HomeMy WebLinkAbout9/3/2014 - STAFF REPORTS - 2 "A Collective That Cares"
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• The following items must be completed and accompany the Medical Cannabis Cooperative /
Collective Application (MCCC). Please check off each item to ensure completeness.
1) Original completed application and $7,500 deposit fee.
2) An accurate site plan and floor plan of the premises that clearly labels all the use of areas on
the premises, including (1) doors (2) entrances (3) windows (4) use of each area, including
(5)storage (6) cultivation areas (7) exterior lighting fixtures (8) security cameras (9) restrooms
(10) signage and (11) parking (including other tenant spaces if the MCCC is proposed for a
mufti-tenant building site).
3) Photographs of the existing site that show the front, back and sides of the building, lighting,
parking,etc.
4) A security plan that includes the following:
a. Security cameras that have been installed and maintained in good working
condition, and used in an on-going manner with at least 240 continuous hours
of digitally recorded documentation in a format approved by the City Manager.
Please provide the number of security cameras and list the areas covered by
each. The areas to be covered by the security cameras include, but are not
limited to (1) the storage areas (2) cultivation areas (3) all doors (4) all
windows, and (5)any other areas as determined by the City Manager.
b. A reliable and commercial alarm system that is operated and monitored by a
lawfully operating security company or alarm business. Please provide the
name and contact information of the security camera monitoring company.
C. Properly illuminated windows and doors that are in compliance with the City's
lighting standards regarding fixture type, wattage, illumination levels,
shielding, etc. (Applicants may be required to secure the necessary approvals
and permits.)
5) A copy of the deed, lease, contract, or other document governing the terms and conditions of d,3
occupancy of the MCCC.
6) Suitable evidence of proof of lawful presence or residence in the city of Palm Springs
(examples of this may include a copy of the applicant's current driver's license or a current
copy of a utility bill).
7) A notarized acknowledgement from the owner of the property, if the applicant is not the
owner,that a MCCC will be operated on his/her property.
8) A copy of the MCCC's articles of incorporation or articles of organization.
9) Evidence of authorization to do business as a non-profit within the State.
•
987441.1
� PALRI
CITY OF PALM SPRINGS office use only
Office of the City Manager Case No:
i.
�:.
Initials:
..........
APPLICATION FOR MEDICAL. CANNABIS
COOPERATIVE OR COLLECTIVE MCCC
Please read carefully to ensure application is accurate and complete.
Inaccurate or incomplete applications may be rejected.
TO THE APPLICANT:
Your cooperation in completing this application and supplying the information requested will expedite City review
of your application pursuant to local procedures. Applications submitted will not be considered complete until all
submittal requirements are met.
Please submit this completed application and ten(10)copies, including all attachments and related
material to the Office of the City Clerk at 3200 East Tahquitz Canyon Way. Palm Sprinqs,CA 92262
Please complete the following in blue or black ink. If additional space is needed, you may
attach white single-sided 8 %x 11 paper using either MS Word or text-readable PDF
format:
1) Address of the MCCC: _400 E Sunny Dunes Rd Palm Springs, CA 92264
`Please note that site location is prohibited within 500 feet of a school, public playground, park,
residentially zoned property, child or day care facility, youth center or religious institution. It is
also prohibited within 1,000 feet of any other collective. The MCCC location is prohibited on
properties in which the primary use of the property is commercial/retail
2) MCCC site information:
Gross Square Footage of proposed business space: 3500
Assessor's Parcel #8132054-8 Zone: commercial Section/Township/Range Lot 11 MB 014/652
General Plan: General Purpose/Commercial Hours of Operation 9:00 AM to 7:00 PM
If the MCCC is in a Multi-Tenant Building, please list other Businesses:
Business Name Business Type .
1. N/A
2.
• 3.
987441.1
4.
• 5.
6.
7.
3) The name and contact information of the applicant:
*Please note that in the event the applicant is not the legal owner of the property, the application
must be accompanied with a notarized acknowledgement from the owner of the property that a
MCCC will be operated on his/her property.
Name Address Email
Julie Montante 865 N. Topaz Circle jmexotic@AOL.com
Palm Springs, CA 92262
Residential # Business# Cell # Facsimile #
(760)779-8678 (760) 778-1053 (760) 250-6477 (866)539-9118
If the Applicant is leasing the MCCC, please list the Property Owner's contact information:
*Please note that in the event the applicant is not the legal owner of the property, the application
must be accompanied with a notarized acknowledgement from the owner of the property that
a MCCC will be operated on his/her property.
4) The name and contact information of the Property Owner:
Property Owner's Name Property Owner's Address Property Owner's Email
Jack Lillard d�0 7f0 i ' 1 �n)aF!'pUf �oR�U� 6CLA �p
yl MZ Prf�'L
Residential # Business#P.00`eSS Cell# Facsimile #
p6o)2ssaon �p S,Swc�lww A).9,� 8 �2
g aaco y
5) The names and contact information of every person(s)who has a financial interest in
the MCCC:
Name Telephone # Address Email
1. Julie Montante (760)260-6477 865 N. Topaz imexoticQAOL com
• Palm Springs, CA 92262
2.
3.
4.
997441.1
5.
6.
• 7.
6) The names and contact information of every principal officer, director, and/or operator:
Name Telephone# Address Email
1 Julie Montante (760)250-6477 865 N. Topaz imexoticOAOL.com
Palm Springs, CA 92262
2
3.
4.
5.
6.
7.
• 7)The name and contact information of any person who is managing or responsible for
the MCCC activities:
Name Telephone# Address Email
1. Julie Montante (760)250-6477 865 N. Topaz imexotic(MAOL.com
Palm Springs, CA 92262
2.
3.
4.
5.
6.
7.
•
987441.1
8) The name and contact information of the on-site community relations or staff person or
other representative to whom one can provide notice if there are operating problems
• associated with the MCCC:
Name Telephone# Address Email
1. Julie Montante (760)250-6477 865 N Topaz imexotic@AOL.com
Palm Springs, CA 92262
2.
3.
9) An estimate of the size of the group of primary caregivers and/or qualified patients who
will be served by the MCCC:
# of Primary Caregivers (30)
# of Qualified Patients (1,5001
Will delivery service be provided? (Y) N
If yes, please describe the extent of the delivery service:
Delivery Service for home bound patients and hospice providers.
•
10) Will cannabis be cultivated on site? (Y) N
If no, or if less than 100% of the cannabis will be grown on site, please provide the name and
contact information of the person(s) who will be cultivating the cannabis:
Name Telephone# Address Email Member
1 F 1 1Cev cQ t� 6Q11n,
2.
3.
4.
5.
7.
987441.1
11) The names and addresses of any employees, if any, and a statement as to whether
such person(s) has or have been convicted of a crime(s), the nature of such offense(s),
and the sentence(s) received for such conviction(s).
• Name Address Offense Type (if any) Sentence
1. Andrew Bloedel 67646 Rio Vista Dr None
Cathedral City CA 92243
2. Blake Wheeler 41631 Jamaica Sands Dr, None
Bermuda Dunes CA 92203
3. Leonard Montante 41514 Trinity Cir, None
Bermuda Dunes, CA. 92203
4.
5.
6.
7.
The following information shall be submitted on one sheet of white paper no less than
• 11x17 inches and no larger than 24x36 inches. The information must be legible and
reproducible. In addition to the paper document, an electronic file in PDF format may be
submitted on compact disc (CD).
1) An accurate site plan and floor plan of the premises that clearly labels all the use of areas
on the premises, including (1) doors (2) entrances (3) windows (4) use of each area,
including (5) storage (6) cultivation areas (7) exterior lighting fixtures (8) security cameras
(9) restrooms (10) signage and (11) parking (including other tenant spaces if the MCCC is
proposed for a multi-tenant building site).
2) Photographs of the existing site that show the front, back and sides of the building,
lighting, parking, etc.
3) A security plan that includes the following:
a. Security cameras that have been installed and maintained in good working
condition, and used in an on-going manner with at least 240 continuous hours of
digitally recorded documentation in a format approved by the City Manager. Please
provide the number of security cameras and list the areas covered by each. The
areas to be covered by the security cameras include, but are not limited to (1) the
storage areas (2) cultivation areas (3) all doors (4) all windows, and (5) any other
areas as determined by the City Manager.
• b. A reliable and commercial alarm system that is operated and monitored by a
lawfully operating security company or alarm business. Please provide the name
and contact information of the security camera monitoring company.
C. Properly illuminated windows and doors that are in compliance with the City's
987441.1
lighting standards regarding fixture type, wattage, illumination levels, shielding, etc.
(Applicants may be required to secure the necessary approvals and permits.)
4) A copy of the deed, lease, contract, or other document governing the terms and conditions
• of occupancy of the MCCC.
5) Suitable evidence of proof of lawful presence or residence in the city of Palm Springs
(examples of this may include a copy of the applicant's current drivers license or a current
copy of a utility bill).
6) A notarized acknowledgement from the owner of the property, if the applicant is not the
owner, that a MCCC will be operated on his/her property.
7) A copy of the MCCC's articles of incorporation or articles of organization.
8) Evidence of authorization to do business as a non-profit within the State.
CERTIFICATIONS AND DECLARATIONS
1) 1 declare under penalty of perjury, under the laws of the State of California, that all statements
contained in this application and any accompanying documents is true and correct, with full
knowledge that all statements made in this application are subject to investigation and that any
false or dishonest answer to any q stion may be grounds for denial of the application or
subsequen re ocation of the
Signature: Date: "Z2 O l Sl
• Signature: Date:
2) 1 expressly authorize the City Manager of the City of Palm Springs to seek verification of the
information contained within this application, including but not limited to, a comprehensive review
of my background. I understand that this review may include verification of my personal social
security number, credit reports, current and previous residences, employment history, education
background, civil and criminal history records from any criminal justice agency in any or all
federal, state, county jurisdiction , driv' records, birth records, and any of er public records.
Signature: Date: Co l6 �t
Signature: Date:
3) 1 have received, read, reviewed, and understand all of the requirements of the City of Palm
Springs regarding the operation and management of medical cannabis cooperatives and
collectives in the City, including without limitation the provisions of Chapters 3.35 and 5.35 and
Section 93.23.15 of the Palm Springs Municipal Code, and I acknowledge that I am required to
fully comply with these provisions. I also acknowledge that failure to comply with any of these
requirements may subject me to administrative fines, criminal sanctions, and other penalties as
provided in the Palm Springs Municipal Code, including suspension or termination of my permit
• to operate a ical cannabis coo erati a or collective in the City.
Signature: Date:
Signature: Date:
987441.1
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• ADT SECURITY INSTALLATION REVIEW
. r
ADT Security Services will assume responsibility in providing the
following Security for the business below.
Name: PS Organica
Address:400 E Sunny Dunes Rd
City: Palm Springs
State: CA Zip:92264
Central Station Signal Receiving and Notification Service will be provided seven
days a week, 24 hours a day,by our U.L. Listed Alarm Service Center for the
service(s)checked below:
x Monitored Burglar Alarm x Backup Communicator
x 240 Hours of Continuous On-Site Video Surveillance and Digital recording
. x Monitored Smoke Alarm
Equipment that will be used is as follows:
AXIS P3363-V DOME VIDEO CAMERAS—With Audio Support
A-ADT8H-500 8—ch DVR,H.264 240-ips, IR, mouse, DVD,500 GB
SW3000 WIRELESS KIT WITH STANDARD TOUCHPAD,SW3000 CONTROL
INTER)ROR SIREN 875936B
WIRELESS RECIEVER 5881ENHC
WIRELESS DOOR CONTACTS 1085W-N
MOTION DETECTORS ISC-BDL2-WP12G
If you have any questions regarding this installation or services provided,
contact:
ADT Sales Rep
JESSE REYES
805-905-9644 CA CONTRACTORS LIC.#:974443
ACE 99065 CONSUMER AFFAIRS#:AC07155
•
CALIFORNIA
ASSOCIATION COMMERCIAL LEASE AGREEMENT
I OF REALTORS ® (C.A.R.Form CL,Revised W13)
ate (For reference only):
("Landlord")and
nent')agree as follows:
1. PROPERTY: or ran Tenant and Teneq ¢nts from Landlo the real p e d�nprov ants d cribed as:
'� Jy 09jk 6C1 /1711�11 brt • � )2&JM(�/ ("Premises"),
which comprise approximately 9 of the total square footage of rentable space in the entire prop .See exhibit
for a further description of the Premises.
2. TERM:.The'term begins on(date) 1 0 ("Commencement Date"),
heck A or B):
A. Lease:and shall terminate on(date) at AM PM
Any holding over after the term of this agreement expo s, with Landlord's consent, shall create amonth-to-month tenancy that either
party may terminate as specified in paragraph 2B.Rent shall be at a rate equal to the rent for the immediately preceding month,payable in
advance.All other terms and conditions of this agreement shall remain in full force and effect.
❑ B. Month-to-month: and continues as a month-to-month tenancy. Either party may terminate the tenancy by giving written notice to the
other at least 30 days prior to the intended termination date,subject to any applicable laws.Such notice may be given on any date.
❑ C. RENEWAL OR EXTENSION TERMS: See attached addendum
3. BASE RENT:
A. Tenant agrees to pay Base Rent at the rate of(CHECK ONE ONLY:)
❑ (1) $ per month,for the term of the agreement.
❑(2) $ per month,for the first 12 months of the agreement.Commencing with the 13th month,and upon expiration
of each 12 months thereafter,rent shall be adjusted according to any increase in the U.S. Consumer Price Index of the Bureau of Labor
Statistics of the Department of Labor for All Urban Consumers ("CPI") for
(the city nearest the location of the Premises),based on the following formula:Base Rent will be multiplied by the most current CPI i
preceding the first calendar month during which the adjustment is to take effect, and divided by the most recent CPI preceding the
Commencement Date. In no event shall any adjusted Base Rent be less than the Base Rent for the month immediately preceding
the adjustment.If the CPI is no longer published,then the adjustment to Base Rent shall be based on an alternate index that most closely
refi e C(e�L�O J_ e/
❑ (3) $_ VS
per month for the period commencing 4 and ending o2 o and
$ per month for the period commencing and ending and
$ per month for the period commencing and ending
❑ (4)In accordance with the attached rent schedule. -
❑ (5) Other:
B. Base Rent is payable in advance on the tat(or❑ day of each calendar month,and is delinquent on the next'day.
C. If the Commencement Date falls on any day other than the first day of the month,Base Rent for the first calendar<month shall be prorated based
on a 30-day period.If Tenant has paid one full month's Base Rent in advance of the Commencement Date,Base Rent for the second calendar month
shall be prorated based on.a 30-day period. -
4. RENT:
A. Definition:("Rent")shall mean all monetary obligation of T t to Lapollord under he terms this reement,except security deposit.
S. Payment::Rent she gg p id to(�I.{�me) G1 D) it l
at(address) !O� (! 4d4C (d or at any other
location specified by Landlord in winding to Tenant.
C. Timing: Base Rent shall be paid as specified in paragraph 3. All other Rent shall be paid within 30 days after Tenant is billed by Landlord.
5. EARLY POSSESSION: Tenant is entitled to possession of the Premises on
If Tenant is in possession prior to the Commencement Date,during this time (1)Tenant is not obligated to pay Base Rent, and (11)Tenant❑ is
❑Is not obligated to pay Rent other than Base Rent.Whether or not Tenant Is obligated to pay Rent prior to Commencement Date,Tenant is obligated -.
to comply with all other terms of this agreement.
S. SECURITY DEPOSIT: C)
A. Tenant agrees to pay Landlord$ _�i�n 0 . - as a security deposit.Tenant agrees not to hold Broker responsible for its return.
(IF CHECKED:)❑If Base Rent Increases during the term of this agreement,Tenant agrees to increase security deposit by the same proportion
as the increase in Base Rent.
B. All or any portion of the security deposit may be used,as reasonably necessary,to:(1)cure Tenant's default in payment of Rent,late charges,non-
sufficient funds("NSF")fees,or other sums due;(11)repair damage,excluding ordinary wear and tear,caused by Tenant or by a guest or licensee
of Tenant;(III) broom clean the Premise's, it necessary, upon termination of tenancy;and(Iv)cover any other unfulfilled obligation of Tenant.
SECURITY DEPOSIT SMALL NOT BE USED BY TENANT IN LIEU OF PAYMENT OF LAST MONTH'S RENT.If all or any portion of the security
deposit is used during tenancy,Tenant agrees to reinstate the total security deposit within.5 days after written notice is delivered to Tenant.Within
30 days after Landlord receives possession of the Premises,Landlord shall: (1)furnish Tenant an itemized statement indicating the amount of
any security deposit received and the basis for its disposition,and(11)return any remaining portion of security deposit to Tenant.However,If the
Landlord's only claim upon the security deposit is for unpaid Rent,then the remaining portion of the security deposit,after deduction of unpaid '
Rent,shall be returned within 14 days after the Landlord receives possession.
C. No interest will be paid on security deposit,unless required by local ordinance.
lord's Initials(�)( ) Tenant's Initials( ( )
®2013,California Association of REALTORS®,Inc. S
CL REVISED 4113(PAGE 1 OF 6) Print Date Apr 13 a,x
MASTER COPY
Premises: 4/19f7 lD O )h 611 JM4 (�� Date
7. PAYMENTS: 00 u
PAYMENT
TOTAL DUE RECEIVED BALANCE DUE DUE DATE
A. Rent: From Tois $ $ $
Date Date
B. Security Deposit..................................D a....................... $ $ $
C. Other. $ $ $
Category
D. Other: $ $ $
Category
E. Total:.......................................
6. PARKING:Ten nt is entitled to unreserved and C� A XJ reserved vehicle parking spaces.The
right to parking) is O is not included in the Base Rent charged pursuant to paragraph 3. If not included in the Base Rent,the parking rental tee
shall be an additional$ per month. Parking space(s)are to be used for parking operable motor vehicles,except for trailers,boats,
campers,buses or trucks(other than pick-up trucks).Tenant shall park in assigned space(s)only. Parking space(s)are to be kept clean.Vehicles
leaking oil, gas or other motor vehicle fluids shall not be parked in parking spaces or on the Premises. Mechanical work or storage of inoperable
vehicles is not allowed in parking space(s)or elsewhere on the Prem ses� overnight parking is permitted.
9. ADDITIONAL STORAGE:Storage is permitted as follows: �) I-I C
The right to additional storage space ❑ is O is not included in the Base hent charged pursuant to paragraph 3.If not included in Base Rent,storage
space shall be an additional$ per month.Tenant shall store only personal property that Tenant owns, and shall not store property
that Is claimed by another, or in which another has any right,title, or interest.Tenant shall not store any improperly packaged food or perishable
goods,flammable materials,explosives,or other dangerous or hazardous material.Tenant shall pay for,and be responsible for,the clean-up of any
contamination caused by Tenant's use of the storage area.
10. LATE CHARGE; INTEREST; NSF CHECKS: Tenant acknowledges that either late payment of Rent or issuance of a NSF check may cause
Landlord to incur costs and expenses,the exact amount of which are extremely difficult and impractical to determine.These costs may include,but
\
�(,are not limited to,processing,enforcement and accounting expenses,and late charges imposed on Landlord. If any installment of Rent due from
1 �( Tenant is not received by Landlord within 5 calendar days after date due,or a check is returned NSF,Tenant shall pay to Landlord,respectively,
#\1 $ as late charge,plus 100/interest per annum on the delinquent amount and$25.00 as a NSF fee,any of which shall be deemed
additional Rent.Landlord and Tenant agree that these charges represent a fair and reasonable estimate of the costs Landlord may incur by reason
of Tenant's late or NSF payment.Any late charge,delinquent interest,or NSF fee due shall be paid with the current installment of Rent.Landlord's
acceptance of any late charge or NSF fee shall not constitute a waiver as to any default of Tenant. Landlord's right to collect a Late Charge or NSF
fee shall not be deemed an extension of the date Rent is due under paragraph 4,or prevent Landlord from exercising any other rights and remedies
under this agreement,and as provided by law.
11. CONDITION OF PREMISES:Tenant has examined the Premises and acknowledges that Premise is clean and in operative condition, with the
following exceptions:
Items listed as exceptions shall be dealt with in the following manner:
12. ZONING AND LAND USE: Tenant accepts the Premises subject to all local, state and federal laws, regulations and ordinances ("Laws').
Landlord makes no representation or warranty that Premises are now or in the future will be suitable for Tenant's use.Tenant has made its own
Investigation regarding all applicable Laws.
13. TENANT OPERATING EXPENSES:Tenant agrees to pay for all utilities and services directly billed to Tenant.
14. PROPERTY OPERATING EXPENSES:
A. Tenant agrees to pay its proportionate share of Landlord's estimated monthly property operating expenses,including but not limited to,common
area maintenance, consolidated utility and service bills, insurance, and real property taxes, based on the ratio of the square footage of the
Premises to the total square footage of the rentable space in the entire property.
OR B. ❑ h checked) Paragraph 14 does not apply
The
15. USE: e Premises are for the sole use as K
No other use is permitted without Landlord's prior written consent.If any use by TenaMt causes an increase in the premium on Landlord's existing
property insurance,Tenant shall pay for the increased cost.Tenant will comply with all Laws affecting its use of the Premises.
16. RULESIREGULATIONS:Tenant agrees to comply with all rules and regulations of Landlord(and,if applicable,Owner's Association)that are at any
time posted on the Premises or delivered to Tenant.Tenant shall not,and shall ensure that guests and licensees of Tenant do not,disturb,annoy,
endanger,or interfere with other tenants of the building or neighbors,or use the Premises for any unlawful purposes, including,but not limited to,
using, manufacturing, selling,storing, or transporting illicit drugs or other contraband, or violating any law or ordinance, or committing a waste or
nuisance on or about the Premises.
17. MAINTENANCE:
A. Tenant OR❑ (If checked, Landlord)shall professionally maintain the Premises including heating, air conditioning, electrical, plumbing and
water systems,If any,and keep glass,windows and doors in operable and safe condition.Unless Landlord is checked,if Tenant fails to maintain
the Premises,Landlord may contract for or perform such maintenance,and charge Tenant for Landlord's cost.
• B. Landlord OR O(If checked,Tenant)shall maintain the roof,foundation,exterior walls,common areas and
Landlord's Initials( )( ) Tenant's Initials( ( )
CL REVISED 4/13(PAGE 2 OF 6) Reviewed by Date me xomwc
MASTER COPY
f`A111R/C0f`IAI 1 CACC Af_DCCYCNT !CI DAMW 9 nl= RI
Premises: 7M zIIM02,12 CAEU , INNOPAL /12 NC Date I _C;�J 1,_�
18. ALTERATIONS:Tenant shall not make any alterations in or about the Premises,including installation of trade fixtures and signs,without Landlord's
prior written consent, which shall not be unreasonably withheld. Any alterations to the Premises shall be done according to Law and with required
permits.Tenant shall give Landlord advance notice of the commencement date of any planned alteration,so that Landlord, at its option, may post
a Notice of Non-Responsibility to prevent potential liens against Landlord's interest in the Premises. Landlord may also require Tenant to provide
Landlord with lien releases from any contractor performing work on the Premises.
GOVERNMENT IMPOSED ALTERATIONS: Any alterations required by Law as a result of Tenant's use shall be Tenant's responsibility. Landlord
shall be responsible for any other alterations required by Law.
20. ENTRY:Tenant shall make Premises available to Landlord or Landlord's agent for the purpose of entering to make inspections,necessary or agreed
repairs, alterations,or improvements,or to supply necessary or agreed services,or to show Premises to prospective or actual purchasers,tenants,
mortgagees,lenders,appraisers,or contractors. Landlord and Tenant agree that 24 hours notice(oral or written)shall be reasonable and sufficient
notice.In an emergency,Landlord or Landlord's representative may enter Premises at any time without prior notice.
21. SIGNS:Tenant authorizes Landlord to place a FOR SALE sign on the Premises at any time,and a FOR LEASE sign on the Premises within the 90
(or O day period preceding the termination of this agreement.
22. SUBLETTING/ASSIGNMENT:Tenant shall not sublet or encumber all or any part of Premises,or assign or transfer this agreement or any interest
in it, without the prior written consent of Landlord, which shall not be unreasonably withheld. Unless such consent is obtained, any subletting,
assignment,transfer,or encumbrance of the Premises, agreement, or tenancy,by voluntary act of Tenant,operation of law,or otherwise,shall be
null and void,and,at the option of Landlord,terminate this agreement.Any proposed sublessee,assignee,or transferee shall submit to Landlord an
application and credit information for Landlord's approval,and,if approved,sign aseparate written agreement with Landlord and Tenant.Landlord's
consentto anyone sublease,assignment,or transfer,shall not be construed as consent to any subsequent sublease,assignment,or transfer,and
does not release Tenant of Tenant's obligation under this agreement.
23. POSSESSION:If Landlord is unable to deliver possession of Premises on the Commencement Date,such date shall be extended to the date on
which possession is made available to Tenant. However,the expiration date shall remain the same as specified in paragraph 2. If Landlord is unable
to deliver possession within 60(or ❑ )calendar days after the agreed Commencement Date,Tenant may terminate this agreement by giving
written notice to Landlord,and shall be refunded all Rent and security deposit paid.
24. TENANTS OBLIGATIONS UPON VACATING PREMISES:Upon termination of this agreement,Tenant shall:(1)give Landlord all copies of all keys
or opening devices to Premises,including any common areas;(11)vacate Premises and surrender It to Landlord empty of all persons and personal
property;(11I)vacate all parking and storage spaces;(iv)deliver Premises to Landlord in the same condition as referenced in paragraph 11;(v)clean
Premises;(vi)give written notice to Landlord of Tenant's forwarding address;and(vii)
All improvements installed by Tenant, with or without Landlord's consent, become the property of Landlord upon termination. Landlord may
nevertheless require Tenant to remove any such improvement that did not exist at the time possession was made available to Tenant.
25. BREACH OF CONTRACTIEARLY TERMINATION: In event Tenant,prior to expiration of this agreement,breaches any obligation in this agreement, j
abandons the premises, or gives notice of tenant's intent to terminate this tenancy prior to its expiration, in addition to any obligations established
by paragraph 24,Tenant shall also be responsible for lost rent, rental commissions, advertising expenses, and painting costs necessary to ready
• Premises for re-rental. Landlord may also recover from Tenant: (i) the worth, at the time of award, of the unpaid Rent that had been earned at
the time of termination; (11)the worth, at the time of award, of the amount by which the unpaid Rent that would have been earned after expiration
until the time of award exceeds the amount of such rental loss the Tenant proves could have been reasonably avoided; and (III)the worth, at the
time of award,of the amount by which the unpaid Rent for the balance of the term after the time of award exceeds the amount of such rental loss that
Tenant proves could be reasonably avoided.Landlord may elect to continue the tenancy in effect for so long as Landlord does not terminate Tenant's
right to possession,by either written notice of termination of possession or by reletting the Premises to another who takes possession,and Landlord
may enforce all Landlord's rights and remedies under this agreement, including the right to recover the Rent as it becomes due.
26. DAMAGE TO PREMISES: If, by no fault of Tenant, Premises are totally or partially damaged or destroyed by fire, earthquake, accident or other
casualty, Landlord shall have the right to restore the Premises by repairor rebuilding. If Landlord elects to repair or rebuild,and is able to complete
such restoration within 90 days from the date of damage,subject to the terms of this paragraph,this agreement shall remain in full force and effect.
If Landlord is unable to restore the Premises within this time,or if Landlord elects not to restore,then either Landlord or Tenant may terminate this
agreement by giving the other written notice. Rent shall be abated as of the date of damage.The abated amount shall be the current monthly Base
Rent prorated on a 30-day basis.If this agreement is not terminated,and the damage is not repaired,then Rent shall be reduced based on the extent
to which the damage interferes with Tenant's reasonable use of the Premises.If total or partial destruction or damage occurs as a result of an act of
Tenant or Tenant's guests, (1)only Landlord shall have the right,at Landlord's sole discretion,within 30 days after such total or partial destruction or
damage to treat the lease as terminated by Tenant,and(11)Landlord shall have the right to recover damages from Tenant.
27. HAZARDOUS MATERIALS: Tenant shall not use,store,generate,release or dispose of any hazardous material on the Premises or the property
of which the Premises are part. However. Tenant is permitted to make use of such materials that are required to be used in the normal course of
Tenant's business provided that Tenant complies with all applicable Laws related to the hazardous materials.Tenant is responsible for the cost of
removal and remediation,or any clean-up of any contamination caused by Tenant.
28. CONDEMNATION:If all or part of the Premises is condemned for public use,either party may terminate this agreement as of the date possession
Is given to the condemner.All condemnation proceeds,exclusive of those allocated by the condemner to Tenant's relocation costs and trade fixtures,
belong to Landlord.
29. INSURANCE:Tenant's personal property,fixtures, equipment, inventory and vehicles are not insured by Landlord against loss or damage due to
fire,theft,vandalism,rain,water,criminal or negligent acts of others,or any other cause.Tenant is to carry Tenant's own property insurance to protect
Tenant from any such loss. In addition, Tenant shall carry liability insurance in an amount of not less than$ . Tenant's
liability insurance shall name Landlord and Landlord's agent as additional insured.Tenant,upon Landlord's request,shall provide Landlord with a
certificate of in a establish jgg Trenant's compliance.Landlord shall maintain liability insurance insuring Landlord,but not Tenant,in an amount of
at least$ ,plus property insurance in an amount sufficient to cover the replacement cost of the property.Tenant is advised
to carry business interruption insurance in an amount at least sufficient to cover Tenant's comp let I obligation to Landlord.Landlord is advised
• to obtain a policy of rental loss insurance.Both Landlord and Tenant release each other,and wai thApe ' ts to subrogation against each
other,for loss'or�damage covered by insurance.
Landlord's Initials 1 )( 1 Tenant's Initials
CL REVISED 4/13(PAGE 3 OF 6) Reviewed by Date oppomilm
MASTER COPY
Premises: 41(/FJ) J.A4 44 ��LY�I AWW �Ny/�J �� Date �J �I ~C-26L
30. TENANCY STATEMENT (ESTOPPEL Tenant shall execute and return statement (estoppel certificate), delivered to
Tenant by Landlord or Landlord's agent,within 3 days after its receipt.The tenancy statement shall acknowledge that this agreement is unmodified
and in full force, or in full force as modified, and state the modifications. Failure to comply with this requirement: (I) shall be deemed Tenant's
acknowledgment that the tenancy statement is true and correct,and may be relied upon by a prospective lender or purchaser;and(if)may be treated
by Landlord as a material breach of this agreement.Tenant shall also prepare,execute,and deliver to Landlord any financial statement(which will be
held in confidence)reasonably requested by a prospective lender or buyer.
LANDLORD'S TRANSFER: Tenant agrees that the transferee of Landlord's interest shall be substituted as Landlord under this agreement.
Landlord will be released of any further obligation to Tenant regarding the security deposit, only if the security deposit is returned to Tenant upon
such transfer, or if the security deposit is actually transferred to the transferee. For all other obligations under this agreement, Landlord is
released of any further liability to Tenant,upon Landlord's transfer.
32. SUBORDINATION: This agreement shall be subordinate to all existing liens and, at Landlord's option, the lien of any first deed of trust or first
mortgage subsequently placed upon the real property of which the Premises are a part, and to any advances made on the security of the Premises,
and to all renewals, modifications,consolidations,replacements,and extensions. However,as to the lien of any deed of trust or mortgage entered
into after execution of this agreement,Tenant's right to quiet possession of the Premises shall not be disturbed if Tenant is not in default and so long
as Tenant pays the Rent and observes and performs all of the provisions of this agreement,unless this agreement is otherwise terminated pursuant
to its terms.If any mortgagee,trustee,or ground lessor elects to have this agreement placed in a security position prior to the lien of a mortgage,deed
of trust,or ground lease,and gives written notice to Tenant,this agreement shall be deemed prior to that mortgage,deed of trust,or ground lease,or
the date of recording.
33. TENANT REPRESENTATIONS;CREDIT:Tenant warrants that all statements in Tenant's financial documents and rental application are accurate.
Tenant authorizes Landlord and Broker(s)to obtain Tenant's credit report at time of application and periodically during tenancy in connection with
approval,modification, or enforcement of this agreement. Landlord may cancel this agreement: (1)before occupancy begins,upon disapproval of
the credit report(s);or(if)at any time,upon discovering that information in Tenant's application is false.A negative credit report reflecting on Tenant's
record may be submitted to a credit reporting agency,if Tenant fails to pay Rent or comply with any other obligation under this agreement.
34. CONSTRUCTION-RELATED ACCESSIBILITY STANDARDS:Landlord states that the Premises O has,or❑has not been inspected by a Certified
Access Specialist. If so, Landlord states that the Premises O has, or ❑ has not been determined to meet all applicable construction-related
accessibility standards pursuant to Civil Code Section 55.53.
35. ENERGY DISCLOSURE:If this is a lease of the entire building,Landlord shall provide Tenant,at least 24 hours prior to execution of this Agreement,
the Disclosure Summary Sheet,Statement of Energy Performance, Data Checklist,and the Facility Summary for the building as required by Public
Resources Code Section 25402.10 and California Code of Regulations, Title 20, Sections 1680 through 1685. This requirement is effective for
a building with total gross floor area square footage as follows: more than 50,000 square feet, July 1, 2013; more than 10,000 square feet and
up to 50,000 square feet, January 1, 2014; and at least 5,000 square feet up to 10,000 square feet, July 1, 2014. For more information, see
http://Www.energy.ca.gov/AB1 103findex.htmi-
36. DISPUTE RESOLUTION:
A. MEDIATION:Tenant and Landlord agree to mediate any dispute or claim arising between them out of this agreement,or any resulting transaction,
before resorting to arbitration or court action,subject to paragraph 366(2)below. Paragraphs 36B(2)and(3)apply whether or not the arbitration
provision is initialed. Mediation fees,if any,shall be divided equally among the.parties involved.If for any dispute or claim to which this paragraph
applies,any party commences an action without first attempting to resolve the matter through mediation,or refuses to mediate after a request
has been made,then that party shall not be entitled to recover attorney fees,even if they would otherwise be available to that party in any such
action.THIS MEDIATION PROVISION APPLIES WHETHER OR NOT THE ARBITRATION PROVISION IS INITIALED.
B. ARBITRATION OF DISPUTES:(1)Tenant and Landlord agree that any dispute or claim in Law or equity arising between them out of
this agreement or any resulting transaction,which is not settled through mediation,shall be decided by neutral,binding arbitration,
including and subject to paragraphs 36B(2)and (3)below.The arbitrator shall be a retired judge or justice,or an attorney with at
least 5 years of real estate transactional law experience,unless the parties mutually agree to a different arbitrator,who shall render
an award in accordance with substantive California Law.In all other respects,the arbitration shall be conducted In accordance with
Part III,Title 9 of the California Code of Civil Procedure.Judgment upon the award of the arbitrator(s)may be entered in any court
having jurisdiction.The parties shall have the right to discovery In accordance with Code of Civil Procedure§1283.05.
(2)EXCLUSIONS FROM MEDIATION AND ARBITRATION:The following matters are excluded from Mediation and Arbitration hereunder:
(I)a judicial or non-judicial foreclosure or other action or proceeding to enforce a deed of trust,mortgage, or installment land sale contract as
defined in Civil Code§2985;(if)an unlawful detainer action;(ill)the filing or enforcement of a mechanic's lien;(Iv)any matter that is within the
jurisdiction of a probate,small claims,or bankruptcy court; and(v)an action for bodily injury or wrongful death,or for latent or patent defects
to which Code of Civil Procedure§337.1 or§337.15 applies.The filing of a court action to enable the recording of a notice of pending action,
for order of attachment, receivership, injunction, or other provisional remedies,shall not constitute a violation of the mediation and arbitration
provisions.
(3)BROKERS:Tenant and Landlord agree to mediate and arbitrate disputes or claims involving either or both Brokers,provided either or both
Brokers shall have agreed to such mediation or arbitration,prior to,or within a reasonable time after the dispute or claim is presented to Brokers.
Any election by either or both Brokers to participate in mediation or arbitration shall not result in Brokers being deemed parties to the agreement.
"NOTICE: BY INITIALING IN THE SPACE BELOW YOU ARE AGREEING TO HAVE ANY DISPUTE
ARISING OUT OF THE MATTERS INCLUDED IN THE `ARBITRATION OF DISPUTES' PROVISION DECIDED
BY NEUTRAL ARBITRATION AS PROVIDED BY CALIFORNIA LAW AND YOU ARE GIVING UP ANY
RIGHTS YOU MIGHT POSSESS TO HAVE THE DISPUTE LITIGATED IN A COURT OR JURY TRIAL. BY
INITIALING IN THE SPACE BELOW YOU ARE GIVING UP YOUR JUDICIAL RIGHTS TO DISCOVERY AND
APPEAL, UNLESS THOSE RIGHTS ARE SPECIFICALLY INCLUDED IN THE 'ARBITRATION OF DISPUTES'
• PROVISION. IF YOU REFUSE TO SUBMIT TO ARBITRATION AFTER AGREEING TO THIS PROVISION, YOU
MAY BE COMPELLED TO ARBITRATE UNDER THE AUTHORITY E CALIFORNIA CODE OF CIVIL
PROCEDURE.YOUR AGREEMENT TO THIS ARBITRATION PROVI ION I VO TARY."
Landlord's Initials(�)( ) Tenant's Initial
(7Y �
CL REVISED 4/13(PAGE 4 OF 6) Reviewed by Date uom m
MASTER COPY
•I I �An� A/ MC 'RACUT /n. nAr C A nC C\
Premises: VX Date 5 `1 [mot.) ✓�
"WE HAVE READ AND DERSTAND THE FOREGOING AND AGREE TO SUBMIT DISPUTES ARISING
OUT OF THE MATTERS INCLUDED IN THE 'ARBITRATION OF DISPUTES' PROVISION TO NEUTRAL
ARBITRATION."
Landlord's Initials I Tenant's Initials
•. JOINT AND INDIVIDUAL OBLIGATIONS: If there is more than one Tenant, each one shall be individually and completely responsible for the
performance of all obligations of Tenant under this agreement,jointly with every other Tenant,and individually,whether or not in possession.
36. NOTICE: Notices�ay be �r e b mail,fa im'Is,or courier at the following r�s or location,or iher I subsequently designated:
landlord: Tenant:
Notice is deemed effective upon the earliest of the following: (1) personal receipt by either party or their agent; (li) written
acknowledgement of notice; or (Ili) 5 days after mailing notice to such location by first class mail, postage pre-paid.
39. WAIVER:The waiver of any breach shall not be construed as a continuing waiver of the same breach or a waiver of any subsequent breach.
40. INDEMNIFICATION: Tenant shall indemnity, defend and hold Landlord harmless from all claims, disputes, litigation, judgments and attorney
fees arising out of Tenant's use of the Premises.
41. OTHER TERMS AND CONDITIONS/SUPPLEMENTS:
The following ATTACHED supplements/exhibits are incorporated in this agreement: ❑ Option Agreement (CAR. Form OA)
42. ATTORNEY FEES:In any action or proceeding arising out of this agreement,the prevailing party between Landlord and Tenant shall be entitled to
reasonable attorney fees and costs from the non-prevailing Landlord or Tenant,except as provided in paragraph 36A.
43. ENTIRE CONTRACT: Time is of the essence. All prior agreements between Landlord and Tenant are incorporated in this agreement, which
constitutes the entire contract. It is intended as a final expression of the parties'agreement,and may not be contradicted by evidence of any prior
agreement or contemporaneous oral agreement.The parties further intend that this agreement constitutes the complete and exclusive statement of its
terms,and that no extrinsic evidence whatsoever may be introduced in any judicial or other proceeding,if any,involving this agreement.Any provision
of this agreement that is held to be invalid shall not affect the validity or enforceability of any other provision in this agreement.This agreement shall
be binding upon,and inure to the benefit of,the heirs,assignees and successors to the parties.
44. BROKERAGE: Landlord and Tenant shall each pay to Broker(s) the fee agreed to, if any, in a separate written agreement. Neither Tenant nor
Landlord has utilized the services of,or for any other reason owes compensation to, a licensed real estate broker(individual or corporate),agent,
finder,or other entity,other than as named in this agreement,in connection with any act relating to the Premises,including,but not limited to,inquiries,
introductions,consultations,and negotiations leading to this agreement.Tenant and Landlord each agree to indemnify,defend and hold harmless
the other,and the Brokers specified herein,and their agents,from and against any costs,expenses,or liability for compensation claimed inconsistent
with the warranty and representation in this paragraph 42. -
45. AGENCY CONFIRMATION:The following agency relationships are hereby confirmed for this transaction:
Listing Agent: (Print Firm Name)is the agent of(check one):
❑ the Landlord exclusively; or ❑ both the Tenant and Landlord.
• Selling Agent: (Print Firm Name)(if not same as Listing Agent)is the agent of(check one):
❑ the Tenant exclusively; or ❑ the Landlord exclusively; or ❑ both the Tenant and Landlord.
Real Estate Brokers are not parties to the agreement between Tenant and Landlord.
Landlord's Initials f 1(_ ) Tenant's Initia10atL
CL REVISED 4/13(PAGE 5 OF 6) Reviewed by
arrw rvxm
MASTER COPY
^^AARACD/4A1 r CACC A/]OCC\RCRIT 1r 1 DA!_C C r1C C1
Premises: .4100 LN ) INN 4AA� �N_ Date
Landlord and Tenant acknowledge and agree that Brokers:(i)do not guarantee the condition of the Premises; (11)cannot
verity representations made by others; (ill) will not verity zoning and land use restrictions; (iv) cannot provide legal or
tax advice;(v)will not provide other advice or information that exceeds the knowledge,education or experience required
to obtain a real estate license. Furthermore, if Brokers are not also acting as Landlord in this agreement,Brokers:(vi)do
not decide what rental rate a Tenant should pay or Landlord should accept;and (vii)do not decide upon the length or other
rms of tenancy. Landlord and Tenant agree that they will seek legal, tax, insurance, and other desired assistance from
appropriate professionals.
Tenant r rQ ail ,G Date
(Print name) / ,�
Address `7'/ 0 Q .��) /� 0 l DyN-ps City_ State �—V I Zip �G
Tenant Date
(Print name)
Address city State Zip
❑ GUARANTEE:In consideration of the execution of this Agreement by and between Landlord and Tenant and for valuable consideration,
receipt of which is hereby acknowledged, the undersigned ("Guarantor") does hereby: (1) guarantee unconditionally to Landlord and
Landlord's agents, successors and assigns, the prompt payment of Rent or other sums that become due pursuant to this Agreement,
including any and all court costs and attorney fees included in enforcing the Agreement; (11) consent to any changes, modifications or
alterations of any term in this Agreement agreed to by Landlord and Tenant;and(III)waive any right to require Landlord and/or Landlord's
agents to proceed against Tenant for any default occurring under this Agreement before seeking to enforce this Guarantee.
Guarantor(Print Name)
Guarantor Date
Address city. State Zip
Telephone Fax E-mail
Landlord agrees to rent the Premises on the above terms and conditions.
Alillborldlord 4. 1 Ham._ Date
(drmner or agent wit authority to enter into this agreement)
Address � �1 A L(/ city /l State Zip }
Landlord Date
(owner or agent with authority to enter into this agreement)
Address City State Zip
Agency relationships are confirmed as above. Real estate brokers who are not also Landlord in this agreement are not a party to the
agreement between Landlord and Tenant.
�Real Estate Broker(Leasing Firm) - DRE Lie.#
By(Agent) DRE Lic.# Date
Address city State Zip
Telephone Fax E-mail
Real Estate Broker(Listing Firm) DRE Lic.#
ey(Agent) DRE Lic.# Date
Address City State Zip
Telephone Fax E-mail
®2013,California Association of REALTORSO,Inc.United States copyright law(Title 17 U.S.Code)forbids the unauthorized distribution,display and reproduction of this form,
or arry portion thereof,by photocopy machine or any other means,including facsimile or computerized formats.
THIS FORM HAS BEEN APPROVED BY THE CALIFORNIA ASSOCIATION OF REALTORS@(C.A.R.). NO REPRESENTATION IS MADE AS TO THE LEGAL VALIDITY
OR ACCURACY OF ANY PROVISION IN ANY SPECIFIC TRANSACTION. A REAL ESTATE BROKER IS THE PERSON QUALIFIED TO ADVISE ON REAL ESTATE
�NSACTIONS.IF YOU DESIRE LEGAL OR TAX ADVICE,CONSULT AN APPROPRIATE PROFESSIONAL.
publi1 REAL ESed TATE
dBUSINESS E
HEAL ESTATE Di BUSINESS SERVICES,INC.
" a subslotsy of me Ca0tfomla AswJao'on of RFALTORS-
e 525 South Argil Avenue,Los Angel s,California 90020 Reviewed by Date
serostentt
CL REVISED 4/13(PAGE 6 OF 6)
MASTER COPY
^^RAAALM^1AI 1 CAC[_ 1^1
SOUiHFRN CALIFORNIA
csK t rip
E[3i �ON� ; �� ' ' � Your eie�ctr)catybill
An E'DISON INTERNATIUUt1'Campanr V"Ix'a1_e Crm Montane,Julie! Page 1 of 6
For billing and service inquiries call 1-800-684-8123, Customer account 2-11-520-6880
24 hrs a day,7 days a week
Service account 3.010-8551.24
Date bid prepared:Apr 914 865 N TOPAZ CIR
PALM SPRINGS,CA 92262
Rotating outage Group M004
Your account summary
LPP year to date summary—settlement
Amount of your last Level Pay Plan(LPP)bill $283.00 Beginning plan balance $65.78
Pa ment we received on Mar 14'14-thank you -$257.00 Actual amount billed $2,897.21
due amount $26.00 Payments received -$2.781.78
OW
LPP settlement amount $155.21 LPP settlement amount $181.21
0 Total amount you owe $181.21
Your next statement will begin a new Level Pay Plan
Year.
Your Level Pay Plan amount maybe adjusted to
reflect recent billings on your account.
i
You Received a California Climate Credit 1
California is fighting climate change and so can you! Your bill includes a Climate Credit from a state pro ra !o;culIca pollution its
also reducing your energy costs. Find out how at EnergyUpgradeCA.onycredit. j
Compare the electricity you are using
For meter 222011-843184 from Mar 5'14 to Apr 4'14 1
Total electricity you used this month in kWh / r1 98 Your next Wing cycle-will en n or ab §y(14.
•
o1Arr 1200 South Gene Autry Trail
Palm Springs Desert Wager Agency
P.O.Box 1710
rx Weekdays:gam-5pm Palm Springs, CA
92263-1710
hwume., Call.760-3234971
iseb uu• www.dwa.org u
Account Number 4-4-10-2326-5
Semice Address 0" a TOM CIR
JULIE MONTANTE
865 N TOPAZ CIR Rrnd tu..rnr 11.TkI_ . .mrPerfnd
PALM SPRINGS, CA 92262 Ihur Rrudng Rruding 00Qafr a�"0,sft
S/02/14 SOBS 5897 12 24
Addet7f�rt�ERrtrre;. F+,;;•.. �XFdldrt,�+(__. . .
Payments can now be made through Paymentus by calling 866-WS-95W or by v 009
www.dwa.org 8 Ckk Pay Your Bill. Vise,Allaster Card and Oiscover Card credit or debit
cards are acceptable forms of payment. A processing fee wiAbe charged by Paymentus to
""— your debff/credit card. This service is for telephone or online payments only.
Dgee. Deaai�tion Amount
5/02/14 Consumption 12 e $ 1.29 per 100 cu ft I
• Consumption Charge $IS-4a
Water Service Charge $6.75 � f
Total Current Charges $24.23
p pgwarfa Remkw Pad Dar LNWNN cisol r Test Doe
824.23C* _1__. _ _$24.23 l >T24.13
a.a-as-sass-a Retain Upper Portion for Your Records
R$fMTHISPORTWNW17•H YOUR CHRCH Account Number 4-4-10-2326-5
MADR PAYABLB TO DR OW WATB,B AGRNICY. Payment Due Date 5/19/14
PLEASE.OO NOT SEND CASH.PLF,ASF:IX) NOT STAPI A&_ Total Amount Due $26.23
Amount Enclosed
Name Julie Hontaute Thank You For Your Payment
Service 865 N TOPAZ CIR
Check here if Partial Payment-
Desert Water Agency
P O Box 1710 Check here if there arc any changes
s.CA 92263-1710 to your mailing address.Please make
Palm S pring changes on the reverse aide.
44102326500000024230
JADE INVESTMENTS INC.
JI NC. Financial Consultation - Commercial - Home Sales
Office (760) 285-4071 Dorrylillard @ Yahoo.com
FAX (760) 779-8678
To : City Of Palm Springs
3200 East Tahquitz Cyn
Palm Springs Ca.92262
From : Jack Lillard
President-owner
RE: #7 - Notarized acknowledgement from the owner of the property
Dear Mayor,Mayor Pro Tern and Council Members:
I here by acknowledge that Green Connect DBA P. S. Organica a Medical
Marijuana Dispensary or MCCC Has leased my building in hope of obtaining
the 4 th Licence. This is a well educated Co. that conducts themselves
in a business like fashion. Respected in the Warm Sands District .
P.S.O. Secured and Hidden behind gates and enclosed by a large
parking area. even though they are not open P.S.O has honored the
lease of$2,500.00. Should you have any question I can be reached at
the number above.
Sincerely (�
v
illard
Pr ent
•
4 ,r
• 00
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of Califomi �^
County off J r J "�
(-12y ��i 1a61� before me, , �« �c-,s�
On o� II 1 Nre J t n Nano and roe d ale orckr
personally appeared �- K t""`��
Nertays)at Sign•(s)
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized
AOOZ Kr 1I.t• .LjIENST capacity(ies), and that by his/her/their signature(s) on the
WMM.02051392 instrument the person(s), or the entity upon behalf of
NOTARY RSIDEPUBUC COUNTY
Which the person(s) acted, executed the instrument.
RNERSICE COUNTY p ( )
Comm. 1IW.8,2018
I certify under PENALTY OF PERJURY under the laws
9=THMYK�LEINDIEN�STNST of the State of Cal'rfornia that the foregoing paragraph is
92 # true and correct.
lWltlNti ,+jTY.2018 WITNESS m an nd ffi I.sealr..,I
Signature
Playa Notry Seal Mwe Slgneava ol Notary Pubic
3518277 J ENDORSED - FILED
in the office of the Secretary of state
of the State of Ca"Mis
ARTICLES OF INCORPORATION OCT 26 2012
1
The name of this corporation is: Green Conned, Inc.
It.
a. This corporation is a nonprofit Mutual Benefit Corporation organized under the Nonprofit
Mutual Benefit Corporation Law. The purpose of this corporation is to engage in any lawful
ad or activity, other than credit union business,for which a corporation may be organized
under such law. The specific purpose of this corporation is to provide a means for
facilitating transactions between V.- members of the collective who after receiving the
_ recommendation of a licensed physician are eligible to become a member and receive
services under the compassionate health care standards enacted by the State of Califomia
under Proposition 215 for medical marijuana dispensaries as outlined in Senate Bill 420
and in accordance with the Attorney General Guidelines.
III
• The name and address in the state of California of this corporation's initial agent for service
of process is:
Paul Shively, 6303 Owensmouth Ave. 10 h Floor, Woodland Hills, CA. 91367
IV
Notwithstanding any of•the above statements of purposes and powers, this corporation
shall not, except to an insubstantial degree, engage in any activities or exercise any powers
that are not in furtherance of the specific purposes of this corporation.
(3 1
Paul Shively, Incorporator
•
LARRY W.WARD
COUNTY OF RIVERSIDE
P.O.Box 751,Riverside,CA 92502-0751 —(95I)486-7000
ASSESSOR-COUNTY CLERK-RECORDER 38-686 El Canto Road,Palm Desert,CA 92211--(760)863-8732
OFFICE OF THE COUNTY CLERK
FICTITIOUS BUSINESS NAME STATEMENT TS
SEE REVERSE SIDE FOR FEES AND INSTRUCTIONS F I L E D
h RIVERSIDE COUNTY CLERK'S OFFICE
f CLERK'S USE ONLY LARRY U. WRRD
-USE BLACK INK ONLY- " N 43 S8(Q22 I-2014-01480
MUST BE TYPED T PRINTED I5R
NOINI IAL WHITE
OUTS �� 06/05/2014 Fee;58,00
NO WHRE OUT ALLOWED
THE FOLLOWING PERSON Page 1 of 1 T.IS(ARE)DOING BUSINESS AS: 1, BrIIIIIIIPiT
Ia.Fictitio lout Name(Ifmom than oft business name at same eddmiz-Am hSupplememlSheet)
16.List COMPLETE PShyrieal Buainem Address(No P.O.Boxes rhP, IF ffies Ic.Name of County( business is located)
Mai ins Address(If difTerent than busin dress—optional)( 0 US Gy►1�-aa �{a )u ��� �
Ac V`rl Q 'P�0 S
2e.Regirtraot Inforautiou(mdividlal, rp.,LLC,Gen.Parma,etc.) 26.Re®urcut InformaHen(Individual,Corp.,Lf.C,Gen.Farmer,etc.)
if individual-spell out first,middle and last nevi a dash if no middle nuns) K mdmdual-spell our first,mnddle end lest nand(toe dash if no middle name)
�0 S
ass i orp.a t 3 sica address o to orp. ) Residence Address(if Corp.or LLC enter the physical address of the Corp./LLC)
ti
City Late Zip City State Zip
Adak List State of Corp./LLC.Must be regishted in Califomia[LE� List State of Corp./LLC.Must be registered in California
2t.Registrant Inforontion(Individual,Corp.,LLC,Gen.Partner,etc.) 2d.Registrant information(Individual,Corp.,LLC,Gen.Parmer,etc.)
If individual-spell out first,middle end last names(use dash if no middle dame) If individual-spell out7&Aiddle and lest names(use dash if no middle name)Residence Address(if Corp.or LLC enter the physical address of the Ccrp./LLC) Rcsiderce Address(i or LLC enter the physical address of the Corp./LLC)
City State zip City State ZipI
List State of Ccrp/LLC.Must be registered in California List State of Corp./LLC.Must be registered in California =�
3.This business is conducted by: 01 Mae Tian Nur Re08sams-Anech Addiaend Shea ShaWp Owns Inldmaon)
❑ Individual ❑ Married Couple ❑Trust JRCorporation ❑General Partnership
❑ A Limited Partnership ❑ Co-partners ❑Joint Venture ❑ Limited Liability Company ❑Limited Liability Pamtership
❑ An Unincoluorated Association-otherihan a partnership ❑Stale or Local Repistered Domestic Partnership
4. IR Registrant has not yet begun to transact business under the fictitious name(s)listed above.
❑ Registrant commenced to transact business under the fictitious business name(s)listed above on
Idtdarc that all the lofirmatloa In this shhmeot Is Man rags who declare n tine any material metier pursuant to Section 17913 of the
Business 10 Profe d ssions ,that the Met �qttoo 0 Isdimeanor punishable by a flue not to exceed one thousand dollars(s1,o00).)
5. Sigrmture(s) 'Gt�
(Ony one Is require
Typed or Printed Names) d
If Limited Liability Company/Corporation,Title y OC'D BY:
THIS STATEMENT WAS FILED WITH,THE COUNTY CLERK OF RIVERSIDE COUNTY ON DATE INDICAT- Y FILE STAMP ABOVE
NOTICE411 ACCORDANCE WITH SUBDIVISION(a)OF SECTION 17920,A FICTITIOUS BUSINESS I HEREBY CERTIFY THAT THIS COPY IS A CORRECT COPY
NAME STATEMENT GENERALLY EXPIRES AT THE END OF FIVE YEARS FROM THE DATE ON OF THE ORIGINAL STATEMENT ON FILE IN MY OFFICE.
• WHICH IT WAS FILED IN THE OFFICE OF THE COUNTY CLERK, EXCEPT, AS PROVIDED IN
SUBDMSION(b)OF SECTION 17920,WHERE IT EXPIRES 40 DAYS AFTER ANY CHANGE IN THE LARRY W.WARD
FACTS SET FORTH IN THIS STATEMENT PURSUANT TO SECTION 17913 OTHER THAN A
CHANGE RI THE RESIDENCE ADDRESS OF A REGISTERED OWNER. A NEW FICTITIOUS RIVERSIDE COUNTY CLERK
BUSINESS NAME STATEMENT MUST BE FLED BEFORE THE EXPIRATION.THE FILING OF THIS
STATEMENT DOES NOT OF ITSELF AUTHORIZE THE USE IN THIS STATE OF A FICTITIOUS JOJ24 ,,,,L,z Deputy
BUSINESS NAME IN VIOLATION OF THE RIGHTS OF ANOTHER FEDERAL,STATE OR COMMON BY—
LAW(SEE SECTION 14411 ET$EQ.,BUSINESS AND PROFESSIONAL CODE).
ACR Wobw.W2013) Avallebk In gryemace Fo,mrts
NOTICE TO REGISTRANT PURSUANT TO SECTION 17924 BUSINESS&PROFESSIONS
(1) Your fictitious business name statement must be published in a newspaper within 30 days after the statement has been filed with
County Clerk. The statement must be published once a week for four consecutive weeks and an affidavit of publication fled with
County Clerk within 30 days after publication has been completed. The statement shall be published in a newspaper of gene
circulation in the County where the principal place of business is located. The statement should be published in a newspaper that
circulates in the area where the business is to be conducted. (Section 17917,UPC)
For renewal of 5-year expiration: If any change has occurred in the facts in your original statement, your new statement must be
published as required above. If D2 changes have occurred, and a new filing is filed within 40 days of expiration of the previous
statement, publication is not required. The determination whether or not publication.is required is ENTIRELY the responsibility of
the registrant. (Section 17917(c)B&PC)
(2) Any person who executes,files,or publishes any fictitious business name statement,knowing that such statement is false,in whole
or in part, is guilty of a misdemeanor and upon conviction thereof shall be fined not to exceed one thousand dollars($1,000.)
(Section 17930 B&PC)
FEES
Fictitious Business Name Statement -S58.00 for one business name and one registrant plus $2.00 for each additional business at the same address;
S2.00 for each additional registrant. Customer copies-$1.00 for the first page and 100 for each additional page;Certified copies-S2.00.
INSTRUCTIONS FOR COMPLETION OF STATEMENT(17913&17914 B&PCI
Document MW be legibly typed or printed in black ink. No copies will be returned unless a stamped,selfwddressed envelope It provided.
Ia Insert the fictitious business nary e(s). Only those businesses operated at the ssme address may be listed on one statement.
lb. If the registrant has a place of business in this state,specify the street address of his/ber place of business in this state. If the registrant has no
place of business in this state,the Fictitious Business Name Statement shag be filed with the County Clerk of Sacramento County—(section
17915,B&PC). The name of the city and county for the business and registram(s)address,Mllg4 be spelled out completely-
Mail box or Post Office Box numbers,when used alone,are not acceptable.
2 . If the registrant is an individual,insert his or her full name(firs%middle and last)and residence address.
If the registrant is a partnership or other association of persons,insert the full name(first,middle and lest)and residence address of each
general partner.
If the registrant is a business trust,insert the full name(first,middle and last)and residence address of mh trustee,including the name of the
trust(i.e.Mary Smith,Trustee of the Smith Family Trust)
Mail box or Post Office Box numbers,when used along are not acceptable.
If the registrant is a corporation or a limited liability company,insert the name and address of the corporation/limited liability company as
set out in its articles of incorporation/organization,and the state of incorporation/organization.
3. Indicate which of the terms best describes the nature of the business.(i.e.co-partners,individual,corporation,etc.)
4. Indicate in appropriate box whether or act the business is open,and if open,give date business opened.
5. If the registrant is an individual,the statement must be signed by the individual.
If registrant is a partnership or other association of persons,the statement must be signed by a general partner.
If the registrant is a limited liability company,the statement must be signed by a manager or officer.
If the registrant is a business trust,the statement must be signed by a trustee.
If the registrant is a corporation,the statement must be signed by an officer.
EXPIRATION OF STATEMENT
Notice-Except as provided in Section 17923 of the Business&professions Code,the statement expires 40 days after any change in the facts set forth in the statement.
Hin ever,a mere change in the residence address of an individual,general partner or trustee does not cause the statement to expire prior to the end of the five year term.
The Statement expires upon the filing of a Statement of Abandonment.
The Statement does not expire if a withdrawing parrs files and publishes a Statement of Withdrawal and all other facts remain as originally filed.
LEGAL ADVICE and/or ASSISTANCE
Neither tte County Clerk nor his deputies are permitted by law to give legal advice and/or assistance. The registrant should either consult the Bus neoS and professions •
Code,Wach is available at the County Law Library,and may be available at City and/or Cour ry Libraries,or seek professional legal assistance.
W 5w pb,22/1013) A,aP.W,1n Ah.- eF.ts
Business Search-Business Entities-Business Programs Page 1 of 1
Business Entity Detail
• Data is updated to the California Business Search on Wednesday and Saturday
mornings. Results reflect work processed through Friday, May 30, 2014. Please
refer to Pre:cessin7 Times for the received dates of filings currently being
processed. The data provided is not a complete or certified record of an entity.
Entity Name: GREEN CONNECT, INC
Entity Number: C3550461
Date Filed: 04/10/2013
Status: ACTIVE
Jurisdiction: CALIFORNIA
Entity Address: 21718 VENTURA BLVD STE 526
Entity City, State, Zip: - WOODLAND HILLS CA 91364
Agent for Service of Process: PAUL SHIVELY
Agent Address: 5800 OWENSMOUTH AVE #12
Agent City, State, Zip: WOODLAND HILLS CA 91367
• Indicates the information is not contained in the California Secretary of
State's database.
• If the status of the corporation is "Surrender, " the agent for service of
process is automatically revoked. Please refer to California Corporations
Code se-c.on 2,174 for information relating to service upon corporations that
have surrendered.
• For information on checking or reserving a name, refer to Name A-!a—hAi1+ ;r.
• For information on ordering certificates, copies of documents and/or status
reports or to request a more extensive search, refer to irr;:ermarim Regr.:escs.
• For help with searching an entity name, refer to
• For descriptions of the various fields and status types, refer to Fi- ic3
DQscript,i St..r _ t.
Privacy Statement I free Cocmnenr Pser7as=
Copyright O 2014 California secretary of state
•
http://kepler.sos.ca.gov/ 6/3/2014
DISPLAY CONSPICUOUSLY AT PLACE OF BUSINESS FOR WHICH ISSUED
• CALIFORNIA STATE BOARD OF EQUALIZATION «
r
SELLER'S PERMIT �
a�
nccota�,rrNun eEx Rr
05/15/2013 SR AC 102-394697
NOTICE TO PEIWOTTEE
Yw are,equuW to obeyaf
GREEN CONNECT INC Tedelal end Stare La That
rewlare or control )o
15240 VICTORY BLVD business This penrrt does
VAN NUYS, CA 914ll-1717 ra akw you to dootherwise
L J
IS RRSREBYAunwRIlED PURSUANT TOSALWMW UWTAx.Lww To ENcasE IN THE
BUSINESS OF SELLING TANGIBLE PERSONAL PROPERTY AT THE FB(AtE LOCATgII
TI NS PORWIT a VALD ONLY AT TIC ABOVE ADDRESS.
TENS P0IN IT IS VALID UNTIL RETIRED ORCIINOELED ADD IS NOT TRANSFERABLE IF YOU SELL YOUR BUSNE55
OR DROPOUT OF A PARIMRSHFP.NOTIFY US OR YOU CIXBp BE RESPONSIBLE FOR SALE.%ANDUSE TA hbt vaWat any other address
OWED BY THE NEW OPERATOR OF THE BUSINESS.
For general tax questions,please call our Information Center at 800-400-7115.
For Information on your rights,contact the Taxpayers'Rights Advocate t„Iice at 888-324-2798 or 918-324-2798.
ROE-442-RFEV.1512-M
A MESSAGE TO OUR NEW PERMIT HOLDER
• As a sealer, you have rights and responsibilitles wrier the Sales and Use Tax Law. In order to assist you in your
endeavor and to better understand the law,we after the following sources of help:
• Visiting our website at wLaw.boe.co.gov
• visiting a district office
• Attending a Basic Sales and Use Tax Law class offered at one of our district offices
• Sending your questions in writing to any one of our offices
• Calling our toll-free Information Center at 800-400-7115
As a seller,you have Ste right to issue resale artilli s for merchandise that you intend to resell.Conversely,you
have the responsibility of not misusing resale certificates,while the sales tax is imposed upon the retailer,
• You have the right to seek reimbursement of the tax from your customer
• You are responsible for filing and paying your sales and use tax returns timely
• You have the right to be treated in a fair and equitable manner by the employees of the Board
• You are responsible for following the regulations set forth by the Board
As a seller, you are expected to maintain the normal books and records of a prudent businessperson. You are required to
maintain these books and records for no less than four years,and make them available for inspection by a Board representative
when requested.You are also expected to notify us if you are buying,selling.adding a location.or discontinuing your business.
adding or dropping a partner. officer.or member,or when you are moving any or all of your business locations. If it becomes
necessary to surrender this permit,you should only do so by mailing it to a Board office.or giving it to a Board representative.
If you would like to know more about your rights as a taxpayer,or if you are unable to resolve an iSSUe with the Board,please
contact the Taxpayers'Rights Advocate Office for help by calling toll-free,888-324-2798 or 9167324-2798.Their fax number is
916-323-3319.
Please post this permit at the address for which it was issued and at a location visible to your customers.
• STATE BOARD OF EQUALIZATION
Sales and Use Tax Department
Board of Equalization - State of California Page I of 1
• Sales and Use Tax Permit Verification
Permit Number 102394897 is Vaad
owns t, ; eeaer cowne rwe
Aaaw: +sseovrcreavBLvo
VAN IBM
CA
stwrto.a: eerrtvmta
Sstlses permit verification is available to help you determine if a
selWs permit account number included on your customer's resale
osrtif=W is currently valid.As a seller.you are responsible for
ensuring the resale certificate is property completed.Please refer to
Regulation 1668.Rule Certificates
(httplhw .boe.ca.9o'Aww9ub �enflbagtvdi/sutr/1668AFTO).
Bads to Query Page( .jep?action=SALES)
•
•
https://effle.boe.ca.gov/boewebservices/verification resultsisp 6/3/2014
City of Palm Springs : Measure B Cannabis and Marijuana Tax Page 2 of 2
• Paul Shively, EdD, PhD,Corporate Compliance Consultant.With over
26 years'experience in the non-profit arena and over 7 years'experience
working through the pitfalls of Prop 215,SB 420 and the California Attorney
Generals Guidelines for medical marijuana collectives. Paul holds a
Doctorate in Education and a PhD in Corporate law and is considered by
many to be an expert in business development,fiscal management and
corporate compliance helping over 500 medical marijuana collectives
develop their business entities. With an early beginning in upper
management in the fast food industry,followed by a private practice in accounting and corporate
compliance. In the past ten years has served on the board of over a dozen non-profit and for profit
entities and been involved in the formation of hundreds of corporations.
Paul is a recognized Expert Witness in the Los Angeles Superior Court system and guest instructor in
area universities as an expert in corporate formation. Quite frequently the"Who's Who"of Los Angeles
Medical marijuana Attorneys turn to Paul for case preparation.
Paul has vast experience in taxation,non-profit strategies,trademarks,corporate compliance and
business acquisitions,as well as serving as Business Manager for persons in the entertainment industry.
His experience in sales tax administration has resulted in two successful Administrative Court decisions
that resulted in changes in sales tax collection.
Being civic minded, has served multiple terms as a Council Member for the Canoga Park and Woodland
Hills Warner Center Neighborhood Councils in the City of Los Angeles and as a member of the Board of
Directors of Woodland Hills Tarzana Chamber of Commerce,and as an Advisor to a State Assembly Task
Force for Disaster Preparedness. In 1987 was recognized as an"Outstanding Young Man of America",
and since then received multiple commendations for leadership, including a Commendation from the
California Governor's Office in 2004,and multiple commendations from the California State Assembly as
well as the City and County of Los Angeles over the years.
•
http://www.palmspringsca.gov/index.aspx?page=1299 5/27/2014
Comprehensive Report
•Product Support
I&Port Summary:
Possible Criminal Records:(1)
Sexual Offenses:(0)
Driver's License:(0)
Concealed Weapons Perk:(0)
DFA Controlled Substances:(0)
Professional Licenses: (0)
Bankruptcies:(0)
Liens and Judgments:(0)
4 Hide Report Navigation
important: The Public Records and commercially available data sources used on reports have errors. Data is sometimes entered poorly,
processed incorrectly and is generally not free from defect. This system should not be relied upon as definitively accurate. Before relying on any
data this system supplies,it should be independently verified. For Secretary of State documents,the following data is for information purposes only
and is not an official record. Certified copies may be obtained from that individual state"s Department of State. The criminal record data in this
product or service may include records that have been expunged,sealed,or otherwise have become inaccessible to the public since the date on
which the data was last updated or collected.
IRBsearch,LLC does not constitute a"consumer report"as that term is defined in the federal Fair Credit Reporting Act,15 USC 1681 at seq.
(FCRA).Accordingly, IRBsearch,LLC may not be used in whole or in part as a factor in determining eligibility for credit,insurance,employment or
another permissible purpose under the FCRA.
Your DPPA Permissible Use: Licensed Private Investigative or Security Services
Your GLBA Permissible Use: Transactions Authorized by Consumer
0omprehensive Report
Date:06/14/13 Report Legend:
-Shared Address
-Deceased
Report processed by: ✓ -Probable Current Address
DIVERSIFIED ARBITRATION M31987
103 TESORI DR
PALM DESERT,CA 92211
760-779-8688 Main Phone
760-779-8678 Fax
Subject Infomation: (Best Information for Subject)
Name: LEONARD PETER MONTANTE DOB:7/xx/1965
SSN: 565-37-xotx issued in California between 11111975 and 1213111976
View All SSN Sources
Age:47
Names Associated With Subject: View All Name Variations Sources
LEONARD P MONTANTE LexID:001757388175 DOB:7/xx/1965
565-37-xxxx Issued in California between 1/1/1975 and 12/31/1976
LEONARD MONTANTE LexID:001757388175 DOB:7/xx/1965
565-37-xxxx issued in California between Iil/1975 and 12/31/1976
LEANORD MONTANTE LexID:001757388175 DOB:7/xx/1965
565.37-xxxx issued in California between 1/1/1975 and 1 213111 97 6
LEANORD P MONTANTE LexID:001757388175 DOB:7/xx/1965
565-37-xxxx issued in California between 1/1/1975 and 12/31/1976
LENORD MONTANTE LexID:001757388175 DOB:7/xx/1965
• 565-37-xxxxissued in California between 1/1/1975 and 12/31/1976
LEONARD P MONTANA LexID:001757388175 DOB:7/xx/1965
565-37-xxxx issued in California between 1/1/1975 and 12/31/1976
Comprehensive Report
Comprehensive Report
CR
Associated WithSubJectsSTw, IyMGkaze anY M1ueM haWdec�nm)
SEMARIE WITMANNSMITH LexID:002379552256 DOB:B/xx/1954
5-37-xxxx issued in California between 1/1/1975 and 12/31/1976
ROSEMARIE W SMITH LexID:002379552256 DOB:8/xx/1954
565.37-xxxx issued in California between 1/1/1975 and 12/31/1976
ROSEMARIE SMITH LexID:002379552256 DOB:8/xx/1954
56537-xxxx issued in California between l/l/l975 and 12/31/1976
ROSEMANE SMITH LexID:002379552256 DOB:8/xx/1954
56537-xxxx issued in California between 1/1/1975 and 12/31/1976
ROSEMARIE WITTMAN LexID:002379552256 DOB: 1954
565.37-xxxx issued in California between 1/l/1975 and 12/31/1976
ROSEMARIE W SMITH DUNCAN LexID:002379552256 DOB:8/xx/1954
565-37-xxxx issued in California between 1/1/1975 and 12/31/1976
ROSEMARIE WITTMANN SMITH LexID:002379552256 DOB:8/xx/1954
565-37-xxxx issued in California between 1/1/1975 and 12/31/1976
SEMARIE SMITH LexID:002379552256 DOB:8/xx/1954
565-37-xxxx issued in California between 1/1/1975 and 12/31/1976
ROSE M SMITH LexID:002379552256 DOB:1954
56537-xxxx issued in California between 1/1/1975 and 12/31/1976
R SMITH LexID:002379552256 DOB:8/xx/1954
565.37-xb issued in California between 1/1/1975 and 12/31/1976
CHERYL L GRAGG LexID:036146281741
565-37-xxxx issued in California between 1/1/1975 and 12/31/1976
LIZ A GONZALEZ LexID:189765706132
565-37-xxxx issued in California between 1/1/1975 and 12/31/1976
LIZ A GONZALES LexID: 189765706132
565-37-xxxx issued in California between Ill/1975 and 12/31/1976
Comprehensive Report Summary:
Possible Criminal Records:.(1)
jilillikexual Offenses:(0)
Wo'ver's License:(0)
ncealed Weapons Permit:(0)
DEA Controlled Substances:(0)
Professional Licenses:(0)
Bankruptcies:(0)
Liens and Judgments:(0)
O Conapse All
13 Address Summary: View All Address Variation Sources
41541 TRINITY CIR,BERMUDA DUNES CA 92203-1287, RIVERSIDE COUNTY(2001 -May 2013)
48884 DESERT FLOWER DR,PALM DESERT CA 92260-6268,RIVERSIDE COUNTY(Jul 1997-Aug 2007)
PO BOX 4275, PALM DESERT CA 92261-4275,RIVERSIDE COUNTY(Oct 1994-Mar 2006)
48866 DESERT FLOWER DR, PALM DESERT CA 92260-6268,RIVERSIDE COUNTY(Feb 1991 -Nov 2003)
3155 S BARRINGTON AVE APT C,LOS ANGELES CA 90066-1133,LOS ANGELES COUNTY(Feb 1991 -Apr 2003)
73373 COUNTRY CLUB DR APT 221,PALM DESERT CA 92260-8624,RIVERSIDE COUNTY(Oct 1994-Apr 2002)
73 373 APT,PALM DESERT CA 92260,RIVERSIDE COUNTY(Jul 2001)
73 373 COUNTRY CLUB 35 DR,PALM DESERT CA 92260,RIVERSIDE COUNTY(Jul 2001)
3155 COUNTRY CLB,PALM DESERT CA 92260,RIVERSIDE COUNTY(Apr 2000)
73373 COUNTRY CLUB DR APT 2214,PALM DESERT CA 92260-8645,RIVERSIDE COUNTY(Feb 2000)
PO BOX 4275,PALM SPRINGS CA 92263-4275,RIVERSIDE COUNTY(Nov 1999-Jan 2000)
153 CAPRI ST,RANCHO MIRAGE CA 92270-1923,RIVERSIDE COUNTY(Oct 1997-Jan 1999)
O Ptevlous And Non-VerlBed Address(es): View All Address Variation Sources dll
41541 TRINITY CIR,BERMUDA DUNES CA 92203-1287, RIVERSIDE COUNTY(2001 -May 2013)
Name Associated with Address:
LEONARD P MONTANTE
Current Residents at Address:
LEONARD PETER MONTANTE
ELEXIA RAE VOLZ
48884 DESERT FLOWER DR,PALM DESERT CA 92260-6268,RIVERSIDE COUNTY(Jul 1997-Aug 2007)
Name Associated with Address:
LEONARD P MONTANTE
Comprehensive Report 2
Comprehensive Report
Current Residents at Address:
• VIRGINIA FRANCES BERGOUIST
PAUL DANA BERGOUIST
MARY SUE TEVEBAUGH
760-837-9662
PO BOX 4275,PALM DESERT CA 92261.4275,RIVERSIDE COUNTY(Oct 1994-Mar 2006)
Name Associated with Address:
LEONARD P MONTANTE
48866 DESERT FLOWER DR,PALM DESERT CA 92260-6268,RIVERSIDE COUNTY(Feb 1991 -Nov 2003)
Name Associated with Address:
LEONARD P MONTANTE
Current Residents at Address:
JULIETTE MARIE MONTANTE
ANTHONY L RETTKE
3155 S BARRINGTON AVE APT C,LOS ANGELES CA 90066-1133,LOS ANGELES COUNTY(Feb 1991 -Apr 2003)
Name Associated with Address:
LEONARD P MONTANTE
Current Residents at Address:
KATE T SOLLER
73373 COUNTRY CLUB DR APT 221, PALM DESERT CA 92260-8624,RIVERSIDE COUNTY(Oct 1994-Apr 2002)
Name Associated with Address:
LEONARD P MONTANTE
73 373 APT,PALM DESERT CA 92260, RIVERSIDE COUNTY(Jul 2001)
Name Associated with Address:
LEONARD P MONTANTE j
73 373 COUNTRY CLUB 35 DR,PALM DESERT CA 92260,RIVERSIDE COUNTY(Jul 2001)
Name Associated with Address:
LEONARD P MONTANTE
3155 COUNTRY CLS,PALM DESERT CA 92260,RIVERSIDE COUNTY(Apr 2000)
Name Associated with Address:
LEONARD P MONTANTE
760-340-5416
73373 COUNTRY CLUB DR APT 2214,PALM DESERT CA 92260-8645,RIVERSIDE COUNTY(Feb 2000)
Name Associated with Address:
LEONARD P MONTANTE
PO BOX 4275,PALM SPRINGS. CA 92263-4275,RIVERSIDE COUNTY(Nov 1999-Jan 2000)
Name Associated with Address:
LEONARD P MONTANTE
Current Residents at Address:
JOHN EDWARD NEITZEL
153 CAPRI ST, RANCHO MIRAGE CA 92270-1923,RIVERSIDE COUNTY(Oct 1997-Jan 1999)
Name Associated with Address:
LEONARD P MONTANTE
Current Residents at Address:
PAUL STEPHEN JANKOWSKI
391-4164
8 Possible Criminal Records:laa
California Court:
Name:LEONARD PETER MONTANTE
LexID:001757388175 -
SSN:565-37-xxxx
State of Origin:California
County of Origin:RIVERSIDE
DOB:07/xx/1965
Case Number:PD41873LM
Offenses:
Offense#1
Court Case Number:PD41873LM
Court Offense:NOT SPECIFIED
Court Activity:
[NONE FOUND]
Comprehensive Report 3
Comprehensive Report
Sexual Offenses: lE•iA
[None Found]
O Driver's License Information:s::b
[None Found]
O Concealed Weapons Permit: :r
[None Found]
O DEA Controlled Substances: tlir<t
[None Found]
O Professional Uoense(s):a
[None Found]
O Bankruptcies:&MM
[None Found]
8 Lien and Judgments: aM
[None Found]
O Source Information:GM
All Sources 64 Source Documents)
Person Locator 1 5 Source Document(s)
Phone 1 Source Document(s)
Historical Person Locator 27 Source Document(s)
Person Locator 2 5 Source Document(s)
• Criminal 1 Source Document(s)
Utility Locator 1 Source Document(s)
Person Locator 5 24 Source Document(s)
•
Comprehensive Report 4
Comprehensive Report
•Product Support
�ort Summary:
Possible Cdndnal Records:(1)
Sexual Offenses:(0)
Driver's License:(0)
Concealed Weapons Permit:(0)
DEA Controlled Substances:(0)
Professional Licenses:(0)
Bankruptcies:(0)
Liens and Judgments:(7)
■Hide Report Navigation
Important: The Public Records and commercially available data sources used on reports have errors. Data is sometimes entered poorly,
processed incorrectly and is generally not free from defect. This system should not be relied upon as definitively accurate. Before relying on any
data this system supplies,it should be independently verified. For Secretary of State documents,the following data is for information purposes only
and is riot an official record. Certified copies may be obtained from that individual state"s Department of State. The criminal record data in this
product or service may include records that have been expunged,sealed,or otherwise have become inaccessible to the public since the date on
which the data was last updated or collected.
IRBsearch,LLC does not constitute a"consumer report"as that term is defined in the federal Fair Credit Reporting Act, 15 USC 1681 at seq.
(FORA).Accordingly,IRBsearoh,LLC may not be used in whole or in part as a factor in determining eligibility for credit,insurance,employment or
another permissible purpose under the FCRA.
Your DPPA Permissible Use: Licensed Private Investigative or Security Services
Your GLBA Permissible Use: Transactions Authorized by Consumer
comprehensive Report
Date:06/14/13 Report Legend:
-Shared Address
-Deceased
Report processed by: -Probable Current Address
DIVERSIFIED ARBITRATION M31987
103 TESORI DR
PALM DESERT,CA 92211
760-779-8688 Main Phone
760-779-8678 Fax
Subject InIomtatlon: (Beat Information for Subject)
Noma: JULIETTE MARIE MONTANTE DOB:1/xx/1956
SSN: 550-13-xxxx issued In California between 11111972 and IZW11972
View All SSN Sources
Age:57
Names Associated With Subject: View All Name Variations Sources
JULIETTE M MONTANTE LexID:001757323894 DOB:1h(x/1956
5%13-xxxx issued in California between 1/1/1972 and 1 2131/1 9 72
JULIETTE MONTANTE MONTANTE LexID:001757323894 DOB:1/xx/1956
550-13-xxxx issued in California between 1/1/1972 and 12/31/1972
JULIETTE MONTANTE LexID:001757323894 DOB:1/xx/1956
550-13-xxxx issued in California between 1/1/1972 and 1 2131/1 9 72
JULIE MONTANTE LexID:001757323894 DOB:1/xx/1956
550-13-xxxx issued in California between 1/1/1972 and 1 2131/1 9 72
JULIETTE MOUTANTE LexID:001757323894 DOB:1hc/1956
550.13-xxxx issued in California between 1/1/1972 and 12/31/1972
•JULIE M MONTANT LexID:001757323894 DOB:I/xx/1956
550.13-xxxx issued in California between 1/1/1972 and 1 2131/1 972
JULIE M MONTANTE LexID:001757323894 DOB:1/xx11956
550-13-xxxx issued in California between 1/1/1972 and 12/31/1972
Comprehensive Report 1
Comprehensive Report
JULIETTE ROCHE LexID:001757323894 DOB: 1/xx/1956
550-13-xxxx issued in California between 111/1972 and 12/31/1972
• JULIE MONTANTE ROCHE LexID:G01757323894 DOB:i/xx/1956
550-13-xxxx Issued in California between 1/1/1972 and 1 2131/1 9 72
JULIE M ROCHE LexID:001757323894 DOB: 1/xx/1956
550.13-)D=issued in California between 1/1/1972 and 12/31/1972
J MONTANTE LexID:001757323894 DOB: 1/xx/1956
550.13-xxxx issued in California between 1/1/1972 and 1213111972
JUILIETTE M MONTANTE LexID:001757323894 DOB:1/xx/1956
550-13-xxxx issued in California between 1/1/1972 and 12/31/1972
JULIETTE M MONTANE LexID:001757323894 DOB:1/xx/1956
550-13-)o=issued in California between 1/1/1972 and 12/31/1972
JULIE MONTANE LexID:001757323894 DOB:1/xx/1956
550.13-xxxx issued in California between 1/1/1972 and 1 2131/1 972
JULIE ROCHE LexID:001757323894 DOB:1/xx/1956
550-13-xxxx issued in California between 1/1/1972 and 12/31/1972
Others Associated With Subjects SSN:
(Does NOT Uw*mdc ar tr aka,dwducerW)
LATRICA EUTRICA LexID:045926348431
550-13-xxxx Issued in California between 1/1/1972 and 12/31/1972
Comprehensive Report Summary:
Possible Crindnal Records:(1)
Sexual Offenses:(0)
Driver's Ucense:(0)
Concealed Weapons Permit:(0) -
DEA Controlled Substances:(0)
Professional Licenses:(0)
Bankruptcies:(0)
Liens and Judgments:(7)
Collapse All
O Address Summary: View All Address Variation Sources 464
48866 DESERT FLOWER DR,PALM DESERT CA 92260-6268,RIVERSIDE COUNTY(Feb 1990-May 2013)
49845 LAGO DR,LA QUINTA CA 92253-2702,RIVERSIDE COUNTY(Sep 2005-Mar 2013)
PO BOX 642477,LOS ANGELES CA 90064-8138,LOS ANGELES COUNTY(Mar 2007-Sep 2012)
48M DESERT FLOWER DR,PALM DESERT CA 92260.6268,RIVERSIDE COUNTY(May 2011 -May 2012)
PO BOX 955,RANCHO MIRAGE CA 9227G4MS,RIVERSIDE COUNTY(Jul 1999. 2011)
48882 DESERT FLOWER DR, PALM DESERT CA 92260.6268,RIVERSIDE COUNTY(Apr 2000-Oct 2009)
72605 RAVEN RD UNIT 1,PALM DESERT CA 92260-B348,RIVERSIDE COUNTY(May 2001 -Aug 2009)
1 VISTA ENCANTADA,RANCHO MIRAGE CA 92270-5207,RIVERSIDE COUNTY(2003-Apr 2008)
46011 PORTOLA AVE,PALM DESERT CA 92260,9532,RIVERSIDE COUNTY(2003-Mar 2007)
45301 DEEP CANYON RD APT 9,PALM DESERT CA 92260-4534,RIVERSIDE COUNTY(Dec 1998-Mar 2007)
26444105TH ST NW,ZIMMERMAN MN 55398-5802,SHERBURNE COUNTY(Aug 2006)
PO BOX 1522,CATHEDRAL CITY CA 92235-1522,RIVERSIDE COUNTY(Jan 2000-Jul 2005)
72702 EDGEHILL PALM#2,PALM DESERT CA 92260,RIVERSIDE COUNTY(Nov 2003-Dec 2003)
1522,CATHEDRAL CITY CA 92235, RIVERSIDE COUNTY(Jan 2000-Aug 2003)
PO BOX 1522,PALM SPRINGS CA 92263-1622,RIVERSIDE COUNTY(Apr 2002-Jun 2002)
3155 S BARRINGTON AVE APT C,LOS ANGELES CA 90066-1133,LOS ANGELES COUNTY(Nov 1976-Oct 2000)
4114 ALBRIGHT AVE,LOS ANGELES CA 90066-5404,LOS ANGELES COUNTY(Apr 1984-Jan 1997)
48666 DESERT FLOWER DR,PALM DESERT CA 922606221,RIVERSIDE COUNTY(Jun 1995)
6231 HETZLER RD,CULVER CITY CA 90232-2909,LOS ANGELES COUNTY(Mar 1989-Dec 1992)
9942 CULVER BLVD UNIT 1157,CULVER CITY CA 90232-4155,LOS ANGELES COUNTY(Nov 1976-Nov 1992)
O Previous And Non-Verifled Address(es): View All Address Variation Sources is A
48W6 DESERT FLOWER DR,PALM DESERT CA 92260-6268,RIVERSIDE COUNTY(Feb 1990-May 2013)
Name Associated with Address:
JULIETTE M MONTANTE
• Current Residents at Address:
JULIETTE MARIE MONTANTE
ANTHONY L RETTKE
49845 LAGO DR,LA QUINTA CA 92253-2702,RIVERSIDE COUNTY(Sep 2005-Mar 2013)
Noma Assoctaled with Address:
Comprehensive Report 2
Comprehensive Report
JULIETTE M MONTANTE
Current Residents at Address: '
JULIETTE MARIE MONTANTE
TIMOTHY MILLIGAN
PO BOX 642477,LOS ANGELES CA 90064-8138,LOS ANGELES COUNTY(Mar 2007-Sep 2012)
Name Associated with Address:
JULIETTE M MONTANTE
48860 DESERT FLOWER DR,PALM DESERT CA 92260-6268,RIVERSIDE COUNTY(May 2011 -May 2012)
Name Associated with Address:
JULIETTE M MONTANTE
PO BOX 955,RANCHO MIRAGE CA 92270-0955,RIVERSIDE COUNTY(Jul 1999- 2011)
Name Associated with Address:
JULIETTE M MONTANTE
48882 DESERT FLOWER DR,PALM DESERT CA.92260-6268,RIVERSIDE COUNTY(Apr 2000-Oct 2009)
Name Associated with Address:
JULIETTE M MONTANTE
Current Residents at Address:
RALPH F NEMEC
DIANE SMITH
760-636-0778-PDT SMITH DIANE
72686 RAVEN RD UNIT 1,PALM DESERT CA 92260-8348,RIVERSIDE COUNTY(May 2001 -Aug 2009)
Name Associated wlth Address:
JULIETTE M MONTANTE
Current Residents at Address:
TAL CHESLER
1 VISTA ENCANTADA,RANCHO MIRAGE CA 92270-5207,RIVERSIDE COUNTY(2003-Apr 2008)
Name Associated with Address:
JULIETTE M MONTANTE
Current Residents at Address:
JANE RENEE BAZEMORE
CHERYL ANN WYLAND
760-699-7195-PDT WYLAND CHERYL
. 46011 PORTOLA AVE,PALM DESERT CA 92260-5532,RIVERSIDE COUNTY(2003-Mar 2007)
Name Associated with Address:
JULIETTE M MONTANTE
45301 DEEP CANYON RD APT9,PALM DESERT CA 92260,4534,RIVERSIDE COUNTY-(Der 1998-Mar 2D07)
Name Associated with Address:
JULIETTE M MONTANTE
Current Residents at Address:
LAURIE ANN TAYLOR
JOSEPH PETER GRIFFIN
26444 105TH ST NW,ZIMMERMAN MN 55398-5802,SHERBURNE COUNTY(Aug 2006)
Name Associated with Address:
JULIETTE M MONTANTE
Current Residents at Address:
LAURA T JACKSON
MICHAEL E JACKSON
STEVEN SHELDON SWENSON
763-856-2291 -CDT JACKSON LAURA
PO BOX 1522,CATHEDRAL CITY CA 92235-1522,RIVERSIDE COUNTY(Jan 2000-Jul 2005)
Name Associated with Address:
JULIETTE MONTANTE MONTANTE
Current Residents at Address:
NILDA LUZ PEREZ
72702 EDGEHILL PALM#2,PALM DESERT CA 92260,RIVERSIDE COUNTY(Nov 2003-Dec 2003)
Name Associated with Address:
JULIETTE M MONTANTE
1522,CATHEDRAL CITY CA 92235,RIVERSIDE COUNTY(Jan 2000-Aug 2003)
Name Associated with Address:
JULIETTE M MONTANTE
PO BOX 1522,PALM SPRINGS CA 92263-1522,RIVERSIDE COUNTY(Apr 2002-Jun 2002)
Name Associated with Address:
JULIETTE MONTANTE MONTANTE
•3155 S BARRINGTON AVE APT C,LOS ANGELES CA 90066-1133,LOS ANGELES COUNTY(Nov 1976.Oct 2000)
Name Associated with Address:
JULIE MONTANTE
Current Residents at Address:
Comprehensive Report 3
Comprehensive Report
KATE T SOLLER
• 4114 ALBRIGHT AVE,LOS ANGELES CA 90066,1404,LOS ANGELES COUNTY(Apr 1984-Jan 1997)
Name Associated with Address:
JUUE17E MONTANTE MONTANTE
Current Residents at Address:
BARON CRUSE KELLOGG
JOY TAMAKI
310-745-1801 -PDT KELLOGG BARON
48666 DESERT FLOWER DR,PALM DESERT CA 92260-6221,RIVERSIDE COUNTY(Jun 1995)
Name Associated with Address:
JULIETTE MONTANTE MONTANTE
Current Residents at Address:
JEANEITE MITCHELL
6231 HETZLER RD,CULVER CITY CA 90232-2909,LOS ANGELES COUNTY(Mar 1989-Dec 1992)
Name Associated with Address:
JULIE M ROCHE
Current Residents at Address:
CHARLENE L GARCIA
WILLIAM STEWART MAXWELL III
310-204-5924-PDT MAXWELL WILLIAM S III
9942 CULVER BLVD UNIT 1157,CULVER CITY CA 90232-4155,LOS ANGELES COUNTY(Nov 1976-Nov 1992)
Name Associated with Address:
JULIETTE M MONTANTE
8 Possible Criminal Records:a.d
California Court:
Name:JULIETTE MARIE MONTANTE
LeAD:001757323894
SSN:550.13-x -
State of Origin:Caltomia
County of Origin:RIVERSIDE
DOB:0111ou1956
Case Number:RR161531JM
Offenses:
Offense#1
Court Case Number:RR161531JM
Court Offense:NOT SPECIFIED
Court Activity:
[NONE FOUND]
O Sexual Offenses:a ba
[None Found]
13 Driver's License Intormstion:WRA
[None Found]
8 Concealed Weapons Permit: A&&
[None Found]
O DEA Controlled Substances:i a
[None Found]
O Professional Licanse(s):1l6
[None Found]
O Sankruptclss:r
• [None Found]
O Liens and Judgments:4:k
Filing Number: 20080207715
Comprehensive Report 4
Comprehensive Report
Fling Type: COUNTY TAX LIEN
Location: RIVERSIDE COUNTY,RECORDER OF DEED
• State: CA
Original Filing Date:4/24/2008
Amount:$1,644
Debtor Name:JULIETTE M MONTANTE
Debtor LexID:001757323894
Debtor SSN:551F73-xxxx
Debtor Address:1 VISTA ENCANTADA,RANCHO MIRAGE CA 92270-5207
Creditor.COUNTY OF RIVERSIDE
Fling Number. 20MB37073
Fling Type: FEDERAL TAX LIEN RELEASE
Location: RIVERSIDE COUNTY-RECORDER OF DEED
State: CA
Fling Number. 2003714811
Filing Type: FEDERAL TAX LIEN
Location: RIVERSIDE COUNTY-RECORDER OF DEED
State: CA
Original Filing Date:9/152003
Release Date: 10/22/2004
Amount:$53,436
Debtor Name:JULIE MONTANTE
Debtor LexID:001757323894
Debtor SSN:550-13-xxxx
Debtor Address:48866 DESERT FLOWER DR,PALM DESERT CA 92260.6268
Creditor:IRS
Filing Number: 2003179051
Rling Type: STATE TAX LIEN RELEASE
Location: RIVERSIDE COUNTY-RECORDER OF DEED
State: CA
Fling Number. 2002777343
• Fling Type: STATE TAX LIEN
Location: RIVERSIDE COUNTY-RECORDER OF DEED
State: CA
Original Filing Date:12J262002
Release Date: 3/13/2003
Amount:$9,546
Debtor Name:JULIE M MONTANTE
Debtor LexID:001757323894
Debtor SSN:550-13-xxxx
Debtor Address:48866 DESERT FLOWER DR,PALM DESERT CA 92260-6268
Creditor.STATE OF CALIFORNIA
Fling Number: 2003963051
Filing Type: FEDERAL TAX LIEN RELEASE
Location: RIVERSIDE COUNTY-RECORDER OF DEED
State: CA
Filing Number: 2002100145
Filing Type: FEDERAL TAX LIEN
Location: RIVERSIDE COUNTY-RECORDER OF DEED
State: CA
Original Fling Date:2/26/2002
Release Date: 12/9/2003
Amount:$62,121
Debtor Name:JULIE MONTANTE
Debtor LexID:001757323894
Debtor SSN:550-13-xrax
Debtor Address:48866 DESERT FLOWER DR,PALM DESERT CA 92260-6268
Creditor:IRS
Filing Number: 2001314263
Fling Type: FEDERAL TAX LIEN
Location: RIVERSIDE COUNTY-RECORDER OF DEED
State: CA
• Original Rling Date:7/10/2001
Amount:$22,345
Debtor Name:JULIE MONTANTE
Debtor LexID:001757323894
Comprehensive Report 5
Comprehensive Report
Debtor SSN:550-13-xxxx
• Debtor Address:46666 DESERT FLOWER DR,PALM DESERT CA 92260-6268
Creditor:IRS
Filing Number: 2003527419
Fling Type: FEDERAL TAX LIEN RELEASE
Location: RIVERSIDE COUNTY-RECORDER OF DEED
State: CA
Original Fling Date:7/10/2001
Release Date: 7/15/2003
Amount:$22,345
Debtor Name:JULIE MONTANTE
Debtor LexID:001757323894
Debtor SSN:550-13-xxxx
Debtor Address:48866 DESERT FLOWER DR,PALM DESERT CA 92260-6268
Creditor: IRS
Filing Number: 98800098
Filing Type: STATE TAX LIEN
Location: LA COUNTY/RECORDER OF DEEDS
State: CA
Filing Number: 001707743
Fling Type: STATE TAX LIEN RELEASE
Location: LA COUNTY/RECORDER OF DEEDS
State: CA
Original Fling Date:5/12/1998
Release Date: 1 0131/20 0 0
Amount:$1,786
Debtor Name:JULIE MONTANTE
Debtor LexID:001757323894
Debtor SSN:550-13-xxxx
Debtor Address:3155 S BARRINGTON AVE APT C,LOS ANGELES CA 90066-1133
Creditor:STATE OF CALIFORNIA
Source information:
All Sources 115 Source Document(s)
Liens and Judgments 11 Source Document(s)
Person Locator 1 8 Source Document(s)
Historical Person Locator 33 Source Document(s)
Person Locator 11 Source Document(s)
Criminal 1 Source Document(s)
Utility Locator 2 Source Documents)
Person Locator 5 49 Source Document(s)
•
Comprehensive Report 6
Comprehensive Report
s •Product Support
�eport Summary:
Possible Criminal Records:(1)
Sexual Offenses:(0)
Drivers License:(0)
Concealed Weapons Permit:(0)
DEA Controlled Substances:(0)
Professional Licenses:(0)
Bankruptcies:(0)
Liens and Judgments:(0)
■Hide Report Navigation
Important: The Public Records and commercially available data sources used on reports have errors. Data is sometimes entered poorly',
processed Incorrectly and is generally not free from defect. This system should not be relied upon as definitively accurate. Before relying on any
data this system supplies,It should be independently verified. For Secretary of State documents,the following data is for information purposes only
and is not an official record. Certified copies may be obtained from that individual state's Department of State. The criminal record data in this
product or service may include records that have been expunged,sealed,or otherwise have become Inaccessible to the public since the date on
which the data was last updated or collected.
IRBsearch,LLC does not constitute a"consumer report"as that term is defined in the federal Fair Credit Reporting Act,15 USC 1681 at seq.
(FCRA).Accordingly,IRBsearch,LLC may not be used in whole or in part as a factor in determining eligibility for credit,insurance,employment or
another permissible purpose under the FCRA.
Your DPPA Permissible Use: Licensed Private Investigative or Security Services
Your GLBA Panntssible Use: Transactions Authorized by Consumer
40omprehensive Report
Date:06r14/13 Report Legend:
_ -Shared Address
Deceased
Report processed by: Probable Current Address
DIVERSIFIED ARBITRATION Wl987 -
103 TESORI DR
PALM DESERT,CA 92211
760-779-8688 Main Phone
760-779-8678 Fax
Subject Information: (Best Information for Subject)
Name: BLAKE A WHEELER DOB:1988
SSN: 517-21-xxxx issued in Montana between 11111990 and 1213111991
View All SSN Sources
Age:25
Others Associated With Subjects SSN:
(DOES NM YBWrj'IIIf8mt9811}1nIB al r1 Ww decwhw)
[None Found]
Comprehensive Report Summary:
Possible Criminal Records:(1)
Sexual Offenses:(0)
Drivers License:(0)
ncealed Weapons Permit:(0)
Controlled Substances:(0)
IRWessional Licenses:(0)
Sankruptdes:(0)
Liens and Judgments:(0)
Comprehensive Report 1
Comprehensive Report
Collapse All
a Address Summary: View All Address Variation Sources l�iwt
41631 JAMAICA SANDS DR,BERMUDA DUNES CA 92203-1477, RIVERSIDE COUNTY(Feb 2011 -May 2013)
440 W LAWRENCE ST,HELENA MT 59601-6183,LEWIS AND CLARK COUNTY(Oct 2008-May 2011)
41590 BALACLAVA DR,BERMUDA DUNES CA 92203-1100,RIVERSIDE COUNTY(Jan 2011 -Mar 2011)
319 BLAINE ST,MISSOULA MT 59801-4122,MISSOULA COUNTY(Apr 2010)
312 BLAINE ST,MISSOULA MT 59801-4123,MISSOULA COUNTY(Mar 2010)
152 DUNIWAY HALL,MISSOULA MT 59801-9300,MISSOULA COUNTY(Jul 2009-Dec 2009)
152 DUNI WAY HL,MISSOULA MT 59801,MISSOULA COUNTY(Jul 2009)
r7 Previous And Non-Verified Address(es): View All Address Variation Sources ci z
41631 JAMAICA SANDS DR,BERMUDA DUNES CA 92203.1477,RIVERSIDE COUNTY(Feb 2011 -May 2013)
Nome Associated with Address:
BLAKE A WHEELER
Current Residents at Address:
JOSEPH S DELGADO
LAURA LYNN MORONEY
BLAKE WHEELER
440 W LAWRENCE ST,HELENA MT 59601-6183,LENS AND CLARK COUNTY(Oct 2008-May 2011)
Name Associated with Address:
BLAKE A WHEELER
Current Residents at Address:
ANA J FIGUEROA
DENNIS FRED WHEELER
CALEB E WHEELER
41590 BALACLAVA DR,BERMUDA DUNES CA 92203-1100,RIVERSIDE COUNTY(Jan 2011 -Mar 2011)
Name Associated with Address:
BLAKE A WHEELER
• Current Residents at Address:
JENNIFER LEIGH WHEELER
RONALD L LOZA JR
TERESA M WALLS
760345-6213-PDT LOZA RONALD JR
319 BLAINE ST,MISSOULA MT 59801-4122,MISSOULA COUNTY(Apr 2010)
Name Associated with Address:
BLAKE A WHEELER
Current Residents at Address:
RIKA JILL BOTZET
312 BLAINE ST,MISSOULA MT 59801-4123,MISSOULA COUNTY(Mar 2010)
Name Associated with Address:
BLAKE A WHEELER
152 DUNIWAY HALL,MISSOULA MT 59801-9300,MISSOULA COUNTY(Jul 2009-Dec 2009)
Name Associated with Address:
BLAKE A WHEELER
152 DUNI WAY HL,MISSOULA MT 59801,MISSOULA COUNTY(Jul 2009)
Name Associated wtth Address:
BLAKE A WHEELER
t7 Possible Criminal Records:A i fi
California Court:
Name:BLAKE ANGEL MIGUEL WHEELER
LexID:064718800277
SSN:517-21-xxxx
State of Origin:California
County of Origin:RIVERSIDE
DOB:11/xx/l988
Case Number-LA22026BW
• Offenses:
Offense#il
Court Case Number:LA22026BW
Court Offense:NOT SPECIFIED
Comprehensive Report 2
Comprehensive Report
• Court Act .
[NONE FOUNOUN D]
O Sexual Offenses: '
[None Found]
O Driver's License Information:spa
[None Found]
O Concealed Weapons Permit: r:a
[None Found]
L7 DFA Controlled Substances:k:l
[None Found]
O professional Llcense(s):IQ'
[None Found]
L3 Bankruptcies: -�'
[None Found]
La Liens and Judgments:iiLi
[None Found]
7 Source Information:a *4
All Sources 16 Source Document(s)
Person Locator 1 1 Source Document(s)
• Historical Person Locator 3 Source Document(s)
Criminal 1 Source Document(s)
Utility Locator 2 Source Document(s)
Person Locator 5 9 Source Document(s)
•
Comprehensive Report 3
Comprehensive Report
•Product Support
port Summary:
Possible Criminal Records:(0)
Sexual Offenses:(0)
Driver's License:(0)
Concealed Weapons Permit:(0)
DEA Controlled Substances:(0)
Professional Licenses:(0)
Bankruptcies:(1)
Liens and Judgments:(3)
r Hide Report Navigation
Important: The Public Records and commercially available data sources used on reports have errors. Data is sometimes entered poorly,
processed incorrectly and is generally not free from defect. This system should not be relied upon as definitively accurate. Before relying on any
data this system supplies,it should be independently verified. For Secretary of State documents,the following data is for information purposes only
and is not an official record. Certified copies may be obtained from that individual state"s Department of State. The criminal record data in this
product or service may include records that have been expunged,sealed,or otherwise have become inaccessible to the public since the date on
which the data was last updated or collected.
[Research,LLC does not constitute a"consumer report"as that term is defined in the federal Fair Credit Reporting Act,15 USC 1681 et seq.
(FCRA).Accordingly, IRBsearch,LLC may not be used in whole or in part as a factor in determining eligibility for credit,insurance,employment or
another permissible purpose under the FORA.
Your DPPA Permissible Use: Licensed Private Investigative or Security Services
Your GLBA Permissible Use: Transactions Authorized by Consumer
mprehensive Report
Date:06/14/13 Report Legend:
-Shared Address
-�' -Deceased
Report processed by: '� -Probable Current Address
DIVERSIFIED ARBITRATION M31987
103 TESORI DR
PALM DESERT,CA 92211
760-779-8688 Main Phone
760-779-8678 Fax
Subject Information: (Best Information for Subject)
Name: ANDREW EVAN BLOEDEL DOB:7/xx/1954
SSN: 5D8-74-xxxx issued In Nebraska between 11111969 and 1213111970
View All SSN Sources
Age:58
Names Associated With Subject: View All Name Variations Sources
ANDREW E BLOEDEL LexID:0002231299M DOB:7/xx/1954
508-74-xxxx issued in Nebraska between 1/1/1969 and 12/31/1970
ANDREW BLOEDEL LexID:000223129968 DOB:7/xx/1954
508.74-xxxx issued in Nebraska between III/1969 and 12/31/1970
ANDREW BLORDRL LexID:000223129968 DOB:7hor/1954
508.74-xxxx issued in Nebraska between 1/1/1969 and 12(31/1970
• ANDREW E BLODEL LexID:000223129968 DOB:7/xx/1954
508.74-xxxx issued in Nebraska between 1/1/1969 and 12/31/1970
ANDREW BLUEDEL LexID:000223129968 DOB:7ha/1954
Comprehensive Report 1
Comprehensive Report
508-74-xxxx issued in Nebraska between 1/1/1969 and 12/31/1970
• ANDREW E BLOEDEL LexID:000223129968 DOB:7/xx/1954
ANDREW E BLOEDEL LBxID:000223129968 DOB:7/xx/1954
508.74-xxxx issued in Nebraska between 1/1/1969 and 1 213 1/1 97 0
Others Associated With Subjects SSN:
(DOU nor ws p/inolraro my Avemnew wdecep�nn)
[None Found]
Comprehensive Report Summary:
Possible Criminal Records:(0)
Sexual Offenses:(0)
Driver's License:(0)
Concealed Weapons Permit:(0)
DEA Controlled Substances:(0)
Professional Licenses:(0)
Bankruptcies:(1)
Liens and Judgments:(3)
17 Collapse All
8 Address Summary: View All Address Variation Sources AZ k
67648 RIO VISTA DR,CATHEDRAL CITY CA 92234-8633,RIVERSIDE COUNTY(Mar 2013-May 2013)
74615 SHADOW HILLS RD,PALM DESERT CA 92260-4527,RIVERSIDE COUNTY(Aug 2010-May 2013)
109 CACHANILLA CT,PALM DESERT CA 92260-3159,RIVERSIDE COUNTY(Jan 2006-Mar 2013)
83455 TODOS SANTOS,COACHELLA CA 92236-6392, RIVERSIDE COUNTY(Apr 2009-Aug 2010)
67565 EL SOMBRERO LN,DESERT HOT SPRINGS CA 92241-7318,RIVERSIDE COUNTY(2007-Apr 2009)
. 74601 SHADOW HILLS RD,PALM DESERT CA 92260.4527,RIVERSIDE COUNTY(Nov 2004-Aug 2006)
74 601 SHADOW HLS,PALM DESERT CA 92260,RIVERSIDE COUNTY(Feb 2005)
77777 COUNTRY CLUB DR APT 188,PALM DESERT CA 92211-6242,RIVERSIDE COUNTY(Jul 2001 -Nov 2004)
77 777 COUNTRY CLUB DR 188,PALM DESERT CA 92211,RIVERSIDE COUNTY(Apr 2003-Jul 2003)
150 W RINCON AVE APT P,CAMPBELL CA 95008-2893,SANTA CLARA COUNTY(Dec 1993-Jul 2003)
5519 HASCALL ST APT 505,OMAHA NE 68106.3758,DOUGLAS COUNTY(Apr 1991 -Jul 2003)
PO BOX 988,EL GRANADA CA 94018-0988,SAN MATEO COUNTY(Apr 1999-Jan 2001)
207 EL GRANADA BLVD#9,EL GRANADA CA 94018,SAN MATEO COUNTY(Dec 1998-Jan 1999)
2537 COCONUT DR,SAN JOSE CA 95148-2043,SANTA CLARA COUNTY(Dec 1985-Sep 1996)
1149 BIRD AVE APT 4,SAN JOSE CA 95125-1733,SANTA CLARA COUNTY(Apr 1995-Jan 1996)
2965 PACIFIC ST,OMAHA NE 68105-2182,DOUGLAS COUNTY(May 1993-Jun 1993)
2625 NICHOLAS CT APT E,OMAHA NE 68131-1688,DOUGLAS COUNTY(Dec 1985-Dec 1990)
6515 S 98TH CT,OMAHA NE 681273256,DOUGLAS COUNTY(Jan 1990)
9703 JEFFERSON PLZ APT 12,OMAHA NE 68127-3270,DOUGLAS COUNTY(Jan 1988)
207 EL GRANADA 9,EL GRANADA CA 94018,SAN MATEO COUNTY
L3 Previous And Non-Verified Address(es): View All Address Variation Sources Za
67648 RIO VISTA DR,CATHEDRAL CITY CA 92234-B633,RIVERSIDE COUNTY(Mar 2013-May 2013)
Name Associated with Address:
ANDREW E BLOEDEL
Current Residents at Address:
CLIFF DEE NEASBY
RYAN STEVEN WHITE
74615 SHADOW HILLS RD,PALM DESERT CA 92260-4527,RIVERSIDE COUNTY(Aug 2010-May 2013)
Name Associated with Address:
ANDREW E BLOEDEL
Current Residents at Address:
ANDREW EVAN BLOEDEL
OSBORNE TT BRAZELTON III
CLIFF DEE NEASBY
OSBORNE T BRAZELTON III
109 CACHANILLA CT,PALM DESERT CA 92260-3159,RIVERSIDE COUNTY(Jan 2006-Mar 2013)
• Name Associated with Address:
ANDREW E BLOEDEL
Current Residents at Address:
ANDREW EVAN BLOEDEL
MEGAN C HAFLEY
Comprehensive Report 2
Comprehensive Report
MICHELLE D LEWIS
SHARON COLLEEN LUKE
• 83455 TODOS SANTOS,COACHELLA CA 9223&6392,RIVERSIDE COUNTY(Apr 2009-Aug 2010)
Name Associated with Address:
ANDREW E BLOEDEL
87565 EL SOMBRERO LN, DESERT HOT SPRINGS CA 92241-7318,RIVERSIDE COUNTY(2007-Apr 2009)
Name Associated with Address:
ANDREW EVAN BLOEDEL
Current Residents at Address:
KEVIN WINFIELD FEAGANS
760-601-6030
74601 SHADOW HILLS RD, PALM DESERT CA 92260-4527,RIVERSIDE COUNTY(Nov 2004-Aug 2006)
Name Associated with Address:
ANDREW E BLOEDEL
Current Residents at Address:
MICHAEL V ROSENTHAL -
MARLYS DIANE SUNDAHL
760-565.7451 -PDT ROSENTHAL MICHAEL
74 601 SHADOW HLS,PALM DESERT CA 92260, RIVERSIDE COUNTY(Feb 2005)
Name Associated with Address:
ANDREW E BLOEDEL
77777 COUNTRY CLUB DR APT 188,PALM DESERT CA 92211-6242,RIVERSIDE COUNTY(Jul 2001 -Nov 2004)
Name Associated with Address:
ANDREW EBLOEDEL
77 777 COUNTRY CLUB DR 188, PALM DESERT CA 92211,RIVERSIDE COUNTY(Apr 20G3-Jul 2003)
Name Associated with Address:
ANDREW EVAN BLOEDEL
150 W RINCON AVE APT P,CAMPBELL CA 95008-2893,SANTA CLARA COUNTY(Dec 1993-Jul 2003)
Name Associated with Address:
ANDREW E BLOEDEL
5519 HASCALL ST APT 505,OMAHA NE 68106-3758,DOUGLAS COUNTY(Apr 1991 -Jul 2003)
Name Associated with Address:
ANDREW E BLOEDEL
Current Residents at Address:
OSAMA M AL
PO BOX 988,EL GRANADA CA 94018-0988,SAN MATEO COUNTY(Apr 1999-Jan 2001)
Name Associated with Address:
ANDREW E BLOEDEL
207 EL GRANADA BLVD#9,EL GRANADA CA 94018,SAN MATEO COUNTY(Dec 1998-Jan 1999)
Name Associated with Address:
ANDREW EBLOEDEL
2537 COCONUT DR,SAN JOSE CA 95148.2043,SANTA CLARA COUNTY(Dec 1985-Sep 1996)
Name Associated with Address:
ANDREW E BLOEDEL
Current Residents at Address:
OLEGARIO SANDOVAL AHUMASA
JOHN ROBERT BEYREIS
ELVIA FERNANDEZ
MELISSA PADILLA
VANESSA HERNANDEZ
1149 BIRD AVE APT 4,SAN JOSE CA 95125-1733,SANTA CLARA COUNTY(Apr 1995-Jan 1996)
Name Associated with Address:
ANDREW E BLOEDEL
Current Residents at Address:
KURT M HUTCHNSON
ANA MABEL GAVIDIA AOUINO
EDUARDO GAVIDIA
KURT D HUTCHISON
2965 PACIFIC ST,OMAHA NE 68105-2182,DOUGLAS COUNTY(May 1993-Jun 1993)
Name Associated with Address:
ANDREW E BLOEDEL
Current Residents at Address:
VICKIE ANN THILL
• VOSIA
402-61
402-614-3014-C CDT THILL VICKIE
2625 NICHOLAS CT APT E,OMAHA NE 68131-1688,DOUGLAS COUNTY(Dec 1985-Dec 1990)
Name Associated with Address:
Comprehensive Report 3
Comprehensive Report
ANDREW E SLOEDEL
Current Residents at Address:
KANDRA L MALLORY
6515 S 98TH CT,OMAHA NE 68127-3256,DOUGLAS COUNTY(Jan 1990)
Name Associated with Address:
ANDREW E BLOEDEL
Current Residents at Address:
CHONGJA JA CHO
NAOHIRO KOIZUMI
NICHOLAS DEAN WELCH
EDWARD J BARTUNEK
9703 JEFFERSON PLZ APT 12,OMAHA NE 68127-3270, DOUGLAS COUNTY(Jan 1988)
Name Associated with Address:
ANDREW E BLOEDEL
207 EL GRANADA 9,EL GRANADA CA 94018,SAN MATEO COUNTY
Name Associated with Address:
ANDREW E BLOEDEL
560-9953
E) Possible Criminal Records:
[None Found]
O Sexual offenses: ak a
[None Found]
B Driver's License Information:,lug
[None Found]
8 Concealed Weapons Permit: �:1.:i
[None Found]
40 DEA Controlled Substances: to
[None Found]
O Professional License(s): is
[None Found]
O Bankruptcies:i E
Documents:View Real-Time Docket
Date Filed:0 4/1 1120 03 Chapter:7 Disposition Date:07/22/2003 Disposition:Discharged
Fling Status:INDIVIDUAL
Case Number:0315548 Court Location:CALIFORNIACENTRAL-RIVERSIDE
Debtor:ANDREW EVAN BLOEDEL
LeAD:000223129968
SSN: 5W-74-xxxx
Debtor Address:77 777 COUNTRY CLUB DR 188,PALM DESERT CA 92211
Assets available for unsecured creditors:No
Debtor is self-represented:No
Liabilities: Assets:
Attorney:CONNIE MARTIN
SSN:
Attorney Address:15760 VENTURA BLVD STE 1100,ENCINO CA 91436-3044
Attorney Phone Number:818-995.4540-PDT
Attorney:CONNIE MARTIN ATT AT LAW
FEIN:
Attorney Address:15760 VENTURA BLVD STE 1100,ENCINO CA 91436-3044
Attorney Phone Number:818-995-4540-PDT
• Trustee:KARL T ANDERSON
LexID:00g057866312
SSN: 573-70-xxxx
Trustee Address:700 E TAHQUITZ CANYON WAY STE H,PALM SPRINGS CA 92262.6765
Comprehensive Report 4
Comprehensive Report
Trustee Phone Number:760-7784889-PDT
• Judge Assigned:
Creditors Meeting Date:05/13/2003
Creditors Meeting Time:11:00
Creditors Meeting Location:$420 TWELFTH ST ROOM 100A RIVSID
Complaints Deadline:
Claims Deadline:
0 Liens and Judgments:36:A
Filing Number: 20100617532
Filing Type: STATE TAX LIEN
Location: RIVERSIDE COUNTY-RECORDER OF DEED
State: CA
Original Filing Date:1 212 3/2 01 0
Amount:$1,044
Debtor Name:ANDREW E BLOEDEL
Debtor LexID:000223129968
Debtor SSN:roa-xx-xxxx
Debtor Address:109 CACHANILLA CT,PALM DESERT CA 92260-3159
Creditor.STATE OF CALIFORNIA
Filing Number: 2001008325
Filing Type: STATE TAX LIEN
Location: SAN MATEO COUNTY COURT(RD)
State: CA
Original Fling Date:1/23/2001
Amount:$1,658
Debtor Name:ANDREW E BLOEDEL
Debtor LexID:000223129968
Debtor SSN:508-74-xxxx
• Debtor Address:PO BOX 988,EL GRANADA CA 94018-0988
Creditor:STATE OF CALIFORNIA
Filing Number: 9219588
FllingType: CIVILJUDGMENT
Location: DOUGLAS COUNTY COURT
State: NE
Original Filing Date:1/22/1993
Amount:$2,939
Debtor Name:ANDREW E BLOEDEL
Debtor LexID:000223129968
Debtor SSN:508-74-)om
Debtor Address:5519 HASCALL ST APT 505,OMAHA NE 68106-3758
Creditor.NEBRASKA FURNITURE MART ING
13 Source information:% i
All Sources 90 Source Document(s)
Bankruptcy Records 1 Source Document(s)
Liens and Judgments 3 Source Document(s)
Person Locator 1 8 Source Document(s)
Phone 1 Source Document(s)
Historical Person Locator 36 Source Document(s)
Person Locator 2 12 Source Document(s)
Utility Locator 2 Source Document(s)
Person Locator 5 27 Source Document(s)
•
Comprehensive Report 5
Desert
AIDS
Project
care :: prevention :: advocacy
March 20, 2013
P.S. Organica
400 E Sunny Dunes Rd.
Palm Springs, CA. 92264
Dear Friends,
Thank you for your generous gift to Desert AIDS Project. With so many worthwhile causes,
we are grateful that you feel the important work that we do deserves your support.
Whether your donation goes to provide primary medical or dental care; substance abuse or
mental health counseling; home health care, free and confidential HIV testing or any of the
many other services Desert AIDS Project offers,you can be sure your gift is being used
wisely.
We couldn't do what we do without the support and generosity of those like yoti, who
. understand that the most effective way to deal with.a global problem like HIV/AIDS is by
acting locally within one's own community.
Again, please accept our thanks on behalf of those people living with HIV/AIDS whom
Desert AIDS Project serves. Your support makes a difference.
Sincerely,
Darrell L. Tucci
Chief Development Officer
5 Boxes of Canned Goods for Food Depot
In accordance with IRS regulations, goods or services have been provided in connection with this grft only it noted
above.
Fed. Tax 10#33-00 BM
t
1695 North Sunrise Way P.O.Box 2a90 Palm Springs,CA 92263-2890
Telephone(760)323-2118 Fax(760)323-1299
www.desertaidsproject.org
C V RM
Coachella Valley
Rescue Mission
Mailing Physical New Life
Address Address Thrift Store
PO Box 10660 47470 Van Buren 1398 6th Street
Indio, California Indio, California Coachella, California
92202 92201 92236
(760) 347-3512
Name: (-� C O1 C// C%(
Address: ��
City/State/Zip:
Telephone:
We extend to you our thanks for your generous donation.
This is your receipt for tax purpose. (Tax ID#95-2684844)
No goods or services were provided in exchange for this gift.
This Mission is not allowed to set a deductive amount on your donation or gift.
And do not forget to do good and share with others,
for with such sacrifice, God is p6wed" 7fe6rews 13:16
I t�Donation Description:
� a rJ0.Q5 OT CQnYlec� ar00&S
Date Al
Received by
/
e
• Jewish Family Service of San Diego
Turk Family Center•8804 Balboa Avenue
San Diego,CA92123-1506 N° 7690
Jewish Family Service (8%637-3000•www.jfssd.org
......�.m.m.u...n.q Fed ID 95-1644024 2
Date: a- 13 J
Please Print: c
Name: J l�1' Ck
Address: Li CSC CEO �y ra—�'
City- 'p" n �+" t�S State:CA, Zip Code:
We are in receipt of your donation of the following:
Description
II
f,30 "— 2r t 5 12
o35,
Keep This Receipt for Your Tax Records
Donor Signature:
Representative Signa r — -
55 does not determine a dollar value on your gift.That is the privilege and responsibility of the donor.
Our drivers or helpers may not solicit or accept cash donations for services rendered.
Thank You for Supporting Jewish Family Service
One Source for a Llfetlme of Help
Customer Copy-White•JFS Office Copy-Yellow•File Copy-Pink
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66
LeBri l Inland Empire Pride, Inc.
Inland Empire Pride is a proud member of CAPI(Consolidated Association of Pride,Inc)and IaterPride(International Pride Organizers)
16 May 201.3
PS Organics
400 East Sunny Dunes Road
Palm Springs,CA 92264
Dear Andrew,
It was such a pleasure talking with you at PS Organics the other day! Words cannot begin to express the
gratitude that we have for your generous food donations to the Perpetual Pantry for People & Pets at
Inland Empire Pride, Inc and The Center Inland Empire.
Each year, Inland Empire Pride and The Center continue to make a difference in the lives of people
affected by Bullying, discrimination, gay bashing, suicide and Bullicide (suicide as a direct result of
hope Bullying). Each and every person affected by these oppressive actions has reason for because of
Volunteers making a difference eve day.
you and great businesses like yours,and through o g every Y
Faced with daily challenges, the crisis deepens critically when unmanageable hunger obstacles are not
addressed and overcome. Every can of food,every bag of nourishment that your organization provided to
The Center's Pantry, assists us with overcoming potentially life threatening circumstances. Our local
community has already felt the effects of your generosity.
On May 7,2013, PS Organics has generously provided the following food Items.
Over 1,500 cans of non-perishable food items; 21 jars of peanut butter, 18 bags of rice; 13 packages of
spaghetti noodles, 6 bags of assorted beans, 5 bags/boxes of assorted pasta; 3 boxes of corn muffin
mix; 3 boxes of mac & cheese, 30 individual noodle meals, 2 bags of brown sugar, 14 boxes of misc.
food items,60 spiced cider beverages, 9 cans of,cat food.
We look forward to your continued efforts towards keeping the LGBT Community mental health and
nutritional needs being a foremost concern. Thank you again, you have truly made a difference! Please
let us know If we can help your organization with your future needs.
ADIrector
pare Pride
"The Pride of Route 66°
(909)7543643
(858)733.4627-cell
d!rector@leoride.ora:
www.leDride.org
Inland Empire Pride,Inc. (CA Non-Profit C3471035) The Center Inland Empire
www.ia dde.om info@iepn&e.org info(althecenterie.M www.thecenterie.or¢
1374 N. Waterman Avenue, San Bernardino CA 92404
(9091754-3643
"A Collective That Cares"
At PS Organics we consider �,�,�e;.�a s+:= ,a,. ,,�; �o� what a collective
should be. From the quality of our meds to our dedicated service, we
truly strive to be the best at what we do. To us details definitely matter,
which is reflected from the moment you walk in our door. Our
thoughtfully selected decor, comfortably furnished waiting room, and
complimentary snacks we offer, at PS Organics we put our patients'
comfort first. We make a point to always treat our patients with warm
welcoming respect from the moment they enter our door. As volunteers
here at PS Organics we're here to assist in our patients' medicinal needs,
so the quality of Yheir lives can be increased. Our goal is to supply
compassion and support to those in need a!I while embracing their wish
to treat themselves with a natural alternative. Here at PS Organics we
provide a safe, comfortable environment, off of the streets where our
patients can obtain their medicine from a trusted source. There is no
greater reward than that which you obtain from assisting those in need.
Our only wish IC tr+ hP able to proVldP that much neeclecl hP_!o to our
(OperatedCorporation)
Discount • • • Programs
PS Organica has specially designed . ..
community, such as discount programs for veterans and seniors, and support groups that lend
on-going guidance to those in need. If you have any questions regarding our programs or their
facilitators, feel free . contact us at any time All programsOrganica
• Senior Outreach
Care Package Program
Senior and Veteran Discount
Food Bank
Grow Your Own Medicine
Care Package Program
We provide weekly care packages to patients unable to afford their medicine. To qualify for the
care package program, you need to bring in proof of your financial situation, such as copy of
your SSI letter or some other official documentation of your current income level.
Senior and Veteran Discount
We provide a discount to all seniors and veterans. Just show the proper identification at
checkout or when you create your online account.
Veterans Support Group:
• Veterans are encouraged to visit our onsite VA Representative weekly
for advice or assistance in obtaining benefits.
• Or have tried self-help, but need something different.
• Transitioning from a military lifestyle into civilian life and finding it
difficult.
• You are interested in improving your stress management and coping
skills, but you don't know how to begin.
• Transition assistance
• Networking
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IS ASSUMED FOR THE ACCURACY OF THE DATA SHOWN.ASSESSOR'S PARCEL I
MAY NOT COMPLY WITH LOCAL LOT-SPLIT OR BUILDING SITE ORDINANCES. CITY OF PALM SPRINGS `
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SYMBOL DESCRIPTION
SECURITY CAMERA
Lobby SECURITY LIGHT
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Dispensary
Q Q
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FLOOR PLANA=2
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