HomeMy WebLinkAbout9/3/2014 - STAFF REPORTS - 7 • Jade Organics Corporation
Business Plan
Board of Directors
Edward J. Dietrich
2034 Chia Road
• Palm Springs, Cal. 92262
(760) 219-8000
Eduardo Rivera
752 N. Felices Circle E.#M-205
Palm Springs, Cal. 92262
(808) 276-4703
(808) 873-6555
hideawaymaui@gmail.com
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I. Table of Contents
Page
1. Table of Contents 2
Il. Executive Summary 3-4
III. General Company Description 5-7
IV. Products and Services 8-9
V. Location 10
VI. Marketing Plan 11-13
VII. Operational Plan 14-15
Vlll. Management and Organization 16-18
IX. Personal Financial Statement 19
a.Biography,State J.D.and Utility Bill proof of residency
X. Startup Projections 20
a.Three Year Projections,Start Up,Grow Financial...
XI. Membership Application 21
&Board of Directors Medical Recommendations
XII. Entire Business Checklist(Dispensary&Grow) 22-33
XIl1. Membership Agreement 34-37
Site Plan with Cameras,Lights, Building Sq.Ft.... 38
. Notarized Landlords Statement&Lease Agreement 39
Articles of Incorporation &Minutes of Board of Directors
State of Calif. "Corporate Name"Document 40
Seller's Permit 41
Notarized Complete Application for MCCC 42-55
Including Declaration of Truth, City Manager Authorization Release and
Compliance of Provisions
Operations CovenantlIndemnify the City 56
Appendix 1:
Privacy Waiver,Membership Application,Voluntary Cultivation
Program,Corporate Membership Agreement&Screening Contract,
Simple Appendix:Disposal,Health,Safety,Training,Compliance,
OSHA regulations,Above Standards for Cleanliness Program.
Appendix 2:
All proper bookkeeping programs will be implemented,and
regulated by our CPA firm.Hard Copy File System will always be available,Computer
System will be used,and backed up daily,regulation True Inventories,Sales,and Par
Levels.Policies&Procedures,Inventory Control,Par Sheets are drawn up and will be
implemented as soon as we start the business.
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• II. Executive Summary
A hallmark of Palm Springs is its ability to be at the beginning of changes that
improve the quality of life for its residents,both young and old. Our city is a center
for physical and spiritual healing and has been for decades. We propose Jade
Organics Corporation to continue that with a medical marijuana dispensary catering
to aging residents who need a safe place to get prescribed medication and other
citizens who need medical marijuana to ease their pain from physical ailments such
as injuries, arthritis, back problems, terminal illnesses and to promote wellness in
other areas conventional medications fail.
Gone are the days of marijuana procurement through illegal dealers and
smugglers where getting your medical needs met is dangerous and expensive. We
aim to meet the needs of our seniors, in particular those who need assistance close
to home in a safe,well-lit area. Remember,baby boomers are retiring and our aging
population is growing by leaps and bounds. This trend will continue for years, our
proposed location is a brightly lit, storefront facility on a major street just a few
blocks from the center of town.
Alternative medicines play a large part in giving relief to people who would
otherwise suffer. Palm Springs must close the gap to provide assistance to this
group that's aging, frail and vulnerable, afraid to seek assistance in areas that are
unsafe. just like the Desert Aids Project was created to fulfill the needs of a specific
population,our group will do the same.
Besides having the medical benefits and providing a safe, sanitary
environment, our facility will provide a significant contribution to Palm Springs tax
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• revenues. We are proposing that the City of Palm Springs allocate the fourth
Medical Marijuana Dispensary to us. We have plans for the facility's layout, policies
and procedures, staffing requirements, and educational services available for your
review. Note that no plants will be grown at the dispensary. If we do have one
plant, it will be for one of our educational sessions.
Let us continue the Palm Springs legacy of providing a healing environment for all
her residents.
We will comply
p y with any and all requirements as listed in the City of Palm Springs
Ordinance 1845: Regulations for the operating of Medical Marijuana Dispensaries.
M
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III. General Company Description
We will be entering into the Medical Marijuana Dispensing business within the City
limits of Palm Springs,California.We will create an accessible sanitary dispensary to
service the needs of our members and/or their primary caregivers with a quality,
yet affordable product, in a safe and accessible Palm Springs location.
Mission Statement:
"GIVE"
Getting Involved Vigorously Everyday
We will provide a convenient,centrally located medicinal dispensary to all Palm
Springs qualified patients by offering the highest strains of medical marijuana for
their medicinal use,while being supportive, inclusive and creative in this
revolutionary approach to healing,wellness and improvement of quality of life.
Company Goals&Objectives:
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How Dreams Begin,and Grow
O'DAM aspires to become a trendsetting,innovative,community minded
organization that not only services its members with their medicinal needs,but will
. seek to enhance learning as a vital part of our Collectives future and growth.
Teachings/Meetings/Sharing/Learning
By enhancing the knowledge,and the experience of others,and sharing this
knowledge and experience with members of our collective,we will work together to
achieve better-informed solutions that are new to our medicinal industry.We will
seek teachers/professors, doctors,and all other experienced individuals to speak at
our planned meetings,so that we all,within our collective,are better informed
about our medicinal choices.
CookingJCreating/Sharing
By creating a concept of cooking with our medicinal marijuana,we will be able to
better treat certain members who prefer to ingest their respective medication,
rather than smoke it Creating classes that teach a variety of ways to include
medication to your everyday meals,while adding creativity,can be a fantastic
method to service our members.Teaching our membership this particular concept
of treatment may become more affordable,more diversified and definitely better
tasting.
Professional Chefs,like myself,will teach these concepts.Chefs that can also assist in
creating menu ideas that may targeta cause of the ailments,including recipes for
Gluten-Free, lactose Intolerance...and more allergic patients that are springing up
everyday.
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Participation
We will aspire to get everyone involved,within our collective.We will share
knowledge about the products we will be growing for their medicinal needs,in hope
that everyone gets involved. By experiencing the actual start growth of the
medicines that are improving our quality of life, is a healing in it self. Seeing the
plant through a full circle of life,allows us to put certain things in prospective.
Planned Activities for Members
Year-round planning within our membership will allow us to create activities that
may involve other family members,and allow us to share who we are,and what we
aspire to be..."A Family"
Christmas is a time of giving,gathering of family, sharing,spending time together
with those we love and cherish.We aspire to create activities for these special
occasions. (Christmas tree donations to members&their families,Christmas Gifts
to member's children,hosting a Christmas Dinner event...)
Other Holidays will also be considered throughout the year.Valentine's Day,Easter,
Mother's Day, Father's Day,Veteran's Day... Picnics,Pancake Breakfast outings,
Luncheons, Dinners, surprise birthday recognitions...are just a few ways that this
program might be able to develop.
Sometimes 'Giying"is a great medicine...
We might think to consider giving to the community by creating a"Soup Kitchen"
concept to feed the needy,the homeless and other community residents that just
might need a free hot meal.We don't know what is currently needed in our
• community,but we will seek to be better informed,and in so doing,we will become
engaged with these needs.By getting our membership involved in these activities,
we will learn to feel better about ourselves and better appreciate our individual
situations,while addressing the hardships of others less fortunate.
What is important to us as we enter into this new stage in our lives is:
1. We enter this business with a clear mind,good intentions,minimal
expectations,and willingness to serve.We are willing to adapt to what
may become a wonderful and fulfilling life.
2. We have reasonable and attainable goals.We see a need and have the
ability to fill that need.
3. We see the business side potential of this venture, because of our aging
population,the high pricing of traditional medications prescribes by
doctors and the uncertainty of the medications being prescribed by these
doctors.The acceptance of alternative medicine throughout the country,
and the support from people of influence that are now spearheading
reform in support of this type of alternative medicine,leads us to believe
that we are in a business that is in it's infancy stage of development,and
should become very successful, if done correctly,and for the right reason.
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• We bring our diversified lives and business experiences to solidify and strengthen
this new company.
1. As a financial advisor, I will be able to oversee the financials, and
forecast trends that may impact our industry.
2. As a restaurateur,we are able to service the needs of our membership,
while catering to their special needs.
3. As a Barber/Stylist,we are knowledgeable in the sanitary expectations
that are demanded within the State of California,and will implement a
plan to achieve even higher cleanliness expectations.
4. As aged businessmen, we bring experience to the table. Many types of
experiences, some personal, others gained by the experience of
others,but ...
In every phase of our professional lives, people, friends and family have always
found the ability to trust who we are, and what we do. They have been able to trust
us with their money; they have been able to trust us with the food and beverages we
provided for their consumption. They even trusted us when we put scissors to their
hair during a haircut,and razors to their cheeks during a shave.
People Trust Us.
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IV. Products and Services
As a progressive Service to our project, O'DAM is committed to producing
educational materials for patients and their families, medical staff and our Palm
Springs citizenry. Due to the stigma that continues to follow the use of medical
marijuana, it is imperative that we, at O'DAM, maintain a vigilant effort in staying
abreast of current events as it pertains to this subject. To better accomplish this
effort, O'DAM will seek to join any, and all, organizations spearheading the support
of medicinal marijuana, it's educational developments and ideas.And if there are no
such local entities leading in this direction, O'DAM pledges to create such entities so
that we can better educate those we have made a commitment to serve.
As a starting point towards this effort, O'DAM will implement these following
initiatives
1. Patient Counseling - medical and patient specialists will be sought,
contracted and brought in to aid patients, should counseling be
needed.
2. Patient Education - we will do it in person, by digital and/or through
Internet access to gain educational material that can be used.
3. Medical Staff Education - materials for medical staff, highlighting
product familiarization and application to patient conditions will be
made available.
4. Employee Education - team member training, product familiarization,
process and certification will be done frequently.
S. Digital Video Training Material - automated Internet video content,
data and rich content material will be made available for self-paced
study.
Cannabidiol is one of at least 60 active cannabinoids identified in cannabis,which
are the basis for medical and scientific use of cannabis.
Indica medicinal strains are sedatives/relaxants and are effective for treating the
symptoms of medical conditions such as anxiety, chronic pain, insomnia, muscle
spasms and tremors. Indica has a higher level of cannabinoids than Sativa, which
results in a sedated body-type high. Because Indica strains may cause feelings of
sleepiness and heaviness, many patients prefer to medicate with this type of
cannabis at night,or when they will not be driving a motor vehicle.
Sativa medicinal strains are more of a stimulant, and are effective in appetite
stimulation, relieving depression, migraines, chronic pain and nausea. Sativa has a
higher level of THC than Indica,which results in a psychoactive and energetic mind-_
high. Because sativa medicinal strains may cause feelings of alertness and optimism,
many patients prefer to medicate with this type of cannabis during the day.
Hybrids medicinal strains and crossbreeds of Indica and Sativa produce varieties
that carry some characteristics of each parent. For example, adding Sativa to Indica
medicinal strains adds mental clarity and decreases sedation effects. And adding
• Indica to Sativa strains can decrease or even eliminate the sativa tendency to
stimulate anxiety
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Tetrahydrocannabinol UHQ is the primary compound responsible for the
psychoactive effects of cannabis. The compound is a mild analgesic, and cellular
research has shown the compound has antioxidant activity.
Cannabidiol(CBD is a major constituent of medical cannabis. CBD represents up to
40% of the extracts of the medical cannabis plant Cannabidiol has been shown to
relieve convulsions, inflammation, anxiety, cough, congestion, nausea,and inhibit
cancer cell growth. Recent studies have shown Cannabidiol to be as effective as
atypical antipsychotics in treating schizophrenia. Because Cannabidiol relieves the
aforementioned symptoms, cannabis medicinal strains with a high amount of CBD
may benefit people with Multiple Sclerosis (MS), Anxiety attacks and Tourette's
syndrome.
Edibles and the Ingredients
1. Chocolate Chip Cookie — Butter, White Sugar, Brown Sugar,
Vanilla, Eggs, Flour, Salt, Baking Soda &lots of Chocolate Chips
2. Banana Bread Slice — Raw sugar, Olive Oil, Eggs, Bananas,
Raisins, Chopped Nuts, Flour, Baking Soda and Salt
3. Pralines — Granulated Sugar, Brown Sugar, Evaporated Milk,
Butter, Vanilla Extract and Pecans
4. Buckeyes ^- Smucker's@ Creamy Natural Peanut Butter,
Butter, Vanilla Extract, Salt, Chocolate Chips, Crisco Shortening
and Powdered Sugar
S. Prune Mui — Pitted Prunes, Pitted Apricots, Brown Sugar, Ling
Hing Mui Powder, Hawaiian Sea Salt, Chinese 5 Spice, Star of
Anise, Ginger, Lemon Juice and Lemon Peel
6. Coconut Crisp — Coconut, Corn Syrup, Butter, Salt, Sugar,
Vanilla Extract and Water
7. Almond Torte — Almonds, Almond Extract, Vanilla Extract,
Butter, Sugar, Flour& Salt
8. Lemon Bar — Flour, Confectioners Sugar, Butter, Sugar, Eggs,
Lemon Juice, Lemon Zest
Other recipes will be created to fill the popular demand of edibles
currently being sold. Edibles prepared, who knows where?
Blueberry Bliss Bar, Brownies, Watermelon Tarts, Tootsie Rolls,
Flavored Sour Candy, Cheeba Chews and more.
We seek to create and cook our own edibles because we need to be
certain that everything being sold under our roof, with our BRAND, is a
quality freshly prepared food product that we can stand behind. A
• product where we know the ingredients, and know its freshness. It's
still medicine.
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• V. Location
We have opted for a North Palm Springs location for a variety of reasons.
1. Strategically located to service the medicinal needs of the North Palm
Springs citizenry patients currently not being serviced.
2. Conveniently opened in a main Palm Springs artery, in plain view, so that
our elderly patients can have a sense of security and confidence when
driving up to fill their medicinal needs. No elderly or sickly patient should
ever have to put his, or her,well being in jeopardy,just because they need
their medicine.
3. Public transportation accessibility. Not only will we be able to service
everyone without transportation,but also will we be able to service those
that are physically challenged. The SunLine Transit Agency is wheelchair
and bicycle accessible, and maintains a schedule that is compatible with the
hours of operation set by Palm Springs, for medicinal marijuana legal
dispensaries.SunLine Transit Agency are directly across the street from our
location, and 'Line 111" heads Eastbound and Westbound from our
location, and is the line that best covers the entire Palm Springs community.
4. The fourth reason we have selected this space, is because of the design of
the building (It has the old Palm Springs look and feel), the affordability
of the lease agreement, the inclusion of amenities and the potential for
expansion,when needed.
Because it is important for us to bring affordable medicinal options to the Palm
Springs Citizenry,we have secured a secondary site. Unfortunately, this site is right
in line with the other dispensaries, in that it is located in an industrial area. An area
we were hoping our patients would not have to deal with.
This site is located on Williams Road,in Palm Springs.
It is relatively new, spacious and has a built out commercial kitchen.
I was going to acquire this site as a grow property. I also want this site do my
cooking of edibles.
I am still of the idea of servicing the North End of Palm Springs, because I feel it is
the right thing to do.
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• VI. Marketing Plan
To attain our main objective in marketing, we will create "BRAND" recognition. We
will focus on creating a "BRAND" that exemplifies Convenience, Location, Safety,
Quality, Cleanliness, Diversity and Affordability. This Branding/Advertisement
program will be done legally as permitted by the Palm Springs Governing body and
the State of California.
On-line Social Media
Facebook
By creating a Facebook page that exemplifies who we are, what we are attempting
to do, and continually blogging with information and creative ideas, we can easily
become visible within the coconut wireless system called the Internet People share
opportunities and information with friends, family and in our case, other quality-
minded patients seeking diversified methods of treatment
YouTube
By creating YouTube videos of cooking methods, extracting oils or just sharing ideas
as to how to better grow a particular strain of medicinal marijuana, can also help to
influence others to join us.
Weedmans
Weedmaps is an Internet community where medical marijuana patients connect
with other patients in their geographic region,to freely discuss and review local
cannabis co-operatives,dispensaries,medical doctors and other services.
• Dispensaries, Patients and Doctors can list their services on Weedmaps,for free.
Twitter
Create a following on twitter by offering good input,Interact with others in our field.
Linkedin
Although Linkedin is primarily used as a business employment system, many of us
professionals interact with other professionals using this format. By creating an
interesting thread on Linkedin,we might be able to attain a doctor/scientist in need
of employment and willing to venture into our field of business. These individuals,
professionals in their respective fields, can easily become involved in creating
something we can all benefit from. And if we fail to open these doors to some of
these individuals,we may be depriving ourselves of the knowledge and opportunity
that can take us to the next level. Remember, we are all new to this field, and we
don't know who will be creating the next best thing.
Flickr
Sharing photos of quality strains available. Creating a visual menu of eatables
created exclusively by our chef can also help to create a BUZZ
Local Print
We would love to create a local print campaign within the Coachella Valley, but will
not do anything that the City of Palm Springs frowns upon. But if it were legal and
possible, I would create a Contest, Discounts and Giveaway concept for those less
fortunate that still need medicinal alternatives, but could not afford to pay the
posted prices.
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. Email Program
We will create a daily email update on inventory injections, Daily Specials, Volume
purchases and an invitation to have us fill your medicinal needs. Using this program,
we will also create a "Frequent Patient Program". This allows our patients a
financial reward to be used for product purchases (a Discount). Can also be called
"O'DAM Loyalty Program".
Pinterest
1. Pinterest is a visual discovery tool that people use to collect ideas for their different
projects and interests.
2. People create and share collections (called "boards') of visual bookmarks (called
"Pins") that they use to do things like plan trips and projects, organize events or
save articles and recipes.
Whatsapp
WhatsApp is a messaging application that takes advantage of data plan on
smartphones to provide a practically free alternative to texting.The service allows
users swap text,pictures and audio clips,as well as set up group chat
Competitive Disadvantage
Our competitive disadvantage is in getting this fourth medicinal dispensary license.
• Having canvassed the entire Palm Springs community for space to build this new
venture,I was able to find many buildings that were suitable. Of course,none were
available for lease,because current lessors of these properties are still using the
property to do this business,illegally. I am certain that many of the other groups
seeking this fourth license,are these people.And if they are rewarded for breaking
the law,what will that say to all the other businesses in our community that have
always played by the rules,and followed the law.
I welcome the competition,because when we all are playing in a level field,the
ultimate benefactor in competitive business world is the consumer. In this case the
consumer is the patient Prices become more affordable,product becomes better
quality,service is improved and even the atmosphere of each business is upgraded
to better attract and retain their membership base.
I see no weakness that puts our team in a disadvantage.As I am attaining
knowledge of the products we will be involved with,and creating recipes for the
specialty edibles I will be preparing,I see us as a motivated group, creating
something for the right reasons.A vibrant breath of fresh air,sort of speak.The new
kid in the block trying to set the bar so high,others will have to catch up,to stay
competitive.Who wins when we all become more competitive and creative?
I say we all win.But certainly the patients',who need the medication,WIN.
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• Budgets
Our budgets will become the next main focus to this business plan.
Accurate budget allocations need to be addressed once we acquire the license.
Budgets for:
1. Contractual Obligations for the property
2. Built out of dispensary,as needed,on this property
3. Security for the interior and exterior of the property, including a
surveillance camera system,an Office Safe,Secured Storage for Inventory
4. Contracts for the Alarm Company
5. Furnishings needed for displays, lobby, offices...including an Audio/Visual
System that can serve as a visual security system within the site and can
also be used as a teaching/learning tool for everyone involved
6. CPA. Contract a reputable accounting company to maintain the books, as
they will be made available upon request by the City of Palm Springs
7. Advertising, Promotions,Print Material,Office Supplies...
8. Supplies: Packaging, labeling, scales, Computer System (POS), Filing
Cabinets, Lights, Grow Tables, Air-conditioners, Fans (Trade Needs for
Growth)
Performance Analysis
We will do performance analysis early and often when we first get started. We will
maintain supply records, sales records, run on ongoing inventory format to keep
• track of the inventory/versus sales.This will become a closing Daily Procedure.
We will do Actual Monthly Sales, and view them against our projected sales, and
make adjustments as needed. Inventory Adjustments,Scheduling Adjustments.
Do a complete self-evaluation of things that worked, what didn't and how to
improve and continue to grow.
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VII. Operational Plan
Our daily operations will begin with a clear,well-defined description of duties,responsibilities and
assigned tasks that need to be accomplished before,during and at the end of each person's assigned
shift
1. A Bud-tender is the face of the Medical Marijuana Industry,receiving more"One
On One"face time with Patients than a recommending physician.Bud-tenders assist
Medical Marijuana Patients to find the best Cannabinoid Therapy for their ailments.
Next to Medical Marijuana Growers,Bud-tenders have the most working knowledge
of plant genetics as they have to know the Cannabinoid structure of the medicine
and how it best serves the patient to be able to exceed at their job.Continual
updates on new strains keeps these ambassadors of our industry knowledgeable
and sharp.
2. A Front Desk Receptionist in the Medical Marijuana Industry is the front line to the
public.In addition to fielding incoming calls and relaying messages,the a
Receptionist in the Cannabis Industry must be prepared for anything from law
enforcement to maintaining the business integrity in the public eye.The
Receptionist provides information to callers and patients about the business outside
of normal inquiries regarding patient processing and must maintain their
professionalism and pleasant demeanor at all times
3. Our Inventory Clerk is in charge of keeping track of all of the products moving in
and out of the Dispensary.Our Inventory Clerk will work directly with Management
Buyers,taking the product from weigh in at time of purchase,to shelf ready for
distribution.When inventory is running low,the Inventory Clerk lets our
Management Buyer know,so the business has a consistent supply available to meet
the needs of their Patient client base.Our Inventory Clerk breaks down the
• wholesale product into individual retail sizes,and applies procedural codes for
tracking inventory.
4. Client Intake and Data Entry Clerk process paperwork for the dispensary's new
Medical Marijuana Patient Our Client Intake Clerk will conduct initial interviews
with Patients,create physical and/or electronic files for tracking Patient
relationship and verify the patient's Medical Marijuana Recommendation is valid
and current with the Medical office that made the recommendation.Working with
the General Operations Manager as part of the businesses front-end management
team,Client Intake and Data Entry Clerks ensure all new patients are processed into
the business accurately and patients are educated on dispensary/patient
relationship policies and procedures.Tracking and renewal tracking and
verification may also fall under the duties of a Dispensary's Client Intake/Clerk,as
well as individual patient file management
5. Dispensary General Operations Manager will interface with our collective's membership,
staff,owners,suppliers,landlord,law enforcement,compliance officers,inventory and
quality to control clerks to ensure the transactional fluidity of the Dispensary as a whole.
It is the responsibility of the Operations Manager to ensure the entire office is working
within compliance of the City of Palm Springs set policies and State of California
guidance laws.Working with owners and the accounting department of the business,the
Operations Manager establishes,maintains and enforces office policy and procedure so
product is tracked from plant to end user market and all transactions are accurately
documented.
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• 6. The Dispensary will be secured using a variety of systems.These security measures
include:physical,photographic,administrative and accounting.First,the physical.
Access to the facility will require passing through a door leading into the facility.This
entrance will be opened at the beginning of every new day,and secured closed,once the
staff scheduled is on property.All bags and carry outs will be subject to inspection by
the acting manager.Second,the Photographic System will be a digital surveillance
outside the facili .It will incorporate the use of
infra
system
that is install
ed inside and outs tY
infrared security cameras with digital video recorders.This type of system is advanced
and allows for the monitoring of everyone;employees,patients and undesirables with a
recording of all actions that are taking place in the dispensary before,during and after
business hours.Also,because this system is recordable,it will allow our Alarm/Security
company access to the records on file.These same records have to be made available to
the City Manager upon request Third,an administrative surveillance system in secured
"Authorized Personnel Only"rooms will allow for better control and a better in-house
security plan.This will allow us to better secure the product back up,product overnight
storage when closing. it will also allow for a back of the house safe room.Fourth,
Accounting.All products will be scaled when they first arrive on site,and a system will
be put in place to deduct the amounts dispensed from the grand total.This equates to a
checks and balance system that everyone on site will be responsible to follow.
7. Food Preparation for O'DAM will begin with a Registered Certified Commercial Kitchen,
licensed by a city to be named at a later date,and the State of California.This will instill
that that the kitchen is processing food products safely and consistently.All recipes will
be formulated on a weight basis,to ensure batch-to-batch consistency,this is
particularly important when considering volume of medical marijuana being added to
recipe.laboratory services will be secured to provide gas chromatography to determine
potency of different strains,in every recipe.This will allow O'DAM the ability to
• determine the amounts,by weight,in order to sufficiently meet the needs of our
collective.labeling will be critical to regulate activity of edible product Each product
label will contain warnings that state"This Is Medicine".It will also read,"Keep Away
From Children".In addition,we will; a.Name the Product,b.Weigh the product,C.List
ingredients,d.Date the product and include suggestions as to what dosages are
recommended when using edible products.
8. Quality Control:Quality Control and Safety include maintaining the integrity of the
medical marijuana plants in order to provide the highest quality of medicinal use for the
patients.Plants will be harvested in the Cultivation Facility which will be well sanitized
and maintained by employees who will be required to follow specific personal hygiene
protocols that include wearing:hair net,protective gloves and other equipment
consistent with appropriate laboratory attire.Medical Marijuana plant health will be
consistently monitored and evaluated.Specifically,plants will be analyzed for
macronutrients,trace levels of pesticides,presence of pests and molds.Measures will be
put in place t o address any situation,and steps will be taken to eliminate any
contaminants.As such,we will establish a Plant Registry,which will include a unique
common name for each strain of medicinal marijuana we cultivate.Additionally,we will
provide a variety of strains of medical marijuana plants.With each product purchased,
the patient will be able to ask information with regards to the medicinal marijuana being
prescribed.The plants common name,it's batch number,the date it was cultivated,the
results of any tests relative to the concentration of the active ingredients,such as THC,
CBD and CBN
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• V. Management and Organization
Management Summary
1. Our Management Team comprises of people with compassion, years of business
experience, and the willingness to share this experience in creating something
meaningful within our community. Our philosophy is simple, "The patient comes first".
We will start with just two directors,and one well versed individual that has served in
our military for over 25 years.We will grow to a Five"Board of Directors'concept,soon
after the license is issued on our behalf.
2. Having a seasoned financial consultant on board will guide our grouping through a
conservative structuring of the business. Initial expenses can become the downfall of
any new business,but with proper financial guidance and a structured plan of attack,we
will be successful. Having people on board that have many years of "Hands On
Experience",willing to do much of the work themselves,the future looks bright for our
collective and it's membership.
3. Having a member on the Board that has specialized in Service throughout his entire
professional career will solidify what we consider the core philosophy of this endeavor.
"The patient comes first". These individuals we are here to serve, are members of our
community that have themselves, served. It is our time to serve those, which have
served before us!It's Time!
4. Having experience in opening new businesses throughout our respective lives,we bring
the attitude of"Positive Thinking",and"Failure Is Not An Option!"to this endeavor.Even
during a tough economic period,WE DID NOT FAIL! Being on an island after the attacks
of 9/11,with no tourism coming to support the Hawaiian Islands (where we own and
operate a full service restaurant business), WE DID NOT FAIL! We were able to see
things through,by having"Hands On"responsibilities on all duties.We worked!
Edward J.Dietrich is a 28 year resident of Palm Springs. He has over 34 years experience in financial
services,business management,hospital management,education,counseling and not-for-profit
operations. Fourteen of those years have been in the field of health care: in counseling,management
and administration. He has spent 22 years in financial services,planning and business consulting. 18
years were spent in pastoral and campus ministry. Many of these opportunities overlapped during
my active career.
Edward J.Dietrich has a Bachelor Degree in Philosophy,English and History from St Charles College,
John Carroll University in Cleveland;a Masters in Divinity with an emphasis in pastoral counseling
from St Mary Graduate School in Cleveland;with additional graduate work in Eastern Thought at
John Carroll University. He has completed doctoral work in Psychology from the institute for
Advanced Study of Human Sexual Behavior in San Francisco. He has served on the faculty of the
University of New Mexico School of Medicine for five years and has done additional postgraduate
work in medical ethics at St John University in Queens,New York He is currently a Financial Advisor
and Registered Representative with MML Investors of Springfield,Massachusetts(Retired).
Volunteer activities include:
Desert AIDS Project, 10-year board member,Palm Springs Human Rights Commission,6-year
member,Police Chiefs Advisory Board,3-year member,Palm Springs Economic Development
Department Volunteer American Cancer Society,board member,fund raising committee,
Sunrise/Vista Chino Neighborhood Coalition,Sagewood Homeowners Association,President for 17
years,Member of the Board of Trustees,Idyllwild Arts Foundation for 2 years.
•
16
• Eduardo Hdez.Rivera was once a resident of the La Quinta community,working in La Quinta,Ranch
Mirage and Palm Springs.After leaving the desert to pursue a career opportunity,he once again has
returned to attain his newfound love,To Serve!During his early years in the desert he was fortunate
to service a wonderful array of people.Some were very famous,some were world leaders,many
were the wealth of the nation,but all were great people that influenced his life.These people of
influence had an impact in his decision-making ability then,were influential when he made the
decision to chase his dream,and their remembrance,is now fueling his new passion to return to the
desert Life has taken him across the globe,and his experiences are many,because of his diversity in
varied professions.He has been successful as a restaurateur,a musician,a master barber/stylist and
an hotelier,and has been very fortunate to be contracted to work by many special entities.
Entities,like Disneyland,the Mexican National Touristic Council and Antonio De Marco Productions,
just to name a few.
Mr.Antonio De Marco was a musical agent that opened doors in the Los Angeles area that led to
many wonderful experiences.Mr.De Marco introduced our music to such people like President
Ronald Reagan,Governor Pat Brown,Mayor Sam Yorty,Mayor Tom Bradley,Governor Jerry Brown,
Mr.John Wayne and Mr.Ricardo Montalban,which we accompanied in a performance at the
Hollywood Bowl,and many other influential people in the entertainment industry and politics.Mr.
Antonio De Marco contracted us with Disneyland,where Mr.Walt Disney saw us perform,and
immediately fell in love with the fact that we were a family of young Mexican entertainers.Mr.Disney
then contracted us to open such venues as Wait Disney World in Florida,where we worked for many
years.Mr.De Marco also introduced us to the hierarchy of Mexican Politics.We became the musical
representatives to assist in the promotion of Mexico,through the Mexican National Tourist Council,
which was the agency in charge of contracting tourism.This gave us world exposure in a very unique
environment Mr.Antonio De Marco will always be remembered as the agent for Fernando
Valenzuela.We'd hope to be his agency's shining star,but when the world saw Fernando,we became
but a distant memory for the agency.Some would frown on that occurrence,but we thrived at the
• opportunity.
That was the time in my life when the Palm Springs community became my home.We were now able
to settle down and grow within a community.We were contracted by the Delgado Family to work for
their new desert jewel,"Las Casuelas Nuevas"in Rancho Mirage.That filled my musical needs of
employment,but I still needed more.I purchased a home in the La Quinta Cove and sought work at
the La Quinta Hotel.I also opened"La Quinta Hair&Nail Salon"in La Quinta,prior to becoming a city.
We,as musicians,became high profile members of the desert community.The music introduced us
to people like Mr.Frank Sinatra,who would call on us for everything.We even played for his very
special day,the day he married Ms.Barbara.He would also call on us to play a couple of songs
wherever he would be for dinner.It did not mater to us what we were doing when he called,we
would always make the effort to fulfill his requests.Even when we were playing at Las Casuelas,we
were always available to cater to Mr.Sinatra's needs.He was one of the deserts premier residents.
Many other prominent residents demanded our musical services.The La Quinta Hotel was also a very
unique working environment,since it allowed me to service this community with their food and
beverage needs at the hotel.Servicing them at the hotel allowed me to earn their trust and support,
And when I opened my hair salon,I became their barber/stylist Many great customers came through
my doors at the barbershop.Many were the working residents of a new community,some were very
powerful and wealthy individuals from the La Quinta Country Club,but there was one person in
particular,that I will always remember,Mr.Frank Capra.The La Quinta Hotel named their dining
facility is his honor,"The Frank Capra Room".I was fortunately to know him on a more personal
level.I was his barber.I shaved him,I shampooed him,I cut his hair and I listened to the wonderful
stories of his life.He spoke of the love he had for his wife,his adoration of his family and his passion
for this desert community.Remembering his passion for life,his love of the desert,is the fuel that
brings me back to this community.
I have always been fortunate in business,and looking forward to become a factor in the Palm Springs
community by becoming involved,especially in its Health and Human services. I'd like to be
• remembered,as I am now remembering those that came before me.That is my new life's dream!
17
William Basey has over 25 years in service of The US Army Special Forces Branch.
• He served with distinction in engineering,medical,and civil affair assignments.
While in Iraq he directed the operations of the Civil Military Operations Center in the Northern Babil
Province.During this challenging assignment he provided expert engineering advice and assisted in
the development of numerous infrastructure related projects coordinated amongst members of the
public and private sector of both the US and Iraq.
During this time period his workload portfolio consisted of 150 plus projects.He assisted in
establishing new processes to effectively manage this workload,which resulted in streamlining
efforts to achieve project and overarching program objectives set forth by senior officials in both the
US and Iraqi governments.
Specialties:Class A CDL,Hazmat.Double and Triple,Tanker,
ISO 9001:2008 Lead Auditor,ISO 14001:2004&BS OHSAS,10001:2007 Internal Auditor training,
OSHA 30 hr.Construction Industry,CPR/AED/BLS Instructor,Construction Management.Contract
Management,Engineering,HVAC,Accident Investigation,Electrical Safety 2012 NFPA,70E Arc Flash
Training,Industrial Radiation Safety,HAZWOPER:Medical Surveillance Program,Hazard
Communications:Chemical Safety,Lockout/Tagout:Authorized Employees
Organizational Structure
rv,�auaroa.l m.>.t�l wmcm�wQy A
`M:-a I
Management Team
Our team comprises of people with years of management experience,both in the
civilian business community and the military world,where discipline is a way
life! By incorporating three very distinctive management styles,we offer the best
of all worlds.We have the disciplinarian that will lead a team to battle with a
very specific style of management You have the teacher,counselor,and
compassionate individual that will listen to your ideas and make decisions of
inclusion.And then there is Mr. Nice Guy!The guy that everybody loves,and
are willing to do anything for.
The diversity in styles and personalities is a plus for our desert community,
• where diversity is a way of life.
18
• VI. Personal Financial Statement
Edward J. Dietrich, President of Jade Organics Corporation, will be
injecting $100,000.00 into this venture for an agreed percentage annual
return to be determined later. Edward J. Dietrich has agreed to use his
home as collateral for further funding, should the project need further
funding.
Eduardo Hdez. Rivera, CEO of Jade Organics Corporation, has agreed to
inject matching funds of $100,000.00 towards this project Mr. Rivera
will use his Hawaii Corporation to back the funding of this project for
however long it takes to have it reach it's full potential.
Complete disclosure, in any form required by the City of Palm Springs,
will be made available, once we are granted the license we are
requesting.
My personal Blo will be enclosed, along with a copy of my California
• State Driver's License and a Southern California Edison Utility Bill,
showing proof of my residency of Palm Springs.
19
• Edward J. Dietrich
Business & Financial Consultant
2034 Chia Rd.
Palm Springs,CA 92262
760.219.8000
edwardjdietrich43@gmaiLcom
PERSONAL BIOGRAPHY
January 2014
Edward J. Dietrich is an 28 year resident of Palm Springs. He has 34 years of
experience in financial services,business management, hospital management,
education,counseling and not-for-profit operations. Fourteen of those years have
been in the field of health care: in counseling,management and administration. He
has spent 22 years in financial services,planning and business consulting. 18 years
were spent in pastoral and campus ministry. Many of these opportunities
overlapped during my active career.
He has a Bachelor Degree in Philosophy,English and History from St. Charles
College,John Carroll University in Cleveland; a Masters in Divinity with an
emphasis in pastoral counseling from St. Mary Graduate School in Cleveland; with
• additional graduate work in Eastern Thought at John Carroll University. He has
completed doctoral work in Psychology from the Institute for Advanced Study of
Human Sexual Behavior in San Francisco. He has served on the faculty of the
University of New Mexico School of Medicine for five years and has done additional
postgraduate work in medical ethics at St.John University in Queens,New York.
He is currently a Financial Advisor and Registered Representative with MML
Investors of Springfield,Massachusetts(Retired).
Volunteer activities include:
Desert AIDS Project, 10-year board member
Palm Springs Human Rights Commission,6-year member
Police Chiefs Advisory Board,3-year member
Palm Springs Economic Development Department,Volunteer
American Cancer Society, board member,fund raising committee
Sunrise/Vista Chino Neighborhood Coalition
Sagewood Homeowners Association,President for 17 years.
Member of the Board of Trustees,Idyllwild Arts Foundation for 2
for 2 years.
•
CAUFORNI& - DRI{�R LICENSE
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PALM SPRINGS,CA 92%2
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SEX M MAN EVES BRN
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•
F.
SOUiFiFR14 G1I1FORNIA Rosemead, CA
Your electricity bill
C D I S/"1 N Rosemead, CA
C(J �J f� 91771-0001
• An cursON rxmar:ArKftu I Ck pay www.sce.Com DIETRICH,EDWARD J I Page 1 of 6
For billing and service inquiries call 1-800.684-8123. Customer account 2-10-989-8635
24.hrs a day,7 days a week
Date bill prepared:Jun 4'14 Service account 3-001-2306-28 _
2034 E CHIA RD
PALM SPRINGS,CA 92262
Rotating outage Group A031
Your account summary
Amount of your last bill $88.95
Payment we received on May 12'14-thank you -M.95
Balance forward $0.00
Your new charges $144.89
Total amount you me by Jun 23'14 $144.89
Compare the electricity you are using
For meter 222012-157568 from May 2'14 to Jun 344
Total electricity you used this month In kWh 882
Your next bHfin9 cycle will end on or about Jul 2 Y4.
Your daily average electricity usage(kWh)
2 Years ago:31,70 Last year.33.87 This year 27.56
• 17
31 -
Is-
0-1dilhunt
May May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
92 '13 '13 '13 '13 '13 '13 '13 '13 '14 '14 94 '14 94
Pleese rerun the payment stub below aft yaur payment and mace yea check payable to Soulhem CalNomia Fdn on.
(14-574) Tear here if you want to pay in person,call 14BOD-747-89M for loradona.or you can pay online at wwwse rnn. Tear here
Skwm®xawrcaau Customer account 2-10-989-W35 Amount due by Jun 23'14 $144.89
�abt"a� y°13 EDISOK check payable ,p �nna E on.. Amount enclosed $
.�aawn wrvdunorur.�,
STMT 06042014 P3
DIETRICH,EDWARD J
2034 E CHIA RD
PALM SPRINGS,CA 92262-5385 P.O.BOX 600
• ROSEMEAD,CA 97771-0001
10 989 8635 00000070 0000000000000144A9000014489
• VII. Start Up Projections
Three-Year Projected Income Statement Estimates
Start Up Year: First Full Second Full
8/1/14 to Fiscal Year: Fiscal Year:
12/31/14 1/1/15to 1/1/16to
12 31 15 12 31 16
Medicinal Marijuana Sales $340,000 1,799,000 2,333,000
in any Form
To Patients&Caregivers
Paraphernalia Sales $10,000 $15,000 $17,000
Other Sales Edibles $36,000 $50,000
Other Income
Total Revenue $350,000 $1,850,000 $2,400,000
Expenses
Pa roll,Taxes&Benefits $50,000 $500,000 $500,000
Cultivation&Equip. $26,200 $100,000 $150,000
• COGS&Supplies $66,000 $71,850 $82,800
Office Ex enses $34,025 $15,000 $18'000
Utilities $7,400 $10,000 $10,000
Interest $20,000 $20,000 $Z0,000
Depreciation/Amortization $7,000 $9,000 $12,000
Leasehold Expenses $8,750 $12,000 $151000
Rent Lease Expenses $10,000 $21,000 $21,000
Other Costs $1,000 $11,800 $3,100
Total Expenses $230,375 $770,650 $831,900
Net: $119,625 $1,079,350 $1,568,100
Number of Patients 200 925 1200
Estimated Price per Ounce $200 1 $200 $200
20
JacleOrganicsCorporation P&L Pro ections(August 2014/Dec/20141 ITotal 2014
Income ust Se mbar October P12S00.00
December
50 000.00 $60 000.00 70 000.000 90 000.00 50 000.00
Expenses
Taxes 12 500.00 12 500.ao 12 500.000 12 500.ao $62 50D.o0
Cost of Goods Sold 12 000.00 14 000.00 16 OOO.OD0 20 000.00 0 000.Advertlsin Marketln $1000.00 1000.00 3000.000 1000.00 5000.Bank Services 25.00 25. $25.00 25.00 125Charitable Donations 500.00 $500.00 500.00 500A0 2500.00Entertalnmen non fo 100.00 IDO. 510D.000 $100.00 s5w.001
City&Government Fee 60.001
Gra Mc Desi n Fees $100.00 100. Swo.00 SID0.001 $100.00 S500.001
Insuranre $2,000.00 $2 D00.00 $2,000.00 S2,0W.00 $2,000.00 $10,00a.0o
InteresPLoan
lanitorlal $200.00 200A0 $200.00 $200.00 200. $1,000,00
Lab.Fees $700.00 850. $1,000.00 2,250. $1,300.00 5000.00
LB al Fees $100,00 $100.00 100.0 $100,00 $100.00 500.00
Lobby&Gov.Relations 5200.00 $200,00 200.00 $200.00 $200.00V$1,GDO.0000Meals&Entertainment 20D.W $200.00 200.00 200,00 $200m000Misc. IW.00 5100.00 $100.00 $100.00 $100.0000Office Su Iles 50,00 50.00 $50.00 50.00 SOg000Patient Services $250.00 $250.00 $250.00 250.00 250.000Posta e&Delive 50.00 5000 50,00 50.00 50.000Printin $50.00 50A0 50.0a 50.00 50.000Professional Fees 200.0D 200A0 200.00 200.00 $200.000Research&Education $200.00 200A0 200.00 OO.00 200.0000Rent $1750,00 1750.0a 1750.00 1750.00 $ 750.0000
Employeeeeneflts 3OW.00 30W.00 3000.00 3000.00 3000.00 $15,000.00
Su Iles S1001W $100.00 $100,00 $200.00 $100.00 $500,00
Tele hone Internet 9150.00 $150.00 $150.00 $150.00 $150,00 $750.00
Travel S750,001 9750,00 $750.00 S750.13D 750.00 $3.750.00
Willies 530D,001 9300.00 $300.00. S303.001300.00 $1500.00
Website $300.00 300.00 $300,001 $300.001300.00 $1500.00
Equipment $0.00
Dispensary 10000.00 $10000.00
Lobby 3000.0D S3,W0.00
Meeting Room $4,500. $4,SM.00
Receptionist Room 0.00
Stara a Room $200.00 $200.W $200.00 $200.00 $200.00 $1,000.00
wProfit
s 300.00 300.00 300.00 300.00 300.00 $1500.00
CultTales $400.00 $400.01 $400.00 00.00 $400.DO $2,000.00
efln $SDO.00 500.00 500.00 5110.00 500.D0 2500.00
ses 555,775.00 $40,425.00 $42,575.20 $44,725,00 $46,875,00 $230,375,00
-$5,775.00 $I9,s75.00 $z7,azs.a0 $35,275.00 $43,125.00 5119,625.00
lade Organics;Corporauon P&L Prole ons
Inwme lanuary Fabru March April If June Jul A oat Se embar October November December
500000.005110000.00 wo,o0.00$130000.00 340 DOOM 350000.00$360000.00
Expenses 170000.005380000.00$190000.00$200 OOO.OD 200 OOOAOs as0 000.00
Taxes I SID.OMMI11000.00 $12000.00 13000.00 524000.00 SIS.ODOM Advertini6Do0.00 vDoo.Do S1s0oD.ao $29ooO.oa 520000A0 20000.00 iesDoo.00
Coat of Goods Sold $2000D.OD 22 .00 24000.00 $26 .00 29000.00 30000. 32000.00 34000.00 $36000.00 38000.00 0000.00 42 .00 37 000.00
Banks rvi Markeon 1000.00 i000,0O OOo.00 1000.00 $5000.00 1000.00 $1000. $1000.00 53000.00 SODOAD 3000.00 51000A0 $12000.00
Bank SeMces $25.00 525. 25.D0 25.00 25.00 25.00 25.00 25.00 25.00 25.00 525.00 25.00 300.00
Charitable DOnatlans 500.00 500.00 $500A0 500,00 SOD.00 500.00 500.00 $500.00 SO0,00 500.0D 00.00 500.00 $6000A0
Entertalnme 1100-001 IO6.00 $100.00 $100,00 $500.00 100.DO 100.00 100.00 100.00
CI &Government Fees 300.00 300.00 100.0 $1200.00
Graphic Design Fees i0o.00 100.D0 $300.00 100.00 100.00 IOOAO .00
$100,00 100.00 100.00 100.00 $100.00 $100.00 1200.0011
Insurance 2000.00 20DD.00 2000.00 52000.00 2000.00 $2000.00 2000.00 2MOAo z000.00 2000,00 $2DOOM $2000,00 24OM.0O
Interest-Loan
Janitorial 5200.001 200.00 $200.001 $200.00 200.00 200.Do 200.00 520o.ao zoD.Do 200.00 z60.00 $zoo.DD 2400.ao
Lab.Fees 700.00 SIJ50.00 1 ooD.ao 1 ISO.00 1300.00 1450.00 1 600.00 1750.00 1900.00 2 oso.ao 2 2aD.DD z zoD.00 1e Sso.00
Le al Fees $100,001 S100.001100.00 100.00 110.00 100.00 100.00 $100-001 5100.001 $100001 $100.00 100.00WS2,400.00
.00
Lobby&Gov.Relations 200.00 $200.00 $200.00 D0.00 SI00Ao 20D.00 $200.00 5200.00 200.00 5200.00 5200. 200.00 .00
Meets&Entertainment 200.00 200.00 200.00 200.00 2D0,00 200.00 200, 200.00 5200.00 200. 200.00 9200.00 .00
Mlsc. 100.00 $SOOAO $100.00 100.00 $100.00 100.00 $100.00 IOOAO 100A0 $100.00 100.Oo IOo.00 .00
Office Supplies 50.00 50.00 $50.00 SO.00 50.00 50.DO SD.00 50.00 50.00 $50.00 50.00 50.00 .00
Patient Services 250.00 250.00 $250.00 250.00 $250.00 250A0 $250.00 $250.00 $250.00 250A0 250.00 250.00 00
POna &Dellve 50.00 $50.00 So.00 5DA0 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 .00
Proles 50.00 50.00 50.00 50.00 50.00 50A0 SO.DO 50.00 SO.00 $50.00 50.00 50.00 .D0
Professional Fees 200.00 200.00 $300.00 $200,00 $200.00 200.00 201 200.00 200.00 200.W 200.00 200.00 00
Research&EduntIon 200.00 200.00 200.00 2011 2DO.00 200.00 200. 200.00 2DOA0 200.00 200.00 200.0000Rent $1 750.00 1750.00 1750.00 $175D.00 1750.00 1750.00 1750.00 1750.00 1750.00 1750,00 1750.00 1750,00 00Em to ee Benefits $3 000.00 $3 000,00 $3 001 3 000.00 3 000,00 $3000.00 $3 DOO.00 3000.00 3000.00 $3 ODOAO 3000.00 .00
Supplies $1DO.00 100.0D 100.00 SIOD..00 100.00 100.00 100.00 1DO.00 WO.00 200.001 $100.DO SID0.001 $1,200.00
TelephoneIIInternet SIMIDO 5150.00 $150.00 Six.00 150.00 150.00 $350.00 150. $150.DDI $15000, I50.00 di50.00 S 800.00
Travel $750.00 7SO. $750.001 5750..00 750.00 750.00 750.Oo 750.00 $750.00 750.00 750. 750.00 000.00
Utilities .00 300.00 300. 300.00 300.00 $300.OD 300.00 300.00 300.00 $300 300.00 300.00 300.00 3600.00
Webslte 300.00 $300.00 300.00 300.00 300.00 $300,00 $300.00 300.00 300.00 300. $3,600,01111
Equipment
$O.OD
DI ensa 10000.00 $100D0,00 $20,000.00
Lobby3 000 OO $3 000.00 000.00
Meeting Raom a5o0,00 500.00 f9000.00
Receptionist Room
Storage Room .00
$200.00 $200,00 200.00 $200.00 200.00 200.Oo $200.00 $200.00 $200.00 $200.00 $200.00 200.D0 $2,400.00
Cultivation
cult#1^moms $500.00 $500.00 500.0( SSOMOO
500.00 SOO.DD 500.00 500.00 500.00 500.00 5500.00 500.00 OOo.00
Cul[Rl`V Il Tills 500.00 $500.00 Sm.00 $50000 5DO.00 $5oo. $500.00 500.00 $500.00 500.00 $So0.00 $500.00 OOO.Oo
Cult#1-Flowerin 500.00 $500,00 $500,00 $500.00 $500.00 $500.00 500.00 $500.00 5500.00 $500.00 500A0 500.00 6000.00
Net Ex enses $61,575.00 $47,225.00 $50375.00 $53,525.00 $56,675.W $59,a25.00 $90,475.00 $66,125.00 $69,275.00 $72,425.00 $75,575.00 $77,575.00$770,650.00
Net Profit $3s,47 .00 Ssz,ns.D0 569,6xs.00 576,47s.a0 $B3,3zs.00 $90,175.00 $79,525.00 5103,875.00$110,725.00$317,575.00 5128,a15.00 5122,425.00$i,ma,sso.o0
• • 2oi6
Lade Organics Corporation P&L Projections
Income January February March ARM May une Italy August September October November December
Expenses W
200,D00.00 200000.0052000W.W$200D.W 200000.0a$200000.DD 200000.W$200000.00 200000.0o 4D4.00000.00 200000.00$200060.00 2400oD
Taxes g2o,000.00 $20000.00 $20,W0.00 $20000.00 $20,000.00 $20,000.0 $20,000.00 $20000.00 S20,D00. $2000,00 $20,000.00 20000.00$240,000.00
Cost of Goods Sold $20,000,OD $22000.00 $24000.00 $26,000.W 28 0.00 $30,000. 32,000, $34,000.00 $36,000.00 39,000.0 $40,000,WS40,000.00$370,000.00
Adverdsln arketIng $1,00o.00 $1 000, $1,OD0,00 $2,000.00 1000.00 $1000.00 1 .00 $1,D00.00 $1,000.00 $1000.00 $1,0D0. $2,000,00 $12,000.00
Bank Services $25.00 25.W $25.00 $2S.00 $25.0 $25.00 $25.00 $25,00 $25.W $25,00 s2s.00 S25.00 $300.DD
Charitable Donations S5110.00 SSOD,00 $500.00 $500.00 SSM.00 S500.00 00. 1$20000."'00000
500.00 500.00 500. 500.00 6000.00
EMertelnme nonfood 100.W IW.00 3W.W 1W.W $1W.W $100.00 $100.00 100.00 5700.00 100.00 IW.W 1200.00
CI &Government Fees $0.00
Graphic Design Fees 100.00 100.00 $100.W S1W.W 100.00 100.00 100.00 100.00 $IO0.00 100.00 100.00 200.00
Insurance 2000.00 $2 WO.DD 000.00 $2,D00.00 2000.00 2000.00 $i W0.00 2000.D0 2000.W 2000.00 2000.00 24,000.00
Interest-Loan
Janitorial 200.W $200.00 200.W 200 200.00 200.W 200.00 200.00 $200.W 200, $200.00 2400.00
Lab.Fees $2200.W $2 00.W 22W.00 2200.00 2200.00 22W.W 2200.00 2200.00 2200.00 2200.00 2200.00 26400.00
Le (Fees 100.W $100.W 100.W IW.W 1W.W 100.W IW.00 IW.00 $IW.00 100.00 IW.00 1 W.W
Lobby&Gov.Relations 200.00 200.W 200.00 $200.00 $2W.00 $2W.W 200.00 $200.W $200.00 5200.00 $200.00 2400.00
Meals&Entertainment S2GO.00 S200.00 $200.00 $200.001200.DO $200.W 2W.W $200. $200.00 Szoo.ou $200,W 200.00 $2400.W
Misc. $300.00 $IWAO 1W.00 $IW.W $IW.00 IW.W 100.W $100.00 SW.W $100.00 $SW.W $100.00 12W.W
Office Supplies 50.W 50.00 50.00 5040 SO.00 50.W SO. 550. 50.00 $50.00 50.00 50.00 S6W.W
Patient Services 250.W $250.00 250.00 $250,00 $250.00 $250.W $250. $250.W $250.W 250.W $250.W $250.W $3000.00
Posta a&Delive 50.W W. 50.W SO.W 50.00 50.W 50.W $50.00 SO.W $50.W 50.00 SO.G0 600.W
PrintingSO.W 50.00 SO.00 50.00 50.00 $50.W 50.00 50.W 50.W 50.W $50.W $50.00 $6W.W
Professional Fees 200.W 200.00 200.W $200.00 2W.W $200.00 200.0o $200.W 200.00 200.00 200.00 2W.W $24W.00
Research&Education 2W.W 200.0 200.00 $200.W 2W.W 200.W 2W.00 200.00 200.00 200.00 $200.00 200.00 24W.W
Rent $1750.00 375040 750,0 1750.W 5750.W $1750,W 1750.W 1750.00 $1750.W $1750.00 1750.W 1750.00 21000.00
EmployeeBenefits 3000.00 30W.W 3000.00 $3000.00 3000.00 3000.W $30D(o 30W.00 3000.00 30W.0D 3000.W 3W0.00 36000.00
Supplies 1W.W 100.W 100.00 1W.W 1W.00 200. IW.W $1W.00 3W.00 $100.W $100.00 SW.00 200.W
Telephone/Internet 150.00 150.00 130.00 1S0,o0 150.W ISO.00 150.00 150.W 150.00 $150.00 150.00 150.W 800.00
Travel 750.W 750.00 750.00 750.W 750.W 750.W 750.W 750.00 $750.00 750.W $750.00 750.W 9000.00
Utilltles $300.00 $300.00 300.00 $3W.00 300.00 300.W 3W.W 300.00 300.W 300.00 300.W 300.W 36W.W
Webslte 300.00 300.00 $3W.00 300.00 $3W.D0 3W. 300.W 3W.W 300.W $300.00 $300.0 $300.W $3600.00
Equipment
SD.W
Dis ertu 1ODW.W $100W.W $20,000.00
Lobby 3000.00 $3,000. OOO.W
MeetingRoom 4500.W 6 500.W ,000.00
Rece Nonist Room
00
Storage Room 1W.W $200.00 $200.002W.W 2W.00 2W.W $200.00iW.W 2W.W $2W.W 200.00 200.00 Si,4W.W
CURIvation
Cultxl"Moms $500.W 500.0 SW.00 S50D,00 $500.00 $50000 $SOO.00 500.01) $500.00 $500.00 $500.00 S500.00 $6,000,W
Cult#1 Veggle Tales 500 $500.W $500.001 $500.00 $500,00 $500.00 $SW.W SW.W $500.00 $500.00 $500.00 $500.00 $600D.W
Cult gl"Flowerin SW.W $500.00 SW.W SW,W SW.00 SOO.W 500.00 SSW.W $500.00 $500.00 $500.W $500,00 $6,000.W
Net ExpenSes 1 $73,075.00 $57,575.00 $59,575.00 $61,575.00 $63,575.W $65,575.00 $85,075.00 $69,575.00 $71,575.01) $73,575.001 $75,575.00 $75,575.DO$831,00.00
Net Profit $126,925.00$142,425-00$140,425.00 4138,42%On$136,425.00$134,425.00$114,925.W$1In 425.W$128,425.00$126,425.00$124,425.00$124,425.W$1,566,100A0
Jade Organics Corporation
MEMBERSHIP APPLICATION
I have read and agree to the above rules and conditions of Membership and hereby
apply for Membership of this Collective.
I certify under penalty of perjury under the laws of the State of California,that I am a
resident of the State of California and have been diagnosed with a serious illness for
which cannabis provides relief and that 1 have received a recommendation or an
approval from my licensed California physician to use cannabis medicinally.
I authorize the Collective to contact my physician and ► authorize my physician to
verify my recommendation to the Collective.
I agree that I will consistently rely upon the Collective as the exclusive source of my
medicinal cannabis.
I understand that so long as I comply with the above rules and conditions of
Membership,my Membership shall remain in effect until the expiration of my
recommendation or until I revoke my Membership in writing by certified mail,
return receipt requested,whichever comes first
• Signature: Date:
Print Name:
Address: Apt.#:
City:
State:
Zip Code:
E-mail:
Phone: Cell #:
[for internal office use only]
Recommendation verified by: Date:
Membership Approved by: Date:
• Membership/Verification Expiration Date: Med. ID #
21
GREENSIGHT MEDICAL
• INFO: 888-744-4861; FAX:951-653-7409
MAIL: 72-780 COUNTRY CLUB DRIVE,SUITE#304
RANCHO MIRAGE, CA 92270
PALM SPRINGS" RANCHO MIRAGE
Physician Statement and Recommendation
Recommendation ID Number(REC ID): 0818 0401 6054 817
Patient Name: EDUARDO HERNANDEZ RIVERA
Patient Identification: DMV: F7705732
Limits Exemption: No Exemption
Recommendation Issued: 05/30/2014 Recommendation Valid Through: 05/29/2015
24-Hour Verification
Phone: 310-855-3629 Online: https:liverify.greenlifemedical.com
Pursuant to California's Health and Safety Code Section 11362.5
The purpose of this medical document is to identify this individual as a patient whose possession and/or cultivation of medical
cannabis is permissible pursuant to California Health and Safety Code Section 11362.5 and Senate Bill 420.
This affirms the patient listed above has been examined and evaluated by the physician indicated on this document and that the
physician is licensed to practice medicine in the State of California. It is their assessment that the above-mentioned patient
qualifies under California Health and Safety Code Section 11362.5 for the use of cannabis for medical purposes. If this patient
chooses to use cannabis therapeutically,the staff of the clinic indicated on this document will continue to monitor the status of this
patient The attending physician is responsible for only the medicinal cannabis aspect of medical pre. This patient assumes full
responsibility for any and all risks associated with this treatment option. The physician has discussed the potential medical
benefits and risks of cannabis use.
This patient hereby gives permission for representatives of GreenLife Medical Systems to discuss the nature of their condition(s)
and the information contained within this document for verification purposes.This is a non-transferable document.This document
is the property of the physician indicated on this document and can be revoked at any time without notice.Void after expiration, if
altered or misused.
Patient Signature:
f
f
Physician Signature: T—IY
Physician Name:JAMES KAO, D.O.
License Number:20A7960
Clinic Name: GREENSIGHT MEDICAL
Clinic Address: 4693 E.Ramon Road
Palm Springs, CA 92264
✓1�
Recommendation Verifiable By:
GreenLife Medical Systems LLC
Collective/Patient Support Line:310-857-6352
GREENSIGHT MEDICAL
• INFO: 888-744-4861; FAX:951-653-7409
MAIL: 72-780 COUNTRY CLUB DRIVE,SUITE q 304
RANCHO MIRAGE, CA 92270
PALM SPRINGS * RANCHO MIRAGE
Physician Statement and Recommendation
Recommendation ID Number (REC ID): 0000 4481 7034 711
Patient Name: EDWARD J DIETRICH
Patient Identification: DMV. A1273469
Limits Exemption: CULTIVATION/POSSESSION IN EXCESS OF CALIFORNIA GUIDELINES FOR
PERSONAL USE ONLY-PER PHYSICAL LEGAL ADDRESS NOT TO EXCEED 99 PLANTS/5KGS
Recommendation Issued: 05/30/2014 Recommendation Valid Through: 05/29/2015
24-Hour Verification
Phone: 310-855-3629 Online: https:/tverifg greenlifemedical.com
Pursuant to California's Health and Safety Code Section 11362.5
The purpose of this medical document is to identify this individual as a patient whose possession and/or cultivation of medical
cannabis is permissible pursuant to California Health and Safety Code Section 11362.5 and Senate Bill 420.
This affirms the patient listed above has been examined and evaluated by the physician indicated on this document and that the
physician is licensed to practice medicine in the State of California. It is their assessment that the above-mentioned patient
qualifies under California Health and Safety Code Section 11362.5 for the use of cannabis for medical purposes. If this patient
chooses to use cannabis therapeutically,the staff of the clinic indicated on this document will continue to monitor the status of this
patient. The attending physician is responsible for only the medicinal cannabis aspect of medical care. This patient assumes full
responsibility for any and all risks associated with this treatment option. The physician has discussed the potential medical
benefits and risks of cannabis use.
This patient hereby gives permission for representatives of Greenl-ife Medical Systems to discuss the nature of their condition(s)
and the information contained within this document for verification purposes.This is a non-transferable document.This document
is the property of the physician indicated on this document and can be revoked at any time without notice.Void after expiration, if
altered or misused.
a
Patient Signature:
Physician Signature: _
Physician Name: JAMES KAO, D.O.
License Number:20A7960
Clinic Name: GREENSIGHT MEDICAL
Clinic Address: 4693 E. Ramon Road
Palm Springs,CA 92264
Recommendation Verifiable By:
GreenLife Medical Systems LLC
Collective/Patient Support Line:310-M-6352
• Dispensary & Cultivation Site Inspection Checklist
❑ A.The dispensary:
❑ 1. Ensure that the dispensary is operating and available to dispense medical
marijuana to qualifying patients and/or designated caregivers at least_hours
weekly between the hours of_:00 a.m. and _ :00 p.m.
112. Has developed, documented,and implemented policies and procedures
regarding:
❑ a.job descriptions and employment contracts,
❑ i. Personnel duties,authority, responsibilities, and qualifications
❑ ii. Personnel supervision
❑ iii.Training in and adherence to confidentiality requirements
El iv. Periodic performance evaluations
❑ v. Disciplinary actions
❑ b. Business records, such as a manual or computerized records of assets
and liabilities,monetary transactions,journals,ledgers, and supporting
documents, including agreements, checks, invoices, and vouchers
❑ c. Inventory control, including:
❑ i.Tracking
• ❑ ii. Packaging
❑ iii.Accepting marijuana from qualifying patients and designated
caregivers
❑ iv.Acquiring marijuana from other dispensaries; and
❑ v. Disposing of unusable marijuana,which may include submitting
any unusable marijuana to a local law enforcement agency;
❑ d. Qualifying patient records,including purchases, denials of sale, any
delivery options, confidentiality,and retention
❑ e. Patient education and support:
❑ i.Availability of different strains of medical marijuana and the
effects of the different strains
❑ ii. Information about purported effectiveness of various methods,
forms,and routes of medical marijuana administration;
❑ iii. Methods of tracking the effects on a qualifying patient of
different strains and forms of medical marijuana; and
❑ iv. Prohibition on the smoking of medical marijuana in public
places;
❑ 3. Maintains copies of the policies and procedures at the dispensary and provides
copies to the Department for review upon request
❑ 4. Reviews dispensary policies and procedures at least once every 12 months
from the issue date of the dispensary registration certificate and update as needed
• ❑ S. Employs or contracts with a medical director
22
• ❑ 6. Ensures that each dispensary agent has the dispensary agent's registry
identification card in the dispensary agent's immediate possession when the
dispensary agent:
❑ a. is working or providing volunteer services at the dispensary or the
dispensary's cultivation site, or
❑ b. is transporting marijuana for the dispensary:
❑ 7. Ensures that a dispensary agent accompanies any individual other than
another dispensary agent associated with the dispensary when the individual is
present in the enclosed, locked facility where marijuana is cultivated by the
dispensary;
❑ 8. Does not allow an individual who does not possess a dispensary agent registry
identification card issued under the dispensary registration certificate to:
❑ a. Serve as a principal officer or board member for the dispensary,
❑ b. Serve as the medical director for the dispensary;
❑ c. Be employed by the dispensary,or
Eld. Provide volunteer services on behalf of the dispensary;
at p ry,
❑ 9. Provides written notice to the Department,including the date of the event
within ten working days after the date,when a dispensary agent no longer:
❑ a. Serves as a principal officer or board member for the dispensary;
.❑ b. Serves as the medical director for the dispensary,
• ❑ c. is employed by the dispensary, or
❑ d. Provides volunteer services at or on behalf of the dispensary;
❑ 10. Documents and reports any loss or theft of marijuana from the dispensary to
the appropriate law enforcement agency;
❑ 11. Maintains copies of any documentation required in this Chapter for at least 12
months after the date on the documentation and provide copies of the
documentation to the Department for review upon request;
❑ 12. Posts the following information in a place that can be viewed by the
individuals entering the dispensary;
❑ a. If applicable,the dispensary' s approval to operate,
❑ b.The dispensary' s registration certificate,
❑ c.The name of the dispensary' s medical director and the medical
director' s license number on a sign at least 20 centimeters by 30
centimeters, and
❑ d.The hours of operation during which the dispensary will dispense
medical marijuana to qualifying patient or a designated caregiver;
❑ 13. Does not lend any part of the dispensary's income or property without
receiving adequate security and a reasonable rate of interest;
❑ 14. Does not purchase property for more than adequate consideration in money
or cash equivalent;
❑ 15. Does not pay compensation for salaries or other compensation for personal
• services that is in excess of a reasonable allowance;
23
• ❑ 16. Does not sell any part of the dispensary' s property or equipment for less
than adequate consideration in money or cash equivalent; and
❑ 17. Does not engage in any other transaction that results in a substantial
diversion of the dispensary' s income or property.
❑ B. If the dispensary cultivates marijuana,the dispensary cultivates the marijuana
in an enclosed,locked facility.
Medical Consultant
❑ A.The dispensary will seek to appoint an individual who is a physician,to
function as a medical consultant.
❑ B. During hours of operation, the medical consultant will be able to be contacted
by any means possible, such as by telephone or pager.
❑ C. Develops and provides training to the dispensary's dispensary agents at least
once every 12 months from the initial date of the dispensary's registration
certificate on the following subjects:
❑ a. Guidelines for providing information to qualifying patients
related to risks,benefits,and side effects associated with medical
marijuana;
❑ b. Guidelines for providing support to qualifying patients related to
the qualifying patient's self-assessment of the qualifying patient's
• symptoms,including a rating scale of pain,cachexia or wasting
syndrome, nausea,seizures,muscle spasms, and agitation;
❑ c. Recognizing signs and symptoms for substance abuse; and
❑ d. Guidelines for refusing to provide medical marijuana to an
Individual who appears to be impaired or abusing medical marijuana
❑ e. Is involved in creating new policies for patient education and
support.
❑ D.The medical consultant provides oversight for the development and
dissemination of:
Ell. Educational materials for qualifying patients and designated caregivers
that include:
❑ a. Guidelines for notifying the physician who provided the written
certification for medical marijuana if side effects or contraindications
occur;
❑ b. A description of the potential for differing strengths of medical
marijuana strains and products;
❑ c. Information about potential drug-drug interactions, including
interactions with alcohol, prescription drugs, and non-prescription
drugs,and supplements;
❑ d. Techniques for the use of medical marijuana and marijuana
• paraphernalia;
24
❑ e. Information about different methods, forms,and routes of
medical marijuana administration;
❑ f. Signs and symptoms of substance abuse,including tolerance,
dependency,and withdrawal; and
❑ g. A listing of substance abuse programs and referral information;
❑ 2.A system for a qualifying patient or the qualifying patient's designated
caregiver to document the qualifying patient's pain,cachexia or wasting
syndrome, nausea,seizures, muscle spasms,or agitation that includes:
❑ a.A log book, maintained by the qualifying patient and/or the
qualifying patient's designated caregiver, in which the qualifying
patient or the qualifying patient's designated caregiver may track the
use and effects of specific medical marijuana strains and products;
❑ b. A rating scale for pain,cachexia or wasting syndrome, nausea,
seizures, muscle spasms,or agitation;
❑ c. Guidelines for the qualifying patient's self-assessment or,if
applicable, assessment of the qualifying patient by the qualifying
patient's designated caregiver; and
❑ d. Guidelines for reporting usage and symptoms to the physician
providing the written certification for medical marijuana and any
other treating physicians; and
❑ 3. Helps to create and implement policies and procedures for refusing to
provide medical marijuana to an individual who appears to be impaired or
abusing medical marijuana.
❑ E.The medical consultant for a dispensary does not provide written
certifications for medical marijuana for any qualifying patient.
Dispensing Medical Marijuana
❑ A. Before dispensing medical marijuana to a qualifying patient or designated
caregiver,the dispensary agent:
❑ 1.Verifies the qualifying patient's or the designated caregiver's identity;
❑ 2.Offers any appropriate patient education or support materials;
❑ 3. Enters the qualifying patient's or designated caregiver's registry
identification number on the qualifying patient's or designated caregiver's
registry identification card into the medical marijuana electronic verification
system;
114.Verifies the validity of the qualifying patient's or designated caregiver's
registry identification card;
❑ 5. Verifies that the amount of medical marijuana the qualifying patient or
designated caregiver is requesting would not cause the qualifying patient to
exceed the limit on obtaining no more than 2.5 ounces of medical marijuana
during any 14-calendar-day period; and
❑ 6. Enters the following information into the medical marijuana electronic
• verification system for the qualifying patient or designated caregiver:
25
• ❑ a.The amount of medical marijuana dispensed,
❑ b.Whether the medical marijuana was dispensed to the qualifying
patient or to the qualifying patient's designated caregiver,
❑ c.The date and time the medical marijuana was dispensed,
❑ d.The dispensary agent's registry identification number, and
❑ e.The identification number for the dispensary
Qualifying Patient Records
❑ A. The dispensary ensures that:
❑ 1.A qualifying patient record is established and maintained for each
qualifying patient who obtains medical marijuana from the dispensary;
❑ 2.An entry in a qualifying patient record:
❑ a. Is recorded only by a dispensary agent authorized by dispensary
policies and procedures to make an entry,
❑ b. Is dated and signed by the dispensary agent,
❑ c. Includes the dispensary agent's registry identification number,
and
❑ d. Is not changed to make the initial entry illegible;
❑ 3. If an electronic signature is used to sign an entry, the dispensary agent
whose signature the electronic code represents is accountable for the use of
• the electronic signature;
❑ 4.A qualifying patient record is only accessed by a dispensary agent
authorized by dispensary policies and procedures to access the qualifying
patient record;
❑ S.A qualifying patient record is provided to the Department for review
upon request,
❑ 6.A qualifying patient record is protected from loss,damage,or
unauthorized use; and
❑ 7.A qualifying patient record is maintained for five years from the date of
the qualifying patient's or,if applicable,the qualifying patient's designated
caregiver's last request for medical marijuana from the dispensary.
❑ B. If the dispensary maintains qualifying patient records electronically, the
dispensary ensures that:
❑ 1.There are safeguards to prevent unauthorized access, and
❑ 2.The date and time of an entry in a qualifying patient record is recorded
electronically by an internal clock.
❑ C.The dispensary ensures that a qualifying patient's record for the qualifying
patient who requests or whose designated caregiver on behalf of the qualifying
patient requests medical marijuana from the dispensary contains:
❑ 1. Qualifying patient information that includes:
❑ a.The qualifying patient's name;
. ❑ b. The qualifying patient's date of birth; and
❑ c.The name of the qualifying patient's designated caregiver
26
• ❑ 2. Documentation of any patient education and support materials
provided to the qualifying patient or the qualifying patient's designated
caregiver, including a description of the materials and the date the materials
were provided;
❑ 3. For each time the qualifying patient requests and does not obtain
medical marijuana or, if applicable,the designated caregiver requests and
does not obtain medical marijuana on behalf of the qualifying patient from
the dispensary, the following:
❑ a.The date,
❑ b.The name and registry identification number of the individual
who requested the medical marijuana,and
❑ c.The dispensary's reason for refusing to provide the medical
marijuana.
Inventory Control System
❑ A.The dispensary has designated in writing a dispensary agent who has
oversight of the dispensary's medical marijuana inventory control system.
❑ B.The dispensary only acquires marijuana from:
❑ 1.The dispensary's cultivation site,
❑ 2.Another dispensary or another dispensary' s cultivation site,
❑ 3.A qualifying patient authorized by the Department to cultivate
• marijuana, or
❑ 4.A designated caregiver authorized by the Department to cultivate
marijuana.
❑ C.The dispensary has established and implemented an inventory control system
for the dispensary's medical marijuana that documents:
❑ 1.Each day's beginning inventory,acquisitions, harvests, sales,
disbursements, disposal of unusable marijuana, and ending inventory;
❑ 2. For acquiring medical marijuana from a qualifying patient or designated
caregiver:
❑ a.A description of the medical marijuana acquired including the
amount and strain,
❑ b.The name and registry identification number of the qualifying
patient or designated caregiver who provided the medical marijuana,
❑ c.The name and registry identification number of the dispensary
agent receiving the medical marijuana on behalf of the dispensary,
and
❑ d.The date of acquisition;
❑ 3. For acquiring medical marijuana from another dispensary:
❑ a.A description of the medical marijuana acquired including the
amount, strain,and batch number;
• ❑ b.The name and registry identification number of the dispensary
and the dispensary agent who provided the medical marijuana;
27
• ❑ c.The name and registry identification number of the dispensary
agent receiving the medical marijuana on behalf of the dispensary;
and
❑ d.The date of acquisition;
❑ 4. For each batch of marijuana cultivated:
❑ a.The batch number;
❑ b.Whether the batch originated from marijuana seeds or
marijuana cuttings;
❑ c.The origin and strain of marijuana seed or marijuana cutting
planted;
❑ d.The number of marijuana seeds or marijuana cuttings planted;
❑ e. The date the marijuana seeds or cuttings were planted;
❑ f.A list of all chemical additives,including nonorganic pesticides,
herbicides, and fertilizers used in the cultivation;
❑ g.The number of female plants grown to maturity;
❑ h. Harvest information including:
❑ i. Date of harvest;
❑ ii. Final processed usable marijuana yield weight;
❑ iii. Name and registry identification number of the
dispensary agent responsible for the harvest; and
❑ i.The disposal of medical marijuana that is not usable marijuana
including the:
❑ i. Description of and reason for the marijuana being
disposed of including, if applicable,the number of any failed or
other unusable plants;
❑ ii. Date of disposal;
❑ iii. Method of disposal; and
❑ iv. Name and registry identification number of the
dispensary agent responsible for the disposal;
❑ S. For providing medical marijuana to another dispensary:
❑ a.The amount, strain, and batch number of medical marijuana
provided,
❑ b.The name and registry identification number of the other
dispensary,
❑ c.The name and registry identification number of the dispensary
agent who received the medical marijuana on behalf of the other
dispensary,and
❑ d.The date the medical marijuana was provided;
❑ 6. For receiving edible food products infused with medical marijuana from
another dispensary:
❑ a.A description of the edible food products received from the dispensary
• including total weight of each edible food product and estimated amount and
batch number of the medical marijuana infused in each edible product;
28
❑ b. Total estimated amount and batch number of medical marijuana
infused in the edible food products;
❑ c.The name and registry identification number of he:
❑ i. Dispensary and the dispensary agent providing the edible food
products to the receiving dispensary,and
❑ ii. Dispensary agent receiving the edible food products onbehalf of
the receiving dispensary; and
❑ d.The date the edible food products were provided to the dispensary.
❑ D.The individual designated in subsection (A) conducts and documents an audit
of the dispensary's inventory that is accounted for according to generally accepted
accounting principles at least once every 30 calendar days.
❑ 1. If the audit identifies a reduction in the amount of medical marijuana in
the dispensary's inventory not due to documented causes,the dispensary has
determined where the loss occurred and taken and documented corrective
action.
❑ 2. If the reduction in the amount of medical marijuana in the dispensary's
inventory is due to suspected criminal activity a dispensary agent,the
dispensary has reported the dispensary agent to the Department and to local
law enforcement authorities.
❑ E.The dispensary:
❑ 1. Maintains the documentation required in subsections (C) and (D) at the
. dispensary for five years from the date on the document,and
❑ 2. Provides the documentation required in subsections (C) and (D) to the
Department for review upon request.
Product Labeling and Analysis
❑ A.The dispensary ensures that medical marijuana provided by the dispensary to
a qualifying patient or a designated caregiver is labeled with:
❑ 1.The dispensary's registry identification number;
❑ 2.The amount,strain,and batch number of medical marijuana;
❑ 3.The following statement"CALIFORNIA DEPARTMENT OF HEALTH
SERVICES' WARNING: Marijuana use can be addictive and can impair an individual's
ability to drive a motor vehicle or operate heavy machinery. Marijuana smoke
contains carcinogens and can lead to an increased risk for cancer, tachycardia,
hypertension,heart attack, and lung infection. KEEP MARIJUANA OUT OF REACH OF
CHILDREN AND ANY UNAUTHORIZED INDIVIDUAL"
❑ 4. If not cultivated by the dispensary,whether the medical marijuana was
obtained from a qualifying patient,a designated caregiver, or another
dispensary;
❑ S.The date of manufacture, harvest, or sale;
❑ 6.A list of all chemical additives, including nonorganic pesticides,
• herbicides, and fertilizers,used in the cultivation and production of the
medical marijuana; and
29
• ❑ 7.The registry identification number of the qualifying patient.
❑ B. If the dispensary provides medical marijuana cultivated by the dispensary to
another dispensary, the dispensary ensures that the medical marijuana is labeled
with:
❑ 1. The dispensary's registry identification number;
❑ 2.The amount,strain,and batch number of the medical marijuana;
❑ 3.The date of harvest or sale; and
❑ 4.A list of all chemical additives, including nonorganic pesticides,
herbicides, and fertilizers, used in the cultivation of the medical marijuana.
❑ C. If medical marijuana is provided as part of an edible food product, the
dispensary, in addition to the information in subsection (A),includes on the label
the total weight of the edible food product.
❑ D.The dispensary provides to the Department upon request a sample of the
dispensary's medical marijuana inventory of sufficient quantity to enable the
Department to conduct an analysis of the medical marijuana.
Security
❑ A.The dispensary ensures that access to the enclosed, locked facility where
marijuana is cultivated is limited to the dispensary's principal officers,board
members, and authorized dispensary agents.
❑ B.The dispensary' s dispensary agents transport marijuana, marijuana plants,
• and marijuana paraphernalia between the dispensary and:
❑ 1.The dispensary's cultivation site,
❑ 2.A qualifying patient, and
❑ 3.Another dispensary
❑ C. If the dispensary transports marijuana,marijuana plants,and marijuana
paraphernalia as shown above,before transportation,the dispensary agent:
❑ 1. Completes a trip plan that includes:
❑ a.The name of the dispensary agent in charge of transporting the
marijuana;
❑ b. The date and start time of the trip;
❑ c. A description of the marijuana, marijuana plants, or marijuana
paraphernalia being transported;
❑ d. Anticipated route of transportation; and
❑ 2. Provides a copy of the trip plan in subsection (C)(1) to the dispensary.
❑ D. If the dispensary transports marijuana, marijuana plants,and marijuana
paraphernalia as shown above,during transportation, the dispensary agent:
❑ 1.Carries a copy of the trip plan in subsection (C)(1) with the dispensary
agent for the duration of the trip;
❑ 2. Uses a vehicle without any medical marijuana identification;
❑ 3. Has a means of communication with the dispensary; and
• ❑ 4. Ensures that the marijuana, marijuana plants, or marijuana
paraphernalia are not visible;
30
• ❑ E. If the dispensary transports marijuana, marijuana plants,and marijuana
paraphernalia as shown above,after transportation, the dispensary agent enters the
end time of the trip and any changes to the trip plan on the trip plan required in
subsection
❑ F.The dispensary:
❑ 1. Maintains the documents required in subsection (C)(2) and (E), and
❑ 2. Provides a copy of the documents required in subsection (C)(2) and (E)
to the Department for review upon request.
❑ G. To prevent unauthorized access to medical marijuana at the dispensary and, if
applicable, the dispensary's cultivation site, the dispensary has the following:
❑ 1. Security equipment to deter and prevent unauthorized entrance into
limited access areas that include:
❑ a. Devices or a series of devices to detect unauthorized intrusion,
which may include a signal system interconnected with a radio
frequency method,such as cellular, private radio signals,or other
mechanical or electronic device;
❑ b. Exterior lighting to facilitate surveillance;
❑ c. Electronic monitoring including:
❑ i.At least one 19 inch or greater call-up monitor;
❑ ii.A video printer capable of immediately producing a clear
still photo from any video camera image;
• ❑ iii.Video cameras:
❑ (1) Providing coverage of all entrances to and exits
from limited access areas and all entrances to
and exits from the building,capable of
identifying any activity occurring in or adjacent
to the building; and
❑ (2) Have a recording resolution of least at 704 x 480
or the equivalent;
❑ iv.A video camera at each point of sale location allowing for
the identification of any qualifying patient or designated
caregiver purchasing medical marijuana;
❑ v. A video camera in each grow room capable of identifying
any activity occurring within the grow room in low light
conditions;
❑ vi. Storage of video recordings from the video cameras for at
least 30 calendar days;
❑ vii. A failure notification system that provides an audible
and visual notification of any failure in the electronic
monitoring system; and
❑ viii. Sufficient battery backup for video cameras and
• recording equipment to support at least five minutes of
recording in the event of a power outage; and
31
• ❑ d. Panic buttons in the a interior of each building;
❑ 2. Policies and procedures:
❑ a.That restrict access to the areas of the dispensary that contain
marijuana and if applicable, the dispensary's cultivation site, to
authorized individuals only;
❑ b. That provide for the identification of authorized individuals;
❑ c.That stops,and prevents loitering in and around the entire
property;
❑ d. For conducting electronic monitoring; and
❑ e. For the use of a panic button
Edible Food Products
❑ A. If the dispensary prepares, sells, or dispenses marijuana-infused edible food
products, the dispensary:
❑ 1. Obtained written authorization from the Department to prepare,sell or
dispense marijuana-infused edible food products before preparing,selling, or
dispensing marijuana-infused edible food products;
[12. Ensures that the marijuana-infused edible food products are prepared
according to the applicable requirements according laws governing food
products
113. If the marijuana-infused edible food products are not prepared at the
dispensary, the dispensary obtained and maintains at the dispensary a copy
of the current written authorization to prepare marijuana-infused edible
food products from the dispensary that prepares the marijuana-infused
edible products; and
❑ 4. If the dispensary sells or dispenses marijuana-infused edible food
products, ensures that the marijuana-infused edible food products are sold
or dispensed according laws governing food products
❑ B.The dispensary is responsible for the content and quality of any edible food
product sold or dispensed by the dispensary or quality of the medical marijuana, is
prohibited from direct contact with any medical marijuana or equipment or
materials for processing medical marijuana until the medical director determines
that the dispensary agent's health condition will not adversely affect the medical
marijuana.
•
32
40 Physical Plants
❑ A.The dispensary is located at least 500 feet from a private school or a public
school.
❑ B.The dispensary provides on-site parking or parking adjacent to the building
used as the dispensary.
❑ C.The building used as or the location used as a dispensary's cultivation site has:
❑ 1.At least one toilet room;
❑ 2. Each toilet room contains:
❑ a.A flushable toilet;
❑ b. Mounted toilet tissue;
❑ c.A sink with running water;
❑ d. Soap contained in a dispenser; and
❑ e. Disposable,single-use paper towels in a mounted dispenser or a
mechanical air hand dryer;
❑ 3.At least one hand-washing sink not located in a toilet room;
❑ 4. Designated storage areas for medical marijuana or materials used in
direct contact with medical marijuana separate from storage areas for toxic
or flammable materials; and
❑ 5. If preparation or packaging of medical marijuana is done in the building,
a designated area for the preparation or packaging that:
❑ a. Includes work space that can be sanitized; and
❑ b. is only used for the preparation or packaging of medical
marijuana.
❑ D. For each commercial device used at the dispensary or the dispensary's
cultivation site,the dispensary:
❑ 1. Ensures that the commercial device is licensed
❑ 2. Maintains documentation of the commercial device's license or
certification,and
❑ 3. Provides a copy of the commercial device's license or certification to the
Department for review upon request.
❑ A.The dispensary is operated on a not-far-profit basis.
❑ B.The dispensary, and if applicable,the dispensary's cultivation
site,has a single secure entrance.
❑ C.The dispensary provides no compensation for medical marijuana
acquired from qualifying patients and designated caregivers.
❑ D.The dispensary does not permit any person to consume
marijuana on the property of the dispensary,or if applicable, the
dispensary's cultivation site
33
• Jade Organics Corporation
A CALIFORNIA NON-PROFIT MUTUAL BENEFIT
CORPORATION MEMBERSHIP AGREEMENT
THIS MEMBERSHIP AGREEMENT (the"Agreement") is by and between the undersigned
("Member') and Jade Organics Corporation (the"Collective'l.
1.PREAMBLE
On November 6,2009,the people of the State of California enacted the Compassionate Use
Act of 1996 (the"Act") in order to allow seriously ill residents of the State who have either
the oral or written approval or recommendation of a licensed physician to use cannabis for
medical purposes without fear of criminal liability under Sections 11357 and 11358 of the
California Health and Safety Code(the"Code").The Act is codified in Section 11362.5 of the
Code.
To clarify the scope of the application of the act and to facilitate the prompt identification of
qualified patients in order to avoid unnecessary arrest and prosecution of those individuals
entitled to protection under the Act,the California legislature enacted Senate Bill 420,
codified in Sections 11362.7 et seq.of the Code.
The declared intent of the legislature by enacting Senate Bill 420 was to enhance the access
of patients and caregivers to medical cannabis through the collective,cooperative
cultivation of medical cannabis.Accordingly,Section 11326.775 of the Code states that
Qualified patients,persons with valid identification cards and the designated Primary
Caregivers of qualified patients and persons with identification cards,who associate within
the State of California in order to collectively or cooperatively cultivate cannabis for medical
purposes shall not solely on the basis of that fact be subject to State criminal sanctions
under Sections
Jade Organics Corporation,a nonprofit mutual benefit corporation was organized by qualified
medical cannabis patients and their primary caregivers for the purpose of collectively
operating and maintaining the cultivation,acquisition and/or distribution of medical
cannabis to qualified patients for medical purposes pursuant to Section
11362.7,et seq.of the Code as provided for specifically by Section 11362.775 of the Code.
It is the intent of this Membership Agreement that the undersigned applicant for
Membership of this Collective be a qualified patient or primary caregiver pursuant to the
applicable Sections of the Code and that after such applicant has been accepted for
Membership,the Member shall be bound by and strictly adhere to the terms and conditions
set forth herein.
Signature of Acceptance by Patient Page 1:
(1 of 4)
34
• 11.THE COLLECTIVE PURPOSE
The purpose of the Collective is to:
(A) Collectively and cooperatively cultivate,acquire,possess and distribute medical
cannabis by and between the Members of the Collective;
(B)To provide Members safe and affordable access to medical cannabis without fear of
criminal liability;
(C)To provide for the safe and affordable distribution of medical cannabis to the Members;
(D) To establish collective cultivation projects and to distribute the product of such
projects;
(E)To facilitate natural herbal remedies for chronically ill Californians with HIV,AIDS,
chronic pain,chronic spasticity,glaucoma,arthritis,cancer,migraine,wasting syndrome,
and/or such other conditions for which licensed medical physicians may recommend
various remedies;
(F)To collect,compile and conduct new research and a continuous record and history of
herbal and alternative remedies and to make such records available for research,study and
interpretative use;
(G) To facilitate the allocation of the costs and benefits of this effort,including the allocation of
reasonable compensation for services rendered amongst those associated with the corporation
as authorized under California Health and Safety Code§11362.5, 11362.7,et seq.and the
California Attorney General's Guidelines; and
(H)To support the local charitable organizations,which serve those individuals who are,
afflicted with the severe medical conditions for which medicinal cannabis is authorized by
the State of California.
(1) To promote public awareness of the issues relating to medical cannabis and to effect and
influence legislative and regulatory agencies to promote laws,rules,regulations and policies
beneficial to the Collective and its Members.
111.DUTIES AND OBLIGATIONS OF MEMBERSHIP
Each Member shall be a resident of the state of California and a qualified medical cannabis
patient pursuant to California Health and Safety Code Sections 11362.5 and 11362.7,et seq.
Each Member shall carry on his/her person an original written recommendation by a
licensed physician and shall produce such original written recommendation upon request
by Collective Management.The Collective Management prior to the Member being granted
membership rights will verify such recommendation.Such written recommendation shall
be valid for a term of no more than twelve (12)months and upon expiration without
renewal,membership rights will automatically terminate.
No applicant for membership shall be granted membership status and rights until and
unless such applicant executes this membership agreement and produces proof of valid
California residency.Proof may be made via the production of a valid California driver's
license,a valid California identification card or a valid US Passport The Collective shall
maintain such proof of identification as part of its membership records.Such records shall
not be disclosed or released to third parties by the Collective Management unless expressly
authorized in writing by the member or by order of a court of competent jurisdiction or as
required by the laws of the State of California.
Each Member agrees that he/she will at all times abide by the terms and conditions of this
membership agreement and that any breach of this agreement may result in the immediate
termination of membership rights.The Collective Management at their sole discretion shall
make such termination determination.
Signature of Acceptance by Patient Page 2:
(2 of 4)
35
. Each Member agrees that the distribution and/or resale of any medical cannabis product
acquired from the Collective to any non-Member of the Collective shall result in immediate
termination of Membership rights.
It is understood by the Members herein that one or more Members may cultivate medical
cannabis for the benefit of the Collective and that the costs and expenses associated with
such cultivation and processing and the subsequent distribution to Members shall be borne
by the Collective on a pro rata basis.
The pro rata share of expenses and costs shall be calculated by the Collective Management
to provide for the following:
a.the costs of acquisition,cultivation,processing,transporting, distributing,and/or
delivery of medical cannabis to the membership;
b.for salary and other compensation for services rendered to the Collective by the
Collective Management and employees;
c.for costs associated with rent,utilities,or other fixed or variable expenses
associated with the operation of any and all locations of the Collective;
d.for costs and expenses advanced on behalf of the Collective that inure to the
benefit of the Collective;
e.for any such debt or obligation incurred by the Collective on its behalf and for its
benefit;
f.for a charitable fund to be distributed on a regular basis as directed by Collective
Management to such charitable organizations that serve the needs of the local community
and for research and development into the cause and cure for those ailments for which
medicinal cannabis is authorized by the State of California;and
g.reserve funds for potential legal(civil and/or criminal) liabilities of the Collective
• and or the Collective Management or employees thereof.
Members acknowledge and agree that his/her pro rata payment shall be made by the
Member at each individual event of acquisition of such Members'medical cannabis
requirement from the Collective and that each Member's individual requirements will vary
according to his/her specific medical condition
Each Member is advised to research marijuana as medicine,and to consult with his/her
doctor as to dosage and frequency of medication.Members are responsible for following
these guidelines.You are responsible to use and not to abuse medicine.If the Collective
Management has any indication any Member is abusing their medicine the Collective
Management will refuse service and will terminate that Members membership.
Each Member understands that loitering on or around the Collective's location is prohibited
by Cal.Penal Code section 647(e).Accordingly,each Member,as a condition of membership,
agrees to leave their friends,even fellow patients,at home,and will not under any
circumstance be on the premises of the Collective with friends waiting in a car.
Any Member of law enforcement who is a bona fide patient must,disclose the fact that
he/she is a Member of law enforcement prior to being granted membership rights.
Otherwise,by executing this agreement and as a condition of membership,you promise,
state and affirm,under penalty of perjury under the laws of the State of California,that you
are not a Member of,affiliated with,nor employed by any law enforcement department,
entity,or agency.
The Collective Management reserves the right to refuse service to anybody at any time for
any reason or no reason whatsoever.
Signature of Acceptance by Patient Page 3:
• (3 of 4)
36
• IV.DUTIES AND OBLIGATIONS OF THE COLLECTIVE MANAGEMENT
The Collective Management shall be elected pursuant to the Bylaws of the Collective.The
Collective Management shall include all officers and directors of the Collective.
It shall be the duty and obligation of the Collective Management to operate in good faith the
affairs,financial,charitable or otherwise,of the Collective and to keep and maintain in
accordance with generally accepted accounting principles,adequate and correct accounts of
the properties and transactions of the Collective,including accounts of its assets,liabilities,
receipts and disbursements.
Furthermore,it shall be the duty and obligation of the Collective Management to enforce,
abide by and to defend the terms and conditions of this Membership agreement and the
Bylaws of the Collective.
The Collective Management shall be authorized to prosecute or defend any legal action in
any court of proper jurisdiction on behalf of and for the benefit of the Collective.The
Members agree that the Collective Management shall be entitled to reimbursement for costs
and reasonable compensation for services rendered on behalf of the Collective.
The Members agree that the Collective shall defend and hold harmless the Collective
Management or its employees from any and all civil or criminal liability resulting from any
action taken on behalf of or for the benefit of the Collective or for the results or
consequences of any conduct undertaken during the course and scope of services rendered
to the Collective,excepting intentional tortuous conduct resulting in harm to third persons
or employees of the Collective.
V.WAIVER OF LIABILITIES AND RIGHTS
As a condition of membership,and/or by utilizing such medicine/herbal cannabis and
related products as you may obtain,you,your heirs and those with you expressly and
forever disclaim the warranty of merchantability and the warranty of fitness for particular
purpose.
Any product obtained at any facility of the Collective may be inspected prior to delivery,
however since medical purity so requires,all transactions are final.
The medicinal cannabis and related products are offered solely on an AS IS basis with no
warranty whatsoever.
Each Member understands that cannabis/marijuana may impair a person's ability to drive a
vehicle or operate machinery.
As a condition of membership,and/or by utilizing such medicine/herbal cannabis and
related products as you may obtain,you,your heirs and those with you expressly and
forever waive any and all claims now known,or discovered at any time in the future due to,
related to or arising from your use,storage or handling of cannabis or any other
product/herb/food/oil/concentrate you may obtain at our facility.
As a condition of membership,and/or by utilizing such medicine/herbal cannabis and
related products as you may obtain,you,your heirs and those with you expressly and
forever release our collective,its Members,landlord,operators,managers,employees,
agents,attorneys,growers,providers,wholesalers,officers,directors,from and against any
and all lawsuits,alter-ego lawsuits,demands,charges or claims with reference to the
strength,potency,purity,toxicity,appropriateness for your condition of any cannabis and
related products you may obtain at our facility; further,that you knowingly waive the
provisions of civil code section 1542 which states in pertinent part that"A general release
does not extend to claims which the creditor does not know or suspect to exist in his favor
at the time of executing the release,which if known by him must have materially affected
his settlement with the debtor."
. Signature of Acceptance by Patient Page 4:
(4 of 4)
37
i
—TRASH ENCLOSURE
FRONT PARMG AREA SCHEDULE:COMPLETE BY SW
ParkinMAFPROYED EPDXY
Parking
Parking
FLOORING MATERIAL AND SCHEDULE:
I. STOREFRONT. CERAMIC IRE FLOOR WITH
4 a VINYL WALL SASE
IM'SCSLE SCHEIDU cCOMPLETE
t FRONTCLOSET: CERAMIC TR.E FOORWITHRMNCOVE TILE
Entrance saR�COMPLETE-
6 FT
q 3 mmmmOI. ar4m95 Aw TaEnmmwmin&wcovr Tp
SCHEDULE COMPLETE.
4. SIDE CLOSET:CERAMIC TILE FLOOR WITH R&W COVETILE
Scale ENTRANCE Rece nist SCHEOUMCOMPIETE.
& STORAGEROOM: QUARRYTIEFUM
80 s. SSE COMPLETE
SELF DOOR S. WALKWAY:CERAMIC TILE FLOOR WITH 4IN.VIHYL WALL BASE
SCHEDULE:COMPLETE.
T. SRRL ROOM OURRYA nLE
obby Area RcHFhrAP.COMPLETE By aw
176 s. 6 RACK CLOSET.SURRESWMT TILE FLOOR
_ WITH 9&W COVE TILE
SCHEDULE COMPLETE
6 Exterior Lights ORE FRONT R. OFFICE CERAM THE FLOOR WITH SAW COVE TILE
1. Left of Main rT .t. SCHEDULE COL94ZM
�2 Entrance Door
WATER(EATER
2. Over Parking ����.� PLASTIC
Area
3-Over Side
Glass Office Door
4-Rear Comer of
Building Disp sary S.Rear Door .5 Interior Camera System
•
Overhead 1. In the corner viewing the
6. Rear of r entrance door.
Property over 2. View the rece tion Window
Patio Slab of . p
Cement 3. Center of the dispensing room
ATEREffATER 4. Compr behind Counter
FIRE `"LP r� i 5. Other Comer behind Counter
r
Prepping
Area
Meeting SWROOM • 4 Exterior Camera System
oom WALKK CLOSET 1. In the corner viewing the entrance
2 J. � door.
2. Viewing rear, back corridor of
4 S.t. building
Chilled 3. Viewing Driveway & Parking
Stora Roan 4. Viewing the Rear Entrance and
Ro Rear of Building
SHELF
STEP TO aho Total Interior Area Measures:
1886 Square Feet
Lights
Outside Cameras
Interior Cameras
����
•
Notarized Landlord Statement
I, Arthur Greenfield, certify, that I am the legal owner of the property
located at:
1478 N. Palm Canyon Drive
Palm Springs, California, 92262
I have also entered into a lease agreement for the above-mentioned
property with the full knowledge, and acceptance, that the property will
be used for a Legally Approved Collective Medicinal Marijuana
Dispensary in the City of Palm Springs.
/ V/w
Arthur Greenfield YDatV
Public Notary Date
Statgul California.County of Riverside.Or,__b� _�.` .beforeme.
kchh WSMart n. Nota y Pub] . Personally appeared,--------
who proved to me on the basis of satisfactory ender" to be the person(s)
whose name(s) sfare subscribed to the within instrument and acknowledged th
me thatteishef hey executed the same in hi:dherAheir authorized wpacity(ies),
and that by hislherAheir signatures)on the instrument the person(s),or the RICHARD W. MARTIN
entity upon behalf of which the person(s)acted,executed the instrument l oettify Commission# 1993192
under PENALTY OF PERJURY under the IMOf the State- Califomialhatthe a -o NotaryPublic-California z
is true and correct. --- z x. ,
tonagaing paragraph• z - Riverside County
WITNESS myhmM and otliicialseal. ._„ ___,_-__...__.._..._! .__'-f My Comm.Expires Nov 2.2016
•
Commercial Gross Lease
1.Names. This lea�se�is made by Landlord,Landlord and
esWiI L Tenant.
2.Premises Rein Leased. Landlord is leasing to Tenant and Tenant is leasing from Landlordthe following premises:
/�5'�?�
Y Part of Building Only. Specifically,Tenant is leasing the��/� of the building.
[ ] Shared Facilities.Tenant and Tenant's employees and customers may use the following additional facilities in
common with other tenants,employees,and customers:
[V(—Parking spaces:
[ ] Restroom facilities:
[ ] Storage areas:
[ ] Hallways,stairways, and elevators:
[ ] Conference rooms:
[ ] Other:
3.Term of Lease. This lease begins on cTI)J9 201!fz and ends on SRN�— Aj 204C
�d
4.Rent. Tenant will ay rent in advance on the �c7 day of each month. Tenant's first rent payment will be on
1 !S 20! in the amount of$ Tenant will pay rent of per month thereafter.
[ Tenant will pay this rental amount for the entire term of the lease.
[ ] Rent will increase each year,on the anniversary of the starting date in paragraph 3,as follows:
5. ion to Extend Lease
[ First Option.Landlord grants Tenant the option to extend this lease for an additional � years. To exercise this
option,Tenant must give Landlord written notice on or before / M/el f 2-046 .Tenant may exercise this
option only if Tenant is in substantial compliance with the terms of this lease.Tenant will lease the premises on the
same terms as in this lease except as follows: y�
[ ] Second Option. If Tenant exercises the option granted above,Tenant will then have the option to extend this lease
for 5 years beyond the first option period.To exercise this option,Tenant must give Landlord written notice
on or before 117AW 34 2018 .Tenant may exercise this option only if Tenant is in substantial compliance
with the terms of this lease. Tenant will lease the premises on the same terms as in this lease except as follows:
6.Security Deposit. Tenant has deposited$ with Landlord as security for Tenant's performance
of this lease.Landlord will refund the full security deposit to Tenant within 14 days following the end of the lease if
Wenant returns the premises to Landlord in good condition(except for reasonable wear and tear)and Tenant has paid
andlord all sums due under this lease. Otherwise,Landlord may deduct any amounts required to place the premises
in good condition and to pay for any money owed to Landlord under the lease.
MISP Cm.nOMW Gran lean 6-12.1
OWo®V w .noimcom
7.Improvements by Landlord
[ ] Before the lease term begins,Landlord(at Landlord's expense)will make the repairs and improvements listed in
Attachment 1 to this contract.
0 ] Tenant accepts the premises in"as is"condition. Landlord need not provide any repairs or improvements before
the lease term begins.
8. Improvements by Tenant. Tenant may make alterations and improvements to the premises after obtaining the
Landlord's written consent,which will not be unreasonably withheld.At any time before this lease ends,Tenant may
remove any of Tenant's alterations and improvements,as long as Tenant repairs any damage caused by attaching the
items to or removing them from the premises.
9.Tenant's Use of Premises. Tenant will use the premises for the following business purposes: sr
,L 6-y6aut may also use the premises for purposes reasonably related to the main use.
10.Landlord's Represen ations. Landlord represents that:
A. At the beginning of the lease term,the premises will be properly zoned for Tenant's stated use and will be in com-
pliance with all applicable laws and regulations.
B. The premises have not been used for the storage or disposal of any toxic or hazardous substance, and Landlord has
received no notice from any governmental authority concerning removal of any toxic or hazardous substance from the
property.
11 tilities and Services. Landlord will pay for the following utilities and services:
[ ater
[� ctre
icity
[ as
�eat
f Au'-Conditioning
Any items not checked will be the responsibility of Tenant.
12.Maintenance and Repairs
A. Landlord will maintain and make all necessary repairs to: (1)the roof,structural components,exterior walls,and
interior common walls of the premises,and(2)the plumbing, electrical,heating,ventilating,and air-conditioning
systems.
B. Landlord will regularly clean and maintain(including snow removal)the parking areas,yards,common areas,and
exterior of the building and remove all litter so that the premises will be kept in an attractive condition.
C. Tenant will clean and maintain Tenant's portion of the building so that it will be kept in an attractive condition.
O.Insarance
A. Landlord will carry fire and extended coverage insurance on the building.
B. Tenant will carry public liability insurance;this insurance will include Landlord as an insured party.The public
liability coverage for personal injury will be in at least the following amounts:
• $ !M 000 per occurrence.
• $ in any one year.
C. Landlord and Tenant release each other from any liability to the other for any property loss,property damage,or
personal injury to the extent covered by insurance carried by the party suffering the loss,damage,or injury.
a. Tenant will give Landlord a copy of all insurance policies that this lease requires Tenant to obtain.
14.Taxes
A. Landlord will pay all real property taxes levied and assessed against the premises.
B. Tenant will pay all personal property taxes levied and assessed against Tenant's personal property.
15. Subletting and Assignment. Tenant will not assign this lease or sublet any part of the premises without the writ-
ten consent of Landlord.Landlord will not unreasonably withhold such consent,
16.Damage to Premises
A. If the premises are damaged through fire or other cause not the fault of Tenant,Tenant will owe no rent for any
period during which Tenant is substantially deprived of the use of the premises.
B. If Tenant is substantially deprived of the use of the premises for more than 90 days because of such damage,Ten-
ant may terminate this lease by delivering written notice of termination to Landlord.
17.Notice of Default. Before starting a legal action to recover possession of the premises based on Tenant's default,
Landlord will notify Tenant in writing of the default.Landlord will take legal action only if Tenant does not correct
the default within ten days after written notice is given or mailed to Tenant.
18.Quiet Enjoyment. As long as Tenant is not in default under the terms of this lease,Tenant will have the right to
occupy the premises peacefully and without interference.
19.Eminent Domain. This lease will become void if any part of the leased premises or the building in which the
leased premises are located are taken by eminent domain.Tenant has the right to receive and keep any amount of
money that the agency taking the premises by eminent domain pays for the value of Tenant's lease,its loss of busi-
ness, and for moving and relocation expenses.
20.Holding Over. If Tenant remains in possession after this lease ends,the continuing tenancy will be from month to
month.
21.Disputes
[ j Litigation. If a dispute arises,either party may take the matter to court.
• [t-fediation and Possible Litigation. If a dispute arises,the parties will try in good faith to settle it through media-
tion conducted by
[da mediator to be mutually selected.
The parties will share the costs of the mediator equally. Each party will cooperate fully and fairly with the mediator
and will attempt to reach a mutually satisfactory compromise to the dispute.If the dispute is not resolved within 30
day!^it is referred to the mediator,either party may take the matter to court.
[4 Mediation and Possible Arbitration.If a dispute arises,the parties will try in good faith to settle it through media-
tion conducted by
a mediator to be mutually selected.
The parties will share the costs of the mediator equally.Each party will cooperate fully and fairly with the mediator
and will attempt to reach a mutually satisfactory compromise to the dispute. If the dispute is not resolved within 30
days after it is referred to the mediator,it will be arbitrated by
[WJ an arbitrator to be mutually selected.
Judgment on the arbitration award may be entered in any court that has jurisdiction over the matter.Costs of arbitra-
tion,including lawyers'fees,will be allocated by the arbitrator.
•Landlord need not participate in mediation or arbitration of a dispute unless Tenant has paid the rent called for by this
lease or has placed any unpaid rent in escrow with an agreed upon mediator or arbitrator.
22.Additional Agreements. Landlord and Tenant additionally agree that: i6e 407X r1440W 70
Ao�,bluf- MLI O1VOde!t- AV eogR oWJ /fie
L BP CmoeuH G1 Lax&12.2
23.Entire Agreement. This is the entire agreement between the parties.It replaces and supersedes any and all oral
agreements between the parties, as well as any prior writings.
•24. Successors and Assignees. This lease binds and benefits the heirs,successors,and assignees of the parties.
25.Notices. All notices must be in writing.A notice may be delivered to a party at the address that follows a parry's
signature or to a new address that a party designates in writing.A notice may be delivered-
(1) in person
(2)by certified mail,or
(3)by overnight courier.
26. Governing L aw. This lease will be governed by and construed in accordance with the laws of the state of
6
27. Counterparts. The parties may sign several identical counterparts of this lease.Any fully signed counterpart shall
be treated as an original.
28.Modification. This lease may be modified only by a writing signed by the party against whom such modification
is sought to be enforced.
29.Waiver. If one party waives any term or provision of this lease at any time,that waiver will be effective only for
the specific instance and specific purpose for which the waiver was given.If either parry fails to exercise or delays
exercising any of its rights or remedies under this lease,that party retains the right to enforce that term or provision at
a later time.
30. Severability. If any court determines that any provision of this lease is invalid or unenforceable,any invalidity or
unenforceability will affect only that provision and will not make any other provision of this lease invalid or unen-
forceable,and shall be modified,amended,or limited only to the extent necessary to render it valid and enforceable.
Dated: ny r— —7 2U11 f
LANDLORD / TENANT 04.41157!//SC IXIV4 Wrj"W''me
Name of Business: -7A �U/S�t/� Name of Business: Q 0,4
at 9 PVe4l QIU&t /SST$ ZW Pr �45 ( 92u2
By. A By-
Printed Name: Y N GC `C� ted Name: E?�doszda AO d4dkl
Title: Du/I �'e— Title: G � �
Address: 9$6 Al 42y d ®R- Address: JZ r- ecle-
(Y]GUARANTOR
By signing this lease,I personally guarantee the performance of all financial obligations of
under this lease.
,Dated:
Printed Name:ctLY.4/ /4 a/wEZ 4l� Title:
Address: 7SZ ,Ll ,L'oeex
3669724
ARTICLES OF INCORPORATION
FILED C.v
I Sew tslry of state `
State of Califumia (+
The name of this corporation is JADE ORAGNICS CORPORATION 2 3 Mill
jC�
11
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 act or activity,other than credit union business,for which a corporation may be
organized under such law.
B. The specific purpose of this corporation is to facilitate or coordinate medical marijuana
transactions between patient members and/or primary caregiver members.
III
The name and address in the State of California of this corporation's initial agent for service of
process Name Venus Louviere
Address 4180 N.Sierra Way#479
City San Bernardino State CAUFORNIA Zip 92407-3835
• IV
Notwithstanding any of the above statements of purpose 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 purpose of this corporation.
Initial Street Address of Corporation
4027 Holt Ave.
Montclair,CA 91763
Initial Mailing Address of Corporation
4180 N.Sierra Way Suite#479
San Bernardino,CA 92407-3835
Venus Louviere-Incorporator
MINUTES OF BOARD OF DIRECTORS
JADE ORGANICS CORPORATION
. MEETING OF MAY 30, 2014
A MEETNG OF THE BOARD OF DIERCTORS OF WAS HELD ON MAY 30, 2014
AT 11:35 A.M.
WHEREAS, the Articles of Incorporation for Jade Organics Corporation, the non-
profit mutual benefit corporation organized an existing as a medical marijuana
collective in accordance with the laws of the State of California were filed with the
Secretary of State of the State of California on April 23, 2014 and;
WHEREAS, on May 30, 2014 the organizational meeting of the Board of Directors
was held and Edward J. Dietrich and Eduardo Hernandez Rivera were appointed
as directors of the corporation.
NOW THEREFORE, the corporation acting by and through its directors, Edward J.
Dietrich and Eduardo Hernandez Rivera do hereby ratify and approve the following
actions of the corporation and the Board of Directors of the corporation:
1. The appointment of Edward J. Dietrich and Eduardo Hernandez
Rivera as directors of the corporation.
2. The directors of the corporation, Edward J. Dietrich and Eduardo
. Hernandez, were authorized to make application to the City of Palm
Springs for permits and/or approvals for the operation of the medical
cannabis collective in the City of Palm Springs and to sign, on behalf
of the corporation all applications, forms, and/or documents required
to make said application(s).
3. Edward J. Dietrich and Eduardo Hernandez Rivera acting as
Directors were authorized to enter into the lease agreement for the
premises located at 1478 N. Palm Canyon Drive, Palm Springs,
California for said property to be used as the location of the medical
marijuana collective/dispensary subject to approvals by the City of
Palm Springs.
Dated: May 30, 2014 Dated: May 30, 2014
Jade Organics Corporation Jade Organics Corporation
Edward J. Diet i Director Eduardnandez Rivera
s
' State of California LN
p . Secretary of State
OP�
Statement of Information EY77001
(Domestic Nonprofit,Credit Union and Consumer Cooperative Corporations)
Filing Fee: $20.00.If this is an amendment, see instructions. FILED
IMPORTANT—READ INSTRUCTIONS BEFORE COMPLETING THIS FORM In the office of the Secretary of State
1. CORPORATE NAME of the State of California
JADE ORAGNICS CORPORATION
JUN-05 2014
2. CALIFORNIA CORPORATE NUMBER
C3669724 This space for Faeuj use Only
Complete Principal Office Address (Do not abbreviate the name of the city.Item 3 Cannot be a P.O.Box.)
3. STREET ADDRESS OF PRINCIPAL OFFICE IN CALIFORNIA,IF ANY CITY STATE ZIP CODE
2034 CHIA RD,PALM SPRINGS,CA 92262
4. MAILING ADDRESS OF THE CORPORATION CRY STATE ZIP CODE
EDWARD J.DIETRICH 2O34 CHIA RD,PALM SPRINGS,CA 92262
Names and Complete Addresses of the Following Officers (The corporation must list these three officers. A comparable title for the specific
officer may be added;however,the preprinted tides on this forth must not be altered.)
5. CHIEF EXECUTIVE OFFICER/ ADDRESS CITY STATE LP CODE
EDWARD J DIETRICH 2O34 CHIA RD,PALM SPRINGS,CA 92262
6. SECRETARY ADDRESS CITY STATE ZIP CODE
EDVARDO HERNANDEZ RIVERA 752 N FELICES CIRCLE E.UNIT M 205,PALM SPRINGS,CA 92262
7. CHIEF FINANCIAL OFFICER! ADDRESS CRY STATE ZIP CODE
EDVARDO HERNANDEZ RIVERA 752 N FELICES CIRCLE E.UNIT M 205,PALM SPRINGS,CA 92262
Agent for Service of Process If the agent is an individual,the agent must reside in California and Item 9 must be completed with a California street
address, a P.O. Box address is not acceptable. If the agent is another corporation,the agent must have on file with the Cafifomia Secretary of State a
certificate pursuant to California Corporations Code section 1505 and Item 9 must be left blank.
8. NAME OF AGENT FOR SERVICE OF PROCESS :M r:::.�=J e '.:'r:a z ;p5._ r ,::,,.: :�r•
EDWARD J DIETRICH
9. STREET ADDRESS OF AGENT FOR SERVICE OF PROCESS IN CALIFORNIA,IF AN INDIVIDUAL CITY STATE ZIP CODE
2034 CHIA RD,PALMSPRINGS,CA 92262
Common Interest Developments
10.❑ Check here if the corporation is an association famed to manage a common Interest development under the DavisStrfing Common Interest
Development Act, (Cadfomia Civil Code section 4000, at seq.) or under the Commercial and Industrial Common Interest Development Act,
(California CMI Code section 6500,et seq.). The corporation must file a Statement by Common Interest Development Association(Form SI-CID)as
required by California Civil Code sections 5405(a)and 6760(a). Please see instructions on the reverse side of this form.
11. THE INFORMATION CONTAINED HEREIN 15 TRUE AND CORRECT.
06/05/2014 EDWARD J DIETRICH CEO
DATE TYPEIPRINr NAME OF PERSON COMPLETING FORM TIRE SIGNATURE
SI-100(REV 01/2014) APPROVED BY SECRETARY OF STATE
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CITY OF PALM SPRINGS Use Only
Office of the City Manager Case No:
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 rejecte( .
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 Springs,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: i`f j8 /r/• Plot �9dya�/�10 T-0p [;at. fZ7,6Z
• "Please note that site location is prohibited within 500 feet of a school, public playground, park,
residentiaW 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: r
Gross Square Footage of proposed business space: lgecl' 'Y'r
Assessor's Parcel # Zone: SectionfTownship/Range
General Plan Hours of Operation '4iw to
If the MCCC is in a Multi-Tenant Building, please list other Businesses:
Business Name Business Type
1.
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
�a�alzo .7- E7�e{,e�¢ls' �03� G�6/%g /�'IJ P�'Ka�r�1T®lerizcfl��@C7�.u7! Cmy
Residential # Business # Cell # Facsimile#
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 Properly Owner's Email
5503 j a`4AW-0 CkAW (fie. aqr � 44 t,C&..,.
Residential# Business# Cell# Facsimile#
(ry1o) 322-
6)The names and contact information of every person(s)who has a financial interest in
the MCCC:
Name Telephone# Address Email
1. Epr.//.42I� S. Dr /tro_K (7. �4of�CFCit rd. J Lena+
2. EDr/oax> IhUW7e-9 M44 *^- f4Pa3 7rZAIlor f lePr• Gn. IV-zor-
• 4i�leavay n:eur �'
3. G-.noiL.CoK
4.
987441.1
5.
• 6.
7.
6) The names and contact information of every principal officer, director,and/or operator:
Name Telephonwe# Address/ Email
V P
2. AWAaco t004WO" R~ M.Z;L- f47o3 7S7 AlCcr kIdW Qe� /tu Zoe
hwte2mey++av al Ft..aar�
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 /I Email
1.&W
2. tiayfgua.q�xacJr .;.' ElNd1L.
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. &CI,420b W ,40,via4 Aze),oL7ti 517a.3 kdodwayjwauo � �1
fS/ •(x eer O e. -W�-ot?-Zos' CBW.
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_
# of Qualified Patients 260
Will delivery service be provided? Y N
If yes, please describe the extent of the delivery service:
•
10) Will cannabis be cultivated on site? Y
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
/n
N
1. EAd4ecx� fE RVW4 AGTrdfa�ay/NerJr ,
96-1- oV 63c Xiea Ce /V 2. ZOO
Da,csu, sonzu���- 917,CZ
3.
4.
5.
6.
. 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
2.
3.
4.
r
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 (CO).
• 1) An accurate site plan and floor plan of the premises that dearly 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
lighting standards regarding fixture type, wattage, illumination levels, shielding, etc.
(Applicants may be required to secure the necessary approvals and permits.)
987441.1
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 question ma a grounds for denial of the application or
subsequent rev tion of e p i .
Signature: Date: e/
Signatu Date:
2) 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, juris ViC o driving rec ds, birth records, and any other public records.
Signature Date:
Signat Date:
3) 1 have received, read, reviewed, and understand V11of 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 med" I canna ' c atiy or Ilective in the City.
Signature: Date:
Signature: > Date:
98744 .l
G c 116414 L lvh f ea
ACKNOWLEDGMENT
State of California
County of `Riverside
On before me, Richard W. Martin Notary Public
personalty appeared G—D yR 4'®Cl 1+ - RI V>✓IZA- A E04 AAD T. DI
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/shetthey executed the same in
his/herttheir authorized capacity(ies), and that by his/her/their signature(s)on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing
paragraph is true and correct.
RICHARD W.MARTIN
WITNESS my hand and official seal. Commission# 1989192
i e s Notary Public-California Z
Z
Riverside County
D
/, . My Comm.Expires Nov 2.2016
Signatu�Gf/ (Seal)
• Operations Covenant
Jade Organics Corporation accepts all responsibility and liability with
respect to medical cannabis, or the activities of our MCCC.
Jade Organics Corporation also agrees to indemnify the city of Palm
Springs.
Jade Organics Corporation will carry insurance in the amounts and the
types that are acceptable to the City Manager.
Jade Organics Corporation will name the City of Palm Springs as an
additional insured;
Jade Organics Corporation agrees to defend at its sole expense, any
action against the City, its agents. Officers and employees because of the
issues of such approval;
Jade Organics Corporation agrees to reimburse the City for any attorney
fees that the City may be required to pay as a result of such action. The
City may, at its sole discretion, participate at its expense in the defense
of any such action, but such participation shall not relieve Jade Organics
Corporation of its obligation, hereunder
ardo H ez. River , Secretary/Treasurer Date
Jade Organics Corporation
MEDICAL MARIJUANA WAIVER HEALTH INFORMATION PRIVACY
I am aware of my right to privacy of my health related information. I hereby
authorize the use and disclosure of the medical information contained in the
medical recommendation of my physician for medical marijuana and confirmation
with the doctor by Jade Organics Corporation, from time to time. I also
understand a copy of my record will be kept by Jade Organics Corporation on
file. I understand that Jade Organics Corporation policy on privacy is to not
disclose the name or identity of any patient other than in the course of
confirmation of the recommendation. I understand that I may have extra
protection under California State and Federal laws as to my information.
However, I expressly authorize the use and storage of this information in
accordance herewith. I understand I may revoke my authorization in writing at
any time and that Jade Organics Corporation will then maintain a record. I
understand I am under no obligation to sign this form; however I realize that in
order to ask Jade Organics Corporation to provide me access to medical
marijuana and at my own personal request for instance, I grant the right to is the
• information as described herein. I understand I have a right to inspect or copy
this authorization, and my file with Jade Organics Corporation. I understand that
there is the possibility of re-disclosure of information in the course of confirming
my recommendation. This authorization shall terminate on the termination of my
medical recommendation unless terminated sooner in writing by me.
I have had an opportunity to review this form and I confirm it accurately reflects
my wishes.
Signature of Patients Approval: Date:
• Jade Organics Corporation
MEMBERSHIP APPLICATION
I have read and agree to the above rules and conditions of Membership and hereby
apply for Membership of this Collective.
I certify under penalty of perjury under the laws of the State of California, that I am a
resident of the State of California and have been diagnosed with a serious illness for
which cannabis provides relief and that I have received a recommendation or an
approval from my licensed California physician to use cannabis medicinally.
I authorize the Collective to contact my physician and I authorize my physician to
verify my recommendation to the Collective.
I agree that I will consistently rely upon the Collective as the exclusive source of my
medicinal cannabis.
I understand that so long as I comply with the above rules and conditions of
Membership,my Membership shall remain in effect until the expiration of my
recommendation or until I revoke my Membership in writing by certified mail,
return receipt requested,whichever comes first
• Signature: Date:
Print Name:
Address: Apt #:
City:
State:
Zip Code:
E-mail:
Phone: Cell #:
[for internal office use only]
Recommendation verified by: Date:
Membership Approved by: Date:
• Membership/Verification Expiration Date: Med. ID #
ORIGINAL JADE ORGANICS CORPORATION MEMBERSHIP AGREEMENT
• VOLUNTARY CULTIVATION MEMBERSHIP PROGRAM
JADE ORGANICS CORPORATION understands that, for one reason or another, not all of
it's members can participate in the cultivation of the Collective's Medical Marijuana.
Therefore, O'DAM does not require its members to participate in the cultivation
process. However, we do encourage and request that all Collective members participate
in the cultivation process, if they so desire.
We do ask that all members with special skills, extra time, knowledge and/or resources
that can assist the Collective's cultivation program, get involved and assist in helping us
make the entire Collective process better. Please fill in below:
a. I would/would not (Circle One) like to participate in the cultivation of our
Collective's Medical Marijuana process.
b. If you wish to participate in the cultivation process, do you have any special
skills , time, knowledge and/or resources that you would be willing to share and
contribute
• Executed on this date: _/_/ in the County of Riverside, State of California.
Print Name: Signature:
Optional Contact Information:
Would you like to receive news, promotions, specials, discounts...?
Member Phone Number: Member email:
Authorized Collective Agent Signature: Date:
ORIGINAL JADE ORGANICS CORPORATION MEMBERSHIP AGREEMENT
I, .• a resident of the County of in the state of California,hereby state that as a qualified patient/caregiver,who has received a valid physician's recommendation for the use of medical marijuana in
accordance with the California Health and Safety Code:11362.5 ("Proposition 215"or"Compassionate Use Act of 1996"),and
Article 2.5,commencing with Section 11362.7 to Chapter 6 of Division 10 of the California Health and Safety Code("SB420"),
wish to voluntarily join,and become a member of the O'DAM (the Collective"),and agree to follow the terms and conditions as
set forth in this agreement
1. 1 hereby declare under penalty of laws of the State of California,that a medical doctor has recommended and
approved,my use of medical marijuana for an illness for which cannabis provides relief in accordance with the
Compassionate Use Act of 1996 and SB 420.
Patient/Member Initials:
Collective Member Initials:
2. As a member,I hereby appoint and designate the Collective,and their representatives,as any true and lawful agents
for the limited purpose of assisting me in obtaining my legally prescribed medical marijuana.I understand that this
means that the Collective will be required to possess,purchase,cultivate,transport and/or distribute medical
marijuana exclusively for member qualifying patients or primary caregivers.Therefore,I grant the Collective's
management,and other fellow members the limited authority to engage in the afor-mentioned tasks.I further agree,
and authorize,the Collective and it's members,to use such information relating to my status as a qualified patient as
use of such information reasonably necessary for providing my medical marijuana for my medical benefit as a
qualified patient
Patient/Member Initials:
Collective Member Initials:
3. 1 authorize the Collective to create and/or assign agency rights in it's own name for the purpose of growing marijuana
for my personal medical reasons,as well as for the medical benefit of other members of the Collective.
• Patient/Member Initials:
Collective Member Initials:
4. As a member,I understand that the Collective has other members who have joined and agreed to uphold the
Collective's Rules and Spirit by,among other things,signing a similar membership agreement I hereby authorize the
Collective to process the medical marijuana as described under this agreement jointly with other members of the
Collective under similar agreements.I agree that the medical marijuana possessed by the Collective is at any time,the
Collective property of every patient who has joined the Collective,subject to the Collective's rules and guidelines
established by and for the Collective for handling marijuana for the benefit of member patients.
Patient/Member Initials:
Collective Member Initials:
S. I agree to pay the Collective's all personal out-of-pocket expenses and reasonable compensation for services related to
providing medical marijuana to me and other member patients.
Patient/Member Initials:
Collective Member Initials:
6. 1 hereby verify that I am a resident of California,and my personal marijuana will not be taken out of the State of
California.I further verify and agree that medical marijuana shall not be shared,sold,bartered,traded,exchanged or
delivered by any means to any other person for medical,or any other reasons.I understand that diversion of medical
marijuana for non-medical purposes and/or to other individuals shall be grounds for the immediate termination of
my membership.I also agree to request amounts of medicine strictly for my medical personal use at reasonably
necessary intervals.
Patient/Member Initials:
Collective Member Initials:
• 7. 1 agree to possess my original,or true and correct copy,of my Physicians recommendation,when I am on the property
used by,or belonging to,the Collective.I understand that my failing to do so may result in the termination of my
ORIGINAL JADE ORGANICS CORPORATION MEMBERSHIP AGREEMENT
membership and that verbal recommendations from physicians will not be accepted.I hereby agree to all future
• changes of the Collective's policies as the laws relating to access to medical marijuana might change.I further agree to
provide the Collective with all changes relating to my contact information,as well as patient status as a qualified
patient
Patient/Member Initials:
Collective Member Initials:
8. I understand,and agree,that adherence to the rules of the Collective,is the collective responsibility of all patient
members,including myself.I agree that any violation of the terms of this agreement,or any other Collective member
rules are grounds for immediate termination of my membership.
Patient/Member Initials:
Collective Member Initials:
9. 1 understand and agree that while medical cannabis has been authorized by both the people of the State of California
and Legislature,and consistently upheld by all California courts,the Federal Government persists in enforcing
portions of the Controlled Substance Act,which makes the possession and use of medical cannabis a Federal crime.I
hereby certify that I have been advised by an authorized agent of the Collective,that possession and use of marijuana
for medical purposes might be grounds for prosecution under Federal law.
Patient/Member Initials:
Collective Member Initials:
10. 1 further agree and authorize the Collective to use my documents to verify my membership.I am aware that the City of
Palm Springs may require proof of membership from time to time,and may request my records for verification
purposes.The Collective may use my records for any legal purpose deem necessary to protect our Collective,to
protect my rights to use alternative medicine and to protect this agreement
Patient/Member Initials:
Collective Member Initials:
11. 1 have read over the entire Collective Membership Application and Agreement,and certify that an authorized agent of
the Collective has personally gone over,and explained fully to me each paragraph of this agreement and that I have
been provided a copy of this agreement
Patient/Member Initials:
Collective Member Initials:
12. 1 hereby affirm that I have read,understand and agree to the terms of this OVAM original agreement Further,I
declare under the penalty of perjury,that the above is true and correct to the best of my knowledge.
Patient/Member Initials:
Executed on this date: _/_/ in the County of Riverside, State of California.
Print Name: Signature:
• Appendix 1
Jade Organics Corporation will implement Policies and Procedures to put above
Standard procedures for:
1. Sanitation
2. Cleanliness
3. Disposal of Controlled Product
4. Health Issues
S. Training
6. Compliance
7. OSHA Rules and Regulations
We will also incorporate all the paperwork requested by the City of Palm Springs,the State
of California and our legal representative.
Many examples of this type of documentation are included in the Business Plan for your
viewing.
Appendix 2
Jade Organics Corporation will implement Policies and Procedures with regards to
Bookkeeping Procedures.We will create:
• 1. Inventory Sheets
2. Sign In Sheets
3. Sign Up Sheets
4. Attendance Sheets
S. A Bookkeeping System for our CPA to work with
6. Run Both,Electronic and Printed Copies of everything required by law.
7. We'll create a true inventory to control our Sales, Purchases,Tax Records,
and Expenses,so as to have complete control of the product and finances of
the business.
Many of these sheets are already created and included in the Business Plan being
submitted for your review.A complete bookkeeping system is now being created for
this venture
•
Jade Organics Corporation has contracted Desert Alarm
as its Alarm Company to handle security.
Enclosed, you will find the information needed for
confirmation of such service.
Desert Alarm Inc
73-168 Hwy 111
Palm Desert, CA. 92260
Phone (760) 322 1562
Office Phone (760) 864 6455
Toll Free (800) 726 1779
Desert Alarm is an authorized dealer for a variety of brand
• name security alarm system products. They monitor and
service most major brand names.
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