other fee is charged to attendees or to the host or where a thing of value or consideration is received or exchanged, directly or indirectly, for or related to the provision of cannabis. Public/Cannab is Event Prohibited Pursuant to SLOMC 9.10.210.B., Native Bliss acknowledges that it is unlawful for any person to conduct a Cannabis Event In the City. Concurrent Alcoho l or Tobacco Sales or Service Prohibited Pursuant to SLOMC 9.10.220 : Native Bliss will not dispense, serve, store, give away or consume, or cause or permit the sale, dispensing, serving, giving away or consumption of alcoholic beverages or tobacco in or on the premises of Native Bliss. Native Bliss will not conduct any Commercial Cannabis Activity at any location where alcohol is sold or served. Minors Pursuant to SLOMC 9.10.230, as either an "A" and/or "M" licensee: Minors will not be allowed on Native Bli ss's premises, even If accompanied by a parent or guardian. No person under 21 years of age wi ll be allowed on Native Bliss's premises. Every entrance to Native Bliss's premises will be clearly and l egib ly posted with the following notice: "ENTRY ONTO THESE PREM ISES BY PERSONS UNDER 21 YEARS OF AGE IS PROHIBITED BY LAW. VALID PHOTO ID REQU IRED." Each letter of the notice will be at least two inches high and clearly visible. Native Bliss will not employ any person who is not at least twenty-one (21) years of age. Prohibited Sale of Cannabis Products or Cannabis Accessories by Vending Machine Pursuant to SLOMC 9 .10.240: Native Bliss will not locate, insta ll , keep, mainta in or use, o r permit the location, installation, keeping, maintenance or use on his, her or i ts premises of any cannabis vend i ng machine used or Intended to be used for the purpose of se lling any cannab is products or cannabis accesso r ies therefrom. SAN LUIS OBISPO COUNTY DEPARTMENT OF PLANNING AND BUILDING Promoting the wise use of land -Helping to build great communities CERTIFICATE OF CANNABIS CULTIVATION REGISTRATION Registrant: Case ID#: APN: Cultivation Type: Canopy Square Footage: Kirk Azavedo 4070 West Street Cambrla,CA 93426 CCM2016·00119 046-211-024 Cannabis Cultivation 16,650 Square Feet Maximum number of plants: 400 Plants The above-referenced cannabis cultivator is hereby registered, pursuant to the provisions of San Luis Obispo County Ordinance 3334, Section 7, to cultivate cannabis at the location above, in accordance with the type, square footage and number of plants indicated. We recommend that this notice be weatherproofed and visibly and clearly posted, within ten (10) feet of the ingress of the cultivation area, four (4) to six (6) feet above the ground, on a durable, rigid, and rectangular signboard ot.no less than eighteen (16) Inches per side containing reflective material sufficient to allow an enforcement official to readily locate it with a flashlight after dark. EXPIRATION OR TERMINATION THIS REGISTRATION EXPIRES UPON THE EXPIRATION OF ORDINANCE 3334. Pursuant to Section 11 of Ordinance 3334, this registration neither creates nor recognizes a vested right to continue this cultivation beyond the expiration of Ordinance 3334. ART TRINIDADE CODE ENFORCEMENT SUPERVISOR SOS) 7S\-5600 1; 9340B SAN LUIS OBISPO C OUNTY DEPARTMENT OF PLANNING AND BU ILD IN G Promoting th e wi se use of land -Helping to build great communities CERTIFICAT E OF CANNABIS CULTIVATION REGISTRATION Registrant: Kirk Azavedo 4070 We st Street Cambria, eA 93428 Case ID#: CC M2016 ·00120 APN: 014 -091 -029 Cultivation Type: Cannabis Cultivation Canopy Square Footage: 6,050 Square Feet Maximum number of plants : 400 Plants The above-referenced cannabis cultivator is hereby registered, pursuant to the provisions of San Luis Obispo County Ordinance 3334, Section 7, to cultivate cannabis at the location above, in accordance with the type, square footage and number of plants indicated. We recommend that this notice be weatherproofed and visibly and clearly posted, within ten (10) feet of the Ingress of the cultivation area , four (4) to six (6) feet above the ground, on a durable, rigid, and rectangular signboard of r:io less than eighteen (18) inches per side containing reflective material sufficient to allow an enforcement official to readily locate It with a flashlight after dark. EXPIRATION OR TERMINATION THIS REGISTRATION EXPIRES UPON THE EXPIRATION OF ORDINANCE 3334. Pursuant to Section 11 of Ordinance 3334, this registration neither creates nor recognizes a vested right to continue this cultivation beyond the expiration of Ord in ance 3334. ART TRINIDADE CODE ENFORCEMENT SUPERVISOR COUNTY GOVERNMENT CENTER • SAN LUIS OBISPO • CALIFORNIA 93408 • (805) 781-5600 plannlng@co .slo.ca.us • FAX: (805) 781-1242 • sloplannlng.org DISPLAY CONSPICUOUSLY Al: PLACE OF BUSINESS FOR WHICH ISSUED Ci\UFORNll\ Sri\ TE BOARD OF EOUALIZ1\ TIOcJ SELLER'S PERMIT CUI JN! NU.'.H3f:H 18/2612016 SR GH 102-968023 L RIPARIAN MEDICAL MARIJUANA COLLEC RIPARIAN BIOSUPPORT, INC. 3480 FALLING STAR LN CAYUCOS, CA 93430-1578 I" Hl'flf!ll' .'4J!H~·F1/Ff! i'Uli';\<Mll IOSALESAND UStTflX LAW !• ·fl:-0,/.!_\! 11/ llff lll:ii:;r::i:; .-,,r Gfl ur1n INK'..fill l; i'Ul$CiiF;I, f'HOPl:HIY /\I lH"E :.1)1_;\·1 I (''.'°•\!!·ill. Iii$ Pfl!/,!iT IS 1,1:.11!\iJ/IL)' Iii lfiL M~ovr ,\j:/)fl[!'\$. J iH.:; l'LP! .Hi 1$ .,._.~;_ i(l l!r >T:t.. rn. ·,' -r.:.o u[1 <_.~:;q I.Hi .;;u 11.,; r :·'.·i I l ~''/:!S ! ;'.•-rn f. I! -,":_ u ~-I I ( V'\ffl t:l.!'>1ti£ SS j:t L?;>;> (~!"[ (:r /, l'!·Hl!!H{~! l:I'. 11~-:.T1r,· U'i \ lH y,_n i'.; il II p f!f_' !;[ !;P.~·l iS:~l! I r1 ,;: ~:.1 I ~;•'-!if' liS! 1.«;0.t s 1\',·i_ [i In' I) !1'. rI!';': iwrR.'1l(11l ( 1< ltlE lll!~'itll ~•:i. Ne 1//(-:f f() 1'! 1.~·,r1 rir1 i'-~'1.~,!~1Pt;,,;!l·:i ,\'1 ,·J.'>·,~· •;I I i:·>'f•"··il ;v;u '>'-ti« !a,'J.•: 1n •! l!"//;.i.d1:• fl/ ,:,,;:,'t<)i \''''-' 1';f>SS. }/\·•; /"<'!/)'!/ ·: ..• ,,.,- For general tax questions, please call our Customer Service Conter al 1·000·400·7115 (TTY:711). For information on your rights, contact the Taxpayers' Rights Advocate office at 1·088·324·2798or1·916·324·2798. fl0E-t-s;•-l ll 1FV. 11, ( 11-1-ll A MESSAGE TO OUR NEW PERMIT HOLDER As a seller, you have rights and responslbllltlos under Ute Sales and Use Tax Law. In order to assist you in your endeavor and to better understand the law, we offer the following sources ot help: Visiting OLJr\Ve!Jsite at V:H'\V.boe.c;i.gov Visiting a f1el<i office Attencling a Basic Sales and Use TrtX Lavv class offered nt one of our fielcl offices Sending your questions 111 \\'riting to any one of our ofices CaH1n9 our toll·free Cu:;toiner Sf;1vice Center at 1 ·BOC-"100-7115 (TTY:711 J As a seller, you have the right to issue resale certificates for merchandise that you Intend to resell. You also have the responsibility of not misusing resale certificates. While the sales tax Is Imposed upon the retailer, You !lave tl1e ri9lH to S8e-k rein~bursen1en1 of the tnx fronl your custon1er You nre responsible fer filing and paying ynur saf.<?s rtncJ U$8 li:1x re1un1s tin1e!y You 1u1ve 1110 11ght to be trEwte(I in a fair anc! 1,;q\Jitable 1nm1iu;1 IJy the r:.nnployees of the Californm State Boarc! of Equahzation 1.SOE} You nre responsible for iollow1n9 the re~1olations set fo;1h by tile BOE As a se!le-r. you ara exp"3ctecl to 1na1ntarn tile nonna! books ;:ind records of a prudent businr;:ssp;;,rson. You are required to inaintrnn 111ese books ancl reco1ds for no less ll1an lour ye.ms, a1d 111ake thein avai!alJle for inspection by a BOE rBpresentative VJhen rt1questecl. You nre nlso expected to notify us if you aro bu}1in9. selling, nddin9 n locution, or discontinuing your busi11ess. nclcJing 01 dropping 8 pnnner. officer, or nv:;inter. o: •:1he:) you arP. n\oving nny or a!I of ~1cur 1Jusi11E:ss locntions. If rt be<::o1nes necessary to surrender th!S pe-rn)it. you should only do so by 1nail ng it to a BOE office. or giving Lt to a SOE representP.tiV<:. If you \-vould like to know n1ore HIJout your rigllts ns a taxpayer. or ii you i:ue unable to resolve nn issue \Vith tl1e BOE. please contact the Taxpavers1 Rigt1ts Ac!vocate office fo,-he!p tJy ca!hng to!l-fri:;e, 1-888-324-2708 or 1-916-32·1·2798. The:r fax t't\1tHbB1is1-916-323-3319. Please post this permit nt the address for which It was issued and ata location visible to your customers. C1\UFOFNIA STATE SOARD OF EOUALIZATIOfl State of California Secretary of State Statement of Information Domestic Stock and Agricultural Cooperative Corporations) FEES (Filing and Disclosure): $25.00. If this is an amendment, see instructions. IMPORTANT -READ INSTRUCTIONS BEFORE COMPLETING THIS FORM 1. CORPORATENAME RIPARIAN BIOSUPPORT 2. CALIFORNIA CORPORATE NUMBER C3852364 F994964 FILED In the office of the Secretary of State of the State of California DEC-30 2015 This Space for Fi!ing Use On!y No Chango Staten1ent (Not applicable if a ent address of record is a P.O. aox address. See instructions.) l. If there have been any changes to the lnforn1allon contnlned In the last Statement of Information filed with the Californla Secretary of Stale, or no statement of Information has been prevlously filed) this form must bo completed Jn Its entirety. D If there has been no change in any of the information contained in lhe last Slatement of Information filed with the California Secretary of State, check the box and proceed to Item 17. Complete Addresses for the Follow Ing {Do not abbieviale the name of the city. liems 4 nnd 5 cannot be P.O. Boxes.) STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE CITY STATE ZtPCOOE 4070 WEST ST .• CAMBRIA. CA 93428 5. STREET ADDRESS OF PRINCIPAL BUSINESS OFFICE IN CALIFORNIA, IF ANY CITY STATE ZIP CODE 4070 WEST ST .. CAMBRIA. CA 93428 5 MAJ UNG ADDRESS CF CORPORA T!ON, 1;: DIFFERENT THAN ITEM 4 CITY STATE ZIP CODE Names and Complete Addresses of the Following Officers (The corporntion must list these three officers. officer may be added; however, the preprinted litles on this form musl not be nltere<f.) A comp.arable tiUe ror the specific 7. CHIEF EXECUTIVE OFFICER/ ADDRESS CITY KIRK J. AZEVEDO 4070 WEST ST .• CAMBRIA. CA 93428 8. SECREiARY AOORESS CITY MARK C. STUCZYNSKI II 4070 WEST ST., CAMBRIA. CA 93428 9. CHIEF rtNANCtAl OFFICER/ ADDRESS CITY KIRK J. AZEVEDO 4070 WEST ST .. CAMBRIA. CA 93428 Names and Complete Addresses of All Directors, Including Directors Who are Also Officers diretlor. Allach additional pa es. ii necessary.) 10. NAME ADDRESS CITY KIRK J. AZEVEDO 4070 WEST ST., CAMBRIA. CA 93420 11. flAME AOORESS CITY 12. UAME ADDRESS CITY 13. tlUMl3EJ-I: OF VACANCIES ON THE BOARD OF DIRECTORS, IF ANY: STATE ZIP CODE STATE ZIP CODE STATE ZIP CODE The corporation must have al leas! one STATE ZIP COPE STATE ZIP CODE STATE Z!P CODE Agent for Service of Process If the agent is nn indlvidual, the agent mus! reside In California and l!em 15 must be completed viith n Cafifomia slrcel address, a P.O. Box address is not acc;eptable. If the agent is anolher corporation, the agent must have on file with the California Secretary or s1ate a certificate pursuant to Califotnla Corporations Code seclion 1505 and Item 15 must be lefl blank. l•t N.r\ME OF AGENT FOR SERVICE OF PROCESS LEGALZOOM.COM. INC. ·-~~~~~~~~~~~~·~~~~~--~~~--~~~~~~~--~~~~~~~~~- 15. STRIH~T ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA, IF AU INDIVIDUAL CITY Typo of Businoss Hi. DESCRIBE THE TYPE: OF BIJS!NESS OF THE CORPORATIOU ENGINEERING STATE 2.IP CODE 17. BY SUBMITTING THIS STATEMENT Of INFORMATION TO THE CALIFORNIA SECRETARY OF STATE, THE CORPOR/1TION CERTIFIES THE INFORMATION CONTAINED HEREIN, ttlCLUDlNG AUY f1TTACHMF.tHS, 1$ TRUE ANO CO~RECT . 1213012015 CHEYENNE MOSELEY AUTH. REP. OAT~ TYPEJPR.llff //AME OF Pl!R$0N COMPLETING FORM TITLE S!GN.li.TURE S1·200 {REV 01/2P13) Pil{JO 1 of1 1\PPROVEO av SECRETARY OF STi\'fE 84 I I EDD 11''; c:&i DE665 1 PO BOX 626 656 MIC 5 SACMMENTO, CA !M2 56 ·000 I RIPARIAN BIOSUPPORT 4070 WEST ST CAMBRIA CA 93428 -3023 l:mploymcntErftoDevelopment & I, Department Stale of California Letter ID: L0929205696 Issued Dale: April 15 , 2016 Ac count ID: 1271 242752_P2253_E2249 The Employment Development Department (EDD) received information from the Internal Revenue Service (IRS) with a new Federal Employer Identification Number ( listed for your bu:;iness . This corrt::~pondence is tu verify if the new FEIN issued by the IRS should be updated to your EDD employer account. Having the correct FEIN on your EDD employer account will assist in the Federal Unemployment Tax Act (FUTA) certification process. You can update your FEIN and make other changes to your account online using the EOD's e-Services for Business at edd.ca.gov/e-Services_for_Business. If you do not have a username and password, you must first complete the e-Services for Business enrollment process . Once enrolled, log in to e Services for Business, select the employer payroll tax account number (in blue), then select the "Update Account Info" tab and submit your update request. Please provide the reason for the update or change. For more information on the FUTA certification process, please refer to the California Employer's Guide (DE 44) on the EDD website at www.edd.ca.gov. If you need assistance, contact the Taxpayer Assistance Center at 888-745-3886 or TTY 800· 547-9565, or visit the EDD website at www.edd.ca.gov. Special Processes Group Tax Wage and Adjustment SP.r.tlnn DE 6651 Rev. 10 (11-15) PO BOX 826856 MIC 5, SACRAMENTO, CA 94256-0001 YNN1.edd.ca .go v 85 Ntx:>B~D FILE D THE Newspaper of tl1 e Central Co crsc APR 1 0 20 17 TRIBUNE T~. CO UNTY CLEl\t: DEPUTY C LERK 3825 South lligucrn •Post Of'licc Uo x 11 2 • Snn Luis Obi spo, California 93406-0112 • (805) 781 -7800 In The Superior Court of' Th e Stat e of Ca lifo rnia In and for th e Co unty ofSnn Luis Obis po AFFIDAVIT or PUBLICATION t\D II 2980757 SQU ISll STATE OF CA LIFOR N IA Co unty of San Lu is Obispo SS. I nm a citizen of th e United Stat es and n res ident of the Co unty aforesaid; I am over the age of eighte en nnd not interes ted in the above entitled matter; I am now , and at all times embraced in the publicntion herein mentioned was, thl! principal clerk of the printers nnd publishers of TH E TRll3UNE, a newspap er of gencrnl Cireulalion, printed and published dnily nt the City of Snn Luis Obispo in !he nbovc named county nnd state; that notice nl whi ch the nnncxcd clippings is a true copy, was published in the above-named newspaper and not in any supplement thereof -on the following dates to wit; tvfARCl-119, 26 ; APRIL 2, 9, 2017 that said newspaper was duly and regularly ascertained and established a new s paper or general circulation by Decree entered in the Superior Court of San Luis Obispo Count y, State of California, on June 9, 1952, Case 1119139 under the Government Code of the State or California. I cert if)• (or declare) under the penalty of perjury th at the foregoing is true and correct. rf{Ulu!. f:. lcrivtrao/W~ Signattlr6 of' Principal Clerk) DATE : APRIL 9, 2017 AD COST : $59.00 F1cm1ous DUSlllESS Namo Sta lom ool FILE 110 . 17·0980 TAANSACTlllG DUSINESS DATE NIA No.,, Fl~no lHE FOLLOVllllG PERSON(S) IS ARE) DOING BUSI· NESS AS : SOUI Sli 1070 Wost Sltool C3mbrle, CA 03420 Counly ol P1lnclpnl Pineo ol Ousln o s~: son Luin Oblopo Onplrlan Bio supporl Ina. 1070 Wosl Slrool Cnmb1ln, CA 03•120 Th in hu slooM Is coml uc lod by: n CA Corporollo n. 'I DE· CLARE Tl-fAT ALL THE INFOOMA· TIONINTHIS STATEMENT IS TRUE AND co n . 1necr: G/Khk J. tuovc<Jo, Prosld onl/Ovmor Th is 6lnlomonl WM filod wit h ltjo County Clork ol Son Luis Oblapo county on 03/13117. CERTIFICATION : I heroby certify • 111~1 I Ilda copy lo n car· I roef copy ol lho orlo· 1' lnnl sta10111on1 on mo In my olllco. Tomrny Oonu County Clork Dy: . A. Daulisln I Oopuly Clark IExplrb 0311 312022 Much 19, 20; Apr, 2, 2017 298075 7 J~.Ft·)r ii r I' i ··.- I i: i 1: i,.'I t)• ;.;,,-., 1'.! "· Ji. ". f ....... ·\ IA·.' ; ,' 1;•:1·. i' .. 1·. i ?. r:,· 1V1 • r. 87 Commercial Insurance Proposal Native Bliss Steven Bohbot 113 North San Vicente Beyerly Hills, CA 90211 Farhad Hanasab Hanasab Insurance Services Inc. 625 S. Fairfax Avenue, Los Angeles, CA 90036 License OE08574 Phone: 323-782-8454 Fax: 323-297-4500 January 22, 2019 88 Insu r anc e Proposal for: Native Bliss Commercia l Property Term 1/21/2019 to 1/21/2020 Company Polley Number ! Eff Date Exp Date TBD TBD TBD First Named Insured Native Bliss Coverage Detail Subject Val Co -Cause . Proposed Carrier I Ins % of Loss 1 Amount Loe #1 Bldg #1: 1754 Laguna Dr• Vista, CA 92084 t-----··--..,--- Business Personal Property j R Deductible Equlpm~nt Breakdown Busl~ess Income/Extra Expe!!_se Estimated Property Annual Prerr.ilum __ _ R = Replacement Cost Total Insurable Value (TIVl: $2,100,000 I .--R _ j_ I ! ALS I 80% I I 80% 80% i Deductible j Special (Incl. Theft) 1-- l ----' -I Special (Incl. Theft) j Special (Incl. Theft) I - I 100,000 1,000 Included I 2,000,000 I 6,401,00 I Page 2 This proposal is a brief outline of insmance coverage based on the information you provided to us. It does not list all conditions, limitations and exclusions that apply to the described coverage. The actual wording of the policy(ies) governs all situations. Quotation is valid for 30 days. Higher limits are available upon request. Changes to your information and/or conditions may affect coverage. 89 Commerc ial Property-Continued Equipment Breakdown Coverage: Coverage Property Damage Business Income I Extra Expense Green Coverage Ammonia Contamination Data Restoration Expediting Expenses Hazardous Substances Off-Premises Equipment Breakdown Se1v ice Interruption Spoilage Safety & Efficiency Improvements Insurance Prop osa l for: Native Bliss Term 1/21/2019 to 1/21/20 20 Limits Follows TTV per Loe I Bldg. Follows BI I EE Limit per Loe I Bldg. 100,000 50,000 100,000 100,000 100,000 150% of TIV per Loe I Bldg, or $100,000, whichever is less. Included only if BI I EE is incl uded for any given Loe I Bldg; 24-hour waiting p e riod ap plie s. 50,000 150% of TIV per Loe I Bldg, or $100,000, whichever is less. Page 3 This proposal Is a brief outline of Insurance coverage based on the Information you provided to us. It do es not li st all conditions, llmltatlon s and exclusions that apply to the desc ribed coverage. The actual wording of the pollcy(les) go ve rns all situat ions. Quotation Is valid for 30 days. Hig he r limits are available upon request. Changes to your Information and/or conditions may affect coverage . . 90 In surance Proposa l for: Native Bliss Commercia l Pr op e rty -Cont inu ed Te rm 1/21/2019 to 1/21/2020 Forms Applying to Commercial Property Coverages Fot'm# GBI-M-02 CP 00 10 CP 00 30 CP 00 90 CP 01 40 CP 04 11 CP 04 49 CP 10 30 CP 10 56 CP 12 l I IL 09 35 IL 09 52 IL 09 53 GBIC-Terr 008 GBR843 GBMB 1000 GBMB 1001 GBR 848 GBR849 Ed. Date 12/15 06 /07 06/07 07/88 07/06 10/12 12/05 06/07 06/07 10/00 07/02 01/15 01115 03/15 09/17 08/18 08/18 06/18 09/17 Title Commercial Property Supplemental Declarations Building and Persona l Property Coverage Form Business Income (and Extra Expense) Coverage F onn Commercial Property Conditions Exclusion of Loss due to Vims or Bacteria Protective Safeguards California Changes -Replacement Cost Causes of Loss -Special Form Exclusion -Sprinkler Leakage Burglary and Robbe1y Protective Safeguards Exclusion of Certain Computer-Related Losses Cap on Losses From Certified Acts of Terrorism Exclusion of Certified Acts of Terrorism Exclusion of Other Than Ce1tified Acts of Te11'01ism Additional Protective Safeguards Warranty Exclusion Equipment Breakdown Coverage Equipment Breakdown Coverage Schedule Per Plant Valuation Limitation Exclusion -Track & Trace Wa1rnnty Page 4 This proposal Is a brief outline of Insurance coverage based on the Information you provided to us. It does not fist all conditions, !Imitations and exclusions that apply to the described coverage . The actua l wording of the pollcy(les) governs all situations. Quotation Is valid for 30 days. Higher limits are availab le upon request. Changes to your Information and/or conditions may affect coverage. 91 I I nsurance Proposa l for: Na t ive Bl iss Comme r ci al Liab ility Term 1/21/2019 to 1/21/2020 Company Polley Number i Eff Date Exp Date Gold_en Bear Insurance Compa~y TBD __ , TBD TBD First Named Insured Native Bllss Co verage De ta il Coverage Proposed Carrier General Aggregate Products I Com~leted Operations Aggregate Each Occurrence Persona l and Advert~[n~g~l_n~ju_ry~------ Fire Damage (Any One Fire) ____ ---·----- M ~d lcal Expens~_(A~y On~_!>erso'!). ___ ·-·-· -··-· Deductlble I Estimated General Llablllty Annual Premium Exp o sures & Lo cati o n Description oc #1 Bldg #1: 1754 La~l_l~_!'-~ y1_~~ ~~ -~2~~4. Medical Marijuana -Dist ,---------- l Armed Security Guards 1 M -Admis sio ns 1 S -Gross Sales L_ . $2,009,ooo 2,000,000 I 2,oao!.Q_oo 1,000,000 100,000 ! I -. . . -·-·· ··-• --·--------1 2,500 . None 6,375.00 __ _L ____ _ --- Class Code Exposure A --1 p 18435 ; 3,529 9a1g l _______ $_5_o,_oo_o~ l C -Total Cost j N -Number Iu -= Unl!~-·-~-==·· - I J General L/abl/lty premium Is subject to audit unless otherwise Indicated. Subcontracted Class Code Is appllcable for Insured subcontractors only. All uninsured subcontractors w/11 be added and rated under the appropriate classification. Page 5 This proposal Is a brief outline of Insurance coverage based on the Information you provided to us . It does not list all cond itions, limltatlons and exclusions that apply to the des cribed coverage. The actual wording of th e pollcy(les) governs all situations. Quotation Is valid for 30 days. Higher limits are available up on request. Changes to your Information and/or conditions may affect coverage. 92 Insu r an ce Propo sa l for: Native Bliss Commercia l Liabil ity -Cont inued Term 1/21/2019 to 1/21/2020 Forms Applying to Commercial General Llabilltv Coverages Form# Ed . Date GBl-M-11 09/17 CG 0001 12/07 CG 2107 05/14 CG 2136 03/05 CG 2139 10/93 CG 2147 12/07 CG 2167 12/04 CG 2170 01/15 CG 2173 01/15 CG 2196 03/05 IL 00 21 09/08 GBR 212 02/14 GBR 218 02/14 GBR 227 06/04 GBR 228 06/04 GBR 840 09/17 GBR 296 08/10 GBR 414 04/16 GBR 417 02/17 GBR 813 09/17 GBR 817 09/17 GBR 820 09/15 GBR 828 09/17 GBR 821 09/17 GBR 829 09/17 GBR 842 09/17 GBR 852 10/17 GBR 853 10/17 GBR 854 10/17 GBR 855 10/17 GBR 856 10/17 GBR 857 10/17 GBR 858 10/17 GBR 859 10/17 GBR 862 10/17 GBR 864 10/17 GBR 869 09/17 GBR 870 07/18 Title Commercia l Liability Supplementa l Declarations Commercial General Liability Coverage Form (O ccurrence) Exclusion -Access or Disclosure of Confidential or Personal Information Exclusion -New Entities Contractual Liability limitation Exclusion -Employment Related Practices Exclusion -Fungi or Bacteria Cap on losses from Certified Acts of Terrorism Exclusion of Certified Acts ofTerrorism Exclusion -Silica or Silica-Related Dust Nuclear Energy Liability Exclusion Endorsement Exclusion -Assault & Battery Exclusion -Punitive Damages Exclusion -Communicable Disease Exclusion -Bodily Injury to Independent Contractors Background Check Warranty Exclusion -Prior Manifestation Exclusion -Cyber Liabi lity Exclusion -Unauthorized Electron le or Written Publication Employee Definition Amendment Exclusion -Subcontracted Security Guard Warranty Deductible liability Insurance Exclusion -Contractors Wa r ranty Exclusion -lead Contamination Limited Additional Insured Coverage Exclusion -Proposition 65 Warnings Exclusion -Noncompliance with Laws Exclusion -Other Plants and Products Exclusion -Controlled Substances Exclusion -Professional Services Exclusion -Unscheduled Operations or Prem ises Exclusion -Abuse or Molestation Exclusion -Animal Exclusion -Employee Infidelity Exclusion -Cross Suits Exclusion -Total Po ll ution Related Claim Endorsement Exclusion -Cancer Page 6 This proposal Is a brief outline of Insurance coverage based on the Information you provided to us. It does not list all conditions, limitations and exclusions that apply to the described coverage. The actual wording of the policy(les) governs all situations. Quotation Is valid for 30 days. Higher limits are available upon request. Changes to your Information and/or conditions may affect coverage . 93 I ns urance Pro p osa l for: Native Bliss Commerc ial Liabil ity -Cont inued Term 1/21/2019 to 1/21 /20 20 Forms Applying to Products Liability Coverages Form# Ed . Date GBl-M-13 09/17 ILOO 17 11/98 GB-M-FS01 12/15 ILOO 03 09/08 IL02 70 09/12 GBR 413 10/17 CG 3234 01/05 GBR 866 10/17 GBR 867 09/17 ILP001 01/04 IL09 85 01/15 GBR 101 GBR 800 09/17 CG 0038 12/07 GBR 829 09/17 CG 2139 10/93 CG 2170 01/15 CG 2173 01/15 IL 00 21 09/08 GBR 218 02/14 GBR 296 08/10 GBR 414 04/16 GBR 813 09/17 GBR 815 09/17 GBR 817 09/17 GBR 818 09/17 GBR 819 09/17 GBR 820 09/15 GBR 828 09/17 GBR 830 09/17 GBR 840 09/17 GBR 842 09/17 GBR 850 10/17 GBR 852 10/17 GBR 853 10/17 GBR 854 10/17 GBR 855 10/17 GBR 857 10/17 Form Title Products-Completed Operations Liability Declarations Common Policy Conditions Forms Schedule Cannabis Calculation of Premium California Changes -Cancellation and Non Renewal Minimum Earned Premium California Changes Additional Definitions Endorsement Exclusion -License Warranty OFAC Advisory Notice to Policyholders Disclosure Pursuant to Terrorism Risk Insurance Act Endt-Notice to Golden Bear policy holders Attestation Clause Products-Completed Operations Liability Coverage Form (Claims Made) Limited Additional Insured Coverage Contractual Liability Limitation Cap on Losses from Certified Acts of Terrorism Exclusion of Certified Acts ofTerrorism Nuclear Energy Liability Exclusion Endorsement Exclusion -Punitive Damages Exclusion -Prior Manifestation Excluslon -Cyber Liability Employee Definition Amendment Exclusion -Product Recall Subcontracted Security Guard Warranty Exclusion -Economic and Trade Sanctions Exclusion -Asbestos and Formaldehyde Deductible Liability Insurance Exclusion -Contractors Warranty Exclusion -Pesticides, Pests and Bugs, Virus, or Fungal Disease Exclusion -Background Check Warranty Exclusion -Proposition 65 Warnings Premium Audit -Amendatory Endorsement Exclusion -Noncompl iance with Laws Exclusion -Other Plants and Products Exclusion -Controlled Substances Exclusion -Professional Services Exclusion -Abuse or Molestatlon Page 7 This proposal Is a brief outline of Insurance coverage based on the Information you provided to us. It does not fist all conditions, !imitations and exclusions that apply to the described coverage. The actual wording of the pollcy(les) governs all situations. Quotation Is valid for 30 days. Higher llmlts are avallable upon request. Changes to your Information and/or conditions may affect coverage. Insurance Prop osa l for: Nativ e Bliss Co mmercial Li abi lit y -Con t inu ed Term 1/21 /201 9 to 1/21 /2020 Forms Applying to Products L ia bility Coverages Fo r m #I Ed. Date Fo r m Tit le GBR 858 10/17 Exclusion -An ima ls GBR 859 10/17 Exclusion -Employee Infidelity GBR 860 10/17 Exclusion -Residentia l Oc cupancy GBR 861 10/17 Exclusion -Banned Substances GB R 862 10/17 Exclusion -Cross Su it s GBR 863 10/17 Amendment to the Extended Reporting Period GBR 864 10/17 Excl usion -Tota l Po llu tio n GBR869 09/17 Re lated Claim Endorsement GBR 870 07/18 Exclusion -Cancer Page 8 This proposal Is a brlef outli ne of Insurance coverage based on the Info rmation you provided to us. It does not li st a ll conditions, limitations and exclusions that app ly to the descri bed coverage . The actual wordi ng of the policy (les) governs all situat ions. Quotatio n Is valid fo r 30 days. Higher limits are availab le upon request. Changes to you r Information and/or condltl ons ma y affect cove rage. 95 Insurance Proposal for : Native Bliss Commerc ial Liability & Property -Cont inued Term 1/21/2019 to 1/21/2020 Forms Applying to Commercial General liability & Property Coverages Form# Ed. Date Title GBl-M-01 09/17 Common Policy Declarations ILOO 17 11/98 Common Policy Conditions GB-M-FSOl 12/15 Form s Sc h edule ILOO 03 09/08 Calculation of Premium IL02 70 09/12 California Changes -Cance llation and Non-Renewal GBR413 10/17 Minimum Earn ed Premium CG 3234 01/05 Callfornla Changes GBR 815 09/17 Exclusion -Product Reca ll GBR 818 09/17 Exclusion -Economic and Trade Sanctions GBR 819 09/17 Exclusion -Asbestos and Formaldehyde GBR 830 09/17 Exclusion -Pesticides, Pests and Bugs, Virus, or Fun ga l Disease GBR 851 10/17 Limitation of Coverage to Designated Premises and Des ignated Operations GBR 860 10/17 Exclusion -Residential Occupancy GBR 861 10/17 Exclusion -Banned Substances GBR 866 10/17 Additional Definitions Endorsement GBR 867 09/17 Exclusion -License Warranty ILPOOl 01/04 OFAC Advisory Notice to Policyholders IL0985 01/15 IL0985 Di sclos ure Pursuant to Terrorism Risk Ins A GBR 101 Endt-N otice to Go lde n Bear policy holders GBR 800 09/17 Attestation Clause Page 9 This proposal Is a brief outline of Insuran ce coverage based on the Information you provided to us . It does not list all conditions, llmltatlons and excl usio ns that apply to the described coverage. The actual wording of the pollcy(les) governs all situations. Quotation Is valid for 30 days. Higher limits are available up on request. Changes to your Information and/or conditions may aff ect coverage. 96 In s u ra n ce Prop osa l for: Nati ve Bl iss COMU u.c IA L•ll0 H f.'.\U fO·L I fl•D It.\ u LC rv·n 1.\ltu Pr e m i um Summa ry Line of Business Company J Proposed Annual Premium Property & General Liability j Golden Bear Insurance C~mpany Total Annual Premium (Including Taxes & Fe_es) $12,776.00 TOTAL ESTIMATED PREMIUM: $12,776.00 Premium above Includes all fees including policy fees) 25% MINIMUM RETAINED PREMIUM. NO FLAT CANCELLATIONS ALLOWED . Payment Options Make check payable to Hanasab Insurance Services Mail checks to: 625 South Fairfax Avenue, Los Angeles, CA 90036 Thank you for giving us the opportunity to provide you with this quote. Please sign and fax back to our office at (323) 297-4500 to Indicate that you agree to the terms of these proposals and Instruct Hanasab Insurance Services, Inc., to bind the above referenced policy. Please be advised that all proposals are subject to underwriting approval. Proposal Accepted: Signature Date Page 10 This proposal Is a brief outline of Insurance coverage based on the Information you provided to us. It does not llst all conditions, !Imitations and exclusion s that apply to the described coverage . The actual wording of the pollcy(les) governs all situations. Quotation Isvalid for 30 days. Higher limitsare available upon req uest. Changes to your Information and/or conditions may affect coverage. 97 1 REVENUE 98 2 OPERATING BUDGET Sales Veal' 1 Year 2 Year3 Year4 Year 5 Retail $ 99 3 START-UP COSTS The applicant is budgeting approximately for this project. The company intends purc has ing 207 Higuera St., San Luis Obispo, CA, 93401 . Upon obtaining li censure, the company will inves t another $in capital im provements to converl approximately 3,529 sf of warehouse space into a reta il fac ility. Finally, the applicant h as an operationa l budget of approx imately $to cove r state licens ing, starling inventory, 6 months of payroll ex pe nses, and 3 months of operating expenses. Facility Cos ts Building Purchase Building Lease D e pos it Architecttu·e & Engineering Pre-Cons truc tion Tenant Improve me nts General Contractors Fee Contingency Security Upgrades Furnishing Fixtures & Eguiptme nt Facility Costs Total Operational Start-up SLO License Fee Starting Invc nt01y 6 Months of Payroll Expenses 3 Month's Operating Expenses Operational Costs Total Total Start-up Costs Start-up Summary 3 Mo uth 's Opera ting 6 Months of Payroll Expens es, 1 4%'~ Startin g lnvento1y, % Furnishing F ixture s Equiptment,3% Exrenses,6% Tenant lmpro vcmen ts,8% .Pre-Con suuction,1% Archite ctu re & Buil di ng Lease Engi nee rin g, 1 % Deposit,!% Budget 100 4 SALARY & WAGES Role Hourly Wage Employee Count Year 1 Total Retail Store Manager $ 5 CASH FLOW Cash Inllows Year l Year2 Year3 Year4 YearS Invest1nent $ 101 Jo. 0 f\..) f FmST REPUBLIC SECURmES COMPA!'<Y. ttc 1'-'l t~IOl«Wr-- l>t ~o.4.Wll."""',._h, ..... ,.<ut•C. lll l•~; .. ••1,~••\:"1.6fll, .• ,..._,.. i;-.-..: ......... _.._,..,.,........_ THE MARC & MICHELE BOHBOT REV TR PLEDGED COUATERAL ACCOUNT FBO FIRST REPUBLIC BANK 113 NSAN VICENTE BLVD STE326 BEVERLY HILLS CA 90211-2329 Your Relationship Manoger: Brokerage Account Statement December 1. 2018 • December 31. 2018 Account Number: IEttilfillmF.itj f.i .tA:W lNsP<tlod BEGINNING ACCOUNT VALUE $ begfnning aCCDIJflt value alter activity. bnt Deposits In your acco<r1t are FDIC lnsun:d bank deposits. FDIC Insured bank deposits are not securllles and are not COl/el'ed by the Securities Investor Protection Corpcntlon (SIPC). These bani: deposits are covered by lhe Federal Deposit Insurance Corporation (FDIC), up lo allowable limits. 7!lt>XXIO Go paperless .......... _ ..... ...._ f_,V-Sloc4120a7 OAliAIU.l['D(~l.TSON$ Page 1 of JO o..n..~~u.c. • .....,....., y .... ...._ C..--<111'1' MclM) e =~---=== --.. O'S' o· s--~ :: Ja~:= 0r;;· ~ :;:: :;:: l .....,. ...... :3 r-1 o~>-3p:i 0 :::-(") g s· c;;· 8 =-~ c;;·;: 0 tlJ 0 . 0 "' ttJ " g 0 =· 0 OQo;jt::"' g- o 0 Q.. v~ l "' ::r & ....... s Cl> r r.r-oo· 7-C) 0..C:c:t/l g 8 'O ~ c: ii; n ;-- I)!'"'~:::- 0 w "' """ g:i § 5 0 a.=- r a. .a i:: ~ ::. c;;· ;:l Q. 08~ er "' "' Ci)"~~ ~ Pl "' 0 ~ tlJ w "' < (") !:::. > ~ w er C'I t"" 0 t"" .... ARC BOHBOT & MICHELE BOHBOT BEVERLY HILLS, CA 90210 PERSONAL FINANCIAL STATEMENTS INCLUDING ALL INDIVIDUALS AND RELATED TRUSTS' ASSETS ANO LIABILITIES) ASSETS CASH (SCHEDULE I)• PUBLIC SECURITIES (SCHEDULE II)' PRIVATE SECURITIES (SCHEDULE Ill)' LIFE INSURANCE CASH VALUE (SCH. IV)' NOTES RECEIVABLE-SHORTTERM (SCH. V) REAL ESTATE-SFR {SCH. VI) REAL ESTATE-COMMERCIAL {SCH. VII) REAL ESTATE -SKYSCRAPERS (SCH. VIII) AUTOMOBILES PERSONAL PROPERTY -JEWELRY OTHER PERSONAL PROPERTY/FINE ARTS INTANGIBLE ASSETS: TRADE MARKS· {SCH. IX) BALANCE SHEET ASOFJULY31,2D18 LIABILITIES TOTAL LIABILITIES MARCBOHBOT CURRENT liquid ASSETS CURRENT LIABILITIES MICHELE BO Page 1of5 103 MARC BOHBOT & MICHELE BOHBOT BEVERLY HILLS, CA 90210 PERSONAL FINANCIAL STATEMENTS INCLUDING ALL INOIVIOUAL5 AND RElATEO TRUSTS' ASSETS AND llABIUTlES) I ANNUAL INCOME SALARY • MANAGER BONUSES/COMMISSION DIVIDENDS/INTEREST -GS Gl::NERAl MANAGEMENT FEES NET COMMERCIAL REAL ESTATE INCOME NET INVESTMENT REAL ESTATE INCOME REALIZED GAINS-REAL ESTATE SALES (PASS-THAU) REALIZED GA!NS-STOCl</BONO SALE PROJECTED INCOME STATEMENT FOR CALENDER VEAR ENDED DECEMBER 3:J, 2018 Page 2 of 5 104 MARC BOHBOT & MICHELE BOHBOT BEVERLY HILLS, CA 90210 DETAILED SCHEDULES I· V (CURRENT ASSETS/CASH AND CASH EQUIVALENTS} Page3of5 105 MARC BOHBOT & MICHELE BOHBOT BEVERLY HILLS, CA 90210 DETAILED SCHEDULES I -V (CURRENT ASSETS/CASH AND CASH EQUIVALENTS) Page4of5 106 MARC BOHBOT & MICHELE BOHBOT BEVERLY HILLS, CA 90210 DETAILED SCHEDULES VI· VII (FIXED ASSETS/LONG· TERM INVESTMENTS) Page 5 of S 107 0 CX> FIRST REPUBLIC SECURITlES COMPANY. LLC ft"s ~ ptn"l1 cs;c: to Kt'VC" you• 1111'1SF!\f\r.l!T.l.'I."' •H/\. ... t:OJOC'll.0'').1114 TJI, 1·1'.~·H"-jj.;6,FAX 1 .. ·o\~~·!,(f,..(;t~' 4 \\-.11 ; itrl~n.·1 1~li:~JXA·.mm THE MARC & MICHELE BOHBOT REV TR PLEDGED COLLATERAL ACCOUNT FBO FIRST REPUBLIC BANK 113 N SAN VICENTE BLVD STE326 BEVERLY HILLS CA 90211 -2329 Your Relationship Manager: The Bank Deposits in your account are FDIC insured bank deposits. Brokerage Account Statement December 1. 2018 -December 31. 2018 Account Number: a;z:n:UMt£1Utif.t.r:ta This Period BEGINNING ACCOUNT VALUE $ beginning accoun t value after activity. FDIC insured bank deposits are not securities and are not covered by th e Securities Investor Protection Corporation (SIPC). These bank deposits are covered by the Federal Deposi t Insurance Corporation (FDIC), up to allowable limits. 90tll7l9CSfl0002 Go paperless E-D!UllD!Y • lbttd ExtollcAt EYC1YY=Slnce2007 01'1.B>Jt RAT£!> COMMUNICATIONS EXC..'1.1..ENCE Page l of 30 through Pershitl; U C. •whoUy owned ofThel!riol llewYorl<Mdlon BNYMdlcn) P •f'Ct1lrw11r ~~m~A wv<::: (t?f" lo. 0 D R;W\11!ulnftliW bted Uo:ltent ETcryY=Sincc2007 DAUAA RATED COMMUt.'IV\ TIONS EXClll!NCE Page 2 of 30 Clarill; lhrough P=J,;,,; UC,• wholly owned subsidiary ol Thell:>nlcof New Yotlc Mellon on (!NY Mellon) P.......:"~tlr ~-i:ttJR A NVC c;.:Pr Native Bliss will not se ll, offer for sale, or display for sale any cannabis product by means of a self-service display or vending machine. All cannabis products will be offered for sale exclusively by means of vendor/employee assistance. Vending machine" means any electronic or mechanical device or appliance the operation of which depends upon the insertion of money, whether In coin or paper bill, or debit or credit ca rd, or other thing representative of value, which device or appliance disp enses or release s cannabis, cannabis product's. and/or cannabis accessories. Commercial Cannabis Develo pment Standards Pursuant to SLOMC 17 .99.050.E.4), Native Bliss's commercial cannabis operations will be concealed from public view at all times and there will be no exterior evidence of cannabis or cannabis products occurring at the property, visible with normal unaided vision from any public place, or the public right-of way. Commercial manufacturing of cannabis or cannabis products will be shielded to confine light and glare to the interior of the structure. Pursuant to SLOMC 17.99.050.E.S), Native Bliss's facility will include adequate measures that address enforcement priorities for commercial cannabis activities including restricting access to the public and to minors and ensuring that cannabis and cannabis products are only obtained from and supplied to other permitted licensed sources within the State and not distributed out of State. Pursuant to SLOMC 17.99.050.E.6), Native Bliss will ensure the following prohibitions are enforced at its facility at all times: Prohibition of on-site consumption of cannabis Prohibition of the possession, storage, sale, distribution or consumption of alcoholic beverages on the premises, or the holding of license from the State Division of Alcoholic Beverage Control for the sale of alcoholic beverages, or operating a business that sells alcoholic beverages, on or adjacent to the commercial cannabis activity site. No cannabis products or cannabis accessories will be displayed in windows or visible from the public right-of way or from places accessible to the general public Prohibition of minors and persons under the age of 21 on the premises, even if accompanied by a parent or guardian. Outdoor storage of cannabis or cannabis products is prohibited. 110 Community Education Plan A pl an d esc r i bin g the type of ca nn ab is edu ca tion and prevention effo rts that w il l b e provided by the business to the co mmunity. Retail Store Agents will be charged with educating customers and careg ive rs on the cannabis products and accessories available at Native Bliss. Retail Store Agents will escort the customer and/or caregiver to a consultation room where they will advise on the current status of the customer's recommendation, including inquiring as to the effectiveness of previously administered cannabis and providing advice on what other cannabis, products, and routes of administration may be best for the customer. Retail Store Agents wil l also use these sessions to educate customers on lifestyles choices and how they affect treatment regimens. In addition to customer consultations, employees wlll also provide education duri ng free public classes on cannabis, its uses, and administration. These classes may be he ld off-site in order to accommodate more interested persons without impacting Native Bliss security. If a class is held off-s ite, no cannabis will be present. In order to promote customer communication and education, Native Bliss will keep an up to date webs ite. All employees shall be familiar with website content including: Descriptions of available products; Descriptions of services; News and information; Contact information; Retai l Store Agent appointment booking; Information on classes offered by Native Bliss to the public; Answers to frequently asked questions, including how to become a registered customer; an d Recall status reports, in the event of a reca ll. Community Information Sessions Dispensary information sessions will be scheduled the first Monday evening of every month. These sess ions w ill allow the public, subject to visitation policies, to visit Native Bliss and speak with managers, employees and owners. Each session will feature a predetermined topic of discussion. The number of vis itors at each session w ill be limited to between t en and 30 people, depending on what Native Bliss can reasonabl y and safely accommodate. No cannabis or accessories will be sold during these sessions. Diversion Prevention Dive rsion Is possible both internally and externally, and It is Native Bliss's responsibility to minimize the potential for its occurrence and take the necessary steps to be able to proactively identify when and where it happens . Once product is dispensed, It is the customer's responsibility to ensure product is on ly used by the intended person to whom It was dispensed. As such, Native Bliss will educate every customer and have them acknowledge 111 that it is a crime for the product to be used, sold, or transferred to any customer other than to whom It was dispensed. Both internal and external diversion prevention requires strong adherence to inventory management and security standard operating procedures ("SOP"s), as well as effective physical and electronic systems to monitor, detect, and deter any attempts to divert cannabis in any form, from its regulated and secure chain of custody. Native Bliss's internal inventory and security procedures along with their integration with the physical and electronic tracking, monitoring, and deterrence systems are detailed in the Inventory Management and Security sections of this application. This section will focus on demonstrating Native Bliss's understanding and integration of all regulations relating to ensuring the proper identification, dispensing, recording, and tracking of cannabis products to customers and caregivers, as well as the detection and notification requirements to the BCC and local law enforcement. Dive r s ion Prevention Training Native Bliss's Security Director will work closely with both the Retail Store Manager and the Inventory Control Manager to administer and over~ee diversion prevention and training operations at the Native Bliss Retail Store . All training Retail Store Agents receive will ultimately help them to keep cannabis products safe from theft or diversion. Access control training will help Retail Store Agents keep unpermitted individuals from entering secured or restricted areas of the facility. Training on when and how to alert management or local law enforcement for assistance with authorized or unauthorized visitors will help ensure a strong support system in preventing theft and diversion. Thorough surveillance -focused security training for the security team will decrease opportunities for people to steal or divert product from the Retail Store premises. Specifically training employees to verify a customer's proper identification ensures cannabis is dispensed to those with valid registration. These training procedures, along with others, will help the Retail Store prevent theft and diversion . Electronic Infrastructure Diversion Too ls Lawful Transactions The Retail Store Manager will be responsible for all sales transactions taking place inside the Native Bliss Retail Store. The Retail Store Manager must ensure all Retail Store Agents working in the facility are properly trained on 112 all operating procedures. Native Bliss will ensure that no unlawful sales transactions are permitted or tolerated in accordance with state and local regulations. Where possible, engineered controls will be established to ensure it is Impossible to dispense cannabis to non-registered customers or caregivers by using the Point of Sale System in conjunction with the [Inventory Control System]'s record keeping. Native Bliss will display a minimum sample of each product offered for sale in locked cases, behind the counter, and they will be inaccessible to customers. Employees of Native Bliss may refuse to dispense to a customer or personal caregiver if, in the opinion of the employee, the customer or the public could be placed at risk. In any instance of denial, Native Bliss will immediately notify the BCC and register the refusal in [Inventory Control System]. When the customer is called into the point of sale area, they will confirm their identity with their government issued ID. Prior to the completion of the transaction, the Native Bliss employee conducting the transaction will prepare a receipt of the transaction, and file the receipt information with the BCC using the [Inventory Control System]. Native Bliss will provide a copy of the receipt to the customer 01· the caregiver, unless the customer or the caregiver declines the receipt. The receipt will include; The name, address, and any permit number assigned to Native Bliss by the BCC; The name and address of the customer and, if applicable, the customer's caregiver; The date the cannabis was dispensed; Any requirement or limitation noted by the practitioner on the customer's certification as to the form of cannabis that the customer should use; and e The form and the quantity of cannabis dispensed. Native Bliss will store all cannabis products or waste in the process of distribution, transfer, or analysis in such a way as to prevent diversion, theft, or loss. Native Bliss staff will return product or waste to its secure location immediately after completion of the process or at the end of the scheduled business day. In order to ensure cannabis is securely stored and avoid any threat of loss and diversion, Native Bliss will: Not procure or maintain cannabis inventory in excess of the quantity required for normal, efficient operation; Keep all approved safes, vaults, or other equipment or areas used for the storage of cannabis securely locked or protected from entry, except for the actual time required to remove or replace cannabis; Keep all locks and security eq'uipment in good working order; Not allow keys to be left in the locks, or stored or placed in a location accessible to persons other than specifically authorized personnel; Store all cannabis products in a safe, vault, or secured room to prevent diversion, theft, or loss; Maintain all cannabis product in a secure area or location within the Retail Store accessible only to specifically authorized personnel, which will include only the minimum number of employees essential for efficient operation; 113 Not allow other security measures, such as combination numbers, passwords, or electronic or biometric security systems, to be accessible to persons other than specifically authorized personnel; and e l<eep Native Bliss securely locked and protected from unauthorized entry at all times. Any additional safeguards required by the BCC regarding special security issues, such as an unexpected, large stock of cannabis, exposed handling or unusual vulnerability to diversion, theft or loss, will be complied with immediately. If a loss, theft, or diversion of cannabis has occurred from the Retail Store, the Retail Store Manager or the Director of Human Relations will notify the BCC and local law enforcement immediately, who may require additional safeguards to ensure the security of the cannabis. If a reduction in the amount of cannabis in the Retail Store Inventory is due to suspected criminal activity, the Retail Store Agent in charge will immediately report the reduction to the BCC and local law enforcement. No Retail Store employees and/or security policies will prohibit members of the BCC, local law enforcement or other federal, state, local government officials, or persons authorized by the BCC from entering any area of Native Bliss Retail Store to perform their governmental duties. Promoting Responsible Use Native Bliss will promote responsible use of cannabis through a variety of messaging options: 1. Retail Store Agents will place informational inserts in exit packaging, including information on cannabis use disorder and the effect of cannabis use on the development of the adolescent brain. 21. Native Bliss' website will include this same content, regarding cannabis use disorder and the effect of cannabis use on the development of the adolescent brain 22. Native Bliss will offer lower dose THC product options, and train Retail Store Agents to educate customers on these options. 23. Native Bliss will integrate a program that allows customers to track their use via self-determined quotas, and access their usage statistics, Native Bliss' website. Advertising and Marketing In accordance with 16 CCR § 5040, Native Bliss will comply with the following requirements regarding placement of advertising: Any advertising or marketing placed in broadcast, cable, radio, print, and digital communications: Shall only be displayed where at least 71.6 percent of the audience is reasonably expected to be 21 years of age or older, as determined by reliable up-to-date audience composition data; and Shall not use any depictions or Images of minors under 18 years of age. 114 o Upon req uest, Native Bliss wi ll provide to the Bureau audie nce composition data as required in subsection a) of th is section for adve r tis in g or marketing pl aced by Native Bli ss. This information will be provided to the Bureau within the time speci fi ed by the Burea u. If th e Bureau determines th at aud ience co mposition data for advertising or marketing provided by Native Bliss does not comply with the requireme nts of subsection (a) of this section, or Native Bliss fails to provide aud ience composition data to the Bureau within th e time specified by the Bureau, Native Bliss wil l remove the advertis ing o r marketing placement in question. Restricting Advertis ing to Adu lts In accord ance with CCR § 5041, Native Bliss will comp ly with the fo llowing requirements: Prior to any advertising or marketing from Native Bli ss involving direct, individualized comm unication o r dialogue, Native Bliss will use age affirmation t o verify that the recipient is 21 years of age or older. Fo r the purposes of this section, direct, individualize d com munication or dialogue may occur through any form of comm unicatio n, including in-person, tele phone, physical mail, or electronic. A m ethod of age verification is no t ne cessary for a com munication if Native Bliss can verify that Native Bllss ha s previously had the intended recipient undergo a method of age affirmation and Native Bliss is re asonab ly certain that the communication will only be re ce ived by the intended recipient. Native Bliss will use a method of age affirmation before having a poten tial customer added to a mailing list, subscribe, or otherwise consent to r ece iving direct, individualized communication or dialogue contro lled by Native Bliss . 115 Security Plan Security Plan : A detailed s ecurity plan outlini ng th e measures that will be take n to e nsure the safe ty of pe rs ons and prope rty on the busin ess sit e . Th e security p lan mus t be prepare d by a qualified profession al. Security Consultant: Roderick Ferguson, BTR Unlimited Inc. 117 l 118 119 120 121 122 123 124 125 i 126 j 127 1 I 128 129 130 131 132 I 133 Light in g Pla n Li ghting Pla n : A det ailed lig hting plan showin g ex isting and proposed exterior and i nterior l igh ts t ha t w ill provide adeq uate sec urity lighting for t he business site. Subject to approval by the San Luis Obispo Planning Department and the San Luis Obispo Police Department, Native Bliss will maintain a minimum exterior lighting standard of 1.5-foot candles across all perimeters, access points and parking spaces associated with the licensed premises. Lighting will be white LED lighting with a heat index between 27001<-42001<, a color rendering index of at least 70 and a light loss factor of at least .95. Where foyers exist, or awnings are installed on the structure, fixtures will be installed as necessary to provide for a minimum lighting standard of 1.5-foot candles beneath the awning or within the foyer. Additional lighting will be added as deemed necessary. Outdoor Lighting Policy It is the policy of Native Bliss to maintain outdoor lighting procedures to ensure compliance with Chapter 17.99.050 and 17.70.100 of the San Luis Obispo Municipal Codes, City Ordinance No. 1647, and all governing agencies and to dispense cannabis and cannabis products in a safe, compliant manner. Purpos e To provide safe, compliant daily operating procedures for Native Bliss, a retail dispensary. Scope This procedure applies specifically to the lighting projected from the exterior of the premise both during hours of operation and while the premise Is closed. Procedure 1. Outdoor lighting will activate at a time consistent with the activation of the City of San Luis Obispo street lights and all wall-mounted lights shall not exceed a height of fifteen feet, measured from the adjacent grade to the bottom of the fixture. 2. The lighting will be bright enough to ensure that security may effectively suppress any nuisance that could result from loitering or other interactions involving the retail storefront as well as curtail and reverse any degradation of the nighttime visual environment and the night sky. 3. Native Bliss will ensure that the storefront sign for the business will not consist of upward Illumination, be properly lit, visible, and legible so that a person hard of seeing may effectively read it. 4. The readable lighting will simultaneously consist of a proper amount of lumens in which it is neither obtrusive nor obstructive to the effective function of the neighboring businesses and traffic. 5. Outdoor lighting that is necessary for security will consist of motion sensor lights as well as timed lights that will activate at a time consistent with the activation of the City of San Luis Obispo street lights. 6. Any outdoor lighting of the parking area and/or loading area or outdoor lighting for aforementioned security shall not exceed a maintained value of ten foot-candles, when measured at finished grade. These parking lot 134 lights shall not exceed a height of twenty-one feet and adhere with Chapter 17.99.050 and 17.70. 100 of the San Luis Obispo Municipal Codes as well as City Ordinance No. 1647. 7. Outdoor lighting will be fully shielded, dark sky compliant, and directed and away from adjacent properties and public rights-of-way all while preserving the ambience of night. 8. Native Bliss will make sure to minimize glare and obtrusive light by limiting outdoor lighting that is misdirected, excessive, or unnecessary as well as help protect the natural environment from the damaging effects of night lighting; 135 Site and Floor Plans A dimen sion ed site p lan of th e busin ess site, includin g all bu i ldings , stru ctures , driveways, parkin g lots, l andsca pe areas and boundaries . Al so provi d e dimensi on ed floor pl ans for each leve l of each building th at m akes up th e bu si ness site, including th e entra nc es , exits, wall s and c ul tivation areas, If applicable. The plan s shall also includ e the following Information about the site: cur r ent zoning , pa rking requ irements, con sist ency w i t h devel opment st and ard s for t he zo n e, if new d evelopment planned for th e sit e, and any o th er site development Inform ation . Right to Occupy and to Use Property for Commercial Cannabis Activity: Pursuant to SLOMC 9.10.110, as a condition precedent to the City's iss uance of the Commercial Cannabis Business Permit pursuant to this Chapter, Native Bliss will provide evidence satisfactory to the City of Native Bli ss's legal right to occupy and to use the proposed location for the proposed use, together with the approval of a use permit from the City for cannabis activity at the location . In the event the proposed location is owned by or to be lea se d from another person, Native Bliss will provide a signed and notarized statement from the property owner agreeing to the operation of a Commercial Cannabis Business on the property. ij I I 136 I 13 ~ 138 I I 1 ~ 1 I 1 I I I I I I I I '• , ... , I I I II I I II " I I J • I 11 It IA l l .I .. II '• l l \ 207 HIGUERA CANNABIS DISPENSARY 1':_ --- LAND USE REQUIREMENTS ....... .,. - D'IDIUTllmS 207- m- c.s ..., SPmRC .UllEl DOICill GUIDB.IU --JillD.MCUERA S'tREETE>OWaMOO' P'l..Na Al.l.IMBltm•zmE LDTSllE IUX$11!ClllWCE AU.l1WAlll£ FAA "'11WNU mEMISE.Y &.I. I 1-3 y 1DD11 SF 1.5.~S,D!!Sf) lllllSIT'I IBX!tmf llUJJWM!U 20Cllf -5.52 llir.JIU lS' 23.ICIE 1"""°5llJ 3151 SF 31.p,mSf) 10'05ED 0.Rat 2D' wamrmm sm.ICIS 1--~ ~ wm IC.S. MU C.SllJ t.UIJ llWA 1 '": ~ llRUE) 1JllJIJSf - 1254SF STAU U'X11.1 PROJECT DESCRIPTION 2ll7HJQDAPRCl'llSESAJ,9nSF2.sTORYllllEDUSE~WllliA1-llroAOOllRESllEllCEAHO RETAIL CCMPON911. TIE GllOUNO ftOOR HAS APROPOSED IETAll. IJfA Of 3.215 SOUAAf FEET Fa1 lHE USE Of CANNASIS DIST1l8UTION, AHO~ SOOW FEET Of STOAAGE Niil stCU!lfD STOMGE. lltE ~1 Sf RESll£MllAl lHT IS ON 11£ SECOND l.EVEL; AHO ACC6SED BY ASEPAAATI: E>lllfl'. THE PRQJ(CT IS CllNTBFORAl!Y/IWSlftW., MATEllWS ME OAAIYK fftOM 11£ DIRECT VACllf!Y AS W!lJ. FflOM lHE lll).1161JER1. IFllCMMEllf !'\NI. TIE MAIN MATE1111.l. IS COIRJGATBI METALSDIC WITH aflTEN PANB. ACCall' US8l ON '!IE ~ SURllJNOING 1IE lNIGE Slt1IEfllONT SB:lDIS llv.TVEW INIO'!IE RETAI. Si'N:E. AP£llfCl!TBl ~TB! IETAL PA!El. IS US8l AS TAfAlMENI CJ' PIVVAC'fTO ll01li 1IE PAlllON 1JfD TltE PEDISTlllAll. BUILDING INFO llCQIPMCY COllSTllllCllllTm osmm SIWESl'llll'GSEI -- 11.11-3 Sl'N«lBIED Tm> 22'-11' SHEET INDEX T1.0 111USl£ET, ""'-ECT NO T1.1 POOJEC1 llfl) 112 COORCOliTROL cu SlllMY Al.I SITf PWI 2.11 FllSflUICR PUN .,,, FltSTA.OCRRCP A2..2 SECQND IUICR ftOD~ l'W<, "°' .,,. ! 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SSEMSLY STMl'102. ,. ,,,_ - 0 ,. 0.00'!0 "·""' ( 11/0IJR OCC!Jl'JICI SUEIWIOllB£TWEENIJSI$J CFRCE1tl6 "' 17 HOUROCCJJP.4/ICf SEPfflA1IONBETWWI IJSESJ ACC.STO~~GE VALILT103 ·~ ACC.STOl!AGE STOAAGE10S "' ,,,_ 0 0 fUIDlllOl"Al; "" ' '" SEroND R,OOR l RESiliOOW. lmIT201 941 1 l'O'TAI..: e !K1 0 D AAEA~: 0.00% o.~% BUILDING AREA C0\11ffilC~MA!N-DCUF-----iNC:raairAUF ·;u;ce:ss~-SLDG:TQr.il RRSTFtOOB SECOND FLOOR 0 ., BICYCLE PARKING CALCULATIONS Illa PA!llCm& MaUlllEll UNrrC111lNTllllSF BIJS!NESS ' .,. -- K!DVIPCDmrA!. 1DTA1.BIC'ttu 1/1000SF 0 9'ii UlNGmtM a::: II') z LI.I Cl.. - I.I)~ M 0 "'. < t V'l u -o CCI o. ii zo Zs <( ... l u~ a:: ill Wo:.,. 0 t <-; o::-- w-: ::c :::> 0 Cl •• °' i~ 0 ~..; N~c T1.1 PERFORMANCE AT PRESSURE FtteAir F•~toFl&M' S:rm> IRl'M lvoirsl~ MAX O" .125" .2S" AMPS 1S 0.6S 33' 322 309 66 Q5I 264 253 2311 S3 Q.A9 21>1 176 1S3 1.S 667 6SO 630 610 S8S S20 420 ISO 100 1.14 21311.47 932 899 869 840 I03 723 6311 340 20ll 2064 18& 1.71 849 802 no 729 6IS1 '°° 4&S Z70 110 1.llll 178 1.62 709 703 660 613 568 C7 316 140 NIA 1.4'9 1.9 1019 '185 9SO 921> llS 115 705 S3S 155 1.78 4.1-. 1708 1680 1655 1630 1595 1530 1~ 1380 1300 "3.34 -..:--- 2.1 1700 1630 1560 1090 1-1150 240 NIA NIA 1:19 7~~ ~~:~=I~ ~..!'$·Q~~~rt~~;;::;;:c ~:r:~~) • St4t~ Prt"".\UI~ 1•t 0 WG 12 11 Max-Fan™ SKU :340440 CFM 1708..tn-. RPM 3374 Max Watts 489 1411 Max-FanTM SKU:3404SO CFM 1700..tO-. RPM 1700 Max Watts 253 10· 1r- 14• AmDS 4.10120VAC 60 Hz Amr>s 2.10120VAC60Hz i.. w Son ... Diameter Lenqth Blade Desian Housina Inlet/Outlet 12· 12 1/a" Mixed Flow Galvanized 12· Sones 10..to.1n-. D~ 14" 1s 11.· Blad& Desian M"0<edRow Housina Galvanized Inlet/Outlet 14" Can -Lite™ 1411 SKU: 358598 Recommended Max CFM: 2200 CFM Prefilter: Yes Range: Built in 14 • Outside Diameter. 45.7 cm I 18" Height 101.6 cm I 40" Total Weight 30.84 kg I 68 lbs. Carbon Weight 22.86 kg I 50.4 lbs. Carbon Bed Depth: 2" Max Operating Temp: 80°C Recomme nded Fan: FAN 14" Max-Fan™ CFM 1786 Max Watts 222 a:: V') z w Q. V') ~ _,., Q °'-~ V') u - o al Q. zo z~ 3 u z ~ <( U>_ a:: Iii w ~ I-°' ..J Cl)-~~~ :: c w -::>~ o ...... -.. 0 J:~ N :;;~ NO T1.2 00 w N} STREETTREI I L .. ,,,.,m.,:::~:'.:::J,~'""''';;~:_,,,, ,., ,,,,,,,_,., ,, .... ~-----7 8'-5' LIGHT?OLE, TYP. 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PROPERTY: Landlord rents to Tenant and Tenant rents from Landlord, the real property end Improvements described as: 207 Higuera S t. S•n L uis Obis o ('Premises"), which comprise eppro1Clmately % of !ho tote! square footage of renteble space In the entire property. See exhi bit for a furthe r COMMERCIAL LEASE AGREEMENT CL PAGE 1 OF 6 GC Ii M.10111mul, lo<, 113 N SAN VIC£NTE DL\ID lltmly llW. CA 90111 Phone: (109)7".fUI Fu: ll1u1I C1ru Produe«I llilh zipForm(>by 2lpt09(J( 16070 Fifteen Mio Rood, FraM>r, Mlctl!g1n 0020 www2fologlx com 107lllt111raB1 150 Premises : 207 Higuera St, San Luis Ob ispo Dale November 28, 2018 COMMERCIAL LEASE AGREEMENT (CL PAGE 2 OF 6) PIOduced >Mlh tJ~Fo rm® byZj>log bl 11070 f lftttn Mlle Rood. Fre m, Mld1lg1n 0024 WWII llplggbt '»'ll 107Wgucra SI 151 Premises: 207 Hi guer a St, Sen Luis Obis po Date November 28, 20 18 CL REVISED 12/15 (PA 3 OF 6) COMMERCIAL LEASE AGREEMENT (CL PAGE 3 OF 6) Ptoducod \\flh Zlpfo'™51 by ilpLoglx 18070 Fh'!ton Mlle Roed, Fr111or. Mlchlgen 48026 »WoN r!olqgb! Q!llD 1071111uora 5 1 152 Premises: 207 Hi guer a St, Sa n Luis Obi spo Date Novomber 28, 2018 COMMERCIAL LEASE AGREEMENT (CL PAGE 4 OF 8) Produc1d wtth llpFo~ by llpl09tic 18070 Anoon ~ui. ROid, Fm1r, Mlchlg1n ~8018 romJ!otog!x ooro J07 lllJ11m SI Premises : 207 Hfguera St, San L11fs Obfspo Date November 28, 20 18 CL REVISED 12/15 (PAGE 5 OF 6) COMMERCIAL LEASE AGREEMENT (CL PAGE 5 OF 6) Produced with llpF~ by zlplogb< 18070 FlftHn Milo Rood, Fraser, Michigan 48028 WtiW 1!glggi1 com 107 nl1u1r1S1 154 Premises: 207 Higuera St, San Luis Obispo Dale November 28, 2018 CL REVISED 12/15 (PAGE 6 OF 6) COMMERCIAL LEASE AGREEMENT (CL PAGE 6 OF 6) Ptodu<•d with aJpFOlm1l by zlpl"lllx 18070 Flnoon Miio floe<I, f11111,, Michigan ~ll028 ~~ l07 lllauua ~1 155 Wat er Efficie ncy Plan Wat e r Effi c iency Plan : Th e app licanl shal l d em o nstrat e t o th e satisfaction o f the City that sufficient water suppl y ex ist s for t h e u se . With water becoming increasingly scarce in a particularly dry area, Native Bliss understands that water is a precious resource in San Luis Obispo, and fully respects the necessity of a water efficiency plan as required in the application under the SLO city ordinance 17.99.050 Commercial Cannabis Businesses. Native Bliss will practice water conservation and efficient management to help reduce operating costs, meet drought allotments, mitigate economic losses, and extend water supplies. Native Bliss understands that a well-planned water management procedure often is accompanied by savings of energy, wastewater treatment, and toxic disposal. By developing a water conservation program, Native Bliss can implement long-term savings and can reduce expenses and sustain the viability of the business. Native Bliss plans on using recycled water on-site. Matching the quality of water by the quality of use. Use treated municipal and industrial wastewater instead of potable supplies for landscape Irrigation, dust control, and cooling water. Native Bliss plans on using water efficient equipment and devices on-site, including but not limited to: -Water efficient toilets and urinals; -Dishwashers; -Refrigerators -lcemakers; -All other water use equipment Native Bliss will assign a conservation specialist to implement programs and monitor usage to Identify waste and where areas can be more efficient. Native Bliss and the conservation specialist will Identify and evaluate specific water management alternatives for improved water use efficiency: Understand why and how water is used in the various processes and equipment in the facility. l<now the different thermal and chemical requirements of these water uses. Compliance with the regulations of water conservation to particular Basins. Identify conservation measures that will reduce water use while sustaining production. Loss of production will adversely impact business and the community. Conserve water and energy together, particularly when the energy is heat. Recycling warm water saves energy. Reduce wastewater and toxic waste disposal. Efficient water management will decrease wastewater volume and require fewer chemicals that may produce toxic by-products. When considered together, conservation becomes more cost-effective. Anticipate increased utility rates for water and wastewater service. Native Bliss will maintain water and wastewater utilities for projections of future rates. Encourage water and wastewater utilities to provide rebates and other financial assistance to offset part of the initial cost of implementing conservation measures. Use the site audit analysis and water conservation plan to justify requests for reductions in wastewater charges. The audit can also document water requirements needed for future production increases. 156 ~ e Realize cost reductions due to improved water use efficiency. After the initial payback period, soundly conceived and implemented conservation measures will save money throughout the life of the measure. The savings will increase as utility rates for water, energy, and wastewater discharge rise. As fees and utility rates increase, businesses implementing conservation measures will have a competitive advantage over firms that ignore conservation opportunities o Teach water conservation awareness. Post signs throughout the facility to create an awareness of water conservation and put information on website. Native Bliss will utilize water audits to lead cost-effective water efficiency measure. Native Bliss will gather all utility records, plumbing diagrams, alternate water supply sources, a preliminary list of water using equipment and processes. Native Bliss and conservation specialist will conduct quarterly walk-through surveys. Keeping a record of: 1. Hours of operation of each water-using process or piece of equipment. 2. Water flow and quality regarding temperature, pH, TDS, and organic loading. 3. Measure the amount of water use. 1 Odor Control P lan Odor Control Plan : A detai led plan describing how t he appl icant will prevent all odors generated from the cultivation, manufacturi ng and storage of cannabis from escaping from the buildings on the business site, such t ha t the odo r cannot be detected by a reasonab le person of no r mal sensitivity outside t he bui l dings . Pursuant to SLOMC 17.99.050.E.3), Native Bliss's facility will be sited and/or operated in a manner that prevents cannabis odors from being detected offsite. Commercial cannabis activities will not create offensive or excessive odors, dust, heat, noise, light, glare, smoke, traffic, or hazards due to the use or storage of materials, processes, products or wastes, or other unreasonable impacts to people of normal sensitivity living, working or la wfu lly present In the vicinity of the comme rcial facility. Native Bliss will have an air treatment syste~ that ensures offsite odors will not result from i ts operations. This requirement at a minimum means that Native Bliss will be designed to provide sufficient odor absorbing ventilation and exhaust systems so that any odor generated in side the location of Native Bliss is not detected outside the building, on adjacent properties or public rights-of-way, or within any other unit located within the same building as Native Bliss, if the use only occupies a portion of a building. We will take measures to eliminate any cannabis odor that may potentially emanate from the retail store to mitigate disturbances to local business residents. Ventilated air from the retail store will pass through HEPA filters with UV-light sanitation. Any air that is expelled from the building will be filtered again through HEPA and charcoal filters to ensure clean, odor-free air. Odors will be mitigated by activated carbon filters integrated into the exhaust, ventilation, and HVAC systems. Activated carbo n is charcoal treated with oxygen, which generates pores between the carbon atoms, creating a highly absorbent material that captures odorous, gaseous, and liquid contaminates. The building will also be negatively pressured, preventing odor escape. Berner Sanitation Certified air curtains on exterior doors will create a seamless barrier of air, further preventing odor escape. 158 Hazardous Materia ls Plan li st o f all p es ticides, fe r tili zers, and any oth er h aza rd o us ma te ri als th at may be used , and a storage p lan for these m ate ri als. Haz ard o us M at er ials Pl an : To th e ex t ent th at th e applica nt intend s to u se any haza rd ous materi als In Its op eration s, the a ppli ca nt sha ll provide a h az ard o us m at eri als manage me nt p lan t hat compl ies wi th al l fe d era l, st at e and loca l re quire ments for m anage m ent o f su ch su bs tances . To the extent tha t t he applicant inte nds to use any hazardo us materials in its operations, the app li can t shall provide a hazardo u s materia ls managem en t plan that compli es with all federal, state and local requirements for management of such substances. To ensure all safety and hygiene policies and procedures are customized speci fically to the risks commo n to cannab is bu si nesses, Native Bliss has leverage d a guide recommended by that was produced by the state of Co lorado: Guide to Worker Safety and Health in the cannabis Industry (Th e Colorado guide was used because th ere is not a compara ble California guide for reference.) The Safety Coordinator will conduct the initial review of Native Bliss' build ing an d des ig n pla ns, and as con struction Is completed, will leverage Ca l/OSHA's Hazard Assessment Checkli st, to identify all potentia l hazards, and how the company will mitigate them. Thi s assessment, along with Cal/OSHA's Cal/OSHA's llPP Se lf-Assess m ent Checkl ist. will facilitate the creation of Native Bliss' Injury and Illnes s Prev ention (llP) Program. A written llP is required which is r equired for all employers In the State of California. The faci lity and the full premises (including outside of buildings) will be insp ected quarterly by the Safety Coo rdinator to Identify potential h azar ds, using th e OSHA Self-In spection Checkli st to prevent hazardo u s material and chemical Incidents that co uld res ult in injury and/or illness to any employee or visit or. The Sa fety Coordinator will be re spon si ble for condu cti ng training (or coordinating training with a certi fie d third party OSHA consultant) of all employees on Native Bliss' llPP. Additiona lly, the Senior Order Manage r is assig n ed responsibility for conducting job specific hazard training on c he mical s use d by all Di sp ensi ng Agents. After attending training, each employee will sign a form to verify that he or she attended the t ra ining an d understands the company's policies on hazard communication. Copie s of M aterial Safety Data Sheets (MSDS's) for all haza rdou s chemicals to which employees may be exposed will be avai lable on the intra net and by hard copy In each chemical storage are a of the operating unit, In a d es ignated MSDS binder. Samp le documents Include accident report forms, a sa fety r ule violation notice, an d the OSHA Self-Inspection Checklist. Safety rules addressed i nclude those relevant to accident and ha za rd reporting, drug and alcohol use, driving, work-r elate d Injuries and the required use of Personal Protective Equipment (PPE). En forcement measu res and disciplinary ac tions deta il ed are to be impl emented in res pon se to safety rule violations. All emerge ncy si tu ations including chemical sp ill response will be handled by local emergency re sponse agencies in accordance with the co mpany's e mergency and incid ent r es ponse SOPs. Additional measures serve to establish procedures for injury cl ai m s and policies re lated to workers' compensation an d benefit s provided. 159 i Hazard Communication Policy Native Bliss is committed to the prevention of hazardous material and chemical incidents that could result in injury and/or illness to any employee. Native Bliss will spare no effort in providing a safe and healthful work environment for employees and all levels of supervision will be accountable for the safety of those employees under their direction. The Occupational Safety and Health Administration's (OSHA) Hazard Communication standard (29 CFR 1910.1200) is based on the simple concept that employees have both a need and a "right to know" the identities and hazards of any chemicals they work with during the course of their employment. Employees also need to know what protective measures are available to prevent chemical exposures and how to avoid adverse health effects. The following constitutes Native Bliss' written Hazard Communication program. Native Bliss will meet the requirements of OSHA's Hazard Communication standard as follows: Container Labeling It is the policy of Native Bliss that no container will be released for use unless it has a complete label. Managers will ensure that secondary containers, such as spray bottles, have complete labels. Either (1) a copy of the original manufacturer's label will be made and placed on the secondary container, or (2) the minimal information bulleted above will be placed on the container in permanent ink. The Safety Coordinator will verify that all product containers kept onsite will clearly list contents on the label: Product Na me Hazard warnings (corrosive, flammable, skin irritant, etc.) Manufacturer's name and address Material Safety Data Sheets Copies of Material Safety Data Sheets (MSDSs) for all hazardous chemicals to which employees may be exposed will be available via hard copy in each chemical area of the BCC in a binder designated "MSDS Sheets." Employees are required to read MSDSs for the chemicals they use. MSDSs will be available to all employees during all shifts. If an MSDS is missing, or if a new product arrives without an MSDS, employees must immediately inform their manager and/or the Safety Coordinator, so they can call the supplier or manufacturer. Hazardous Chemicals List Managers must maintain a list of all the chemicals and products used at Native Bliss within their unit. This list is kept in the front of the MSDS book. Each chemical entry on the inventory list has a corresponding MSDS available for providing specific hazard information and personal protective measures. This list must be updated quarterly by the Safety Coordinator to remove chemicals that are no longer in use at Native Bliss and to add new products. Hazardous Non-Routine Tasks Occasionally, an employee may be asked to perform a task that is not part of their normal job. Before taking on a new task, the affected employee will be given information by their manager and/or the Safety Coordinator about any hazardous chemicals that might be used during the activity. This information will Include: 160 Specific chemical hazards; Protective measures employees can take; and Measures the company has taken to reduce the hazards, which might include ventilation, personal protective equipment, use of the buddy system, and emergency procedures. 161 Energy Efficiency Plan Energy Efficiency Plan : Docum en t at ion that t he app li ca nt has iden tified t he best way, incl uding carbo n free power so urces to provide re li abl e and effic ient energy so lutions fo r t he ir bus iness . Native Bliss understands that a business with a limited carbon footprint is an important asset San Luis Obispo, and It Is known to Native Bliss that San Luis Obispo has plans to be fully carbon neutral by 2035. Native Bliss fully respects the importance and necessity of an energy efficiency plan as required in the application under the SLO city ordinance 17.99.050 Commercial Cannabis Businesses. Native Bliss will practice energy conservation and efficient management to help reduce operating costs, and commit to the goal have having no carbon footprint. Native Bliss will achieve this by developing a well-constructed energy program, and with this program Native Bliss can implement long-term savings and can reduce expenses and susta in the viabi lity of the business. Native Bliss facility design and daily operation will make use of susta inable materials to limit waste and will use natural sunlight, eco-friendly cleaning products. In addition to implementing this operations Native Bliss p lans on selecting vendors and contractors who demonstrate a similar commitment to energy conservation . Native Bliss plans on using Energy-Star rated equipment and devices on-site, incl uding but not limited to: -LED lighting; -Dishwashers; -Refrigerators -lcemakers; -Energy efficient machine processing Native Bliss will use Smart power management software that will turn off unneeded electronics after hours, and monitor total energy usage. Native Bliss will assign a conservation specialist to Implement programs and monitor usage to identify energy waste and where areas can be more efficient. Native Bliss and the conservation specialist will Identify and evaluate specific ene rgy management alternatives for improved energ y use efficiency: Review billing to estab lish short-term and long-term strategies to reduce energy use. Implement an energy awareness program to employees, and Post signs througho ut the facility to create an awareness of ene rgy efficiency. Id entify conservation measures that will reduce energy use while sustaining production methods such as: Energy storage during off-peak hou rs -Using efficie nt processing equipment -Using ERV systems to reduce heating and cooling needs Conserve water and energy together, particularly when the energy i s heat. Recycling warm water saves energy. Utilize renewable energy systems, and micro grids such as solar, turbine and hydroelectric sites. Anticipate increased utility rates for energy. Native Bliss will maintain and monitor energy future energy projections. Native Bliss will encourage energy utilities to provide rebates and other financial assistance to offset part of the Initial cost of implementing conservation measures. Including renewable energy rebates. Native Bliss It Is important to find cost reductions due to improved energy use efficiency. After the in itia l payback period, soundly co nce ived and implemented conservation measures will save money throughout the life of the I, I' 162 l measure. The savings will increase as utility rates for energy discharge rise. As fees and utility rates increase, businesses implementing conservation measures will have a competitive advantage over firms that ignore conservation opportunities Native Bliss will utilize energy audits to lead cost-effective energy efficiency measure. Native Bliss will gather all utility records, energy grids,, alternate renewable energy sources, a preliminary list of high energy using equipment and procedures. Native Bliss and conservation specialist will conduct quarterly walk-through surveys. Keeping a record of: 1. Hours of operation of each energy using procedure or piece of equipment 2. Identify minimum energy needs of procedures and equipment 3. Measure the amount energy Increases it improved or new procedures and equipment 163 San Luis Obispo Social Equity Applicants For Native Bliss 154 I 6. CANNABI S ADVISING PARTNERS FROM THE DESK OF Devon Martinez General Manager Cannabis Advising Partners Domenique Goode has been an active member of the California Cannabis Community as an advocate and professional for over 15 years. With experience ranging from Retail Sales Management to High-level Business Development to Regulatory Compliance consulting experience, Ms. Goode stands as a pillar of the industry and beneficial addition to any Cannabis Retail management team. Domenique's core values in this space include utilizing cannabis businesses to stimulate community development and promoting the medical values of cannabis as far and wide as possible. Her passion for benefiting humanity through cannabis is apparent in everything she does and everyone she interacts with. Her past work as Regional Manager for an Orange County pre-ICO dispensary chain has given her P,riceless experience with ~ay~to-day operations an~ insight into operating a . sustainable, compliant business in a highly regulated space. Native Bliss will be strengthened by having access to a seasoned veteran of who has experience navigating unsteady regulatory landscapes while maintaining a successful business. Domenique's current work as Senior Account Director and Retail Expert with Cannabis Advising Partners has rounded out her professional experience and will provide any venture she is involved with an added layer of financial security/sustainability which is nearly impossible to come by with other partnerships. Devon Martinez 165 l File by Mail Instructions for your 20 18 Federal Tax Return Impo rta nt : Your taxes are not fini s hed unt il all req uired step s are co m p leted~ 1ntu1t I f you pre fer, yo u can sti ll e-fil e. Go to th e end of t hese instructi ons for "'tu rbotaxf) more Inform ati o n.) domenique geode Page 1 of 1 166 f~~botax. Hi domenique, 167 E1040 Dapartmenl of !he Treasury-Internal Revenue Service (99) J' U.S. Individual Income Tax Return ~ (Q) 1 8 OMB No. 1545·007 4 IRS Use Only-Dci not wrl\e or staple in this space. Filing status: &] S!ng!e 0 Married fllJng jointly 0 Ma11/ed 1ll!ng separately D Head of household 0 Qualifying w!dow(er) Your first name and !nillat domenique Last name goode Go to www.lrs.gov/Form1040 for instructions and the latest Information. BAA AEVO!l!i/19Wuitcg.dp..tp '"'" 1040 120181 168 File by Mail Instructions for your 2018 California Tax Return Im porta nt: Yo ur taxes are not fi nis hed unt il all required steps are co m p l eted ~ 1ntu1t If you prefer, you can sti ll e-file . Go to the end of these instructions for "' t U rbotaxfl more inform ation.) domenique g oode Pag e 1of1 TAXABLE YEAR Ill FORM 2018 California Resident Income Tax Return 540 APE DO NOT ATTACH FEDERAL RETURN 175 I 3101184 Form 540 2018 Side 1 • 170 Your name: Your SSN or ITIN: REV 12111118 tlfUIT,00.Cf PSP Side 2 Form 540 2018 175 3102184 Your name: ~IG_o~._o_o_._E ______ ~-~~ Your SSN or ITIN: 175 3103184 Form 540 2018 Side 3 • 172 Your name: YourSSNorlTIN: r RE'/ 121!1/!8!HfUT.CG.CFP.SP 8 Side 4 Form 540 2018 175 3104184 •173 Ill Your name: YourSSNorlTIN: 1.111118 L~TU!TCGCfPSP Form 540 2018 Side 5 • 17 41753105184 TAXABLE YEAR CALIFORNIA SCHEDULE 2018 Wage and Tax Statement W·2 Important: Attach this form to the back of your original or amended Form 540, 540 2EZ, or Form 540NR (Long or Short). Name{s) as shown on tax rnturn Ill For Privacy Notice, get FTB 1131 ENG/SP, 175 8041184 Schedule W·2 2018 Side 1 •175 Side 2 Schedule W-2 2018 1 7s I 8042184 Miguel Garza Miguel Garza is ready to take on every opportunity pushed his way. He is ready and excited to begin his career in cannabis. Growing up in Merced, CA, he was eager to find out what else this world has to offer. While carving his path in Los Angeles, Miguel excelled In sales & management. He is now a licensed real estate agent and listing properties for rent and for sale throughout his area. 177 j File by Mail Instructions for your 2018 Federal Tax Return Important: Your taxes are not finish ed until all require d steps are completed~ 1ntu1t If you prefer, you can sti ll e-file. Go to the end of these in st ruction s for ~ t U rbotaxf) more information.) Migu e l Garza Page 1of2 178 I I File by Mail Instructions for your 2018 Federal Tax Return Important: Your taxes am not finished until all required steps are completed ~ 1ntu1t If you prefer, you can sti ll e-file. Go to the end of these instructions for 'f'::I tu rbotax,,, more information.) Miguel Garza Page 2 of 2 179 f~~botax. Hi Miguel, 180 INTERNAL REVENUE PO BOX 510000 SAN FRANCISCO CA SERVICE 94151-5100 181 i1!"11Cll.l:l.•_r_e_a~d .. M.elL.1Yltl] )'.o.tuj'_ey_in_!!aj__! ______________________ _ Department of the Treasury Internal Revenue Service g~~·od6/1'it2019 2019 Form 1040-ES Payment Voucher 2 INTERNAL REVENUE SERVICE PO BOX 510000 SAN FRANCISCO CA 94151-5100 182 p~~~f:!.e!'._e_!lrr_d_M~iL\iY!t!! Y.OJ!~~_!!l!n_!! ______________________ _ INTERNAL REVENUE SERVICE PO BOX 510000 SAN FRANCISCO CA 94151-5100 183 INTERNAL REVENUE SERVICE PO BOX 510000 SAN FRANCISCO CA 94151-5100 184 Form 1040-V 20i8 Page2 IF you live in ••• THEN use this address to send in your payment ••• Florida, Louisiana, Mississippi, Texas Internal Revenue Service P.O. Box 1214 Charlotte, NC 28201-1214 Alaska, Arizona, California, Colorado, Hawaii, Idaho, Nevada, Internal Revenue Service New Mexico, Oregon, Utah, Washington, Wyoming P.O. Box 7704 San Francisco, CA 94120-7704 Arkansas, llllnois, Indiana, Iowa, Kansas, Michigan, Minnesota, Internal Revenue Service Montana, Nebraska, North Dakota, Ohio, Oldahoma, P.O. Box 802501 South Dakota, Wisconsin Cincinnati, OH 45280-2501 Alabama, Georgia, Kentucky, New Jersey, North Carollna, Internal Revenue Servlce South Carolina, Tennessee, Virginia P .0. Box 931000 Louisville, KY 40293-1000 Delaware, Maine, Massachusetts, Missouri, New Hampshire, Internal Revenue Service New York, Vermont P.O. Box 37008 Hartford, CT06176-7008 Connecticut, District of Columbia, Maryland, Pennsylvania, Internal Revenue Service Rhode Island, West Virginia P.O. Box 3791 O Hartford, CT 06176-791 o A foreign country, American Samoa, or Puerto Rico (or are Internal Revenue Service excluding Income under Internal Revenue Code 933), or use an P.O. Box 1303 APO or FPO address, or file Form 2555, 2555·EZ, or 4563, or are Charlotte, NC 28201-1303 a dual-status alien or nonpermanent resident of Guam or the U.S. Virgin Islands. TO PAY YOUR TAXES DUE BY CHECK, MAIL THIS FORM TO THE ADDRESS LISTED BELOW. Fonn 1040-V 2018 j1040-V Department of lhe Treasusy Internal Ravanua Sarvlca (99) T Detach Here and Mall With Your Payment and Return T 2018 Payment Voucher Do not staple or attach this voucher to your payment or return. MIGUEL GARZA SAN FRANCISCO, CA 94120-7704 185 Form 9465 Installment Agreement Request Rev. December 2018) Ji;oo Go to www.lrs.gov/Form94651or instructions and the latest Information. OMB No. 1545~0074 Department of the Treasury ~ If you are filing thfs form with your tax return, a~ach it to the front of the return. Internal Revenue Service .., See separate Instructions. flp: If you owe $50,000 or less, you may be able to avoid filing Form 9465 and establish an installment agreement onllne, even If you haven't yet received a tax bill. Go to www.irs.gov/OPA to apply for an Online Payment Agreement. This request Is for Form(s) {for example, Fann 1040 or Form 941) ~ .......:F:..O:cR:..M:..:...:1..:0--4"0'------------------------- Enter tax year(s) or perlod(s) Involved (for example, 2016 and 2017, or January 1, 2017 to June 30, 2017) ~ 2018 1 a Your first name and Initial Last name For Prlvacy Act and Paperwork Reduction Act Notice, see Instructions. BAA REV G!.IJ1119 /Jibllcg.dp.sp Form 9465 (Rev.12-2016) 186 Fmm 9465 (Rav. 12-2016) 187 E1040 OepartmentoftheTreasury-!ntemalRevenueSe/\llce (99) U.S. Individual Income Tax Return ~@18 OMBNo.1545·0074 IRS Use Only-Do not \wile or staple in this space. Filing status: g] Single 0 Married flllng Jointly 0 Married filing separately 0 Head of household 0 Qualifying widow( Fe<m 1040 (2016) 188 OMS No. 1545-0074SCHEDULE1 Form 1040) Additional Income and Adjustments to Income l>AttachtoForm1040. ~@18 Department of the Treasury Atlachmenl Internal Revenue service ~Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No. 01 Jama(s) .shown on Form 1040 189 SCHEDULE4 Form 1040) Department of the Treasury Internal Revenue Service Other Taxes I> Attach to Form 1040. Ir>-Go to www.lrs.gov/Form1040 for Instructions and the latest information. Jame(s) shown an Form 1040 Miguel Garza 190 SCHEDULE C-EZ Form 1040) Net Profit From Business OMB No. 1545-0074 Sole Proprietorship} Department of the Treasury Internal Revenue Service (99) Partnerships, joint ventures, etc,1 generally must file Fonn 1065. ~@18 Altachment l=or Paperwork Reduction Act Notice, see the separate Instructions for Schedule C (Form 1040). BAA REV 12fll1!8 lrMt~ i;fp,;p Schedule C-EZ (Form 1040) 2018 191 SCHEDULE SE Form 1040) Self-Employment Tax OMB No. 1545-0074 18 Department of the Tteasury Internal Revenue Service {99) Go to www.lrs.gov/ScheduleSE tor Instructions and the latest Information. Attach to Farm 1040 or form 1040NR. Attachment Sequence No. 1 7 Social security number of person 'Jame of person with self-employment Income (as shown on Form 1040 or Form 1040NR) Miguel Garza with setf .. employment income ~ 192 Form 8965 Department of Iha Treasury Internal Revenue Service lame as shown on return Miguel Garza OMS No. 1545-0074 Health Coverage Exemptions Attach to Form 1040. ~@18 Go to www.Jrs.gov/Form8965 for Instructions and the latest information. Attachment Sequence No. 75 193 Alan Martinez Alan Martinez is a husband, father of three, and aspiring cannabis entrepreneur. Alan was born & raised in Los Angeles, CA. Alan is a project manager for small construction renovations. Searching for more, Alan has found the perfect opportunity to get his foot in the door of the cannabis industry. For Alan it has everything to do with the health benefits cannabis offers. 194 2017 Income Tax Return Federal Return Thank you for using FreeTaxUSA.com to prepare your 2017 income tax return. You can view the status of your e-filed tax return by signing in to your account at www.freetaxusa.com. 2018 tax preparation on FreeTaxUSA.com will be available starting in January of 2019. We look forward to preparing your 2018 tax return. 195 1040 Department of the Treasury-Internal Revenue Service (99) I ~@17 / OMB No.1545-00741 JRSUsaOnty-Oonotwriteorstaplainlhisspaca, U.S. Individual Income Tax Return For the year Jan, 1--0ec. 31, 2017, or olher tax year beginning , 2017, ending ,20 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instructions. Cat, No, 113208 Form 1040 (2017) 196 Fonn1040(20111 ALAN E MARTINEZ Go to www.lrs.gov/Form1040 for instructions and the latest Informal/on. Form 1040 (2017) 197 Form 2441 Qepartment of the Treasury 1ternar Revenue Service {99) Name(s) shown on return Child and Dependent Care Expenses Attach to Form 1040, Form 1040A, or Form 1040NR. fl>-Go to www.irs.gov/Form2441 tor Instructions and the latest Information. OMB No, 1545-0074 @17 Attachment 198